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\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \ulnone0 Endah Sudarsih S.Tr. Kep.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\ulnone0 \tab \tab \tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 P27220019203}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Farikha Nikmah Sholihah S.Tr.
Kep.\tab \tab P27220019206}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 KEMENTERIAN KESEHATAN REPUBLIK INDONESIA}{\b1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 POLITEKKES KEMENKES SURAKARTA}{\b1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 JURUSAN KEPERAWATAN}{\b1 \fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 PRODI PROFESI NERS}
{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 2019/2020}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 LAPORAN PENDAHULUAN}{\b1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \i1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 CHRONIC KIDNEY D}
{\b1 \i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 ES}{\b1 \i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 EASE}{\b1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 (CKD}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ) +
DIABETES MELITUS}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 DENGAN HEMODIALISA}{\b1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi-360 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 A.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Konsep }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Chronic Kidney D}{\i1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 es}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 ease}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 (CKD}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ) atau Gagal
Ginjal Konik}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li720 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0
\itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Pengertian}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Chronic Kidney D}{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 es}{\i1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ease}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 (CKD}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 ) adalah kemunduran fungsi ginjal yang
progesif dan irreversibel dimana terjadi kegagalan kemampuan tubuh untuk
mempertahankan keseimbangan metabolik, cairan dan elektrolit yang mengakibatkan
uremia atau azotemia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024
\langnp1024 \langfe1024 \langfenp1024 (Wijaya & Putri, 2013)}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 . Gagal ginjal
kronis adalah kegagalan fungsi ginjal untuk mempertahankan metabolisme serta
keseimbangan cairan dan elektrolit akibat destruksi struktur ginjal yang progresif
dengan manifestasi penumpukan sisa metabolit (toksik uremik) di dalam darah
(Muttaqin, 2014).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi567 \li709 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Chronic Kidney D}{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 es}{\i1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ease}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 (CKD}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 ) atau Gagal ginjal kronik (GGK) adalah kemunduran fungsi
ginjal yang progesif dan irreversibel dimana terjadi kegagalan kemampuan tubuh
untuk mempertahankan keseimbangan metabolik, cairan dan elektrolit yang
mengakibatkan uremia atau azotemia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024
\langnp1024 \langfe1024 \langfenp1024 (Wijaya & Putri, 2013)}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6 \expndtw6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Gagal ginjal terjadi ketika ginjal tidak mampu mengangkut
sampah metabolik tubuh atau melakukan fungsi regulernya. Suatu bahan yang biasanya
di eliminasi di urin menumpuk dalam cairan tubuh akibat gangguan ekskresi renal dan
menyebabkan gangguan fungsi endokrin dan metabolik, cairan, elektrolit serta asam-
basa (Suharyanto & Madjid, 2013).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6
\expndtw6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Dari penjelasan di atas
dapat disimpulkan bahwa}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6
\expndtw6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Chronic kidney disease }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6 \expndtw6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 (CKD) adalah kondidi dimana fungsi ginjal mengalami
penurunan sehingga tidak mampu lagi untuk melakukan filtrasi sisa metabolisme tubuh
dan menjaga keseimbangan cairan dan elektrolit di dalam darah atau urin}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
e. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 Diabetes Melitus merupakan suatu kelompok penyakit
metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi
insulin, kerja insulin, atau keduaduanya (}{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 American Diabetes
Association}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 (ADA), 2015) . Hiperglikemik kronik pada Diabetes
Melitus berkontribusi terhadap munculnya berbagai}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 komplikasi,
kerusakan jangka panjang, disfungsi dan kegagalan berbagai organ seperti mata,
ginjal, saraf, jantung dan pembuluh darah.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi567 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 Gagal ginjal akibat
Diabetes Melitus (DM) disebut juga nefropati diabetika. Nefropati Diabetika}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 adalah komplikasi yang terjadi pada 40% dari seluruh pasien DM tipe
1 dan DM tipe 2 dan merupakan penyebab utama penyakit ginjal pada pasien yang
mendapat terapi ginjal yang ditandai dengan adanya mikroalbuminuria (30mg/hari)
tanpa adanya gangguan ginjal, disertai dengan peningkatan tekanan darah sehingga
mengakibatkan menurunnya filtrasi glomerulus dan akhirnya menyebabkan ginjal tahap
akhir}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \sub2 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6 \expndtw6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 . }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Nefropati diabetik adalah
}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd-3 \expndtw-3 \lang1033
\langnp1033 \langfe1033 \langfenp1033 kelainan }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 degeneratif vaskuler
ginjal, mempunyai hubungan dengan gangguan metabolisme karbohidrat atau intoleransi
gula atau Diabetes Melitus }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053
\langnp1053 \langfe1033 \langfenp1033 Kerusakan pada nefron akibat glukosa dalam
darah yang tidak dipakai disebut nefropati diabetes. Nefropati ini yang lama
kelamaan dapat menyebabkan }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6
\expndtw6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Chronic kidney disease }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6 \expndtw6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 (CKD)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 (Rivandi & Yonata, 2015)}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \expnd6 \expndtw6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \ls2
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Klasifikasi}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Ada atau tidaknya penyakit ginjal kronik ini dapat ditetapkan
berdasarkan adanya kerusakan ginjal atau tingkat fungsi ginjal, yaitu dengan
mengukur laju filtrasi glomerulus (}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Glumerular Filtration Rate/ }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
GFR). Menurut }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Natinal Kidney Fondation Kidney Desease Outcomes Quality
Initiative }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 (NKF-K/ DOQI), dapat dibagi menjadi}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 (Mahdiana,
2013)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 : }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-284 \li993
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin993 \rin0 \itap0 \ls3 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan ginjal dengan nilai GFR
normal atau meningkat. Nilai GFR e\uc1 \u8221 ? 90 mL/min/1,73 m}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1
2}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-284 \li993 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0
\itap0 \ls3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan
ginjal ringan dengan penurunan nilai GFR 60-89 ml/min/1,73m}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 2}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-284 \li993 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls3
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan ginjal
sedang dengan penurunan nilai GFR 30-59 mL/min/1,73m}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 2}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-284 \li993 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls3
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan ginjal
berat dengan penurunan nilai GFR 15-29 mL/min/1,73m}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-284 \li993 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls3
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Gagal ginjal
terminal (stadium akhir), dengan nilai GFR <15 mL/min/1,73m}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 2}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li360 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-283 \li709 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0
\itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Etiologi}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li780 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin780 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Ada beberapa penyakit yang memengaruhi tubuh secara keseluruhan, yang
dapat memicu timbulnya }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6
\expndtw6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Chronic kidney disease }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \expnd6 \expndtw6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 (CKD)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 menurut Mahdiana (2013), antara lain:}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \ls4 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Diabetes}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Bila mengalami diabetes, berarti tubuh tidak bisa optimal dalam hal mengubah
makanan menjadi energy yang dibutuhkan sehingga kadar gula darah dapat meningkat.
Kondisi gula darah yang meningkat berkepanjangan dapat merusak pembuluh darah
ginjal. Bila sudah meningkat, dapat menimbulkan gejala-gejala seperti: rasa haus
meningkat, penglihatan kabur, sering berkemih, beat badan menurun tanpa alasan yang
jelas, luka yang lama sembuh, merasa lapar dan lemah.}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang3082 \langnp3082 \langfe1033 \langfenp1033 Diabetes merupakan
penyakit metabolik sebagai akibat dari kurangnya insulin efektif maupun insulin
absolut dalam tubuh, dimana gangguan primer terletak pada metabolisme karbohidrat,
yang dapat juga menyebabkan gejala klinik akut maupun kronik. }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Salah satu
komplikasi kronik dari diabetes adalah nefropati. Kerusakan pada nefron akibat
glukosa dalam darah yang tidak dipakai disebut nefropati diabetes. Nefropati ini
yang lama kelamaan dapat menyebabkan CKD. Bila kita dapat menahan tingkat glukosa
dalam darah tetap rendah, kita dapat menunda atau mencegah nefropati diabetes.}{\b1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1080 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\itap0 \ls4 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tekanan
darah tinggi (hipertensi)}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1080 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1080 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Tekanan darah merupakan tekanan
yang ditimbulkan oleh darah yang mengalir dalam pembuluh darah arteri. Tekanan yang
tinggi ini bila berlangsung terus-menerus dapat merusak atau mengganggu pembuluh-
pembuluh darah kecil dalam ginjal yang lama kelamaan akan mengganggu kemampuan
ginjal untuk menyaring darah. Pada umumnya, bagi orang dewasa atau berusia 18 tahun
ke atas tekanan darah 140/90 mmHg atau lebih, dapat dikatakan sebagai keadaaan
hipertensi, sedangkan bagi anda penderita diabetes dan penyakit ginjal kronik ,
tekanan darah 130/80 mmHg atau lebih sudah dikatakan sebagai hipertensi. Dengan
mengontrol tekanan darah akan membantu memperlambat kerusakan ginjal. }{\b1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1080 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\itap0 \ls4 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Batu
ginjal}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22
\dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Batu yang terbentuk diginjal terjadi akibat adanya proses presipitasi
(kristalisasi bahan-bahan yang terlarut) yang terkandung di dalam urine. Biasanya
batu ini dapat berpindah melalui ureter (saluran yang mengalirkan urine dari
ginjal ke kandung kemih) dan dikeluarkan lewat urine bila berukuran kecil. Namun
kadangkala, batu yang berukuran terlalu besar tidak bisa keluar begitu saja lewat
urine. Bila hal ini terjadi maka menimbulkan sara sakit dan mungkin dapat
menimbulkan obstruksi akibat terhambatnya aliran urine keluar. Batu ginjal dapat
disebabkan oleh berbagai faktor, seperti infeksi, diet tertentu, obat-obatan, dan
kondisi tertentu akibat meningginya zat lain dalam urine, misalnya asam urat.
Gejala batu ginjal antara lain:}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1418 \rin0 \itap0 \ls5 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Rasa sakit pada bagian belakang atau sisi tubuh}{\b1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1418 \rin0 \itap0 \ls5 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Darah dalam urine}{\b1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1418 \rin0
\itap0 \ls5 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Muntah,
demam, sering berkemih atau ingin berkemih}{\b1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1418 \rin0 \itap0 \ls5 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 d)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Rasa nyeri saat berkemih}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Keluar/tidaknya batu ginjal dengan sendirinya, tergantung pada lokasi, besar,
bentuk, dan komposisi. Ukuran batu yang kecil dengan bentuk licin atau bulat, dapat
keluar dengan sendirinya. Namun, bila bentuknya bermacam-macam, misalnya, dengan
tepi yang tajam atau dengan ukuran yang terlalu besar, yang memenuhi seluruh bagian
ginjal, tentu memerlukan terapi tertentu guna mengeluarkannya. Bila batu ginjal
berpindah ke bagian pelvis ginjal, dapat menyumbat aliran urine dan ginjal pun
dapat bengkak sehingga mengganggu kerja ginjal.}{\b1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \ls4 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 d.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Infeksi dan radang}{\b1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Infeksi atau
radang pada saluran kemih (ISK) dapat terjadi akibat adanya bakteri yang masuk
kesaluran kemih dan berkembangbiak. Saluran kemih terdiri dari kandung kemih,
uretra dan dua ureter, serta ginjal. Bakteri ini biasanya masuk melalui uretra dan
masuk ke kandung kemih. Kondisi ini dapat menyebabkan saluran kemih menjadi merah,
bengkak, dan rasa nyeri. Jika infeksi ini tidak diatasi dengan baik, bakteri dapat
memasuki ginjal sehingga menimbulkan jenis infeksi yang lebih serius, yaitu
pyelonefritis (peradangan pada ginjal yang dapat meluas mengenai unit penyaring dan
pembuluh darah).. gejala ISK antara lain:}{\b1 \fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\fi-360 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1418 \rin0 \itap0 \ls6 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Keinginan berkemih, kadang urine hanya
berbentuk sedikit atau menetes}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1418 \rin0 \itap0 \ls6 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
b)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Rasa seperti terbakar saat berkemih}{\b1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1418 \rin0 \itap0 \ls6 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Urine berwarna keruh atau
bercampur darah}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1418 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1418 \rin0 \itap0 \ls6 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Bau urine sangat menyolok.}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Bila infeksi ini sudah menyebar ke
ginjal, dapat menyebabkan rasa sakit/ nyeri pada punggung bagian bawah disertai
dengan demam, mual, dan muntah.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1080 \rin0 \itap0 \ls4 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
e.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Glomerulonefritis}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par
}\pard \plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Selain ISK, Glomerulonefritis yang tidak segera diatasi juga dapat mengganggu kerja
ginjal nantinya. Glomerulonefritis timbul akibat adanya peradangan yang merusak
bagian ginjal yang menyaring darah (glomerulus) sehingga glomerulurs ini tidak bisa
lagi menyaring zat-zat yang sudah tidak terpakai oleh tubuh dan cairan yang
berlabih ke dalam aliran darah untuk membentuk cairan urine.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Glomerulonefritis akut biasanya sering disebabkan oleh infeksi bakteri streptokokus
atau infeksi pada tenggorokan atau kulit. Glomerulonefritis yang ringan biasanya
tanpa gejala dan diagnosisnya ditegakkan melalui pemeriksaan darah dan urine di
laboratorium. Sementara yang sudah berat, dapat menimbulkan gejala fatigue (lelah),
mual, muntah, sesak napas, gangguan penglihatan, tekanan darah tinggi, bengkak
(terutama pada wajah, tangan, kaki dan pergelangan kaki), dan adanya darah/ protein
pada urine yang membuat warna urine menjadi kemerahan atau keruh.}{\b1 \fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \ls4 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 f.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Penyalahgunaan obat-
obatan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Ada beberapa jenis obat-obatan yang dapat membahayakan kerja ginjal,
yaitu:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1418 \rin0
\itap0 \ls7 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Obat
penghilang/ pereda rasa sakit. Ginjal dapat rusak bila anda mengkonsumsi obat bebas
ini dalam jumlah yang berlebih dalam jangka waktu lama, seperti aspirin,
asetaminofen, dan ibuprofen. Gunakan obat ini sesuai dengan anjuran dokter.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1418 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1418 \rin0
\itap0 \ls7 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Antibiotika}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1418 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1418 \rin0 \itap0 \ls7 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Obat terlarang. Contoh obat jenis ini antara lain: heroin, kokain,
ekstasi, bila dikonsumsi secara berlebih dapat menyebabkan tekanan darah tinggi,
stroke, gagal jantung dan bahkan kematian.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\fi-360 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1418 \rin0 \itap0 \ls7 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 4)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Alkohol.mengkonsumsi alcohol secara
berlebihan dapat meningkatkan risiko timbulnya gagal ginjal dan gagal fungsi hati.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \ls2
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Patofisiologi}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
patofisiologi terjadinya kerusakan ginjal, hiperfiltrasi masih dianggap sebagai
awal dari mekanisme patogenik dalam laju kerusakan ginjal. Hiperfiltrasi yang
terjadi pada sisa nefron yang sehat lambat laun akan menyebabkan skleriosis dari
nefron tersebut. Mekanisme terjadinya peningkatan laju filtrasi glomerulus pada
nefropati diabetik kemungkinan disebabkan oleh dilatasi arteriol aferen oleh efek
yang tergantung glukosa, yang diperantarai hormon vasoaktif, IGF-1, }{\i1 \fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Nitric Oxide, }{\fs24 \dbch \af2 \hich \af0 \loch \f8 \lang1033 \langnp1033
\langfe1033 \langfenp1033 prostaglandin dan glukagon. Efek langsung dari
hiperglikemia adalah rangsangan hipertrofi sel, sintesis matriks ekstraseluler,
serta produksi TGF-\uc1 \u946 ? yang diperantarai oleh aktivasi protein kinase-C
(PKC) yang t}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 ermasuk dalam serine-threonin kinase yang memiliki fungsi
pada vaskular seperti kontraktilitas, aliran darah, proliferasi sel dan
permeabilitas kapiler. Hiperglikemia kronik dapat menyebabkan terjadinya glikasi
nonenzimatik asam amino dan protein atau reaksi Mallard dan Browning. Pada awalnya,
glukosa akan mengikat residu amino serta non-enzimatik menjadi basa Schiff glikasi,
lalu terjadi penyusunan ulang untuk mencapai bentuk yang lebih stabil tetapi masih
reversibel dan disebut sebagai produk amadori. Jika proses ini berlanjut terus,
akan terbentuk }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Advenced Glycation End-Product }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 (AGEs) yang
ireversibel. AGEs diperkirakan menjadi perantara bagi beberapa kegiatan seluler
seperti ekspresi }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 adhesion molecules }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 yang berperan
dalam penarikan sel-sel mononuklear, juga pada terjadinya hipertrofi sel, sintesa
matriks ekstraseluler serta inhibisi sintesis }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Nitric Oxide}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 (}{\fs22
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Hendromartono, 2014)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Disfungsi ginjal
mengakibatkan keadaan patologik yang komplektermasuk diantaranya penurunan GFR
(Glumerular Filtration Rate), pengeluaran produksi urine dan eksresi air yang
abnormal, ketidakseimbanganelektrolit dan metabolik abnormal. Homeostatis
dipertahankan
oleh hipertropinefron. Hal ini terjadi karena hipertrofi nefron hanya dapat
mempertahankaneksresi solates dan sisa-sisa produksi dengan jalan menurunkan
reabsorbsi air sehingga terjadi hipostenuria (kehilangan kemampuan memekatkan urin)
dan polyuria adalah peningkatan output ginjal. Hipostenuria dan polyuria
adalahtanda awal CKD dan dapat menyebabkan dehidrasi ringan. Perkembanganpenyakit
selanjutnya, kemampuan memekatkan urin menjadi semakinberkurang. Osmolitasnya
(isotenuria). Jika fungsi ginjal mencapai tingkat ini serum BUN meningkat secara
otomatis, dan pasien akan beresiko kelebihanbeban cairan seiring dengan output urin
yang makin tidak adekuat. Pasiendengan CKD mungkin menjadi dehidrasi/ mengalami
kelebihan beban cairantergantungpada tingkat gagal ginjal. Perubahan metabolik pada
gagal ginjal juga menyebabkan gangguaneksresi BUN dan kreatinin. Kreatinin sebagian
dieksresikan oleh tubulusginjal dan penurunan fungsi ginjal berdampak pada
pembentukan serum kreatinin. Adanya peningkatan konsentrasi BUN dan kreatinin dalam
darahdisebutazotemiadan merupakan salah satu petunjuk gagal ginjal.Perubahan
kardiak pada CKD menyebabkan sejumlah gangguan system kardiovaskuler. Manifestasi
umumnya diantaranya anemia, hipertensi, gagaljantung kongestif, dan perikaraitis,
anemia disebabkan oleh penurunan tingkateritropetin, penurunan masa hidup sel darah
merah akibat dari uremia, defisiensibesi dan asam laktatdan perdarahan
gastrointestinal. (Mahdiana,2013).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \page }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \page }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \ls2 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 5.\tab }{\fs22 \dbch \af2 \hich \af0 \loch \af0 \lang1024
\langnp1024 \langfe1024 \langfenp1024 {\shp {\*\shpinst \shpleft5231 \shptop-922
\shpright8161 \shpbottom-135 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara
\shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz2 \shplid1026 {\sp {\sn shapeType}
{\sv 1}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv
0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn lineStyle}{\sv
0}}{\sp {\sn fLine}{\sv 0}}{\sp {\sn wzName}{\sv Rectangle 2}}{\sp {\sn
fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs22 \dbch \af2 \hich \af0 \loch \af0
\lang1024 \langnp1024 \langfe1024 \langfenp1024 {\shp {\*\shpinst \shpleft6470
\shptop-1659 \shpright7475 \shpbottom-236 \shpfhdr0 \shpbxcolumn \shpbxignore
\shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz1 \shplid1027 {\sp {\sn
shapeType}{\sv 1}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn
WrapText}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn
lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 0}}{\sp {\sn wzName}{\sv Rectangle 3}}{\sp
{\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs22 \dbch \af2 \hich \af0 \loch
\af0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 {\shp {\*\shpinst \shpleft2050
\shptop-3970 \shpright2193 \shpbottom-2881 \shpfhdr0 \shpbxcolumn \shpbxignore
\shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz0 \shplid1028 {\sp {\sn
shapeType}{\sv 1}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn
WrapText}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn
lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 0}}{\sp {\sn wzName}{\sv Rectangle 4}}{\sp
{\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Manifestasi Klinis}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi360 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Pada gagal ginjal kronik akan terjadi rangkaian perubahan. Bila GFR
menurun 5-10 % dari keadaan normal dan terus mendekati nol, maka pasien akan
menderita sindrom uremik, yaitu suatu kompleks gejala yang diakibatkan atau
berkaitan dengan retensi metabolik nitrogen akibat gagal ginjal (}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 Suhartono}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 , 20}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 15}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 ). }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Manifestasi klinis
sindrom ure}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 m}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 ik pada gagal ginjal kronis : }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls8 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Biokimia}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Asidosis metabolik (HCO}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \sub2 3}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \super1 -}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 serum 18-20
mEq/L), Azometemia (penurunan GFR menyebabkan peningkatan BUN dan }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 K}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 reatin), Hiperkalemia retensi Na, Hipermagnesia, Hiperuresemia.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0
\itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Saluran
Cerna}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Anoreksia mual, muntah, nafas bau amoniak, mulut kering, pendarahan
mulut cerna, diare, parotitis.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Perkemihan oli}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 g}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 uria}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Berlanjut
menuju oliguri, lalu anuri. Nokturia BJ urin 1,010, proteinuri.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls8 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Metabolisme Protein}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Sintesis abnormal, hiperglikmia, kebutuhan insulin menurun lemak
peningkatan kadar trigliserid.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
e.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Kardiovaskular}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Hipertensi retinopati dan
ensefalopati hipertensif, beban sirkulasi berlebih, edema, gagal jantung kongestif,
dan disritmia gangguan kalsium, hiperfosfatemia, hipokalsemia, hiperparatiroidisme,
deposit garam kalsium pada sendi, pembuluh darah jantung dan paru-paru,
Konjungtivitis (urenia mata merah).}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
f.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Pernafasan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kussmaul, dispnea, edema paru,
pnumonitis, kulit pucat, pruritis, kristal uremia, kulit kering, dan memar.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0
\itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 g.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Hematologik,}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Anemia, hemolisis, kecenderungan pendarahan, infeksi}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li720 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li720 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0
\itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 6.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Pemeriksaan Penunjang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li720 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pemeriksaan penunjang yang
dibutuhkan untuk menegakkan diagnosa gagal ginjal kronik yaitu }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 (Prabowo
& Eka, 2014)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls9 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Biokimia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Pemeriksaan utama dari analisa fungsi ginjal adalah ureum
dari kreatinin plasma. Untuk hasil yang lebih akurat untuk mengetahui fungsi ginjal
adalah dengan analisa creatinine clearance (klirens kreatinin). Selain pemeriksaan
fungsi ginjal, pemeriksaan kadar elektrolit juga harus dilakukan untuk mengetahui
status keseimbangan elektrolit dalam tubuh sebagai kinerja ginjal.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls9 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Urinalisis}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Urinalisis dilakukan untuk menepis ada tidaknya infeksi pada ginjal
atau ada tidaknya perdarahan aktif akibat inflamasi pada jaringan parenkim ginjal.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1134 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0
\itap0 \ls9 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Ultrasonografi ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1134 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1134 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gambaran dari ultrasonografi akan
memberikan informasi yang mendukung untuk menegakkan diagnosis gagal ginjal. Pada
klien gagal ginjal biasanya menunjukkan adanya obstruksi atau jaringan parut pada
ginjal. Selain itu ukuran dari ginjal pun akan terlihat.}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin720 \rin0 \itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
7.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Penatalaksanaan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li720 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Pengobatan gagal ginjal kronik
dapat dibagi menjadi 2 tahap, yakni }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 t}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 indakan }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 k}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 onservatif}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 , d}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 ialisis}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 atau }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
transplatansi ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024
\langnp1024 \langfe1024 \langfenp1024 (Suharyanto & Madjid, 2013)}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li993 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls2
\ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tindakan
Konservatif}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li993 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Tujuan pengobatan pada tahap ini adalah untuk meredakan
atau memperlambat gangguan fungsi ginjal progresif}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 (Suharyanto & Madjid,
2009)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 . }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1080 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1080 \rin0 \itap0 \ls10 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Pengaturan diet }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 p}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 rotein, }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 k}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 alium, }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 n}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 atrium dan }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 c}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 airan}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0 \itap0 \ls11 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pembatasan protein}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Pembatasan protein tidak hanya mengurangi kadar BUN, tetapi juga mengurangi asupan
kalium dan fosfat, serta mengurangi produksi ion hidrogen yang berasal dari
protein. Pembatasan asupan protein telah terbukti menormalkan kembali kelainan ini
dan memperlambat terjadi gagal ginjal}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi720 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pembatasan protein
berdasarkan nilai
GFR}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\trowd \trqc \trgaph0 \trleft1375 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4072 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6952 \pard \plain \s24 \qc \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 GFR }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 (ml/menit)}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qc
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pembatasan protein (g)}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\trowd \trqc \trgaph0 \trleft1375 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs
\brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10
\trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx4072 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx6952 \row }\pard \plain \s24 \qc \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 10}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qc \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 40}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0
\lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\trowd \trqc \trgaph0 \trleft1375
\trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr
\brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr
\brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx4072 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6952 \row }\pard \plain
\s24 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 5}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\cell }\pard \plain \s24 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 25-30}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\trowd \trqc \trgaph0 \trleft1375 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4072 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6952 \row }\pard \plain \s24 \qc \fi-360 \li339
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin339 \rin0 \intbl \itap1 \ls2 \ilvl4 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 atau kurang 20}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard
\plain \s24 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 20}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trqc
\trgaph0 \trleft1375 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl
\brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv
\brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx4072 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx6952 \row }\pard \plain \s24 \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1440 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1440 \rin0 \itap0 \ls11 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Diet rendah kalium}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1440
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1440 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Hiperkalemia biasanya merupakan
masalah pada gagal ginjal lanjut. Asupan kalium yang dianjurkan adalah 40-80
mEq/hari. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1440 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0
\itap0 \ls11 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Diet
rendah natrium}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1440 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Diet Na yang dianjurkan adalah 40-90 mEq/hari (1-2 g
Na).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 A}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 supan natrium yang terlalu longgar dapat mengakibatkan
retensi
cairan, edema perifer, edema paru, hipertensi dan gagal jantung kongestif.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1440 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0
\itap0 \ls11 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Pengaturan cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1440 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Asupan yang bebas dapat menyebabkan beban sirkulasi
menjadi berlebihan, edema. Sedangkan asupan yang terlalu rendah mengakibatkan
dehidrasi, hipotensi, dan gangguan fungsi ginjal.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Aturan yang dipakai
untuk menentukan banyaknya asupan caian adalah :}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0
\trrh710 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl
\brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv
\brdrs \brdrw10 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphmrg \tposxc
\tposy146 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6930 \pard \plain \s24 \qc \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\phpg \pvpg \posxc \posy146 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\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 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Jumlah urin
yang dikeluarkan selama 24 jam terakhir + 500 ml (IWL)}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain
\li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trrh710
\trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs
\brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10
\tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphmrg \tposxc \tposy146 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalc \clbrdrl \brdrs \brdrw10 \clbrdrr
\brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx6930 \row }\pard \plain \s24 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1440 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Misalnya : Jika
jumlah urin yang dikeluarkan dalam waktu 24 jam adalah}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 4}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 00ml, maka
asupan cairan total dalam sehari adalah 400 + 500 ml = 900ml}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024
(Suharyanto & Madjid, 2013)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1440 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1440 \rin0 \itap0 \ls10 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
2)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Pencegahan dan pengobatan komplikasi}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \fi-360 \li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1843 \rin0 \itap0 \ls12 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Hipertensi}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1843 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Apabila
penderita sedang mengalami terapi hemodialisis, pemberian anti hipertensi
dihentikan karena dapat mengakibatkan hipotensi dan syok yang diakibatkan oleh
keluarnya cairan intravaskular melalui ultrasi, Pemberian diuretik : furosemid
(lasix).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1843 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1843 \rin0 \itap0 \ls12 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Hiperkalemia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1843 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1843 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Hiperkalemia dapat diobati dengan
pemberian glukosa dan insulin intravena, yang akan memasukan K}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \super1 + }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 ke dalam sel atau dengan pemberian Kalsium Glukonat 10 %.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1843 \rin0 \itap0 \ls12 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Anemia}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1843 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pe}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 n}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 gobatannya adalah pemberian hormon eritropoeitin, yaitu
rekombinan eritropoeitin (r-EPO) (Eschbatch et al, 1987), selain dengan pemberian
vitamin dan asam folat, besi dan transfusi darah.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1843
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1843 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1843 \rin0 \itap0 \ls12 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
d)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Asidosis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1843 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1843 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Asidosis ginjal biasanya tidak diobati kecuali dengan
HCO}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \sub2 3}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \super1 -}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 plasma turun dibawah
angka 15 mEq/l. Bila asidosis berat akan dikoreksi dengan pemberian Na HCO}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \sub2 3}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \super1 -}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 (Natrium Bikarbonat)
parenteral.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1843 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1843 \rin0 \itap0 \ls12 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Pengobatan hiperuriesmia}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li1843
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1843 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Obat pilihan untuk mengobati
hipeurismia pada penyakit ginjal lanjut adalah pemberian }{\i1 \fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 alopurinol. }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Obat ini mengurangi kadar asam urat dengan menghambat sebagian asam
urat total yang hasilkan tubuh}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin993 \rin0 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Dialisis}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 dan Transplantasi}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Dialisis dilakukan apabila kadar kreatinin serum diatas 6 mg/100 ml pada laki-laki
atau 4 m}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 g}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 /100 ml pada wanita, dan GFR kurang dari 4
ml/menit}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 . Dialisis dapat digunakan untuk mempertahankan penderita
dalam keadaan klinis yang optimal sampai tersedia donor ginjal}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 (Suharyanto &
Madjid, 2013)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s26 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \itap0 \ls13 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Dialysis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s26 \qj \fi-360 \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \ls2 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Peritoneal dialysis}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s26 \qj \li1701
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Biasanya dilakukan pada kasus-kasus
emergency, sedangkan dialysis yang bisa dilakukan dimana saja yang tidak bersifat
akut adalah CAPD (Continues Ambulatory Peritonial Dialysis). }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s26 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls2 \ilvl2
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Hemodialisa}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s26 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Hemodialisa adalah suatu prosedur dimana darah dikeluarkan dari tubuh
penderita dan beredar dalam sebuah mesin di luar tubuh yang disebut}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 }{\i1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 dialyzer}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 . Prosedur ini memerlukan jalan masuk ke aliran darah.
Untuk memenuhi kebutuhan ini, maka dibuat suatu hubungan buatan diantara }{\i1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 arteri}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 dan }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 vena}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 (}{\i1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 fistula arteriovenosa}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 ) melalui pembedahan. Pada
hemodialisa, darah penderita mengalir melalui suatu selang yang dihubungkan ke
fistula arteriovenosa dan dipompa ke dalam }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 dialyzer}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 . Untuk
mencegah pembekuan darah selama berada dalam }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 dialyzer}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 maka
diberikan heparin. Di dalam }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 dialyzer,}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 suatu selaput
buatan yang memiliki pori-pori memisahkan darah dari suatu cairan (}{\i1 \fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
dialisat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 ) yang memiliki komposisi kimia yang menyerupai
cairan tubuh normal. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s26 \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Tekanan di dalam ruang dialisat
lebih rendah dibandingkan dengan tekanan di dalam darah, sehingga cairan, limbah
metabolic, dan zat-zat racun di dalam darah disaring melalui selaput dan masuk ke
dalam dialisat. Tetapi sel darah dan protein yang besar tidak dapat menembus pori-
pori selaput buatan ini.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Darah yang telah dicuci lalu
dikembalikan ke dalam tubuh penderita. Dialyzer memiliki ukuran dan tingkat
efisiensi yang berbeda-beda. Mesin yang lebih baru sangat efisien, darah mengalir
lebih cepat dan masa dialisa lebih pendek (2-3 jam), sedangkan mesin yang lama
memerlukan waktu 3-5 jam. Sebagian besar penderita gagal ginjal kronis perlu
menjalani dialisa sebanyak 2 kali/minggu. }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s26 \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
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\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \line }{\fs24 \dbch \af2 \hich \af0
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45140051451400514514005145140051451401e5f77e21d7ad6db50bd5d6676f2a2d66f9216861d8a2c
ae7cb8e1e137796cadf3f3bfe51b5979cd8b5f11f8824f145f4526a5631ac72dda1d3fe6b89a18a3127
952fd963844a376d89b2d3157126140324607a451401e57278af5c306971e9fae473b5c398fed2f0453
a337db6c62cef8c2a4c989e6019047c30560b22311dc7876e6ede5d62c2eeea4bb3a75e8b78ee255459
2456821972fb02ae419481851c01d4e49dca2800a28a2800a28a2800a28a2800a28a28039fd6741bdd4
fc43a6dfdaeab3e9d1dada5cc2ef6c23323191e1206248dd76fee9b3d0e76e38cd165e11b3d3278869d
797d67629e517b18651e5cad122468598a993858e304070ac13e607736ee828a00e6dbc15a6b5869569
e7dd81a5d90b3b5903aee5daf0ba487e5c1756b78d871b4f20a907151c5e0b582796f23d7b555d4e595
e47bfc5b990aba448c9b7caf2f6910447ee6eca
f5e483d451401cdcfe08d22ea3961b86bb9a096e0cf24724e5b7e6cfec854b9f9c831f39ddbb7739ed4
4fe0f8ae2e1656d5f52546b8b7bbba897c9db753c263db23feef209f263042145f97803273d25140051
4514005145140051451401ffd9}}}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s26 \qj \li1170 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1170 \rin0 \tql \tx1620 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s26 \qj \li1170
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1170 \rin0 \tql \tx1620 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s26 \qj \li1170 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1170 \rin0 \tql \tx1620 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Komplikasi Hemodialisa }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0
\trleft1276 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1
\trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs
\brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10
\brdrcf1 \cltxlrtb \cellx8232 \pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Komplikasi}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \qc \li0
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Penyebab}{\b1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trql
\trgaph0 \trleft1276 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10
\brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1
\trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1
\clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs
\brdrw10 \brdrcf1 \cltxlrtb \cellx8232 \row }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Demam}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \fi-270 \li270 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin270 \rin0 \tql \tx270 \intbl \itap1 \ls14 \ilvl2 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f3 \'a7\'00\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Bakteri atau zat penyebab demam (}{\i1
\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 pirogen}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 ) di dalam darah}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \fi-
270 \li270 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin270 \rin0 \tql \tx270 \intbl \itap1 \ls14 \ilvl2 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f3 \'a7\'00\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Dialisat terlalu
panas}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\trowd \trql \trgaph0 \trleft1276 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb
\brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10
\brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1
\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 \cellx4253 \clvertalt \clbrdrl
\brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx8232 \row }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Reaksi anafilaksis yg
berakibat fatal (}{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 anafilaksis}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 )}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard
\plain \fi-270 \li270 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin270 \rin0 \intbl \itap1 \ls15 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f3 \'a7\'00\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Alergi terhadap zat
di dalam mesin}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \fi-270 \li270 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin270 \rin0 \intbl
\itap1 \ls15 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f3 \'a7\'00\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Tekanan
darah rendah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\trowd \trql \trgaph0 \trleft1276 \trbrdrt \brdrs \brdrw10
\brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1
\trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs
\brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt
\clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx8232
\row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Tekanan
darah rendah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057
Terlalu banyak cairan yang dibuang}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0
\lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft1276
\trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs
\brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10
\brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10
\brdrcf1 \cltxlrtb \cellx8232 \row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Gangguan irama jantung}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Kadar kalium dan zat
lainnya yang abnormal dalam darah}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0
\lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft1276
\trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs
\brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10
\brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr
\brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10
\brdrcf1 \cltxlrtb \cellx8232 \row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Emboli udara}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Udara memasuki darah di dalam
mesin}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\trowd \trql \trgaph0 \trleft1276 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb
\brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10
\brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1
\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 \cellx4253 \clvertalt \clbrdrl
\brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10
\brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx8232 \row }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Perdarahan usus, otak,
mata atau per}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 ut}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Penggunaan heparin di dalam mesin untuk mencegah
pembekuan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\trowd \trql \trgaph0 \trleft1276 \trbrdrt \brdrs \brdrw10
\brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1
\trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs
\brdrw10 \brdrcf1 \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 \cellx4253 \clvertalt
\clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \cellx8232
\row }\pard \plain \s26 \qj \fi-360 \li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1276 \rin0 \itap0 \ls13 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Transplantasi ginjal}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s26 \qj \li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1276 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Transplantasi ginjal merupakan terapi pengganti ginjal (anatomi dan
faal). Pertimbangan program transplantasi ginjal, yaitu:}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls16 \ilvl3
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Cangkok ginjal (}
{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 kidney transplant}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 ) dapat mengambil alih seluruh (100%) faal
ginjal, sedangkan hemodialisis hanya mengambil alih 70-80% faal ginjal alamiah}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0
\itap0 \ls16 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Kualitas
hidup normal kembali}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-360
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \ls16 \ilvl3 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 c)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Masa hidup (}{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 survival rate}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 )
lebih lama}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \itap0 \ls16 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Komplikasi (biasanya dapat diantisipasi) terutama berhubungan dengan
obat imunosupresif untuk mencegah reaksi penolakan}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain
\s24 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls16 \ilvl3 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 e)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Biaya lebih murah dan
dapat dibatasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \page }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li720
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin720 \rin0 \itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
8.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Komplikasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li720 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Komplikasi yang }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 sering
kali ditemukan pada penderita}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 gagal ginjal kroni}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 k}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 adalah}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024
\langfenp1024 (Mahdiana, 2013)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 :}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls17 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Anemia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls17 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Osteodistrofi Renal}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls17 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Gagal Jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1134 \rin0 \itap0 \ls17 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
d.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Impotensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \li720 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin720 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin360 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \page }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 B.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Konsep Asuhan
Keperawatan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-437 \li851 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin851
\rin0 \jclisttab \tx437 \itap0 \ls18 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pengkajian}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Biodata}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Meliputi nama, umur, jenis kelamin,
ras, agama, alamat, pekerjaan, pendidikan dll}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 . Gagal Ginjal Kronik terjadi
terutama pada usia lanjut (50-70 tahun), usia muda, dapat terjadi pada semua jenis
kelamin tetapi 70 % pada pria.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Keluhan utama}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha
\aspnum \adjustright \lin1276 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sesak na}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 p}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 as,}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 k}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 encing sedikit bahkan tidak dapat
kencing, gelisah, tidak selera makan (anoreksia), mual, muntah, }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
 \langfenp1033 kembung,}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 mulut terasa kering, rasa lelah, napas
berbau (ureum), gatal pada kulit.}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Riwayat penyakit}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \tql \tx873 \itap0 \ls19 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 1)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Riwayat penyakit sekarang : diare, muntah,
perdarahan, luka bakar, rekasi anafilaksis, renjatan kardiogenik.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \tql \tx873 \itap0 \ls19 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Riwayat penyakit
dahulu :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 riwayat penyakit gagal ginjal akut, infeksi
saluran kemih, payah jantung, hipertensi, penggunaan obat-obat nefrotoksik, benigna
prostatic hyperplasia, prostatektomi.}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \tql \tx873 \itap0 \ls19 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Riwayat penyakit keluarga :}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 adanya penyakit keturunan Diabetes Mellitus }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 atau
hipertensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 .}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li1276 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright
\lin1276 \rin0 \tql \tx900 \tql \tx1560 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda vital :}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 peningkatan suhu tubuh, nadi cepat dan lemah, hipertensi, napas cepat
dan dalam (kussmaul), dyspnea.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \tql \tx900 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Body Systems :}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \tql \tx873 \itap0 \ls20 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pernapasan (B 1 :
Breathing)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Gejala : napas pendek, dispnea nokturnal, paroksismal, batuk
dengan/tanpa sputum, kental dan banyak. }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda ; takhipnea, dispnea,
peningkatan frekuensi, batuk produktif dengan/tanpa sputum, pernapasan cepat dan
dalam, nyeri dada.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \tql \tx873 \itap0 \ls20 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Cardiovascular (B 2 : Bleeding)}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gejala : riwayat hipertensi lama
atau berat, palpitasi nyeri dada atau angina dan sesak napas, gangguan irama
jantung, edema.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Tanda : hipertensi, nadi kuat, oedema jaringan umum,
piting pada kaki, telapak tangan, disritmia jantung, nadi lemah halus, hipotensi
ortostatik, friction rub perikardial, pucat, kulit coklat kehijauan, kuning
kecenderungan perdarahan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \tql \tx873 \itap0 \ls20 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
3)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Persyarafan (B 3 : Brain)}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Kesadaran : disorioentasi, gelisah,
apatis, letargi, somnolet sampai koma.}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 edema muka terutama daerah orbita, mulut bau khas ureum.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \tql \tx873 \itap0 \ls20
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4)\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Perkemihan-Eliminasi
Uri (B 4 : Bladder)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Kencing sedikit (kurang dari 400 cc/hari), warna urine
kuning tua dan pekat, tidak dapat kencing. }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gejala : penurunan frekuensi urine,
oliguria, anuria (gagal tahap lanjut) abdomen kembung, diare atau konstipasi.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Tanda: perubahan warna urine (pekat, merah, coklat, berawan) oliguria
atau anuria.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \tql \tx873 \itap0 \ls20 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 5)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pencernaan-Eliminasi Alvi (B 5 : Bowel)}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Anoreksia, nausea,
vomiting, fektor uremicum, hiccup, gastritis erosiva dan diare, adanya edema
anasarka (ascites).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \tql \tx873 \itap0 \ls20 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 6)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Tulang-Otot-Integumen (B 6 : Bone)}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gejala : nyeri panggul, sakit
kepala, kram otot, nyeri kaki, (memburuk saat malam hari), kulit gatal,
ada/berulangnya infeksi.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Tanda : pruritus, demam (sepsis, dehidrasi),
ptekie, area ekimosis pada kulit, fraktur tulang, defosit fosfat kalsium, pada
kulit, jaringan lunak, sendi keterbatasan gerak sendi.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1276 \rin0 \tql \tx900 \itap0 \ls2 \ilvl1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 f.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola aktivitas sehari-hari}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls21
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola persepsi dan
manajemen kesehatan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Pada pasien gagal ginjal kronik terjadi perubahan
persepsi dan manajemen kesehatan karena kurangnya pengetahuan tentang dampak gagal
ginjal kronik sehingga menimbulkan persepsi yang negatif terhadap dirinya dan
kecenderungan untuk tidak mematuhi prosedur pengobatan dan perawatan yang lama.
Oleh karena itu perlu adanya penjelasan yang benar dan mudah dimengerti pasien.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \tql \tx1276
\tql \tx1701 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pola nutrisi dan metabolisme}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \tql \tx1276 \tql \tx1701 \itap0 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Anoreksia, mual, muntah dan rasa pahit pada rongga mulut, intake minum yang kurang,
dan mudah lelah. Keadaan tersebut dapat mengakibatkan terjadinya gangguan nutrisi
dan metabolisme yang dapat mempengaruhi status kesehatan klien.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s28 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs16 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Gejala : peningkatan berat badan cepat (oedema), penurunan berat badan (malnutrisi)
anoreksia, nyeri ulu hati, mual muntah, bau mulut (amonia)}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s28 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs16 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Penggunaan
diuretik.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s28 \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs16 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Tanda : Gangguan status mental, ketidakmampuan berkonsentrasi, kehilangan memori,
kacau, penurunan tingkat kesadaran, kejang, rambut tipis, kuku rapuh.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola Eliminasi}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Eliminasi urine : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Kencing sedikit (kurang dari 400 cc/hari), warna urine
kuning tua dan pekat sampai tidak dapat kencing. }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gejala : penurunan frekuensi urine,
oliguria, anuria (gagal tahap lanjut), abdomen kembung.}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda: perubahan
warna urine (pekat, merah, coklat, berawan) oliguria atau anuria.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Eliminasi alvi :
diare atau konstipasi.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola
tidur dan istirahat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Gelisah, cemas, gangguan tidur.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 5)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola aktivitas dan latihan}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Klien mudah mengalami kelelahan dan lemas sehingga menyebabkan klien
tidak mampu melaksanakan aktivitas sehari-hari secara maksimal.}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Gejala : kelelahan ektremitas, kelemahan, malaise.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda : kelemahan otot, kehilangan
tonus, penurunan rentang gerak.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701
\ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 6)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pola hubungan dan peran}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Gejala : kesulitan menentukan
kondisi (tidak mampu bekerja, mempertahankan fungsi peran).}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 7)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola sensori dan kognitif}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Klien dengan gagal ginjal kronik cenderung mengalami neuropati/mati rasa pada luka
sehingga tidak peka terhadap adanya trauma. Klien mampu melihat dan mendengar
dengan baik/tidak, klien mengalami disorientasi/tidak.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 8)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Pola persepsi dan konsep diri}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Adanya perubahan fungsi dan struktur tubuh akan menyebabkan penderita mengalami
gangguan pada gambaran diri. Lamanya perawatan, banyaknya biaya perawatan dan
pengobatan menyebabkan pasien mengalami kecemasan dan gangguan peran pada keluarga
(self esteem).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-376 \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 9)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pola
seksual dan reproduksi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Angiopati dapat terjadi pada sistem pembuluh darah di
organ reproduksi sehingga menyebabkan gangguan potensi seksual, gangguan kualitas
maupun ereksi, serta memberi dampak pada proses ejakulasi serta orgasme.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Gejala : penurunan libido, amenorhea, infertilitas.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\fi-376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 10)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Pola mekanisme koping}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Lamanya waktu
perawatan, perjalanan penyakit yang kronik, faktor stress, perasaan tidak berdaya,
tak ada harapan, tak ada kekuatan, karena ketergantungan menyebabkan reaksi
psikologis yang negatif berupa marah, kecemasan, mudah tersinggung dan lain-lain
dapat menyebabkan klien tidak mampu menggunakan mekanisme koping yang
konstruktif/adaptif.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701
\rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Gejala : faktor stress, perasaan tak berdaya,
tak ada harapan, tak ada kekuatan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li1701 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Tanda : menolak, ansietas, takut,
marah, mudah tersinggung, perubahan kepribadian.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-
376 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \ls21 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 11)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Pola nilai dan kepercayaan}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s28 \qj \fi9 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs16 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Adanya perubahan status kesehatan dan penurunan fungsi tubuh serta gagal ginjal
kronik dapat menghambat klien dalam melaksanakan ibadah maupun mempengaruhi pola
ibadah klien.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s28 \qj \fi-360 \li1276 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1276 \rin0 \itap0 \ls2 \ilvl1 \fs16 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs16 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
g.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pemeriksaan Penunjang }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1701 \rin0 \itap0 \ls22 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Laboratorium}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Kadar BUN (normal: 5-25 mg/dL)}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 , kreatinin serum (normal:0,5-1,5 mg/dL; 45-132,5 \uc1 \u181 ?
mol/L[unit SI])}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 , natrium
(normal: serum: 135-145 mmol/L; urine: 40-22- mEq/L24 jam), dan kalium (normal:
3,5-5,0 mEq/L; 3-5,0 mmol/L[unit SI])}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 , meningkat.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
b)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Analisis gas darah arteri menunjukkan penurunan pH arteri (normal:
7,35-7,45)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \super1 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \super1 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 dan kadar bikarbonat
(normal: 24-28 mEq/L)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 .}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls23 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kadar hematokrit (normal:
wanita= 36-46%, 0,36-0,46 [unit SI]; pria= 40-50%, 0,40-0,54 [unit SI])}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\super1 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \super1 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 dan hemoglobin (normal: wanita+ 12-16 g/dL;
pria = 13,5-18 g/dL)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033
\super1 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \super1 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 rendah; masa hidup sel darah merah
berkurang.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0
\itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Muncul
defek trombositopenia dan trombosit ringan.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 e)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Sekresi aldosteron meningkat}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls23 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 f)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Terjadi hiperglikemia dan
hipertrigliseridemia}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360
\li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
g)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Penurunan kadar }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 high density lipoprotein }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 (HDL)
(normal: 29-77 mg/dL).}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 h)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Analisis gas darah (AGD) menunjukkan asidosis metabolic}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls23 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 i)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Berat jenis urine
(normal:1.0005-1,030)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \super1 2}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \super1 }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 tetap pada
angka 1,010}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin2127 \rin0 \itap0 \ls23 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 j)\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Pasien mengalami proteinuria, glikosuria, dan pada urine ditemukan
sedimentasi, leukosit, sel darah merah, dan Kristal.}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls22 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pencitraan}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s24 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Radiografi KUB, urografi ekskretorik, nefrotomografi, scan ginjal, dan arteriografi
ginjal menunjukkan penurunan ukuran ginjal.}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \qj
\fi-360 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1701 \rin0 \itap0 \ls22 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Prosedur diagnostik}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls24 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Biopsy ginjal
memungkinkan identifikasi histologist dari proses penyakit yang mendasari.}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0
\itap0 \ls24 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 EEG
menunjukkan dugaan perubahan ensefalopati metabolic}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s24 \qj \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin2127 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s24 \qj \fi-437 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \jclisttab \tx437 \itap0
\ls18 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Diagnosa Keperawatan
}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-376 \li1080 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\itap0 \ls25 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Gangguan
pertukaran gas berhubungan dengan kerusakan alveolus sekunder terhadap adanya edema
pulmoner, peningkatan bendungan atrium }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-376
\li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1080 \rin0 \itap0 \ls25 \ilvl2 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Gangguan perfusi jaringan berhubungan
dengan penurunan suplai O}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \sub2 2}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 dan nutrisi ke jaringan }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-376 \li1080 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\itap0 \ls25 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Kelebihan
volume cairan berhubungan dengan penurunan haluran urin dan retensi cairan dan
natrium}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-376 \li1080 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\itap0 \ls25 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
Ketidakseimbangan nutrisi kurang dari kebutuhan tubuh berhubungan dengan anoreksia
mual muntah, pembatasan diet dan perubahan membran mukosa mulut }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-376 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \ls25 \ilvl2
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 e.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Intoleransi
aktivitas berhubungan dengan keletihan, anemia, retensi produk sampah dan prosedur
dialysis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-376 \li1080 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1080 \rin0 \itap0 \ls25 \ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 f.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Gangguan integritas kulit berhubungan dengan gagguan status
metabolik, pruritis.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \li1080 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin1080 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \fi-437
\li709 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \jclisttab \tx437 \itap0 \ls18 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Intervensi Keperawatan }{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs
\brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10
\trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx1220 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx4290 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6672
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8789 \pard \plain \qc \li0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 No}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tujuan
dan Kriteria Hasil }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qc \li0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Rasional}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\trowd \trql
\trgaph0 \trleft709 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl
\brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv
\brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx1220 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx4290 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6672
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 1.}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain
\s24 \qj \li33 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin33 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Gangguan pertukaran gas
berhubungan dengan kerusakan alveolus sekunder terhadap adanya edema pulmoner,
peningkatan bendungan atrium }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Tujuan : }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx851 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Setelah
dilakukan tindakan keperawatan selama 3 x 24 jam diharapkan pertukaran gas efektif
dengan kriteria hasil : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li317
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin317 \rin0 \intbl \itap1 \ls26 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Pasien dapat memperlihatkan ventilasi dan
oksigenasi yang adekuat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-317 \li317
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin317 \rin0 \intbl \itap1 \ls26
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Bebas dari gejala
distress pernapasan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \s24 \qj \fi-318 \li318 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin318 \rin0 \intbl \itap1 \ls27 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Observasi pernapasan dan pola napas pasien}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-318 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \intbl \itap1 \ls27
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Berikan posisi
nyaman }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-318 \li318 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318 \li318 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0
\intbl \itap1 \ls27 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Anjurkan
pasien untuk istirahat yang cukup}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318
\li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \intbl \itap1 \ls27 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Kolaborasi dengan dokter dalam pemberian
terapi obat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qj \fi-308 \li308 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin308 \rin0 \intbl \itap1 \ls26 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Mengetahui pola napas pasien }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj
\fi-318 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \intbl \itap1 \ls26 \ilvl3 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Memberikan rasa nyaman pada pasien }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-318 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \intbl \itap1
\ls26 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
Memberikan rasa nyaman pada pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318 \li318
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \intbl \itap1 \ls26 \ilvl3 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Membantu mempercepat proses penyembuhan}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \li308 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin308 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \fi-2824 \li2880 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2880 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0
\sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx1220
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4290 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6672 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 2.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qj \li33 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin33
\rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Gangguan perfusi jaringan berhubungan dengan
penurunan suplai O}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \sub2 2}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 dan nutrisi ke jaringan }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Tujuan : }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx851 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Setelah dilakukan tindakan keperawatan selama
3 x 24 jam diharapkan sirkulasi perifer tetap normal dengan kriteria hasil : }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-317 \li317 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin317 \rin0 \intbl
\itap1 \ls28 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Denyut
nadi perifer teraba kuat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-317 \li317
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin317 \rin0 \intbl \itap1 \ls28 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Warna kulit sekitar tidak pucat atau
sianosis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \s24 \qj \fi-282 \li282 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin282 \rin0 \intbl \itap1 \ls29 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Observasi keadaan umum dan vital sign pasien }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-282 \li282 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin282 \rin0 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-282 \li282 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin282 \rin0 \intbl
\itap1 \ls29 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Berikan
elevasi pada waktu istirahat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-282 \li282
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin282 \rin0 \intbl \itap1 \ls29 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Ajarkan teknik relaksasi}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-282 \li282 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin282 \rin0 \intbl \itap1 \ls29
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Kolaborasi dengan
dokter dalam pemberian terapi obat}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \s24 \fi-234 \li234
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin234 \rin0 \intbl \itap1 \ls30 \ilvl3 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Mengetahui keadaan umum dan vital sign
pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \fi-234 \li234 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin234 \rin0 \intbl \itap1
\ls30 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu
memperlancar sirkulasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s24 \fi-234 \li234 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin234 \rin0
\intbl \itap1 \ls30 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Memberikan rasa nyaman}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s24 \fi-234
\li234 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin234 \rin0 \intbl \itap1 \ls30 \ilvl3 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Membantu mempercepat proses penyembuhan}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s24 \li234 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin234 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx1220 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx4290 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx6672 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8789
\row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 3.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Kelebihan
volume cairan berhubungan dengan penurunan haluran urin dan retensi cairan dan
natrium}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx851
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Tujuan : }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx851 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Setelah
dilakukan tindakan keperawatan selama 3 x 24 jam diharapkan pasien dapat
mempertahankan berat tubuh ideal tanpa kelebihan cairan dengan kriteria hasil : }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-392 \li459 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \tql \tx851
\intbl \itap1 \ls31 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Tidak ada edema }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-392 \li459 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \tql \tx851
\intbl \itap1 \ls31 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
Keseimbangan antara input dan output}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-392
\li459 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin459 \rin0 \tql \tx851 \intbl \itap1 \ls31 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 TTV dalam batas normal }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \s24 \qj \fi-425 \li460 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin460 \rin0 \tql \tx460 \intbl
\itap1 \ls32 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Kaji
status cairan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 pasien }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj
\li460 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin460 \rin0 \tql \tx460 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \li460 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin460 \rin0 \tql \tx460 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \li460 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin460 \rin0 \tql \tx460 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-425 \li460 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin460 \rin0
\tql \tx460 \intbl \itap1 \ls32 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
2.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 Batasi masukan cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li35
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin35 \rin0 \tql \tx460 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \qj \li35 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin35 \rin0 \tql \tx460 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li35 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin35 \rin0 \tql \tx460 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li35 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin35 \rin0 \tql \tx460
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-425 \li460
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin460 \rin0 \tql \tx460 \intbl \itap1 \ls32 \ilvl3 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Jelaskan pada pasien dan
keluarga tentang pembatasan cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \tql \tx450 \tql \tx1440 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx450 \tql \tx1440 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0 \tql \tx450
\tql \tx1440 \intbl \itap1 \ls32 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 Anjurkan pasien untuk mencatat penggunaan cairan terutama pemasukan
dan haluaran}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-360 \li360 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0
\tql \tx450 \tql \tx1440 \intbl \itap1 \ls32 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Kolaborasi dengan dokter dalam pemberian terapi obat}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\cell }\pard \plain \s24 \qj \fi-176 \li176 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin176 \rin0 \tql \tx318 \intbl
\itap1 \ls33 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
Mengetahui }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \li318 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql
\tx318 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 kebutuhan cairan yang dibutuhkan
oleh tubuh pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318 \li318 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0
\tql \tx459 \intbl \itap1 \ls33 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 Pembatasan cairanak}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 a}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 n menentukan BB ideal,
haluaran}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1057 \langfenp1057 urin,
dan respon terhadap terapi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li318
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \tql \tx318 \intbl \itap1 \ls33 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 Pemahaman meningkatkan kerjasama
pasien dan keluarga dalam}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 pembatasan cairan}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-308 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318 \tql \tx450
\intbl \itap1 \ls33 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Untuk
mengetahui keseimbangan input dan output}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx318 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tql \tx318 \tql \tx450 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li318 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318
\intbl \itap1 \ls33 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 5.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu
mempercepat penyembuhan pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0
\sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx1220
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4290 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6672 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 4.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Ketidakseimbangan }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 nutrisi}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 kurang
dari kebutuhan berhubungan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 dengan anoreksia, mual, muntah}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 , pembatasan diet dan perubahan membran mukosa mulut }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx450 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Tujuan : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Setelah dilakukan tindakan
keperawatan selama 3 x 24 jam diharapkan pasien dapat mempertahankan masukan
nutrisi yang adekuat dengan kriteria hasil : }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj
\fi-403 \li459 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin459 \rin0 \tql \tx450 \intbl \itap1 \ls34 \ilvl3 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Menunjukan BB stabil atau
meningkat }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-403 \li459 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \tql \tx450
\intbl \itap1 \ls34 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Nafsu makan meningkat }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-403
\li459 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin459 \rin0 \tql \tx450 \intbl \itap1 \ls34 \ilvl3 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Tidak ada anoreksia,
mual, muntah }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qj \fi-319 \li319 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin319 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \ls35 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard
\plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Monitor}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 mual dan muntah}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql
\tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319 \tql
\tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319
\tql \tx450 \intbl \itap1 \ls35 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Monitor berat badan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \tql \tx450
\intbl \itap1 \ls35 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Be}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 r}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 ikan makanan sedikit tapi sering}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319 \tql \tx450 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql
\tx319 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain
\s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \tql \tx450 \intbl
\itap1 \ls35 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Anjurkan
keluarga pasien untuk memberikan makanan yang disukai oleh pasien }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319
\tql \tx450 \intbl \itap1 \ls35 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 5.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Kolaborasi dengan ahli gizi dalam pemenuhan kebutuhan nutrisi }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\cell }\pard \plain \s24 \qj \fi-284 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318 \tql \tx450
\intbl \itap1 \ls32 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 Gejala yang menyertai akumulasi toksin endogen yang dapat mengubah
atau menurunkan pemasukan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li318
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \tql \tx318 \tql \tx450 \intbl \itap1 \ls32 \ilvl1 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Mengetahui berat badan
pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li318 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318
\tql \tx450 \intbl \itap1 \ls32 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 Porsi lebih kecil dapat meningkatkan masukan makanan }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-284 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318
\tql \tx450 \intbl \itap1 \ls32 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Meningkatkan nafsu makan pasien }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx318 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx318 \tql \tx450 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql
\tx318 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain
\s24 \qj \fi-284 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx318 \tql \tx450 \intbl
\itap1 \ls32 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 5.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu
dalam pemenuhan nutrisi pasien }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0
\sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx1220 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4290
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6672 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 5.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Intoleransi aktivitas berhubungan dengan keletihan,
anemia, retensi produk sampah dan prosedur dialysis}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Tujuan : }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx450
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Setelah dilakukan tindakan keperawatan selama
3 x 24 jam diharapkan pasien dapat mempertahankan masukan nutrisi yang adekuat
dengan kriteria hasil :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-263 \li263
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin263 \rin0 \tql \tx450 \intbl \itap1 \ls36 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Mampu melakukan aktivitas secara
mandiri}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \li3600 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin3600 \rin0 \tql \tx450
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \s24 \qj \fi-319
\li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin319 \rin0 \tql \tx450 \intbl \itap1 \ls37 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Monitor intake nutrisi }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx450 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx450
\intbl \itap1 \ls37 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Beri
bantuan dalam aktivitas dan ambulasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx450 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain
\s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx450 \intbl \itap1 \ls37
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Ajarkan teknik
mengontrol pernapasan saat aktivitas }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-319
\li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin319 \rin0 \tql \tx450 \intbl \itap1 \ls37 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Kolaborasi dengan ahli fisioterapi
dalam pemberian terapi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \s24 \qj \fi-318 \li318 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin318 \rin0 \tql \tx450 \intbl \itap1 \ls38 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 Mengetahui status nutrisi pasien }{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-318 \li318 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin318 \rin0 \tql \tx450 \intbl
\itap1 \ls38 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu
pasien dalam melakukan aktivitas}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318
\li318 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \tql \tx450 \intbl \itap1 \ls38 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Memberikan posisi nyaman pada
pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx450
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-318 \li318
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin318 \rin0 \tql \tx450 \intbl \itap1 \ls38 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu pergerakan dan mobilisasi
pasien }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx1220 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx4290 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx6672 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 6.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Gangguan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1057 \langfenp1057 integritas kulit berhubungan dengan }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 gagguan status metabolik, pruritis}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Tujuan}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 Setelah dilakukan tindakan keperawatan selama 3 x 24 jam
diharapkan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057
\langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 i}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 ntegritas kulit}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 pasien}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057
\langfenp1057 dapat terjaga dengan kriteria hasil :}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-284 \li263 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin263 \rin0 \tql \tx450 \tql \tx1530
\intbl \itap1 \ls39 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057
Mempertahankan kulit utuh}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-284 \li263
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin263 \rin0 \tql \tx450 \tql \tx1530 \intbl \itap1 \ls39 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Menunjukan perilaku /
teknik untuk mencegah kerusakan }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 kulit}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich
\af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \intbl
\itap1 \ls40 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Inspeksi
kulit terhadap perubahan warna, turgor, vaskuler, perhatikan kadanya kemerahan}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-319
\li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin319 \rin0 \tql \tx319 \intbl \itap1 \ls40 \fs22 \dbch \af2
\hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 Ubah posisi sesering mungkin}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx319
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \intbl
\itap1 \ls40 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Berikan }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 lotion atau krim pada kulit }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \qj \li0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx319 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \intbl
\itap1 \ls40 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Anjurkan
pada keluarga pasien untuk memp}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1057 \langfenp1057 ertahankan linen kering}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-319 \li319 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin319 \rin0 \tql \tx319 \intbl
\itap1 \ls40 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2
5.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057
\langfenp1057 Kolaborasi dengan dokter dalam pemberian terapi obat }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\cell }\pard \plain \s24 \qj \fi-345 \li328 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin328 \rin0 \intbl \itap1 \ls41
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Menandakan area
sirkulasi buruk atau kerusakan yang}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 dapat menimbulkan
pembentukan decubitus}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang2057 \langnp2057 \langfe1057 \langfenp1057 /}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 infeksi}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \s24 \qj \fi-345 \li328 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin328 \rin0 \intbl \itap1
\ls41 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang2057 \langnp2057 \langfe1057 \langfenp1057 Menurunkan tekanan
pada udem, jaringan dengan perfusi buruk untuk menurunkan iskemia}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \par }\pard
\plain \s24 \qj \fi-345 \li328 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin328 \rin0 \intbl \itap1 \ls41
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 3.\tab }{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Menghindari
dekubitus pada kulit }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-345 \li328
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin328 \rin0 \intbl \itap1 \ls41 \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\listtext \pard \plain
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang2057
\langnp2057 \langfe1057 \langfenp1057 Menurunkan iritasi dermal dan risiko
kerusakan kulit}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \par }\pard \plain \s24 \qj \fi-345 \li328 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin328 \rin0
\intbl \itap1 \ls41 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \f2 5.\tab }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 Membantu
mempercepat penyembuhan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cell }\pard \plain \li0 \ri0 \lisb0
\sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft709 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx1220
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4290 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx6672 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx8789 \row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs22 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qr \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Nurarif (2015)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0
\fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \page }{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033
\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 DAFTAR PUSTAKA}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033
\langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \fi-709
\li709 \ri0 \lisb0 \sa160 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ADA (American Diabetes
Association)., (2015). Diagnosis and Classification of Diabetes Mellitus. Diabetes
Care Vol.33:S62-9.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \fi-709 \li709 \ri0 \lisb0 \sa160
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0
\itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Hendromartono. (2014). Nefropati Diabetik. Dalam: Buku
Ajar Ilmu Penyakit Dalam. Edisi IV Jilid II. Jakarta: Pusat Penerbit FKUI}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\par }\pard \plain \s23 \qj \fi-709 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024
\langfenp1024 Mahdiana, R. (2010). }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1024 \langnp1024 \langfe1024 \langfenp1024 Mencegah Penyakit Kronis Sejak
Dini.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024
\langfenp1024 Yogyakarta: Tora Book.}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1024 \langnp1024 \langfe1024 \langfenp1024 \par }\pard \plain \qj \fi-709
\li709 \ri0 \lisb0 \sa160 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \qj
\fi-709 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
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\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Muttaqin, Arif & Kumala
Sari, (2014). }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Asuhan Keperawatan Gangguan Sistem Perkemihan}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ,
Jakarta, Salemba Medika.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \fi-709 \li709 \ri0 \lisb0
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\langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033
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\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
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Nursing Diagnosis Association) NIC-NOC Jilid 1}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 . Yogyakarta: MediAction}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
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\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1
Rivandi, J dan Yonata A. (2015). Hubungan Diabetes Melitus Dengan Kejadian Gagal
Ginjal Kronik . Majority | Volume 4 | Nomor 9 | Desember 2015}{\fs24 \dbch \af2
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\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
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\aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Suhartono, T.
(2015). }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Asuhan Keperawatan Pada Klien Dengan Gangguan Sistem
Perkemihan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Jakarta : CV. Trans info Media.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \qj \fi-709 \li709 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0
\loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 {\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s22 \qj \fi-709 \li709 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum
\adjustright \lin709 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af6
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Suharyanto & Madjid, }
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
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\lang1057 \langnp1057 \langfe1033 \langfenp1033 . }{\i1 \fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Asuhan Keperawatan Klien
dengan Gangguan Sistem Perkemihan}{\fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 , Jakarta, Trans Info Media.}{\fs24
\dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057
\par }\pard \plain \fi-709 \li709 \ri0 \lisb0 \sa160 \lisa0 \sl240 \slmult1
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{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024
\langfenp1024 Wijaya, A. S., & Putri, Y. M. (2013). }{\i1 \fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 KMB 1 Keperawatan
Medikal Bedah, Keperawatan Dewasa Teori dan Contoh Askep.}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 Yogyakarta:
Nuha Medika.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1024 \langnp1024
\langfe1024 \langfenp1024 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22
\dbch \af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
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\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
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