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LAPORAN ANALISA SINTESA PADA An. CS DENGAN BRONKOPNEUMONIA DIRUANGAN IRDA RSUP. PROF D.R KANDOU MANADO Nama mahasiswa : Brylian K.T Tumbol NIM : 711430113090 Nama Pasien : An. CS No Medrec : 49.94.80 Pekerjaan : Siswa Alamat : Woloan Dx Medis : Bronkopneumonia Tgl dan waktu MRS : 22-04-2017 Umur
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  LAPORAN ANALISA SINTESA PADA An. CS DENGAN BRONKOPNEUMONIA   DIRUANGAN IRDARSUP. PROF D.R KANDOU MANADO  Nama mahasiswa : Brylian K.T Tumbol NIM : 711430113090 Nama Pasien : An. ! No Me re#: 49.94.$0Pe%er&aan : !iswa Alama' : (oloan)* Me is : Bron%o+neumoniaT,l an wa%'u M-!: /04/017 mur: 10 Tahun1. Pen,%a&ian +rimer  Airway2 Brea'hin, 2 ir#ula'ion2 )isabili'y2 *+osureK56Airway : alan na8as 'i a% bebas2 a anya s+u'um2 suara na8as normal. Brea'hin, : re%uensi na8as $ *m 2 Irama na8as 'era'ur 2 Pola na8as Ta%i+neu 2  +ola na8as a anya re'ra%si a a.ir#ula'ion : A%ral han,a'2 'i a% a anya +en arahan2 na i 'eraba2 - : 90*m2 BP : 11090 mmh,.)isabil'y: Kesa aran om+os men'is2 %e%ua'an s%ala o'o' ;2 5!  : 4 < : ; M : =*+osure: 'i a% a a 'raumaarenhei' : !B : 372; 0 . )ia,nosa %e+erawa'an +riori'as  ber asar%an +en,%a&ian +rimer2 men,i%u'i +ola P!2 meru&u% %e NAN)A6)> : Bersihan alan Na8as 'i a% e8e%'i8 berhubun,an +enum+u%an se#re'3. Tu&uan an Kri'eria hasil un'u% masalah ia'as ber asar%an N?6. )> : Bersihan alan Na8as 'i a% e8e%'i8 berhubun,an +enum+u%an se#re' N?:  -es+ira'ory s'a'us : <en'ila'ion  -es+ira'ory s'a'us : Airway +a'en#y  As+ira'ion on'rol  !e'elah ila%u%an 'in a%an %e+erawa'an selama 1 * 4 &am .+asien menun&u%%an %ee8e%'i8an &alan na8as ibu%'i%an en,an %ri'eria hasil : ã Men emons'rasi%an ba'u% e8e%'i8 an suara na8as yan, bersih2 'i a% a asianosis an ys+neu mam+u men,eluar%an s+u'um2 berna8as en,anmu ah2 'i a% a a +urse li+s6 ã Menun&u%%an &alan na8as yan, +a'en %lien 'i a% merasa 'er#e%i%2 iramana8as2 8re%uensi +erna8asan alam ren'an, normal2 'i a% a a suara na8asabnormal6 ã Mam+u men,i en'i8i%asi%an an men#e,ah 8a%'or yan, +enyebab. ã !a'urasi ? alam ba'as normal ã o'o 'hora% alam ba'as normal4. In'er@ensi an a%'i@i'as %e+erawa'an  un'u% men,a'asi masalah ari hasil +en,%a&ian  +rimer2 ber asar%an NI6. )> : Bersihan alan Na8as 'i a% e8e%'i8 berhubun,an +enum+u%an se#re' ã Pas'i%an %ebu'uhan oral  'ra#heal su#'ionin,. ã Kolaborasi +emberian o%si,en ã An&ur%an +asien un'u% is'iraha' an na+as alam ã Posisi%an +asien un'u% mema%simal%an @en'ilasi ã a%u%an 8isio'era+i a a &i%a +erlu ã Keluar%an se%re' en,an ba'u% a'au su#'ion ã Aus%ul'asi suara na8as2 #a'a' a anya suara 'ambahan ã Moni'or s'a'us hemo inami%  ã A'ur in'a%e un'u% #airan men,o+'imal%an %eseimban,an. ã Moni'or res+irasi an s'a'us ? ã Per'ahan%an hi rasi yan, a e%ua' un'u% men,en#er%an se%re' ã elas%an +a a +asien an %eluar,a 'en'an, +en,,unaan +erala'an : ?2!u#'ion2 Inhalasi.  ;. Im+lemen'asi %e+erawa'an )> : Bersihan alan Na8as 'i a% e8e%'i8 berhubun,an +enum+u%an se#re' ã Mela%u%an %olaborasi +emberian o%si,en ã Men,an&ur%an +asien un'u% is'iraha' an na+as alam ã Mem+osisi%an +asien un'u% mema%simal%an @en'ilasi ã Men,eluar%an se%re' en,an ba'u% a'au su#'ion ã men,aus%ul'asi suara na8as2 #a'a' a anya suara 'ambahan ã men,a'ur in'a%e un'u% #airan men,o+'imal%an %eseimban,an. ã Memoni'or res+irasi an s'a'us ? ã Men&eelas%an +a a +asien an %eluar,a 'en'an, +en,,unaan +erala'an : ?2 !u#'ion2 Inhalasi.=. @aluasi hasil ia,nosa %e+earawa'an +riori'asKe'i a%e8e%'i8an +ola +erna+asan berhubun,an en,an e%+ansi +aru yan, 'i a% ma%simal %arena 'rauma2 hi+o@en'ilasi.! : Klien men,a'a%an ba'u% an sesa% ? : / 'er+asan, ? 3  / Klien 'am+a% mem+ra%'e%an 'e%ni% ba'u% e8e%'i8 /TT< : T)  11090 mmh, N  90 *m -  $ *m !B  372; 0 A : Masalah belum 'era'asiP an&u'%an In'er@ensi7. Pen,%a&ian se%un er meli+u'i riwaya' %eseha'an an +en,%a&ian ea 'o 'oe6/ -iwaya' Keseha'an Pen eri'a meru+a%an ru&u%an -! ,unun, maria en,an )> bron%u+neumonia.  +en eri'a su ah irawa' selama 7 hari 'a+i belum a a +erubahan ba'u% C 3 hari sebelum masu% !M-! an )emam se&a% 1 malam !M-!..   / ea 'o Toea.Ke+ala an leher Ter a+a' se#re' i&alan na8as %lien b.Thora%:Ter a+a' re'ra%si a a saa' mela%u%an +erna+asan#.Ab omen Ti a% a a 'rauma ab omen2 'i a% a a nyeri 'e%an aerah ab omen .5eni'alia :Ti a% i%a&ie.%s'remi'as%s'remi'as a'as 'i a% a a masalah'rauma. $. )ia,nosa %e+erawa'an  Ber asar%an hasil +en,%a&ian se%un er an +emeri%saan  +enun&an,2 men,i%u'i +ola P!2 Minimal  ia,nosa6 a. Pola na8as 'i a% e8e%'i8 b. hi+er@en'ilasi. b. i+er'ermia b. In8e%si Mi%roor,anisme9. Tu&uan an %ri'eria hasil un'u% ia,nosa %e+erawa'an se%un er )> 1 : Pola na8as 'i a% e8e%'i8 b. hi+er@en'ilasi. NOC : a. -es+ira'ory s'a'us : <en'ila'ion b. -es+ira'ory s'a'us : Airway +a'en#y#. <i'al si,n !'a'us Kriteria Hasil : a. Men emons'rasi%an ba'u% e8e%'i8 an suara na8as yan, bersih2 'i a% a a sianosis an ys+neu mam+u men,eluar%an s+u'um2 mam+u berna8as en,anmu ah2 'i a% a a +urse li+s6 b. Menun&u%%an &alan na8as yan, +a'en %lien 'i a% merasa 'er#e%i%2 irama na8as2 8re%uensi +erna8asan alam ren'an, normal2 'i a% a a suara na8as abnormal6#. Tan a Tan a @i'al alam ren'an, normal 'e%anan arah2 na i2 +erna8asan6
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