LP Hipertens Cicii

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oleh :}{\b1 \fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
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\langnp1033 \langfe1033 \langfenp1033 \cf1 Disusun Untuk Memenuhi Salah Satu Tugas
Praktek Profesi Ners}{\fs24 \dbch \af2 \hich \af0
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{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
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\cf1 Hari }{\fs24 \dbch \af7 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
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\langnp1057 \langfe1033 \langfenp1033 \cf1 \tab }{\fs24 \dbch \af7 \hich \af0 \loch
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\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \tab }{\fs24 \dbch \af7
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Tanggal }
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\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Pembimbing Akademik}{\fs24
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___________________}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
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\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Cici Andriyani}
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426 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 LAPORAN PENDAHULUAN}
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\s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin426 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Hipertensi merupakan
peningkatan tekanan sistolik lebih besar atau sama dengan 160 mmHg dan atau tekanan
diastolic sama atau lebih besar 95 mmHg (Kodim Nasrin, 2010).}{\fs24 \dbch \af2
\plain \s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Hipertensi
dapat didefinisikan sebagai tekanan darah persisten dimana tekanan sistoliknya di
atas 140 mmHg dan diastolik di atas 90 mmHg. Pada populasi lansia, hipertensi
didefinisikan sebagai tekanan sistolik 160 mmHg dan tekanan diastolik 90 mmHg.
(Smeltzer, 2009). }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057
\langfe1033 \langfenp1033 Hipertensi didefinisikan oleh }{\i1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Joint National
Committee on Detection}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057
\langfe1033 \langfenp1033 (JIVC) sebagai tekanan yang lebih tinggi dari 140/90
mmHg dan diklasifikasikan sesuai derajat keparahannya, mempunyai rentang dari
tekanan darah (TD) normal tinggi sampai hipertensi maligna.}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\par }\pard \plain \s22 \qj \fi-360 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls1
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 B.\tab }{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Etiologi}
\langfenp1033 \par }\pard \plain \s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0
\langfe1033 \langfenp1033 Pada umumnya hipertensi tidak mempunyai penyebab yang
spesifik (idiopatik). Hipertensi terjadi sebagai respon peningkatan cardiac output
atau peningkatan tekanan perifer. \uc1 \u160 ?Namun ada beberapa faktor yang
mempengaruhi terjadinya hipertensi:}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-360
\adjustright \lin863 \rin0 \tql \tx1170 \itap0 \ls2 \fs22 \dbch \af2 \hich \af0
\loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Genetik: Respon neurologi terhadap stress
atau kelainan eksresi atau transport \uc1 \u160 ?Na.}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s22 \qj \fi-360 \li863 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin863 \rin0 \tql \tx1170 \itap0 \ls2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Obesitas: terkait
dengan level insulin yang tinggi yang mengakibatkan tekanan darah meningkat.}{\fs24
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin863 \rin0 \tql \tx1170
\itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Stress
Lingkungan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-360 \li863 \ri0 \lisb0
\tql \tx1170 \itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }
\langfenp1033 Hilangnya Elastisitas jaringan dan arterosklerosis pada orang tua
serta pelebaran pembuluh darah.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0
\tql \tx1170 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\tql \tx1170 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Berdasarkan etiologinya Hipertensi dibagi menjadi 2
golongan yaitu:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\itap0 \ls1 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch
Hipertensi Esensial (Primer)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \li709 \ri0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Penyebab tidak diketahui namun
banyak factor yang mempengaruhi seperti genetika, lingkungan, hiperaktivitas,
susunan saraf simpatik, system rennin angiotensin, efek dari eksresi Na, obesitas,
merokok dan stress.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
Hipertensi Sekunder}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \li709 \ri0 \lisb0 \sa0
\langfe1033 \langfenp1033 Dapat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 diakibatkan karena penyakit
parenkim renal/vaskuler renal.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \line }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Penggunaan kontrasepsi oral yaitu
pil. Gangguan endokrin dll.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Penyebab hipertensi pada orang
dengan lanjut usia adalah terjadinya perubahan}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 -}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 perubahan pada :}
\langfenp1033 \par }\pard \plain \s22 \qj \fi-180 \li851 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls3
\ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Elastisitas dinding
aorta menurun}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Katub
jantung menebal dan menjadi kaku}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \itap0 \ls3 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\langnp1057 \langfe1033 \langfenp1033 Kemampuan jantung memompa darah menurun 1%
setiap tahun sesudah berumur 20 tahun kemampuan jantung memompa darah menurun
menyebabkan menurunnya kontraksi dan volumenya.}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls3 \ilvl2 \fs22 \dbch \af2
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f0 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kehilangan elastisitas pembuluh
darah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 ,}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 hal ini terjadi karena kurangnya efektifitas pembuluh
darah perifer untuk oksigenasi Meningkatnya resistensi pembuluh darah perifer. }
\langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
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\plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 C.\tab }{\b1 \fs24
Anatomi}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Fisiologi}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin709 \rin0 \itap0 \ls4 \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \af0
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49c6da0a014a52805294a014a5280f8318f4fc2be4c0be9f8575a501c3d95682d97f835de94047f645a
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52940294a500a52940294a500a52940294a500a52940294a500a57cff02bea805294a014a52805294a0
14a52805294a03fffd9}}}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi294 \li426
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Berukuran sekitar satu
kepalan tangan dan terletak didalam dada, batas kanannya terdapat pada sternum
kanan dan apeksnya pada ruang intercostalis kelima kiri pada linea midclavicular.}
\langfe1033 \langfenp1033 Hubungan jantung adalah:}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \itap0 \ls5 \fs22 \dbch
\af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0
\loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }
\langfenp1033 Atas \uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ? : pembuluh darah besar}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \itap0 \ls5 \fs22 \dbch
\af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Bawah \uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ? : diafragma}{\fs24 \dbch \af2 \hich
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Setiap
sisi \uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ? :
paru}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }
\langfenp1033 Belakang \uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ? : aorta desendens, oesophagus, columna
vertebralis }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Arteri}
\langfe1033 \langfenp1033 Adalah tabung yang dilalui darah yang dialirkan pada
jaringan dan organ. Arteri terdiri dari lapisan dalam: lapisan yang licin, lapisan
tengah jaringan elastin/otot: aorta dan cabang-cabangnya besar memiliki laposan
tengah yang terdiri dari jaringan elastin (untuk menghantarkan darah untuk organ),
arteri yang lebih kecil memiliki lapisan tengah otot (mengatur jumlah darah yang
disampaikan pada suatu organ).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Arteri merupakan struktur
berdinding tebal yang mengangkut darah dari jantung ke jaringan. Aorta diameternya
sekitar 25mm(1 inci) memiliki banyak sekali cabang yang pada gilirannya tebagi lagi
menjadi pembuluh yang lebih kecil yaitu arteri dan arteriol, yang berukuran 4mm
(0,16 inci) saat mereka mencapai jaringan. Arteriol mempunyai diameter yang lebih
kecil kira-kira 30 \uc1 \u181 ?m. Fungsi arteri menditribusikan darah teroksigenasi
dari sisi kiri jantung ke jaringan. Arteri ini mempunyai dinding yang kuat dan
tebal tetapi sifatnya elastic yang terdiri dari 3 lapisan yaitu :}{\fs24 \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 a.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tunika intima.
Lapisan yang paling dalam sekali berhubungan dengan darah dan terdiri dari jaringan
endotel.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1440 \itap0 \ls6 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 b.\tab }
\langfenp1033 Tunika Media. Lapisan tengah yang terdiri dari jaringan otot yang
sifatnya elastic dan termasuk otot polos}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \tql \tx1440 \itap0 \ls6 \ilvl2 \fs22 \dbch \af2
\langfe1033 \langfenp1033 \f0 c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Tunika Eksterna/adventisia. Lapisan
yang paling luar sekali terdiri dari jaringan ikat gembur\uc1 \u160 ? yang berguna
menguatkan dinding arteri (Syaifuddin, 2006)}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li426
\langfenp1033 \f2 D.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1033 \langfenp1033 Klasifikasi}{\fs24 \dbch \af2 \hich \af0
\s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Klasifikasi hipertensi
menurut WHO}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1080 \tql \tx1260 \itap0 \ls7 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfenp1033 Tekanan darah normal yaitu bila sistolik kurang atau sama dengan 140
mmHg dan diastolik kurang atau sama dengan 90 mmHg}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx1080 \tql \tx1260 \itap0
\ls7 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Tekanan
darah perbatasan (broder line) yaitu bila sistolik 141-149 mmHg dan diastolik 91-94
mmHg}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql
\tx1080 \tql \tx1260 \itap0 \ls7 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfenp1033 Tekanan
darah tinggi (hipertensi) yaitu bila sistolik lebih besar atau sama dengan 160
mmHg dan diastolik lebih besar atau sama dengan 95mmHg.}{\fs24 \dbch \af2 \hich
\plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Klasifikasi menurut }{\i1
\langfenp1033 The Joint National Committee on the Detection and Treatment of
Hipertension}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Diastolik}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-295 \li1146 \ri0
\lin1146 \rin0 \tql \tx1440 \tql \tx2160 \itap0 \ls9 \fs22 \dbch \af2 \hich \af0
\langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 < 85 mmHg}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : Tekanan
darah normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lin1146 \rin0 \tql \tx1440 \tql \tx2160 \itap0 \ls9 \fs22 \dbch \af2 \hich \af0
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\langnp1053 \langfe1033 \langfenp1033 85 \uc1 \u8211 ? 99}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \tab }
\langfenp1033 \tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053
\langfe1033 \langfenp1033 : Tekanan darah normal tinggi}{\fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin1146 \rin0 \tql \tx1440 \tql
\tx2160 \itap0 \ls9 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 90 -104}
\langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\langnp1053 \langfe1033 \langfenp1033 : Hipertensi ringan}{\fs24 \dbch \af2
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 105
\uc1 \u8211 ? 114}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053
\langnp1053 \langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 : Hipertensi sedang}{\fs24
\par }\pard \plain \s22 \qj \fi-295 \li1146 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 >115}
\langnp1053 \langfe1033 \langfenp1033 : Hipertensi berat}{\fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \tql \tx1440
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Sistolik
(dengan tekanan diastolik 90 mmHg)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-283
\adjustright \lin1134 \rin0 \tql \tx1440 \tql \tx1800 \itap0 \ls10 \fs22 \dbch \af2
\langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 < 140 mmHg}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \tab }
\langfenp1033 : Tekanan darah normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin1134 \rin0 \tql \tx1440 \tql \tx1800 \itap0 \ls10 \fs22 \dbch \af2
\langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 140 \uc1 \u8211 ? 159}{\fs24
\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033
\langfe1033 \langfenp1033 : Hipertensi sistolik perbatasan terisolasi}{\fs24
\tx1800 \itap0 \ls10 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }
\langfenp1033 > 160}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053
\langnp1053 \langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 : Hipertensi
sistolik teriisolasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\tql \tx567 \tql \tx851 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \tab }{\fs24
Krisis hipertensi adalah Suatu keadaan peningkatan tekanan darah yang mendadak
(sistole \uc1 \u8805 ?180 mmHg dan/atau diastole \uc1 \u8805 ?120 mmHg), pada
penderita hipertensi, yg membutuhkan penanggulangan segera yang ditandai oleh
tekanan darah yang sangat tinggi dengan kemungkinan timbulnya atau telah terjadi
kelainan organ target (otak, mata (retina), ginjal, jantung, dan pembuluh darah).}
\langfenp1033 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Tingginya tekanan darah
bervariasi, yang terpenting adalah cepat naiknya tekanan darah. }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Dibagi
menjadi dua:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch
Hipertensi Emergensi }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Situasi dimana diperlukan
penurunan tekanan darah yang segera dengan obat antihipertensi parenteral karena
adanya kerusakan organ target akut atau progresif\uc1 \u160 ?target akut atau
progresif. Kenaikan TD mendadak yg disertai kerusakan organ target yang progresif
dan di perlukan tindakan penurunan TD yg segera dalam kurun waktu menit/jam.}{\fs24
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \itap0
Hipertensi }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 urgensi }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Situasi dimana terdapat
peningkatan tekanan darah yang bermakna tanpa adanya gejala yang berat atau
kerusakan organ target progresif\uc1 \u160 ?bermakna tanpa adanya gejala yang berat
atau kerusakan organ target progresif\uc1 \u160 ?dan tekanan darah perlu diturunkan
dalam beberapa jam. Penurunan TD harus dilaksanakan dalam kurun waktu 24-48 jam
(penurunan tekanan darah dapat dilaksanakan lebih lambat (dalam hitungan jam sampai
hari).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 E.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\langnp1053 \langfe1033 \langfenp1033 Patofisiologi}{\b1 \fs24 \dbch \af2 \hich
\plain \s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Mekanisme yang
mengontrol konstriksi dan relaksasi pembuluh darah terletak dipusat vasomotor, pada
medulla diotak. Dari pusat vasomotor ini bermula jaras saraf simpatis, yang
berlanjut ke bawah ke korda spinalis dan keluar dari kolumna medulla spinalis
ganglia simpatis di toraks dan abdomen. Rangsangan pusat vasomotor dihantarkan
dalam bentuk impuls yang bergerak ke bawah melalui system saraf simpatis ke ganglia
simpatis. Pada titik ini, neuron preganglion melepaskan asetilkolin, yang akan
merangsang serabut saraf pasca ganglion ke pembuluh darah, dimana dengan
dilepaskannya noreepineprin mengakibatkan konstriksi pembuluh darah. Berbagai
faktor seperti kecemasan dan ketakutan dapat mempengaruhi respon pembuluh darah
terhadap rangsang vasokonstriksi. Individu dengan hipertensi sangat sensitiv
terhadap norepinefrin, meskipun tidak diketahui dengan jelas mengapa hal tersebut
bisa terjadi.}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi633 \li426 \ri0 \lisb0
\langfe1033 \langfenp1033 Pada saat bersamaan dimana sistem saraf simpatis
merangsang pembuluh darah sebagai respons rangsang emosi, kelenjar adrenal juga
terangsang, mengakibatkan tambahan aktivitas vasokonstriksi. Medulla adrenal
mensekresi epinefrin, yang menyebabkan vasokonstriksi. Korteks adrenal mensekresi
kortisol dan steroid lainnya, yang dapat memperkuat respons vasokonstriktor
pembuluh darah. Vasokonstriksi yang mengakibatkan penurunan aliran ke ginjal,
menyebabkan pelepasan rennin. Renin merangsang pembentukan angiotensin I yang
kemudian diubah menjadi angiotensin II, suatu vasokonstriktor kuat, yang pada
gilirannya merangsang sekresi aldosteron oleh korteks adrenal. Hormon ini
menyebabkan retensi natrium dan air oleh tubulus ginjal, menyebabkan peningkatan
volume intra vaskuler. Semua faktor ini cenderung mencetuskan keadaan hipertensi.}
\langfe1033 \langfenp1033 Pathways}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\loch \af0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 {\*\shppict {\pict
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83359b612787f7f7f7d7d3db4fcf8f7f8f8fefe6eb5c43c08400002a308a0e5a3c862770d029f9f9f87
909f1f6f6f6f6b2445161080c06204d0f2c50a4a3a9d09fcfcfcbcbcbc9c5afef5f5d5d93ae62000010
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004200081b909a0e573d78fe82100010840000268393d00010840000210989b005a3e77fd88be3b017e
5d6b77a418840004461340cb4713c6fe4c04cedf093353c4c40a010840e0afbfd8b6e80208fc83005a4
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0d2dc62e41c0a975f493d4bbee2fac44e53c9cb5042a92800004e6208096cf5127a2ec48c0a9725480f
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a7662d428d34200001c304d072c3c521b431042e9fb1bbef8ba76ee125a23e2676ac42000210881040c
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124b108000042000812708a0e54f50c727042000010840a01f01b4bc1f4b2c410002108000049e20809
63f411d9f108000042000817e04d0f27e2cb1040108400002107882005afe04757c42000210800004fa
1140cbfbb1c412042000010840e0090268f913d4f109010840000210e847e0ff0195deb17d9b7fca4b0
000000049454e44ae426082}}}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 F.\tab }{\b1 \fs24
Tanda Dan Gejala}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda dan gejala pada hipertensi
dibedakan menjadi :}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-284 \li709
\langnp1057 \langfe1033 \langfenp1033 Tidak ada gejala}{\fs24 \dbch \af2 \hich \af0
\s22 \qj \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tidak ada gejala yang
spesifik yang dapat dihubungkan dengan peningkatan tekanan darah, selain penentuan
tekanan arteri oleh dokter yang memeriksa. Hal ini berarti hipertensi arterial
tidak akan pernah terdiagnosa jika tekanan arteri tidak terukur.}{\fs24 \dbch
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \ls1 \ilvl2
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gejala yang lazim}
\langfenp1033 \par }\pard \plain \s22 \qj \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch
\langfenp1033 Sering dikatakan bahwa gejala terlazim yang menyertai hipertensi
meliputi nyeri kepala dan kelelahan. Dalam kenyataannya ini merupakan gejala
terlazim yang mengenai kebanyakan pasien yang mencari pertolongan medis.}{\fs24
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda dan
gejala}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 pada klien dengan hipertensi adalah :}{\fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls11 \ilvl1
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Peningkatan tekanan
darah > 140/90 mmHg 2.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sakit
kepala}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pusing /
migraine}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Rasa
berat ditengkuk}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch
Penyempitan pembuluh darah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22
\dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\f2 f.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Sukar tidur}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langfenp1033 \f2 g.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Lemah dan lelah}{\fs24 \dbch \af2 \hich
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 h.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nokturia}{\fs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 i.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Azotemia}{\fs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 j.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sulit bernafas saat
beraktivitas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi142 \li426 \ri0 \lisb0 \sa0
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 G.\tab }{\b1 \fs24
Pemeriksaan Penunjang}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Pemeriksaan penunjang dilakukan dua
cara yaitu :}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \dbch
Pemeriksaan yang segera seperti :}{\fs24 \dbch \af2 \hich \af0 \loch \f0
{\uc1 \u45 ?}\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Darah rutin (Hematokrit/Hemoglobin): untuk mengkaji
hubungan dari sel-sel terhadap volume cairan (viskositas) dan dapat mengindikasikan
factor resiko seperti: hipokoagulabilitas, anemia.}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls12 \fs22 \dbch \af2
\langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Blood Unit Nitrogen/kreatinin:
memberikan informasi tentang perfusi / fungsi ginjal.}{\fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls12 \fs22
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Glukosa:
Hiperglikemi (Diabetes Melitus adalah pencetus hipertensi) dapat diakibatkan oleh
pengeluaran Kadar ketokolamin (meningkatkan hipertensi).}{\fs24 \dbch \af2 \hich
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kalium serum:
Hipokalemia dapat megindikasikan adanya aldosteron utama (penyebab) atau menjadi
efek samping terapi diuretik.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe1033 \langfenp1033 Kalsium serum : Peningkatan kadar kalsium serum dapat
menyebabkan hipertensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lin1134 \rin0 \itap0 \ls12 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1
\u45 ?}\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Kolesterol dan trigliserid serum : Peningkatan kadar
dapat mengindikasikan pencetus untuk/ adanya pembentukan plak ateromatosa ( efek
kardiovaskuler )}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Pemeriksaan tiroid : Hipertiroidisme dapat menimbulkan
vasokonstriksi dan hipertensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe1033 \langfenp1033 Kadar aldosteron urin/serum : untuk mengkaji
aldosteronisme primer (penyebab)}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\li1134 \ri0 \lisb0 \sa0 \lisa0
\ls12 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033
Urinalisa: Darah, protein, glukosa, mengisaratkan disfungsi ginjal dan ada DM.}
\langfenp1033 \par }\pard \plain \s22 \qj \fi-283 \li1134 \ri0 \lisb0 \sa0
\langfenp1033 Asam urat : Hiperurisemia telah menjadi implikasi faktor resiko
hipertensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Steroid urin : Kenaiakn dapat mengindikasikan hiperadrenalisme }
\langfenp1033 EKG: 12 Lead, melihat tanda iskemi, untuk melihat adanya hipertrofi
ventrikel kiri ataupun gangguan koroner dengan menunjukan pola regangan, dimana
luas, peninggian gelombang P adalah salah satu tanda dini penyakit jantung
hipertensi.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Foto dada: apakah ada oedema paru (dapat ditunggu setelah
pengobatan terlaksana) untuk menunjukan destruksi kalsifikasi pada area katup,
pembesaran jantung.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch
Pemeriksaan lanjutan ( tergantung dari keadaan klinis dan hasil pemeriksaan yang
pertama ) :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\u45 ?}\tab }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 IVP :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Dapat mengidentifikasi penyebab hipertensi
seperti penyakit parenkim ginjal, batu ginjal / ureter}{\i1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}{\fs24 \dbch
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 CT Scan:
Mengkaji adanya tumor cerebral, encelopati.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj
\fi-283 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1134 \rin0 \itap0 \ls13 \fs22 \dbch \af2 \hich \af0
\langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 IUP:}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 mengidentifikasikan
penyebab hipertensi seperti: Batu ginjal,}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \line }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 perbaikan ginjal.}
\langfenp1033 Menyingkirkan kemungkinan tindakan bedah neurologi: Spinal tab, CAT
scan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 (USG) untuk melihat struktur gunjal dilaksanakan sesuai kondisi
klinis pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 H.\tab }{\b1 \fs24
Komplikasi}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfenp1033 Otak}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1440 \tql \tx1680 \itap0 \ls15 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfe1033 \langfenp1033 Pemekaran pembuluh darah}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin993 \rin0 \tql \tx1440 \tql \tx1680 \itap0 \ls15
\lang1033 \langnp1033 \langfe1033
\langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1033 \langfenp1033 Perdarahan}{\fs24 \dbch \af2
\langfe1033 \langfenp1033 Kematian sel otak : stroke}{\fs24 \dbch \af2 \hich
\langfenp1033 Ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\adjustright \lin993 \rin0 \tql \tx1440 \tql \tx1680 \itap0 \ls16 \fs22 \dbch
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Malam banyak
kencing}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\tx1440 \tql \tx1680 \itap0 \ls16 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfe1033 \langfenp1033 Kerusakan sel ginjal}{\fs24 \dbch \af2 \hich \af0
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Gagal
ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Membesar}
\langfe1033 \langfenp1033 Sesak nafas (dyspnoe)}{\fs24 \dbch \af2 \hich \af0
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Cepat
lelah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfe1033 \langfenp1033 Gagal jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 I.\tab }{\b1 \fs24 \dbch
Pengkajian }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Teoritis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Aktivitas / istirahat}{\fs24
Sirkulasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1134 \itap0 \ls18 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfenp1033 Integritas Ego}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lin851 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gejala: Riwayat perubahan
kepribadian, ansietas, depresi, euphoria, marah, faktor stress multiple ( hubungsn,
keuangan, pekerjaan )}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe1033 \langfenp1033 \f0 4.\tab }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Eliminasi}
\langfenp1033 \par }\pard \plain \s22 \qj \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360
\langfe1033 \langfenp1033 Gejala :\uc1 \u160 ? Gangguan ginjal saat ini atau yang
lalu ( infeksi, obstruksi,\uc1 \u160 ? riwayat penyakit ginjal )}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Makanan /
Cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\tx1134 \itap0 \ls18 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langfenp1033 Neurosensori}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Nyeri/ketidaknyamanan}{\fs24
Pernapasan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Keamanan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lin851 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gejala}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }
\langfenp1033 : Gangguan koordinasi, cara jalan}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx1134 \itap0 \ls18 \ilvl2 \fs22
\langnp1033 \langfe1033 \langfenp1033 \f0 10.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pembelajaran /
Penyuluhan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx1134 \itap0
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi426 \li0 \ri0 \lisb0 \sa200
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0
\langfe1033 \langfenp1033 \cf1 Masalah Keperawatan}{\b1 \fs24 \dbch \af2 \hich \af0
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Resiko tinggi
terhadap penurunan curah jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \tql \tx1134 \itap0 \ls19 \fs22 \dbch \af2 \hich \af0
\langnp1033 \langfe1033 \langfenp1033 Intoleransi aktivitas}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Nyeri akut}{\fs24
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Ansietas}
\langfenp1033 Defisiensi pengetahuan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\adjustright \lin426 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Prioritas masalah}
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Resiko
tinggi terhadap penurunan curah jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \tql \tx851 \itap0 \ls20 \fs22 \dbch \af2 \hich
\af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Nyeri akut}{\fs24 \dbch \af2
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Intoleransi
aktivitas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfenp1033 Ansietas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfenp1033 Defisiensi pengetahuan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
1.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Diagnosa Keperawatan Yang Mungkin Muncul}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Resiko
tinggi terhadap penurunan curah jantung }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 berhubungan dengan }{\fs24 \dbch
peningkatan afterload, vasokonstriksi, hipertrofi ventrikuler, iskemia miokard}
\langfenp1033 Intoleransi aktivitas }{\fs24 \dbch \af2 \hich \af0 \loch \f0
kelemahan, ketidakseimbangan suplai dan kebutuhan oksigen.}{\fs24 \dbch \af2
\af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Nyeri akut
berhubungan dengan agen cidera biologis (peningkatan tekanan vaskuler serebral)}
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 C}
\langfenp1033 emas berhubungan dengan krisis situasional sekunder adanya hipertensi
yang diderita klien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kurang
pengetahuan berhubungan dengan kurangnya informasi tentang proses penyakit}
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \sect }\sectd \sbkcol
\margbsxn1701 \guttersxn0 \headery720 \footery720 \pgbrdropt32 \sectdefaultcl
\endnhere \pard \plain \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Intervensi
Keperawatan}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0 \trrh440 \trleft-108 \trbrdrt
\brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10
\brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1
\trbrdrv \brdrs \brdrw10 \brdrcf1 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara
\tphmrg \tposnegx-650 \tposy481 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc
\clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clcbpat13
\cellx709 \clvertalc \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10
\brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1
\cltxlrtb \clcbpat13 \cellx2835 \clvertalc \clbrdrl \brdrs \brdrw10 \brdrcf1
\clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs
\brdrw10 \brdrcf1 \cltxlrtb \clcbpat13 \cellx5670 \clvertalc \clbrdrl \brdrs
\brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clcbpat13 \cellx9781 \pard
\plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1
\langfenp1033 \trowd \trql \trgaph0
\trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1
\langfenp1033 NO}{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \qc \li426 \ri0 \lisb0 \sa0 \lisa0
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg
\posnegx-650 \posy481 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1 \fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 DX. KEP}{\fs22
\cell }\pard \plain \qc \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650
\posy481 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180
\tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 {\b1 \fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 TUJUAN (NOC)}{\fs22 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \qc \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1
\lang1033 \langnp1033 \langfe1033 \langfenp1033 INTERVENSI (NIC)}{\fs22 \dbch
\af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trql
\trgaph0 \trrh440 \trleft-108 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs
\brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10
\brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1
\tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphmrg \tposnegx-650 \tposy481
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \clbrdrl \brdrs \brdrw10
\brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1
\clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clcbpat13 \cellx709 \clvertalc
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clcbpat13 \cellx2835
\clvertalc \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1
\clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb
\clcbpat13 \cellx5670 \clvertalc \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10
\brdrcf1 \cltxlrtb \clcbpat13 \cellx9781 \row }\trowd \trql \trgaph0 \trrh797
\trleft-108 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1
\trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs
\brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \tdfrmtxtLeft180
\tdfrmtxtRight180 \tpvpara \tphmrg \tposnegx-650 \tposy481 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1
\clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs
\brdrw10 \brdrcf1 \cltxlrtb \cellx709 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx2835 \clvertalt \clbrdrl
\brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx5670 \clvertalt \clbrdrl
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx9781 \pard \plain \qj
\adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22
\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 1}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Resiko tinggi
terhadap penurunan curah jantung }{\fs24 \dbch \af2 \hich \af0 \loch \f0
peningkatan afterload, vasokonstriksi, hipertrofi ventrikuler, iskemia miokard}
\langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 NOC :}
\langfenp1033 Vital Sign Status}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\tql \tx614 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd
\trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit
\trpaddfr3 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Kriteria Hasil:}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin426 \rin0 \tql \tx614 \phpg \pvpg \posnegx-650 \posy481 \intbl
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1
\u45 ?}\tab }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1040
\langnp1040 \langfe1033 \langfenp1033 Tanda Vital dalam rentang normal (Tekanan
darah, Nadi, respirasi)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1040 \langfe1033 \langfenp1033 Dapat mentoleransi aktivitas, tidak ada
kelelahan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx614 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls22 \fs22 \dbch
\langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }\trowd \trql
\trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24
Tidak ada edema paru, perifer, dan tidak ada asites}{\fs24 \dbch \af2
\phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls22 \fs22 \dbch \af2 \hich
\langfenp1033 \f0 {\uc1 \u45 ?}\tab }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tidak ada
penurunan kesadaran}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 NIC : }
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Vital Sign Monitoring}{\fs24
\hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Monitor TD,
nadi, suhu, dan RR}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Catat adanya fluktuasi tekanan darah}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langnp1057 \langfe1033 \langfenp1033 Monitor kualitas dari nadi}{\fs24 \dbch
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Monitor adanya
pulsus paradoksus}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Monitor adanya pulsus alterans}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Monitor jumlah dan irama jantung}{\fs24 \dbch
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Monitor bunyi
jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Monitor
frekuensi dan irama pernapasan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Monitor pola pernapasan abnormal}{\fs24 \dbch
Monitor suhu, warna, dan kelembaban kulit}{\fs24 \dbch \af2 \hich \af0 \loch
\fi-360 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1057 \langfe1033 \langfenp1033 Monitor adanya cushing triad (tekanan nadi
yang melebar, bradikardi, peningkatan sistolik)}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx176 \phpg \pvpg \posnegx-
650 \posy481 \intbl \itap1 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af7
{\uc1 \u45 ?}\tab }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180
\trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1040 \langnp1040 \langfe1033 \langfenp1033 Identifikasi penyebab dari
perubahan vital sign}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx709 \clvertalt \clbrdrl \brdrs
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx9781 \row }\pard
\aspnum \adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl
\langfenp1033 \trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0
\lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22 \dbch \af2
\langfenp1033 Intoleransi aktivitas }{\fs24 \dbch \af2 \hich \af0 \loch \f0
kelemahan, ketidakseimbangan suplai dan kebutuhan oksigen.}{\fs24 \dbch \af2
\cell }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1
\lang1057 \langnp1057 \langfe1033 \langfenp1033 NOC : }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Self Care : ADLs}
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \dbch
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Berpartisipasi
dalam aktivitas fisik tanpa disertai peningkatan tekanan darah, nadi dan RR}
\hich \af0 \loch \f0 \lang1040 \langnp1040 \langfe1033 \langfenp1033 Mampu
melakukan aktivitas sehari hari (ADLs) secara mandiri}{\fs24 \dbch \af2 \hich
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0
\langfenp1033 NIC :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Activity Therapy}{\fs24 \dbch \af2 \hich \af0
\tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Bantu klien untuk
mengidentifikasi aktivitas yang mampu dilakukan}{\fs24 \dbch \af2 \hich \af0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Bantu untuk memilih aktivitas
konsisten yang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 sesuai dengan kemampuan fisik, psikologi dan
social}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Bantu klien
untuk membuat jadwal latihan diwaktu luang}{\fs24 \dbch \af2 \hich \af0 \loch
\fi-326 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1057 \langfe1033 \langfenp1033 Bantu pasien/keluarga untuk mengidentifikasi
kekurangan dalam beraktivitas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1040 \langfe1033 \langfenp1033 Monitor respon fisik, emoi, social dan
spiritual}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langnp1057 \langfe1033 \langfenp1033 3}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0
\lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22 \dbch \af2
\langfenp1033 Nyeri akut berhubungan dengan (agen cidera biologis) peningkatan
tekanan vaskuler serebral}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp1033 NOC : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Pain control,}{\fs24 \dbch \af2 \hich \af0
\adjustright \lin426 \rin0 \tql \tx614 \tql \tx1620 \phpg \pvpg \posnegx-650
Mampu mengontrol nyeri (tahu penyebab nyeri, mampu menggunakan tehnik
nonfarmakologi untuk mengurangi nyeri, mencari bantuan)}{\fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx176 \tql \tx614
\hich \af0 \loch \f0 \lang1043 \langnp1043
\langfe1033 \langfenp1033 Melaporkan bahwa nyeri berkurang dengan menggunakan
manajemen nyeri}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx176 \tql \tx614 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls26 \fs22
Mampu mengenali nyeri (skala, intensitas, frekuensi dan tanda nyeri)}{\fs24
Menyatakan rasa nyaman setelah nyeri berkurang}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx176 \tql \tx614 \phpg \pvpg
\posnegx-650 \posy481 \intbl \itap1 \ls26 \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda vital dalam rentang normal}
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx1440 \phpg \pvpg
\langfenp1033 NIC :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0 \sa100
\lisa0 \saauto1 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \outlinelevel0
\trpaddfb3 \trpaddfr3 {\b1 \fs24 \kerning36 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Pain Management}{\b1 \fs24
\kerning36 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\lisa0 \saauto1 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \outlinelevel0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }\trowd \trql
Lakukan pengkajian nyeri secara komprehensif termasuk lokasi, karakteristik,
durasi, frekuensi, kualitas dan faktor presipitasi}{\b1 \fs24 \kerning36 \dbch \af2
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Gunakan teknik komunikasi
terapeutik untuk mengetahui pengalaman nyeri pasien}{\fs24 \dbch \af2 \hich \af0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Evaluasi pengalaman nyeri masa
lampau}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Kontrol
lingkungan yang dapat mempengaruhi nyeri seperti suhu ruangan, pencahayaan dan
kebisingan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1040 \langnp1040 \langfe1033 \langfenp1033 Pilih dan
lakukan penanganan nyeri (farmakologi, non farmakologi dan inter personal)}
Kaji tipe dan sumber nyeri untuk menentukan intervensi}{\fs24 \dbch \af2 \hich
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Ajarkan tentang teknik non
farmakologi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Evaluasi keefektifan kontrol nyeri}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Kolaborasikan dengan dokter jika ada keluhan
dan tindakan nyeri tidak berhasil}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-360
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trrh797 \trleft-108 \trbrdrt
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx709
\clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1
\cellx2835 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10
\cltxlrtb \cellx5670 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrcf1 \cltxlrtb \cellx9781 \row }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 4}{\fs24 \dbch
\lang1057 \langnp1057 \langfe1033 \langfenp1033 C}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 emas berhubungan dengan
krisis situasional sekunder adanya hipertensi yang diderita klien}{\fs24 \dbch \af2
\lang2057 \langnp2057 \langfe1033 \langfenp1033 NOC :}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\b1 \fs24
Anxiety Control}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Menunjukan teknik untuk mengontrol cemas teknik nafas dalam}{\fs24 \dbch \af2 \hich
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Postur tubuh pasien rileks dan
ekspresi wajah tidak tegang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Mengungkapkan cemas berkurang}{\fs24 \dbch
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 TTV dbn}{\fs24
\par }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg \posnegx-
650 \posy481 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 TD = 110-130/
70-80 mmHg}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 RR = 14 \uc1 \u8211 ? 24 x/ menit}
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 N\uc1
\u160 ?\uc1 \u160 ? = 60 -100 x/ menit}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langfenp1033 S \uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?= 36}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 5}{\fs24
\uc1 \u8211 ? 37}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \super1 5 0}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 C}{\fs24 \dbch \af2 \hich \af0
\langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 NIC :Anxiety
Reduction }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
Gunakan pendekatan yang menenangkan }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\posy481 \intbl \itap1 \ls29 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Nyatakan dengan jelas harapan terhadap pelaku
pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
Jelaskan semua prosedur dan apa yang dirasakan selama prosedur}{\fs24 \dbch \af2
\plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin426 \rin0 \tql \tx252 \tql \tx720 \phpg \pvpg \posnegx-650
\lang1043 \langnp1043 \langfe1033 \langfenp1033 Temani pasien untuk memberikan
keamanan dan mengurangi takut}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Berikan informasi faktual mengenai diagnosis,
tindakan prognosis }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Identifikasi tingkat kecemasan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Bantu pasien mengenal situasi yang
menimbulkan kecemasan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Dorong pasien untuk mengungkapkan perasaan,
ketakutan, persepsi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Instruksikan pasien menggunakan teknik relaksasi}{\fs24 \dbch \af2 \hich \af0 \loch
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trrh797 \trleft-108 \trbrdrt
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx709
\clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1
\cellx2835 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10
\cltxlrtb \cellx5670 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrcf1 \cltxlrtb \cellx9781 \row }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 5}{\fs24 \dbch
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Kurang pengetahuan berhubungan
dengan kurangnya informasi tentang proses penyakit}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain
\qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\trpaddfr3 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 NOC :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kowlwdge : disease process}
\hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Pasien dan
keluarga menyatakan pemahaman tentang penyakit, kondisi, prognosis dan program
pengobatan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Pasien dan
keluarga mampu melaksanakan prosedur yang dijelaskan secara benar}{\fs24 \dbch \af2
\lang1043 \langnp1043 \langfe1033 \langfenp1033 Pasien dan keluarga mampu
menjelaskan kembali apa yang dijelaskan perawat/tim kesehatan lainnya.}{\fs24 \dbch
650 \posy481 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 NIC : }{\b1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Teaching :
disease Process}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin426 \rin0 \tql \tx431 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls31
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }\trowd \trql
Berikan penilaian tentang tingkat pengetahuan pasien tentang proses penyakit yang
spesifik }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Jelaskan patofisiologi dari penyakit dan bagaimana hal ini berhubungan dengan
anatomi dan fisiologi, dengan cara yang tepat. }{\fs24 \dbch \af2 \hich \af0
\lang1044 \langnp1044 \langfe1033 \langfenp1033 Gambarkan tanda dan gejala yang
biasa muncul pada penyakit, dengan cara yang tepat }{\fs24 \dbch \af2 \hich \af0
\lang1044 \langnp1044 \langfe1033 \langfenp1033 Gambarkan proses penyakit, dengan
cara yang tepat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Identifikasi kemungkinan penyebab, dengna cara yang tepat }{\fs24 \dbch \af2
\lang1044 \langnp1044 \langfe1033 \langfenp1033 Sediakan informasi pada pasien
tentang kondisi, dengan cara yang tepat }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langnp1044 \langfe1033 \langfenp1033 Diskusikan perubahan gaya hidup yang mungkin
diperlukan untuk mencegah komplikasi di masa yang akan datang dan atau proses
pengontrolan penyakit }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Eksplorasi kemungkinan sumber atau dukungan, dengan cara yang tepat }{\fs24
\hich \af0 \loch \f0 \lang1044 \langnp1044 \langfe1033 \langfenp1033 Instruksikan
pasien mengenai tanda dan gejala untuk melaporkan pada pemberi perawatan kesehatan,
dengan cara yang tepat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \sect }\sectd \sbkcol
\margbsxn1701 \guttersxn0 \headery709 \footery709 \pgbrdropt0 \sectlinegrid360
\sectdefaultcl \endnhere
\pard \plain \qc \fi-851 \li426 \ri0 \lisb0 \sa120 \lisa0 \sl360 \slmult1
DAFTAR PUSTAKA}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qc \fi-851 \li993 \ri0 \lisb0
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Brunner & Suddarth. 2002. }{\i1
\langfenp1033 Buku Ajar : Keperawatan Medikal Bedah Vol 2}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 , Jakarta,
EGC,}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Hamzah, : Ensiklopedia Artikel Indonesia, Surabaya }
\langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0 \lisb0 \sa200 \lisa0
\langfe1033 \langfenp1033 Goonasekera CDA, Dillon MJ, 2003. }{\i1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 The child
with hypertension. In: Webb NJA, Postlethwaite RJ, editors. Clinical Paediatric
Nephrology. 3}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \super1 rd}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 edition}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 . Oxford: Oxford
University Press}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0 \lisb0
\langnp1057 \langfe1033 \langfenp1033 Johnson, M., }{\i1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 et all.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 2000. }
{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Nursing Outcomes Classification (NOC) Second Edition}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 . New
Jersey: Upper Saddle River }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Mc Closkey, C.J., }{\i1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 et all}
\langfenp1033 . 1996. }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Nursing Interventions Classification (NIC)
Second Edition}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 . New Jersey: Upper Saddle River}{\fs24 \dbch \af2
\plain \qj \fi-992 \li993 \ri0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Santosa, Budi.
2007. }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Panduan Diagnosa Keperawatan NANDA 2005-2006}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 . Jakarta:
Prima Medika}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0 \lisb0
\langnp1057 \langfe1033 \langfenp1033 Soeparman dkk,2007\uc1 \u160 ? }{\i1 \fs24
Ilmu Penyakit Dalam}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 , Ed 2, Penerbit FKUI, Jakarta}{\fs24 \dbch \af2
\plain \qj \fi-992 \li993 \ri0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Smeljer,s.c
Bare, B.G ,2002 }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Buku ajar Keperawatan Medikal Bedah}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ,}
\langfenp1033 \par }\pard \plain \qj \fi-992 \li993 \ri0 \lisb0 \sa200 \lisa0
\langfe1033 \langfenp1033 Imam, S Dkk.2005. Asuhan Keperawatan Keluarga.Buntara
Media:malang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0 \sa200
\langfe1033 \langfenp1033 \par }}

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{\rtf1 \ansi \ansicpg1252 \deff0 \stshfdbch2 \stshfloch0 \stshfhich0

\deflang1057 \deflangfe1057 {\fonttbl {\f0 \froman \fcharset0 \fprq2 {\*\panose

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