LP Hipertensi

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\af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \cf1 Stase }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 Keperawatan }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 M}{\fs24
\cf1 edikal Bedah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qc \fi0 \cufi0 \li0 \culi0 \ri0
\curi0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha
\aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \itap0 \outlinelevel9 \fs22
\dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\langfenp1033 \cf1 \par }\pard \plain \qc \fi0 \cufi0 \li0 \culi0 \ri0 \curi0
\lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha \aspnum
\toplinepunct0 \faauto \adjustright \lin0 \rin0 \itap0 \outlinelevel9 \fs22
\langfenp1033 \cf1 \par }\pard \plain \s23 \fi0 \cufi0 \li0 \culi0 \ri0 \curi0
\sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha \aspnum \toplinepunct0
\faauto \adjustright \lin0 \rin0 \itap0 \outlinelevel9 \fs22 \dbch \af7 \hich
\af7 \loch \af7 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch
\af7 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \cf1 \par }\pard \plain \s23 \qc \fi0 \cufi0 \li0 \culi0 \ri0 \curi0
\faauto \adjustright \lin0 \rin0 \itap0 \outlinelevel9 \fs22 \dbch \af7 \hich
\af7 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1
Telah disetujui pada }{\fs24 \dbch \af7 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s23 \fi0 \cufi0 \li0
\culi0 \ri0 \curi0 \sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha \aspnum
\toplinepunct0 \faauto \adjustright \lin0 \rin0 \tql \tx2268 \itap0
\langnp1057 \langfe1033 \langfenp1033 \cf1 \tab }{\fs24 \dbch \af7 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Hari }{\fs24 \dbch \af7
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \tab }
\langfenp1033 \cf1 \tab }{\fs24 \dbch \af7 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 : }{\fs24 \dbch \af7 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s23
\fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \sl360 \slmult1 \widctlpar \keep0 \keepn0
\aspalpha \aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \tql \tx2268
\langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af7 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \tab }{\fs24 \dbch \af7
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Tanggal }
\langfenp1033 \cf1 \tab }{\fs24 \dbch \af7 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 : }{\fs24 \dbch \af7 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s23
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s23
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s23 \qc
\aspalpha \aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \itap0
\langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\trowd \trqc \trgaph0 \trleft-1276
\trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx2552
\clvertalt \cltxlrtb \cellx5812 \clvertalt \cltxlrtb \cellx8789 \pard \plain \qc
\fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\intbl \itap1 \outlinelevel9 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Pembimbing Akademik}{\fs24
\cf1 \cell }\pard \plain \qc \fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \lisb0 \sa200
\lisa0 \sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha \aspnum
\toplinepunct0 \faauto \adjustright \lin0 \rin0 \intbl \itap1 \outlinelevel9
\fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033
\langfe1033 \langfenp1033 \cf1 Pembimbing Klinik}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \qc
\fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Mahasiswa}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
\cell }\pard \plain \li0 \ri0 \lisb0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trqc
\trgaph0 \trleft-1276 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt
\cltxlrtb \cellx2552 \clvertalt \cltxlrtb \cellx5812 \clvertalt \cltxlrtb
\cellx8789 \row }\trowd \trqc \trgaph0 \trleft-1276 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx2835 \clvertalt \cltxlrtb
\cellx5812 \clvertalt \cltxlrtb \cellx8789 \pard \plain \qc \fi0 \cufi0 \li0 \culi0
\aspalpha \aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \intbl \itap1
\langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \qc \fi0 \cufi0
\keepn0 \aspalpha \aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \intbl
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \qc \fi0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \fi0 \cufi0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 (}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1
}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \cf1 )}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \qc \fi0 \cufi0 \li0
\culi0 \ri0 \curi0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar \keep0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 (}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 ___________________}
\langfenp1033 \cf1 )}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 \cell }\pard \plain \qc \fi0 \cufi0 \li0
\culi0 \ri0 \curi0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar \keep0
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
\par }\pard \plain \qc \fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \lisb0 \sa200 \lisa0
\faauto \adjustright \lin0 \rin0 \intbl \itap1 \outlinelevel9 \fs22 \dbch \af2
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\cf1 \par }\pard \plain \qc \fi0 \cufi0 \li0 \culi0 \ri0 \curi0 \lisb0 \sa200
\lisa0 \sl360 \slmult1 \widctlpar \keep0 \keepn0 \aspalpha \aspnum
\toplinepunct0 \faauto \adjustright \lin0 \rin0 \intbl \itap1 \outlinelevel9
\langfe1033 \langfenp1033 \cf1 \par }\pard \plain \qc \fi0 \cufi0 \li0 \culi0
\aspalpha \aspnum \toplinepunct0 \faauto \adjustright \lin0 \rin0 \intbl \itap1
\langnp1033 \langfe1033 \langfenp1033 \cf1 (}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Cici Andriyani}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 )}
\langfenp1033 \cf1 \cell }\pard \plain \li0 \ri0 \lisb0 \sa200 \lisa0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\langfenp1033 {\trowd \trqc \trgaph0 \trleft-1276 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \cltxlrtb \cellx2835 \clvertalt \cltxlrtb
\cellx5812 \clvertalt \cltxlrtb \cellx8789 \row }\pard \plain \qj \li0 \ri0
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \fi-426 \li426 \ri0
\lin426 \rin0 \tql \tx2367 \tqc \tx4135 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich
\plain \qc \fi-426 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx2367 \tqc \tx4135 \itap0 \fs22
\langfenp1033 LAPORAN PENDAHULUAN}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1033 \langfenp1033 \par }\pard \plain \qc \fi-426
\adjustright \lin426 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7
\loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 HIPERTENSI}{\fs24
\par }\pard \plain \qj \fi-426 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\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 A.\tab }{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Definisi}
\langfenp1033 \par }\pard \plain \s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0
\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 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi294 \li426
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\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
\par }\pard \plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 B.\tab }{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Etiologi}
\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
\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 Genetik: Respon neurologi terhadap stress
atau kelainan eksresi atau transport \uc1 \u160 ?Na.}{\fs24 \dbch \af2 \hich
\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
\sa0 \lisa0 \pnrnot0 \sl360 \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 4.\tab }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \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 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx1170 \itap0
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\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
\lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\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
\loch \f0 \lang1033 \langnp1033 \langfe1033 \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 \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. }
\par }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
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2a5f253007506a048f3562306a5f16e090bcbed4f33c32fd0471dc2b423a4cad3c71e8122152cdedb2c
7860d9d4300360d7dc1cbc8b6cb6c6491c0bb17665731077717ded9a9b4205c193c828db618ef407c71
4e658edadd2e648dd55e5e9aa4f2da5bbe0eb28eded12a019099d24eb19dd410c07e5bf345b3a831eb6
d525bac2a130f3a5ca2491dc4719218c414c849c0c7b3cdb780d7ec9cb483474679a031eb585a0e8374
6293a65eda312c6ca22d5146c0104ae34a954f0d7d70fe5cb784da95d44dbda8b48cc9a09754454491f
6de455ea804630279863c6680f9e17ccf05c5d4b68be19a2d79512db49ad639046e71148c63c174da50
8de2d86cd8d0550709e5b4b6963759e5758addad2dede4f67e9c113988e842918738104601766381b92
4e6a45cf0a32bb17ba9fa6718b78645895481e524604bbf7f7e80957bc46180069a68e219c069e44404
fa649a8278f6adade09e6df49658ba69fae249ca875f8aeaa9365c1eda1632450a2c8478a6d2a657fd7
90f89be66aca80c9f13b3bd9f1214b685d72149ebdcb153e5fd1043f786159db857c69ba92e2438208e
a6888fc344415641faca6bd2e44c8aabb8e1418f6fc0d590c9b3c5909c148f35bcb38180d0b28c1c01a
57481f70aaf6e0e5d7fa4dc6939d20003d46ff000af4a9b82fc3e5dab90e003ecd4e7a87254d118e3a5
56799b58496fe2275a139273923efab2e19c6ee13b4ba9416d1a99ba8836db58ee36adecdc0fc3591e2
5cada0ea84e83dca9f773fe158a78b736d1bf06a36a5197312c579b13480e4e40c3075d25bbf883a7f9
55c58ddc13c7d50cbd3d058cacc8c981ef92e7dd0319f1015e77711885b375943b14b74d065901d8380
0e123fd26c0f4c9dabe45c48c4786311647e4488ad0fc35e403238dbc47b7d50b5528ca3cb668718cf8
c66f25b04bb21a0823555f10bd789417f2d50211e3ffcc71a7d030aace23c9dbb341293236ced7835b3
907b971be6a9a3e6c961118f0a78892d18880d236e9f4cf876ed9ef5a9e1bccf1c88aee0ead3ef2aec4
f91d89c558a5b9708aa519e1972cc75f708bbe1adacc4b344e0162a6568d5a36043c984063c6fdb6ab5
b9e759fa72f520e934917e4aae1b0a08235e4a02f9c822b570f30c2c7de56f2608c817241d86b20f957
e5ddcdacda7a9a1b438917aaac1548ecdbf6a2a4bb0dca6d6e4795703850ceb375963100494348ca0e7
c9001ddcb6735ebbc0b8aa5ec4b347e64aba377471b1435d058dbc9a5fa513e4921f423020f720e3f1a
edc2384456c9a204545d4d2154662a1ce338cf61f0a9229c93bf0499a34c69700ab02ae197208f8d792
df59ac177736ee35404230c8c1084641cfa8c77af5992325be1f1f5ef59fe31cbfd7944b1c9d370a524
631ea12a63642323b7ad7934d96e972284adbe0c4888216b5b91d58d82bc52a9c120f6707d4763579cb
d6bd4b74b76932d0dd68124633e14fa418cfa802b8f14e539c2af4dd5caf8b046821bf4739183f7f9d5
972cf09961323cd95fa4d488a7bf8305ce3df183b7dd55a4fa68dd972464ad3b7e0d3446beb383dfeea
e41b1517895f2c31b3b770a4aaf7248dff000a91cf78dc9f264b9a6e355e26092438fd8c06dffa2b47c
b9b1f9e7f1ac6580323b4cdea5557d3fed5b5e5e4ec7e02ad82e2caf3493692f06b93b0fb857d57c43d
857dd4ca45294a014a52805294a014a52805294a014a52805294a014a5280c41bfbc9f89cb691dd3431
2bcc498e1b76902a5b70b7411b48a403aeea524b06d9c8c67495a0b1e39766de6bb499623717b6a6e24
778a182d03704b694cab34914bd3d5274e3fa40e375500336aaf56a501e736dc6ef5b0cf72ada5387aa
88551a2945cf1996dde6ea3c2ace5a08906a50a875b32ae0a91c17982ea48e2097ac65956dc5e2a25a3
370a9a5bfb388db2a74fe8c95b8ba1a67d6df43df2ad9f4da500a52940294a500a52940294a500a52aa
2f78a047e846a659fb8850e0203eeb4cfda35fbf73f541ed404eba992346791951154b348e555500ee4
93b0aa4904d747e854c30ff68953e9641fee6371e01fa520fb97b354a8b85b332c972dd59036b8e2518
8613ea887df61fd636fe9a738abaa031f77cb11052157393ad99d99de46fb6ee7773f13592bbe4fd2da
a1678fd557dcf77ec57ad3266a3cd62adfeb51693ec9c2728bb4cf19bae0d38218a6a237001539fc6ab
654619cc72467bead2da727eb1d1b7e35ecf3f0707cbfc6b90e083d2abf452769d177f5326aa4acf244
bf247894bb0eccc8ea481e472319fbea45b5ee0e9d6e8bdcaea4207c10e47ed15e9f2704cf95716e003
e1f3153af9e7f620b2d7daabf73cf0733cf1161a90ae3c3f46daf4ff5a1e3c11f3f4ab2e1dfca048a09
72da4019652b81f2704927bf7f3ad34fcbaa7ba29f8e9535027e5a42b8e9291e7b541e26ddd96bcf16a
9c4e163fca540eda64ca0c601913b7e91209fddfeb7765cc36d36e932f960b4a837f4c6739deb3f2728
c047e617d32a34d714e46b7c6f11f5cabbff009d7bb1fc90df0f83622fe0ce35ef8275797ccd7c37128
327c7f0d958ff008562e5e448f23475171900abb0c7dc4e715f83914641324be99d7bd3648f56482f2c
d0f14e7086353a719f32c54e3e237ff1ac77b6bde3ea42c17592cf96c103b0dfd3cbeeabfb7e47814ea
e997f33d43abf7d5d41c0400142e3d005af163776d9ebce945a82ab2978659634819c63627735b8e0f6
9a476fbcd71e1fc2b49edf335771a6062ae329f54a52805294a014a52805294a014a52805294a014a52
805294a014a52805294a014a52805568e2b16ab8573d3e815695a72a8ba0c62413824fe6bdf5d470354
520faa6acab31cc5c19e69418cfd1cf18b3e20bb78a046320ee72320dc43e1c1fcaf5e7e8c501796373
d58a29743a6b8d24e94eba644d401d1227930ce08f235f97976910d523690658e3074b1cb4b2ac518db
d59907c33bed590bfe5e99f899b961337e530cb04f1370f58e0863488490bcd2466e532c93931c5e061
2e095d6e45745c972a5ad9c4b6c0e2c21fe7185de273732dbdd584a2090b36253a22bb8d3274283a72a
a680dd714e26b6fa1991cab4891eb4d18469678a08c10581dccb9d81d91bcf00d9579bde72b5c928638
ba6c6f6e6796688dbeb5eaf1eb2b88e6f1e43b742dcb0c83f9b0a4670b5db8d72ecd225bc4f03b450f5
92486d070f945c492189a3bed17da977fa7d45c9943c8c01752cec06a6e78e451c77d2957d3685bada4
265f45b47727a7befe1900df1be7efab9ac3c7c06e470fe296e4334b340521d73ac8d337f345bdbe5a6
21724cb1b8d4c1738ce0035f5c4b84cfecf2db987ae8d72259e755b3926bc42090552e7e8baeac9003a
868e98fa3d274c7181aabab42ea57a8e99eed0940d8f419071f7f71e4457e59d8470a688902a9258f99
663dddc9ddc9f324e4d79f597295c982e8c903759786b45c384f2dbeb8a54babf7b62044dd28a548e5b
5d2cb809ac842a350af9e66e5bbd9e6b8923b67eacb15d4524b10e16904b13d8dc476b19936b877d46d
75090940ea48f0aa1007a852b3fc1f84fb35d4fd24d36ef6f6e570d9eace25b8ebccf9259a52a6df548
dbb60649c6da0a014a52805294a014a5280f8318f4fc2be4c0be9f8575a501c3d95682d97f835de9404
7f645afd5b651e55de94073e82fa57e8897d2bee940294a500a52bf1b3e5fb680fda52940294a500a52
940294a500a52940294a500a52940294a500a52940294a500a52940294a500a52940294a500a5294029
4a500a52940294a500a52940294a500a52940294a500a52940294a500a57cff02bea805294a014a5280
5294a014a52805294a03fffd9}}}{\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
{\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 Atas \uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ? : pembuluh darah besar}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-283 \li851
\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 ? : diafragma}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj
\fi-283 \li851 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\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
\fs22
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \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
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls4 \fs22 \dbch
\langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Arteri}{\fs24 \dbch
\par }\pard \plain \s22 \qj \fi294 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \fs22 \dbch
\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
\langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\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
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\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
\aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls1 \fs22 \dbch \af2 \hich
\af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\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
\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
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Klasifikasi
menurut }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 The Joint National Committee on the Detection and
Treatment of Hipertension}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp1033 Diastolik}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s22 \qj \fi-295
\adjustright \lin1146 \rin0 \tql \tx1440 \tql \tx2160 \itap0 \ls9 \fs22 \dbch
\langnp1033 \langfe1033 \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 }
\langfenp1033 : Tekanan darah normal}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin1146 \rin0 \tql \tx1440 \tql \tx2160 \itap0 \ls9
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 85 \uc1 \u8211 ? 99}
\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 : Tekanan darah normal tinggi}{\fs24 \dbch
\par }\pard \plain \s22 \qj \fi-295 \li1146 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\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}
\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
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 >115}
\langfe1033 \langfenp1033 : Hipertensi berat}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \tql \tx851 \tql \tx1440 \itap0 \ls8 \fs22 \dbch \af2
\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 \li1134 \ri0
\lin1134 \rin0 \tql \tx1440 \tql \tx1800 \itap0 \ls10 \fs22 \dbch \af2 \hich
\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 }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 : Tekanan
darah normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lin1134 \rin0 \tql \tx1440 \tql \tx1800 \itap0 \ls10 \fs22 \dbch \af2 \hich
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\langnp1053 \langfe1033 \langfenp1033 140 \uc1 \u8211 ? 159}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 \tab }{\fs24
\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033
\langfenp1033 : Hipertensi sistolik perbatasan terisolasi}{\fs24 \dbch \af2
\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
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li426 \ri0 \lisb0
\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
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls1 \ilvl1
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Hipertensi Emergensi
}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\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 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin851 \rin0 \tql \tx851 \itap0 \ls1 \ilvl1 \fs22 \dbch \af2 \hich
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Hipertensi }{\i1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 urgensi }{\fs24
\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 \par }\pard \plain \qj \li0 \ri0
E.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \langnp1053
\langfe1033 \langfenp1033 Patofisiologi}{\b1 \fs24 \dbch \af2 \hich \af0 \loch
\fi294 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\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
\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.}{\fs24 \dbch \af2 \hich \af0 \loch
\s22 \qj \fi633 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\lang1053 \langnp1053 \langfe1033 \langfenp1033 Pathways}{\b1 \fs24 \dbch \af2
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1f4b2c410002108000049e2080963f411d9f108000042000817e04d0f27e2cb10401084000021078820
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e847e0ff0195deb17d9b7fca4b0000000049454e44ae426082}}}{\b1 \fs24 \dbch \af2 \hich
\li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24
\langfenp1033 \f2 F.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Tanda Dan Gejala}{\b1 \fs24 \dbch \af2
\plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda dan gejala pada
hipertensi dibedakan menjadi :}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\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
\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
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Peningkatan tekanan
darah > 140/90 mmHg 2.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
\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
\langfenp1033 \f2 f.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Sukar tidur}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls11 \ilvl1 \fs22 \dbch
\langnp1033 \langfe1033 \langfenp1033 \f2 g.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Lemah dan lelah}{\fs24
\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
\par }\pard \plain \s22 \qj \fi-360 \li851 \ri0
\lin851 \rin0 \itap0 \ls11 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af7
j.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Sulit bernafas saat beraktivitas}{\fs24 \dbch \af2 \hich \af0
\langfenp1033 \f2 G.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1033 \langfenp1033 Pemeriksaan Penunjang}{\b1 \fs24 \dbch
\par }\pard \plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
Pemeriksaan penunjang dilakukan dua cara yaitu :}{\b1 \fs24 \dbch \af2 \hich
\widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls4 \ilvl2 \fs22
\langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pemeriksaan yang segera
seperti :}{\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 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
{\uc1 \u45 ?}\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Kalsium serum : Peningkatan kadar kalsium serum dapat
menyebabkan hipertensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\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
\langfe1033 \langfenp1033 Urinalisa: Darah, protein, glukosa, mengisaratkan
disfungsi ginjal dan ada DM.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe1033 \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 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\langfe1033 \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
\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 \par }\pard \plain \s22 \qj \fi-283 \li1134 \ri0 \lisb0 \sa0
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }
\langfenp1033 Menyingkirkan kemungkinan tindakan bedah neurologi: Spinal tab, CAT
scan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s22 \qj \fi-283 \li1134 \ri0 \lisb0 \sa0
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }
\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
\tql \tx851 \itap0 \ls14 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }
\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
Perdarahan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\tx1440 \tql \tx1680 \itap0 \ls15 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfe1033 \langfenp1033 Kematian sel otak : stroke}{\fs24 \dbch \af2 \hich
\langfenp1033 Ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Malam banyak
kencing}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin993 \rin0 \tql \tx1440 \tql \tx1680 \itap0
\ls16 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1 \u45 ?}\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Kerusakan
sel ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfe1033 \langfenp1033 Gagal ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Jantung}{\fs24 \dbch \af2
\langfe1033 \langfenp1033 Membesar}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Sesak nafas
(dyspnoe)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1440 \tql \tx1680 \itap0 \ls17 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfe1033 \langfenp1033 Cepat lelah}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1033 \langfenp1033 Gagal jantung}
\tql \tx1680 \itap0 \ls4 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 I.\tab }
\langfenp1033 Pengkajian }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Teoritis}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx1134 \itap0 \ls18 \ilvl2 \fs22
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Aktivitas / istirahat}
\tx1134 \itap0 \ls18 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langfenp1033 Sirkulasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Integritas Ego}{\fs24 \dbch \af2
\aspnum \adjustright \lin851 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich
\af2 \hich \af0 \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
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Eliminasi}{\fs24 \dbch \af2
\aspnum \adjustright \lin851 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich
Gejala :\uc1 \u160 ? Gangguan ginjal saat ini atau yang lalu ( infeksi,
obstruksi,\uc1 \u160 ? riwayat penyakit ginjal )}{\fs24 \dbch \af2 \hich \af0 \loch
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Makanan / Cairan}{\fs24 \dbch
Neurosensori}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1134 \itap0 \ls18 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1033 \langnp1033 \langfe1033
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Nyeri/ketidaknyamanan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Pernapasan}{\fs24 \dbch \af2
Keamanan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql
\langnp1057 \langfe1033 \langfenp1033 Gejala}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : Gangguan koordinasi,
cara jalan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\tx1134 \itap0 \ls18 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langfenp1033 Pembelajaran / Penyuluhan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\adjustright \lin426 \rin0 \tql \tx1134 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\plain \qj \fi426 \li0 \ri0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Masalah
Keperawatan}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s22 \qj \fi-360 \li851 \ri0
\lin851 \rin0 \tql \tx1134 \itap0 \ls19 \fs22 \dbch \af2 \hich \af0 \loch \af7
\langfenp1033 Resiko tinggi terhadap penurunan curah jantung}{\fs24 \dbch \af2
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Intoleransi
aktivitas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\tql \tx1134 \itap0 \ls19 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langfenp1033 Nyeri akut}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Ansietas}{\fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx1134 \itap0 \ls19 \fs22
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Defisiensi pengetahuan}
\langfenp1033 \par }\pard \plain \s22 \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360
\langfe1033 \langfenp1033 Prioritas masalah}{\b1 \fs24 \dbch \af2 \hich \af0
\aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \itap0 \ls20 \fs22
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Resiko tinggi terhadap
penurunan curah jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Nyeri akut}{\fs24 \dbch \af2 \hich \af0 \loch
\langnp1033 \langfe1033 \langfenp1033 Intoleransi aktivitas}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Ansietas}{\fs24
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \tql \tx851 \itap0
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Defisiensi
pengetahuan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls18 \fs22 \dbch
\langnp1033 \langfe1033 \langfenp1033 \f2 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 \lang1033 \langnp1033
\langfenp1033 Resiko tinggi terhadap penurunan curah jantung }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 berhubungan
dengan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang3082 \langnp3082 \langfe1033
\langfenp1033 peningkatan afterload, vasokonstriksi, hipertrofi ventrikuler,
iskemia miokard}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfenp1033 Intoleransi aktivitas }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1053 \langnp1053 \langfe1033 \langfenp1033 berhubungan dengan }{\fs24 \dbch
kelemahan, ketidakseimbangan suplai dan kebutuhan oksigen.}{\fs24 \dbch \af2
\widctlpar \aspalpha \aspnum \adjustright \lin851 \rin0 \itap0 \ls21 \ilvl2
\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
\pgwsxn12240 \pghsxn15840 \marglsxn2268 \margrsxn1701 \margtsxn2268
\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
\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 \fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 NO}{\fs22 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qc \li426 \ri0
\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 \dbch \af2 \hich \af0 \loch \f0
\langfe1033 \langfenp1033 TUJUAN (NOC)}{\fs22 \dbch \af2 \hich \af0 \loch \f0
\langfe1033 \langfenp1033 INTERVENSI (NIC)}{\fs22
\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
\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
\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 {\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
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1 \fs24 \dbch \af2
\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
\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
\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 \hich \af0
\aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx614 \phpg \pvpg \posnegx-
650 \posy481 \intbl \itap1 \ls22 \fs22 \dbch \af2 \hich \af0 \loch \af7
{\uc1 \u45 ?}\tab }\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 Tidak ada penurunan kesadaran}
\langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0 \sl276
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 NIC : }
\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
\trpaddft3 \trpaddfb3 \trpaddfr3 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Vital Sign Monitoring}{\fs24
\widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx176 \phpg \pvpg
\posnegx-650 \posy481 \intbl \itap1 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af7
\lang1043 \langnp1043 \langfe1033 \langfenp1033 Monitor TD, nadi, suhu, dan RR}
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \tql \tx176
\phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls23 \fs22 \dbch \af2 \hich
\langfenp1033 \f0 {\uc1 \u45 ?}\tab }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Catat adanya
fluktuasi tekanan darah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\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
\hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Monitor suhu,
warna, dan kelembaban kulit}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Monitor adanya cushing triad (tekanan nadi
yang melebar, bradikardi, peningkatan sistolik)}{\fs24 \dbch \af2 \hich \af0
\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
\trleft0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\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
\langnp1057 \langfe1033 \langfenp1033 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0
\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
\trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1
\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
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Bantu klien untuk mengidentifikasi
aktivitas yang mampu dilakukan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Bantu untuk memilih aktivitas konsisten yang}
\langfe1033 \langfenp1033 sesuai dengan kemampuan fisik, psikologi dan social}
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Bantu klien
untuk
membuat jadwal latihan diwaktu luang}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\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
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg
\langfenp1033 Nyeri akut berhubungan dengan (agen cidera biologis) peningkatan
tekanan vaskuler serebral}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li426 \ri0 \lisb0
\trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1
\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
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \dbch
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
\hich \af0 \loch \f0 \lang1040 \langnp1040 \langfe1033 \langfenp1033 Mampu
mengenali nyeri (skala, intensitas, frekuensi dan tanda nyeri)}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1040 \langnp1040 \langfe1033 \langfenp1033 Menyatakan
rasa nyaman setelah nyeri berkurang}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\posy481 \intbl \itap1 \ls26 \fs22 \dbch \af2
\hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Tanda vital dalam rentang normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 NIC :}{\fs24 \dbch \af2 \hich
\plain \qj \li426 \ri0 \lisb0 \sa100 \lisa0 \saauto1 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481
\langnp1033 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\b1 \fs24 \kerning36
Pain Management}{\b1 \fs24 \kerning36 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\ri0 \lisb0 \sa100 \lisa0 \saauto1 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1
\outlinelevel0 \ls27 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Lakukan pengkajian nyeri secara komprehensif
termasuk lokasi, karakteristik, durasi, frekuensi, kualitas dan faktor presipitasi}
{\b1 \fs24 \kerning36 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Gunakan teknik komunikasi terapeutik untuk mengetahui pengalaman nyeri pasien}
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Evaluasi
pengalaman nyeri masa lampau}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1043 \langfe1033 \langfenp1033 Kontrol lingkungan yang dapat mempengaruhi
nyeri seperti suhu ruangan, pencahayaan dan kebisingan}{\fs24 \dbch \af2 \hich \af0
\lang1040 \langnp1040 \langfe1033 \langfenp1033 Pilih dan lakukan penanganan nyeri
(farmakologi, non farmakologi dan inter personal)}{\fs24 \dbch \af2 \hich \af0
\lang1043 \langnp1043 \langfe1033 \langfenp1033 Kaji tipe dan sumber nyeri untuk
menentukan intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Ajarkan tentang teknik non farmakologi}{\fs24
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Evaluasi
keefektifan kontrol nyeri}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich
\af0 \loch \af7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f0 {\uc1
\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
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\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
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx709
\clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1
\clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb
\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
\lang1033 \langnp1033 \langfe1033 \langfenp1033 TD = 110-130/ 70-80 mmHg}{\fs24
\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
\adjustright \lin426 \rin0 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af7 \lang1033 \langnp1033 \langfe1033
\langnp1033 \langfe1033 \langfenp1033 S \uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?= 36}
\langfenp1033 \super1 5}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \uc1 \u8211 ? 37}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 5 0}
\langfenp1033 C}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 NIC :Anxiety Reduction }{\fs24
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
\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
\tql \tx252 \tql \tx720 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls29 \fs22
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
\tql \tx252 \tql \tx720 \phpg \pvpg \posnegx-650 \posy481 \intbl \itap1 \ls29 \fs22
Instruksikan pasien menggunakan teknik relaksasi}{\fs24 \dbch \af2 \hich \af0 \loch
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0
\intbl \itap1 \fs22 \dbch \af2 \hich
\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
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 NOC :}
\langfe1033 \langfenp1033 Kowlwdge : disease process}{\fs24 \dbch \af2 \hich
\trpaddfb3 \trpaddfr3 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \dbch \af2 \hich \af0
\lang1043 \langnp1043 \langfe1033 \langfenp1033 Pasien dan keluarga menyatakan
pemahaman tentang penyakit, kondisi, prognosis dan program pengobatan}{\fs24
\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
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
{\uc1 \u45 ?}\tab }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1044 \langnp1044 \langfe1033 \langfenp1033 Gambarkan
tanda dan gejala yang biasa muncul pada penyakit, dengan cara yang tepat }{\fs24
\hich \af0 \loch \f0 \lang1044 \langnp1044 \langfe1033 \langfenp1033 Gambarkan
proses penyakit, dengan cara yang tepat }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langnp1044 \langfe1033 \langfenp1033 Identifikasi kemungkinan penyebab, dengna
cara yang tepat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
Sediakan informasi pada pasien tentang kondisi, dengan cara yang tepat }{\fs24
\hich \af0 \loch \f0 \lang1044 \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
\lang1044 \langnp1044 \langfe1033 \langfenp1033 Eksplorasi kemungkinan sumber atau
dukungan, dengan cara yang tepat }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\langnp1044 \langfe1033 \langfenp1033 Instruksikan pasien mengenai tanda dan gejala
untuk melaporkan pada pemberi perawatan kesehatan, dengan cara yang tepat}{\fs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af7 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\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
\cltxlrtb \cellx709 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs
\brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10
\brdrcf1 \cltxlrtb \cellx2835 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrcf1 \cltxlrtb \cellx5670 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrcf1 \cltxlrtb \cellx9781 \row }\pard \plain \qj \li426 \ri0 \lisb0 \sa0 \lisa0
\langfe1033 \langfenp1033 \sect }\sectd \sbkcol \pgwsxn11907 \pghsxn16839
\marglsxn2268 \margrsxn1701 \margtsxn2268 \margbsxn1701 \guttersxn0 \headery709
\footery709 \pgbrdropt0 \sectlinegrid360 \sectdefaultcl \endnhere \pard \plain
\qc \fi-851 \li426 \ri0 \lisb0 \sa120 \lisa0 \sl360 \slmult1 \widctlpar
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 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
\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
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
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Johnson, M., }{\i1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 et all.}{\fs24
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
\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
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