LP & Askeb (Diare)

8/11/2019 LP & Askeb (Diare)

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LAPORAN PENDAHULUAN

DAN

ASUHAN KEBIDANAN

PADA BAYI DENGAN DIARE

PUSKESMAS TRENGGALEK

KECAMATAN TRENGGALEK KABUPATEN TRENGGALEK

Disusun Oleh

APRILIA DWIANA PARAMITASARI

Bd. DH. 200. !2

AKADEMI KEBIDANAN

DARMA HUSADA KEDIRI

TAHUN AJARAN 2009 / 2010


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LAPORAN PENDAHULUAN

DIARE

A. DEFINISI

Bu"n# "i$ %es"$ en&e$ le%ih d"$i se'"li seh"$i( %is" '"$en )en*"'i+ "+"u %is"

+id"'. Te$'"d"n# dise$+"i #e,"l" l"in se)e$+i d"$"h "+"u lendi$ di d"l"- %u"n#

"i$ %es"$( n*e$i )e$u+( )enu$un"n %e$"+ %"d"n( +u'"' -ulu+ -ene+")( "ne-i"

"+"u 'es"l"h"n u-u- *"n# %u$u'.

Ri&h"$d He"+le*( /1

De3e'"si *"n# den#"n +in,"u *"n# le-%e' "+"u &"i$.

K"-us Ked4'+e$"n Pene$%i+ 5"%"+"n( 2006 Di"$e "d"l"h %u"n# "i$ %es"$ de3e'"si den#"n ,u-l"h +in," *"n# le%ih %"n*"'

d"$i %i"s"n*" n4$-"l /007200 -l8,"- +in," den#"n +in," %e$%en+u' &"i$"n

"+"u se+en#"h &"i$ se+en#"h )"d"+.

D")"+ )ul" dise$+"i 3$e'uensi de3e'"si *"n# -enin#'"+

K")i+" Sele'+" Ked4'+e$"n( 2000

Di"$e "d"l"h %u"n# "i$ %es"$ en&e9$ "+"u &"i$ le%ih d"$i 6 '"li seh"$i.

WHO( /0 Di"$e di"$+i'"n se%"#"i %u"n# "i$ %es"$ *"n# +id"' n4$-"l "+"u %en+u' +in,"

*"n# en&e$ den#"n 3$e'uensi le%ih %"n*"' d"$i %i"s"n*" ne4n"+us din*"+"'"n

di"$e %il" 3$e'uensi %u"n# "i$ %es"$ sud"h le%ih d"$i 1 '"li seh"$i( sed"n#'"n

un+u' %"*i %e$u-u$ le%ih d"$i / %ul"n d"n "n"'( %il" 3$e'uensin*" le%ih d"$i 6

'"li.

Il-u Keseh"+"n An"' 5ilid I( /!

B. ETIOLOGI

Pen*e%"% di"$e "d" %e%e$")" 3"'+4$( di"n+"$"n*":

/. ;"'+4$ in3e'si

". In3e'si in+e$n"l

i$us : En+e$4>i$us >i$us e&h4( &4?s"&'ie( )4ll4-*eli+is(

"den4>i$us( $4+">i$us( "s+$4>i$us( ds%


3/29

In3e'si )"$"si+ : C"&in# "s&"$is( +hi&u$is( 4?*u$is( s+$4n#*l4ides(

)$4+4@4" en+"-4e%" his $4li+i&"( #l"sdi" l"-%i"(

+$i&h4-4n"s h4-inis( ,"-u$ &"ndid" "l%i&"ns

%. In3e'si )"$en+e$"l


4/29

K")i+" Sele'+" Ked4'+e$"n( 2000

2. G"n##u"n se'$esiG"n##u"n $"n#s"n#"n +e$+en+u -is"l 4leh +4'sin )"d" dindin# usus "'"n

+e$,"di )enin#'"+"n se'$esi "i$ d"n ele'+$4li+ 'e d"l"- $4n##" usus sel"n,u+n*"

di"$e +i-%ul '"$en" +e$d")"+ )enin#'"+"n isi $4n##" usus


Dise%"%'"n 4leh in3e'si >i$us( 'u-"n )$4+"#en d"n )"+4#en hi)e$)e$is+"l+i'

usus h"lus "'i%"+ %"h"n 'i-i" "+"u -"'"n"n( #"n##u"n )si'is( #"n##u"ns"$"3( h"9" din#in( "le$#i( d"n de3isiensi i-un +e$u+"-" /A se$e+4$i'.

K")i+" Sele'+" Ked4'+e$"n( 2000

6. G"n##u"n -4+ili+"s usus

Hi)e$)elis+"l+i' "'"n -en#"'i%"+'"n %e$'u$"n#n*" 'ese-)"+"n usus un+u'

-en*e$") -"'"n"n( sehin##" +i-%ul di"$e. Se%"li'n*"( %il" )e$is+"l+i' usus

-enu$un "'"n -en#"'i%"+'"n %"'+e$i +u-%uh %e$le%ih"n *"n# sel"n,u+n*"

d")"+ -eni-%ul'"n di"$e )ul".


P"+4#enesis di"$e "'u+

/. M"su'n*" ,"s"d $eni' *"n# -"sih hidu) 'e d")"+ usus h"lus se+el"h %e$h"sil

-ele9"+i $in+"n#"n "s"- l"-%un#.

2. ,"s" $eni' +e$se%u+ %e$'e-%"n# %i"' -ul+i)li'"si di d"l"- usus h"lus

6. Oleh ,"s"d $eni' di'elu"$'"n +4'sin +4'sin di"$e#ene+i'1. A'i%"+ +4'sin +e$se%u+ +e$,"di hi)e$se'$esi *"n# sel"n,u+n*" "'"n

-eni-%ul'"n di"$e


P"+4#enesis di"$e '$4nis

Le%ih '4-)le's d"n 3"'+4$73"'+4$ *"n# -eni-%ul'"nn*" i"l"h in3e'si %"'+e$i(

)"$"si+( -"l"ns4$%si( -"lnu+$isi( dll


D. PATOFISIOLOGIS

Se%"#"i "'i%"+ di"$e %"i' "'u+ -"u)un '$4nis "'"n +e$,"di:


5/29

/. Kehil"n#"n "i$ d"n ele'+$4li+ dehid$"si *"n# -en#"'i%"+'"n +e$,"din*"

#"n##u"n 'esei-%"n#"n "s"- %"s" "sid4sis -e+"%4li'( hi)4'"le-i"( ds%

2. G"n##u"n #i@i se%"#i"n "'i%"+ 'el")"$"n -"su'n*" -"'"n"n 'u$"n#(

)en#elu"$"n %e$+"-%"h6. Hi)4#li'e-i"

1. G"n##u"n si$'ul"si d"$"h

E. GAMBARAN KLINIS

/. Mul"7-ul" )"sien &en#en#( #elis"h( suhu +u%uh %i"s"n*" -enin#'"+( n"3su

-"'"n %e$'u$"n#8+id"' "d"( 'e-udi"n +i-%ul di"$e.

2. Tin," &"i$( -un#'in dise$+"i lendi$ "+"u lendi$ d"n d"$"h6. W"$n" +in," -"'in l"-" %e$u%"h 'ehi,"u7hi,"u"n '"$en" %e$&"-)u$ den#"n

e-)edu

1. Anus d"n d"e$"h se'i+"$n*" le&e+ '"$en" se$in# de3e'"si

!. Tin," -"'in l"-" -"'in "s"-( se%"#"i "'i%"+ %"n*"' "s"- l"'+"+ *"n# %e$"s"l

d"$i l"'+4s" *"n# +id"' di"%s4$)si 4leh usus sel"-" di"$e

. Ge,"l" -un+"h d")"+ +i-%ul se%elu- 8 sesud"h di"$e d")"+ dise%"%'"n

'"$en" ("-%un# +u$u+ -e$"d"n# 8 "'i%"+ #"n##u"n 'esei-%"n#"n "s"- %"s"

d"n ele'+$4li+

. Ge,"l" dehid$"si -ul"i +"-)"' %il" )"sien %"n*"' 'ehil"n#"n &"i$"n d"n

ele'+$4li+( *"i+u %e$"+ %"d"n +u$un +u$#4$ lendi$ %i%i$ d"n -ulu+ se$+" 'uli+

'e$in#

K")i+" Sele'+" Ked4'+e$"n( 2000

Penil"i"n De$","+ Dehid$"si

Pe!"#!# A B CLih"+: Ke"d""n u-u-

M"+"

Ai$ -"+"

Mulu+ d"n lid"h

R"s" h"us

Pe$i's" : Tu$#4$ 'uli+

H"sil )e-e$i's""n

B"i'( s"d"$

N4$-"l

Ad"

B"s"h

Minu- %i"s" +id"'

h"us

Ke-%"li &e)"+

T"n)" dehid$"si

Gelis"h( $e9el

Ce'un#

Tid"' "d"

Ke$in#

H"us( in#in -inu-

%"n*"'

Ke-%"li l"-%"+

Dehid$"si $in#"n8

Lesu( lun#l"i "+"u

+id"' s"d"$

S"n#"+ &e'un# d"n

'e$in#

Tid"' "d"

S"n#"+ 'e$in#

M"l"s -inu- "+"u

+id"' %is" -inu-

Ke-%"li s"n#"+

l"-%"+

Dehid$"si %e$"+


6/29

Te$")i Ren&"n" +e$")i A

sed"n#

Bil" "d" / +"nd"

di+"-%"h / "+"u

le%ih $end"h l"inRen&"n" +e$")i B

Bil" "d" / +"nd"

Di+"-%"h / "+"u

le%ih +"nd" l"inRen&"n" +e$")i C

Ren&"n" Pen#4%"+"n A

". Di#un"'"n un+u'

/. Men#"+"si di"$e +"n)" dehid$"si

2. Mene$us'"n +e$)"i di"$e di $u-"h

6. Me-%e$i'"n +e$)"i "9"l %il" "n"' +e$'en" di"$e l"#i

%. C"$" d"s"$ +e$")i di $u-"h

/. Be$i'"n "n"' le%ih %"n*"' &"i$"n d"$i)"d" %i"s"n*" un+u' -en&e#"h

dehid$"si se)e$+i &"i$"n 4$"li+( -"'"n"n &"i$ "+"u -"+"n#

2. Be$i "n"' -"'"n"n un+u' -en&e#"h 'u$"n# #i@i

6. B"9" "n"' 'e)"d" )e+u#"s %il" "n"' +id"' -e-%"i' d"l"- 6 h"$i "+"u

-ende$i+" se%"#"i %e$i'u+

Bu"n# "i$ %es"$ &"i$ se$in# '"li

Mun+"h %e$ul"n#7ul"n#

S"n#"+ h"us se'"li

M"'"n "+"u -inu- sedi'i+

De-"-

Tin," %e$d"$"h

Ren&"n" Pen#4%"+"n B

". D"l"- 6 ,"- )e$+"-"( %e$i'"n ! -l8'# BB 4$"li+%. A-"+i "n"' den#"n se's"-" d"n %"n+u i%u -e-%e$i'"n 4$"li+

&. Se+el"h 671 ,"-( nil"i 'e-%"li "n"'

d. Bil" i%u h"$us )ul"n# se%elu- seles"i $en&"n" )en#4%"+"n B

Tun,u''"n ,u-l"h 4$"li+ *"n# h"$us dih"%is'"n d"l"- )en#4%"+"n 6

,"- di $u-"h

Be$i'"n %un#'us 4$"li+ un+u' dehid$"si d"n un+u' 2 h"$i l"#i se)e$+i

di,el"s'"n d"l"- $en&"n" A Tun,u''"n &"$" -en*i")'"n l"$u+"n 4$"li+

o Me-%e$i'"n 4$"li+ "+"u &"i$"n l"in hin##" di"$e %e$hen+i

o Me-%e$i'"n -"'"n "n"'


7/29

o Me-%"9" "n"' 'e )e+u#"s 'eseh"+"n %il" )e$lu

Ren&"n" Pen#4%"+"n C

". Mul"i di%e$i &"i$"n in+$">en" se#e$"/00 -#8'# &"i$"n $in#e$ l"'+"+

Bil" )ende$i+" %is" -inu- %e$i'"n 4$"li+ )"d" "9"l )e-%e$i"n &"i$"n

in+$">en"

%. Ki$i- )ende$i+" un+u' 'e +e-)"+ )en#4%"+"n

&. Mul"i dehid$"si den#"n sel"n# n"s4#"s+$i' %il" )ende$i+" +id"' %is" -inu-

F. PENATALAKSANAAN/. Di"$e &"i$ -e-%u+uh'"n )e$#"n+i"n &"$i"n d"n ele'+$4li+ +"n)" -elih"+

e+i4l4#in*". Tu,u"n +e$")i dehid$"si un+u' -en#4$e'si 'e'u$"n#"n &"i$"n d"n

ele'+$4li+ se&"$" &e)"+ 'e-udi"n -en##"n+i &"i$"n *"n# hil"n# s"-)"i

di"$en*" %e$hen+i.

2. M"'"n"n h"$us di+e$us'"n %"h'"n di+in#'"+'"n sel"-" di"$e( un+u'

-en#hind"$'"n e3e' %u$u' )"d" s+"+us #i@i

6. An+i %i4+i' d"n "n+i)"$"si+ +id"' %4leh di#un"'"n se&"$" $u+in( '"$en" +id"'

"d" -"n3""+n*" un+u' 'e%"n*"'"n '"sus +e$-"su' di"$e %e$"+ d"n di"$e

den#"n )"n"s( 'e&u"li )"d":

Disen+$i( %il" +id"' %e$s)4ns 'e-un#'in"n "-4e%"sis

Sus)e' '4le$" den#"n dehid$"si %e$"+

Di"$e )e$sis+en

1. O%"+74%"+"n "n+idi"$e d"n -un+"h +id"' -e-)un*"i e3e' n*"+" un+u' di"$e

"'u+ d"n ,u#" -e-)un*"i e3e' *"n# -e-%"h"*"'"n.

O%"+74%"+"n ini +id"' %4leh di%e$i'"n )"d" "n"' 'u$"n# d"$i ! +"hun

K")i+" Sele'+" Ked4'+e$"n( 2000

Pe-%e$i"n C"i$"n P"d" Di"$e Dehid$"si Mu$ni

/. 5enis &"i$"n

". C"i$"n $ehl"$"si 4$"l 4$"l $ehid$"+i4n s"l+s

;4$-ul" len#'") -en#"ndun# N"CL( N"HCO6( KCL d"n #lu'4s"

se$in# dise%u+ 4$"li+ ;4$-ul" sede$h"n" +id"' len#'") h"n*" -en#"ndun# N" CL d"n

su'$4s" "+"u '"$%4hid$"+ l"in( -is"l: l"$u+"n #ul" #"$"-

%. C"i$"n )"$en+e$"l


8/29

DG "" / %"#i"n l"$u+"n D"$$49 / %"#i"n #lu'4s" !F

RL / %"#i"n Rin##e$ l"'+"+ / %"#i"n #lu'4s" !F

RL $in#e$ L"'+"+

6 / %"#i"n N"CL 0(F / %"#i"n #lu'4s" !F / %"#i"n N"

L"'+"+ /8 -4l8L

DG /:2 / %"#i"n l"$u+"n D"$$49 2 %"#i"n #lu'4s" !F

RL /:6 / %"#i"n Rin##e$ l"'+"+ 6 %"#i"n #lu'4s" !7/0F

C"i$"n 1:/ 1 %"#i"n #lu'4s" !F / %"#i"n N"HCO6/F "+"u 1

%"#i"n #lu'4s" !7/0 / %"#i"n N"CL 0(F

2. 5"l"n )e-%e$i"n &"i$"n

". Pe$ 4$"l un+u' dehid$"si $in#"n( sed"n# d"n +"n)" dehid$"si d"n %il" "n"'

-"u -inu- se$+" 'es"d"$"n %"i'

%. In+$"#"s+$i' un+u' dehid$"si $in#"n( sed"n# "+"u +"n)" dehid$"si( +e+")i

"n"' +id"' -"u -inu- "+"u 'es"d"$"n -enu$un

&. In+$">en" un+u' dehid$"si %e$"+

6. 5u-l"h &"i$"n

1. 5"d9"l 'e&e)"+"n )e-%e$i"n &"i$"n


G. PEMERIKSAAN PENUNJANG

/. Pe-e$i's""n +in,"

M"'$4s'4)is d"n -i'$4s'4)is( PH d"n '"d"$ #ul" ,i'" didu#" "d" in+4le$"nsi

#ul" su#"$ in+4le$"n&e( %i"$'"n 'u-"n un+u' -en&"$i 'u-"n )en*e%"% d"n

u,i $esis+en +e$h"d") %e$%"#"i "n+i%i4+i' )"d" di"$e )e$is+en

2. Pe-e$i's""n d"$"h

D"$"h )e$i3e$ len#'")( "n"lisis #"s d"$"h d"n ele'+$4li+ +e$u+"-" N"( K( C"(

d"n P se$u- )"d" di"$e *"n# dise$+"i 'e,"nu

6. Pe-e$i's""n '"d"$ u$eu- d"n '$e"+inin d"$"h un+u' -en#e+"hui 3""l #in,"l

1. Du4en"l in+u%"+i4n( un+u' -en#e+"hui 'u-"n )en*e%"% se&"$" 'u"n+i+"+i3 d"n

'u"li+"+i3 +e$u+"-" )"d" di"$e '$4ni'

K")i+" Sele'+" Ked4'+e$"n( 2000


9/29

POHON MASALAH

In3e'si M"l"%s4$%si M"'"n"n G"n##u"n Psi'4l4#is

G"n##u"nOs-4+i'

G"n##u"nSe'$esi

G"n##u"nM4+4li+"s Usus

Di"$e

A'u+ K$4nis

Dehid$"si G"n##u"n #i@i hi)4#li'e-i" G"n##u"n si$'ul"si d"$"h


10/29

INTER$ENSI UMUM

T"n##"l 8

5"-

D? 8 M? 8

Ke%u+uh"nINTER=ENSI RASIONAL

..............

Pu'ul .........

D? :

An"' usi" .....

Den#"n GE

Tu,u"n:

7 Men&e#"h se&"$"

dini se%elu- "d"

'4-)li'"si le%ih

l"n,u+7 A#"$ 'e"d""n "n"'

'e-%"li seh"+

7 Pen*"'i+n*" d")"+

di4%"+i

K$i+e$i" H"sil:

7 KU : B"i'

7 Kes"d"$"n:

C4-)4s-en+$is

7 TT=:

N : /00 J /20

?8-eni+

S : 6(! J 6(! C

RR : 60 J 10?8-eni+

7 UUB : +id"' &494n#7 Mu'" : +id"' )u&"+

7 Kel4)"' -"+" : +id"'

)u&"+

7 K4n,un#+i>" : +id"'

"ne-is

7 Tu$#4$ %"i'

7 In)u+ : 4u+)u+

7 BAB : /?8h"$i

7 K4nsis+ensi : le-%e'

7 Anus : 9"$n" -e$"h

-ud"


11/29

7 BB : +id"' +u$un

In+e$>ensi

/. L"'u'"n +e$")i$ehid$"si den#"n

&"$" -e-%e$i'"n

4$"li+

2. Tin#'"+'"n

)e-%e$i"n -"'"n"n

d"n susu $end"h #ul"LM( SGM "+"u

susu un+u' di"$e

6. O%se$>"si TT=

1. O%se$>"si in)u+ d"n

4u+)u+

!. Be$i+"hu i%u d"n

'elu"$#" +en+"n#h"sil )e-e$i's""n

. An,u$'"n i%u

-en,e#" )e$s4n"l

h*#iene "n"'n*"

. K4l"%4$"si den#"n

d4'+e$ un+u'

/. Men##"n+i'"n&"i$"n *"n#

hil"n# -el"lui

3eses *"n#

di'elu"$'"n

2. Pe-%e$i"n

-"'"n"n se&"$"

+e$"+u$ sel"-"di"$e d")"+

-en#hind"$'"n

e3e' %u$u'

+e$h"d") s+"+us

#i@i

6. Men#e+"hui

'4ndisi "n"'

1. Den#"n de-i'i"n

d")"+ -en#e+"hui

'esei-%"n#"n

&"i$"n d"n

ele'+$4li+

!. Den#"n de-i'i"n

i%u d"n 'elu"$#"

+"hu 'e"d""n"n"'n*"(

sehin##" +id"'

'h"9"+i$

. Den#"n de-i'i"n

d")"+ +e$hind"$

d"$i in3e'si

. Men#e+"hui

+ind"'"n

'e)e$"9"+"n

sel"n,u+n*"


12/29

M?:

/. Dehid$"si

2. G"n##u"n #i@i

)en#4%"+"n

Tu,u"n:Den#"n )e-%e$i"n

&"i$"n %"i' )"$en+e$"l

-"u)un 4$"l "n"' +id"'

'ehil"n#"n BB le%ih

d"$i 2 F

K$i+e$i" H"sil:7 Dehid$"si +e$"+"si

7 Tu$#4$ %"i'

7 A'$"l h"n#"+

In+e$>ensi

/. L"'u'"n $ehid$"si

&"i$"n %"i' 4$"l

-"u)un in3us

2. O%se$>"si in)u+ d"n

4u+)u+ )"sien

Tu,u"n

Men&e#"h "#"$ s+"+us

#i@i )"sien +id"'

-en,"di le%ih %u$u'

l"#i

K$i+e$i" H"sil:

/. Se%"#"i

)en#4%"+"n

u+"-" un+u'

-en##"n+i &"i$"n

+u%uh *"n#

hil"n#

2. Den#"n

4%se$>"si in)u+

d"n 4u+)u+

)"sien( d")"+

di'e+"hui +in#'"+

)e$'e-%"n#"n

)en*"'i+ )"sien


13/29

6. Hi)4#li'e-i"

7 BB +id"' +u$un

7 An"' +id"' -un+"h

7 Mu'" +id"' )u&"+

In+e$>ensi

/. An,u$'"n i%u d"n

'elu"$#" un+u' +e+")

-e-%e$i'"n

-"'"n"n $end"h

se$"+

2. L"'u'"n)eni-%"n#"n BB

se&"$" $u+in

Tu,u"n

Men&e#"h "#"$ )"sien

+id"' ,"+uh 'e 'e"d""n

*"n# le%ih %u$u'

K$i+e$i" H"sil:

7 KU )"sien -en,"di

le%ih %"i'

In+e$>ensi

/. P"n+"u #lu'4s"

d"$"h *"n# 'e+"+

2. Be$i )"sien

-inu-"n l"$u+ #ul"

/0 J 60 #$

6. An,u$'"n i%u d"n

'elu"$#" un+u'

-e-%e$i'"n

-"'"n"n d"n

-inu-"n *"n#

-"nis

/. Den#"n de-i'i"n

'e%u+uh"n nu+$isi+e$)enuhi

2. Men#e+"hui

s+"+us #i@i )"sien

d"n BB

/. Men#e+"hui

'"d"$ #lu'4s"

d"$"h

2. Den#"n de-i'i"n

'"d"$ #ul" d"$"h

d")"+ n"i'6. Me-%"n+u

-en"i''"n '"d"$

#ul" d"$"h


14/29

1. G"n##u"n

si$'ul"si d"$"h

Ke%u+uh"n

/. Asu)"n &"i$"n

2. Asu)"n nu+$isi

Tu,u"n:

Men&e#"h "#"$ +id"'

+e$,"di #"n##u"nsi$'ul"si d"$"h

K$i+e$i" H"sil:

7 P? +id"' s*4'

7 Si$'ul"si d"$"h

l"n&"$

In+e$>ensi

/. P"n+"u P? "#"$ +id"'

s*4'

Tu,u"n:

Den#"n )e-%e$i"n

&"i$"n %"i' )"$en+e$"l

-"u)un )e$ 4$"l

K$i+e$i" H"sil:

Dehid$"si +e$"+"si

In+e$>ensi

/. Be$i'"n &"i$"n )e$

4$"l d"n in3us

Tu,u"n:

/. Me-enuhi

'e%u+uh"n nu+$isi

)"sien

2. Men&e#"h "#"$

)"sien +id"'

-en#"l"-i

-"lnu+$isi

/. Men&e#"h

+e$,"din*" s*4'

/. Se%"#"i

)en##"n+i &"i$"n

in3us


15/29

6. Pe$s4n"l h*#iene

K$i+e$i" H"sil:

7 BB +id"' +u$un

7 Ke%u+uh"n nu+$isi

+e$)enuhi

In+e$>ensi:

/. An,u$'"n i%u d"n

'elu"$#" un+u' +e+")

-e-%e$i'"n

-"'"n"n $end"h

se$"+2. An,u$'"n i%u d"n

'elu"$#" un+u'

-e-%e$i'"n susu

$end"h #ul"

Tu,u"n:

Men&e#"h in3e'si d"n

i$i+"si

K$i+e$i" H"sil:

7 Tu%uh %e$sih

7 Anus +id"' le&e+

7 P"sien -e$"s"

n*"-"n

In+e$>ensi:

/. An,u$'"n i%u un+u'

-en,"#" 'e%e$sih"n

"n"'n*"

2. An,u$'"n i%u un+u'

-en#","$i "n"'n*"

&"$" &e%4' *"n#

/. Den#"n de-i'i"n

'e%u+uh"n nu+$isi

+e$)enuhi

2. Den#"n de-i'i"n

d")"+ -e-enuhi

'e&u'u)"n

nu+$isi

/. Den#"n de-i'i"n

d")"+ +e$hind"$

d"$i in3e'si d"n

)"sien -e$"s"

n*"-"n2. Den#"n de-i'i"n

"n"' d")"+

-en,"#"

'e%e$sih"n di$i


16/29

%en"$

DAFTAR PUSTAKA

M"ns,4e$( A$i3. 2000.Kapita Selekta Kedokteran Jilid 2. 5"'"$+": Medi" Aes&ul")ius


17/29

S+"3 Pen#","$ ;KUI( /!.Ilmu Kesehatan Anak Jilid 1. 5"'"$+": In34-edi'"

He"+le+( Ri&h"$d( /1.

( 2006.Kamus Kedokteran. 5"'"$+": 5"-%"+"n

MANAJEMEN KEBIDANAN

PADA BAYI DENGAN DIARE


18/29

T"n##"l M"su' RS 8 P4li'lini' 8 Pus'es-"s : 2 A)$il 20/0

5"- : 0.00 WIB

T"n##"l Pen#'",i"n : 2 A)$il 20/0

5"- : 0./0 WIBN4. Re#is+e$ :

Di"#n4s" M"su' : B"*i usi" %ul"n den#"n di"$e

I. PENGKAJIAN

A. D#%# S&'(e)%!*

1. IDENTITAS +BIODATA,

". B"*iN"-" B"*i : B*. R

U-u$8T"n##"l L"hi$ : 2 %ln 8 / N4>e-%e$ 20/0 5"- 2/.1! WIB

5enis Kel"-in : Pe$e-)u"n

An"' 'e : II

Pendidi'"n : 7

%. O$"n# Tu"

N"-" i%u : N* 5

U-u$ : 2! T"hun

Su'u8B"n#s" : 5"9"8Ind4nesi"

A#"-" : Isl"-

Pendidi'"n : SMA

Pe'e$,""n : IRT

Pen#h"sil"n : 7

N"-" A*"h : Tn. S

U-u$ : 2 +"hun

Su'u8B"n#s" : 5"9"8Ind4nesi"

A#"-" : Isl"-

Pendidi'"n : SMA

Pe'e$,""n : S9"s+"

Pen#h"sil"n : R).00.0008%lnAl"-"+ Ru-"h: Ds. N#"+$u RT. Ke&"-"+"n T$en##"le'

K"%u)"+en T$en##"le'

2. KELUHAN UTAMA

I%u -en#"+"'"n sud"h 2 h"$i "n"'n*" di"$e( BAB &"i$( )e$u+ 'e-%un#.

An"' +e+") -"u -en*usu

-. RIAYAT KESEHATAN

". Ri9"*"+ Pen*"'i+ D"hulu


19/29

7 Pen*"'i+ 9"'+u 'e&il : I%u -en#"+"'"n "n"'n*" +id"'

)e$n"h -ende$i+" )en*"'i+ se$ius.

H"n*" de-"- %i"s"

7 Pe$n"h MRS : I%u -en#"+"'"n "n"'n*" %elu-)e$n"h -"su' Ru-"h S"'i+. H"n*"

s""+ l"hi$ s","

7 Ale$#i -"'"n"n( : I%u -en#"+"'"n "n"'n*" +id"'

de%u( 4%"+ -e-)un*"i )en*"'i+ "le$#i

7 I-unis"si :

5enis

I-unis"si

Pe-%e$i"n 'e 8 T"n##"l

Pe-%e$i"nKe+e$"n#"n

I II III I=BCG

He)"+i+is B

P4li4

DPT

C"-)"'

7

7

7

7

7

7

7

7

/ ?

1 ?

1 ?

6 ?

7

7 I-unis"si ul"n# : 7 T"n##"l : 7

%. Ri9"*"+ Pen*"'i+ Se'"$"n#

7 Keluh"n U+"-" :

I%u -en#"+"'"n sud"h 2 h"$i "n"'n*" di"$e( BAB &"i$( )e$u+

'e-%un#. Di"$e -ul"i 'e-"$in si"n# +"n##"l 21 A)$il 20/0.

"n"' "#"' $e9el( +")i +e+") -"u -en*usu

7 Tind"'"n Pe$+"-"

I%u -en#"+"'"n "n"' +e$us di%e$i ASI

&. Ri9"*"+ Pen*"'i+ Kelu"$#"

7 Pen*"'i+ Ke+u$un"n:

I%u -en#"+"'"n +id"' "d" )en*"'i+ 'e+u$un"n d"l"- 'elu"$#"

se)e$+i DM( hi)e$+ensi dll

7 Pen*"'i+ Menul"$

I%u -en#"+"'"n +id"' "d" 'elu"$#" *"n# -e-)un*"i )en*"'i+

-enul"$ se)e$+i AIDS( "s-"( he)"+i+is( TBC dll

d. Ri9"*"+ Keh"-il"n

7 M"s" 'eh"-il"n : Bul"n


20/29

7 Keluh"n sel"-" 'eh"-il"n : I%u -en#"+"'"n +id"' "d"

'eluh"n sel"-" h"-il

7 ANC : Te$"+u$ se+i") %ul"n di BPS 4leh

%id"n7 I-unis"si TT : 6 '"li

2 ? se%elu- -eni'"h

/ ? s""+ h"-il

7 Pen*"'i+ sel"-" h"-il : I%u -en#"+"'"n +id"' )e$n"h

-ende$i+" )en*"'i+ ")")un

sel"-" h"-il

7 K4-)li'"si i%u : I%u -en#"+"'"n +id"' "d"'4-)li'"si sel"-" h"-il

7 K4-)li'"si ,"nin : I%u -en#"+"'"n +id"' +e$,"di

'4-)li'"si )"d" ,"ninn*" sel"-"

h"-il

e. Ri9"*"+ Pe$s"lin"n

7 5enis Pe$s"lin"n : S)4n+"n

7 Di+4l4n# 4leh : Bid"n RS

7 K4-)li'"si )e$s"lin"n

I%u : I%u -en#"+"'"n -el"hi$'"n "n"'

'e-%"$

5"nin : I%u -en#"+"'"n +id"' +e$,"di

'4-)li'"si ")")un )"d" "n"'n*"

sel"-" )e$s"lin"n

3. Ri9"*"+ Ne4n"+"l

7 K4ndisi %"*i Nil"i APGAR B"*i l"hi$ seh"+( l"n#sun#

-en"n#is 'e$"s

7 BB 9"'+u l"hi$ : 2100 #$"-

7 PB 9"'+u l"hi$ : 1 &-

#. Ri9"*"+ Gi@i

7 ASI e's'lusi3 :


21/29


22/29

7 Ins)e'si : Kuli+ 'e)"l" : Be$sih( +id"' "d" 'e+4-%e

R"-%u+ : Be$sih( 9"$n" hi+"-

7 P"l)"si : Kuli+ 'e)"l" : Tid"' "d" %en,4l"n( +id"' "d"

n*e$i +e'"nR"-%u+ : Tid"' $4n+4'

7 Lin#'"$ 'e)"l" : Tid"' di'",i

%. Mu'"

7 Ins)e'si : Si-e+$is : en" ,u#ul"$is : Tid"' "d" 'i8'"

#. D"d"

7 Ins)e'si : Ben+u' : Si-e+$is 'i8'"


23/29

Pe$n"3"s"n : +e$"+u$ 7 +id"' +e$"+u$

7 Aus'ul+"si R4n&hi : Tid"' "d"

Whee@in# : Tid"' "d"

Re+$"'si : Tid"' "d" 'i8'"

Den*u+ ,"n+un# : N4$-"l( +e$"+u$

Mu$-u$ : Tid"' "d"

h. A%d4-en

7 Ins)e'si : Si-e+$is( +id"' "d" lu'" %e'"s

4)e$"si( +id"' "d" ,"$in#"n )"$u+

7 P"l)"si : N*e$i +e'"n : Tid"' "d"

Pe-%es"$"n he)"$ : Tid"' "d"

7 Aus'ul+"si : Bisin# usus : Ad"(

-enin#'"+

7 Pe$'usi : Ke-%un# : Ad"

i. Gene+"li"

7 Ins)e'si: Pe$s4n"l h*#iene : B"i'( %e$sih

Anus : 7

7 Eli-in"si

BAB : W"$n" : Kunin#

K4nsis+ensi : C"i$

;$e'uensi : 1 J !?8h"$i

BAK : W"$n" : Kunin# ,e$nih

B"u : Kh"s "$4-"+i'

;$e'uensi : ! J ?8h"$i

,. E's+$e-i+"s

T"n#"n

7 Ins)e'si Ben+u' : Si-e+$is 'i8'"

Ge$"'"n : A'+i3 'i8'"

Ku'u : Be$sih 'i8'"

5u-l"h ,"$i : Len#'") 'i8'"

7 P"l)"si A'$"l : H"n#"+ 'i8'"

N*e$i +e'"n : Tid"' "d" 'i8'"

7 Kel"in"n : Tid"' "d"


24/29

K"'i

7 Ins)e'si Ben+u' : Si-e+$is 'i8'"

Ge$"'"n : A'+i3 'i8'"Ku'u : Be$sih 'i8'"

5u-l"h ,"$i : Len#'") 'i8'"

7 P"l)"si A'$"l : H"n#"+ 'i8'"

Oede-" : Tid"' "d" 'i8'"

N*e$i +e'"n : Tid"' "d" 'i8'"

7 Kel"in"n : Tid"' "d"

'. Kuli+

7 P"l)"si Tu$#4$ : B"i'

Kel"in"n : Tid"' "d"

-. PEMERIKSAAN TINGKAT PERKEMBANGAN

". M4+4$i' '"s"$ : An"' d")"+ -en##e$"''"n '"'i d"n +"n#"n

%. M4+4$i' h"lus : 7

&. B"h"s" : 7

. DATA PSIKOLOGIS

An"' +e$lih"+ &e$i"

. PEMERIKSAAN PENUNJANG

Tid"' dil"'u'"n

II. INTERPRETASI DATA

TANGGAL

JAM

DATA DASAR D/M/

KEBUTUHAN


25/29

271720/0

Pu'ul 0./0

WIB

Ds : I%u -en#"+"'"n sud"h 2 h"$i

"n"'n*" di"$e( BAB &"i$(

)e$u+ 'e-%un#. An"' +e+")

-"u -en*usui. Di"$e -ul"i'e-"$in si"n# +"n##"l 21

A)$il 20/0. An"' "#"' $e9el

D4 :

7 KU : B"i'

7 Kes"d"$"n : K4-)4s-en+$us

7 TT=S : 6 0C

N : //2 ?8-eni+

RR : 10 ?8-eni+

7 BB se'"$"n#: (2 '#

7 BB se%elu- s"'i+ : (1 '#

7 TB : Tid"' di'",i

7 Mu'" : Tid"' )u&"+

7 Kel4)"' -"+": +id"' &494n# 'i8'"

7 BAB

W"$n" : Kunin#

K4nsis+ensi : C"i$

;$e'uensi : 17!?8h"$i

7 A%d4-en : Ke-%un#( %isin#

usus -enin#'"+

7 Tu$#4$ : B"i' 7 Anus : W"$n" -e$"h +")i

+id"' le&e+

D? : "n"' usi" 2

+"hun den#"n GE

III. INTER$ENSI

T"n##"l 8

5"-

D? 8 M? 8

Ke%u+uh"nINTER=ENSI RASIONAL


26/29

271720/0

Pu'ul

/./0

WIB

D? :

B"*i usi" %

%ul"n

Den#"ndi"$e

Tu,u"n:

7 Men&e#"h se&"$" dini

se%elu- "d" '4-)li'"si

le%ih l"n,u+7 A#"$ 'e"d""n "n"'

'e-%"li seh"+

7 Pen*"'i+n*" d")"+

di4%"+i

K$i+e$i" H"sil:

7 KU : B"i' 7 Kes"d"$"n:

C4-)4s-en+$is

7 TT=:

N : /000 J /20 ?8-n+

S : 6(! J 6(! 0C

RR : 60 J 10?8-eni+

7 UUB : Tid"' &494n#

7 Mu'": Tid"' )u&"+

7 Kel4)"' -"+" : +id"'

)u&"+

7 K4n,un#+i>" : +id"'

"ne-is

7 Tu$#4$ : %"i'

7 In)u+ : 4u+ )u+

7 BAB : /?8h"$i7 K4nsis+ensi : le-%e'

7 Anus : 9"$n" -e$"h

-ud"

7 BB : +id"' +u$un

In+e$>ensi

/. L"'u'"n +e$")i $ehid$"si

den#"n &"$"

-e-%e$i'"n 4$"li+

/. Men##"n+i'"n

&"i$"n *"n# hil"n#

-el"lui 3eses *"n#


27/29

2. Tin#'"+'"n )e-%e$i"n

ASI

6. O%se$>"si TT=

1. An,u$'"n i%u -en,"#"

)e$s4n"l h*#iene"n"'n*"

di'elu"$'"n

2. Pe-%e$i"n

-"'"n"n 8 ASI

se&"$" +e$"+u$ sel"-"di"$e d")"+

-en#hind"$'"n e3e'

%u$u' +e$h"d")

s+"+us #i@i

6. Men#e+"hui '4ndisi

"n"'

1. Den#"n de-i'i"n(d")"+ -en#e+"hui

'4ndisi "n"'

I$. IMPLEMENTASI

TANGGAL

5AM

D?8M?8

KEBUTUHANIMPLEMENTASI


28/29

271720/0

Pu'ul 0.2!

WIB

D? :

B"si usi"

%ul"n den#"n

di"$e

/. Mel"'u'"n +e$")i $ehid$"si den#"n

-e-%e$i'"n 4$"li+

2. Menin#'"+'"n )e-%e$i"n ASIMel"n,u+'"n i%u un+u' +e$us

-e-%e$i'"n ASI

6. Men#4%se$>"si TT=

7 S : 6 0C

7 N : //2 ?8-eni+

7 RR : 10 ?8-eni+

1. Men#"n,u$'"n i%u un+u' -en,"#"

)e$s4n"l h*#iene

7 Ce%4' se+el"h BAB 8 BAK d"n

di'e$in#'"n

$. E$ALUASI

T"n##"l : 2 J 1 7 20/0

5"- : 0.!0 WIB


29/29

D? : B"*i usi" %ul"n den#"n di"$e

S : I%u -en#"+"'"n sud"h -en#e$+i )en,el"s"n %id"n

O : 7 KU : B"i'

7 Kes"d"$"n : C4-)4s-en+$us

7 TT= : S : 6 0C RR : 10 ?8-eni+

N : //2 ?8-eni+

7 BB se'"$"n# : (2 '#

7 BB se%elu- s"'i+ : (1 '#

7 Mu'" : Tid"' )u&"+7 Kel4)"' -"+" : Tid"' &494n# 'i8'"

7 BAB : W"$n" : Kunin#

K4nsis+ensi : C"i$

;$e'uensi : 17!?8h"$i

7 A%d4-en : Ke-%un#

7 Tu$#4$ : B"i'

7 Anus : W"$n" -e$"h +")i +id"' le&e+

AP : B"*i usi" %ul"n den#"n di"$e

P : L"n,u+'"n in+e$>ensi

Be$i'"n 4$"li+ d"n +in#'"+'"n )e-%e$i"n ASI

LP & Askeb (Diare)

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