tag:blogger.com,1999:blog-39772671681832116822024-03-08T08:34:04.015-08:00Blog Kumpulan AskepWelcome to My BlogAnonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.comBlogger25125tag:blogger.com,1999:blog-3977267168183211682.post-31645723826273899772013-01-06T21:29:00.000-08:002013-01-06T21:29:41.252-08:00Asuhan Keperawatan Lansia dengan Gangguan Aktivitas<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: center;">
<b>ASKEP LANSIA DENGAN GANGGUAN AKTIVITAS</b></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l23 level2 lfo24; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelompok lanjut usia adalah kelompok
penduduk yang berusia 60 tahun ke atas (Hardywinoto dan Setiabudhi, 1999).<span style="mso-spacerun: yes;"> </span>Pada lanjut usia akan terjadi proses
menghilangnya kemampuan jaringan untuk memperbaiki diri atau mengganti dan
mempertahankan fungsi normalnya secara perlahan-lahan sehingga tidak dapat
bertahan terhadap infeksi dan memperbaiki kerusakan yang terjadi. Karena itu di
dalam tubuh akan menumpuk makin banyak distorsi metabolik dan struktural
disebut penyakit degeneratif yang menyebabkan lansia akan mengakhiri hidup
dengan episode terminal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mobilitas adalah pergerakan yang
memberikan kebebasan dan kemandirian bagi seseorang. Walaupun jenis aktivitas
berubah sepanjang kehidupan manusia, mobilitas adalah pusat untuk berpartisipasi
dalam menikmati kehidupan. Mempertahankan mobilitas optimal sangat penting
untuk kesehatan mental dan fisik semua lansia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Imobilitas merupakan tingkat aktivitas
yang kurang dari mobilitas optimal. Diagnosa keperawatan yang dapat di ambil
dalam keterbatasan mobilitas adalah hambatan mobilitas fisik, potensial sindrom
<i style="mso-bidi-font-style: normal;">disuse</i>, dan intoleransi aktivitas. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Imobilitas, intoleransi aktivitas, dan
sindrom <i style="mso-bidi-font-style: normal;">disuse</i> sering terjadi pada
lansia. Sekitar 43% lansia telah diidentifikasi memiliki gaya hidup kurang
gerak yang turut berperan terhadap gangguan aktivitas. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Awitan imobilitas atau intoleransi
aktivitas untuk sebagian besar orang tidak terjadi secara tiba-tiba, bergerak
dari mobilitas penuh sampai ketergantungan fisik total atau ketidakaktifan,
tetapi lebih berkembang secara perlahan dan tanpa disadari. Intervensi yang
dapat dilakukan yaitu dengan diarahkan pada pencegahan ke arah
konsekuensi-konsekuensi imobolisasi dan ketidakaktifan dapat menurunkan
kecepatan penurunannya. Kecenderungan untuk perawatan diri dan kemandirian yang
berkelanjutan akan menurun jika penurunan imobilitas<span style="mso-spacerun: yes;"> </span>tidak di atasi atau tingkat aktivitas tidak
dipertahankan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l23 level2 lfo24; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada lansia dengan gangguan aktivitas ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l23 level2 lfo24; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l23 level3 lfo24; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada lansia dengan gangguan aktivitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l23 level3 lfo24; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
pengertian gangguan aktivitas pada lansia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
etiologi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
dampak masalah gangguan aktivitas pada lansia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
manifestasi klinis gangguan aktivitas pada lansia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
penatalaksanaan gangguan aktivitas pada lansia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo25; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada lansia dengan gangguan aktivitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l23 level2 lfo24; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level3 lfo24; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagi Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar mampu memahami
tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">bagaimana asuhan keperawatan pada lansia dengan gangguan
aktivitas sehingga dapat meningkatkan kesehatan lansia yang ada di masyarakat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level3 lfo24; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi
Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat memberikan penjelasan
yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">asuhan keperawatan
pada lansia dengan gangguan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat lebih banyak menyediakan
referensi-referensi buku </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keperawatan gerontik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level3 lfo24; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lebih mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">asuhan
keperawatan pada lansia dengan gangguan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan lansia yang ada di masyarakat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> BAB
2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN
PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1<span style="mso-tab-count: 1;"> </span>Pengertian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Aktivitas adalah
suatu energy atau keadaan bergerak dimana manusia memerlukan untuk dapat
memenuhi kebutuhan hidup. Salah satu tanda kesehatan adalah adanya kemampuan seseorang
melakukan aktivitas seperti berdiri, berjalan dan bekerja. Kemampuan aktivitas
seseorang tidak terlepas dari keadekuatan system persarafan dan
muskuloskeletel.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Aktivitas
sebagai salah satu tanda bahwa seseorang itu dalam keadaan sehat. Seseorang dalam
rentang sehat dilihat dari bagaimana kemampuannya dalam melakukan berbagai
aktivitas seperti misalnya berdiri, berjalan dan bekerja. Kemampuan aktivitas
seseorang itu tidak terlepas dari keadekuatan system persarafan dan
musculoskeletal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intoreransi aktivitas adalah penurunan
kapasitas fisiologis seseorang untuk mempertahankan aktivitas sampai tingkat
yang diinginkan atau yang diperlukan. Sedangkan gangguan mobilisasi sendiri adalah
suatu keadaan keterbatasan kemampuan pergerakan fisik secara mandiri yang
dialami oleh seseorang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemenuhan kebutuhan aktivitas dan
latihan biasanya menyangkut tentang kemampuan untuk mobilisasi secara mandiri. Gangguan
mobilisasi dapat terjadi pada semua tingkatan umur, yang beresiko tinggi
terjadi gangguan mobilisasi adalah orang yang lanjut usia, post cedera dan post
trauma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab imobilitas bermacam-macam. Pada
kenyataannya, terdapat banyak penyebab imobilitas yang unik pada orang-orang
yang di imobilisasi. Semua kondisi penyakit dan rehabilitasi melibatkan
beberapa derajat imobilitas. Ada bebetapa faktor yang berhubungan dengan
gangguan aktivitas pada lansia, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tirah
baring dan imobilitas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelemahan
secara umum </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gaya
hidup yang kurang gerak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketidakseimbanag
antara suplai oksigen dan kebutuhan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbagai penyebab dari imobilitasi fisik
dapat dihubungkan dengan lingkungan internal dan eksternal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
Internal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
internal yang dapat menyebabkan imobilitas atau gangguan aktivitas adalah:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
fungsi muskuloskeletal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Otot : adanya atrofi, distrofi, atau
cedera</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang : adanya infeksi, fraktur, tumor,
osteoporosis, atau osteomalaisa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sendi : adanya artritis dan tumor</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
fungsi neurologis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya
adanya infeksi atau ensefalitis, tumor, trauma, obat-obatan, penyakit vaskuler
seperti stroke, penyakit demielinasi seperti sklerosis multiple, penyakit
degeneratif, terpajan produk racun, gangguan metabolik atau gangguan nutrisi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
dengan penyebab yang multiple dan<span style="mso-spacerun: yes;">
</span>bervariasi seperti penyakit kronis dan trauma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit
perseptual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berkurangnya
kemampuan kognitif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jatuh</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
fungsi sosial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l25 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aspek
psikologis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
Eksternal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyak
faktor eksternal yang mengubah mobilitas pada lansia. Faktor tersebut adalah
program terapeutik, karakteristik tempat tinggal dan staf, sistem pemberian asuhan
keperawatan, hambatan-hambatan,dan kebijakan-kebijakan institusional.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Program
terapeutik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Program penanganan medis memiliki
pengaruh yang kuat terhadap kualitas dan kuantitas pergerakan pasien. Misalnya
pada program pembatasan yang meliputi faktor-faktor mekanis dan farmakologis,
tirah baring, dan restrain. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor-faktor mekanis dapat mencegah
atau pergerakan tubuh atau bagian tubuh dengan penggunaan peralatan eksternal
(misalnya <i style="mso-bidi-font-style: normal;">gips</i> dan traksi) atau
alat-alat (misalnya yang dihubungkan dengan pemberian cairan intravena,
pengisapan gaster, kateter urine, dan pemberian oksigen). Agens farmasetik
seperti sedatif, analgesik, transquilizer, dan anastesi yang digunakan untuk
mengubah tingkat kesadaran pasien dapat mengurangi pergerakan atau
menghilangkannya secara keseluruhan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tirah baring dapat dianjurkan atau
merupakan akibat dari penanganan penyakit cedera. Sebagai intervensi yang
dianjurkan, istirahat dapat menurunkan kebutuhan metabolik, kebutuhan oksigen,
dan beban kerja jantung. Selain itu, istirahat dapat memberikan kesempatan pada
sistem muskuloskeletal untuk relaksasi menghilangkan nyeri, mencegah iritasi
yang berlebihan dari jaringan yang cedera, dan meminimalkan efek gravitasi.
Tirah baring dapat juga merupakan akibat dari faktor-faktor fisiologis atau
psikologis lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restrain fisik dan pengamanan tempat
tidur biasanya digunakan pada lansia yang diinstitusionalisasi. Alat-alat ini
turut berperan secara langsung terhadap imobilitas dengan membatasi pergerakan
ditempat tidur dan secara tidak langsung terhadap peningkatan resiko cedera
ketika seseorang berusaha untuk memperoleh kebebasan dan mobilitasnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik
penghuni institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat mobilitas dan pola perilaku dari
kelompok teman sebaya klien dapat mempengaruhi pola mobilitas dan perilakunya.
Dalam suatu studi tentang status mobilitas pada penghuni panti jompo, mereka
yang dapat berjalan dianjurkan untuk menggunakan kursi roda karena anggapan
para staf untuk penghuni yang pasif. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik
staf</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik dari staf keperawatan yang
mempengaruhi pola mobilitas adalah pengetahuan, komitmen, dan jumlah.
Pengetahuan dan pemahaman tentang konsekuensi fisiologis dari imobilitas dan
tindakan-tindakan keperawatan untuk mencegah atau melawan pengaruh imobilitas
penting untuk mengimplementasikan perawatan untuk memaksimalkan mobilitas.
Jumlah anggota staf yang adekuat dengan suatu komitmen untuk menolong lansia
mempertahankan kemandiriannya harus tersedia untuk mencegah komplikasi
imobilitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
pemberian asuhan keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis sitem pemberian asuhan keperawatan
yang digunakan dalam institusi dapat mempengaruhi status mobilitas penghuninya.
Alokasi praktik fungsional atau tugas telah menunjukkan dapat meningkatkan
ketergantungan dan komplikasi dari imobilitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hambatan-hambatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hambatan fisik dan arsitektur dapat
mengganggu mobilitas. Hambatan fisik termasuk kurangnya alat bantu yang
tersedia untuk mobilitas, pengetahuan dalam menggunakan alat bantu mobilitas
tidak adekuat, lantai yang licin, dan tidak adekuatnya sandaran untuk kaki.
Sering kali, rancangan arsitektur rumah sakit atau panti jompo tidak
memfasilitasi atau memotivasi klien untuk aktif dan tetap dapat bergerak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; mso-list: l16 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebijakan-kebijakan
institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 60.55pt; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor lingkungan lain yang penting
untuk lansia adalah kebijakan-kebijakan dan prosedur-prosedur institusi.
Praktik pengaturan yang formal dan informal ini mengendalikan keseimbangan
antara perintah institusional dan kebebasan individu. Semakin ketat kebijakan,
semakin besar efeknya pada mobilitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Dampak Masalah pada Lansia</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lansia sangat rentan terhadap
konsekuensi fisiologis dan psikologis dari imobilitas. Perubahan yang berhubungan
dengan usia disertai dengan penyakit kronis menjadi predisposisi bagi lansia
untuk mengalami komplikasi-komplikasi ini. Secara fisiologis, tubuh bereaksi
terhadap imobilitas dengan perubahan-perubahan yang hamper sama dengan proses
penuaan, oleh karena itu memperberat efek ini.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu pemahaman tentang dampak
imobilitas dapat diperoleh dari interaksi kompetensi fisik, ancaman terhadap
imobilitas, dan interpretasi pada kejadian. Imobilitas dapat mempengaruhi tubuh
yang telah terpengaruh sebelumnya. Sebagai contoh, setelah masa dewasa awal
terdapat penurunan kekuatan yang jelas dan berlangsung terus secara tetap. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh karena itu, kompetensi fisik
seorang lansia mungkin berada pada atau dekat tingkat ambang batas untuk
aktivitas mobilitas tertentu. Perubahan lebih lanjut atau kehilangan dari
imobilitas dapat membuat seseorang menjadi tergantung. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dampak fisik dari imobilitas dan
ketidakaktifan sangat banyak dan bermacam-macam. Masalah-masalah yang
berhubungan dapat mempengaruhi semua sistem pada tubuh.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tabel
2.1 Dampak Fisiologis dari imobilitas dan ketidakaktifan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 20.8pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 20.8pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 28.85pt;" width="38">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">NO</span></b></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 20.8pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 184.3pt;" width="246">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">EFEK</span></b></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 20.8pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 182.55pt;" width="243">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">HASIL</span></b></div>
</td>
</tr>
<tr style="height: 70.15pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; height: 70.15pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 28.85pt;" valign="top" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">1.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">2.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">3.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">4.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">5.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">6.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">7.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">8.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">9.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">10.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">11.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">12.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">13.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">14.</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 70.15pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 184.3pt;" valign="top" width="246">
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan konsumsi oksigen maksimum</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan fungsi ventrikel kiri</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan curah jantung</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan volume sekuncup</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Peningkatan katabolisme protein</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Peningkatan pembuangan kalsium </span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Perlambatan fungsi usus</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pengurangan miksi</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gangguan metabolisme glukosa</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan ukuran thoraks</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan aliran darah pulmonal</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan cairan tubuh total</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gangguan sensori</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gangguan tidur</span></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 70.15pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 182.55pt;" valign="top" width="243">
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Intoleransi ortostatik</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -13.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Peningkatan denyut jantung</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -13.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sinkop</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan toleransi latihan</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan kapasitas kebugaran</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan massa otot tubuh</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Atrofi muskular</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan kekuatan otot</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Osteoporosis </span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Konstipasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan evakuasi kandung kemih</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Intoleransi glukosa</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan kapasitas fungsional
residual</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Atelektasis</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan PO<sub>2</sub></span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l18 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Peningkatan p<sup>H</sup></span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan volume plasma</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan keseimbangan natrium</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan volume darah total</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Perubahan kognisi</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Depresi dan ansietas</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Perubahan persepsi</span></div>
<div class="MsoNoSpacing" style="margin-left: 6.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bermimpi pada siang hari</span></div>
<div class="MsoNoSpacing" style="margin-left: 20.75pt; mso-list: l10 level1 lfo6; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Halusinasi</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo26; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pencegahan primer</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pencegahan
primer merupakan proses yang berlangsu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">n</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g sepanjang kehidupan dan episodi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. Sebagai suatu proses yang
berlangsung sepanjang kehidupan, moblilitas dan aktivitas tergantung pada
fungsi system musculoskeletal, kardiovaskuler, pulmonal. Sebagai suatu proses
episodi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> pencegahan primer diarahkan pada
pencegahan masalah-masalah yang dapat tmbul akibat imoblitas atau ketidak aktifan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo9; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Hambatan
terhadap latihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bahaya-bahaya interpersonal termasuk
isolasi social yang terjadi ketika teman-teman dan keluarga telah meninggal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">erilaku gaya hidup tertentu
(misalnya merokok dan kebiasaan diet yang buruk) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">D</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">epresi gangguan tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">urangnya transportasi dan kurangnya
dukungan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hambatan lingkungan termasuk
kurangnya tempat yang aman untuk latihan dan kondisi iklim yang tidak
mendukung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Sikap budaya </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gender juga
dianggap sebagai hambatan karena aktivitas fisik diterima sebagai sesuatu yang
lebih penting bagi kaum pria daripada wanita.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pengembangan program latihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Program
latihan yang sukses sangat individual, diseimbangkan, dan mengalami
peningkatan. Program tersebut disusun untuk memberikn kesempatan pada klien
untuk mengembangkan suatu kebiasaan yang teratur dalam melakukan bentuk aktif
dari rekreasi santai yang dapat memberikan efek latihan. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Aktivitas atau latihan harus disesuaikan dengan kapasitas klien. Sebelum
seorang lansia memulai program latihan, dianjurkan untuk melakukan pengkajian
sebelum latihan, yang meliputi sedikitnya riwayat lengkap dan pemeriksaan fisik
yang dilakukan oleh dokter atau praktisi keperawatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketika
klien telah memiliki evaluasi fisik secara seksama, pengkajian tentang fa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tor-faktor pengganggu berikut ini
akan membantu untuk memastikan keterikatan dan meningkatkan pengalaman</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">, yaitu:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; tab-stops: list 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aktivitas sat ini dan respon fisiologis denyut nadsi
sebelum, selama dan setelah aktivitas diberikan).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; tab-stops: list 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kecenderungan alami (predisposisi atau penngkatan kearah
latihan khusus).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; tab-stops: list 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesulitan yang dirasakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; tab-stops: list 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan dan pentingnya lathan yang dirasakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; tab-stops: list 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Efisiensi latihan untuk dirisendiri (derajat keyakinan bahwa
seseorang akan berhasil)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Keamanan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketika program latihan spesifik
telah diformulasikan dan diterima oleh klien, instruksi tentang latihan yang
aman harus dilakukan. Mengajarkan klien untuk mengenali tanda-tanda intoleransi
atau latihan yang terlalu keras sama pentingnya dengan memilih aktivitas yang
tepat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pencegahan Sekunder</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Spiral
menurun yang terjadi akibat aksaserbasi akut dari imobilitas dapat dkurangi
atau dicegah dengan intervensi keperawatan. Keberhasilan intervensi berasal dri
suatu pengertian tentang berbagai factor yang menyebabkan atau turut berperan
terhadap imobilitas dan penuaan. Pencegahan sekunder memfokuskan pada
pemeliharaan fungsi dan pencegahan komplikasi. Diagnosis keperawatan
dihubungkan dengan pencegahan sekunder adalah gangguan mobilitas fisik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan terapeutik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengobatan terapeutik ditujukan
kearah perawatan penyakit atau kesakitan yang dihasilkan atau yang turut
berperan terhadap masalah imobilitis dan penanganan konsekuensi aktual atau
potensial dari imobilitas. Contoh-contoh pendekatan terhadap penanganan
imobilitas meliputi terapi fisik untuk mempertahankan mobilitas dan kekuatan
otot, kompresi pneumatik intermiten dan kekuatan otot, kompresi pneumatik
intermiten atau stoking kompresi gradien untuk meningkatkan aliran darah vena
dan mencegah tromboembolisme, spirometri insesif untuk hiperinflasi alveoli,
dan tirah baring, kecuali untuk eliminasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KONSEP ASUHAN KEPERAWATAN PADA LANSIA
</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DENGAN GANGGUAN AKTIVITAS</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo11; tab-stops: 36.0pt 72.0pt 114.0pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo10; tab-stops: 42.55pt 72.0pt 114.0pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anamnesa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; mso-list: l13 level3 lfo9; tab-stops: 42.55pt list 63.8pt left 114.0pt; text-indent: -58.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data
demografi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l24 level1 lfo13; tab-stops: 42.55pt 114.0pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Usia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Jenis kelamin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pendidikan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Status
perkawinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pekerjaan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pendapatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Jumlah anggota
keluarga </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level2 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat
kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l4 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Keluhan utama :
y</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ang biasa
muncul pada pasien dengan gangguan aktivitas dan latihan adalah rasa nyeri,
lemas, pusing, mengeluh sakit kepala berat, badan terasa lelah, muntah tidak
ada, mual ada, bab belum lancar terdapat warna kehitaman dan merah segar hari
belum bab, urine keruh kemerahan, parese pada ekstermitas kanan ataupun
fraktur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l4 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat penyakit
sekarang : </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengumpulan data yang dilakukan untuk menentukan sebab
dari nyeri/fraktur, yang nantinya membantu dalam membuat rencana tindakan
terhadap klien. Ini bisa berupa kronologi terjadinya nyeri/fraktur tersebut
sehingga nantinya bisa ditentukan kekuatan yang terjadi dan bagian tubuh mana
yang terkena. Selain itu, dengan mengetahui mekanisme terjadinya nyeri bisa
diketahui nyeri yang lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l4 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat penyakit
dahulu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ditanyakan apakah ada anggota keluarga yang mengalami
hipertensi apakah sebelumnya pasien pernah mengalami penyakit seperti saat ini.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l4 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat
kesehatan keluarga :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu dikaji penyakit riwayat keluarga yang
berhubungan dengan penyakit tulang atau tidak. Penyakit tulang merupakan salah
satu faktor predisposisi terjadinya fraktur, seperti diabetes, osteoporosis
yang sering terjadi pada beberapa keturunan, dan kanker tulang yang cenderung
diturunkan secara genetik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Fungsi
Kesehatan (GORDON)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Persepsi terhadap
kesehatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tingkat
pengetahuan kesehatan / penyakit meliputi sebelum sakit dan selam sakit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Perilaku untuk
mengatasi masalah kesehatan meliputi sebelum sakit dan selam sakit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Faktor-faktor
resiko sehubungan dengan kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Aktivitas
Dan Latihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menggunakan tabel aktifitas meliputi makan, mandi
berpakaian, eliminasi, mobilisaasi di tempat tidur, berpindah, ambulansi, naik
tangga, serta berikan keterangan skala dari 0 – 4 yaitu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">0 <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Mandiri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1 <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Di
bantu sebagian</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2 <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Di
bantu orang lain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3 <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Di
bantu orang dan peralatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 78.0pt 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4 <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>Ketergantungan
/ tidak mampu</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 62.1pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #92D050; border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Aktifitas</span></div>
</td>
<td style="background: #92D050; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">0</span></div>
</td>
<td style="background: #92D050; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1</span></div>
</td>
<td style="background: #92D050; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2</span></div>
</td>
<td style="background: #92D050; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3</span></div>
</td>
<td style="background: #92D050; border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Makan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mandi </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berpakaian</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Eliminasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mobilisasi ditempat tidur</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berpindah </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ambulansi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
<tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 231.25pt;" valign="top" width="308">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Naik tangga</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">√</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 22.5pt;" valign="top" width="30"><br /></td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 18.95pt;" valign="top" width="25"><br /></td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Istirahat Tidur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ditanyakan :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l22 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Jam berapa biasa
mulai tidur dan bangun tidur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l22 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sonambolisme</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l22 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kualitas dan
kuantitas jam tidur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Nutrisi
-<span style="mso-spacerun: yes;"> </span>Metabolic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ditanyakan :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berapa kali
makan sehari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Makanan kesukaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berat badan
sebelum dan sesudah sakit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Frekuensi dan
kuantitas minum sehari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l17 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Frekuensi dan
kuantitas BAK dan BAB sehari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l17 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l17 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kuantitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Kognitif
Perceptual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Adakah gangguan penglihatan, pendengaran (Panca Indra)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Konsep Diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gambaran diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Identitas diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Peran diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ideal diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Harga diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Koping</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Cara pemecahan dan penyelesaian masalah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Seksual –
Reproduksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ditanyakan : adakah gangguan pada alat kelaminya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Peran
Hubungan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l1 level1 lfo21; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Hubungan dengan
anggota keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l1 level1 lfo21; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Dukungan
keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l1 level1 lfo21; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Hubungan dengan
tetangga dan masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pola Nilai Dan
Kepercayaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Persepsi
keyakinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tindakan
berdasarkan keyakinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Fisik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level3 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemunduran
musculoskeletal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikator
primer dari keparahan imobilitas pada system musculoskeletal adalah penurunan
tonus, kekuatan, ukuran, dan ketahanan otot; rentang gerak sendi; dan kekuatan
skeletal. Pengkajian fungsi secara periodik dapat digunakan untuk memantau
perubahan dan keefektifan intervensi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 108.0pt; mso-list: l13 level3 lfo9; tab-stops: 63.8pt; text-align: justify; text-indent: -58.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemunduran
kardiovaskuler</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
dan gejala kardiovaskuler tidak memberikan bukti langsung atau meyaknkan
tentang perkembangan komplikasi imobilitas. Hanya sedikit petunjuk diagnostik
yang dapat diandalkan pada pembentukan trombosis. Tanda-tanda tromboflebitis
meliputi eritema, edema, nyeri tekan dan tanda homans positif. Intoleransi
ortostatik dapat menunjukkan suatu gerakan untuk berdiri tegak seperti gejala
peningkatan denyut jantung, penurunan tekanan darah, pucat, tremor tangan,
berkeringat, kesulitandalam mengikuti perintah dan sinkop.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level2 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemunduran
Respirasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
kemunduran respirasi dibuktikan dari tanda dan gejala atelektasis dan pneumonia.
Tanda-tanda awal meliputi peningkatan temperature dan denyut jantung.
Perubahan-perubahan dalam pergerakan dada, perkusi, bunyi napas, dan gas arteri
mengindikasikan adanaya perluasan dan beratnya kondisi yang terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level2 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan-perubahan
integument</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikator
cedera iskemia terhadap jaringan yang pertama adalah reaksi inflamasi.
Perubahan awal terlihat pada permukaan kulit sebagai daerah eritema yang tidak
teratur dan didefinisikan sangat buruk di atas tonjolan tulang yang tidak
hilang dalam waktu 3 menit setelah tekanan dihilangkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level2 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan-perubahan
fungsi urinaria</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bukti
dari perubahan-perubahan fungsi urinaria termasuk tanda-tanda fisik berupa
berkemih sedikit dan sering, distensi abdomen bagian bawah, dan batas kandung
kemih yang dapat diraba. Gejala-gejala kesulitan miksi termasuk pernyataan
ketidakmampuan untuk berkemih dan tekanan atau nyeri pada abdomen bagian bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level2 lfo9; tab-stops: list 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan-perubahan
Gastrointestinal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sensasi
subjektif dari konstipasi termasuk rasa tidak nyaman pada abdomen bagian bawah,
rasa penuh, tekanan. Pengosonganh rectum yang tidak sempurna, anoreksia, mual
gelisah, depresi mental, iritabilitas, kelemahan, dan sakit kepala.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor-faktor
lingkungan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lingkungan tempat tinggal klien
memberikan bukti untuk intervensi. Di dalam rumah, kamar mandi tanpa pegangan,
karpet yang lepas, penerangan yang tidak adekuat, tangga yang tinggi, lantai
licin, dan tempat duduk toilet yang rendah dapat menurunkan mobilitas klien.
Hambatan-hambatan institusional terhadap mobilitas termasuk jalan koridor yang
terhalang, tempat tidudan posisi yang tinggi, dan cairan pada lantai.
Identifikasi dan penghilangan hambatan-hambatan yang potensial dapat
meningkatakan mobilitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor Psikososial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
status psikososial klien biasa terjadi lambat dan sering diabaikan tenaga
kesehatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
perubahan tingkah laku</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menentukan
penyebab perubahan tingkah laku / psikososial untuk mengidentifikasi terapi
keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
pola tidur klien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
perubahan mekanisme koping klien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
dasar perilaku klien sehari-hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo11; tab-stops: 36.0pt 72.0pt 108.0pt 144.0pt center 198.4pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
Keperawatan<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa diagnosa keperawatan yang
mungkin muncul pada lansia dengan gangguan pemenuhan kebutuhan aktivitas dan
latihan antara lain:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo9; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intoleransi aktivitas berhubungan dengan
bed rest atau imobilitas, mobilitas yang kurang, pembatasan pergerakan, nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo9; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan mobilitas fisik berhubungan
dengan intoleransi aktivitas, gangguan persepsi kognitif, imobilisasi, gangguan
neuromuskular, kelemahan/paralisis, pemasangan traksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo9; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resiko cedera berhubungan dengan gangguan
neuromuskular, menurunnya kekuatan otot, dan koordinasi, kerusakan persepsi
kognitif, depresi, gangguan kognitif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo9; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakefektifan
bersihan jalan nafas berhubungan dengan ketidaktepatan posisi tubuh</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, bed rest
atau imobilitas, mobilitas yang kurang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo9; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit perawatan diri berhubungan
dengan gangguan neuromuskular, menurunnya kekuatan otot, dan koordinasi,
kerusakan persepsi kognitif, depresi, gangguan kognitif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 36.0pt 72.0pt 108.0pt 144.0pt center 198.4pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 36.0pt 72.0pt 108.0pt 144.0pt center 198.4pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3<span style="mso-tab-count: 1;"> </span>Intervensi
Keperawatan<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 36.0pt 42.55pt 49.65pt 72.0pt 108.0pt 144.0pt center 198.4pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 2;"> </span>Tujuan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuannya
adalah mengarahkan intervensi keperawatan untuk mencegah atau meniadakan sekuelafisiologis
dari imobilitas, yang meliputi lima tujuan yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level3 lfo10; mso-text-indent-alt: -7.1pt; text-align: justify; text-indent: -70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertama,
meliputi pemeliharaan kekuatan dan ketahanan sistem muskuloskeletal, yang
termasuk pengondisian program latihan harian baik kontraksi otot isometrik dan
isotonik, aktivitas penguatan aerobik, nutrisi untuk meningkatkan anabolisme
protein dan pembentukan tulang, dan sikap komitmen terhadap latihan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level3 lfo10; mso-text-indent-alt: -7.1pt; text-align: justify; text-indent: -70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua,
pemeliharaan fleksibilitas sendi yan terlibat dalam latihan rentang gerak,
posisi yang tepat, dan aktivitas kehidupan sehari-hari. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level3 lfo10; mso-text-indent-alt: -7.1pt; text-align: justify; text-indent: -70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketiga,
pemeliharaan ventilasi yang normal meliputi hiperinflasi dan mobilisasi serta
menghilangkan sekresi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level3 lfo10; mso-text-indent-alt: -7.1pt; text-align: justify; text-indent: -70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keempat,
pemeliharaan sirkulasi yang adekuat meliputi tindakan-tindakan pendukung untuk
mempertahankan tonus vaskuler (termasuk mengubah posisi dalam hubungannya
dengan gravitasi), stoking kompresi untuk memberikan tekanan eksternal pada
tungkai, dan asupan cairan yang adekuat untuk mencegah efek dehidrasi pada
volume darah. Pergerakan aktif memengaruhi toleransi ortostatik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level3 lfo10; mso-text-indent-alt: -7.1pt; text-align: justify; text-indent: -70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelima,
pemeliharaan fungsi urinaria dan usus yang normal bergantung pada dukungan
nutrisi dan struktur lingkungan serta rutinitas-rutinitas untuk memfasilitasi
eliminasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Intervensi
yang dapat dilakukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. <span style="mso-tab-count: 1;"> </span>Kontraksi
otot isometrik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi
otot isometrik meningkatkan tegangan otot tanpa mengubah panjang otot yang
menggerakkan sendi. Kontraksi-kontraksi ini digunakan untuk mempertahankan
kekuatan otot dan mobilitas dalam keadaan berdiri (misalnya otot-otot
kuadrisep, abdominal dan gluteal) dan untuk memberikan tekanan pada tulang bagi
orang-orang dengan dan tanpa penyakit kardiovaskuler. Kontraksi isometrik
dilakukan dengan cara bergantian mengencangkan dan merelaksasikan kelompok
otot.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. <span style="mso-tab-count: 1;"> </span>Kontraksi
otot isotonik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi
otot yang berlawanan atau isotnik berguna untk mempertahankan kekuatan
otot-otot dan tulang. Kontraksi ini mengubah panjang otot tanpa mengubah
tegangan. Karena otot-otot memendek dan memanjang, kerja dapat dicapai.
Kontraksi isotonik dapat dicapai pada saat berada di tempat tidur, dengan
tungkai menggantung di sisi tempat tidur, atau pada saat duduk di kursi dengan
cara mendorong atau menarik suatu objek yang tidak dapat bergerak. Ketika
tangan atau kaki dilatih baik otot-otot fleksor dan ekstensor harus dilibatkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3. <span style="mso-tab-count: 1;"> </span>Latihan
Kekuatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas
penguatan adalah latihan pertahanan yang progresif. Kekuatan otot harus
menghasilkan peningkatan setelah beberapa waktu. Latihan angkat berat dengan
meningkatkan pengulangan dan berat adalah aktivitas pengondisian kekuatan.
Latihan ini meningkatkan kekuatan dan massa otot serta mencegah kehilangan
densitas tulang dan kandungan mineral total dalam tubuh.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4. <span style="mso-tab-count: 1;"> </span>Latihan
Aerobik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
aerobik adalah aktivitas yang menghasilkan peningkatan denyut jantung 60 sampai
90% dari denyut jantung maksimal dihitung dengan (220-usia seseorang) x 0,7. Aktivitas
aerobik yang dipilih harus menggunakan kelompok otot besar dan harus kontinu,
berirama, dan dapat dinikmati. Contohnya termasuk berjalan, berenang,
bersepeda, dan berdansa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. <span style="mso-tab-count: 1;"> </span>Sikap</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Variabel
utama yang dapat mengganggu keberhasilan intervensi pada individu yang
mengalami imobilisasi adalah sikap perawat dan klien tentang pentingnya latihan
dan aktivitas dalam rutinitas sehari-hari. Sikap perawat tidak hanya
memengaruhi komitmen untuk memasukkan latihan sebagai komponen rutin
sehari-hariyang berkelanjutan, tetapi juga integrasi aktif dari latihan sebagai
intervensi bagi lansia di berbagai lingkungan; komunitas, rumah sakit, dan
fasilitas jangka panjang. Demikian pula halnya sikap klien dapat mempengaruhi
kualitas dan kuantitas latihan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6. <span style="mso-tab-count: 1;"> </span>Latihan
Rentang Gerak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
rentang gerak aktif dan pasif memberikan keuntungan-keuntungan yang berbeda.
Latihan aktif membantu mempertahankan fleksibilitas sendi dan kekuatan otot
serta meningkatkan penampilan kognitif. Sebaliknya, gerakan pasif, yaitu
menggerakkan sendi seseorang melalui rentang geraknya oleh orang lain, hanya
membantu mempertahankan fleksibilitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">7. <span style="mso-tab-count: 1;"> </span>Mengatur
Posisi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatur
posisi juga digunakan untuk meningkatkan tekanan darah balk vena. Jika
seseorang diposisikan dengan tungkai tergantung, pengumpulan dan penurunan
tekanan darah balik vena akan terjadi. Posisi duduk di kursi secara normal
dengan tungkai tergantung secara potensial berbahaya untuk seseorang yang
beresiko mengalami pengembangan trombosis vena. Mengatur posisi tungkai dengan
ketergantungan minimal (misalnya meninggikan tungkai diatas dudukan kaki)
mencegah pengumpulan darah pada ekstremitas bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.1<span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Aktivitas adalah suatu energy atau keadaan bergerak
dimana manusia memerlukan untuk dapat memenuhi kebutuhan hidup. Salah satu
tanda kesehatan adalah adanya kemampuan seseorang melakukan aktivitas seperti
berdiri, berjalan dan bekerja. Kemampuan aktivitas seseorang tidak terlepas
dari keadekuatan system persarafan dan muskuloskeletel.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intoreransi aktivitas adalah penurunan
kapasitas fisiologis seseorang untuk mempertahankan aktivitas sampai tingkat
yang diinginkan atau yang diperlukan. Sedangkan gangguan mobilisasi sendiri adalah
suatu keadaan keterbatasan kemampuan pergerakan fisik secara mandiri yang
dialami oleh seseorang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab imobilitas bermacam-macam. Pada
kenyataannya, terdapat banyak penyebab imobilitas yang unik pada orang-orang
yang di imobilisasi. Semua kondisi penyakit dan rehabilitasi melibatkan
beberapa derajat imobilitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lansia sangat rentan terhadap
konsekuensi fisiologis dan psikologis dari imobilitas. Perubahan yang
berhubungan dengan usia disertai dengan penyakit kronis menjadi predisposisi
bagi lansia untuk mengalami komplikasi-komplikasi ini. Secara fisiologis, tubuh
bereaksi terjhadap imobilitas dengan perubahan-perubahan yang hamper sama
dengan proses penuaan, oleh karena itu memperberat efek ini.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level2 lfo18; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo18; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagi Mahasiswa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mampu
memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">bagaimana asuhan
keperawatan pada lansia dengan gangguan aktivitas sehingga dapat meningkatkan
kesehatan lansia yang ada di masyarakat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo18; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi
Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat
memberikan penjelasan yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">asuhan keperawatan pada lansia dengan gangguan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat
lebih banyak menyediakan referensi-referensi buku </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keperawatan gerontik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo18; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> lebih mengerti dan memahami tentang
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">asuhan keperawatan pada lansia dengan gangguan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan lansia yang ada di masyarakat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span>
</div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wartonah, Tarwoto. 2006. Kebutuhan Dasar Manusia dan Proses Keperawatan
Edisi 3. Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : Salemba Medika</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -49.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Wilkinson M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis Keperawatan</i></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> dengan Intervensi NIC dan Kriteria Hasil NOC </span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"><span style="mso-spacerun: yes;"> </span>Edisi 7. </span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Jakarta
: EGC</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Satya. 2012. <i style="mso-bidi-font-style: normal;">Asuhan
Keperawatan Pada Pasien dengan Kebutuhan Aktivitas. </i>http://satyaexcel.blogspot.com/2012/07/laporan-pendahuluan-kebutuhan-aktivitas.html.
Diakses pada tanggal 25 September 2012 jam 13.10 WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -49.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stanley, Mickey & Patricia gauntiett beare. 2006</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Buku Ajar Keperawaan Gerontik ed. 2.</span></i><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jakarta : EGC</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; mso-margin-top-alt: auto; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 172.5pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div style="text-align: center;">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com9tag:blogger.com,1999:blog-3977267168183211682.post-82585504794364233792013-01-06T21:19:00.002-08:002013-01-06T21:20:07.800-08:00Informed Consent<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
1</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo3; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelaksanaan pelayanan kesehatan dalam
rangka mempertahankan kesehatan yang optimal harus dilakukan bersama-sama, oleh
semua tenaga kesehatan sebagai konsekuensi dari kebijakan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelayanan kesehatan di rumah sakit
sebagai salah satu sarana kesehatan yang diselenggarakan baik oleh pemerintah
maupun masyarakat menempatkan tenaga keperawatan sebagai tenaga kesehatan
mayoritas yang sering berhubungan dengan pasien sebagai pengguna jasa pelayanan
rumah sakit. Perawat hadir 24 jam bersama pasien dan memiliki hubungan yang
lebih dekat dengan pasien dibandingkan tenaga kesehatan lain. Pelayanan
keperawatan berupa bantuan yang diberikan karena adanya kelemahan fisik
dan/atau mental, keterbatasan pengetahuan serta kurangnya kemauan melaksanakan
kegiatan sehari-hari secara mandiri. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keperawatan merupakan salah satu profesi
tenaga kesehatan menurut Peraturan Pemerintah No. 32 Tahun 1996. Perawat
diposisikan sebagai salah satu dari profesi tenaga kesehatan yang menempati
peran yang setara dengan tenaga kesehatan lain. Perjalanan awalnya perawat
hanya dianggap okuvasi (pekerjaan) saja yang tidak membutuhkan profesionalisme.
Sejalan dengan perkembangan ilmu dan praktek keperawatan, perawat sudah diakui
sebagai suatu profesi, sehingga pelayanan atau asuhan keperawatan yang
diberikan harus didasarkan pada ilmu dan kiat keperawatan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam memberikan pelayanan kesehatan,
perawat harus terlebih dahulu memberikan <i style="mso-bidi-font-style: normal;">informed
consent</i> kepada pasien. Persetujuan tindakan medik atau <i style="mso-bidi-font-style: normal;">informed consent</i> adalah persetujuan yang diberikan oleh pasien atau
keluarganya atas dasar penjelasan mengenai tindakan medik yang akan dilakukan
terhadap pasien tersebut. Persetujuan dapat diberikan secara tertulis maupun
lisan, tetapi setiap tindakan medik yang mengandung resiko tinggi harus dengan
persetujuan tertulis yang ditandatangani oleh yang hendak memberikan
persetujuan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Informed
consent </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">berasal dari hak legal dan etis individu untuk
memutuskan apa yang akan dilakukan terhadap tubuhnya, dan kewajiban etik dokter
dan tenaga kesehatan lainnya untuk meyakinkan individu yang bersangkutan untuk
membuat keputusan tentang pelayanan kesehatan terhadap diri mereka sendiri. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam permenkes 585/Men.Kes/Per/ IX/1989
tentang persetujuan medik pasal 6 ayat 1 sampai 3 disebutkan bahwa yang
memberikan informasi dalam hal tindakan bedah adalah dokter yang akan melakukan
operasi, atau bila tidak ada, dokter lain dengan pengetahuan atau petunjuk
dokter yang bertanggung jawab. Dalam hal tindakan yang bukan bedah (operasi)
dan tindakan invasif lainnya, informasi dapat diberikan oleh dokter lain atau
perawat, dengan pengetahuan atau petunjuk dokter yang bertanggung jawab. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam peraturan pemerintah Republik
Indonesia nomor 32 tahun 1996 tentang Tenaga Kesehatan pasal 22 ayat 1
disebutkan bagi tenaga kesehatan jenis tertentu dalam melaksanakan tugas
profesinya berkewajiban untuk diantaranya adalah kewajiban untuk menghormati
hak pasien, memberikan informasi yang berkaitan dengan kondisi dan tindakan
yang akan dilakukan, dan kewajiban untuk meminta persetujuan terhadap tindakan
yang akan dilakukan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga kesehatan yang tidak menunaikan
hak pasien untuk memberikan <i style="mso-bidi-font-style: normal;">informed
consent</i> yang jelas, bisa dikategorikan melanggar <i style="mso-bidi-font-style: normal;">case law</i> (merupakan sifat hukum medik) dan dapat menimbulkan
gugatan dugaan mal praktek. Belakangan ini masalah malpraktek medik (<i style="mso-bidi-font-style: normal;">medical malpractice</i>) yang cenderung
merugikan pasien semakin mendapatkan perhatian dari masyarakat dan sorotan
media massa. Lembaga Bantuan Hukum (LBH) Kesehatan Pusat di Jakarta mencatat
sekitar 150 kasus malpraktik telah terjadi di Indonesia. Meskipun data tentang
malpraktek yang diakibatkan oleh <i style="mso-bidi-font-style: normal;">informed
consent</i> yang kurang jelas belum bisa dikalkulasikan, tetapi kasus-kasus
malpraktek baru mulai bermunculan. <br />
<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo3; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah <i style="mso-bidi-font-style: normal;">Informed Consent</i> pada pasien ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo3; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level3 lfo3; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
<i style="mso-bidi-font-style: normal;">Informed Consent</i> pada pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l13 level3 lfo3; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan pengertian <i style="mso-bidi-font-style: normal;">Informed consent</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan komponen-komponen <i style="mso-bidi-font-style: normal;">Informed consent</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan tujuan pelaksanaan <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan fungsi pemberian <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan ruang lingkup informed
consent</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan peran perawat dalam
pemberian <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan hal – hal yang di
informasikan pada pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">spek hukum <i style="mso-bidi-font-style: normal;">Informed Consent</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan hal-hal yang
mempengaruhi proses <i style="mso-bidi-font-style: normal;">Informed Consent</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ualitas Informasi yang di berikan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo3; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level3 lfo3; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagi Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar mampu memahami tentang bagaimana
pemberian <i style="mso-bidi-font-style: normal;">informed consent </i>pada
pasien agar dapat meningkatkan kesehatan di masyarakat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level3 lfo3; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat memberikan penjelasan yang lebih luas
tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pemberian
<i style="mso-bidi-font-style: normal;">informed consent </i>pada pasien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat
lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">etika dan
hukum kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level3 lfo3; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
Masyarakat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lebih mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pemberian
<i style="mso-bidi-font-style: normal;">informed consent </i>pada pasien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
2</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN
PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi</span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Informed <i style="mso-bidi-font-style: normal;">Consent</i>
terdiri dari dua kata yaitu “<i style="mso-bidi-font-style: normal;">informed</i>”
yang berarti telah mendapat penjelasan atau keterangan (informasi), dan “<i style="mso-bidi-font-style: normal;">consent</i>” yang berarti persetujuan atau
memberi izin. Jadi “informed consent” mengandung pengertian suatu persetujuan
yang diberikan setelah mendapat informasi. Dengan demikian “<i style="mso-bidi-font-style: normal;">informed consent</i>” dapat didefinisikan
sebagai persetujuan yang diberikan oleh pasien dan atau keluarganya atas dasar
penjelasan mengenai tindakan medis yang akan dilakukan terhadap dirinya serta
resiko yang berkaitan dengannya.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Menurut D. Veronika Komalawati, SH , “<i style="mso-bidi-font-style: normal;">informed consent</i>” dirumuskan sebagai suatu kesepakatan/persetujuan
pasien atas upaya medis yang akan dilakukan dokter terhadap dirinya setelah
memperoleh informasi dari dokter mengenai upaya medis yang dapat dilakukan
untuk menolong dirinya disertai informasi mengenai segala resiko yang mungkin
terjadi.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komponen-komponen
<i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1)<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Threshold elements</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elemen ini sebenarnya tidak tepat dianggap sebagai elemen, oleh karena
sifatnya lebih ke arah syarat, yaitu pemberi consent haruslah seseorang yang
kompeten (cakap). Kompeten disini diartikan sebagai kapasitas untuk membuat
keputusan medis. Kompetensi manusia untuk membuat keputusan sebenarnya
merupakan suaut kontinuum, dari sama sekali tidak memiliki kompetensi hingga
memiliki kompetensi yang penuh diantaranya terdapat berbagai tingkat kompetensi
membuat keputusan tertentu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara hukum seseorang dianggap cakap (kompeten) apabila telah dewasa,
sadar dan berada dalam keadaan mental yang tidak di bawah pengampuan. Dewasa
diartikan sebagai usia telah mencapai 21 tahun atau telah pernah menikah.
Sedangkan keadaan mental yang dianggap tidak kompeten adalah apabila mempunyai
penyakit mental sedemikian rupa sehingga kemampuan membuat keputusan menjadi
terganggu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) <span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Information elements</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdiri dari
dua bagian yaitu, <i style="mso-bidi-font-style: normal;">disclosure</i>
(pengungkapan) dan <i style="mso-bidi-font-style: normal;">understanding</i>
(pemahaman). Elemen ini berdasarkan pemahaman yang adekuat membawa konsekuensi
kepada tenaga medis untuk memberikan informasi (<i style="mso-bidi-font-style: normal;">disclosure</i>) sedemikian rupa sehingga pasien dapat mencapai
pemahaman yang adekuat.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam hal ini,
seberapa ”baik” informasi harus diberikan kepada pasien, dapat dilihat dari 3
standar, yaitu :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo4; mso-outline-level: 2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar Praktik
Profesi</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahwa kewajiban memberikan informasi dan kriteria keadekuatan
informasi ditentukan bagaimana biasanya dilakukan dalam
komunitas tenga medis. Dalam standar ini ada kemungkinan bakebiasaan tersebut
di atas tidak sesuai dengan nilai-nilai sosial setempat, misalnya resiko yang
”tidak bermakna” (menurut medis) tidak diinformasikan, padahal mungkin bermakna
dari sisi sosial pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo4; mso-outline-level: 2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar
Subyektif</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahwa keputusan harus didasarkan atas nilai-nilai yang dianut oleh pasien
secara pribadi, sehingga informasi yang diberikan harus memadai untuk pasien
tersebut dalam membuat keputusan. Kesulitannya adalah mustahil (dalam hal waktu/kesempatan)
bagi profesional medis memahami nilai-nilai yang secara individual dianut oleh
pasien. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo4; mso-outline-level: 2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar pada
reasonable person</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 2; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Standar ini merupakan hasil kompromi dari kedua standar sebelumnya, yaitu
dianggap cukup apabila informasi yang diberikan telah memenuhi kebutuhan
umumnya orang awam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 1.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3) </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Consent elements</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elemen ini terdiri dari dua
bagian yaitu, voluntariness (kesukarelaan, kebebasan) dan authorization
(persetujuan). Kesukarelaan mengharuskan tidak ada tipuan, misrepresentasi
ataupun paksaan. Pasien juga harus bebas dari ”tekanan” yang dilakukan tenaga
medis yang bersikap seolah-olah akan ”dibiarkan” apabila tidak menyetujui
tawarannya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Pelaksanaan <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Dalam hubungan antara pelaksana (dokter) dengan pengguna
jasa tindakan medis (pasien), maka pelaksanaan <i style="mso-bidi-font-style: normal;">informed consent</i>, bertujuan untuk:</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="color: black;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black;">Melindungi pengguna
jasa tindakan medis (pasien) secara hukum dari segala tindakan medis yang
dilakukan tanpa sepengetahuannya, maupun tindakan pelaksana jasa tindakan medis
yang sewenang-wenang, tindakan malpraktek yang bertentangan dengan hak asasi
pasien dan standar profesi medis, serta penyalahgunaan alat canggih yang
memerlukan biaya tinggi atau “<i style="mso-bidi-font-style: normal;">over
utilization</i>” yang sebenarnya tidak perlu dan tidak ada alasan medisnya</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="color: black;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black;">Memberikan
perlindungan hukum terhadap pelaksana tindakan medis dari tuntutan-tuntutan
pihak pasien yang tidak wajar, serta akibat tindakan medis yang tak terduga dan
bersifat negatif, misalnya terhadap “risk of treatment” yang tak mungkin
dihindarkan walaupun dokter telah bertindak hati-hati dan teliti serta sesuai
dengan standar profesi medik. Sepanjang hal itu terjadi dalam batas-batas
tertentu, maka tidak dapat dipersalahkan, kecuali jika melakukan kesalahan
besar karena kelalaian (<i style="mso-bidi-font-style: normal;">negligence</i>)
atau karena ketidaktahuan (<i style="mso-bidi-font-style: normal;">ignorancy</i>)
yang sebenarnya tidak akan dilakukan demikian oleh teman sejawat lainnya.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Pemberian <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penghormatan terhadap harkat
dan martabat pasien selaku manusia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penghormatan terhadap hak otonomi
perorangan yaitu hak untuk menentukan nasibnya sendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proteksi terhadap pasien sebagai subjek
penerima pelayanan kesehatan (<i style="mso-bidi-font-style: normal;">health care
receiver</i> = HCR)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mendorong dokter
melakukan kehati-hatian dalam mengobati pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menghindari penipuan dan <i style="mso-bidi-font-style: normal;">misleading</i> oleh dokter</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendorong diambil keputusan
yang lebih rasional</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendorong keterlibatan
publik dalam masalah kedokteran dan kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai suatu proses edukasi
masyarakat dalam bidang kedokteran dan kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; tab-stops: 21.3pt; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menimbulkan rangsangan kepada profesi
medis untuk melakukan introspeksi terhadap diri sendiri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 1.0cm; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ruang
Lingkup <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ruang lingkup dan materi informasi
yang diberikan tergantung pada pengetahuan medis pasien saat itu. Jika
memungkinkan, pasien juga diberitahu mengenai tanggung jawab orang lain yang
berperan serta dalam pengobatan pasien. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di Florida dinyatakan bahwa setiap
orang dewasa yang kompeten memiliki hak dasar menentukan tindakan medis atas
dirinya termasuk pelaksanaan dan penghentian pengobatan yang bersifat
memperpanjang nyawa. Beberapa pengadilan membolehkan dokter untuk tidak
memberitahukan diagnosis pada beberapa keadaan. Dalam mempertimbangkan perlu
tidaknya mengungkapkan diagnosis penyakit yang berat, faktor emosional pasien
harus dipertimbangkan terutama kemungkinan bahwa pengungkapan tersebut dapat
mengancam kemungkinan pulihnya pasien. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien memiliki hak atas informasi
tentang kecurigaan dokter akan adanya penyakit tertentu walaupun hasil
pemeriksaan yang telah dilakukan inkonklusif. Hak-hak pasien dalam
pemberian <i style="mso-bidi-font-style: normal;">inform consent </i>adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak atas informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Informasi yang diberikan meliputi
diagnosis penyakit yang diderita, tindakan medik apa yang hendak dilakukan,
kemungkinan penyulit sebagai akibat tindakan tersebut dan tindakan untuk
mengatasinya, alternatif terapi lainnya, prognosanya, perkiraan biaya pengobatan.
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak atas persetujuan (<i style="mso-bidi-font-style: normal;">Consent</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Consent</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
merupakan suatu tindakan atau aksi beralasan yg diberikan tanpa paksaan oleh
seseorang yang memiliki pengetahuan cukup tentang keputusan yang ia berikan
,dimana orang tersebut secara hukum mampu memberikan <i style="mso-bidi-font-style: normal;">consent</i>. Kriteria <i style="mso-bidi-font-style: normal;">consent</i>
yang syah yaitu tertulis, ditandatangani oleh klien atau orang yang betanggung
jawab, hanya ada salah satu prosedur yang tepat dilakukan, memenuhi beberapa
elemen penting, penjelasan tentang kondisi, prosedur dan konsekuensinya. Hak
persetujuan atas dasar informasi (<i style="mso-bidi-font-style: normal;">Informed
Consent</i>). </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak atas rahasia medis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak atas pendapat kedua (<i style="mso-bidi-font-style: normal;">Second opinion</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak untuk melihat rekam medik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak perlindungan bagi orang yg tidak
berdaya (lansia, gangguann mental, anak dan remaja di bawah umur)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak pasien dalam penelitian </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak pasien membuat keputusan
sendiri untuk berpartisipasi, mendapatkan informasi yang lengkap, menghentikan
partisipasi dalam penelitian tanpa sangsi, bebas bahaya, percakapan tentang
sumber pribadi dan hak terhindar dari pelayanan orang yang tidak kompeten.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak memperoleh informasi mengenai tata
tertib dan peraturan yang berlaku di rumah sakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak memperoleh pelayanan yg adil dan
manusiawi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak memperoleh pelayanan keperawatan dan
asuhan yang bermutu sesuai dengan standar profesi keperawatan tanpa
diskriminasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak memilih dokter dan kelas perawatan
sesuai dengan keinginannya dan sesuai dengan peraturan yg berlaku di rumah
sakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak menolak tindakan yang hendak
dilakukan terhadap dirinya dan mengakhiri pengobatan serta perawatan atas
tanggung jawab sendiri sesudah memperoleh informasi yg jelas tentang
penyakitnya </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak didampingi keluarganya dalam keadaan
kritis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak menjalankan ibadah sesuai agama atau
kepercayaan yang dianutnya selama hal itu tidak mengganggu pasien lainnya </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak atas keamanan dan keselamatan
dirinya selama dalam perawatan di rumah sakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak mengajukan usul, saran, perbaikan
atas perlakuan rumah sakit terhadap dirinya </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">17.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak menerima atau menolak bimbingan
moral maupun spiritual </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">18.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak didampingi perawat atau keluarga
pada saat diperiksa dokter <br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran
Perawat dalam Pemberian <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran merupakan sekumpulan harapan yang
dikaitkan dengan suatu posisi dalam masyarakat. Peran adalah seperangkat
tingkah laku yang diharapkan oleh orang lain terhadap seseorang, sesuai
kedudukannya dalam suatu sistem. Berhubungan dengan profesi keperawatan, orang
lain dalam definisi ini adalah orang-orang yang berinteraksi dengan perawat
baik interaksi langsung maupun tidak langsung terutama pasien sebagai konsumen
pengguna jasa pelayanan kesehatan di rumah sakit. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran perawat professional dalam
pemberian <i style="mso-bidi-font-style: normal;">informed </i>consent adalah dapat
sebagai c<i style="mso-bidi-font-style: normal;">lient advocate</i> dan <i style="mso-bidi-font-style: normal;">educator. Client advocate </i>yaitu perawat
bertanggung jawab untuk membantu klien dan keluarga dalam menginterpretasikan
informasi dari berbagai pemberi pelayanan dan dalam memberikan informasi lain
yang diperlukan untuk mengambil persetujuan (<i style="mso-bidi-font-style: normal;">informed consent</i>) atas tindakan keperawatan yang diberikan
kepadanya. <i style="mso-bidi-font-style: normal;">A client advocate is an
advocate of client’s rights</i>. Sedangkan <i style="mso-bidi-font-style: normal;">educator
</i>yaitu sebagai pemberi pendidikan kesehatan bagi klien dan keluarga.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hal
– hal yang dapat di informasikan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo7; mso-outline-level: 1; tab-stops: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">Hasil
Pemeriksaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-outline-level: 1; tab-stops: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien memiliki hak untuk mengetahui hasil pemeriksaan yang telah
dilakukan. Misalnya perubahan keganasan pada hasil Pap smear. Apabila infomasi
sudah diberikan, maka keputusan selanjutnya berada di tangan pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo7; mso-outline-level: 1; tab-stops: 49.65pt; text-align: justify; text-indent: -79.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko yang mungkin terjadi dalam terapi
harus diungkapkan disertai upaya antisipasi yang dilakukan dokter untuk
terjadinya hal tersebut. Reaksi alergi idiosinkratik dan kematian yang tak
terduga akibat pengobatan selama ini jarang diungkapkan dokter. Sebagian
kalangan berpendapat bahwa kemungkinan tersebut juga harus diberitahu pada
pasien. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika seorang dokter mengetahui bahwa
tindakan pengobatannya berisiko dan terdapat alternatif pengobatan lain yang
lebih aman, ia harus memberitahukannya pada pasien. Jika seorang dokter tidak
yakin pada kemampuannya untuk melakukan suatu prosedur terapi dan terdapat
dokter lain yang dapat melakukannya, ia wajib memberitahukan pada pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alternatif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dokter harus mengungkapkan beberapa
alternatif dalam proses diagnosis dan terapi. Ia harus dapat menjelaskan
prosedur, manfaat, kerugian dan bahaya yang ditimbulkan dari beberapa pilihan
tersebut. Sebagai contoh adalah terapi hipertiroidisme. Terdapat tiga pilihan
terapi yaitu obat, iodium radioaktif, dan subtotal tiroidektomi. Dokter harus
menjelaskan prosedur, keberhasilan dan kerugian serta komplikasi yang mungkin
timbul.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rujukan atau konsultasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dokter berkewajiban melakukan
rujukan apabila ia menyadari bahwa kemampuan dan pengetahuan yang ia miliki
kurang untuk melaksanakan terapi pada pasien-pasien tertentu. Pengadilan
menyatakan bahwa dokter harus merujuk saat ia merasa tidak mampu melaksanakan
terapi karena keterbatasan kemampuannya dan ia mengetahui adanya dokter lain
yang dapat menangani pasien tersebut lebih baik darinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prognosis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien berhak mengetahui semua
prognosis, komplikasi, sekuele, ketidaknyamanan, biaya, kesulitan dan risiko
dari setiap pilihan termasuk tidak mendapat pengobatan atau tidak mendapat
tindakan apapun. Pasien juga berhak mengetahui apa yang diharapkan dari dan apa
yang terjadi dengan mereka. Semua ini berdasarkan atas kejadian-kejadian
beralasan yang dapat diduga oleh dokter. Kejadian yang jarang atau tidak biasa
bukan merupakan bagian dari <i>informed consent</i>. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspek Hukum <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Dalam hubungan hukum, pelaksana dan pengguna jasa tindakan
medis (dokter, dan pasien) bertindak sebagai “subyek hukum ” yakni orang yang
mempunyai hak dan kewajiban, sedangkan “jasa tindakan medis” sebagai “obyek
hukum” yakni sesuatu yang bernilai dan bermanfaat bagi orang sebagai subyek
hukum, dan akan terjadi perbuatan hukum yaitu perbuatan yang akibatnya diatur
oleh hukum, baik yang dilakukan satu pihak saja maupun oleh dua pihak.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Dalam masalah “<i style="mso-bidi-font-style: normal;">informed
consent</i>” dokter sebagai pelaksana jasa tindakan medis, disamping terikat
oleh KODEKI (Kode Etik Kedokteran Indonesia) bagi dokter, juga tetap tidak
dapat melepaskan diri dari ketentuan-ketentuan hukun perdata, hukum pidana
maupun hukum administrasi, sepanjang hal itu dapat diterapkan. </span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Pada pelaksanaan tindakan medis, masalah etik dan hukum
perdata, tolok ukur yang digunakan adalah “kesalahan kecil” (<i style="mso-bidi-font-style: normal;">culpa levis</i>), sehingga jika terjadi
kesalahan kecil dalam tindakan medis yang merugikan pasien, maka sudah dapat
dimintakan pertanggungjawabannya secara hukum. Hal ini disebabkan pada hukum
perdata secara umum berlaku adagium “barang siapa merugikan orang lain harus
memberikan ganti rugi”.<br />
Sedangkan pada masalah hukum pidana, tolok ukur yang dipergunakan adalah
“kesalahan berat” (culpa lata). Oleh karena itu adanya kesalahan kecil (ringan)
pada pelaksanaan tindakan medis belum dapat dipakai sebagai tolok ukur untuk
menjatuhkan sanksi pidana.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Aspek Hukum Perdata, suatu tindakan medis yang dilakukan
oleh pelaksana jasa tindakan medis (dokter) tanpa adanya persetujuan dari pihak
pengguna jasa tindakan medis (pasien), sedangkan pasien dalam keadaan sadar
penuh dan mampu memberikan persetujuan, maka dokter sebagai pelaksana tindakan
medis dapat dipersalahkan dan digugat telah melakukan suatu perbuatan melawan
hukum (<i style="mso-bidi-font-style: normal;">onrechtmatige daad</i>)
berdasarkan Pasal 1365 Kitab Undang-undang Hukum Perdata (KUHPer). Hal ini
karena pasien mempunyai hak atas tubuhnya, sehingga dokter dan harus
menghormatinya;</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Aspek Hukum Pidana, “<i style="mso-bidi-font-style: normal;">informed
consent</i>” mutlak harus dipenuhi dengan adanya pasal 351 Kitab Undang-Undang
Hukum Pidana (KUHP) tentang penganiayaan. Suatu tindakan invasive (misalnya
pembedahan, tindakan <i style="mso-bidi-font-style: normal;">radiology invasive</i>)
yang dilakukan pelaksana jasa tindakan medis tanpa adanya izin dari pihak
pasien, maka pelaksana jasa tindakan medis dapat dituntut telah melakukan
tindak pidana penganiayaan yaitu telah melakukan pelanggaran terhadap Pasal 351
KUHP.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Sebagai salah satu pelaksana jasa tindakan medis dokter
harus menyadari bahwa “<i style="mso-bidi-font-style: normal;">informed consent</i>”
benar-benar dapat menjamin terlaksananya hubungan hukum antara pihak pasien
dengan dokter, atas dasar saling memenuhi hak dan kewajiban masing-masing pihak
yang seimbang dan dapat dipertanggungjawabkan. </span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black;">Masih banyak seluk beluk dari informed consent ini sifatnya
relative, misalnya tidak mudah untuk menentukan apakah suatu inforamsi sudah
atau belum cukup diberikan oleh dokter. Hal tersebut sulit untuk ditetapkan
secara pasti dan dasar teoritis-yuridisnya juga belum mantap, sehingga
diperlukan pengkajian yang lebih mendalam lagi terhadap masalah hukum yang berkenaan
dengan informed consent ini.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black;"><span style="mso-list: Ignore;">2.9<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black;">Hal-hal yang Mempengaruhi Proses <i style="mso-bidi-font-style: normal;">Informed Consent</i></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahasa yang
digunakan untuk menjelaskan terlalu teknis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perilaku dokter
yang terlihat terburu-buru atau tidak perhatian, atau tidak ada waktu untuk
tanya jawab</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien sedang
dalam keadaan stress emosional sehingga tidak mampu mencerna informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dalam
keadaan tidak sadar atau mengantuk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi petugas
kesehata</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien tidak
mau diberitahu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien tak
mampu memahami.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko terlalu
umum atau terlalu jarang terjadi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Situasi gawat
darurat atau waktu yang sempit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;">2.10<span style="mso-tab-count: 1;"> </span>Kualitas
Informasi yang di berikan</b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kualitas informasi sangat
ditentukan oleh pengetahuan, pengalaman, selera, dan iman seseorang mengolah
stimulus menjadi informasi. Burch (1986:5) mengatakan bahwa sebuah informasi
yang berkualitas sangat ditentukan oleh kecermatan (<i style="mso-bidi-font-style: normal;">accuracy</i>), tepat waktu (<i style="mso-bidi-font-style: normal;">timeliness</i>)
dan relevansinya (<i style="mso-bidi-font-style: normal;">relevancy</i>).
Keakuratan informasi adalah bila informasi tersebut terbebas dari bias.
Informasi dikatakan tepat waktu bila dihasilkan pada saat diperlukan. Adapun
relevansi suatu informasi berhubungan dengan kepentingan pengambilan keputusan
yang telah direncanakan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Informasi yang tidak adekuat
sering menimbulkan masalah dalam menginterpretasikan perawatan klien di Rumah
Sakit seperti kecemasan pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keluarga</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menolak
dilakukan tindakan medik atau tindakan keperawatan invasif.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adekuatnya informasi sangat
dipengaruhi oleh kemampuan perawat dalam menyampaikan pesan melalui komunikasi
terapeutik, pengetahuan dan pemahaman dasar tentang penyakit. Dalam
melaksanakan tindakan invasif hal-hal yang perlu diinformasikan adalah:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alasan
dilakukan tindakan tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Manfaat atau kegunaannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Langkah-langkah yang akan dilakukan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapan yang
akan dibutuhkan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara perawatan
setelah pemasangan alat tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan telah dijelaskannya
kegunaan dari pemasangan alat tersebut oleh perawat diharapkan akan
meningkatkan kerja sama perawat dan orang tua yang pada gilirannya diharapkan
akan menurunkan tingkat kecemasan orang tua(Setiawan,1992,Sachari, 1996,
Whaley and Wong’s, 1999)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penerimaan informasi bagi seseorang dipengaruhi oleh:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkat
pendidikan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Semakin tinggi
pendidikan orang tua akan semakin luas wawasan pengetahuan dan akan semakin
mudah untuk menerima dan mengangkat informasi yang disampaikan. Tingkat
pendidikan ini akan berpengaruh terhadap kondisi sosial ekonomi, penerimaan
informasi oleh petugas kesehatan serta menentukan penilaian objektif dan
kognitif terhadap pengalaman prioritas yang lain (Andrew, MC. Ghie, 1999).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengalaman</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengalaman
adalah sesuatu yang telah dihayati (Purwardaminta, 1991). Pengalama baik
bersifat efektif dan kognitif akan mempengaruhi seseorang dalam mengambil
keputusan terhadap kehidupannya, pengalaman juga dapat terjadi setelah
melakukan penginderaan terhadap suatu objek tertentu. Penginderaan terjadi
melalui panca indera yaitu penglihatan, pendengaran, penciuman, rasa dan raba,
sebagian besar pengethuan manusia diperoleh melalui mata dan telinga (Andrew,
MC. Ghie, 1999).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai sosial dan budaya </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai sosial
adalah segala sesuatu yang mendasari perilaku seseorang yang ditinjau dari segi
nilai-nilai, kemanusiaan pengaruh dari individu lain dan sebagainya.
Sistem nilai yang dianut oleh sesorang akan dapat mempengaruhi pola
pikir, sikap, dan tindakan yang diambil untuk mencapai tujuan. Dalam
pembangunan kesehatan, aspek tingkah laku yang didasari oleh faktor sosial
budaya perlu mendapat perhatian, karena umumnya program kesehatan lebih
berhasil apabila intensitas tingkah laku sosial budaya individu ataupun
masyarakat tidak begitu kuat (Azwar, 1996).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB 3</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENUTUP</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.1<span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hak pasien yang pertama adalah hak atas
informasi. Dalam UU No 23 Tahun 1992 tentang Kesehatan, pasal 53 dengan jelas
dikatakan bahwa hak pasien adalah hak atas informasi dan hak memberikan
persetujuan tindakan medik atas dasar informasi (informed <i style="mso-bidi-font-style: normal;">consent</i>). Jadi, <i style="mso-bidi-font-style: normal;">informed
consent</i> merupakan implementasi dari kedua hak pasien tersebut. Hak pasien
tersebut merupakan bagian dari hak asasi manusia yang dilindungi Undang-Undang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Informed
consent</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> adalah suatu proses yang menunjukkan komunikasi
yang efektif antara dokter dengan pasien, dan bertemunya pemikiran tentang apa
yang akan dan apa yang tidak akan dilakukan terhadap pasien. <i style="mso-bidi-font-style: normal;">Informed consent</i> dilihat dari aspek
hukum bukanlah sebagai perjanjian antara dua pihak, melainkan lebih ke arah
persetujuan sepihak atas layanan yang ditawarkan pihak lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran perawat dalam informed consent
terutama adalah membantu pasien untuk mengambil keputusan pada tindakan
pelayanan kesehatan sesuai dengan lingkup kewenangannya setelah diberikan
informasi yang cukup oleh tenaga kesehatan. Dasar filosofi tersebut bertujuan
untuk dapat memberikan pelayanan kesehatan yang terintegrasi sehingga dapat
mewujudkan keadaan sejahtera.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi operasionalnya adalah suatu
pernyataan sepihak dari orang yang berhak (yaitu pasien, keluarga atau walinya)
yang isinya berupa izin atau persetujuan kepada dokter untuk melakukan tindakan
medik sesudah orang yang berhak tersebut diberi informasi secukupnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara umum, seorang dokter diharuskan
memperoleh suatu <i style="mso-bidi-font-style: normal;">informed consent</i>
(persetujuan medik) dari pasien sebelum melakukan pengobatan. Bahwa seorang
anak terlalu muda atau imatur untuk memberi persetujuannya sendiri tidak
membebaskan seorang dokter dari kewajibannya memperoleh suatu persetujuan
medik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo15; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saran</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level3 lfo15; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagi Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan mampu memahami tentang
bagaimana pemberian <i style="mso-bidi-font-style: normal;">informed consent </i>pada
pasien agar dapat meningkatkan kesehatan di masyarakat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.2
<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi
Institusi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat
memberikan penjelasan yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pemberian <i style="mso-bidi-font-style: normal;">informed consent </i>pada pasien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat
lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">etika dan
hukum kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level3 lfo15; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lebih
mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pemberian <i style="mso-bidi-font-style: normal;">informed consent </i>pada pasien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk meningkatkan mutu kesehatan
masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR
PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: center; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Budi Sampurna,
Zulhasmar Syamsu, Tjetjep Dwijdja Siswaja. 2005. <i style="mso-bidi-font-style: normal;">Bioetik dan Hukum Kedokteran, Pengantar bagi Mahasiswa Kedokteran dan
Hukum</i>. Penerbit Pustaka Dwipar.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">J.
Guwandi. Informed consent Consent. FKUI. Jakarta. 2004.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">M.jusuf
H & Amri Amir. Etika Kedokteran & Hukum Kesehatan. EGC. Jakarta. 1999.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Anonim.
(2012). </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persetujuan dan Penolakan
terhadap Tindakan Medis</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">. </span><a href="http://informedconsent_a1.webs.com/persetujuanpenolakan.htm"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">http://informedconsent_a1.webs.com/persetujuanpenolakan.htm</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">. Diakses pada tanggal 01
November 2012, pukul 11.35 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Anonim. (2012). </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengenal
“Informed Consent”.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> </span><a href="http://www.scribd.com/doc/%2022040447/All-About-Informed-Consent"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">http://www.scribd.com/doc/ 22040447/All-About-Informed-Consent</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">. Diakses pada tanggal 01
November 2012, pukul 11.35 WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-90606196903452663072013-01-06T21:14:00.001-08:002013-01-06T21:14:24.746-08:00Askep Low Back Pain (LBP) akibat Ergonomi<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ergonomi menjembatani berbagai lapangan
ilmu seperti Antropologi, Biomekanik, Faal, Higiene perusahaan dan keselamatan
kerja dan perencanaan kerja. Namun kekhususan utamanya adalah perencanaan dari
cara bekerja yang lebih baik meliputi tata kerja dan peralatannya. Sejalan
dengan bertambahnya jumlah orang yang banyak menghabiskan waktu diruang kerja
dengan duduk, maupun diatas kendaraan maka makin menambah insiden keluhan nyeri
pada punggung bagian bawah (<i style="mso-bidi-font-style: normal;">Low Back Pain</i>).
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asuransi kesehatan nasional Swedia dari
data analisis statistik melaporkan 53% pada populasi dengan aktivitas biasa
sehari-hari mengalami nyeri punggung bawah dan 64% pada populasi yang melakukan
aktivitas sebagai pekerja berat. Diperkirakan 60% sampai 80% populasi dewasa
pernah mengalami LBP, kira-kira 2% sampai 5% terkena setiap tahunnya.
Orang yang waktu bekerja melakukan gerakan membungkuk yang berulang-ulang
atau berjongkok dan duduk lama mempunyai frekuensi LBP lebih tinggi,
masalah psikososial juga penting sebagai faktor pencetus terjadinya nyeri
punggung bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam hal perawatan secara umum pada
penyakit LBP dengan penyakit syaraf lainnya mempunyai kesamaan dalam pemberian
asuhan keperawatan menitik beratkan pada pemenuhan kebutuhan dasar manusia.
Adapun kekhususan dari perawataan klien dengan LBP adalah karena masalah
yang muncul biasanya bersifat komplek dan mempengaruhi sistem tubuh sehingga
asuhan keperawatan yang diberikan mencegah terjadinya defisit neurologis,
memberikan dan mengembalikan fungsi dengan cara meningkatkan aktivitas secara
bertahap dengan melakukan range of mation (ROM) aktif maupun pasif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada beberapa kendala yang ditemukan
sehingga standar keperawatan yang telah ditetapkan rumah sakit tidak dapat
dicapai secara maksimal, dari pihak klien misalnya alasan faktor ekonomi dimana
klien dengan LBP membutuhkan waktu yang lama untuk menyembuhkan sehingga
membutuhkan dana yang cukup besar jika harus dirawat di rumah sakit, sedangkan
dari pihak rumah sakit misalnya masih minimnya tenaga kesehatan dibandingkan
jumlah dengan jumlah klien yang memerlukan perawatan sehingga tidak setiap
klien dapat dilayani secara maksimal menurut standar keperawatan yang ada di
rumah sakit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">Low
Back Pain</i> ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo1; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">Low
Back Pain</i>.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo1; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Definisi <i style="mso-bidi-font-style: normal;">Low Back Pain.</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Etiologi <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Patofisiologi <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Manifestasi Klinis <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Pemeriksaan Penunjang <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Penatalaksanaan <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Masalah Ergonomi yang
dapat Menyebabkan <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l2 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui asuhan keperawatan
pasien dengan <i style="mso-bidi-font-style: normal;">Low Back Pain.</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">1.4.1 <span style="mso-tab-count: 1;"> </span>Bagi Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar mampu memahami tentang
bagaimana asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">low back pain</i> sehingga dapat meningkatkan kesehatan pekerja yang
ada di masyarakat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level3 lfo2; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat memberikan penjelasan yang
lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">low back pain</i> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat
lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
asuhan keperawatan pasien dengan masalah ergonomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level3 lfo2; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> lebih mengerti
dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">low back pain</i> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan pekerja yang ada di masyarakat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:EnableOpenTypeKerning/>
<w:DontFlipMirrorIndents/>
<w:OverrideTableStyleHps/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
DefSemiHidden="false" DefQFormat="false" DefPriority="99"
LatentStyleCount="371">
<w:LsdException Locked="false" Priority="0" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="59" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 6"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri adalah pengalaman sensori dan
emosional yang tidak menyenangkan akibat dari kerusakan jaringan yang actual
maupun potensial. Definisi keperawatan tentang nyeri adalah, apapun yang
menyakitkan tubuh yang dikatakan individu/seseorang yang mengalaminya, yang ada
kapanpun orang tersebut mengatakannya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Low back pain
</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">adalah nyeri
kronik didalam lumbal, biasanya disebabkan oleh terdesaknya para vertebral
otot, herniasi dan regenerasi dari nucleus pulposus,osteoartritis dari lumbal
sacral pada tulang belakang (Brunner,1999).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<a href="http://www.kapukonline.com/2010/02/askeplowbackpainlbp.html" title="Askep Low Back Pain (LBP)"><i style="mso-bidi-font-style: normal;"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Low back pain</span></i><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;"> (LBP)</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
atau nyeri punggung bawah adalah suatu sensasi nyeri yang dirasakan pada daerah
lumbasakral dan sakroiliakal atau pada diskus intervertebralis umumnya lumbal
bawah, L4-L5 dan L5-S1, nyeri pinggang bawah ini sering disertai penjalaran
ketungkai sampai kaki.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Low
back pain</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dapat berupa rasa sedikit pegal sampai nyeri
sekali, sakit ini dapat timbul secara mendadak ataupun secara perlahan-lahan
dalam waktu beberapa jam sampai beberapa hari. Rasa sakit dapat dirasakan
pada tubuh bagian belakang, dari tulang iga terakhir sampai bagian bawah bokong
dan juga dapat menjalar ketungkai. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Penyebab <i style="mso-bidi-font-style: normal;">low back pain </i>bermacam-macam dan multifaktor.
Diantaranya adalah:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kelainan
kongenital</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l24 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Spondilolisis
dan spondilolistesis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pada spondilolisis tampak bahwa sewaktu pembentukan
korpus vertebrae itu (in utero) arkus vertebrae tidak bertemu dengan korpus
vertebraenya sendiri. Pada spondilolitesis, korpus vertebrae itu sendiri
(biasanya L5) tergeser ke depan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Walaupun kejadian ini terjadi sewaktu bayi masih
berada dalam kandungan, namun (oleh karena timbulnya kelainan-kelainan
degeneratif) sesudah berumur 35 tahun, barulah timbul keluhan nyeri pinggang.
Nyeri ini dapat berkurang atau hilang bila penderita duduk atau tidur dan
bertambah parah jika penderita berdiri atau berjalan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l24 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Spondylosis
lumbal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Penyakit sendi degeneratif yang mengenai vertebra
lumbal dan discus intervertebralis, yang menyebabkan nyeri dan kekakuan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l24 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Spondylitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Suatu bentuk degeneratif sendi yang mengenai tulang
belakang. Ini merupakan penyakit sistemik yang etiologinya tidak diketahui,
terutama mengenai orang muda dan menyebabkan rasa nyeri dan kekakuan sebagai
akibat peradangan sendi-sendi dengan osifikasi sendi tulang belakang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Trauma dan
gangguan mekanis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pada orang-orang yang tidak biasa melakukan pekerjaan
otot atau sudah lama tidak melakukan kegiatan ini dapat menderita nyeri
pinggang bawah yang akut. Adanya fraktur pada salah satu prosesus tranversus
pada orang-orang yang melakukan kegiatan olahraga yang terlalu dipaksakan juga
dapat menjadi penyebab nyeri pinggang bagian bawah (<i style="mso-bidi-font-style: normal;">low back pain</i>). Selain itu pada penderita dengan obesitas mungkin
perut yang besar dapat mengganggu keseimbangan statik dan kinetik dari tulang
belakang sehingga dapat timbul nyeri pinggang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Radang
(inflamasi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Artritis rematoid dapat melibatkan persendian sinoval
pada vertebra. Artritis rematoid merupakan suatu proses yang melibatkan jaringan
ikat mesenkimal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tumor
(neoplasma)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tumor vertebra dan medulla spinalis dapat jinak
ataupun ganas. Pada tumor jinak dapat mengenai tulang atau jaringan lunak yang
menimbulkan nyeri yang menetap. Sifat nyeri pada tumor ganas lebih hebat
daripada tumor jinak. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gangguan
metabolik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Osteoporosis akibat gangguan metabolik yang merupakan
penyebab banyak keluhan nyeri pada pinggang yang dapat disebabkan oleh karena
kekurangan protein ataupun oleh gangguan hormonal misalnya menupause. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l7 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Psikis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Banyak gangguan psikis yang dapat memberikan gejalan <i style="mso-bidi-font-style: normal;">low back pain</i>, misalnya ansietas yang
dapat menyebabkan tegang otot yang mengakibatkan rasa nyeri, misalnya di kuduk
atai di pinggang. Rasa nyeri ini dapat pula kemudian menambah meningkatnya
keadaan ansietas dan di ikuti oleh meningkatnya tegang otot dan rasa nyeri. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Struktur spesifik dalam system saraf
terlibat dalam mengubah stimulus menjadi sensasi nyeri. Sistem yang terlibat
dalam transmisi dan persepsi nyeri disebut sebagai system nosiseptif. Sensitifitas
dari komponen system nosiseptif dapat dipengaruhi oleh sejumlah factor dan
berbeda diantara individu. Tidak semua orang yang terpajan terhadap stimulus
yang sama mengalami intensitas nyeri yang sama. Sensasi sangat nyeri bagi
seseorang mungkin hampir tidak terasa bagi orang lain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reseptor nyeri (nosiseptor) adalah ujung
saraf bebas dalam kulit yang berespons hanya pada stimulus yang kuat, yang
secara potensial merusak, dimana stimuli tersebut sifatnya bisa kimia, mekanik,
termal. Reseptor nyeri merupakan jaras multi arah yang kompleks. Serabut saraf
ini bercabang sangat dekat dengan asalnya pada kulit dan mengirimkan cabangnya
ke pembuluh darah lokal, sel-sel mast, folikel rambut dan kelenjar keringat.
Stimuli serabut ini mengakibatkan pelepasan histamin dari sel-sel mast dan
mengakibatkan vasodilatasi. Serabut kutaneus terletak lebih kearah sentral dari
cabang yang lebih jauh dan berhubungan dengan rantai simpatis paravertebra
system saraf dan dengan organ internal yang lebih besar. Sejumlah substansi
yang dapat meningkatkan transmisi atau persepsi nyeri meliputi histamin,
bradikinin, asetilkolin dan substansi prostaglandin dimana zat tersebut yang
dapat meningkatkan efek yang menimbulkan nyeri dari bradikinin. Substansi lain
dalam tubuh yang berfungsi sebagai inhibitor terhadap transmisi nyeri adalah
endorfin dan enkefalin yang ditemukan dalam konsentrasi yang kuat dalam system
saraf pusat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kornu dorsalis dari medulla spinalis
merupakan tempat memproses sensori, dimana agar nyeri dapat diserap secara
sadar, neuron pada system assenden harus diaktifkan. Aktivasi terjadi sebagai
akibat input dari reseptor nyeri yang terletak dalam kulit dan organ internal.
Proses nyeri terjadi karena adanya interaksi antara stimulus nyeri dan
sensasi nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi Pada sensasi nyeri
punggung bawah dalam hal ini kolumna vertebralis dapat dianggap sebagai sebuah
batang yang elastik yang tersusun atas banyak unit vertebrae dan unit diskus
intervertebrae yang diikat satu sama lain oleh kompleks sendi faset, berbagai
ligamen dan otot paravertebralis. Konstruksi punggung yang unik tersebut
memungkinkan fleksibilitas sementara disisi lain tetap dapat memberikan
perlindungan yang maksimal terhadap sum-sum tulang belakang. Lengkungan tulang
belakang akan menyerap goncangan vertical pada saat berlari atau melompat.
Batang tubuh membantu menstabilkan tulang belakang. Otot-otot abdominal dan
toraks sangat penting ada aktifitas mengangkat beban. Bila tidak pernah dipakai
akan melemahkan struktur pendukung ini. Obesitas, masalah postur, masalah
struktur dan peregangan berlebihan pendukung tulang belakang dapat berakibat
nyeri punggung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskus intervertebralis akan mengalami
perubahan sifat ketika usia bertambah tua. Pada orang muda, diskus terutama
tersusun atas fibrokartilago dengan matriks gelatinus. Pada lansia akan menjadi
fibrokartilago yang padat dan tak teratur. Degenerasi diskus intervertebra
merupakan penyebab nyeri punggung biasa. Diskus lumbal bawah, L4-L5 dan L5-S6,
menderita stress paling berat dan perubahan degenerasi terberat. Penonjolan
diskus atau kerusakan sendi dapat mengakibatkan penekanan pada akar saraf
ketika keluar dari kanalis spinalis, yang mengakibatkan nyeri yang menyebar
sepanjang saraf tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l23 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
dalam gaya berjalan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berjalan
terasa kaku</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
bias memutar punggung</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pincang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l23 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persyarapan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketika
dites dengan cahaya dan sentuhan dengan peniti,pasien merasakan sensasi pada
kedua anggota badan,tetapi mengalami sensasi yang lebih kuat pada daerah yang
tidak dirangsang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
terkontrol Bab dan Bak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l23 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri punggung akut maupun kronis lebih
dari dua bulan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri saat berjalan dengan menggunakan
tumit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri otot dalam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
menyebar kebagian bawah belakang kaki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri panas pada paha bagian belakang
atau betis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri pada pertengahan bokong</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l21 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri berat pada kaki semakin meningkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l31 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
lumbal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui warna cairan serebrospinal (jernih air, kekuningan/xantokram,
keruh), adanya kesan sumbatan atau hambatan aliran cairan serebrospinal secara
total atau parsial, jumlah sel, kadar protein, NaCl dan glukosa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l9 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Foto
rontgen </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengidentifikasi adanya fraktur korpus vertebra, arkus atau prosesus spinosus,
juga adanya dislokasi vertebra, spionfilolistesis, bamboo spine destruksi
vertebra, HNP</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3. Computed tomografhy ( CT ) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berguna
untuk mengetahui penyakit yangmendasari seperti adanya lesi jaringan lunak
tersembunyi disekitar kolumna vertebralis dan masalah diskus intervertebralis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4. Ultrasonography </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
membantu mendiagnosa penyempitan kanalis spinalis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5.
Magneting resonance imaging ( MRI ) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memungkinkan
visualisasi sifat dan lokasi patologi tulang belakang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6. Meilogram dan discogram </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui diskus yang mengalami degenerasi atau protrusi diskus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">7. Venogram efidural </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digunakan
untuk mengkaji penyakit diskus lumbalis dengan memperlihatkan adanya pergeseran
vena efidural.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">8. Elektromiogram (EMG) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digunakan
untuk mengevaluasi penyakit serabut syaraf tulang belakang ( Radikulopati).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6<span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tirah
baring </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebanyakan
nyeri punggung bisa hilang sendiri dan akan sembuh dalam 6 minggu dengan tirah
baring, pengurangan stress dan relaksasi. Pasien harus tetap ditempat tidur
dengan matras yang padat dan tidak membal selama 2 sampai 3 hari. Posisi pasien
dibuat sedemikian rupa sehingga fleksi lumbal lebih besar yang dapat mengurangi
tekanan pada serabut saraf lumbal. Bagian kepala tempat tidur ditinggikan 30
derajat dan pasien sedikit menekuk lututnya atau berbaring miring dengan lutut
dan panggul ditekuk dan tungkai dan sebuah bantal diletakkan dibawah kepala.
Posisi tengkurap dihindari karena akan memperberat lordosis. Kadang-kadang
pasien perlu dirawat untuk penanganan “konservatif aktif” dan fisioterapi.
Traksi pelvic intermiten dengan 7 sampai 13 kg beban traksi. Traksi memungkinkan
penambahan fleksi lumbal dan relaksasi otot tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Medika
mentosa </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan
mungkin diperlukan untuk menangani nyeri akut. Analgetik narkotik digunakan
untuk memutus lingkaran nyeri, relaksan otot dan penenang digunakan untuk
membuat relaks pasien dan otot yang mengalami spasme, sehingga dapat mengurangi
nyeri. Obat antiinflamasi, seperti aspirin dan obat antiinflamasi nonsteroid
(NSAID), berguna untuk mengurangi nyeri. Kortikosteroid jangka pendek dapat
mengurangi respons inflamasi dan mencegah timbulnya neurofibrosis yang terjadi
akibat gangguan iskemia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fisioterapi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fisioterapi
perlu diberikan untuk mengurangi nyeri dan spasme otot. Terapi bisa meliputi
pendinginan (missal dengan es), pemanasan sinar infra merah, kompres lembab dan
panas, kolam bergolak dan traksi. Gangguan sirkulasi , gangguan perabaan dan
trauma merupakan kontra indikasi kompres panas. Terapi kolam bergolak
dikontraindikasikan bagi pasien dengan masalah kardiovaskuler karena
ketidakmampuan mentoleransi vasodilatasi perifer massif yang timbul. Gelombang
ultra akan menimbulkan panas yang dapat meningkatkan ketidaknyamanan akibat
pembengkakan pada stadium akut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikoterapi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diberikan
pada penderita yang pada pemeriksaan didapat peranan psikopatologi dalam
timbulnya persepsi nyeri, pemberian psikoterapi dapat digabungkan dengan
relaksasi, hyprosis maupun biofeedback training.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akupuntur
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemungkinan
bekerja dengan cara pembentukan zat neurohumoral sebagai neurotras mitter dan
bekerja sebagai activator serat intibitor desenden yang kemudian menutup
gerbang nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi
operatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dikerjakan
apabila tindakan konservatif tidak memberikan hasil yang nyata, atau kasus
fraktur yang langsung mengakibatkan defisit neurologik, ataupun adanya gangguan
spingter.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
perlu dilakukan dengan hati-hati dan terarah agar tidak memperburuk keadaan,
dapat dimulai pada hari ke 2 dan ke 3 kecuali jika penyebabnya adalah herniasi
diskus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7<span style="mso-tab-count: 1;"> </span>Pencegahan </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Low
back pain (LBP)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> merupakan permasalah yang sering muncul
dalam suatu asuhan keperawatan dengan gejala umum yang terasa pada bagian lumbosacral,
otot gluteal, paha dan sering kali pada ekstremitas bawah. Ketika karakteristik
gejala low back pain muncul maka diperlukan pengangkatan suatu diagnosa dan
bagaimana penanganannya yang tepat. Hampir dari 90% penduduk pernah mengalami
LBP dalam siklus kehidupannya dan LBP merupakan keluhan nomor dua yang sering
muncul setelah keluhan pada gangguan system pernafasan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat hasil penelitian yang
menyebutkan bahwa hampir 48% klien dengan LBP tidak diketemukan penyebabnya
yang jelas (Croft, 1999). Croft juga menyebutkan bahwa 90% klien dengan LBP
menghentikan pengobatannya setelah 3 bulan pengobatan walaupun nyerinya masih
terasa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Low
back pain</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dikatagorikan sebagai akut (kurang dari 12 minggu),
sub akut (6-12 minggu) dan kronik (lebih dari 12 minggu). Umumnya LBP
berhubungan dengan peregangan ligament dan otot yang diakibatkan dari mekanik
tubuh yang salah saat mengangkat sesuatu. Faktor resiko untuk mengalami LBP
adalah berat badan berlebih, memiliki postur dan memiliki kekuatan otot perut
yang buruk.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikut ini akan diuraikan cara
pencegahan terjadinya <i style="mso-bidi-font-style: normal;">low back pain</i>
dan cara mengurangi nyeri apabila LBP telah terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l26 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
Punggung Setiap Hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l2 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaringlah
terlentang pada lantai atau matras yang keras. Tekukan satu lutut dan
gerakkanlah menuju dada lalu tahan beberapa detik. Kemudian lakukan lagi pada
kaki yang lain. Lakukanlah beberapa kali.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l2 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaringlah
terlentang dengan kedua kaki ditekuk lalu luruskanlah ke lantai. Kencangkanlah
perut dan bokong lalu tekanlah punggung ke lantai, tahanlah beberapa detik
kemudian relaks. Ulangi beberapa kali.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l2 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaring
terlentang dengan kaki ditekuk dan telapak kaki berada flat di lantai. Lakukan
sit up parsial,dengan melipatkan tangan di tangan dan mengangkat bahu setinggi
6 -12 inci dari lantai. Lakukan beberapa kali.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l26 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berhati-Hatilah
Saat Mengangkat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l27 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gerakanlah
tubuh kepada barang yang akan diangkat sebelum mengangkatnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l27 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekukan
lutut , bukan punggung, untuk mengangkat benda yang lebih rendah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l27 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peganglah
benda dekat perut dan dada</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l27 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekukan
lagi kaki saat menurunkan benda</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l27 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari
memutarkan punggung saat mengangkat suatu benda</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l26 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lindungi
Punggung Saat Duduk dan Berdiri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari
duduk di kursi yang empuk dalam waktu lama</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
memerlukan waktu yang lama untuk duduk saat bekerja, pastikan bahwa lutut
sejajar dengan paha. Gunakan alat Bantu (seperti ganjalan/bantalan kaki) jika
memang diperlukan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
memang harus berdiri terlalu lama,letakkanlah salah satu kaki pada bantalan
kaki secara bergantian. Berjalanlah sejenak dan mengubah posisi secara
periodic.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tegakkanlah
kursi mobil sehingga lutut daapt tertekuk dengan baik tidak teregang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gunakanlah
bantal di punggung bila tidak cukup menyangga pada saat duduk dikursi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l26 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetaplah
aktif dan hidup sehat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berjalanlah
setiap hari dengan menggunakan pakaian yang nyaman dan sepatu berhak rendah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makanlah
makanan seimbang, diit rendah lemak dan banyak mengkonsumi sayur dan buah untuk
mencegah konstipasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidurlah
di kasur yang nyaman.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungilah
petugas kesehatan bila nyeri memburuk atau terjadi trauma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8<span style="mso-tab-count: 1;"> </span>Masalah Ergonomi yang dapat Menyebabkan <i style="mso-bidi-font-style: normal;">Low Back Pain</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ergonomi sebagai
ilmu, tekhnologi dan seni berupaya menyerasikan alat, cara, proses dan
lingkungan kerja terhadap kemampuan, kebolehan dan batasan manusia untuk
terwujudnya kondisi dan lingkungan kerja yang sehat, aman, nyaman dan tercapai
efisiensi yang setinggi-tingginya. Pendekatan ergonomi bersifat konseptual dan
kuratif, secara populer kedua pendekatan tersebut dikenal sebagai <i style="mso-bidi-font-style: normal;">To fit the Job to the Man and to fit the Man
to the Job</i>.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sebagian besar
pekerja di perkantoran atau Pelayanan Kesehatan pemerintah, bekerja dalam
posisi yang kurang ergonomis, misalnya tenaga operator peralatan, hal ini
disebabkan peralatan yang digunakan pada umumnya barang impor yang disainnya
tidak sesuai dengan ukuran pekerja Indonesia. Posisi kerja yang salah dan
dipaksakan dapat menyebabkan mudah lelah sehingga kerja menjadi kurang efisien
dan dalam jangka panjang dapat menyebakan gangguan fisik dan psikologis
(stress) dengan keluhan yang paling sering adalah nyeri pinggang kerja (<i style="mso-bidi-font-style: normal;">low back pain</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN PADA PASIEN
DENGAN LOW BACK PAIN </span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l23 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
kelamin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l25 level1 lfo8; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">alamat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama : </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biasanya
pasien mengatakan nyeri punggung akut maupun kronis lebih dari dua bulan, nyeri
saat berjalan dengan menggunakan tumit, nyeri menyebar kebagian bawah belakang
kaki.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lingkungan
Pekerjaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l32 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
pekerjaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis pekerjaan yang mengharuskan
pekerjanya duduk terlalu lama dan jenis pekerjaan yang mengangkat beban berat
misalnya kuli pasar yang mengangkat beban di bahunya lebih dari 25kg sehari
akan memperbesar timbulnya keluhan nyeri pinggan (<i style="mso-bidi-font-style: normal;">low back pain</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor resiko di tempat kerja yang
banyak menyebabkan gangguan otot rangka terutama adalah kerja fisik berat,
penanganan dan cara pengangkatan barang, posisi atau sikap tubuh selama
bekerja, getaran, dan kerja statis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l32 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktifitas
fisik</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada banyak hal yang menyebabkan
nyeri pinggang, diantaranya adalah aktivitas fisik yang berlebihan, seperti ;
mengangkat benda/beban berat, membungkuk, posisi tubuh yang tidak tepat saat
beraktivitas, seperti; naik tangga, duduk dan berdiri dari tempat duduk
(seperti masuk dan keluar dari mobil, bak mandi, tempat tidur), memutarkan
badan terlalu keras, membungkukkan badan ke depan, berlari, dan berjalan dengan
kecepatan yang berlebihan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sikap tubuh yang salah merupakan
penyebab nyeri pinggang yang sering tidak disadari oleh penderitanya. Terutama
sikap tubuh yang menjadi kebiasaan. Kebiasaan seseorang, seperti duduk,
berdiri, tidur, mengangkat beban pada posisi yang salah dapat menimbulkan nyeri
pinggang, misalnya; pada pekerja kantoran yang terbiasa duduk dengan posisi
punggung yang tidak tertopang pada kursi, atau seorang mahasiswa yang
seringkali membungkukkan punggungnya pada waktu menulis. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi berdiri yang salah yaitu
berdiri dengan membungkuk atau menekuk ke muka. Posisi tidur yang salah seperti
tidur pada kasur kasur yang tidak menopang spinal. Kasur yang diletakkan di
atas lantai lebih baik daripada tempat tidur yang bagian tengahnya lentur.
Posisi menggangkat beban dari posisi berdiri langsung membungkuk mengambil
beban merupakan posisi yang salah, seharusnya beban tersebut diangkat setelah
jongkok terlebih dahulu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain sikap tubuh yang salah yang
seringkali menjadi kebiasan, beberapa aktivitas berat seperti melakukan aktivitas
dengan posisi berdiri lebih dari 1 jam dalam sehari, melakukan aktivitas dengan
posisi duduk yang monoton lebih dari 2 jam dalam sehari, naik turun anak tangga
lebih dari 10 anak tangga dalam sehari, berjalan lebih dari 3,2 km dalam sehari
dapat pula meningkatkan resiko timbulnya nyeri pinggang.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Olahraga </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Olahraga yang berlebihan dapat menyebabkan otot atau
tulang salah tempat. Porsi latihan yang berlebih juga tidak bagus bagi tubuh.
Tiap-tiap orang memiliki batas gerak tubuh yang berbeda. Gerak otot dan tulang
yang terlalu di forsir dapat menyebabkan cedera otot dan persendian.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l32 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vibrasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vibrasi dengan frekuensi rendah
memberi efek fisiologis pada tubuh manusia, khususnya terhadap orang-orang di
dalamnya. Selain dari kuitantitas frekuensi yang juga berpengaruh adalah
intensitas, arah, serta durasi getaran. Secara biologis, tubuh manusia terdiri
dari massa yang tidak homogen serta berupa sistem yang non-linier. Dalam hal
ini, frekuensi getaran bebas sebesar 4 sampai 5 Hz-lah yang paling banyak
pengaruhnya. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Khusus getaran 4 sampai 5 Hz, yang
paling dipengaruhi adalah dinding perut dan dada, serta diafragma atau sekat
antara rongga dada dan perut. Akibat getaran yang terus-menerus dan tak
tertahankan, seorang bisa menderita nyeri kronis atau gangguan degeneratif pada
tulang, otot, dan jaringan ikat di bagian punggung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l13 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Fisik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
: amati cara berjalan penderita pada waktu masuk ruang periksa, juga cara duduk
yang disukainya. Bila pincang, diseret, kaku (merupakan indikasi untuk pemeriksaan
neurologis). Amati juga apakah perilaku penderita konsisten dengan
keluhan nyerinya (kemungkinan kelebihan psikiatrik).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi
: untuk kolumna vertebralis (thoroko-lumbal dan lumbopsakral) berikut
deformitasnya, serta gerakan tulang belakang, seperti fleksi kedepan, ekstensi
kebelakang, fleksi kelateral kanan dan kiri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
yang timbul hampir pada semua pergerakan daerah lumbal sehingga penderita
berjalan sangat hati-hati (kemungkinan infeksi, inflamasi, tumor dan fraktur).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi
: apakah terdapat nyeri tekan pada tulang belakang atau pada otot-otot
disamping tulang belakang? Apakah tekanan dari diantara dua prosessus spinosus
menimbulkan rasa nyeri (spurling sign).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkusi
: perhatikan apakah timbul nyeri jika processus spinosus diketok.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l13 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
pemenuhan kebutuhan sehari-hari</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas dan istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : riwayat pekerjaan yang perlu mengangkat benda
berat, duduk, mengemudi dalam waktu lama, membutuhkan papan/matras waktu tidur,
penurunan rentang gerak dari ekstrimiter pada salah satu bagian tubuh, tidak
mampu melakukan aktivitas yang biasanya dilakukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Atropi otot pada bagian tubuh yang terkena,
gangguan dalam berjalan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Konstribusi, mengalami kesulitan dalam
defekasi, adanya inkontenensia/retensi urine</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas Ego</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Ketakutan akan timbulnya paralysis, ansietas
masalah pekerjaan, finansial keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Tampak cemas, defresi, menghindar dari
keluarga/orang terdekat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Kesemutan, kekakuan, kelemahan dari
tangan/kaki</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Penurunan refleks tendon dalam, kelemahan
otot, hipotania, nyeri tekan/spasme pavavertebralis, penurunan persesi nyeri
(sensori)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri/kenyamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo21; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Nyeri seperti tertusuk pisau yang akan
semakin memburuk dengan adanya batuk, bersin, membengkokan badan, mengangkat
defekasi, mengangkat kaki, atau fleksi pada leher, nyeri yang tidak ada
hentinya atau adanya episode nyeri yang lebih berat secara interminten; nyeri
menjalar ke kaki, bokong (lumbal) atau bahu/lengan; kaku pada leher (servikal).
Terdengar adanya suara “krek” saat nyeri baru timbul/saat trauma
atau merasa “punggung patah”, keterbatasan untuk mobilisasi/membungkuk kedepan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo21; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Sikap: dengan cara bersandar dari bagian
tubuh yang terkena, perubahan cara berjalan: berjalan dengan terpincang-pincang,
pinggang terangkat pada bagian tubuh yang terkena, nyeri pada palpasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; tab-stops: 413.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala :
Adanya riwayat masalah punggung yang baru saja terjadi<span style="mso-tab-count: 1;"> </span>.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 413.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l23 level2 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri akut
berhubungan dengan agen injuri (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">trauma jaringan, inflamasi, kompresi
syaraf).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan
mobilitas fisik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> berhubungan dengan </span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">nyeri, kerusakan musku</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">los</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keletal,
kekakuan sendi, kontraktur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
pola tidur </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">berhubungan dengan</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> nyeri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dan ke</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tidaknyaman</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 52.2pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l23 level2 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
Keperawatan</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -1.7pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA
KEPERAWATAN</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri akut berhubungan dengan agen injuri (</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">trauma jaringan, inflamasi, kompresi syaraf).</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Setelah
dilakukan tindakan keperawatan selama 2 x 24 jam nyeri dapat berkurang atau
hilang.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien dapat mengungkapakan <span style="mso-spacerun: yes;"> </span>nyeri yang dirasakan berkurang atau hilang</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien tidak menyeringai kesakitan </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien dapat melaporkan kebutuhan istirahat tidur tercukupi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">TTV dalam batasan normal</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intensitas nyeri berkurang (skala nyeri berkurang 1-10)</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l30 level1 lfo14; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US;">Menunjukkan rileks, istirahat tidur, peningkatan
aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Selidiki keluhan
nyeri, perhatikan lokasi, itensitas nyeri, dan skala</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan pasien
untuk melaporkan nyeri segera saat mulai</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Pantau tanda-tanda
vital</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Jelaskan sebab dan
akibat nyeri pada klien<span style="mso-spacerun: yes;"> </span>serta
keluarganya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan istirahat
selama fase akut</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan teknik
distruksi dan relaksasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan situasi
lingkungan yang kondusif</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l5 level1 lfo12; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Kolaborasi dengan tim medis dalam pemberian medikasi sesuai indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Untuk membantu
dalam pengkajian pasien dan untuk menentukan intervensi yang dapat dilakukan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intervensi dini
pada kontrol nyeri memudahkan pemulihan otot dengan menurunkan tegangan otot </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Respon autonomik
meliputi, perubahan pada TD, nadi, RR, yang berhubungan dengan penghilangan
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dengan sebab dan
akibat nyeri diharapkan klien berpartisipasi dalam perawatan untuk mengurangi
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Mengurangi nyeri
yang diperberat oleh gerakan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menurunkan
tegangan otot, meningkatkan relaksasi, dan meningkatkan rasa kontrol dan
kemampuan koping</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Memberikan
dukungan (fisik, emosional, meningkatkan rasa kontrol, dan kemampuan koping)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l19 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menghilangkan atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">mengurangi
keluhan nyeri klien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan mobilitas fisik</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> berhubungan dengan </span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">nyeri,
kerusakan musku</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">los</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keletal, kekakuan sendi, kontraktur</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">dilakukan tindakan keperawatan selama 4 x 24 jam klien dapat
mobilisasi dengan adekuat.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
Hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat mendemonstrasikan
tekhnik atau perilaku yang memungkinkan melakukan aktifitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat melakukan mobilitas
secara bertahap.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penampilan seimbang.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien mampu berpindah tempat tanpa
bantuan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Kaji tingkat
kemampuan klien yang masih ada</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Evalua</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">si pemantauan
tingkat inflamasi atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">rasa sakit</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Bantu dengan
rentang g</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">erak
aktif atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">pasif</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Observasi atau kaji terus kemampuan gerak motorik
dan keseimbangan pasien</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Rubah posisi
dengan sering dengan personal cukup</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan lingkungan
yang nyaman misal alat bant</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">u</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Anjurkan keluarga klien untuk melatih dan memberi
motivasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l28 level1 lfo16; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Buat posisi seluruh
persendian dalam letak anatomis dan nyaman dengan memberikan penyangga pada lekukan
lekukan sendi serta pastikan posisi punggung lurus</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dasar untuk memberikan alternatif dan latihan gerak </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">yang sesuai
dengan kemampuannya</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">T</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">ingkat aktifita</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">s tergantung dari perkembangan atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">resolusi dari proses inflamasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">mempertahankan fungsi sendi, kekuatan otot</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk mengetahui tingkat
perkembangan pasien dan dapat menentukan intervensi yang tepat bagi pasien</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menghilangkan tekanan pada jaringan dan meningkatkan sirkulasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Untuk m</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">enghindari cedera</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan adanya motivasi dari
keluarga, pasien akan merasa lebih dekat dan nyaman dengan keluarga
terdekatnya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l14 level1 lfo17; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi yang nyaman dapat
mengurangi rasa nyeri pada pasien.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.1<span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Low Back Pain adalah nyeri kronik didalam
lumbal,biasanya disebabkan oleh terdesaknya para vertebral otot, herniasi dan
regenerasi dari nucleus pulposus,osteoartritis dari lumbal sacral pada tulang
belakang (Brunner,1999).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Low back pain dapat terjadi pada siapasaja yang
mempunyai masalah pada muskuloskeletal seperti ketegangan lumbosacral
akut,ketidakmampuan ligamen lumbosacral,kelemahan otot,osteoartritis,spinal
stenosis serta masalah pada sendi inter vertebra dan kaki yang tidak sama
panjang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebanyakan nyeri punggung bawah disebabkan oleh salah
satu dari berbagai masalah muskuloskeletal (misal regangan lumbosakral akut,
ketidakstabilan ligamen lumbosakral dan kelemahan otot, osteoartritis tulang
belakang, stenosis tulang belakang, masalah diskus intervertebralis,
ketidaksamaan panjang tungkai).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab lainnya meliputi obesitas, gangguan ginjal,
masalah pelvis, tumor retroperitoneal, aneurisma abdominal dan masalah
psikosomatik. Kebanyakan nyeri punggung akibat gangguan muskuloskeletal akan
diperberat oleh aktifitas, sedangkan nyeri akibat keadaan lainnya tidak
dipengaruhi oleh aktifitas.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l20 level2 lfo27; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">4.2.1 <span style="mso-tab-count: 1;"> </span>Bagi Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan mampu memahami tentang
bagaimana asuhan keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">low back pain</i> sehingga dapat meningkatkan kesehatan pekerja yang
ada di masyarakat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level3 lfo23; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat
memberikan penjelasan yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asuhan
keperawatan pada pasien dengan <i style="mso-bidi-font-style: normal;">low back
pain</i> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
asuhan keperawatan pasien dengan masalah ergonomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level3 lfo23; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> lebih
mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asuhan keperawatan pada pasien
dengan <i style="mso-bidi-font-style: normal;">low back pain</i> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan pekerja yang ada di masyarakat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR
PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">Brunner &
Suddarth. 2002. <i style="mso-bidi-font-style: normal;">Buku Ajar Keperawatan
Medikal Bedah, Edisi 8, Volume 1</i>. Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">Brunner &
Suddarth. 2002.<i style="mso-bidi-font-style: normal;"> Buku Ajar Keperawatan
Medikal Bedah, Edisi 8, Volume 3</i>. Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">Noname. 2010. <i style="mso-bidi-font-style: normal;">Askep Asuhan Keperawatan LBP Low Back Pain</i>.
</span><a href="http://www.kapukonline.com/2010/02/askeplowbackpainlbp.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://www.
kapukonline.com/2010/02/askeplowbackpainlbp.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
diakses tanggal 04 Desember 2012 jam 13.10 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">Potter &
Perry. 2005. <i style="mso-bidi-font-style: normal;">Buku Ajar Fundamental
Keperawatan: Konsep, Proses dan Praktis.</i> Jakarta : Penerbit Buku Kedokteran
EGC.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0cm 0cm 0.0001pt 63.8pt; text-align: justify;">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-17985760292408079442012-09-18T22:48:00.001-07:002012-10-03T23:09:52.676-07:00Asuhan Keperawatan Pertusis<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center; text-indent: -18pt;">
<span style="font-size: large;"><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; line-height: 150%;">PERTUSIS</span></b></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 0cm 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Defenisi</span></b></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertusis adalah penyakit infeksi akut pada saluran
pernafasan yang sangat menular dengan ditandai oleh suatu sindrom yang terdiri
dari batuk yang bersifat spasmodik dan paroksismal disertai nada yang meninggi.
</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertusis atau batuk rejan telah
dikenal sejak abad ke-16. Organisne penyebab adalah <i style="mso-bidi-font-style: normal;">Bordetella pertusis</i>, dan telah di isolasi pada tahun 1906 oleh oleh
Bordet dan Gengou. Oleh karena natuk rejan atau pertusis merupakan penyakit
anak yang berat, maka pembuatan vaksin segera dilakukan. Namun, diperlukan
beberapa tahunusaha dan banyak uji coba vaksin sebelum ditemukan vaksin yang
efektif.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
</h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. <span style="mso-tab-count: 1;"> </span>Etiologi</span></b></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bordetella pertusis</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> adalah
satu-satunya penyebab pertusis yaitu bakteri gram negatif, tidak
bergerak, dan ditemukan dengan melakukan swab
pada daerah nasofaring dan ditanamkan pada media agar Bordet-Gengou.
(Arif Mansjoer, 2000).</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 5pt; text-align: justify; text-indent: 15.3pt;">
<h4>
</h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Patofisiologi</span></b></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bordetella
pertusis setelah ditularkan melalui sekresi udara pernafasan kemudian melekat
pada silia epitel saluran pernafasan. Mekanisme pathogenesis infeksi oleh
Bordetella pertusis terjadi melalui empat tingkatan yaitu perlekatan,
perlawanan terhadap mekanisme pertahanan pejamu, kerusakan local dan akhirnya
timbul penyakit sistemik. Pertusis Toxin (PT) dan protein 69-Kd berperan pada
perlekatan Bordetella pertusis pada silia. Setelah terjadi perlekatan,
Bordetella pertusis, kemudian bermultiplikasi dan menyebar ke seluruh permukaan
epitel saluran nafas. Proses ini tidak invasif oleh karena pada pertusis tidak
terjadi bakteremia. Selama pertumbuhan Bordetella pertusis, maka akan
menghasilkan toksin yang akan menyebabkan penyakit yang kita kenal dengan
whooping cough.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toksin
terpenting yang dapat menyebabkan penyakit disebabkan karena pertusis toxin.
Toksin pertusis mempunyai 2 sub unit yaitu A dan B. Toksin sub unit B
selanjutnya berikatan dengan reseptor sel target kemudian menghasilkan sub unit
A yang aktif pada daerah aktivasi enzim membrane sel. Efek LPF menghambat
migrasi limfosit dan makrofag ke daerah infeksi.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toxin
mediated adenosine diphosphate (ADP) mempunyai efek mengatur sintesis protein
dalam membrane sitoplasma, berakibat terjadi perubahan fungsi fisiologis dari
sel target termasuk lifosit (menjadi lemah dan mati), meningkatkan pengeluaran
histamine dan serotonin, efek memblokir <i>beta adrenergic</i> dan meningkatkan
aktifitas insulin, sehingga akan menurunkn konsentrasi gula darah.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toksin
menyebabkan peradangan ringan dengan <span style="mso-bidi-font-weight: bold;">hyperplasia
jaringan limfoid peribronkial</span> dan meningkatkan jumlah mukos pada
permukaan silia, maka fungsi silia sebagai pembersih terganggu, sehingga mudah
terjadi infeksi sekunder (tersering oleh Streptococcus pneumonia, H. influenzae
dan Staphylococcus aureus). Penumpukan mucus akan menimbulkan plug yang dapat
menyebabkan obstruksi dan kolaps paru. Hipoksemia dan sianosis disebabkan oleh
gangguan pertukaran oksigenasi pada saat ventilasi dan timbulnya apnea saat
terserang batuk. Terdapat perbedaan pendapat mengenai kerusakan susunan saraf
pusat, apakah akibat pengaruh langsung toksin ataukah sekunder sebagai akibat
anoksia.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terjadi
perubahan fungsi sel yang reversible, pemulihan tampak apabila sel mengalami
regenerasi, hal ini dapat menerangkan mengapa kurangnya efek antibiotic
terhadap proses penyakit. Namun terkadang Bordetella pertusis hanya menyebabkan
infeksi yang ringan, karena tidak menghasilkan toksin pertusis.</span></h4>
</div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: 5pt; text-align: justify; text-indent: 21.3pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara
penularan pertusis, melalui:</span></h4>
</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0cm 0cm 5pt 42.55pt; text-align: justify; text-indent: -14.2pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Droplet
infection.</span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 42.55pt; text-align: justify; text-indent: -14.2pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontak tidak
langsung dari alat-alat yang terkontaminasi.</span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 42.55pt; text-align: justify; text-indent: -14.2pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit ini
dapat ditularkan penderita kepada orang lain melalui percikan-percikan ludah
penderita pada saat batuk dan bersin.</span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 42.55pt; text-align: justify; text-indent: -14.2pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat pula
melalui sapu tangan, handuk dan alat-alat makan yang dicemari kuman-kuman
penyakit tersebut. </span></h4>
<h4>
</h4>
<h4>
<u>Pathway PERTUSIS</u></h4>
<h4>
<img alt="" height="310" src="data:image/jpeg;base64,/9j/4AAQSkZJRgABAQEAYABgAAD/2wBDAAIBAQIBAQICAgICAgICAwUDAwMDAwYEBAMFBwYHBwcGBwcICQsJCAgKCAcHCg0KCgsMDAwMBwkODw0MDgsMDAz/2wBDAQICAgMDAwYDAwYMCAcIDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAz/wAARCALVA6cDASIAAhEBAxEB/8QAHwAAAQUBAQEBAQEAAAAAAAAAAAECAwQFBgcICQoL/8QAtRAAAgEDAwIEAwUFBAQAAAF9AQIDAAQRBRIhMUEGE1FhByJxFDKBkaEII0KxwRVS0fAkM2JyggkKFhcYGRolJicoKSo0NTY3ODk6Q0RFRkdISUpTVFVWV1hZWmNkZWZnaGlqc3R1dnd4eXqDhIWGh4iJipKTlJWWl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uHi4+Tl5ufo6erx8vP09fb3+Pn6/8QAHwEAAwEBAQEBAQEBAQAAAAAAAAECAwQFBgcICQoL/8QAtREAAgECBAQDBAcFBAQAAQJ3AAECAxEEBSExBhJBUQdhcRMiMoEIFEKRobHBCSMzUvAVYnLRChYkNOEl8RcYGRomJygpKjU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2hpanN0dXZ3eHl6goOEhYaHiImKkpOUlZaXmJmaoqOkpaanqKmqsrO0tba3uLm6wsPExcbHyMnK0tPU1dbX2Nna4uPk5ebn6Onq8vP09fb3+Pn6/9oADAMBAAIRAxEAPwD9/KKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKDnB9a/OWL/gqJ8XPFel/FgeEta+EvinxL4D8QSaJ4f8Laf4S1G61nxckTqs1zHbw6m8sMKAsfN8t4zsOWXt5uPzWjhJRhVTbkm1ZXdo2vZXu3qrJJt7JXPs+EuBsx4i9q8A4pUuTmcuZJe0lyx1UZJK+7dlFXk2oxk1+jVFeLWv7d/wAPtB8HeJLrxX4h0rRtc+Hul2N94306ykk1RfDM1xlDbtJBGwlZJldCEBYbQWVQwz6B8VvjV4Z+CPwq1Lxv4n1Qab4X0i3W6ur4QS3AjjZlVW2RKztksv3VJ5rpeNw6hKp7SPLFXburJXau30V4yV3p7r7M8bEcOZrRrQoVMPPmqSUILlb55NRaULK021OEo8t7xnBq6km+porEs/FcXjf4bw654e1G0SDV9NW+0y/urWR4FWSLfFNJEWjcphlYoWRiMjKnkfCnhX/gpH8cLL9jK8/aC1XTvhd4h8DaP4gmsbjSdN02+02+1HS0n+yC+guZbuZEkNwR+5eEgorHzMkCubHZrRwk+StdWi5N20UU0m31snJX02u1ezt7XDvAmZZ1Gf1VxjKNSFLlm3Fyq1eb2cFdcvNJwklzOKTWrS1P0GorxPTf+Cinwa1XwN4g8RQ+N7CbTfCek2Ota20EMt02l297/qPMEKvmQnho13OnG4AEE7nxs/bP+Gf7OxgXxd4oi06SfTZNY8uCyub6WGyQgG6lS3jkaKEsyoryBVd2CKSxC1vPMMLCLnKrFJbvmVlq1vfvGS9YtdGea+Ec9+sRwv1Kr7STaUfZz5m1GMmkrXbUZRk7fZlGWzTfqFFfN37SX7c8vw58UfA+38LN4YfQvivPNqV5rGuSz2w03Rba1S9uboQMIyuLdiTJK6CEhd0bbjs9h+A/x88JftNfDGw8ZeB9XXXPDeptKltdi3mt97RyNG4McqI6kOrD5lGcZGQQadHG0atWdGEveg7Nddou9t7e8lfa+g8w4TzXBZfSzTE0ZRo1LpSs7JqU4WlpaMnKnUUYyak+STSsrnYUV8o/tdftz+Mfh9+0ePhR8N9L0HUPGSeGYvEdta6paT3ba/LLei1SwgWKWEQFVEk0lzIzpHGhZkCq7p9WxliilwAxHIByAfr3p4fGU67kqevK2r9LptNfJpprfZ7NNxm3DWNy3CYbGYtJLEJygr+9yq1pNdFJP3XqnZrRxaS0V8L/ABg/b9+Kvhr48ftA6Nout/Caw8IfA/QI9Yk1LWNAvZHuLueIS22ms0eoKC7cp5qJneAohJIFeg/Dn9vDWfi34f8A2f4rWfwJ4W8afFJE1XV/C+svdz6i2lCGaR7iyWFf3e9YWkjkudsRXK7mYc8GHzzDVnyxundLW2t5yhpr/NGXqldXWp9Pi/C3O6GFp4xqMoSipNpybipUfrCclypr917zauoprncbq/1PRXjH7P3/AAUF+Ev7U/jbVPD3gDxNd+I9U0VGkvhFoeow29oAxX555IFhUsVbaC+W2nbnBrzr9kn/AIKZ6X8YvCWnap44Ft4bn8a6jqc3hW307S9SvLV9JsZRby3VxfeT5KqkodnlfyUSN4yyrncd45vg5OChVi1NNpppxaTSdnte70V7uz7M8l+H/EUYV5VcHUhKjyc0JQlGfvxnKNoNczThTnNu3Koxbb2v9WUV5d4Q/bU+GHj/AP4Q46N4ttNSj+IF/faZ4flgt52i1O4st/2lVfZtUL5bEMxCuAChYEZpftLftJ3Xww8X+DPAfha2stS+InxGuZbfSYbsM1pptvCnmXOoXKoVZooU5EasjSuVQMmS67yx1FQ9pGSkrpaO93JJxXq1KLXk09tTzqXC2azxkcDUoSp1Gpu04uFo0+b2knzJWjT5J87+y4ST1TR69RXyD8Vf2pPil4P/AG4dC+DegeKvh02nL4Pl8U+INe17w3czTaLDFvQyS+TfQQsJJFBxiPy0cEl+C3mXhX/gr/418Tfs3/C/Xb3QvCXhfWPiH47l8IHxLqEFzJ4cgtonj3agkIlSQq+9o1RrhVDwSM0gUEDznxBhVNwd002tlq1ONPvZe/JLW3V7J2+ywnhDn2LoUcRhOScaihJWbTUZqrKMmpRTd40aj5Y807JNRalFv9C6K+T/ANrv9rL4sfsrfst/EPxrqlr4Es9R8EXljY6ZNJp93dWvisyiMPLHD9pie2DSXEahPMn8o28+XlBBXG/ax/a/+Mv7MH7K/wANPEFzd/C+f4j+OtastIk0ufQr2HT1ku49/lqxvt8Yg2vvlckPlfkj76Vc7oQ57xl7nLfS3xvlitWtW76O1ktd1fgy3w0zPHLDvD1Kb9vUdKHvN3lGnGpJ3UWlGMZxcm37rdpWadvsmivCfgf43+Lnxb8V2Wtxa98Obn4XtbxGLUY/DF5bah4jf/lpNaKdQkSG0YEeXLLvdirERtGY5pOB/a5/bm8UeGP2pPD/AMHPhX4j+DmneOb22W5u7bx4NUVLppcmCC2e0TyxLtRmKyyBm82IIGJONq2Z06VONSomuaXLFaXk+llfqk2utlexxYLgTH4zMXlmEnCc4wlObXPy0oxV5OpeCceXRS091u0rNNL60or5I/bn/bb8Vfsy/Hj4SeDbLxb8LfD8Pj5Z11a+8T6ZMbfR0gTdJd+b/aFugR2IRIm5LKf3hJC1T8FftlfFhv2bvjR438ZaFpunab8Nr77Z4c1yy0q40mHxlp1vtmlKWl400iJLGoRZlcq/2j92Q0Rc4vO8MqlSm7/u+bmfRcqTbvfa0lq7dV8SaXdQ8M83q5fh8yhKHJX5eRNuLlzVXRVuaKTfOndRblypztyps6j/AILG/wDKOH4jf9wz/wBOlpRVf/grtqsOuf8ABMvx5fWz+Zb3kOlTxN/eRtSs2B/IiivYaadmfnsouLcZKzR9R0UUUiQooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKK8C/wCClupavp/7MNlDoviDXvC95rHj7wRokmpaNeNaX0NtfeLNIs7lY5BypeCeVDwQQ5BBBIpn/DAn/Va/2gP/AAr/AP7TQB9AUV8//wDDAn/Va/2gP/Cv/wDtNH/DAn/Va/2gP/Cv/wDtNAH0BRXz/wD8MCf9Vr/aA/8ACv8A/tNH/DAn/Va/2gP/AAr/AP7TQB9AUV8//wDDAn/Va/2gP/Cv/wDtNH/DAn/Va/2gP/Cv/wDtNAH0BRXz/wD8MCf9Vr/aA/8ACv8A/tNH/DAn/Va/2gP/AAr/AP7TQB9AUV8//wDDAn/Va/2gP/Cv/wDtNH/DAn/Va/2gP/Cv/wDtNAH0BRXz/wD8MCf9Vr/aA/8ACv8A/tNH/DAn/Va/2gP/AAr/AP7TQB9AUV8//wDDAn/Va/2gP/Cv/wDtNH/DAn/Va/2gP/Cv/wDtNAH0BRXz/wD8MCf9Vr/aA/8ACv8A/tNH/DAn/Va/2gP/AAr/AP7TQB9AUV8//wDDAn/Va/2gP/Cv/wDtNH/DAn/Va/2gP/Cv/wDtNAH0BRXz/wD8MCf9Vr/aA/8ACv8A/tNH/DAn/Va/2gP/AAr/AP7TQB9AUV86/sCwax4a8cftDeE9T8WeK/GFn4K+I9vpmk3XiHUDfXlvbS+FfDt80PmED5BcXlw4AAx5h+tfRVABRRRQAV84/wDBUX4p+IvhR+zlplz4S8YeMvBniPV/FWkaVbXnhfw7D4h1KSCW6UXgSxeyvHn2WYuZtsMDSZgByFD5+jq8A/aW/Zw+LfxW+O/g7xb4M+JPw68M6X4JiuZLDSdf8AXmusb64iaB7tpodXsxlYHeONRGNommLF9y7Ine8fJpvzSd2t1va3zLi1r6O3q1ZdHs9fkeN/s8/wDBQbVPhP8As66n488eav4s+Kfw71X4hxeF/CXiVbPR4NfFhN5MBuNUs7c2io0V/wDaYjbw2q3saIoltRIsmPUIf+Cm/hue3tbgfD/4qxWtkLM+LZrrSrWz/wCFf/a3UWy6ok1yknmujpK0NotzNFFJHJLHEssZdvwE/wCCcdn8GPCvw707UPFt14wuPCnivVPH+v32paXAs3ijxDfJcb70rHiO2jjku53jiRWK7YBvJjLO3XP+Cf8Aq3i34ra6dX+ICXHwq17xfb+O7vwtBofkalf6nAtqYoLnUvtBWXT1ltIpfs62scjGNEed4g0b7JrnjCWyS16aKnF30Td3zybSi27aRu7ZTvaTh1cvxlNprdLTlSTbSu9+X3uf/bT/AG1b/UvDOpeCvhbceOdJ8Saj4lsfBdl470rT9Mn0jSNclu4Vks2F8JDOYoWlkmaK2kiQQyxGeK4Xar/Hf/BWzw54X8M69qmi/Dr4meLNKsfDV94l8P6vbJpdvY+NLayubS0ney868jmCiW8iKPNDElxGGe2NwDH5mdpX/BMPxefEfgGLV/i7Z6h4P+Hep6xc6dokHhV7aSePULe7hNzNcfbm8zVU+2Tn7YU8o72ItUdmc874B/4JCeJvhx8Bbrwjp3xO8KtqIu9B8i+vPBt7qUd5ZaRexXlrbag93q82oXQDRmNY47+C1ijkdY7VNzZxoJyjyVbq7WunVJN9bcsveSV7r3dZe+9ajSknBXS6a9Hstr8ysruzTvayaUfU2/4KJweDn8LaL4i8B+N7vxO8ug6V40bSYNPax8Dapqz28NtbXbtfESO0k6MYrJ7ySGJo5JNqSRPJyFh8X/iL4sGlnTPiHqyf8Jx8cLnTPD2bPSn8jw9pnnf2hZP/AKN+8t5P7Nv9ko/0hfPgzMcHOppv/BNTU9B/a58S/E6w8fWccOualJr9ra3miXOpX2kak9klo720l1fSWNtC8alHNrYQXbxkRtdlQd0PgX/gmv4p8MeGPhjo978Wzc2fw/8AA2reDrh7Lw2tpcX0l8kCG9hka5k+zugt1yXE0rF5D5yb2zTqu3tlD39+W/u30ny9dFKHJd6uNRp6XZCS/ht6bXtrs436a+9z2WicV2XN23gv/goj4Y+IPxo8L+EtJ8KePLvTfHF5e2nhzxV9jtV0PW1soJZbu4hY3AuBbxNGsQleBVnaaNoPOhLSrl/Hf/gpp4d+AXxg8ZeDr74f/E/W5/AOjWPiXXNT0eysJ9OsdJuTMrXrSPdoyrE0EgaFkFzIFZoIZ1SRk5T9kr9nDxNo/wASfDfxM1H4xeGvH/hv4d+G9V+HkWhaF4DuNLsdOksb37LctZRi+nkS4WbT/ImDi48w24EPkqSG539lv4MeMP2vPEfxD8a+KtZvtC+G/jXx5Jqk3g/Vvh5qvh3xFfQab9nttOhubm/mQtp8kVpBcNDHZR+Y0rxtKQZ430Sj7SMU7pJtvyUuVX/xL3rLpeN09Sed8jlONr2SV768vM7d7WcW3ZXs+WzseqeOv+ClPhrwr8QX0XS/BXj/AMXact9qOir4g0pNNh0iXV7Gxub6501JLu8gkeVIrSVGmWM2iTAxSXCSJIicLYf8FbP+FoWnw4m8AfBz4uarZ/EHU7SNNRvtKsre3t7P7Il9eyxo96kl0YYBNEXthLGJ4yqmYmKObO8Gf8Ehr3wfB8Q7CP4kWz6Z4yttW02znk0G4vtXsbHVblpr62ku76/uVSNtxZY9Oi0+EzBZZYpioWvc/G37MWr6n+0j8PfGnh7xB4d0LQPAnhvVPDsehTeHXuXVbwW22a1nS6iS3aM2kC7WgmBj8xF8svuGSk1GMra2Tt0ulJtPa6k1GKtayer0cnpKzk0tFqvVOyi15q7bvpdPRpqKyPhz/wAFEPCHxJ8LaFqdvoXjOyfXk8SzJYXNjC97axaDcta3sskcU0mVMwRI9hcsZ4gQpJAzV/bk1bxb4B+E+tWPw+8ZeEj8VPFllo2nQ6zDouqyS2Utq9613iy1gosL2sMxWRJJpIyhdrZ0HPmPwR/4Jj/F74ARaFeaD8dfBra/4c8H2/hHTrq7+G889tZxx6hFdzSpC2r7s3ixlbovI0kkhWSOWAIkY6vw7/wT28e+CNF8BpoXxY0Gw1HwbB4rnV38EmaytdS1pnkgutPtjfAWkVi0kkcVvK1yGt5ZIi4JWRdFZPm31Wn+GUn8+eKitbKLbTTWqTXNeKdr8yv/AIoqz625JNrq5WvePX2L9mb9pj/hp3RtW1az8EeMfDGhWV5LZ6fqWtvpoi13yp5YJZII7a7nniCSQsGS6jglBIBQEMF9OryX9kz9nnxB8BrHxld+KvFWk+KfEHjnX28QXzaNoL6HpNrKbW3t2FvaPc3TxmT7OJZWad980sr4XdivWqTVlHW7sr+tlf7ndX0T3SS0JTbu/N/8D+rv1YUUUUhhRRRQAUUUUAFFFFABRRXiXwI/4KNfBf8AaR+M/jH4ceFfH2i3XxB8B6veaLrPhy5c2mpwz2srxStHDIFaeIFCfMi3pgjJB4oA9toor4v/AGif+Cm3xI/Zw8b/ABgn1H4OeFdY+H/wSg03WPEGqab49nbWpdIvGlP2q30+TS0heaGKGWWSBrxBhcJI5NF1dLv93zey+frsmOze3/B+S3Z9oUVxWlftJfD3WvHVr4Vt/HHhJ/Fd6rNDoR1e3GqPttorph9mL+blbeaGVhtyscqMcKwJy/DP7Znwf8afC/XfG+j/ABX+G2reC/C8ph1nX7LxPZXGl6TIApKXFykpihYB0OHYH5l9RRLS7fRXfptf0uKL5knHVPbzvqvvR6TRXnJ/bD+Eax+C3PxT+HOz4kNs8JN/wktljxQ25UxYfvP9KO50XEO7llHUitbwb+0P4A+I3xG1/wAHeHvHPg/XvF3hQga3oenazbXWpaPk4H2m3RzJDzx86jmnZ3t6/hv93XsF1a/p+O339O52FFeb+IP2nvCnw98ca7pvi/xf8N/DNlp93punWj3fiuGO+lu71HMVvcW8qRi3klKHyEEkjTgOQF24Pnv7S/8AwU8+EvwF/Z0HxA0/4gfDDxDa6lrEXhzRpJfGdlZaXfak9xHA8Ul6DIsUdvvMtwypI8MMUj+W5UKY51362+baX5tfeu5STbt/XX/J/c+x9FUV4b8KP22dN8R+HNG0jxgPBvhr4x63pt3q1j8OtN8caZq2p6zaxPP5Nzp7s8H2m3uIofNjldIgFfEgjKOFpfs0f8FFfAPxs+Efw/1bxR4g8GfDzxt478NHxOvg3UfFFpJqdraqJTNIqsY3mhjEMxaZYwgETnOFJq5e62pdP+D99uV3ttbW2hMXzK6/ra333Vu99Lnv9FeYeDf2sPBfxe1PwfN4C8b/AAw8Z+HvFNxfWqX+neL4LiW4ktofMdLGOFZUu3Q/61fNjMSfMd33a9Pod1oxKSewUUUUhhRRRQBx3x98UeKPCHwk1u88GeGb/wAW+KTayR6Zp9rdWlsWuGRhG7yXMkcaxq+0sQWbGcIx4r88bb9hP4weMv2FPhn8CrT4ZXvhXX7PX/7f8ReO9d1bS5U0m5E0lw1xZ/ZLua5kmbcIg+xDtUA4Dlk/RP45/Azwt+0n8LNU8FeNdL/trwzrXlfbLP7TNbed5UyTR/vIXSRcSRo3ysM4wcgkH54/4cafstf9Ev8A/Lk1f/5Kr5vNsrr4iv7SmlJWS1ny7SUmlalJ2bjG75k3ZbWTP2nw247ynIcA6eJnKnWVaNVOOH9trThKNNuTxuHj7jqVGoOlKLdnJzT5VT1H4Uat4q/4KdeP9Pj0q/n8J+Jfh1pNhr2pybRbhPtV0GgOeZJZokMfHKI7vuBVFf6N+L/jbxf4Ml8NL4T8Ef8ACaLqmswWWrt/bMGnf2JYvnzL3EoPn+XgfukwzZ4PFfP3/DjT9lr/AKJf/wCXJq//AMlUf8ONP2Wv+iX/APlyav8A/JVPD0Myo03CNOGspSv7R/am5ta0Xpq131bTT2rNc44Kx9XDTr4rESjRpwp8rwcLS5YKHNJxzGMrtRjZRaS5UnfVy9J/b9uPiFf/ALMvinw/8MvCWq+J/FninTbjTLWa1vrGzh0vzVCNNK9zPEfuO5Xyw53KMhRzXze/7HnxO+O37Hnw6/Z5PhS/+FfgPRbLT08Z61qmo6fPfav5J82a30+CymuF/eXChzLO0eAR8r/Mp9H/AOHGn7LX/RL/APy5NX/+SqP+HGn7LX/RL/8Ay5NX/wDkquXFZZjcRWnVrU4tSUU4+1fK1Ft2/g3s27y11220PU4f4y4UybA08HgsTW5qdX20ajwMHNVVHlhO39pezbpptwTg0m22mzH0z4DXMf8AwUY8YeGdJ0K8j8Bal8MtF0TVLwkC1t7eO4uYxa5PMkssEflDHKI7vuBVFfzH9qn9lH42+OPFP7QcOl+AtT1//hbGt6NYJrMGt6bEIvDNqkZkt7SOe4VkuC+9WWRY0bczBi2CfZv+HGn7LX/RL/8Ay5NX/wDkqj/hxp+y1/0S/wD8uTV//kqsa2TY2tT9nUhHeb0qPX2kpSaadF6Wk4+acujaPXy7xK4awOMp4yjiq83GnSp2qYKErulKlNTbjmMHdyowur8topNN3k+f+OX7MHxK+Jn7Qmp+OLbwp9jj+HXw0OneBNOt9ZtjBd6/MGcjexDbIGS3CvKsSl40YZAJrvv2cvgJ46+CP/BMyy8A+FrC18HfEPTfDM9tp32y4huPI1ORGczytHviDG4d2ADSqAVyW5UYP/DjT9lr/ol//lyav/8AJVH/AA40/Za/6Jf/AOXJq/8A8lVtDLMbF1ZKEb1FJN+1d/elKTafsbprmsn2jG92rnk47jXhjFYChltTGV/ZUZU5RX1Gm0/ZKSSkpZi1JSc6kpXTblOWqTsvmXxR+wr8YPG/w98Dayvwj1jS/HNhoMvhb4l29xr2jSt8QtPupVWeeG8+0yM18ObjzLpU2ORtdzEof9Evh7pX/Cn/AIBaba6L4IuLOPR7ECx8LaV9kiuLaPOUtQXuBbmZVIDt5+xnDsHIIJ8H/wCHGn7LX/RL/wDy5NX/APkqj/hxp+y1/wBEv/8ALk1f/wCSqvBZdjsLzulThefX2m2+1qCW7btZq7btq77cXcd8McRUaOGxuLrxp0pymoxwaSfM2+V82ZybjG7UXfnjF8qlyqKXy/H/AME7fi54g+HmvfEy9+Fwj+Pln8Wrfx7Yw3Oo6SUv7DzAfsEdwlw48tCN7LKYxkLtDEHP1D4g034m6p+2zD8T734S+IL7QvD3gNtO8P6e+saWs0Oo3Mokuo3C3DhZm2W8IcEwhPMdpBgAp/w40/Za/wCiX/8Alyav/wDJVH/DjT9lr/ol/wD5cmr/APyVXJhsjxmHhGnRjFJNP+JfVQcLtOhZtqzf95J97+tm/ijw1mcubGV6srRqQjbBJclOooRlTg1ml1BKForVpTmrtNJcl4H+LXxi+IPwK+IvhCx+CPivw98QJ/CF6J7u8uUtNOtNVNxJZWmmadJIkNvJax2oFwjwSmNF4ZpZpHkfQ/4J6fsdfFP9jH406nod3cReIPh9qXhXQ4v7Z1G8ja40+5tIZ0l061giClYfOnklDMAoDk5llkket3/hxp+y1/0S/wD8uTV//kqj/hxp+y1/0S//AMuTV/8A5Kroo5dmMa0MTUjGU4pK/tWk0ufdex68+ut24xd/ivwY3jvg6eCxmW4OrVpUMVrOP1KE3dcji4ylmLcVTcf3aWii3GXPuVv+CZXwt1a38N+I21jSLzTdE8NfEPxJfeH2udqm/ea6ng+0RqOViSJpkUnAkM8h2gIjN1esfDW7g/4KqJ41ure4vbWH4US2WjW6MCZLiPVN91s3lUV9k1suSwBEvJAGa53/AIcafstf9Ev/APLk1f8A+SqP+HGn7LX/AES//wAuTV//AJKq6GBzClRoUVTg/ZWs/aPW0HBf8uuid12sjzcfxXwjis0xeZPG4qP1iE6bisHS92M9XZ/X7tt3ctr80kuVNW5T9n79kPUvjh+2x8X/AIh/HT4Lxyaf4ljtLfwnF4lGi61a6bZ2yiMxlI7ido7iXKv8qFFCyDzSWAPov7TPw88R+O/h/wCOfAesfBmD4g/Du/to7Lwpp+i3+nWdxpxjtFUPKtzLAluizf6qSB5JFAOY1AXdi/8ADjT9lr/ol/8A5cmr/wDyVR/w40/Za/6Jf/5cmr//ACVWX9k4xYV4RU42d+Z+01lzNtuX7izd23tvqdGL434YxOYUswqYzEJUYU4U4LCWhT9koRjKnbNOeMrQV5Kd3eTerZ4V42/ZE+Ol3+y/+zz8H9d8G69420nwHrdrrXjDUrDVtK2z2kEjtb6bbfabuKRzFFJ5TMyoi+Wmwuor1L9r34I+Of2pf23fh/8A278JfEOq/BzwNZ6pDdTDU9Hzq93dwtAJBA94H+zqgQgsFclmBjAHPR/8ONP2Wv8Aol//AJcmr/8AyVR/w40/Za/6Jf8A+XJq/wD8lVnUyXGVFKM4RalJSadS9+VJRTvQ1S5U11vq22exPxR4bliI4tYipGpFYmzjgVG0sU37WolHNElOzcYNJKMbe7dJq7/wSV8A/E34Gfs1p8OviR4Q1bQD4RvJ49Dv7rUbC7GoWEsryRowtriVkljLMpVhtC7ArNghaXxk/Z+8Sftu/EjwFL4s+GLfDu4+GHjddeTxFLq1lfnU7C3d/LitGgfzwblktmkSeOJY1XOZHRVJ/wAONP2Wv+iX/wDlyav/APJVH/DjT9lr/ol//lyav/8AJVdiwWYeypUZwjKNO29R3k4tOLk/Y3uuVbWvrzXPBr8Y8KSzvE8Q0cVXp4mu5S5oYKKUJTUlNwTzNr3+ZuSnzxvsktDldT8M/Fi5/wCCifin4ual8DvGOu6HpPhD/hFvB9kuuaAvmyNJ5s1xMHvx5CyMXQECRzG+WUEbB5h4Q/ZG+IvhP9jT/hnm7fTrDxn8bPE0viDV9P0qUTWHw88PvLDLcIAMoBuiaFEQ7HkmcIzbGevef+HGn7LX/RL/APy5NX/+SqP+HGn7LX/RL/8Ay5NX/wDkquD+w8bqpQjJPmTvUeqnPnmtKK+JpJ3vaN1FK9z6DDeJ/C1GFKnTrVYqkqPLy4KO+HUvYtqeZTVozm6kklFzk2m+VuJof8FdtLh0P/gmX48sbZdlvZw6VBEv91F1KzUD8gKK5v8A4KN/Azwt+zZ/wSO8ZeCvBWl/2L4Z0X7F9js/tM1z5Pm61bzSfvJneRsySO3zMcZwMAAAr7SMpyipVFaT3s7q/XWyv62Xoj+bMb7H6xU+rzlOHM+WUoqMpK+jlFSmoya1aUpJPRSlu/seiiiqOUKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKAPyk/4OnP2g/2gv2WPgb8OfFvwsn0y88CyeKdK/tyxm0dby5tdWsdSttU0mdWHzeVJcWaxuvQlY16y1+h/7GsPxJi/Zb8DP8Yb2wvviddaVFdeI2sbVba3t7uXMjW6IuRiEMItw+8Yy3evTKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigDwD9jf/AJOK/ax/7KrY/wDqD+FK9/rwD9jf/k4r9rH/ALKrY/8AqD+FK9/oAKKKKACiiigAooooAKKKKACiiuD/AGoPgNZftQ/s8eMvh7qF/qGk2/i7Sp9OGoWEzQ3WnSOv7u4iZSCJIpAki84JQA8ZFAHnn/BNP/k3XxH/ANlV+I//AKnGu17/AF+T/wDwbDf8Ew/if+xl4d+KfjP4y3/iJ/Fepa/feGdI06+v55reG0trtzd38aucH7ZdhnEmMukIcEiUk/rBQAUUUUAFFFFABRRRQAUUUUAFFFFAHwp/wTU/4J1fB34j/wDBOX4AeItc8IyahrWvfDfw7qN/dPrF+HubibS7eSSQgTgAs7MeABzXtf8Aw63+BP8A0I3/AJWtQ/8Aj9L/AMEnf+UWX7NP/ZKvC/8A6aLWvf6APn//AIdb/An/AKEb/wArWof/AB+j/h1v8Cf+hG/8rWof/H6+gKKAPn//AIdb/An/AKEb/wArWof/AB+vkf8AZ5/4NafgX8Nf2v8AxZ8Y/Gd5rPjbUtT8U3ev+HtCWeWx0rw9G9y8tujFZDPdSxgqN7yBCQcxnqf04ooAK+Hrz9iG1/am/wCChfxW1b4sfCP4i/8ACv7600EaLd3fjKKHwzr82lTSyYu9KsdVP2tWkkhliW+s2XbDIHEZIR/uGiiLtNT6rbyfRrrddNQeqt/Xp6M+Cdb/AGI/FHj68/bj0Pw78Movhnd/G2zjt/D/AImuf7Jjs/Eci6Z9mfzvsdxLdLHJcGZ2M8KMUuXbHmMyjP8AG/wA+I3xp1Txh8T9S+CXxG8D6rq3hvwv4bHhjw54t0C18TLqGnahPd/2zaXIum050sxcKsC3UyNcKkySwJGUST9BqKmEeXl1+Hlt5cqavp1s7eWjjyySkVOXMpRa3vf5uL+esU9b31TunY/MXTf+CfvxK8Z+K7Ob4vfDXxZ8RbXxh4e0/T0k8PeOj4NtvD13Z6jeXET6/pmm6pb2U+/7VFdSPYLebblbsRpsaJm+gP2I/hD8RPAX7UnjO+v/AAn4u8JfDuWLUfsmn+Kb3RdWFreTaj52/RL2znkvl0+5XzJ5bXUAnkyNCsICh0T66rxb/gpL461j4Xf8E6/j54m8PajdaR4g8OfDnxDqemX9s+yeyuoNMuJYpkbs6OqsD2IFaRlyyU0v5vT399NtOnor3epnKPMnF/3fX3dtd+mvTorJtHyb+2L+y1498SeKv2nbXwx+z1q3iXR/ilqHgl4/s154ctrXxULC7M2pzypPfRs37gLF/pKI0rBVxs+cVviB8MvjLDdfFB9E/Zv+IM8OvfHLwt470yGHW/CsC3GladDo8dw4B1YBJP8AiVS7EbaW8+DJXMhi/SSipot0pKcXquX/AMllCS8t6cfldLpap2lCVNrSXNf/ALeUk/vUmfA2ofsd+Im/bG8WeLfE/wAJfiL43e98WWfxA8La5p/xLns9F0toLCCH7Hd6OdWhgOpRC3eGKSO2lt5VmhEs8aiQr5Z+xj+zp8cPgF8AfFvgXx38BPip8RNP8feEfILzeMfDdhe+GZoknhOhwTw6mBFZuqJcW80C70nu3aZmdnlT9TKKlQSioLa3Lby5VH77Ja7uyu2r3rmfM59W7366Pm+67btsr6JWVvz4+BH7N3xY039o/wCB3i3xZ8N/E2tXPh3xJ4ie68Xa5D4VtfE+m6PdaWLa3j1h9Ou/Kurhrn+OyWQPDDA8qpLuWv0HoorWU20k+mn9fn5ttsyjTUW2urv8/wCumyVkrIKKKKgsKKKKACiiigAooooAKKKKAPhb/g4O/aN+J37If7C8PxF+FfxB1nwL4g0vxFpumyLa6bpd/b6hDeXMcLiVL21nIKKSUMRTlju3jAHo/wAdvHHiX9kXUrX4ga38SPin4z8GeAvh3qmu+IPDNtp3hzzfED2H2bfes5tLZ1m8u4lkaOK4giZoYwiL8ySdf/wUe/YZ0f8A4KNfsh+J/hTrGsXfh06ybe70/WLaBbiXSr22mSe3n8piFlUSIA0ZK70Z1DKSGHLePP2KPiX8bv2ePiD4W8e/Fjwzq3irxj4PvfBNhq2leCZdO0zSbO7jCXFw9i2ozST3UmAS4uo4x5cQWJcSeZlepGlU5F7ycmr63TpcsUr9p3bTstU021prFU5V6TqP3LJStv8AHdv/AMBdk1d6NWSav594Q/4LUeC/2g/hj8QP+EY8L/Ffwtr2h/CqP4o6adR0fTGur3SLmKTy7y1ia9MTyRSIcw3LwiTaCheNg5y/2bP+Cy2i6j4b+H3g/WvC/wAW/GHi7WvhDD8TLbxHcaXoGjw+NLSK1ja4kggXU9kN20pYG2+VYyCd3k7ZTznwh/4IgeOPhZe65O3xs8K6gdU+B1v8EIAPh7cQ/Z7S3TZFft/xNm8yX5nLINinK4K4O70HwP8A8EdLLRPBv7KVvrHjg33iL9l+OTTk1XTtHawTxTpb2xgaxmha5l8tXMdo7kvICYXCqgl+Tsap+0nZ+62ku9r10nrs0nRlK265lZtJR5oynyJyWqTfz5aLa87yVWCb+HR3s232N3/wVn+H+mftDW3w2vfD3jqz1db/AEzQNVv5LaybTfD+vajZy3lnodzMt0S15JFHjfAs1sjyRq06lgK8psv+Dh34T3XwLu/iNL8OvjXZ+FtPurnS72+udG0+Oz0/U4dSt9P/ALOnu/t32SK4eS5SRS84i8lXdpF2kV0M/wDwRs0XTf8Agoz4t+Pmlah8O5/+E2vNM1e8sPEXw6tdc1fRtRsY9guNK1SSdWslm2QmVfJkY7XMbxOyPHN+zd/wSp8RfAP/AIJ/+JvgdffEHwP4y/4SLxDf6295q3w9M+k3EN5c/aprK606S/kM8ZlZ/mS4icIUAKuvmHlTlyqTWvLqtvevBWT1staju07RUPdlJSU9mkpWTurrXrblk27aatqCtdaudpKPK4818UP+Cr8/wx/aguJ9a0H4waDouhfBfV/iBd+AL3w3ookvDaXyJJc/b0v3ljniSOVBCFNvIknmrK2FzsH/AILRW3w6/YC+Hfxy8e/Bn4sWdp4x8O/8JHfw6Lbabd2Wj2i2sc5upb2S9jto4ZfNVLeKWVLudmCi2D5QeefC/wD4IAX3w9fw7p9z8ZRqnhvR/g5rHwentW8LSLeyWmpSTzPcw3L38ghEMkqLFE8UoWKIIXcnzBc+M3/BDDxb8ZP2ZPgx8N7r48QxW/wm8G6t4MkMvgrzrDUorzTF0yC9itfty+Rd29t5gEryT5a4lwI1bYKndU5Rhq1flvt8dZ6631j7Jat2TaTVtHT5XODqbfat/gpLTp8XtNlq0m731960L/gqv4B8c/tI+C/hl4U0Dxx4v1Xxn4V0zxqL7TbS0S10nSdQkMdvdXEc9zFdFNwXzDBBMIRIhkKbhXiP/Bd/9rHx3+xlf/AHxB4b+L3ir4a+FfGHj218LeLF0vQ9K1QDTXhnnmuYUutPup/tSrEFRY9yt08p2INdE3/BHPVtb8T/ALNV/rXxH8NXMn7OcelJaahYeBzYa3fLYQSQfZ4b4XzNBaXKupnt5UuVYp8hiya7v/gpB/wT48Z/ty+Ovg9q3h/4k+GPA1t8HvFdt41s7fUfBs+uPqOo24dY1kdNRtQtvskIaNV3kgESKOK0qqPPH2b2qvV6r2akmm1pdON047tq+l1bCnKbhLnW9Nbf8/HFppPW1pWaeyTtrZ3z/wBjj9oDWv2ivhnqX7TMHxI8b+IfhNrOmzX3hrwFo+naZqzyW1vG0bySC201L86g8kTZso7iQRS7k3yBgkWX4U/4LpfCHV/gv8XfF+uaF8QfBl58FLvT9P8AEPhvWLGyfWftV+qfYrWJbW6ngM8sr+SYpJkeGVXWZYQpI5T4a/8ABHT4ifAu8+POh/D/AOPWmeB/hh8cBqNxH4W0rwXco/gu+urWSL7bpl02qkwyGZklkQR+WwTZGsHysnCeD/8Ag3WudJ+C/wAXPB+p/GDTHPxJ07wqNLvdG8Ef2Y3hbUvDsMUVjeRRm/lWWNhCDJCdpbc+JVyMKDjKXvXUeWGmjknze+r2s2o3s7crbjpFJxVtNaRs3zS11tbTkutWlr71rtWfxNpvhde/4Kl/FfwT4e/buv8AxH4q+KnhnTfhHdeHB4dFx4R8N6jr/gEajEZJ1a2WS3tL6OORljUtcz5jCsskpy7fXGs/8Fe/C+i/tG+I/hJZfDL4z+K/HHhe00W/mt9D0axvFvrLUyix30e28zHBCzr5zTCLywc4Zfmrx74qf8EPPiB8ZvCn7Tdnr3x28MSaj+09HoY1m7t/hzNFHoz6aqLm3i/tY5SREwFdiyE5LPjn2z9nb/gnp4y+CX7a/wAQPjLqHxJ8M65P488GaT4VbSrfwdPZJZTadEEiuhK2oyl0Z2nZodoOHjUSAozSQm7Qv0jG/m1Sd7ebqJK76Sbb2adR3u473dvRyhvbtHndlomlypXae5/wSb/abu/2u/2KNE8cX3iLxH4pu77V9YtpL/XdBsdDvsQ6lcxLA9tZTz26iFFWEOkrGQRB2wzED6Rr54/4Jf8A7Duqf8E8P2Vbb4Zap4ysPHRstY1DVINStdCfR8LeXL3LRNE11cbisskmGDj5So25Us30PWlTl05ey++yvv53/wCCL7Uu3NK3pzO22i0tp02stgoooqBhRRRQB8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/ANOlpRQB9N0UUUAFFFFABRRRQAUUUUAFFFFABRRRQAV+aXxY/b0PgX/gph4N+IqXfxIXwFdeI5vg9qtvdeDdbtvDMNpPJGlvrCak9r/Z8kv9sxtbbluDuglTAyGI/SHxDocPifQL7Tbp7tLbULeS2la1upbSdUdSpMc0TLJG+Dw6MrKcEEEA14z4q/4JwfCLxv8Ase2fwE1fQ/EF/wDCmxjjgi0aXxdrJlMMcnmRwPd/avtUkKNjbE8pjVURQoVFAUG41Y1N+W2ndPSWvR8l4rR35ns0mVLllTlTenN17W1i7dbS5ZW0+FbptHy54Q+K2v8Aw0/4Kh/Gr4S/DG+sNC8Y/EbxTZeJrvWvGOkahrujCzg0CyNzbQOb62Zr1mkiaK2ilZYoIJmMccax57nwD+3D8Z9Uf4XQXf8AwrDWL/xH8SvGXw61eGHR77SodQk0mHWHsrm3lN5cmyV20tRKrx3RxOSm0oA3o93/AMEkPglfy3U1xZfEqe8vNTsdakvZPip4qe8F7ZW721tcpOdR81JEhdk3KwLLtDZ2ri94n/4JYfBbxb48Hie60fxlBrkWsSeILa5sPH/iGw/s6/lieK4uLVYL1FtnnSRxN5IQT7syhzg1MIuNPkv0tftblUbdkoqSt00e792pzUovTV/nyzvfv70oyvo7K3S7+dfg3+3l+1B8VvDfwrmux8BdEvfix4F1rxTG0WjatfxeHpNKlsldipvITerci6AEINsbcksZrnZtku+Jf+Cl/wAXbj4E/EnxnpEfw4sn0T4G+HvjDoVpeaFe3QtpLuO9a7sLp1vo/tCk2LeVLGIDH5w3JLsO/wB00X/gk38FPDlp4cgsLD4i2kfhLRr7w/o4i+J/ihDYWN6SbmFCNQzhztO45ZfKh2keTHsZrv8AwSM+AfiX4a6L4PvfCniGbw1oPhxvCNvp/wDwmuurFPpBZ2SyucXgN3FEzsYRcGTyDgxeXtXG0ZJLVXf/AO8fn3pK3aL9JOMoKUW1ddfP3qb+Xuxmv+3r+Z57qniy++AXxY/aY8T+F9X8PaJruryeEbtrzxU+pavZRTXERgdYLOGQ3FxKYwEt7C1aMzzmOJCjSFq4W1/4KjfFfUv2efBXjK5j8J+F9Mn8Sa74d8ReLdV+H2uvosU1hqzWNsl3Zi6S+0BLmNXc3F4txFbyL5c2wld30Pd/8ErfgtqLeIJLrSvG95deKP7JbULy4+IfiKa8aXSyhsJ4p2vjLBPCUGJoWSU5fczb33VvD/8AwSY+CHhdoxZaT47jiW6vbua3f4keJZbbUDezJNeRXUT35juoJ5Yw8kE6vFIzSFkJkk3Klyqd57X08krW08tdLpbc3MlynOlJUFD7fV973v8Ae7O+r3s4ttmr+wX8RdU+IKfGFNZ8LeB/CuoaD8StT0x4/DCP5OoqsFpKl3cSuiGe7kSVfMk2LkqFAIUM3z78RP8Agp38Ufhh8Q/iD4a1LSfD58Yx6jBo/hHwTN4XuNO1aRrvVEsrTUYr671KLTdas2ifzT5E9kySmO2kMMkm5fsP4Jfs2+Ev2d7jxXL4VttYtpPG2tS+IdXN9rt/qn2i9lVVeRBdTS+SpVEURxbEARQFAArgpf8Agmf8Gb7R/FGnah4a1fW7DxaJvtVtrHinVtTi08zXQu5Dp63Fy40xjcrHNmx8giSGFgQ0UZXOMbOlfaMIxku7UYp27Xadna6Tulcu75andzlJPeycpNXXWyaur621Z4v4A/az/af+KM+mfDebwx8Ofhl8ZBp+t67PceK9P+36bqVjaT2kVkFstM1e4NpJcG+jMha/uDbiAkRzCZNqy/t+fGXwdfftAeJfFmjfCe38GfBC0t7i10vQb271G+8SyXWkwXUEY1G4Nrb2yCeUEytA6tHNtIj8kzS+5eIP+CeHwq8T+GvDmnXumeKXuPClzcXena1H401uHxCr3CBLgS6sl2L+dJUSNHjmndHWGFWUiKMLp+Ff2Gvhj4Q1r4hXsOgXt+nxUhW28Uafq2t6hqul6lCsXkrELG6nktoYxDiIJDGiiNVTG1QA5tuLS35Wr7Xbej8tLJ2uk1zKKbaHCykm9rrTsrq68+rV7Oz5W9OZ/IOv/tH/ALXviLXvhvo/ie28OfCK6vviZp2nLdXnhyzn/wCEp0yfT7ybypLOx8RXzWyxT2sgZvtf78NCR5apNFJ9Xfte/HLxD4B1r4eeBPBreH7Xxl8V9Zn0jT9Q17T5tR0vS4beynvbmaa1hmgkuCYoDGkYni+aYMXwhVqtp/wTf+E1l8NLDwmuneMH07StTttXsbqXx1r0urWE9tG8duIdRa8N5FFHHJIqwpMIlWWQBMO2e3/aB/Zk8F/tQ+E9P0bxppl5fQaPqEWrabdWOqXelalpV5FkJcW17aSxXNvIFZlLRSKWR3UkqzAuSXI4bpzv293lppp763jJ22d91d2lOXMp3s1C3f3uabT7W96Ppa1mkr/CX/BNjV9d+Dun/s8eCLrwb8Jp9NvfHXxN0yfVLDTJLWfQbq21PVpBHpFsQy2drIsTI2ZnYR7Y9pGXr6P/AOChn7Vnjr9l7UfBtzocnh/w74R1KWSPWfFOveF9Q17SdPm82FILW6exuIpNMimDykX8sc1vG0YWQJuUtv8Awt/4JmfCL4NeIPCuqaDp/jdLzwVq+o67o5vviD4h1GO3vdQUi9meO5vpEmM252ZZQ67pZWADSOzdf8b/ANj/AMCftFeLdI1vxXZ+ILm90a2lsUSw8Tappdre2srxvLa3lva3EUN7bu0aboblJY2GVKkMwOkpc1SEpPr73np+OttNFor8yvFpr3qrX2m2vK7v+V9dXfbl0a+SfiP+194p+Nnxi+JnwV8T6j4S1/wV4m8FeMbm2n8I6Vr2ltpQ02a3gSAa80q2upTNHcstylksTWk8bwyFsZaLWP20fit8BP2efiBbeHrn4fSQfDD4D+GviJ4c/tHw/eTvlobyO6s7spfxicP/AGcxjkjEPl+eNyS7Pn9xvf8AgkN8CL3W7q/GheNrSW6j1aHybL4i+JLO1todUcyahBBBFfrFBDPJ87RRIke9VYKGUEX/ABx/wSo+B3xI8D6P4a1vw14hvtD0Tw1/wh8VofGeuRpd6SNxS0uyt4DeJEWLRG5MjQthoyhAIyofu46q7ain/wBu+2a9dZwWu6Urvo+hzg6ik1onJ/fKk2l2vGElps5LzZxWg/tWfGzX/ir+0DHezfA3wh4P+D8SnS59Wub8jUPtGjx3kE2oXpaOOxhikcSSskM+Y5DGNph8+byrwP8A8FIfjt4+ktNI0eT4a32r2/xWtvh7dXms/D/xB4VS+trzQ49SjvEsL27N3avbsZAUk8xbtRHse3VxKPprw/8A8E1fhF4e8MfEDRjpXi7V9O+KWnx6Z4ni1vxzrusnU4Y4RDGd13eStFKsYVRNEUkARfm+UY5u0/4I/fAuz8bWniMaf8S5dbstYg8QpdTfFbxXMz6lBbi2ivJA+pESTrbjyfMcMxiyhJUlacVaa5tVaN/O04uX/gUVJXVvi7JGEbqlyv4rSs+l3C0X8pa63+bend/sKfHTxH+0N+z1Frvi6HRY/Eun69rnh3UJNIglt7G7k03VrvT/ALRFFLJI8Syi2EnltJIU3ld743H2GvPv2bv2X/B/7Jngi98OeCINetdJv9TudYmj1XxHqWuSG6uX8yeRZb6eaRPMkLSMqsFMkkj43OzH0Grm03df0+v4/wBIezlba7t6Xdl6pWT/ADe4UUUVABRRRQAUUUUAFFFFABRRRQB4B+xv/wAnFftY/wDZVbH/ANQfwpXv9eAfsb/8nFftY/8AZVbH/wBQfwpXv9ABRRRQAUUUUAcx8a77xDpfwl8RXfhW/wBH0zxFZ2EtxY3OradLqNlFIi7v3sEc9u8ikAjCzIckHPGD82fA/wD4KeaJ4N/Zx+EGp/HTX7S1+IvxU8Ix+L7Sy8K+CNbksr2N4UnktbNIxeNcXEEcil4klaZkRpvJSPO36T+Ndl4h1T4S+IrTwrY6PqfiK8sJbexttW1GXTrKWR12/vZ44Lh41AJOVhc5AGOcj48+H/7JP7RHgPSf2doh4c+C93J8HPh7qnhHU4z461NBf3U1ra21vLC/9jHERWyjZwyBlNwwXf5QMuUpzjGryq793lv6VW/S75E36ebNLRcqd9vev/5Jy/hz289+h03iD/grN4X+HH7S15a+K9b8LWvwd1b4e6T448K67pNvqOq6jqNvc3E6T3tzHDCRbWMSLCTKUMcQcPLMnmLGnsmqft0/Dm2+O7fC611uefx3NOdPtYJdI1GPSJtQ+wm/WxbVFtms0uTa4m8jzTMIyGEZyAfirT/+Cbv7S0f7Nus+A5tD+Bqz3/wJs/g9DeJ4+1V08+3aZPtzKdDBCNHOz+WCSGjC7iGLr3fjr9jz9pzx/wDtUeBPiJq0Pw01SDwJ4otdb03Tz8T9dtLCxsDostlPpy6fHpRtJZo7q5uZ01CVDcSoRHi3jIjTq5IXVPm0Tmr9eX2klB7Wb5LS2SsraSSUol1mtXZadOZU4ed7SnzLdtPW/K216j4B/wCCnfhr4f8A7MXgfxb8bL628O+J/EtnqV7fWnhnRNV1qzsYbC6MF1dN9nglkhsod0O+6uBHGDIpYpuCjtvi1/wUK+Fnww1XxDoupeMf7AvtF0u6vpdbv/DupT+HbMw2v2lw9+ka2csqRFZGtkuRMykAAEg18n/Fz/gnp+1D8Wv2LdL+FV3efDC0trnQfEum6tYaT8RNd0a0W/vrhnsL83Frpyz3sMMU1xHJp8wjt5C4Z/Owix9rF+xJ8c7v4o694rttE+GPgzUNX8NXGmalFoXxF1iXTfGkraSlpbw6nYSaWLdJYLgBl1SEG4MFvHEYSr4j5avO6M5RXvWk0vOz5Vv3Sej1TVmpXirpqKlTTeja5vLVXfzu1to1quVpn1db/tB+G/Df7NWmfEnXvEVlP4cm0S01aTV7bTbi3jv1mijaN4LMmS4DTNIgith5kxaRIxvcgH5l+A3/AAWP8ESTePG+KPizTtEig+Jlx4H8E2w8Ga1outa0F0qzv1tX0q5Et612jXLw5EUYmfyAkavPEj9p45/Y8+IHiv8A4J4fDDwFZ33hPTfiZ8ME8NalbJJeXNzoGoX+jSW8q28s4hjnFtMYMGQQ749wby32bW8q0z9kP9pXUvjfP4o1Twl8DrK01L4u6f8AEm5itfiLqt1LbQQ6HFpElqm7QoxJJiLzlYlAS2w7ceYeyaj9aqRi/d5uVf4XUpe/0V+R1NLK3Lr8SRzUZS+qxlUXvct2v7yhP3ertzcmrbve28Wz6W1z9v74VeGPiRo3hPUdf1Wx1fW5rK0jafw5qcdlYXd5GslrY3t2bf7PY3syvGUtLqSK4bzoQI8yoGwfhn/wVB+DXxu8YWfhjwl4nvLzxNqt7faNZWmqeHtX0eD+1rNZWn0u4nuLRUtr1FheQ2smLjygJViZGVm80+J/7A3xH8W/Ef4neGLe+8E3Pwe+LnjPR/HWoand393F4j8OXNl9gae0t7VYGguY5m0y38udrmBrYzyHy5hEit47+wbZa1+2ze3s/hrVPhJq/wANPhd8dPFvjODUdJ8Yy6lq+sXp1HVGsraa2itPJsoHN4k4nFxcNJCibYcS7kxp2lZPTRN23irwUuju4uU0v53FWSUkdFSPLTlNatNRXZvlqNenNyx0v7ib5m7afTHwx/4KH6X4V/ZH8H+PPjE8eja/rkN/LqFn4U0PVddgtFs7iSK4uBHbQTXCWcIWPfdTIkaGRN5jMirXXfs9/t1eFf2lfj18RfAfh/TPFaTfDtrRZdWu9CvLfStXWe3jnElrdNEIJE2zJsxJulG6RFaLbK/yrbf8Eu/iN4j8J/C7VPiB8N/2Z/inr3gy11vRdS8KeKbifUdB+z31/wDbYdRsryfSpZYbqIgRPCbXbMjH96hVRX0h+yr+zT4t/Z0+PvxBmey8EN4B8VWWjvYT6XPJY3Vlc2Om21gbZdNW2+zxWxWFnRkuSVG1PLwN1Knd6zVm76Lpq7a6/ZSfz5b8yaWUnayj2Wr67X0XndfLmtytH0JRRRQUFFFFABRRRQB4B/wSd/5RZfs0/wDZKvC//pota9/rwD/gk7/yiy/Zp/7JV4X/APTRa17/AEAFFFFABRXiP7bX7Sfjf9mrRPBl34N8EeFfGsvivxLZeGJI9a8V3GgrZz3kqw28gaLT7zzE3sd+QhUAFQ5OBh/AP/goj4f8XfDj4jar8VE8P/BrU/hB4nk8KeLv7X8RQvolnc7YZbeaDUZkt1kgnhubdkaSKF90mwxggZIPmUnH7N7/AC5b/wDpcf8AwJBL3XGL3drfPmt9/JL7mfRVFfOv7Qf/AAUOtPgv8QPhnpuhfD3x38TfD3xCdJZPEvhW3ivNN0+0ktbq5imhbfu1B2jtJZTBZiWQQqXwWkt4p/Yfi98c/BX7PvgxvEnj7xh4X8D+HllS3bU/EGqwaXZrI+dkZlnZEDNg4XOTg05e6uaWmttdNU7fnp59A68q7J/J63+46mivn+8/4KEeFvDXx78VeH/Ez6H4S+HnhzwbpXjC3+IOreJbGDRtWhv7mW3Ty237UiDJGqyyuhkeTCoV2u8Okf8ABTf4QfE+4+IWl/D74kfC/wAS6/8ADmC0uNSF94sg0/S0juBEVlN2izfuQJo1MqRvH5rrFuD7gqj7yvHz9fdbi7rdWaadwk1G9/L01SktdtVJP523Poavz3/4OZ/Gfxj+G3/BLTxtrfwqutPbSXs7nRfHWn3GnrdS3GhX8D2k80LH5o5IjKpJHAR3c/6uvr++/bN+D+lnxYLr4r/Da3PgK6hsvE3m+J7JP+EduJpDFDDeZl/0aSSQFFWXaWYEAE8V578ef24/g34G8Oz+GfjF4p+GFpo/jvxNdfD+1sD4gh1C21INADNDfiWOJLZxE5E0Ll0QSQr5jtMiEi+ZqK62t53cUrerlG3qnsE3ypuWlr38rJt39Em32sZf/BHj4lfGn43/ALA3gvx78ebvTZfHHjqI65FaWOmrYppunzBTaRMg6u0QEzE8gzbSPkr6frgPD/7T/wALdW8X+JPCelfETwBda/4Etnn1/RrTXrN7zw9BHgM91Asm+3jTIBMiqFyOla/wh+N/gv8AaD8Gp4j8BeL/AAv448PSyvAmqaBqsGp2TyIcOgmhZkLKTyM5HehO6utdL/La/pfqDdnZ97fPe3rY6iivLrb9uP4K3ngXxF4oh+MHwul8NeD7tbDXtXTxXYNYaJcM4RYbqYS7IJC5ChJCpJIGM1zWt/t9eE/CHxiu9M1+50Hw98OIPBlr4xtviHqXiSxg0LUIp7tLZEjfzMBMywkSyMiuZkCB87qUWpNRXXb/AMBcv/SU2u/TdDd0m30/+SUf/Smk+19T3aivD/2jP26PDfwe+HXi/U/Cp0j4l+I/Asumrrvh7R/EFkl5osN7KgjubsM5aGPymaVRsZ5FX5FbOR6Dqn7QXgLQ/i/p/wAPb7xv4Qs/H2q2pv7Lw1PrNtHrF5bgOTNHaFxM8YEchLqpA8tuflOG33/rS/3W1vtv2Yr7+X6/1+K7o6+iuS+F3x98CfHH7b/whXjXwl4w/sxLeS7/ALE1i31D7KlxH5sDSeS7bBLH86E43ryMjmutpu63AKKKKQBRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQB8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/06WlFAH03RRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFAGf4uj1ObwpqaaLd2NhrL2sosbm9tHvLa3n2Hy3lhSSJpUVsFkWWMsAQHUncPz08F/8FZPjD8O/gT4A+JPxO8PfDnWNH+Jvw11PxfpmleForuxuNMv7GK1dIp7q7uGiaC7FwDkpF9lYiMyXKgzn9C/F0upw+FNTfRbSxv9ZS1lNjbXt29nbXE+w+WksyRytEjNgM6xSFQSQjEbT8n/APBOz/gl5on7Pn7Muj6D8UPDOjeIvGw8MP4P1hp/F2reL9Jn05tolgtI9TVEsre42RtLa28EcRMcanzBGhEpN+09Fb7prT5uLb3Vk7OzRqnFRV+6+66bv8l89Umrs87X9tj9r/Q77wl4e8RfDT4c+FtT8W+OrTw7ba34iEVrvsLrT7qUTppOm6vqZMkM9rISZNQjWZFVFEbSPLBt+K/22Pj78L/jP4t0zVpvhBrfhXwJ4/8ACPhO8mtNB1Gw1DVoddewify1a+mjtntmvBIJGMwmA8sxQlfNf2qx/wCCYvwg0/TfCtqlj47dfBWqw6zo8s3xE8RTXFrcQx+XCGme+MksMUZdY4JGaGNZpgqKJZN0Hj3/AIJZfBn4leJvFesatp3jxr/xvrll4l1l7T4jeJLFLrUbLb9kuFjgv0SIw7IvLWNVVPJhwB5Ue3Sm0qsXLWKmm/OK9npbu+Wpd3XxK97u2T1Vn/K1/wBvNzu7+jjZW0s7bJvx6L9vT4p6/wDtW+LPhpp+vfDK6hvfDvijU9B1LT/But3FjoM+lXdrDFFNqMtxDaaxKUuGW5hszA1ncRtC7MVy3zz8OvG3iH/gmv8A8E+/CPxe8JS/B+Hx78Q/h4njPxYtt4I8QalqXjE2dnHcwPNYWV7IIpCby4F7r9wwQSTW3mx4kQJ9tJ/wSS+B1t4mfWLXSfHum3xGqLF/Z/xJ8TWUNkmpyebfRW8UN+sdvFNJiRo4lRN6q4AZQRyPxV/4Jzfs2+CtB+Evw11rw744/szXPt/w48M29t478QqRZTabdalPptzMt+JZbH7PpUgSGZpIoykaoiA8TSvCFvtNRTfo6j/Hmp778ut1o9G4SqJyXu3k2u9+VL7kpWtazlo0/eM3x/8At8/ETwn+0brnh/UL34a+ANFk8N3er+GIfG2j6lY2GuiLTFuvtieIopnsjHDOWW4s3to7mOGJ5lLptY8B4H/4KQ/Hbx9JaaRo8nw1vtXt/itbfD26vNZ+H/iDwql9bXmhx6lHeJYXt2bu1e3YyApJ5i3aiPY9uriUfRUn/BKr4JXum6zY6hoXi3W9O16xexvLHWPHmv6nZnfaLZtcRw3F68cV4bdRH9rjVbjDP+9y7lsu0/4I/fAuz8bWniMaf8S5dbstYg8QpdTfFbxXMz6lBbi2ivJA+pESTrbjyfMcMxiyhJUlaq0OdP7Pu3XpNSl98E43VtZaJJRSyjzezal8VpWfm42i7dk9ba+fM22d3+wp8dPEf7Q37PUWu+LodFj8S6fr2ueHdQk0iCW3sbuTTdWu9P8AtEUUskjxLKLYSeW0khTeV3vjcfYa8+/Zu/Zf8H/smeCL3w54Ig1610m/1O51iaPVfEepa5Ibq5fzJ5Flvp5pE8yQtIyqwUySSPjc7MfQac2m7r+n1/H+kPZyttd29Luy9UrJ/m9woooqACiiigAooooAKKKKACiiigAooooAKKKKACiiigDwD9jf/k4r9rH/ALKrY/8AqD+FK9/rwD9jf/k4r9rH/sqtj/6g/hSvf6ACiiigAooooAKKKKACiiigAoorg/2oPF3jX4f/ALPHjLXvh1oWn+KPG+iaVPf6Po967pDqs8S7xbbk+YPIFKKem9lzxmgDkv2B/HWsfEX4G67qGu6jdape2/xG8d6ZHNcPvdLWz8XaxaWsIP8Acit4IolHZY1Havaa/Kb/AINj/wDgpB8UP2/PCXxNh1rwBoHhjwB4a8Sa1qw1WC4nkubzV9a1m81iWzQP8vl263jqx+9hoD/Ea/VmgAooooAKKKKACiiigAooooAKKKKAPAP+CTv/ACiy/Zp/7JV4X/8ATRa17/XgH/BJ3/lFl+zT/wBkq8L/APpota9/oAKKKKAPlv8A4Kr/AA48V/GH4WeBfD3hr4eeP/HsMXjXSdb1Y+E/EVloN7YWdlcpNKUup9QsZo5nXIja3k3BlOWjGCeK/ab/AOCdll8N/hz8ObX4U+B/GGt+HPDHjW88VeKNA0L4g6hovizxBPf2tzBNqCazJqEE1xexvcbmF1eqskO9N/yxoftmilFcsHBdZcz89IK3p7i873ad7WcnzSUn0jy/+la+vvyXmtGmj5T8KfB2w+AXhL9lvwnpXhq68HaZpfja9Npod1q82r3OlRSaFr0qwTXUs07SyqH+crLIgfcEZkCk9H/wUO0L4ia74e8DL8PvB+peI5YNdkfUtT0KPQZPEnhmBrG5jW603+22FikjyOsErusji3uJ1SMs4dPomijEL2ycZdf663CD5Gmuit+evbr6fkfj98KP2Uf2k/BVx8HNWPwP+J0T/BnwB4d0HUfDM3iTwouj+PrqxvJxPBK8WqGQJHHd/ardpNkXn2qmWFisQHtf7VnwB+JXxr8BftK2f/DPnivXZ/ipH4f8QeGIbvUPDT/Yb62tLK3aCTzNS2xXdvJFJJ5iFotqExzOxVT+i1FXKTbv/elL5yk5P/yZ3Xayt1uprnlKUuqUfkkopfcn5u7vfS3zZrv7M/ie4/bVj8UaRZWFn8N/iPpNrf8Aj2xuvL+0rq+lvH/Z7KEch3mjkWOZhuTy9LiXJ3gnwCH4D+NfgtoOveIrX4Oan4f8P+E/2grj4irplvqfh6xF1obaXJbzahETfpbRL5peZ1nlhk2szFd2RX6JV4B/wVi/5RZftLf9kq8Uf+mi6qYWjOM4/Ztb5VIVF56OEYrXSOi1s0qi54uEuv8A8rnT9L2m29NZWb7P468Tfs8fHHxb+0dqGueJfgB411Xwt/YPjrw+/h/w7rfhLQtEQajfW1xaXGmzxXUepLNeR2pluLi7Yut5NvSOCNmK/X37C/gT4g+E/wBnjxPafELT9cv9Sv8AVLybTovEsWjW3iTUbIwRpGurSaS72Et0WV4/Phb54VgaQLJvUfQ1FTyr2TpdHFx76OTlfXS9291tpY0lUbqKo+kubtra3TW1uz899T8uNI/Yv+NepaD4a1HUfAHxavPA/gnXrG4tvBd54603RPiBDaf2beWbwWevaNqUKXtrZG6T7P8A2hdxTyRPeJIzHyi/b6j+xn42i8N+I/hj4P8Ag9r/AIP8D618Ddf8I6Tf33im01SDSNRv55p4LG4ea/mvJJFVwJJVEkKyEqjtGA9fohRVVffbls3f8YSpve93aTd3d827toKlJ03Fx+zy2/7dmpr0V1aysrdL6n5p/FHwR8ffHL/F7Vbb9m3x3FN41+HPhTw7pFlL4o8Mib7Xpmo3z3SXDDUykeUvBJGUaRWSM7jHIfKHS+KP2INV8ZftR+Ntc8e/BTx58RLHxD4ktvG+hX0fxGeHw/ZImnQ276dqGiNq0VrJqCJBLboyW01rMs8QlnRPNI/QeinVftJupLdpr75KWnZ3Sae6tvq75xiorlW3ur/wGPIr9/d0aej3tdK3zv8A8Eo/g9q37P37Avw98Fa54Bl+Gur+HLSW1u9EdtPYJKZ5HeZTYzTQESs5fIfcSxLAEmvoiiinObk+ZjSsrBRRRUjCiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigD5k/4LG/8o4fiN/3DP8A06WlFH/BY3/lHD8Rv+4Z/wCnS0ooA+m6KKKACiiigAooooAKKKKACiiigAoorwH9pb4o/FL/AIaj+HXwz+Gmu+AfDD+KPC3iPxPqOp+JvC934gAGm3eh20cEUNvqNjs3/wBrSMzs7/6lQFGSQAe/UV4B/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT0Ae/0V4B/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT0Ae/0V4B/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT0Ae/0V4B/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT0Ae/0V4B/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT0Ae/14B+2R/ycV+yd/2VW+/9QfxXR/wrn9qf/osnwA/8M3q//wA09eH/ALV/gL9pKD48/syJqPxY+CF1eTfEq8TTJbf4T6pBHZ3H/CHeJWaSZG8ROZ4zAJ0EatERJJHJvKxtFIAfd9FeAf8ACuf2p/8AosnwA/8ADN6v/wDNPR/wrn9qf/osnwA/8M3q/wD809AHv9FeAf8ACuf2p/8AosnwA/8ADN6v/wDNPR/wrn9qf/osnwA/8M3q/wD809AHv9FeAf8ACuf2p/8AosnwA/8ADN6v/wDNPR/wrn9qf/osnwA/8M3q/wD809AHv9FeAf8ACuf2p/8AosnwA/8ADN6v/wDNPR/wrn9qf/osnwA/8M3q/wD809AHv9FeAf8ACuf2p/8AosnwA/8ADN6v/wDNPVD4b/En4zeAf2zPC3w4+I/in4Y+MNH8YeC9f8SW9x4b8F33h26sLjTL7Q7cI5n1a+WWORNWckBYyphXlgxAAPo6iiigAooooAKKKKACiiigAooooA8A/Y3/AOTiv2sf+yq2P/qD+FK901/xBYeE9CvdV1W+tNN0zTYHuru8uplhgtYUUs8kjsQqIqgksSAACTXhf7G//JxX7WP/AGVWx/8AUH8KV7/Sle2g01fU5/4W/Frwr8cvA1l4o8FeJvD/AIx8NalvFpq2iajDqFjdbHaN/LmhZkfa6spwThlIPINVPhZ8efA3xzGsHwT4z8KeMR4evX0zVToer2+of2Zdp963n8l28qVe6Phh6V+f/wCy5r9/+xv4z1H4YaTPPZWn7TVp/wAJN4EeNHZNN10ulpriqSSo2RGHUwgxuxeNjjnyPw38d/FH7J//AATWm0/4U+NPFvh/W/A918UPEdv4c8OaLot5JcWmn+Jr5I7y/udXbyo9OgYrHJDbD7bOblTCSIZBTjJSiqi2a9bNfH8oWettV71kkV7OXMqa1lzJdtJJuD9ZWS3spXjds/Yesvxj440X4d6E2q+INY0vQtMSaG3a71C6jtYFlmlSGGMu5C7pJZEjUZyzOqjJIFfnb+2T+1J8a/Bur/ETVLH4h+N/COnt4T1O/wDBlx4X0nw7rXhubUbLQjqR067+0WsuoWOpb4ZpCsxltprY4jaKYjZl/t0/FPVPiPbfGbRtY1P/AIWVpngvSvhf400DQns9KabQdWvNZnjlW0lEcTJJNFbwspuZjt89sOkb4DknFXfTlv1dm30V9bJtLrp3ITTpqotne3ycI/deok+1paXVn+nVZfhTxxovjy0u7jQ9Y0vWoNPvZ9NupLG6juUtrqCQxz27lCQsscisjocMrAggEYrxD/gnV498TfGn4Rah478VeMde1XVfEuo3H2rwhfwaeifDe4jmkWXRQ9vZ288sluSInkuTIX8pXQhX3P8AJf7FvxC1vwR8fvHfw68Pza98J/BHgTxb4y8SaRpmi2OkfY/ig8eqyNPplsklpM1vHZoib1heCeT7cSqhIhKcpVYwqOE3pySnda/C4X20aUZN3je9vdumr3yNw5o6++odr3UrWvrrKKWtrXvK1nb9N6K+Kv8Aglx8Yfjv8ZNTsPGPxI8ZfDvxH4D+JvhOHxJ4fsdI11dSvNNuPNQzCBY9G0/yrMLcJGY7ma7njkiVTPIS5rE/aU/ar8c/A/8AaZ8bXHij4n694C+HTafqVr4d1mx0HSfEvhOyuYdINwYb2GKNdXt9WhdZblYXle2uYkVE2yMUG1WEoS5JLW0n6crs1630XnZEU5KesXpdK+ut1e662S1el7J6aH2/4h8X6T4SNgNW1TTtMOqXaafZfa7lIPtdy+dkEe4jfI21sIuWODgcVo1+Z3gP4oeJPizf2un/ABTbXtT174WfH/w7pPhu/wDHFj4ej8S2Ed3plncOjvo+bEO5uZQvkYcxOqSfMGA6vwB+0j8WB4j+Duhy/F2+vNd1j4tePPAV3FrGjaS665Y6fb609jcXUFvb28ha3azsmJtZLYSLKQ+fMVlla05T3tqrdVyUpL53qpPptruxy0956Llv/wCnX0urctJtPrdH2f8AAb9nLwX+zH4W1TRfA2gWXh7Tda1u/wDEN5BbLhZ729naeeU/VmwAOFRUVQFUAdvX52fDb42/F7U/2B/hN4i8R/HXx5q3xO+K86SW1h4R8IeGoNR1IW9ndyS22nDUEWxtcxxLdXE99JKjC3kjgEDTRRjzKT9tn4/eMf2eNQ+INj8ZbrR7nSP2dNK+LFxpEfhvR545dXH2pWQM0DMlpcfZWM0eXcs37ia2VSrVFc1R00+tr9PgnO/eyUJLbe2nU0VKTtZb2/GcYJfNyVnta+t00frBRXzn/wAFJ/iF47+H/wCyhp3iT4e+MH8F+KYvFHhu1S5Ol22pWd1HfataWMsFzBOpZ4Cl0zEQyQTZjTbMg3Z+ZviJ+1Z8dvB/xH8QfBDw98RLTxJrVx8SLfwto3jvXbrTfD94qyeH11aTTDNBo97Yi9WXaqb9OO+GQphZds1Tf4tNnb1fuLT/AMDW9uvW18oNSpxqp6NX9FZvX5Lpffsnb9JaK+Cf2bPEH7SPxV/aWh8E/EH446JpdtoXw9s9U1BfAGhWM4vNUj1K/sJpTfahaMJFk8jdKsdnAokSNYwipIZ+B/Z+/bR+K3h74X+DvE3xD+PEM+k+Pvgt4i8X3Gs3fg+xltfDN3p93p0FrfQ29mkct07R3zNLEXZJpETyY4Fby6Ivmty6357efJ7S/wB/s5W76bdLUW5OPVct/LmUWvuUle3na73/AEh8a+N9G+GvhHUvEHiPV9M0DQdGt3u7/UtSuo7SzsYUGXlllkISNFAJLMQAOpqv8OfiX4c+MPgrT/EvhLxBoninw5qyGWx1XSL6K+srxAxUtHNEzI4DKwypPII7V+Yfjn4kfFP45/A/xP4W8X/Eb4qeGLnwL8fPBWg291rVh4RGvyW13LodzGt4LG2uNNZorm58+DyVVuIlmD4eM+l6x8dvEvwC/bk8I+EPAPjHVLz4fXvjm58Ka7Yr4Y8PaX4R0q+fQLvVblJ5IxHqc+qyXQW+muLdUstt08ZCzI4NJXhzd2renJTnd/8AgyMdbJSsrvmVo1vZdIuT9LyWlt37kpWV7x10tZ/oZRX5peHP2qfiw/ha68HeJPij8YdK+K+o6pY3Fnomk+HfB+pXuvWslhf3Bk8PapJHDpT6XKLZ7gT6lGLiOOylhbbNPEa4yT9tn4/eMf2eNQ+INj8ZbrR7nSP2dNK+LFxpEfhvR545dXH2pWQM0DMlpcfZWM0eXcs37ia2VSrEYt1PZ7O6X3wnP8FCSfXmVrFwhKaXLre34zjBfe5Jp7Na3umj9YKKg0y5a9023mfAeaJXIHQEgGp6UlZ2ZjTqKcFOOzVzwD/gk7/yiy/Zp/7JV4X/APTRa17/AF4B/wAEnf8AlFl+zT/2Srwv/wCmi1r3+kWFFFFABRRRQAUV8X/tE/8ABTb4kfs4eN/jBPqPwc8K6x8P/glBpuseINU03x7O2tS6ReNKftVvp8mlpC80MUMsskDXiDC4SRya+mv+GlPh4vxL0fwTL458JW/jfxBYDVdN8Nz6vbxazfWpVm8+OzZxM8e2NyWVCBsb+6cCd48y/wCDtfbdaX+59nYk7Oz8/TRpPXbRtfeu6O2orwL9kr9umf8Aak+Jnjvw5dfC34keAU8J3qw6ff8AiDT1jg1qA21rPvYIzNZT7buFxa3QjmMcisF3pcRW/oPiT9qj4YeDfHcHhbWPiP4D0rxPdX66VDpF54gtIL+a8aGOZbZYHkEhmMUsUgjA3FJEbGGBLeii39pJr0e352tuno9RveUf5d/z+62t9raneV+fH/BzJ8Lvir42/wCCXHjTW/hT4r1/RLvwtaXE/ibStPceV4j8PzQtDqFvKpBzsibzc5BCRygcsK+wov2wPhLP8FZ/iSnxS+HT/Dq2lMEvilfElkdEikEoiKNeeZ5IbzCEwXzuIXrxXNW3/BQb4IeJPjhL8MYviP4LvfEsnhdPFj239q2zQS6XIjSLMrl9simBWmITdth2yNtR0Zk3rb+tIuX/AKSm/RXDz/rdR/8ASml6tI4f/gjh8Pvi34F/4J/eCLr45+L/ABD4w+J3iqD+39Xk1dw02lC4VWhsQABt8qERhx/z1MvOMV9RV83fEz/gp98OvCn/AArPWPDWteE/HPw78d+I7zw/qnjrSvFmmv4f8KNbabc37tczrK25yls3ygBEUO0kkeI1l9L8UfthfCTwR8I9I+IGtfFL4c6R4D8QSJDpfiS98S2VvpGpO4dkWG6eQQyswjkICMSQjehp2dr+dvm9vvvp36A1ql3V16JtP7mnft16Ho1FeM+I/wBvf4W6V8etX+FFv448Ht8SdL8Mt4o/sm+1iKzi+zbHdC8vzFRsjaVyiO0cOJWUKyb9+0/at+H+m3/gjRPEHj74caR4v8fWEN7oujR+KLaWTWg6Bi2n7/LkvIc52ypEN6gHaucBJ3V11/zkvzjJfJkyaW/r8rRf5Si/Ro9HoryW6/b8+BNlp+oXk/xr+EsVrpFhb6rfTP4v09Y7KzuHRILmVjNhIZXkjVJGwrl1AJJGem8Y/tIfDv4d6/4V0nxB498F6HqvjqQReG7PUNbtrW48QOSgC2cbuGuCTJHxEGPzr6jLWu3e3z7euj+4ctL36a/r+q+87SiiikAUUUUAFFFFABXiv7Q/7cvh39mD46fDTwV4r0DxVBZ/FPURo2l+KIUs30Wzv2DeVa3JNwLmN5X8uNHFu0ReeJS4LED17/hIbD+3/wCyft1n/av2f7X9j85ftHk7tnm+Xnds3fLuxjPGc18tf8FG/AOkftG+L/DPwp1Gy8cxTeKdG1OO01vSvC2q3lhoV8xgksLqTULe3e2tpIrm2WVfOlTBiUnAZcxOfK1K19dlu11S87Xt52umrp3GPNdN203e0ezfknv3Wmj1PTP2kf22dB/Zu+MHwu8Az+HvFXivxZ8W9Tn03RrDQ1s826wW73E9zcPdXECRwpFHI3ys0j7GCI5GK9lr8v8A4g+Jvit4t+Iv7NPxC8cfDjx1ovxRl8R3q6na6Z4T1TW7Dw3Fb+HdW0qCWe4s7eaKKCfVbx50MjK3kXcbsAsbsvh1/wDsY6L4e/ZO17V9S8F/tN+IfiNqz+HbTxppF58OEjNnrVvrNvLPqNrPo+j28+pXaRf2m41iG4uH8pyGnMk8Stpazcbp2a1vo7u1l/hslK+0pJNq6Szk9Y2T1S07O7Tu9ttY2veKbWmr/bGvOfFX7TmheEf2nfCPwnuNO8SSeIfGWj6hrdnex6a/9lQw2bQrJHJdMQhmYzArFHvYKpZwgZC/5rePvC2h+FvC/wASPDei/CPxfe/D+w+OdprGleANa+HHiS18L+LLB/DaJLHJbRaXcTTWov7a7uSbazulF1DBLLGI5hcDN+E3wU+DUPhr4J+DIvh14o8VeC/C1n46n8X6Zovwn8TLpWn6rdmCePTr61/s9JJmjRRHEl7CJJVt7SXylZoMZVJuMPaJXaSfL11pqVvK0pcvXVJO3Mra8qVSMG9HdX6K0mvm2kn00d03ys/YGszxnr934X8M3d/ZaJqniS7twDHpunSW0d1dZYAhDcSxQggEsd8i8KcZOAfxo8ZW3iHxR8IP2edQuvgv8TY/H3w38MfD43XiXVvhN4r13xHL9i1ZBqdtYTKiro0lssFw87vHLLqMVwiqhRIpX6H47fBJNd8KftH3ejfDD4h69F4itZruPWI/hZ4j8PeNG1H+3IpIdOvJLaIR+I7NiGlhuI0fyLeAJc7g6u3VOko1XTctFKcb+ULWa/xXdrtJNON3JpPCpKSpOaV3aOnm91t9nTa7d07K0rfoN8Vv+Ckngn4Q3/je21Hw/wDEW5k8BeIdE8N3xtfDkzJcXGqvGkE0TOVU2qF/3ly5SLKlUaRyqN9B1+a37dHxC1fxM37Stj4f8FfFttS1O78Ctol8vwt8Q6nZ3r213HPPJEkFsDcJAq7pFR0PGwMGIx57N4U8M3f7Olp4T8R/s56zrfxM1LxvcN8RfFus/A/X9X0LXdTSHUGTxDNptlbWp1i2uXaRYYS6x2Ml4kjFTFEZuP2klCbtdx19fhVl87vvqkk7ScdkotJt23+SSbu/uS0Xd78sX+tdFfhTb/B+y8e/s564+u/BD42XXxG0b9m/StBtbq4+E3ieKWfxdaPcRQMjGzxNe2oa0EN0S5hjLeVKEWYj9Pf+CkFvovxl/wCCRvxludT0h9R03UPhnqeqx2muaTLBPFLHp8lxBJLa3UaywzxSpHIFkRZI5EBwrrx0YhKnSlVTvZy+6MpRTv8A3lHmXk1q9y6NF1MRToN25mlfezag39znbzcZbH0zRX5Pv8L/AA9ZeEPiB4g8A/BDx9qnwl8SeG/COia9pWs+CfEMY8R66NUeS41y70l0j1TWUtbd4ZLs+Wf7RU+U80gErxeb/AX4OeE9b8S/DXQfiP8AA74japp/hD/hY9tfmD4G+KNO0M6bc6gbrSLJbU20wNi8Zllt7BpZ0hcICBMI8xXbpqbSu482nV8t+mvxaOPSSlo7pxWVG01GT0UnH5c0ea/y1jLtJWejTf7UUV+KvjK28Q+KPhB+zzqF18F/ibH4++G/hj4fG68S6t8JvFeu+I5fsWrINTtrCZUVdGktlguHnd45ZdRiuEVUKJFK/wBe/wDBOvwEmg/ty/FDXNL8Eamul69DqE934p8RfDnUvCPia3uG1Lcun3d3NGlrr0DjfJbXUIMtvDCscpYyKzdEqNqsqd9FKor/AOBJp/8Ab13u7Jpq7k1FxKTUOfr7mnnL4v8AwG621d1dL3rfdtFFFYFBRRRQAUUUUAFFFFAHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP8A06WlFAH03RRWD8Tvir4X+Cfge+8T+M/Emg+EfDWlhDeatrWoQ2FjaB3WNDJNKyom52VRuIyzAdSKTaWrGk27I3qK4vwn+0j8O/HvwxtPG2h+PvBeteDL65SyttesNbtbnS7id7hbZIkuUcxM7TssQUMSZGCAbiBXaVTTW6Fe+qCiiikAUVl6L440XxLrusaVp2saXqGp+HZo7fVbS2uo5Z9MlkiWaOOdFJaJmidJAHAJV1YcEGl8Z+N9G+HHhm71vxDq+maDo1gA1zf6jdR2trbgsFBeSQhVBZgBkjJIHei/UGadFFFABX5fftWf8Fv/AILfAf8A4LLeCvB+v23j9fE3grwz4i8EXen23h6Saa71HWNQ8M3GnLbgN+9jmisZmDj+9H/e4/TDw94v0nxcL46Tqmnap/Zl3Jp959kuUn+yXMePMgk2k7JFyNyNhhkZAr5m+Nn/AASW+Hnxx/4KcfDD9pvVIk/4ST4c6Pc2BsvJBi1O53D7DdSH+/bCW6IJBJZoDkCEAl9E+4eR9VAkgEggnt6UUUUAFFFFABRRRQAUVyN3+0D4D0/4x2vw6uPG/hGH4g31odQtvDEmsW66zcWwDEzpaF/OaMBH+cLt+RueDXXUdL/12/ML62/rv+QUUUUAFeAftkf8nFfsnf8AZVb7/wBQfxXXv9eAftkf8nFfsnf9lVvv/UH8V0Ae/wBFec/HD9sL4Sfsx6hp9p8Svil8Ofh7d6tG81lD4l8S2WkyXiIQGaNbiRC6qSASuQCRWt8Ff2h/AH7Sfhi41v4deOfB/j/RrS5aynv/AA5rNtqtrDOFVzE0kDuqyBXRipOQHU4wRRH3k3HW3/DfnoEtNGdhRRRQAUUUUAFFFBbaCScAdTQ3bVgFfl9+1Z/wW/8Agt8B/wDgst4K8H6/beP18TeCvDPiLwRd6fbeHpJprvUdY1DwzcactuA372OaKxmYOP70f97j9APgn+1p8K/2lr3VLb4c/Ez4ffEC40QIdRi8N+IrPVXsA5YJ5wgkcx7ijgbsZ2nHQ14t8bP+CS3w8+OP/BTj4YftN6pEn/CSfDnR7mwNl5IMWp3O4fYbqQ/37YS3RBIJLNAcgQgFtNA9G11R9VAkgEggnt6UVl+FPHGi+PLS7uND1jS9ag0+9n026ksbqO5S2uoJDHPbuUJCyxyKyOhwysCCARitSl2YPewUUUUAFFFFABRRVPXPEVh4YskudTvrPT7eSeG1SW5mWFGmmkWKKMFiAXeR0RV6szqoySBR5AXKKKKAPAP2N/8Ak4r9rH/sqtj/AOoP4Ur3TX9AsPFmhXularZWmp6ZqUD2t3Z3UKzQXULqVeORGBV0ZSQVIIIJBrwv9jf/AJOK/ax/7KrY/wDqD+FK9/pSSasxptO6OG8Afsv/AA0+FHg+18PeFvh34G8NaBYyXE1tpmlaDaWdnbvOhjnZIo41RWkRmVyAC6sQcg4rhov+CYP7NUGmQ2Sfs8fA1LO2lknigXwHpQiikkRUkdV8jAZ0RFYjkhFByAK9yopvV3e/+W33CWisv6vv955h4A/Yi+C/wo8T3Ot+FvhF8MPDWtXmmjRri/0rwrY2V1PYiNI/srSRxKzQbI408snbtjUYwoA5y4/4Jg/s1Xen29nN+zx8DZbW0gNtDC/gPSmjhiMpmMaqYMKhlZn2jjcxbqc17lRQ3d3f9f1d/eHkcR8Lv2Zvhv8AA/xHruseCvh94I8Iav4ocSazfaJoVrp9zqzhmYNcSQorTEF3ILk4Lse5rlNN/wCCd/7P+jX+n3dn8DPg7a3Wlam2t2U0PgzTY5LO/Yxk3cbCHKTkxREyrhz5ac/KMexUU7u6l1Wwd13/AMrflp6HI/Db9n7wH8Gtf8Q6t4Q8E+EfCuqeLrr7drt5o+j29jca1cbnbzrl4kVp5N0jndIWOXY55NY2o/sc/CLWPHXiTxRefCv4cXfibxlYyaXr+rzeGbKS/wBctJERJLe6mMe+eJkRFZJCykIoIIAr0eilZfhb5bW9LaWHd7+d/n39fM8S07/gmh+zho8sElp+z98ErWS1nhuoWh8DaXGYZoc+TIpEHDx7m2sOV3HGM1qeM/2CfgX8R/E+q634i+C/wm17Wdcu4r/Ur/UfCGn3V1qFxErLFNNJJEWkkRWYK7ElQxAIBNes1wn7T/xjvv2ev2efGXjvTvDGo+M7nwhpU2rHRbCVYrrUI4V3yJEWBBk8sOVXGWICjkih66v+tv8AJfchbbf1bb7jw39jX9nL4WfHf9kufw94l+EfwmvPC/hr4leM7TS9AXwdpyaRYf2d4n1bTraaK0EXkpOLaBFaVVDsS7E5Y57iz/4JdfszadFex2/7OvwKgTUovs92sfgLSkF1HvWTZIBB8670RsHI3Ip6gV8ef8G6P/BV22/4KCeHviL4X0P4c+I9C0nwx4l8ReKrzXr28ie28zXPEWo6pbWKqoy0qw3Lh2zgGAno61+nFD3v/Xb8lYd7bf11/Nt/M+f/ANt39h7/AIad/ZFtfg/4RuvAvgbw3Be6S7WOo+D/AO2dHNhp9zDcx6etjFdWiLCz28MbLuKeT5iBAWV07fTP2QPhdbfAKL4YXHw0+G0ngEhXn8MQ+F7SLQJZfMEzOLAq0K5mHmAEMQ2DknmvSaKd9JL+Z3fm9Ff8F+e4XfupfZ28r/192mx5tYfsZ/B/SvE02tWvwp+G1trNxow8OS38XhiyS6l0sRLCLBpBFuNr5SLH5JOzYoXbgAVgaX/wTf8A2d9DktnsvgL8F7R7KyuNNtzB4I0yMwWtwsqz26YhG2KVZ5g6D5XE0gIO5s+0UUnu33/W9/zf3vuCdlZf1svySXyR4VL/AMEuv2ZprBrR/wBnX4FPau0btC3gHSjGzRqyxkr5GCVV3CnsGYDqa3PEf7A/wK8YeOD4n1f4LfCbVfEpkt5f7WvPCGnz32+3VUt285oi+YlRVQ5ygUAYAFes0UX6iPHrb/gnl8AbP4fjwlF8Dfg9F4WXUhrI0ZPBmmrp4vhH5Yu/IEPl+eI/kEm3eF4zjisuz/4JdfszadFex2/7OvwKgTUovs92sfgLSkF1HvWTZIBB8670RsHI3Ip6gV7rRQ9Xf+u35JId7bf11/Nt/Mz/AAl4R0rwB4W03QtC0zT9F0TR7aOysNPsLZLa1sYI1CRxRRIAqRqoCqqgAAAAAVoUUU5Sbd2JJJWR4B/wSd/5RZfs0/8AZKvC/wD6aLWvf68A/wCCTv8Ayiy/Zp/7JV4X/wDTRa17/SAKKKKACiiigD4evP2IbX9qb/goX8VtW+LHwj+Iv/Cv7600EaLd3fjKKHwzr82lTSyYu9KsdVP2tWkkhliW+s2XbDIHEZIR4Iv2INYuv29PEeueK/h34z8V2moeOLHxv4Y8X2fxIvrPw1oiw2cFv5V7oq6jEDfQpbyRxPFZTRSpNEJJEAkA+6KKdJ+zlGUfs3+9uMm/KV4x1VnoKa5oyg9n/k1bzVm9HdfcreP/ALNX/JaPj9/2PNr/AOo5otfFf7SP7HXirW/E/wC0n/YP7Lmp6vF8TPiD4O1eC6tX8KQp4lsNNurK4v5ZBNqMblXa1uWCTqrO14pZRulKfppRSj7s6U1vBRXry8v5uKdr+Wu5pz6Nd9fz/wAz81fGv7Mfxe+InxE8ZeI9Q+DvxKg8N2Pxhk8XRaHpPxAs/Dmu+I9Mn8Pw6QLmwu9N1aLyZ4JYpJDBdXNuklvMRu8wmNd4fsrePv2e4NZs/hx8Al13QNZ+D0/hzR/D2va/Z6zpmm3q3+o3qabqzX2oGe581LqONvKeaAyM6GaOICUfoZXk37fPxb1v4A/sK/Grx54bmht/EXgnwHrmvaVLNEs0cV1a6fPPCzI3DKJI1JU8EcUkrKNvspJeipOkvX3W3ffm8vdJTs2+7v8AP2ntPl72ltreep8KfD79lf4zweOtT8XeKPhD8TPGKaL8YtH+JNvbeJL7wWNc162i8MvpO2KOxu4dOjubW78uUCQwr5MaOssswKnvPBX7KfxQ/Zr+Kvhv4lW3wrn8f6N4ibxquteANJ1TS4rzwkuvX9rfwtEb24hs5uLQxXaxz4ElwWi85FJb9CKKp2002Tj/ANuuEYNW21jFa2uraNBJuXKnsrffFyknda6OctmlrZpo/Onwd+w34++BHgO28Eax8M7v4s6Jd/ASHwFcf2de6TPp0OoWst9Oli6ajc2zyQkTwwwyeUV+RTJ5QBIgg/Zt+K1vH8ILeH4O+OVOk+CfDej+NtN1C/8AC2s+E/EsFlBIlzYXlnc3hmg1CEeZ9lurImKR7iNJ38pWMX6O0VNtGu7v315qsuu+tWW+6Sv1upLmlzPs120cacemztTjtazu10t+XH7PH7KXxD+DGgfs8wL+yz4msn+F/wAO/F+lXyWN54ST7Fq2pPbGFocaoBvlW2nDSrgf6YgZhum8tnw2/wCCfPj7xJ4c+H9l8Ufgt8Qdds9Q+G3hfwnJp+mfFOTRrTwjqejNIrf2tb2OrQwXti0si3UMtut1OuJFMKMVFfqVRWkKjj56p/c6jXmtaktrPRa2vdVFzpJ9E1/4E4t+vwLe630OC+N3wf8AEPxWsdMh0H4qePPhlJYM5nl8M2mi3D6gGCgLL/adheABcEjywh+Y7i3GPPf+GNviL/0dj+0B/wCCjwP/APM9Xv8ARUDWisjwD/hjb4i/9HY/tAf+CjwP/wDM9R/wxt8Rf+jsf2gP/BR4H/8Amer3+igDwD/hjb4i/wDR2P7QH/go8D//ADPUf8MbfEX/AKOx/aA/8FHgf/5nq9/ooA/Hr/gqP/wQz/aW/a9/bo+EfibwF+0B4zisvB2kTC58eeIrjS7DUtAka4z5NlDo1lZPK7L8x8wBe3mr92v1R/Z4+G3iH4Q/BnQPDnirx1rPxJ1/SrYQ3niPVLS2tLrUnH8TR26JGoAwBwzEAFndsse0r5c/bu+K/iz9lf4wfDz4p3nj3xPp/wAE7SSbQfGXhzTtFsbxBc3MciadfmRrWS82m6aK3aOKQAvNatgKswkUpWaXfT59F3u3ZK3VrpdqlFu9un9flr8u59R0V+cHx/8A2jPjJ+zdq/gHTl+Lnj7xh4m8P3PhGHxppi+HfDMem2H9s679nY6vctFBNL5sLvb20ekxJJEbPzbjcsyvWx8B/j/8ZtP+OfgptY+Lt5418O638YfFvw4bSb3QtKtUksbCx1W4gmmuLa3jc3cc9iib4vKi8olXheQGY11kv5ee/wD244J/f7SNu+t7CkrQdRarT8Yyn12tGDbvbpa9z7I+PX7MfhD9pO00dPFEGvR3Ph+5e603UNC8Raj4e1Oyd4zHIsd5p88FwsbocPGJNj7VLKSqkWvgh4U8EfDTQ7/wh4KmsCPDd15erW6ak2oX8N5NGlwXvpZHeeS6lSWOZpLhmlkEquzNu3H5F/4Jy/Ej44/Hf46aJ4j8U/ED4kap4QHhOa98T6Pf+DdO0fw1a6/NcIIbbSL06ek+pacIDO8VxBd3CkRQu9xJ5wQ8F4lXxh+zZ+0B+0340+Gnim08K2em/F3wureC7LQbH7H40u9T07Qo71LmRomn8+f7SzRvbNCwmaSSUzh9qVThaai9OZN/P2kYK9t078ytdtcrSdwm786evs/ufu8zt99ne1nzXatr+llZ2o+L9J0fxBpuk3mqada6rrIlOn2c1ykdxfeUoaXyoyd0mxSC20HaCCcV+aOvftW/tTeOvA/xS+Kfhr4h/DXwz4KhtfGOk6dpV3dprF/oV9pQuTb+Tpo0i2kjvESyczLd6ndQkzGRYwgSE+wXthe+BPil+zb448Y62PiH8Rr7R/EOoHUZNJsbC7eN9FW6k06yS3iV1tBIgZI5HmkGV3yyEBq53WiqUq0tFGMZPvaXNbTv7jfo09XoOUXzxpx1cpOK9YuKer6Xkl6pp2Wp9neKvGOkeBNIGoa5qunaNYGeG1+031ylvD500qQwx73IG+SWRI1XOWd1UZJApvifxvo3ghbBta1fTNIGq3sWm2RvbqO3F5dSkiK3j3kb5XIIVFyzY4Br8lfiL4s+OH7Sn7JOjeNfiL4q+EniTw9431DwV4v8CG3vY9fuvC2qnxPpkMlxaxJo+mtDarFetA0c9zcXKkNGblt8hr6Av/j58bPhl8R7vwkvxRHi3QvCfxq8MeF7rXtT8O2B1TWtO1O2tpLnS5HtY4LWKWCScEyxW+8xyRr8jgyHpVKXNGEtJOahb/t6nHW17NOertZJdX7rznUiqUq0XdJSd/SDndXtdWWmzb0skuY+6fCnjjRfHlpd3Gh6xpetQafez6bdSWN1HcpbXUEhjnt3KEhZY5FZHQ4ZWBBAIxWP8dfgh4c/aS+EeveBfF9vqN54Y8T2pstTtrLVbvS5bqBiN8Xn2skUyo4G11VwHRmRsqzKfz+/Za1/xJ+yv8V9Gt9B8V6X4d+F3iX44+OfDU/hG28P2dtpWn2cNpq2o/ajIF88TpcWQx5ckUPksUMLOPOPGv8AtvfG8+D/AIhLpPxh8Zutho/gXxT4X8S+JPCnhu3g1pNY1q4sHeCxtVaWPSbmLynjt7x4tSQrtaZCctjTtVpU5WvzxhJrs5xUrfm13SdrtNLefNRqTs7csnZ9bKo4J/8AgSSfZtdGmfqN8PPAen/C/wAD6V4d0ptSfTdFtktLU6hqVzqV15aDC+ZcXMkk0rY/ikdmPcmtmvn79hPx54y1rxJ8a/CfjLxbeeN5vhz46Giabq97YWlndzWsuj6ZfhJVtYooTslvJUVhGG2KgYuwLt9A1rNt8s278yjL/wACSkr+dnr5mKio3glblbX3O2nlpp5BRRRUDCiiigAooooAKKKKACiiigD5k/4LG/8AKOH4jf8AcM/9OlpRR/wWN/5Rw/Eb/uGf+nS0ooA+m6+Qv2ptVt9O/wCCsP7N0fjOVY/BF1oXiKPw2Lr/AI8W8XZsvs4bPyC6/s/+0BAW+bBuAnJYH69rB+J3wr8L/GzwPfeGPGfhvQfF3hrVAgvNJ1rT4b+xuwjrIgkhlVkfa6qw3A4ZQeoFCbjUjUWvK3p6xcfvV7p9JJPoPeMoPS+l+u6f42s11i2tL3Py1/4KKeAY/FX7Zfxln8Fx+HX0LT2+Gd7q969hHf22ieOT4rgt4LnYCuL0aTKizBHSVoJLdXYK8deu/EL4y/HzwpafEzwToXxA8X+P28BeM7a1i1zQrTw1beONRsJNFW+uLO0trq0TSry5tJpI5HiWGGR7Z8KwmUeZ9q+Hv2aPhx4R+Ddx8OdK+H/gnTPh9dwzW0/hi00K1g0aaKYsZo2tFQQsshZiylMMWOc5NYviD9iD4LeLfhVovgPVfhB8L9T8D+G52udJ8O3fhWwm0rS5W35kgtWiMUTnzJMsigne3qczytUfYxfW9+93Fu+uiXLyqzUnBqPNFRu7dS9R1JLd/clHlXq2/ed7x5m5crvp+fX/AAtH4u6N4T+PXxL+Hn7QHiLUru81nwCNPn8TeF7G808Weo22ks7QWSxwSWpYXTDyzKyqkk2V+0P9pX0n9sD4z/Fb9lbR/wBpDTY/jv4xuG8D/B/TfG/h3WNX0rw4k9nqn2vU4pI1CabHDJFMbS1jZJI3YGYiNkZlI+t/iZ+wp8EPjTr1zqvjL4N/Crxbql5bw2k95rPhKwv7ieGH/UxM8sTMyR4G1ScL2xWn8S/2SPhT8Z73Srnxj8Mfh74sudCspdO02XWfDlnfvp9rKnlywQmWNjHE6EqyLhWU4IIq+ZqV1td6eXK0unR2drW3XqqE1BJTV9I/hKLf3pON97PzaPhTQfFWteFv+CmHxJ+HPhfUNX+DWgfEPxfpmr6n450Sy0gw6nqn/CPWkg0YRXVrcxi7vS8twZ5I4yfsu1HlkkZVX47ftX/Hf4Z6X8arhPiLrej61punXWveFnm0DRNc8Jalpltq8MEkmk3dskVxFcxxSx29xb6mJmjlm3x+aig19ej/AIJk/s2jSbrT/wDhnz4IfYb2SCW4tv8AhBNL8md4FdIWdfIwxjWR1QkZUOwGATWkv/BPv4Cro/iXTh8EfhENP8ZzR3PiC1Hg7TvJ12WOUyxyXSeTidklZnVpAxDMWGCc0qVoOL35bq3TVJLy921krcttOXmbmYTg5UvZt62Sv1um23/29e7fxX+1yrlH/tu6/wCNvD37POpy/Dy9Fp4tuLq0t7NYr6wsr+7V7iMSwWMmoRyWYvnj3rAtyjRNIVVtoO9fhrxf+3z8Q7LR/h7q3hX4ofFPxFe6FqnhvSfF+ian4L8OaSNLe+8TSaZMPELSESm5kRJraOPRQBHLZNNJ+6niI/Rb4kfA3wV8ZPh0/g/xf4P8LeK/CUgiVtE1jSbe+05hEytEDbyo0ZCFVK/L8pUEYwK4nxb/AME9vgF4/TS0174H/CDW10TTItF04X/g3TrkWFhESY7SHfCfLgQklY1wiknAFOnaFRSeqU4y9YrdW89brVap9LPWT5o2el42fq3uttUtno+junp8u/DfX7/4LfFzRdN+H+uJ4V8La3+0VrvhrxBomk6fp40+8juNFnvMyboGkhmS7t42UwyR7mnkEgkLLjE/Z1+Ovxw+Pfj34MaFD8eLj/hFvEeofEKx1TVbTwxo82s61HouvNb2Uy3Pk/Yo826xRny7LaytOTl3ikg+xU/YM+BsfgbW/C6/Bj4UL4a8TXqanrGkjwjp4sdVu0OUuLiHytksqnkO4LA9DVTw5+xN+z/8P/i7puuaR8I/g7onj1JLnV7DULPwtpttq4fMaXF1FKsQmzmaJXkU5/eoGPzDKo+5CnB/YUVfe6jTjDZ+ak0ttV2TCtLn5mlZtyf3zqS39JxTf9xfL4j+LP7bnxSsvib8SV8N/FzxtceEL3wF498SaL4gk8O+G7PR9PvNBvLVY49KR0mvXS3LTWtzJqSNHcMpltiEZWT6R/YQ+KXxK1P4/wDjHwh4+8dN47ii8C+FPGFvM2jWmmLp11qTanHdW8CwKD9lzZRMizvNKpZwZnBAX0DxV/wTR/Zx8da5f6prf7P/AMEtZ1LVbuS/vbu+8DaXcT3lzId0k8jvAWeRzyzsSxPUmum+Ff7HXwi+BXjF/EXgj4WfDjwd4gksE0ptT0Pw1ZadeNZoIwtsZYY1cwqIogI87QI04+UYeHtCHLPXRLvs5u+vV80U3vaC72TrtTvyK2rf3uFtP8MZabXm7JWPjf4x/Hn43fDL4m/HDXbD4w39/ovwy+KPhrQ/D/hK78P6Qq65Bq8WjvPpk1ytuszqv9oMtqYjHOjKTNLdgqqcfr37Vv7U3jrwP8Uvin4a+Ifw18M+CobXxjpOnaVd3aaxf6FfaULk2/k6aNItpI7xEsnMy3ep3UJMxkWMIEhP1P8ABb/gnTp3gr9tb4lfGzxjB8LfGniTxhqsOo+H9QXwCtpr/hNIrKKxW3j1KW7uHdDbwpu8uOAGSSZsBZBGvp/ir9jP4P8AjrxJ4m1nXPhR8NtZ1jxrapY+Ib6+8MWVxc69boYykN3I8Ra4jUwxEJIWAMSYHyjGE4Slh1BO0nBr0k4RjdvdtNOW9k3dXd77e0gqyla6Tj80m27LonftqlZ2VrfKvijUPjhb/EP4H+HYv2i/E1tdfE3wdrmva+6eFtAIgltrewmQ6bG1mWgVJbnYPtLXY8olX3yFZl818Sf8FDfilrHww+BHjTSPHniG81rUNC+Hl74z8P6L4d0WPQLJ9d1CGCa41O4vW+2MLtHlW3h0vDwNbl5v3csZH3Nr37BvwN8UwaHFqnwY+FGpR+GdMbRdHS68I6fMulWDK6taW4aI+VAVkkBiTCEOwxyayb7/AIJofs46pp9haXP7P/wSubXSrVrGyhl8DaW8dnbtM87QxqYMJGZpJJCq4Bd2bGSSexVI+1dS2nPGSXTlUptx/wC3lKKa292+tkjlhG1JU5O75bN+b5bv1VnZ+fZtP5F0bw3P4H8Q/tLeKdU+LXim58Taf8Y7LRvDE83hfw7q2qadqV1pejwRppYezhSHUbi1uTp8c1zIbaKJ1kmQqJnfM0n9s744ax+zT4Z8Tal4u8fabY+E/EHimx8X3uj6d4WvvFdhaadrb2lve6pp3lyWt1ZQwoyXbaQ8civteLzEJ2/bVl/wT0+AWm6N4j023+B3wfg0/wAYGM69ax+DdOSHWzHL50ZukEO2fbL86+YGw3zDnmotK/4Jy/s9aFqWl3tl8CPg1Z3miX51TTp4PBWmxy2F2TGTcwsIQY5swwneuG/dJz8oxnQaiqcZ68sYrv8ADGMb/Nptq9mmoq3LzOqvvqVt3KT+Tcny+Vrqzto03rzWXxL8Vf23/ihb/Er4jnwz8XfG1z4Pv/APjzxLoniCTw74bs9HsLvQry1WKPSo3Sa9dIC81rcyanG0dwymW3IRlZPpL9hD4pfErU/j/wCMfCHj7x03juKLwL4U8YW8zaNaaYunXWpNqcd1bwLAoP2XNlEyLO80qlnBmcEBfQPFX/BNH9nHx1rl/qmt/s//AAS1nUtVu5L+9u77wNpdxPeXMh3STyO8BZ5HPLOxLE9Sa6b4V/sdfCL4FeMX8ReCPhZ8OPB3iCSwTSm1PQ/DVlp141mgjC2xlhjVzCoiiAjztAjTj5RhYe0Ics9dEu+zm7+r5opve0F3sqrtTT5dHdvtu4dP8MZabXm7JWPR68A/bI/5OK/ZO/7Krff+oP4rr3+vAP2yP+Tiv2Tv+yq33/qD+K6RJi/8FZvCuk2n7APx08RPbQJq83gS8003bsd/kgO6xDJwAZHzxyx25zgYxf2hbD4hW37eHwo8NeDPiGPh/wCEviNo2r6h4nj0zw/aXeq6jdafHYCGVLm786GL92yRYFsf3fmglmML2/0X8YPgd4K/aF8HN4d8f+D/AAv448PvMlw2meINKg1OzaVM7JDDOrJuXJwcZGeKxLT9kP4T2HibwlrcHww+HkOs+AbNdP8ADF/H4bs1uvDlsoYLBZSCPdbRgMwCRFVAY8cmiLaceiT/AAad9Nt3ez063uEtbvq0/v8AdS130StfdbbHwJ8Wf23PilZfE34kr4b+Lnja48IXvgLx74k0XxBJ4d8N2ej6feaDeWqxx6UjpNeuluWmtbmTUkaO4ZTLbEIysnb6b8cfj/YwfETwrF8R/wDhMPFD+D/BPijS5EtNF0C9huNVutQivrDSmuIXtBI8dkv2VNQFx+9crJMVYNH9NeKv+CaP7OPjrXL/AFTW/wBn/wCCWs6lqt3Jf3t3feBtLuJ7y5kO6SeR3gLPI55Z2JYnqTT5P+Ca/wCzpLDeRv8AAL4KtHqNlDpt0p8D6YVubWFomht3HkfNFG0EJVDlVMMZAG1cTSVqfJLtFX66SnJ692pRjftBd7LSrKMruKtrJ/e4W07JRlotLzdkrI+G1/ah+NWs+Gvilrml/tEeONH0j4efCeLx15Hi3wN4estTttZt7/WrObT71UtxEkG7TPLuUjLNJMN9tcW8f7t+98Tftu/FjxHP428dWfiubwtqvwp8b+FPC158Kjp9hLa61aatFpRkkuJJYTfLdSvqVwLZ4J4oc2cStFIRMW9mg/4JaeFbv9ty0+Jur6F8GtX8G+G/DGm+G/CPhWb4bwtdeDxYTTXEE9letctFA3nXEpxDaR4RLdQQYy7+9az+zr8PvEfxh0z4iaj4F8HX/wAQNEtzaad4muNFtpdYsISsimKK7ZDNGhEso2qwGJHGPmOdoSSam9fLtablfrfmjaLTbUVqm2mnFbVtQ0SSXr+7gmvK0lJ8ySk3fZb/AJ8fGCb42fFj9iT4t674s+Pviq2v9F+Kn/CK2Nv4S0HS9Fs4rKHxPb2yhvNgurh22SMhDT7HiSNJElJmeb37/gsOmoeFP+Ce7R32patqXhaw1/w5H4/viii5vPDa6paDV5Z1t0RPLe1EpnWNFj8lphtCZFe4+H/2NPhB4T+HviLwjpfwp+G2m+FPGEpn17RbTwzZQ6drchxl7qBYhHOx2rzIrHgeld34b8Mab4N8N2GjaRp9jpWkaXbpZ2djZwJBbWkCKFSKONQFRFUBQqgAAAAYrCCcacIvVx9m9dpOCjzX8pOOvdSd9lepSvUnNaczna2nKpN8tul4p6Po0mr3Z8b/APBQG4t0/aQ/ZH1L4Wppeo+P4PFcslrbaTNAs174OOl3LamoOQn2ElbABmIiE7WmDvMdfSX7OPxa8R/Fbw/r0XjDwvpvhPxN4Y1iTR9Qs9N1ltY0+RhBBcJLBdPb27yI0VxGGDwRlZFkXDBQ7RfCv9j74X/s+WuvD4ZfD/wP8L7/AMRweTe6h4T8N6fpdzMQH8uRykOyVo2dmUSq6gk5UgkHL/Z28D2H7MH2D4Zal8TvF/xB8R69HqXiPT38VJp/9pS2sM1ol4wexs7aN0Se+gYtKrSlrv7xUAJrFq0ovVO717tx0VuiSbaejlKUlZuxnUV5RlHSyUdOqXM7teblZW1SjFXstfiX9i34ha34I+P3jv4deH5te+E/gjwJ4t8ZeJNI0zRbHSPsfxQePVZGn0y2SS0ma3js0RN6wvBPJ9uJVQkQlPOWX7TX7WGr/s66R8T3+MXgDT9J+IZ8L6v4bj0q6s/Ehge91yxsbu3a2bQ7Bk0zytSCtE91Jexy20ai9OZSfvjTf+Cd/wCz/o1/p93Z/Az4O2t1pWptrdlND4M02OSzv2MZN3Gwhyk5MURMq4c+WnPyjHB/thf8Ey/C/wAd/gb4p8I/D/RvhP8ADa7+IHiHTdd8XX1x8P4dUh8U/Y71b4R3kMFxaG4aWdFDvNI+Y5Jl27pN654a9KFGM/e5FTi/NRsm/nG2mtuTRNzdtptTrTmnZSlKW3Ry5reu/a7lZtKETxDxP+0b8T/DGu/EL4Wt8Y/HWv674c8e2+keHNV8PeHfDUnizxOj6ANTutKVruODRrZ7Td58lxPEmYFWEDz5I3aP9i342fHj9s3xl4HOt/Ga68J6BrvwU8P+NJbXwz4V0qPUG1S4kuYJpXuLyO7iKuyGRkjgRQUgCbAsvn/Xa/sN/B2++Deh+AtT+EnwpvvCOgXA1Cz0EeELFdGsrw7i9zb2bI0cLlpJDuXLfvGyxySXfCD9hb4I/s9+Mm8R+Afg58K/A/iFoXtjqnh/wnYaZemJyC8fnQRK+1iASucHAz0puGrjzX219KcoXt0vKSn1d4pu7d1m53g7Kzf4XqKT8vhXKu3M0nypI+av2Ef2qviB8Vfit+zla+JviDd64/xB+B974n8SaLLZabCv9qW15pUSX4ENuk8Tv9ruo2QOIcxDbGrIxNP9v/4x/HLwN8avjefCnxbi8I+Ffh58Gv8AhYGj6Xp/hSxuLp9Qt5L/AClxc3YnEkExt8SKkUbbPKEbROskk31R4P8A2Kfg18PPHVv4p0D4SfDLQ/E1pe3OpQavp/hextb+G6uU8u5uFnSIOssyfLI4O514YkU34i/sR/Bj4v8Ai3Vtf8W/CL4YeKdd1+0Sw1PUtX8K2N9d6jbI0bJDNLLEzyRq0URCMSoMaED5Rh1pObhJKzXO2lt73tHFeag5RtfpBaJaLWE4KUrq8XyetoyjzejlGLV1reT31b+OPir+2Z8XfgLbfEzw1N8QdO8R69dQeBp9M1jWorLQ7PwtN4ivbu1uBHJDY3AgtIzbqLd7yC9eOSRfOe5UEV6VYy/Faz/Y8TR/jLr3hfxL4z0H4qeGrQ3ujagL5jat4i0qa3jupU0/T4WukjlCsYbSJCoQ7QxYV7v4Y/YT+CHgiTWX0X4N/CrSH8RaSNA1U2XhKwtzqenCNI/sU+yIebb7I418p8ptRRjAArkfj3/wS++Dfx8+FnhLwa/hybwNofga+jvNEj8DXb+GHsIxdRXU1ohsvL2208kMZljAGWRJFKTRxypqpxVVTS+3F+iUouy9OV67vmf8vvc0Iv3VOW2/duzu/m3ttGyavd2+g6KoeFvC2m+B/DOnaLo1hZ6VpGkW0dnY2VpCsNvaQRqEjijRQFVFUABQAAABV+s5Wu7bFRbsubf+vQ8A/Y3/AOTiv2sf+yq2P/qD+FK9/rwD9jf/AJOK/ax/7KrY/wDqD+FK9/pDCiivAf8Agp1+z14R/af/AGNfE3hDxpotjrWk6jNZxL58CSS2Mkl1FD9ogZgTFOqSvtkXDLuODU1JNRbir+X9f15ouCTklJ2R79RX5RftjfHLxL8Yf+CMPxV+EvifV3uPiV8LvDWu6N8Q7hJP31yuj26eRcsQBj+0PO065Axhopp152tj3PwL+0r8TYPj/bfDj4WfB3Srf9nzwLrVt4C1u401dL0lNKRrKJ5bm2uF1mCe2MMt1Ci2iaW7OqF47gNIqJry8ztTd09YvZOOiUr9ItuKv0bd7JXMpy5IxdTR+8mlq1KNrxW3NK13pulpduy+6qK/Nf4e/tL/ABV+An7L3wn+FX7P/gb/AITTxe2i69rfl3/2TUVjs7TVntoYZDfazpsh82SYB7oTXDxeWC0EplDLB8Bfj54r0j/goD8S/h74EhsfBHxB+LWtaV4w1a58Y2d34o0fT4I/Dli95YQXMWoQJPeiSWMRQ20zxxwW8z7EiEZOdOSm047O9vOzs3bsrSu1ezjt7yZTdlaW6V35aJ29XePKna/Nps0fpfRX5zftA/8ABRD4w2vjT4ueCNB8V/DuKaDwJ4y17w/rWi+DNXng8OT6NNbokf8AaVzMthq1yY53WaO2RBY3UZjlWbYVk+h/iV8XPiZ8EP8AglZrHxAi13whrPxJ8IeApPErX95oN1/ZWoSW9qbpo3tRfecDJEhjL/ajh28zDD90Upp0pVXslF/KTqL8HTlte+lrmqozdaFBLWTlFeseT8+dW9H5X+kqCNwIPIPUV8Ran+2/8aPAeq+LvDfi67+DWka9J4T0PxjoWqxabq1xpukx3+oPZz6bLbJKbnVr1SuLVbb7K99K6xiK3YjPHeDP25PiJ+3b8HbX4a2Fl8NLbxd4g03xhJ4iu/FfgfU30TUNM0nU20kQnRLi6hureW7aWNniuZ3NuI5VZJSwCqvJwhKUVdxUv/JL83/gPK797Pl5rMilaXLKTtFuKv8A4knH/wACTVu10pcraPqb9h79gn4df8E9vhx4g8LfDfSv7L0vxJ4k1DxNdqcE+fdS7hEuAMRQxCKGNeyRLkkkk+0V+YPwW/bm8b/sr/sc/sn6dol74DvdBufBPgCx1LQV8N6xq+sSDUp7awkmmvbVls9FgVHDW8l4sou5Ip40CmL5vsT/AIKG/tA+N/2bvgzZeIvB1pBHAl/s1vW5/Cd94rg8OWQhlf7VLpthcQXc0PmLGjyQM5hWQyNG6K5XoxkFQc7u6jOUL+cWlf01T3/FCpKU2o2s3FS+9Xt3/Dc96or83/jb8Q7r9o74R/tE2/iPRvh3CmlaR4H8R6f4h8D313HJ4oWYGaKa7uB5TTwLJE3lQOHjETAM0m4hfWvG37SXi74ffGL9pOOz0z4N+CtV8MnwoNJ8Q3llfahcaxb3hliBvYbZY7i/vF2SR2lhbkNJJJHCs2ZcrnVUqcnCS1X/AAEt7Wd3s9t3s7ZUaqqqLhs/+D2vdWW636dL/Y1FfPX7C37YGq/H79j3UPiD4xt7eHUPDuqa9puoPZaJe6Mt2mmX9zb+eNPvWa6tHkjgDG3nZpI2JUnI4+W2/wCClP7WEnwjj8ev8LvA+heG/EcvhvUPDEuvpaRwahBqeq2tk+nebp+u30zkR39tMupG1iUeVIrWOZECtRbqeyW/u+S9+/Lva17O17bW3snp013u1breLs/J2bSbTsrp35btfpTRXwd4t/a2+KFv8QbbwP458KfCDxnqXgf4x+GNAvddXS7u1tFtNTgintryxsppLhotRgeYoXa5KoAJFyX8peZ8Jftl/tCfDrwNrukrf6L8V/iH40+LXiLwx4YjsfDFvbf2RZ6a11JNm2vNcsobpBHBHHHEt3byIrPIzXLKwfOE1JNrom/u9l+P76N+1n12J2i0m97fj7XX0/dO3V3Wh+i9FfHP7JWo+KfHP7Znh/xh8QvDM3g34k698J2tfEujJrQ1Czsbm11cR4gWK5uLeFWJZysTsw3hZHdkzX2NWlvcjO+/Nt/dnKG/W/Lf528yef35Qtty/jCMvw5rfK4UUUVJR4B/wSd/5RZfs0/9kq8L/wDpota9/rwD/gk7/wAosv2af+yVeF//AE0Wte/0AFFFVNf1KbRtCvby30+81a4tYHmisbVolnvGVSRFGZXSMOxG0F3RckZZRkhSdlcaV3Yt0V8t/s//APBVjw18bvHfgjQ9V+HPxR+G6/EubU7LwpqPiaLSZLHW73TndbuzV9Pv7toZ1EUzKLhYlkWCQoz4AP1JVNaJ9yVJPT+vX08/XsFFFFIYUUV5z4e/ac0LxL+1J4k+EkGneJIvEPhfQbLxDdXtzprwaZPBdSzRIlvM5HnuphJcxqUXcF37w6KXvJQ6u9vkm39yTfyG9IuXRWv82kvxaXzPRq/P7/g5X/aZ+IP7L3/BLzxxqHhDwnpPinw54v0698G+LJbmWWO40Kz1O1ks476LZ8rBJZVQhv4pY+26v0Brlvjd8GPDf7Rfwg8S+A/GOmxax4X8XadNpWp2chKieCVCjAMMFWAOVZSGVgCCCAaBHin/AASX/a1+In7dX7EXhj4sfEfwfo/ga/8AGrS32k6Xp80so/s3IWCeQyc7pdryLjjy3jPUmvpSvK/hx8d/CVh8f9U+BmhaFrmlXngHwvp2qq50prXR1spnlt4ILWVsecYxBhvLUxoCq794dF9UoTvFTWzvb5Np/imvkN6ScXurfik1+DT+YUV538Y/2m9A+CHxM+GvhPVrLxFc6n8U9Zm0TSZrLTJJrK2mitJrtmubjiKEGOBgqljJISdiMqStH6JT3XMttvmv+HCWjSfVX+V2r/en9wUV5z4e/ac0LxL+1J4k+EkGneJIvEPhfQbLxDdXtzprwaZPBdSzRIlvM5HnuphJcxqUXcF37w6L2el6/d6h4m1Wwm0TVLG104QmDUp5LY2up71JYQhJWmBjICt5sceSw2bxkhJ3iprZ3t8m0/xTXyFLSTi91b8UmvwafzNOivOvgN+0fY/HvxB8Q9Kt9B8ReHtQ+G3iZ/DGpQ6sLXNzKLW2u0uIDbzzK0EkF3C67ykgyQ8aMCK9FLbQSTgDqaG7JSezSfyaun807jeja7Nr7tAorF+HXxH0L4ueCtP8SeGdVs9d0DVozNY6hZyCS3vI9xXzI3HDoSDhhkMMEEgg1tU3poxBRRRSAKw/iB4Bs/iTotvp2oS3S2cN9a37xwsqi5NvMk6RyZBzGXjXcoxuAIJwSDuUUdU+zT+7UDzL4w/sU/Bv9ofxQuufED4SfDLx1rSWi2C6h4g8L2Op3QtgxcQCSeJm8sMzMEztBJOMmucs/wDgml+z7oFrZ/2B8EvhD4Yv9JuW1DSNQ0rwRpMN1ol8Qm29tibZljuFMUTB9p5ijyCFAr3Cik4qzQ+Z3u/66flp6aHz/wDCb/gmF8F/gP8AFbwf428F+CvD/hLxP4Ssbmxk1DRNGsNNufEP2iJI3k1GWCBJLl/kL4LBDI5coWVCnp+ofs7/AA/1b4yWXxGu/Avg66+IWm2psbTxPLots+s2tuQ4MMd2U85I8SSDaHAw7ccnPY0Vbk20+34Xvt23f3k2Wvnv5+vfZbnm3ir9jP4P+OvEnibWdc+FHw21nWPGtqlj4hvr7wxZXFzr1uhjKQ3cjxFriNTDEQkhYAxJgfKMTW/7InwntNT8HXsXww+Hkd58Oofs/hSdPDlmsvhiP+5YsI82q+0W0V6HXCftP/GO+/Z6/Z58ZeO9O8Maj4zufCGlTasdFsJViutQjhXfIkRYEGTyw5VcZYgKOSKlaWt028rXt+b+9jlre/X/AIH+S+5djx/9hn4R+A/ih8D/AImX+pfDf4bxy+OvH3jXQ/FEdp4XsraLxPbWHifV9OtxfokYF232eFQzTbi7M7HJds+qS/sd/COfwH4a8KyfCz4cP4Y8GXo1Lw/o7eGrI2GhXQZmFxaQeX5cEoZ3IeNVYF2Ock18Hf8ABuj/AMFXbb/goJ4e+IvhfQ/hz4j0LSfDHiXxF4qvNevbyJ7bzNc8RajqltYqqjLSrDcuHbOAYCejrX6cUeXp+G33dO3QHrv5/jv9/XueN6Z/wTp/Z80XVrC/s/gT8G7S+0vUTrFlcw+CtNjmtL0lCbqNhDlJyYoyZFIbMac/KMZFx/wSq/ZfukRZf2b/AICSrFnYH+H+ksFySTjNvxkkn6mve6KErKyG5N7/ANf1c4j4TfszfDf4B6xrmo+Bfh94I8F6h4nkWbWLnQdCtdNm1Z1LlXuHhRTMwMkhBckgu3qc9vRRTcm9xBRRRSAKKKKACiiigAooooAKKKKAPmT/AILG/wDKOH4jf9wz/wBOlpRR/wAFjf8AlHD8Rv8AuGf+nS0ooA+m6KKKACiiigAooooAKKKKACiiigArwD4jf8pTfg3/ANkq8ef+nfwZXv8AX4rft6fs2/tYar/wcQfDDQfBnxZ8f6Z8MPH+m3mpWupW0y48L6MJbKTXtPjcr8u+W0sSmcgG4tVz8poA/amigDaAOePxooAKKKKACiiigAooooAKKKKACvAP2yP+Tiv2Tv8Asqt9/wCoP4rr3+vAP2yP+Tiv2Tv+yq33/qD+K6APf6KKKACiiigAooooAKKKKACvAPiN/wApTfg3/wBkq8ef+nfwZXv9eAfEb/lKb8G/+yVePP8A07+DKAPf6KKKACiiigAooooAKKKKACiiigDwD9jf/k4r9rH/ALKrY/8AqD+FK9/rwD9jf/k4r9rH/sqtj/6g/hSvf6ACuL+PXwA8OftK+Aj4Z8VHxF/ZLXMV2y6N4j1HQbhpIzuTM9hPBMVDYbYX2kqpIJUEdpRSkk9GhptbHi/xU/4J6/CP40eGvGeleIfDF3PF8RbCw0vxRc2mu6jp9/4gtbJHjt4bq7t547iZFSR1YPIfMDEPvFReGf8Agnd8KfB/jqLxLp+leJ4daW1gtrmdvGWtSLqrQRmKC6vY2uyl7eRIQI7y5WS4j8uIrKDGhX22im92+4uy7afLT/Jfcj570r/glp8FNB+HnhbwzYaB4nsLLwTdXl1od5beN9dh1fTftbFrqFNRW8F59nmY7pLczGF2ALISARB4n/4JTfBPxbruqanc6N40t73VtYs9fkfT/iF4i09bW9tIHt7WW2WC+RbXyoZGjVbcRoECLtwiBfSf2sf2gbX9lT9mvxv8Rr2xl1SDwdpE+pfYo5PKa7dF+SLfg7AzlVLYO0EnBxivzv8AibcfEj9nf4sftbeKvFHh34A/ELxReeA/Amsanbp4YutJ0TUbf7drEUj3dtJPdyXl1EsW1GaWMOsUGfKCYp01eemlrNPzvpb7rt7Kyv0Co1CjKp2W3k5KL/8AStut7Jb2+w9I/wCCTPwL0PxO+rW/h3xV5zQ6vai2k8d6/Lp8cGqknUYEtHvTbpDcMd7xLGE8wK4UOqsNX9pD9lTUbv8A4J4eOvg18Lo4Z7zXfCt94Y0j/hLvFOpXEdsl3E8DPNfzLeXbiJJWZFIfOxIwY1wydZ+2J8S/GXwi/Z91rxB4F0WbXfEFi8GIodHl1uW1t2mRZ7ldPhmgmvTDEXk+zQzJLJs2pucqjfIPiz/gqb498NeH/hX4g03xb8H/ABrpHiO40O11a18P+DfEU93ff2hrrabJPK5k8vw4iRkeWmpec01zBdwDDQHdCh7X9wtpOMPvvbTt7z1ta8pW2lbWFSVKca63heS+9X+bdm1fZJuyav7j8LP+CY/w8b4BJoPjTw1qbeI9bGlXmuX0fxE8Qa1qUF5pz+ZaC01u4li1GOK3lLvEsZgVDLKRGvmPutW3/BJT4GWGiWlla6H40spLDVL/AFi11G1+IfiO31a1uL8f6cI79L4XSRXLfPLCsoilk/eMjP8ANXkfwd8feI/2aPilZeHfCU+kv4Y8e/H3X/DutRa1Fe6pqOZtIm1GOeC7e7BTbLaurJKkoZJQEMQjAMXwl/bf/aI+Lnj/AOFvhO1j+C9o3iy/8b6brXiKXS9TYRyaBrTWSPbaYLrhZYEXIe+J3zlgQsHlz6KXtoxqvT2ii2unvQjNr0ScVfrZJK+iydP2K5OkW4rvpKpBP1fJP0v53PTm/wCCMv7Pn/COafpEfh3xtbafplhYabDDbfEjxNAGgsLh7mwEhTUAZWtZXJgeQs8KhEjZERVHsXxy/Zd8JftFaToVn4lPiuM+Grk3enXWieLNW0C+t5GhaFj9qsLmCdw0bsrK7lWzkgnBr45+Kn/BS34s+D/jD8SvDWk6t8K9Xj0nwf4t8T6HcWvg3XZ9O0uTQ7i2C2s2pyXMNpq0skUzx3CWRhNjco0b+YUw/uf7FP7TXxL+Knxj8V+EPiRa+BkurDwj4c8Y2D+GobqOO0j1U36PZSvcSMbhonsci4VIA4lwYUK5Yi5VoOT1TtJ37yclfzbdOWvlvqrurF0ndrZtfdyJ/K84L57WVzS8Xf8ABLf4KeN9H8YabfeHfEcem+PLTTLDWbKy8Z63Y2s1tpoAsoIooLtEtooh0SARq2TuDZObvi//AIJsfCPx7qfii+1fS/F17f8AjB9Jm1G7bxzrq3Cy6Wwawmt5FvA9pNCwLCW3MbsWcszF2z4v8Sf23vjd8N/2hPHVg6fCu/8AAfgj4j+FPCpUaVfw6vqFnr0tjEE3/a2himtftqv5+11uMFPIt8CRq0X7enxT1/8Aat8WfDTT9e+GV1De+HfFGp6DqWn+DdbuLHQZ9Ku7WGKKbUZbiG01iUpcMtzDZmBrO4jaF2YrlsJVf3Trpbcz87wgqj+dmrPa/Xa+kaEpTUEt2l/4E2l+WvXW1r6H1F+zr+yn4J/ZV8HaroHguy1m20nW9SuNXvINU8QajrZkurhi88ga9nmZPMcs7qpCs7u5BZmJ+dP2s/8AglrZH9l/VfBPwM8OaZY3mva7pN3La658Qdd0vT9FsLTVYdTlt9KaJLxtMEkluiCKxjt0QssgOYI0PzF8OvG3iH/gmv8A8E+/CPxe8JS/B+Hx78Q/h4njPxYtt4I8QalqXjE2dnHcwPNYWV7IIpCby4F7r9wwQSTW3mx4kQJ9ieDP2x/HOsft6WHgHX/+Ee8JeFtdsTd6Dp2o+GdQ+1+JoRYxztcWGtpcGxlljlZ0lsJLeK4SOJpQXQhj11qMo1nG/vQaTfnDp5pNNW3sm7KGphTrJQjWS92XvR87te9bo/eTu9Lu13K6Oy0v/gnR8Lf+EA0PRbrRPEMZ0rxJb+NZJk8b63PfXmtQqgjuru/a5F1qBjCRon2t3UJDEoRVRFWbxN/wTj+EXi6HxAl7oWvE+I/EK+LJJIPFmsW0umasGdjfac8d0raZM5kkEjWJgMgdg+4EivcaKyk7u/8AX2f/AJCH/gMf5VZrRf1/e/8Akpf+BS7s8n8D/sR/Dn4c/GbS/iDpGna/b+K9H0E+Gre5k8UarcQNYmTzXSS3kuWgmkeUmV5pI2leQmRnZzur1iiiht7ev4tt/e22+7be7BJLVLt+CSX3JJLySQUUUUhngH/BJ3/lFl+zT/2Srwv/AOmi1r3+vAP+CTv/ACiy/Zp/7JV4X/8ATRa17/QAVU1/W4fDWhXuo3KXktvp8D3MqWtpLdzsqKWIjhiVpJXIHCIrMxwACSBVuilK9tBpq+p+d3/BOX9kG5+Jnwp0P4iaxrvxmk8V/DrU/FUvhDwd428Ot4a0bwzqN/c3LRX0NtLp1rd3RNtcALNcS3KRi6uFXa4YJ8v3/wCxVpekfsna9qd9of7Wl58QdXfw7beO9FXwbcabHLrFprNvcS3Ql8P6Taza3KFXUJRqXnXa7fLZ5TM8FftjRQkou8fK19bWbd/nd3e91HX3bNauKi3t207WXytottZae9p+RXiH4V+CvhJ8Z/HuteDfgn8UrCXw/wDG7wjfeEZdL+E/iPy9J0rydMXW7nTgLLZBHM1vqH2qSDabkKgkMoeANe0z9j3x1rHjP4v+KNNHx3sP2lpbPxZZ3CjQdN0jw/rVjdGVrLyfEEWmQyXytF9iS1hk1KSaykCgrElu+P1gv9TttLSJrq4gt1mlWGMyyBA8jHCoM9WJ4AHJNN1jVY9C0i7vp1uZIbOF55Ft7eS5mZVUsQkUas8jYHCopZjgAEkCnzKNLl6JNXfS8KcPTaCbT35ntdWck5VFJLX3drq/LKUltrduT1VndLzT/M34w/Cr4Ot8BNLtfht+y/r+jeDvGfim2n1Sy174UeJb/RdA1KHSrlPtd14PgWB7vKCG2+0IqW7TzJcNM72qbvni+8DTfFj9lOe08U/Cj48av458Hfs26d4a0VL74XeKwbTxVbT3Hl+QGs/Le7geW3aK5UsYg0jRyqolNftvoOtQ+I9DstRt0u44L+BLmJLq1ltJ1V1DASQyqskbgHlHVWU5BAIIq3V3carns7p27NQnTXnopu3a0ezvVKolGNrNK3zXOp/dJxSfR+80k5H5L/HLUrDxf+394U+I0/wO8d2uk23ieKDxNqMnwW8V65r/AIm0O58KzwmaS+ELJDprSTw20mirbO6zQtNL5bvIg2v+CTHw80v4M/Gz9ns6X8Lvip4K1LVvhZruk+L7rVPAGv6fEt+NQsJbG1vrq4thCgiht79bdHkEcKERxbVmiV/0f8A/Hvwf8UvH3jHwv4e1+y1jXfh/dQWPiG1ttzf2XcTRCaOF2xsLmMhiqklcgMATiuvooyUJRnFbJ29HCUfufM5W2u9Eo6GclePI+iS17xldP1TSTe9kr6pt/mV/wU403WfFH7fc0l34A8bePvhLpvhXQYPHnhy0+GWq63F4zto9WuZvslpdrayWzvbSXNpeSQJl5lt2j8yLbKG4P4tQaC37dfg3xp4b+BvxE8EeFtB8SxadqGo6H8G/GJ8SXvh+TwrPbRT2+pWsSnT9PV5be2GkW9v5sM1v9oYwuzov641xXxQ/aL8E/Bjxn4J8OeJ/ENnpWvfEbVG0fw3YOHkuNVuUhed1REBIVY42LSNhFJQFgXQNhSgoQjReurt5ucr289W4pa6Sejdmtak+dznteNn5KMEubyaS5nL+7H7MWn+a3wi/ZA8G+Gv+Ccn7NN3f/B7xsdK0DxpbXnxL0+48Fa1ceIr+2h0zV7FFvLFoG1K/tlkureAReXLELeQpt+zBwNCy/Zut/h5B4Esfir8HfF3jP9mXUpvGTaD4Li8HXniVvBT3d9BcaM9xpFvFLcQD7Gt6kDCHdYfavJbyC5C/pP8AGP4y+HPgF8PrzxR4rv5bDR7J4YWaG0nvbieaaVYYYIbeBHmnmkldI0iiR5Hd1VVJIFP+Evxa0P44eArPxL4cuLy40u9aWNReafcaddQSRStFLFNbXKRzwSpIjo0cqK6spBANav3pSk9b3v8A9vRUXf8AvJK8H9nzQpzb5L6W0VtHpKUtH2fO1NL4klsfkX8evgN4jvvhBruifEzwD8XfG/xM8J/s6WOj6Ldw+D9d15I/EqXN1JbbLu1gltZ9TtxPaf6UkjvE5nZZFHnGvWvirpWueJ/G37RGs+FfAvxi1jw54um+H2r+KLK/8La7Dc+JtFiZzrNlZR38UZmb7G6xyWMBDENLF5XmMyH9PJpRBC8jbiEBYhVLNx6Ack+w5rkPgP8AHvwv+0t8Nrfxb4PvL6+0S5uruxD3ul3emXMU9rcyWtxFJb3UcU8TxzQyIVdFOVPbBpqTcbPW0nLyblUdS0u8W3Zr7UVa99SKivyz2toraf8ALuMNOzSi5Rt8Lbep+T+m/Af4Y698VR4f0b4I/GHRfhzL+0HaeJbDQ7T4UeLtD0BtGuPDFvZXUs1mtlFb/Z2vI5YnjnTaI5JgVEMz7/Q/jh8MNN/4ef8AhG40/wCBOo6Jomh+NofDes3tp8Ktc1iTXNCl8MzWSSDWYlbT7fRPMmgtW0qOJ443ga4laLdIo/U6ilCySi9UrfO0KcP/AEmnre69+TtezVTk5cz2bi0vK8pyb9ead7qzvGO+t/jj/gkZqHg/9n79kz4afC+LwR4h+Hnii7W8hvrCb4f6nodrc6lbqHuHe4e0jt3keIKySGQ+esTmNpBE+37HrLvPBGi6j4vsPENxpGlz6/pdtNZ2WpSWsb3lpBM0bTRRykb0SRooiyqQGMaEg7RjUpuTaTlv1/4Hla2nTYiyTdtv6/XqFFFFSMKKKKAOU+Mfx48D/s6+EV8QfEHxn4U8C6C062o1LxDq9vpdmZmBKx+bO6pvYKxC5ydp9Kb8Gfj94E/aO8KSa98PPG3hLx5ocNw1o+o+HdYt9UtEmUKzRGWB3QOAykrnIDA45FeP/wDBXN54/wDgmz8X2to4prldCYxJLIY0d/NjwGYKxUE4yQpx6HpXzz8YvDXxi/ZG1D4z/HnWB8MPBHjn42ar4R8EWFjoviG5uNG0OFJhaf2re6ndaZg3jm7eJJG06SGERWgdJ13ilF+9yvrZL1bUUvO7fS1t3puPrbSyu/RXbflaOvW9rLVo/QXxD4o0zwlZw3OrajY6Zb3FzDZxS3dwkCSTzSLFDEpYgF5JHVFUcszAAEkCr1fnv8WP2ZtY+Pn7JWkad+09beBvih4w8EfEzR9LtJIL9tWtY7O+1zShtu0Fhp9pJfC1mMDSx2Ue2KRwuzz5lb6f/a0i8W/C39lNtM+GF/d2/iGyNhpmmedrNqNXvIhNFG8Frd6ss9vJqEkQZYmvRIkkpUSMNxkWnpT53q+ZJW1veMGvn76/pai95q2i1vfS1m/waW7tb56e01l6N430TxNrms6Vp+r6XqOpeHpo7bVbO3uo5p9NkkiWZI50UlomaJ0cK4BKOrDIINfmT4i/bW+KOg/s9fHnW4PjZ8QrWbwp8IrXxdo114o8L+HtK1XQtbt9T1ixurKaBbJrdnaXT7eCZT5qmR3aBo1kiC7+u6h4t/Z7/ar+M/i/wJ4ksvCekXXxW+H9nrGgWPh+y8nxHJrCaVaX813M6M+4x3JkQweTIJgzSPMrCNWotzhFa875V6uagvle+qu9NrFTTinfezdvSEZtetpxVnZXvror/Yf7D37BPw6/4J7fDjxB4W+G+lf2XpfiTxJqHia7U4J8+6l3CJcAYihiEUMa9kiXJJJJ9or4G+Dn7S/xJt/iL8D9G1r4qaxrNzqvxj8c+BNXsr7T9Hhm8R6Xp0OsyWksyw2cbJLD9iszvtvJVhMd6vvXHof7Y3gXxT4z/wCChfwJtdF+KnxB8DWV34d8UNJZaGumSWzzRR2W2do7yzuFeXExUMwOwLhAm+XzMqtRQhGo9U1fTty8y+9W+8qcOWrKk3qr/hOUH+MX8reh9UeJ/E+m+CfDeoazrWo2OkaRpNtJeX19ezpb21nBGpeSWWRyFRFUFmZiAACSQKt211He20c0MiTQzKHR0YMrqRkEEcEEd6/Jj44/H7xZ+0V+xBp+kePvF0PjK28ffso+J/GXiHw7qWk6U0C61p40822qBI7ZZophNPP8ocRK9uhSNHjLV6P8S/jT8bv2fNYm0G3+MOreIrHSbPwD4jublfD+kQDSBqWvrpl5pLqLVsWE1q7zRF3N5EbUlrqRSc9Cpe+qba96XKn0+KpFtvor02/S32nyirQcIxk/O/3U7fe6iT+/4bs/Q/xH440Xwdd6Tb6vrGl6VPr16NN0yO8uo4H1G6MbyC3hDEGSUxxSPsXLbY3OMKSNSvzO+Muo+Ivjv8corCTxvbatrvw7/aZh8NeFPE15omm3d94Vsbjwul3dWcBhhiQskk0yKZhIwaOLzhP5ZRvr/wD4J1/E/wAUfFf9mdbzxjrcniXXtG8T+I/DsmrS2sFrPqMWna3e2MM0scCJCJWht4y/lRohbcVRQdoyo+/SdXzVvSVOnNfNe0s+na+rFXj7Oaj8vnzVF9zVNtfjbQ9yooooJCiiigAooooAKKKKACiiigD5k/4LG/8AKOH4jf8AcM/9OlpRR/wWN/5Rw/Eb/uGf+nS0ooA+m6KKKACiiigDy/8AbF/aitv2NfgFrPxE1Hwj4x8aaT4fAl1Cz8Mx2c1/BBzumEdzcQCRVOBsjZpCWG1G5xkfH79vP4ffs9fsWXvx8vru917wDb6LBr1rJo0aXFzqtvOqPD9nR3RWZ1dSNzqAMkkAEiT9u/xrB4H/AGdb6efSvFesm51GwiS28PeGtQ1+7bbdxSsxt7GCaUIEjclym0YAJywB+BP2nPgX488H/sIfHv4SxeBPHGr/AA+8GaLqsnwp/szQb/VL3XBrts/2GxW0hie4ibTvOv7ZxLGqxxy2pZl2tUxd3KLdtnft3j25mmnC/XmvdWS2hGLnDm2bs13T2l6RatJq+jT0s2fqN8PvFNz438EaVrF5oereGbrUrZLiTStTe2kvLAsM+XK1tLNAXHfy5XX0Y1sV+WbfATTPjr+2jqvxE+Iui/tBtqlvqVrq/hKC3+GsL6Rqnhf+zUhnsbm7n0STUbWPb9vW40ee6heeSQmK3d7hS3ivwx/ZS0zxJ+zt4d8FaN8EfiPp/iHxr+z74v0HXYdd+G+uW8EuvLPZ3GjW15cXVr5CPbta3RtA7hLfbGsGwSQh259WraNtdUlCUrPzvHkfaV09VYywkHU5Yzdr8qbei1aTa8knzLa6s9E7r9tqK/HL9qPR9F+M2tfFa+tfhB+0Hptp428PfDeeG40r4Z+LNJutcv8ASdYu/t7zmztUnMlvbSRAC52s3kxPEHEcUg7/AP4KF/sseE/hXafHvQvBHwC1K90P4ufBOy07w3png/4aXF1aXGt2NxqkqtcLb23lWtzEk9m8bXJjkJiCx7pEVK0klGfI3pdq/TSLf42aXfTXWyqhFVN3bSD1/vOCf/gPO+btyvbp+p1Ma3ja4SYohljUorlRuVSQSAewJVcjvgelfkH8QvCvhG7+NPxK+I2ifBj4yWuvf8LU8A6/oOowfCHxRBOttGdOfWr62hFiDHI8UV9HcyBFmnCiOTzA0KtP8Dvgd4CtPjR4Gubf4G/EnS4dd+NfjHT9XW7+FPiG3s08KahY6nBDbyB7MQ2+lTzXVk7Q/JBvZ5ZFDxzOkUlKelrOzt5tezsvm6jW11yS0b0UXXs1Vemiduq92cnp3XIku7kk7bv9eKK/NTwX+x9Y/A/4OfEzwrc/BPTPHPhr9mHR9f0T4e2mgv5Ws+JYNZgF5JbxTW6G7tLqO0nS1kkiJnuGlkl2szoG9C/4IreH7j4eX/xy8PDwreeFNCm8VWesaDb2fwr1n4e+H5LWXSLGKRrGw1Dd5TfaIJxKqyF2kUysiCVBVwSm3Z6cvMu+skkmujcXzbu1mt0wneKXq0+2iWqfVXaXTfS59Ew/ti2Wo/tMv8N9O8DfETV4LS+Okaj4tsdOgm8P6PqAsBqH2S5cT/aYybd4SJjbm3Mk8cXneaSg9gr8ntS/Zo8C65ov7TGseG/2f9Y07xRoXxl0DxppOoH4RX+nX2oaXZ3WjSXU2mSvZI9y26HViI7ctI5llYKVuA0mH4p8BeDPiN8fL5b74CfFi30LW/2h7XxdbyJ8ItftE/sW78MW9vd3jyQ2YMUN1exbbmF2WR95FzEFLgRSanCn0clBvsud0k9eydSem6VKSd3dq5xS9rK+kXNW6vkU3p/i5Y231mu8U/19or8Z/E3g2w1v9nD4e+GNQ+DvinxX4c0fW/iJpth4D8Y/DjxVFpGmWVzqyyaZqUNna6ReXSSWtlcwJasLMQJHcXMQuLaVAjd/4E+C/gSH4k/s6yfDXwrf/EPRPCnh7RNHjubz4S6vptvawQTXMd5qmj61bRJ/YeoRSi4lvLC6Km4ZUjCrO2ZHHVronJK77Pmu32taPlaV3JKMmoqXg3HdpTenVxkoq3dS1d91a1m5Rv8AqN4N1+78T+HLe+vtE1Tw7dTFw+n6jJbSXMG12UFjbyyxEMAHG2Q/KwztbKjTr5n/AOCQWhP4S/YD8IaM+i+LfD/9lX2sQx2PiXS9Q07Uo4Tqt3JC0kd+iXLboXjbfICW3ZJJzX0xTkrOxFOXNFNhRRRUlhXgH7ZH/JxX7J3/AGVW+/8AUH8V17/XgH7ZH/JxX7J3/ZVb7/1B/FdAHv8ARRRQAUUUUAFFFcp8Y/jx4H/Z18Ir4g+IPjPwp4F0Fp1tRqXiHV7fS7MzMCVj82d1TewViFzk7T6UnJLVjSb2Ororkvgz8fvAn7R3hSTXvh5428JePNDhuGtH1Hw7rFvqlokyhWaIywO6BwGUlc5AYHHIrrapprclNPYK/Fb9vT9m39rDVf8Ag4g+GGg+DPiz4/0z4YeP9NvNStdStplx4X0YS2UmvafG5X5d8tpYlM5ANxarn5TX7U0xreNrhJiiGWNSiuVG5VJBIB7AlVyO+B6UhjwNoA54/GiiigAooooAKKKKACiiigAooooA8A/Y3/5OK/ax/wCyq2P/AKg/hSvf68A/Y3/5OK/ax/7KrY/+oP4Ur3+gAooooAKKKKAMvxz4H0f4meDNW8OeIdMsta0LXbSWw1CwvIhNb3kEiFJIpEbhlZSQQeoNfOsX/BHj4Ex6Jr2nPpvxKurPxPo9r4f1KO6+Kviu5+06fazedbW2ZNSYpHE+7YEI2rLKowssit9PUULRtrr+l7fm/vfcbba5Xt/w3+S+5djivjD+z94a+O/w1i8J+JF16XSYJ7a5hl0/xBqGl6hDNbuskMqXtrNFdK6sincsoZudxOTnyHxh/wAEj/gR45kD33h3xZFI8FnDcvY+PfEFg+pPaXT3ltc3bQXyG6u47mWSYXU++48xyxkJOa+k6Kd2ndd+b57X9baX3F2XZW+V729L6+p4Ha/8Ey/hBZeD9c0OLTPGcdt4h8TDxjdXI8feIP7Ri1cKUN5b3n237TbSMhKN5EkYZTtYEcVD8Jv+CXXwY+BvxA0HxN4V0bxdpOo+F7zUL7SoF8d6/Lp1jJfv5l4EspL1rUJNJ87x+VsL/Nt3c19BVzXxi+MXhn9n/wCGWs+M/GWr2+g+GPD0H2nUdRuAxis4twUu+0EhQSMnGAOTgAmlH3bculrfgkl9ySS8klskEtVZ7f5tt/e236tvqz5H+Ev/AATZ/Z2/a78E694hl8HePdKtj4l8aeFZtPt/ib4ltbXYmvXun6nHFBb38cMNrezWRme2jRYjvUFSRmvf/gj+wv8ADv8AZ4+Jtz4x8MQeME8QXmh2nhuefU/G2t6xFLYWv/HvEYLy7lizGS5V9m8GaY7syyFvA/8AgjT+3h8If2jPAPizwb4H8eaL4m8TWfjnx14lnsLIyNJDp154w1W4tbliVChJYbq3dcnJEo464+2qcHyK0NOmnz/zf3vuOT5vi1/4dP8ANJ+qT6Hzz49/4JZfBn4leJvFesatp3jxr/xvrll4l1l7T4jeJLFLrUbLb9kuFjgv0SIw7IvLWNVVPJhwB5Ue2kn/AASS+B1t4mfWLXSfHum3xGqLF/Z/xJ8TWUNkmpyebfRW8UN+sdvFNJiRo4lRN6q4AZQR9J0VKilFQS0V1bpZpJ/ekk/JJbDc5N8zev8AX+bPmjU/+CQvwF1f4Z+H/B8/hzxcfD/hfQ7vwxYW6fEDxFHINIufL87TZZVvhLPZ/uowtvMzxRhAEVRXZ/CP9gf4afBDx/D4m0K08XyapbANCur+Ntb1qzhmFstr9qS1vLuWBbo26eWbkRiZlaQFz5j7vZKK0VSSbaerv+Or+96shpNJNaL/AIb8tAoooqBhRRRQAUUUUAeAf8Enf+UWX7NP/ZKvC/8A6aLWvf68A/4JO/8AKLL9mn/slXhf/wBNFrXv9ABRRRQB+V3xt+I48I/td/G7w94e+OXjuP4u6T8UvDDfD34ev4+u7kSwXtro9xqWNKaVnuNPkWa8aRZVe1tI4XeEWu2R2PAfxol0z9j34zfETSvjl8QficmjfFm48N+Kddt/GD6hJ4W8INr8X2yW3trHbBbFLJ5pBdRQrcQQO7QyRxwwrH99fA39lSP4G/Gf4m+NIvHPjTxHN8UtUi1e/wBM1ZNNFjps0UEdtGLX7PZwzBVt4IIsTSy5WIMSXZ3b0vxD4hsPCWgX2q6re2mm6ZplvJdXl3dSrDBawopZ5JHYhVRVBJYkAAEmoptUoQqSa92KTT2uvZXv5NU3GWvvRm9tU9asvaScY31a1W7spq68+aakrq6lG7Tvp+UfxGPg7xPd+FNZ1b4p+Itf/Z/8HfHjTf8AhCfHF58S9T+zR2txoMpvY11oXYa8hi1AvDHcSzytG0s9ssgCvHU/h34m+L/Fvjv4veKvEf7VE3gPxPpNj4us/E3gG2t7201XwrZRiY2F+632q3Gn2MEUUdo0GoW+mQC4W5Xc8kkxev04+CXxq8M/tG/CXw/468Gaout+FfFVkmoaXfrBLALuBxlXCSqrqCOzKD7V1NKrRl7OpRbab5ld7pyp06evf4G3fVt7pptqNRc8KlrpcunRqM5z/wDb/S6vZ7L8WfjZ+134fufhr4h12L9pnxPpHiTRv2ZdA8ZWtjafFGeCG78SiOVYLkxG4+adiLcPboRHcG5Q3EUzPGa/XP4MfH7wV8eNGkn8H+NPCnjE2ENq982iatb34tTcQJPCZPJZgnmROkiZxuR1YZBBrs6xPDvw90vwv4o13WrVb1tS8RyxSXstxf3F0MRR7I44lldlgiUbm8qEIm+SR9u+R2bqnVUuZNWu5NW7ynKVvkpcvpGPTbmjT5YwSesUk/NKEI/nBy66zl6v89/2v/2qINE+KH7UGk+B/HmmaTrukXXgu08WX9ks+oXPhLSHZ0v72aGzuba6SKKF8SywTwyW6SNIJI2RWHmnhTxXo+h/Gv4Q+EPGX7b2q+KvAWraZ4wvTc6F4zk8N6ZqdhGtpcQlNQl1C71K6jgkF2i3h1FmUWcsSuAlz5n63UVx+yfJKN9ZXu/WNrJbWW66puWtmbuWqa6bfe9b73d7PppHS6u/xy/Zs/4KBeFPBvww8Hap4h/aH8c+KdR8cfs8ax4j8WjTPGsWq61FqNlJZxxyWFrK7WlleQwfbwGSKMyG2lluDK8Mso4i5/b6k07w9ceGvCfxO+Evifx/4d+NmnXnw/0LX/jVceLrCSGbwsdrLq96sd7c2rXszDkLGs8jQLKgxIP2R+NH7QHhb9nyw0G78WXmoWFr4l1yy8OWM9vpN5fRfbryUQ2yTNbxSC3SSVkjEsxSMM6qXBYA9nXRVaqPnSsk/wAVVVZK/knGKXSLvpewXs5aL3k7J7JOmqe3bRvS13dX3v8AkT8Sf2hPgd+0b+x94Y+E2k/tHXnhnwf430K68ST/ABC8YeO5729tPFthLYy2mlS6he3Uv9nzRTlLpraGZJDHADAQrvK3V/sq/tTfDQ/s4fFT4ga34m+Kvw18c6J4BlsvEPws0XxDqDav8PxbWokvtUTS71jDb3d1cSedHqF1HiUNFI0vmTXO79S6KTek1/Nf5PVJryUXyW2cUuvM5JaShK7fK1v1Wjae2rklK/8ANfS1kvxy+CH7cmnXEuu+C/E/xhhsPg5F8VbS18Ra7onxo1PxMPDmj3HhyG4sl/4SeUwX8FndasmxrgvFGknm26y7Sd3nXi79r7wJ8OP+CdZ0LwF8ZtWm8R+Hrv4n6n4fv4/jJcaDY3kkGuzzW80t5aia51nVvKuLWa3sJmMNzDczSzMN0Lt+6VFNybSXp87RUU353XNfo3pZ6uoSUeVNXSadnt9q+nmpWd73sr3Wh+OniL9uz4fv8TviB470f9qi5lt9C+KHgBNOso/ip5uhRW+oHTv7aKwG4MUts8T3weJi9tbfZ5WijgeORq+mfhZ8Kdf+GHx9174Satrvxv1jw54T19/i5p3i+48b6zfve6NJA0cGitMbovOYrxJF+xuHhkt4I3kRpJmZvvKuM+FPwbPw01XXtTvfEviHxhrfiCdWm1LWVs0ngto2kaCyjW0t4IxBCZZdm5GkJlYvI5OaV7Rcaej1d+2kOVJf3ZQUl5c0Va93C0jFS10Sfd/Fdv1jKSf96Slq0fBH/BGj9rvSPi1+1b428O6P8S7nxT4d1zwFoXibRdP1n4pS+NNZmma61BLu4uo5UWPTr4IbQXWn2Je1t3MYVvmAH6VUVBqWp22jWEt1eXEFrbQLukmmkEccY9Sx4A+tXOcWkoq1v83b7lZW200srJJ3c5S7207aJP72m31bbvd3bnooorMYUUUUAcp8Y/gP4H/aK8Ir4f8AiD4M8KeO9BWdboab4h0i31SzEyghZPKnRk3qGYBsZG4+tWj8IvCZ+Fo8DHwx4ePgkaaNGHh/+zYf7K+wiPyvsv2bb5XkeX8nl7du3jGOK6GilZWcej38+mvyHzO6fVbeR59c/su+CbX4Q6R4D0DQtO8GeE9B1Sw1aw0zw5ZW+nWlrJZ6hFfoiQpH5aI88I3hVBId8EMdw3vix8HPCPx58EXPhnxz4V8OeNPDd66PcaVrumQ6jYzsjh0Z4ZlZGKsAwJHBAI5FdHRVSd009bu/z019dF9wl7vw6HmHif8AYj+C/jbTvD9nrXwi+GGr2nhPTpNI0OG98K2NxHo1lJH5clrbK8REMLRkoY02qVOCMcVzn/DsP9ms6fPaH9nn4Gm1uXhlmh/4QPSvLleFWSJmXyMEoruqk8qHYDAJr3Kua+MXxi8M/s//AAy1nxn4y1e30Hwx4eg+06jqNwGMVnFuCl32gkKCRk4wBycAE0JtPmW+/wA97/eF9LHjnwG+CvwR/aZbVviYfgn8N7bxNb+ONXsZtUuvDVhPqU+o6BrN9pUV+bjyfMMoa0eSJyd8ayYDZBJ9i8ffBXwb8VtZ8P6j4p8JeGfEuoeE70alod1qulwXk2jXQxi4tnkVjDKMD50KtwOa+S/+CNP7eHwh/aM8A+LPBvgfx5ovibxNZ+OfHXiWewsjI0kOnXnjDVbi1uWJUKElhurd1yckSjjrj7apJ2SS2Wq8n5fcvuB9fPT5Hl3hn9h/4LeCvGEfiLRvhB8LtJ8QRXd3fpqdl4VsLe8S4u4/LuphKkQcSTR/JI+cyLwxI4q94T/ZE+E/gP4R6r8P9D+GHw80bwHrrSNqXhuw8OWdtpGoGRVVzNapGIZCyooO5TkKAegr0Oiiyty9LW+Xb08htttS6rX5niqf8E2P2dItUtL5fgF8FVvdPa3a1uB4H0wS2xt1CW5RvIypiUBUxjYAAMAV3fwY/Z88A/s4eG7nRvh54H8IeAtIvbpr64sfDujW2l209wyqjTPHAiK0hVEUsRkhFGcAV19FPmevn/X6ITCiiikAUUUUAFFFFABRRRQAUUUUAfMn/BY3/lHD8Rv+4Z/6dLSij/gsb/yjh+I3/cM/9OlpRQB9N0UUUAFFFFABRRRQAUUV8+/8FYPCeleNf+CZPx+sta0yw1eyTwDrN2sF5bpcRrNBZSzQyhWBG+OWOORGHKuisCCAazrVOSDn2VzfDUfbVoUr25ml97sfQVFfkl4g/Z+vfFHgbx9rPwS8CfFfw18KtY8OeE7Lxtax+E7jT9c8Z3EOoSzareQWGuWrvqlyLBkWeSe2m/tBZGh3XLgqur8Fv2HPhloX7UvwG0U+Efjr45+HsUfima1Xxt4G1G00GwW6eymgim0u202z0zToDeQ3UkcFzaxMHhhlwF+yEb8tpuL0s2td9Nml2lvHXVXe6aORVbwUl1Sflqr2b7p6SVtHbufqxXNfGfx9ovwq+EPinxN4lubqz8P+H9KutQ1Ke2Monit4omeQx+ViTftB27Pmzjbzivyy+A/gLw38Ifjt4E8VeF/gp8XND1qH43eMTNJa/DPxDYeR4durHUo7SFJDaLDaadPcz2EgQNHAJWMzhXjmdPJZfhla3vwC/aK0lv2ePGWn6R8QvhVo0+heEtL+BfigLB4hhudQzBdT3UEx1LV4DcWwfVnWD7RxIAAjuMoL2tOL25opvyco83L5tK6emktJJXjfrcfZ1XfVRlbtdKbhfy25t/hfMr2dv1n/AGHtf0/UvhPf6bYfDv4pfDZtA1SSyubHx9cG/wBWv5Wiin+1/b/tl4L9HWZVE4upSDG0ZKmIqvstfk1+3d4W0Of4i/Du++G3wC8ReH7TwPD4M1TQdWsfgz4kv9Qi05Nd8+8s9LS2iji8OyWsKzPcxvA1xeJcrH5IEUbtB4i8BWuk+K/jNqFv8CfEHxH8OeML2NNV1LW/hJ4g0nxBYvL4ggby9Uit40/4S7ToQGuo1tQZTa2v2a4YJP5p1bc5Jbayjr3io2eui5m2tWoxs1zN2T5qcbU0+/K9v5tXp15U1a15SutE72/WyivxX+Avwc8J634l+Gug/Ef4HfEbVNP8If8ACx7a/MHwN8UadoZ0251A3WkWS2ptpgbF4zLLb2DSzpC4QECYR5/TH/gmBf6ref8ABO/4LQ69Y+KdN1/TPB+m6Zqtr4j0y807U4by2t0gnWaK7RJsiSN8Oy4cYdSysrEjHmhKfblt583N9zXKrr+96XqfutLzkv8AwFpad09Wn2V+unUfHH9j7wP+0L4p03XdfTxbYa5pVrJYw6j4Z8Yax4YvJLZ3VzBNLpt1bvPEHUMqSl1RixUAsxPd+CvBOkfDfwnp+g6Bpllo+jaVCLe0srOFYYLeMdFVV4A/mTmtSioWi5Vov6f5tv5jbu7sKKKKBBRRRQAV4B+2R/ycV+yd/wBlVvv/AFB/Fde/14B+2R/ycV+yd/2VW+/9QfxXQB7/AEUUUAFFFFABXzl/wVzeeP8A4Js/F9raOKa5XQmMSSyGNHfzY8BmCsVBOMkKceh6V9G1ynxj+A/gf9orwivh/wCIPgzwp470FZ1uhpviHSLfVLMTKCFk8qdGTeoZgGxkbj60pXtp/X5hZPR/1+R8aeIPhJ8R/gH4o+N3xt8aeJPDXwn8Z/GS68LeFdG0r4eL/wAJTcSvbSiCIJNqdtaW82q3rXL2sctxbLbWsaQPKZEjkI4/9mb9ob9oH9orx58HvDuofFfWPCOk6tf+PdI14SeGNDm8UXbaJq6Q2rTXMXn6bHOItkUn2a3aE5uCpZnikg+9fEv7O3w/8afB6H4eaz4F8Hat4At7eCzi8M3mi20+jxQQFTBEto6GEJGUTYoXC7FwBgVx/gT/AIJ4/AD4W+PbLxV4Z+Bnwe8O+KNMlM9prGl+DNNs7+1kKlS8c8cIkRipIyGBwSO9XGylZ7LRelklp3+JvWzurWcbsm7w/vdfPRq1+3w2drrle/Np8w/C39qD4maV41+C2mat8S9f8SXuofF/x14H1TS7mw0SC68U6bpsGsyWbSCO1h8ueL7FZYeBoI28794GDqR2/wC0z8cvi9451v4IReHh8RP2d7jxf8QJPCOrafr1j4a1mTU7CXR768a6j+zT3yRzRvZgQOZlVZCxmt7iMLG3vep/sU/BrWviLP4wvfhJ8MrvxbdalbazNrc3hexk1Ga+t8/Z7trgxeYZ4snZIW3Jk7SK4f8Ab5/YduP24pvhlY3moeAH8KeB/E48SatoPivwWfEtp4iK201skBQ3kEcSrHcztl45v3ghYACNlkUZaU+Zapxv205eZ6au/vaNPRpLubTnGVSpOOicall5v2jjpsrc0Unp8KbaW3xp8cf28vi94Y/ZR8S3GkfFbxXqnjn4aHxzPby+G/Dfh15/F2naJei2h1jU5b7ZZw2cEn+j3ENgiXU8rloFURSRj0D4kfFn4+6/4W/a48TxfGrUdBj+E2hrrPg/SfDPhPSo44Hfw/DqKw3L30F7JcqJAB8piYmWc52tCkH2B42/Yh+C/wAS/DfhvRvEfwh+F/iDSPBtq1joFjqXhWwu7bQ7dlVWhtY5IisEZVEUrGFBCqMYAqX4QfsXfB39nsauPAPwm+GngceILcWmqDw/4XsdM/tKEbsRT+REvmoNzfK+R8x9TUNS9m4p+9a1/PvbpeybWtnzcrs+VEKkY1YTcbxUm2vLmTUb9eVXV9OZNJq6u/Mv2Xvjd4j8bftvfFHwtfeNZvEvh/TPBHhHxDaaa8NiE0K7v/7TW4RHghSUpKlrby7Z3kILkoVRgo+mK84+Ef7HXwi+AGvQ6r4D+Fnw48E6pb2L6ZFeaB4astNuIrR5vPe3V4Y1YRNL+8KA7S/zEZ5r0et604yd4q3l83b10tqcsIyW7vpH8IxTfzacvmFFFFZGgUUUUAFFFFAHgH7G/wDycV+1j/2VWx/9QfwpXv8AXgH7G/8AycV+1j/2VWx/9QfwpXEf8FfNMu1+Evw71LTn+KFxfx/EDRNLbTPA/jS88M3+tW13dpFPaeZDfWcLtIg2qZ5lCEkq6Ek0m3zQivtSjH5ykor8WN2UZTe0Yyl/4CnLy7H1tRX5xfBj9tWT9j7xd8ctL1Ox+LsM2kjw4/hf4W+ONX1PxZ4ohub9pbZrxL6AanLPp88oiyllcai1v9luW8tJHFtXonwy/wCCp/xN+LHjj4f+ErH9m/xFo3iPxodbSe58T6tdeHdIszpstuTLF9t0+LUp4JbecOsh06MiRo49pHnSQXG0rcmv5bJ77aX7/joTJuOk9Pz2ve2+3lZ9LrV/bNFfEeh/8FUviZ4n1zS4bX9nk2Fpr3xB1b4Z6d/anju0ivG1S0jvJYp5Y4IJ447Jo7N/OkWZ5omDiKC6ARpOm+Gn/BR/xd8T9d8KaZafDXw5b3vivwx4q1CHzvGE3lQax4f1GPT7qyZhpxJtJJJUaO7C+YV3brVSAGz517NVfstXT8uTnv8A+A6/NLdpPRwkqnsftXt81Jxfl8Savto+idvraivz9139sn4ia94Uv/jf4PnkW98R/s5r4+0vwVrusM/h3RLxXScuGgt1kmkCSsGZ1Bk8pEUwKxK7Pi3/AIKA+PPhHpeoa9r3wrjv/Gnhj4IS/ES5dPiJcReHdYit7mJrq2giW1IFwImEguJbKNt7CBWMRaUVqm4z0ack1v8AC6y6aP8Agyb1ta1rvQmzclGOt3FL/t72VvTWtFLzvey1Pumivgv9o39tHx58TvhH8QfCeraJr3wS8W6R4e0Tx9olzoPiaDUbnUdJn1ARNbXUi24FrcB4/LnigeRSsv7q6cbiKn7en7Smo2mkfH2O3v8Ax38I5PhRr/gXULzxAvi9Raa9p1xfxiQrCWkTTrQosqy+U0Es4TMuEyrqo/Z6z0V976WUuVu+2jumr3vGWmhEZqTSjre34rmS+as09tVrqff9ZPj7wJpHxR8C614Z8QWEGq6F4isZ9M1GynG6K7tpo2jliYd1ZGYH2NfL2p/8FEvHH/DNk/xcsvAfwvtvh1quoRy+G/EfiP4nN4e0y40OQSmDVtRkutMV7ETkWqQwRpcuz3iBzEqs9ZXw+/4K0T/Fjxb8GdP0LwPoMQ+LXhXT/FUNnrXjFNK1a7iuUdpotHiktvs2qvahN0yC6gkRJI38va4NUk3Lls73St1u05JNbrSLbv8ADZqVmi5e6nJ7JN36WTSeu27Vu901dNGN/wAEO/8AgjVpH/BIf4Z/EKx+3wa94j8beJrm4/tML+8GjwSyJptuxwPnETNLIBwJLh1BYIpr7lrxH9hz48WnxT/Yy0Tx1e6LrPg20I1OW807WfEEuv3mmfZr65ilWW8kZ2lIMTHhmVBhEJRVNfNXw+/as+KHxS/bo8J+O7HwNqMXhLxl8FvEHiXwj4dsviJPcL4tWK+0l7BrvT544bDTb4xXWPMR58LdFXmIiApJ3qez7Jt9bWjOX48jS72dr2YR96CmutrdL3cV16LmV3srq9rn6B0V8IeBP+CxHiX4l6TYnwz8N/h5431B/iJH8ObuXwn8UI9V0j7TPpaahb3NrfGwjS4iUM8dyrLFJCYX8tbhsRn6T/Zf/ab1D9ob9m2bxtceELjTte0691jSb3w/YalFel77TL65sZora5lFukiSS2zeXJKsIKupcR84JO0JVHsrX+cYy23fuyi9O6W+gO6aT0v306yWvbWEt+zex65RXwp8MP8AgrD8Vvix4f8AAN3Zfs9aVplz8T/CWpeKdCh1P4ixotsumyWy3q3zw2MvkxMLlPIeBbiSRiglhtgXaPR8df8ABY2a0uPAD+C/g9478e23iXw9ofifXI9K0jWr660W11XDRRwmw0y7tZbiKISSyR3VzZjYI9jyFiEpRb27pfNuSX4wlrtp6Cm+X4uzfyXLf7uaP3+TPtqivjLwH/wUz+JHi7x1p2h3fwU0LTjrXi/xB8P9Oux48M0F5rWmWl7dxkD+zxIljMlk8bTuizRSHAtpUAkaz4V/4KieIZvgJ4d8feI/hppOkQQ6R4h1Pxvo1h4on1PVvCkulXBtBYwxLp6LeXUt1tgMZaAK+7YZ1XcYUk4KotmlJeaack//AAFXfZWva6vUotScHum1803H800u7TSvZn2JRX5ueNP2+vi/8c/HPwevtN+H3xA8B65pHxPXQX8NzvquheGvHlvd+H9TnilmvNW0axvjFazW5MqJbMqbS4iun+zhe/8AjT/wWA134KfsxXXxE1f4beD9Ffwpqet6J4utPEXxIt9HtbTUtMfA0/S53tWk1O6u41klto/IgV0jYO0T4Q1bTXR9vL3dfT34rybSdm7A4vmio68yv87zVvX3G/NbbH3JRXz1+z3+2Z4w/aF/aZ8feDrf4WN4d8I/D67tra68Rat4kgN1qa3WnxXdvJa2VvHMDkyEOJp4ikbRMN7tJDD9C0NNJN9df+H7PyepCkpK61/r8TwD/gk7/wAosv2af+yVeF//AE0Wte/14B/wSd/5RZfs0/8AZKvC/wD6aLWvf6Qz5b/4LE63J4O/Yqm8RQ+OvEXw2l0DxZ4anPiPSNdfSG0uGXW7K1uJZnLeRLALe4m3R3SS254Z422jHx18QfjXrMHhjxFpvg746ajp/wCzPq3xLt9Os/ilruva14g0/ToToiyTQHXLbVLK9XT21XZEt0moCOOcNbs5jLQj9GP2vP2XIP2vvhPB4Ru/GPi/wVaw6vYayb3w4unm7llsrhLq3Rvttrcx7FuIoZCAgYmJVLbC6N6ZYWz2dhBDJcTXckUao08oUSTEDBdggVQT1O1QMngAcVMIrkmpdZfev3b/APbGltZu+qujSU9Ipbq+vbRpfNXb6q17Wbuvxc+OXxztPhP4e+JVjqX7XnivWPFPgT4FQeItLvbXxvc6Bba/rEV7eRabfpZPezFi8C2X7tJWjvluYpp45zPE1e3WX7QmpfFL9vi58VX/AO0zoHgex8N6xYahofg8xX8sfjPwlJpsUj31tt1mLS7vT5PMvJ5NQGnyyWrQPmcJCqj9OqKpN211a5tfOU3K7WzaVoa6OF01Z6Z1EpLlWi0Tt1ShGNu6ScXJW1UndPR834sfsLftwfD3RP2cdVvPid8WtV8Mat4W+Gk0ngHSvh58QpW/tbRVivEur2Kze4Wyn1uK4W8DLPbYtkggYNIInnWv8PP2zfCviDx1pXgfU/2kh4a2/G7T9O0yDQPj7f8AiUy+H7zw3FJcoNSvDFNeWst2uwSzREW08rx28qSbHP7X0URSUotq9uW66PlqKf8A5Nazvf4pWsnYqpNyUu7UrPquaHJp/h3XXa7bu3+JXx0/4KCaBdfsHLaaF8dNe1bxj4VHxFPhvUm+MtzodnNFp2rOmn+be2wmuta1WO0exe2sZ2aK5gmllnf5oZG6vxB+3b8Pz8UPiB480f8AaouJbfQfij4AXTrJPip5uhRQagdO/torA1wYpbZ4nvg8Lb7a3+zytFHA8cjV+rfwb+Pfg/8AaE0bVtS8Fa/ZeI9P0PV7rQby6tNzQx3ts+yeEOQA+x/lLISuQQCcGuvq6U0pwqvXWMv8S5lL5qSSV9bqzu0kkVXGTlFKy99W7XdreXJqktLXasru/wAdf8FafE+i+Cb74Aa34g+KniD4T+Fr34gHRdf1mx8Zy+HLGfTLjR9Slkt7mTzUg2ySW0CpMwE0JYtbywysHr4k/an/AGtrrwD+xc0H/C1vHcepQW3jvWvhbrWrfFO/8K2+vaLZ3aLp92byON7vXr9Q0f2O1lLQXVszyzSHMUr/AKk/tI/sqR/tH+MPhxrMvjnxp4Rl+GevHxFYwaGmmtDqF15ElsBc/a7O4YoIJ7iPETR8XDHJZY2T1es4Kybv1enlaNn6qSbi1teWilK61lVXNTbV+VK/m+ad1bs4yV073aje6jZ/jz+1J+198Pfivr0niL4kfGmLQPE3hz4o/D+/8HaO/j2TStC1rwsb3SLltVjsVnSy1KF5X1CWS7KSmE24XfGsIUenfsjftp6F4s/4K2WWjaJ8TtQvND8YW/jKxu9H8Q/E6XVdTuNUstTtFigfQGRbTR/KRbz7IlsxmuLRfMnVXD5/QXx7+0B4W+GXxP8ABXg7W7zULTXfiHc3NnoKppN5Pa3c9vbvcyRPdRxNBBJ5MUrqs0iFxG+wNtOOg8G+LrXx34ct9VsotUgtrkuqJqOm3OnXI2OyHdBcJHKgJUkFlG5cMMqwJ3p1Ix5Wo6JzfrzQjB/O8eZ9HJ3srHM4vkVOTu7J3e9k5NfK7aW+ite6ufDn7bXx4tvh5/wUg8DWknj271RoItMD+CdA8d3uieJNLEk1yTfxaKrG08Q2Miri4R4zNax27SIzKSqfDd1/wUH0V/Bnj+z0b9qTW/Amja5o/gbxB4furn40Q+IfEN7LJrlwl/8AaWvoTFp159l8p73TdP3W0HlKpYxO8bfuxNMtvC8kjqiRgszMcKoHUk9hTLO+h1GyhubeaK4t7hBLFLG4dJEIyGUjggjkEda56SUI2etm397vZ+V0n2bWqdlbWpLmu7WbUV/4C1qvNq6fk9LXd/yx/wCCj/7THhT9lj43eDdF8NfFjxVod94MbwffSS+JvjNqFlaSaTe6+VuLm1s5DKdfLwfaFu5dQm8m0gW3ML5DoE/ZM+KMU/7Qng/RfBnx18b+OviNpfxp8UaFq/g+++IF14gTSfBdvc6oqm8s3lkKxRhLV4b67zOZJoYlnaNooB+j/wACP2ifBX7T/gu78ReAfEVn4n0K01O80Z7+zV/Ia6tJmgnWNmUCRVkRgJE3I4GVZlIJ579kn9lSP9knwhr2jQeOPGnjeLxBr194jkn8RrpqzW11ezvc3Ij+xWlsux55JJMOrFS5ClVAUa0JKLu9ruaffmcJJejUXd6c0ZyStzNirPmpSprSV1F+XLCcW+91JppdJJPeLv4l/wAFbfEmj+A9S+AOseIvil4h+Evhi6+ILaJ4g1iy8ZS+G7KbTZ9H1KWW3upPNSDEkttAqzMBNCWLW8kMrB6+bPhl8aIvh74g8D6748+Lnjm2+E3jLT/iH4W8N61q3jvVbceJbCPUbR9AaKTz0a4v3ge+FrdxA3dzCsRWWX5GP3/+0j+ypH+0f4w+HGsy+OfGnhGX4Z68fEVjBoaaa0OoXXkSWwFz9rs7higgnuI8RNHxcMclljZPV6w5G6cknZvnXklKKjf1XvcutlzSbTcmayqrnptLSKV/NqVR29Pei33cY7cp+RXwF/bPtPFS/sr61N8Yr34hX9z4H8Mrqvh7RPiZfWfiu0vNkqXd+2l73tvEcLSxSpepMhubP7JK+5vmRPHdQ/aK8F/tEfCr4raDd/FjWNX8DP4e8CeOdOiv/jbf67q8TL4ikS+vr91aBdMuooGt2urG0d7OzkWF1ZWEZX916K6Kk1Kc5W3lKS8ru6Xmk7Ppdq+6i44dLLTSK+UWtuzavF+T7NqWP8PLzSNQ8AaHP4f1Nda0GawgfTdQXUW1Jb62Ma+VMLlndp96bW81nYvncWYnJ2KKKmcrybJirRS7BRRRUlBRRRQAUUHkEc818BfBn9i0fGiy+PjWfxb+PvhbxL4T+Id9p3hnWYvir4hvYdDSC1sbmFWsru8lsrmESySb47iGRXjdkOBt25yqqPM2tIxc3beylGLstNfeXVLR6lNaR1+KSiu13GUrvytF7JvyPv2snx94E0j4o+Bda8M+ILCDVdC8RWM+majZTjdFd200bRyxMO6sjMD7Gvzu/Z2/4LjeLfG/7Pfwf1FvhH4t+I3ibWfD+m6h42m8OaFrdx9lNxdy2pltEsdMu7VpCttLdNDdXNmoieLy3kLEJ6VoX/BVT4meKda0qK1/Z5awtNf+IOrfDPThqvju0hvG1S0jvJYp5ooIJo47Jo7N/OkWZ5omDiKC6ARpN5wtVdJatOS068slF2+corzuQm+Tnaton00vFy/BRk30SWpX/wCCHf8AwRq0j/gkP8M/iFY/b4Ne8R+NvE1zcf2mF/eDR4JZE023Y4HziJmlkA4Elw6gsEU19y18SfG//grlrHwZ/Y80j4vXXgDwVZ6bG+t2niBNf+I8Gi2sF/pd1NbPp2mSyWjS6leXLW109tGYIBIkB3tEzKhk+IP/AAVg8aeEvF3j77D8BNTvfCnw78TaBoF3qF14vsba/wBXj1n7GlrNZWqLIjP5t4m6O5nt1ERR/MDl4Y5WsuVb3t820kvm2rd1qtEyraJ902vO2/3bPz06n2vRXk37J37ROtfHzTvGln4n8M6b4U8U+APEknhvVrPTNZfWLB5Ra212kkFzJb2zuphu4sh4EKuHA3AB29ZoaaSfdJr0kk0/mmmSpJtrs2n6ptNfJpoKKKKQwooooAKKKKACiiigAooooAKKKKAPmT/gsb/yjh+I3/cM/wDTpaUUf8Fjf+UcPxG/7hn/AKdLSigD6booooAKKKKACiiigArk/jr8EPDn7SXwj17wL4vt9RvPDHie1NlqdtZard6XLdQMRvi8+1kimVHA2uquA6MyNlWZT1lFKSTVmrlRnKLUouzRjfDzwHp/wv8AA+leHdKbUn03RbZLS1Ooalc6ldeWgwvmXFzJJNK2P4pHZj3JrZooq5Scm5Sd2yIxUUoxVkgrhvEHxwt9A/aX8I/DVrCaW68WeGdb8Sx3wkAjt00y70i2eIrjJaQ6sjAg4AhYHO4Y7mvgD9ob/gqh+z38K/8AgrN4B07xF8U/Dmk6h4N8DeMfDWs20/nCWw1K71PwrJbWrKEyXlS0uWTbkMIiQemZGff9FAO4A88+2KKACiiigAooooAKKKKACiiigArwD9sj/k4r9k7/ALKrff8AqD+K69/rwD9sj/k4r9k7/sqt9/6g/iugD3+iiigD4P8AB37Wfi74b/8ABQf41/CXwxqa/Fjx/rfiSw1nTfDfinxTJpVt4X8PjR7Rrm5ie2sLhYbaO4mhiSMxB53mdjJI6ytXP/tG/wDBTDxN8e/APxm8G+FPBvxS8GeHo/Cnif8AsT4maFpmsW72d3pcMuWe4udJTT4IrhoZxBcWt9cSEBOLeVl8v2nx7/wSv0/xv8b9b+IkHxj+L/h7xXqviO38S2l5paeH1fRJYbNrL7PbNLpUjG2ktikckUxlEghjLEncWs33/BLjQm8DeNfCWnfE74saL4M8ZLqDp4ftLnS5LLQbjUA4vrizM1jJKpm865PlTSSwRG6kaKKJhGY+SpSqTwrp/a5JJevKlHVbW17tvVuztHpp1Iwrxn0Uot+ik3LR99NNEo7K697znwD/AMFPPF2r/APQ/iF4V8FeDvHnwhi1jQfCa+L38dXdvqWs3FzeWml3lzBaHS5I5Ut76eRN5ugs4hd0fBXO746/4Kb+O/Cnj6/8KWHwTh8Q67B8Vf8AhWUE1p4zhh02MS6PDqlrfXMs1sk0e9J0WSGGCfyxFOyvKyxRza2j/wDBJTQ9H8MeLNDHxa+Lkui+ME064urAjQYre21Wx+yNb6zAselrsvvMsoZHPMMr5LxN8oWPSv8AgkxaaV8Qk8SH46fHC6vZPGVp4+u47lvD0sV/rEFilgZ3zpO9Elt0CNDE0cS/8skiwMelVqRnXcns2m/Rzp3Xyiqtv8Ueq93jox9nh+Vq8kml8oSUbvvzOLl0vF2srKTviT/wUY8V/Cj9rfwh8Jda8DfDu11jxyTZ6PAfiVG2r3lyNKnvTdjTlsjMukC5tprP7a5WXzELfZcFQ3LfCL/gr5rPiLwLbeKfG/wfu/Cuian8NNa+I+mrpXiOPW7+7i0iW3jvLcwiCFU8w3UbW7+YTImTLHbMNldp8TP+CVmnePPjLqHjXTPjH8YvBt7e+LV8cQ2WjnQZrSx1caZ/ZZuI/tumXErBrTKeXLJJGucoqYGOK1r/AIJU6l8B/hDp9z8P/if8ZvF3iD4d+AdZ8GeG9HvdS0GxN7a3+15VN0mmRSC5V4bZ4pDNEPMtYQ8iq8ztytvk5no7S89eSVrd2puPlJK7Su4nVFU/aJbx93yvaWvkk4r5NtJ6Jmx4T/4KGfF2+m+J9rrnwd+Gul3Xw70HRteFxB8VzLpctvqLO3n3V5PpcEdrbW1vDcTTyDznCwjy4pg6sed+Hf8AwVw8a/GrSvAMvgf4S+DfFcnjuLxPBFd2XxJV9Jt7vQrwwTyJdrp58/T5k2PFcxRtKzSoptlTdKvM/sw/8E0vEeueCdb8HXUvxO+D/wAMUvdO1/TNNvdI8Aabrtr4isr6G7j1GCPw9Yvpr25WCJHW9Wd5HQfu4xGryemeCf8AgkFb+AfHVn4hsf2gPjy15p0viC5tY5h4Zkhhn1yXztQmwdGy7POFlXeWEZUKoCFka66bjJ09G07eT6X+d/kovVycVhRaVlU1aav0TVtbfO3XrJfZi5esab+3B4dX9gHT/wBoXVdO1TTvDd14Mg8Zy6ahjmvY4pbVbgWykssbyksIwSyqWIyVHI+YP22/22fHEXwe8a+GvHAk+BHjHwDN4U8atf8AhbxgNQ0zWNBudbitpklvprK1lhVGjlW5jVE+Qx4mkjkkSvqX4c/sReFfBn7Edr8Ada1DX/HXgaDw4/hOSTXXt0vrrTWiaFYXezht0BSEiNXRFfCKxZny5838Qf8ABKTSvF/wv1LQdY+MPxl1fXNTTSbOTxbeT6LNraafpc5ubOwBbTfsxiW5JmeVrc3Mzn95M6hVF4pxdabo6RunH0u2uq2fK2m2nHmSs7XKf8JRk/e6v5x7aax57WSak4va9uc8cf8ABUzxH4P/AGe7H4pyeCPh5Y+AvGWsx2vgrxDrnjy90nStR0yVJ5LfUdUnfSG/shblUhEKyrIjSXKI8sRK77Nx/wAFA77wBqvxm1O/+F/iKw8ReF08IWtvZXnjRbzTdXutZP2a3aMo0tvp9pFcSbZrhE3yIjStExWNW39I/wCCX7+FfC+q6BoPx7+N2g+HNS1a81VNFtovDMumWK3gn+02UdtNo8kTWchnZvJlV1RlUpsJctx/x7/4JwP8L/gz49tvh3L8SPFtp42sfDXhq78KWV7oEb6boulusQi09dQtUt7ljAZFkh1KeSGaOWVW3DbE+baSfW7hbyWil0Wrf2rcurfLBR1duarB7JN3+/Tzsl0vzafFJvStqH/BV3x34O8JeKIvEnwc0mPxvpXjiXwNpWjeG9e1vxTb6lNBYrfXN3LJYaDJdw26QvGFaKznYySKsiwAM65Gv/8ABYj4h6J4S1jXJP2dtQ0+y8OfDyL4j6vb654km0XUtNs0muIL21ks7nT1mFyr20rWw2+XcRgNJJaFlU6P7MX/AATr8Q678JrTS/EWq+P/AIY6f4I1uHV/hiIbPwlpnijwS/kyxXweLRLM6I8Fz50oEDQ3IKSszkSMqw9n8U/+CSuk/Fm88ZS3/wAZfjRbL4+8GL4H1qKCXQ3S5szNLPNKDLpjsk80txcs7KQoFwyxpGscKxX8M431Stfz/dtX8r1LNq/urRNoKTi/j0u/ml7RXXyp3UXbV6tJ2Pq60uRe2kUy7gsyBwD1AIzUlZngrw9P4R8H6VpVzq2o69cabaRWsmpX6QJdX7IgUzSiCOKESORuYRxomSdqqMAadE7KTUdjOlz8kefeyv69QoooqSzwD9jf/k4r9rH/ALKrY/8AqD+FK6L9rf8AZLP7Wek+F7NviH478AjwprVvr9vJ4Zj0l3uLy3dZLd5ft9jdAiJ13BUChskOHGAOd/Y3/wCTiv2sf+yq2P8A6g/hSvf6TWqfZpryad0/k1dDvo10aafmmrNfNOx8sXP/AASX8GeKZfGer+MfHPxP8dePvGI00L411S/sbXWfD402Xz7AaetjaW9pbiC53TgC2YSSO3m+ap2V1Oh/sFf2d8bvA3xAv/i38VNd1/wTFfRyfbxonka+bxY0ma6WLTk2Hy4LZFW1Nuii3U7dzytJ41+0D+1Zrv7N3/BT7VPDWl67d+NfE/xJ8EaNB4H+Hesa82maVPfJf3/2yWFoLSdoFS0hlnmuJYpT+7SPeoaFB1Mf/BTjxCf2s9J+Gkfwf8T6zp0OrW3hvxN4g0Kw17UrLQ9TktUmkeO4XR1sJrCGSWKGSeW9t51YuxtQqgs8O/aRg6fVysttYycHptq0nJ9bx5tbBiFySn7Too3fWzipLz0Taj/hly6KRoaZ/wAErrfStR0G6T43fGZ5PDvjy9+ItuGi8NkSandxyxzK+NIGYSlxdAIMEfaHO7KxGOPwh/wSd0fwT4Q8OabZfGD4yrqXhrUddu4dc8/RU1K4ttanW51Kwdk01Y1t5Z1EoaKOOeJseXMiqir1P7an7cF9+yp488A+HrDQPC2pXnju4lt7afxN4qbwzZXMyPCq2NrctazwTajKJWaK1me381YpNshKsB414r/4KRa/+0frXxF8A+G/A/xN8J+FrrRPENro3xL0jSNXiaxu9PSRDK813pC6bFHM0Uxt5oL26LbU3JDI4VOetUjDDSsrxjGWnlCKTWv91KPmtNVobQUp1o3dnda+c5Ss9POUn5Nt6Hd/DT/gkt4f+HOh2GjyfFX4u+INA074cT/CyLS9Sn0cWx0eUEKSYNOikNxGuxVl35IiXeHJctyv7WH/AATt8QaX+zn45v8Awx4r+LHxZ8cv8I9V+F+i6Fdy+G7OPUY73hJ5X+y2SK8beSWYTIvlW5xHJISJIbj/AIKOeNPgl8CPGMk3gXR/FV38Lvg/4e+I8V5eeMJ7efxJbXENwt0s5NhKbe5RrG4ZcNOs26Ms8RZtmt8S/wDgpd8SfDTftA3eifA7TpdD/Z9s21C/vfEHjqPTn1+AabHqAa0itbO8IYxmX5ZzFwYCSGkljg7MZScZzjKX813t1mpPyu6k/P3pdnbPBSlKVKpGOsnFpedqUktOiSpeSstrE3hb/gmh/wALi/Zw1a18cfEH446b41+IGi6Vpmr6pqN14dXX9DsrKRp49LhFjZvpscQmeVneKOSSTf8ANMwVAvR/Fr/gmBZ/GHVPHt5ffGL4u2Nx8RG0FtRayTw+BAdHcyWvkiTS327pj5sm7dluF2J8leT/ALfv7X/jjXvA/wAR/Duj2uveD734ep4D8Yabe+FPEcZ1DxVaanrDQPpsyz28K2uXtZUIS4xKjpuljRpYz9Nfsm/tJ638fz8QdM8TeErPwf4n+HHiY+HNRs7PWTq1nOWsbS+iliuDBAxBhvYgymIbXVwC6gOxUvOpPmVmrya7K8dV/wBvS1W97t7tmFOEYQjbXSKv11jeN/8Aty1nslaK2svKbL/gktp2iXGmtpXxs+NOjweHfFF34r8PWlr/AMI99l8NXN3Ddw3UNpC+ksiwSJeTDY4cxk5iMZZy8/wz/wCCT+j/AA38N+BPDsvxd+L/AIl8H/DxdObSvD2tHQp7FJ9OkkksbncmmJPFNCzoN8EsXmrCizCUGQPzfw6/4KqeLZ9U0S98f/CPTPBvgu/8dax8OLzXbLxmNWa31awkvV8+K3NnC8lhIbJ085zFMkpINsYgs78bH/wW78WTeAde8Swfs0fEy/0mAaPeaHc/Z9R0a3v7S/1CO023FxrGn2EEd3Gs0LiG0kvYpDKAtx5avMudN3sof3dujSvC/ZpO8b2t8StubVU4SlGpo9U/P3mnbuua6dtL7n1p+zN+yvpf7NP7PsPw4XXvEXjXSElvpJLrxELNru5F5cSzzI/2S3t4ipeaTAEYOGxk4FfP1/8A8EUfDGq6LDod18Zfjjc+E9P8Jat4F0vQprzRJLfSdE1ARb7KOc6YbuRIjb2pjaeeVwLZEdpI2kSRvx0/4KZ/Ff4E+J/G+iX/AMANNu7z4c/D9fiJrl9F8QYhpUtmst0J4LST7H9plmWO3+TzbaBXkEys0SJHNPe8Qf8ABTfxl4RXXE1b4TaRY3eh6t4RM1q3jJpJU0bxHfvY21wxSxZBfwzKDLaIzwbSSl5JgA1TTm1On9p8uml23Kn+blFPzk72bYm3TtHbqvujLT5ODt3cVa9kSW3/AASGhj+KFv4un/aC+PN5qcfimz8ZzpIvhhYL3U7WwXTopZFTRlwn2RREYkKx/wAYUOA49i/Zm/ZHH7L3wW17wXpvxC8d+IBreqanrMesaxHpR1DTbnUJpLmdoRb2UNuR9pmlmUSwyANIV5jCxr8q/tgf8FALnwR4r0vxT448RXPwi8KfBD42jwx4j/svxA13pfifTZPDrahDNdj7JFcFttzEBZx71MwwPtDCIr3H7SX/AAUu+Jv7JH7L2nfEz4g/Cf4ZeGLee3u7+7ttS+LSWUaRxQpNb2Fu8+mpJc6tcr9oMdmkIjxbMGuQzKtRCSnRl0i2l8pQpyi/K8XFLZpRtolZaSpyjUhTtd2uv+3ZVI2S68vvN9Pf7y12vCH/AASVs/A1h4Gt9N+OXxrhX4eeGdV8KaQzR+GnZbTUWVp2fOj4eQGK22NgAfZkyrbpfM0vhd/wSp8O/Buz8KQ+H/iZ8WrE6F4bs/B+sOt9ppbxnpFmzfY7bUR9iwGhjkkhW4sxbXBjkYNK5wwo/Ev/AIKUax4A/a58I/DD/hDfBQHxDYweGBffEGCDxDqLHSp76O9fSYraaSHTDNby2jXRlMiyoxFuy7C7/wBin/go94m/ai8a+BtM8S/CyHwHafEXwdfeLNEuIvFCavKwsbu0tbmOaNbeIRozXkTwSB2eSMN5kVu48utIc3MoR31++Km2vknNtPu9NdcZu8VKWqsmvSTjZr1ajquqvfTRvhz/AIJaWvw81/w/r1t8YfjXrM/g/wAcan8RrTTpf+EcK3+pX0cyXMDE6XGfJkjuLqNUEkewXLYdNkTR73wv/Yu8K/Ffwz8Z9X8a/Dm48Kv+0HKi+IdBu72I38VrFZpaos0tncTQxzsyyzbrWYgGVG3eYHY4v7XX/BS/Uf2c/j5aeB/DPwp8Z/EySwisLvxHLoej63ey6dBeTtGgt/sOmXdtJMkcckzx3dzZjZ5ex5CzBOe+Fv8AwVE8deIde8PP4s+CtpoHhzWvHmrfDNtR0zxpHqk7a3ZSXkaNBbyWlvvsp2s2iE0zwSpKxDQeUBO2VNKUOSOqtyL0vGPKur15Ipa62SVzSo5J+1k7Wd2/Xnnf5e/Jvpq2ei33/BPCLW/AejWGqfF74uax4s8MarbatoXjS9m0eTWtHe3t57aONI/7PFjKphu7tGae0lkf7QzM5dI2Tl/ix/wSF8F/FDw1b6db+Pfih4Wln0DXfDmu32lXWmyXXimDWpop9Tku2u7KdUmmmiVy9qsG3hFCxqka+ffBf9vL4h674h/Z8XRvBejeGvh14007xXqPiq38UeNb3Vtf0k6XfeVMBctBcLMIwzSBPNw5ZY1kijhDTcz47/4KPeM/2uv2efiEmm+C/iv8HLPS9M0zxV4e8VWum6xp6atam/iDWNxPqOk2kcNw8bRF47KW5Ro5JPLuiFJaov2knbV638tHFt+TUXf+dLq0Z+09nGNTZJK333SXmm9P5L/ZTPqr9lL9ir/hljxl4w1xvid8RviDeeNvsZvh4li0ZI4ntbdbaJ4hp+n2hB8mONCGLKQgONxZj7dRRVSk3uKMVFWjseAf8Enf+UWX7NP/AGSrwv8A+mi1r3+vAP8Agk7/AMosv2af+yVeF/8A00Wte/1JQUUUUAFFFFABRRRQB+W/xS/bI+GN74A+IWm23xLS3k1D46atpay6b8TZfA2kG6TTDIINU1uzSS6tYGEMhiW3Be4uYYYyGj87b4X4I/au0z4i/CSPWvEH7TXjvTvGGu/s++Htb8OaVpXxMuUm8QeNo5NUs/8ARLRJTJc3gltbeGWyhQxTySMbi3llKsv7eV5Ron7Kkeh/tha98Y18c+NJ77xBoNr4dm8OSppv9iw2ts8ssJTbZi7DrLcXMmWuWyZ2BBVY1SaMeWCpNte7GN1o1yUnC631btJOz5Wo78qNvar352TbbaT2fNWVRp+XLdP+ZXXXT86/jV+3RZ+Af29PB0fiH4z3Xw41e08SQeGviC+ufFJdOg0RpfCk0zfY/Dk0TaaunC6a3kj1K7Jma73xhZIdhr62/wCCKN5Z+M/2BfBXjEfErxR8Vdb8TWKDWNb1jxXLrha4gZ4vKVd5ggdFwjiKNHkKhpjJJlz9a15N+3z8W9b+AP7Cvxq8eeG5obfxF4J8B65r2lSzRLNHFdWunzzwsyNwyiSNSVPBHFaqej0Sb7aL5LWyvd27u7ber52vhs9kl5u19W+rs0rvolaysl+dS/tD+B/Fn7aHwS1r4g/GK78M/G2y+MPibRPEHhLVfHEltB4atW0rW7TS2h0S5l+yRBoW08Q3SW/+kPd5MkpmIP2R/wAEq/i1f/FX/gm7oOuaZ40k+KWt28uu2sGuX+rR6jNq0sOp3iQGaeP5SSixfdCqFK7VVdoH1NRWUouVD2N7O1rro7Wut7dXve9rttGkpXrxrdtLPquZySe210uyS0Sufj3Z+On/AGl/2adattH+IfxB8b6l4q+CXieX45+G77xVqU0nhTxJBbwtDHJa+b/xJZ2vBqEAsYFt4biBJAIZIocit+0L+2x8PfhDpnwdPw/+NeowL4S0zwTdSXuqfGy7g0p9Oudc8m9ls7QtMuvHYt3DevfzeTZRRQCJgyyRj9jaK1jPlq+1ikvehK3Rckqjsutn7TlSvpGPLqnZKXvRUJa2Uld7vm9nq+jf7vXSzb1Wmv5KfsT/ALYvw78efts6jp3ir4ueGdJ8AXvxC8T3nw4ufC/xKntLXxdrMmrLJPb6olrdRQzDyZLFrS3kSaKdZ5jvYyLCP1rooqKaUKFOgvsRUfWySv66fdZdNVNuVWdV/abdu123ZeWt/Vt9bIooooAKKKKACiiigAooooAKKKKAA8gjJ5r5Of8A4JTG+sPGGlX37Qfx+u/DPxD1p9b8T6LDceH9Oi1p5BCs0DXVnpMN7BDLFBHE4t7mJim4BgWYn6xoqXGLbbV7qzvqmm02mtmm0nZ6aIrmdlZ7O67ppNJp7p2b1Xc8B1D/AIJ0+D9O8faXrfg3XfF/w0tLbQbPwrqmieGJ7WHS/EWk2eRaWdzFPbytEIUeWNZbR7ecJMymUgJt5LSv+CVtto9/oFxF8bvjKz+HPHl78RbYNF4b2vqd3HLHMr40gZh2XF0AgwR9oc7srEY/quuL/aL+O2j/ALMPwM8VfEPxDbavdaB4O0+TVdSXTLQ3V0ltEN0sixggsETc7Y6KrHtVtvm529ddeuslJ6/4kpequSrJcqWm1unwuO3+FuPpp0R8Lfsuf8EudH/aO/Zv1dNT+L3xosnh8QfE3wDdzwXGhNNqOlXPiq9tbyF92llI/OksFn3QJG6tM6B/KWONPXr7/gkRBq3hnxTpt98fvjpeN4w1fRNbv7t4fCyT/aNIMRstgTRVRVU21qWGw7vs6Z4aQSeY/wDBB3/gqV8L/wBtnw1458D+Ax4pvNV0PxZ4t8X31xdaS1vZW9nq3irU76xUyk486SC6RvLxkeXKP4DX6G0JtWa6beVnzL8W36tvdju739fxtf77L7l2R5L+zP8Asmxfs0+LPiNrEfjvxx4yuPiZrw8RX8ev/wBneVYXX2eO2IthaWluVQwwW6FXL/6lWzuaRn9aooobdkuySXolZL5JJEpWbfdtv1bu383qFFFFIYUUUUAFFFFABRRRQAUUUUAFFFFAHzJ/wWN/5Rw/Eb/uGf8Ap0tKKP8Agsb/AMo4fiN/3DP/AE6WlFAH03RRRQAUUUUAFFFFABRTLhpFt5DGqvKFJRWbaGOOATzgZ718J/sDftX+Mvip8XbXQ/HHxd1HSfiHosF3qnxF+FXjPw3ZaRf6EuJo4pNEmhgiN3pSSgH7QZLzzE8hjcRMXilXMrtN2srv01/y1ey0u1dXbT5ebzS+/wDr59Ln3fRXxV8Of+C9PwM+LbeKYfDk99rN9oEFjdafa2etaBcP4khvb1bK2aB01ForRmnkhUxak9nMnnx741JwPR/FP/BRu38Br4Xn8QfB7416Dpmuzaba6nqd/pFhFZ+Fbi/1FtNtoLtvtmZnNwF3fYBdBI5YpGKpIhakm+Wy+JpLzb6et9GujaTs2hNpOS/l1fpp+d9O/S59HV8B/tN/8EL/AAj+0X/wWT+Fv7T119gTTvC2ntceItKdMtrGrWZjXSrjGMHYrEuSR/x4264IdiO4/Y9/bi8W6n4nvfh/4st9X+K/jtvHHiOyvL3wzZ6Vptp4W0e11R7a1uby2nvUmitiA8cTJ9pmlNrNzI6HPqf7S/7cdr+zT8V/Dfg2X4c/Evxpq/i/S77UtIbw1a2E8F01mEa4tmae7h8iRY5FcSTiOAghBL5jLGc/ax9lCs37s4qS9HHm/BadrppNl8kvaSpJaxbT+UnH9L9+WzaSPcaK+bdX/wCCnHhex8PfD7xJaeBPijq3gT4gWGgagni230m3i0jRk1q5S2sEuTPcRzSSmWSMSJaxXDQiRGkCB1LeTeFP2tfjB48/ab+J3ihdD+Mtj4I+EviqPwoPAWneH/DWqw+L/NsbURiOeO8N5bXgur2O6a4lnjsY7NEWRUkEzptyS53Tas1zX8nFxTXe95RSXVtW3M3Jcql3tbz5k2vwTb7JNux910V8wWH/AAVM8Oa9o3hg6R8OvifrXiTxBdaxa3Xhe1i0oazon9k3wsdQeWKS/VLkQzsoIsZLpyrBgpU5r6fqbaX6P8fNd10utL3W6Y76uL3W66rya6PyeqCiiikAUUUUAFFFFABXgH7ZH/JxX7J3/ZVb7/1B/Fde/wBeAftkf8nFfsnf9lVvv/UH8V0Ae/0UUUAFFFFABRRRQAUUUUAFeDfEPUbiL/gp78H7RZ5ltZ/hd45mkhDkRyOmreDwjFehZQ7gE8gO2Opr3mvAPiN/ylN+Df8A2Srx5/6d/BlAHv8ARRRQAUUUUAFFFFABRRRQAUUUUAeAfsb/APJxX7WP/ZVbH/1B/Cle/wBeAfsb/wDJxX7WP/ZVbH/1B/Cle/0AfM/7S3/BMfR/2nfjFq3jXUfib8T/AA9qWoadp2n2UWi/2NHHoDWF4Ly3urOSbTpZ47gTGbLtK2VuJVxt2hdz4d/sC2Hw2+Klz4otfiR8TLqPXLi11TxLo08+mppfirVbeJIk1O5SKyR4bhhFAZEs5La3kMCF4Wy4b3yiimlTVoab/i7v73ZvzSe6TTn77blre34Ky+5aLybXV38c/ao/Y3tP2s2tbPWfHPjjRvDElnJp2teGtN/s2XSfE1s8sUhS6S7s53RwYsLNbPBMgdisittZeTsf+Ca2ieHdE8Y6FoXxH+KXh7wj4p/tKez8O2d5p8lh4Xu9QDi7urBprOScM5muGWKeWa3ja4do4UITZ9H15j+2J+0Yf2Uf2fda8c/2Za6mmkPAkn227mstPs0lmSJrm8uIYLiS3tIg5klmWCTy0VmK7VZhnU5FBxns018pPVejevk9VYuLk5qUd1Zr1S0a87aea0dzxv4kf8EjPDXxN+G9t4Xu/in8X7Kym8BR/DjW7ixutJiuvE+kw+cbZbuQ6eSssJnlKtb+SH3MsolVmU9Z8Pf+Cd2meFtO+LFn4j+I3xF+Ilp8ZtLTSvEMOvpo8KbFsRYmSH7Dp9sUdrcKp3bkyoIUEknzP4if8FXtb+Elh8JNU8Q+C/hlbaF8Tp9LtIbq1+LFldz6tLfaktlnQYUti2rxQRy211LIxtQIblNoZldUl+DX7SPjL4HfEOHwtqD3/wARtP8AHHxp13wj/bWva/5N/oX/ABLX1K1jht4rQwyWyi3ni2q0PlDyyBKWcjWUXVnKE1e/Pe/V88FJfN1b32u9NTNP2cYVIacvK1bolByTv5RpJNb6JNaWJfEn/BHGy8VvrM19+0B8fZ73xFpmj6Vqly7+G3e9i0i8ku9OO1tHMcTQySMP3KxrIOZBI5Zz7b+zf+yev7OHjj4j+IF8eeOPGVz8TNYj13UINdTS1hsrpLaK1zb/AGOzt2CmCC3jIkaQYgUjDNIz+F/D/wD4KefEb4m+L/h14X0n4G2EniDxxdeKrG7vJPHUceg6RPoOqtYTr9oNn9rmWRUaRWFkuGkgTBDSyQVfil/wVl8R/DH40/EjwJN8PfANz4i8GeFdc8XWGlR/EyGbVms9LktjnVbWCylOmfa7a4FxbYa4LrhXETbtkzrcvNNvdTbe7tH3pP8A8lv/AHrXVy40JOXsorVSjGy735Evlbl7JWTsmih+wx+w34j8Yaz4j8QfGPTvijoVlY/EPxN4o8PeBNfvfDk+gxf2ndXjxXq/2WZrmWUW17KjR3d28aSySMkfyxSL3Wp/8EndIvvgb/wrmH4w/Gi08LafJaJoFuLvR7mTwxZW1zHcw2FtJPp0jSwrJBbYe7NxOEto0EwRpFk7D9kP9svxB+0R8R/EnhjxT8Ph4C1LSPD2ieK7KNdej1ZrjT9U+1rCs+yJEhuo3spQ8cbTx4ZCsz5IXzbx5/wU58b/AAz+JPxJtdX+Dum/8IR8JvGel+GfEHiK18aCWV7TU0sntbu2s2s1eWWNb6JrmB3jWMEeTNdtuVNZUpQmsO1ZpRX/AIC4wTb2um0rt6JtaRuiHU9q54je7cvTmvOyW9ne6S3dnrKzO0+Pn/BNq0/aF8XeOdW1P4tfFXSh8QfBK+AdUs9NTQlt107czSGMy6ZJIs0hluNzFyB9ofYqbY/Lybz/AIJUaRruoeMrvWvi58XdcufGmhaHosz3J0KL+zn0a4F1p19brDpkardRXHmS5kDxMZWDRlVjVPO/GH/BZ7XNJ1z4gXHh/wCAXxB8X+EfCula7eaVrlnZarY2+oT6VuDrc3V5psOmQW0xinaKe3v7tmSNQYRK4hrrtc/4KAfGXS9c+HWmxfAjwvNffFLQtS17SIJPiOY30uO0it5wuokaayRFo7hVY2rXe2XCgSRlpl51VhGm5J2ilf0UnOSa7aqbVtU7tWdjSUZOUYPV3svWKpp/clTTvo7LsxZf+CP2kX/im51TUPjV8aNYXU/Flv411Sy1BPDl1a6tqcenrp0jzK+kEiKa1Xy3gjKQqCfLSLjGbqn/AARa0XWvh3YeGLv47fHu5sNO8Lap4HiklufD8k40HUBbifTtzaSdsa/Zo9kihZlA2GQoqIrPHf8AwV3l8GeFvgb4sl8E+GrDwd8abHw7c2h1rx5a6fr9xNq1xBC9tpmmCGRtQeyW5gluGMluojlUoXIYLw/h7x18Xtc/aC+OXxa1q1MC/BXxWdD0vR7X4yXWm+Fbiw/suzM39rWtzYJZRWkEd7JqUl6iSXiyIYlEkcUaybey5JSg1ZR5r9lyKFNrTtGcY9uRtJtaOVOV41F8T5eXu+bmmrPvdSk+01eVmrr0mb/gj7ZR+J7bWbH49fHXTNRtPEEHiyOWAeGpMavFpI0g3pEujuGZ7QbTEcwqTmOOPAA6T9m7/gmBpv7M/jf4aazp3xb+LWvw/Czw7feFtL07Wf7DktruxvJY5pUuHh02Kd2EkFqQ6yo3+jJkkNL5nmuh/wDBZiXxj8Mfhrrej+E/h9JeeP8AXNX0COa++IotPD1/dafqBsvs+k6v9haC+uLnBmtophaefGrbWyrAX/il/wAFZfEfwx+NPxI8CTfD3wDc+IvBnhXXPF1hpUfxMhm1ZrPS5LY51W1gspTpn2u2uBcW2GuC64VxE27Yp1XT9+TtZSfyjD3vuhov7uiCFNzfs4LtG3rJ2X/gV7vpJ3dmz3H4nfsS6P4/+OsvxB0/xd468Hapq+mwaN4mstBu7VLHxfYwO7wwXiTwStGU82ZBNaPbz7J3UykBNvgf7BP7FPi3V/Eeu+KfilD8WfCP9jfEbxJ4t8KeDdYvfDc2jWEmo3d5JBqMR03z55Z0t7yRTHeXUkaSu7JEdsTr7N+yH+2X4g/aI+I/iTwx4p+Hw8BalpHh7RPFdlGuvR6s1xp+qfa1hWfZEiQ3Ub2UoeONp48MhWZ8kL79VypSoycZKzSa9LyTdvNNafyu7VnqR7VVIWWzcX6+40r904z17qyfu6HzP4C/4JiaB4A8O/DnT4viJ8SNRf4c3WsSR3V6ujSS65a6tOJ76xvFXT1iMEjjrAkMqgkCUVn3/wDwSn0e7/Z61P4XxfF740WvhOW2i0zRI01DS5Ljwppsc6TCws5pLB3kiPlQx+Zdm4nWOFVWVQX3fVFFZ2SvbS/6f0//AAKX80rllZLt/X9ei/lVq+k2cunaVa2813cahNbxJG91Osay3LBQDI4jVUDMeTsVVyeABgVYoopt3dxpWVjwD/gk7/yiy/Zp/wCyVeF//TRa17/XgH/BJ3/lFl+zT/2Srwv/AOmi1r3+kAUUUUAFFFFABRXyp8Zf+Cr+i/AL4gePdM8U/CX4v2Xhz4YSWD+J/FsMWi3Wk6VZXsjJBqDRRak189sQju3l2rSRojM8agV9T2l3Hf2kU8MiywzoJI3U5V1IyCD3BFC1jzLb+nqt18wbs7f1pvZ7O3W3dd0SUVzfgf4o2Hj7xP4w0mzhvI7nwVqsej3zTIqpLM9la3oaIhiSnl3cYywU7lcYwAx6Sn0T7pNejV196AK+Df8Ag40/bSk/Y3/4Jl+PUn8Faz4o0n4n6JqvgSbUbG4jjTw9cahp88FvcTowy0JdmBIxhgq9XFfeE86WsDyyOEjjUszMcBQBkk18uavrPg3/AILCfsy/EX4ZeJPh78SfDfgbxhoNtLZaxrmnW0Frr1leCSSz1LTpoppl8yNoI5/KuBHPCTAZYU3gEWt7dN/nt99nbvZ9nYeiu/6/r82l1R0n/BMr9u1v+Ckf7J+lfFuDwPrfgPR/EF3cRaVaapcxz3F7bwv5ZuRsACo0qyqoPJEe7owr6BrnvhL8LNC+B3wu8OeDPDFhFpfhzwpptvpOmWkf3be3gjWONPfCqOTyTzXQ0gCiivOfjd+05oXwF8dfDjw9q+neJL29+J+vHw9pk2n6a89pZzi2luN91OSI4UKwlVBYu7MNiMFdkL6qPVtJebbsl827D6N9k2/RK7fySuejUUUUCCiiigAooooAKKKKACiiigAooooA8wH7bnwYPjHxN4d/4W78MD4g8F21xe+IdM/4Smx+2aFBb48+a7h83fBHFkb2kChMjJFXvhf+1r8Kvjfb6bN4L+Jvw+8Xxazcz2WnvoniKz1Bb6eCJZZ4YjFIwkkjiZXdVyVVgxABBr5cstD+KXiD/gqz+0HF8NfHHw68JmDwn4PbUIvEvg278QyXGRqojaL7Pqtj5QGHB3CTcSMFdpz55+wl40+Iuifs4fsc+FdI8cR+HvDnjrR/E2ma0unaLbvfvdxWt7Pb3kM1z58cQhkj3rE0LhmxvZ0BRs5VVCnKc18Kv/6Vr6NKyV73erteym/f5V3X3NRsvVXu32Wiva/6T1Bqul22u6Xc2N7bw3dneRNBPBMgeOaNgVZGU8FSCQQeCDX5aeFP+CgHx2+Bf7Nnw3+I/iL4i2fxO1H4g/BrWfGeoaRf6FZaZYeHbixisTbaiPscP2nyCboLdbzIjOxeFLdcQDrB46/a18Lar4A8N698bfAtrZ+NvHmmWsWpaQll4r1ttHvtMvnKm5Gk6XYxjzbR5rdxYysWZPMMkcbRz7zi41FTe/Mo/OVR00vvTenTzTRU1y8zlpZSfyjHnb77NL1a6NM+g/8Aglb/AMEq/A3/AASl+FfjDwz4MeS9PjDxRe67PdzJiZLZpGWys9xJLLb2+xMk/M7Svgb8D6jr80/iN8RfiV+yr8Q/2ltV0z4s+KPEep3ni3wf4N02bxheaZZaVoB1G1sEN750GlSi1ZPOkVCbeW2EsweW3lLOW6P4ceIP2qJv2i/hf8M/Hfxr8M6TFfHxMutTeFdNsta1e5S0/s+6sxNf3GnWtolysd2sTiHTEQxlyR5kiNb50pKok0/XydlJrz0lHbuvOyn7tr7vVLy117LVNa227Wb/AEJrM1bxvo2g+I9J0e/1fTLLV9fMq6ZYz3UcdzqJiTzJRDGxDSFE+ZtoO1eTgV+ePhj4s/tG674n8Mf2n8eRGfFHxt8Q/DKW30vwTplvZ2elw2+qzpcRLMs8v22I2arDJJM8IXZ50F0yu0ndfs2/tSfFTxr4z/Zzh1LxzZ6vofiHxF448K+I0fRbVb/XpNIl1GK0uZZ4gkULhbJTJHbwRBpGY/Kn7qnT9+lGstpJP5OKkvwlH5vydliH7Kbpy3Ta9bSlD84S+Sv1V/ueiiigYUUUUAFFFFABRRRQAUUUUAFFFFAHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP8A06WlFAH03RRRQAUUUUAFFFFACSKXjZQSCwwD6V8u6L/wT+8VeLvGvgW4+KfxK0v4h6L8MrG8tdBkj8LPpviK6ku9PfT55NQ1H7ZKtwrQyykpDbW+6QRO5cxjd9R0VMoRakmrpqz7W1W3zeu5Sm1s7f1+XdbPqfKmlfsK/FXTP2cZfhrdfGLwh4o0XS7GDQdEi8S/DldUtbzSEkQSW2t25v1TU5Xto1g82H7GAGkcxsz/AC+M+NP+CGviHWdD8JabpnxT8EfYvBUWkTeH4fEHw8uNcTwfeWOqvqTf2IX1ZH06znzFbPDulmNtawRG5YRrj9EaK1dSXNzt63Ur9brZ338+123uQkkuVKyta3S3a23b5K22h8Sfs4/8Evfib+zd8f7/AOJOkfFr4bQ+IfF+u6hqXjgWXwzu7WDxdaXVwlxHbyKdacpNaubkW9yTIyJcbGV0Vlf0P9r/AODXiXxT+1R8JfFOkfFLwd4Kljstc8JaJo2s+DrnWW1vUL6wkunYTRahbbPKt9MeUR7cMsUwL5dNn0xXgH7ZH/JxX7J3/ZVb7/1B/FdYypxlTjSa92Ksl5W5belunfXfUuM2pyqL4pO7fd3vf1/Sy2SR8z63/wAEQfHviDwD8OtEv/jJ8O9al+GOjeHNN0C71j4WTXz6FPot6LiO504HWB9ia7ijt4bzYS84gGJI0CRx+maj/wAE4fivr/g74w6TqPxn8FSp8VfF9l4taGD4eXMVlGIVs4bjTL2E6uzXun3VrZRxSwiSEv5swZ2jfyR9l0VtKpKUnJvVtt+bk4yf3uEXbbTsK+3la3lZNL7k2vmz8/tD/wCCLniez+CmmfDa9+IHwim8Dab4l1LxJZ2Vl8JZNPufDk93fC8jn0WePVs6Zd2rPcRwTIHjWORFaF9jeZ+gEaeXGq5Ztoxk8k0tFDm3FRfT/gLfd6JLXorEtLmc+r/V3f46+rbCiiioGFFFFABRRRQAV4B+2R/ycV+yd/2VW+/9QfxXXv8AXgH7ZH/JxX7J3/ZVb7/1B/FdAHv9FFFABRRRQAUUUUAFFFFABX41ftx/8FTv2hPgt/wcA/D34SaH8IvCOtapc6Rf+G/CF7Nd3SQarpOt3WlXMuoTBeV+yHRZFkC8fu5z0C1+ytcR4k/Zy8F+L/j14X+J2paBZXXjnwZpt9pOj6q6/vrO3vDCZ1HYk+SoBOSoeUDAkfIB24zgZOT37UUUUAFFFFABRRRQAUUUUAFFFFAHgH7G/wDycV+1j/2VWx/9QfwpXv8AXgH7G/8AycV+1j/2VWx/9QfwpXv9ABRRRQAVyHxw+Fd78YvAjaNp3jXxh8P75bqC7h1rw1JapfwNFIsmzF1BcQPG+NrpJC6srEY7jr6KTV7eVn92qHff7vv0PjPWP+CKHgyWzmttE+KHxa8I2+oQ6X/acWj/ANgrFql3p2qz6tbXjJLpkiQOL65mlMNsIbU79vkBeK7CD/gmPZQeHdUgPxf+LsuuXnjo/EPT9fkOhvqGgam0D20gtVOm/ZvJeCR4zHNDKArHaVJzX05RTvZ3Wmt/xjL5awi/+3Utkgbvo9f/ANlx17+62te77s+WvgZ/wSx0v4BfFHwp4k0z4vfGDVLfwbqOuajYaPqsui3Nm51i4+038cso01buRHn/AHgY3HmKeA+35a5Pxh/wRT0DxT/aENv8cPjroem3sHiWxjsbGbw+0dlZ+ILkXOqW0ck2kyTMJZQCJZJHnTHyyivtGiplGLVmtNV8mrNfNaeja6u9RqSjLnT1vf566+urd++u54V+zv8AsMR/s9/GnUPHA+J3xH8X3up+FtM8Jz2OuR6MtmbbTzIbWUC00+3lEytPcknzNjG5fKYWIR+KfDz9jLxZ8a/22vjjq/xBtPit4T+GereM9H8RaTohvvDh8PeMzp1hYW8U8/2cz6omLqwWYQtLbxPGsIkjJaaKvuCitfaSdX2snd2a185KV/NppNN9flaEkoSgla9l8kkrelkl6Kx8yav/AMEvdAufB/jnwtpfxJ+Knh7wV41/tGSLw3Y3WmS6f4dn1Hf9umsTcWUswMomuf3U8s0EZupGiijYRtHf8U/8E8P+Em8Q/DnV0+Mnxb03U/hn4YvfC+nz2qaCRfRXcUcU1zcJJpjxtcYhgIMapGphGI8NIH0/+CcOo3Gqfs9+Ipbmea5kT4o/EOEPK5dgieNdbRFyf4VRVUDoAoA4Fe81i6cWuVrSyXqkpJJ90lKS16MrnfNzddX83Zu3a7Sb8/VnxRbf8ERfDWm+CtL0Gx+NfxysbLTNG0DQ2aOTw88l3DoV7JeaS0hk0lgGt5HC4jCJKqAypI5d26yb/glTYX+kePba9+NHxmv5vHvi3TvHMlzKdAV9I1exktXguLZE0tYiu2ytUMVwk0REIbYJC0h+q6K2dSTm531bbv5txlf1vGL8nGNtkS9VZ7f8Dl/Jteja2bPkew/4JG6ZF4K1HwtffGv41a34S8Qanqepa9oWonw9NYa//aN2t5dRTr/ZQZA1wJHSWBop4vPcRyoBGExPFv8AwRQ8P+JEvra1+N/x10PS7u38SWEVhYzeH2jsrLxBci51S2jkn0mSdhLKoIlkkedMfLKK+06KzklKKi1ok18mrNelrq3ZtdXe1OSnzp63vfrfv6+e+3ZHhX7O/wCwxH+z38adQ8cD4nfEfxfe6n4W0zwnPY65Hoy2ZttPMhtZQLTT7eUTK09ySfM2Mbl8phYhH7rRRWk6kpu8nd/8G/6maio7Lt+CSX3JJfIKKKKgYUUUUAeAf8Enf+UWX7NP/ZKvC/8A6aLWvf68A/4JO/8AKLL9mn/slXhf/wBNFrXv9ABRRRQAUUUUAfnz4w/Zrs/25P8AgoD8efCXiPXPj14V+H2taT4etNS0yy8KT6P4d8cxWElx9rtJdVutMLPETLFGVsr2IzxTS7TIodly5v2VJfEf/BUnUPFPi+H416d4x8O+K7K/8B3WheF9Nl8N3Hh5bKKFrd9c/sqWezt1AvRPp0t/D5rtviiZp1Y/o1RRTbhKM1ur+l207/8AkqSu3aLkla90qi5oSh0f5app+t7u1rtRbvbX5U/YE/bA+HH7Qv7QPx407wZ4mh1+/k8UQapPbwWlwsmmxLomkWpS8DRg2k/nxTxiC48uYvbXACEwS7PkX9ob4aeGPD37VXxl8ZaZ8HvimnibTvjH4H1fRdW0n4Y+IbiNoIZdPOtahYtbWjREyRw3yXFxD89yqqjNKrwhv1U0PwdpHhjUdWvNN0rTtPu9euhfanNbWyQyajcCKOETTMoBkkEUUUe5snZGi5woA0acGo1KNRb01Berg4P5J8iT776aW0lK6nHpK6t5NNa93q+3az3PyIsNB0yb9trxZ4h1r4CeLNF8JeL/AA9470XxRpkPwX8T6vd6xdPf2slo+q6oYp4dZS6WCee1SKEQ2iSC3R5MJmFvgLoD/sRfswab4e+CGup4k8PeGk+1+CPEXwR1c6NqGsAWMd6JriC2jm0PV2mjLQ6vJi3ZfOaRpYyHT9fa8W/4KS+OtY+F3/BOv4+eJvD2o3WkeIPDnw58Q6npl/bPsnsrqDTLiWKZG7OjqrA9iBRRtTjGNrpKK/8AAXUa+V6j0d9o3vZ3iv8AvG293zfPm5b3+UEr76t3u7r4g+Ffw2s/gr+0N8FPDEHwa8a6Zc/DT46eMLr+09K+G+oNpHh/Q9Yh1r7CtvexWvk/Y5WurIP9nZoYDEDOYgik+x/8FEfg/wCBfiV+358G77x54D+IPjnw3pnhLxLDrEFp4Y1/X/D3lyJbSQQ3NvaQy2UkkjQTERSI0jvFb5Ustvj7lorKtD2lKNOT+FWv/wBu8unZvVt67vQ1lVbqyq9Xf8Zyn+cml6I/HL9mzRY/gr8MPBxtvgL8bte1vWv2eNY0vx1Zf8Ib4l0a+8T6vFJZrb6feao9qJvOEEF9FbkO7RRbY4ABLBHJzOleH/iB4S8L6z4J+GfhjxX4C1y7+MWn+JPCGp6R+zn4q0bwjodq/hkWb3qabLFMlsq3rlZBLKcybp3hMZKH9s6K2qyc5c23/wC+9svulZL+7fq7qOazk0lrfS2ivTVPRf4Vr3b10SR+L/7U3gTwb8Qv2GvD/hP4afsoeLvBmsW3g7X54f7X+CviLU30rxF9ntEMNva28NtGmpXLCOSDXZcrEtsyKrGSWKPW8QeHPC+qfFD4gfEjTPgz8a7bxQPij4A13R9THwh8VW915UR0465f28X2EMkkiQ36XMwRZbhVVHMivCG/YqiqhPlqRq21UlL5qSlZdloo2X2UvtXk1KzjyPVWktdbqSSd+73d31lLo0kkb+ZGrDdhhkZBB/I8iloorNiV+oUUUUAFFFFABRRRQAUUUUAeYD9iT4MDxj4m8Rf8Ki+GH/CQeNLa4svEOp/8IrY/bNdguMefDdzeVvnjlwN6yFg+BkGsiy/YE+EPw/0m0m8AfCX4N+DfEnh0Xdz4Y1KHwNZGPw/fXEQja5jjgELjdsjEgiliaRYwu9eCPZqKmUE48nS1u2nZW236FOTvd6631118+586/wDBOP8A4J3eGf8Agn98A7Dwtb6V8Ob7xOLOOw1nxN4d8FxeHbjxLFFuET3qiaeSeYBmLO8rBmdiFTcRXW2H/BP34DaVo2j6ba/BL4RW2n+HtTbWtLtYvB2nJDpt+3l7ruBBDtinPlRZkQBz5ac/KMeu1xf7Rfx20f8AZh+Bnir4h+IbbV7rQPB2nyarqS6ZaG6uktohulkWMEFgibnbHRVY9q1nUlKXO99Pw1X3PX11Jet763u/v0f4aemmx5l+zj4U8CftW+G/Gfj3xJ8Mvh9J4k1zXPFXw91i9fQ7ee41rSdK1/UNKjt7qWRC80MkVlG7xOTHuYgLgAV2fh39iX4M+D9b8LanpPwj+GOl6l4GieDw3d2nhaxgn8Pxu8julm6xBrdWeWViIyoJkcnljn5A/wCCDv8AwVK+F/7bPhrxz4H8BjxTearofizxb4vvri60lreyt7PVvFWp31iplJx50kF0jeXjI8uUfwGv0NqFpa3T/g/5v733B63T6/8AA/yX3LseMwf8E5f2erWW0ki+A/wZjksNRfV7Zl8Faapt719m+6QiH5Zm8qPMgwx8tMn5RjQ8DfsH/A74X6noV94a+DPwp8PXvha5nvdGuNM8JafaS6RPMqpNNbtHEDDJIqIrsmCwRQSQBXq1FOL5bculgl72ktf+Dv8AmFFFFIAooooAKKKKACiiigAooooAKKKKAPmT/gsb/wAo4fiN/wBwz/06WlFH/BY3/lHD8Rv+4Z/6dLSigD6booooAKKKKACiiigAooooAKKKKACvAP2yP+Tiv2Tv+yq33/qD+K69/r8bv+Dhv9o/9rX9nP8Ab1/ZxtvhC+hax4c8UeIFfwZBcaKk72HiR7K70maCeTPzRPaapJIpfGCZD0hoA/ZGisnwDpur6N4F0Wz8QalFrOvWtjBFqV/Fbi3jvblY1EsyxjhFdwzBR90HHatagAooooAKKKKACiiigAooooAK8A/bI/5OK/ZO/wCyq33/AKg/iuvf68A/bI/5OK/ZO/7Krff+oP4roA9/r5I/b3+Afgb4m/tt/sm6x4j8HeGNd1ex8ZajHBe3+mQ3FxEkWhancxIHdS21LiOOZVzhZY0cAMqkfW9eZfGP9kPwT8efif4O8Y+JI/FcmveAbn7ZocmneLtX0q3tJiGVpGtrS5igmZkd42MqPujd42yjFS4u04y7O9+q815/Neop3dOUV1TXrfv5fefBf7d37TPif4qeD/in4T+JZttEX4e6/oniLS/Cdn4b1vTtckt7fxNZRW97FcxXMtr4gs5YmDlbeJWinaGOSAShcen3v/BQj4z698EfBnijwjpnhnxVqvx11u4XwDolj4bgTUvDmmW8N1cyrqcd54gtbe8vljhjikhiurQwyeccSmIxV7R4n/4JUfBXxlpWrWOpaV45ubTWb1r+SL/hYviNFs5Guvtjrabb8fY4nuRHM0Nt5cbvDAzKTDFsml/4Ja/Bae016F9D8WMfEOvjxTLKfHWvGfT9W3u5v7GX7bv0+4fzHV5bNoWkRijlk+WsqUGqahJ66Xa73V36uKSu9dLbS93Sck5SlHq7q/RWdl6KTbta2vl73zV4v/4KI/tV6F4f8aT6p4E+DvgLUPhz8Jf+FhavY6nc3OuXlzeW099FdWYSzuRbwJP9kPlst1cNbjBfz2cpDt/tAftkfFXTfgd8ctN8VeEfgv42vfB+g+G/FkWnXtjeLo8Wn6ncXHmWdwkjzG/ntvsZKTAWiTsykxW+3B958Wf8Etfgx43l1t9R0nxq48SeHF8JaokPxB8Q20d9pgfzGgkSO+VWMjmR5JMeZM085kZzNKXqax/wSa+CXiCDxRHf6Z4/vf8AhNNGsPD+tNP8S/E0kl/YWLBrWBmOobgI2DHKkM3mzbi3nS79oSXK+dXd36azk7eXu8kfKzs1dt5Vo3jaDs9v/JYL71L2j215o32SjyHxH/bp8bfD/wD4KIeEPhyl/wCBtZ8G+KvEo8NSafpvhzWLnUNIJ0WfUBNd60GGmwXZlg40wxmc20sU4k2vher+OP7QWqfDn9qTxRpUVh4d0i50v4V3/iXR/EOv+Ob+00BGguoo3TUrARfZoI0kkjY3itLMIhIvyA4Ovqv/AATI+DusfF2Dx1LpHi6LxJba7B4njktvHWvW1qNUitltRe/ZY71bczPbr5UjmPMyFlk3hmzQ8Tfsg3v7S/xw8bav8WvD/hlPCGo+FbvwHYaXpPiG7vZNa0y5u0uJLm6Y2tq9lcYghCxwSTbCzETZVTUJaU4vdKd3tvTajZrX+I1trZ/ypqOlSSu5RWnuab3aqJydtv4a9Lr+Zpv518Hf8FLfj348msfDuhWPwx1HVj8V7f4f3viHW/CXiHwmiWt1oKalFcx6HeO12JI5HfPm3SJMkKBCguBND0Pxp/ar+LnwL8U/Hu80bw38Eo/F3gq78DRjUP7KvUbxlb6hI1o4vJUlWS1dZCxh/wCPsW0eQftBY49e0n/gkZ8EdF8cW3iSGy+Jj61a6xbeIBcT/FXxXOJ9Rt4Vgiu5kfUik0ywKIt8gYmMbDlSVrU+Mf8AwTt+Cnxt8b+KR4qt/E1zrfxJax1TVbWD4ga5YNfjSZENtLFBBexiKO2lmib9wqIJJI2b5yppv4Uut02/JRprT1kpu2ifNZ36Q170X0S+9tzb/BxSe65dOXZ+NeMv+ChHxR+Gngjxjp/inVPhH4b1Xwj8UoPAuqeP9Q027g8J+HdPn0a21SO/vLR75ZMmS5isRm9ijaWaOQsgPknh/iP/AMFLfjt8Kv2EdE+J+r6x8HH8R3Om+IfEJ02w8B+INSl16wsJQtm9pZ2t5LLb2M8S+dJq9xL9ngW7sw0JEoc+tftC/wDBMuLT5Bqvwq0q91TUtd8UjxN4mtdf+MPi7Qbi/uV0+eziurXVLaS7nspEjlEbxwwqJoljjZ1SFUa34J/4JM+E/iF8L4rP4zT+LPFetzR6nZ+XB8R/Ek/9naVqBiabQ31BrqK71SzVolIa9B3MSyxQrtjUi3a3ZR17tQimknfeacr/AA2upXbUXq3BVIykrx1uvWUndtWslG0bb35XG1nI47xJ+3t8bvDPxg8VM8HwrufAfhbx94Q8OmIaZfx6veWfiBrBBH5n2owxzWn25X+0bHW42lPs9vgSN7T+3P8AGz4o/CHxh8G9M+G0vgLd8RvFsnhPUU8S6dd3AtRJpt5dx3kT29xH/qPsblrdkP2jeqCa15lGJH/wR4+BSadq1qdP+Jsia7qen6zfvJ8V/Fkk11eaeFWynaVtSLl4BHFsO75fIh/55R7Zv+Cif7K3jT9qe/8Ag5YeG7XSpdA8G+MV8Ra/NL471fwpqogSxurNY7O5063kn8wi8eQnzoc+QIySszMlLltCCX21/wCAWgmm/K0nffW97kU7pNzevs5f+B8smmltrJrTbRK1j5/+N/8AwVL+Lnwt/Zg1nxK1x8LbTxh8PL3xZYa7YxeFNd11/FUmizqiTWNjZzebp9hIh/f391NLDZyyQxv5gkEldR8R/wBt/wDaGOhftN+ItHi+DPhjQvgVpA1rR7a80zU/EF3rsTaLFqSxXDpc2KW7Y3Asiyj9+Fx+4Mlx7R43/wCCU3wK+IXg3R9A1DwnrEOmaLpOoaGi6d4s1nTJdQs7+UTX0N9LbXccl+LiYebIbtpWeRmkYl2Zju/CD/gnt8LfghZeNLbRtP8AFl9b/ESyXTvEUXiDxrrfiFNSgWE26qw1C7nCkQny9ybW2Kq5wqgZvm9m+s7b7Jy/mt0vZOyuo3aSe8tYTpxqwk17qk21u+XmTUfOy5ld6y0ba0So/AP9oTxj47/a4+IHgjXn8NTaBo3hDw14o0drDTp7a8gbUW1GKeG4ke4kSYK9gHRkjiwspUhiu8+814z+z/8AsBfDD9mD4iXfizwdp3ii28Q6hpEOhXl5qXjLWdZa+tIZGeBJlvbuZZWh3usUjhnijZo0ZYyVr2at60oN3grL/gu34W+f3nLBSXxdo/eoxTfzkm/mFFFFZGh4B+xv/wAnFftY/wDZVbH/ANQfwpXv9eAfsb/8nFftY/8AZVbH/wBQfwpXf/tOftQ+C/2O/hFf+PPiDfarpXhTSiPt1/ZaHf6sLFCCfNlSzhlkjiAB3SsoReMsMjKlJLVlKLk7RVz0CiuF+Mv7S/gX9n74B6r8UfFviK00vwFo1gmqXWsJHJdRC2fbskRYVd5N29AojVixYYBzXR+AvG1l8SfBmma/pseqRWGr263NumpaZc6ZdqjDIEltcxxzwt6pIisO4FU002n038vX7mQpJpST0e3na23fdfeu5r0UVxXx4/aL8E/sx+D7PX/HniGz8O6XqOqWeiWks4d3u727mWG3t440DO7u7DhVO1QzthEZgr6pd2l827Jerei8yjtaKKKBBRXmOpftlfDXw/4h0DSNY8Tx+HtX8S6fqOrWNhrdlc6VdfYtPz9supYrmNHt4YwM+ZMEVgQVLAgnpfgl8avDP7Rvwl8P+OvBmqLrfhXxVZJqGl36wSwC7gcZVwkqq6gjsyg+1Cd7ta2/W6/R/c+zB/1+D/Jr713Oprg/2oLDx7qX7PHjKL4Xajp+l/EYaVPJ4cnv7dbi1N8i7oo5Vbjy5GUIx/hDlhyBXeUUAfkp/wAGtX7Rn7R/7Ufgv4qaz8VZNM03wBoXibVobHT00VbO7udfv9TuNU1R2c/MI4Jrt0CYwDPtzmI1+tdYfgPwz4d8IWOoWPhuz0mwt21K6vL2GwREX7bcStcXEkgX/lrJJK0jk/MTJk9axtb/AGi/BPh3486D8L7zxDZx+P8AxLpd1ren6KoeS4lsrZ40luG2grGgaRVUyFd5DhN2x9pfVLvt56X0+Sb9NR9/L/hvz0O1oorM8G+LrXx34ct9VsotUgtrkuqJqOm3OnXI2OyHdBcJHKgJUkFlG5cMMqwJLiuadFFFABRRUFnqdtqLzrb3EFw1rKYZhHIHMMgAJRsdGwwODzgj1oAnoorM8M+LrXxY2pLaxapEdKvZLCb7bptzZB5ECktF5yJ50R3DE0W6NuQrEg4L62/r+tV94N/1/XoadFFFAHgH/BJ3/lFl+zT/ANkq8L/+mi1r3+vAP+CTv/KLL9mn/slXhf8A9NFrXv8AQAUUUUAFFc38YPE+ueCvhdr2seHNK0rXNb0uzkurWw1LU5NNtbpkG4o9xHBcNENoPIhfnAxzkeM/AP8A4KNeDvFP7OXgrxn8WPEPwx+D+v8AjHwtD4z/AOEfvvHFvO+n6VOU8q4eW4jtWKjzI0dxF5aSMUDvwxSafN/dtf581v8A0mT02Suxu65f717fK1//AEqK9WlufRVFeOp+3/8ABt/2hZ/hcPiL4T/4TO28OL4rls21SBVXT2VpFmDFwG/co0xC52QhZG2o6M3P+LP+Ch3hS81D4UXHw5l0H4seFPiV4wbwhdeJ/DniaxutL8Pyiznucu8TyNNKTEFESLgBmZ3TCLI7/D5tJerlyL0973bvS4m7Jvsm36KPO/X3festWtj6CoryY/t8fAsfDyHxefjT8Jv+ETuNUOhxa1/wl+n/ANnSagE3/Y1uPN8s3Gz5vKDb8c4xXc/EH4s+FfhLpVtf+K/E3h/wzZXsrQW9xq2ow2UU8iwyTsiNIyhmEMMshAOQkTt0UkEnZXen9L/Nfeu47O/L11/C9/us7+jOgr8/v+Dlf9pn4g/svf8ABLzxxqHhDwnpPinw54v0698G+LJbmWWO40Kz1O1ks476LZ8rBJZVQhv4pY+26vsD4f8A7Wvwq+LHiPSdG8LfE34feJtX17TG1rTLHSvEVne3Oo2CyNE13DHHIzSQCRHQyKCgZSM5BFeG/tu/te/CT4ufsgeOdN0ePwn+0B4avtTsPBHjDSPDviuwkXRYdSu0spJbqVJGeFovMZlVFaYyIu0KA0kY9Govd6fjy/JJuzb0XWwk01df1pf8Vqu/Q3/+CS/7WvxE/bq/Yi8MfFj4j+D9H8DX/jVpb7SdL0+aWUf2bkLBPIZOd0u15Fxx5bxnqTX0pXjtt+2N8AfhF4N1WwT4sfCPw7oXw1ng8OapE3inT7a28MzqGihsbjMoFtJ+5dFik2t+6YAfKcaer/tt/Bjw/ffZb/4u/DCyuQLFvJuPFNjFJi+XfZHa0oOLhfmh/wCeo5TcKE72tre34q6+9aruglpe+lr/AIaP7noz0+iuA8R/tX/C3wf8S7rwXq/xK8AaX4xsbCTVbnQrzxDaQanb2ccTTPcvbtIJVhWJWcyFQoVSxOATU3wv/ae+Gvxv1uXTPBfxD8DeL9SgsINVktdE1611CeOznAMNyUidmEMgIKSEbWzwTQnfb+t/8n9z7MHpv/W3+a+9d0dzRXIfFf8AaE8A/Aa2Sfxz448IeDIZLaa9STXdZttOVoIWiWWUGZ1BRGmhVm6KZYwSCy5j8C/tH/Dz4o+JNT0bwz498GeI9Y0Szt9Q1Gx0zW7a8ubC2uIxLbzyxxuWjjljYOjsArqQQSDmlzLXy/4P+T+5jelr9f8Agf5r70dnRXkutftm+BdY/Zj8cfFH4feJvCfxP0XwVpl/eyyeHtet721nntLcztam4gMqxuRtByCVDg7TwD6xby+fAkmMb1DY64yKpprcTf6/hv8AdcdRRRSA8D/aV+KXxQ/4af8Ah38MvhrrngPwxL4p8L+IvE+oap4m8MXfiBQumXeiW0dvFDb6hY7C51Z2Z2kfHkqAvzEhn/Cuf2p/+iyfAD/wzer/APzT0fEb/lKb8G/+yVePP/Tv4Mr3+gDwD/hXP7U//RZPgB/4ZvV//mno/wCFc/tT/wDRZPgB/wCGb1f/AOaevHPi7/wVE+LPgb9rP4v/AAu0P4MfDjWP+FSeEF8dT6pqPxQutLXUdLczeWAn9iyrFc4hbcjyeUuR++IyRzvjf/gtj4rj/Z+/Zg+IfhP4KWF/Y/tNatZ+HLGy8SeMJ9DutE1K583YXEemXImsisTMtwpDOjxsIcNwqb9pFShrdxS9ZSlGK+coSXqrdgqPkbU9LJt+kVGT18oyi/R3WzPoX/hXP7U//RZPgB/4ZvV//mno/wCFc/tT/wDRZPgB/wCGb1f/AOaeuB+MH/BSTxf+zt8IPDOreOvAnw10nxH8QfGln4R8ItbfEzz/AApqiXFn9qW+n1Z9Ojkt4sR3EQUWcjvKkYUMsodcj9uH/gqJ8R/2Iv2Q9Z+KWtfAuze48K+JbXw3q+kX3jRrNLn7R9kjivdOuY7Cdbq1ae5ZQ0qW8gSIl445d9ulLXbXVR+b5bL19+N+19bWdm1bfs5fJc136e7L1tpuj1X/AIVz+1P/ANFk+AH/AIZvV/8A5p6P+Fc/tT/9Fk+AH/hm9X/+aevG7P8A4KxeN/Bv7dOrfBj4jfDP4d+Ebbw34Ih8d6v4isfiHe6pFFaTT/ZIbe3tzosMlxdPdFI1iBUuHXYXkKxHoPi//wAFQvEf7J/7Kdn8QvjD8LrHQfEvjDWLXQPAvgvw74lm1XVPE99dlltoJftdhY/Y2bAdldXaKPO9RKPJKv7qktb6LrduTgklvdyTSW7a0EmnLl/4GnKpXbeiSi029kmr7non/Cuf2p/+iyfAD/wzer//ADT1X1X4SftO67pdzY3vxc/Z5u7O8iaCeCb4Mas8c0bAqyMp8T4KkEgg8EGua8E/8FF/Efg39sbwh8EPjb8OdJ+HXij4l6TPqfg3UtA8Uv4k0fWJLZS13YyzS2VlLBdRJscL5TxurHEoYBWP+CkH/BQfxn+w146+D2k+H/hv4Y8c23xh8V23gqzuNR8Yz6G+najcB2jaRE066DW+yMlpFbeCQBGw5ptawX875V2bvy2vt8WmvUXMrSb05VzO+mlr318tfv7M8b/4Jq/8Ebvit/wSw+HPinw38Mvi18FUt/F2uS61fXGp/CbVLu5ORsht1kXxHH+4iQfIjBipd8u5YsfpH/hXP7U//RZPgB/4ZvV//mnrL0T9r34n/EuXxtrPgb4cfD/X/h74ctHbSPEl7441DTh4kuo4g0qQRHRnU2yuHUXcUssUg2GPeS6x+d/8E9v+Clnxd/4KA/B/wP8AELSvgz8NtH8J+Nba5uvKHxTnuta0eNPtkUE9zaNo8a+RLdWnk74ppGUSbwj7HUKPvXa6JN+kua338rst9PNXcnZJvq2vmrX+66Xrpvoesf8ACuf2p/8AosnwA/8ADN6v/wDNPR/wrn9qf/osnwA/8M3q/wD809eCfs2f8Fi/Hf7R3w58dXVp8HvB1r428P8Aje98AeHvC8Hj2+vpvE2oWEqJfzGWPRc2lnEksbC5kQxguomNuGVm6r4j/wDBSf4r/Cf9vn4NfAPWfg98PX1f4u6ddamuq2fxIvJbbSo7NPMvFKPoqNKyqG8ofIJCAGMIOQ4rmcIx+3t53jz/APpPva7LcUpKKnJ/ZvfytLl/9K083e2zPUf+Fc/tT/8ARZPgB/4ZvV//AJp6P+Fc/tT/APRZPgB/4ZvV/wD5p68g/bL/AOCm/wAX/wBjfwJ4k8T6l8FPh1rOi6L44sPBdqYPibeRXN79uNv9mumjOiFYx/pUXmJvYqVk2mQKpfuf2Vv+Cgvir4vftt/Ej4C+PfhppvhHxb8PND0/xA+qeG/E0viTQ7mC7JCwyTyWVnJb3HdYniy6rIwOFBZU37RJw67f+Aqf/pMk/R+o6j5Pi8vxk4J+jkrf8A6b/hXP7U//AEWT4Af+Gb1f/wCaej/hXP7U/wD0WT4Af+Gb1f8A+aeqfwR/4KOeHPjb/wAFAfi1+z9baPf6drXwv0qw1WLUbmTbD4gjnLJcNboVH7u2m8uFnDMGkMi4Xyznyn4Zf8FePEWt/tj+L/gB42+F2heAviWunXWofD2a58ZyXPh34hm2klinhjvf7PSa2kR423J9mlcKkjBSFTzJ542Uuji5LzUb3t3as9Fro9NGOfu8zl9lqL8nJXSfbTrsutj2L/hXP7U//RZPgB/4ZvV//mno/wCFc/tT/wDRZPgB/wCGb1f/AOaevN9X/wCCovid/Gvwm+F2hfDDRtf+PfxO8OHxjdeG4/F8kWgeE9GzgXd7qpsDKSxKoscNlIxkDrwoWR/fPgF8YPGnxF1vxFpHjX4bX3gLUfDa2qG5Gpx6npetSSrIZHsLhUjaSBCirumigmy3zwRjaX0cWr36Nr5p2du9ndXV1dNdHaW7NJ9bfirq/a611to09mr8X/wrn9qf/osnwA/8M3q//wA09H/Cuf2p/wDosnwA/wDDN6v/APNPWR+xh/wUi0v9ubXfjnofhLw9Jp/iH4NeJZvD0Npq941smtp5AktL8ssLPBbXLCTYwSU+WgkAbcEHjPwF/wCC1PiH422nxd8I3Xwj0bwh8dvhVZJr0PgvWfGrx2HinQ2RZBqVjqKaezupQ/cNqNrPErshZ/LiL5nFL7UVJecWk0130abW6V20knZy929+knF+Uk2rPtqrJ7N2SbbV/ff+Fc/tT/8ARZPgB/4ZvV//AJp64L9qnxf+1H+y5+zB8SPibN8TvgH4gi+HXhfU/E76Wnwm1ezbUlsrSW5NuJj4kk8oyCLbv8t9u7O1sYP1f4auNSuvDthLrNrZWOryW8bXttZ3b3dtbzFRvSOZ44mkQNkB2jQsACUUnA8N/wCCsX/KLL9pb/slXij/ANNF1VSVnYSd1c9/ooopDPmT/gsb/wAo4fiN/wBwz/06WlFH/BY3/lHD8Rv+4Z/6dLSigDv/ANuH4yeJvgZ8Ak1jwc+hReJdU8U+GfDFlPrNjLfWNm2ra/p+lNcSQRTQPKIkvWkCLNHuKAbgCTXOf8K5/an/AOiyfAD/AMM3q/8A809H/BSz/k3Xw5/2VX4cf+pxoVe/0AeAf8K5/an/AOiyfAD/AMM3q/8A809H/Cuf2p/+iyfAD/wzer//ADT1yX/BSD/goP4z/Ya8dfB7SfD/AMN/DHjm2+MPiu28FWdxqPjGfQ307UbgO0bSImnXQa32RktIrbwSAI2HNbOifte/E/4ly+NtZ8DfDj4f6/8AD3w5aO2keJL3xxqGnDxJdRxBpUgiOjOptlcOou4pZYpBsMe8l1jh1YqnKq37sea/lypN6b7SXrdWvctQbqRpLeVrf9vNpfe0/Szvoman/Cuf2p/+iyfAD/wzer//ADT0f8K5/an/AOiyfAD/AMM3q/8A809eSf8ABP8A/wCCmnxd/b2+C3gv4j6X8Evh/YeE/GNpdXhtLb4pSXfiDTI4/tsUEk1nLpMEXlTXVn5AZbgkeZvwQjhcTQP+CpPx8179tvXvgEn7PHw1/wCE78OeDIfHF2q/Fy6NtJayyrELaKQ6EA11vYDDbIv+muOa3lTkqvsWrS109FJv7lFt9ktd1fH2kXD2iemmvq0l97at3ue7f8K5/an/AOiyfAD/AMM3q/8A809H/Cuf2p/+iyfAD/wzer//ADT18v8AxG/4LbfFf4f6h+04p+Anw+urX9ldLWfxLIfineRy6nFc25uYjZp/YRDP5YwyyNGFbgMw+avSv2dv+CuGqeLvjJ8G/BvxX+Glj8OZP2iPDK+JPh5qujeKH8Q6dqTLb/aZ9Pu2ksrOS1u44XhcBUlik8wqJQyhWikvaW5Oqi15qSco/eotpb6MqclG/N05r+XK0pf+AuSu+l77XPVv+Fc/tT/9Fk+AH/hm9X/+aej/AIVz+1P/ANFk+AH/AIZvV/8A5p6p+Iv+Cjnhzw1/wUz8O/s0XOj36av4k8JXPiO21132WclzDIpOnIpX55hblp2Ib5EMXynzAR574u/4Kp698OP+Cjfin4H+JfAfg3RvDXhPwinji58XP40upJpdOluTaW8SaeullnvZLkogt0mbPmDY8jlY2lSTUX/NzNf9uc3N93LLfe11dFSVuZP7PLf/ALe5eX1vzR26uz1PTv8AhXP7U/8A0WT4Af8Ahm9X/wDmnrK8R/AD9o7xfqOi3mq/FD9nHUbrw5e/2lpctx8FNVkfT7ryZYPOiJ8T/JJ5U8ybhztkYdzXo/7K/wASviR8WPh8db+I/gHw/wDDy5vWWXTtP0/xHdaxPJbnOHuVuNPsntpCNp8oqzqGw/luGQfLvgT/AIKl/Gv4rftJfGr4YeHPgb8KrjX/AILajaaZOt/8XbmxbxHNd2ct7bxWIbQirStDE25ZWjVWB+YopcXyv2nsra2v8k0te2sktddfJiTTh7S+l7X83d/dZN32sr3PcP8AhXP7U/8A0WT4Af8Ahm9X/wDmno/4Vz+1P/0WT4Af+Gb1f/5p68m8df8ABTX4qaN/wUH8T/AHR/hL8L5Lvw94Rh8brr+v/FG70mzk06W6+yqsipok/lXHmdUDOmMESEnFVfjv/wAFQvi78Dv2mvhB8Kr74KfDm01/4teHdQ1sXOrfFOezstAk062We/iuZYtGmXy0BxHMmQ4BLLF0qYvmUGvtXt58vNf7uSV/S3YL/F/dtfyvy2+/mjp5+p7H/wAK5/an/wCiyfAD/wAM3q//AM09H/Cuf2p/+iyfAD/wzer/APzT15J+1d/wUv8AjF+yXZfBS31r4HeArjXfjH4yHgaO1T4nTi1029kmnFrcCdNHczWksESzFzHHKhlCGEkE16V4c/a1+K/xY1DxdqPw8+Fngrxf4H0eLydB1yXxzd6a/ii9CqHSGKXSfLNokhYG8jnljdAGiErbo0e6bXRtP1ik3+Eo+t1a9xOSuo97fi2l97i/km9lc0f+Fc/tT/8ARZPgB/4ZvV//AJp6P+Fc/tT/APRZPgB/4ZvV/wD5p68U/Zy/4KffHH9pD9pP4ufDPTPgJ8NotU+Ces6do/iS4/4WtdtHMbxS6zWgbQk81I0DM4kMTYUhFdsKfKNe/wCC/nxM8Ofsj/Er4x3H7P3gVtA+F/xBf4c6nZx/FO7N5c3yXcVo80IOhhDB5k8ZBZlcruJUEBWI+9yqOvMoteak4qL+bnFfP1CTS5r/AGW0/JpSbXyUZP5H2F/wrn9qf/osnwA/8M3q/wD809H/AArn9qf/AKLJ8AP/AAzer/8AzT10v7OnxW+KPxA8R65Z+PvAvgDw3ZabFF9lv/CvjuXxLFNcln821nSbTrKSCWNfKf7rqwlHIIIrg/2MP+CkWl/tza78c9D8JeHpNP8AEPwa8SzeHobTV7xrZNbTyBJaX5ZYWeC2uWEmxgkp8tBIA24IB9v7vN/26mlf75LTd3ulbUOZWv5qPzabt9yd3smrPXQ1/wDhXP7U/wD0WT4Af+Gb1f8A+aej/hXP7U//AEWT4Af+Gb1f/wCaevAvgL/wWp8Q/G20+LvhG6+EejeEPjt8KrJNeh8F6z41eOw8U6GyLINSsdRTT2d1KH7htRtZ4ldkLP5f3f4auNSuvDthLrNrZWOryW8bXttZ3b3dtbzFRvSOZ44mkQNkB2jQsACUUnAErxU1s7NPvft37Ps007NNA5e849VdPyt3/Nd001dO58wfGPxx+0d+zTo/hvxN4i+IPwT8WaFd+M/DHhvUNM074Z6ppF3NBq2u2GlO8V1Jr9ykbxremUboJAxj2kDdkdb+2R/ycV+yd/2VW+/9QfxXR/wUs/5N18Of9lV+HH/qcaFR+2R/ycV+yd/2VW+/9QfxXSGe/wBFFFABRRRQAUUUUAFFFFABXgHxG/5Sm/Bv/slXjz/07+DK9/rwD4jf8pTfg3/2Srx5/wCnfwZQB7/RRRQAUUUUAFFFFABRRRQAUUUUAeAfsb/8nFftY/8AZVbH/wBQfwpV3/gox8S/BXww/ZV1i58feIfC/h3w/qN9YWMk2v38FnZ3Ja8iZoS0zKjExpISvdVY4wDVL9jf/k4r9rH/ALKrY/8AqD+FK9/qakeaLi+vfXTqVGVnc/HT9rXxDF8PP+CXHx0+CHia/W18GfAfw1qK+GfEGo3EcWn+K9Pv7Rh4XgtpyRHcOkM1xCVQlvO06BsfvFrvh8cpPj3+2dqetXn7UOjeCNC0XUbV9G8J2VxqaN4v8Iyaanm31lNBrkOnz2bb72Z9TjsXns3tnP2hVgRV/U2iqk21q7u271u9Lyl0cmlZ6JOLaa1uTP3kltbm27Ss+VdVFNXik7p2alpr+Nn7K/7ZMOnfDzwPJ4c/aiv9V8Y+PPgH4v1a4n8S+NG8Qiw1WxmtDp84sXaQrNbwrqGdkJnmS2maf7Q8TMMjU/jd8O9e/ZR+NHiiL466jpOlalN4K0jTtJ8S/Hqz8dah4fuk1WCW91BV/tTUbGJZTGskRky/+iXBMccWYz+yfj7wLpvxN8H3+g6wl1LpmpoIrmO3vJrR5E3AlfMhdHCnGGAYBlJU5UkGoPhRoH/C2D45Nhu8UnSf7CW9aeRvLs/O88xLGW8td0mGZlUM2xAxIRQDsulrN9finPTa9+ZRd3sr6tJDqNSs0rWd7dHpFa+SUbrTfTRNs/LfxT+2R8PtB0n4ofDsfHXW9e0/R/jAul+Hprn423OhWsEL+Gobs2+qeI4TPqFtaNeJqJhjhLNJdwLbhfJSVEofs5ftpD4wXP7L2qX3xvHjHXNU8J+HrTV9G0P4mz6V4k0e9Zp4rnUn0wk2Ov229HF4LiLz7MWkshLDeifrzRVRajy6bez8vgg4va3xXu2tdlfS4VHzKStupLv8Uubr2fy7pn5ifsnftr+Ax4a/ZKuPF3xs0PxJqVzqHjpBruu+Jra4utSht2vo1nln3BMeWsYyAqAbQoAwo8T/AGFv24Ph7on7OOq3nxO+LWq+GNW8LfDSaTwDpXw8+IUrf2toqxXiXV7FZvcLZT63FcLeBlntsWyQQMGkETzr+09FZOF5ym+qa+9NXXTr2ta60vdFJ+ziorWzXzs07P7vW9ul0/xQ+Hn7ZvhXxB460rwPqf7SQ8Nbfjdp+naZBoHx9v8AxKZfD954bikuUGpXhimvLWW7XYJZoiLaeV47eVJNjn9Df+CQnxw0344/shXEunePU+IsXhrxj4l0CPVG14a3dLaW+s3a2Mc90XeSV/sJtGWSV2kkjeOQs28MfqKitoySg4NXvb8Iwj8/hb9ZSfrM1fltpa35zb+9zV/8Eb3eq/JfwN4x8D/s5aZ4i8NT/ELxL4Z8A3v7QOvad8Vr2L4iaol74Ws5jqUmkvdXX2o3GkW93ei233cb25mJQSSOkj54j4+ftYeIvh1ovwojXx/pmsy20PxBh0fWtb8Vta+JL/wH9stVj1eylMkc15ejTILlrS4Myfafsy3HnSHIk/Ub9iz4t638a/g9rOs6/NDPfWXjzxloMTRRLEotdN8T6pp1quBwWW2tYVLdWILHkmvWa51BqlCm3fljGPk+WEY3a3v7r66RlKO75jaVS9R1FpeUpabpylOXb+8r3WrhFvRWPzA1H9o74cXP7Tfwetfhh8fbv4ieDrq102CxsNN+M2pN4n07zrm68zU2tLuaa38Q2hIYXaXSmawS0dh8imOPzf4YftMeCviHo37O1j4p/an8UxQ6x4b8fjXtRi+K8mnP4htrDUn+xTXMsM8cccgAkdZ7cQylIGRX8hHjr9h6KqvDnhKmna7k79feTX4Xvtr16Wyp+5UjU7JK3R2tr11076bqzu38Kw/Gy8+Pv/Bu5N4/h8eatqXiUfBl9Ym8T6D4gls79NYs9MMskn2uzkR1mS8gYSoGALLJHIpBdD8/+Kf2htb0vwf8Qr/4O/HPxJ4/+GFx4e8Kf8Jt46n1q88YWfhbUbjUZU1a6hls7q3NqBYYkuoNPuLZbON45o1tTtJ/U74nfDfRfjJ8N/EHhDxJZf2l4e8U6dcaTqlp50kP2q1niaKWPfGyuu5GYblYMM5BB5rW0zTodH023s7dPLt7WNYYkyW2qoAAyeTgDvXRWmqleda1lKSfL0fxXjLa8WmtFa7im37qQ0+WhClHRx5teqvycrW/vLlau7qzas7u35W/Ba7t7/8Aam+A3w91r9sfXfiT4a8Sx+KZrG28NeK7jRLHxFAr2U9pHFdNqF3qmoLFP9pjS4OoOxFpLACVW5WWl8KNZ+H37KnjCPWoPilrfha08KftHeILDx/FqXxR1M6fpOl30Gr/AGZ9Ttri9MESz3K2rpNOgZ5CHDkszH9ZaKxjeNRTveya16pzhN37tqDi2735rvZpjf7t0+936NwqQ07W9pdW2tb0/HC3/a/0nUfgH4FWy+Nup+I5tA8aeMdPHhOX4t6toHjPVoYfEbLZGyupJmfU7+3s5LZY9J1EP9piuoiuw7fM7L4m/tO2zfA74q2s/wC0VpmoPoXxx1fT4ovEnxSn8HHWIE0yOYaNFrmmmMaXJDIZWhjKeS7WxikRi7yL+rtFKUbp33aav5ucJX9VyW1u7O11FKI5SvUdRfzOVvJxmuX09++lttrtyOP/AGe9cPif4CeCdSaDxHatf6DY3Bh8QMG1aLdbodt2RwbgZ/eEdX3V2FFFbVqnPUlNK122ZUockIwveySPAP8Agk7/AMosv2af+yVeF/8A00Wte/14B/wSd/5RZfs0/wDZKvC//pota9/rMsKKKKAOU+Ot9qen/BvxPJo/h/VfFeqNp00VrpOmy2sV1fSOhQIjXU0MCn5s5klQYB5zgH4R8F/Bv4padpH7Jo1z9m/xlqz/AAd+HGraLq6yap4Xml0vVm0+1s4PI36ptYyi2nxKjfKlzGH27pVj/Rmisp0lKM4vadr/APbqml/6W/ml53tTalCS3jzW/wC3uW//AKSvxPzQ+DHwA+OXwm+Bnh+yX4ASa9ra/s82Xw9k0XxDqGhXejx6vprXebW/jXUMTW10rp5flF1YSBZmt/nKeb+Lf2Qf2j/iK3inQf8AhBv2htDuPGnxQ07xbH4/OseA7fW9Fsk8OLpUkjR2N9FCk8U2cC3g3eQgZZvPw1frvRW9WXPNzl1bfzdX23/pf4JLzEpuN+V2urf+SKn/AOkpb3V9e1vzY8Yfs7/Ev4/6T8L9S+IX7OHxItdA8OeFNR8C694J8J/Ey28PXKyXH2V/t9vJY61DDdaZOtuYpre6uPPQ+WRFMAzn2L9r/wDZWudd0b9lnTtP+DC/EMfCvxZp19dvb3Gm3i+GLK3sngYpPqt1FcSgStbuCnmSP9l3sN6oG+xaKTk/dtpaSn84zc1fv7zfom0rLQz5VZro4yh3spR5Xa97aJerScru7f5p/B/4HfF/wX41+H15a/s3eJ9Ja2+M3jXxtrUt1rHhmKBbPVbfUorKe48jUpHlYLfW0ciojuqW0oAbbEsvlGufsyftMa34b8bLcfAv4pW+o+NvB3g7RLWLSL7wBp9h4MuNJ1me+uLTTII79FXT4Y5ALP7SLqY4CzNtGK/YOvBv+CqOo3Gkf8Ewv2j7u0nmtbq1+F3iaaGaFykkLrpN0VZWHIYEAgjkEUuii+iS+UU4r8H/AJdTWc3KU5WtzPmfrz8/3c3Ta2/c+YdI8H/tCeFvgF4P+Hq/BLx1NqPgfxPdQ3PxAgv/AAhqHiXWLR7e9SPXbL+07+eCLUbhmjjvWukZvKu7jylYyYg8P8P/ALHHxyu/2Zdc8Kar+zD4wk8S2n7OEHwm0rULjWvCUpfVfNnE/lONU3RWriWCQuQhYQNmMMsav+w9FNSalz9f/tJQ/KctFpd6JWsVCrKLTXRp/dNTXm/eS1d3brdtn5rfFDwJ+0B4h/az8FeOo/gD4/j8O+EPG9v4lbRNAvPBFvBq1s/hqWxa7u5Zr9bybWYrif7M+LhLQW1vGE84osran/BOj9nf4l/Bf4pfs7rrnwC8ReBrLwl8PPEfh/xPqK6j4dktLPU7/UbG8EjC11B5plkNjKzSJEzF7mIsBmUx/orRVU58klJLa/4wcH+D+9LorGLXucnRJL5RbkvndvX9T5K/a6+DGo6z/wAFBfg98R9P+Bl/8QofBHhvX7e78QWQ0Fbm0luIo/sttG19eQTlsx3CgqvlqbvlwGlK/Kfw5/Ye+N2ofAL4d/DOy+C2sfD57D4Da74B1TVL3XNFg0u21m7urOfZJ/Z1/LdeVc/Y5988EZdTeRtjcZPL/WGisqceRNJ73/GNSPptUlut7XvrfSc+ZWf93/yVxktd94rb5WPzh+J+jaf+yF/wT6+PvjXUvgx8ZPA03j7w3JpmvjW/F918QNXinTS7qJb+4kGpX5XT4y0MCyRHzVB3zRRQxl0+9/gz8Qv+FrfDHR/ES6J4h8PRarD50FjrloLO/WLcRHJLBuLQmRAsgjk2yoHCyJHIGjXp6K2lUve67W8kla2t/wDgbdrZcqSio9L3827foree+97lFFFZlHgHxG/5Sm/Bv/slXjz/ANO/gyvf68A+I3/KU34N/wDZKvHn/p38GV7/AEAfkr+2x/wSl8af8FAP+Ckfxl1vXfhP4i8NaDrngaw0f4f/ABJfVdGE3hnxBplxLcwahGkN699FbTNsTKRCUg4eNPvrF+2D8H/2mv28PgN+ytpXxS/ZY8R+IPEvwt8daf4g+I9q+ueEbvR/EdrawSwzm3jl1RVlNyJA/kyxxoCXUnAUt+t9FKivZwjBaqMlLX+ZTc7+rbtK1k1GKtoh1XzylJ7yTj6JxULLySV1e7Tba3d/iT4j+ANc+Nv7Ntv8L9U/Y7ubn4JaZbwaHN4I8Q69oi621hDaSiOXTmt9RmtY5IpBbRw+ZdwSLiVxLEVj3fJfx3/4JpfHOy/4JE+OPgn4E+GvxD1ax8T/ABHt9Z8C+D9Z8WaLd3nw98P2t3Zzizurya/ERV3guHhit5rnYssau+4yNX6yfGP48eB/2dfCK+IPiD4z8KeBdBadbUal4h1e30uzMzAlY/NndU3sFYhc5O0+lYdz+2L8I7Kw8F3c3xU+HEVr8SJfI8JTP4lslj8Uyb0TZYMZMXTb5I1xDuOXUdSKqEn7V1IP3nKP/gUZRmvVtx63dnJKyYpL3FCWyUrejjKLt2SUuml0m72Py1/ba/4JjfEf/go3/wAFCfFfjvxL8D/ix4I8OXfwttNF8KeIY9f8NnVPDHiaxunvra9EFvrR3Ln9wCHyWlYExITMvpfxf/Zu/aj/AOCh/wCxB8K734i/C2HwD+0f+zt4v0jxvp/9pa3pU2iePZ7J5N8MUtlc3DWsk0aqzCaNI1lZArFNzR/f3if9sr4QeCfjDa/DzWvit8N9I8f3ssMFv4ZvfE1lb6xPJMAYUS0eQTM0gZdoC5bIxnNQ+Nf22fgz8NvivB4D8R/Fz4Y6B45upYIIfDupeKbG11aWSfb5KLaySiUtJuXYAuW3DGciilJxjGNP+ZOP+NTc+Zf3ruzWqcVFNPlViSV25LaNn/gcVCz8mlo9Gm24tNu/yz4n/Zh+JX7ev/BTj4JfGDxf8Otb+DvgP9nuw1G7srTxBqml3us+J9Vv0EPlpHpt3dQw2sCRq5kklEjuwURbSXXK/wCC7/7Jvjn9s+/+APh7w98HvEvxR8I+EPHtr4o8XpY6xpGnwz6WkM8E9mv2y/tpHnkWXgKBGVJzIp4r6/8AjZ+2f8Hv2ades9K+I/xY+GvgDVNQg+1Wtn4k8T2OlXFzFuK+YiTyozJuBG4AjII7Vk+OP+ChXwC+GXiLVNH8S/HH4P8Ah/V9EER1Gy1Pxlp1pc2HmqrR+dHJMGj3q6FdwG4MpGcip9xxhBJcsZc1ujlzczv31sn5JLYb5k5Sk3eUeW+zSs1pa1tG2n3bZ8c/sE+BP2jP2DPAnxK+A2o/Bf4jfEb4O6A95F8LPE0WveGl1SOwljkddOu4Z9WRvLidvLhlyGKkBo4kCqmP/wAEU/2dPiL/AME5/wBlPwf4NvP2SfE+hfE66jS08aeK7XV/Co0/VbeG8u7iNneDVjcXE6w3DRRs8A+d0V3WJNw/RjXPjV4N8MfCpvHepeLfDOn+B1so9SPiG51SCHShauFKXH2pmEXlMGUh920hhg8ivLLv/gqh+zDYRW8k/wC0f8BoUu4/OgaTx/pKiZNzJvUmf5l3Ky5HGVI6g1fPKMpcz95qCk3u+Xmtfrd3fN3tf4k2RKMZxVl7t5NW2vKzdulk0mlsumlkflJ8Hv8AgmB+0r+z94l8S/HzwD8FPGWgftDaN8W9X8RaXp174k8PvpfjXwpq026XSr149WZIDCFaQsFbbJKpQSHMkP2b+1J8FfjB8SP22v2Wf2oNE+DPiq7n+Htpruh+LfADa7ocev6bFewNHFdQyteiwnUOrEqLtXKyRHaD5ip9z/C34teFfjl4GsvFHgrxN4f8Y+GtS3i01bRNRh1CxutjtG/lzQsyPtdWU4JwykHkGuf179rP4V+FfjHbfDrVPiZ8P9O+IN6qvb+GLrxFZw6zOrIZFZLRpBMwKKzAheVUnoKUX7JU6e3JZR8vc5HFeUo3cl/M5SVm2xzSqc83rzX5vP3uZN/4ZPTySi7xSR8Sf8FZf2cfjD+1n+w7P4f0L4K6r4n8ReOviBpfiu98N/2xoiJo2nWT2YNrfy3N4kMk8sNuQyWxuIg7MnmMgEr1f2VPgt8cv+CWvxV+KXh74a/Avxb4/wDgJ49tk8ZeCfD1l4i0Czuvh9rlwpN3os63V/Ei2plAffavPHGMbBKzOa/QrVviX4c0HQ9L1S+8QaJZabrk9va6ddz30UcF/NcMFt44XZgsjysyhFUkuWAXOa5L43/tk/CH9mXV7HT/AIk/Fb4b/D6/1OE3FnbeJfE1lpM11EG2mSNLiRC6huMgEZ4qYpU04rS94/LkhHl+ShCS+0mr3s2nTfO03rZJr5Sk0/nzSj2adrXSa/Ov4ofsM/Hv4C/tv/s2/tA/Dzw98ZfjBrGj2F7pXj3RPEOpeC9Mm0vSL0tJLaJNby23n3MdzPNOqvLdI7gZuk5Z/bP2mv2Dta/4KXfso+INJ1jwf4t+B3xU8F+Lb3xR8NvEup3+mSX2mX7TvcQXCS6ddXWy3csscsbMG+UMFLIjD3S2/wCCrP7Lt5cRwxftJfAOWaVgiInxB0hmdicAAC45JPavafGHjfRvh54Vvdd8Qavpmh6JpsXn3eoahdR2tpax/wB+SVyEReRySBSqU1Kl7O1leVmvstyUtH5S1V76ybd7qy57yV9XpdfzWjKGq84yadraJJWSsfAup/sP/FX9m79vD4WftJ+FfDN18RnT4V23wz8d+ELHVLK11e18vy5o7zT2u5YbOULNGFkje4i4G5N5YgXPg1of7Y/g74W/FbxD48vPin4/fxPqbaN4E8HRS+CdP8QeGdJlfZJqd7Pbrb2bX0KBniSK9ljfcgaNCWaP7J+M37T3w1/Zxh0qT4h/EPwP4DTXZWh01vEWvWulrqEi7dyQmd08xhuXIXJG4eoqa+/aK+H2mfGOx+HVz478G2/xB1O1+3WfhiXWrZNZu7fDt50doX8548RyHcqkYRueDWlSXtXLm1T5lbouaTqSSXq5a/ElJ2a0aE+SzT25Xfq+VckW391+jcVdN3v+d/gX9jf43/sFf8FdIfid4G8H/Fj44fDfx34Et/Dvje/1DUfBul3ttc220WD28MMunxzmCKJIWDwoQjuVlm4Re0/ab/4Jr+JP22/2ePhL470/w9r3wa+P/wAIpFtbJb+/sGutV0ouIr7TLmaxnuIHt7m3MhjBlOx3w2xZJc/odRQptcj6wbcX1TcnL56trW94tp3uyZRT5u0kk/NKKh8tEtrWaTVgrwD/AIKxf8osv2lv+yVeKP8A00XVe/14B/wVi/5RZftLf9kq8Uf+mi6qSj3+iiigD5k/4LG/8o4fiN/3DP8A06WlFH/BY3/lHD8Rv+4Z/wCnS0ooA3P+Cln/ACbr4c/7Kr8OP/U40Kvf68A/4KWf8m6+HP8Asqvw4/8AU40Kvf6APz2/4Lv/ALJvjn9s+/8AgD4e8PfB7xL8UfCPhDx7a+KPF6WOsaRp8M+lpDPBPZr9sv7aR55Fl4CgRlScyKeKwv2CfAn7Rn7BngT4lfAbUfgv8RviN8HdAe8i+FniaLXvDS6pHYSxyOunXcM+rI3lxO3lwy5DFSA0cSBVT9JqKydJeyqUXtU5ubz5lFJ+sVH3X0vK91Jp6e0ftIVFvC1vKzk/x5nzdHp1imvzK/4IdfszfED/AIJ9fs1eBfAmpfsq694R+I+pGKw8ceNV1XwydKvLWO+up0nma01OS7uZY4Lho0Jti25lUny0BHa/Dj4F/FnTP+DgHxr8Y7z4SeK7T4XeIPh/D4HtfEL6tobRC4guhP8Aamt0vzdC2dU2qfJMu5l3RIMsPpXxv/wUp/Z0+Gfi7UfD/iT4/fBTw/r2jzta3+m6l440y0vLKZTho5YpJw6ODwVYAirvxN/4KC/AT4KeJV0Xxn8b/hD4S1h7eK8Wx1rxjp1hctBKu6OURyzK2x1OVbGGHIJrqliHOrHEuzd5W7e9Fxt6KLk1bu90lbnVBRpyod+W/f3ZJp/eop36JLTW/wCaPxu/ZK/aK8W6p/wUBg079nP4g3UX7UEGnWfhG5HiLwokVv8AZbE2ryXgbVw8SO+GXYsjbT8yqflr0r4X/sXfGz43/E79knVPGnwv1r4eeEf2P/CQuLixv9Y0e81jx1r/APZ6WqW9gtpeTQRW0ZtkbzbqeAuZwuxQGdftfW/+Clf7OfhrRNH1PUvj/wDBTT9N8QwPc6Vd3PjjTIoNTiSV4XkgdpwsqLLHJGWQkB0ZTyCK63wP+1b8Lvid8K9V8d+G/iV4B8Q+CNC846l4h0zxDaXelaf5KCSXzrmOQxR7EIZtzDapBOAayp3pxVn8Cgr9vZKUYvtePM3qrc1nbQ0qJTm7r43PTv7RxckuuqjbTWzdnfU/NX9t/wDYd/aK+KWmfBz4/eCvDHxb1f43+DPiL/wlw+HGtav4Ng0vQbeRgl7ajUYnSdoJreGCGNjd3JKIoaCLI8rm/wBub/gmP8R/+Cjv/BRLxb498S/BL4qeCvDt98LbTSPCviGDxB4cbU/C3iezunv7e7EMOsfOoJNuCG5eRuY0Pnr+nlz+298F7L4TxePZvi98L4vA07IkfiN/FVgukyM8ssSAXRl8olpIJkADctDIo5VgOZ0b/gqT+zL4j1e10/T/ANov4E39/fTLb21tb+PtKlmuJGIVURFnJZmJAAAJJNSoqK9nHTlbatvFuCho900knG7bTs+yLc23zvqkn2aU3OzW1ua6a2abTuZn/BNT4sfHf4ifs+abY/tE/CzUfh58SNBtorbUL4arpV9pviNxvX7TALK6meJyqK0kciIqtLiMuM7fjr4Cfs0+P/hN/wAFQf2hvj34p/Y/8deLr3xbrmnah8PdWtNX8H/2npC2+mS2Fzvkl1mN4I5w/wBxS4ZdpdA6KB+gnwR/bP8Ag9+0xrl5pfw4+LHw1+IOp6dB9qurTw14nsdWntodwXzHSCV2VNxA3EAZIHeurT4reF5dL8Q3y+JdAay8Iyywa7cDUITFoskUSzSpctuxAyROrsJCpVWDHAINaVJv2jr/AAtxa00Vm43l5axW1krtWtZGUIR9n7BarmWm+yaUe7TTeju3vc/Oqb9h3xf+0b/wWvX4qfF39nCXVfh/J8ONP8M2+s317oN5b6Lrttdm8N/bIL5ryKIEmKOaOIThm5RUJern/BVX9jzxX+1J/wAFLPgZ4n1H9m/XvjP8H/hvoWvWXiKEXvhzytTl1G2jSD7NBf6lbuXhkTc0jiIowVo2YgEfa9h+3D8FdU+Dt78RLb4v/C65+H+m3YsLvxNF4qsH0a1uCUAhkuxL5KSEyRgIWBy68ciu1f4neG4/hu3jJvEOhr4RXTv7YOuG/iGmiy8vzftX2jd5fk+X8/mbtu3nOOaL8ig0rKm5P5zUm738ptrZ2S7DV5Oavd1FFefucqVrecUn0vfRNn5tf8FYPgJ8YP8Agoh4c+BWnT/sx+Orvwt4Q+JUHiLxBoc3iXw3FdPoMNvJbS28rDVwjXM/mSFUilaPyioeVXytej/8ElPhv8ev2HPFPiT4B+Kfhv4x1z4EeHdUm/4Vt48vdY0R7nTdMYPKLG+t01B7loo3/dQypGzkMA0cKACP66+Bv7Wfwr/afbUx8NfiZ8P/AIhnRfLOoDwz4is9XNh5m7y/N+zyP5e/Y+3djOxsZwa0dX/aC8BaB8LL3xzf+N/CFl4J01pEu/EFxrNtFpVqY5jBIJLlnESFZgY2yww4KnkYpRfsVK+0rt36tqKTfmuVOL6XktpNClBVOWK+zZK3TWTsvXmaa6pRe8U18Tf8E2Pgz8Xvgv8A8FB/2uviB4w+DHjPw94Y+MOpWOueG7ibWNAuHnFlbPCbaRINRkaOaZnBj3Dy8A+ZJGcA/IHjz9gH9pXxh/wTL+PvwcH7OHjdvEfxT+NE/wAQdNafxH4UNimmS6lbXflTt/axYTCOBlKKjLudQGI3Mv7K/BP9o34e/tLeHrrV/hz488G/EDSbG4Npc3vhvW7bVbe3mCq3lPJA7qr7WVtpOcMDjBFb8vjfRoPGUPhx9X0xPENzZvqMWltdRi9ltUdY3nWHO8xK7opcDaGdQTkiiEXB011jGEVfqoOE0/P+HG/Syeiu2VNqXPL+aUpPyclKD/8AS3brd77Hz/rfgG4/Zv8A2IZNH+CfwO8QeHL/AMSEA+EPC9xoWlXnhd7wAXV0gkvE05ZYF3uEgmZHmC4+VnkHyh4F/Y3+N/7BX/BXSH4neBvB/wAWPjh8N/HfgS38O+N7/UNR8G6Xe21zbbRYPbwwy6fHOYIokhYPChCO5WWbhF/Qbwr+1R8MPHXxH1/wdonxH8B6z4u8KJJLreh2PiC0uNS0dI2CyNc26SGSEKzBWLqMEgHBNX/gz8fvAn7R3hSTXvh5428JePNDhuGtH1Hw7rFvqlokyhWaIywO6BwGUlc5AYHHIog37T28N7eq5XGUEv8AClJ2e99L20E0lTdB7befNzRnf1vFNrbq11Ph79pv/gmv4k/bb/Z4+EvjvT/D2vfBr4//AAikW1slv7+wa61XSi4ivtMuZrGe4ge3ubcyGMGU7HfDbFklz+h1FFC92PJHRXbt5u1/vtdra7b3bB6y5nq7JfJNtL5Xfnay6I8A/wCCln/Juvhz/sqvw4/9TjQqP2yP+Tiv2Tv+yq33/qD+K6P+Cln/ACbr4c/7Kr8OP/U40Kj9sj/k4r9k7/sqt9/6g/iukM9/ooooAKKKKACiiud+H3xb8NfFaXXk8Oa3Ya0/hfVptC1YWsm/7BfQqjS28no6h0yO26hO7st7X+V0r+l2l6tdwbsrvvb52bt62Tfon2OioqDTtTttYtBcWlxBdQMzKJIZA6EqxVhkcZDAg+hBFcv4B+Pfg/4pePvGPhfw9r9lrGu/D+6gsfENrbbm/su4miE0cLtjYXMZDFVJK5AYAnFF9bAzr6/Fj9vD4/ftl+C/+Dh/4Z/DPwXqnhw6H4s0u9tvCWsTeHY5l03w9fz2Fzq5m52vNbPpCbSxBKiPPMwr9ctb/aL8E+HfjzoPwvvPENnH4/8AEul3Wt6foqh5LiWytnjSW4baCsaBpFVTIV3kOE3bH27OoeGfDuo/ETS9WurPSZvFWlWF1Bp9zIiNe2trO8BuFjJ+ZY3eG3344JjTPQUJ3Sa63t8r3+6zv2s+w3pv/V/+HRuAEAAkkjv60UVmaX4utdX8TarpEUWqLd6MIWuHn025gtZPNUsvk3DoIZyAp3CJ38s4D7SQCXFc06KKKACiiigAooooAKKKKAPAP2N/+Tiv2sf+yq2P/qD+FK9/rwD9jf8A5OK/ax/7KrY/+oP4Ur3+gAooooAKKKKACivln/goF+2N46/Yu+KXww123h8Kal8I9W1EWPjeK40+ddX0W1eWO3Gpw3YuRCIYZbq2aWJ7diIkmcSDAAk/bA/bC8bfDn9rz4F/CvwCPCsC/EPWprfxJq2t6bPqKabarp99ewxQRw3Nv++mGnXK72dliAVjG+4AkXzJW7telknr5Wad+uy95NDn7qk3so83y1v81bb0ezTPqKivnPxT/wAFaf2e/AOkaxqHiT4iQ+F7DRZLJWudc0fUNLh1CO8uGt7a5sXuIEF/aySK2Lm0MsARS5kCDdWzq/8AwUh+Efh3xN4b0fU9Z8TaXqPihbJraK+8Ga1aiwF7dvZ2Zv2ktAunfaLiN44vthh80rlNwwaa1tbq7Lzfb18twl7t+bS2r8lpv23X3o9zrhP2n/jHffs9fs8+MvHeneGNR8Z3PhDSptWOi2EqxXWoRwrvkSIsCDJ5YcquMsQFHJFcH8Kv+ClvwY+NHxMsvB2geKtRl8R32pXuipaXvhvVNOEWo2aPJcWEslzbRxw3axRPKLeRlleJfNVGjw1Z3hT/AIKp/A7x14yvNB03xJ4huZ7XSLrXvtjeC9cj0q6063YpJe29+9mLS4ty42Rywyukzsqxl2ZQZ5k0muquvNWbuvKybvtZNhJNNp9Gk/Jt2Sfm3ol30Pk//g3R/wCCrtt/wUE8PfEXwvofw58R6FpPhjxL4i8VXmvXt5E9t5mueItR1S2sVVRlpVhuXDtnAMBPR1r9OK+Dv2QfjB+yb/wTF+BOs2Pg248W+GNC8UeJ9e8S6jaXfgLXotR010khe6e6szYi4srGzhuLOITXEccSRmImQlix93m/4KbfBS1+L114Em8W38Hiix1u08PXVtL4c1SOK0u7zYLIyztbCGOC6Z1W3uGcQTudsUjsCBSTbSW7tbzva1u97q3qu4m7Jt7K9/K17/dZ37WZ71RXhh/4KQ/CJ/j/AGHwyt9a8Sah4s1TVrjQrT7D4O1q80u4vrdc3UC6lFaNZFrfkT/v8QFWEhQqwHSftHftj/D39ku68MQ+PtY1HRm8Z3kmm6K8Oh3+oR394kRlWzV7aGRRcyqrCGBiJbhwUhWRxtqU00pLaW3nfa3e90VZ8zhbVXuuqte9+1rO/oz0+ivDNV/4KSfB3Svg1pfj4+I9YvfDmrG92HT/AAvq1/f2a2UhjvXurKC2e6tI7aQbJ3uIo1gdlWQozKDgeJf2tPihH+234O8HeH/hromvfCfxJotxqX/CRx+JYBql6iPpwN9aW/8AqWs4jqCK6yzJPIFmeNCIoku7jFymqa3d/wAE3q+mif8AwyZLaUXLyb9UnZ2XW3Za/M+kqKKKkAooooAKKKKAPAP+CTv/ACiy/Zp/7JV4X/8ATRa17/XgH/BJ3/lFl+zT/wBkq8L/APpota9/oAKKKKACiiigAor4D/a//b1+Ov7Lnir49+IotY+DOreBvgdbaJrn9h3nhm/sNV16y1CWUGxj1E6o8Md4EiKRP9jdZpZI18pM19TX37anw90b4uaH4F1HU9VsPEuvyQ2tukuh37afFeS25uY7CbUFhNlDetCN620k6zMrIQhDoWcPeSa3va3W+j/XpcUna76a69NLX9LXW9t/U9Worg/hF8UdQ8ffEH4n6TeQ2cdv4K8SQ6PYtCjK8sL6Tp96WlJYgv5l3IMqFG1UGMgsfCvAX/BTvSfD/wC1B8Uvhv8AFSfRvC954a8b2Hhnw4+k2epajatbX1hZT2UmpXogFvZzXM100cazGFGdWhjedo2kYguaUYx3lFSXmny2S83zLTf7imrRcnst/LfV+Wmr2PrGvz3/AODmfxn8Y/ht/wAEtPG2t/Cq609tJezudF8dafcaet1LcaFfwPaTzQsfmjkiMqkkcBHdz/q6+kfiR/wUy+CPwd1nxNZ+K/Gj+HU8JWN7qF7qGo6LqFvpdxHZsiXcdpetALa+nhkdY3gtZJZlkyhQOpUc/wDFn/go/wDs96n8Exc+K9U1TV/AvjfTdQVlk8Ea1fWmq6RHFEt3fOiWbbtK8u6iBvmH2RlmGJSDSi+b4ddvxul99nb0fYGmt13XzSTf3JpvyaK//BHj4lfGn43/ALA3gvx78ebvTZfHHjqI65FaWOmrYppunzBTaRMg6u0QEzE8gzbSPkr6frxf4A/tp+F/jr+0B8SPhpoWh+LLC5+FslrbT3154fvLTS9QEsEcoNrcNEIHQLKgUB90gDSIrRbZG828Bf8ABTvSfD/7UHxS+G/xUn0bwveeGvG9h4Z8OPpNnqWo2rW19YWU9lJqV6IBb2c1zNdNHGsxhRnVoY3naNpGcFzyUY7tXXnrGOndtyWm+/YH8MpdI7+Wl9eytu9vvR9Y0V414S/4KBfCPxp8S9f8J2nit7fVPDVtqN5eXGoaRfadpckOnTrBqElvf3EKWl0trKwSYwTSeU2Q+3Bx418Iv+Cr+g+Kvjr8Z11rUri3+GfgTSfDF/o8svw91/R9ee41ae8tltTa3KG41AyywQGB7W1USfaNiiQruKi1JXW1r36WvZfe00ntdNbjlFpSb+y0mut20requrrdLXY+yqK+ctQ/4KxfArTLHw/PN4o8Q7vFVvqE2k2yeC9cku757CdoL20S3WzMv22B0cyWZQXKIjOYggLV7r8O/iDovxZ8A6J4p8Oajb6x4f8AElhBqemX1uSYry2mjWSKVc87WRlIzzzTSbTa6b+W/wDk/ufYluzSfXb5Wv8AmvvRsUUUUgCiiigDwD4jf8pTfg3/ANkq8ef+nfwZXv8AXgHxG/5Sm/Bv/slXjz/07+DK9/oAKKKKAPP/ANqz9njRP2tP2bfG/wANfEdtBdaP410e40qYSxhxE0iEJKAejxvtkU9QyKRyBXxV/wAERvjP4n/ad/Yi0Lw7rUN3a+P/ANmmHUfh3qTX1qXgbXrRWtLeZHbG9orJU3nub1hng5/RWsnwn4B0LwENSGh6LpOi/wBs38uqah9gs47b7ddy4825l2AeZM+1dztlmwMk4rNwuqkbtKcUtN1JX5X8lKfzcX0Lc/gdtYyvrtZr3lbrdxh8k11PxT/ZbtvBaf8ABrT+0O3xLGnt8QHvPFa+P31pR9vfxeLx/svn7vn+17zYeXn5txTFdr8KIvHFv/wUu/4Jkx/EpdRTx5H8INbXW11AMLxbgaYNwnDfMJsY37ud27POa/UXxP8AsbfCDxt8YbX4h618Kvhvq/j+ylhnt/E174ZsrjWIJIQBC6XbxmZWjCrtIbK4GMYrM+LP7AfwI+PfjW48S+Ovgp8JPGniO7RI59V17wfp2pXsyooVFaaaFnYKoAAJ4AAFdEarVVVrJPS6WiXLSqU1y9l797dIxjG73Mq0FOnKld687u9X79SE3f05LX6tt2Wx8Kf8Fo/jLoXxN+PH7JmpaVdpJo/w5/aU03w1repNLGLO2vvsqTNH5gYgbfM8tt20iSORccAn6x/aZ8OeGPjDcfF3w5q8Wnato99p3hfw9r8EgV4ykuoXDyW02eM+RdI5RuiTqcYcE+mWf7Gvwg0/4K3Pw1g+FXw2g+HV5N9on8LR+GbJdEnl3rJ5jWYj8lm3qrZKZ3KD1AqK9/Yn+DOp/Bq0+HNz8I/hjcfD3T7k3tr4Xk8LWL6NbTlmYypaGLyVk3O53BAcuxzyaxcE6EqEldSd353hThL0XuNpa7pX0u75mq0aydmlb0tKcou/f3knts2t7H4yeL/FutaP/wAEKf2qv2W/Fsl5ca9+yfcXmkXE727mHUtKa7jm0WQyMu07kkd1VSGQWcJIAYbvV/jlonjvxF+2F/wTYsvhpr/h7wx42uPg3rq6XqWuaTJqdlbSf2DZ8vDHNESSOA25ghIYxygGNv1L8cfsc/CL4naNqWm+JfhX8OPEOn6zcW13qFrqfhqyu4b6a2hEFtLKkkZWR4YQI42YEog2qQOK427/AOCV/wCzDfxW8c/7OPwGmS0j8mBZPAGksIU3M+xQYPlXczNgcZYnqTWlOco1fbSd2+S725nGnVhKT85OpdrXSNm9dIqRTjyxSS9+ytdJSnTmoruo+zstFo9lbX0nSLyytvBXiWz8Gx6PJrGky3SXEFmiQw/2rJGLlxJtULveSdZHYgktIS3Oa/O3/ggPofw78e/8Em/HifF+x8M6h4u1DxP4hb43x+JoYHmfUVvp3f8AtMSf3YPLYeZwuCVxX6O/CX4L+DvgF4Kg8NeBPCfhrwV4dtpHlh0rQdLg02yid23OywwqqAsxJJAyScmuc8T/ALG3wg8bfGG1+IetfCr4b6v4/spYZ7fxNe+GbK41iCSEAQul28ZmVowq7SGyuBjGKjljzT5kmpxUXdbapuy/lfWPW0Hf3bOk2oRim04S5k76vRpXe91e/N0fNo76fAf/AAXc+GXiX4yfswxeE/hD4B8e+IJPgDZ2Hi/QtT8Pajp/2Xw7q9j5U1vDewXV7DdytHpyykRxRXEh+2xNt3Bd2F+3j+1TpH7bfwc/4Ju/FXRZrWW18a/Gfw5fzR28gkWzujbXC3NsSCcNDOskbDqChBr9Hf8AhkL4Ted40k/4Vf8ADvzPiQNvi1v+Ebs93igZY4vz5f8ApQy7H99u5Y+pripP+CV/7MM2nw2j/s4/AZ7W3d5YoT4A0kxxu4UOyr5GAWCICR12r6Cro1JQkpS19+FTV680ZXkr9VJKEb2ulFNpvea0IyhyR09ydPRacso2WnTlblK12veaVun5C/teeKPFnhvxt+32l5ZaZrvwC1T4paJpnxZtNOsifFuj6RPY26/2nps8jvbAxOq5SW1kOMsskeC6feX/AAUx+EWm/tN/8E99J/Z7+FHhXxd8SvC+u+DYbiybwpr2mCbT7OG2xodzPJqF9aiW3kuoopMrI7SCykGxgWI+pfh5+wB8B/hEmtL4T+Cfwj8ML4k06XR9WGk+D9OshqllLjzbWfyoV82F8DdG+VbHINSfCr9gn4F/ArXLvVPBHwX+E/g3U7+zk065u9D8Iafp09xayY8yB3hiVmibau5CSpwMg4rndFfVvq1/swV9neEOVd9E1zRe8eaSV/da2jVca/1hb803boueak301t7r6S5YPT3k/i79kfxv4Y/4LFf8EiPhZ4R+LdnDqF9danJ4B8e6ZMwS80/VbKzvICzhsmG6ykFymRuV3jYDIFaX/BJKX4sfAb9qDWv2a/i7Fc+ILj4GeF7geC/HEoUHxV4ZvLu0Wz3gcrPB9jaGQZPKKDu2iST6m0H/AIJifs1+FdStbzS/2evgdpt5Y3MV7bT2vgPSoZbeeI5jmRlgBWRDyrDBU9CK9qfTLaTUor1reBryCJ4Y5zGDLHG5UugbqFYohIHBKL6Cux1f9oliP57uS6NuFk12ak5W39xuLbeq5nSXJGnHaCSi+qSlJtPunFpPa8oqWlrE9FFFYmoV4B/wVi/5RZftLf8AZKvFH/pouq9/rwD/AIKxf8osv2lv+yVeKP8A00XVAHv9FFFAHzJ/wWN/5Rw/Eb/uGf8Ap0tKKP8Agsb/AMo4fiN/3DP/AE6WlFAG5/wUs/5N18Of9lV+HH/qcaFXv9eAf8FLP+TdfDn/AGVX4cf+pxoVe/0AFFFFAH4y/wDBRv4f+NPHH/BUD9sBvCviLwHoGnwfs32sWvjxTpT3kN5YvLO0scMvmrHay7I2xPLDcop25hbqPOPhdrOsfGD4l/8ABM2T4DKPhdqc3wx8Z2Xh3/hN4X8RmwMNosJeZomtfO8wxsySqioA6t9nKDyT+u3jf/gmt+zp8TPF2o+IPEnwB+CniDXtYna6v9S1LwPpl3eXszHLSSyyQF3cnksxJNXfib/wT6+Anxr8SrrXjP4I/CHxdrCW8Vmt9rXg7Tr+5WCJdscQklhZtiKMKucKOABSwt6KhfVpt/f7fr1t7ZaPT3W9OZoK6U5Ta+1bdX29ilp5+yd3vqlryo+K/wDgsdPP/wALz/Y/074aal4K0jxbp/xnuIBNfac1xpUGsTaZPcP9phglgeRpJJwz7JFctMSSWyD41+yx8PPAX7U37Gn7Tlp448Yt8Bf2ivG/xQ0+y+JEly0F1pPh/wAT2t/E+kG0tHCxtp1xOiFBOzvK8kqNPLhWP6VXX/BND9nC+sNJtJ/2fvglNa6CGXTIX8DaW0enBpDKwhUwYjBkZnO3GWJPU5rqdX/ZC+E3iH4lal4z1D4X/Du+8YazbCy1DXbjw3Zy6nfQBEQRS3DRmSRAkaLtZiMIoxgClTjyqS/md3bRr+F8L6X9nfyfI9eRqRK7cWvspWvrdr2nxX3/AIm+7tJac+n5k/F/4mfEi6/Yk/b68DfHDwH8OtK+Nfhr4YW91r/jPwJLI2keNrSXT7xLKWaOQCSK8iWOVG8xVZk2bVWJYgeOl0zxbq/7d3/BMW38Ea34d8PeJH+CV79mvtc0SbWbGIDR4S4e2hu7R3JXIBE67SQSGA2n9UrT9gj4F2HwnuvAUHwW+E0Pga+vxqtz4cj8Iaeuk3F4FVRcvaiLymmCqqiQruwoGcAVhaN/wS3/AGZfDmr2uoaf+zp8CbC/sZluLa5t/AOlRTW8ikMro6wAqykAggggitYT5avtGv5dtPhp1YdNF/Fvpp7uy5rRirDmp+zTt8W+tuaVOXXf+H1197f3bv4f/wCCHfj3UvgxL+3rrfiObTvEHiHSvjhq6yrp0H9lwa3qLbY44LaKaaUwm4uGSOON5pCDKql2PJo/8ErPG3iT9jL/AIK6/FT4QeOfC3jHwDpX7RmmJ8SvDtv4uvtOuLq/16FVj1hYZLG9u4W85vNnEXmb444VBRV2k/d9p/wS5/Zm0/T7qzg/Z1+BUNpfbPtMMfgHSljuNh3JvUQYbaeRnoeldB8Tv2Evgh8bPGEHiLxn8G/hV4u8QWsEVrDqeteEtPv7yKKLPlxrLLEzhEydqg4XPGKmk/ZyhLe0FBrZNKFrrs3NRlbVe6kut9Kz51UjtzTc11s3Pms772i5RurN8zvvZfmP8d/2ePE//BNvVrT47fCbSn174RftDaZb+F/jB4Tt9gg03Ubtfstr4ghXGB+/mK3C45aRic+YWi/Vv41fH/wn+zzpOh33i7U5tMt/EmuWfhvTTFY3F49zf3cnl28IWBHYb343sAi9WZRzU3w3+AngX4OfDk+DvCHgvwn4V8Inzc6Jo+kW9jpp80ky/wCjxIsfzkkt8vzZOc1e+J3wr8L/ABs8D33hjxn4b0Hxd4a1QILzSda0+G/sbsI6yIJIZVZH2uqsNwOGUHqBSj7lONJaqL06e7dNxW+3vcr1smlblikJ+9OVR6OS1/xa+89rt6cy0va97tyPy9/4It+PNW+GP/BPf9oG+0LStQ13xD4t+OHiqw8MWGm3VrDeavPLJGm61a4lihZo0jnm+eVF227ksoBYZ3/BIHxnffs0eHf2sv2TPEegeIvBD+AodR8Z+BdD8S3dpcasPDupwyvsMltcXEM4glKB5IpnG+4wxDblH6UT/sa/CC68P+ENJl+FPw2k0r4fXH2vwtZN4Zsmt/DU28SebZRmPbbPvAbdEFO4A9axvHf/AATv/Z/+KXjfUvE/if4GfB3xH4k1li1/q2qeDNNvL6+JTYTLNJCXkJQbfmJ446VhUo81KVG+jpKk/SMIqMrd+aLbTbtFuK1bka06nLNVGtVUdT5uUm1fquWXKtE7+89lE+Sv+CAHxp0H4Jf8ENv2c7nXroQnxFft4e06FWQS3l5d61cwxRoGZd2MtIwBJEcbsAduK8P/AG5Pjx4h/Z9/4Kf/AAX/AGuZPBnjPRvhlLrjfDTX/F17qelz+Gb7wxfFEsbuEQ3r3MUa3IuLsyz20SMJY13NiPd+imgf8EwP2afCeqx3+l/s8fAzTb6JXRLi18B6VDKiuhRwGWAEBlZlIzyGI6GtvWP2CfgX4h+F+keB9Q+C/wAJ77wXoFzJeaZ4fuPCGny6Xps8hYySw2zRGKN2LNuZVBO45Jya7q1fnxX1u2vPe3TldlKL83Hnjfa0ttLnJRoqnh3hm9HG1+t9Wmt1pLldt7xunrY+Pf8AgpR+wx4p+Knxc1v9oj4DzQ2f7SHwP1K3u9FjQp5fjDSm062Nxotz03JKhm8ok4Du4BXzC6fU/wDwTX+Mcf7RP7FXgz4gR6NceHR44N/r7aXPgy6e91f3M7QuQBllZyCcAkgnAJxXZfBf9kn4Vfs36nqF98O/hl8PvAV7q0MdvfT+HPDtnpUt5HH/AKtJGgjQuqZO0NkDtiu60/TLbSLcw2tvBbRNI8pSKMIpd3Lu2B/EzszE9SWJPJrGFoQcFs3deTd+a3lLRtdJJtaybesrykpvdKz81pa/+HVLrZpN2SSnooopDPAP+Cln/Juvhz/sqvw4/wDU40Kj9sj/AJOK/ZO/7Krff+oP4ro/4KWf8m6+HP8Asqvw4/8AU40Kj9sj/k4r9k7/ALKrff8AqD+K6APf6KKKACiiigDyX9t/9rDQf2MP2ctc8a63rHhzSblNmnaINd1FNPsb3VLg+VaQSTNxHG0rKZJOkcSySNhUYj4L/Z88XX//AAT8/wCChVn8L/i/N8PPAuh/tS+FY4bePw78RbnUbi/8UWarbyag8r2Onz21xqUMwUSpu33FogWXzHRa/U6ipUFd8+qd010cXFq3rd819m1C8bxTKnK8OWOjWqfmmmn6aWfWzkk0mz8VPhp4msNP/Y0+Anw78O/tEWvwS8By6Fq8OpeKtS8Q61qFtp3iqGS3SPSXvLfW7FrG6htzLLFp08rW8pMmbV2RcezfGD9qy80q3+PWl6D8S7JfGulWngG18c65Bpk4vfD2nyR7NT1K4sLO7hurVEjdjN5NzHLaJKziWNo1YfqLRT1cVGbvqm7/AGrNuz8mnytK14KKbukxS+Pnjpo0vK63Xnf3k3e0m3azcT8W/jv+0Df/AADsPhXYaV+0H4M+MVwLDxpOniaLXrnTry38MzjTnvZNHuJ9Uu7vULm2hi1BbWaS/BMts6+axtij+jan8S/2ePhT+0L4s+JPhv4yePtX0DUPgG1xoet6R8Ub/W9b1lbe61MXZsxf3ksVxdW0ZaQpMjLaSbpGWIhmH6vV4t468daxp/8AwUU+FnhmHUbqPQNX+HPjLU72wV8QXN1a6n4Vit5mXu8aXl0qnsJ39aXK+bmbu/e+d4Thr3tzc3du923K6alaPKlpdP7pwnp2vy27JWslZ3/MXw/+2hYah8G/ib4bb4/+BrSDw98RLWXR9Guv2i9Ykg1vTpfDsM/2S28ZHyr2Atci4miMytbNPBLbYZAXX1S5/afhutF+P2n3H7QGoeF/s+jfD28gs/iH4yk0t/DDXcLedpd5d6aY7jSmuMRRzXifvY5ZxIzSDah/U+irdmnHvyX6/Ckuuj5ra3TW6aabThrWLWnLzf8Ak19+ujelmn1vdJrxP/gnT40HxA/Yx8D6sI/EKLc286qdZ8THxPPKFuZVEkeqnnULZgN0F0eZoDC55Y17ZRRVVJc0nJdfmKEeWKj2CiiioKCiiigAooooA8A/Y3/5OK/ax/7KrY/+oP4Ur3+vAP2N/wDk4r9rH/sqtj/6g/hSvf6ACiuT+Ovxv8Ofs2/CPXvHfi+51Cy8MeGLU3up3Vnpd3qctrApG+UwWsckzIgO52VCERWdsKrMPPfA3/BRn4OfEnQvE+paL4suL638JW1pe3ajQ9Rjnvbe8ZksrixheASajDdOpS3ks1mS4fCxF2IBL3vbpv5FNPR230Xm9NF96+9Ht1FfOGof8FZ/gTpa6Qtx4m8Sx3evR35sLE+CNdN/cTWMnl3lmLb7H5wvYfvvaFBcLF+98vy/nq98XP8AgqR8Dvgn4S0TXtZ8Xaje6T4g0K38T2tzoHhnVvECxaXcMFt724FhbTm1gmc7Y3nEYkZXVdxRgC/X+ur/ACi38n2Yv6+6yf3NpfNdy5+1D8EPFfx2+KPh3SX8L+CNd+F17o2p6L4ok1PxFc2mpeTfRiGRYLNbCaKYBEBy9xFkuRxtBb5x1L/gnD8c7DSPgZZza74H8fap4E1y/v8AxX4m1XX7zR9Q1C3k0a60G1FvFHYXKtNHYzxTuzyRq9xFJgKJjIn1JrH7cPw/0/4i6P4NXUdUi8UeI1ih02K/8P6pZ6d9tmtTdQafdXzWpt7O8eEB/ss7LchXU+SdyhuF/Zv/AOCiGm+J/hd4Wj+JCSaX8R9X8N6p4nu9M8OeHdX1HT5rbT7x7a6+xTLbv9pkjPlZgUm4YSxt5IEiiocYqMlPaV1K/VJN29Iq7bVmlq3YpTk5JQ3tpbpzJRb/AO3tFro2lZXSt856L/wSf+IHw2/Zlm8IeEPhR+yloPjDT10rTP8AhJ9EEnh+68Z2tlqNreG8vng0h5LSVxZRBrVHuY2kuHkMw8lEk9F/4KE/sd/tA/tQ/EewufD1x4IvPC2jyeHNY0jS7/4gaz4fg03UrDVEvb5Li2s7CWHU47lIbeOOS7yLYx747dXZ2f2eT/gpp8FUu/BMY8WX8sfxB07StV0i6i8OapJZx22qy+Tp0l5cLbGLT/tMoKRi8eEuysoGQQKvh7/gqf8AAnxl4Y8T65oXjW58RaJ4PvjpWpajo/h7VNRsxfi8SyWxhmgtnS5vHnkiEdtAZJpUlikRGjkRztKU/ac8n70ZX9JRavp0tJptW0bS0TsRCKguWKsmkvlLWPnrFWWvvRvvueA+Ef2TP2hPCGueC9f8UeGPg2dP8J/FjxF8StZi0rxlq+oTnT9Rs7+A21vB/YitcXESahKdvyCZrdFGzzj5Xh37CGp6h8VoT4T8OwfBX44yap8PL7wzpVtB8S18R6D8PtOkjjmXSNSsrXRIJbGzuXjjgAuru/u0+zBFaZY5nr7l1D/grF8CtMsfD883ijxDu8VW+oTaTbJ4L1yS7vnsJ2gvbRLdbMy/bYHRzJZlBcoiM5iCAtXU/tFftKX2jfsHeLPi58KG8MeK7i38Hz+KvDkup3M0WlahELU3EcrtEjSMhj+cIoUvwm+PcXXnnKFGjOU17kIKO2yUZQ13+ymlfVpTTbTaNoqdarGKfvykmul/f5+lvtyu7bPlas0j44+MP/BND9pXx7+zHqPwysfEuhN4Q13TNetIvDeo/FzxE7eFprqGCKwxrUeni+1mzgAvSbK8WKLbdrG/2hYImG3rX7Ff7T3iWx8bS3Phb4DwXnibxt4L8U2sEfxE1Z4reHQTYtJC8h0IEvM2nrtYIAouDkExDzfZ0/4KqfCzxD+zfrPimH4meGvC2o+H7HR5tQv9X8PajNYRvqJC20ltBmCTULe4dJkhltJZI3aNsO+xhXVftGf8FLPhn+zUPF9tqi+NtZ1fwdpd3qVxZ6L4P1W/hu2trb7TJaQ3sdubNrkREO0RnDRqS8gRFZh016jw03Ko9YNO+/wNSu3vJrR3d21ZNtWMKEvbKKprfRLa3tLK1tle2i0V07at3+Mv2ZPivDcft7afFpN54H8eadb/ABC16bTvA+ifENW1n4ey3tzdw3ms3Hh46Kl5akLJL54vNTaFGvHaOKJ5YoF+gf8Agrf8cIPg744/Zh+x6l4ATxXd/FNZdJ0zxX4pHh601ADRNVt3JuBBcSKokuoEykEmZJ4UODIpr0fSf+Cnnwlki8EQ6vqXiTQdU8cWWm3kNpe+EtZiXS/7QuGtbNb+VrRUsBPcJJFC12YRMUym4EGszT/+Cwv7Oetah9n034ijWg2rXmgRXOl6Dqd/Z3OqWvmb9OiuIbd4pb1xGzQ20btNcqUaFJVdC0qMqfJSl8VOWr/wON49Vo7K+tuZLblHGopOpVjtUi//ACpGVpPb4k720vZtats8J13/AIJH+I77xB4e8ba/4I/Z++MXiLUdQ8Q6h4o8I+OLd5dBsJtXvUvFn0y8lsbqUSW3kxwEvaxi6Qs5+zkKg+n9H+Ft34G/aU+EdraabGui+GPh9rmjy3Gm6YLPTLST7ToQihSOMeXArLBKY4geFiYDIQmqf/Dfvw78SeJvhwuiePdOaPxxZaxqNroDeGdRudf1iHT4n+0rFbrsntJbeWN1kintnkd1MKosvFO+Cn/BTb4H/tCGVvC3jhbmCLQZ/E32q+0m/wBMtX0+3dY7qZJrqCONzbSOiTxqxkt3YLKsbHFKk/Z8tKCsoJ2XZcs1bvaN5u710abtHRP35Os9W3q+7bj+LvHRWWqstdfeKK8/+Af7UHg39pa11p/Cl5rJufDl2llqmn6zoOoaDqVhI8Syx+baX8ENwqPG6sjmPY4ztJwceJfFz/go3Z6P+3N8Jfhb4S1Sz1Cx8R+ItU8P+KjdeEdWa2ie10m6vv8AQ9azHpxmglt1jntx58g8xgRE0Tij7Sh1av8ALv6arXbVdCt4ymtopt/JNteuj0+W59W0V82R/wDBXT4AHwPq3iabxlq9loGh/wBnSXt/e+EdatIIbXUJJI7PUN0tou7T5XicLfLm14GZRkZ9Z+Af7Sng39prQNW1HwbqV5fRaDqT6RqUN7pd3pd3YXSxxymOW3uoopkzFNFIpZArpKjqWVgSJN3t01fppr+K+9d0KWm+nT566fg/uZ3VFFFIDwD/AIJO/wDKLL9mn/slXhf/ANNFrXv9eAf8Enf+UWX7NP8A2Srwv/6aLWvf6ACiiigAooooA+SvCv7CFz43/wCCjHjv4sfE/wCE/wADvEGkXNtpaeDtcnuTrPiPQ5tOeUxSpFcaZGtq0vneYTDdMY3gQDzN29MzS/8Agm9Non7cfibx9c/Dz4B+L9O8T+JLbxXa+Ntb0eN/G3hWWKGFHsbfdZSC4jLW6mK4N3A9uJ3Ajk8tN32RRRD3HGUdGk1f1abfa94xeiV7WejaZNKSlF7N3+5Nfk2tb797W+W/2DfH3xQ8W/Hj43L41+DusfDjT7nxJDdtqGo6vBc2+o3K6RpdqF00xLm7tD9nlc3MggI3RR+UZftEdvjfFr9hrx98Rfi58UtGR/BZ+F/xj8SaH4m1nVptRuRrml/2db6fC9jBYC1MEom/s2PF013GYvtDHyHMS+Z9e0VSduSy+GKj6pctr/OMX8rO6bu5Nvmtpzfh6f5u710tpb87h/wSa8U+CfCXxS0jw/8ADX9mnUPEOvw+Il0L4jXNsdN8WaourrcL9n1CSPTJXhaAXkga6iuJmuFt40MUXnOyb37fv7I/x0+O/wCyRovg+LV/h9oHhy2+HWo6R4qtJPiJq/h6w03VDaxxQaib60sRLf2UMQuhJaXK28Egl3SpJsQJ9514B/wVi/5RZftLf9kq8Uf+mi6rJQSXKu0V/wCAqaXlpzt33vaXxK5aqyVRVFum2vWTi3/6StHpa8fhdip+yJ8C/iX8Ivjf481rxXpngaHRPHdjo9476T4hur26sNQtNNtrKW2EUljCslufJd1uPMRzlQYFySOM+LX7DXj74i/Fz4paMj+Cz8L/AIx+JND8Tazq02o3I1zS/wCzrfT4XsYLAWpglE39mx4umu4zF9oY+Q5iXzPr2itXK8+frr81dSt6JqPrZJ3TlfGEVCn7OO1kvSyS/r10tpb81vjF/wAEuv2g/wBo74veItR8YeIfBbW3iHQPFvhSXXk8c6zdvFZ6jcW8umS2+hPZJY2n2eKzgt54beZWuAWlkuJJBlu0179mz9rnxf8AETx14sOn/BPwpq3jHwz4Z8P3KaJ8Q9YD3cWmahdzXsMdz/YqTWAu7a/uI0uIfMmtmjQoS7iaH71opRfLGMN1Ha/q3ttq5O62a0atoaym5Nvv/nF+qs4xtbVW0a1Pzj/Z2/YJ/aU+BHjPwrKPDvwYv9F8Jz+OLqE3XxR12/1C8bX7pbqBJbi50aSVzAyCOSaWSWSXeZThl2P9ffsB/CHxX+z5+xb8MfAPjaHw/F4l8D+HbTQLs6JqM1/Yz/ZYlgSaOWa3t3/eIiuVMQ2MxUM4UO3r1FOM2ouPfl/8l5rf+lP+kRJ3d/Nv5yd3+P3dNAoooqQCiiigDwD4jf8AKU34N/8AZKvHn/p38GV7/XgHxG/5Sm/Bv/slXjz/ANO/gyvf6ACiiigAooooA+Af+DlLxNr/AMMf+CZmreNPCXinx54S8U+Hde0iKyvPC/ii/wBDndLnULe3mjf7NPEswaJ2UCbcFLbl2n5q4r9sX4Y3/wANf+CQHx3+JujXv7THwp8WWehXN1Y6R4i+LuualqOh3OnXN3HBeR3A1G42/aI5Fd44rmS2kVYOHKbz9df8FDf2ANC/4KRfA+P4eeK/GXjnwr4Ze+gv7yLw0+nxy6jJBKk0Ake7tLgqqSxq48rYSRhiy/LXFfGn/gljP+0b8JvFHgzx1+0N8ePEmleLNKbQroyJ4YtXhsXcPPDGtvo0cYMpSLdIyNKBEoR0BcNz1ISlhq1KOkpNtPsuSCjqtdJJvy+Ja77KaValN6xildd7Tk2rbaprXd25Xo2O/ZZ0az1f/gkt8OrPXfFfjKbUvGngO01CXU7zxrqn9u39/Pp/22VotQa5+2K+5ZXCxSjYiMqhY12j5Q/4N6fD2vftafsmeAvG3j6+/aYHiCy0ya8n8V6z8WNYvNG8c/aJ9UspIY7MahNFGLeNIm3GK3nWVYnQAAPJ9TeFP+CUDeFtA8IaUf2hfj3f6b8PdFn0Pwxa3B8NJDosUtn9i80JFo6C4mS23Ro10Jtokc43MTUf7L//AASTg/ZH+E3hT4feE/j58df+EA8Fym40zw/df8I21uknmvOjPMmjpcyBJ380K8xQsqhlZMofQr1ISxNeql7s+W3kr1Lr7pR0XuvZ7HFShUjhqVJv3o3u+7ahr82pK71V+Zan5yf8E+/2trvxt8ZPF/7O/jPx58c9Kf4lfF7xJ4a0zx9rXjrxFcw29jpFxG1roOlXZ1BWt9RdXYmcnDKY0kW6aQRp9Ff8HAvwdvP2Sf2Crr4geAPid8evD3iOx1rQNCspIPir4i8q1tHuxFKCn2z9/JKrtvmuPNlPGHAUAeoah/wb0/DbW/2evF/w11L4qfGbUdF8ZeNB8Qpr2VvDyanpetmQyTXllcx6SrWzysV3GPG1U2x+WryB/U/2tf8Aglfpv7bX7KmgfCP4gfGL4xaloujXkd9d6pE2hRarrskMoltjdSf2YY/3JACmGOIuB+9MpJJ54aU6Knq4SpOX95RUOd/hKNn8Sd3Zykbv+JUcdpKpb+65OTj8tY+cWrJtKNvk7/gqz8J5v2QfiH+zRH4P8UftQeItM8cfEGSw1vw5o/xg8Qy6jrFiNNeRrK3kudUi5MkPmgvOr7mdVcKVjHl2j/t/fEz9mX/gjl+0Z+0Z8N/iNrnjPwx4n8Vw2nw30rxZqd14g1/4Xxy3EdlcR6lNfmSRriKRwy2rvPEm2JhLMkrE/od+0n/wTMtv2o/Enwi1nX/jH8XrDVvgxeRarot1pi6BC95qUaMhvrlX0t1eR0Yo0caxwEHiIHmqWk/8Ef8A4Vad4y+Nc0134r1HwL+0C73XjH4fXVzbN4aub10RZL+BVgW7trl2QuXiuVG9t20FIvLmKajUi3fmbtq17qdL3b7rn5J2ktYXvvKVqg4qVKUl8Kjfrd/vLvza5ouz0lytPaN/l79subxf/wAEnX/ZU8ceEPif8VfG93438b6V4C8c6f4n8W6h4hsPF0GoRbpLuO3u5pIrK4SSIvEbJYVAcoVKfLXTf8Ek/wC2L3/gqX+2lo2p+Nvid4h0T4aa7pWl+GdM17x1rOsWOk293bSTTqkF1dSRsxeNSHdWdBlUZVJB99+Hv/BJ7wn4e8e/DbW/F/xA+KHxZtvg3Ft8DaP4wutNl07w3MI0ijulW0sreS6uYokCRzXslw6ZLg+Yd9ct4V/4Iz2/gD4i/FjxX4d/aL/aE0DXPjbMk/i64sj4XV75kieGMxM2ilrYpHIyq0BRhw2SwDVs6nLKcoK91U5dly8zp8sdL2S5Zv3bpc9ldXMfZt04Qk9V7Pme/M4+05ped+aC1s3y62sjxC78FP8AtA/8F6/G/gGH4qfGW2+Her/Bq18Z2dr4d+KGuWtjHfXGomB7q1WK78lEe3+VVjURrneiq4Dij/wTP+E158Tf+Cmn7WvhnV/iX8d7zQ/gp4w8PjwhZXPxV8RXlvYRNC9xNBLFPeyR3cUrRhXW5WX5WYKVOCPqH4Lf8EnPDvwK/a8034y6T8Tvirda3pfhO18DR6Tevo0mlyaLbAeRZsF05bghJAJPNE4lZhhnKZQ637JX/BM7SP2Q/wBpX4mfFHTfiZ8TvFOt/F2eO78TWeu/2MbG8uIl2QTItrp8EkbRxlkASQIQ5Lq7AMChy03FReihNJ+bq88H8oe71t8K93UK/NUUm93KD+Sp8s185e95776H0rRRRWZoFFFFABXgH/BWL/lFl+0t/wBkq8Uf+mi6r3+vAP8AgrF/yiy/aW/7JV4o/wDTRdUAe/0UUUAfMn/BY3/lHD8Rv+4Z/wCnS0oo/wCCxv8Ayjh+I3/cM/8ATpaUUAbn/BSz/k3Xw5/2VX4cf+pxoVe/14B/wUs/5N18Of8AZVfhx/6nGhV7/QAUUUUAFFFFABRRRQBwX7UvhuPxb+zj43sZb7XNN3aLdTJdaPq91pN9A8cbSI0VzayRzRkMo5RxkZByCQfzF+FHjfx5+z38etJ/Y+/aI8f/ABT1+XWfEVj4l+DvxEtvGeraZqfjDSnvoheaRqF3ZzRST3EELzblmZgVbKhMW5P6o/Gb4by/GD4Wa74Xj8Q654VOu2jWb6po6WrX1qj8OYxdQzw5Zcrl4mwGJGDgjkte/ZF8M+PPDPw3tfF9zqnjLW/hXqdrrOh+ItTFvHqi3sCGPz3NvFFDmSNnSRUiVGDkhQwVgqL5K6qP4bwuu6Urtrs46Nd1eL0baK/v0lCOjXO0/NqKSfeMkpJ9r8y1SR8Kf8Fj/wDgqEf2Nf20/gbe6b8V/Dml+GPh/wCKbWy+InghNahi1fWLPVreSNbx7UyCSW3sowkv3GUvdI2cxHFL/grdr/iHwv8A8Faf2b9J0GX49eKdC+IHh3xJc654M8BfEvUfD39uvY2kTWrxKNTs7eExlmdjE6NIAciVtqn6w+L3/BMPSfj7+yN8QPg140+KXxR8S6B8SNUk1PU9SvI9CbVIFeZJjbQuNNESxB0UozRNLEFVY5EVEC8toX/BHXTNJ+MvwZ8eXfx2+O+ueIPgTp0mj+GZNSm8Pz77OVVjnhumGkiScywokTSM/m7V3K6yFpCqMdIKo9pSd7X0nSatrfSE7W3bu3FJRV6rtWk6a3io22+Gaad1azlG6fa0U27u2p8ePEth+xt/wTovbOP4nX3w41XxfE+m6H4j+JXiybUJPC+oakHdBNf6hJ5rraBpGQTybiLdUySQK+a/2Pf2uvjB/wAFCP8Ag3+a++GGqXXiT46eERH4S117fxElrf61NYXMH2xYNTywjuLzTzlLoMCr3AdXVgHH6B+M/gPdeMPj54T8dDx5400u38J2tzbDw1aDT20XUzOMPNcCW1e580AKFeKeMqFIHEkof56+Hv8AwRg8I/DX4o/EzxTp/wAV/jWkvxW8Qw+LNY06DU9MsLG31aGcTQ3tstpYQvFIpGx/nKzoSJ1m605NzlU5tFO1uvLyyXLvfmTi5tpv3vdjK2rEvcjBxd5Qu+3NzJ821uX3lDZae8472M7/AIJAftSeFv2hLr4g6bo+p/G3w7rnhWPTLXV/hl8VXu7jX/AsrrcSmRbq7eS6ure6Mm9HnlkkURgZjj8mGL7XryL9nT9kCw+AXjvxb4wv/F/jD4i+OvGkdpa6l4j8Tf2el59jtFcW1nHHYWtrbRwxtLO/ywh2edyzN8oX12tqs1Jp9bK++9vPX7769Xu84Jq66X02v87ab/etbJ6BRRRWRYUUUUAFFFFAHgH/AAUs/wCTdfDn/ZVfhx/6nGhUftkf8nFfsnf9lVvv/UH8V0f8FLP+TdfDn/ZVfhx/6nGhUftkf8nFfsnf9lVvv/UH8V0Ae/0UUUAFFFFABRRRQAUUUUAFeAfEb/lKb8G/+yVePP8A07+DK9/r8jP2y/8Agt/L8AP+C5vgj4Zy/BLxnrPirQdF1XwPpUNtqNusfiFtevdAubO8hYjCwqumSLJu+4zkE/u2oA/XOigZwM9e/eigAooooAKKKKACiiigAooooA8A/Y3/AOTiv2sf+yq2P/qD+FK9/rwD9jf/AJOK/ax/7KrY/wDqD+FK9/oA+ff+CsHi7S/BH/BMn4/X2s6np2k2beAdZtFuL25S3iaaeylhhi3OQN8kskcaL1Z3VQCSAfmnVv2G/GX/AAUR+FbfE3WW+B91daj4c8N2nhPQ7TVJfGPhLxFZ6devqLrqVzLZwCSK7d1hxFbSC3EQlDTsfLX9GKKUUlJze6cXF/yuPNr5v3mtdLaNMupPmpxpdPev5qXI7eVnBPTXzWt/hXQf2Hvip8MPip4C1/wB8J/2a/Aug6BpfiMX/hfw9rtzo9nb3uowWkMXlSW+ihbgD7EjSTyQxOftG0RkW6mb5X+K/hjWf2ctO8GfCrxjrvwe0rxL4b+FOg+EPFPhFfilL4fm+KdvazXgtrO1W58PXV1qSSqu1Rp62k0c13Pb+dOSvl/slRReS+B21XnsppLXtzve91o7iTXI4SV0/l1Tf4pPS1nqrHw18PP2ANXvP2mdS+Kl58IfgRq8vjjUbHxvba/4q0yIeOfBF4tpBv0hXFjMsyLJAqpci5ie386TbDL5Sb2fDn9jP4/+BPCPwk1b7B8HpvHPgiy8VeH9Stf+En1L+yRZazd29yl5DL/Zwllmga2QG3ZIlkBbE6ZGPuiiirCE4+zStFJpK70TXLZPf4PdvvbX4m5E0nKElUveXV93u3bbduVtr6fDofmNrn/BNj9qXWPgH8KfA93cfC3ULH4XaL4St9OsoPiVr2kabDfaLqEc11LNBb6Xs1FL2C1tNv2xXWycN5UbsGml9r8Ifs1/tGaB+yn8QtAtl+G3hnxt4s+INz4mSLSfGupNa3ek3uoLc3tj/aQ0uK5sZ2gaaBLmC3kkQkSIYn2tH9l3V3FY2ss88qQwwqXkkdgqIoGSxJ4AA5ya8R0n/goz8Kdc8K6rq9pf+Mp4tJure0NoPAmvDUtRe4jklhaxsjZ/ab+N4oZpRLaxSx+XDJJu2IzC6lXmnOpJ6ttva3vSg3dbWbhFNNWaVurvWtoxWyenyjJKz30UpPR3u+bfU+VP2dv2Cf2lPgR4z8Kyjw78GL/RfCc/ji6hN18Uddv9QvG1+6W6gSW4udGklcwMgjkmlklkl3mU4Zdj+6+CP2Xfid4a/wCCQVr8E7iy8Bv8SLL4enwOvl+ILs6HIwtTZLcm6NiJ1BixKU+zHD/u9xH72ut8Cf8ABTv4GfFP4naJ4L8LeO4/E/ivX9Ms9at9L0jSr6/uLayumZYri6WKFvskasuJWuPLEBkiEvl+bHuyfFn/AAVa+D2heBfHWtabqPibxHN4F8O3Pin7BYeF9SWbxFp8DbGutJeWBItStt5RTc2ryW6CWN3kSNg5wxKi8PUp1PhkrS3vaCkn56Xlfr32NaMqirRnT+JSUlta82mvL3nZrZPpoeCfE/8AYX/aM+Ifh74pWa+H/grayePfhn4Z8E2pPj3U3W2utMuLmWaV/wDiSj90630wUjLZt48gea3ldd8Yv2Cfin8X/jn8SdcsofBPgDTfHPh3U9Hv7rRfGOqXEXi77RpH2O3TVNHksltFuLe4YMupQzGcwW8cRjKviP1q/wD+CnXwl8K/Dzwp4h8Tap4h8OReJ9Jg1qaG58K6wX8P2ksnlLc6ni0zplq0qyKlzfCCKQRSMrFUYrbvP+CmHwW074x3ngC68Vaja+K9N1y08OXlpP4b1SKOyvLsqLPzZ2thDHDcs6pBcO4gnc7I5HYEDpxlOVapOnWV5T5oPu3J2klbrdpad7bOz5sPNU1GvT0SUHfyjFcrd+iil9191c+af2j/ANiD9qH49aJ4Pspo/hgLDwlbeGbrT9Hi+J+u6bp2nahpeppc3fmx2+lBNUS7ht7VUe8jxaOrGKEtulk2vCX7IH7Rmn3/AIHvL7wv8FY5dA+Mur/Ey+jg+IGpyr9lvra9hFtEx0Rd8qHUJTlgin7OnI80+V7Db/8ABTv4SeE9NvNQ174kaZrOl3nje+8F6ZfaH4W1SSzg1G3jRv7KknjFxHLd5JVHVo1uHIjijaRSp9n+CHxx8MftG/DSw8X+D9Rk1TQdReeGOWWzns545YJngmhlgnRJoZY5o5I3jlRXRkYMoIxSVWU5PERd7vmv0vPkqemvLB+aSabTbbSUIKg9leNvJRnSfns59nzN31Vl8efA39jn9oX4dSfCK51XQfg1LcfD3xV4z8RXkdp431JknTWPtslrDGzaOCWSS+ZJGYKAsIdVYv5acHpH/BLf48eOPhR4A8B+Lk+EGjaXoXwq8QfDzVtX0zxFfau/n6hc2dxFcx2E+lwx3EAbT4UkglnTclzKNx8seb+ldFZtJtye9mvvjKL/AAk/6SKg3C/L1d/ndP8ANHz/APsE/suSfs5eGtYlu/hT8CvhJqmsLbRXem/C+zVbG/aFXzdTT/YrORmZpGCwtG4hVeJZC7Y8J0X9h39oT4ceMvh1oehRfCLWPBfwy+I+t+MtM8Qah4m1G11m5tdVg1RGinsF06WFp7eTVpWDLdqs4t0BEBkLJ97UVVSTnLmfa3bt9z00ta2ysiYJRi4rrfz3Ti156NrW993rqflxf/8ABNv9rG+l8U6leQfCHX/EnjvRvC9lruo618WPEN8Jb3SNYk1K4uoIpdGeO0huzIVWztlht7UklEcZU/ZX7G3we+JHwy+Lfxx1vx1pXgjTtP8AiN4sg8R6ONB8Q3WqTIi6ZZ6e0Vws1jbCNsWMcgKNICZ2Xjyw8nvtFVGbjdpbprto2pNJLRK8VZLRbKyKm3K7fVp/cuVb+Wj6vd66hRRRUCPAP+CTv/KLL9mn/slXhf8A9NFrXv8AXgH/AASd/wCUWX7NP/ZKvC//AKaLWvMvhN+xV8G/2m/2sP2pdb+JPwl+GfxC1nTviRp+m2t/4l8L2OrXVtar4M8MSrbpJcROyxCSaVwgIUNK5xliSAfZlFeAf8Onf2Wf+jafgB/4bzSP/kej/h07+yz/ANG0/AD/AMN5pH/yPQB7/RXgH/Dp39ln/o2n4Af+G80j/wCR6P8Ah07+yz/0bT8AP/DeaR/8j0Ae/wBFeAf8Onf2Wf8Ao2n4Af8AhvNI/wDkej/h07+yz/0bT8AP/DeaR/8AI9AHv9FeAf8ADp39ln/o2n4Af+G80j/5Ho/4dO/ss/8ARtPwA/8ADeaR/wDI9AHv9fnx/wAHMnwu+Kvjb/glx401v4U+K9f0S78LWlxP4m0rT3HleI/D80LQ6hbyqQc7Im83OQQkcoHLCvoj/h07+yz/ANG0/AD/AMN5pH/yPR/w6d/ZZ/6Np+AH/hvNI/8AkegDnP8Agjh8Pvi34F/4J/eCLr45+L/EPjD4neKoP7f1eTV3DTaULhVaGxAAG3yoRGHH/PUy84xX1FXgH/Dp39ln/o2n4Af+G80j/wCR6P8Ah07+yz/0bT8AP/DeaR/8j0Ae/wBFeAf8Onf2Wf8Ao2n4Af8AhvNI/wDkej/h07+yz/0bT8AP/DeaR/8AI9AHv9FeAf8ADp39ln/o2n4Af+G80j/5Ho/4dO/ss/8ARtPwA/8ADeaR/wDI9AHv9FeAf8Onf2Wf+jafgB/4bzSP/kej/h07+yz/ANG0/AD/AMN5pH/yPQB7/RXgH/Dp39ln/o2n4Af+G80j/wCR68y+LP7FXwb/AGZP2sP2Wtb+G3wl+Gfw+1nUfiRqGm3V/wCGvC9jpN1c2reDPE8rW7yW8SM0RkhicoSVLRIcZUEAHt37Qv7Jcvxx+KPhLxrpHxJ8f/DPxP4P0rVNEt77wzFpE5u7PUZtPmuIpo9SsLyM/vNNtWVkVGG1hkhiK57/AIY2+Iv/AEdj+0B/4KPA/wD8z1e/0UAeAf8ADG3xF/6Ox/aA/wDBR4H/APmeo/4Y2+Iv/R2P7QH/AIKPA/8A8z1e/wBFAHgH/DG3xF/6Ox/aA/8ABR4H/wDmeo/4Y2+Iv/R2P7QH/go8D/8AzPV7/RQB4B/wxt8Rf+jsf2gP/BR4H/8Ameo/4Y2+Iv8A0dj+0B/4KPA//wAz1e/0UAeAf8MbfEX/AKOx/aA/8FHgf/5nqP8Ahjb4i/8AR2P7QH/go8D/APzPV7/RQB4B/wAMbfEX/o7H9oD/AMFHgf8A+Z6j/hjb4i/9HY/tAf8Ago8D/wDzPV7/AEUAeAf8MbfEX/o7H9oD/wAFHgf/AOZ6j/hjb4i/9HY/tAf+CjwP/wDM9Xv9FAHgH/DG3xF/6Ox/aA/8FHgf/wCZ6j/hjb4i/wDR2P7QH/go8D//ADPV7/RQB4B/wxt8Rf8Ao7H9oD/wUeB//meo/wCGNviL/wBHY/tAf+CjwP8A/M9Xv9FAHgH/AAxt8Rf+jsf2gP8AwUeB/wD5nqP+GNviL/0dj+0B/wCCjwP/APM9Xv8ARQB4B/wxt8Rf+jsf2gP/AAUeB/8A5nqP+GNviL/0dj+0B/4KPA//AMz1e/0UAeAf8MbfEX/o7H9oD/wUeB//AJnqwPit/wAE5vE/xv8Ahd4l8FeKv2ofj/q3hjxfpV1omsWJ07wZALyzuYWhni8yLQFkTfG7LuRlYZyCDg19PUUAFFFFAHzJ/wAFjf8AlHD8Rv8AuGf+nS0oo/4LG/8AKOH4jf8AcM/9OlpRQB7Z8dfgV4a/aR+Gl14R8XWt/d6Jd3VnfEWOqXel3UNxZ3cN5azRXVrJFPDJFcQQyK8cisGjHPUV5f8A8O0/h1/0Mf7QH/h9vHH/AMtq9/ooA8A/4dp/Dr/oY/2gP/D7eOP/AJbUf8O0/h1/0Mf7QH/h9vHH/wAtq9/ooA8A/wCHafw6/wChj/aA/wDD7eOP/ltR/wAO0/h1/wBDH+0B/wCH28cf/Lavf6KAPAP+Hafw6/6GP9oD/wAPt44/+W1H/DtP4df9DH+0B/4fbxx/8tq9/ooA8A/4dp/Dr/oY/wBoD/w+3jj/AOW1H/DtP4df9DH+0B/4fbxx/wDLavf6KAPAP+Hafw6/6GP9oD/w+3jj/wCW1H/DtP4df9DH+0B/4fbxx/8ALavf6KAPAP8Ah2n8Ov8AoY/2gP8Aw+3jj/5bUf8ADtP4df8AQx/tAf8Ah9vHH/y2r3+igDwD/h2n8Ov+hj/aA/8AD7eOP/ltR/w7T+HX/Qx/tAf+H28cf/Lavf6KAPAP+Hafw6/6GP8AaA/8Pt44/wDltR/w7T+HX/Qx/tAf+H28cf8Ay2r3+igDwD/h2n8Ov+hj/aA/8Pt44/8AltR/w7T+HX/Qx/tAf+H28cf/AC2r3+igDwD/AIdp/Dr/AKGP9oD/AMPt44/+W1H/AA7T+HX/AEMf7QH/AIfbxx/8tq9/ooA8Btv+CZ/wvTWdIvby8+L+unQ9VstatbTXPi94t1iw+2WdzFd2sslrdalJBN5VxDFKqyIy7o1OOKT9sj/k4r9k7/sqt9/6g/iuvf68A/bI/wCTiv2Tv+yq33/qD+K6APf686/aF/aq8HfsvWWlT+LX8Tsdakljs4NC8K6r4iupPKj8yVzDp1vPIkaJyXZQg45yRXotcH+0t4t8NfDP4I+LPFninUNG0PTdC0S8M2ralLHbxWMbx4YGV8BAzCMYyNxCjk4rnxlZ0qE6sfspv7lc3w1NVK0ab+00vv0MT9mT9tf4fftf29zN4GufFVzDbWFpqiyaz4P1jw+l3aXXmfZ7i3OoWsAuIn8qTDw714GSMjPq9fl34g+NFvqv/BKr9ku78NfE3w14F8Ea3pOk+HvF/wAQo5LyfT9CWDSmVLO8vtM1LT7mxjOoRxxPKt7EEmRIpMrI6Ns/sSX0nij9vHR/BXiT9qbxX8Vr7wz8MdN1fTtOt9eOi2Oq3MOoXiRag1hb3DXN0j2hglY3NxOt1HcRyyb1Nv5fdioxpYidFXtGUo3/AMMJTb6JNxjonbda21OGjVc6Ea8usYyt2cpRhb0Um7tLRJKzeh+ldFfjl+zH+034Z1W38aeOvEPx3+It5feC/hZrE3iu20f4zwazqWvaszgy63o+gLqM0WnRxQmbEV9Z2gtWmtx9njMTuvO/Dz9s3wr4g8daV4H1P9pIeGtvxu0/TtMg0D4+3/iUy+H7zw3FJcoNSvDFNeWst2uwSzREW08rx28qSbHOUU24xVry5f8Ayaoqfa9tefa/Le6TVjpmuXnvtDmv58sFN289eXtfq7q/7X0V+N3iP9tnQtZ/Ze8Axah8ddd8Q+D7XxB8QfDkb6J8ZLbw1rE1za6qY9EurjXbnUbT7THbWMsTGCS7eadLuC4MN0sZZbf7V/xKt/BXgb4deA9S/aPvTPrHwr0c+G/FmmfHlvDmmWesyXc4v9cvL661S3udas59ihBCb14EgdRBAZo3YWrttdpK+m6k/RaR9PeWt+ZJVE4XT1spXtrrGcYad0221s7Rem1/2Grxf4ifsD/Dr4o/tseAPj7q+kif4gfDjRr7RdKufl2GO5K4dwRkvCrXKx8gD7ZMSCdpX4Q/aF/aO8Lfsv8AjD4heF9Q+NfibQp9F+MXgPxB4ag1P4l6pPOPDl0NEj1C5d57t3k0dmk1BZPPZrRXbBw3l1z3wO/aP8C638aPA1la/tN+J9ZtfGvxr8Y/D5tOm+LVzOq6E1jqYtIIM3Pml/tZsGguyz3KvcQJDMsbxR0QTqO0NXZ6dbpUvd9b1VFrpyy6qxU48kFUk9N/lyzk3/4DDTu2le2p+vFFfm74aXWPgp8EvH+l/EbxL+0Ha2v7Kmg6/bal4usvF1/c6j4yTUEaey1CI3Fw1vd3ENg28m7RobW5cCPy0hOO5/4IrftEW/xVv/jl4Xj8d6L4tt/Cniqzl0i0sfidd/ENbHT7nSLGQPFqt6iXVxA9z9pILrsSUTRozCPNVCKm2ovaPN8uZJabq6d7b737uJ3ik33afqktns1qldaX69/pfUv20PhxpP7Rth8J59du18b6lK1rbwLo989i1yLRr02ZvxCbNLv7Ipn+zNMJvKKvs2spPqVfkhD4x+HWjWP7VPivwL8X/Esuv+APjd4f1TU5LH4s6vcw6do6zaGl9Pcwfbmha0EbalFI0iNGFt2iPFsiR0fFP7Y3w48bfHy+0PT/ANpnXtI0/Uv2h7W001rP4p3cbT+H7/wxbzzpCJrllbTZrxZVgkVTFG0h+yPE5RhFJ88KbW81B+Xvukk/ROrZv+5LtYuceX2sukHNefuKbf38q5V/eV/P9faK/G7xH+2zoWs/sveAYtQ+Ouu+IfB9r4g+IPhyN9E+Mlt4a1ia5tdVMeiXVxrtzqNp9pjtrGWJjBJdvNOl3BcGG6WMsvpOn/FCz+Hnxk/Z58Or8el+Itx/wjfh+C6h8PfGHURrIuJ2n8/XYLa5lmtfE2mTSCRpjOrSWcNsXUmMeXG46tLo5JL5qTv205VfW1pLW6klNVODcXq0p39YSUXbq7tu2l3Z6aq/6a+DfF1r478OW+q2UWqQW1yXVE1HTbnTrkbHZDuguEjlQEqSCyjcuGGVYE6dfM//AASC+KX/AAt/9gPwhq7eO7n4kzx32sWcviG61SPU7nUBDqt3HG8s0fyM3lCPhQqhSoVVXaB9MU5JxdmZ0580VLuFFFFSWeAfsb/8nFftY/8AZVbH/wBQfwpXv9eAfsb/APJxX7WP/ZVbH/1B/Cle/wBABRRRQAUUUUAFFFFAFbW4Z7jRryO2W2kuZIXWFbkEws5U7Q4HJXOM45xmvzhtf+CR/wARdW8JaRLrXhX4K6rpXhbX7fVtO+D/AIg8RX/ivwG4azuLW9NpcX+mmfSUYzpLBbRWtxDbNalU+W4cR/pPRStq33t+Duvx3TuvK6TG3dJev4q3/DNWa111Z8ifs+/sVeNPhn+0NqFzP4S+Eng/4Zan8PU8JrYeDdSms5NInN5dXjx21kmnQwCFWvJIxKJldzEJTGrSmOPhPB3/AATW+LPiX4O6D4O8dal8O4W+FPwz174b+ENY0W9vJZvEq6haw2cN7qEElvGLDy4LSAvBDJdrJLKzB4xEqv8Ae1FTUpxnSlRe0k0/m5u997r2k7f4urSaqnUcKka0fiTTT9FFemqhG/ppY+EvEv7DHx11uz8SRQQfCaG2+MXwzs/hz42srvxBqF5H4Ze0F5bxalpz/YE/tBXtb6Vns5ksx5kSAXGGdqyfHv7Bvx8ivvH9j4b0b4RX+iat448F+IdBm1TxxqVteNY+HvsHyXQTSJQs8/8AZycozqn2huW8oeb9Ff8ABOHUbjVP2e/EUtzPNcyJ8UfiHCHlcuwRPGutoi5P8KoqqB0AUAcCvea3dWTrfWH8XMpPzalzxv8A4ZN28m07qyWUIqEFBbJWXo4xi/vUY381fdyb+F7z9jv4/wAfj6DVbXQ/g+9snxym+JcqS+NNSWRtMOmixjhXGkkC5JJkKnKDaEDtu3r7l/wTz+DPj74DfA3V9B+Ilh4QsdYuvF2va9bjw7rdzq1s1vqWp3GoqryT2dqyyRtdPEQEYMIlfcC5RPdqKzp/u6fs1tovujCC/wDJYRX3vdlT953fe/zbqS/OpL712CiiigAooooAKKKKACiiigDwD/gk7/yiy/Zp/wCyVeF//TRa0fsb/wDJxX7WP/ZVbH/1B/ClH/BJ3/lFl+zT/wBkq8L/APpotaP2N/8Ak4r9rH/sqtj/AOoP4UoA901/RIfEuhXum3L3kdvqED20r2t1LaTqrqVJjmiZZInAPDoyspwQQQDX45f8Exfh78fP2gviD4P1bQ9e+Ov/AAhugfEDxnovjzxN4n+Kt5qOj69oUV1PaWmnWVnJqM93HexELtulgtmQxs3nyMVNfsbr+iQ+JdCvdNuXvI7fUIHtpXtbqW0nVXUqTHNEyyROAeHRlZTggggGvK/2cP2FPhv+yT8MvEHg7wBY+KNF0DxPcXF5fQy+MNYv5hPcbjPNDPc3Uk1vLIzs7PA6MXO/O/5qiMbVXUauuWyXRvmi1zf3bKSe91JpqzadTfNTVNO3vXb6pcslp53aa2s4pp3St+fn/BE2x1r416jr+oeMdT/aSnPgvx14kay8bar8WdWvPD15b6fqsVvb6Q9lLqE0cv7mVw5ureNmEeY3lYM8fgXxb+KXiTwd+0p8d/hxpnxQ/aE8HeLLv4x6d4V+F/xA1v4ma5deCfCdw1vZXp0vUImvZxIZg06xR3NlLFJvCGVFV2j/AFI+FH/BIn4G/BB7VfDOmfETT7G01pfEX9mSfE/xRdaVcaitwtz9qnspdRe2nkM6JITLG+51BOTTF/4I8fs9TeEfiVoF94L1jXNH+ME63fi601rxhreqx6vcq6ut1i5vJPKuVKJtnh2SqEUBwAAKo3g6TevJBJ+ck6bcr9G1CSv53alzSTUtfaW05ptrRNJWqWVno0nKLs9HZpONo28g+B3hC+1j/gth8efCep+M/ibf+HrH4c6LqcGlHx3raabaXmoy3sV5Pb2v2sx27MsSeWIwvkFQYvLPJ+bvjT4G17wf+2B8C/CvhS8/ar8fWHxA+E+ta/feH9C+N+u2d5c6jG9ottembUtat0iSPzWyiyc7x+5kxgfoj4g/4Jp/CPxLrHh3VJ9O8aQa14Z0YeHbbV7Hx9r9jql5polEos727hvUnv4Q4yEu3mC7mAADMDX+K/8AwTA+Dvxl+Ldh461fTPG1l4n0nSv7D0660H4geIdAj0ywKorWttDYX0MMELCOPekaKHKAsCRmsp0rwhGL+H2ifS6l7Xk9OXnjZfZt7r0QRk05trfkavd2cfZ83rzcstd3fVas+XP2b/2mvF2v/wDBCbwilz8VvFnjf4n+I9NvvCEvjDw34Y1nWNb0q+je5ikd7WG1a/kuLRYxC1y0GWlCTMcOHPz78ev24vF37TX/AAQS+FvxLHiL4n+HPi/4J8a6R4D8W2/h/wAUan4c1SW/j1GGyvra5WO5tw008QR8XB/dNcEho23Efp58Hf8Agnn8Jf2e73wLL4H8Pap4Vg+G+m3Gk6FYaZ4k1S302KC4O6cz2i3H2e7lkfDvNcxyys6I5csisPLNU/4IT/szazH4gjuPCfjloPFeujxPrNuvxP8AFSQapqokEi380a6iEe4VwGEpBZSAQRgV1VZKdeVSWqlKEn0tyTvZLVWlFzun1cU3JJtxy8tJQg7NKaX/AG/Fq7atqmoWsktJWUb2Pn79jnxBrurf8FzfGeh63F+0B8P/AAp4R+E9l4isvCPjf4nXWr20d495JaSX0kVvq99aSo0HAWZ22vGZPLV8SG/+yT+3X4j8ef8ABW34j/C7xvqfxHi8B/HTwmNc8DQa3oes+GDo9zZBre807TpLiK3dibVo7lri1JXzAWWTJWvpbX/+CQvwO8UfEbV/F9/Y/EufxPr+jDw7qWp/8LV8Vpc32mhSBZyMupDfDyW2HjezP94ljs/Gv/gmD8Hv2iPEnw/1rxdpvjfUdc+FlmbHwtqkHxC8Q2N/pKsoR5VuIL5JXuHVVD3EjNNIFAd2wKiLX7tTV1FTTXdSc3fW9+W8LLT4WrpaMad6ji7NuLT7cqgraW0k1O/+K9m9T89o/GXxA/Y0+InhH4S/GDxv8XPGHwV/aL13S774b+NY/G2uRa94a1uWe3S48O3l/bXCXbWssTytAZJSoA+beVkki+uv+Cp/7N/xW+Jt94N1r4D/ABB8XeEPip4Ns7jWdH07/hJb2Lw/4rNlNbONN1KzMwt5knWaVDK6iTcY90mwEV9C+Hv2RfAPh/4PaH4DfSb/AFvw14b1G21bTItf1m+1y6s7q2uVureVbq8mluN0UyKUzIQoAUYX5a1fFH7P/h3xh8ZPD/j29l8UDxD4Yt5bWwFr4n1O007y5M7xNYRXC2lwTx800Ln5E5+RcTJP2cYKTUovSXWyS5W1qnJfC76SilzXfNzXdc0pWTTWsel23zJbWi9JWW0m3Gy5bfkN8Xv2lbL9rz9iy5+N3hLxL8fPh140uvjD4Z8GeKNBj+J/iqwj8N3c9zYRavpaWovUgRA80oVook2q42iNlKp+jnjr9kDw98Wf2j9Vs7zxZ8adNtrTw5pUj2+j/E/xJpltKBNdRAbYL1UV3FtHvkj2zOUJZz5km/0P4i/sXfC34seAfHnhfXvBmlXmh/E2+XVPEtunmW51K8WKCJLvfEyvFcKttAVmiZJFaJXDBxuq18Ov2WPCPws8Ca74e0lvFzQ+JInh1DUtQ8X6vqWtzIyMgVdUubmS+j2Bm8vZOvlFmaPYxJNXik7RS15kuifJGPKu0VJScd9JWet25km3a71Sjd72U3Lm6XlJWjLba66Jfn//AMExfgxefGL/AIJoeMviL4g+KPx71HxPNH4z0R55vin4gmQR2uqTCzmjD3bGC4gWzjRZYDGzLJKsnmBzXjH/AAR++K/iX9pf4v8A7P3h/wD4WP8AHDwt4iHw1ude+Jem+PfHusainxS06+txFbahoKteXMcJhuVLNPDJZ3EJyojb94E/Tf4Xf8E3PhJ8F/2c/Evwm8M6X4s0zwH4tlnm1LTx4312WVmnbdP5VzJeNcW4lYs0ghkQSF3LBi7Z5pf+CPn7P0HgT4feHoPCfiKytvhRJPJ4OvrTxvr1tq/htZ08uWG11GO9W8jgZOPIE3lADhBU0bwneeq5YR+ajNSfzck7O6lazSdmqqvmT5NHzVH8pSi4r1UYuKas4tpxeln+fv7MSfGnxx+wJq2seCdf+JHxY8Tw/GzXtL1Twlqfxm1fRtb8V6Fp0t5FDYabqk900lm8DNDcSeQ0bzxWzrI752tp+OPjU37Qmtfsi6jofxD/AGlNJi8W/GLUvBHizRtf8T6r4V1uzt4YricaTqFtYXUcRlgIhAnA86SMJvcsXB+8/h9/wSF+Afwt8JS6JonhnxRa2TatLr9u0njvxBcXWmalKkiTX1ncSXrTWd1Is0oea3eOR953Mad4m/4JF/AfxZJ4RkuvDniyK48C6hNrGj3Fn498QWVxDqMzu82oyyQ3yPcX0jSPvu5y87g7WkK4FVQbhKnzO/L7Jt9W4Kmp+qkoSWuvvP3knKLiuueE1HRv2lu1pe05fRxc1qtLJKzai4/SijaoHJxxycmvAP2yP+Tiv2Tv+yq33/qD+K69/UbVA5OOOTk14B+2R/ycV+yd/wBlVvv/AFB/FdIpbHv9FFFAHifj/wD4KLfBr4X/ABI1/wAIa540Sz8ReFriK01WzXTL2Y2csttDdRoWjhZCTBcQvwTgSDODkDL/AOHpHwJ/6Hr/AMouof8Axil/Y3/5OK/ax/7KrY/+oP4Ur3+gD85/2/8A/g5P+DX7CXjX4bR/2frPjzwz4ylv4dYvdJhltrzQfI+zGKRYLmONbhX86TIEilfLB5zg/Z/7Jn7XXw//AG4fglpfxD+GevL4i8K6sWSG6+zS2zo68PG8cqq6sp4II+hI5rC/ai/4J9fCD9tXxz4F1/4qeC9N8cT/AA4ku5tDtNT3S2EUlz5HmPLb58ufi3jAWVWUcnbnBHr+laVbaFplvZWVtBZ2dpGsMEEEYjihRRhUVRgKoAAAHAAoAnr5Z/4KBftjeOv2Lvil8MNdt4fCmpfCPVtRFj43iuNPnXV9FtXljtxqcN2LkQiGGW6tmlie3YiJJnEgwAPqavCv2ofgh4r+O3xR8O6S/hfwRrvwuvdG1PRfFEmp+Irm01Lyb6MQyLBZrYTRTAIgOXuIslyONoLROUk1KCu09uj8m+iaur9L3TTSZcVF3U3ZNWb6q/Vd2t0uvW6ucl+2B+2F42+HP7XnwL+FfgEeFYF+IetTW/iTVtb02fUU021XT769higjhubf99MNOuV3s7LEArGN9wB2fEX/AAVb+BPg/S9Zv9X8XatpWnaA1o15e3nhTWLe0+y3UzQW+oRzPahJtOeVCv2+JmtAWTMwDoW8F1L/AIJw/HOw0j4GWc2u+B/H2qeBNcv7/wAV+JtV1+80fUNQt5NGutBtRbxR2FyrTR2M8U7s8kavcRSYCiYyJzWmf8EnfiJ8OP2YpfCHgv4V/sn+HvGWnnSNMPijRkk0K58Z2dlqVreNd3zW+ktJaTSLZRg2yPdRmW4aQy4hVJNPdTaTurrWzu7vXToo+6vO7kr2kzOTbcXbWyvromm7+b5lr0tZJ2bSPqW6/wCCinwx8V2PhiTQviHpOh3OteOrfwT9h1/w3qMWo31+yLM2nx2kv2e4gmeGSKVLiRGhWORJCro6msvT/wDgsL+znrWofZ9N+Io1oNq15oEVzpeg6nf2dzqlr5m/ToriG3eKW9cRs0NtG7TXKlGhSVXQt5Xqv7HPx+134g+LdSm8P/B+3s/EXxo0D4kRbPHGpSSxWFhaWVtNCynR1BnYafE6gNsP2hwXXyg0segfsfftC6Xrng26l8N/Bkp4e+NGsfEu5C+PNSJeyvbe+hS3TOijMy/2hIxzhT9nQBv3pMSp7pT0vZvrZuNG/wAk5VdP7i6tuVTWsuXWy06X/jO3q+Wmr959kkuy+IX/AAVW0Twb8d/he8Jtb34QfEPwtr2pw6hZ6NrF/wCKZtU026s4ZbJdIhtTcx+Sk0zSqY5JlMU2+O3W3dpO/v8A/gp/8E7Dwd4m8QjxVqt5ofhDw7p3i7Ur6x8Lavewf2PfhjbX8DQ2rC5tyEk3yQeYITFKJfLMb7fDfgd+xl+0J8Gbb4f+Jxo/wb1Dxn4Ov/GtvJpJ8YalHpclj4h1SDUkuBd/2UZWntnh8kwG3VJVPmCaI/u6wviv/wAEqvil4R+DXiLwL8MNR+HmsWnjf4Pp8NdW1XxLf3elvYXUc+o3P2yC0t7W4WSOaTUplMbTRmAKhBm2lGpNJRUvP13nJX76ckb6JXs7tS5dKfJJrndtr/8AgcYtq/8Ad5pW1b02Vk/Sf2hv25fix8LLr4sHSPDvw6ntPBHiTwjaaZJdXt67y6RqtxFDc3EqrGu66BdhHCpSNAQzSyFTG3qHiX/go98KPCUWste33jXdoniCTws8UHgHX7mbUNRjW4aWCxjjsma/EaWtw8j2glSNIyzMqkE/O/7Qf7GP7Rnx38K/F/TZvDnwas4viTH4TW1jt/iNrNtNZf2XIk12rXMWjrIpd1KRSRBXUEP8rAKJdA/Y+/ab8D/s8+HPhFo8Xwytvh54K1eSzso9O+JOtaBrGueHRFcLZ2txqFlpSXFpc20htHeW2bddiJlkdA0hnwk5pTUdbfD5/Cte3VpWtdt3iopSxou9OMqqs+qXTRvTvrZb7JLeTkvZfEX/AAV0/Z98KtB9t8c3iR3Xh+z8WQzR+GdWmgm0e6GU1JZEtSjWiZAmnB8u2YhZ2iJxXtnxW+L+g/BbwJceJNfubxNMgaONRYafc6nd3UkjhI4oLa2jknnkdmAWOJHds8A1+cPhX/gmb+09pP7OPiP4f3Wj/Agrf/A+2+ENjeR+PtXdjNFJcZv5Q2iZCNHdMfKBZg0IBkYSFo/tX9p74P8Aiz47fshReFpvBnw88ReI79NObVNC1fxLqFjpSNHLFJMbXVbW1+1wzRMhe3uktlkWSON9kZ+70VlFQvTevM1r/LzyUXbf4EpPs3aytYq1ppPVW19VCD0v3k5JL+7vrc8/uv8Agsz8GNK8e6xYanP4y0LwxoHg7/hM7/xTq/hDV9P0u3txPNCYGaa1VknV4JE2SBGaYpBGJJt0ad3q/wDwUk+EOi/Cex8cSa14lufDGp+fLZ3dl4N1q8a7tIY0kl1GOKG0aV9NVJYib9VNpiWP99865+eNX/YK/aA0jwTrVla6h4I8c6n4w+E118Pb+98U+NtQW80mV7u/lt/9KXS5X1JYobyOFriVLeWU2/mMm6Qheh+Pf/BPLxN8Zrr4OeJ9e+G/7P8A8T9W8F+FJPC2ueDvHTPf6JA0nkOL/T7+TTZpFmje3ClGs0E0cpBaIxqWyg5WtJdWr/8Ab9a1+nwxpLSyXPzN2TYSaT01/wD2KW19V70qj1u3y8qSbR9E+H/2zPh34s+M1p4D0vWNS1HXdQiMtrcW2hahLo1yRbrcmJNUWD7C0wgZZDCJzIFIO3Feo18ifBP9iPx38LP2zbPxbY2XgbwV4P0+0Wxv5PCWv31rB4zto9OitreK98Om1FhbTwSoDHewXLSrBbxQFWRv3f13WslG0XHqv69Pn18rGcXK7Uv6/r8rdbpFFFFQWFFFFAHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP/TpaUUAfTdFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFAHin7Rf7RnjnwF8cfBHw7+Hfgnwp4v8R+L9C1rxHJJ4j8V3Hh6ysrTTLjS7eQCSDT755JXk1aEqpjRQschL52qcv8A4WP+1P8A9Eb+AH/h5NX/APmYr5//AGhv+CqH7Pfwr/4KzeAdO8RfFPw5pOoeDfA3jHw1rNtP5wlsNSu9T8KyW1qyhMl5UtLlk25DCIkHpn7/AAdwB559sUAeAf8ACx/2p/8AojfwA/8ADyav/wDMxR/wsf8Aan/6I38AP/Dyav8A/MxXv9FAHgH/AAsf9qf/AKI38AP/AA8mr/8AzMUf8LH/AGp/+iN/AD/w8mr/APzMV7/RQB4B/wALH/an/wCiN/AD/wAPJq//AMzFH/Cx/wBqf/ojfwA/8PJq/wD8zFe/0UAeAf8ACx/2p/8AojfwA/8ADyav/wDMxXI+KPC37Qvxg/aP+Auo+MPhr8LvD3hXwF40vNf1O/8ADnxEu9cu4EfwzrmnR5t7nSLEGNp7+FS0cruCy/uyu94/q2igAooooAKq63pEXiDRbywne5SG+ge3ka3uJLeZVdSpKSRlXjbB4ZCGU4IIIBq1RUzhGcXGSunoxqTTujw74HfsPW3wl8T+HdW134jfEP4nXHgq0ay8Lp4nGkxx+HI3h8iQwjT7G0813hCxmS5MzqoO0rvkL+40V8K/E79ub48fC/4jfGK/kh+FOreAfg74+0TQZraDR9Rh1vXNO1WPTJPLjb7W8MFzarqC/visqXbAr5NoFDPpzupU5W9Xrf8A7ejG7frJXfq2HLaMpLp0+XRfK1l37Xa+lPjp+zFqHxe8d6R4l0P4p/Ej4Z6xpdhPpjyeGjpVxDfW8skchWSDU7G8hRg8SnzIUjkYcMzKqBeGP/BNbRdCLWPhP4k/FTwP4UvtNi0rWfDel3un3NjrkKvO8hlmvbO4vIHm+0z+Y9pcW7FpGkBWUmQ/Pvif/gpf+0lqeifETx34O+Enhq7+FumaX4mbw/q2u3VjZW8F1pRnWGaWe31e4u71JvslwWthplnJExSMylVecd14i/aP/aZsfFfwm0a31T4FJe/FXwzq2vziTw1qskXhlrWC0uI0VxqCnUAPtPknKWe//Wgx7fIfmlOmqL5l7sVdp625ud2afflm2vh1u9zS0vaJRfvNtJrT4eW7T8rxSd76WV0fY/hHwpp3gPwppehaPaRWGk6LaRWNjaxAiO2giQJHGueyqoA9hVrUbaS90+eCO5ms5Zo2RJ4QhkgJGA6h1ZSwPI3KRkcgjivz/wDGH/BVb4g6f4D+BPjSz/4V7Fp/xE0fwbqGteF7fw/rOt6pG+t3sNtM8l/bstro1sizZtpb1ZftckM8ahWiO7l9J+H3iK2+Pv7QHxx8T6z8F7n4hfDT4gQ+HfCHiLUfCmrwXejwTaZpsJtVW21GWfUY2t7+VYdIjVBc38nmKySTqI+yrCbqTjV3XPd36xlCL1v1dSOt9Ltu1mYwShGPIrX5VFW/mTklbsoxd9HtZXP0B+DHwlT4PeFZrGTXdb8VarqFy17qmuawLZb/AFe4KJH5swtYYIFIijijAihjULEo25yT1tfnha/8FRvivqX7PPgrxlcx+E/C+mT+JNd8O+IvFuq/D7XX0WKaw1ZrG2S7sxdJfaAlzGrubi8W4it5F8ubYSu6f4p/8FL/AIseEfi/8SfDej6t8KtYi0rwf4t8T6Fc2ng3XZ9N0yTRLi2C2s2pvcw2mrSyRTPHcJZGE2NyjRv5hTD41qnIuaWyUnt9mEebbdLlWiaWiWiTjfSlSlKXs4rXmUd+rbW+zs1q02r9W7n6EUV81fsU/tNfEv4qfGPxX4Q+JFr4GS6sPCPhzxjYP4ahuo47SPVTfo9lK9xIxuGiexyLhUgDiXBhQrlvpWtq1KVKbhPdb+q0f3PT8jGFRTV15P5NKS+9NP562d0eU/HT9mLUPi9470jxLofxT+JHwz1jS7CfTHk8NHSriG+t5ZI5CskGp2N5CjB4lPmQpHIw4ZmVUC9j8H/hHoXwJ+G+l+E/DVo9no2kI6wxyTPNI7PI0kkju5LO7yO7szElmcnvXS0VktI8q2/zbb/Ft+rbLlq7vf8Ar79remmwUUUUAFFFFAHgH7G//JxX7WP/AGVWx/8AUH8KV7/XgH7G/wDycV+1j/2VWx/9QfwpXv8AQAUV5D+3T+0V4j/ZO/Zo8QfEHw34V0XxlceGlW5u9N1LXpdFR7fO1mjmjtLomQErhDGoIJO8YAPIfBH9viXUvit8RfAHxg0Hw58KvFvw6j0i9uLiHxQNT8P6nZaq7Q2UsF9Pb2b+Y11HLbmKSBD5ioEMgcUJ3bXb5fd336efZ2JO2r8vxdlftd6a+XdH0bRXmt9+2d8HtM0zwhe3PxY+GtvZ/EGdrXwtPL4nski8SyrIsTR2TGXFy4kdUKxbiGYDqQK15f2jfh7D8YJPh4/jzwYvj+K0OoP4ZbW7YawlsF3Gc2m/zhHt537duOc0N238/wANX9y1fYf9fe7L73p6nZ0V5VH+3Z8EJfhLceP1+MnwqbwLa3/9lzeIx4ssDpEN3gH7M115vlLNgg+WW3YI4rpvih8WLXwT8HrzxdY6j4Qeyjt4rq3vdb15dK0eWORkCu96scwRGDgqwRgxKj+LIfd9v1V19619BN238/w0f3PQ6+ivO4v2vfhNP45j8Lp8UPh2/iaXV5NATSF8SWZvn1KNA8lkIfM3m5VGVmixvAYEgA18wfFT/gst9g+J/jfT/hf4N8F/F/wz8NNSg0jxTeaR8StPg1jSJHSEveNpzRtvsI5Jlt2lSYzfaI5kFuRGXKg+dpR1ur/JWu/TVfeu4TfKnKWlv82vvumreT7M+464P9qCw8e6l+zx4yi+F2o6fpfxGGlTyeHJ7+3W4tTfIu6KOVW48uRlCMf4Q5YcgVYl/aR+HcPxnT4bv498Fr8RHt/ti+F21u2GtNBsL+aLPf5xTYC27ZjAJziuZuv2/PgTZafqF5P8a/hLFa6RYW+q30z+L9PWOys7h0SC5lYzYSGV5I1SRsK5dQCSRlcy/r5/5P7n2HZ6+X62t99196Pzu/4Nav2jP2j/ANqPwX8VNZ+Ksmmab4A0LxNq0Njp6aKtnd3Ov3+p3Gqao7OfmEcE126BMYBn25zEa/WuvMbf4zfBz4E+J9C8Gr4v+G/hLW/H93Pqui6I2r2dld+I7i7uHmluLaAuHuXmnkdiyKxZnPJJqr40/bJ8AWEPjTTvD3xB+E+qeLvAaxtrekaj4ztrBdE3SrGPt7os0loCWwC8Jy5VeN2Q/L1/Df7uvbqS5JK/p+O339O56xRVHxR4p0zwP4a1HWtb1Gx0jR9ItpL2+v724S3trKCNS8kssjkKiKoLMzEAAEkgV84/s1f8FINM/abs/Fl7otz8KZtH8O/EmLwJY6xZ/EBL3S/EUEtpa3Uc9ncJaBZb0rdCP7EuQZYpFFwQN1OPvScI7pJ/fJRX3ykl+Oydql7sed7a/gm39yTf/Do+nKK5f4wfHHwV+z14ObxF4/8AGHhfwP4fSZLdtT8QarBplmsr52RmadlTc2DgZyccVjL+1f8ADW9+IkXgvTvH3grV/Hd5pv8Aa1l4Xs/EFk+s6hbGIzJLDbNKHaN4/mWQ4Qqd24LzU8y1trb/ACv99lf0B9L6X/zt+enqeg0V4R8Af+Cgfgb4pfCTSNc8Xa14U+Gnia80K78S6j4X1jxNZNf6Lp1tcy2813MQ6g28bwsHnA8pWBG84ye5T9q34XSX/h60X4k+AWuvF0NncaFCPEFoZNajvPM+yPbL5mZ1n8mbyjHuEnlPtztOKtd2Wt9Pz/yf3PsK+nN0tf5aP9V967nfUV5XpP7dfwR16xvLqx+MnwrvbbT9Wh0C6mg8WWEkdtqMzMsNk7LKQtxIUcLEcOxRgAcGux+F3xh8JfHDwy+teCvFPhzxho8dzJZtf6JqUOoWqzxttkiMkLModDwy5yp4IFJO+39bf5r713B6b/1v/k/ufY6OiiigDwD/AIJO/wDKLL9mn/slXhf/ANNFrR+xv/ycV+1j/wBlVsf/AFB/ClH/AASd/wCUWX7NP/ZKvC//AKaLWj9jf/k4r9rH/sqtj/6g/hSgD3+iiigAr5m/4LEfFDxr8Cf+Cb/xU8f/AA+8Y6r4J8WeBdGm1yxvrGysLwTvEpxBLHeW88ZiYkFtqq/yjDrzn6Zryj9tn9krTv25P2cPEPwv1zxR4s8K+H/FcJtNVn8PGyW8u7VgQ9vuu7a4REbIJZEWQbRh15zz4uM50ZRpO0mtHtZ9H6Ld+XR7G+HnCNWMqiuk9fTqvn0/Q+VP+Cff7S3iD/go1bCx8P8Ax8+J+hzfCnTLOx8WifRtBsPEGv6reQR3YnuNPu9D/wBFso0dooJYhEbgpJlMQiWfP/YR+Kfxg/aK/YB8S+JvE3x88fQ+KYfife+G7XWrXR/DUM9rZWutnTEgWNtKNuTLGyuzPEzmQLsKKSh9Y8C/8EgNA+Gv7Rfg74q6H8Xfi/pnjPwr4btvCd7c2y+H4IvFmnQS7o4tUjTSgtwwjEcIkUI6Rwx7GRwZD2Pwf/4Jv+H/AIF+OdWufDnjr4iWngfV/Es/i6TwCZ9PPh+HU5pVneaN/sY1BU+0r5/kfbDD5hP7vYdld1WUJVnJK0WpK397ni1Jdk4qVl9m/I/d958UFONJJ6tOL+XJJNPvaTV31S5lr7q/OTxb+3p8e/CPx9+M/wAKdA/aT8b6/wDGbwx8RbPw38LfDfiHwl4bs9B8aQCGyurm1v8AUF0q2hE4immBSG8t52Gzy4mdkDfVP/Baf/gqjf8A/BOjRfhze6b4r8E6XqFhrmmax4x0C8vrf+1Nd0GS5+y3EOnQy/vZGDM8rSRoWRbfnaGNdDr/APwQo+HPjvw38VdN8VfEP4t+Km+LHiK38Y3N9d3ek2194e123Crb6pps9rp8L29xHGixqCXj2ZBQ7mJ9J1P/AIJy/wDCY/Af4qfD/wAXfGj4u+N9O+LenJpWp32sReHvt2nwCD7PItqYNKijBkhwrebHLtILpskZ3bmhKcaFO6vOHJJrpJxjFOLe6UpRble6ad9HJxXTJQlVmm2oS5kmt4qUnZpbPlg1y7NSXVJN+I/8FHf2m/jl+yd8VtK+N/w48Ran8SvgZ4X0q01vx54AttO02V30a4E8b6rpl0sC3Ja3EK3DRyTOjhmOY40Irz6L/goF44+JvxR/Z++FHwr+NeueK7H9pHXPEGtD4k3mlaJcXfh/w/pJLfZdOihsYbQ3Evl+Wz3cFw0JaTchYr5f1z+yD/wT3X9kG003TYPi98V/H3hrR/DkPhay0PxYuh3FrDZQk+QplttNguZGjVnUGSZgVchg2F24Otf8Ef8A4P8A/CovA/hTwvD4h+Hs/wALPEN74l8Da74avY7bVfCFzeXj3VzFatLHJC1rJ5jxNbTxSwtEQrISqsu0VTpzS1lBSbXezb0fezUZJX25oOXK0llJznDS0ZOy8rqna6X+Jyv/ANuy5W4tPQ/Y++O1nrnx68a+A2/aV+G/xtk0KxgWy0y0vtJ/4S7SpoJ549QbU4bDZExWSS1jDxwW6ptEbRCQNLN84fGnx58f/EX7fH7SXgXwd+0N4v8ADOnfDn4eaf458M2E3h3w5d2EV5cteFrS4L6abmSzAtkUYmEwDMTKxxX2J+zL+xjoP7NHjLxv4tXXvFHjTx58SJ7SbxL4m1+S1W91UWkPkWqGGygtrOJYosqPKt0Zs5cu3NeTfFj/AIJFab8Wfjp8SfHsvxw+OOh3/wAV9Hi8N+ILLSJtBtraXSYjKY7GJzpTXMKKJ5V81JhOQ/MpIBHPXjUk4cjs+WV305nCSWltUpuLvZu0W+tnrCUEpcyurxsutlKLlrfrFSW6vdbatfOnxz/4Lb+Itb/4Ie+Cvjv4e1rwF8Nvit440iXVLSy1u+t4rW8k024xqFtZJcufOknERjii+eQC4B+ZkzV3/goN/wAFHNZtvCP7JXxb8F/Gjxz8OfhN8aZWHiaLw34a0zxBcWtl/Zc1+biJJdMvbgTwvH5cgVHRVRyY1Ks1fY3wx/YR0P4JXlxa+DvFfizw34Pi8IxeDtI8I20Gly6P4et4wdlxbedZvctcbmdmNxPMkrOTIj7UC/Pvwe/4IEeEfgfpPwo0vRfjr+0A2h/BTW7jX/COl3dz4dnttNubgSCcHOkb3jdZZV2MxVBI2zYeRvWanVnKnonOEo32UVJ80Wk9bws7XtfRWbbMaalClFSd5KEou3VuKcWm1o4yur2u1q9LRPnr4tftlftJ6H/wTIg+K1h8bL8Wuo/Fm10bwN4r07S/Dlzc+MvCWoX9vb291qEH2Ka3hukDzKqxJbOpUCeEOGSv1r8NaVcaF4dsLG61O+1q5s7eOGXULxIUub51UAzSCGOOIO5G4iONEyTtVRgD4g8X/wDBAj4d6z4D13wToPxT+NPgj4aa14sj8axeC9FutFfRtG1JJkuFay+16ZPcW8InQSeQs3lbi3yYOK+3/DWlXGheHbCxutTvtaubO3jhl1C8SFLm+dVAM0ghjjiDuRuIjjRMk7VUYAcZR9m11bT11duSEbNrS/MpNtJKTlzJK9oklL2t73Vntor883e120uVxSTbcUuW7td3aKKKgsK8A/bI/wCTiv2Tv+yq33/qD+K69/rwD9sj/k4r9k7/ALKrff8AqD+K6APf6KKKAPAP2N/+Tiv2sf8Asqtj/wCoP4Ur3+vAP2N/+Tiv2sf+yq2P/qD+FK9/oAK8H/4KHftht+xp8DrTWLO01G517xJrWn+HdIki8K6p4itrOe7uooPPnt9PQyyLGkjSLCHia4dFhR1eRSPeK8B/4KG/B74l/G34Z+E9N+GWm+BtQ1TRvGWi+JbseJ9eutJt/J06/hvPKja3srpmeUw+XkqoTfv+fbsZP4oJ7OUU9/hclzba/DfbXtqUnZSaV2oya82k3Fa93ZHM/s7/ALdJtvC/jxPin478CeIPFHw9uLG01rTPAXhHW/P0+W8eVrOI20jT3M15cQeQ5soo2lt5PMjYy/K9dV4B/wCCgHw0+JfxJnt9M+JPh2DTNP8ABc3i7UtJ1TRrzS9T0i0jujA99eTXTRrZxIUkRre4gSUFS+4IpFeW/Gb9j74p/E7x98cNRvPBHwe8TaH8R7fwvb6dpWp+NNWsXcaa0rXEjXNtp3m2FwjTF7a4tzK6SQRvhCfk4/U/+CaHxh+KOg3Phfxl4q0WfSdU+EGr+ApfEk/iW81nXrC9vL9bq2DiSyhF/DaxxQwtcyyxS3WxneJCxBbk3Lmei97/ANNya003nZJdPJ8rM4r3VHzXfZ1Ip66vSF2929N1zI9Y+Lv/AAUh07XP2e/G3iP4Q/ZdV8VeBJtNk1XSPGej6v4cubKyup0UXX2S6tobmVJIvNMLhVhleNgJfkcD0vxz+3J8MPhv8ZrLwFrPiK5tdfvb220sypo19PpVlfXKhrayutRjhaytbqYNGY7eeaOWQTQ7UPmx7vm34s/sX/tAfGzwP488Varp/wAGdP8Ai14n8JaP4HtdPtPEmpvoDW1pfSXs9/LdNp4nEkkkzrHai3cRBCTcSeawTV8cfsE/FLxr40+InhqafwEfhb8X/F2ieO9YvZNVvG17wxe2YsGurK0h+yiK8ilfTIPKuHmtng8+RjDL5aI1xS9ok9uuv95Kydlo4Xnezs/cd5WQOTtJ26K3l7t23vdqfuWTXMvfTS39d1L/AIKY/BrS/jfb/D1/EOvTeIbrUrrSIprbwjrNzo7XVqm+8i/tOO1axBtlDeeTPiAo4lKFWAzvCH/BSH4ZWvwM8G+MNU8cDxfp3jIXU1jrPhXwXrE1lPbxXbW5uZIIUupLS2RikZubh1hZvmDhWCj47/Zy+LCSft32segXfgX4g2Vr8QfEE2k+BdJ+IqprHgCa8ubuG71i60D+xReWfEkv2j7ZqTxRteyNFDHJJFAvokf/AATu+OF18EfhloJ034ZaB4y8IXutXcfjDQPiBrFjqvhWS+1U3iPasmmKmp2rROVuNPu0hgnaGLLjh0zofvIUp9JWu9ul3a/m1Z3tZ6vezr3hWqQXS9uvWybt5J3W+ml9Ob67/aO/bH+Hv7Jd14Yh8faxqOjN4zvJNN0V4dDv9Qjv7xIjKtmr20Mii5lVWEMDES3DgpCsjjbXFeJP+Cp/wM8KfDTQ/F134u1OTRNfi1C4ia08L6veXNjFp8yw38t7bQ2rT2EdrK6xzPdxxLE7BXKk4rzb/grX8bofg340/ZgFrqngAeLbr4pLJpWneK/FA8O2mo40TVbd2NwsFxIiiS6gTKQSfvJ4UODIprzD9oP/AIJk/H74i/s8a74M0nXPA7w/EyPxXrHizTYPGmteGrPTte1eYNaSxXFnaPPqVnawNLA9rcfZ4bkt5skR+SKJQbabeybV/RRaXzTkr7KSinZSuuiUIKVOLduZJvyTlOLfy5Y6btNuN7WPbf25P+Cj1j8APGPgfwx4O1Wy1HxNq3jXw1omrwTeEtV1fTUstVvobcxNqVqUs7C8MM32iJbmVmdFTELCVGr1b4Y/txfDL4w/GnUvh94f16+u/E+mi+Jjm0PULSyvvsNylre/ZLyaBLW8NvO6xyi2lkMbnDYINfIfjj9jD9oLwtpGoeHtMtvgbf2vxB8f+GfH4XWPHepafd2Oq6Z/Z9zd6VbldJmF7C8ej7op9sEiI0haBhFlu2+Cn7HX7QGi/wDBQPQfiv47ufBOvWGnQ+JNHvb2Px/rM8klhfXVtLp7WmjSWC2Fi9vBZwwSJBIDOSZpJ5ZF+bopxjpGT3c232/dw5V2sqnNG/2tZKyZzOTcFK1nZab9ZNt+bjZrrF2i+bp9DfFz9uL4Z/Az4taX4H8Ta9fWXiLVjYhFh0PULyysjfXLWtl9svIIHtrIXFwjxxG5kj8xlYLnBryf9jD/AIKd6R8aNak8F/ES40bw58UJPGXiLwtDp2j2epXOiNNpt7dIlmmqSwJbyXn2S3E5hZopnQ+aLeNGUDlv+Ci/7HHx6/ae+K9tP4VvfB2peC9GuPD2r6HYap471jw2lhfWGqre3q3NpZWU8Oopcxw28cb3bOtq0e+OEMWd59G/4J8fEDxTqT+D/FNx4O0/4dab8Qda+I9lrOk6rc3Ou311qEt9NHZtayWkcVolvLqD/v1uZ2mW2UeVF5zCPnhKXI5WvL3lbbROFmr9bOe/xcqSte73qqHLZO2sfP7E77dHJwXRp33UWzZ8M/8ABT3Q/G37dy+DNK8RaQfhda/D/WvFWpavqfhfVNHjtpdOvrOBru31e6aOxvtPaO5lJktkdEMAbz2VwB2Gp/8ABWL4AeGvAOueJfEPj4+DtN8N32n6fqMfinQ9S8P31vJfsVs3+yX1vDcNDNtkKzrGYisM7b9sMhT5ouf+CY/x7+JPg3wr8O/Fj/CbS/CfhT4Ta78J4fFGi+JNRm1S5iuhYfYtTOmS6csSOp0yAS2321lPnyYlIQK/V/Gn9iH9oD48+HfEHi3WdK+DVp8UNX0nw14ZXTbHxXqa6I9npWqnVZr17ttMMwlmmPlR232dlgTc32iUuUGsuVRhGLva93aza9pOzt5x5FbeCkpPmUWjNu95NWbtpfbSCavs/tu60fLaycot+7+EP+CoXwT8ceMrbw9YeJ9aGszaxFoE9td+E9Ysm0u9mCG2ivTNaoLIXPmJ9me5MaXROIWlIIFv4gf8FJPg/wDDDxD4j0zWte1+C48L2V5f3csHhHWLq1uorNkW9+x3EVq0V89sz4njtXleDZJ5ip5cm35++KH7Hf7Rni7xr8RdT07w78FY4vF3xW8LePbMXPjvUw0dpo8enxyQSBdGOJpRpsZXaWVPtLZLeUPNwJv+CTPi7wZ4J+Kuj+Gvhv8Asy3nijxBbeIl8P8AxIu7Q2HinUhq63C/Z9ReLTZHiMAvJA1zFcSvcrbRoYofOd48armqDlFe/aTt3ahBpf8AgcprfVR013uKj7aMZP3Xy3fa8pKX3RUdV1d3pe32J+zv+2b8Nv2rr7WLbwF4jbXJdEt7S9uN2nXdmstrdrI1rdwNPFGLm1mEUuy4gLxOY3AclSB6hXy3+yJ+z98Xfhz+1Frvi3xvovw40/w/q/w98O+FVOh+K73U7yO80t7x2YxTabbIYZDfygN5m5Rbodh80iL6krqxEYRm1Sd462fza+V97HPTlJr310X3uKbXybcfO1wooorA0PmT/gsb/wAo4fiN/wBwz/06WlFH/BY3/lHD8Rv+4Z/6dLSigD6booooAKKKKACiiigAoory34//ALU1v8DvFvhrw1YeD/F/xC8W+KYrq8tND8N/YBdx2Vr5Qub2Rr26toVhjee3QgSGRmnQIj/NgbWi/r+ktW+iu3oh2b2/r+vx2PUqK5X4J/F/TPj18M9O8V6PbaxZ6dqjTLFDqtjJYXkflTPCwlgkAkibdGfkkCuvRlVsqMP4M/tOaF8c/iX8SfC2lad4ksr/AOF2sQ6Jqcuqaa9lDeTSWsVyJLXeQ8sO2UKJSqq5UlC6FXZvSTi91r9zS/NoV7rm6Ho1FFYms/EjQfD3jfRPDV7q1lb+IPEcdzNpmnvIPtF7HbqhnkROpSMSR7m6AyICcsoK8gNuivO9e/ab0Dw7+1H4c+Ec1l4ibxN4n0C+8SW10umSLpaW1pNbwyIbpsI0xa4Q+VHvZVG6QRh4jJ6JT+ypdHe3ybT/ABTXyG9HZ/11/I+A/wBpv/ghf4R/aL/4LJ/C39p66+wJp3hbT2uPEWlOmW1jVrMxrpVxjGDsViXJI/48bdcEOxH35XBftK/tEaN+yz8Jbvxlr9h4h1LTbO5trV4dG057653TzpCrFVwqRqXDPJIyoigksOAeu8V+Jbfwb4X1LWLyO/mtdKtZLuaOyspr65dI0LsIoIVeWZyAdscas7HAVSSBUSnGMXOT0W/5/kCTbUVuy/RXBfAn9oTTf2jP2bfDXxO8M6VrkuleLdDi13TdOuY4YNRkjli8yOFlaTyklIIXDSBQTywGTWX4A/at0jx7+0Pq/wALz4f8X6L4p0Hwzp/ie/8A7T09YrOOO8eVFt47hXaO4miaJhIYDJCpIUSswZV0lFxqeykrS109E2/uUW3267oTfu8/Tv6tJfe5JLv8meo0UUVIBRXn/wC1T+0NZ/sn/s9+K/iPqeg+IPEmk+DbB9U1Cy0QWpvfs0Y3TSoLmeCNhGgZyvmBiEIUM2FPeWlyL20imXcFmQOAeoBGafS45aWv1vb5Wv8AddfeiSiiikIKKKKACiiigAr510z/AIJr+C779qTxv8U/E95rnia+8T+ItO8R6fo8msajb6Lpc9jp9naQPLp63X2G8nSW0E6TzW/mRuY9pBiR6+iqKcXyz547rr21T07O6Wu47+649Ho/NdjwjxB/wTT+DniSfxoZfD2uWlt8QftLa1Yad4s1jT9PkkuQBdTwWtvdJBa3E6grNPbpHLMsswd2EsgaTxJ/wTk+FnizUfBt7e2/jz7d8P8AQbjwzoV1b/ELxDbXFlYXCBJozJHfK0ruqoDLKXlPlRHfmNCvudFRyRso20Vl8kmkvkpNLsm11Y+d35r66v77X++yv3suyPltv+CMv7Pn/COafpEfh3xtbafplhYabDDbfEjxNAGgsLh7mwEhTUAZWtZXJgeQs8KhEjZERVGDrf7D3wP8OftCt8LJPDfj+7uPjNY6j8SNT1Ob4keIpZItQ0K90SGK5id74y291nULYLPbvGwjtFjJKBVX7CrwD4jf8pTfg3/2Srx5/wCnfwZWjk2+ZvW7fzbTb9W0m/NJ9Celv62t+WnoZvh//gkx8EPC7Riy0nx3HEt1e3c1u/xI8Sy22oG9mSa8iuonvzHdQTyxh5IJ1eKRmkLITJJuzPFn/BGb9n3xpNfNe+HfG0cOoLqkMlpZfEjxNY2ccGpy+bqFtFbwagkUVtcSANJbxosTEDKcV9SUVL1Si9le3lff7+vcak1JyW9738+/qeQ/BH9hf4d/s8fE258Y+GIPGCeILzQ7Tw3PPqfjbW9YilsLX/j3iMF5dyxZjJcq+zeDNMd2ZZC3r1FFVKcpfE7/ANX/ADJSS2Xb8EkvuSSXkkgoooqRhRRRQAUUUUAeAfsb/wDJxX7WP/ZVbH/1B/Cle/14B+xv/wAnFftY/wDZVbH/ANQfwpXv9AHz1/wVQ8C+K/ix+wp488HeC/BviDxx4g8W2Y0uCx0jULGwmhDsGaZpru6tkRFC4ykhkBZSqnkjw79rf/gnL4VuP2HddtPBPwD8TeOfGfxE1/w/4g1zS/FGv2fiPxCJLSa3LC71DWdSljcwWkU1sqRXckYMziPKSSOfvavP/in+1l8LPgXrNzpvjf4l/D/wdqNlpq6zcWuueIbPTpoLFpxbrduk0issBnZYhIRtLsFzuOKna+tm2tevuvmt6XV9btWumildtNLb9dL+utvPRO58sftm/s4fEnx18Ufi7baX8MJfHvhX9oH4XWXgmCdtV021HgS/ge/UfbkmmVmsj/aKz+ZYi5mR7aTbC5aMnhPjv+xD8a/iP4v8eeEvB+l+KNJ0rX9BvNP1PVfFWq6Vd+F/El02jRWi6lp8tvMda0q+uHUW1wiRLbtB58g/fFTJ92eKv2l/hx4F1nwlpuufEDwTo+o+PmVPDFrfa5a283iNm2bRZI7hrknzI8CINnzF/vDOPrX7bfwY8OeJDo2o/F34Y2GsLdfYTY3PimxiuRcfaXtPJ8tpQ3mfaY5IdmM+ajJjcCKq2sl1kpR/Fu1v7rltazdnNSai0nLSMukbP8Er+V1Baq2zUWk2n8Ua3+x94k074by+JPBvwN/aI8D+O9b1S2nuL6P4paZ4q8UadeQadc2/2uRdb1e506901kmW0NvJMskiMzGKMxwsvuv7dPwC8X/F7/glfc+CJPh3pHjr4iHRNMhj0PQ47C2srXU4jBumtPt00MMMcLq7IfMDqqgJk4B9lv8A9tL4OaX8KJfHt18Wfhpb+BoL5tLk8RS+KLFNJju1YqbY3Rl8oShgQULbgQRivIv2pf8Agp3pHwp+KXg74e/DVfhz8TviN4z0mXX7Dw/d/EOy0CXUbJRD5KWbukwnuroTbraNhFFKkE7mdBGN1Rk5S5YbylG3qo3SV7293X0V1ZJGcqaS9/7MZLto3Z32vZ6eumrbv4D8fPgd8VPFfxi+MXiTT/2bfGOoXnib4k+Add0vUotU8LLc6hpWiTWE9wC8mqI6bXtLny4nIy1wh+XdIY97xj4N+NWqfBn9q7S7P9n/AMdyan8QPG0GteFoZfEHhuNdYtTbaZauxYamwhZDYzSFZdpKPFjLl0T678P/ALa3wc8VeDvFHiHTvix8NL7QvA7CPxJqFv4osZrTw65JGy8lSUpbtkMMSMvIPpTrf9tL4OXep+ELGL4s/DSW9+IMYm8LW6eKLFpfEqFygayUS5uVLgqDFuBII61NJ8kfZwe6a9eb2b/H2Satv73yqs1USc/s6+nKpR19Odp320Pib9pj4Q/Gv4jfte6N4kuPgB4t13wFoPjga5c6DokngqPTfE+nTeGp9Pkub03l5HeXGqrLcm1kV5o7T7LBGqrMUEjc5+zx+yl8Q/gxoH7PMC/ss+JrJ/hf8O/F+lXyWN54ST7Fq2pPbGFocaoBvlW2nDSrgf6YgZhum8v9A/AP7Xvwn+K3ifT9D8L/ABQ+HfiXWtWhuLixsNK8SWd5dXkdvI0U7xxxyMzrFIrI5UEIykHBBFWvi98bE+GviDwv4fsNMl17xR4wu3g0+wSZYEjghUPc3k8hB8u3hQqGYKxLywoqlpBWcoRdPlezTV+6cXC9/JN67LfRI3VeUaqqPePTtZuW3fX1fmz81fF37OH7SOr/AAC+EvhhfgV4s0yTwb4b8AJqUOhah4NafXLnRNUSa9s9Uu7u7M7RwpB51itlJGm67l86Ub2ij3/jt+yF8W/iZ8NPjNpNh8EvGmoaBrFtcSeH/Cvim/8ACeqS6Zq8usx3KXWh6j9tE0Nk6iW6lgvnRoJfJFsCAyL9/fDv9sf4RfF7xNpei+E/ip8OPFGs63aTX+nWGkeJbK9ur+2ileKWeGOKRmkjSSORGdQVVo2UkEECTSf2uvhRr3/CSfYfif8ADy9/4Q3UIdJ1/wAjxHZyf2HeTTfZ4ra62yHyJnm/dLHJtZn+UAtxXVUrydV1nu5Tn85WT+SaSXZ21ucvsUqP1d/ClGNv8K0T87b91dPTQ4f/AIKC/DPxn8Zf2aLFfBuiHWNb0TxDofia48L3N5Bav4gt7G/gu5tNMzsYFkkWIqpdvKLqoZ1Qlx8n3XwD+Jfj74na74luv2ZfGWlXN98f/DvxE0qbUNQ8JvdaXp0Wnafa39wGh1WTy5c2ModY2LyLcRY35kEf2/a/tqfBu+1bwnYQ/Fr4ZzX3j4E+GLdPFFi03iMCUxE2SiXNz+8Vk/dBvmUr1GK4f4t/8FB/DPw8/bT+GXwV0vU/AXiHxH421G607WtNi8XRR+IvDHl6XPqMFw+lrE7yQSJAVLvJDtM0JAkD8RQbhVUoLVyul5xlTk199KKab012buXVjz0pwlsoNN9eVxmr9r2nKztd6LWyRS/4KU/DrxV8Qfh74YPgvw18SdV8S6ZqktxZav4I1LRINS8Ou1pPH50lrrM0Vjf2socwy28rHKy7lAdFdfl+8+Cf7Rdr+058Ldb1f4M376X8PvGNhq+oW/gA+EtP8N6zF/wjD6dLqP8ApVzFqj38dzMYNjPFAtnbwqiSvGHb7d0n9uv4I69Y3l1Y/GT4V3ttp+rQ6BdTQeLLCSO21GZmWGydllIW4kKOFiOHYowAODWg37XvwmX4RX3xBPxQ+HY8BaXcmyvPEh8SWf8AZFpOJBEYZLrzPJSQSMqFWYEMwGMnFZ0ZqnJ1Ivdp+WnK1+n3p9raTbkuRrpKPnaV0166P0s1/Nf45+FHwq+NXgnw58EvFdz8EPFDa74X0vxp4Z1Xw4PEGhfaNPOrX1pc2l68/wBuMDWoFttk8ppJ135WF8c53/BNP9lrx98G/i14Z1rxH+zteeENf0j4F6P4DvfEOo3fh2aO+1WwZlkieWzvZ7poJkW2VXMXKQqHVNirX16P+Cg3wEbwVpfiUfG/4Qnw7rl++ladqv8AwmOnfYtQvECl7aGbztkkyh0JjUlgHXI5FbUX7Xvwmn8cx+F0+KHw7fxNLq8mgJpC+JLM3z6lGgeSyEPmbzcqjKzRY3gMCQAaShb3Fp0XleM46evtm9b6uPSyF7T92oN6K34SUvzp29E+t2fl94g/Zc/aK8T+GvGltrv7N3jrxBF488I+DNAl0JbzwHY6FoA0rWpr2+02zt4NQj/4la28pjtVuDcTsDsmkUYI+8P2C/B/i3wn8Yv2hLzxD8NPEHgDSPF/jW313QZb+70maPUbUaPp9g21LG7naNlksHbEqp8ksWMtvVPWPgh8cf8AhbNz4l0nUdGuvDXirwbqH9naxpU8yThdyCSC5glXAmtZ4mDxybVbh0dI5Y5I072to1GryS+KLXyk4z++6W+urvqKpeTfN3T+cY8mnS1l007aBRRRWYjwD/gk7/yiy/Zp/wCyVeF//TRa0fsb/wDJxX7WP/ZVbH/1B/ClH/BJ3/lFl+zT/wBkq8L/APpotaP2N/8Ak4r9rH/sqtj/AOoP4UoA9/r8qP2pf+Cnvir9iX/gqr8SfCXjP4teN7j4d2vhnSL3w3pE+jaTbaJp+qavdS2iDUdWj0mSSy0+3OyQSzOzjY2RdH9y36r18h/Fr/gjj4O+OHxz+KXjrxN8RfiVqkvxd8NN4S1zRri30CbSo9OHmNbRwxyaW0ivbSyebFI0jP5iIXaQDBzlzKrCSV0ua6va65Wkr62bbVpW921+lnouVwlF6NuNn295NvzSV7q/vbea8I/4KK/Ej4z/ALDmt/s1WB/aW+M+rWnxJ8XnQPFdzpvgvw5rF/JB9iknZ7C1tdBeVnEkeFCxSnYxyrEbhp/8FAvjh8V/2bv+CcPgL4m+Ffj98UbibxD4t0Bo9RuPCHh+bWLjRtXntUNtPaxaZJFJcwRvIYzawIzO4VlmwM+hH/giNZS6D8J9Nn/aQ/aNvLb4H3cd94KN3L4YuZtHmSFoEYyyaK0lwFiYoFnaRQMccDHXfHL/AIJSQftHfC2Lwx4w+O3xw1Vl8T2niubVCfDsd7cXVn9nNnHtXSRBHBBJbiRY4YYw7yymQybyK10Tl1/eRa/69pw5o2vu7S0vorrmfM7YLmaXNvyNf9v2nZ7be9Ho9UnyrlTPjvxH+3N8e9P/AGR/219X0/4zeKFf4Gvaaz4D1bXvDOjaT42aB7HzJINX0afTo/Is3k+aCSWytp5gJGVtgFfZ0ngP4l+P9P8AhNYaf+0L8RfDuo634Onu9RuYdF8NXDapcKLVjdyRyaYQsii7IAh8uIFIi0bfOJJ/CH/BJz4eW0fxkuPG+u+N/izrvx30yLQ/Fus+Kru1S6n06KAww2kEdhb2tvbxoGdwYoVfe5YsSBj0H9mn9kqT9ni1s01D4lfEb4lzaRpiaLpFx4rfTfM0mzURho4xY2dqsjP5MJaWdZZT5Y+cAsGI2s1L+Wn98YzjLtrK8G9Er3erScqqN8ycdrz+58jXfRNTS1bs0tE2l8t/8E+Lr43fH347fHaw1/8AaR+Il/o/wh+I9/4NtbKfw54XH9o2H9lRtHLJJDpcTLdx3FykqyA+URAEaFgzGs/9hH4p/GD9or9gHxL4m8TfHzx9D4ph+J974btdatdH8NQz2tla62dMSBY20o25MsbK7M8TOZAuwopKH6X/AGNv2B7H9jLxp8SNcsfiL8RPG118U9ZPiLWo/Eg0nyhqDIkb3EQsrG2KFo441KEmMBAQoYsTR+D/APwTf8P/AAL8c6tc+HPHXxEtPA+r+JZ/F0ngEz6efD8OpzSrO80b/YxqCp9pXz/I+2GHzCf3ew7KVNfAp/8APqMX/jTptv58s7PrzJOybs6z1k4dKja/wP2ll8uaN76q11dpX/Ob4uf8FDvjL8E9L/bb0m9+Pvx41PxB8DZzbeBruz+F2l6pp4K6el1u1O8s/DzWkO6QlGM0kCiIkjaR5g+hf20f+CgXjf8AY7/4I3+B/GcHxY8Py/GTxT4XtfFFrqvjWTSbCXWdkUF9eWdtBHFb28szRyi2hijiMm11Y73UufSdU/4InaDrOgfHHTLj44fHF7P9oiQyeNUA8NA3pMQgPlEaPmHMA8r5MfLzw/z16l8Bv2CLn4D6cbFPjP8AFjxRp0HhCPwZYWet2/h54dMtogRBPEINKiJnjUlcyl45AF82OUqpGX7z6s4p2ny07P8AvQjLm7/FLl7p7tJKzpqP1hS3hzVNPKUo8v8A4DHm0tdOyTbd14F+1v8AtM/HH4x/s+/CH47/ALLPim51aDUvDyeM774dS2Gn3Vn4ysIjbSXNgk7W7XcF7suHQGKUDdBsEe9t1emf8E3v2orf9vv4Z+OfiZ4K+LHijXvD/iWSK30jStVsdIP/AAgV01lHNLaFLa1imaaCafayXM02VijIYht7u/Ye/wCCTenfsC6f4R0fwh8avjTq3g7wV9tXT/DOuNoFzp4S7fzJozJHpUd0EMoWQKk6hSuBhSyn234BfsreCf2YtT8dXHgnSI9Dj+IviOXxXq9rBhbdtQlgghmljQDCeZ5CuwHBdnbjdiuqoqXNUUfgldxWt4ttXV+qts73i1pbnlbKHOowu7yjZN6Wklezt0d91azTs2+VHxz8Av8Ahevin/gpr8V/hReftN/EbUPD3wn0rwnr9ut74Y8LEayLySaS+tbnyNKhcRyR25jRoXjeLzNxaQqAZP2Y/ij8W/Hmt/tqaVr3x28d3EPwi159F8L3raR4bhm0iJNNg1AzHbpYjlkLSNGTMjp5fRQ/7yvov4R/sDWPwi/bQ8e/G+L4jfETWte+I1pBp+qaPqI0gaQlvbM5tIolhsI7hRbrJIqkzszBv3plYBhS1D/gnF4fj+O/jbxroXjr4ieErH4nz211408LaTPp40bxPNDD5BllM1pJeW7SwBI5DaXMG8RqeGyxxhd25+sZr0lKaab9IJrS9m9N2zZyjGpzRV0pQdu6jC0lr/NN31tdLXoj8+v2xP2ufj5+zj+0D8dfAul/tF/HXVrrwL8MtM8W+FHg+Hfh7VYJNSuTc+Yuq3NtoQt7OxUQoTNPJbIi+YxlYKQPojwN+0T8YPGv/BRj9mzQb/4sPH4X+JnwpuPG/iHQPDMOi6h4euNQtksUK2V61nJdPZStcSPuW5YthCkirwfSfi5/wSIsPix8a/ib46Hx1+OXhrUvizoaeGNdttFbw7DbjSY/OEdnA0mkyTRKgnlAlWTzvm5kJAI6XXf+CWXgSysvhK3gHxB41+Eus/BTR5vDnhnWPDE9lcXcelzRJHLZTrqVtdwTxsY45MyRGRXjDK65bLoSajGVRapt28n7a3k7c1O+r+DRaXnjODs4J9Er+nsrvv73LUt25tX7zUfkv9t749/GH9lb4ifBKa2/aQ+NGo+HfiH8VNS8Ia5a2Pgzw3rV5b2FsboqLO3s9Be5knzCqkBJWxu+UHkemf8ABJj9pv4g/tL/ALaf7Tthr3xQ+JHinwN8MtW03SvDOjeKPCNj4cuoo7y0FzJLcwf2XZ3yyxurJGJNimJ8skhKyV698eP+CWmi/HjxF8KdUn+KfxY8P3nwg1N9e0dtMk0aU3erSGUzahcm706dpJZfOk3IpSAbvkiTAxtfssf8E7tP/ZU/aN+J3xMsviX8SvFer/FyeG78RWOujR/sE1xAixW80YtdPgljaKFTEFEmxlYl1d8OHhvc5lU10kl91JJvvflqW6x5tbczsYm85KUNFdNryvVdl6c1NPo+XTZX+h68A/bI/wCTiv2Tv+yq33/qD+K69/rwD9sj/k4r9k7/ALKrff8AqD+K6RZ7/RRRQB4B+xv/AMnFftY/9lVsf/UH8KV7/XgH7G//ACcV+1j/ANlVsf8A1B/Cle/0AFFFFABRRRQAUUUUAFFFFABRRRQB4B+2R/ycV+yd/wBlVvv/AFB/Fde/1+Nn/BxB8E/2q7v9vH9nLUvgZ8RvF+m6D488QJotja27h7XwlrwtLq3e/Hy5SOTTLi9LDnCwXLdWFfr74B8MTeCfAui6NcapqOuT6TYwWcmo37iS7v2jjVDPKwwDI5G5iABljQBrUUUUAFFFFABRRRQAUUUUAFFFFAHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP/TpaUUAfTdFFFABRRRQAUUUUAFfKn/BSz4eeDfiDqHgr/hL/DPxgtZNHg1G90b4i/DK01K68ReBr0i3hEcUenQzXLpdRzS7laGa3ItR50ZG1l+q6KmSbaa6f5PZqzTW6ae67FJ2vfr/AFr3XddUflh+0h8EfiF+1L8L/gtbftHR/Fy/8H3Oia3aX2o+D/h7YazqX9pNdqNLv9Q0eXS9Qk0+6n02MuJ7aCJrKeWaMvB5m2uZ1Xwpd2/7aWrzfFX4Z/FH4ofBXS9Z0S31LRdX+Euq+Ib+51iHw/BaQ6/JcxWDw6jFbPb3cEotEVfMuhMDMphQfrrWd4h8X6T4SNgNW1TTtMOqXaafZfa7lIPtdy+dkEe4jfI21sIuWODgcVS92S5f5r+rcm18020rJW93ltKKbl6puX8rXklbW3k7Xd7397mbTsflj4J/ZktL79iD4zan4H+HfxasdX1r4n3kmvXWoeE79fGWq+D5tZW8ngs4/EVpK97BJAWmeyaKWO4ZrhGieaZw3S/AD9iv4efBH9ob9nfxBp/gP4j+LvCVhqfiWPRtb8V/DMRah4fnuWsZbQCytNKtTotkl19uaHzre3jiZppAyJKpP6dUUUkqcYxj9lRSvvaMYx36XUbq1rSlJu97Iq3qOUpdXJvteTk9utua2t7xjFaWufGX/BSn4QeFfGv7TXwe8QfEr4deIviR8M9L0DxNpGpafpvha/8AE8L3122lPZx3NjZxTM0bC1uGWSaPyIpYomLpIImr5avf2FPGOq+Jfhf4f+NR+PEV94Z8GaFF4BvvB+h6Z4jGlapbXUsstncarLpl9NpF2mbFJL4XFtBcRQ4aWQQnH65UUU/c5bdHf8ZNX7tObs3eySVt+Z1Hzx5X2a+9pv5OyTStfXW9rflh4H+Evhr4VfsF/tG6/ovwq+LV5411nx1q1ray3vgfxFqHijVNPuNYS6gWA3lubyW0YZnbZmISNI74ldyeub9m6b4pf8FOb7x14uj+Otj4zsfE9jrHgO70zwjYroN14fNjFG1vPrMmkvdWESg3ouNMuL6AySOWSEvOrH9IaKzjTSjCLd+WCgvRKKv/AIm479nJWu7pVPf9p/fk5Pzu27elna3dRfSz/I39nT9jqx8PfAXQINO+GnxN8Ja54Q+EOu+GPi9dweH9c03UPFF69vbx2lhBKka3OrvHNDMYZrFp4ooU8qORY5o425/9oL4bW/xL+Ct5Fqvwp+MuseJfD37MWi6P4bj/AOFbeJZFsfE8XmmMRKtp5S39vJLAUlP7y33SlWjAmI/ZKszxr430b4a+EdS8QeI9X0zQNB0a3e7v9S1K6jtLOxhQZeWWWQhI0UAksxAA6mtZVGqvt27a38k7VVp2X76TXZpNtu7evPzVOZq+u3e8qUrPv/CSfdNrRWS+Rf8Agrlb+F/ir/wTX0vxBr+j63d2Ft4l8G6xbFtIv7fX9NMmuadG8tvCsa6hbXvkTTRgRIlypkdAAxK183eNPgvoth4G8W2uh/AXVz8EvHPxJguvCei678LNd1XSPCzw6CY7rVLjwjbCC7kt7m8WSGOOdLeNJ3F4cERtN+gnxM+Fnws/4KLfAjSY7rWG8aeAr+9g1nT9Q8J+MLyxtr2a2lLQypeaZcxNKscyBwPMKiWJGxvjUr6rYWSabYQW0bTNHbxrGplleWQgDALO5LMeOWYkk8kk1NSmnGrTkrc0n9z9nvtqnDTSy3abslnSnyUqcYO/Knq/RpW+9t97tbN3/EXxn8LdU+KH7Ac+gfGH4J/FfxxrCfAbT9A+Gguvhfrer3PhvxJaxXUOoReUtrJPp13JOLArcyLHHNDAmyd0QivcPE+oSeKf+Cnvw1+Imj/B7xv4bay8b2cGq69J8J/E9zrmr6XceGZYI7uTV2QQ2OmieeC3k0rycwzQNcTNCzSov6n0V0vEN1vbSX2nKy0V5S5n9+qfRp3acrNTNJ03TWis4ryTjGP4cqktrS8m0FFFFc4wooooAKKKKACiiigAooooAK+Ufi5+0D4D0H/gqf8ACoX3jfwjZnSvhp46sr0T6xbxmzuG1bwgVhk3ONkhEUpCtgny34+U4+rq/KL9s7/g3j039pX/AILp/Dj47JY2R+GV9b/2946sm2hbnVtOMS2qbP4ku90BcAEEWlwWOZVyAfq6G3AEHIPQ0UUUAFFFFABRRRQAUUUUAFFFFAHgH7G//JxX7WP/AGVWx/8AUH8KV7/XgH7G/wDycV+1j/2VWx/9QfwpXv8AQAV8Y/t7avP4c/4KIfs96pZfCvWPi5qlh4R8atY6VpjaTHc2cjtokTXIk1K5too18uSSJmRzJtnYBGUtX2dXF+Jv2b/h341+LWjeP9Z8BeC9X8d+HYhBpXiO90S2uNX0yPLnZBdOhliXMkhwjAfvG/vHMuKc4t7a39HGUf1/4K3NKdTku7Xdj87/AAZ/wSp8WeArfwl4V8d+APFPxR0C+8DaDoMb+F/ibfaBpHhPULC5uJzBqNpHf2QvNOjkuleCWGC4nXyJB5KZTOtcfsjeM9E/4J0/GH4f6H+zJqVld+NPiw+uR+FobjwvbRatpEmsW9407hdQNsVFnb+QYpXDlgibfLy6/pdRVS1k5973+c4zf4wSvva923qZrRRXZxfzjGUV+Em7bJpWSV0/zh1r4ZfHGw+IPxMuvD/wE8Y6Fpvij4pJ4gs9YsZ/Bdz4g0rT/wDhGYNM+16Ul7ezWcExuLMxTG4Qv9jvWEcbSO/kO/Yd+FPxu+D/AIn/AGfNP1z4CeMbG38BfBy/8B6zqN9rvhySwt9TeewkiLLb6jJM9s4sH3PHCWXzov3ZzII/0cop3dreSXyjTlSX/ksn89fIqcuZNPZ6/dNT/wDSkvlp1Z+Ufw5/Zr+O0uveKNV8X/Av4xQf254L8KabYweFde8DaDJ4K1DS9Tup2h0JLe8EYs7X7UklrHfmYyxwyRXEhBWN7Hxm/Z1/ae8S+DvDWmXXwo1jVptNk8MazdX3hO28FaTc+KfsPiSTUJrbXfPuVMd1DbBJYo9LkS1+13V4TO8cgVf1Uoq/atOLXSSkvVO/z1td7uyu3ZCk3KUpvdpJ+isvlolpstWkm7n5sfBX4H/FTTPjH8P/ABFefs2eMfDc4+PPiPx5rt82q+Fnlh0zUNP1CytbmdodUZ5ZES+gDogkdUtZVXftiEn078aLZfh//wAFFvhJ411m6htPDur+F9b8D21xO4SKDVrq7026tockcNcR2c6rkgM8MaDLOoP0VVPX/Dun+K9Jm0/VbGz1OxuMebbXUKzQyYYMNyMCDhgCMjggGohJwVNRX8NWXpyezt/4DeztvrrsKreo5yl9r8+d1P8A0p99Urdz8zfgB8BfE/7Q2u3ujeFvh5feDYPC37QHjjxlqHxKlm0uK2vZlu9XsUjt44bh7+W4bzoIXM8EKeRbuBIwWNH4/wAS/wDBMPWbz9k6HR9Q/Ze8aeKviL4fstC8N3sus/EiDxVp2sRWOpW87z6RFq+svDbWJhguSFmitZ0+2pEsWxp2X7x/4J0+HvBOn/BnxHf+Cvht4C+GcEvjnxTo11ZeFNFt9Lt746Tr+oaTFcyrCih5pIbKNmY55YgYAAr32lBKmkoPpC763jFRuu2mllZNbq+pdeftKsqj6uTS8pTc7Pvq73d7Pay0Pz5/4KUfCD42/F34swDwZ8JfEl/4btn8H6ws/huXwpbza82n60L660/Vp9RuEuh9ljTdZpZNHF5txP5k7LJsXC8O/BD43+B/Hnwp0a8+BHiDxPc/D34q+JPFl34yi1vw/wD2brFjq9pq6RTOst8l6kiPqVulxH9nfCWjmJp8Rq36R0UfZcOjcn/4Fy9fLlSX43dmk5aW8rfLlcfTZvXvtpofj14g/Zc/aK8T+GvGltrv7N3jrxBF488I+DNAl0JbzwHY6FoA0rWpr2+02zt4NQj/AOJWtvKY7Vbg3E7A7JpFGCPSfid4K+Jfhr4q+KL/AEf4P+IvD3jPVvjTb+N/h7aXc/hvUV1G3g8Krpl1cDTl1q2SdY1t5QyyXdo0YvLaVHeRGtz+nlcj8aP2fvAf7SHhWHQfiJ4J8I+PdEt7lb2LTvEej2+q2kc6qyrKsU6OgcK7gMBkB2GeTTc5Xco7v/5OM/zit73u097j57uXN1/+Q5NtrOOj/LofmH8RfhV8S/jl+xFN8OvhN8LfHTtZaF418H+INRjg8IWmu2Wv3Vyk02mO95eXNrBoVxNPKXXTpp50NrbR+dE8Dl+k8S/A/wCMPivVviH4i/4ZZ8e22teIfHXw71iyll1jwg1/Ppugvp8t0jyLq5ClXs7ny4zIQTcxnK7pfL/TPwZ4L0f4ceE9N0Dw9pOmaDoWj26Wlhp2nWqWtpYwoNqRRRRgIiKAAFUAADgVp1cJ8k4zjq4uL7axlzXstle9o30TtdvVxduPK9kpJLylZWfd2itXu1eyVkvn74Cxnx5+3X8ZfGumXLzeHbXRtC8FsynMMuqWEupXN4FbJVzCuoQQsycCVJYzl4mC/QNVNA8P2HhTRbbTdLsbTTdPskEVva2sKwwQIOioigKo9gKt1F9Euy/Hr8r3stbLS7tcHrJy72/BJL8Er93r1CiiikB4B/wSd/5RZfs0/wDZKvC//pota5Dwr4q+JH7NX7SHx8mh+AnxP+IGifEDxpZeJNH1jw3qvhmO1lt18M6Fpzo6X+rWs6SLcafcAgxbSuwhjnjr/wDgk7/yiy/Zp/7JV4X/APTRa17/AEAeAf8ADZHxF/6NO/aA/wDBv4H/APmho/4bI+Iv/Rp37QH/AIN/A/8A80Ne/wBFAHgH/DZHxF/6NO/aA/8ABv4H/wDmho/4bI+Iv/Rp37QH/g38D/8AzQ17/RQB4B/w2R8Rf+jTv2gP/Bv4H/8Amho/4bI+Iv8A0ad+0B/4N/A//wA0Ne/0UAeAf8NkfEX/AKNO/aA/8G/gf/5oaP8Ahsj4i/8ARp37QH/g38D/APzQ17/RQB4B/wANkfEX/o079oD/AMG/gf8A+aGj/hsj4i/9GnftAf8Ag38D/wDzQ17/AEUAeAf8NkfEX/o079oD/wAG/gf/AOaGj/hsj4i/9GnftAf+DfwP/wDNDXv9FAHgH/DZHxF/6NO/aA/8G/gf/wCaGj/hsj4i/wDRp37QH/g38D//ADQ17/RQB4B/w2R8Rf8Ao079oD/wb+B//mho/wCGyPiL/wBGnftAf+DfwP8A/NDXv9FAHgH/AA2R8Rf+jTv2gP8Awb+B/wD5oaP+GyPiL/0ad+0B/wCDfwP/APNDXv8ARQB4B/w2R8Rf+jTv2gP/AAb+B/8A5oa5DxV4q+JH7Sv7SHwDmm+AnxP+H+ifD/xpe+JNY1jxJqvhmS1it28M67pyIiWGrXU7yNcahbgARbQu8lhjn6uooAKKKKAPAP2N/wDk4r9rH/sqtj/6g/hSvf68A/Y3/wCTiv2sf+yq2P8A6g/hSvf6ACiiigAr5Z/4KBftjeOv2Lvil8MNdt4fCmpfCPVtRFj43iuNPnXV9FtXljtxqcN2LkQiGGW6tmlie3YiJJnEgwAPqavCv2ofgh4r+O3xR8O6S/hfwRrvwuvdG1PRfFEmp+Irm01Lyb6MQyLBZrYTRTAIgOXuIslyONoLROUk1KCu09uj8m+iaur9L3TTSZcVF3U3ZNWb6q/Vd2t0uvW6ucl+2B+2F42+HP7XnwL+FfgEeFYF+IetTW/iTVtb02fUU021XT769higjhubf99MNOuV3s7LEArGN9wB1vFP/BWn9nvwDpGsah4k+IkPhew0WSyVrnXNH1DS4dQjvLhre2ubF7iBBf2skiti5tDLAEUuZAg3V4RqX/BOH452GkfAyzm13wP4+1TwJrl/f+K/E2q6/eaPqGoW8mjXWg2ot4o7C5Vpo7GeKd2eSNXuIpMBRMZE53Rf+CT/AMQPht+zLN4Q8IfCj9lLQfGGnrpWmf8ACT6IJPD914ztbLUbW8N5fPBpDyWkriyiDWqPcxtJcPIZh5KJJr7qbSd4prW2ru9dOnL7qXe7krpSZnJtuLtrZX10TTd/N8y16Wsk7NpH1lq//BSH4R+HfE3hvR9T1nxNpeo+KFsmtor7wZrVqLAXt29nZm/aS0C6d9ouI3ji+2GHzSuU3DBqP4Vf8FLfgx8aPiZZeDtA8VajL4jvtSvdFS0vfDeqacItRs0eS4sJZLm2jjhu1iieUW8jLK8S+aqNHhq8W/4KE/sd/tA/tQ/EewufD1x4IvPC2jyeHNY0jS7/AOIGs+H4NN1Kw1RL2+S4trOwlh1OO5SG3jjku8i2Me+O3V2dn57wj+yZ+0J4Q1zwXr/ijwx8Gzp/hP4seIviVrMWleMtX1Cc6fqNnfwG2t4P7EVri4iTUJTt+QTNboo2ecfKz51FSlPRLn9NHDl17Wc23t7qtZNXuUfdvB3ellbrySk/vkoRS0acmtbXPevCf/BVT4H+OPGd3oWmeJfEVzcWmk3Wv/bT4M1yLSrrTrdikl7b372YtLi3LjZHLDK6TOyrGXZlBb4k/wCCq3wS8HeEINb1bXfF2m20j3yzW914C8QRahpsdkIDd3F5ZtZC5s7aEXNuXuLiOOECZDv+YV8LfsIanqHxWhPhPw7B8FfjjJqnw8vvDOlW0HxLXxHoPw+06SOOZdI1KytdEglsbO5eOOAC6u7+7T7MEVpljmevR/jD/wAE0P2lfHv7Meo/DKx8S6E3hDXdM160i8N6j8XPETt4WmuoYIrDGtR6eL7WbOAC9JsrxYott2sb/aFgiYaOLi7S7X7a80tO6bikrWa573ko8rk0ouo43slK3ey5Vr5+8276e6lZOTaX1dd/8FLvggnxhm8DXPim8j8VaXrtpoM9vP4b1RIrG8vAq2TSXDWwhihuvNCQXLOILhmKRSO2Vq0f+CkPwif4/wBh8MrfWvEmoeLNU1a40K0+w+DtavNLuL63XN1AupRWjWRa35E/7/EBVhIUKsB8xa1+xX+094lsfG0tz4W+A8F54m8beC/FNrBH8RNWeK3h0E2LSQvIdCBLzNp67WCAKLg5BMQ83g/2ZPivDcft7afFpN54H8eadb/ELXptO8D6J8Q1bWfh7Le3N3DeazceHjoqXlqQskvni81NoUa8do4onligV0knONOT1baXnpTs/K7lNa3Ssnok28akpKg6trNJNre3xOW29rRsla+truyP0U+PP7RfhX9mzwtb6v4qn1kQXcxgt7fSNBv9cv7hgjSMUtLGGa4dURGd2WMqiqSxA5rzjwv/AMFPPg5418M+ONY0nV/GGo2Xw5uLG017yPAevvNby3oQ2qxRCy8y58xJInBt1kAjljckI6sWf8FEP2dfE/7Snw00HSPDHhzwrrt3p+qG++06j4y1PwfqmhSC3lSK90zVNPtbma3ukdwCDHskieVGJVirec+CPg5b+Ov2yfCCWPxQs/F+teCfDVpYfGG208W0sWs6rp5ik0iS9WMk2d0Jp7u4Ee1WkSNN2FiRWih703GfdW9LXk/O1rWsleUfefvKOlVqMU12/G9kvK61Teuj0tZv0TXf+CqfwG8KXfjCPWPHT6LB4GsdR1HU77UtD1Ky0+WHT7hLa9+yXUtusF88FxIkLx2jzOJXCbdx20nif/gqf8EPB/gHSvFN94l8QDQNcgur6xvIPBut3KXFhbLC0+pgR2jEaaq3EB+3kC0IlXEpzXy58Yf+Ce/7UnxC+LXifxTcN8LvFOpa34b8YeDReat8TtetrZrDV5YBYzQ6WNKms9Pe1treKKSK3Ba5YeZLcO+WPf8A7cP7Ff7QP7Tv7MXhr4e6Rd+CLDTbjwDfeHvEGlReP9Z0S3ttZkt4oLW+W7srAT6laRp9pVrKdYIZfOBkSUqgSacm4KUlrZffeo33a92MLf3p2bST5deSHtFHm0vK77JcqXrq5Pu4x0jdpPtvEv7bnjf4l/t8P8JPhdHosVj4OtdJ1TxNL4l8F+IDBrFpd3E3niy1WJUsrZorWAvC8gnjvJZDGhj8iVq+s6+W/wBlT4J/GvwN+1z4s8Y+N/D3wt03wt4o8H6DoWND8YX+p6ha3WmC7Jby5tLto3ila9YA+YrIIAcN5hWP6kracYxShF31bv31/BaaJ7X7WOWEpSblJW0WnRaK/q7t3fWwUUUVmaBRRRQB8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/06WlFAH03RRRQAUUUUAFFFFABRRRQB8H/ALSn7Vfjn4H/ALTPja48UfE/XvAXw6bT9StfDus2Og6T4l8J2VzDpBuDDewxRrq9vq0LrLcrC8r21zEiom2Rig8+8B/FDxJ8Wb+10/4ptr2p698LPj/4d0nw3f8Ajix8PR+JbCO70yzuHR30fNiHc3MoXyMOYnVJPmDAfdWo/sc/CLWPHXiTxRefCv4cXfibxlYyaXr+rzeGbKS/1y0kREkt7qYx754mREVkkLKQigggCuZ07/gmh+zho8sElp+z98ErWS1nhuoWh8DaXGYZoc+TIpEHDx7m2sOV3HGM0UUoypylry8l/WNSM215tRcU97Oz21K/vwqRj9pTS/7eg4r5K92tVdXVru3zN4A/aR+LA8R/B3Q5fi7fXmu6x8WvHngK7i1jRtJddcsdPt9aexuLqC3t7eQtbtZ2TE2slsJFlIfPmKy0vht8bfi9qf7A/wAJvEXiP46+PNW+J3xXnSS2sPCPhDw1BqOpC3s7uSW204agi2NrmOJbq4nvpJUYW8kcAgaaKMfXXjP9gn4F/EfxPqut+Ivgv8Jte1nXLuK/1K/1Hwhp91dahcRKyxTTSSRFpJEVmCuxJUMQCATU1z+wv8Erz4Wab4Fm+Dvwsl8E6NfHU7Dw8/hOwbSrG7O7NxFbGLyo5Tvf51UN8zc8ms5xlKk43tJqKuu63fzd356RbtttUqJ1nOK096y9XNr7lKMfJRurO1vzyk/bZ+P3jH9njUPiDY/GW60e50j9nTSvixcaRH4b0eeOXVx9qVkDNAzJaXH2VjNHl3LN+4mtlUq32p/wUn+IXjv4f/soad4k+HvjB/BfimLxR4btUuTpdtqVndR32rWljLBcwTqWeApdMxEMkE2Y02zIN2dez/4JdfszadFex2/7OvwKgTUovs92sfgLSkF1HvWTZIBB8670RsHI3Ip6gVU/bd/Ye/4ad/ZFtfg/4RuvAvgbw3Be6S7WOo+D/wC2dHNhp9zDcx6etjFdWiLCz28MbLuKeT5iBAWV06KlSL5Wo/b5mv7rqOTV+0YtRS6pbK9iI8vtE72SVu+0YRWnduMpX7y1elz5a+In7Vnx28H/ABH8QfBDw98RLTxJrVx8SLfwto3jvXbrTfD94qyeH11aTTDNBo97Yi9WXaqb9OO+GQphZds1df8As2eIP2kfir+0tD4J+IPxx0TS7bQvh7Z6pqC+ANCsZxeapHqV/YTSm+1C0YSLJ5G6VY7OBRIkaxhFSQz/AET8Kvgx8E/iT8Ddf+FWnfD34dXvgTwrq76JrPhePwjbW3h/+0I/Kupdlg6GEjzJUkBw3znO4sN1dJYfsZ/B/SvE02tWvwp+G1trNxow8OS38XhiyS6l0sRLCLBpBFuNr5SLH5JOzYoXbgAVjKLWzvb5X/duC9Pfam927K+qu45rxfS/zt+8Un/5KnHS1tUtHp8Kfs/fto/Fbw98L/B3ib4h/HiGfSfH3wW8ReL7jWbvwfYy2vhm70+706C1vobezSOW6do75mliLsk0iJ5McCt5dc545+JHxT+OfwP8T+FvF/xG+Knhi58C/HzwVoNvda1YeERr8ltdy6HcxreCxtrjTWaK5ufPg8lVbiJZg+HjP3fpf/BN/wDZ30OS2ey+AvwXtHsrK4023MHgjTIzBa3CyrPbpiEbYpVnmDoPlcTSAg7mzSl/4JdfszTWDWj/ALOvwKe1do3aFvAOlGNmjVljJXyMEqruFPYMwHU1tCSjOEmr8tn62re036PlXJfe3krDqNSjJR0upWfZuHIvkn71u+1m2380ax8dvEvwC/bk8I+EPAPjHVLz4fXvjm58Ka7Yr4Y8PaX4R0q+fQLvVblJ5IxHqc+qyXQW+muLdUstt08ZCzI4PPeHP2qfiw/ha68HeJPij8YdK+K+o6pY3Fnomk+HfB+pXuvWslhf3Bk8PapJHDpT6XKLZ7gT6lGLiOOylhbbNPEa+1PEf7A/wK8YeOD4n1f4LfCbVfEpkt5f7WvPCGnz32+3VUt285oi+YlRVQ5ygUAYAFV7b/gnl8AbP4fjwlF8Dfg9F4WXUhrI0ZPBmmrp4vhH5Yu/IEPl+eI/kEm3eF4zjisZxcqThf3mlr9zf43t/d91t/EOUlzqUV0end66vvdNJ7O651Z6HwBJ+2z8fvGP7PGofEGx+Mt1o9zpH7OmlfFi40iPw3o88curj7UrIGaBmS0uPsrGaPLuWb9xNbKpVv1Z0y5a9023mfAeaJXIHQEgGvEbP/gl1+zNp0V7Hb/s6/AqBNSi+z3ax+AtKQXUe9ZNkgEHzrvRGwcjcinqBXsvhLwjpXgDwtpuhaFpmn6Lomj20dlYafYWyW1rYwRqEjiiiQBUjVQFVVAAAAAAronOLi0lZ3k/lKUpW9IpxivJX02ImveTjslb7owS+d4yk3veXW1zQooorEYUUUUAFFFFAHn/AO1b4eTxR+zV47tJL3XNOI0O6nS60fV7rSb2CSOJpEaO5tZI5oyGReUcZGQcgkH89P2Gf2jdf+Dz2fxKsbj9orXPg5ovwRtdd8fN48h8Q3qan4nzG9uNEbWibmeaZDdCRbP/AEMh7TBLMtfpJ8afhrJ8Y/hVr3hVPEOueFv7ftHsn1TR0tWvbWN+H8sXUM8OWXcuXibAYkYOCOK8L/saeHLL9jeH4HeJtV8Q+P8Awgmhnw3Nca3Jbwahc2Ozy442ksYbZFaOPYiSRojjy1Ysz5czTcoOrNbtRUV0b5aid/Jc0Wl/NGL+zZuolP2cXsm7/wDgVNq3/gEo3vopNfabXzj4a/4Kz/E/X49Ft3/Zy1e01PWPGNt4RiXUb/WdAtbs3dlLcW93avrGiWMs8cb286XKmFGhVFaL7UXVD0ngr9vfWvjJ4y+DQPwv1Kw8ReKL/wAY6Izr45kh0DTNW0b7ZbyW0vlIHvopns5DHLNZ4hQiQIJf3Z6vWP8Agmo/iWPwJNq3x1+N+rav8P8AXbfXbHVLqXQnubtreCWCC3uANLETxIlxc/MI1lka4ZpJHZIjHQ+Hn/BK+1+G954TubT42fGS6uPBuueIPEOnyXMfhwn7ZrSzfa3cJpKhgslxcSxqAArzMDuRURHP4Jpb3fK/Lkil8+bmb36K7WjmV2otbq1//ApuX4ciW2l20pHG/CL/AIK+az4i8C23inxv8H7vwromp/DTWviPpq6V4jj1u/u4tIlt47y3MIghVPMN1G1u/mEyJkyx2zDZXnf7Vf7c/wAVvGfwe+Ilr4p0/RfgfB8LpvBfie78QeEviO2qJqVnqGqw5tppZNLthDbeTHOZ2SZWIRVBeGRi3oetf8EqdS+A/wAIdPufh/8AE/4zeLvEHw78A6z4M8N6Pe6loNib21v9ryqbpNMikFyrw2zxSGaIeZawh5FV5nbiP2dP+CZfivxZ8N/EngGfU/it8FPhJqEtnqS6PcaJ8O9O12bWbe6iuBdRLoOnS2AtmEUAcz755HhUYjjU+cPVqMfiWt+l1ObV9Vf3eRWT3SWzbLq2SUo7X172tFadteZ3fe6a5Uj13U/+CiXjj/hmyf4uWXgP4X23w61XUI5fDfiPxH8Tm8PaZcaHIJTBq2oyXWmK9iJyLVIYI0uXZ7xA5iVWeuY+A/8AwUX+LP7RXxcsNU8M/DnwzqXw/wBa+Den/EPS9ITxN5OvXN9dm4222+S2FqQ00IgUtPGiITMzOXEMXVWX/BJbTtEuNNbSvjZ8adHg8O+KLvxX4etLX/hHvsvhq5u4buG6htIX0lkWCRLyYbHDmMnMRjLOXpab/wAEavCOnfCe38F/8LQ+Lsuhr4Bl+G12jz6MJdS0gvO9ukrrpwIktzcNsaPZvCqJxOCwZrSV/u6v+FNPok3zuDu0ldNpRVkU3F39V6fxIyfW6tBOO92mlq7yfI+BP+CxHiX4l6TYnwz8N/h5431B/iJH8ObuXwn8UI9V0j7TPpaahb3NrfGwjS4iUM8dyrLFJCYX8tbhsRn6g/Y9/aIuv2ofgbb+KtQ0BPDGrRarquh6lpkV/wD2hBbXenahcWE/lXHlxGWJpLZ2R2ijYqy5RTkDw62/4JDQx/FC38XT/tBfHm81OPxTZ+M50kXwwsF7qdrYLp0Usipoy4T7IoiMSFY/4wocBx7d+yL+y1B+yJ8NNQ8MWvjLxh41t9Q1zUNfN34iXTxcwz31w91con2K1to/La4lmlAZGZTKyhggRFuHLyPm30/9JgmvnPnlr0a22Mp/Z5fK/wA3Nv7l7NK1r2lp1PUqKKKgYUUUUAFFFFAHgH7G/wDycV+1j/2VWx/9QfwpXv8AXgH7G/8AycV+1j/2VWx/9QfwpXv9ABRRRQAUUUUAFFFFABRRRQAVxf7Rfx20f9mH4GeKviH4httXutA8HafJqupLplobq6S2iG6WRYwQWCJudsdFVj2rtKg1XS7bXdLubG9t4buzvImgngmQPHNGwKsjKeCpBIIPBBoA/Pn/AIIO/wDBUr4X/ts+GvHPgfwGPFN5quh+LPFvi++uLrSWt7K3s9W8VanfWKmUnHnSQXSN5eMjy5R/Aa/Q2vlz/glb/wAEq/A3/BKX4V+MPDPgx5L0+MPFF7rs93MmJktmkZbKz3Ekstvb7EyT8ztK+BvwPqOgAooooAKKKKACiiigAooooAKKKKAPAP8Agk7/AMosv2af+yVeF/8A00Wte/14B/wSd/5RZfs0/wDZKvC//potaXxF+3Nqy/Fzxz4S8I/Av4vfEY/DzVINF1fVdDu/DVrYreS6dZakIYxqGr2s77be/tiW8oLuYgMdpoA9+orwD/hsj4i/9GnftAf+DfwP/wDNDX55/tE/8HD/AMdf2dP+CszfB+L9m7xj4n8OaxplhcweDytlL4vsGkQ+ZcRS6bc3lrLCfv7JHyMcvEKAP2Lor5//AGzP2sdO+C37IcPiLXfEOn/BrVvHJtdB0y88XahZ2X/CO3t6MeZPJ5r2/mWsXnTlBKysbYqGOQa+T7P9u+7/AGhv+CLtv48j+LMmleJvhR4s0nw7408S+HNctRaarNp+tWltdTPeJvUWd3bsl0WikTdHMFLmMuHlTTU5N6Rcbvsm0pN9lHmi3ffmVr6lSi1yq3xXt+iXfmtJLpeLvY/TCivkvwT/AMFEPHHjLXvhbrEfw28IN8LfjP4mm0Twl4hh8Z3h1O9s2sL2+stSk06XSoxFHcQ2ZPlm4LoJUPzciuc8Kf8ABUf4leP9a8CeHdD+AtlfeJ/Gkni2zlmfx5DDoGmXegam9hJG101p9rkjlEZk8xbEFDLCoR8ytC5vki5T0te9+lldprdNLdPVOy3aQ3Bq3nt53ckrPqnySs1o0r7WPteivhPT/wDgsF4v1T4D3fjwfBnTLG3v/hZd/Fbw9YXvjYrcX9jYNbC/gujFYyJaybbkPbGNp/OUL5otGLKmn+1/+1T4v8e+DvjD4Psf7R+Hlz4E8P8AhXxlpev+Hdf8281a21C8nV7WdJLRTagPYyxt5MjtJHICJIyWUaulNdNr/hJxf3OMvPR2TIm+WLlLp/lB/j7SH/gWuzt9s0V8u/Fb/gopf/Bz9uTwt8I9Z8JeF0svGl41lozxeOLaTxVqCrptxefb00NYiw0/zbaa0897lH85P9VtKs3nHg7/AIKeX/x48M+DNXuPh7Y3Wk6j8S9F8Li58J/EyQyeHbi4dlaPWrYwWd3BdQSGNJtMlgljZpBucoC1Z0/fcVHXmcV85SUV87tKzt52WoVn7NSc9LJy+Si5X9LJ99nZN6H3TRXhv7ev7Y0n7Fvww0jxAum+GboavqqaWb7xR4gk8O+H9MLRSOr3uopa3QtVkZFijaSIRtLLGjSIWXPk9x/wVm1C2/aH03wl/wAKh8X3vhm1urfSvFPiLTdP1nUbfw5eyWK3Ur/aINLfTJrK3aSOGWc6jHIreYwgKKHeVOL5rP4d/uT/AATV+11e11dyTja63V159PvdnZbuztezt9lUV8YeNP8Agpt8Vfh/8AD8T7z9nC81XwdrkGiah4Zn0bx3p8tzdWup3scCpfxXKW/2S6SKaCTy4Ddws0mw3CBWkFj46/8ABT/xl8CPiTong+X4Ka54w8SWtvY3njC28Hxa/wCIIdFivLl4o1tLi10R4LiZIYnnkjvHsAFKCNpSSV0cWpcjVnflt1v2tv8AoTzKzkndJXutVbTVNaPdbH2PRXz3/wAE9/j38Tvj/oPxHvPiTo3g7SW8P+ONW0DSf7A1W4vFa3tLqSDZKs1rCVZAi/PucylnbbCNsY8K+IX7WHjb41ftnfs+eI/DGgX1l8Kp/HniTwxbajp/ju6iuvFbWejass0N1onlR2TQteWLNBNNcyOv2dW2wiVgJg+ZQa2lFS+UoqS+eq0vfe17FNW9p/cc16uHNe3l7r126uyPvmivG/2APi8vx3/ZM8MeKR4f1vwq2ozahHJpOr+IJdfvbCSHULmB0kvJGdpTvjY8OyoCEQlFU17JTas7MmMlJKS6hRRRSGFFFFAHgH7G/wDycV+1j/2VWx/9QfwpXv8AXgH7G/8AycV+1j/2VWx/9QfwpXv9ABRRRQAUUUUAFFFFABXh/wAY/wDgoD8MPhHr3iXw/rHi1/DWqeH9Nu7u41fUvDepS+H7B4LX7TIsl+sSWckscRWRrVLlZyvAAJBr3CvjH4qfsZfFrX/2ofiB418K6f4E8NWXiDS7+ydrPxxqtvB46EmmC1tY9Y0o2ElrBcQz7WGpW8ks/k26QmNkbEeGIc+SSgrvlk15tLRXut35p221sbUlHmi5O3vRv6X1/D5J2vpdrtNX/wCCtXwH+HFra6b4j+JthqPiO18Kaf4u1SPRfDup3DW+m3UW9dRktYY55bS22jzH85j9njliMrKJEd9XW/8Agql8CfDXg3VvEepeM7yw8P6HqNhp1/qdx4c1WKzthfsy2V6ZWtgn9mzsjCPUQTZORgTnIz88eIf2B/2hNQ+FPiTw1BovwaLa38AbL4RR3EnjfUlEd9HHLHLdFRo5/cAXMrKAdzGFAQvmEx+ef8FBdF+JP7M/gHx18RPiUPgd4W0bxSfhloWjRyfEG6TztU0jX4rqVJZbjTIVS3aOa5cyIJJI4rNpTEwZli7Z+zdS19HO3/brqSin68ii0l1ltpY56MZuFPTVpXXZ8lNv5KUp77KDu9bn2r/w8y+Dh8ATeIl17xHLFb68fDMmlR+Ddak8QJqQtjdm3OkraHUA32UG4z9n2+SPMzs+auT1X/grV8LLnxxqmiWeqatpujW/w7j+IcPjq/8ADeoSeF4rGdJHhkacRohAWMsytLFuciBGM29I/MvGn7Lnxr8Svqfi2DW/htpmvfGvxdbXev8AhrR/iJq2h2uoaVaaI8NnaWOv2tkt884eD7dIbe3tzJGjxFhEkjTVP2cv2Cvjx8BfhvoOlPpfwl1W9tPgyvwyvT/wmWpRRx3Vo941rcxudKZpIphPH5gYK0OG2/aMDdyVvaKMtNUtr9fYzdrqz0qqCVn1td2bN6bpuzvo2vu9rFXX/cPmbuu0tLqK+ldD/bl8AQXHw/0a+8Q3+sa14707Tbqzv9K8I6t/ZcxvUzbPNKsUsWnC4IYxRXk6uRxliCT7TXw74G/YR+Lmi/EH4G6ibPwF4Vvvhz4a0DQ9Z8VeHPG2qx6hqEFijLeaZc6cbBbTVrKYf6l7h4JLV55ZIxuGJPuKuysoXk4u/vzS/wAKfuv5rfbW9lZKUuOhKfLHnVvdi3/ia95ddntq3bVu7siiiisDcKKKKACiiigAooooA+ZP+Cxv/KOH4jf9wz/06WlFH/BY3/lHD8Rv+4Z/6dLSigD6booooAKKKKACiiigAooooAKKKKACiiigAoorE+JfiDVvCfw617VdB0U+Jdb03T57qw0gXQtTqk6Rs0duJSrCMyMAoYqQC2SKAPG/2Evl8S/H1D95PirqOR3GbDTmH5gg/Qivf6/KX/ggL/wWC1L/AIKH/tN/HXQNP+D+seFtKuddk8Y6tq15rCzJo0ktrZWEOntGIFLzO1lM+SVAWN+Mr836tUAFFFFABRRRQAUUUUAFFFFABWH8TPiFYfCf4faz4m1SLVJ9O0K0kvLlNN0241K7ZEGSI7e3R5pWx/CiMfatyua+MlhrurfCjxHaeGbPSdR8QXmnTQWFvql/JYWcsroVUSzxwzvGnPLLE5/2TWGKlUVGbpfFZ29bafibUFB1Yqo7RbV/S+p8cfsh/wDBXW38Xnw3P8V/Enha0uvi1o1v4g8A+FtA8D+JLbxSYsk3kEtlLFNJexQiW3MV/brHHcpHdyrCkUDsvqX7U/8AwUY0X4e+APibpfw9ubDVfil4P8N6vrGk2niHTNUsNA1WXTo913HDqAt/s969sTiWC1laRXRo3MJDvHw37Nf7KHx1+HOufsvL4m0X4TLY/BbwdeeE/EFzpnjDULia6MtvaW8dxawyaVGH+WyRzHJIm0zMoZvLDScCP+CTXinwT4S+KWkeH/hr+zTqHiHX4fES6F8Rrm2Om+LNUXV1uF+z6hJHpkrwtALyQNdRXEzXC28aGKLznZNcy1jUjhu1Tla620hvqrqzd3d663IwMvepzrqzbhzLor/F6rpptf8Al2+i4v8Agpb8NvDMmm6X4ou/Fdlrrf2LZ6lPaeBdeudGsr7VI7c2sLahHaPaIJHuYVBafCmRQxBrprn9vD4aW2heKr4aj4lnfwb4kbwlqWn2/hHWLjVW1NYEuTb29ilqbq7H2eRZxJbRSRmHdKGMasw+Ufhf/wAE6/jp8Nv2WPEfwftdN+FUXhYappXjPw7cT+ONU1DUIdZt9QsdUu7K7nl0oST2k97BcFbt2e4jSRQY5MKscPjX/gmf8XvjF4x8U+KvHfg39nXxhJe/EODx3Z+Dtc1C61fQNXil0K30i5sLqS40sm3mtxbJNBexwTGViytbwBjXRXcHUm4aLVrtrKmkravROpfyjF6Jrmxw6aox573WnS7tF69ld8unS7Tbs2vftZ/4K/fs9aB5ZuvHV8iS6JbeJVkTwvq8kZ0uZiv27etqV+zQuClxLnZauNk5hbiul+MH/BQX4XfCjW/Emg6t4ubw7qWg6ZdXs+s6h4b1Kbw9YtBa/aXWS/WNLOSWOIrI1qlysxU4ABINfL3xZ/4Jx/GnUvD3xO8PeCfBn7Pfhjwx45+Ep8AaZp2m69eaNaaFdT3d5czMltb6Q0Zt4xfOqsu15mtw7LGZysPXax+xj8cNd+NPijxpZ6H8M/Bd9r/h65sdSg0T4iaxJp3jKaTSVtYINTsJNLFuksFzyuqwg3DQW8cTQbX2x8tbm9jJwXvJVNPNOSgt+qSbaet7KzsnvDlVSF3o3G/pywbevm5JXWnKubRtr6X1v9qHwt8Mv2Tbb4t+J9blvfCFroFtr1/rWk+Hr+VJLWSJHN2ljEs91HDtfzCrBzDHku2EZhz3gb/goz8HPiToXifUtF8WXF9b+Era0vbtRoeoxz3tveMyWVxYwvAJNRhunUpbyWazJcPhYi7EA8v45/Z08bzf8EhNc+Eh0/Sb/wCIQ+E1z4Qis9M1HzLO8vxpLWkaxXFwkHyPIFw0iRgbucAZr5d+PH7JHxI/aY+PekeHPiH4Z+E+meNvEPw+hvvD/h+TUJ/FHhi9tvDOs6XPcWmrvPZW5db6XWYo8RWzi2FoZAbhnCJ04jlWInGDvBSWvaLctbJe9ay0jZ2d7aWeFC/1WlOa99p3XmuTS7+G95e9Jte7bc+ro/8AgrD8BJ9b8OaNF42vJ/E/iz7aum+GovDWqyeIpHs51guo5NLW2N7DJG5JMcsKPsjlkAMcUjrpfC//AIKZfBb4xfEe08I6H4r1BvEF3qN9owtr/wAOappqwahZJJLc2M0lzbRxw3aRRSTC3lZZXiXzVVo8PXlXwb/Yl8dfCf8AaK+FPiLw/wDC/wDZ/wDhv4M8OR642uaF4O1Sazj0+XUI7SIG2ji0iGO9cCxjdpZfszHzygXEKtLyXhf9jP8AaR0vxf4Ov5dH+ClsfD3xd8R/EKW4i8Z6nO0dpqlrf20UaQtpCiSaEai7spkRJDbKodBMWix5ves1pyy/8CUopLe1rOTvezto0ma2vBu9nfT05Zv8WoruubVM9kP/AAV+/Z8h8HX3iK68a6rp2g6bNpq3Oo6h4S1qytYYNRkkisb8yS2ir/Z00kTqt/n7Ju2gzAsudz/h5l8HD4Am8RLr3iOWK314+GZNKj8G61J4gTUhbG7NudJW0OoBvsoNxn7Pt8keZnZ81fGGt/8ABO39qOxsfFviPVdJ8CeNvGHimw8Ex3pPxT1a/fUdT0fxNHqVzdKt9p0cGn2U8cs0htrMCO28orDBMZMV7L40/Yx+P/iWbxR4rgufAum+IPif4rt7/wAYeGNH8eazodt/Y9ppX2KztrbX7WxW/Ey3KR3UjRW1t5gPkFhGHMzqJqlKUbOSvbto4W3s2pXla6VrJytZp0+Tm62v87ct/S6dlu02mk9bx99tf+Cgvwm1LUvBdvZeI9Q1OL4gWdlfaPf2Hh/UrzTfJvATaG5vIrdreyabB2LdSRMxBAGQa5OP/grp8AD4H1bxNN4y1ey0DQ/7Okvb+98I61aQQ2uoSSR2eobpbRd2nyvE4W+XNrwMyjIz8/fAP/gnD8efhrp/wWtmg+GHg7xB8L/DumeHrjxn4a8dazLd6na2bTCSyvtMk0+K21W0mQoUFxLHJZyTzPG7sMy8Zf8A/BNv9rG+l8U6leQfCHX/ABJ470bwvZa7qOtfFjxDfCW90jWJNSuLqCKXRnjtIbsyFVs7ZYbe1JJRHGVOklHnkk9OZpP+7f3X9y969nzNWi4q7hppd3aP33tL7r3jvdJ3abSP0N+Af7Sng39prQNW1HwbqV5fRaDqT6RqUN7pd3pd3YXSxxymOW3uoopkzFNFIpZArpKjqWVgT3VeBfsbfB74kfDL4t/HHW/HWleCNO0/4jeLIPEejjQfEN1qkyIumWentFcLNY2wjbFjHICjSAmdl48sPJ77SkklHu4xb8pOKcl8pXX+Yr6yXZu3pfT8LfPtsFFFFQB4B+xv/wAnFftY/wDZVbH/ANQfwpXv9eAfsb/8nFftY/8AZVbH/wBQfwpXv9AAeQRk81+Ws37b/wAQ/hb+09N4T039o3UPiX8QLL42W/gmP4U6rp/h6S71Pw3NbwSXF8Y9PsLe+t2topZ7gXbyC3C2mx1Ytz+pRzg+teI/sefs2eOP2ete+Jd34u8b+FfGEPj/AMSyeJ4ItI8KXGiNps8sUcMsbNLqF2JkKQQbcCMqwkJLB1COg+XEKpP4VHbo3z03b5xUk3bZtKzaYq93QcI7t/NJwmr/ACk4u11dpdjz3wv/AMFefhr8Yf2nNf8Agp4DvtK1T4jW8GrW+hvea9pp0zVdS08FZ7SWO1uJ9RtAkgcF7iyjV0hleEzAIX6z/gnZ4x+MXjP4aeIpvi7rfgnxPd2fiXV9P07VdA02bSmdLXVLy0eCW0d5VVY/s6GOVZizpIFkQPEZp7v7Nv7J/jD9nXxRd6XH8Sl1n4XWup32r6HoE2htHq9hJdySSvbT6iLkpc2cck0zRRi1jkUeSGmkEfz9f+yv4B1f4b/DXVNP1q0+x3lz4s8R6nHH5qSbre71q9urd8oSBvhmjbBORuwQCCA4O1NX3cVf1vf0T6O11pvuOrq3bZS09LP5taLdLVvTY8k8Sf8ABVbwz4L+KXi7w1rHw4+LOm2fgDxVZeFfEniGTTrB9G0d74WxsLx5kvGaS2nF1Cf3KSTQBg1zFbqyFrHgn/gqb4S8e+DfF3iO18B/Fez0HwprsvhSO71TQ4dNfXdbXUFsIdMs7e4nS5aaeWSIpJLFHbosuJZoXjmSPxXwr8B/Fn7WH7aH7Rvhq+1LVvCvwo1Dx5oOt6hY6p8MtWtLrxWunafpaEWWs3UkVmbZrzTzG4itp3eNHZJUWaOUeoQ/8E2/FOufs3+OPBfiD4naS3iLW/Hr/Ebw14i0Twm9h/wjWqDUE1GEyW097crdRpcJtZd8W+FmTgnzBFG7VOU/hcU3be79le3S6TquPTmSUuz0rWTcYbpr0Wk20+vxckXo2ou6u7tdLZf8FKPDuseE9RgTwT8Rrb4j2PiQeD3+HjxaYviU6k1oL5VRjeHTmj+wn7WJ/tfk+WpBfzB5VeVfsCf8FHPEviT4TaFofjvwx8VPFXjjVbfxrq1jeX1r4fs7u+h0PXp7E6ZOtvcQQR6jHC9mpIjS1cvkTkh8dXrn/BNTxVq3iO0+JEXxN0Oz+PFt4rj8UN4jj8Hu3h2VV046V9g/slr4zi3NkWyft5mE7tIJFQiEYvw8/wCCZHxO+H2m+G7y3+MvgweLdB1XxZM2pw/Dy4W2k0/xHeR317bpbPqz7LiO5TdDO0kiKgVXglIZnU5SUJOK96348mlr7Lnbbu72VtbLmFy+7F7cyb729+6f/klrLrd2fw5ugf8ABTbUj8cofFO7WvEnw++Ifw18L+JPAfgGw03TbPxJc32pXd0rQiS4vFjubowxmV0WdI44baQhWKPI/pnjD/go5plpceN9Lb4ffGG0j8FaTNJ4g1jRdP0vWJPDd8NOW++wvbW91cT/AGsRSJsY2z2kj4CyyLyfBtA/4In/ABE0K8+H+rJ8afh8vi74SeDtJ8JeCvEcPwvuY9Q0QafcFhcFjrTCT7RbSTW9xDhYpVkB2qFCn0/xf/wTe+IHxO+NF98QfEnxG+GEnjBfD97ounaxpHwzuNM1CNLqx+zNaXky6uxvtLSZ5LqO0kAkSXyyLn5G8xYiL9jOFLde15b/AOKTp67t2a3ta0feVnGRBx9spS+G9O/yjFT02Sunbq25XjqpL2TVv2r9B+F37CsHxn1KPxr4h8O6f4Pg8TyLDpSXevX8DWqTAtb2oEXnsGBfZshQlmLRxqWXyPUf+CxXhTSItYmu/hV8bbO30LQrHxfeTXOjWNusPh26aZU1hxJeK0cStBIrWrhb84JS1dVcr6TqP7J/iO4/4J2j4IW/jHRYtd/4QpPBjeJJPD0sloYxai0e4FiLxXDGLJC/aSFcgksBtPh3xW/4Jb/Fn4qaF47sJfjX8P7BfHfwy0v4azyw/DS7Z7OKzedzdpu1ogu5u7rCMCq5hyX8t/N6ajh9aq2/h3XL5r32/PdQXTRytZ6rnoRl9Vpqo7VLe911vTXn0dR+sVe60l6z4g/4KQ6F4Z1PxFaXngP4hxt4V+ImlfDnUpAulskE+p/ZPsWojF9lrKT7da/dBuF835oF2vt83/Zm/b68aWB17wd4j0TxL8cfiJZeL/FEU6eDLXRNKXRNKs9SkgtHngvdQgMML7WhhZpJnka2l3OzIzVN8ZP+CaPxL+I2u+ILzSPjH4R0GPxVr/hnxnqsMvw/mvRca7oosAjqf7UQpYTDT4d1sP3ynkXRG5Wp/s+/8EvPiR+zp+0JqnxI0T4r/Dm21vxlr+o6l41S1+Gt1bx+LLK6uFuIraX/AInLbZ7RmuRBdHeyJcbGR0Uq/PFSUr3+zJa7XtS5Xbs5KpqrNRdrJtI2nJOlHlXvXi2u2k+ZX8rxSV2nJJt2Tkd1o/8AwVd8Cah4V8O+ILzw1440bw94n+Gd38U7LU76LT1t10+1a2W4tZAl2zx3Uf2u3J3KINrk+edrbfV/hP8AtB3/AMVfg3qniz/hW/j3w/fad5/leHdUbSxqOp+XEskZtpoLyWxlSYMojkF0IySQzptbHzR8Pf8Aglz8V/hVqHg59D+OfhCC0+HngrV/APh23n+GrXIt9OvGtJIJJy+pkT3MUllAJGKrFNEGUQwuxlr2b9kj9mSz/YF/Z38S6dJLpdxaPfXviOfTfBnhe70/SNN3xqXt9K0hJ7yaJG8syfZ4ZJC880pjRd6xq8ROKpVKkdPdk0uqfPLlX/gvlvq1fzHJe/GNPXVX81yr5/F6b+VjjPgz/wAFcPB3xp0PR9Tt/h38ZNHsvFfhG78YeF21Dw9E0/iuGzSNrq0sreCeWd7uMyqFR40WcfvIHmixKdjTf+ClWjaz4Z1e3f4d/E/TfiHp/iWPwhH4Cmj0g+Iby/ksI9RXyZFvn04xiykNwZJLtUVY2DYfajfNf7Bf7DPxJ+P/AOwt4AuvFXxC1nwB4k8K/Dm98FeEbW3+HupeFdX8E3V3FDFc3V39tuvtF5PGtvHHHLbizjKtMyZLxvF1vwo/4I0eLPgp4lufEnhT4j/Czwj4jsvF0HjLQLfw58KW0zw/ply2lDSr63l09dVYzW9zbKH/AHc0MyTlpPNcMUratTiqkoPRW0t/18/+V63V1s1roKTiruDvZu3Z2irffK9/h1vsrFz9mn/gpj4l+HP7CVh46+I3gz41fEO9sdR8YT67qEGi6NBeeHNK0fWbq28zUzFNa2Injt0jUxWnmSSmGZo45AjNX3Tpmow6xptveW7+Zb3UazRPgruVgCDg8jIPevzx+Jf/AARJ8f8Axj+B9x4G8U/GT4c69pd7L4qnltb/AOFc11ptpc65eG9/tG1tZdYYRalZzS3SQXTNIUhuCioreZJL9eeIvh78Y7H4XeENI8IfED4aaTr2kWaW2t6hrHgK+1Oz1NljRQ9tbRaxbvajIYlXmuOGAyNpLDalFyejutF87/kvPV6vaM1bKp7mqbn93MnH8G0+iskkt5esUV4B/wAK5/an/wCiyfAD/wAM3q//AM09SWnw7/aiS6iaf4w/ASWBXBkSP4PasjsueQGPiYgEjuQceh6VkBH/AMEnf+UWX7NP/ZKvC/8A6aLWj9jf/k4r9rH/ALKrY/8AqD+FK9C/ZU+Bq/swfsvfDb4aJqba0nw78LaZ4ZXUGt/s5vxZWkVsJjHubYX8rdt3NtzjJxmvPf2N/wDk4r9rH/sqtj/6g/hSgD3+snTfAOhaP4u1LxBaaNpVrr2sxxRX+pRWkaXd6kQxGssoG91QZChiQueMVrUUAeceNf2dv+E2/aO8GfEWTxn4wsh4Ks7y0t/Ddv8AYG0W+a6ULJcTrJavceeqqoSSKeMqoZR8ssyyeFfE3/gkFo3xG+JfxS8SQfGf40eGU+L2pabq2vaRpJ8PjTRc6e8LWksMc+lSsjp5ESs5dnlVFEjOFXHt37Yn7Rh/ZR/Z91rxz/ZlrqaaQ8CSfbbuay0+zSWZImuby4hguJLe0iDmSWZYJPLRWYrtVmHz38RP+Cr2t/CSw+EmqeIfBfwyttC+J0+l2kN1a/Fiyu59WlvtSWyzoMKWxbV4oI5ba6lkY2oENym0MyuqKnHnnGMd78i9ZPmS+bV9dF5FTbUW3tbm+UdL27q/TXr0udZpn/BLDTdA8NSaVpvxf+LmnW1h4rbxn4ZECaBt8FX7m5Ew06NtLMawSpdzo0M6TRqrkoEYljR+G/8AwSXsvhL4p0XVND+OXxvtz4bn8Q3OlwTt4eu0s5NblM963mTaS80p+0ESoZpHIZQDuTKHG+DX7SPjL4HfEOHwtqD3/wARtP8AHHxp13wj/bWva/5N/oX/ABLX1K1jht4rQwyWyi3ni2q0PlDyyBKWchvw/wD+CnnxG+Jvi/4deF9J+BthJ4g8cXXiqxu7yTx1HHoOkT6DqrWE6/aDZ/a5lkVGkVhZLhpIEwQ0skCpwVSlBpaTUXbp71OLs+mkbJvZ2S6odXmi5c/2ZNfdKok16uNRpb6vvrqeA/8Agjz4X8G6Z4b0q9+KXxb8TeHvDPw/1L4Zw6Pqb6Itpd6NfhRNHMbfTYpWkAjt9sgkUj7Omc75fMr6/wD8Ee7HxRp/iyO/+Pnx9uLvxv4f0zw1rF6bjw+s9xa6dcyXFmUxpISF086WMmJUWRZGZ1eQ+ZWT8Uv+CsviP4Y/Gn4keBJvh74BufEXgzwrrni6w0qP4mQzas1npclsc6rawWUp0z7XbXAuLbDXBdcK4ibds9b/AGQ/2y/EH7RHxH8SeGPFPw+HgLUtI8PaJ4rso116PVmuNP1T7WsKz7IkSG6jeylDxxtPHhkKzPkhdISdVOcXdNJ/Jyqfi5e08/iexNZON1U7td9V7Nfd/Ds9n7tnocn4l/4JT6Z4h+MB8ZR/GL4yaZdN4rh8bNZWkuh/ZX1ZNLGlSXBaTTHnHm2gKMglCIWJhWEhdroP+CVWlTTWGoan8XPi1rfia017Q9cufEN4mgDUtWXRy7WFpdNFpaRyxI8sjGQoLl921pyiqq4Hjz/gpz43+GfxJ+JNrq/wd03/AIQj4TeM9L8M+IPEVr40Esr2mppZPa3dtZtZq8ssa30TXMDvGsYI8ma7bcqcz4w/4LPa5pOufEC48P8AwC+IPi/wj4V0rXbzStcs7LVbG31CfStwdbm6vNNh0yC2mMU7RT29/dsyRqDCJXENZ+3jTpqpeySUl5KEYyi7brljy28vdWzRU6MqkvZyV2/d9edtWvs7u7fm+Z7pn1L+0p+zzdftE+GrDTbb4geN/AK2kspuJPDyaZOuqwSwPDJa3UGo2d3bzQsshO1oshlUgjv598K/+CaPgv4HeLfN8IeIfG+g+DbqOyOp+B4by2m8P6xc2dtHbQXUolge6STyoLcOsFxFFKbdDJG+X38Trn/BQD4y6Xrnw602L4EeF5r74paFqWvaRBJ8RzG+lx2kVvOF1EjTWSItHcKrG1a72y4UCSMtMuX47/4K7y+DPC3wN8WS+CfDVh4O+NNj4dubQ6148tdP1+4m1a4ghe20zTBDI2oPZLcwS3DGS3URyqULkMF1VF+0lSS95yjBru25KMX5XjK19FJX0dmZ8/NTVRapJyVuytdq3WzW2rjfomdTqn/BKXSb74EyfDeH4wfGWz8K2ctougwLcaNcS+GLK1uUuodPtZZ9NkeS3EsNt810Z5ttrEglC71fvPHv7DeleNPjQnjuz8beP/DGsalpVvofiiHR7qzjtfGtlbuzRRXyS20hjZfMnUTWRtpts7r5m0IE+YvD3jr4va5+0F8cvi1rVqYF+Cvis6Hpej2vxkutN8K3Fh/ZdmZv7WtbmwSyitII72TUpL1EkvFkQxKJI4o1k6PQ/wDgsxL4x+GPw11vR/Cfw+kvPH+uavoEc198RRaeHr+60/UDZfZ9J1f7C0F9cXODNbRTC08+NW2tlWAVO8+ScdXJRlrv760vfun719G2733ZV91Tv8Kbi7bXi9Vp1i1pbZJWtZpfT/wB/ZqtP2eNc8bT6X4l8TappnjXXbjxD/ZGoiyNpotzcSPLcC1aK3jnKSSPuKzyzbcAIVGQfIYP+CVOj6F8UNA17w/8Wvi74a0Twr4uu/GujeFLOTRbjRtLv7uO4jvBEbrTZrtYJlu7vMX2gohuXMQjITbkaT/wUy8S+LNY+L9rongXwBcn4VyPFc2+o/EiPSNQ0kJeCF7nXLa5skbS7T7MJb1LiI3iS28RMe9mVTy3w7/4K4eNfjVpXgGXwP8ACXwb4rk8dxeJ4Iruy+JKvpNvd6FeGCeRLtdPPn6fMmx4rmKNpWaVFNsqbpVxVSMacaqdoqKtv8CWmna0VZvsrbq+rhLmlTa1cmn5yafMvVqTuvNp7M+oP2T/ANm20/ZL+Cdh4GsPEvibxZaafdXd2moa99j+2yNc3MlzIG+yW9vFjzJXIxGCAcZOBXo9cR+zP8brb9pb9nTwH8RLOwudKtfHXh+x16KyuHV5bRbm3SYRMy8My78Ejg4zXb101oShNwmrNaP5adDCm4uKcdn/AF1/LoFFFFZFhRRRQB4B+xv/AMnFftY/9lVsf/UH8KV7/XgH7G//ACcV+1j/ANlVsf8A1B/Cle/0AFFFFABRRRQAUUUUAFFFFABRRRQB4B+2R/ycV+yd/wBlVvv/AFB/Fde/1+Nn/BxB8E/2q7v9vH9nLUvgZ8RvF+m6D488QJotja27h7XwlrwtLq3e/Hy5SOTTLi9LDnCwXLdWFfr74B8MTeCfAui6NcapqOuT6TYwWcmo37iS7v2jjVDPKwwDI5G5iABljQBrUUUUAFFFFABRRRQAUUUUAFFFFAHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP/TpaUUAfTdFFFABRRRQAUV+efjP/glZ+zxdf8FDPCfhC9+D3w61Ow134Y+Jb7Urm88N2M17qF82qaUv2+WYxbmu18+bbMfnTzG2kA4qpq3/AAUi/aSbwp498Z+DfhP4d1D4WaLo/iRPD2s+ILqwsoYrrSfOSGeae21a4urxZ/slwzWy6ZZvExSMybVeYZyqxjh1XqaXU2+yUJSi9e7cdNFe68y1ByrOjDXWK+coxktO1pO/a3mj9F6K+UfDfx0+IFv8Sv2f0+Ium+F769+I0WqahBeeGvEOqaNZeH5BpRu1s7iyYyRarGI1kX7VO0QV9siWsbDI8a8Af8FY/iI2seLvDOqzfDzxR4guY/Ctv4U1jRfC2t6ToC3uu6ldaepEl7Ju1jT4DAs6X9mYYrtAVTyydydE6U41XQteV7W872S9W01fbTfWN8YVIzpOun7i1b7J2d/SzW2uuq0lb9E6K/MP4H3Hi/8AZ18c/EPT9W8L/BTxVc6r+1Jo1rrl3a+H59KsbJr3R9GZdR0+waS4Md+ZJg7SPcnbI0smZC22vsH9u/4h6r8PD8IJLPwt4I8S6dq3xK0PS9Ql8QxvPNo6zz+XHd2MQQqbtHYbZGdPLGWAc/LUxXNGnJa88qcfnONOX4e0S6Xt01SdWfs5VIv7EZS+UXUX48j779evvdFfDfwf/bb+O2sfGPwxpHihvhLNoHiP4leJfhnFNpei6hBeNJp1nqN1BqTLJeOka5sfKe1BkLhvMFxFnyV8D+AmoeN/gh4f0/4oaP4Y8GePv2kvjN418WeFbXW9D8MiyuZLC01K9mufttvfeIbWLU9n9nQR2yPeQvaW5CRmVYnWWIyvCNR/DKKkur95Jx08003qrJ9WnEuquSTpt+8m15WTkpO/k4SSVrtromm/1gor8tbf9pv4heBv25dCvNT8N2vgD4//ABu8A6B4buI9Z87xD4V8O6hBq2qLKZzb6h5FtFJDBIIbaC7EklzcxpiV/Ocez/Gz9r/4v+C/jN4u+HWuW3wvndfCl/NoukeI/COq6dpvj9odKE01xa6qlzd2pjE/mrLpckP2qOFGfzJEIlOc6qjh3X7e09P3cpJ2fW9k9r2d7WjJqowbrKj1fJ6++otXXTVtXva8d03FP6P/AGa/2Mfh9+yTr/xG1PwNokek3fxT8TTeLNeZcHzr2WNFfbxlY9ys4ToHmlIxuxXqlfM/jX9oHxR4C/4JGH4reDLLwXoPiXQvhhB4us9Om0iabQ7cw6al29mltFcQukJRWij2y/uso2JApRvOtT/bf+NHgPVfF3hvxdd/BrSNek8J6H4x0LVYtN1a403SY7/UHs59NltklNzq16pXFqtt9le+ldYxFbsRnprU3TrSoP4ou3q7SenTaMnvZW1eqvlRl7ShTxC2mr/+kL13nFbX120dvt2ivzx8GftyfET9u34O2vw1sLL4aW3i7xBpvjCTxFd+K/A+pvomoaZpOptpIhOiXF1DdW8t20sbPFczubcRyqySlgF4/wCC37c3jf8AZX/Y5/ZP07RL3wHe6Dc+CfAFjqWgr4b1jV9YkGpT21hJNNe2rLZ6LAqOGt5LxZRdyRTxoFMXzFKm5uy6uCj587mr90k4NbXve6SV3c9E+8ebmXZx5dO1/eve9rapvp+n1FeC/wDBQ39oHxv+zd8GbLxF4OtII4Ev9mt63P4TvvFcHhyyEMr/AGqXTbC4gu5ofMWNHkgZzCshkaN0Vyviaf8ABQjxpqX7Vfwy8Gya/wDDLxX4L+Jd5baHcL4P0bXJ3sjP4el1I3Z8QLItjbzNLHmPTyn2o2s0FwJMP8udO9RuMFqml82tPk3p+OybTmuVc0trOXyjv9y1/BatJ/c1FfAP7HfxU8c/CDwb8Ivhj4RvvClt4Z1/wL4yvtOk1jSr3U7/AE7UdK1aKOGWac30Zurd0vV3xEJKWhLfaD5ny7/7In7b/wAdf2n/AIm/D61u7L4ReHfCmtfCfw58SNVvBDqF1fXkt75q3VrFEZY47SMup8uR5LkxLDllmM22AjJSs09H+S9o2/kqU3pd7Wu2DjJU/aPsvxcVb/wKaWturdlqfb9Ffmt/w9Q+Nw8O/ESPTbv4P+KdZ8H2nhTWrK7g8I6/pWg6rBq2q3GnzWdtd3U+b6AGOKSHWLVHt5VLEWzfdX66/Yv+OHjb4p6n8VvDvj8+FrjX/hn4w/4R77d4fsrixs9Qhk0yw1CN/InmmdHQX3lMfNYOYt4Cbti1GLk2rbK/yTjF+uskvva0s2ppxbT6NL5tcy/Cz+aW6aXt9FFFSIKKKKACiiigAooooAK8A+I3/KU34N/9kq8ef+nfwZXv9fKPxc/aB8B6D/wVP+FQvvG/hGzOlfDTx1ZXon1i3jNncNq3hArDJucbJCIpSFbBPlvx8pwAfV1FAbcAQcg9DRQAUUUUAFFFFABRRRQAUUUUAeAfsb/8nFftY/8AZVbH/wBQfwpXv9eAfsb/APJxX7WP/ZVbH/1B/Cle/wBABRRRQAUUUUAeP/tWfti2X7J2r+A7O/8ABPj7xfJ8RNXk8P6WfDVpaXRj1H7NLcQW8qS3ETp5ywyhZgpgi8tmnkgjHmV4r8X/APguX8G/gb8INI8UeJINd0rVNRu9VsrrwtqWoaLpOt6TLpcwhv0lW9v4LeZ4pGjAitZ55ZhKrQpKm5l0P+CqWo+Ko/Ff7OsPgqDV49fs/iQupHVI/h/q/i/S9Gt10nUbRp72HT2iKRmS9gQF7iH75fLJFLiTwl/wTe8X/CDWtC8X+BfixY6V8SzNrEvizUtV8KG/0TxR/at2L24xp8V5A9s0M6Ri2YXLmOJSkv2gsXpU+Zrme15K/XRRcdNNLtqTuna3LqmzWtyx5FHVuKb+cpp666pRi4q1r35tGrA/4LHfD/VdH+JWtaD4G+MXijwr8KtMXVta1/TvC5FlNby6fHfWzWiTSxz3SzpJtV4omRNpklaK3aOd4dR/4LFeFNIi1ia7+FXxts7fQtCsfF95Nc6NY26w+HbpplTWHEl4rRxK0EitauFvzglLV1Vyt+6/YB+IM/h79obTW+K3hu5T44adDptpc3fgy4mutEVLBNOaW4Yakq3kj2yAkotuBKS+NmIhxHxW/wCCW/xZ+KmheO7CX41/D+wXx38MtL+Gs8sPw0u2ezis3nc3abtaILubu6wjAquYcl/Lfzaptc751paNvW03K+3VQW1uVu2uqhpOCV/e1/Oml36Oo/WKvppL1nxB/wAFIdC8M6n4itLzwH8Q428K/ETSvhzqUgXS2SCfU/sn2LURi+y1lJ9utfug3C+b80C7X28J+yH+3P4svPEV/wCAvF1trXxY8dL438SWd7eeF7HS9PtfC2j2uqPbW1zd2s14k8dsQHjiKC5mlNrMMyOpzB8ZP+CaPxL+I2u+ILzSPjH4R0GPxVr/AIZ8Z6rDL8P5r0XGu6KLAI6n+1EKWEw0+HdbD98p5F0RuVsn4Lf8Er/id8BvjZr/AI/8N/GL4f6P4i8daxql74xn0/4aXMA8R2t5Ms8MThtYcC4s3a4+z3LByqz7GR0DK8RbjLmetoyXk3ak4v0clU10ai7aXSCbUqUUtJNxb8tJ8yvrteNlqnJK90mz1Dwj/wAFJbXxZB4otT8G/jhp3ijw9p2k6vaeGLvRbIaxrtlqd1Na2lxDGl4yW6+ZBL5ovntXt1RmmWNVYjBT/grboN4/hm1sfhH8adU1jxUuuwW+mWlhpUlxa3+i3TW2o6fO39oCGKWMqXEzSfZXUqq3BkZYz414M/4IjeP/AAVD4ke1+Mnw4hvfGGi6LpXiOe3+FlxCfGT6dfSXMlxrR/tkyai1/HPPDfeY6tcq4BZU3xyb/wACP+CSXxT/AGevEXhuXw98YPhNYaF4RbxU+k6LZ/CO5s7S1OvTC4kQLHrYVYbeVEEUcaoBEGQksVkUqp8j9m9bO3qtvv3fmlpFXTv3Oddrr7mrv7paL+63rJ2kvqq3/a38H3X7INv8cFnvV8C3PhePxekssIhuBYvbC4UurkKjbCM72Cqc7mABYeaaJ+3GvxG+Lfwy8OTeG/jB8NPEXjaTWYtP07WNE0270e8+zWInWa7vLaa4hkiKsJIVsrwPIVcPhFbHTfAz9l7xl8EP2A9A+EFr490OfxV4X8MJ4b03xSvhUizVYYvJt5pdOlupfMxEqCRPtAEjByPLDBV8n+CX/BLjxF8B/FHw61Dw943+H2iWPgnxBrfiOfQdH8BXVloYn1Gx+x+TptqdVf8As62XLzvEGmDzSysvkqwQbVlT9vVUbun9nvu/RrT/ACVm7rnvP2ULfEnr6flv0+/azvfsxftgarqOmfs/eH/H3iPxnrHjrx3H4g+03mj+Gre30DWHsDcBvtTmNjbsEi3QwW0vmkr8/mICx9U/Zo/bVsf2j/Huu+F5/AXxG+Hev6LpNhr6WPi6xtbWe/069kuY7e6RILiZosvazK0NyIZ4yAHiU8Dyn4Xf8E6fiV4JsPgzb6n8YvDOpP8ACm91+7nurPwJLY3Oq/2nFcRr5ROpSJbNALmQhmSYOVjyq4bcz/gn/wD8EyfE37Ffxx1nxlqXjvwF4lk8S+GLHQddOk+AJdE1LxBeWk08qave3jalctc3032mX7RLKjNMwjYNHtKtNLWT9o7aP79Xsttortq9OsTam7b3VvT3U7v05n3ulrupfYNFFFSWFFFFABRRRQAV4B+xv/ycV+1j/wBlVsf/AFB/Cle/14B+xv8A8nFftY/9lVsf/UH8KUAe/wBFFFAHIfHD4V3vxi8CNo2neNfGHw/vluoLuHWvDUlql/A0UiybMXUFxA8b42ukkLqysRjuPmLWP+CKHgyWzmttE+KHxa8I2+oQ6X/acWj/ANgrFql3p2qz6tbXjJLpkiQOL65mlMNsIbU79vkBeK+zKKIvld13T+a6/gvmk90ht339Pxv+f5tbNnzHB/wTHsoPDuqQH4v/ABdl1y88dH4h6fr8h0N9Q0DU2ge2kFqp037N5LwSPGY5oZQFY7SpOarfAz/gljpfwC+KPhTxJpnxe+MGqW/g3Udc1Gw0fVZdFubNzrFx9pv45ZRpq3ciPP8AvAxuPMU8B9vy19S0UR92yj0tbtolFabfDFL0SFL3lZ+b+bcne/e8pP8A7efc+LvGH/BFPQPFP9oQ2/xw+Ouh6beweJbGOxsZvD7R2Vn4guRc6pbRyTaTJMwllAIlkkedMfLKK9c/Z3/YYj/Z7+NOoeOB8TviP4vvdT8LaZ4Tnsdcj0ZbM22nmQ2soFpp9vKJlae5JPmbGNy+UwsQj91op03yK0fT8/8A5KT9W3u2OcnP4vN/e1J/e4xfyXZHw/8ADz9jLxZ8a/22vjjq/wAQbT4reE/hnq3jPR/EWk6Ib7w4fD3jM6dYWFvFPP8AZzPqiYurBZhC0tvE8awiSMlpoq6vwz+wD4G+LHwz+IGkeDfiz8TrH4d+LNS8Qab/AGDptzp0mneGtSe7ubLWDZG5sZJwxuFv4zFPJNBG00rQxxkRMn1rXgH/AATT/wCTdfEf/ZVfiP8A+pxrtQ4RdJUmrpR5fVWS176RS+StaxbqS5/aJ2d015W2t979bu97lLxT/wAE8P8AhJvEPw51dPjJ8W9N1P4Z+GL3wvp89qmgkX0V3FHFNc3CSaY8bXGIYCDGqRqYRiPDSB/NLb/giL4a03wVpeg2Pxr+OVjZaZo2gaGzRyeHnku4dCvZLzSWkMmksA1vI4XEYRJVQGVJHLu32vRWvPLmcr6t83zTbT+Tk2uzd0ZrSKgtkkkvJW/yXrbU+VJv+CVNhf6R49tr340fGa/m8e+LdO8cyXMp0BX0jV7GS1eC4tkTS1iK7bK1QxXCTREQhtgkLSGlYf8ABI3TIvBWo+Fr741/GrW/CXiDU9T1LXtC1E+HprDX/wC0btby6inX+ygyBrgSOksDRTxee4jlQCMJ9cUVMJOFlHpovSyj+UYr0SWyQS1TT6u/zu3f1u27923u2fKfj7/gk7oXxR1i61bX/it8W9U163uobjw9q076K994TSLVYdVS2tpDpv8ApMC3NvBtj1AXYRYgE2EszZXgn/gkFb+AfHVn4hsf2gPjy15p0viC5tY5h4Zkhhn1yXztQmwdGy7POFlXeWEZUKoCFkb7BoqOVcns+munrv8A+BW179blczvf0/BNL7k2l2u7bs4D9lj9n20/ZS/Z68JfDfTtf8Q+JtL8F6dHpVhf639lN81rENsMchtoIIm8uMLGGEYYqgLFmLMe/oorWpUlOTnJ3b1ZCSSsgoooqBhRRRQB4B+xv/ycV+1j/wBlVsf/AFB/Cle/14B+xv8A8nFftY/9lVsf/UH8KV7/AEAFFFFABXwH+1/+3r8df2XPFXx78RRax8GdW8DfA620TXP7DvPDN/Yarr1lqEsoNjHqJ1R4Y7wJEUif7G6zSyRr5SZr78r5K8K/sIXPjf8A4KMeO/ix8T/hP8DvEGkXNtpaeDtcnuTrPiPQ5tOeUxSpFcaZGtq0vneYTDdMY3gQDzN29CP8SNv6S1ej0b6JPzsNuyu1dX27/PdLzW2h6/qH7avw90X4taJ4F1HUtVsfE2vSRWtukmh3x0+K8ltzcx2E2oLCbKG9aEb1tpJ1mZWQhCHQtxn7G/7Tnxa+NvxZ+JeifEP4WaX4J0nwxqiWuk3Vh4hi1Ke3VrKyuhaaggChbopeI4e1M0GVmjLjyo5bngNK/wCCb0uiftyeJvHt18PPgJ4v03xP4ktvFdr421vR4n8b+FZYoYUext91lILiMtbqYrg3cD24ncCOTy03e6fs+eHtQ0X4t/G+5vLG8tLfVvGVtdWMs0LRpeQjQNIiMkRIw6CSKRNy5G6N16qQLotP3pLVwbt0TvTVu903JX62uvdesyTV6d9Faz6u19e1pKztq1e17rStqP7dnwt0f9oH/hWF14ju7fxYLo2DeZot+ulpdiyN+bNtS8n7Ct0LQef9nM4l8vDbMEVzcn/BUD4NxeHbjUjq3jIrFfwabDZjwD4gbUdSlmgmuIns7MWX2m8haC2nlE9vHJF5cLvv2gmvGfj/APsaftC/E39tfw/4/huPAPiDw54K8ZprPh+LVPHutadBb6Q2kT2MllJo0FjJYvcpcXVxcC8kkknlVvJ3wx4VOZ8H/sA/tF+A/hu2h6BP4N8LeFNT1e2m1P4eaP8AFnxFb6VbWyWdwsp0nWU05dR0mB7t7SUadbIIkW0ZFnWOeSI4Xk6DmvistPN2/JOz7S1u46mtRRjUSWsbO/yvovuTW10+V8stD3fxH/wWD/Zw8MyiKT4mWeoTr4bs/GM0GlaTqGqTWej3Sl4r+eO2gkaCBUAeR5QogR42l8tZELeo/Aj9rDwF+0tf65a+DNauNUm8PGBroTaXd2IlhnDm3u7c3EUYurSYRyGK6gMkEoRikjYNfB/w+/4Ju/tLeGP2dPEfgO70T4HNJe/AyL4P2V7F8QNWkEkyNcL9vlVtEBRTHdyN5YZzuhVd5EhdPpz9lH4G/F3wP+1f408ZeOdG+HGmeHfE3gzw7oVumheJ73VL2G8037UZCyzadbIYXN7IFYPuAgUlf3pWLq5YPms+sreilNL5uCi7d5W0tYyq3jbl12T9eWF7eXNKduyhu73NOb9sl/hv8UPjInxPg0PRvCXw4vdEj8P3GkW97q2pX41GMxRq0EcRlku5LhvKjgtonYh1UNIWOK97/wAFbP2frFfDcLePJpdX8XW2o3Ok6DB4e1SfX7oWFwbe8j/sxLY3qTRSrIpheFZT5MxCkRSFeM+Mf7PH7RWt/Ev416p4Pk+G+kab44n8Ox6PIvizUrDUr6wsn2ahazzxae7adJcW8kqR3NqZpYTgoVcrLH5j+y5+wt+0b+zz8QPB93J4a+D2oaR4MvfGt/btP8Utcv7+8Ou3Qu4YpZrnRnldoXRInnklkkkDNKRuGxuTmnyOSWqTt3dlpftdvy2krJcrerUVbvfXyWu3pZL/ALeTu2pJes/Gf/gq34Q1n9lj4k+Lfgjqui+NvFXhPwLd+N9HTWbPU9N0TV7O3jDzTwXZtgl4ICwWWK3csk22CZ7Z2LJ1PhD/AIKo/BrxB4fgnn8S6ql2l3o+nXSL4U1hUWXVXMVhcpm2+bT7iZWjiv1LWjttUTksufnDwH/wTP8Ajvf/AAs8G+AvE0Xwk0fQ9J+BevfCPUtV0zxPqGpXa3N+sCw3sNtJptujxqLSItG0yN+/fB/dAy+gfEX9gz4q/Hnwlr3ibxLb/Drw/wDEW20jw5o3h7RtN1681DSHTR9Zh1ffd6g9hDMDczRJFtS0YQKhYGUyEL1tU4zSbvG+r6qKnUV13bioO26cr6pcpFTpGOrTavte8aW/azdS3+G28kz1/wAXf8FPPgv4Cvrq21rxHr2mS2XiqXwRMLjwhrMaprKW8dytluNpgvNDLE1uQdt0ZFWBpWOKf4k/4KafBfwv8JNA8bT+JtYu9F8TfbzYwad4V1fUdV22Dsl+0unW9q95Alq6FJ2mhRYHKrIUZlB+eov2Of2mp/jdJ4nu9A+BTWmpfFyw+Jt3HF431VZLaCLQI9JksEB0ciR0MYkWclBKAQYod3y+I/HTwz41/ZWtPBOgeOfGnwS+D3jS71HxzrEWtS/FQ+HrXUNJ1nVob2TTotS1Pw9c28zh5ystuloZlFrbTpcQbzE/LeXs0rpTdrX2v7OMnte/vua0vaMb2lu9nGHtFa7j172vU+WiUN93O3u7L9SPg38XdD+Pnwt0Lxn4Zm1C48PeJLRb7Tpr3TLrTZp4H+5IYLmOOZFYfMu9F3KVYZUgnpa8s/Yh1c6z+yP8PXHgqf4dQ22jQWVv4cluZbo6XBAPJhRZZo4pZEMcaMjSxxyFGUuiNuUep1011GNSUYXsm7X3t0vbS/ocdCcpUoyna7Svba9ul9beoUUUVkahRRRQB8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/ANOlpRQB9N0UUUAFFFFAHmGr/se+Bdc/ac074w3EPij/AIT7SrBtLtrqLxbq0Nilq2N8BsEuRZtGzKrsrQkM6I5y6Kw5fxB/wTT+DniSfxoZfD2uWlt8QftLa1Yad4s1jT9PkkuQBdTwWtvdJBa3E6grNPbpHLMsswd2Esgb3eipcY8vLbSzVvKTvJejer7vVlcz5ua+t0/nH4X6rp26Hzov7I2p6r8avAFhdaTo9n8KfhFYXdv4flm8V3+ua1rv2rTzYyQXsV3b5jjjjlmxIb24eTbHkJkgZ2if8Ed/2ftC0fUdOXwr4nvrHVNCt/DU0GpePPEGoxx2FtN51pFELi9cQtbS5e3ki2yW7EmJo8nP05RVuTbc3rJ7vq99/vf3vuyIpRXLHRaWXRWtt9yfqvJW+c9E/wCCU/wZ0G4mmjtPiPcz3PiSx8Xzy33xP8UXslxqtkgjtruRptQcu6IsakMSriGEMGEUe31L46fs3eE/2kLTw7B4tt9ZuovCmtW3iHTVsNdv9K8q+t23Qyv9kmi84I3zCOXcmQCVJArhf2jv26IP2dvjZ4d8AL8Mvij451/xdot7rWi/8IzaafPBf/YpIVurcvPeQ+RLGk8Um+4EUDh1jSV5mWE+T/E3/gvB+z/8LIvh/Pf65M9t490zT9Zy9/pdjdaHaXs5t4ZLizu7uG7mIlSZZI7KG5kh8hzIqAoXIty5bd1b/EtE12a9nZPpyrXRDqRteUlvF3849fVe9a3Vtre532j/APBKH4K+H9U0u9srD4h29zoviS78X2TJ8TfE4EGrXYYXN3j+0MF5Q8oYEFSJ5hjEsm634f8A+CW3wV8MfCE+BrXQvFJ0GPXm8UWjz+ONeudS0nVGkeSS8sr+S8a7sppHklZ2tpozIZpt+7zH3cVP/wAFgfC5+GPirxza/Cf453ngrwX4ibwxqurnw9a2jR3a6gti3lWVxdRX067nif8Ac2zsVlCBTMskKdfpP/BRCHxL4M1u80f4P/GXWfE/h3xS3hLUfCdrp2nHVLK4FimoCeWZr1bCK3a1licSSXSktKkWPOYRVEZR9mmvhSUvSPu8rt0SvBp7LRrYufM5vm1abXz95y17/Ff1d99U8bf8Epvgj8RLjUpdX0Pxfctq+j2ug3ap4+8QQJPa21yl1ECsd6qiUXKec04HnPK8rs7NLIWv2f8AwTR+E1ndavM1t8QL19ctJbW6+3fEbxHeKGltBZyXUay3zCG8a2BiN5EFuSryZl/ePu8L+LX7avj/APa3+Knwh8KfBW5+JXw+0D4j+Bbnx7b+MrPRPD2pJGu6ySGO7s7+5MzWsJunFxFbxpcPI9v5EuxZWr0qz/4Kq+HLLRPEj+Ivhz8UvB2t6DZ6Nf2mi+IbXS9Nvdeg1a7ls7B4d9/5NsZLiF4zHfy2skbYV1UnFW6bUWmt3KNur95xkrdeaSlpvJqTs7Mnmaen2eVt7KPurlb7Wjy69E4ptXSOt/aU/ZYvrz/gnT4w+Cvwps9Mjl1HwbceDdBh8R69ei2soJrY2gaW8aO7uX8qJyygq7OY1QsgO9ec+Fn/AATH+HjfAJNB8aeGtTbxHrY0q81y+j+IniDWtSgvNOfzLQWmt3EsWoxxW8pd4ljMCoZZSI18x913xT/wUct/AS+F5/EHwd+NmhaZrs2m2up6lfaRYRWnhW4v9RbTraC7Y3mZna4C7vsIugkcsUjFUkQtU+EH/BULw58Wfi1o/hCX4efFTwtcaz4m1XwYmo61p9iunxazp8NxPNZmSC7lMhaC2mkWaFZIPlMbSpKDEHFynOb3lJ3b6+409/KU4u/VuLW6E/dpxja0Y3t0XvRT/wDSYX8kneyLFt/wSU+BlholpZWuh+NLKSw1S/1i11G1+IfiO31a1uL8f6cI79L4XSRXLfPLCsoilk/eMjP81Zjf8EZf2fP+Ec0/SI/Dvja20/TLCw02GG2+JHiaANBYXD3NgJCmoAytayuTA8hZ4VCJGyIiqPQP2vv2ybb9j3wydZvvh/8AEjxppVnpl9rer3nhqwtZLbQLCzWNp7i5luri3jyFkysMTSTyBJCkTCNiPP8Awp/wUV1/XPit8Z9HPwV+I2p6R8NL3SrHRrjQ/wCzr+58UPfRWzx7Ivtatb7hcrJunEcMUEbSTTRNuiSYzd/d6a/OOit5q7Ubat3UdU0qknpfr/nd/jZy7XTdrpv2L45fsu+Ev2itJ0Kz8SnxXGfDVybvTrrRPFmraBfW8jQtCx+1WFzBO4aN2VldyrZyQTg15pe/8EnvgZceNLXX7Xw54n0S9sdTg1q0h0Pxxr2j2Flew2i2SXMNpa3sdvFKbVRCzJGpkTKvuBOc2w/4KmeHNe0bwwdI+HXxP1rxJ4gutYtbrwvaxaUNZ0T+yb4WOoPLFJfqlyIZ2UEWMl05VgwUqc19P01de+uvXva2qfVXW60ut7rSb2/d7W0t23Vmuj3unrZ6rU+fNN/4Jb/BbSPhl4Y8H22g+KItC8HXN7c6VGPG+u/aIRetuu4HuPtnnzWs55ktpXeB/wCKM1Z+Bn/BM/4P/s467BqHhTR/FcD23h0eEorbUfHGu6vYx6SCxSyFrd3ksAiTcwRdn7sMQm0EiveqKlxTvdb7+ejjr/262vRtbMadkkun+d/zSfrrufJ91/wRJ/Z3vdOis5NC+IxtYbKx01Yl+K3ixU+y2MxnsYCBqXMVtMTJCh+WFuUCmvaPgV+yZ4K/Zv8AFPjHWvCsXiaPUvH98mp67JqnirVdaW8uUjESyql7czJC3lqkZMQTKRRKcrGgX0iir55K9nvv53s397SfyQnro/6tt9xS8SeJNO8G+Hb/AFjWL+y0rSdKtpLy9vbydYLazgjUvJLJIxCoiqCzMxAABJIArw3/AIexfss/9HLfAD/w4ekf/JFH/BWL/lFl+0t/2SrxR/6aLqvf6kDwD/h7F+yz/wBHLfAD/wAOHpH/AMkUf8PYv2Wf+jlvgB/4cPSP/kivf6KAPAP+HsX7LP8A0ct8AP8Aw4ekf/JFH/D2L9ln/o5b4Af+HD0j/wCSK9/ooA8A/wCHsX7LP/Ry3wA/8OHpH/yRR/w9i/ZZ/wCjlvgB/wCHD0j/AOSK9/ooA8A/4exfss/9HLfAD/w4ekf/ACRX5Q/tnfsi/sjftK/8F0/hx8dk/aI/ZzPwyvrf+3vHVk3xD0YLc6tpxiW1TZ9o+ZLvdAXABBFpcFjmVc/u7RQB4B/w9i/ZZ/6OW+AH/hw9I/8Akij/AIexfss/9HLfAD/w4ekf/JFe/wBFAHgH/D2L9ln/AKOW+AH/AIcPSP8A5Io/4exfss/9HLfAD/w4ekf/ACRXv9FAHgH/AA9i/ZZ/6OW+AH/hw9I/+SKP+HsX7LP/AEct8AP/AA4ekf8AyRXv9FAHgH/D2L9ln/o5b4Af+HD0j/5Ip9v/AMFWv2Xby4jhi/aT+AcssrBERPiDpDM7E4AAFxySe1e+V4B/wVi/5RZftLf9kq8Uf+mi6oA9/ooooA8A/Y3/AOTiv2sf+yq2P/qD+FK9/rwD9jf/AJOK/ax/7KrY/wDqD+FK9/oAKKKKACiiigAooooAKKKKACiiuD/agsPHupfs8eMovhdqOn6X8RhpU8nhye/t1uLU3yLuijlVuPLkZQjH+EOWHIFAHBf8E4dRuNU/Z78RS3M81zInxR+IcIeVy7BE8a62iLk/wqiqoHQBQBwK95r8lP8Ag1q/aM/aP/aj8F/FTWfirJpmm+ANC8TatDY6emirZ3dzr9/qdxqmqOzn5hHBNdugTGAZ9ucxGv1roAKKKKACiiigAooooAKKKKACiiigArwD9jf/AJOK/ax/7KrY/wDqD+FK9/rwD9jf/k4r9rH/ALKrY/8AqD+FKAPf6KKKACivj/8A4Kb/AB6+I/7J/j34b/Ebwv4o1BvAegzy3Xj/AMKNp9nPaahokbxR3V7HL9na7juLaO5+0/JOI2SzKlMsSYf20/2mfGcH7aP7P3gPwX40uvB/g3xBr8yeL9TsLWwuJr+P+xtR1K3tEe7gnSJNunhpWRVk8u4j2uhO4JSTV27a2d+lle78rbPrZpaqw5JpN72i5ett0lu2tL9FdNu2q+xqK+GNA/4OCvgh4ys/E1z4fsPFfiuHwwtheyjw9d6JrM91pt5eCzj1CO3tNQknVUmeAPayxx36/aIsWpJYL6JB/wAFTtFfxBoelTfCn4vWl/qXj6P4c6nHPa6Si+GNSltre6t5L5/7Q2CCe3uo5I3haVif3TKszJE1xi5SUUtXb8Wo/wDpUlH/ABe7umhSaim30vf5Jyf/AJKub0s9mr/UdFfIX7R//BZ/4afsoeH7i98c6H4j0K5XWNW06ysL3WfDtjcaxbaY6RXeo2puNUjjmhErrGsAf7Y7bgtsQjEXtF/4K+eBvEHjeTTLXwR8UJtHh13RNEk8Spp9lJoqrrS250m8Eq3Zd4Lk3MICJG1xDvDTQwoQ5mm+e3JreyXq9EvVvT1TW8ZWdT3G1LS1/wDyXf7v1X8yv7n+1B8BrL9qH9njxl8PdQv9Q0m38XaVPpw1CwmaG606R1/d3ETKQRJFIEkXnBKAHjIr82/+DYb/AIJh/E/9jLw78U/Gfxlv/ET+K9S1++8M6Rp19fzzW8NpbXbm7v41c4P2y7DOJMZdIQ4JEpJ+p/gN/wAFRNU+IXjG10jxd8GPH/hFdf8AiLrHw+0bUBe6NeWX2ixiupVFwYr9p1kkjs5ydkLRq4Cb2XEr8d4j/wCCl3inW/jd8I/Enh3w549uPBHiew8ZaVqPw8t9A06bxFPrOi3sVtJJLei9eziijMVxt/0iKJs/NLI8kUSw6kVTjVb92STv5OPMvPZr0ur2TuW6clJwtqm1805Rf4wlrtaLsfdVFeAfH/8AaL1P4h/8EyvFPxa+EmvJ4fv9V+H83i3w3qmp6QLtrRGsTdRO9q7qpl2cAOWVXwWWRQUbH+HX/BQWbxL4G1O6034afE74gp4YtdPsp9b8NQ6TeWXiDV5hbRzWNqFvVkSWCadlne4igt7cwT+ZKgTnRpqpUpNWlC1168yVvO8WrbttJXbM/sQmtp3t8uX/AOST9E27JH0vRXyroX/BWfwv4s8T+CvDekfDL4zan4w8bSa3bRaJDodqraVc6Re/Y762ur17pdPSSNxI/wAl06FIx82+WBJatt/wU48PeDoby4Xwx8cfGkOqfE2/+H0Ct4esLe403U47dJorWO2L21x9jlG7yp5Y3YZaSeSOHbIFe7SWt9ra396MNLb3lJJPZvZhLRe9pZ2d9LWjKTvfayjK99Vb1PrSivl7xN/wVP0HQP2e7T4k23wt+MetaJDBrdz4hhsdLsPN8Hx6Ncta6ib6SW8S3LxypIFjtpp5JlikeJJERmH03pmow6xptveW7+Zb3UazRPgruVgCDg8jIPeqaer7f1929ns7NdGDdrJ6b/ho16rS63V1fdE1FFFSAUUUUAFFFFAHgH7G/wDycV+1j/2VWx/9QfwpXv8AXgH7G/8AycV+1j/2VWx/9QfwpXv9ABRRRQAUUUUAFFFFABRRRQAUUUUAebfHT43Xvwp+KHwZ0G1s7W6g+JvjG48NXkkpYPZxR+H9Z1USR4OC5k02NPmyNsj98GvSa/KL/guR/wAForX/AIJ9ftwfAXwzr/wo8W69D4V15vG+nahp93D5XiCKfQ9Z0ZrWFSMrPHcaijMpz8qA/wDLRa/UfwDruoeKPAui6nqukzaBqmo2MFzd6XLMs0mnTPGrPAzr8rMjEqWHBK5HFAGtRRRQAUUUUAFFFFABRRRQAUUUUAfMn/BY3/lHD8Rv+4Z/6dLSij/gsb/yjh+I3/cM/wDTpaUUAfTdFFFABRRRQAUUUUAFFFFAHzv+1f8As1fFP4oftK/DXx18M/GPgXwdJ4Q0HxBo9/c+IvD91rrP/aD6a0fkW0N1aDI+xOTI8+F+UeXJuJTmfhV/wTZ1z9mbV9Gj+FfxSuPD2gT+G9P8NeKbLV9CXU7jVlszJs1Cymint1sL9xPOHcxTwktGRApj+b6uooj7qSXTX73J/d7z022drpMc5OSs+1vxT+/TfdbLRs+Otb/4Jx/E3Wv2W/HHw9/4W74Jg1Pxj8QP+E4XV0+H1y0Nmh1KPUnszbtq5aTdPEi+b5qkRll2FyJFxPH/APwSw+JHxL13xtca18WPhrrGkeN/G8fjHUPDep/DC4vdB1JF0lNM+x39o+sYvERbezuYizKsdzAZDHJ+6WH7goqFTiociWnKo/8Abq5Ul/5JH7td3enUldu+7bfrJtt/Pmfpey6HxX+zT/wTL+KX7PXiX4UP/wALo8GXuifC7wDd/DyO2svh1PZXt7ZzyW7rcLO2rSpFcRmztsHyWjOJcx/Onl8d8Jf+CNnxB+EFx4subP4ofBfUbvx34a0zw74n/tH4MPdweMDaXM0st5q6SayzX9zeR3M6XUsjCSRjG4ZNpVv0ForaVSTbk9b3/Fyk/k3KTa2d/QlvRrva/wAkkvmlFWe6tofnd40/4Ia+IdZ0PwlpumfFPwR9i8FRaRN4fh8QfDy41xPB95Y6q+pN/YhfVkfTrOfMVs8O6WY21rBEblhGuO/+G3/BNr4t+EPGPgfVtV+M3w+1f/hFPibq/wASLqOD4a3do1++pQXME9mjHWnEKpHfXQjkIkIPkFg/luJfVv2F7iS58R/HoySPIU+Keoou5idqix08AD2HpXvlEZuMnNbtt/e4t/e4x020Qpax5Htt/wCSuP8A6TKS+be+p8of8FMf+CbWr/8ABQuwtdMXxr4Y0nw9/YGp6Nc6P4l8HHxNZRXN2IxFq9pH9stkt9StlSRYrh1lKLPIECF2LYfjD/gmr8SvE+jeOLOL4weELWL4gL4fudXt28BXMlpf3OmxWlvPbzx/2sDLpd5b2zxS2RYOVmZWuHTdG/2XRWailHlW17/O7f5vbbbsrXKcm1JvVJpeSdr2+5ef3u/5/aH/AMEXPE9n8FNM+G178QPhFN4G03xLqXiSzsrL4Syafc+HJ7u+F5HPos8erZ0y7tWe4jgmQPGsciK0L7G8z9AI08uNVyzbRjJ5JpaK0c24qL6f8Bb7vRJa9FYzaXM59X+ru/x19W2FFFFQMKKKKAPAP+CsX/KLL9pb/slXij/00XVe/wBeAf8ABWL/AJRZftLf9kq8Uf8Apouq9/oAK85/a+8CaJ8S/wBlr4haL4j0bSvEGj3nh+8M9hqVpHd20xSFpELRyAq211VhkcMoI5Ar0aue+LHwu0n41/DrV/CmvnVf7G1yA214NN1a70q5eMkEqtzayRTx5xg7HXKkqcgkHmxtGVbDzpR3kmvvRvhaqp1oVJbJp/cz8Wv+CL37HfxB1jRv2T/jH8LfhfD8K9D8F/DzWV8b+IpLjTbYfFqW4UiytzBYzy3FwEnRZDLfRwsuz5QWVAWfs6fB3wn+03/wQB+Lf7TvxGEWq/tIzr4i8UT+Pp5fJ8SeFNX025l+wW1je586xihFvbhLeF0QLIV24bFfsD+yn+yV4E/Ym+D1n4A+G2manonhHTpXls9Ou9cv9WSy3kFkhe8mmeKPOW8tGCBmYhQWYnz3xt/wSe+AXxD8Vazqeq+Bp5LXxLrEfiDW9At/EOqWnhnXdQRo3F3e6NFcrp11KzRRs7TW7mRkBfcea7cVL2kpqDaUk1GX2oNzc21rbd7Jx1jGzV5X58IvZRpuoruLi2uklGPLZ9dd7vmerTulG35p+BtBsv2mv+CoP/BN3x98SfBnhi/8cfED4WX3iDxLc3mi25m1a/t9OSS1vJsp80sbKkkbHmI42bcCv0p/b7+NOi6p+zd428IWGseM7e/1+7Pga+vfCPhzUNd1bQnurRZp54rezgmmd4rObeHjjdUd49xXDYu/HD/gmF8Hv2ifjzpfxO8Uab42bx3oVq1lpWq6T8QfEOiyaRC6eXJHapZX0MduJFGH8pV8zktuJJqx8H/+Ca3wk+A3j7SvFHhfT/GllrmkXF/eR3Fx4+1++W8nvmRruW7jnvXS8eUxxFmuVkOYYuR5abYxHLXp+xmuWLdRtL+/UcrdNOV8ras1ZNbE0FOjNVYu8koJPzhBRv1+0rq/S9zwb/g3P/aa1D46f8E49K8IeJFvYPG3wM1O4+HWuQXttNa3StY7RbvJBOiTRE27RKVkVWDRuCAQQPJP+Chn7GniX9nL9pfxj+17+z14ftZfHHgC+WHx/wCDLG28u3+JXh+eztpr1HijG2S8jLyTK5UvIeTvaOND9v8AwC/4J3fCf9mL48+Nfib4L0XxBp3jb4ind4lv7rxbrGpJrDB9yPLBdXUkJaPlY2CAxozIhVGZT2fw7/Zy8M/C34l+LPF2kv4obWvG0qTat/aHijVNSs3ZMhfJtbm4kt7YAHaBBHGNoC4wAAYic6s4172qWTb3Tnb3tNLwm78y00bVi6UYU1KkleF9Ft7t7x11alDTleruk73PjPwB4q+Ftv8A8EgbaX4TeHtc+HfhD4/XOpLp58BeCLi71XS7fUri5L3i2GmwSy+dDZrtVkjdY2jhXIRQR8w/CL4wWn7V3/Brl8avBvxA0S31Lxn+zv4f1rwbf2+t6Wy3Nje6Xbt9iuxBdRrLbzrA8QBdVkR43HysCB+qGj/sWfDrw18Q/CPifSdJ1bRL/wAC2t3ZaJa6X4h1Kw0qzgupTNcRHT4Z1s5UeQhsSQsB5cWMCKML5VrH/BFf9nfXda+JOoXPhnxqbr4wDb41aP4keJol8SruJCXKJqAV0AZkVSNqozIAEYqcsTB1Y14bKorLW/K4v93r15U59rOXWya0oS9m6Mm7um03pbmuvf06czUH1+Hpd38v/wCCJf7JWg+Af2e/AHxE1X4H/Bz4a+IY/A2lRaV4k8IFGvvEFlc2NvLcz6jKttasZnkijdo5EkCNkrNJuYjxH9mT9sW98C/8F87i41Kf4iL4P/au8Mta6dD4o8K6poNto+p6M0zWttZteW0UdxE9iQ7PbtIpmu2+Yhkz+iOkfsVfD7Qv2VX+CltaeJl+HT6e2k/YW8W6vJeJZk/8ey37XJvEiC/IEWYKI/3YAT5a5X49/wDBMH4N/tP6d8Prbx1pPjDXh8LHjn8MTN481+3udNuI9vl3RmivUkmul2jFxKzzDn5+TntrVlPG/WPsXenXlkpKWm11dSilZcy3S0OSjR5MH7Bv3rLXzi4uPm02rSv001buvhC88Lav+xh+3JJ4h+LPwvsPHPgH4o/FW2v/AA78ffA2qBdd02a61JfsWga7ECZp9Oimiht9m42sax221DOsflfrfXhmjf8ABNv4OaB490rxDaeGtVjm0XVn1+00w+JtVfQk1NnkkbUG0prk2L3ZkleT7Q8DS+YQ+7eqsPc656T5cPCi946fJRil81Z3dldWvd3b3qNyrSq/zav1bk3by1Vld2d7WVkFeAf8FYv+UWX7S3/ZKvFH/pouq9/rwD/grF/yiy/aW/7JV4o/9NF1SA9/ooooA8A/Y3/5OK/ax/7KrY/+oP4Ur3+vAP2N/wDk4r9rH/sqtj/6g/hSvf6ACqmv6bNrOhXtnb6heaTcXUDwxX1qsTT2bMpAljEqPGXUncA6OuQMqwyDbqpr8N/c6Fex6Xc2lnqckDraXF1bNcwQTFTseSJZI2kQNglBIhYAgMuciZ/CyovVH56/sA/tF+PPite6dcan8ZP2ivHPivQx4h1LUfDN/wDDzQ9K8PeI7bTr+WyS1tNQk0mwjmuH8y2YPb3zRrIriUxqcV7Vcf8ABWnwqPh9ofia1+HXxQ1DTfEnwyufipp/kx6Qsk+nWr2q3Vttk1Bdt3Cl3DIytiJlLBJXcbK9H/YY/Zw8U/sr/AKPwT4r8XaB41mtdSvry1v9K8OzaGiRXVxJdPE8Ul5dl2WaabDh1Gwou3Kl3+Zr7/gkB8U4fBWk+HdL+PHg+y0jw78Pdd+F2kxT/DWa4e10XUvsuJXcaupkvovskQ844hdQP9HQ7mZVZTUHGOr5W0+nNyTsu/xezVtVpJ3V9bwyptp1rpXS87XV/K9ubWybutNFb1/Rf+CrHgnUvCXizU73wf8AE3Q7nw5ZaFqFjpWpaRBDqPiaHW53tdK+xxCc7HuLmNoRHdm3eJhmVYk+es/Sf+Crunajo+rCf4N/F/TfE2m+Lm8EW/hi9n8ORapq2ppZG+litm/tY2zbLYLIA06tKHXyVl+bHkP7TH7FPxL+GXgHxp4h1rxrpPjKx8WeGPCfgi8tfDPwo1S9u9Ji0u/Mo1L7PbavLezL/pV3uSyVbqMvbyRTQtA85r/Bb9j34h/tLfsv+JPh/eN8OE+H95rYvReePPhH4gll8dLLbsLl77Ttb1o6xHdQXKwmG+mu1kbyECR+WkTtrW5XKo6GqTsu/wAUd9OsXK72bdo2cGnjC6VP2nXf/wAF3aXpU0XXlV3dSTPqv9m79pzTfjv8bPiRolmvxIsL3wpbaLNeaT4m0OHTLXTTeWskyrafu1nlJ2sJmkeSMSR7YmwHFeYfGH/gp/4dsvhZ8Q9YTw38adG8MeEbmTT08ZeG9I0rVoru5g1FLK4igXzbn7O8Uu4SDUbe32xh3HQNXefso/sc6/8As1/F3xfr1947h8W6P4g0HQNBsre50iWPVLZdKtpIRPdXr3UgupZjK7sRDFg468k+M/FL/gkv4u+KN38XNVl+JPw+0jxR8UNMbRJdX0z4cTWb3ln9uS4jfVootVWPUry3gjW3guVFu0aPLuWUMFRz5fbq3wWfrfp6fe7X1vazyj7T6u0/jurdvP8Aqyu1py3uui+NP7XGvfs/6t+0ZfeOPFHiqbwr4Rm8PvoA8FeF7efVNCgvE2upE6zxS5kQtJcXAWJEY4WPAJ9W8S/ttWHg/wDaX0b4c6p4C+JFjaeINX/4R7TvF9xp9tF4fvdS/s6TUfs0Ra4F3IPIikHnpbG38xHj83erAeX/ABy/4J7fE341W/x1t3+Lng2xtfjLp+k6fbxHwBcTf2ALIbXbI1VTcGVWk6+XsJU/MFKtkeN/+CW3jLxn+2toXxln+JXgO81Lw74rg8RWEmp/DuW91qxtBprWFxo0Go/2mhh05zLPcRwpEAk8pkfz23F5opOcVN2j1flovVu13fule+qlo2+Wb62dv8WrXkk3ZW7XtbRx9F+JH7Qz/svftX/DT4VeGfhTcy+F/iQuueItY8QadcadaWulzJNHPczyQy3EUjlpbpp55ArNhhsWZmfyvIdH/wCDhv4A+IbDxJcaYvi/xANA/s6eGLw3DY+JLjVbO9vVs47xItNurmS2RJHjaSK+W2uFEsa+SZHWM+8/Hv8AZxl/aT+KngLxh4f8YaFa2XhBda0HWLWbTH1SPVrO8MVtfW0csV1CbW5ja1ZBIwlEb7w0RIwPKvE//BOn4u+IP2XYfhW3x30G70rQH0218PXupeA5ri5jsLG8huYV1Dy9TiW9ux9lto/tEYtk2eeTCzyq8edJy1U+j+bTbb12VlyqOmvvX15WaTtpy/Pyt+d9b6q3u2+0jofj7/wVN039njQby51T4QfGHVNT8P8Ah6LxT4p0nTI9EkuvCGnzXM1vby3jyaklu5ma3nYJayzsiQu0gjGM9H4l/wCCgEfg/wCLWjeEtT+Enxdsn8QXH9l6bqs1npkem32rf2VJqf8AZkUjXweSXyYpI/tCIbLzkdPtOVYj5q/4KQ+AfFHjj9q2CW3sdZn1PTfC2n2mnWbfCrxV4h0DxpdfaLmY29xc6NqlpZJa+cIUa31x5YYsmQLHG8ks3T+MP+CXnxU+Kn7Q/h740XHxE+GOjePtK1e28SWI1r4dzeIb7w4zaO1jcaJFqKarbO2lLLNPcJDEkP75zI5kZmLVBuUW+zd30+Jpct9/d1a+y1HmdmoyU/dk/wDDdL+9ypvm7Jy0XeLaWsedehfCb/gsD8OviV4ZbXtU8L/ErwH4efwTqPj231PxJpEEUN5p2nSRR6gI0t55pTJA88Q5jCTBw0Dzp81O0n/gq7pCv42h8SfCD4yeCb7wTZ6PO1lq8OiyXOsT6vcC20uztEtNSnLTXMxKAyeXFGysJZItpx5Bq3/BOj4rfs3fA3Rb9/iL4d+IcPww+FviLwOmk6X8LpZNS12LUTFIbgRSarNFJJG1rasYBBL5ypcIsbNNGqeW+F/hz420D9mv4keHbDR9d8R+BvEC6NBd+LZfhH45t/EVjcRX8A8ptN1nVrnXb+zgtQWR9OeA2rybrd1cSywPmV1Hq/u1nNatr3fc5LSd1zaNN6FTilyuO19e9rQ2S+J35uZJXtqrWPrf4af8FTLHx98R9N8M6h8G/jD4Pu9Q8Z3HgF59ZOgNDZavFpz6l5MotdUnk2PbIWSVEdGJX5gCDXsn7Lv7Rlh+1R8IovF2n6H4g8NodT1LR7jTNaFsL6yurC+nsbhH+zTTwnE1vJho5XBXBzzgfH/7MP7LXxH+KvwktY9O1XRPC0vgDxxb+MfBvi3Xfh94is7nxJdNZXVpftqul6zq76vMwS5eJLi4vI3cLGUTyoo2k+nv2Hf2Z/EP7J3wi1Twr4g8ZWPjl7rxLq+v22oQ6GdJmRNRvpr6SKZBPKkjrPcTYkjESlCg8sFSza2Si1LRq3z92N2lra8nLR7JL1llJ6Jx76+S5qnpqkqe3Vv5eyUUUVkUFFFFABXgH7G//JxX7WP/AGVWx/8AUH8KV7/XgH7G/wDycV+1j/2VWx/9QfwpQB7/AEUUUAeSfGv4CeKvix8Z/C2qw+JPCFv4G0ywvdO1vw/qPhi4vrzWYrtRHMsd4l9FHADGqKA1tL/ETncAvz2P+CQ2veGvCfwZ8O+H/itZTaN8KtXvtSvJPEvhifVtS8Qx3GnXGkR27XMWoWwiWDS5xbo5jkYtbwyMWw6P9v0VKhFJq3xb+a7PulfRPRdEU5N/j8rqzt2bW7Wr0vsj418X/wDBOT4veJv2Wrf4Vf8AC/NEm0vw/Lplv4evr/wFJc3SWFhewXUUeo7NTjW8usWttF9oiFsuzzz5JeVXjofFH9lTX/BPw/8AjlofjPxBN481D9onX49R8OQ+DvAmp6fL4Z1iKxtre0nlvluL6K2SFrCxnS6nECRzRO2W3JGn2zRVttuUm9Zbvq03FvXdNuKd901fvdRfIkoK1tUraJrbTay7bW0PnPxR+xB4j8Ma78PPEHwu+IsXhHxL4I0CXwteya/oj+INP8RWErRyyPcQLdW0ovBcRLMtwJ+skwdJQ/y+Z/EH/gmP8VvFWteO57L43eD0t/F/jHwz4ttzqvw8ub66s20I2pt4ZZY9XhWcytZW7SyBI8lp9qoHQRfbFFNSamqi3i7rsnzc+i2Xva9r37sSVlZdrebSXLq93ppd62S7HyXqX/BO7xxbC8m0T4m+FLK+0v4m3HxM8KS3vgq4u00u5u472O7tb1E1OL7ZGyXsojaM2zR4UnzDXnX7Ov7A/wARIrvRvEPhX9oD4eeJdN8Ha149srea7+GV2Z5L3U9VnGoR3Dx6xEjta6hBLH+7ijVljZcDIkH3zXgH/BNP/k3XxH/2VX4j/wDqca7WPso+z9lb3bJW8lFQS/8AAYpfK+7bdupJy5m9b3+d5Sv985P5speE/wBirxX4X/4JjQfs/f8ACeeHp9ctfBp8FReKP+EWmS0+y+QbVZWsPtxcyi2wCRdBTJ8+0L+6rx3wn/wSY+Jfw7+Ber/DDw38ZPAGh/DnUptOv4vDNt8NLpdMguInt3v7YxDWRu0vUGjuDPYAqp+1Ook2GRZfu6itZyc6s60vina/nZtrTbdt22JTajGK2je3k3ZNrzskr7pXSsm7/Ef7I3/BK/x7+yx8U/AuoQ/E34YzeDfAuo+I7y08O6N8MJ9G2Ra3ci5ntoZF1eSGCOGREWELbkJGpUhyQw19Q/4JyfE6XxrFq9p8XvBFusXxcm+KZgf4e3MvmK1iLJNPLf2uPuxFmMwA3PtPlqoKN9i0UvtKfVWs/SUZL7pQi/l5u6kk009m236yUov71OS+fdK352fE7/giV49+MnwSuvA/if4x/DrXdJvpfFU8lpqHwsmu9OtLjXLw3o1G1tZNYZYtSs5pbpILpmkKQ3BRUVvMkl+9vhh4e1Xwl8ONC0rW9RsNX1fTbCG1vL2xsXsba6lRArSRwPLM0SkjIQyyEdNx61u0VSm1DkW3+V/83/SQ6jc588tXr/5M0397Sf8Aw7CiiipEFFFFABRRRQB4B+xv/wAnFftY/wDZVbH/ANQfwpXv9eAfsb/8nFftY/8AZVbH/wBQfwpXv9ABRRRQAUUV8Pftm+LvEv7Ln/BQHwZ8VtN8T+LP+FfRWllpPxB0CfW7u50WOx1C5eyh1WO0lmNvayWt1HZl5IY0JhluWfPJoi71YU/5nb52bXybVr7K93omOWlKdX+VX/FLTz10XXZan3DRX56ftEftO3fhH/gptbeMdf1/xwfhb8Pfhv4q1Wy8O6Dq19BBrmoaVfaTbyTvaW8qJeyma8urSOGZZE3QqQoYgjofDX/BWf4n6/Hotu/7OWr2mp6x4xtvCMS6jf6zoFrdm7spbi3u7V9Y0Sxlnjje3nS5Uwo0KorRfai6oVB81OE/59l61HTj85SW3RNX62Ki5Zyi/s7v0gpv7ov5tNLpf7qor42k/wCCoXjDxD8M/C8vhn4T6Nf+P9YTxZLqOkar4zOm6NYL4cvTY3yw6kLGV7iSSbYYENrFujMjyGHZg8+3/BTPxFYaNJ46vfgr4hm1tfgZJ8TrWx07x75ml38XnxP9ijhnWCNZY45YnlvJraOVRvjiWcABlKpGKcpPSN7v0jOV/NWpz120e7sm+V3ULat2S8+eMGn2alOKs+62V2vumivk4ftb+OPEPxI+CEWs/CSfRNY+JFrrV/oTR/EKQaXp/l6Wbq3ttTigiAmuJVDKyiG5gtipeKaZ8A+Twf8ABWX4pfBD/gnF4H+NHxK8E/CeSXWdOvdU1O7m+I6aDYTiJRJBZWKT2TSz6lcqLjybMKU22p3XZdgDdROE3Tno1b8W1991+RFF+1SdPW/b0v8Al/Vz6h/ao/YH+HX7Y3xI+EvirxvpI1DVfg14k/4SbQn+XBm8pl8qTIOYvNFvMVGMvaxZONwPtFfHnxJ/4KU6jP8AFr4heBdJ8AWGuReF/C1xrUmmx+Ol0PxjqMB09bhLm1sZoYkayd5PIF9b3zmKZWBRWTFen6j4nuvi5/wTaGu6HqfiTwRdeIfh0mp2V5Z6n9u1XRzLpwmQrd3KSGWZMgedIpdiC5wxyMa9X2VGpWa0gk/v57f+kPvtrbS90UqlWnST+NtL5cn/AMmvv0vrb3Sivivxz/wUg1n9lTwd8B7XxBoPhrVNH8eaX4asW1bWfHsFhr+t3t/Nb2kw03TWhll1F7bz4Z7hpJYAEnUq0hD7a+h/8FUviZ4n1zS4bX9nk2Fpr3xB1b4Z6d/anju0ivG1S0jvJYp5Y4IJ447Jo7N/OkWZ5omDiKC6ARpOqrT5asqS1acl84uMX+M4278ytcypT56UazVk0n8pRlL8FGTfazvY+3KK/Py5/bA+LHxX/aZ+CPinwNod3qN/4l8KeN9K1L4fXfjBNP8AC1tqOj6tYWst616ti1zNlhNHE7W7nDw4hthJcSVvL/wWE17WPgp8RfG2k/CnTZLfwT8NNN+JdrZah4tktLm8t5pb2G9sp9lhItvcW8unXaoUM8c2IyXiDnZEY8yVt3f8HJejXut3WiW5vGnKVuTW9vxcY/J80ktbdWtE2fctFfH3if8A4KYeNfBvxs8S+H9Q+EOnN4X8J+NfDvhO/wBftvGQkeSLXGtY7KeG1azVmmje7iM8LukaIcxzztmNbPh//goz458aftMeFfC2kfCvw4fAnizxprfgyDXr/wAaS2+sW8ujrObyeTS006RVRzbT+QDdDevlNIYPNUUoe/Zx63/Dlvft8cd+/k7YymlD2j201735rW7/AAy27eaPriiiikUFFFFAHzJ/wWN/5Rw/Eb/uGf8Ap0tKKP8Agsb/AMo4fiN/3DP/AE6WlFAH03RRRQAUUUUAFFFFABRQTgE88V5t+zt+114A/aql8WQeCdYvr2+8C6sdD1+w1DRr7R7/AEq78tJRHLbXkMMwDI6sr7NjDO1jg4Fq2lulf5XSv6XaV+7XcHorvvb56u3rZN/J9j0mivOPg9+1p4D+PnxK8c+EvCOq6hrGr/DfUTpHiF10W+hsLG9CqzWq3kkK200yK6F44ZXZAy7guRXo9Cd4qS2auvNPZrun3B6Nxe6dn5Ps/MKKK5P46fHXwh+zP8JNe8eePfEGn+F/CPhm2N3qWpXrlYrdAQAAACzuzFUSNAXd2VVVmYAjaWrKjFyajFXbOsrE+Jeja14j+HWvaf4c1n/hHfEN9p88GmaqbZLkaddNGwinMTgpIEcqxVgQwGO9aumajDrGm295bv5lvdRrNE+Cu5WAIODyMg96mpyTTsyFJSSlF3TPx9/4Nu/if+1r8Z/2mf2hG+Nmt29n4U8F+Jbuw1rT49DtLY6p4pfyo5ikyRhhFDBAjFUIVvtEDDILZ/YKvPvHXxo+HX7PXjrwvoOs6no/h7xF8Wdcey0eyjgP2nxBqC2xeRysakkrBAoaV8KoWNSwLID6DSTurrvb56O3rZp/Ndyno7Ptf5Xav6XTXqn2CiiigQUVyHwb+Pfg/wDaE0bVtS8Fa/ZeI9P0PV7rQby6tNzQx3ts+yeEOQA+x/lLISuQQCcGuvovdJrZpNeaaun6Narug6tdm181o16p6MKKKKACiiigDwD/AIKxf8osv2lv+yVeKP8A00XVe/14B/wVi/5RZftLf9kq8Uf+mi6r3+gDx/8AbP8ABvjXxD8K7vVPB3xR8SfDJ/DNjfancvoml6Xe3GqlLZmiiZtQtbmOONXG5tkW9uAHXnP51fAn9or9o34h/wDBBHVf2pr79pPx4fG8XgfW9dGnr4X8LDT4b2zuZVgMYGlBhEUt2WRHMhbzco8RXn9SPj14H1z4mfBrxL4d8OazpXh/WddsJbCDUdS0uTVLa1Ei7HZreO4t2k+QsABMmGIJyAVPx78L/wDgkJ44+GP/AAR/1f8AZLh+MHhW7tL+wvdCg8TP4CuFlg0y7aV50a2Gq4e53zSFJhIqKu0GFyCx56kZ+yxCh8TUeT199St23g/lprvtFx9pQcvhUpc3p7rXrtJfPXQ+efB37QH7Q3iL9rX9jXwDN+018Tk0j9oj4dXXi7xHMnh3wgLmyu4tOS5VLQnRdqRb2IKyLI23jcDzX0x/wTM/4KE+M/ip8Jfjn4e+LDaZq/xA/Zw8W3ng7UNY063Wyh8XrCg+yXggBKQ3FyflaKP5BIw2KoYIvE6F/wAEb/jP4f8AjZ8BvHsHx9+GLax+zv4Vm8I+G4n+E18ba9tJbVbVpLtR4g3PKEUEGNo13fwkcV3Xwr/4I+N8G/gtF4NsvGvhzxdH438Yy+Nvi/c+NvBi62nxLvJtrTRCBLuCKyg8xd8ce2dUMcQbzAJRN31nCUpqGifOvNXrXg1vblpXT76KztdcdFTUY8+rXI352pNTW61lUtb77pGJ/wAE1f2yPid+15+x18Z/CvxJ8SS+Efj/APB3xJrHhzxHfaBZ2e/T3SSSeznto7i3lt3hMOIkaSF96wljljur55/4JAf8FGviJ/wU7+DPgj4fj9ofxbZfGIWj+M/HWtx6P4fs57DThdTWkWn6ZaS6O9vdo2yN5ZjzbvKn72QlrZfoX4ef8EbfEv7NX7X3xW+I3wT+IPwu+F3g/wCKmhxaJd+ArP4XSNpFuYImSC8Hkarbj7QheTcYkijdZXzHvPmV5x8Nf+Dfbxt8F/hX8BLHwh8efDHh74g/s96hef2H41tfh1ci81LSbmR5pdJvIP7Y8qaB5ZZixP8AC6qgjPmPLjSa5lKot407rtJKak1q18XJOST96Pu3dnF61k7ONN6802n5S5Wk9FsuaEXbR2lZbr6p/wCCqfjfxp8B/wDgmp8UfGPgnx1rvhnxj8PvC9zrllrMFlpt1NezWtuzhZ4ri1lgKSMAXEcSH+4UrxH/AIJ8/EP4i/tV/slXHj//AIaH+N9xqCeEEg1i117wLoGkfYtZm0+w1BbzTN+jwO1uiyyxqZ47iGZZtyE7Fkb6N/bR/Zc8Y/tf/sN+JvhM3jfw14f17xvobaHruvjwtPd2jRzQmO5e2svt6PCzEkx+ZczCPgN5vWuB+Ef7GXx9+GHwP8N/D9vjj8M7nQfB3hkeHtKFt8L762kuSlmLSGW9La7J56LHucxxCDdJsbcAuw4VlN0sSo/E0uT1tO7Xa94paLWz0trtSlFVKDl8Kb5vS8LX72tK+r001vp82f8ABEb9pz4p/wDBQX4EeAvE3ij9oP41P40udMu9U8R6dd/D3Q9O8M3cH2i5s41sLptHheaVG8mXfBcXEaPGUkX5tlZn/BKb9qP4vftg/GHx34V8T/tE/GZvE3gP4ja5YWcDeANATw1q2h6RqFlE9vc3i6PFvu547hkYWt0kke4SGNAFD/Yn/BMn9hnxR/wTr/Yi0j4NzePdB8ZnwqlzFoOsJ4Xm0wQpLI8wF1Ab6bz2WaRzmOSEFNq4BBc+Vfsg/wDBMP45fsc+E/HPh/QPj98PJdK+I/jLUPGWszj4WXkWp289/IjXMdlN/brRwgKuI2khmKE5O/GK9Cc6axUnH4OWVnbTmc4uOmtuWKad009d76cMY1Pq8eb4uZadeVRknrpe8mmtmtOkdfmrRf8AgqF47+GP/BSv4+fAfxT8dfFWq61ceItL8E/Cyx1LTtC0yys7nUrH7U95d38WjuFkgbalukiv5zOqGGY75I/o/wD4KQeG/jl+yH/wT18dfEXQ/wBp34iXfiP4aeErvU/Nm8L+FwNcvwVYPcKdMKJbqAVSKFY3AYl5pCARxnxR/wCCC3iH446z+0nd+L/ir4F1X/hoa50/VUMXw9vbabwfqmnIIrG+s5V1rcXjiMm4HG92BJEe+F/Z/iz+wJ8Y/j3/AME1df8AgH41+OfhfX/EHiOwGhXnjaX4fzpcXOm+SqMZbUarte9ZgWNwJFjIODATlj5s4zeC5Y6VVCKXryKL/wC3lPmk278ycWm3FJd8XH63zS/hucn8ua6+TjZJdGpXSUm38q/tlfHX9on9nD/gjV4Z/aB0j9pXx/feLPEmneEr9re98MeFmt7aXUpYY7xFCaUuYStypjUjejRZMkisVE3xe/am+KfwR/4Kv6n8FvEX7R/7QU3gKD4baf4ntbnw/wCA/Deq6oNSuNQ+yEXEsWgSQW1ptG4yzrFGjHmUAqte9ftL/wDBJnx5+0n/AMEw/BX7Nt38X/CWlxeGI9Mtb3xBF4BuJG1C302SF7NY7Y6qPJk/cRiV2klEmW2pFkY6H4Sf8E6Pih4R/wCCkz/tF+Jvi34C1y91DwbD4H1LQ9M+Hl3pkU1lFMbhZIZpNYuDFN55BLMki7Bt2Bj5g9KcqTxUmtIe0m125HSSgkulp+Wj9536+eo1Vh4p/HyRT/xqpeT87w+9aaPb6m+FvhvWvB3w50XSvEXiSfxhrun2kcF9rc9lDZS6rKow07QwhYo2Y8lYwFBPAA4rx7/grF/yiy/aW/7JV4o/9NF1Xv8AXgH/AAVi/wCUWX7S3/ZKvFH/AKaLquZu7udS0Vj3+iiikB4B+xv/AMnFftY/9lVsf/UH8KV7/XgH7G//ACcV+1j/ANlVsf8A1B/Cle/0AFFFFABRRRQAUUUUAFFFFABRRXB/tQfDXxF8Yf2ePGXhnwj4q1DwR4r1jSp4NG16yfZNpV7tzBN0OUEgXcuPmTcO9AHnn/BNP/k3XxH/ANlV+I//AKnGu17/AF+SX/BrR8Nv2j28H/Ffxb8dPGHi+bTLTxPqugaT4a1KRRCuqf2jNc61fsoA3O19JIgYHG/7Tx0r9baACiiigAooooAKKKKACiiigAooooAK8A/Y3/5OK/ax/wCyq2P/AKg/hSvf68A/Y3/5OK/ax/7KrY/+oP4UoA9/ooooAKKKKACivzu/a3/4KPfF/wCAP7Q/xd8H6V8QfgBca14N02w1rwb4BvPCGpS+KvH63S3DjTbTyNXMstwvkCPzobKVd0oZokVTX1l47/bc8D/Br/hF7Tx3car4Y1jxHbWU1xbLo99qNvoDXUiwxLqF3bQvb2KPOWiSW6eKORo5ArHY20g+dXXdK3m76dm9HdJu3W11cm+V2fm7+Std90tVZu1+l7O3r9Ffn78W/wDgpr8XfEPj/wCKV/8ACfS/BzeDfg9rlvoeu2HjXwX4l0m+uYzFatNe2uossdrJKstyI1sTGGaONbj7QI5o1r6o+JH7ZngzwL8UI/h/HqEknjnUWNlpkV1puow6JLqTWz3EGn3GrR20tpbXEkahxC7mcxujLE4dA0uaUI1N1JXXdpq6sut01t3tumk/tSh/Lv2XR37Wejvbvs03vftQfAay/ah/Z48ZfD3UL/UNJt/F2lT6cNQsJmhutOkdf3dxEykESRSBJF5wSgB4yK/Nv/g2G/4Jh/E/9jLw78U/Gfxlv/ET+K9S1++8M6Rp19fzzW8NpbXbm7v41c4P2y7DOJMZdIQ4JEpJ+zf2If2+YPj98Nvhbp/i+3uLf4o+OPCsXiS/tNB8NatNoVojPNGWN8YpLe3UvbyqiXE6yMQAASyg4PgL/gp3pPh/9qD4pfDf4qT6N4XvPDXjew8M+HH0mz1LUbVra+sLKeyk1K9EAt7Oa5mumjjWYwozq0MbztG0jaKLc/Zx1bvbztJQsu75nay8+wPROT0tq/JNXu+ytrd6Wt3R9Y0V83/Ef/gqz8H/AABpfxBeC+8V+INT+Hek6rq9zp+m+FNUdtXTTJlt71NPne3W2vWguHSKUwSusLEmVo1V2V2i/wDBVL4R3Hww1/xPq11420CLwh4c0/xT4gtb/wAB+IIbnTNPvC6xXIiexWSeENFMGlhRlQQuzlFUkTD39Ya7fO/Na3f4ZbdtRuEk+W2t2reacU0+zvKK16tH0dRXy94b/wCCg03gr4t/FjSfiZYR2OkeG/GOm+GvCSeEtD1jxHqGpR3mlR30bXMVrbySCVh5zHbCsUSgIXcjzH+oVbcoPPPPIwaE7xUlt/wE7PzSauulybrTz1XmrtXXdXTs1o7aBRRRQAUUUUAFFFFABRRRQB4B+xv/AMnFftY/9lVsf/UH8KV7/XgH7G//ACcV+1j/ANlVsf8A1B/Cle/0AFFFFABXi/xV/Yp0342/ETxXqnijxj4v1bwv4z8My+E9T8GSw6X/AGJJZyIysQwsvtok3O7gm6IDN02hVHtFFTOEZfEu6+9NP8G0VGco/C+34NNfc0n8j5Q8X/8ABILwJ4413wydQ8ZfEiXwz4a8D3Hw9/4Ro3WnvY6npdz5LXRuLhrM37XE0ttbzNOl0kgkiDIybnDamsf8E1H8Sx+BJtW+Ovxv1bV/h/rtvrtjql1LoT3N21vBLBBb3AGliJ4kS4ufmEayyNcM0kjskRj+m6K0lJt3b63+fM53Xb3m5K2zb7shRSXKlpa3y5VG3pypJ90l2Vvzi/aU/wCCZOseFNE8J+Drez+N/wAbfBFpqmueKHuLaH4d6je2WsaheRXL+dY67Y2+niISPdSxTwxyXMbXM8YaKEqj+y2X/BOPxT8afBkGqfFX4veO4/Hes/D67+H+tnw/FoaWbWd1ciaWVfM0w5umjSKN5FVIiVZo4Ytwx9cUVm4J0/ZyV1r/AOTJxa9HFuL7re71Lc25+067/PmU7+vMub1PEx+xRby+KPgxq1z8Q/H93cfBSCeGxSRdJWPXzNaG0aS+2WKksISwH2Y265YnBOMeR+IP+CMHhnXvh3YeF1+MHxosdL0/w5rPgyMW8uheZ/YWqNA1xpuX0tsRq1uhWZQLk5IeaQBQv2RRVzfNN1Jat316+9e/3pteja2bvNL92kqelrbf3dvu0fqk90j5X1z/AIJw6Td6vpw8VfHH4q67dSW13pfhlNYbw75uj3txpT2dxcaey6WknnNaR3Ehtyz2uTJJ9n+RSnrGm/su22j/ALH9v8HLXxd4vt9OtPDK+FYfECGxGtR2ywC3WUH7N9m84RgDd9n255255rkP2yP+Tiv2Tv8Asqt9/wCoP4rr3+pqpVIyhPVSST80r2v6czXo7BD3JRnDRxvbyvZu3q0n66nx74s/4I5aF4p0qytU+NHxt037Ponh3RLqW3l0GSXUxoN293pdxKZtLk2yxStkrEI4pMZkjdizNp+Hv+CU8Ph+Tw3L/wAL1+Nd5ceGfHN58Q4ZZ4fDIa51S7ilinMoTR1XymS4uhsQLj7S+CNsXl/V9FW5yc3Ub1bbv5tpv73GL/7dj2ViKUYqC2StbpblcP8A0ltejfdnyr4H/wCCVOnfDjwn4dtNG+Mvxls9f8Mahrl5Z+Jd+hPqnkazcJdajZFW0w2ogluY0mDLAs0bDbHKkfyVJ8aP+CSfgH4r+FH8O6T4p+IXw78NXvghfh7qel+GL2zSPWNJjMzQRzzXVrcXHmRPcTOJI5UaQyOJfNVmU/U1FS9beX+TX5Sl85Se7bdRk46p/wBcylf15knffRdkfIWtf8EjIfEQ8SyXvx/+Otxd+LNf0LxNf3LR+GA5vtHEH2J0UaNsRQ1tbOyBdrNCOMPIH81+An7JvxY8N/tu3fjy08N+OPBmv6v4lu5/Fuu61beBtQ0HXdEN1IwsbS/tbc+JJsxi28hbt4EiEQBCLFHbt+g9FOEnGcZL7Lvbo78q176RSts1o9CJJOm6XRq3pa9rdrXuuqeqsFFFFIYUUUUAfMn/AAWN/wCUcPxG/wC4Z/6dLSij/gsb/wAo4fiN/wBwz/06WlFAH03RRRQAUUUUAFFFFAATgEntX5laH8ddH+Hf7UWs/GP4NaronxIj+IPiHUvhh4rtvDN7b6pFZam9zPceHb678gu0cazyXNs7twI7xGPyx1+mtFKKtVVR9mu2ja5te7imk+jaktUhzblSdPzT+aUuXTraTUvO1ut1+Lml/G7QPA2q/GT4eeDfjf4T8HeE5vjfHb+L/GA1G6ni0y1XwrpsENxfz6Xqen3dlDc6rbvE12t3En2mIwyMweSMxfHL452nwn8PfEqx1L9rzxXrHinwJ8CoPEWl3tr43udAttf1iK9vItNv0snvZixeBbL92krR3y3MU08c5niav2ooqoya9m+sVFbWT5aXs07dGviVtE0tNEy1KKnJtXTbdn51FUav1TS5XfVp9tH8CXvgXVNU/aKv/DWi+Lvix4w8AftR2+meLdD8UaV8QdWk0/wnFYutxqdvaXEF2v2O2uYpIHt/srASNcyoQYYURfnzxbqfj/43aL+0RLe/G6fUfHcvhXx5oWt/BWDSdWm1e1t/st0unSSW02rzW0EKxpZmC9tNNg+1i5UM0rzsx/Uvwv8ABs6H8WNY8X6h4l8Q+Ir2/iNrptpqC2aWvhy2cxtLb2ggt4pCkrxRO7XDzSZjUB1Uba7OpnFOFlpeMl6c2iXRPliknom3tLS7WHqOlOMpe9yuL9XHVvq05PXdpWXu9F+Vd78evC3w8+HXjjWPDnxt8feNfgpqfh/wrZal4ltPiQ406w8U3GqGKSBdeDSJpFpJE0X29bHYLOF0aCKKSSNG4z9in9pfSv2lfj38EPAeu/tMaxK8eqePtIv/AAdoHxce8a+jttWWTSVk1ACDVr3MKgwzyukk0NvwoSS4WX9h6K2VT945tX1b89dbdvdu1HT3Y2S1TcsFC1JU10tr6R5fVc2kpWesk2+iXxN/wWy+Nt/8GvBXwVm8L6j4Ai+Ilx8RIZfC+neLdbXSrHUbpdNv41DvkOyCSaFSFK7mljQyReYHX5Y8YfHrwl8WvhN8KdC+Hn7V+peAfhx4h0jUrnVPHvizxXrusXEHiwLahNMub6HXrR7G7jhM8sNhNPJaT/vGEE21HP7AUVzUYcnNd35pc3VfYUbaPpZSX95RfTXepPmcWtLR5ejv70pX1XaTj/hcl9pOPy/+2r41v/B3/BOm0vvEHxP0jwTq89vo8F74k8QXN54QstRuHlgEkNzc2cn2nSFum3RmaKQtbGXPzhSjfAHxc/b60fwhofwq1Cy+InjXwX4i8Nnwvd3kPi744zmx/su48TywXF1p6Ihj8U28luk4lvb9lijshZSo3mNKtfs/RW8Z2q+1a+2p9tF9nTvrtZJNpRV5N5qKVNU+nLy9+t76+SW92+raSS/MW3/au8AJ47t/iBpXxasNO8IeFv2i9U0rxfqlj4zex0O30+80OdFGoBJ1tpImvIbQRSzhgkg/dspZ88J+yZ8efDXx++P/AMD/AANN+0v46nsJta+I2lXfhJPiTPb6lqCWuutJpMd5K0g1ZpfswiMYknDmGAKB5ck6y/rrRUUf3cacOkFFL/t2EYfmnJdnLuruq0nO/Rtt/fKpL1/5eJPXXlXovxU/aC/4KBeEtD+NPxYMfxy17wzoGseDfiDDIur/ABpvYddj1/T721+wwLpMRhi0SRJUnSzhs5DPd2uDOm8urfW//BLz9oLw94g/aw8aeCdI+N9z8U0vPhr4R8VmHUfGcevXLahOb9dQuYUDlYEZP7OZ4bdI4E86FhGnmgt96UU8PanDlavol22c357uauu0IrorPESVS9la7b+bcH+UHH0nLpoFFFFIk8B/4Kvo0n/BLT9pVVBZm+FfigAAZJP9kXVJ/wAPYv2Wf+jlvgB/4cPSP/kivf6KAPAP+HsX7LP/AEct8AP/AA4ekf8AyRR/w9i/ZZ/6OW+AH/hw9I/+SK9/ooA8A/4exfss/wDRy3wA/wDDh6R/8kUf8PYv2Wf+jlvgB/4cPSP/AJIr3+igDwD/AIexfss/9HLfAD/w4ekf/JFH/D2L9ln/AKOW+AH/AIcPSP8A5Ir3+igDwD/h7F+yz/0ct8AP/Dh6R/8AJFH/AA9i/ZZ/6OW+AH/hw9I/+SK9/ooA8A/4exfss/8ARy3wA/8ADh6R/wDJFH/D2L9ln/o5b4Af+HD0j/5Ir3+igDwD/h7F+yz/ANHLfAD/AMOHpH/yRR/w9i/ZZ/6OW+AH/hw9I/8Akivf6KAPAP8Ah7F+yz/0ct8AP/Dh6R/8kUf8PYv2Wf8Ao5b4Af8Ahw9I/wDkivf6KAPAP+HsX7LP/Ry3wA/8OHpH/wAkV4h/wUz/AOCmf7N/xB/4JvftBaBoP7QXwR1zXdc+GviPT9O07T/HWl3N3qFzLpdzHFBDEk5eSR3ZVVFBZmYAAk193UUAFFFFAHgH7G//ACcV+1j/ANlVsf8A1B/Cle/184S/s8/Gr4e/Gn4na98PPGHws07R/iZ4gg8RXEXiHwxqGpXVncR6Rp2lnBhv7dGTytOibbgEszfMARt0P+FU/tN3/F38bfg9bhfunTPhJfQFv97z9fnBHptC9854wAe6a/okPiXQr3Tbl7yO31CB7aV7W6ltJ1V1KkxzRMskTgHh0ZWU4IIIBr4N/wCCfX7RPi74AfD74h/DjxnrmveNdb0iGHxX8Pb3xBqU19f67puqTm3gsXup5Hmne21Tfbb3YssU1pk8jP1h8LPhb8R9C0fxBB4y+Kh8SXWr2whsbnS/DVrpJ0STa4aWFXa4V2yyFRN5igxjIYEiuE8If8E2vCuhXfw21TWPFXjbxd4q+FH9op4e8Q6o2nQ30UV7GFeCZLS0gtp443WOaNZIW2ywxudxUVK+N3+Fqztu1uuX+8mlZu1k5JPVlN+6urTur7J+fk1dO19bOzsj48/Zd/b48W/sjfsrWsK6L8S/2hPit4m8T+M77UhdXniXWM2ela/d6fGsC2djqYsmkCwxwwCG2tT5cheaNgN/vMP/AAVT8Zp8QNTtbz4Jvp3hXRvFfhnw9e6nd+J2t9Qhi8QfZBZMdPks1kW7he8iFzbSMiRDPlzzsGjXY+GH/BIXR/g9b6Vc6B8aPjXY+JtFv9WurXxEkugrfi31W6N5qFg8Y0sWstvNeH7QPMgaWKQDyZIl+SpfF3/BI/SfE2o+LJbb4zfGjRbbxb4j0TxPJaWj6DPFYXOjiH7AkDXOlyyeXH9mtSRK8jSGAF2YvL5msHecPabXV7aLlUldJf4NF/eT0S5W5krufLonzW73d2m+mj6bWtu7oZ4O/wCCkfjDW1+HovvhVpZn8XeN/FPgLUbXSfF5uriy1DRotSkQ2nn2VvHcx3P9mSqGmktfKMsedw3FaHwK/wCClXxG+LHhT4G+KNZ+DOg+E/DHxw1g6JZrN47a81fS5hp95diSS3i0/wAh4maxmVStzv2PE7IrF4k3/EP/AASr0vUviRZeJNK+MHxi8MPo3i2+8baNp2mSaI1ho2o38VzFfvHHcabKZVuBdzsRcNKY2kJiMWWB2dE/4Jt6T4c/Zj8A/DWy+JXxLgm+GGrJrPhnxUBo7a5pkypPEFAOnmzkTybmeIiS1YlJDklsMIjLSLkv5Lr7ue33u1+iWzvfSq4ucuRWTU+Xyb5+S/klyX31T3W/m2gf8FQPih4ul8F2GkfBHwvqGteL38W2LRL8Q3itNMvfD2pSWdx5sr6YHa1lVFZJY4mlDyKhtwgaZcjxT/wWL8W2PgaTxbo3wUtdW8Kw/CjTPjBLdTeNEtbi20u4R2uLV4fsbf6Yhjk8lEZ4pghMk1sSobsvBH/BITT/AIb+JdH1LRfjp8dbU+Hn8RSaZbyy+H7qO0bXZvtF+S02lPJKxnxKjTPIykYyULIcWw/4IlaFY/DnU/Ch+Onx2m0XVfh9b/DCSGQ+G8x6HA7tFChGjjEgSWWMynLssnJLKjqU3aSc9Vfby5amnpzOn52T1703Tcnuld28o88fxUFJduZ9dGuvvf27/iNa+PPix4VPwt8I2/iPwbfaGnhKzuvHM8f/AAmdjqtw8MN6xTTHNoqlJVZVW4xJbzqSqKsz2/hR/wAFCtQ8Yft56h8DPEXhfwhoeqppup6rZx6b46t9Z1u0t7O4tY45NT06KBfsC3cV3HcW/wC/mZ4/viNgyrr+F/2dv+E4/am8HeKfEvhXX3vfgpol3oekeL9fm037Z4slu47dHuo47CTYsapFNuE1vbsJJz5Uapu3Zfwd/wCCYej/AAT+PWheOtM+KPxVu08N3ev3Gn+H719Hl0uGPWrsXl/AzDT1u5Ea5SORXe4aYGMDzCpZWunyqUObVWlf7rQfe90pvRLVq1kk+e8nB30lpt3teSW6cei6635tGea/t96b8VfjT+2N4V+EnhQS6D4WuPBOt+KYNR0H4oal4N1NtRiuLKFJ3Npp1wriKS4IWGYzW8oupZJYmaCJHsj/AIKveLbr4ReFPFVh8LPD9zF4s+DOofFi1hufGk0LpJp72X2rTpCumsAvlXqtHcKDvdCrQxgh69A+Enwwtf2sP2hNN/aCtvGnxF8OXXg298UfDpPC8T6VJot7b2Ou3Gn3TS77Fro/aJ9LhnBW4VowqqpUGQPxep/8EVfDt7odvpdt8a/jppmmWHhXVvAthaWtzoXladoGo+T52nRB9LbCoYItk5zcgKA0zqqgYXqLD8kfitPXzfteX1XvUt9UoNPSyfTB0/bOVRe77lrdvd5163U7dPe0tdtWbX/gqZ4h0rwp41m8SfCNtD1/RNJ8Laxoelp4oiu47+LxDeS2Nkl9cLAI7ForiFvtDR/aY44vnR5j+7rD8Q/8FXPHfw4+G3i/VvGvwz+GfhG+8LePP+EEa6vviXdr4ajnWzW6NxeaqdGVbKKTzYIYWkhKtNKI5HgbaGb+0R/wTX13wl8P/FWqeHPGPxl+KWoeK9B8P+DNZ0Iz+E7ee40fTrveHt47jToLSefZLdh4LyUWs0d3OsiSKsUNS/sv/sFeP9Q+B934T1Pxv8UPhH4Hsb3Phrw9FpPge31S2tJLeaG+tNQtNN02bRJLWaWUyxxpFJIv32lDOYo9q3LKVSVHRXtFPT7UXe7vry8ybtJe82leHK+eF0qanv1/8F6r09pqtnZJN2ldexfsq/tBXnxe/aG+Kui6p4J17wfqvhyw8PXU7XnioaxZ6gLy0mkDWsEcjwW0cbxyRl4wjTld7oMITwfxl/4KJaro/wAdPid8NtP8BaZrx8FeHbvUp9Ot/HQ0TxfqUK2ImW6tLKaCFWsXkfyBfW96zRSqwKIyYr1L9mr9iHQP2WPiH4i1zw74i8V3Vjr2jaPoMOh37WT6do9ppcDQWqW5jtkuCdjvuM00pJbtgAYXxS/4J62Xxh+JWr+JNa+J3xMnFzHfnRNOYaPLbeD57yw+wTz6dJLp73KkwNJ+5nmmt90rMYSyoUyxsefnVHROMrX72tG97+vVdHptWEfIo+2d2pK78r3drW9Oj6rVa+R6Z8b9bttdj8b2I+IXiLQNa/Z6h8S2ngKPxQB9nmVo2/c30pilN06SlXvJ5TL8gZSp+U3vHv8AwU/uP2f/AAl8Cbq58G+HLfwj8T9M8NJay658SY08Q3c2pTW9u9vp1pNDJcatJZrcQS3Ms0luSkoYGRt4Xt9G/wCCZNl4fl042nxf+Lscel/Df/hWFvDu0NolsNoUXRU6bg3gKoQ5/d5UAxlSVPMeKf8Agjd4d8Q6PptjbfGD4z6LDZaD4b0G4NnJoTtqK+H7prrS55fP0uTbLFK2WWHy4ZMfPExLE9KlTVX+7zp+sfa1pNN735JQtrdO6TWrfNThPlXO1fls/KXJRjdaWVpRqNq1mraXs19hUVxPxj8SeO/BnhSxk8C+FNJ8c6qZliuYNV8Qf2IqRbGzN5iW0wZtwUbAij5iQRjB82/4XP8AtHf9EI8Af+HRf/5VVkzoT0Pf6K8A/wCFz/tHf9EI8Af+HRf/AOVVH/C5/wBo7/ohHgD/AMOi/wD8qqQHv9eAfsb/APJxX7WP/ZVbH/1B/ClH/C5/2jv+iEeAP/Dov/8AKqr/AOxh8MPHHg3XPjD4p8faRoXh7Vvif41i8R2+laVq76rHYW8WgaNpQV52gg3Oz6ZJJhUwFkQZJBoA9wooooAKKKKAPir4r/sE/Ej9oD4+fGLWNag8D+FLDxBHo+pfD/xRpPiK7vtc8N61o5uBY3slnJYQxBJBdSCaNLlwY/MhPmLMzJzGq/8ABO74mfGz45QfEP4t/Cj9k/xz4h8S6Hp+iaw2qpLrX/CHz2byY1HSJLvSi88cwnd2sJTAI5IUIupN7Ffvyiin7jTXR3+drX9WrJtW0UeqTRP3k16r5N3t6J6pO+rl0k0/hbxV+yV+0Vq/wq/aT0G00L4Kw3fxZ8WQa/4cll8Z6m0VtCILC2kjuwukAq/l2AkXyt4LTlDgR+ZJdtv+Cc+v6J+1f4r+Icnwt/Zw8ZX/AIn1e38XWXinXrYHxV4Xv4raFG0yC4OmytPbGW3QRXhlhkt1nci3kMSK325RSSso94xUE+qilFJf+Sxd93bXRyTUknzJrSTcmul222//ACaS+fdJr4Q/4JafsK/G39gHWY9JvtL+GF34Q8XWsN14ulh8banqWpWerwK8C3FiZ9LQy20lrHZp9lkljSBlfyiFG2Tsvi1+w14++Ivxc+KWjI/gs/C/4x+JND8Tazq02o3I1zS/7Ot9PhexgsBamCUTf2bHi6a7jMX2hj5DmJfM+va8G/4Jw6jcap+z34iluZ5rmRPij8Q4Q8rl2CJ411tEXJ/hVFVQOgCgDgVSdrW6K3yuml6JxVl2Sj8OhTbfNr8X9N+r6+eu+p8yeL/+Cdn7RXxQ+PXiLxL4o1LwFqq654X8a+D21SXx9rUo+x6sYv7Mlg0ZrD7DYm3itoIJo7d90/M0k00i4fW+Pv7CHx/+Kfw28UWOkWHwe07WfiT8Hofhjrv2zxXqU9roctpJfmC5tWTTFa7SZL0hxILcwkAgThdr/f1FTBciSi9kl8l7T/5ZN/NWtZGnt5cykujv/wCTQl+Dpwsuyt1Z+eGlfsL/ALRvhz9tzU/2gdO8M/BeLxlcz2dkmk3HxJ1e50ybSG02C1vrf5tEAguTPZ2ksdzFFvZQ0cm5FCN+hls0r20ZmVEmKguqOXVWxyASASM98DPoKfRVJ2ioLZfr+l9fVt7t3wUFGyXRJfdt9y09PRBRRRSKCiiigAooooAKKKKAPAP2N/8Ak4r9rH/sqtj/AOoP4Ur3+vAP2N/+Tiv2sf8Asqtj/wCoP4Ur3+gAooooAKKKCcAnnihsAor568Hf8FTfgr40+JNp4Tj13xZpGrX2vN4Wgk8QeBde0Kwk1cRmUad9tvbKG2+1Mg3JCZd8gK7FbcM/QtNaxU1s9n0fXT5NP5g3aTg91uu2rX5pr1TCiioDqdsupLZG4gF48RmWDzB5rRggFwvXaCQM9MketLyAnoqA6nbLqS2RuIBePEZlg8wea0YIBcL12gkDPTJHrU9HmB+Nn/BxB8E/2q7v9vH9nLUvgZ8RvF+m6D488QJotja27h7XwlrwtLq3e/Hy5SOTTLi9LDnCwXLdWFfr74B8MTeCfAui6NcapqOuT6TYwWcmo37iS7v2jjVDPKwwDI5G5iABljWnLbxzvG7ojtC2+MsoJRsFcj0OCRkdifWn0AFFFFABRRRQAUVxXwu/aL8E/Gvxh420Dwp4hs9d1X4daouieIorUOyaZetCk32cyEBHdUkXcEZtjZRtrqyjtaL3Sa6pNej1T9GtUN72CiiigQUUUUAfMn/BY3/lHD8Rv+4Z/wCnS0oo/wCCxv8Ayjh+I3/cM/8ATpaUUAfTdFFFABRRRQAUUUUAFBzg4PPbvRQc4OOT27UpbO4z4F8B/wDBQz43eDxoXif4iQfC3VPA0vxL1/4aX8XhzRtQtNVm+wS6ksWrR+ddzRwqTY7HsyJTtzKLkFvITk5P+Cmf7WEPwPvvH5+DXgex8P8AiG30HVfC174g1K0sLdYL7UreCW1P9n6pqc18RBdwFLsw2Kg73eAEJA/s/wCwf/wTuvPhd4u8S+NPivoGiz+Nrrxjr/iTRF03x/rXiPRdMj1W5uJnaGwvIbaztLpYrmS3aaC23yI0hLjznQ9pd/8ABKT4H3Xw+1Dwmnh7xTZ+G7+6iu002x8c69Z22meXObhILFIr1RY2wn2yfZrXyoC8ULGMmKMq4ppJz1dovyWi5k7bty96+ltYpcpeIcXWn7PSPNK3mlN8rXZctlbW/wAWkjxf9qX9sf8AaR/Zl8RfEWzGpfBHxJa/Df4ZJ8R7y5PhbVNPkuzHcXUcunxxf2lMAJktztuGkHkEDMNwHwnU/En9vDx94S/by8I/D6x1LwBf+GPGOujw4llZ+GNZv7zQ5G0OfUFnvtYWRNOiuhNCP+JWUFw1tLFOJQsny+n/ABh/4Jm/CD49eLPEmt+KdN8Z3+o+MPDsPhPWWh8feILKLUNLibclo8UF6kezcXLEKC5mm3FvNk3ZUv8AwSb+CUvi6z14aZ4+i1Ww1K31qGeH4leJoduoQ2i2S3pVL8K109soiknYGSZS3ms+5iXSslFVNbOV7dbzbXpaDUfJq6s/eJqNO7jvay8nyRSfnaalJ7XTSd17p8ifs56D4o+DHwqvvj5NrXwbh+M/jbxp4l8NXXiVPAHiDUNV1awj1W+32q6Rp+oS3WtzrJp8HkKGQ2FjFLgvHC/metfDn/gpf8R/Hsn7POt6tbeEPAfhP4t+HdG1CW71Xw1qd5pus6jdq5udPg1WG4EWlXCAIYYr63cXHmBElLqyj2TQ/wDglB8EvDXgTTfDljpPjq30/RtdufEunyr8RvEn26wv7lJUupYbs3/2iNZxPMZY1kEcrSuzqzMTT/h//wAEpvgh8MV0eHSdA8V/2bodnBp9tpN7471+/wBJkgt3ke2jnsZ717a4EDSsYfOjcwkR+Xt8uPaXa0WycbLoklLmVtldtPtdczV2yZJPmb3lzXfW7ldSfdpJLe9tE0ld/MH/AA9Q+Nw8O/ESPTbv4P8AinWfB9p4U1qyu4PCOv6VoOqwatqtxp81nbXd1Pm+gBjikh1i1R7eVSxFs33V+uf2Mfjf42+KupfFbw54/Phe41/4aeL/APhHft/h+zuLGz1CGTTLDUI38maaZ0dBfeUx80hzFvATdsXzDTv+COf7MnjKzu9PsbPxxqEGiJZ6BdwWvxd8VOtmunyC6s7KRU1P5RaySLLDE3+pLqyBcg17v8Cv2TPBX7N/inxjrXhWLxNHqXj++TU9dk1TxVqutLeXKRiJZVS9uZkhby1SMmIJlIolOVjQLUeRcyaumml680bPf+VNPfe+rbY6ju7x01T+XLZr/wACbfTotEkl8UfsV/FT4ifsqWum6da/8Ipqnwm8RfHPxh4KFpfXGoXnieKR9V1aWLUZNSuLhhKqyweXJDJDJIYw05uWYmJW6f8A8FOfjnqnhz4oHTb74TeIrr4caHoHjS41Ww8C+ILfSZtHury9i1JLFrm7iOrJDb2puLfUrZktrkKyiJd2U+xdE/YV+F2gfE7VvF0Ph27l1PWJru6ltbrWr+60m1uLtWW7ubbTpZms7S4nWSUSzW8McknnzbmbzZN2J8Cf+Cavwg/Zu8RT6p4U0fxTFc3Ph9PCkkeqeNdc1m2fSoyxis/IvLyaLyot8gjGz90JHVNodgYhKSiubVpK3qopWfdc6Tb3tJxSSVpaVpQnUqSSspSb+Tm235Pkly22TSl8TvHyv4Qftl/FP4pfGTxZ4Oh8Q/C2S80jxrbTaVInhi8WLVPBbW8sj329dTfbI08FxapdlRD5lvnyGWZNvzX+0N+1z42/aw+BnxM8IeKZ/Bviq98Et4F8aeH9Q8M6d4g8LaJe3Nz4iMK2wubp5BrGnhrZHj1GCI20wcSLAWjUL+kHhP8AZX+HfgX7D/ZHg/RbA6b4Xi8FWvlQ/wCo0WI5SwXPSEHt3wM5wK8Rf/gil+z29jHajRviTHbx2FnpQjj+K/iyNfsdnKZrO2IXUhmK3kYvCh+WInKBabUVKy2VrPrpon6vlhN22m5JWj8WfM+V33dvTVpyXprOCv8AZUW/e1XffsX/ABw8bfFPU/it4d8fnwtca/8ADPxh/wAI99u8P2VxY2eoQyaZYahG/kTzTOjoL7ymPmsHMW8BN2xfb683+BX7Jngr9m/xT4x1rwrF4mj1Lx/fJqeuyap4q1XWlvLlIxEsqpe3MyQt5apGTEEykUSnKxoF9IqpNWil0jFPzailJ/N3fzF1l5ttejd/w2CiiioAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAK5r4xfGLwz+z/wDDLWfGfjLV7fQfDHh6D7TqOo3AYxWcW4KXfaCQoJGTjAHJwATXS1k+PvAmkfFHwLrXhnxBYQaroXiKxn0zUbKcboru2mjaOWJh3VkZgfY0AfHf/BGn9vD4Q/tGeAfFng3wP480XxN4ms/HPjrxLPYWRkaSHTrzxhqtxa3LEqFCSw3Vu65OSJRx1x9tV8Nf8EO/+CNWkf8ABIf4Z/EKx+3wa94j8beJrm4/tML+8GjwSyJptuxwPnETNLIBwJLh1BYIpr7loAKKKKACiiigAooooAKKKKACiiigAooooAKKK4X9pxdXH7PXjSbQfEeq+EtZs9IuLuz1bTYbSa5s5IozICqXUM8DZ2bSHib5WOMHDDLEVlSpSqy2im38tTWjTdSpGnHdtL7zuqK/M39hL/gpret47gvtb+Pdp8b/AIZWHwai+IHxC1yW10lj8NtXRkJs2udJtreDFwhusWkyyXKGxLbtrYPrPw8/4Lt/C74r2lsfDXhPx74mvZfE0HhOez8PXegeIHs725tHubIvLp+pzwPFcCKZBJFI4haGT7R9nRS9dVWk6cuR6vy/xuC9byVl3umtGjmp1VOPPst9f8Cn8rRabvtsz7Zor5c8Pf8ABRbw78UvFXwq/sjSfi9Zap4yfxNbxeG10bT0gmvdHW4iutPv7uVmgjuEmtpRCLa7CyMu5naHLVU+E3/BYH4dfErwy2vap4X+JXgPw8/gnUfHtvqfiTSIIobzTtOkij1ARpbzzSmSB54hzGEmDhoHnT5qxbs3Hsm/kk22u9lF3t2NYpydktb2t1u2kk1undrR6/cz6uor4R/aD/4KW+N/Gnw/8Vad4N8E/EP4LeKfAeoeE9Q1e68Y6Xol6l5pmqarBALe3W21K42SzRecDK8TrGIpVISXaU9msf8AgoO/ibwdd6/4Y+DPxg8Z6RLrT6RoN5oSaJd2viuJFuGfUbSf+0hDHY7bclZrt7fzTLCsYkdwtEpKKk5aW38ttX21dtbPRu1lcUWpLmjqu/TZv56K91p530PTP2oPhr4i+MP7PHjLwz4R8Vah4I8V6xpU8Gja9ZPsm0q925gm6HKCQLuXHzJuHevzO/4NaPht+0e3g/4r+Lfjp4w8XzaZaeJ9V0DSfDWpSKIV1T+0ZrnWr9lAG52vpJEDA43/AGnjpX1p8PP+CqMnxU+LqW+hfCj4gar8PLj4XWvxJtNdsorS6vrxLgTMlqunpcG5Mn7kwqsccjPOxGEiVZpLM3/BVnQvDaW9nffB34y6Xrr+Ml8EXuhJYaTdX2marcWCalarKLbUJI3juYZgVlheRIzvM5gVWcU09FbV3Vut1N07evOuW3druhvrfpr6LkU7vtaLTd9ttz6worzX4E/tNWP7RPwBfx5oHh3xNG8Umo2cvh+9S1g1WK+sLme0uLJj55tvNFxbyRhxOYScMJNh3V8tQf8ABdrwd8MP2Qvh/wDEj4teEtS8D694+tbzUrXw03iHw/FcSWVsU827t5brUYY7iNTLEixKwu5WLFLXAbbMpJScW7NW/G+z2ezbtsld2Wo1FvZd153W6a3Tvpr1030Pu+iviX4Q/wDBRrV1+OHxE06SbUvjRb+I/Eelv8PNC8IWel6fe2+iXOh2t+9yVvbyAzQRGaMzXDykiS6iAjjV0jXvfiH/AMFQNK+F/iDxXp+sfCX4yWh8O6LrXiDTpp7DTLZPFVnpFxDDqElks18kiiPz0kU3aW4mi+eEyhk3KU1FXnpZNu+luWPNJPzit/R2vZhCLny8mvNa1tb3bSt6208t7H07RXzd4G/4KW6N8RdG8UyaV8MPjJPrXh2w0XVrPQG0O3TVfEFlq8skNjc28ZudsMbPDN5n217ZoFid5ljQBjz6f8FbdBvH8M2tj8I/jTqmseKl12C30y0sNKkuLW/0W6a21HT52/tAQxSxlS4maT7K6lVW4MjLGaq/u21U0tv5W1f3dezaT1aTUPfScdb2/FXX3rVd4pyWibX1jRXL/BH4v6N+0F8G/Cnjvw69zJoPjPSLXW9Oa4hMMxt7iFZY96HlW2uMjsc11FXUhKEnCas1o/UmM1JKUdmFFFFQMKKKKAPAP2N/+Tiv2sf+yq2P/qD+FK9/rwD9jf8A5OK/ax/7KrY/+oP4Ur3+gAooooAKCcAk9qKKGB+Zn7OXwxsP+CjXxy+Lem6T8bPhzqvwv8GfHOHxrqXhrw7p0Woa7qM1pbWklm0mprfPHBZvd2wOEsxI/wBjmjEwBfHlXxI+L/jPUdM+PHjHXv2sLr4c+MtF0rxdY678P7OO9sNZ8Owp5v8AZc7fbdWnsrGLalilvf2em273IvEAkaeYSD9iKKyqU26EaEXa0OS/W/JGDl81FaeiTVtdITSrOs1e8+a3lzyny/fJ6/Npn5t6p4z8G/BDV/gZ4n1n42eObnwJ8Wfhn4gtNV1/Ufihqc1p4i1iSPS5bQ2nl3Qhhvn3X5gXT0ifO5IVUKiDA/4JW+MvBPxF/am+C/jnVfiLf65468bfs9eH0hlvPHl7ct4i1G1lvIdQjNs90Y7qa3KyNMhjdoZjLIwWVnc/qHRXW6t6zq2srtpdk41lb5e16JK0ErdVgov6sqDd3ZXfdqUJX+fIlu9z85f2572P4K/8FBfij4u8J6xrVr8X9U+Bqy+EdOj1y9upNVuYLnUFlNpo5uVhv3toP34t1jID5cBXkZz4tp3jaz0eP4U2i/tyXfizwN49+J+nW6jwx4ivNKt3hn0u6ju9NOpalq2p6lI24Wpe3S7ia1kvEYLHK9u0X7B0VzUYckYReqi0/Ve1lVcXvo78vyvqnZa1ZOcpyWjkmvR+yVNNbaq1/nZW3Pyw+OX7Yfhz4Of8FPPCeh6V8Wde8OwaJ41i8G+I7bxT8VLqSaCBvDMzwRweHZVaCeyeY2jrqd1Ibya9aSNfMRo2rgPCf7XPhqD4LXOk618WNY8Q/wBt+J7CCx8Z6P8AtC6rp/gXxLcNpl/Pi61h/O1Hw9MyxmSXSLcuRc/YEXdBLIR+mv7Rvxb1v4b/ABh+AWjaXNDHY+P/AB5daDrCvErtNax+GNe1FVUnlG+02Fs24c4Vl6Ma9ZolHmounJ3k0tfPRt+V2m9GtXzS5pJNOUlzqUFZJNW+9J9NUna/ZJR5VofA3hn44ah8ff8Ag3PufHQ8eaxqHiq1+EFxqU/iTQ/Ec9rqUGr2OnvIzteWskconjuYMSqWBYq6SKQzqfDvFP7Q2t6X4P8AiFf/AAd+OfiTx/8ADC48PeFP+E28dT61eeMLPwtqNxqMqatdQy2d1bm1AsMSXUGn3FstnG8c0a2p2k/ph+058B7b9qH9n7xd8Or/AF7X/Dem+NNNl0i+v9F+yi+jtpl2TJGbmGeIeZGXjLGMkK5KlWCsu98M/Bk3w6+H2jaDPrereJJdHtI7Q6nqaWyXl9sUKJJRbRQwhyBz5cSL6KK3qzVStOs1ZOSfL0fxXT7xd1po21F3fKhN2owpR0a5tVo1f2fK10uuWSvayTataR+UVj448MeEPij8K/Cfiz9s3VPEvh3WtH8ZX51vQ/H+o+HtM1bTIUtZ7WJLmfVryadLe4e9CX4uvtLC1lhMzR28qHk9f/bYtv8AhifxT4n1v46eJo9c+In7NOga/wCH7q0+IF9DPqXi2wGoR6g+nJb3A8u5ieG0+1xWqovyu06EGUn9paKmnJwu927fgpr77zUm+rjd6u6unUULabO//k0JNej5eW3SLstEkfkH8U/2yvhjpv7RPxQ+JmgftG6NYSWfxM+HEFpFpXxAtbfSL2yuI9Ng1GWeKKUJeRtaC6V/tBljiW2eRFidJJD+vccgljV1YMrDIIOQR60tFEWo0vZpfabv6xirf+S3+bOeMbKKvtFR9bX1/EKKKKksKKKKAPmT/gsb/wAo4fiN/wBwz/06WlFH/BY3/lHD8Rv+4Z/6dLSigD6booooAKKKKACiiigAooooAKKKKACiiigAoornvi14A/4Wt8LvEfhj+19b0A+INNuNPGp6PeyWWo6cZY2QT280ZDxyoTuVlIIZRQB5D+wj/wAjF8fP+yq6l/6Q6fXv9fj5/wAG2v7D37Rfwb/aM+Pnib47fEf4n63aeFfENz4V07TNW8SX9zp3iDUP3T3OstDLKVm3QLarFK4Yssr8gxjH7B0AFFFFABRRRQAUUUUAFFFFABRRWT498Z2nw58Da14h1ATNYaDYT6jciFQ0hihjaR9oJALbVOBkc0Aa1FeJfsU/8FGvgv8A8FDfBB134SePtF8VLDGJLzT0cwanpmcDFxaSBZohngMV2MQdrMOa+cP2v/29fjr+y54q+PfiKLWPgzq3gb4HW2ia5/Yd54Zv7DVdestQllBsY9ROqPDHeBIikT/Y3WaWSNfKTNF/eSfXr80vX8BpN2S1b0S7/p97PvyivEU/4KH/AAtjjuheal4m0+fTvF1j4Ev4bnwlq8b6drN4sJtYJs22Eil+0QBLon7M3nR4lO9c9N8M/wBrXwN8X/ijrXg7Qb7WrnW9Cilnnafw9qNnY3UcU3kSvaXk0CW14qS/IxtpZArcHBpta29fwSk/ui1L/C09mieZcvN00/F2X3vT103PSKK8A+FH/BUP4IfGrx3p3hrQfF2oNrGp6he6PFFqHhrVdLjh1KzErXOnTS3VtHHBfRpDJKbSVknMQEgjMbK5s+AP+ClvwX+Jng/xRr2l+LL4aZ4Q0+11a+e+8O6np8lzZ3bSJaXNnFcW8cl/FcPE6QvaLKsz7UjLsygp6K/S1/l39PMtxak4tap2t57W9b9D3aivjf8AZ0/4KtaJ4h0L4o6x4+vr1dL8O/EmXwX4Yh0v4deIbPXdQjGk2upCGXR3SfUGuYklufMcQxoY7cy+XGhr1X9pz9rS68Lf8E8PGPxu+Ew8NeMDp/gyfxdoL6pcz22nX1ulsbkSuUjMpxECwiwhdlEbPDuMiE3yw9o9rRb8uaPMr9nbXXz7FU6bnVVGO8m0vO0uVteV9P8AgnudFfM1r/wV4+AGj/DS/wDEfib4jad4Zt9E/sqPUZNW02+0xHbUWKWk9qLiFWu7SZ0lKXVv5sBSGR/M2Ruw6fx5/wAFHvhH8L9H0e/8Ra34i0a31e0XUX+1+D9Zjk0SzadoEvNUQ2m7SrZ5EkCz34gicRSMrFUci5QkpOPW9vnvb1tr6amNOfPFSj1V/l/TPcqK8HvP+CmHwW074x3ngC68Vaja+K9N1y08OXlpP4b1SKOyvLsqLPzZ2thDHDcs6pBcO4gnc7I5HYEDkv2o/wDgpt4Y8BeCviXovw61LS9Z+K3hLw/rWpaRaa9p2qWXh/VLnS4t97BFqK2/2a7ltsnzba2maVWjdHMO2R48KlaMKTrPWKTemuiSb+5NN9k0+ptTpynNU1u2l/4E2l97TS9H2PqWivlZP+Cqnws8Q/s36z4ph+JnhrwtqPh+x0ebUL/V/D2ozWEb6iQttJbQZgk1C3uHSZIZbSWSN2jbDvsYV9U10Vacqc3CXR2/r8H6NHPTqxnFSXVJ+eoUUUVmaBRRRQAUUUUAFFFFAHyx4G/bI8c+Gv8Agpbr/wAGfHsXhOfwj4h0573wHrOl6fNY3JureOOe60y8825mWaYW1xFLHLEsIcQXOYxtGOT0z/gp9faf+3n8RPC/ie50bQfg/wCD10DStLu7fwtqeqaprOqare39gjy3VvI0NnareWEkAaW22O0kZMyb1VtL9ob9kD4v/H/xD47vLJvAHgPWdN8RaZ4p+G/ii21u61a7tbyyQW5W9s3sYFiiuLUzxSLFcS/LcMuT96vP/iV/wTi+L2qfFX4lyeHdP+GUXhPVtB8F6f4anvfFl+NQmufDOqyalEb2JdMZI1u3mZJHSWVo9m8CUyFUKDVoOpsn83G93L/FGLcUnq7KVpS1KrL4lHd8vyfMk0v7rXvNp2+KPuq1/p3Vf29fhlp3hfxbqLazriv4N8Sf8Idf2Q8KatNqbauYo5ltrawW3+1XpaGaOZWtY5EeItIrFFZh4p+zZ/wV48Iy/sk+HfHXxe16O01PW9Q8SxpL4f8AA+uJE2naRq09k+oz2IW6udOgWNbdpnu3VInm2syngcppv7EX7Rdr8bdW+KT2nwaHii2+I8fj3StDXxTqZ0y/guPDsWh3mn3Fz/ZokgkgjiEsN2kMomZmDW8APHC/En/gnH+1L8Tf2WNb+GdzL8LdN0jxJL41ubrT9K+JuvaZDHea1fyXtleS3NrpUU15FbC7u4JLCUJbTDZLJ5hKxQuOkVfdqN/J8kXJLf7TlFNabKWi5zRqDajey5t/7vvry29xtbvpreJ9CeAf+CmWl6N+1h8Svhv8StQ8NaG+l+KdI0XwgdFgv9SW4tdRs7d7SXUblYvJtXubiVo4jJ5UTP8AukkmdSzenftZ/tpaB+yDqHw+ttc0PxnrUnxE8Rx+HbNtB8P3urLZO0UkrSzfZopGUBYyFQKXcnIXYkrx/Kmv/sW/tNeJtO8ZSzeE/gVbX3iXxn4L8UQwp8R9Vliij0FrFpImkOgqd0x0+MKQmF89ic+WBJ9R/tnfBrxn8WNN+G+p+Cbbwxe694B8Z2niZ7DXNVn020vYY7a6t5IxcQ21w6OBc7l/ckNswduchqNlTu7/ALyMX50707yfZtOd35XSRz8zcJNqzdOTS7TtKyv1V+Wy+9spfEj/AIKZfBH4O6z4ms/FfjR/DqeErG91C91DUdF1C30u4js2RLuO0vWgFtfTwyOsbwWsksyyZQoHUqL3gb9uXwR8X/FHgy18I+I/Cl3Y+LlvLmAa1qFxoeqanZQQCQX2lWdxbBtTtSWQm4idIBGS6SSY218rp/wSb8VeCvCPxR0jQPhp+zRf+Itfg8QroXxFuLY6b4r1RdXW4U2+oSR6ZK8JgF5KGuop5muFto1MUXnOyeganqt34q/aN/Zz8B2et+Bpfin8KtN1Obxdo+i64usf8It5ugPbW9xOjJDcCCSaaDY0kMRcSDAxzWUZP2cpSV2oxaS3bfO5K3920b7bvW1mVVdpJQ2cmm30V4KL+fNJ38kmrpo9b8Af8FLfgv8AEzwf4o17S/Fl8NM8Iafa6tfPfeHdT0+S5s7tpEtLmziuLeOS/iuHidIXtFlWZ9qRl2ZQfIf2ef8AgqHB8UNX8TWviPxl4X8MhPjJD8PfCsep+BNZ0fUtegk0+yvBYvp93Ot1BeqbmSM3UiLCBEJDAFcCvG9E/wCCX/7S2seL9X8WeItV+HUvjK503wvqJv7z4h67r1vq+v6Fqs2okyQT6fElhp961w48iy2xWbKDHBMCRXokX7H37RXiTxX4j1XV/DHwW01vEvxk8O/EmSG08f6neC0tLCzsrae3DNokW+Y/2fGyZCq32hgSnlAydFGMfaLnemi8kva0ryV7bx9o0mrpL3k1JIWIk1Coqa2Ta7t+zlaNl2k4pyTs7+7bl5j6s/aG+P8AofwQ1DwHY6r4x8P+Fr/xv4otNA0231LTpr+bXZZSxNnbJDKjRysoyJ23xxAZdCDXF/Dr/gp18Ffit49h8L6H4n1i41+a+v8ASRZT+FdXtJI9QsY5JbmwfzrVAl6sMUkq2rETSRL5iI6EMb/7b3wb8bfGnRfh1beC7TwtdSeG/HmjeJdUOt6vcaeFs7K4E7iHybW48yZtoUK3lrySX4wfnfwZ+x5+0b4e8deCdVuvDnwUmj8M/GDxD8RbgRePNTVpLLU7W/t47dAdFOZo11B2YkhWNuoBXzT5WFFtuSnprK33UuX5a1G1p8HRtt3UXWOui+/962vvjTV+nPd3SSW9+zX/AMFNNd+LF/4i+IWui3tPg0NU1Pw/pGkQfDbxVD4zOoW168MCwxNA51ZZbe3u7iZbW2jeyKeXIH8qaRel0z/gptpyfGnxHqF/NpF18EYPAeieLNA1nQtN1TV9c1GW/wBRnsWWWzhgMqESrHGII4ZJFYO0jKSY4/JYP+CafxV8cfs5eD9G8f8Agr9nvxdrPw/+IGt+KrfwprWpXOueGPFFlqtzezPDcTXGlB7O6t/tx8qZLW4DNBkqgmKx5PxC/wCCXPxdt/2hPCHxA8A+EfgP4Tn+GOi2P/CH6TYeI77S9Csr9b66mu7ebTYNJMD25ttRvII7gYnDqJ1WFpnRKTtUpp/CnZ9dHTk+Z9XabVra6WeurmTvGo0tXqltqqkVZX+FOCd2+krq9ml9S+Pv+CkHwp8HR6tZ33inUfCt3Y6LPqr6pr3g7WLfSNN8uzF20dxcSQRQC4jiZXksjPHcgfKURjx678JPGUPxF+FXhjxDb6naa1Bruk2uoxaha2UtjBfLNCkgmjglZpIUcNuEbszICFJJBNfH3iH9j345+Lfjp4u8d22gfDHwNqHiXQ7y01K20L4j6xPpvjGWXSxbW8Gp2MmlLbrLBcYZdVhU3Bgt44jAVfbH9Qfsm/DzXPhD+y98OvCXiZNKTX/CvhvT9Hv/AOzLuS7s2lt7dIWaKWSKJ2QlMgtGp5xiqgvdk5aO0LddX7Tm+60e12+q5bRNvnio6r37vbbk5fv959dEtnzI9BoooqSz5h/4KMfCvwx8bvib+y94V8aeG9B8X+GNX+Kl0L7R9a0+HULC9EfgzxRNGJYJVaN9sscbruU4ZFYYIBrf/wCHTv7LP/RtPwA/8N5pH/yPR+2R/wAnFfsnf9lVvv8A1B/Fde/0AeAf8Onf2Wf+jafgB/4bzSP/AJHo/wCHTv7LP/RtPwA/8N5pH/yPXv8ARQB4B/w6d/ZZ/wCjafgB/wCG80j/AOR6q+Iv+CZPwj8I+ENck+Efws+B3ws8eahptxpth4mtPh3ZNJpyXEZimO21a1mYNE7rhZ0HzDO4ZU/RNFRVpxqQdOaumrP0ZdOpKElOO6d18jwrw7+xreax/wAE/wC0+BnjfxauqSw+Gk8Mv4h8Oaa+iSpFCgjtriGGWe68ueNEiYlpHVpELbVVvLHEeNv2LPjf8TH+Gd/4g+OPgu+1v4feKLXxBNJH8ObiGy1WO3tp7dI/IGrEwzSC6neWYSMrMsASKNY3WX6sorarOVSq609ZNqV/OL5k12d9dN9ndGMKcYU1SirRScbeTXK16W27bqzPjL4Uf8E3vir8NdU8B3svxg+H1/P4F8T+K/FMWz4cXkKXc2ui5cxkHWmKpBNeXDDBJdPKTKsrSPwOrf8ABOj4rfs3fA3Rb9/iL4d+IcPww+FviLwOmk6X8LpZNS12LUTFIbgRSarNFJJG1rasYBBL5ypcIsbNNGqer23/AAU48PeDoby4Xwx8cfGkOqfE2/8Ah9AreHrC3uNN1OO3SaK1jti9tcfY5Ru8qeWN2GWknkjh2yCtZ/8ABVabxX8TfhTYaB8I/iFeeGvHNv4jfXLx1sH1Dw1caLdfZLu1aziumkuHimDlza+fvAjEC3BkPl87cZU/adJK13slKm3r0+Cerv8AaWusToU5RqSfVybdt21Np283KMrK1/demjt87fBz9ibx/wDtIfBfx98LdJ1Xw9B4C8TR6XPqPivxr8JPGFnqF7cWV3HKmkvZeJNckvruz8mNMMHS1iWSWONXeWQxex6p/wAEq/iTqXwl0r4dTfFz4dar8MvDGuy32i+ENb+GVxqejjSniuEi0e+hfWAL62tTLDJa+ZtEL2sRKybIhF6R8Mf+CmMfxq/Z/wBD+I3hL4HfHnXNJ8UzxQ6JZro+m2t9qIMM0s0rLcX0aWsMJgeNpLt4FldoxAZxLGW9V8EftPaD8SP2VNN+L+had4l1fw9q/hxfE1np9npj3Gr3ULQecsEdqmWe4I+QRqTl+ASOa2qxup86btZSvq3fVaeSVo2V0k1q3JvKnFpqMOt7W6fZevm9Xd6vXZJL5g+HH/BJ/wCI/wAK/hNpfhjQ/jppWjXVl8Lh8MJNY0zwXcWd9HDBJcvYXtq66p/o00ZnAlxv8zYTG1sSCmF8Lv8Agjp8RPg746stQ8NfFD4LeGNBh8fWXxCm0DQPg3Ppliby30saa0MKR63tihki3St8rSeexcuykodz4z/8FKvF1543+Gcnhnwp478LyaZ8Tj4H8ceANQ0LTr3xJq0s/h641Oxit7qC+msYYm/cOz+aANymSa2jilD9t4z/AOClek/EL4GyL4I8LfFq6+IOsxa3ZP4Z0Oz0ceKPCkumP9nvrmdb+4/s8fZ53gVf3k6zGeIxpOhJE1azhF4h6tXem/xKtfs1zSU77K6vZWNORykqbelRfLVOlbybjBpJbr4bu56X+w9+zb4n/Zb+D+qeGPFPi7QvGd3f+JNX8QRXuleHpdEjhGo3s19LC0Ul5dlik9xMFcOv7vy1KllZ38h+FX/BOH4lfAvR/Adx4U+Mvh2y8S+ANOvfDEFxdeB5rjS9V0GeWOZILq0Gpq7X0M0YdLuKeNMM6tbkNxlfBT/gqnD4Q/Yv+GPifxnofjz4ga7H8MtD8c/ETWNA06wEXha0vLbc2o3kLTW5ZXaG7kMNhFPKiW7nyVUx7+m8a/8ABYTwF4N8Z+L9OTwL8YtY0nwHrul6DrniCx8Mf8S22fUhbiznh8yVJ7yGWS5jjH2SGaQnDhDE8cr7V6Tp4hwes4tx09eTRed3G9tbyXWRmpc8HJ7T9536t+9992pW6NxaXwnI3f8AwSr+Iuh/tXa58ZvC3xf8E6T49vr+zFrq198O7i9vZdJhsRaS6VfyJq8IvIZ/Ktp2IWEJPE0kaoWATjfGn/BFb4keIvH3ijxRZ/Gn4b2/ibxZovibw1qHiG9+FE15r2o6drUsb7Lu8GsobiSyjiSG1yqwwxKEEO0AD2rx/wD8Fc/h18IvgvqXivxlpGv+C9V0rxS3g2bwx4g1XQdM1D+0xare+V9rn1FdLANo6zhmvQCCEz5xER5O1/4Ln/DXWfBr+JNG8C/FjxD4ah8Hw+PJtX0uw065soNH82WC6neQXuFe0mgmjkiP72QxubZLlVLDBU4ySppXTVl6Thd/JwvJ9LXfVs0jUnGXNF6p/jGXKtOrUnyrreyWytS8V/8ABLr4seMb/wARXF18bPAsaeIfDHhjwzdWcPw4u1s7+HRbqScw3kZ1om4s7xbq8huLYMm+KWNDIVWRZsn4Ef8ABJL4p/s9eIvDcvh74wfCaw0Lwi3ip9J0Wz+EdzZ2lqdemFxIgWPWwqw28qIIo41QCIMhJYrIv3rbzrdQJKh3JIoZTjGQRkU6tKrdTm9przXv533v/WnQzpzXLHkeitb5R5U1/wBu6X6rc8E+CX7BnhzRv2Jfh/8ABf4uab4C+M2m+AtOtdOifVPCUQ0+6FpGYbaf7FdS3SpMsOFZxIcsXZQgbYI/+HTv7LP/AEbT8AP/AA3mkf8AyPXv9FVVqyqTdSbu27v1YopRVkeAf8Onf2Wf+jafgB/4bzSP/kej/h07+yz/ANG0/AD/AMN5pH/yPXv9FZjPAP8Ah07+yz/0bT8AP/DeaR/8j0f8Onf2Wf8Ao2n4Af8AhvNI/wDkevf6KAOQ+Cv7PngL9mzwrPoPw68EeEPAOiXV019Np3hzRrbSrSa4ZERpmigREMhSONSxGSEUZwBjr6KKACiiigAooooAKKKKACiiigAooooA/KL/AILkf8ForX/gn1+3B8BfDOv/AAo8W69D4V15vG+nahp93D5XiCKfQ9Z0ZrWFSMrPHcaijMpz8qA/8tFr9R/AOu6h4o8C6Lqeq6TNoGqajYwXN3pcsyzSadM8as8DOvysyMSpYcErkcV5b+1R+wP8Ov2xviR8JfFXjfSRqGq/BrxJ/wAJNoT/AC4M3lMvlSZBzF5ot5ioxl7WLJxuB9ooAKKKKACiiigAooooAKKKKACiiigD5k/4LG/8o4fiN/3DP/TpaUUf8Fjf+UcPxG/7hn/p0tKKAPpuiiigAooooAKKKKAPn/8A4KIftpa1+wd8LNJ8dweB4fGvhSDU44PE7RaxJaajo1gfnmvbe3W1lW78mFJ5XjaSE7YsKzFsCP8Abu/bsb9kj4ceB9S8NeHLHx7r3xE8SaV4e0Wxm1ltLs9t9dQWy3s1ylvcMlvHJc24JSFyTMgA5rY/bOtdb1uDwLpmm/DPxJ8SdLuPECya3FptzpUUNlZeRLDIZ1vry3MiMJ/uxCRiFfIHyhvjn4gfsX/HD4c/s7+HvCv/AAg2p/FCb4cfELw7ZeDhoeq6ZDPF4P0fW7fVUnuG1C7tlF1JBHHaFFdy72EDsUV2YGHtKajUdl7SN3/cvBT/APStGtbe0d/cSKraK8Ff93L/AMD99x/COq2vyKy5m39x61+2h8JvBOreINI8TfFP4YaD4h8GWMV/4n0258V2cc3h6J/KAluVkdHhiLTRBZJUQN5sfALAVq6N+1D8NPEeg+KtV0/4ieBb/S/Au7/hJLy3160lt/D22MyN9sdZCtvhAWPmlcKM9Oa/PW+/YL8e6Z8OfiYLr4I/EbxR8UoLHxgdB8Qv8U2n0HV111bnbHaabc6v9ns7pjdxC6V7WO3X7NM8UszeSHb4p/Y5+LHjG61+z0H4E+KvBugWvgn4ewQadH4p0nQBq8nh+/u7u70q2udJ1Mz2dwVu4xbzDy4fNtWDSxptd1BuWj0doenvOXM+9oJJuPxO9t7XJJJNrW3Nppd2cEl2TlzN3+FKLXRtfbDf8FIvgXL8TPhz4Ss/in4H1bV/ixDc3Hhb+z9atrq31eOCTymMUyOY3LTZiRVJaR0kChvLk2bOkft3fBDxBFLJYfGX4VXyQazD4cka38W6fKI9Um3+TYErKcXMnlybYT87eW2FO04+Yfh1+y14k+B/xQ+GHizwN8E/G9jo0t74pk1fRte8bW+uaxptzqkOnqt9qdzeapcB0kltJWkWznuWCMjCNpGdR8rfF34J/Fvwv8LvGuufFP4JeLE0DxNofw38PvoMw8GpotpcWXi6J59B060sbsAacyXix2v21pG2B1nnQBQbpWnUjTel2k3/AIn072Wn95tO0X7jIxvG99bpJf8Ab3Ld7W35muiTV2nzr9dvhP8AGvwb8evCA8Q+BvFvhnxpoJmktv7S0LVINRs/NjOHj82FmTcp4K5yO9c98O/2x/hF8XvE2l6L4T+Knw48UazrdpNf6dYaR4lsr26v7aKV4pZ4Y4pGaSNJI5EZ1BVWjZSQQQPP/wBh/wCFPiTRPiP8ZfiJ4i8IXvw7HxS8QWd9ZeGL27sri9sorTTreyNxcmylmtlnneFmxFNL+6SDc4bcifJ37N/wb8S/GjxbNaeGfhPLpVr4J/aE8beOdR8cXtzpVvYa7LFeatZpaRLDPJfyTS+bBbSNPbxRiCGQCRwsaPLdpJNfZUnbW2sVL7uZu3xPl5UuZ6Pl/dSqdeblX3TaXTfkUb7a82y1+9vBX7XHwp+JPh/xTq3h34nfD3X9K8DBz4kvdN8R2d1b+Hwiuzm8kjkK2+1Y5CfNK4CMT0NeR/s9/wDBU/4b/FjwN8TPFviTxj8KPCvgfwD41bwlZ+K4PHlrfaBritZ2t3DMl7IkESSst15bQKZNkkTqJHxmvjDw1+yZ+0pr3iDVtd1D4P8AiaykXw94JuD4cur/AMIabojvoOsz3114b02PTrljFYtHMosze+axEZW4njG016PL4D+O914x+I+r6R+zz488J2/jb4op4pi1CO58EXnifRbOTwzDpz3WnC51C5sIrk3Vo0U7zB2NrfOI1kd3MLknGM5btRdl5qdNJ/8Abyc7K75Um3zLlYPl5nFbJp37pxk7W30fKm7a9OV3ifonD430a48GJ4kTV9Mk8PSWQ1JdUW6jNk1qY/MFwJs7DF5fz787dvOcc15u/wC398CIvA+j+J2+NnwkXw34hvX0zStWPjDThY6ndpjfbwTedsllXcuUQlhkZHNeQfs0/BTxb4Y/4I1+Hvht4x+GPiK58W6H4EHhy/8ACKa/YWV/qU0MPklbe/trhreFpNu+KXzUK5Qt5RBC/MP7QP7M37T/AMQP2bPEXhKH4feMdbm8WaF4o0218QyW/gW28eFbqCyitbDXZ2mawNrcGOXz59N3XMq2lgzNbyI4aqyUMROnF3itn3s3180vl2btFlKPNGHM7Nuz8tN7X7+evdK8l92aT+29oGmfGzx14R8cJpfw4tvDGs6Voei6lr+v2UCeLLnULd5YUtk38OzRyIkRYzP5bHy1GM9RdftffCax0PU9Un+KHw7h03RdVuNB1C7fxJZrBYajbwvPcWUrmTbHcRQxySPExDoiMxAAJHxx4z+EPxk+L3h34thvgn4w8PyXI8AazocOo65oDza7Lol7bXd5ZJ5GoSJDMREyI0zpEx5MijBPJ63+zr8Tfib+05D4s8TfsteI7qJvjlpnxEsL681Pwpevo2lr4ftNPfJbUvMjuY7m1ilkjhV1/coY5JiikpR/eezb6pX8uenHm7bSqSaurKN9FvnCadB1pKzs3y9bqMpJLTq+WKdn13e33bL+2b8H4fF6eHn+K/w1XX5NI/t9dNbxPZC8bTfINx9tEXm7zbeQDL5uNmwFs7ea0fhf+098NfjfrcumeC/iH4G8X6lBYQarJa6Jr1rqE8dnOAYbkpE7MIZAQUkI2tngmvif9pD4Z/HW6/bu0PxhpvwY8X614Q8D/EVfEMVt4SuPB9pp/iaybw9NY/2jPJe3cGoy6ss84gYSSQ24tYIgqSOgdo/+CdH7O/xL+C/xS/Z3XXPgF4i8DWXhL4eeI/D/AIn1FdR8OyWlnqd/qNjeCRha6g80yyGxlZpEiZi9zEWAzKYyhao4t6JpvXde5KSve27tHvfom+WN1Y8l0ndpL0vzWaW+yTfndLZXl+itfPX/AAU/0+DWv2XNL069ghu9P1b4k/D/AE6+tZkEkN5bT+M9FhngkQ8PFJE7o6MCrK7KQQSK+ha8A/4KWf8AJuvhz/sqvw4/9TjQqkkP+HTv7LP/AEbT8AP/AA3mkf8AyPWN8RP+CPX7MnjH4f67pFh+z58B9Fv9V0+4s7bUYPh5pPm2EkkTIsybYVO5GIYYYHK9R1r6YooA+Fv+CXv/AAb3fAP/AIJe39j4l0PTr7xr8TLaJkPi3XmD3FuXUq4tYFxFbqQWGQGk2sQZGFdp4V/YQufG/wDwUY8d/Fj4n/Cf4HeINIubbS08Ha5PcnWfEehzac8pilSK40yNbVpfO8wmG6YxvAgHmbt6fWtFCdpKfbb1797rp+NwlrFx/r07WZ8QftQfsTfG3xR8TviFP4BtvhZf+HfG3jrwn8QvO8QeIr+wvVuNGbSxJp3lQafOiRyrpqMtz5jlS7KYGBDr3n7IH7K3xB+Dn7S/jnxdrVt4V8G+FvEgvJJvD/hjxbqOraTrV7LeGWPVf7Pu7WGLSbrydwnW0klS6lnaR8NGGf6joopt00lHpe3zjGNvNKMIpLa6UviSZVWTmrS8vwba+er13s2r20PzL/YZ0nXv25W1I+FNf+Elx8Ovhn8cfF3jC11vSfFEmt6vf3zahqhsYZrKO3SC2gY3iXAl+1zGWGNAsaibfHHon/BL/wDaW1jxfq/izxFqvw6l8ZXOm+F9RN/efEPXdet9X1/QtVm1EmSCfT4ksNPvWuHHkWW2KzZQY4JgSK/TiinSfs+Vw0ceV3/vRikpeukdNnyx5k7XHXn7V1OdaTcrr+7Kbny+esnrvq7NJ2PgO7/ZL/am1vVfiFdyWPwr0LTviP48g8T6xo+g/FTXdOuL6xXQ4NO+yjV7bR4Lu1aK5srS5zbqpnVnhZ40Def33wi/Zx1fQf8Agmho37J/jfXPCuifEvXPhdq3hu1fSby51W0mtLaCHT5NQVpoLd2CNf2bPGwBDThQ7gF6+vq8A+I3/KU34N/9kq8ef+nfwZSlrTlS6NRXyhHlj9yvvvfXpaoVpwqRqp6xd163u/vdr+iWyPDvjb+w38cfjb4K1bxBdaN8JLD4hXOmeHvDFjpEXi/UJNJt9O0zVV1Oa5k1D+yhNJPPKkcawC0VIlUt5shYqOx/ae/Yz+K3xC+K3xF1DwjL8Pbjw58d/AFt4H8X22v6jeJN4Xkh+1xi/sFjtnW/TydQnDWsptA7wRkTJ5jhfr+ilNRmnGaum22uj5r8y9JNtvqm7prQypXpWdPRq2vX3eXlf/bqjFLo0rSvd3/Pzx7+wb8fIr7x/Y+G9G+EV/omreOPBfiHQZtU8calbXjWPh77B8l0E0iULPP/AGcnKM6p9oblvKHm9xefsp/Hjw7+zV8U/g/oyfC/U/C+tweIh4Z1e+8Q31pf3S6vLcSC0v4Rp8yxC2e9mb7RFLK0/wBmiBii81yn2XRSrR9rSlRqaqXNfzclGLfraK2t17sqlL2UoSpq3Ja3lZ3S81r1333Sa/PT4n/sL/tGfEPw98UrNfD/AMFbWTx78M/DPgm1J8e6m6211plxcyzSv/xJR+6db6YKRls28eQPNbyv0GsHuJLCBrqOKG6aNTNHFIZY0fHzKrFVLAHIBKqSOcDpUtFb1a0qknKerbvf1bb/ADMY04xaceyXyilFfckl+YUUUVkaBRRRQAUUUUAFeNL+378LX1zxRp39sa8LjwlC0107eFdWW3vwtytoV0+Y23l6lIbl0gEdk07tK6oFLsFPstfnd8TP+CVnxM+Lt98QXnsvhX4c0TWNWTxBF4NfXNQ8SeDPG+oQaqt5FPf6TeWaxaS08CPFcmza4WaW5M7IzwL5spv2sU/h1u+22votXZJtuySs3KNNLkbW91Zd/Lyb0V3ortvZJ+xap/wUtstQ+N3gq40N9Lm+D2o+HPFOpeIdQu9L1WHxNpd/optzNatpkkEc8BjSRy0bxvPIWULGgAaXq3/4Kj/Bu18IeL9cvNS8daXY+A9HtPEOtpqXw68R2N1Z6bdPIkN4LeaxSaWDdDNukiRljETlyoUkfLPx/wD+CSPj74px+AovCfw4/Z/+FmmeEv7V12HR/CfiG60rT9M1xzZSae7QwaMkOpwLcabbSTfaoow4lKiIm3jd+1/aa/Y3/aR/aI8N+PbpdL+COk+J/i78K/8AhXniEHxZqk9hos8E2oSQ3Vp/xLFkuEmF+ysknlGAgEG42kPUGtpXtr+Unv11tFWVkuV3ld8t01B253bVbduaK/CHNJ33lpZWSl75cf8ABTT4LWXxfu/AVz4q1K08Vafrdp4evLS58NarAlleXmwWYmme2EUUNyzqkFw7iGdzsjkdgVHGfFf/AIKLWum/t1fCP4VeD9StdStPE3iPVPD3ij7T4Q1Z7dJLbSbq9xZa0CmnGeGW3WKa3HnyDzWBETROK8m8c/scftM+Nrvx/fP4W+BUFz4v8c+DPF1tbr8QtVZLWPQzYPNbvJ/YeWaV7BQrhAAs5JXMeJJrf9gD48aFrXgLwhBF8LdU+HfgT4g674og8QSeLNRsfEE9hrFtqkM0TWY0yaH7Vbtq8zLILoJN9njBWAyEoLmUOa15e9ZbJ+7C2uy1lNa9rpq13lF3h7+jcfW0rS++zUbW6u+qvb3PxT/wVp/Z78A6RrGoeJPiJD4XsNFksla51zR9Q0uHUI7y4a3trmxe4gQX9rJIrYubQywBFLmQIN1es/8ADQHha2+Bt38SNQvNQ0Lwhp+nT6td3Wt6TeaTPZ2sIdpJJba5ijuI8KjEBowWGCAQwJ+DdF/4JP8AxA+G37Ms3hDwh8KP2UtB8YaeulaZ/wAJPogk8P3XjO1stRtbw3l88GkPJaSuLKINao9zG0lw8hmHkokn3X8ftG8f+Kv2d/FNj8P9U0fwz8Sb7RpotFvrzNxY6fqDRnY7Fom3Ir/xNC3YmJuULq2UJcju1s7dLaabu+/dbNJjpe9UipqyfS/pfW1tNdbO+6ujxHxT/wAFGY/HHir4W/8ACr4rHUdB134hr4J8Zp4m0jVtE1zQ2fTJr2JItPureCVZHUQv5k2F8thtSXzN0exp/wDwUR8H/FvxD4M074e+KLBte8ZW2rzaH4b8V+F9a0K78VGztPNEkM1xCj2torld92bW4jkG5IwXUivj7xh/wSE+NvxU0jxJ4Q8R6D8Pm8B+OfHtl4u1h2+N3ifU9dt7ZNDXSbi0S9utJaediN8qmSVYyuIDGIs19GfDn4CftG+IPHH7Pt/8RNH+DMQ+E9xqUWtX+g+Kr95NSgm0x7KGaC0bSYY0lJkLPF5iRjZ8jYfZHlKMpUakY/E/h2604X12SjUUkr7p3vbUmpKzhKKurK/T7cnte7bg1ez0slq3ZW/2LP8Agrj8PPjz+zf4c8QeNPEem+HvFw8C/wDCaeIY49J1C00hIII0N/JY3M8ZivI7aRxHKtvLM8LkJJtf5a2PF/8AwVx+Fuh2XhSbSrD4keIH8S+Mo/BVxa2/gPXIb/QbtrQXm68s5bRbqEGBo3jBi3SiQMgMaSyR+Y/D/wDYC+OvhD4L+E9Fsta+HHhnxV8DPA+p+FPhzrNnfXGpf2ve3MMMEepX6TWSLYhY7cf6NGL1d85Yu4hCy878LP8Agnf8ePh1ruq60mk/DiW6PxP0j4h2FjqfxW8QeIJZkg0U6Xc2s+p32mPckghZo3KupDeVshVFY9U3CWIVtINxfbR1UnvsvZNu13JNatN8qqqkoT5HqlO3qoe72157a2s1dbK7+gP+CnP7SfxN/ZI+C+lePPh1p3hrxHb6NqayeIdA1HTZ577VtNRGnuVsZ47mJYLlbeGcp5kUyu5Rdq8k4X7fP7e2ufCX4PfC3UvhDN4V1bVfit4i0GxstU1ezm1HTLDStRv7OzN+YYLi3eYhr632IJk3bmOcKa9U/aj8J/EHxdeeA/8AhCdA8E65b6Tr8epayPEHiK50ry4EjePbAIbC6EzESudrmIfIBk7iV+U/Gv8AwS/+LPgf4Iw+EvBGo+BPGEehfEXRta8MReI9Zu9Fj0DwxpOrpq9ppIeCyuzJKJmmt94RFWBbc/OYthxw9nNKt8PtIt735LwU1prrdtW6Ket7WKz0vT39nJf9vvncXrtayT7uUNLXZ6V4K/aY+PH7UXhHxV47+Er/AAstvCHhLVNQ0LTdL8Q6Hfz3/jy50y4ltryaO7hvUj0uCa4hlhh3W98yqglfO/yV9G8GftkyftDf8E8I/jd8MNN0+6vNb8Jza9pGna9cSW1vDcpE5a2uZIkkYeXKjo5jU7ihwQCGHmvw0/Zn/aA/ZN0Txb4L+Fh+E2qeCvFus33iHSb7xJq1/b3vgC41K4kub22S0gs3TVreK4llmh33Fi7CTynICiU+l+Dv2R5P2af+CeSfBn4Ypp+o3uheE5tC0iTXrx7O3vbmSJ1a4uZIYpWTzJZHlby4mwWIVQMYxxXtPqlXk+Lljy7X5uWXPt/e5f7t/wCH7tzWg4fWYc3w8z9OTmXLf/t2/wDe359bFTS/+Ci/w98L2Pw70rxrrU2meLvG2jaLqE0VloOo3Wm6dLqjCG1FzdxQyW9kk9yJIoftUyb2QgFiDWbb/wDBTv4SeE9NvNQ174kaZrOl3nje+8F6ZfaH4W1SSzg1G3jRv7KknjFxHLd5JVHVo1uHIjijaRSp+ffjv+wT+078XPBHw90WSb4Z3dj4H0rwlLaabH8R9d0bTbHVNJv4ri+MkFtprJqcV3HbWyxveqRaMhMcO7dJJ1c37Hn7QSeOLXVodC+DhhX44S/EueJ/Gupbjpp0wWKQKRpGPtJJaQgjYNoUOd29eyvyOvJx0jzyXly+0pJNL/A6j/7dVtHaXHS51h4c2suVNrrzKlNvXznyR+bWrSkvr74IfHHwx+0b8NLDxf4P1GTVNB1F54Y5ZbOeznjlgmeCaGWCdEmhljmjkjeOVFdGRgygjFdZXhP/AATz+DPj74DfA3V9B+Ilh4QsdYuvF2va9bjw7rdzq1s1vqWp3GoqryT2dqyyRtdPEQEYMIlfcC5RPdqiaSeht1kt7NpPuk2k/mtTwD9sj/k4r9k7/sqt9/6g/iuvf68A/bI/5OK/ZO/7Krff+oP4rr3+oAKKKKACiiigAooooA+OtQ/4JyfE6XxrFq9p8XvBFusXxcm+KZgf4e3MvmK1iLJNPLf2uPuxFmMwA3PtPlqoKNH8KP8AgnB8UvhNN4P1W1+LvgG68S+Ete8V6qlxL8OrsWNzb+ILpb24gNuNZ3rJFc7ykvnEeWyo0ZZTI32TRUqCVP2S20/CMYr/AMlhFeaWu7u5Su+Z92/m3N/nUm/K+myt8Z33/BMDxlqv7Gnwv+EuofEnwNrkPw+vpH1GDWPh9LfeGvF9kYZ44ra+0ptT/etE8sc6M1w0Ymgjk8klV2+gfCn9iXxX8MP+Calr8BLb4m/2f4g0nws/hfSvGehaLJpctgixmK3uFt/tcjCVE27jHcIWIJQwkrt+jKKp6xnHpK1/Oysvwb27jU2nGV9Y7fff8/07I+EPhH/wR/8AFfwVfUr7w54/+EvhzU08b2Xj/QrPQfhTLpfh/StRi0iTSLhJLGPV900E1tI0gCTwyLcEyNJKpMdbfgr9hO81q80r4kfCD4vaLb+PrW78U6D4t1nWfCcmsaR4iuLnU2XVIRZR3lrLbNbahZeXCUuWCRwbHNxnzK+1K8A/4Jp/8m6+I/8AsqvxH/8AU412iaUlZ9rednFRavvZxSTWzsr3sJtu1+lvwbknbum209029dTxXwB/wSI8afDn4bad4a074zaPb22s/Dqy+F3jox+B226/pdl58Npd2KvqDGw1FLS5nhaaQ3cDsyObYbAlanxD/wCCX/xC1+1+ImneHvit4C0DRPGfiTwzrmnWk/w9u7x9Gg0I2ptbVpBrEYn3/YbQPIFj4E2FG9TH9q0VcqkpVPbP4r3v3fNzK/ezbaT0jdpWTaC9reX+SX4qKv3sr7HxxY/8E2/iZpvxD8TeN7f40eHbTxrd+PW8c+H57bwLMmm6f52mxaZdaffWzamz3tvLawREFJraRJ1MgbbiJaXx7/4JnfFb456j8R5p/jd4Sij+Jfw5HgC+F18Pbi5ktA9xPPPdQsurRgAm7uEiiYERItuC0rRyNN9qUVH8v91JLySh7Oy8uTS3z31HCbjJyju3f58/Pf15tb/LbQy/A2m6po3gvSLPW76w1PWbWzihvruxsnsrW6nVAHkigeWVokZgSEaWQqCAXbGTqUUVUpOTcn1M4QUIqEdloFFFFSUFFFFABRRRQAUUUUAFFFFABRRRQAVU1/RIfEuhXum3L3kdvqED20r2t1LaTqrqVJjmiZZInAPDoyspwQQQDVuqmv6bNrOhXtnb6heaTcXUDwxX1qsTT2bMpAljEqPGXUncA6OuQMqwyDM9Yu6v5dyovVWdj4N/4J9ftE+LvgB8PviH8OPGeua9411vSIYfFfw9vfEGpTX1/rum6pObeCxe6nkead7bVN9tvdiyxTWmTyM83/wTN/aT+Inw68KW3hTU4r34m+JfG0nxD1mPxJ4n8f6k7XF9oHiGSwSy+yy29xHYWjQS2u17UkKVkzbEgM/0z4Q/4JteFdCu/htqmseKvG3i7xV8KP7RTw94h1RtOhvoor2MK8EyWlpBbTxxusc0ayQttlhjc7iorjvAX/BIjSPhz4e0ay0/4z/GoXmh6lrl7BqhfQY75oNanFzqlkWj0tVEFxcATbkVZ4mA8qWJVVQSc/ZuzvPlav0ejUHd63T5ZTb+Jxv72w04OSuvd5lLz2fMtNLNv3VpZNq0bJnO+J/+Cvd/4Q8CfAbxbqfgPwhpPhv41ad4cuok1H4h29rrMtzq1xBDJa6VYG2MmpmyFzBLO7m1AjlUruIcL2fwF1fxEfAfxN8L3vjDxV4i1XVvipqXh+w1HULwC+tLSQQzyxwPCsawiC1+0mIRqu3y16tljyFt/wAERfDOmeCtL0Cw+NXxy0+x0zRtA0MmOXw/JJdQaFeyXmkGRpdJfDW0jhcJsSVUBlWVy7t7f+zl+xbafs8eLPEGsyePvH/ji68Q61fa+yeI305orG7u1hSVoFtLO32gJCqqG3bQ8mPvGuiXs1VnOO3vpf4XOlKK+6M1fezWt3plU5nGKW6cW/lCab76ylHTbRvTRHhWhf8ABVD4meJda0qC1/Z5axtNd+IOrfDLTv7V8eWkd42qWkd5LFPNHBBPGlk0dm5mkWZ5omDiKC6ARpOn+Gn/AAUf8XfE/XfCmmWnw18OW974r8MeKtQh87xhN5UGseH9Rj0+6smYacSbSSSVGjuwvmFd261UgBsHxd+wh4f+D3j74T6dqHxv+ODaj4i+LGpeJdBCW3ht45dduNJ1O+uFnI0kbbb7Jb6kAF5DXGM5EZj6bwh/wSd0fwT4Q8OabZfGD4yrqXhrUddu4dc8/RU1K4ttanW51Kwdk01Y1t5Z1EoaKOOeJseXMiqiry+/9XS+3y6/4vZpX9FUblt8MUrbp7ydNV7pe5d6dlzSaX/gCgt93K7WjXm2q/8ABY7xxa/DRPF9p8D9Lv8AQovhLpfxgvJk8diN7PTbiN2ubQo1gGe7jMcghC5imCEySWpKq3baf+2p8ZNM+KX7Rxu/BXw51Hwp8LrnS49AaXxodHEFvPaW1zLdanPcWflwQRwTS3M0qNI0aw+VHDMw82TJsP8AgiToFh8OdT8Jj45/HaXRNU+H1v8AC94JH8OMYtCgd2igRv7IyJAkssZlOZGWTLMXVHXtvG//AAS40vx3c65cXPxa+LVtd+IZ9A1O7mt/7DBbVtGNqbTVAraYyGc/ZI98TKbU5YrbowVl3q8vNeGivJekXNuLt1cYKKtdNybTdm5KNLr5X82ow69OaXO27aRtZX0fgek/t9+Pf2ifi98DviR8PLJtdGtaZ450K78Haf47gPgm8udKu7eL+1P7SjtPNuoWEZ8mYW8hAmTbBGHmlr7m/Zn+N1t+0t+zp4D+IlnYXOlWvjrw/Y69FZXDq8totzbpMImZeGZd+CRwcZr548Ef8EioPh/4ytdcsPj/APHVrqxn1+7tkmj8LyRwT63IZtQlGdG3MzzbZVDMVRkAChMoff8A9lj9n20/ZS/Z68JfDfTtf8Q+JtL8F6dHpVhf639lN81rENsMchtoIIm8uMLGGEYYqgLFmLMSHKoST/u28vjc/ldxtfXTotCZ7q3eXzV1yt9mkrO2l3fXc7+iiioAKKKKACiiigD5k/4LG/8AKOH4jf8AcM/9OlpRR/wWN/5Rw/Eb/uGf+nS0ooA+m6KKKACiiigAooooAKKKzvGPh+DxZ4S1TSrqW/httStJbWWSyvZrG5RHQqTFPCySwuAflkjdXU4KsCAazrVPZ05T7Jv7iopNpM0aK/Gr9m39pjxtc/s5+DfEPwY+Mvjr4zfEg/BjV774i2kniGbxkfD+oRxWY012sRIYrfUY3M6RwDyp7xYJjN58qvMNLTvG1no8fwptF/bku/Fngbx78T9Ot1HhjxFeaVbvDPpd1Hd6adS1LVtT1KRtwtS9ul3E1rJeIwWOV7dot5waqKkurjG/S8qns0/TS9+u26YVFyc3N9lSb/7dhzu17a9lo7e87I/YOuQ+NPwA8BftHeE4tC+Ivgnwh490O2uVvY9P8R6PbapaRTqrKswinR0DhXcBgMgOwzgmvy++NH7Sfgr4C/tG/Fia0/aU8SaUfht8XPAmj2Gh6t8Vrm4srC3un09NYWWK7uXa4jaE3olSdpIYDbzOiRSpK9Vrb9uHwFrf7avi7Tb/AONeo6L4C8V+HfHlnrKeIPjVdQapDqFjf2oijbTUMEHh/wApVu/sgtJhPPaDzJgrh8806nNQ9tFXVptf9uU41F8ndJNPfp22hSl7SMG7NuK/8CbT89EtdOvbU/SL9mz9r74YftKX2taD8PtVmvW8I21pJPbSaHe6XD9juPNW0ubU3EMSXNnKLeXyri2MkDiMlXIxXSfBb9nD4efs3aTf6f8ADvwH4M8BWOqXH2u8tvDmiW2lQ3c20L5siwIgd9oA3MCcADNfj/8AFP8Aai8CfC7/AIJJfBGHwD8W/E8HiZ/hLqPiHS7iT406loel/wBqWtlZLcRLOjXFzf6lbXDKsGiEraBDcrIsO2KvWPiH+3R4Yh+PXjTxU/xi17x14em8G31/PN8MfiPJ/bXg6BdBjmZp/DszNpz25LefbazEqBbieGOXK/vG7cRTcalRRd+Xmu+/Le/y5k3d6JW1cmonLRfNCm7WU7WXVbb+aUumt76KK5j9W6oeKvFWmeBvDGo63reo2OkaPo9tJe39/ezrb21lBGpeSWWRyFRFUFmZiAACScV+L/w8/bN8K+IPHWleB9T/AGkh4a2/G7T9O0yDQPj7f+JTL4fvPDcUlyg1K8MU15ay3a7BLNERbTyvHbypJsc/oV/wSN+N+nfHL9jm8k03x6vxGj8NeL/E2gRam2vDXLoWtvrF2tjHPdF3klf7CbRlkldpJI3jcs28MearzLDzrQ3itF/25CWtvOajvupLSyvbai4c2ztt5udvwptvteNrp3PoH4PfFzw78fPhZ4e8beEtSXWPDHiqwi1PSr5YZIRd20qh45Akiq6gqQcMoPqK6Svx5/ZN+J2m/Az9lvwjqOh/Fb4p6rY+EPg5rMPxl0zQvEQ1K58B3Fvb26WcUNpKxtNH1SCQTxRxmOFnWGeS4DtE8oufAH443fjHwX8RfE+k/E3xD4q0/wDZ8+Jel+IZfDng34za144Go+GLvSbFLxPtrGK71KJZXuLqNJUZFntZoIyy7929SC9tKFPZa99Pacl7paqz5rronomhzjy31vZtebaina3RttRSfda6o/XquK+KH7Rfgn4MeM/BPhzxP4hs9K174jao2j+G7Bw8lxqtykLzuqIgJCrHGxaRsIpKAsC6BvgvwVa638E/gh8UIviV4k+PmmW/7PNn4g1e913TfGWq3moanbavarc2UcL3txLBevYWskkIa73LBPaxzARiR2Pz34I/a88E/EHW9M+HXiP49+GtNhsvj3o8uiCw+ND+Lry10mbw0PNe01nUVS8lgkuppIzKFHkyzvHDIrqjjJa1IQXX2bfpOpGD9GlK+ztZ3VlqnZU5VOyqffGLkmu6enbe10z9raK+Xf8AgkH8cNN+OH7IVxLp3j1PiLF4a8Y+JNAj1N9eGuXS2lvrN2tjHPdF3klf7CbRlkldnkjeNyzbwx+oquceV2/qz1X4C1TlF7ptP1TadvK60CvAP+Cln/Juvhz/ALKr8OP/AFONCr3+vAP+Cln/ACbr4c/7Kr8OP/U40KoA9/ooooAKKKKACiiigAooooAK/L79qz/gt/8ABb4D/wDBZbwV4P1+28fr4m8FeGfEXgi70+28PSTTXeo6xqHhm405bcBv3sc0VjMwcf3o/wC9x+oNfKvxs/4JLfDz44/8FOPhh+03qkSf8JJ8OdHubA2Xkgxanc7h9hupD/fthLdEEgks0ByBCAQD6qBJAJBBPb0ooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKK5r4xfGLwz+z/8MtZ8Z+MtXt9B8MeHoPtOo6jcBjFZxbgpd9oJCgkZOMAcnABNAGX+zv8AHC3/AGhPAGoa/bWE2mx6f4n8QeGjDLIJGd9J1m90p5cgDCyPZNIB1UOAckZrua+Jf+CNP7eHwh/aM8A+LPBvgfx5ovibxNZ+OfHXiWewsjI0kOnXnjDVbi1uWJUKElhurd1yckSjjrj7aoAKKKKACiiigAooooAKKKKAPAP2yP8Ak4r9k7/sqt9/6g/iuvf68A/bI/5OK/ZO/wCyq33/AKg/iuvf6ACiiigAoor478N/tC/EL4Nf8FTtT8C+LfFl94n+FHxHiay8LrfWFnDJ4X12G1F+bFJba3iaSC5tHuDH9oaSRW08jexehazUO9/TRXt6vZd3ZbtXb0i5dvy6v0W78rs+xKK+AI/+Cjuo/Dv9sL49eLfiD47udH+C3w58N+H5vDXh1F0iztdUn1G/1KwE815dJG6vNcWKGFnvILZI5w0pChnXsPh7/wAFvfh/8YbDw9J4L8AfE/xtceJRrEFtB4fOiamkd7pbRm7spLiHUmtVcQyxTpP5xtHSVFW4MrCIy5rl532u/JefbS1+14p2bSHKLVR0+t0vVtJ6d9Hvs0pNXSbPs+ivhH/goB/wVEkX9hPxB4o+CVt8S77xHP8ADuD4h2+s+HdN0eQ+ELK4jM1jNqMOqPtMc3lTK8VvFcTrHDMwVP3bn2fxv/wUb8LfDbx8NGv/AA7411DQdL1jTfDHiHxnZW1o2g+HNXvlgNtZ3W64W7Jc3dmDLBbSwRm7jEkiFZBHs6clLkas7tW63T5fu5ny3/m03avMmlGM+jTf3JP72pJpb212PoeivmTwT/wVN8JePfBvi7xHa+A/ivZ6D4U12XwpHd6pocOmvrutrqC2EOmWdvcTpctNPLJEUklijt0WXEs0LxzJHR1L/grB4d0SCxt734X/ABfh8SSeL/8AhBdT8OpYabcapoGrSWYvLSK4WK+eN4rqBleO4tpJoFViZpIQjlcovmUZR15rW8+blS+/mj/4FH+ZXqUXFyT+ze/lypt/dZ67XTW6dvbf2oPgNZftQ/s8eMvh7qF/qGk2/i7Sp9OGoWEzQ3WnSOv7u4iZSCJIpAki84JQA8ZFfm3/AMGw3/BMP4n/ALGXh34p+M/jLf8AiJ/Fepa/feGdI06+v55reG0trtzd38aucH7ZdhnEmMukIcEiUk/X99/wVS8MzfDPw5reh/Dv4p+KvEPiCPXZn8IaZZ6cNb0qLRLk2mqSXBnvYrTEFzsixFcyNK0qeSJRuK+peA/2s/Dfir9kfT/jTrFvqngzwhe+Hx4olXWfs8l1ZWBiMyySC0lnjLNFtcLHI7fMFxvyobdoym9o7v1v9692SutLprdMWvNGFtXey66NJr1Taunqro9Por89L3/go/4o8L/Ez9ojUvHdh8fvAHg7wx4c8I6ro+iv4e8P32t6LJqF1qEE09obQXUJtZBbQl21CVzCyz58r5VH0342/bks/AX7Q+nfD+/+HPxOSHWtTbQdL8TtYWcOh6pqY02TURZwNLdJcuWgikUTiD7N5qNGZgysFqUWmk1q/wA+3rqlbu0lq1dNrnlBO/LZt9LNKV/S2re1k3smz3Civzl+Bn/BSjx9pvivTPiJ480r45XHh/4l+Lda8B+G/h3a+ENBv7aK/tr2dLSaDUbK5LW22Oykt5xqNwySXE7yxGK1heRfqK+/bys/Dvx08O+CfEHw1+KPhiDxNfJo1r4k1OysU0UamdMfUmsd6XbTyMkEUqmeGGS182J4xOWU4nTl5r+T8nZOze17OL0btzRT952CWkmu13fuk2m+9rqW6WkZPZNnvFFfG03/AAWl8JWthe6tL8JPjj/wiqeC774g6Zr0Wk6bc2/iDRbZkQXVrbxX7Xv71pYNqTW8TRrOkkwhj3SLd1H/AILFeFNIi1ia7+FXxts7fQtCsfF95Nc6NY26w+HbpplTWHEl4rRxK0EitauFvzglLV1VyrinJ2S/q8lr2acZXT1XLJuyi7E/dvfpp+EX+PNG3dyildtJ/XlFeJ+If23dP8KftKaL8O9S8B/Eixs/EWrDw/pvi+40+2i8P3uonTpNRFtEWuBdyDyIpB56Wxt/MR4/N3qyj2yjopdH/X+T9Gns0Detvn8u/po16prdMKKKKQBRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQB8s/tz/Gvwb4U/ad/ZesdU8W+GdNvdI+J93c31vdapBDLZRP4J8TqskqswKKzSxqGbAJkQdWGfp7SNYtPEGlWt/YXVvfWN7Es9vcW8iyxTxsAVdGUkMpBBBBwQa/Lj/gup/wQJT/gpz+1/wDArx/oSxWMaanH4e+IsyOIpX0OMSXKXCnjMq7ZbcEbmJuoP4YyR+oPhjw1p/gvw3p2jaTZ2+n6VpNtHZ2drAgSK2hjQJHGijgKqgAAdAKAL1FFFABRRRQAUUUUAFFFFABRRRQB8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/06WlFAH03RRRQAUUUUAFFFFABVDxXo0/iPwvqWnW2qX+iXN/ayW8Wo2SQvc2DuhUTRCaOSIuhO5RJG6ZA3KwyDfoqZxUouMtmNSad0ecfsk/s22n7If7Pnhr4cab4l8TeKtJ8J2q2Gn3uvfYzepbJxHCxtbe3jYIuFDGPeQPmZjk16PRRWk5uTcpO7YgoooqQCiiqHinxVpngbwzqOt63qVho+jaPbSXt/f31wlva2UEal5JpZHIVI0UFmZiAACSQBQBgfDP40aT8VvE3jrStNivo7n4fa+PDmpNcRqiSXJsLO/3REMS0flX0IywU7lcYwAx66vjX/gnX+2f8Hviv+0h+0Jofhb4sfDXxLrfib4j/ANp6Pp+leJ7G8utVtI/DOhRvcW8UcrNLErwTKXQFQ0MgJyrY+yqACiiigAooooAKKKKACvAP+Cln/Juvhz/sqvw4/wDU40Kvf68A/wCCln/Juvhz/sqvw4/9TjQqAPf6KKKACiiigDz/APat8PJ4o/Zq8d2kl7rmnEaHdTpdaPq91pN7BJHE0iNHc2skc0ZDIvKOMjIOQSD+en7DP7Ruv/B57P4lWNx+0Vrnwc0X4I2uu+Pm8eQ+Ib1NT8T5je3GiNrRNzPNMhuhItn/AKGQ9pglmWv0k+NPw1k+Mfwq17wqniHXPC39v2j2T6po6WrXtrG/D+WLqGeHLLuXLxNgMSMHBHFeF/2NPDll+xvD8DvE2q+IfH/hBNDPhua41uS3g1C5sdnlxxtJYw2yK0cexEkjRHHlqxZny5mm5QdWa3aioro3y1E7+S5otL+aMX9mzdRKfs4vZN3/APAqbVv/AACUb30UmvtNr5x8Nf8ABWf4n6/Hotu/7OWr2mp6x4xtvCMS6jf6zoFrdm7spbi3u7V9Y0Sxlnjje3nS5Uwo0KorRfai6oet+Ff/AAUq8Y+O/G/wuttW+F3h3w34X8d3/iPw5quuz+NXkTRNd0ae+hlsYo/sCi5jnFjLLDM7wExxzbo0dESXotY/4JqP4lj8CTat8dfjfq2r/D/XbfXbHVLqXQnubtreCWCC3uANLETxIlxc/MI1lka4ZpJHZIjHy2uf8E9rTSvgvbfAe9s/H/xW8HeLPFknjLU/FPia40SG38PyNqaalcwAWS2dw0k8xuDGI7aVFNy6ySLCBFVpJtxvq5aN/wArjFa+afPOzaV1Fc1tGm/dTfbW3e8727/8u0tNuZtX2xNT/wCCpfxN8H/C34pa54i+DPgyy1X4e/Duw+JlpYWnxBu7iHVdMuZb1Wjklk0eJ7e4WOxkdU8qRWLorPH8xW58Tv8Agqn458A+OviJbW/wE1C98NfDTxToPhy/1CfxhZW97q66ubOO2msbZUkRn828TMdzPbKIijmQOXhj9L/a3/4JveHP2vNY125vvG3xD8GweLfCbeC/ENp4ZuLC3i1zTQ88kMcrT2k0sbQyXEzKYHjDeYyyCRCUPIeIv+CTEXivSPFttqHx7+OFzN411jQ9d1K68nwukzXWkeSbRkC6MEUb7a2Z124YwKOFaRXItOUW1ZX19Of8+ReWrfk1c7XVvn/4DDb0lzvXo4nm/wAb/wBrr4q+OvHHwnl0vSLnw/418H/Ga48B694M0bxcr+HPEsknhq6v4JLjUZLGG5a2iV4JGAg+UiYiC6eO3Nbfxp/4LAa78FP2Yrr4iav8NvB+iv4U1PW9E8XWniL4kW+j2tpqWmPgafpc72rSandXcayS20fkQK6RsHaJ8IfQ4v8Agl3psV94n1L/AIW58XG8Ra/42j+IFlrLHQzc+HNVSxbTmezj/sz7OY3sm8ho7mGcYAddspMpz/ix/wAEhfBfxQ8NW+nW/j34oeFpZ9A13w5rt9pV1psl14pg1qaKfU5LtruynVJppolcvarBt4RQsapGqTajFeSv/i5IXt/dclNPquaLjonFu8ZVE5Xsrr/t3nqNf9vKMoW6NxkpPVMyfD37cXxh/wCFhftD3Vx4J+HeoeEPhtLpJ8PGfxmdH+z21zZ211LdanPPaeVBBFBPLczSxtK0aw+VHDOw82Tn/h3/AMFcPGvxq0rwDL4H+Evg3xXJ47i8TwRXdl8SVfSbe70K8ME8iXa6efP0+ZNjxXMUbSs0qKbZU3Sr3/ib/glVpPiiLWPN+Lnxcgn1uXQNQuJof7CDf2porWps9TCtphQz4tIg8TK1q3JECttZcbwT/wAEgrfwD46s/ENj+0B8eWvNOl8QXNrHMPDMkMM+uS+dqE2Do2XZ5wsq7ywjKhVAQsjRUUuWUYPVJpP0Vk36vVq10knq24qaTXLB1Frdc3a1tUvR2s763l2i39Ffsz/G62/aW/Z08B/ESzsLnSrXx14fsdeisrh1eW0W5t0mETMvDMu/BI4OM129cB+yx+z7afspfs9eEvhvp2v+IfE2l+C9Oj0qwv8AW/spvmtYhthjkNtBBE3lxhYwwjDFUBYsxZj39dOJdN1ZOl8N3b0vp+BlT5lFKWr/AK7BRRRWJYUUUUAFFFFAHmf7Xfx71H9m34KN4l0fQbLxPrN3r2heHNO0681NtMtZ7rVtYs9Khaa5SCdookkvEd2WGRtqNhScVxn/AAsf9qf/AKI38AP/AA8mr/8AzMUf8FLP+TdfDn/ZVfhx/wCpxoVe/nOD3NDYHgH/AAsf9qf/AKI38AP/AA8mr/8AzMUf8LH/AGp/+iN/AD/w8mr/APzMV8wfEj/gtr8Vfhp4Y/aM167+A3w8uNG/Zl1WDTPEzR/Fa5S61Dzo4pEeyjfRFSQ7JV+SSSMlgVXcdpPffHr/AIKweOfhx+0v8GvAHh34SeFLm0+N/ha78U6RqfjDx1c+GZdFis7NLu7i1K3XSrr7M6I+0FZJBlW3bAM0oS51Fx15rNeji5p+ScYt69u+g5+62pdLp+sZKLXnaUktO/Y9h/4WP+1P/wBEb+AH/h5NX/8AmYo/4WP+1P8A9Eb+AH/h5NX/APmYrivif/wUO8c/CrxX8I/h9q3w7+H2lfGH4tXGsCy0jVPiO1r4fW30+RVDwakunPNcT3KTW8kNuLJXKvLvKGPDc7+1p/wVI+I37N1l8Epbf4F2TXXxq8ZHwJDpvifxo2jX+h6i1xcRwtOttYXsL27xweZ5sMr8SLsWRSHNJNuKWvNLlXnJu1vv0vtfQTaSbfROT9Fe79LJtd1qrrU9X/4WP+1P/wBEb+AH/h5NX/8AmYo/4WP+1P8A9Eb+AH/h5NX/APmYrw/4c/8ABX3xnr/xx+O/gPxL8LPBOgar8FJ7LSIfsPjnUNXl8Vaxf2xubGytLeLRBOyvGshldUd4gjMIpEV3Xtvjl/wUo8Vfs36L8KvCfir4Y6LcfH/406q2meGPAeh+MGvbKNI1WSe6vdTksoTBBBGxMrRW0x3ACMSgllUXzKLX2uW3nzaq3d2abW6TTaSaYN2ck/s3v5cu9+y6XejaaTbTO6/4WP8AtT/9Eb+AH/h5NX/+Zisjx9eftIfFHwLrXhnxB8DP2eNV0LxFYz6ZqNlP8YtXaK7tpo2jliYf8IxyrIzA+xpv7N3/AAUJvfiD+154r+AHxL8FWvw8+LXh3R4fE9lb6brja7oviLR5GWP7VaXj21rKXjmLRyRS28ZUgFTICSvN/tZf8FD/AIk/Ab9vX4Y/Azwr8KvBHiy5+Lenajf6HrGq+PrrRkg/s+FZblLmGPSbox5DARmN5N3O4R0+sEtee9ut7KTf3csr32aaeugN2U29OS1/K9rffzK3dNPY+aP+CMf/AASn+PH/AAR88A+O9P0X4cfArxbrXjjWjdz6vefFTVLO4isIdy2lntTw5IGEe6Vy+VLtMSUTAUfan/Cx/wBqf/ojfwA/8PJq/wD8zFeBfAX/AILU+IfjbafF3wjdfCPRvCHx2+FVkmvQ+C9Z8avHYeKdDZFkGpWOopp7O6lD9w2o2s8SuyFn8vZ1z/gpz8Y9N/bs1z4CR/B34Qw69oHgu38c3Osal8Wr6z0oWctwLXy9/wDYDuJRNkYKhSuDuBOwEfe5eXXmV15pJydvRJ37NNPVNClJRUm9OV2fk7pK/q2rd001o0z2T/hY/wC1P/0Rv4Af+Hk1f/5mKP8AhY/7U/8A0Rv4Af8Ah5NX/wDmYrxz47/8FQvi78Dv2mvhB8Kr74KfDm01/wCLXh3UNbFzq3xTns7LQJNOtlnv4rmWLRpl8tAcRzJkOASyxdKsftXf8FL/AIxfsl2XwUt9a+B3gK4134x+Mh4GjtU+J04tdNvZJpxa3AnTR3M1pLBEsxcxxyoZQhhJBNEVzctvtS5V5vmcP/Sk1fbz1Q5tRvzdFd+S5ea//gOr7ddT1v8A4WP+1P8A9Eb+AH/h5NX/APmYo/4WP+1P/wBEb+AH/h5NX/8AmYrnb/8A4KDa/o/hj4m/EafwPoN58Cvhtot3qv8Awlmn+I7uTUvED2tq000djYTadDDPCHRkW5W8MMgKMjN+8WNPgz+2/wDE34vfCFPEtv8ACnwbcJq/hObxZoGraP8AEI6t4W1FEaALYy6jHp6zQXeJJmZVtJIsRDy5ZT5ogzlUioym3pFcz9GpNP5qMmlu0tN1e4wlKUYpaydl6pxTXyckn2vrszo/+Fj/ALU//RG/gB/4eTV//mYrC8e/tT/Hn4IQaBq/jr4RfCO08L6p4p0HwzeXOg/FLUdS1C0bVtWtNLimjt5tAto5RHLeRuytPH8itgk4B0f+CWP7cOuf8FGv2OfD3xh1XwTpXgOx8WvO+labaeIZNalNvFK8Jed2tLYRyGSOTCIJBtCnfklVuf8ABSz/AJN18Of9lV+HH/qcaFW9WnKnNwmrNbmNOpGpFTg7pnv9FFFZlngH7ZH/ACcV+yd/2VW+/wDUH8V17/XgH7ZH/JxX7J3/AGVW+/8AUH8V17/QAUUUUAFfLfxy/wCCf/iz9ow/Ee18R/EvStMsfEurabr3hS88OeGZtP1vwdf6e8Ztrj7VLfzRXLBI9rAW8Ife+QFbZX1JRUuKbTavb/h7+qaunuuhXM0rL+vL0ezWzWjPivx7/wAEqPFnif44+K/FOjfFfRPCml3ul+HLLwvZad4OmN54am8PzTz6ZJJcPqJjuoi11OlxCbePzomVUaFgZG6vxp+xZ8aPGvxh8F+Orn4z+BG1vwxpGtafcW8nw6un0+4m1GKCISQRjWBJbwxLawHymllZ2a4JkHmRiH6pop1IqcXGeqd279W1Zt921o29dF2QovllzrfRfJbL0XRbLXuz8/E/4Iz/ABD8Pfs833gTw/8AG/wpYN4s+Glp8MPFtzefDue7t9Ts7KOe3sby0iXVo5LS7S2uJI5C808MrbXEUWNp9Gb/AIJleJdU8TeIrTU/ibpFx8P/AIjato/ijxt4cg8ItFLfazYR2okl066e9f7FaXT2FoZbeaO7cBZRHPG0nmL9e0VrKtNzdRvV3bfe8uZ/Lms7baLTRWmSTST2W3ldJXXZ2SV1rvrq7/JUP/BNvxTrn7N/jjwX4g+J2kt4i1vx6/xG8NeItE8JvYf8I1qg1BNRhMltPe3K3UaXCbWXfFvhZk4J8wVfEP8AwTh+IGv+NPD/AIzPxV8HxeOh48tPHHie8/4QOc6drBs9ObTbSxtbb+1BJaQpbvIzNJPcu8zlwVj/AHNejf8ABSH4l+Nfg/8AsyN4j8C+IbLw3qlh4j0KK8uLjS0v2nsp9Vtbe4gjDsEieRJSvmssm1S21QxV04z4if8ABXf4f/Cr4T3vjjX9C17SfCtzrp0Hwrqt/rvhuxsPHzjz2a5026n1SO3Ft5VvJKst5JbCRSgjDu6oeeEoRiorRQcbeXL7NRa/8Bgu75dbpXNZKUuaT15uZN/4+dyT8tZPsr3VmfMv7RX7IHjX4LaL4N8HeKfGOpaxbrqnivxMniXwn8G/F+o25k1bUI7qbTZE8OayNRhAee6J8+4W0nhaJGimlg8xPsbQvgDq37Uv/BOZPhr8UdIsPA2peKPDT6JqFl4agW0g0dMGOBraFnnSEpGsTiAySrGR5ZaRV3HqfhD+2R4S+PP7IVj8avCEOu+I/C2paLLrNtZ6ZZfbtUuPKD+ZaxwQl/NuBJG8QSNmVnGFZgQx8S8a/wDBVnVrTUfDOmaF8DPiVJ4iuviJb+A/Emiapd6Jb3/h9ptNXUo5QU1Fracy27xlBHcFVAlLlXVIpdeR64WW7aT6fFLkjquzko3T0Vm9Xdw6l2sUuinLvt78nb5NtO+rstLROe8d/wDBMf43fFew+Jp8TfHf4bXupfEzwdpHg+6u7X4VXdt9nTTrueeO52f26ytJIt3dK6jYu5omUKEZJLvxJ/4JZeO/HH7Yuk/GKL4n/DyXXfD/AImi8Q6Tcaz8NptS1bTYP7Lawm0eK+GqxNHprNLNcpbxogWeUu5mYsW9I8S/8FM/DHw+8c+JtI8XeBviX4MsdB0XW9fsta1vT7S2sPEVppE0UN7Jar9pNxGqtPEyPdw28ckbiRGaMh69X/Z8+NVx8efAb63deC/F3gSZLlrf+zvEIsmuJFCo6zxy2Vzc200Lq4KyRTODgjgggOE3KSqx3SuumnNb/wBKVrbq1tiZLk5oy+17r87RtbztHT/go+aPh9/wTd+Lfg7wD8PdBvPjL8PtSXwF8R734gidPhtdwNe/ap7yeSzx/bTBAr390Fk+YhfJBVijtJB8ZP8AgmP4w8S/tkWvxwtfHXhHV7/wt4nXxRo1pqHgH+0PEdvZrpj2UugW+qPqcCRWUnmTTxxCKONLmbzZPNy5b7XorNpq7g7PV37NqKv2vaEfu83er3TT1TVn5puTa9Lzl9/krflL+yb+zP8AEj4heH/EHg3w1cxWVt4+8GX3h/xJrni34P8AjDQZ/A6XMRIt7GPV9XW0mSSZ5Q1tpEFraq0aSlY0SGGT3b4rf8Et/iz8VNC8d2Evxr+H9gvjv4ZaX8NZ5Yfhpds9nFZvO5u03a0QXc3d1hGBVcw5L+W/m/clFaXSlzQVtEvKy5rJeS55W666tjcnd3d7tvW3VwevnenF7LbRJN3+I9a/4JWePPEv7Xfhb4var8Uvh5q2veF/Elrr9vdXvw1mm1a3t10s2F1pFtenVd1tpsjSXFzHbqhEc82+Q3Dbi/25RRRzvkUOi/yS/Rfnu2RbXm62S+Su1+bCiiipGFFFFABRRRQAVwv7Ti6uP2evGk2g+I9V8JazZ6RcXdnq2mw2k1zZyRRmQFUuoZ4Gzs2kPE3yscYOGHdVyXx68D658TPg14l8O+HNZ0rw/rOu2EthBqOpaXJqltaiRdjs1vHcW7SfIWAAmTDEE5AKnmxsaksPONL4mnbprbTX1N8LKEa0HU+FNX66X1Pz6/YS/wCCmt63juC+1v492nxv+GVh8GoviB8QtcltdJY/DbV0ZCbNrnSba3gxcIbrFpMslyhsS27a2D6z8PP+C7fwu+K9pbHw14T8e+Jr2XxNB4Tns/D13oHiB7O9ubR7myLy6fqc8DxXAimQSRSOIWhk+0fZ0UvXsnh39jW81j/gn/afAzxv4tXVJYfDSeGX8Q+HNNfRJUihQR21xDDLPdeXPGiRMS0jq0iFtqq3ljiPG37Fnxv+Jj/DO/8AEHxx8F32t/D7xRa+IJpI/hzcQ2Wqx29tPbpH5A1YmGaQXU7yzCRlZlgCRRrG6y+hipQddqn8CktVpeLqNya84wdkn2Wsnc4cPGcaKc/i5Xo3f3lTSSb7Smrtrq9Ulqavw/8A+CnWg/EzUNGstL+HPxNbUNd0DxBrFrazR6TFIbrQ74WGo6Sxa/2reRzsgVyfsriQFbggNtzfh/8A8FYfDvxk8S6Fongn4V/GjxZrGveB9M+IEcFvo9lYwQabfo7Rq13e3kFo8yFUR0imkG+XCF/KnMPK/D//AIJk/E34faf4dvLX4yeDl8V6Dq3iyY6lF8PbhbaTTvEd7HfXtulu+rPsuY7lN0Nw0joqBVeCXDM+/wDsO/8ABPXx/wDsn+OvDN7r3xR8IeMdE8MfDrT/AIdQ2dj4HuNIu57axkke2uXuG1S4TzCJGEgEIVjgr5fQ87u9Fp+V+Wq1525vZRfX4rO3vHVUcVGXJq7tL054pN7a8ilL1e20VZuP+CtPhUfD7Q/E1r8OvihqGm+JPhlc/FTT/Jj0hZJ9OtXtVurbbJqC7buFLuGRlbETKWCSu42VteBv+ClujfEXRvFMmlfDD4yT614dsNF1az0BtDt01XxBZavLJDY3NvGbnbDGzwzeZ9te2aBYneZY0AY+J33/AASA+KcPgrSfDul/HjwfZaR4d+Huu/C7SYp/hrNcPa6LqX2XEruNXUyX0X2SIeccQuoH+jodzNueK/8Agl18WPGN/wCIri6+NngWNPEPhjwx4ZurOH4cXa2d/Dot1JOYbyM60TcWd4t1eQ3FsGTfFLGhkKrIs13jJy0aTtbyTnUv31UPZ91dy0b2qooK3K72/H+GvLf94+mqWqWj7BP+Ctug3j+GbWx+Efxp1TWPFS67Bb6ZaWGlSXFrf6LdNbajp87f2gIYpYypcTNJ9ldSqrcGRljPq+sftiaBB+xUvx20fRvEvibwpL4Wi8YQWNhFbw6nPYPbrcEhLqaGIOsJLMrSqfkIG5sA/MXwI/4JJfFP9nrxF4bl8PfGD4TWGheEW8VPpOi2fwjubO0tTr0wuJECx62FWG3lRBFHGqARBkJLFZF9o8OfsS+LfD3/AAS+j/Z7X4g6Edet/BbeCIfFieFZVtktfINqkx09r5iZhbYBP2naZRv2hf3VZV+f6vUdP47LlXn7912snyW126t3Y6Sp+2gpv3OZp/4bqz2Wtrt2W7eiVkm+Bv8Agpbo3xF0bxTJpXww+Mk+teHbDRdWs9AbQ7dNV8QWWryyQ2Nzbxm52wxs8M3mfbXtmgWJ3mWNAGPlf7QH/BQnxd8ZvDvwj0T4XeGPi94RvviZ4x1Xwvq+o2Fr4Zk1nwvcaXHfi6tPL1C7ks2lE9nuZ1W4ia2jnEb+c8VSeK/+CXXxY8Y3/iK4uvjZ4FjTxD4Y8MeGbqzh+HF2tnfw6LdSTmG8jOtE3FneLdXkNxbBk3xSxoZCqyLNW+Cf/BKP4l/AeX4ZWmg/Fn4V6d4f+GXjnWfGVnpNh8Kbiyt3TVFukmsI1TWfLghiS+uRFsT5NsGQwjcS9U4UZVJJN8t9N9UmrXtrqm27dUrWV1Lm5pxpXjrO3l1hra+l1PSN9End3eq6zwb/AMFNl8C+BdOt/EHg34neOrXQtXsfBerfELTNO0S10XV9UOoRaRcXX2ddTaa0Av3UPbSRrOgk3JE6IzL7z8Bv2kLH49a/8Q9Lt9A8ReH9Q+GviV/DGpQ6sLUm5lFrbXaXEBt55laCSC7hdd5SQZIeNGBFfN/i7/gk5rnxB8Z/ETxTq3j7wXa+LfF32RrLVdD8Bvpb3Ellq9vqenza3GmoNHq01qbSGCOVFtH8lp1LHzF8v2H9j39l7xt+z140+Ket+L/H+g+OJ/idrlv4jkXT/C0mijTbtdPtrKZE3XlxvtylpAY0YCSPDh5ZywYZ05c0L1vi5W3ZJLm5oWVlptzvRKOqSehcoxjdQ2Ukl1fLbd313fdt2v1d/OdJ/wCCxXhLxHq1rb6X8KvjtfW+peK9R8C2F2/hiGxS/wBctFuHFikV1cRTr50dtI6zyRJbxDi4lt2SRU3vGX/BUPQvCv7PmnfEm2+GPxd1/QmstX1DXU03TbBn8IQ6TObfUDfSyXiWxeKVZFEdrNPJMIpGiWVELDjtG/4JwfFjSdW8L3Z+MPw8lPhv4pan8Tiv/Ct7xftMl7DcwtZ5/to7VVb26Ik5JJh+XCMJPOfiR/wRJ8e/F79n6P4f+KPjN8P/ABDpjr4o8231P4Wy3enW0+tXhvF1G0tH1crDqNnJLcxwXTtKUinKhVYySSZU2/ZQ5visr+vIm9u83KOlvdSs07ye0lT9tv7jb23S5pJb/wBxQl11k7p/CvSfBf7eXifwL+0v8VfCmsx6t8Wru98WafbeB/DXhSx0zTtQsNKl0W2vJpmW+vIDLDC0qedcPKSJLqMCONXSNet+If8AwVA0r4X+IPFen6x8JfjJaHw7outeINOmnsNMtk8VWekXEMOoSWSzXySKI/PSRTdpbiaL54TKGTd5V4Z/4JQfFnwn+0LefF+x+MvwssfilcXFhGNatPhVexRzaZBYizm0q4jOus09rN5VtNtMgMc0JdCCw28/40/4IrfEjxF4+8UeKLP40/De38TeLNF8TeGtQ8Q3vwomvNe1HTtaljfZd3g1lDcSWUcSQ2uVWGGJQgh2gATUUlC1N3aUkr91G0L9/etdvVvmutmTQcW4e20+Hmt6tz9OySurWs027fVf7Lv7buhftUeKte0Ww8L+OfCmo6Jpema9HD4l06Kzk1HTdRFx9ku4kSWR0V2tZ1MVwsU6GP5olBUn2evnP9l79j3x/wDBH9obVvG3ib4h+D/FFlq3grRfCD6dpngy50iWNtLa4aK5E8mpXIw7Xl1uj8voYQHHlsZfoyuvEKmpv2T93W3e13a/m1Zu2mvTZc9Nzt7/AGX3uKcvkpXS8kt92UUUVgaHzJ/wWN/5Rw/Eb/uGf+nS0oo/4LG/8o4fiN/3DP8A06WlFAH03RRRQAUUUUAFFFFABRXmf7Tn7Xvgb9j7w9pGrePLnxJaWGu6jDpNnLpPhbVddL3c0iRwwsthbTtG8sjpHGHC+Y7BV3McV6TbXC3dtHKokCyqHAdGRgCM8qwBB9iARQtU2tk7fOydvWzTt2aB6NJ9Vf5bX9L6D6K8t1L9tD4caT+0bYfCefXbtfG+pSta28C6PfPYtci0a9Nmb8QmzS7+yKZ/szTCbyir7NrKTu63+0X4J8O/HnQfhfeeIbOPx/4l0u61vT9FUPJcS2Vs8aS3DbQVjQNIqqZCu8hwm7Y+07ee3nZNu3eyTfon2B6XXa347ff0O1oorM8G+LrXx34ct9VsotUgtrkuqJqOm3OnXI2OyHdBcJHKgJUkFlG5cMMqwJLhc06g1XS7bXdLubG9t4buzvImgngmQPHNGwKsjKeCpBIIPBBrk/CP7QHhbxz8ZPFvgDT7zUD4s8D21leavZ3Ok3lpHHBeCX7NLFNLEsNzG5gmXdA8gVonVirAiuzp9E+43o3F7r/h/wAmmfmr/wAESf8Agg3Yf8Etv2nPjx47vTa3x8Q6xJo/gNw4lksfDrFLn5j1EryMkLg4P+g7h8snP6VVgfFP4peHvgj8ONc8X+LdYstA8M+G7OTUNT1G7fZDaQRqWd2PsB0GSTgAEkCr/hPxTY+OfCuma3pc/wBq0zWLSK+s5tjJ50MqB0bawDDKsDggEZ5ANJO97dLX8r3t99nbvZ9hN2tfre3na1/uur9rruaFFZnjPxda+A/DN3q99Fqk9rZgNImnabc6ldNlgo2W9ukk0hyRkIhwMk4AJGnRcLhRRXH/AB9+PPhn9mP4Ra3478Z3WoWHhfw5B9q1K6s9Ku9TktIQQGlMNrFLKY1B3OwQqihmYhVJAVGLk7RV2dhRTbedbqBJUO5JFDKcYyCMinU2QpKSTTumFeAf8FLP+TdfDn/ZVfhx/wCpxoVe/wBeAf8ABSz/AJN18Of9lV+HH/qcaFSGe/0UUUAFFFFAFDxV4kt/B3hjUdXvEvpbTS7aS7mSyspr65dI1LMIoIEeWZyAdscaM7HAVSSBXg/w0/4Ku/AH4u6Jd6pofxASXSrTw1ceL/t93o2oWFndaXbBftU9vNcQJHcG3Z1jnjhZ5IJD5cqI4K17r4y8T6b4J8I6rrOtajY6RpGk2kt5fX17OlvbWcEaF5JZZHIVEVQWZmIAAJJAr8xP+CeHwt+Lf7WX7Cvwe8c+CPEPwk8N3vw0+GGo+Hfh/qeleIZvEDz6xdwW8Bn1JWskhsmt1tirW6rekSTEsSIdksxbk6iX2Un96nq/+3oxVkru7XmtlGPKpS0vJL11V/uV7vZaOztZ/bmnf8FFfhRr3wr1bxXaa34hS30jWI/Ds+m3Hg7WYtfXUpIo5orVdHe1XUZZGhlSYLHAS0W6QfIrMPIf2bP+CvHhGX9knw746+L2vR2mp63qHiWNJfD/AIH1xIm07SNWnsn1GexC3Vzp0CxrbtM926pE821mU8DzD4T/APBN74//AAp+Kd14/wBPtfhudZ0rx3B4z0nRtZ+KHiHxJHqccugrot7aXWqXunG6jdEUzwT+XOo3eT5MaKrVk/En/gnH+1L8Tf2WNb+GdzL8LdN0jxJL41ubrT9K+JuvaZDHea1fyXtleS3NrpUU15FbC7u4JLCUJbTDZLJ5hKxQ6OyWnVK/l7qbX/gTlFNabKWi5yIqMlGMnbVa+T51qvL3HJXbf2dfdPr3/goL+1RrX7Jf7OVl8QNAh8J3emw+JNCsdZvdbvpYbaw0u91K2tJ7qIRqRLIqzgqrSRIATIWby/KkytS/4Kz/AAA0PQ9PvNS8dz6Td6r4gk8KWujah4e1Sz16bVUtxc/Yxpctst8JWieIoDCPMM8CpuaaJX0v2hf2ffGfx2/Ym03wiE8M6X47059B1b7KdSnm0iS90zULO/8Asv2v7Msohle18rz/ALMWQSb/ACWK7D5D4o/Yu+MniD4seH/iN/ZXwu/4SnV/iLpvi/xPpo8UX0dlpFjp+mSabBbWlwNML30zLNLM0ksVqAdsQBA8yhrlm6e69olftFumr+dl7R26NXb1ipZwnegpyVpcsnbzUZNLyvLlXpole7Xumuft/fCrwz8SdG8J6jr+q2Osa5NZWkbT+HNTjsrC7vI1ktbG9uzb/ZrC9mV4ylpdyRXDedCBHmVA2B4M/wCCmnwo+MHixvCXgrxBNqXje7utR0ew0zV9D1fRbdtXsopJZdNubiaz22twEiaXyXUzGEGVIpEwT5p8Tv2BfiR4v+JHxO8L2174Juvg/wDF3xno3jq/1O7v7uLxH4dubL7A09pb2qwNBcxzNplv5c7XMDWxnkPlzCJFbkfD37H37Snh3xT4Q1b/AIRj4HXcvhj4ueI/iK8X/CwNUhWe11O0v7eK2B/sRsSxjUHLNjafs64x5p8vJ+8rPS8W9N1L3LLbo3U1+1yJqyavpJWi2tWnoujSU3fpbmagrXvDmd27abunf8FTPEN7+wHaeJItI0m8+PN78M7jx2ulx6Frf/CJW5ijuSzTX8UE0cMe61m2RTTxySlFQMnmBx2yf8FVPhZ4h/Zv1nxTD8TPDXhbUfD9jo82oX+r+HtRmsI31EhbaS2gzBJqFvcOkyQy2kskbtG2HfYwr5u/Z8/4Jp/tJ/sv/s2fED4d+HdC+Ceq2nxa8LTaf4hfU/iNrDSafrDwS2P2y1mbRJJHtTZi1/0R9qRPGyxFEJ3df8T/ANhf9oz4h+HvilZr4f8AgrayePfhn4Z8E2pPj3U3W2utMuLmWaV/+JKP3TrfTBSMtm3jyB5reVpSd5TdTS/Jbyd6nMl5W5Em99JWWsFGI+Bey1a5vnf2aV9v78rK1rOOt1J/oXRUVg9xJYQNdRxQ3TRqZo4pDLGj4+ZVYqpYA5AJVSRzgdKloas7AndXCiiikAUUUUAFFFFAHgH/AAUs/wCTdfDn/ZVfhx/6nGhV7+TgE8mvEf8AgoX4F8TeP/2b7eHwj4cv/F2t6L408IeJBo9jc2ltdX9vpnibS9Rukie6mhgEn2e1mKiSVFZgBuGRWd/w2R8Rf+jTv2gP/Bv4H/8AmhoYH5t/EP8A4JT/ABq+NXx7/aR+L2h/CPXfhl8ZrfxpY/EX4O+Lb/WNBeS8azto7ebRbo2t9M6R3Sh8JJ+4OQZHT5lb0f8AbP8A2efip+3h+2X+zh8QPiP+xt4x8QeCvAPhrXLHxt4avNc8H3yy3l/bRxxiz8zWFWRYpoy6ysYXUeW6gOML9u/8NkfEX/o079oD/wAG/gf/AOaGj/hsj4i/9GnftAf+DfwP/wDNDRR/dRpxjtC1vVQ9nf1cbX6XimknzXdRubnJ6OV728589vRSvbrZtXatbxj9rn4Uax+3h8L7fQPjB+x/qXjT4bs87waAfEujQeM9FnjeBLaeGZNSS0TzB9pMhiv0ZYxGp83fJGPnX4m/sRftIaF+zd+xj4Yk8A+P/inq3wX+JMPjvWribxNoU19pOjwz3X2XSZbm6vrcXd/DbTQRl4wbcmNgsu0Ln7x/4bI+Iv8A0ad+0B/4N/A//wA0NH/DZHxF/wCjTv2gP/Bv4H/+aGqpSdNxcd1KMn5yg+ZN/Pro7LlTS0InCMouDWjUopdlKPK0uyt02vq02k1+Yvxn/wCCW3x0+M37X37R/wAdtF+D/wARvAXxRbX9F8afBvXDrvhydlurC1S1udOvIY9XKJFeDG4sSvlREsSQIJPpz40/AT47/tLfEz9mX9p2f4N3fhL4vfAbULux8UfD+617SZn8RadqFrHBeS6VeRXclsWjLyNCl5LblsOGKYRpPp7/AIbI+Iv/AEad+0B/4N/A/wD80NH/AA2R8Rf+jTv2gP8Awb+B/wD5oaVJ+zjCMPsctvJxioX/AO3oJRktmuibbdT9+U5S15+ZPzUne3om249U3vayXjf7PP7JHj/40/8ABWfxD+1R4/8ACN58L9L0XwTF4A8J+GNS1CyvtYvkab7Tc6heNYz3FrCu92ijiSaRmALP5eFDYn7dfws+Lmrf8Fdv2evix4U+Cvjjx14H+D+ja/a6te6Vq/h62e9l1K1SOJbaK91K3kby2U+YZFjA42F69/8A+GyPiL/0ad+0B/4N/A//AM0NH/DZHxF/6NO/aA/8G/gf/wCaGhPldNx05Oa3/bykpX9XOT8m9LJJBP31UUtee1/+3eW1vRQS/PXU+cP2m/8Agmv4k/bb/Z4+EvjvT/D2vfBr4/8AwikW1slv7+wa61XSi4ivtMuZrGe4ge3ubcyGMGU7HfDbFklzl+Of2E9b+P3/AAXe1T4m/EL9nq88R/CVPAlr4W0jxFqlzoNymm6ta3zXialDF9uN7Am35EljiE4dsFFTLV9R/wDDZHxF/wCjTv2gP/Bv4H/+aGj/AIbI+Iv/AEad+0B/4N/A/wD80NFN+znGUfsuTS6XlHlb77XejS5m5WuxVFzwlGX2kk31tGXMl237q9tNj5W/4Kq/seeK/wBqT/gpZ8DPE+o/s3698Z/g/wDDfQtesvEUIvfDnlanLqNtGkH2aC/1K3cvDIm5pHERRgrRsxAIxv8AgrB8BPjB/wAFEPDnwK06f9mPx1d+FvCHxKg8ReINDm8S+G4rp9Bht5LaW3lYauEa5n8yQqkUrR+UVDyq+Vr7C/4bI+Iv/Rp37QH/AIN/A/8A80NH/DZHxF/6NO/aA/8ABv4H/wDmhqYRShCm9YxlzJPZvn59e+un+HR9yqjcpSns2uW66Ll5HbtdJPTqk/I+V/2Cvh1+07+wz4G+JHwCi+Der/EL4W6BNdp8JvE3iXX9FjgFjIryDS9ViS/luRbKxMMU0cMj7XG6BEARIP2Y/wBgrXv2V/2k/ij43+EvwM+Inwl+HmveDLy11n4dL4n0W7sfGHiKe5BhvNKt11F7e0jhhEqlp5bQeXJCkcCbZBX1f/w2R8Rf+jTv2gP/AAb+B/8A5oaP+GyPiL/0ad+0B/4N/A//AM0NKrH2ifO224ODfVppxbb6uzvrpzJSactW4S5HeKslJSS6JqSlp2V1bTaLcVZaLzj/AIINfAr4hfsr/wDBMzwD8MPif4H1bwP4t8D/AGuzuYLvUNOvor4S3Utws0EllczqY9swUiTy33I3y7drN6P/AMFLP+TdfDn/AGVX4cf+pxoVH/DZHxF/6NO/aA/8G/gf/wCaGuA/aN+IfxR/ai8J+FvCNn+zd8X/AAt/xX/g7XLrV9c1jwl9g0+z0zxLpmpXUkgtdbnnbFvaS7VjhdmbaMc5HRiK0qtSVWW71fqYUaSpQVOOyPr6iiisTU8A/bI/5OK/ZO/7Krff+oP4rr3+vAP2yP8Ak4r9k7/sqt9/6g/iuvf6ACiiigAooooAKKKKACiiigDxf9v79lnVf20P2Z9V+HWm694b8Px63eWct9Nrvht/EFnc29vcx3Bt2tVurbcJHiRWLSEbC67SWDL474O/4Jr/ABO+Hnh7w7Y6J8avDmnD4Ya7NqXw4iTwNcSWvh/T50mhm0W+jfVC1/YrbyiOEI9tLCYoyJGVRGPsqilGKi211tf5Wt+X3NraTu5O6SfT9d/68l2VvL/iR8D/ABZ8Qv2UvEXgVPiLqWi+NPEOkXNmfGGnWrQS6fdzhibi3hWYPFGjNiONZ/MRFUCbePNr5W+B3/BJ3xF8ObTVL7wd8TPgxpWfiHZeN7C08MfC2TT9B0zUrGxk0i8tjaQ6wdyuEYsBKkkdwspdpMlF++a8A/4Jp/8AJuviP/sqvxH/APU412qTtU9ot9P/ACWSktNtJJP5W2E3eHs3tZr/AMCVn56rS++/c8O0j/gkj8R/Cn7Rmo/E7SPjF8PI/Fl5Z+ItNOuX/wAK2vtc1G11SeOe3j1C8bVALwWPkQwQoY0iW3VoljjyrJ9EfsL/ALIkX7GPwl1Hw1DdeHGXVdZuNZax8NaJLoXh/SmmCBoNP0+S5ujaQkoZWjEzKZZpmUIrhF9ooog3CPLHa3L8r81vv1Co+d3lrrf52tf7nb00CiiikAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAeDftf6jcWX7Qn7K0UM80Ud58Ub2GdEcqs6DwV4pcKwH3l3ojYPGVU9QK95r8bv+Dhv9o/9rX9nP8Ab1/ZxtvhC+hax4c8UeIFfwZBcaKk72HiR7K70maCeTPzRPaapJIpfGCZD0hr9e/AOm6vo3gXRbPxBqUWs69a2MEWpX8VuLeO9uVjUSzLGOEV3DMFH3QcdqANaiiigAooooAKKKKACiiigAooooA+ZP8Agsb/AMo4fiN/3DP/AE6WlFH/AAWN/wCUcPxG/wC4Z/6dLSigD6booooAKKKKACiiigD5O/4K8fGzwZ8G/g58OJPGHi7wx4Vjuvif4UuIW1jVILFZo7fWrSa4dTKy5WKIGRyOEQFmwBmvkj4+ftbeC/ht+1D8Yddtv2ldW0t/BXxh8DWdjolz8TpBpNjb30mn/wBsqbaWcrJbtC16Hhffb2/2eVoo4Xjkav1oop0H7OcZPVKfP6/wtOuj9n26+WrnaTbfWHL+M3f199r/AIc/JC2+MPhXwn4Z/a+1H4UfFu+n1dPitp9j4k1RPGOseK4/C3h2aDSlvdTNnFqUcscMbC7he7tpYZoI4ZFSaMWqrHxXx3/aBv8A4B2HwrsNK/aD8GfGK4Fh40nTxNFr1zp15b+GZxpz3smj3E+qXd3qFzbQxagtrNJfgmW2dfNY2xR/2korNQapRproorXZqMYxtbom4uWmt5TV7SY1L966j/mlL0cm396TtrdWjD3fd1/MDUf2jvhxc/tN/B61+GHx9u/iJ4OurXTYLGw034zak3ifTvOubrzNTa0u5prfxDaEhhdpdKZrBLR2HyKY4/UP2bP2kfGF5/wQ713xz4B8Xal8WPHehaZ4jXTNca6j12/1Ce31G9SKY+WGWeVYVR1jVNrBUVU2lVr7voq6nvU5019pyab1tzd7W/CzffRWiCtVhUfRJNLZpet9fW68tXf8c9O/af8A2fPht8Vfjpc+DPj/AOIfFugeKvBnw+CapD8Y7i41COZtY1KGZLjWLiae60qwD3NqLySLa9pHeMYkSWSJGw/gL+2H4L+LPiX4a+GPF/7T1/oE1j/wsex1+y0j44XsyNp1jqBk0pJr+SWG4kCws0kN+ywXc8MGTIYhIlftRRSrr2iktr3XpdWVvTW3SzaVru+kZ2kpPV3i352iou977tKT/vJN3aVvkX9nn9p3TPiL/wAER/DvxL8TeONK1iOf4VLca94in1CF4nvE07y7szSqdglW4WRHXgiQMpAYEV8peI/jNrfxj8UfCGx0X9ovTfg/oVr8PPC2q/D4pZ6ldp48vAT9ut7EWusWVpqVzvjt7aSxure8ZFkUokZlcn9Z6K3nVTxM8QlZSlGVu3L7TZ7fb7W0210x5P3Uaf8AKpL15uTfrtCzs1e+6tZ/jx8fP2qD4b8NftJX1l8fdU+16PbT38Xizwz8Up3tNPkj1yKJNH1LRr0uug3wJNvGbIxrewxTunlsGUfbv/BXnxUmh/sNjxZp/wAQNc+H8ek+KPDF5H4p0PxA2lrYW0+tWVtPPJIG+zzW/wBmuJi0d0stuRhnjbaCPqqvLv2vP2XIP2vvhPB4Ru/GPi/wVaw6vYayb3w4unm7llsrhLq3Rvttrcx7FuIoZCAgYmJVLbC6NhH3adKFr8jj80pJvT02V0vm2zWFvbyqt6S3Xy/XrdO9+ysfnl40/aO8NeGPA3i3TrL4veMdf+D+ufEmDT/h14lvvjFqGhaNqcy6Cbi/tbnxavn3p09LlZfJFs8rPeILfJiWVI/DvjB+2Tof7Sv/AATc1eD4wfGnUtHuB+z9ZXngmWDx5caNb+Nte8m6i1eKZ4ZYotVu45obO3ks7jzWTzGJhDTMx/cqwtns7CCGS4mu5Io1Rp5QokmIGC7BAqgnqdqgZPAA4qWri+RtLX4df8MHG/Tdu92r6JbpNVTquMo1Lar9Z8zT33Wjs9dejsfld4j/AG+vCF3/AMFOfhnP4U+Lzf2VqXjay8O6xDqXxWdLO7tLrwzLNbJYeHY0+wyaZPM9m8WpyyC4lu3eOPfGYmr9UaKKbkuRRtquvql+qb9W3vdvnjDltbZRS+6+r87NL0SW1kivAP8AgpZ/ybr4c/7Kr8OP/U40Kvf68A/4KWf8m6+HP+yq/Dj/ANTjQqg0Pf6KKKACiiigAooooAKKKKACvFvHXjrWNP8A+Cinws8Mw6jdR6Bq/wAOfGWp3tgr4gubq11PwrFbzMvd40vLpVPYTv617TXgHxG/5Sm/Bv8A7JV48/8ATv4MoA9/ooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooA8A/bI/5OK/ZO/7Krff+oP4rr3+vAP2yP+Tiv2Tv+yq33/qD+K69/oAKKKyfHuqzaH4G1q+gvrLTJ7OxnnjvLy2e5trRljZhLJEjxtIikbmRXQsAQGUnIirUVODqS2Sv9xcIuclFbs1qK+G/+Cbv/BQ3x/8AtR/EbTbTXPFHwd+I/hO98CjxNrPiD4faVdWen+CNU82ALo95dPqF9bz3LwyyyFFeKWEWxZ4yssbV7j4d/wCCk3wZ8U6F4j1Oz8WXhsfDMVjcSzTaBqVuuqxX0ssNhJpnmW6/2ol3LDJHbtYeetw4CxFyyg7Tg47/APDe846/NO3fRq6aM1K97dLemqT39Gvnoe50V4l4h/4KI/CXwv4A0DxJd69rbWfiSG6urS0t/C2rXOrRW9rKYbu4udPitmu7SC3lxHNNcQxxwuyLIyMygs+L/wC2Rp/gvxP4v0TTrnTg/hj4eXPjuXU5rLULqKKIFlgkRUgS1uoW8uVmWO+Sb5ABGFfzFyqT5U9L2vot/dTk16pRenky4LmaSe9v/Jmop+jckvme4UVxPw08ZeILH9nTQfEPxBXRdM8Tw+HYNR8RLbMbTTrS6FsslyFMruYoVffgu7bVHLHBNfJn/BP/AP4Kz3nx68HeENe+IqGGx+LV5Bp3gv8AsH4f65DjVAJzqGlStuuvOWyESltSYWttKBOVULBKU2dN+0nSWrja9vNtK3e7Tt007tJ5KonTjV6P/K7+5avy12Ta+6aK8o/bJ/ali/ZN+EtvrMGh3Pi3xR4h1a08OeFvDltcrbTeINVu32QW4lYERRgB5ZZSreVDDLJtbZtPEp8WPjR8DPG2kXnxY1P4SzfDq6s7/V/EOvaXpt7o9v4JgtrfetvNPc3c0d0HkkXF0y2oC2sn+j5mHk5pppy6LS/S6SdvWzT+avq1fRp3UbavZdbXtf0vp5tO17O3qP7UHw18RfGH9njxl4Z8I+KtQ8EeK9Y0qeDRtesn2TaVe7cwTdDlBIF3Lj5k3DvX5nf8GtHw2/aPbwf8V/Fvx08YeL5tMtPE+q6BpPhrUpFEK6p/aM1zrV+ygDc7X0kiBgcb/tPHSv0Dtv8AgoT8LJvA48RT6p4n0zTU1+08NXI1PwbrWnXWmXl3s+zG7tp7RJrS3k8xNt1Okdud6/vORVX4f/8ABRj4L/EGe2tPDnii41K5vYNWvY7W08P6iZ8afNNHeK0Qt9yTeZDcFImAkuBFI0SyhWIJNJOT2W/lpfX5O/prsC1s11dl5u9rLzumvVHulFfOOh/8FPPhP8YfhZ4q1rwB4va+n0fwfd+LrS7vfDOpRWdzawR/vJovOjt1u/IlKRzwwyiSGQ+VL5MhwNDwD+2RJ4ZudK0H4pz+GfDOv6J8OLbxt43v2W/07TtIkYrHJ5TzwNafZxItxndfNNH5agxsrGQOzu09PXS+k27f4eSXN2sJu1v66wS+/njbvc9+orwXSP8Agpl8HNUjtnm13xJoqT6ld6RI+u+DNb0ZbC6ttPTUZIro3dpELQmzdZozP5YmTPlGQggW9a/4KN/B/QPh94c8TXPiXUv7O8VR3E9lBF4c1SfUYoLabyLq4ubJLc3Vnb282I5prmKOOB2RZGQsoL5Xorb2t531X32du4nJL7r/ACTs36J6ep7fRXlt1+2h8OLX4/Wfwx/t27uPF17dtpypbaPfXGnQ3q2j3hsZtQjhazhvPssbT/ZpZlmMRV9m11J5f41f8FNfgt+zv8TNe8HeMvFGraP4i8M2Fvq+pWx8L6tcLbadNuA1HzYrZo2sY2UpNdqxgt3wk0kbEKUtbW67efp3Kaeqttv5a217a6ep71RXi+v/APBQz4P+FvjHN4F1Lxf9h1q3ZoprufSr2PRIZlsDqLW76qYfsCziyBuDCZxJ5WG24INYvwn/AOCpPwS+ObeDZPCfiXX9a0/4hXTWPhzVofB+tLpGr3C28ly8Ed81oLYyrHDNuQyBleGWMgSIyBLXb+r7ffZ/cH/D/crv8NfTU+gqK474D/Hvwv8AtLfDa38W+D7y+vtEubq7sQ97pd3plzFPa3MlrcRSW91HFPE8c0MiFXRTlT2wa7Gm007MV9120+a0f3BRRRSAKKKKACvL9b/bE8C+Hv2ndK+Dt3ceKF8fa3YyapZWqeE9WlsZ7WIJ5s/29LY2YRDJEjs0wCPLGhw7qp9Qr4z/AGgPj38NNG/4KweGPDHiT4heFdBvh8I/EltfWsniaLTNQtFlu9LuAQyypNA5toLiZXUq4SCSRSBGWEOaVSKls+dvp8NOc1r0u4pbPS45L93Ka3XL/wCTTjFv5KTe623PsqaZbeF5JHVEjBZmY4VQOpJ7CmWd9DqNlDc280Vxb3CCWKWNw6SIRkMpHBBHII61+JXw9+Ovhn4vfsz6P4WuP2gPE/xEvfi1+zt4zvdZ0jUPiRcXt1eahZSWrWMUcCziSKZIF1CNgiiW5jgn+0mcpI1db+0L+2x8PfhDpnwdPw/+NeowL4S0zwTdSXuqfGy7g0p9Oudc8m9ls7QtMuvHYt3DevfzeTZRRQCJgyyRjWnHmkovS7glfpzTqwu/R0777PfQdWLj5u0n9yp289faNbX93bWy/Vn4D/tFeCv2nvBl14i8A+IbPxRoVnql5oz39or/AGd7q0maCdUZlAkVZEYCRNyOBlWYEGu0r8gf2W/21PBfif8Aap8Twap8UfDFv4Uk8beLdR+Fn/CMfEueztPG2vtqQle01Rba6ihlDRyWBtLeRZYp1uJjvYyLCPe/+CN/iXxH478Zan4k1X9oOP4n32ueHYX8WeCxpmqQ3XgnXEm/ei+S+1e+/sy6LvcRGyt4LSFhAWSFFiFThr1aUJtWbhGT8m43a77p30928Lu0m1OIapznFapTlFeaUrXvts12u1NJXjZ/oHRX5Hfta/tEaN4O+MX7Rmq3H7WPirR9X8GfFDwZp+h2K/EKzsLPwzFeSafFqUK2SBIJo0gF6GivI540+yyysvmieVrviT9s34d6X4I+Inw8i+NWuarp3h74yS6BoE9x8a77Q7SGI6BHdi21XxMrXOpRWxuVv/JWJ3eW6gS3x5SSomcKnNRdZbJX/GmmvX94rdHZ6o0qQ5Wk+rt90Zy+73ba21ex+l+hftF+CfE/x41/4Y6d4hs73x34V0y11jV9JhDvJp1tcvIsDSuBsVnMbERlt+3axUK6k9rX4ZeEf+Ciui/EK7+E2pa98ZPDc+h33wi8JWPxf8SaT4/ez8W6BGmp3PmNC9pNFOs32uWzW7cuJY4J5D5MjS5T1z4tft3/AAu8Pft1+DV0P48Xdj8P4/EsXhfxFqGufHW7ihOlS+FZ5IXtdOD+Q2nyO1rKmtzXIvHvGkCO6GN61aajZ/EnNeXuzcE/JP3X1v7zWqUXMlaU+0Yxf3wjJpd5L3tNGvdvZNyX6ueI/A2jeL9R0W81XS7DUbrw5e/2lpctxAsj6fdeTLB50RI+STyp5k3DnbIw7mtWvxj/AGa/28fB/wAO/hn4F1fVv2k/iF4pHjP4E+KtW8RQ2vj2PV9diurK6shaPY211I0dvfQW39ohZGRZHFtLJcvKYXkXM+Hn7ZvhXxB460rwPqf7SQ8Nbfjdp+naZBoHx9v/ABKZfD954bikuUGpXhimvLWW7XYJZoiLaeV47eVJNjlqLbjFfata/nV9lr8/e0v7qfbUnHlUpP7Kk36Rhz6evwq9tfWx+19FfIv/AATG+P2i/F79gTxHfQ/Fpdd0/wAJeIfFmit4sbxFBq91o9ja6reiymnvLgzK7x2H2WVZbrzN8ZjkfzFfLfC/wB+PfgvVvCHwJj8Uftb+NdRHjX4WeKNW8XS3fxjks5L2406azNhl4LiI2bxbb0mS1ME04tJRPJMqzK2NaooSlG20ebztyylt6R06NtamlKjKcuTrzOPldS5Xr27de6Vz9oqK/IHSP2n/ABh+1ZH8Fr+f9pmz+GElz8OfC+ueFbp7PUbp/iBrO5v7WgtVtNXsbTUb0XEcVtNYXVtdtGHBSOMyOTN8D/2j/BOofGjwNZw/tLeJ9Zi8YfGvxj8PpNJufizdTKuiGx1MWttCDdedv+1/YGguy7XKvcQJDOsbxR1vWhKnVnR3cefbrySjCy825bbpJ31snzU6inRVfZWTfdXhKo/ujFpdG9Lpan68UV+K2rft1aRB8CfBtndftK+IPC/jdf2cfE2leJbk/EF/PtvFFg+mNDbut1LJbprI3XqswQX3lyFty4idfoXVPGfg34Iav8DPE+s/Gzxzc+BPiz8M/EFpquv6j8UNTmtPEWsSR6XLaG08u6EMN8+6/MC6ekT53JCqhUQZ1ZxhGdS94xTd++tVK3T3vZO2u8opJ3On2TVSFJvWV/lZQb/9L072d7H6SUV+GM37a/h3xR+zdqHiGL9qXxRa+K/D37MmieJzaW/xWuEWbxbD50Aklja4JN2sscMc1qCFmecfaYpneMj9t/h/4x074h+BNF1/SNTsNa0rWrGG+s9QsZ0uLW9ikQOksUiEo6MpDBlJBBBHFbzouKb7SlH/AMBlKH4uLa8rPvbCT5ZKL6r/ANthJ/dzpeqe1lfXooorEZ8yf8Fjf+UcPxG/7hn/AKdLSij/AILG/wDKOH4jf9wz/wBOlpRQB9N0UUUAFFFFABRRRQB4h+3H+2NJ+yH4M0CXTPC+o+NPFPizUW07SdJtbPVblGMcMk80039mWGoXaRJHGRujtJfnkiDbFZpE+fIf+Cu3xQ1HTPEN7b/s3X1lF4V8AWfxG1W213xTLomo2di0l7Bd2r2l1pyTLeLLYXDW6MohuIVEkk1ozJE31L+0v+y1pX7S9l4bmm17xP4P8TeDNTGseHvEnh2eCLUtHuDG8MhQXEU1vLHLDJJE8U8MkbK5+XcFZflfxX+wb4w+Kn7c3ijRtTu/jZofwj1f4dad4X1jxLZap4aEHjyZLzULu+hvCwk1G3WYaiU32UNnhvtAQxosDVMeZtxurtu19klBtN21tzWurp7JXvpqnBRcpbJLbe7qRTt58jdum7drJtPj3/wUJ8a6b4c+MmufCjwQltrehXPghrS+8YeK7g6fq+naxKI1urWyiW5jsmAYx42IzsxllRjEsUvcap/wUt8Q3v7VNl8LbL4U+L7/AE8alB4Y8ReKfD+m63qNv4d1OW0WZ5oZzo502aygkliieaa8hlVt7NabFy3ZeO/+Ca/hzx9qXxQmn8b+PrGD4nW2iWxtLP8AsqODw1/ZEglsWsAbIsCjjJFybhWyQVxgDQ8M/sB2Pg74nan4m034k/Ey0XxJJbaj4i0hJ9NGm+IdWggSFNWmj+xb4bkiKB3jtXgtpWgTfAwLq1+77Ruz5Hrb7XTS6stlK9vtSjZpc3Lzw9oqSUmufv09Unro2rX+ypXTdr4f7KXxb1r4X/8ABM+18X6xceK/iTrXhXTNWuJZbl3vdX1w2t3dKu8xxlnkZYwCIoieyRnCpXlPxM/4LE658Mv2PbL4yz+EfgrqPhWRtReTVrP40WraJqS20aPFa6ZdNYLNealcD7SqWb20G17OVXkQlA/0L8H/ANjBPgv+yXd/CXTviX8TbqGZLxbbxRcXdgniHTjcyvMzwyw2kcG5JJHZC8D4zg7lAA8i8c/8EYfCXjy21eW4+Kfxastc8Wabrek+KtZsRoFvc+KbfVktI7sXES6X9mhcpY2q+ZaQ28jeXmRpGZmMrmVSTeqsrdr77ab7N3XLulK+m1Lk5YKV9Hr3atb8N1/M7JuKveh4i/am8Vfs6/F/4s+J4H1T4g+HtR8SeBrZNL1zXRYJ4ZtNZZbEmxSG1kRtk0sMjRPtMmZWaclVU3vHX/BTfx34U8fX/hSw+CcPiHXYPir/AMKygmtPGcMOmxiXR4dUtb65lmtkmj3pOiyQwwT+WIp2V5WWKObpYv8Aglvpd5pXjy21r4t/F3xHJ49s9Eglnvn0RH0i40h45LG9tFg02ONJ0kiVyJFkiZusZGAMzSv+CTFppXxCTxIfjp8cLq9k8ZWnj67juW8PSxX+sQWKWBnfOk70SW3QI0MTRxL/AMskiwMXFR9pb7N168vPT09VCNTXW7mtW9Y5wk1QfOrzs/RvllZ+nO46aaR+UnfEn/gox4r+FH7W/hD4S614G+HdrrHjkmz0eA/EqNtXvLkaVPem7GnLZGZdIFzbTWf21ysvmIW+y4KhpP2Kf+Cj3ib9qLxr4G0zxL8LIfAdp8RfB194s0S4i8UJq8rCxu7S1uY5o1t4hGjNeRPBIHZ5Iw3mRW7jy6n+Jn/BKzTvHnxl1Dxrpnxj+MXg29vfFq+OIbLRzoM1pY6uNM/ss3Ef23TLiVg1plPLlkkjXOUVMDFr9m7/AIJgab+zP43+Gms6d8W/i1r8Pws8O33hbS9O1n+w5La7sbyWOaVLh4dNindhJBakOsqN/oyZJDS+YUGm4up2d16wlb7pta7NK9ldxKq2V1B9FbvdS18rOKXo21fRM+nqKKKkQUUUUAFFFFABXgH/AAUs/wCTdfDn/ZVfhx/6nGhV7/XgH/BSz/k3Xw5/2VX4cf8AqcaFQB7/AEUUUAFFB5BGTzXyt+xlbfEbx7YftBaZ4l+NHjvXbjRvGd74W0DUJNL0C3uPDtvFawTRzQLFpyRSz5usE3KTRnyY8Rrl98SqJc9/sxc36JxTS87yXlvqOVkot9ZKPzak/utF3/I+qaK/Oz9p/wDbu8dfA/8A4Jk3S+G9d+LXj74wab8Nbfx5q/i7SNL8NM/hcXEbT28t/DPHb2rW0jxzxCO1tZrgQW8jEB9srfSni/8Ab90z4ZfGLSvCHiDwB8VLew1S6OlWvi1NEim0fUdRXS5NTa1t4kmN/cMYIZQHhtHhaVGiEhkUqN60PZuSk9m192jfpfRd3otbA0/d03TfpblevykpeUdXZanv9FfMnwx/4KYx/Gr9n/Q/iN4S+B3x51zSfFM8UOiWa6PptrfaiDDNLNKy3F9GlrDCYHjaS7eBZXaMQGcSxlur8cftrWq/8E99R+P3gjw1q/jCxPg5vF+l6K8sOn3V3H9m89Y5WlcJFtHMhBYgI+wSNtVsa81ShOpPRQ38rpv8k/ua3TLp05VKkacNXLb77b+p7hX4x/t2/wDBEv4hfGv/AIL/AHw78XaJr/jK2+Cvje2m8R+KXtdVuY4NIa0e3N7p6lX/AHaX8i2R2gjc0k7AYg4+9vAf/BQ3Q5vF1vceOofiH8PbnT/hYfHut6Xq2l2R0KxtluEWSZLqAzPPdAMMRW9xLGscih1WYha4n4K/t5+P779p745nXvh98cX0TQfD/hHUfDvgK90jQZtYS41K51C2ke0exnaP7NJ5EDu1/dj7OY52doY1wNpU5Rk4vpfz1UpQsrbtuMrJb2fXQwhUjODqRei5f/JlBr5JTi3e1r+av9uAbQAOAOgor4b8W/8ABTW8T4ufDvxmt5qnhv4aXOi+MbHXvBGp6ZYQa9L4g0m9trNLT7Wbp7d5muGNvBDBKqSyzLmWTeix/U9v+0BZaF+z3dfEfxvouufDXTNL06bVdUsPEBtZL7SYIgzMZRZTXERYou4LHI7fMFwHyoyckoOb2W/3u3k7pXVr6Nd7GvK7qNtW2vO6tdW3TTdmnbXQ72iviP4K/t5+P779p745nXvh98cX0TQfD/hHUfDvgK90jQZtYS41K51C2ke0exnaP7NJ5EDu1/dj7OY52doY1wOns/8Agrjous6z4c0jS/g58b9Z8Q+KLfXDaaVZafpMlxFe6LfCy1PT5nOoCGGaFir+a8gtZVdEinkmdYTUly6Ptf0sru/ol73bS+6ucrcnFa2sr9HdKSs/R380pNaRbPrWivma7/4KkeEW8N+BPEum+CPihrXgTxxBo0zeLLbSbeHSdCfVb0WNrBdefcRzvOLghJY7WKdoNymQIGUnp/2Hf2s/EP7WWk+PbvX/AIc638Ph4S8Xaj4btFv72xu11CO1neEuGtriUiQGPMisqKpkCo0wUyFqLcpR6rmv/wBuuKf3Ocfk77EOVoqXRtL/AMCTkvwi35dd0e5UUUVIwooooAKKKKACiiigAooOcH1r5W/Yv/bO8beOv2l/ix8JfiuvhKPXfB8p1bwzq2h2M2mWniDRRM9rK7QT3VyyT291CyykSbSlxbsAu4ikpJz5Otm/krX+5O/om+g5e7D2j2ul83e33tW9Wu59U0V8Z/st/wDBSjWPiFqvxn8T+PzpumeBPCfjSPwn4P0bw/4T1TVfEmqRvptpqUdw6W0lxLdSSW915hgt7NTCkMjuzKrFe21n/gr9+z1oHlm68dXyJLolt4lWRPC+ryRnS5mK/bt62pX7NC4KXEudlq42TmFuKpJtQ7yUWl196PMlbu4623t6MHdOS/lbXlo+Vv05tL9/VH0tRXkfxE/bQ8FeC/ibF4Ch1Fp/G+qH7HpUdzp2oRaHPqL2zXEFhPq0dtLaW9xJGocQs5nMbo6xOHQN5f8Aszf8FO/D3iX9njwPrPxTuToPjLVvA58beIH0jw3q03h7SbSMXHmzNfeTJBAmbaYIk84kcqAFJZQZUk7v+tm3b0SbfZasai3t5fi0l97aS7vRXPqyivnWf/gq58DbHQbLUb7xL4k0qG+14+F1i1LwVrtjdW+qfZkuY7Ke3ms1lt5poZY2gSVENyXVYfMY7a9a+DXx78J/H/4VWnjbwrq327w3dm4UXNxazWElu9vK8NxHNDcJHLBJFLFIjxyoroyMGAINN6Jy6Lfyuk1+DT9GnsSneyXXbz1a0+aa9U10Owor51sf+Cq/wU1Dxr4c8OrrHjaLVvF2sQ6Fo8Vx8PfEVvHf3U6NJDskksVj8mSNJJEnLCF44ZXVysbstr4h/wDBUH4MfCmG/k8Qa54q08aXfalY3YPgfXZGtxpxhF7dsqWZIsYTPCGvsfZQXA80nIDWu39Wt/8AJR+9d0Pz/rr/APIy/wDAX2Z9AUV4Sv8AwUw+B9x448c+HrXx5balf/DKGafxbLp+nXl7Y+G0itftTtd3cULW8OYt23fIPMkjliTdLFIi+e/tFf8ABWPwd4W/ZyvPE/gJvE1/r0vimw8FJb6h8OfEc0+hahdy2uJL3TFtor3atvdJPHEwhN0dkUUgaRSFe9ra3tb/ALeajF9rNtJN6Xe4W76b/grv7lq/LU+uKK8Il/ay/wCGWP2W9B8aftGa74c0Ke71BNPvda0HQ9Wi0aAXNy6WU9xFLHJNpqPEYBKbt/KgmcxtMflLM/4eZfBw+AJvES694jlit9ePhmTSo/ButSeIE1IWxuzbnSVtDqAb7KDcZ+z7fJHmZ2fNTnaLld/Dv5bLXt8Ud+67oUbtKVt9vub9Hom9Lqyb2R71RXx9/wAFAP8Agqv4X/Z//Yx1Dx98O/ElhrPiPUfCX/CY+Gs+ENX8R6dcWWFaKS+Wx8trCCfJiSe6lhRX3n5/KkQew2f7dfw0k+PNl8MJtdvV8a3dwuniMaHqH9mfbjY/b/sX9o+T9iF19l/ffZzP52wg7MEVXJLa2t2rea3+53T6prUJNJRlfRpv5K2vo+ZWez6HsFFef/tL/tWfDj9jj4YXPjP4o+MtC8E+G7ZvL+2alcCPz5MFhFEgy80pCsRHGrOQDgHBr5O/Y4/4ONf2Yf2wtY8cBfiB4Z+G+j+E7yCzsLzx1r9hoM3iMOrs89tbzyh/JUqoy2GO8ZVDwYA9y/bI/wCTiv2Tv+yq33/qD+K69/r4x+Lv7bnwY/aV/az/AGVtC+HPxd+GHj/W7P4lahfz6f4b8U2Oq3UFsvgrxRG07RQSuyxh5I1LkbQ0ijOWGfs6gArxn9vHwJ8Sfiv+zzqvhL4aab4N1C/8T407VW8ReILnR4YdOc4uRE8FjeF5ZI90QDIqr5pfLbNjezUUMpSs7nyb8X/2OfiT458NftCeBtHufCWk+CPjTpL3tlerqkw1DRtWlsbeyurP7M1k8DWU6W/mG4Ls6vNLm2lBAHG+Fv2JPjZ4Pu/BXjqXTvhl4t+IPh7xCdSv9P1/xffyLexrpd3YQy/2tFpSxo0P2l3itLXSLS2i+0XO0eZI0z/clFNO23ZL5Rei+6y9En8SuS0mkn5v1urO/q9fVvo7HyP8YP2SfjV46+IfjA6fr/w9trb4r+EdK8LeI/F8P2uz1fw1FbC7+1Lpensk8cqzm7laJpr1Ps8khdludgVs34t/sSfE/wAQv8U9O8PWPw4TRvE1x4R0XQWvtcvUZvDGlskl3pl1Etkwj3SPfY8uSQTJesjGAoHP2VRQnZ37tN+dndJ+S1SW1pS6ybCWqs+1vvtd+rsvSytayPHP21vgx40+N3wLs9L8G33hv/hI9K1zSdbaz1vzoNI19LO8iuJLG4eJZZIYphHjeI5tp25SQZB8I/Z6/ZB+PXwN/ae8TeOrex+DsXh34l6lNq9/4Z/4SDU7mL4d30/2dL6706b7FGNTN8IBPLHLHYeVMzBJGDyvJ6j8Y/8Ago/4K+EXx+8YfDfW213wrc+EvBTeML3xZqvhu/l8N2ER84LvuERYnCiFi2Zow7FYY3abesfB/t6f8FPtO/Ze/Yim8Y+G/Euma14+ufBcfi/SGTwJrWr6VeQeWjrPd29o/maZbXJJjilvLiNUYtlpTDItKhJcyqQ15n9/M3GS72fstv7jcPtN06TnJYfrp8rWlF66XXtFr2laTs0j1L9uj9mTxD+0H4f8Ca14L1HR7Dx38KvFUHjDQI9ZEv8AZepzx29xbSWd00QMkUcsNzKvnIrtE2x/LkCmNuV+MXwf+Ov7QvwuWXxBYfCnS9W0fX9G1nT/AAZb67e32jap9gvo7thd6s9hHMpkaOIoqWDLC0OW8/zAIux1f9vLwHB8WG+GthqpufiTPusrOzutL1K20WfVP7PN+mnyaqtrJaRXBt8SmEO84jO4RNwDzH7EP7fMHx++G3wt0/xfb3Fv8UfHHhWLxJf2mg+GtWm0K0RnmjLG+MUlvbqXt5VRLidZGIAAJZQSCtK0HqpKa/xJfEu9lTV1qkle2rZm5qpBVHty2fT3W3ZPtdzdno23ZPSy5eX9gTxl8TNVsdc+IOreH9W1LxH41g8Z+LtJs7q4TTEhsdPkg0rRLdjEHuLWG48meWWVYzO6ysYVSXyE+ZP2oP2fNS/4J2fCjw1qd14m+FOk65r3hbWPDltqmreLZNJvL3x74ov7UahqUPnWziS3jQFlkLh4II3zE69Pv79oD9uD4Zfsva5b6d428QXemzy26Xt09to1/qNvotq8vlJd6jNbQyR6fatIHVbi7aGJjFLhz5Um3mLj/gqH8ELL4sah4IufFuo2niXR/EEHhjUre58M6tDDpd9ceWLRbmd7YQwQ3RlQW1xI6w3RJEMkhVgFGCk1GK0btZa3VlTktb3bTim5cz5lBu7WurlOHvvRpXvtazc09LWSbltb3ZSimk1bybxp+wf8TPHXwZjt49H+FfhjWLOy0bwhpHhGx1m8uPDugeGLW+t7i/tlvPsMUs8t7HbxRuv2WFBFFFEpUh53sftQfsO/Fz476v8AFq/s9U8J6bqWtat4SvfCmoW2rGG4uLPRpBdGxuo7nTLyC02373NwknlXyt5yq0S+XubpvA3/AAVR8CfFw2sVtquo/Dm7k+Jf/CvrS28ZeD9Thn8TXEc0kbw2SMIMSSeU58zMotl2meNGbYNPT/8AgsL+znrWofZ9N+Io1oNq15oEVzpeg6nf2dzqlr5m/ToriG3eKW9cRs0NtG7TXKlGhSVXQs/aOolNPdqad9deSopeWsoyafWbcl7yvCgoOULbLlfbRyhb/wAkcU+0fdd02cr4I/YC8Yxa54Q8Qa/J4Wl1Xwjb614ihshrWo6il/4pu1t47S71C7nQPfraxRSqkrRRIgkiENpAttCqwfsjfsifGT9mPxnoLW+l/CVdP1Hwn4f0HXtTfXL++vtHbTpbyS6itYBYwLeJdvcySCWSa1MMtzI7Q3AjVJPTPGn/AAU7+Cvw/wDhv4e8W6n4p1YaJ4mtb6/tntvC2r3lzaW1jKsV7PeW8Nq89jFbSuscz3SRLC52uVbiug+Bvxv8T/EP9oj4s+F9asvDdvofhCTSpfD1xplzLcT31pd2rSGW5Z1VA5dGwkYKqu353J4uLcXotF+l1b/yZJrdxjFO6iS7WV3vf53s7+eqb10Tk7atHjH7GP7CHxD+B3xxv9T8a6vofiXw/pOs63q+gXU2ry3lx5mp3U08ssdhFZWdvZT5mcNcTy6ncskssSTwxuyt5f8AtR+JNc+Nv/BTn4w/Bv4d6x8JbjX/ABr8F9J8O63/AG94rkttS8PxSXms+bPBp0FvK97LHb3sUxheW1AWW3JkCyhh+idFZckWowmrxSaa7pxcdfv1ta/dNtm8aso88oaSk079mpxnp3+HS+1+qVj8/fiX+wZ+0Lb/ALSPgnxL4ebwF4t8N/CbxDbXnhC11r4k63okI0ePQ5dO+wTaZb6bcWQuVuLiaf7e4nndW8oGKPai9f4I/Yx+MXgv9jX4BaGNP+Glz8Sfgb4lj1hdPPii+TQ9ZhW0v7Iqb7+zTPC5ivjIB9kcB4wuSDuH2nRWjnJ2bd2mnfrdNO/m3bW+7bb1bZkkkrJWXK4W/utSVv8AyZ27aJaJI8K/4J6fBHx9+z18D9X8N/ENfCD6vL4u17W7e58O39zc211b6jqdxqCl0ngiaCRGunjMYaUYjVvMJcqvutFFEpX/AA/AHdtye7bb9W23+LCiiipAKKKKACiiigAooooAKKKKACiiigAooooA82+OnxuvfhT8UPgzoNrZ2t1B8TfGNx4avJJSwezij8P6zqokjwcFzJpsafNkbZH74Nek1+an/BYD/gsj8HP2Iv20vgJ4W+IB8X6dqPgPxVJ40v5INGea3udMuPDXiDTI5bdw2JSLu8ijZRgjbIf4ef0V8A+L4viD4F0XX4LTUbCDXLGC/jtr+AwXdussauEljOSkihsMp5BBHagDWooooAKKKKACiiigAooooAKKKKAPmT/gsb/yjh+I3/cM/wDTpaUUf8Fjf+UcPxG/7hn/AKdLSigD6booooAKKKKACiiigDzD9o79sf4e/sl3XhiHx9rGo6M3jO8k03RXh0O/1CO/vEiMq2avbQyKLmVVYQwMRLcOCkKyONtc3qv/AAUk+DulfBrS/Hx8R6xe+HNWN7sOn+F9Wv7+zWykMd691ZQWz3VpHbSDZO9xFGsDsqyFGZQfJ/8Agrf8cIPg744/Zh+x6l4ATxXd/FNZdJ0zxX4pHh601ADRNVt3JuBBcSKokuoEykEmZJ4UODIprz3Xf+CR/iO+8QeHvG2v+CP2fvjF4i1HUPEOoeKPCPji3eXQbCbV71LxZ9MvJbG6lElt5McBL2sYukLOfs5CoJpuUlfpeSv5pRaVut22m72jZXsnda1lGHJbVuKdvJynFu/S3KnbVyu0tj6E1H/gq78BbbVfGllY+NrvxPL8OYTceJ38MeHNV8QwaFGLdLjfcS2NtNGimJiQS2GMUyjLQyql/QP+CnHwS8U+CfEfiHTvGNze6Z4YTTZblodA1Jp72PUpDFp8tjCLfzdQjupQY4XtEmWV1ZULMCB4/b/sVfGPQfhj+034Z0rRvg/aRfFHQbbRPB5t9cu7K0txFpEelbrm1i03bZxLHGJligacDiLcAPNrB1H9kj9qNPFnijV9Ft/hJ4dl8QeC/CHhaX7F4/1WO6uo9Ku7iS/t1uk0dZLMXUF/dRJdwhp4TFG6KryB4Ki+ZyW2kLN925czfVJWjp8WunM9CLLkTe+t16OFkntdqU3fb3bO252v7R//AAVG06Twn8MLb4Q3l5da38Wdfu9D0/VNU+G3iTWbPRnso7o3Ud3YWscFwlws9r5DQSyQSQq8k7K0cDg918Hf+CjXgLXrObw/4s8S6fa+PvC2i3V74mOnaLq0egT3GnvHb6r/AGVe3NtHHfxW92/lFYGkkUlVZQ2RXz38BP2Ev2ivgrf/AAltl0H4QXelfD34leI/GV3LdfEzXNRv7my1ZL9BCJrnSHlmuIRqLkyzysZjbDcymYtFF4m/YG/aP8V/tG6n438RWHwe+IQutE8W+GpYPEvj/XZdK1ew1Ke3ewjOjDTms7BIre1htp0tiXm3GaSWaRcPUtNI/aUnr0aheK62XM0pWvfdWs2Kyc/eekWlp1XNK7s7auKTX8t0mnfT6J8Sf8FVvgl4O8IQa3q2u+LtNtpHvlmt7rwF4gi1DTY7IQG7uLyzayFzZ20IubcvcXEccIEyHf8AMKvzf8FNvgpa/F668CTeLb+DxRY63aeHrq2l8OapHFaXd5sFkZZ2thDHBdM6rb3DOIJ3O2KR2BA+TvjD/wAE0P2lfHv7Meo/DKx8S6E3hDXdM160i8N6j8XPETt4WmuoYIrDGtR6eL7WbOAC9JsrxYott2sb/aFgiYbetfsV/tPeJbHxtLc+FvgPBeeJvG3gvxTawR/ETVnit4dBNi0kLyHQgS8zaeu1ggCi4OQTEPNqCi6kE3o3G/RpNpS7pNK70cla1pNpoTvy+dpel18PZtO9n8LvF6JNM+jf25f2xNV/ZA8YfBuZ7LRH8F+N/Fsnh7xDezLeXeqW+dNvLm2isLK2iZrmeaa2CAAs5JSOOGV5gYk8Sf8ABU/4GeFPhpofi678XanJomvxahcRNaeF9XvLmxi0+ZYb+W9tobVp7CO1ldY5nu44lidgrlScVs/tlfBXxj8VLb4a6/4Jg8NX3ib4Z+Lo/E8Gla5qc+m2Gqj7Be2MkLXcNtcyQELetIGFvJuMIQhQ+9Pln9p3/gmd8dPiV8B9e8GeHdd8Gy2fxKg8Uat4r09fGGr+FrWw1/VXU200c1hayTajZ2sJmga1uPIhuS3myxsSscWUZOzUl1evyi0vn7yTWiaSlpLmWzUJSp2dk4q/l707v1S5Lrdpu2sbP6X1z/gpj8HvD2sazYz6z4qln8P+KbLwXfm18E65dRQ6reIj2sAkis2RklWSIrMrGE+dD8/71N0fxL/4Kd/Br4PyamniLXfE+nyaNfahYXyjwTrkzWosBAby7cR2bEWMX2mDdff8ev71cTGvNviv/wAE4PE/xw+26hfaxoXha78R+BrO01XTbCWTUbe18WaaD/ZGqwXEkMRdLUyyEloEZ2t7Rtq+VisL9vT9g343fH34Aaf8OvCXiHw1f6JqvhLWLDxKLvxdq/hM3HiG9ClNVL2EE8t5ah5Lzdp00kduwnXeJdiBKlaLtvq192l+truMmlqrTp3atNmVH33Hn0TSv5dX2vbmiu7cKllrBHaeAf8AgplpejftYfEr4b/ErUPDWhvpfinSNF8IHRYL/UluLXUbO3e0l1G5WLybV7m4laOIyeVEz/ukkmdSzfWFfnlr/wCxb+014m07xlLN4T+BVtfeJfGfgvxRDCnxH1WWKKPQWsWkiaQ6Cp3THT4wpCYXz2Jz5YEn6GRljGpcAORyAcgH696pRSpau7Ta9YqMbN+bblf02RCk3ytq10m12d3dX7LS3XzYtFFFQUFeAf8ABSz/AJN18Of9lV+HH/qcaFXv9eAf8FLP+TdfDn/ZVfhx/wCpxoVAHv8ARRRQAV823/7HHxL8F/FDx/f/AA2+Luj+E/CXxP1Ma1rOm6p4ObWdT0u9e3jtrifS7wXsEUBeKGJ1W6tbtEmUttdGMVfSVFJxV7tbpr1TabT7ptJ2fZD5na3nf5q6uvOzav2bXU+N/wBpj/gllr/xCsvGmnfDL4laP4A0P4leALb4eeJdP1vwk/iFZLS1imhtLm0eO+s3t7hIbiZG3maN/kPlqVJbmfGn/BJ74n+Kv2jdB+Kp+L3wtuvG3hnWoNb0vVNW+FNzf3lgBpLafNpcM41qOWLSmkkmuktI2UpNKWeSZizt93UVbk78zd3rr11d3r6/hptoDfu8nSzVvJpRf3pK/dq++p8Z33/BMDxlqv7Gnwv+EuofEnwNrkPw+vpH1GDWPh9LfeGvF9kYZ44ra+0ptT/etE8sc6M1w0Ymgjk8klV2+lfBL9iPUfht/wAE37f9n3WvF1hrLWnhC48Gxa9p+htpyi2e3e2ikNq1zN+8SNl3YlCuykgRghR9BV5pq37aPwd0DX7rSb/4s/DSy1Wyhvrm4s5/E9jFcQRWLSLeyOjShlW3aKUSsRiIxuH27TjKqozhUoz2mveXdJNX8rJu7Vt7suE5xlCpF6xas+zbul83066dkeC+Lv8AgmH4q+NCGx+IXxM8Oalo118Lbr4a3kXh/wAHT6TdMZbmKZL+KWbUbpI2j+zwDynjkDMrkthgi4Piv/gmV8bviTrfi7VPE3x7+H1/f+L9D8P6FfJafC67tbPU4NJvp7kQ30P9tsLi1u47u7gurdGiWVJEAKIJI5fprxR+2X8IPA/grwz4l1v4rfDbSPDvjUhfD2q3viayt7LXiQCBaTPIEnJBBHlls5FQ/Ez9tv4MfBbxdf8Ah/xl8Xfhh4T1/SrRL+903WfFNjYXlnbuyqk0kUsqukbM6AOwAJZQDyK2nOTl72939/NKb073k212avolbGlFRjy0+qW3b3Yx13+xFLzWmrd/imH/AIIOeKZtB8OaFc/E74Tw+HfBN/4j1nwtaaV8J7nTZfDOo6tcfa4rqyePW9lu1jcpE1uIo12xo0bFtxYfYHjD9mHXfj9+xhrvwq+LPjCy8Sat4n0ifSdS8ReHtEOhiTeCI7iO1knulSVcIxBdo2dThFU7BkftPft+eHPgb4K1e88Kpo/xM8QeGta0LS9f0TSfEVlHdeHINUuooYry8Uu0kUeyTzEURs8vyhQFLSJ6h8Pfj14G+LniTxHo3hTxp4T8T6x4Ou/sGvWOk6vb3tzolxudfJuo4nZoJN0bjZIFOUYY4NQ/ehKHR799EtV1Wkl7y30V7rS+a0lU6p3+bbdn0d3dpPu2lrr8keK/+CZXxu+JOt+LtU8TfHv4fX9/4v0Pw/oV8lp8Lru1s9Tg0m+nuRDfQ/22wuLW7ju7uC6t0aJZUkQAogkjl8d8K/se/FL9jT9qn4PfDvwJ4n8PWoS18cX0Gvaf8CNam8J+GotavtPu4tOK2moC0t2EttdeUz3SJFFFEjxEyRu/6i0VSk+bm6O9/NNWfp5fdazabUml6WtfWzUeVO3W0dPu7I/P/wCLH/BEPUvE1l4L0zw18S/C8Wj/AA/07QIvD/8AwmHgL/hIr/Qr/S7/AO2zX1jPHf2iWjahIEW7EUQeVY1USKioq/Un7K37O/iH9ne+8fQaj4p0fxDovizxNe+JtOt7bQpbC60yS8mee5imma6mW4XzGHllYoSijDeYTuHrlFCk02115v8AyZxb9LuEdtrWWhMveSjLW1vwTivuTf3tvUKKKKkAooooAKKKKACiiigAOcHua+KfFf7CPxX+NuoaXrWtT+CPhz4k0XxjqU7XPh/XrvWxrPhfVgU1TTpWlsbNoJmQQvEV8xVmt4nyNuD9rUUJWmp/L5XTa9HazXVNrqOTbhyed/naUbrzXM2n0dn0Pzg8X/8ABLn4q/ET4l+Ntf8AEngP9nXxVot18TD470jwj4h1a51bR9atZNFttGezu1m0fbZTRxWqXMVxFHc7XZoTHtzKbvxZ/wCCcfxp1Lw98TvD3gnwZ+z34Y8MeOfhKfAGmadpuvXmjWmhXU93eXMzJbW+kNGbeMXzqrLteZrcOyxmcrD+iVFEbpR11ikk/SHs9e/uafju3eo1HGbnHq7/AD51U/8ASlf00eiVvhXwf/wTh8VeHP2jdc8f6n8KP2aPFeueI9QtPFkPibVkM/iXwpqUVpCj6XbXb6Uz3NqZrZRDelreWBJ3ItpDGitwv7IX/BPn9qT9if4PeLPDPgOT4OaVqHjvQGlvtXu/GWparcaN4kiikt4Ly1+0aQfNtHt47JTbSny7dlcxIyKYpf0kryb4uftxfDP4GfFrS/A/ibXr6y8RasbEIsOh6heWVkb65a1svtl5BA9tZC4uEeOI3MkfmMrBc4NLS6hHquVJdrWSS3eiWmt3FSd5auIRUIuSWis2/R7v5t/+BNbOx8afDX/gnt+0f8OvixbanbaB8JpdCm+KGm/ES6/tb4v+I/EGqRR2+iDS5LQXV7pDyzsWzMskkiqqgQiNFAdfqX9g34KfEX4Hfs6eIvDvjrTvA1p4hvfE/iHXLJNF1q61ewki1LUbnUESZ5rO1dSj3TRMqowZYg4YFyicb+xh/wAFO9I+NGtSeC/iJcaN4c+KEnjLxF4Wh07R7PUrnRGm029ukSzTVJYEt5Lz7Jbicws0UzofNFvGjKBW8M/8FPdD8bft3L4M0rxFpB+F1r8P9a8Valq+p+F9U0eO2l06+s4Gu7fV7po7G+09o7mUmS2R0QwBvPZXAFWUoKjfScW/kqcdb+UKcV1WmuruaT5lN82rpySfqpTivW8pyfnfTZI8jf8AZe1T9nf9lfxl4Y8deI/CXwx1nxZdWFx8K/COgeNLrxJa6P4osg1zA+hLqUFrNGktysGNJiDwRRwyBXCTOqdd+3T+wD8avjb+zvpfwz8GeIfD+o6BqHhDV9O8RnUPF+qeFJrzxDeKpXV5JNNtZXvYN8l6ZLCVoreQ3ALrLsRU9e1P/grF8APDXgHXPEviHx8fB2m+G77T9P1GPxToepeH763kv2K2b/ZL63huGhm2yFZ1jMRWGdt+2GQpb8If8FQvgn448ZW3h6w8T60NZm1iLQJ7a78J6xZNpd7MENtFema1QWQufMT7M9yY0uicQtKQQHJOcnG2ra0XflUVp3fNHb/p3a3LEmE3RaqXty31frd3fZWe/ed7qUjzP4Rfs7ftJeFfDXx/vhH8J/A3jb4habYnwjfaV4nvNeg03ULXS4rFWuBcaTbgITCsgcRzYLkGJwvz+R6R/wAE9f2kvCHh/wAX2ukeH/hJO3iX4meGfiFCNd+MHiPXbi3XS00/zrSS9vNHluJjI2ngJIx2xrcYEYWFUf6z+IH/AAUk+D/ww8Q+I9M1rXtfguPC9leX93LB4R1i6tbqKzZFvfsdxFatFfPbM+J47V5Xg2SeYqeXJt6T9nf9s34bftXX2sW3gLxG2uS6Jb2l7cbtOu7NZbW7WRrW7gaeKMXNrMIpdlxAXicxuA5KkApzbqe2huuV3XlNSi//AAKC8ny273zcFCl7Fq0dY29YqLXqov1XN5o8U/4LSfFuy+En7Ag1TW9U8IaHqcvi/wAJG0i1vXl03Tri7i1/T7loTdPGWEaxwTSNIIWZYopJPLIQiuR8S/sg/Hjx3b+IfGunX/gC21f4seJ7XVPFfh7QvH+saNZS6La6T9jsoLTxDaWQvvMFwsV27w29t5qnyN4jDtN900Vm4RlCcJLSTb9E1FNfPkWu6Wi6s152lFR6X16ttWT8rXv62fRI/MHw3/wS2/aP+G/7JviLwBpEfwY1i9+IXwksvhjrgv8AxhqtvDos1hHd29tqFpMNLla5jmhvHeS3kihMciYE0oYkel+J/wBjn9pT4iftc/Dz4heIh8Or3TfA3iyz1q0s4viVrkVppumHRpbK5sItNXTFs7i4iubq5nS/mH2iZSIibaMhI/vOiuh15Or7aWrvf535vz672vG/K2nE9YuGyaa+UoqL/CK+a5vi1MH4mfC3w18afBGoeGfGHh/RfFPh3VY/KvNM1ayjvLS6T0eKQFWHfkda8Z/YV/4Jh/CT/gm/qnj1/hHpGoeHNL+IV7b6he6S969zZ2U0KSKDb+ZmRFYSElWdlGAFCjivoSisQCiiigAooooAKKKKACiiigD5p/aF/Z4+Jmt/tIeKvF3gzT/Aur6V4t+Gcng2VNa8QXel3FleJLeTQSKsVjcrJC7XKq7FkaMKWCyHC18/ePP+CcPx/wBP+Anibwt4XT4R6tdfFD4NaV8NPEkWr+KNSsYvDt7p9pcWsd5YzR6bMbu3kS7kZopIbdlZAQ5DkL+i9FKmvZx5Ibf8GpL86svw7Fub9qq32lt5WVNX/wDKcfx7s/P74nfsfftS+PP2lfBnxFurT4W63J4D8SW+uaPpc/xU17T9MtbM6JNZTab9ii0h7V5Uu7m4mXUpYnuZI2Ee2BMRppf8EtP2Ffjb+wDrMek32l/DC78IeLrWG68XSw+NtT1LUrPV4FeBbixM+loZbaS1js0+yySxpAyv5RCjbJ930VcZcruv60S173sm77yXM7y1M3Fcqj2SS8km2vuu7eT5fh0Pkb9q79jD4nePvjL8TL7wPc+A77wn8dvAkHgbxTF4kvLu3uvDZhN5GmoWUcUEqXoMGoT7rOV7YM8MZE6iR8fPPw08CXf7Tv7SP7SHwI8E698MNT8DaX448KN4n1SXxfJdeJrGDS9J0VZYY9NhtmR2ebT3tmnlu4/Kl8/MTtCUb9P68m/Ys+Let/Gv4PazrOvzQz31l488ZaDE0USxKLXTfE+qadargcFltrWFS3ViCx5JpUX7OblvdWfnaSlG/lF3suqdm7Kxc5cyffp5XUU2l3ajHXZNXtdtvwHW/wBjX40W1rcaJpumfDC80eD44Q/Eu1v7nxXfW11Pprai99NE9uumSLHcIdkaqJnRwWYvHtCtj6B+x9+0LpeueDbqXw38GSnh740ax8S7kL481Il7K9t76FLdM6KMzL/aEjHOFP2dAG/ekxfd9FRRj7JRUPspJfJUkv8A0zD7n3YpvnlKUvtXv/297W//AKdn967H5m/EX/gnF+1L8Sf2Q7z4W3dz8LbHTNaj8ZG80/SfiRr2kwR3mr38t3YXklza6ZHPex26XV1BJYSiO2mysj+YSscP1L+x58Ifi74D+OXj7xB8Q9H+HGl6N4m0jQrXT08O+Jb3VrqGextmhmEon0+1Xy2ZyUZTnCjK/N8v0bRWkZWXLbT/AIfXz3e/Sy2SSma5rN9L2+dr/J2Wnq1q22UUUVIwooooAKKKKACiiigAooooAKKKKACiivz+/aP/AOCh/wAQvgp+1J8VfA+ofHX9l3wH/wAInp1jq/hXRfFnha+/tjxOt2lyyWcezXI5JpVaBI99vaSM7TLtg3YRplUUfi2/rotX6JPYpRb2/r57L5tH6A0V4TH+394S8DeBPh9d/Eu11v4f+JfGmk6bqF/o8mj3+oxeFJb0pHHDqV3BbmGxU3DPCst4YFd4pAOUcLS8Pf8ABU/4E+MvDHifXNC8a3PiLRPB98dK1LUdH8PapqNmL8XiWS2MM0Fs6XN488kQjtoDJNKksUiI0ciOdJxcZuD3V79dmk9uzav6ruRGXNFTWzt/5Nt99nbvZn0HRXzdpP8AwVI+G/i/4wfC7wl4ds/HWvD4pjVBaalB4R1WO10mXT5xbT296HthJazrOSjpOsfkhC0xjDReZF+1L+3nP+yh+174A8K+JbKxj+Hni/wtrWqG806x1LW/Ed1qNjNYj7PBp9nBI7RLBdPKzRiZyqSMVhSBnkm60vpfm3291Nv8E/w7ouMXJ8sdX266+X9dX0PpaivC9S/4KU/BXTda8H2Q8ZPer46s9M1DSr7T9F1C+01bfU5jBp8lzeQwPbWS3MytHF9qki3srAZIOOG+Ln/BRuz0f9ub4S/C3wlqlnqFj4j8Rap4f8VG68I6s1tE9rpN1ff6HrWY9OM0Etusc9uPPkHmMCImicVXK+blem69OX4r+l0n2ur2JunFyWyXN8rNr70rrv0H/wDBQr/gkt8PP+Ci3xn+CHjPxhEgvPg74j/tZ4/JDrrdlsLmwl6ZjN1HayHORsSZAB5pI+qq+bI/+CunwAPgfVvE03jLV7LQND/s6S9v73wjrVpBDa6hJJHZ6hultF3afK8Thb5c2vAzKMjPrHwE/aV8G/tM6Bq2peDtTu76HQdSfSNShvdLu9Lu7C6SOOUxy291FFMmYpYpFLIFdJUdSysCUtb26avyWmv4r713QS0301t89dPXR/czu6K+aNP/AOCwv7Oetah9n034ijWg2rXmgRXOl6Dqd/Z3OqWvmb9OiuIbd4pb1xGzQ20btNcqUaFJVdC3V+Jf+Ch/wm8KfBzRvHlzr2t3HhzXY7qeBrDwtq1/fW8Vo5S8lubKC2e6tI7aQeXO9xFGsDlUkKMwBV04qa2drPprqvvWqG01Jwtqr6ddN/u69j2yivn+D/gqN8Dbn4nyeDl8ZXf9vwavZaJLGfD2qLbwXF6E+ws9wbbyUt7syItvcs4guGO2KR2yKv6L/wAFH/g9rVj4Yuz4k1XTrPxff6vpVhdat4Z1XS7eG70pJ5NQgu5Lm2jSykhS1uWK3RiLCCQpu2nBf3XLouvok39yafo0Fm/69f8A5GX3Psz3Givn34T/APBUn4JfHNvBsnhPxLr+taf8QrprHw5q0Pg/Wl0jV7hbeS5eCO+a0FsZVjhm3IZAyvDLGQJEZBSuv+Cs/wACrLTtAuZvEniiM+KYtSfSLdvAuvi71GTTrl7a+torf7F5rXUEkUm+2CeeERpPL8sF6J+5dy0t3+/8tRqLdrLf/gr8018n2Po+isf4d/EHRfiz4B0TxT4c1G31jw/4ksINT0y+tyTFeW00ayRSrnnayMpGeea2KqcZRk4yVmt0RGSklKLumFFFFSM+ZP8Agsb/AMo4fiN/3DP/AE6WlFH/AAWN/wCUcPxG/wC4Z/6dLSigD6booooAKKKKACiiigAooooAKKKKACiiigAooooA8m/Zy+Let/Ej4w/H3RtVmhlsfAHjy10HR1SJUaG1k8MaDqLKxHLt9pv7ltx5wyr0UV6zXgH7G/8AycV+1j/2VWx/9QfwpXv9ABRRRQAUUUUAFFFFABXgH/BSz/k3Xw5/2VX4cf8AqcaFXv8AXgH/AAUs/wCTdfDn/ZVfhx/6nGhUAe/0UUUAFFFFABRRRQAHoc8+1fmH8Ov2RPFvgS98CQWH7KOtaTpuj/tCat8RbyC1k8IxRQabJa30NldbE1PDSRtd2xVVBeMWb4AKxB/08opQXLVVaL1St/5NCf5wX4lOV6bptaO/4wnB/hN/O3o/yZ+KP7N/7SXj39jDUfAdh8CfFvhzUtf0/wCINo95Y6h4MudbRtW1R7uxsp7i7u5oodKuYrj/AEkWha68+zi2tGsayS7/AMUPhL8R/iz8Y/Evw003wR45+Heo/Fn4b+JbybRvFt7oGsaDfPFodlpb6jp89rczXmm6il1qOn208O77JNCZpFLOC7fqPXgHxG/5Sm/Bv/slXjz/ANO/gyhr3JQ7prz1u/wbuk7q6TtdXKjVlGcJr7EnJers/wBFrvbS9nY+Of2hPhT+0F8YV+JU9l+zz8TtFk8b+D/A+i6ZLaeJPCMl9ptxous3d3dvIJtTMCvsnDwY8+N9q+ZsJaMfW/8AwTZ0z4gfDn4RXXgDx/4C8U6HeeDbqa2tvFuranpt6fH0Rmk26nL9nvbidL2VQslwJwoMjkoxBKR/R1FaObc5Tf2t/vv+H3a6ptK2PLaKiulv/JYqK/BLz3s1d3KKKKgoKKKKACiiigAooooAKKKKACiiigAooooAKKKKACviX/gov+xx8ev2nvivbT+Fb3wdqXgvRrjw9q+h2GqeO9Y8NpYX1hqq3t6tzaWVlPDqKXMcNvHG92zratHvjhDFnf7aooTtOM1vFpr1Wq/H+rFKVk130/r12fk2fFmjf8E+PiB4p1J/B/im48Haf8OtN+IOtfEey1nSdVubnXb661CW+mjs2tZLSOK0S3l1B/363M7TLbKPKi85hH5jc/8ABMf49/Enwb4V+Hfix/hNpfhPwp8Jtd+E8PijRfEmozapcxXQsPsWpnTJdOWJHU6ZAJbb7aynz5MSkIFf9IaKIe4moaXWvm1B00/VQbireru0mEpuVT2stZXbv2vLnattZy1s0+22h8E/Gn9iH9oD48+HfEHi3WdK+DVp8UNX0nw14ZXTbHxXqa6I9npWqnVZr17ttMMwlmmPlR232dlgTc32iUuUC/FD9jv9ozxd41+Iup6d4d+CscXi74reFvHtmLnx3qYaO00ePT45IJAujHE0o02MrtLKn2lslvKHm++f8FHtRuNL/Z78Oy2081vI/wAUfh5CXicoxR/GuiI65H8LIzKR0IYg8GveaqnLkqKpFap3XZPnjU285xUn80rLQhpOEodJLlfmuXktr/dsr76Xet2/zrm/4JM+LvBngn4q6P4a+G/7Mt54o8QW3iJfD/xIu7Q2HinUhq63C/Z9ReLTZHiMAvJA1zFcSvcrbRoYofOd4/cP2RP2fvi78Of2otd8W+N9F+HGn+H9X+Hvh3wqp0PxXe6neR3mlveOzGKbTbZDDIb+UBvM3KLdDsPmkRfUlFKk/Zq0e0V/4DzJfdzP1eruVUfOmn1bf3uEn+MI+mystAooopCCiiigAooooAKKKKACiiigAooooAKKKqa/qU2jaFe3lvp95q1xawPNFY2rRLPeMqkiKMyukYdiNoLui5IyyjJCk7K40ruxbor5b/Z//wCCrHhr43eO/BGh6r8Ofij8N1+Jc2p2XhTUfE0WkyWOt3unO63dmr6ff3bQzqIpmUXCxLIsEhRnwAffPjP8ZPD37P8A8M9V8XeKr2Sx0TSEQzPFbyXU8ru6xxQwwxK0k00srpHHFGrPI7qqqWYAk5KMeeT0/r+rCj70uWO7/Xa3+fr2Ooorzb9k79rDwf8AtofBbS/HXgq41A6bqCJ51lqVlJY6lpcrRpL5FzbyAPFJskjcZyrpJHIjPHIjt6TWk4ShJxkrMSknt/VtH9xwn7T/AMY779nr9nnxl4707wxqPjO58IaVNqx0WwlWK61COFd8iRFgQZPLDlVxliAo5Ir4C/4N0f8Agq7bf8FBPD3xF8L6H8OfEehaT4Y8S+IvFV5r17eRPbeZrniLUdUtrFVUZaVYblw7ZwDAT0da/TgjcCDyD1FeL/sPfsE/Dr/gnt8OPEHhb4b6V/Zel+JPEmoeJrtTgnz7qXcIlwBiKGIRQxr2SJckkkmBntFFFeP/AAd/bFsvjZ8Z9X8K6X4G+Ilto+nf2glr4xutOg/4R3V5rC8Wyu7eGaOd5o5UuC6qtzDD5ywSvF5sa7y1rLlW+r+7V/gEtI872ul83sewUUUUgCiiigAooooAKKKKACiiigAooooAKKKKACvjP4l/Aj9oeX43fHfVtC+Hn7P/AIm8N/FnR7PQLOHxN471ONUgtYLuESXlmmhypKsousvbibGEK+a27cPsyioqU4zi4T1TTTXe/wCP3MuE3GSnHdO6fa34H5yfDj/gijffB268DWF94a+Bfx2sdN8FaR4Ru9Z+I2hpJqvhKawaULeaWr2l2J4GSc4spJbcIbeLExDtt9R8M/szftDeGP2XPiN4d0xvh14f8XeKPiHdeJLZdN8Y6ikN9o95qC3F5ZNqC6Yk+n3DwNLCtxbwSuhIeNo32sn2VRWs5OU3Ulu73/7enGbTWzTlFXundaO6M4pRSiulvwi4rXdaSe1tdVZ3b+DP2Rf2CvjV+zz4t+G+o3+n/Dm6g8IeKfF9zeRHx7q+qXJ0vXryG7Ewu7vTjPdXduVeMrOw8/Aka4RmKr7z+1F8GPiJq3x/+HPxL+G9l4L1vVvB2la1oNzpXiXWbnR7d4dSawf7Uk8FpdszxNYKPJMaCQTE+ahQB/eqKTd7Pt67OPK181fXfVtNaWpSak5Ld3fTdttu227220Wm9/zi+M//AAS6+OcHgnwR4G8Ha54O8T+C/AEHhy/0hNT8aav4Tij1Sx1cajqTz6fY2dzBexXflwrF9qkkWz2AxxFt0j9H4c/Yf/aJ+HXin4baJpFv8H9U8I/DP4ia14y0/Xr3xTqVvq89vqtvqiPDNYjTJInmt5NWlYOLpVuFt0BWAyEp99UUXfK49G2+2rte1rW+FWta3zdzm0t5W76crjbXum7+bb3sflxf/wDBNv8AaxvpfFOpXkHwh1/xJ470bwvZa7qOtfFjxDfCW90jWJNSuLqCKXRnjtIbsyFVs7ZYbe1JJRHGVP2T+xv8HviT8Mvi18ctb8daV4I06w+I3iyHxHow0LxDdapMiLplnp7RXCzWNsI2xYxyAo0gJnZePLDyav7U3jrWPCPxy/Zs0/TNRurKy8U/Ea80zVoYn2pqFqvhHxHdrDIP4kFxa28uP70KHtXtNUptXt1TXaybUmklotYqy2WySQSbk231af3LlW/lo+r3eup8IaB+x9+0LpeueDbqXw38GSnh740ax8S7kL481Il7K9t76FLdM6KMzL/aEjHOFP2dAG/ekxcX4e/4JUfErUtK8G6v8QPhr+zJ8UdU8PX/AIoguPCfim8n1TRUtNX1ZtUhvrW9n0h5IbyB3MDxfZdlxHhvNiICD9I6KzppQhCC2ikl5JRUP/SFy336q0rNOrJ1G5S63b+cpT/CUm7eid1ofnv4v/YI+P1o3jvT/D3h34FNo+reNvBXiHQ1XxTf6NHDZeH/ALATC1rDpEsduZjp6BI4mdIluCMv5IMuzdfsWftAeC/ip4XuvDel/B7V/DPgj4q+IPiJZf2n4t1Kxv8AV4tZg1RZIJBHpc0dq1tJqTY2mcTqgyYCDu+76KabUeW+97+d+RO//gEdrde7ByvD2fTa3laUfynJfPukfFngj9jH4xeC/wBjX4BaGNP+Glz8Sfgb4lj1hdPPii+TQ9ZhW0v7Iqb7+zTPC5ivjIB9kcB4wuSDuHF/B79in9pj4W+OvCV/c6J8C9XtfCl149u2li8a6rZyak/iG/N9AREdIlECxP8AunXzJSQ28MSuxv0HoqakFOMoS2le69YqL+9L5PVWK9pL3W/s2t8nNr7ueX367I8h/YD+EPiv9nz9i34Y+AfG0Ph+LxL4H8O2mgXZ0TUZr+xn+yxLAk0cs1vbv+8RFcqYhsZioZwodvXqKK3rVZVakqkt2238zKMeVWQUUUVkM+ZP+Cxv/KOH4jf9wz/06WlFH/BY3/lHD8Rv+4Z/6dLSigD6booooAKKKKACiiigAooooAKKKKACiiigAooooA8A/Y3/AOTiv2sf+yq2P/qD+FK9/rwDxB+wxqx+Lvjrxb4S+O3xf+Hf/CxNVg1vVtJ0S08NXVgbyLTbLTRLGdQ0i6nXdb2FsCvmldysQF3EUf8ADG3xF/6Ox/aA/wDBR4H/APmeoA9/orwD/hjb4i/9HY/tAf8Ago8D/wDzPUf8MbfEX/o7H9oD/wAFHgf/AOZ6gD3+ivAP+GNviL/0dj+0B/4KPA//AMz1H/DG3xF/6Ox/aA/8FHgf/wCZ6gD3+ivAP+GNviL/ANHY/tAf+CjwP/8AM9R/wxt8Rf8Ao7H9oD/wUeB//meoA9/rwD/gpZ/ybr4c/wCyq/Dj/wBTjQqP+GNviL/0dj+0B/4KPA//AMz1VdU/YH1zxrLpMHjL9oT41eN9F0rXNJ8QDSNSsvCtra3N1pmpW2pWvmPZaLbz7BcWkRYJKu5dwzzQB9E0UUUAFFFFABRRRQAUUUUAFeAfEb/lKb8G/wDslXjz/wBO/gyvf6+Ufi5+0D4D0H/gqf8ACoX3jfwjZnSvhp46sr0T6xbxmzuG1bwgVhk3ONkhEUpCtgny34+U4APq6igNuAIOQehooAKKKKACiiigAooooAKKKKACiiigAooooAKKbNIYoXYI0jKCQi4DN7DJAyfcgV8//A7/AIKIaH8eb/4neHtP8D+PNK+JXwn2HV/AeptpUWt3KSxeZBLbSpevYSxSkPGsn2sKskbLIYyOZc0r+Scn6Ld/K6v2G9Em+rS+bvZfOzPoKiuN/Z7+MJ/aA+C/h3xqPDXiHwlD4ls1v7fTNbaza+igfmJ5Psk9xCPMj2yALKxCuAwVgyjsq1nBwk4y3RKd1dBRWZ4n1+70BbA2uiaprhvL2K1lFlJbIbGNyQ1zJ58seYo+rCPfIc/LG54rTqP6/r7/AOrMb7f1/X9dQoorzr9pH9o+x/Zl8P8AhvVdU0HxFrVh4h8TaX4YebShasNLl1C6jtILicTzxMYBPLEjeSJJBvBEZUMQ1rJRW7aS9W7JfNsfd9rv7tWfnT/wdOftB/tBfssfA34c+LfhZPpl54Fk8U6V/bljNo63lza6tY6lbappM6sPm8qS4s1jdehKxr1lr9D/ANjWH4kxfst+Bn+MN7YX3xOutKiuvEbWNqttb293LmRrdEXIxCGEW4feMZbvXb+MvA2jfETRV03XtLsNZ09Lq2vRbXkCzRCe3njuIJNrAjdHNFHIp7MikcitWkIKKKxNZ+JGg+HvG+ieGr3VrK38QeI47mbTNPeQfaL2O3VDPIidSkYkj3N0BkQE5ZQTyA26K87179pvQPDv7Ufhz4RzWXiJvE3ifQL7xJbXS6ZIulpbWk1vDIhumwjTFrhD5Ue9lUbpBGHiMnolP7Kl0d7fJtP8U18hvR2f9dfyCisTwP8AEjQfiXb6lNoGrWWsQ6PqNxpF5JayCRILu3fZPAWHG+N8owH3WVlOGUgcp4q/ac0Lwj+074R+E9xp3iSTxD4y0fUNbs72PTX/ALKhhs2hWSOS6YhDMxmBWKPewVSzhAyF1e/Lb7Wq81bmuvlr6A+vlo/J3t+enroejUUUUCCiiigAooooAKKKKACqmv63D4a0K91G5S8lt9Pge5lS1tJbudlRSxEcMStJK5A4RFZmOAASQKt0UpXtoNNX1Pzu/wCCcv7INz8TPhTofxE1jXfjNJ4r+HWp+KpfCHg7xt4dbw1o3hnUb+5uWivobaXTrW7uiba4AWa4luUjF1cKu1wwS1/wR6/ZhtvhJ4n1fxPLH8c9N8ear4bj074hWPi/wxpuh6Y+rxTbjMtxaaXaDWrlpDdEais93uifMkpaRK/QegjcCDyD1FTOHuTjDrHl11tpJN/Pmd+rtHXR3mS5oqMujv8Aiml8radFeWmunkX7AQ3fsKfBsHkHwRo+R/25Q1+dH7MfwB0Of4oWFn8FPAGueH/ih4H+NPjaS58TJ4W1Cx0HRvD0d3rEI0yLUJYlsWs3le1UafZu6rM7zGFXWWUfrRoPh6w8K6DZ6VpdlaaZpmnQJa2lpaQrBBaxIoVI40UBUVVAAVQAAABXDfs4fsq+Df2TvDmraT4Kh8RW9jrmpz6zeJq3ibU9deS7ncyTyq9/cTshkkZncIVDOzMQWYk7YlqtXqVdUpJ7b35oyWvbRp73Ta2dzX2lqPs0r+8nrtblnF/P3k12av0s/wAk7/8AYq0vR/2Tte1O+0P9rS8+IOrv4dtvHeijwZPp0cusWms29xLdCTQNJtZdblCrqEo1Lzrtdvls8pmeCvQv+Cg37LHw3034nfGq08GfAPxhAbb4IW0PhJvC3wt1kaa/iL7VdyWrwfY7TyG1C3E1qyTMPNtvMk2vHtnC/rfXi37A/jrWPiL8Ddd1DXdRutUvbf4jeO9MjmuH3ulrZ+LtYtLWEH+5FbwRRKOyxqO1S5P2kai05W2ktFeUZRf3c1463Vkm3a4qU+S9/eva99W+WUZa+vKlLvdvTY+DfidqUPjD/go/4F+IsPwW8c6Va23i+3g8QaxL8HvFOqa74g0e48LzQi5k1IxGK200yzw20mkC3Zo5oWnmMTPIgwvhz8JvAmj/ALBOieF7D9mXUbJdY+KOvS6ouufA3X7rT9LQz6rNpl/e6BbQW0+rQNZyW9vBvYQ2jTxOzxyWyxH9eKKmpGM6Lo2sn9/R/mm0tlJuyStEiN4uMk9Yq34SV330lZ33UUnfVv8AIT9nnwbrV837MWs3vwt8f+K/H3grwj4f0jVNI8a/CnW7KfS2tTOk1zpHiF4kXS7mEq5mt7uTyb2NIFjO51aTyC7+G9o/gzx/Yv8As+/EjQdG8baP4G1HStC8MfBHxhaXGh6paa5cSag1xfvDJNd6ta2UxEmsKbeS6BzEpfg/u1RWsqnNOU2vik5fOTu15q9nd3krJJqOg3a3KtNIr5Ren4XTtZNOV027r5H/AOCXWkaR4F8eftD+G/DXg3xZ4J8IwePk1Lw9Zaj4Q1Pw/pz2kukafFLJZC7t4o5Fe+t71n8nOXYyNxMrv9cUUUpSuor+WMY/+AxUV+Qusn3bf3u7/FhRRRUAFFFFABRRRQAUUUUAFFfOej/t+a944utbl8H/ALO/xt8a6Houvar4dGtadfeFLa0vrnTdQuNPujEl5rcFwEW5tZlBkhQsF3AYIJu/8NkfEX/o079oD/wb+B//AJoaAPf6K8A/4bI+Iv8A0ad+0B/4N/A//wA0NH/DZHxF/wCjTv2gP/Bv4H/+aGgD3+ivAP8Ahsj4i/8ARp37QH/g38D/APzQ0f8ADZHxF/6NO/aA/wDBv4H/APmhoA9/orwD/hsj4i/9GnftAf8Ag38D/wDzQ0f8NkfEX/o079oD/wAG/gf/AOaGgD3+ivAP+GyPiL/0ad+0B/4N/A//AM0NH/DZHxF/6NO/aA/8G/gf/wCaGgD87f8Ag4b/AGj/ANrX9nP9vX9nG2+EL6FrHhzxR4gV/BkFxoqTvYeJHsrvSZoJ5M/NE9pqkkil8YJkPSGv178A6bq+jeBdFs/EGpRazr1rYwRalfxW4t4725WNRLMsY4RXcMwUfdBx2rwHxH+0f4s8X6jot5qv7HXxx1G68OXv9paXLcaj4FkfT7ryZYPOiJ8Q/JJ5U8ybhztkYdzWr/w2R8Rf+jTv2gP/AAb+B/8A5oaAPf6K8A/4bI+Iv/Rp37QH/g38D/8AzQ0f8NkfEX/o079oD/wb+B//AJoaAPf6K8A/4bI+Iv8A0ad+0B/4N/A//wA0NH/DZHxF/wCjTv2gP/Bv4H/+aGgD3+ivAP8Ahsj4i/8ARp37QH/g38D/APzQ0f8ADZHxF/6NO/aA/wDBv4H/APmhoA9/orwD/hsj4i/9GnftAf8Ag38D/wDzQ0f8NkfEX/o079oD/wAG/gf/AOaGgD3+ivE/hJ+2VeeP/jrYfDzxN8I/ib8MNe1jQdQ8RaY/iS40K5ttRtrG4sbe6CNpmpXhR0fUrTiVUDBztJ2kD2ygD5k/4LG/8o4fiN/3DP8A06WlFH/BY3/lHD8Rv+4Z/wCnS0ooA+m6KKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigD5z8N/8FUfhP408O2Gs6LYfG3W9G1a2jvLDUdN+CnjO8s7+3kUPHPDNHpTRyxOhVldGKsrAgkEGrv8Aw8s+HX/QuftAf+GJ8cf/ACpo/wCCTv8Ayiy/Zp/7JV4X/wDTRa1z/wAX/wDgsd8AfgN8TfGHg7xV4h8b6f4h8A2Dat4gt4vhx4lu49KsFYqb6SaGweL7JkEC4DmI9nNS5xTs33/DV/ctyrNq6Xb8dF9/Q6D/AIeWfDr/AKFz9oD/AMMT44/+VNH/AA8s+HX/AELn7QH/AIYnxx/8qayvEf8AwVz+A/h7xz4c8NxeI/FviHV/GGkDX9ATw14B8Q+IYtcsCiu1zaTWFjNFPGgdQ5jZvLJ2vtbIrpfB/wDwUj+Bvjn9lLUfjfY/EjQk+F2kPNFf63eiWwFjNDJ5b28sE6JPHcbyqrC0YkcvGFVt65qWibfTfys7O/z09dNyY+80o6t2t53V1bvdarutdjP/AOHlnw6/6Fz9oD/wxPjj/wCVNH/Dyz4df9C5+0B/4Ynxx/8AKmr/AMJv+CjHwl+NXinWPD+ia14ig8U6Jo48QzeHtZ8IazomuXWnHcBdWun3trDdXkW5Cu62jkG4qv3mUHE+Gv8AwVg+A/xk+CPjT4heFfF+r+IfDvw6vzpviaOw8J6zPq2hzg/MJ9NW0+3Iq/MWcwbFEchLARuVbTTafRX+V7X9L6eum4lJNJrrp87Xt92vprsXP+Hlnw6/6Fz9oD/wxPjj/wCVNH/Dyz4df9C5+0B/4Ynxx/8AKmn+DP8Agpl8I/H37SEfwh0++8dL8Rn01dYbRr34eeIrGSCyZSVuZZJ7FIooSRsDu6qZP3efM+Wr2jf8FFvhFqXwH8TfE+98Rat4W8B+EXaPUtY8V+GdV8NQq6uUKQjULaBrhvMBjAhVyZMRjLkKU3aPM9u/zt+enroVG8pckdX29Vdfhr6Gd/w8s+HX/QuftAf+GJ8cf/Kmj/h5Z8Ov+hc/aA/8MT44/wDlTV/4Tf8ABRj4S/GrxTrHh/RNa8RQeKdE0ceIZvD2s+ENZ0TXLrTjuAurXT721huryLchXdbRyDcVX7zKDyHwk/4LJfs7/Gzxf4f0TRPGmuW914p1mfw5pNxrXgvXdDsL/VIQ3m6el5e2cNubtSpXyPM8wt8oUsQKdnzcltd7dbXt+enroS5pR529O/Ta/wCWvpqdB/w8s+HX/QuftAf+GJ8cf/Kmvyk/bN/YI+FP7S//AAXL+HXx6Twf8cD8MLuEa547sW+BnjRftWr2HlraIIjpOXS6/cmTClcWk5chpk3fq78J/wDgp58Fvjh4o+Ivh/wx4l1vUvFPwog+0+J/DjeEtYt9esI+fmj06W1W7uc8AC3ikJLoOrpu5zVf+CxXwI0bxL4P0SfUfiYda+IOnvq3hrT4vhR4smu9ctUXe8tvEmml5AiYdtoJVWViArKSk72a62a8002rd7qLa7pN9GN6Np9NH5NWTT7WuvvXc6H/AIeWfDr/AKFz9oD/AMMT44/+VNH/AA8s+HX/AELn7QH/AIYnxx/8qaxPHf8AwWA+A/wz0zwbd67rfjzT1+IGoT6RoET/AA18TPcX9/Dcy20lj5K6eZI7tZoZF+zyKspChghUhjt/Gz/gpz8Iv2dLrxZH4yu/iDpEPgayg1LXb0fDfxJc2Gn2s4Plztcw2DwtGSrgurlVaORWIKOAN2Tb2V181v8AddX7XH15ev8AS/NNfIP+Hlnw6/6Fz9oD/wAMT44/+VNH/Dyz4df9C5+0B/4Ynxx/8qa6Xxj+3V8J/AX7IS/HvVfGdlb/AAkfSrfWl8QrbzzRPa3DIsLiJEMxZmkRfLCbwzbSoIIrn9a/4KafBnw98NfAnii78Ra6lt8T2ceE9KTwjrMniHxCqKzvLbaOtqdRkiCLvMot9mx0fdtdGZyTUnF6NNJrs3eyfZuzsvJ9hRfNFTjqndp9Gkrtr0TTfZMi/wCHlnw6/wChc/aA/wDDE+OP/lTR/wAPLPh1/wBC5+0B/wCGJ8cf/KmmX/8AwVM+Bmn/ALN2ufFo+ML+58D+FtQl0rxBcWnhrVbq+8N3UTMJYtRsIrZryxaPblvtMMYUMhOA6k68f/BQ34U6j4Q+HfiDSdX8R+KNC+K0LT+GNQ8OeENZ121vwsbSMjyWdrKtvIESQmOcxuPKlyv7t9qfXytf5q6+9Jtd0rhfbzv+Ds/ubSfZuxl/8PLPh1/0Ln7QH/hifHH/AMqaP+Hlnw6/6Fz9oD/wxPjj/wCVNbf7Jf7fXwv/AG4ovEkvw11XxDrEPhC+bS9Xmv8Awnq+ixWd4hIktd99awq08ZH7yJCXjyu8LuXPYfs/ftFeCv2qfhhaeNPh74isvFPhe+uLm1t9RtA4ilkt53gmA3AEhZI3AOMMAGUlSCW0+3RP5PZ+j6MV1r62+fb10eh5p/w8s+HX/QuftAf+GJ8cf/Kmuj+Df7cPgH45/EtPB2kL490vxLNplxrMFl4n8Aa/4Ya8tLeW3hnlhbUrO3WYRyXdsriMsV89MgBga9crwD4jf8pTfg3/ANkq8ef+nfwZSGe/0UUUAFFFFABXwb4l+Gms/HhvF/xa+FGheKNC+M/wo8W6nc6BH4o8M6n4eg8YabNDCtzpDm8hi860uxADHMm8QTxwS9mR/vKisqlLmcmnZuLj6XcXfz+GzT0abTTTsVzJxUJK6um/P3ZRt5fFe61TSaaep+cXiP8AYlPhj/hTnjDRvht4bk8V/HH4d2Hwf+IsGrWkMV9ZWz6dHN9tZJUJle1itLmGWArmUfZ9+Ftht5nWv2JdG0r9uPWbzxNpfx28OXfgfU7VvAC+BfCVr/YY8KQ6ZHbGzg1q00qS+sY441vVk01L+GSWRg9vE0k6Mf0ZX4MaD/wt1vHEi6xca/8AYhYRC41q9nsLSPPLwWTym1hmYfK00cSyuvys5XiuqrerLnk5Wtfm03STlzJedm5PXVKc4rSzUe848sm3olfZu0VFt22ulFWWl4Ql0aPyo+Bn7Nfhn4Yf8E//ANli80r4X/FDSfGGm/Enw7ca6g8I+Il1ctaXUiST6pE0PnyW1vbMywyXitBCm1YSoCivoL/gsV4O8Aapr37NusePvC954k02w+JhsrhNM0G91nUprOfQtWae0S3sYpLqe3naGAT26I0c0ce2VHjDCvtWvOvjn+yp4M/aO8SeDNX8Vw+I5r/4f6mdY0J9M8T6po6Wt2U8vzXSzuIknPll0xMHASWVcbZZAxzO66/vFNt6vaCa+6Gnra5UXaUp9XTlBW039o0/vnq/K9j8pP2p/wBn/WR+xc3hKz+Bvia5gvrbx3rXwyOpfDnW/FD+DbOe7RtM0q202zZRo+oTIVntry7KtYRxmARZeSKPq/j3o1t468X3Piz4hfBr4q+KPiXZ/EfwN4o8DeKE+FOvavdad4Vt7jSpbiCK4hs5JbF4TFqj3FnOIZWklZvLkMik/rrRToT9lKElryuLV9X7slJO/wDM+VRcla65rrmk2FT31Z6X5ttF728f8Ku2ou9nbWySPzH/AGRrK607/grZZeLLP4R+KPh5YeJrfxlpWuyL8NPEMNzcXh1O0ltZ9W8QzhrXUY7lLe4uLYqqQWaSC2SWT93n0L9trwK9/wD8FIPA3ibSvh9q/wAQdd0WLTB9j1T4f6hPbWcCzXLteaL4ngUQaZdRAs1xa3cgjukWFFCyMC/2549+Imi/DDQ4NT1/UIdMsbrUbHSIppQxV7q9u4bK1i4BO6S5uIYx2zIMkDJrarO1oUorT2e33yez03k7b2VrWklJOUuZ1HJX59/P1e+ySet3rdtNo/Fb4PaJ/wAIlZfEy2P7N/iy38GfEPwr4PMvhS2+D3jC003TLyLWLn7Y2sBgZ/El1ZJPbyXMi+S2qRRlNgj82RfQf2FvgXpej/Fb4Aax4w+DutyTeCfFnjvRrPUH+Der6Zb6Etzqsd3or21vPBNLp1gI5ZHgZpTDa73RplcPX60UVqppNNLbby10te70V0m7y195ySSSqvnTT6u//kvL+LtKS2bSso63+Mv+ClPwg8K+Nf2mvg94g+JXw68RfEj4Z6XoHibSNS0/TfC1/wCJ4XvrttKezjubGzimZo2FrcMsk0fkRSxRMXSQRNXx38efg540+HOhfBnS/EHwo8Xaj8RPhdpfgm5PitPAmveOtXazh13zrmw07UrAvbaXPY2ist1JiabUFkCBCsccjfsjRUUn7Nwa+zJS+6UpK/fWTV/5dFZ3bqcuaPLLazj8m03+S+eu6Vvyr8Ffs4eDPgV4y03xhpvwK1jRdR+Hfx/1jWtZvdF+E2oNqEvh/ULTVoLZ7Q21iZb62zNab0tfNESqvmKm0AeReIPDHjGL4S+BPB/gn4WfEzwpb+GdT+Jn9t+HLn4Q619ju9Bvta+2po1vNHZvZwPf6cskEM0YmjQyBFCyFGT9saKyULUY0b6RUUv+3YRjr0fw3aas+Zppp2KlWk5+068zlppq5VJadV/Feqd9ItO6180/Y+l8Ev8As6eGU+HXgnUfhz4QhgZLHw5feFLjwvcaV87GSN7GeKJ428wuS23a5JdWcMGPpdFFb1Z88nLv8znpx5YqK6fIKKKKgsKK+Y7H4g/Hn45/H34x6P4H8a/CPwb4b+GPim08MW0Gu/D/AFHX769aTQNI1V7h54daskUb9TaMIIeBCCWYtgbv/Cuf2p/+iyfAD/wzer//ADT0Ae/0V4B/wrn9qf8A6LJ8AP8Awzer/wDzT0f8K5/an/6LJ8AP/DN6v/8ANPQB7/RXgH/Cuf2p/wDosnwA/wDDN6v/APNPR/wrn9qf/osnwA/8M3q//wA09AHv9FeAf8K5/an/AOiyfAD/AMM3q/8A809H/Cuf2p/+iyfAD/wzer//ADT0Ae/0V4B/wrn9qf8A6LJ8AP8Awzer/wDzT0f8K5/an/6LJ8AP/DN6v/8ANPQB6H+1B4u8a/D/APZ48Za98OtC0/xR430TSp7/AEfR713SHVZ4l3i23J8weQKUU9N7LnjNfnF/wbH/APBSD4oft+eEvibDrXgDQPDHgDw14k1rVhqsFxPJc3mr61rN5rEtmgf5fLt1vHVj97DQH+I19tf8K5/an/6LJ8AP/DN6v/8ANPXEfAb9iz45/syeFtU0XwN8Rv2c/D2m61rd/wCIbyC2+DOrhZ729naeeU/8VR3ZsADhUVFUBVAAB9bUV4B/wrn9qf8A6LJ8AP8Awzer/wDzT0f8K5/an/6LJ8AP/DN6v/8ANPQB7/RXgH/Cuf2p/wDosnwA/wDDN6v/APNPR/wrn9qf/osnwA/8M3q//wA09AHv9FeAf8K5/an/AOiyfAD/AMM3q/8A809H/Cuf2p/+iyfAD/wzer//ADT0Ae/0V4B/wrn9qf8A6LJ8AP8Awzer/wDzT0f8K5/an/6LJ8AP/DN6v/8ANPQB7/RXgH/Cuf2p/wDosnwA/wDDN6v/APNPXJfGPxx+0d+zTo/hvxN4i+IPwT8WaFd+M/DHhvUNM074Z6ppF3NBq2u2GlO8V1Jr9ykbxremUboJAxj2kDdkAH1ZRRRQAUUUUAeAf8E0/wDk3XxH/wBlV+I//qca7XrHxp+JUnwc+FWveKk8P654q/sC0e9fS9He1W9uo05fyzdTQQ5VdzYeVchSBk4B8n/4Jp/8m6+I/wDsqvxH/wDU412vRf2nG1c/s9eNIdB8Oar4t1m80i4tLPSdNmtIbm8kljMYCvdTQQLjfuJeVflU4ycKefFznChOVJXkk7ddbaG+GjCVaEamzav6X1PmD4R/8FyvBPxh07SntPhT8ZtMvvFXgmb4geFLDUINESbxdpULhZ3tJE1N4Y5YlPmNFdSQPs6BiQp7v9lH/gpk/wC2F4C8M+LvDXwI+N9l4Q8aaXcapoWtagvh/wCy6gIo3dYSINVllt5JShRDcpFGXIDOuQa+f/8Agnl/wTkk/ZZ/4JyafrGs/BbxvcftE6X8P5PBE9lqHi221q+2lWVotMe51STT7Gzd5DIY4ZbcFUO6PIVTX/4I3fAz4qfsGfs+eDfB+q/AD4x2vic6Jb2Pi3UtX8caFq2ixCxjv54o9Lj/ALYmmiaaW4SFYRHb2ytIZD5eHMnZOMFOrC/w2s1s7yqarvaChf8AvXXLrZccJTcKc7b3bXVWjT08ryc7eX2rrX0r4X/8F0vA/wAQdM8Ha1qfwp+NPgvwd428bN8O7LxNrdpor6fba4JpYBa3EdpqU91EDPC0QlMHlbiCXCndXefC7/gp9a/Fs/GmHTvg18X4b/4FXP2DXrO5k8PLLeXQjSdoLVl1Vo3YW8izbpHjTblQxk/d18Afsp/8E9f2l/2dr7wh8UU+E3ifXNR8P/EnWNY8RfCnxN4r0XUtNvrHUL6e4tda0LffS2dhq1ksu133WzS5ZQxBdpPqn4X/AAP+LnwS+Pf7TFjB8LfEOtaH+0bq1vr2j+JbXWNGisvC7XGlR2U8GpxS3YuQ9vJFvLWkF2kisNpJBFZUeadKLnpJw1XabVJpde9R3vZWUZe9GV95OEatvsKW/XkUqibXm0oK27u5RVmra3xA/wCC3+mfC3X/AB/peu/s7/tCWd98LfDUHjDxREn/AAi1ydL0qbzPLuv3Wtt5oIhkJSLe6hCSoGK9r+Pn/BRr4X/s7/sY6f8AHvWNT1C/+HOr2unX1hd6dZtJPd298Y/JlWJyhCiOTzX3bSiI5IyuK+Cv23/2Hvif8av2zf2gvE//AAz58YfF3h7xV8O7Dwf4Sm0j4gaNoun6jqNmbsrcX9qdZiW5sS8sLLFeW04IVw9tglW9q+In7Ifxb/at/Zy0f4NfFq18e6LD4d+GP2DW/EfgNPCaaP401Sa1SG6sILa9V5LbCqqxSJbWaBmnxNCgj3ZupL6tKoo+8tUu6Uqmlt7uMYdLpy0UrqMVTi/axjUdlbW2utqe3SylKXXVRe3LzP3b9rH/AIKOaP8Asn/Eb4XeHJvh78Q/HL/GG+XSvDd/4ZfR3srm8ZHlEDtd6hbup8pDJv2GMqQA5b5af+yx/wAFEdP/AGqv2jfid8M7L4afErwrq/wjnhtPEV9rp0f7BDcTostvDGbXUJ5ZGlhYyhhHsVVIdkfCH857b9ln9qn4w/s4/sc+B/if+z58U21P9n7xMsviXVtB8feH9On1HSobWa0tXtLq21qG6juhE0IfDRn5HIkYnB9S/ZW+Anxu/ZN+L/7WVxpHwB+ONzoPxm1fSj4Z1Kfx14e1nWLS0htBZ3VxNc6jrksz3Ch5JYBK8gISNWKD5B08sVOpFPmS5+TpzfwuW/8AL8U7Xt8Lv8LvlzTfs7qzfLz9eX+JzW76xh/4Fp8St9lfDD/gpJ4I+Ovwe+KnjDwHpPinxj/wqLXL7QNY0eyjtLbUrma02s8kC3VxDEYXjbzY3klj3oDgZwp579nb/gq74R/ay+F3hDxV8PfAvxH8Qx+IvEk/hPWNMZNKsNU8DahAW82LVre6vomiZUR5NsHnuVX7uWVT8q+Ev2Qfjv8AsKft5/Gy+8FeAPiv8bvhV8afA9tb6vq9xqng3Tr1fEUMMkEEsVsk+nRC3W2cROfJjcuCf3oCsfZLL/gnD4g0D/got8Mf2jPh5BefD3TvGUPl/GLwRePaFtQmj067Wxv28iSaA3cM8oikMErBxJuDkeaZJopNwcno1G/RqSupXW/LNxdrbc0HdK5VaTUJuK95c7S3TVouCv8AzLm6/E4Sja7VvW/jl/wU68Ffs1fth+Cvg/468O+NfDj/ABDlS10Dxhcw2R8MXl26O0dm063JngnkZHjjWaBBI6NtLKC1ct4s/wCCsw8BfE/wT4V1v9n/AOOem3nxD8TXHhLQrl5/C0tveX1uJWmBMetM8aIkMr7nQZCYUFiFOl+19+yjpf7fXij4g/Cf4ifDLxNL8PPEnhW1trXxgbnSzZ2uoQyzyxy2qC7a9juImuFKu9ssZMUilijAP8+D9hT9oL4efs//ALL+reJBJ8ZviL+z/wDErU9a8QRWF7ZWeo+LNMne/tYru3e6lht/tAtp7eZo55Yy2JAZDJy0UX8DqfzRT84Smk2+qcVdvo04tLSReJVlP2Wujt5NUnJW6NSnaPdNNfajb6c+LX/BQTVfhNqvjOFvgB8btfsPBEkxvNT0uTw21nPbxW/2l7mMzavG6xiIowWVY5W8wBY2KuF4A/8ABZ7Rrb9jbWPjxefAv492Xw+0rQ7DxPHdS2ugvJqOl3YlIu4Amqsh8oRKZYXZJ0E8TeUVYkd78QtO8eeLP2S/jNqy/DfxQfFXxEs7iDSvBg1HSTq1sJLCGwRZpjdrYqwZXmYLdyARnCsz4jr5u8bfs2/GXUf+Dcu1+Bdp8IfEs/xZm8B2/gWTw+2taIht50hWJrxrk332Y23yFhtlMpDKDEp3bcKsqkKNdxV5RUOXzb577b6qF7bcz2+ztTUJ1KV9IyclLyScLb7XTla+7StfZ+1+Hv8Agrloeq+Mdb8Kal8IvjF4d8b6b4JX4had4e1FNCa58SaN5vlST2c8GpyWe+IkM8U9xDJtYbVY5Aj+DX/BYPwx8e/hz8Ode8M/C34u3958U7K81vQtDEWjDU5dGtGhS41Z1GomIQJJcRRiESG7dm+S3YAmvmz4CfsvfH79jvxh4ykh+EHjr4veEPil4BSw0651XxLoN746+G98IvLl0Se+vtRX7VpLSHz4livJlhIxsLFmbnvhn/wTs8beM/8AgnV8A/hp8Xf2avGt7qfwa0W4htdU8MeM9G03xv4Y10Sxm21HR7pNSW0a32s7sLidGEttCxgl2qB11XGM5cuqVvzq39WlGmt7Tu3FxU4yjyU25Rjz6XTv68tO3om5TfVxtqpcrjL7G03/AIKu+Hde/aZ+Gvww034ZfFq+v/ivpD+INB1ZrXS7OwOnxFBcXE8dzfx3kBg8xQ8UlsJs5CxuQRX1PX5j/BP9m/8AaS8I/t2/sreKviF4D8WeOE+GPw+1Hwn4t8Yx67osyS3V+8LRSsJb2K6uPs8aBLiUW4eSRGaNJQwJ/Tim4pQVnd3mvunJR+Tiou/W7fkhSk5u6srR/GEW/nzOSa6W27+AfEb/AJSm/Bv/ALJV48/9O/gyvf68A+I3/KU34N/9kq8ef+nfwZXv9Zmh8yf8Fjf+UcPxG/7hn/p0tKKP+Cxv/KOH4jf9wz/06WlFAH03RRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAeAf8Enf+UWX7NP/ZKvC/8A6aLWvyu/4KU/Fb4f63/wVP8A2s5pv2ktF+FIsvgZb6DKtnqWmTf8JDeJLO0+iyJKGuDIQoVobOSG6BkXDr0b9Uf+CTv/ACiy/Zp/7JV4X/8ATRa17/WNak5tO9rKS2v8UJQ66aKTdmmns9L30hUUU011i+3wyjL11cUrrVbrWx/P/wCHPiZr/j746fsV+FvCfijwt+yl8ZbT4M6/o+laHB9lmj0HUZWi/syyubXVFuZo1vkRJFWYm5cS5WR3OWu+I9V8OfGr/gmR8I7vwf4Jl0TxH+zt8b7LxX+0R8OdMluNR1WKeC6mXUtTubeR5LqeJnUygsXWOPegJFu2z986K6/atVPaLfm5tddVWdVK+9ru0l9q0Ze64688KSUOSWqsou2mnslSfleyvF2fLeSfMmflx+0T8X/Cv7bf/BZv9mXxv8GvGXhrxZ4P+AuieINf+I/jPRdSt7nQtB066tvKgtbm/RjCJZGjmbyC+9UDSFQqsw4j41/s/wB5pvhrwf8Atc/sqaxoni628WaPD4J+MGj6NfC90/xLpjBbNtRXyCy/bNPJ3M3Xy4yTgLIJf1+orOnan7Pl+w5Nf9vNuSf91xfLy6dXe7uXVvU5ub7SUX6RWjX95S95PXorWR+E3/BVTxZrXxS/4LT/ABd074R/F3wBoHi7RvgnaQ3Okalqlitr4tksdUe8vfDlzLLKvkGS1R3lQMj+WpDlIWkJ779tf9r7wT/wVD/4J2fs9fFT4QWw1Twl8DviJ4c8T/E34c6IEuL7wxpNsZI5kmsYBva3g8tzGypsaFGkUbUbZ+zdFKhenCEd3GUZr/FGo6n/AIC725b6WumnKV6q8s6kptaSTi/8LhGD/wC3rRupW62aaUUvy4/aJ+L/AIV/bb/4LN/sy+N/g14y8NeLPB/wF0TxBr/xH8Z6LqVvc6FoOnXVt5UFrc36MYRLI0czeQX3qgaQqFVmHiv/AASC/ZR0j/gpV4ALX/xd8KX3w/8Ag38ftb+IEfhTw/pqtrNze/bJ5LCe51E3jp9ilDM6LHaIZFVwJjglf2xop0WqTi4/ZUreUpVI1L+icVZdH717k171V7z35b+aUJRt8+d3d9rRtY/K39qr4LxftDWt5+1P+yT4p8L+K/j/APAjxJrFrfWeh6pHf23jPRzdzzz6Hdrbs26Ro5PMhB5LNgYZkePyf/goT8VfCOp/8FBv2HdJvvjppfwO1HTPhhriar4ii1jTLe78Jtd6PbfZvP8AtqtHCJiCql1R3G7ynRwHX9qqKnDp0XG2yadvPknCVuyk581tUnffmbLqy55Tls5X/wDTinG993GzjfS6a6RSX5W/8Fhfj34O+MujfsofGXwt4m0zxN8KPhR8dtLXxL4x06dbzSLKEIqPeG5iLIbZZWETTbtiy/KTmvo/44/tbfB7xX8OvHPj288f+B5fhXqUnhvQE8T3GsWy6Dq88eoTzXMFvdl/JudkUuH8pmAZZUJ3RyKv2HRQ0nSlSaupS5n6uMIyXo+S67Xs721iKUZxnHTlior0Upyjrvdc2r62vpfT8Avil4jn/Z//AOCPH7X/AOzX4tvxF4f+AGsXFl4I1q8vIobXxDZ6uy3uk2kDGTNxMttNdSmMBgFeAqTt+X2j9nL4g+HPgr/wUM/Zk/aB8Y+KdFk+Bvib9nm08B6R41n1OFvDnhfxBa7HubOe83eRaSyLDPGPMdS8gkjBLIVX9laKunKUZ+1bvK0E293y06kG33lL2jd9NUr31bVSMZq1rL3nZdOacJpLsoygtNdG0mtGvyD/AGdviH4Y0r9q39sv9ozV/Evh7w1+zp8TPFXhTQ/Dmv61dwafo/i280+SKO+ubRpWVLiEFJlEyZSbEhUtsfHpf7MH7LHif/gmT/wUF07wl4WurW6/Y98eNqfj3w/PPdF7f4fanHp8/wBqsVmJ8tLKeOd7iPJxiF8cpI8n6Y0VMPcUVD7MORX1vG32u9pWkrWtZJab1U9+UnP7UuZ+TVtu14rllve7fU/Fz/glX+3f8PfCn7NH7Qfgnw/8TPhM/wASPip8evEtn4T0nVvGMGnLqsN9NGI7lZY1mkSGSJZfKnWGRXl8tFDs6o3ff8EPvjVYfsZ/t+/tBfsf+Kb3wB4Xup9c/wCE38CeG/D/AIkGsWFgl3GZb7Sbed4LaQvbgROIJII5AglcIUXzD+stFVRag4ve0FTfmoxgo/NSgpO992lZMmqueMl3m5rylKUm/k1Jxtp3d3axXgHxG/5Sm/Bv/slXjz/07+DK9/rwD4jf8pTfg3/2Srx5/wCnfwZUlHv9FFFABRRRQAUUUUAFFFFABRRRQAUUUUAeAf8ABSz/AJN18Of9lV+HH/qcaFXv9flf/wAHQf8AwTZ+JP7ZXwV+H/jH4O3XiN/HHhbXrPSLvStNvpoI9RtLq7iWC4ZUON1peeTKHx+7SSaQkCMEfoJ+xr+zhB+yJ+y34G+G8Gq6hrz+E9Kis7nVL6Z5rjU7nl7i5dnJbMkzSPgn5QwA4AoA9MooooAKKKKACiiigAooooAKKKKAPAP2N/8Ak4r9rH/sqtj/AOoP4Ur3+vAP2N/+Tiv2sf8Asqtj/wCoP4Ur3+gD5A/ar/4KIfE/4Hftw+Gvgt4S+EXgjxjceMfDOo+J9I1PUviDc6MXisFQ3EM0KaTciOQs4EeJHVgMsY+lcP4O/wCC9HhT4v8A7NnwI8R+BfA+ra/8Tv2htRn0bw14HudSjsha3NnI0eoTXd6EkEdlblHbz0hkd1KYhyWCY37ev7HfjX9qP/grb8HvEF58K/iVq3wg8LeGNV8Oa/4h0Dxxa+HG36h5RV0NtqltqElvHtZZ02DcM7UmGAdn9rn/AIJi3Xwr+Mn7LvxU/Z88E6K0X7M91e6a/gaxlg0+TVtE1CHyLkWks7JCbyPc8o+0yxrKzyF5g5yywz/dwdb7UrN9UlOotV0TXs1s9LyTumm63xzVLeMbq+zbpxdr9+bm6qz91qzTj2Okf8FQfFNn8Vvih8IvFHwy0Dw58cvAHhceNdL0b/hMJbnw54s0f5Q9xbaoNPWdHjcSRvHJYghlXaWVmZO7/wCCWP7cOuf8FGv2OfD3xh1XwTpXgOx8WvO+labaeIZNalNvFK8Jed2tLYRyGSOTCIJBtCnfklV+bdW/ZJ+K3xq/bi+Kn7UXiH4XeIvDktl8MpPhr4H8A/2to9x4i1ozs0s9/cypfHTrdFeVkSP7WzMiOzbGCI+V/wAEw9F/aX/Yo/4J3/Br4Kzfs5+PbPxP4U1IDxHrR8ReFJdNj046hNeXC22NUeWWeWEiBVeGNQ0xYyIEDGqTXK/aL3rQt2V51E368ipykteVt6J+6pr3Ul7P4byv3soQdv8AwNzUe9t3u/qfxF/wUc8OeGv+Cmfh39mi50e/TV/EnhK58R22uu+yzkuYZFJ05FK/PMLctOxDfIhi+U+YCO4/bK+M/jb9n74B6r4s8A+BNO+JXiDTJIgnh+68QNoj6gHcRhIZxbXCmZpGjVUdUQ7iTIuOfzq/bf8A2Hf2ivilpnwc+P3grwx8W9X+N/gz4i/8JcPhxrWr+DYNL0G3kYJe2o1GJ0naCa3hghjY3dySiKGgiyPK/Qb9o3xl4uvv2btN1TRPhb4y8ReJL+60u7m8LWd/o8Oo6dsuIriVJpbi9jsyYxGUYxXEgLEbd65YQ4yeGTb5ZptPrvaSfZpKXI2tPcu2m2lo2lX0V4tXXTa8Wu93ZTV/5rJNK78g/ZE/4KoXn7d3w0+FXi34aeC/D8+neK9Yn8PeN9P1zxTNp2s+AdRt4JJp7c2qWMwuWCQyFd8luW3wHCh3MfbeIv8Ago54c8Nf8FM/Dv7NFzo9+mr+JPCVz4jttdd9lnJcwyKTpyKV+eYW5adiG+RDF8p8wEeazf8ABOS9+DX/AAUyt/2kPh1BqdnonjLR7ubx/wCBba4t4f7U1mOzkWyv4kaRbf7UwkmgkYyqpeZX3YeZ6+bP23/2Hf2ivilpnwc+P3grwx8W9X+N/gz4i/8ACXD4ca1q/g2DS9Bt5GCXtqNRidJ2gmt4YIY2N3ckoihoIsjytYzTq0+ZWTfv9UnJuGj6xi/3iau+VKM3q2suWXs58ru7e63ZN2XNqujlb2bvZXblFaJH0n8Qv+CmXxR0L/gof4r/AGf9D+FHwvuLjw54Ti8bR+Idf+KF3pFnPpsl19lQSKmiTmG48zqgZ0AxiQk4r0X9sr9vu/8A2E/+CfOpfGnx14Au28R6Np9vNeeD9K1QXzLdOyiSFLtYgGiiXzJHm8oARROxUYxXy3P+xd4m/aj/AOC2J+L3xR/Zi1tvhnefDqw8O6ffeIr3w1ezeHNZt7w3ovFS31KaeLYCYlmtw0gkJwBGS9fRX7Y3wR8Yfti/FTUfAN5Y/FnwV8OdM8NXgPiTw7ceFrmz8VT3kLW9xp722oi6mjK27tGkn2aIEzTgyxqFMuFR1I4WHKr1Hzf+Syna9tuaKWy6prV2NqThLEycvgXL+MY3t1dpN9VZXvZLmNr9q/8A4KNaF+z58Dfhd4v0WDQNcf4y6zp2i+F5Nb19dB0UveW8l1HNd33kzmCLyYmxshlZ5HiQL8xZfVvgJ8S/FHxK0HVz4v8AA954D1rRNSOmS2r3yX9rf7YIJGurS4VU861d5XWN2SOQiP8AeRQyb4Y/zi/Yf/Zl+OGjf8EytK/Zz+Pf7Lc/xE8G+EdQvNLmttW8SaE1/rugMLiWxlsvJv2jt9Rt5DHFsknhVE2PHdb1IH1H/wAEfP2U/FX7IPwF8V+GtXtPFfhvwddeLLy98CeEPEmtQazqfgzRCkSR2MlzBLNEV81JpUjjnmEccqBpGk8w11uMFUqqLvH4ovyfJaPT3leTe/VPlcVfmvNQp83xL3ZW6tc15L+67JLZrTfmaXD/ABP/AOCoXxy+Gn7a/wAOPgdcfAH4cp4k+K9pqupaDcXXxXuo4YLawDMxvPK0OURSvGoYJEZ1BbBfjNVte/4Kr/GzSf2uPEXwbX4B/DqLxN4X+HcXxJvpL34rXUUEdmz+U9sDFocublJVdcDMbKAwk52ip+178C/iz4y/4Lc/s7/FXw/8JPFevfDr4XaRqukazrttq2hwxs+ow+WksUE9/HcPHCWzLmJWwp8tZeAeS+OPwc+Nll/wVx+K/wAWNI+AXxB8UeCPEXwfb4babeadrnhmKS7vvtbzC5EVzqsLralXA3OFlyD+6AwTwOU1h4SWsmqt/WKqez9OZqn6306nVZe3mn8KdK3pJw5/uTn6W16Gx+zf/wAF49U8f/C34F/En4lfCCx8AfCv9oLWH8M6Br+k+MX16bR9XNw8Nvb6nbyWFoIIpzDcbZoZJwpjG9UDbl+iv2rf+Cjnhz9k79rD4GfCvWNHv7uf416rcaUuro/l2ehSLCzWyynaQ0lzMDFGm5SdkrZOzB/PT9nT/gmX+0H8XP2DP2Wf2Z/G/wAML/4YaB8IvFyeMvHPibVtd0e9h1GO1vp57fTtMisLu4meWYXRLSzpAkQgODISFPpP/BUL9hP42f8ABQX9mr4heKNL0X40+FPiVpfimx1DwP4Flv8AwZNpry6dJiy1EXXmtPChjknd1+3xtHJPJiCVRmXuxDpwq+6rwVR7at07wV/8V3O1lqoptW1fNQVSdP3naTh12VRudr/3UlFvs31bUX9J/tX/APBSjxT+zJ+3x8L/AION4B8FXfh/4m6fqOrx+LNU8dTaUuj2emwrPqEtzb/2bKi7IiTHifa5U72hHzD1r9lv46+Pvj5PrWsa34D0Pwt4DeeRfC+pprt9NqmvW4fCXM2n3Om2rWaOnIDSSMSDgNGUlf8AO39vD9iX4rf8FUv2lv2b9T+K/wCzP490rwZofhTWdF+IEMHirw250q+1GCKKO4tGj1TfPFbXEQuNxQNtWMiJ3zEPqn/gkBq37Rnw/wDhEvwq+P3w68SW0ngMS6d4e8f3Wq6PcJ4o0uF1jtDeQW1/cTw3xiPzfLIjCMlpfMPzxRhaLjUaclz+jtUmt9NVFQcOklKT95r3XVneScFaL5fVNwTt1unLmUn9lqK0T1+ya8A/4KWf8m6+HP8Asqvw4/8AU40Kvf68A/4KWf8AJuvhz/sqvw4/9TjQqgs9/ooooAKKKKAPAP8Agmn/AMm6+I/+yq/Ef/1ONdr3+vAP+Caf/JuviP8A7Kr8R/8A1ONdr3+gAooooA4T44/tSfDL9mOz065+JXxG8CfD231d3jsZfE2v2mkpesgBdYjcSIHKhlJC5xuGetc94u/4KAfAf4f39taa98bfhHol1e6ZHrdvDf8AjDTraSewkXfHdorzAtA6/Mso+RhyCRXyN/wc2fE3RPBP7AXh/Tr7xT4a8O63qvj/AMOz6YurXMa+aLfUoJJphC0kbSxwqQ8m1l2pyWUHdXO/sE/t923xQ1/4+fAv4peLfB2pftH3v2ubSr3TPECT6Z8RNIurOWfSpdIiaZ0gRLWRSbOJiQrGd97zTSVh7WTo1ZxV5Q5rL+bljCVl5+/tvaLaTXM468iVWnCTtGSjd9rylG78ly2v/NJJtaKX2pqX/BRP9n7RfAOl+K7z46/By08L63cTWenaxN4002PT7+eHb50UM5m8uR49y7lViV3DIGRS/DX/AIKJfs//ABn8b2Hhnwf8dPg74s8SaqzJZaVo3jTTb++u2VS7COGKZnchVZiFBwFJ6CvkX/gkl+0r4Cm/4J//ALNvgRPGPhj/AITH4V6aG8daJJqMceoeCY7Gxvobp9TgPz2SxzBYybgRrlhgnIz8BfsmfHnw3deBPhdc/EnVvCWp/staF8fdZ8Qx+IvC0wg1TwD4gXVrqbSX1mUvMq6TdrJlJIktWXK7pNg/e9jjFYz6te8f5vLnhC/b3uZ8uurShe7uuXnk8Oq1tWtu0uWpLl/7dUY83VKXNbRJ/wBA2p+NtG0XxNpeiXmr6ZaazrazPp1hNdRx3V+sKq0xhjJ3SCMMpYqDtDAnGRXI6R+1t8KvEHi3xV4fsPib8Pr7XvAsEt14k0238RWct34ehiOJZLyJZC9uiHhmlChe+K/Kn/grF+1yt94w8A/tk/DrxJ8JvFHw7/Z88f2ujLrOkfED7Rquq2U2LbVdKisI7VoGeYTGYOLwu0EMcghKgMfS/wBpnw3oP7bPxP8AEH7Sf7IPxG8FeLv2gvgrcWd7Z2ega3a3qeMdClsrYz6HfrG5ZUlMc4h8zGydZANjkvHzxk3D2ktEm1LRtxVk4za35bSTasnZS5b2SlvJe/7OOraTWtk3zNShfZO6sndpNx5rJu333qX7cXwV0b4Paf8AES8+MHwutfAGrXZsLLxNN4rsI9HvLkFwYI7sy+S8g8qT5FYt+7fj5TjuvBnxA0H4jaOuo+Htb0jXtPdIpFudOvI7qFllhSeNg8ZIw8UscinPzJIjDIYE/k58Ofi1/wAKv/4KM/s7/Hj45JF4G+GPiT4BW+m+CtR8Rz/Z9A8I+J7jbdXljdXkqCOzu5LVHQSyCMzIhjAZk2D6/wD+CSHxkm+O/hP4peKLT4NeDPhR4d1XxpeSwah4b8Sz6zp3ju7VUiudatWbT7SJrOcRRGO4h3i4bznZVfcz9Cpu0r6NKV1dOzjUcLN7O9ubTVJrRr3jOcrNW2fLbz5oqV0t0l8LvpdPVNcp6t4U/wCCjX7PXjvx5Z+FdD+PHwa1nxPqF0LC10ix8a6bc39zcFtohSBJjI0m7jYATnjFepeJPG2jeDJNNTWNX0zSn1m9TTtPW8uo4DfXThmSCLeR5krBGIRcsQpwODX4ZftC/H34SfGX4L/8FFPAth4p8I+NvHPxH+I9mPh54f0bUIdT1fXtTFjp8VtNp8EDNLKY7lCDLECqeXJuIAYV6V/wVD8T+OPjR+wxBLovjD4U6v8AEP8AY70bQfEfivV734hfZtX8OeK7SOKa4AtYrWWO5knWN7ZDLcW2ZpJ0XewZRzU6sXShVnon7OUn0UZxUpv1prR76yp7c1jWcJe1lSgru80l15oy5YX8pvb/AAztex+nfxZ/b9+BHwE8a3Hhrx18a/hJ4L8R2iJJPpWveMNO029hV1DIzQzTK6hlIIJHIIIo8Y/t+fAn4dQeH5fEPxr+EmhR+LbKPUtDfUPGGn2q6zayHEdxbF5h50THgPHuUnoa/Kb9oj/gpbF+1v8At+fAH4jfs0+LPg7rPxM1P4La26eGvEN4t1597PLZzf2C/lXELw6g4SdYlk3DchLR7GLryfhL9p79m3wT8Nv+Cenh3wJ47sPDdt4I+Kd3f+KdA8Ya/aQa94PupYb03keoRFYBbol5K8at5MUTDZtA3VtRhKTjCa1c1FpdnVlTbXdKyldX3s0k4yeNSrFQlOGyi5K/lTVSz7Nt8qVtdWneLifvArB1BByDyCOQaKFYOoIOQeQRyDRUlp6BRRRQB4B8Rv8AlKb8G/8AslXjz/07+DK9/rwD4jf8pTfg3/2Srx5/6d/Ble/0AfMn/BY3/lHD8Rv+4Z/6dLSij/gsb/yjh+I3/cM/9OlpRQB9N0UUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFAHxD/wT5/bY8MfAr9gj4H+CPFXg74/6Z4n8G+ANB0PWLMfBDxncC0vLbToIZ4vMi0to32yIy7kZlOMgkEGvX/+Hlnw6/6Fz9oD/wAMT44/+VNe/wBFAHgH/Dyz4df9C5+0B/4Ynxx/8qaP+Hlnw6/6Fz9oD/wxPjj/AOVNe/0UAeAf8PLPh1/0Ln7QH/hifHH/AMqaP+Hlnw6/6Fz9oD/wxPjj/wCVNe/0UAeAf8PLPh1/0Ln7QH/hifHH/wAqaP8Ah5Z8Ov8AoXP2gP8AwxPjj/5U17/RQB4B/wAPLPh1/wBC5+0B/wCGJ8cf/Kmj/h5Z8Ov+hc/aA/8ADE+OP/lTXv8ARQB4B/w8s+HX/QuftAf+GJ8cf/Kmj/h5Z8Ov+hc/aA/8MT44/wDlTXv9FAHgH/Dyz4df9C5+0B/4Ynxx/wDKmj/h5Z8Ov+hc/aA/8MT44/8AlTXv9FAHgH/Dyz4df9C5+0B/4Ynxx/8AKmj/AIeWfDr/AKFz9oD/AMMT44/+VNe/0UAeAf8ADyz4df8AQuftAf8AhifHH/ypo/4eWfDr/oXP2gP/AAxPjj/5U17/AEUAeAf8PLPh1/0Ln7QH/hifHH/ypo/4eWfDr/oXP2gP/DE+OP8A5U17/RQB4B/w8s+HX/QuftAf+GJ8cf8AyprkPBHxnsv2lf8AgpD8PNf8NeG/ifaaH4V+Gvi/T9T1DxJ8Pde8MWsNzeap4WktoVk1Kzt1lkkSyumCxliBCxIAxn6uooAKKKKACiiigAooooA+E/8Agml/wTS/Zx+JP/BOP9n/AMR+I/gB8E9f8Q6/8N/DupanqepeBtLurzUbqbS7aSa4mmkgLySyOzMzsSzMxJJJJr23/h07+yz/ANG0/AD/AMN5pH/yPR/wSd/5RZfs0/8AZKvC/wD6aLWvf6APAP8Ah07+yz/0bT8AP/DeaR/8j0f8Onf2Wf8Ao2n4Af8AhvNI/wDkevf6DyCOeaGB4B/w6d/ZZ/6Np+AH/hvNI/8Akej/AIdO/ss/9G0/AD/w3mkf/I9fCPx58a+PP+CXX7QWr+PvF3jr4o+Mv2QPi5q154M8VxX/AIx1a91L4VXwu5oLXULO8MzXtvaSABWMUysjuSG3C3SpP2ydK13/AIJ3x/ssftMQfEL44eIfg/pJ0zS/ihod58SNf1O1dL2Ffs+tPHJeMJfLuJP3kTbopA0S+XjNKjKNSMZt2TcYu/2ZSvZP7o2ezU020lKzqpwnUppXcVJr+8otptfNSTW942Sd1f7q/wCHTv7LP/RtPwA/8N5pH/yPR/w6d/ZZ/wCjafgB/wCG80j/AOR6+J/+C13hrxF8Ff8Agmd8QPjX4Y8efG7wz4u8U+L9G1XS7ex+I2u2Y0Wyur22tvskVut6IYhLC7yNFtCRyXBVQoiQr0n7Yvwxv/hr/wAEgPjv8TdGvf2mPhT4ss9Cubqx0jxF8Xdc1LUdDudOubuOC8juBqNxt+0RyK7xxXMltIqwcOU3mKlR08PUrzVuTRrrdRjKS6bc1vVa2TTKjFSqwpRd+e1n0d5Sivv5W+1tNXofWn/Dp39ln/o2n4Af+G80j/5Ho/4dO/ss/wDRtPwA/wDDeaR/8j18Lf8ABMHxZrv7Qv7eVlpXh/x58afBGj+BvhvBb/EzwD8R/HWq63qvii61C3jktdX0syXt3Hb23zhvtVtdJIjbI/JjEm5vXv8Ag3zvda8VeAvj/qfiHxh8Q/F97onxf8QeE9PfxN4w1XXVsdMsZUFtBEt5cSqhUSMDIoEknG9m2rjrdFqbg3tGUvlGah+N1JeTd0mrHKq6cFJLeUY/+BQ5/wAEmn52s2nc+i/+HTv7LP8A0bT8AP8Aw3mkf/I9H/Dp39ln/o2n4Af+G80j/wCR69/orA3PAP8Ah07+yz/0bT8AP/DeaR/8j1wXhD9lf4Yfsuf8FRfhjD8M/hx4D+HUXiD4WeNX1RPDHh+00hdSaDV/CIhMwt4080xiabYXzt818Y3HP15XgHxG/wCUpvwb/wCyVePP/Tv4MoA9/ooooAKKKKAPAP2N/wDk4r9rH/sqtj/6g/hSvf68A/Y3/wCTiv2sf+yq2P8A6g/hSvf6ACiiigAooooAK+dfG/8AwVS+Dfw//aB1j4V3t38R7z4g6DajULzRNJ+GHijVrhbQv5Yu0Nrp8iy25f5RNGzRluAxPFfRVfjz8fvjn8PLb/g5N8S32pftHeG/g9p/hv4XaNaanfHxBpNrbajdWuurcT6JdSXWTG0kQ+eOGSKcKwJJQsjqD5q8KTdlLm+VoSkn6XST9dNbJuelGdRLVcv4yjFr1s216a6ar7w8Wf8ABXT4GeDPF3grQLvWPHlzrXxG0dNe8MWWnfDXxNqM+uWbQrOZLdbfT3LtHG6tIg+eHOJFQ8U3x3/wV5+BXwz0Xwnf67q/j/T4/HGqS6FosT/DPxO11ealFK8L2BgXTzLHd743xBIqysF3KpXmvhT/AIKE/tJ/D39qX/gsP+xrJ4M+Otl4ETUNB8WW0HiTRtS0pr2zN3DHDYsi3sc8Oy9ZMQFo90yuDEQxVh1//Bwh448O/DzUP2LPCuv/ABWsPCOu6V8WNH1C81ubUbGDUdPs4baeGXVyl6JYljSQgmWeOSIMQG3dDVP3o05S056nJby9rKD8rxik3e1272SJqy5ZTjDXlhz3/wC4akvlKTsrXslbVtH1/wDEP/grl8DPhJ8Jb7xx4q1jx74c8N6VrK6BqE+p/DXxNazabevFBLHHcW76eJoBIlzB5byIqSGQKjM2QOx1n9vT4d+HvFmhaHfD4gW2o+ItD/4SO2V/h74gEVvYDO6W6l+xeXZlMYeO5aN0LIGVS6g/m3/wXF/bC+FXjP8A4Io6n4J8OfHXwj8VNd0DUvCumSeJYtbs7z/hILyK+t5JnDQylJrhYojcTRxk+Wkik7QeO6/4JX/8FAPDn7P37YvxF+A/xn+JXw/8VfEPx1f23irwb8Tbe/09F+JelXoX7BazSQuUS6hEnl29sNqtE6iFNgVpHTi6kpQjo02l52hCVltq3NyW3uQaSbvJFWagoy3TSb8rzlG730XKovtKSb00f1Ba/wDBa/8AZ7vPG114aTWfiX/wkFjpK6/dac3wm8Wpc2mmtjbfSodMDR2pyP37AR/7VP1f/gtT+z1oN74+t7vX/iBHJ8K1D+MCPhd4qZPDSFd6vdsNOKwoyZdWYgMgLglQWr5j+Enx28EXv/B1N8SbKHxl4VmvLv4RWvh6CBNWt2lm1OG+SWaxVQ+WuY40d2hHzqqMSoAJr5f+M37WPwsTxD/wVut2+Jfw/Fx400awtfD8Z8Q2YfXZY9Flt5I7QeZmd1nIiZY9xDkKcMcVhOt+49tH/n3Vml3cKqhFL1j7z9VbTfSMH7X2Uuk6cH6ThzN/J3Xy11P17/Z+/wCChHwy/ad8R6RpfhKfx00/iDTH1nSZ9Z8AeINBstVs0ERM1vdX9lBBMMTRMBG7Eq4IBHNe2V8h/wDBErQCn7Avw71+2+LWp/FTSdc8K6NHarcS6fLB4bkt7JIZ9Phayiij2xShkIkVp1ZCJJJGHy/Xld2MoqjWlSj9ltfj/XfydjkwtZ1aMakuqT/r+k+6uFFFFcx0BRRRQAV4B/wUs/5N18Of9lV+HH/qcaFXv9eAf8FLP+TdfDn/AGVX4cf+pxoVAHv9FFFABRRRQB4B/wAE0/8Ak3XxH/2VX4j/APqca7Xv5OASe1eAf8E0/wDk3XxH/wBlV+I//qca7Xv5OASe1DYHkPhz/goN8BPGI8QHSPjf8IdVHhK0k1DXDZ+MdOn/ALGto3CST3O2Y+TGrsql5NqgsATk1i3v/BU/9mLTRAbn9o74DwC5iE0Jk8f6SnmxkkB1zPypIPI44Nfj54g/buk+C/7Yv7VfxB8P+NfAXjP4Had8XNI1L4i+G9I16O313WNENjBZ/brS5iugbi0hvJIEltY4/wDSGHku5jkljPtn7dn/AAUE+HfxX/4KzfATxf8ACH9pL4B+H1tPhr4lgbxPrmrWt9pWmS3Bt2it58XUQtbmQD5PODlCpLW8u0pU0H7WNF3tzpN/3b0nU+56RT7p7yvGJXfs3VVvgbS87VFC3qvia7OOyak/0s8Xf8FE/wBn74f6Vod/r3x1+DmiWXiey/tHR7i/8aabbRata72Tz7dnmAmi3qy70JXKkZyDVjX/ANv/AOBHhT4daF4w1T42fCTTfCXih5otG1u68YadDp2rvC2yZbe4aYRzGNgVYIxKng4Nfn1/wVI/bK+FWufFT9jXVvhr8WPg74OsLP4k6tqVlrerPbz6Fb26WeoW02pNBHd2pls3uhNGJ1njSSRtwdsjd4X4csbG4/4JM/FfVfDunXut+HvCn7S1p4u1vxzpwd9A8W2kOs2k19rmnQKgFtp8KoytHG1wkYt3b7RN8zh0X7RyT0tNRv2XNSTb22VV31WsHpZy5Cr7iTWr5W7d3y1XZerpq2+ku9ub9ePHP/BQH4DfDDWZ9O8S/G34R+HtQtbODUZrXU/GGnWk0NrMEMM7JJMCIpBJGUcja3mLgncM0PDv/BSv9nPxfZ6tc6T8f/gpqlvoNmdR1OW08caZOmnWokSIzzFZyI4vMljTe2F3SIM5YA0Ph38f/hl8cPHXiv4iaL4t8DeKfh54U0OzeXxZaanb3mjWNzBJfS3DC8BMCtBC6NIyyZjWX5toPPyf/wAENbzwx8bP+CT3iaPw1deHPE/ifTtW8b6bE9jcW91d2IvtSupkh3qS0Szp9mkAJAkURNyAprOtUlCFSSjdxhKVvRpRXzv87ab6aQhGU4Rvo5Rjf1i5Sa/wtcvk99tfsfUv+Cif7P2i+AdL8V3nx1+Dlp4X1u4ms9O1ibxppsen388O3zooZzN5cjx7l3KrEruGQMisxf8AgqP+zK+jPqQ/aL+BJ0+OZbZroePtK8lZWUsIy/n7QxVWIXOSFJ7V8s/8Ekv2lfAU3/BP/wDZt8CJ4x8Mf8Jj8K9NDeOtEk1GOPUPBMdjY30N0+pwH57JY5gsZNwI1ywwTkZ/Mjxl+0FBe/8ABID4m2Nr8bPgk/ha7+Pc18nhMWgk8S3SP4jiuEuo70aoI/IMaGcf6CwMUbkPj516pQSxbwylpdJS6WdSnTv6PnbWu8bbXa5ZVZLDKvy68rbXW/JUny+qUI3v/Ne2yf8ARfbfGTwheeGvDetQ+KvDc2j+MXgi0C/TU4GttceeMyQLayBts5kQFkEZYsoJGRzWb/w0v8OP+F1H4a/8LA8E/wDCxhB9pPhX+3LX+2xF5fmeZ9j3+ds8v592zG3npzX5kf8ABbX45W/7Z3wC8U+M/gf47+C3iaz/AGYm03xwviCL4irDdaJqsTi6jaC2gt5oboXFuot4jJc24MkkyKXYMBu/F/Xfhd/wXO0Dwv4t+C/xX8I+HP2ivCHg7TfG3gObTtbtZtZ8L6mr3BubC7gBMotnMkUNwjptw0TMrAKrYqV05WdlLVbyUHG6klpzaqbst0ls5I6JxtpdapWb0TlzRTi30SU469G27NLX9DPDf7Xvwm8ZfDrxD4w0j4ofDvVfCXhKWSDXNbs/ElnPp2jSRgM6XNwshjhZQykiRlIDAnrXMeD/APgpX+zn8Q9bGmaB8f8A4Ka7qRgmuRaaf440y6nMUMTzTSbEnLbI4o3kZsYVEZjgAmuX/wCCZHxC8TftIfsS6Xr3xU8DQ+EPGGp61q48Q+HLtRPFYX1vqtxHIAHGCvmQ+Yn3gAVwz4DnwH/gi/8AE34efG/9o79r2XRfEPgzxfc23xnufEOlvY31tqEkUEmmW1sl9AUZiEf/AEiITJwf3qBj8wq+R+3lQunaDldaq6cI6d0+ZyXlFq+t1DmvZupZr33DXT+e1+z9yz835Wf1dZ/8FE/2ftQ+Hl74vg+Ovwcn8Kabex6dd61H4001tOtbqRS8cElwJvLSV1VmVCwYhSQCAapeFf8Agpv+zb468T6domiftCfA/Wda1i5jsrCwsfHel3F1ezyMEjiijScs8jMQqqoJJIABNfG//BL34t+G/An7Pvi74G6pr2jWPxmtvjPrE0vgi4vETXktpPES3wu/sgzMbb7G4uBOF8opzvAyR8O/ta/HDwV8Ubr9tLTIfif8MvF3hrW/jHoep2Pw60idZPGHxHmhj02NYdHv4biYwgyKYy0Wn3Dbo5F82LJZIoTU50k17s4wnp05nSTXm17RtWV3ZK2t1cotKcVvGcoetvaWerSSfIlq0tW76WP3Mt/22vgzd/EPW/CEXxd+GMvizw1Fcz6voqeKbFtR0qO3UtcPcW4l8yJYlBLl1AQDLYrl9G/4Kj/sy+I9UgsdP/aL+BN/e3TbIbe38faVLLK3oqrOST7AV8y6T8dvCP7LP/Bav4k+Jvinr2k/DDRviN8KPDa+G5vE99Fp8erT2t1dC5tIJJGCzXMRnhDQoWk/eKQpBBrw/wDaO+NSeBv+Ctf7Jumaf8UvhV8MfGmg/CnVrXVT40g/tCDRprlLWSO1ubQX1hLHPKmTGHlRjtJ2N0Ci2/ZqX2udPycPaef2vZrS+l95aXzc1abX2VBrzU1T8r6c+9tbaqPT9QPgb+1n8K/2n21MfDX4mfD/AOIZ0XyzqA8M+IrPVzYeZu8vzfs8j+Xv2Pt3YzsbGcGvQK/N3/g2k+K+h+O/2dvjdp9r4y8I+K/EFt8Y/Euqag2h3Eflyw3VyDBepAJpnitrgxytCWkcMqECSTaWr7M8B/Eu88R+AtD1O81y6jvNS0+3upkihgCK7xqzBQYyQAScZJ+tbTjaMH/NGMv/AAKKlbpte2woTblNP7MpR/8AAZNX+dr/AD67nG+MNXt9d/4Kd/BW8tJlnt7j4UePGR1zyP7X8G9jyCDwQeQQQea+iK+W/Fvi3w14F/bb+GutXEzJPpXgDxPYCR3IT7O994cMjN0Xf/o8PzHqEI6cr9P6ffJqdhBcxiZY7iNZFEsTwyAEZAZHAZTzyrAEHggGsyz5p/4LG/8AKOH4jf8AcM/9OlpRR/wWN/5Rw/Eb/uGf+nS0ooA+m6KKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKACiiigAooooAKKKKAPAP+CTv/KLL9mn/slXhf8A9NFrXv8AXzj4W/4JU/CbwL4Y03Q9D1D436LoujWsVjp+naf8bfGlraWFvEgSKGGKPVQkcaIqqqKAqqAAABir/wDw7T+HX/Qx/tAf+H28cf8Ay2oA9/oPIIyea8A/4dp/Dr/oY/2gP/D7eOP/AJbUf8O0/h1/0Mf7QH/h9vHH/wAtqGBu+GP2MdJ/4U1468A+OvFHin4teGPiFPeSala+KotNURxXWfOt4vsFpagRlmZgWDOrHIcYGOZ/bN/4Jt+F/wBtn9jez+Bet+L/AB74Y8DQQ2Vrd/8ACPz2Ed5qkFpsMMM0lzazgKJIopCYljYtGBnaWU2f+Hafw6/6GP8AaA/8Pt44/wDltR/w7T+HX/Qx/tAf+H28cf8Ay2pcqtb/AA/+SX5fuu7erLU5KXOnrdu/nLWTXa7Sv6LsjG/a8/4Jk6T+2x+yXofwd8Z/FD4or4f0qS2mvb/T/wCxYNR157aRJbdrljpzRL5ckaMBbxQhtuG3AkHJ+NP/AASxn/aN+E3ijwZ46/aG+PHiTSvFmlNoV0ZE8MWrw2LuHnhjW30aOMGUpFukZGlAiUI6AuG6/wD4dp/Dr/oY/wBoD/w+3jj/AOW1H/DtP4df9DH+0B/4fbxx/wDLaiaU+bm15m2+zbST021SSfdaEQ9zl5dOVJLySd0vk9V56nEy/wDBIfw3a/ED4VeN9J+Kvxe0D4i/Cfw3J4QtfFlhNo39oa/pLEGOz1GKTTntbhIgMIRAjAnezM4DjsP2Bf8AgnZo3/BPew8bWfh/x/8AEPxhZ+PdeuPFGoQeJjpTrFqdy265uYjZ2NsymUhcoxaNdg2KmWzN/wAO0/h1/wBDH+0B/wCH28cf/Laj/h2n8Ov+hj/aA/8AD7eOP/ltWntJXcr6u9/+3pcz++XvPz13J5I8qjbRWt8lZfcvdXaOm2h7/RXgH/DtP4df9DH+0B/4fbxx/wDLaj/h2n8Ov+hj/aA/8Pt44/8AltUFHv8AXgHxG/5Sm/Bv/slXjz/07+DKP+Hafw6/6GP9oD/w+3jj/wCW1dD8Hf2GvAHwN+KMfjTSH8f6p4mt9KudFt73xP8AEDxB4nNpZ3M1tNcRQpqV7cJF5klnaszRqrN5CAnAxQB69RRRQAUUUUAeAfsb/wDJxX7WP/ZVbH/1B/Cle/14D4h/YY1Y/Fzxz4t8JfHX4v8Aw6PxD1WDW9X0nQ7Tw1dWBvItNstNEsZ1DSLqdd1vYWwK+aV3KxAG40n/AAxt8Rf+jsf2gP8AwUeB/wD5nqAPf6K8A/4Y2+Iv/R2P7QH/AIKPA/8A8z1H/DG3xF/6Ox/aA/8ABR4H/wDmeoA9/orwD/hjb4i/9HY/tAf+CjwP/wDM9R/wxt8Rf+jsf2gP/BR4H/8AmeoA9/orwD/hjb4i/wDR2P7QH/go8D//ADPUf8MbfEX/AKOx/aA/8FHgf/5nqAPf6K8A/wCGNviL/wBHY/tAf+CjwP8A/M9R/wAMbfEX/o7H9oD/AMFHgf8A+Z6gD3+ivAP+GNviL/0dj+0B/wCCjwP/APM9R/wxt8Rf+jsf2gP/AAUeB/8A5nqAPf6K8A/4Y2+Iv/R2P7QH/go8D/8AzPUf8MbfEX/o7H9oD/wUeB//AJnqAPf6K8A/4Y2+Iv8A0dj+0B/4KPA//wAz1H/DG3xF/wCjsf2gP/BR4H/+Z6gD3+ivAP8Ahjb4i/8AR2P7QH/go8D/APzPUf8ADG3xF/6Ox/aA/wDBR4H/APmeoA9/orwD/hjb4i/9HY/tAf8Ago8D/wDzPUf8MbfEX/o7H9oD/wAFHgf/AOZ6gD3+vAP+Cln/ACbr4c/7Kr8OP/U40Kj/AIY2+Iv/AEdj+0B/4KPA/wD8z1UNc/4J/wCv+O7jQ4fF/wC0X8b/ABjomi6/pPiM6NqFj4TtrS+udM1C31G1WV7TRILgRi5tYWYRyoWClc4JoA+jqKKKACiiigDwD/gmn/ybr4j/AOyq/Ef/ANTjXa9/r5x0P/gn/r/gS41yHwh+0X8b/B2ia1r+reIxo2n2PhO5tLG51PULjUbpYnu9EnuDGbm6mZRJK5UMFzgCr/8Awxt8Rf8Ao7H9oD/wUeB//meoA9/orwD/AIY2+Iv/AEdj+0B/4KPA/wD8z1H/AAxt8Rf+jsf2gP8AwUeB/wD5nqAPf6K8A/4Y2+Iv/R2P7QH/AIKPA/8A8z1H/DG3xF/6Ox/aA/8ABR4H/wDmeoA9/orwD/hjb4i/9HY/tAf+CjwP/wDM9R/wxt8Rf+jsf2gP/BR4H/8AmeoA9/orwD/hjb4i/wDR2P7QH/go8D//ADPUf8MbfEX/AKOx/aA/8FHgf/5nqAPf6K8A/wCGNviL/wBHY/tAf+CjwP8A/M9R/wAMbfEX/o7H9oD/AMFHgf8A+Z6gD3+ivAP+GNviL/0dj+0B/wCCjwP/APM9R/wxt8Rf+jsf2gP/AAUeB/8A5nqAPf6K8A/4Y2+Iv/R2P7QH/go8D/8AzPUf8MbfEX/o7H9oD/wUeB//AJnqAPf6K8A/4Y2+Iv8A0dj+0B/4KPA//wAz1H/DG3xF/wCjsf2gP/BR4H/+Z6gD3+vIrD9j/TtMsba2g8W+Mo4LSJYYkElkQiKAAObbnAA61zv/AAxt8Rf+jsf2gP8AwUeB/wD5nqP+GNviL/0dj+0B/wCCjwP/APM9QB5V8HfB+uW/7dHwjt/G2m2U1xrPw98Ua7bRXMcgvNPnstQ8MxIzAOIxv+3O5jaNmRoYWDI4ZV+1K8R+Ev7GV74B+PWnfEXxL8X/AIn/ABP1zRdA1Hw5pkPiS30G2tbC2v7mwuLllXTdMs2eRn021AMjOFCtgAsTXt1AHzJ/wWN/5Rw/Eb/uGf8Ap0tKKP8Agsb/AMo4fiN/3DP/AE6WlFAH4vP/AMHqnxmXP/Fn/hkcf9PN9/8AHKb/AMRrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAB/xGsfGb/oj3wy/8Cr7/AOOUf8RrHxm/6I98Mv8AwKvv/jlFFAB/xGsfGb/oj3wy/wDAq+/+OUf8RrHxm/6I98Mv/Aq+/wDjlFFAHDftJ/8AB2p8TP2qPgprfgPxD8KPAtnpGu+R9om06+u47lPJnjnXazl1GWiUHKngnoeQUUUAf//Z" width="400" /><u> </u></h4>
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0cm 0cm 5pt 42.55pt; text-align: justify;">
<h4>
</h4>
</div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin: 0cm 0cm 0cm 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Manifestasi
Klinis</span></b></h4>
</div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Menurut Abhraham M. Rudoplh (2006) masa inkubasi pertusis
adalah 7-14 hari. Ada tiga stadium yang diketahui, yaitu periode kataralis,
paroksismal, dan penyembuhan. </span></h4>
</div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 5pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Periode
kataralis</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: 35.45pt;">
<h4 class="separator" style="clear: both;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Periode</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> ini berlangsung </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">beberapa hari sampai seminggu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Periode</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> ini tidak dapat dibedakan dengan
infeksi saluran pernafasan bagian atas dengan common cold, kongesti nasal,
rinorea, dan bersin, dapat disertai dengan sedikit demam (low<i>-grade fever</i>),
<i>tearing</i>, dan <i>conjunctival suffusion</i>. Pada
stadium ini, pasien sangat infeksius (menular) namun pertusis dapat tetap
menular selama tiga minggu atau lebih setelah onset batuk. Kuman paling mudah
diisolasi juga pada stadium ini.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: -14.15pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Periode
paroksismal</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: 35.45pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Periode paroksismal ditandai
oleh batuk yang berangsur-angsur semakin keras karena anak mencoba mengeluarkan
sekret kental, banyak, dan lengket dari saluran napas. Periode ini umumnya
berlangsung 1-4 minggu. Pada periode ini, batuk terjadi cepat dan
berturut-turut sehingga anak tidak sempat mengambil napas antara batuk. Karakteristik
rejan di sebabkan oleh aliran masuk udara melewati laring yang tertutup
sebagian. Risiko hipoksemia berat terjadi dalam periode paroksismal berat.</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: -14.15pt;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Periode
Penyembuhan</span></h4>
</div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: 35.45pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pada periode ini, berat dan frekuensi batuk
berangsur-angsur berkurang. Namun,<span style="mso-spacerun: yes;"> </span>batuk
paroksismal berlanjut dari berminggu-minggu sampain berbulan-bulan setelah
pasien mulai membaik. Paroksismal bisa hilang, hanya kembali dalam bentuk lebih
ringan pada penyakit pernapasan berikutnya. Pasien tidak infeksius selama
periode penyembuhan. Namun, penurunan berat badan atau sulit menambah berat
badan bisa terjadi, terutama pada bayi muda.</span></h4>
</div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin: 0cm 0cm 5pt 35.45pt; text-align: justify; text-indent: 35.45pt;">
<h4>
</h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">5. <span style="mso-tab-count: 1;"> </span>Pemeriksaan
Penunjang</span></b></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Pertusis dapat didiagnosis selama stadium paroksismal. Sukar pada bayi-bayi
yang sangat muda, adolesens, dan pada orang dewasa oleh karena mempunyai
manifestasi yang atipis. Riwayat kontak dengan kasus-kasus pertusis sangatlah
menolong, tetapi umumnya riwayat ini negatif pada populasi yang telah banyak
mendapat imunisasi. Batuk lebih dari 2 minggu dengan emesis sesudah batuk
mempunyai nilai diagnostik yang penting.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Leukositosis (20.000-50.000/mm³ darah) dengan limfositosis absolut khas,
pada bayi-bayi jumlah leukosit tidak dapat menolong untuk diagnosis, oleh
karena respon limfositosis terdapat pula pada banyak infeksi.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Foto toraks dapat memperlihatkan infiltrat perihiler, atelaktasis atau
empiema.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Diagnostik spesifik tergantung dari didapatkannya organisme, terbaik
diperiksa selama fase awalpenyakit dengan melakukan apus nasofaring yang dibiak
pada media Bordet-Gengou. “<i style="mso-bidi-font-style: normal;">Direct
flourescent antibody staining</i>” dari spesimen faring dapat membedakan
diagnosis spesifik secara tepat. </span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Diagnosis serologis dapat dilakukan dengan penentuan antibodi toksin
pertussis dari sepasang serum.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">ELISA dapat dipakai untuk menentukan IgM, IgG, dan IgA serum terhadap “<i style="mso-bidi-font-style: normal;">filamentous hemoaglutinin</i> (FHA)” dan
toksin pertusis (TP). Nilai IgM-FHA dan IgM-TP serum tidak bernilai dalam
penentuan seropositif oleh karena menggambarkan respon imun primer dan dapat
disebabkan oleh penyakit atau vaksinasi. IgG langsung terhadap toksin pertussis
merupakan test yang paling sensitif dan spesifik untuk infeksi akut. IgA-FHA
dan IgA-TP kurang sensitif daripada IgG-TP tetapi sangat spesifik untuk infeksi
natural dan tidak terlihat sesudah imunisasi pertusis. </span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36pt; text-align: justify; text-indent: -14.7pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">stadium lanjut penyakit dan untuk menentukan adanya infeksi pada individu Kultur
paling positif pada fase kataral dan awal paroksimal dan seharusnya dilakukan
pada semua kasus yang tersangka. Test serologis berguna pada dengan kultur
negatif.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<h4>
</h4>
</div>
<div class="MsoNormal" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6. <span style="mso-tab-count: 1;"> </span>Komplikasi</span></b></h4>
</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Alat Pernapasan </span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Pada
alat pernapasan dapat terjadi otitis media (sering pada bayi), bronkitis,
bronkopneumania, atelektasis yang disebabkan sumbatan mukus, emfisema (dapat
juga terjadi emfisema mediastrum, leher kulit pada kasus yang berat,
bronkrektasis, sedangkan tuberkulosis yang sebelumnya telah ada dapat terjadi
bertambah berat.</span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Alat Pencernaan </span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Pada alat
pencernaan, dapat terjadi muntah-muntah yang berat dapat menimbulkan dehidrasi
dan malnutrisi pasca muntah dan batuk, prolapsus rektum atau hernia yang
mungkin timbul karena tingginya tekanan intra abdominal, ulkus pada ujung lidah
karena lidah tergosok pada gigi atau tergigit pada waktu serangan batuk.</span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Susunan Saraf </span></h4>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Kelainan
sistem saraf sentral terjadi relatif sangat sering dan hampir selalu akibat
hipoksemia atau perdarahan akibat batuk atau apnea pada bayi muda. Kejang dapat
timbul karena gangguan keseimbangan elektrolit akibat muntah-muntah
kadang-kadang terdapat kongesti dan edema otak. Mungkin pula terjadi perdarahan
otak</span></h4>
</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0cm 0cm 5pt 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Lain-lain dapat pula terjadi pendarahan lain seperti epistaksis dan
perdarahan subkonjungtiva</span></h4>
</div>
<div class="MsoNormal" style="line-height: 150%; margin: 0cm 0cm 5pt 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
</h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">7.<span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">a) <span style="mso-tab-count: 1;"> </span>Penilaian dan perawatan pendukung</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan terapi
adalah membatasi jumlah paroksismal, untuk mengamati keparahan batuk, memberi
bantuan bila perlu, dan memaksimalkan nutrisi dan istirahat.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">b)<span style="mso-tab-count: 1;"> </span>Agen terapeutik, agen antimikroba</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Agen antimikroba
selalu diberikan bila pertusis dicurigai atau diperkuat karena kemungkinan
manfaat klinis dan membatsi penyebaran infeksi. Eritromisin, 40-50 mg/kg/24
jam, secara oral dalam dosis terbagi empat selama 14 hari merupakan pengobatan
baku.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">c)<span style="mso-tab-count: 1;"> </span>Salbutamol</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Sejumlah kecil
trial klinis dan laporan memberi kesan cukup pengurangan gejala-gejala dari
stimulan β2-adrenergik salbutamol (albuterol). Tidak ada trial klinis tepat
yang telah menunjukkan pengaruh manfaat. Pengobatan dengan aerosoldapat memicu
paroksismal.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">d)<span style="mso-tab-count: 1;"> </span>Kortikostreoid</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak ada trial
khusu buta acak cukup besar yang telah dilakukan untuk mengevaluasi penggunaan
kortikosteroid dalam manajemen pertusis. Penelitian pada binatang menunjukkan
pengaruh yang bermanfaat pada manifestasi penyakit yang tidak mempunyai kesimpulan
pada infeksi pernapasan pada manusia. Penggunaan klinisnya tidak dibenarkan.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">e)<span style="mso-tab-count: 1;"> </span>Globulin Imun Pertusis</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Belum ada persesuaian faham
mengenai pemberian imonoglobuli </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">n</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">stadium
kataralis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">. Penggunaan preparat
imunoglobulin jenis apapun tidak dibenarkan kecuali kalau penelitian lebih
lanjut memperkuat pengaruh manfaat.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1cm;">
<h4>
</h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<h4>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">8.<span style="mso-tab-count: 1;"> </span>Pencegahan</span></b></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Imunisasi umum anak
dengan vaksin pertusis, mulai pada masa bayi, adalah inti pengendalian
pertusis. Walaupun banyak upaya, mekanisme penting imunitas pasca penyakit atau
imunisasi, serologis berkorelasi proteksi dan penyebab kejadian-kejadian yang
merugikan akibat vaksin belum diketahui. Satu-satunya standar untuk manfaat
vaksin sekarang adalah kemanjuran dan keamanan. </span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan imunisasi
sekarang adalah proteksi individu dari sakit batuk berat dan pengendalian
penyakit endemik dan epidemik.</span></h4>
</div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rudolph
M. Abhraham, dkk. 2006. <i style="mso-bidi-font-style: normal;">Buku Ajar
Pediatri Rudolph <span style="mso-spacerun: yes;"> </span></i>Edisi 20. Volume 1.
Jakarta: EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Nursalam, dkk. 2005. <i>Asuhan Keperawatan Bayi dan
Anak</i>. Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;"> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Salemba Medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Richard
E. Behrman. 1999. <i style="mso-bidi-font-style: normal;">Ilmu Kesehatan Anak
Nelson</i>. Volume 2. Jakarta : EGC </span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-78482302301543831542012-09-17T20:50:00.000-07:002012-10-19T00:59:57.495-07:00Asuhan Keperawatan Difteri<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/Vjq9jRBEklg?feature=player_embedded' frameborder='0'></iframe></div>
<br />
<span id="goog_1254666564"></span><span id="goog_1254666565"></span><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div style="text-align: center;">
<span style="font-family: "Times New Roman","serif";"><span style="font-weight: bold;"><span style="font-size: x-large;"><b>DIFTERI</b></span></span></span></div>
<div style="text-align: left;">
</div>
<div style="text-align: left;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">A.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Definisi</span></b></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Difteri dikenal
sebagai suatu sindrom klinis oleh Bretonneau pada awal abad ke-19. Difteri
adalah penyakit infeksi akut yang disebabkan oleh <i>Corynebacterium
diphtheria, </i>mudah menular dan yang diserang terutama traktus respiratorius
bagian atas, yang dapat menimbulkan penyumbatan, dan oleh kerusakan yang
bersifat toksik pada organ viseral dan sistem saraf. </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br /></span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">B.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-language: IN;">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Etiologi</span></b></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyebab
penyakit difteri adalah <i>Corynebacterium diphtheriae</i>. Berbentuk batang
gram positif, tidak berspora, bercampak atau kapsul. Infeksi oleh kuman
sifatnya tidak invasive, tetapi kuman dapat mengeluarkan toxin, yaitu exotoxin.
Toxin difteri ini, karena mempunayi efek patoligik meyebabkan orang jadi sakit.
Ada tiga type variants dari <i>Corynebacterium diphtheriae </i>ini yaitu; type
mitis, type intermedius dan type gravis.<i> Corynebacterium diphtheriae </i>ini
dalam bentuk satu atau dua varian yang tidak ganas dapat ditemukan pada
tenggorokan manusia, pada selaput<i> </i>mukosa.(Depkes,2007) </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: center; text-indent: 35.4pt;">
<a href="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAMsAAADLCAIAAABPmfBkAAAgAElEQVR4nOza55PdVZ4m+H6/uzMbEzO7sTXTXd1dXV1FQRVUURQgb5CEBAIhEAIhBEgqUQh5702mlOZ6773Jm14Oee9SKSklpdLcvD6v9/7enz1uX/TE7tLvNzZiY544f8B58YnvOfGc83fkf+R/5P/N/N3/1xv4H/n/ef67sP/pP/zdOx/Onr34vXdmzH9rzsLZC9+bt3DR/NkLZi2Y/86MWbPnzps5b/6fZ81+a978WYuWzJq/5N0Z781ZtuIvC5fOmL14/vwP5r//8Zvvzvvtq2//8+8WvfHqyj++uuKffjXrl//4zj//YsYv/uOr//CL3/39P//hX//w9rvzFy18f+nCBUtef/2tX/32jd+98c5bf5n/7sxFM+YunTF32at/mPHb3/1lxoz3Zs9aPHP2ornzls1f+PHMWctmz/lg1tylcxd8MH/h4gUL5i54b9HMuQvnvPfhrPnLZ8z5YNbcj2bP+2DOvEXzFiyZOWfBzNnzZs+eP3Pm3Dlz5s+dt3DW7Hlz5703c/bCWXMXzV34/qwFi2cvXDx70bIZi5fPXPThW7MWvTtvyeyF7//xnTm/f3PGm3+Z++d3Frz59vyZc5fOXbj83dmLZ81bNnPu0tnz3l+85MMFC5fOWbLs7QULX3vt9Vd++atXfvXr3//xT//y+iu/+dM7b83+9I9vz/7nf/71L37x6//yf/zrP/zDa+/+ed6CRctmzF84Y+HSN96e/y+/euM3v3r9t79897/+l7f+1//wu7//+7dff33ZG298+C+vvPffXl309vyPFy5dMfu9D2bMX/T6n9/5+3/8zX/+T//wi//tn17/w7szZiyZP+ej9+asWDBr2dzZi2fPXjR//vJ335n361+98ve/+Kd//dVrr73yp3femrNgwbL3l61c8t7Sue/Onfn2vIVzP5w14/1ZsxbPmDFv5qy5b//l3Vmz586cM2fuvIVzF77/7txFv3397Vffmjd7znt/eXPWn34/789/WvzGm++98Zd5f3hzxp/enPmnt2f8/s9vvfrnt//w7pzX3pz521ff/N2vX3/916+/9ps//uqfXvvX3/7p7TlLZsxf9s6cxW/9Zc4f/vDW7DnvvT1r/p9ef/MPr7zyq1+/8i+/+/OvX/vDL//z//IzYa/98Q97JOJWrfOQyLxNaNgpM+xXWfdJjFsE2u2d2l0C43aBYavQtFVq3SW175O590gcR439+5SugzLHQYVrp8z63SHhp+v2f/zpoTUrT3/z2emPP97z3qK/zX77m1d+9d47sz55f9Xf1m09tveU8rTUdFqoX7dxz5KV67/68dDWFumPJ8S7OrW7BLrPtx395Pv921sVB4WmPa3aoyL7cYnrULv1YJv5hNh5WuZpkVhatfpTest+mW631LBPbt4l0u8UaPdKTXvFlp2d+s2t8m1tqr0i4x6Bfke7ZkeHaqdAtVus3S5Q7xBpd0mN20W6bSLtbqlxv8y0V6zf1aHZI9DsEag2HxduOty+tVW2pUO5pV2xR2I4oLTskRj2yoz7ZKbdYv1+memgwnLQ4NilMn+5/eCST79Z+sWGz7fsWX/4yIaj7VtO6L7ff3rRh1/OmffZvPe+nPve2q27O06r7PtFmiMyy98OCNZsOPDFul0LF6z/y5/X/vaVj+fM3bhhQ8emTcIVqw8u/nzf9lO642rHAYlxr0iz4WDr/M++feWdJW/OXbHmh4O7W1UHThv2t+gPnFIf7FAd6FDvbdfsPiFZ9Mm6GYtXfbzmx69/OLj1YOf+U6pjQuPBNunek50HT8v2tiq2n5DsOS3bdqJ9Z2vHliPt+9uVO1tEu1sle9qVuzo03x+Xbjqu2H5atuWE+PsDkvV7Rd8eFK0/Jvj2SNvGox3rD7euP3Jq44nO709JvzvU8d3e1m+2HN609ejq9bvnfrhu5de7Dp42Hmw37z6l3XxU/MNx0f5O1bZT0m2HTm3ctmfFNz8sWf39R2s3/PHVV34m7MNP1g2MBG9N8wMTdbO3YglUbZGGzV81jBVtk1XHeM0yVrP5GJufcU9xgyHi8YPeIG8dKQwGmJ4Ia5osya5NHZFc3LXHvXdz98HNPXt2uL5ZL1++/Oj7H+388ajypPmK5vzzvgexq8/yg7dCx2QDm0+axANDjhdx3UO/cyzjmswdHbi303bFMDzd5605h3MXfMy5iYbrQVJ/acpxM9p7N+O+HXE/9vePJXom067xVH+46BiPW18Gu/1Zz1TN/CylfhgyPUt2+yseX8X6Im16EbdPph3erHUyZZvK2n1580TaMJa0e7PdvnzXZMYzkXWPp23Ppg1DPvW9cfNI2DIWt47FPf5c/3SlL1Lui5TPRKvdoaInVOqbrvammtZA/mjvza0S937TeeHlR46XfuOToOXRtPqnZ98fVG/YKtq8Q7F2s1g9+ORWnBr05/pGU6KeB22m68c05z7fIHz/o5MzF+5d+61SJLqj1Aztbxn42xGH5oZvIFTzeHOOl0nJzeeb1Z7PDsu+PW3qPDvkfBpzPUlZ70/bH4Xdz6edz6aNQ0H7w/BOZe+Gdushy2XR2cem237L3aD9QcT6YNL6cNz5xK+/N66+PWoYmlDffWYYGlPdfOl8GjXc8xruT5kfBQzDEdXDsGooon0UMDwMqm/4RBfGpde98jtexf1J+b1J4Y3nkjtjiiG/6lFYdmdKeXNCfv6J/uKLdsf1bw6q9gr7u2/Ee+6l7LemtTcmDQ/9tqchzUOf4eao9MydI7YLP4pcxzRdCxcu+Zmwj1duOjue+mka2SYZfQwb0kQR5bTTwBKF9iiyhYAlhOxx4oiR3ig5lyCOCSJ7UDrUP+b2I0+CWCK8/kH2uPTGps2mdStVXy9X/rDRvupLybxlh7eftNvvTjifF81DGcdQ0Xknf8o8/GP74B79dePjTFeU10+UnTG+K42O3praOvBY8bLkjBGjn+tPE4ePOn1pcof55m7D7UPmoSOWh4csNzvPPTc+SjjGS2cSnMOXt3gT3dFKd4yx+kv6sYzVX+pO0t1J2h6pWsMVR7zpTND2eNOepB1J2hKtmyJV03TDGufsSc6V5m1xWusvqb156VhC681ZAxVbuOZJMIN5fK5EzhbJTxVyrkoGSqi/iNw5TjGZ2u25ccR9x/Aw2jvdPF/D9ljDHqpJboV/FJ3f2tq75aj7q7160aWxK1VypgjVjyI7NT8d1F/ba7r82S7Dws8Fs5efXrvJceTETaHsyb62y+uPuFsuT1kT0BLj1L5K+5PIkeujrXemhA/CurGCxd8wTjbUzwuK52ndZFb+Mtn5NK55WRY/TJ64NtV+PyofyevGauLhjOBhUv4sLRtJCIdDHY+C7Q/9bY8C7Y9D4hfJtgdhxfOM+HFMOhKXvUi1DcdaHsXaXmSkj9PKB2nFraT0Skx1K6W8k9A9zikeJtruhE/fi7Q9iAuGM9InOcWjjOpOzHQvabzi3S7s3ya6IOrzSs6FxBcDshsB5b2g6Mn0qeFo521/27WJ0zem9rsfaC8/ff/DT38m7IOP1nU9C1rHCsqXZUmIkUUYcbAp9zPKAKMOsBofrZpiVT5O74NOP7E9Z1p6ol/L7s45YBc9KluCSD/Fym4kt7VeeP+T9rlvn5z/5qnVK43LVyoXfSqS9D6/kqQdgWbrZe9e2+MfhDcWbdSsOuBqveA1jtdNAdoUYswx3hjjT49kjjyIiidqiiArj3KaGHf4rvdr49kNhgtbzNc3q69tll/Zrry8U399u/5ax9VJl7/mCJY0Y1GjL2MKFXWBnMab0QZyhumiMVY2xsqGeFUfbxgSTV28oUs09ImGJlpVR8vKaFWVoPU5YC5BQ45TxuvKRF0cLirDJXOkZok1HEm6Kwf6ysSTh30l0luD1mzFlq5ZcvXTI7516u691muDgfqFIukuEEeet2Xpo1eDP2jvbpFdWnPA/OURi/C2r7sEHTmm8+7Ul8cty3cqftBd2Oe4/9WxnhWbzWs2d61aa9q278K21ovfnujed2lCFuUMWSiNVE88j4qmcpYMsCQ4Y5RVByltmJV6q6eeJ4XeTMto7NDTaeFUXRnmBd5qx2RV7KfEfqZ1rHLsWf7UaPnAveium94jw5Ejw5Ejj6MnXmRbxiqHh+LtL3KtI6mWp/HO8fyxJ4kjI5mDz1KHb0ROXp4WXEsKzkdbu7wHLSPiy1HhteihsxNbu55s7np68HKw9XZSeDclvRUXXwmbb8VPeZ7t0D/8sv3yB0f6N6hun7oYEN+MHBsK7bkfOn4ncvLudNvjzPFLXudQ4KMVq34mbNnKte7xkMlfVAWawhAtDTbV07w2wImmGKmfl/t5iY8XT3JqLzJPEOn1wvoTt2Zud7y6VX1quGSJEkMQCm6lNnVenvFh+7vvdCx4W77qU8+335//dsd56+38T2monshudt5att86/1vl75YcWrnPoX1SMIcorb/elSfmJK+OUsoorU5wqjgvjtCKPJLE61uvPtngudxx36t4FDt59uXxvmeqO8G2i6Nfibp3eO4avMWeHG8I5TXBgiZS1cRq2nhNFaupEjVNuq7P04YSqy2wmgKrytGqHKXJ05o8rS3Q2iKjL7PmOrLT2NqE5gawNKCuzFgqrKvKuWq8s8q566CHJo4y467yziarTuX0maKTYiXB+Gq5Y22nwzWed4caytFKX5V018Hh66HdXaMH3Y++PGH5psOjeZbpqUNbgdG/zH7d4pj57cm93fe7QnXRzan95vsbDp1ZsFywZpN947HBjYJzrcMxTR5aa0iTa4rCeX2mYS0BS5Y1pXhNhDEnoS7OSYIldbImmi6enErLE5wsxkqilDDcFEdZSRyK4kAQ49p8zO578QNDsQ5v6fRksc1b7gwygjBqHauKfLRwqiGYKCsjjGCqIZ3mT05Wd9+YPnIz3nkve6x3cmPrxc92unZrHu63PvlRe3ud+NJG/Z2T12Ntd9OiBxnZ/bTgWlj/uCi9lzlyPrxScO3332s/EV5qv5VQPS21vUgdeZoSvaiIRsuCsWr7g5j7SWDFJyt/LuyL9T3RrC3DScLcqSAjDnGKEK/w8YIAFISwwIc6p5BwCikmifo5OtE3/cEm5x83qhd2Dgq8DVOOGNNY+ryyxz2yZKNh8XLDB+/bv9145Uj7xO62Jz1P2Yt5ovMXNlmuvb1OMOPTjjffP/b5Xqd9rOFOQ12MdleJLsspUk1VnlUXobKIRWleXiLyLH10JCIaT3anaJuvceqqX3Q73J+gHIHKtp47f3VdF4+mXQVsyXCaOK1KAVUWanJQmYOKLK8uQm0V6ZtI0wDqOq+sssoqra4zOoozstDCIQsDLTSwssDMcHYe2XhoplkHgG6I3BA6OM7J826ILBRlYxgHDzTFur5Yd/LYUGh8bTyzcLe0/bJXcCdy7KfgQJH0N/gTtyJtl6P6B8lDjps/qC8onufOAuJpQvc0/YP03GdHLLLhxCWK9GcaukfxndIby75SfLbB+Ml267rOs+KJvJ3G2kJTna0Zy5Sx0DQXaHcV2HJQHqgrgw1DkjPlWUcNGkqsMF7VZHlthtNlgTLFSWOMKoOkSV6eQe0B+shIvt1b1iQ52XSj3VcWRTh5igiDQODjFRGoiQBNGAonKW0CiyNg/+PCiWfl04+yPxjuLVivemPx8U8221fsdKw+6vnq9Jmd9sfq503Fi6b4SUkxUlY/L6t99ZMPooevhg78FPqo8/w35ruikbzSW+l4me6crCm9rMLPSEKM4FnWPuJf9tHyn9/012zqz1SMGb51qnncz4rCWBQCHZO0KISk00QcwkI/EniBfAzKHjR26Ufmfql8e4NiS/+oNg6MFWyoYF2Yld9P/01ybc0PAytXd23dd69DP72l9V7vC/Z6jTiizF81V3+/7OjsZW1LP5Gs3e3pmWDPlokpQ8wFLE9SsiwtyzPiLCsvYWGW70xzygJSJKjeOjlbJbYw23YvphkrnS/j3gzXPhTZ4Lq99+qEeKKqirCqGNDkiCZPtEWiLhJlHmnKRN8gBgrrKFbTZNR1Wt1oainKDHgnIU5MHBBbeWCgGH2TskHoRMgOgYvgLoxdCDoA70Kwi2A7zzkh5yHEySAnBboR6eXw3nPD87dJtuhu7XA82tc70Zsk9mjt5KWg+m7+eoz3PEns89w9fn+qh+HOQHKuRg547u903nanuUuIXOKweTL3o/zS0u+US9ep5q1XrDo9IPWVujBRF5raUtPJIkOBspWZs5DY8qjlaerkk5Q2xjgquIcjHp4oc4wuzVmyvCULTTmoz/K6DFTEWEWCE0ZoYYQyFLCtSgx5Xjxdk6d4dQ7LUqQzxCmivC4GRWOVo0NJWZDSZ0hHgOv0c+3PClssQ7O+kPzTa9vmL5cuXav57sTgZun1rYaH0qGqJUgkzxrKUdoaQvIgt3Hg2fZzXtUoc+hi5PjthNpPSycrbaMZeYTX+IDE25TFkTTQND0PLV6x4mfCVnyxvjea1UYbLRPVkz5GGIKSGGqdrIuDnDpOlDEiDUHRFKOZ5MQ3c+taLryx/PQfv+yUDmWtCaQvE22V2JKkzw+UNyIHRMOrvvV8t/OnTUdvLlxnFP0U6QpRoqHMly1n3v2oY9HizlWf6rYc+uknP3EEmZYnBYmflkQoRYqTZThpmlMVsCBOt01XtQViLmJPlXhyxBoHkpd543Szr4Qs0w3lRGnvpfEtZ0YP3IqeGilLQ5w2h3U5bCgRTR4qMpy6gIw1YmpgfYPV1Rh9jTHUKWODcfDQg4gLEDcmLkz0TUZbp60c6CLEibED4S6InRx0ctANURfELh55EO7BuA/hfoB7IbpAiPZlYoO4f4Po7AbV9bbrCf3LxrGLk4d6Ro3380MF8iDNC+9P7Lr7yFAqnSPkPA9P3Bo5cfdFN82fIeQMT/S+7CbNT+//qFr0V+WSHYbvNNcUkaoDE2MTWBhkY5GhwrooOACQNFzZfHlsz52gNsFZy9BNw15MdGVgznKuPLBmeVsBOSvEkIHqBK+Kc7I0o8yzqiytzlCWKjIUgaYAlDlOXoLSHKdKs7oUc+xRcOulEbG/4qwSbYqIg7zc1xDfiX+5q+dfXt09Y27nyq8tR3VPTjjGVh7u36Qf1jyjJcNN1VPOOkU6HlOfGx5uPRdSeKHgBaXwAX0UC8frpycKqiTSBWDHy4ooDmRxaByPL165+mfCVq762uUN2ZKUNEi3+2hJgFWmUHuw0RlkVAkijxNxFMmmoSWGhDezy3Y4/tu8g/+4/IgrzBginCZPVCViT5OfYuRyGOgHcmv+dmbu57rfLxP+15lHv2y5uNPzdJXw4vvbHF9v6f98he6rT4ytokfXAmRv79iHkkvHH2RUEV6TAOoUbyoicwFLI015rGrNQnOS0wbq9ijvzEBNsGxI1D11bEyyumlKHWy0PMkfepBseV6WhDlVDmsL2FAm6hyUJBhFBhgqxFgl+grUV4ClBi0NYKlDJ427WOJkiBsQDyY2FhiarIXhXAjbeGDheDfCNo63ccDOAwvDWlneBbGN41yA7UG8g6cHMTxX5dT3AxuVgxu01xxTzInL/k/bz+x1PjANJa5nwMMmcaaKR1+OaoqZcwQ7aqUTI887fSEHoLoJ6maJu8Qev/Z8o/Ls2o7uzaZrp+8GzWXWCqCJATZADE3O1ORdDFHGi9tvjX3ZfWf/g5ClCO1V3lKlnAww14mniXob2FlG9jKxV4gpj/V5rMsjZY6RZev7nnj3PJjQZGhHk2jytCzTkFVpDQUsTehqwKNDE38duKkIV1xVoo0TgZ8ypvmBHHfI8OT375549c9HF65Utju9krOxOZv0c7daD/YGBTcqmoescRgcGIx8a3l89EFGFuEEoaZomlamgDDQ6IzUtEVsikLxVLU93JREWas3/d6KL34m7KNP11rHfY40owiykiAnC7CKON8ebpzy1aRxKIpCYQLJEsQQBYKb2c8O9834Tr3sZLc7wyv8JX2GlSeaomcZx4vS2fGqwh1Zvtb61grJnO+sS7cNrD51Y532zuLDvcu2uXcdvbV1Q/+Gz8xHTtxotT9derRv8emzp4YKhig2JnlDmrPkOVOW0yfo3gJrC9ePXB77m+P+8atTen9VGyzqEhVzlTeXkDkHnCWiSyCRvyYNU6oUVOWgtgANJazK8pJYU55idAVoLAFDiTOVeWcDu2jsaABXEzibnKXSVCZzhmLVA5CdYrp44OI4O8O4Ae/B2M5zDp53AmCmaTvHehC28pwdcF2YcwK6F/HXALmYpL83nNlsvXU5T45dGF9+vHd/9y3HRPRiibsCYD/Ha3MFR7N2BmF1Kt3uCypzJSNHWwFwsKgfEXu6oh0NK4a9Vl+qu9B0c7wVACPD2iEy0bwbIDdLdtx59qnjwveXHkvDJU8DdjVoR71ub9K2Gt/Lo24G2Ou8k8J2ilgaxFAn6jKQZxvKfGPbnWdzhJY9dyccdaLJNVX5pqLBqhq8kyVnIJFMptbaf/q268aOy6NH7sZF/nIXTS7SRHwhtHKja95y6dxPpScd4+ah2jfC6/O229cIbrWcS+vusqLzub/J7++wPZE/zbty0JyntZmmJFETTFcluaa+Cu1JzhCtiaM1bYpzT6Xf//jnwt7/bK3VG9HHKMFkQzaNZAFeGGJO+estk0XhNCOM8uIklMaQxEuL7uX3O54dsI/IR4rWNKfwZazJhtKf/5v75jbz9YOGW5uPXfhgre6Lff3tg0nTEN92OXvkcnira+wHyb3dx29s3uj5aqVq/Q+uj7Zbl7cM7L4Y1IWhKYV1aU6fYTSJpiZBObL85SLWPk6tFZz56HDXevnVU9cDiucpQ7SqyVGGAmfOQ0seW3LYkOJ1Wd5QxJosr8lyxgLSZFhZrK7O0IYCbyqy5kLTUqLcdb6rzrtrjKfBeOqUKZM/9uhZ67MJd43pppl+iB0Nyk3RZzDuwdgNgQdBD0JOju2GoB8TD8EeQroJ7CGoF8ELHLpSArs81w72D1/PEuHN6U26ey1Xn/akcxcA6MVsF0DdHO6HuI+H2nRRlamYGtDMIBPD2wDsweQcIpchugzQdUQuIuAGnANwdo7pgtCDSS8mbhp+M3B1mdZ18kXQQ+EeiutuNnrYpoelHHXa3mRNtYahTjkhcmJi5omBIYoKo8w3LFXQ8iL2y++PrzJdMqeAJc9Zq0DTRIoyZ2+gMwxxxNlvzFd/u6lt1iHLloEnynCxh0EDVV51O7G17c7aPYMfbrUe6R/rDiHlk+pG06O18jsnz8dVtxp7jaMf7nBv6LjcedY7EGyeK0JPmZdFi+J4RVVl9BXekaZt6ZohR7urxONLLF/574R9vto6FdOG6M6JhmQaSvycIMi0BWqnvCVhmJYnkCKJFVEsnmRlo03pcFn7pOKOEmcS6X01R5QzTNU+6uj+/TenZn0tXrnFse30TUFvuOsl7g8Stx8ZJyj504bsWvag7MHiFR2zlxz7dl/3ZuWdQ2en1H7aUSTGApYmWUWG1SRZXZRxpVBvhO34ybex7eJO8f3d8gcHHU+kd6ctwYYhw8midWWcNhexPY91CU6SZDQFpE7zyhRnKGBtlpfFm7o8b6kicwmZsqw5wzgKnCXVdGbp/gp/tgac6crxe0/2XrhvDOUHGejhkK5IuxrcAMIeQtwYd2HsAMDFgx6IeyDuJriPkF5CeghxI9wH8SWOCB9NSG77z4fJ6fPhHY5n8pFkd4XpRdiGkAUhN8FdEDlZ3lxrmpusncVOGttYYIPAhXE3Ib2E9BNyhpABQLoY4OGYAR4MQtxPiIslthq36cytj3SeU2PBXha7m4y90nBTTDcEXTyvK1OSXEVVpy0YWwjRA2xgkb7JmxrAXSeyyeobu1Sfq65oXlS707C7jtR11kBBe4135yhXuHlg4OnsHeqPTvS0PgppYhVjqnGuCSzjtS9PXf305KU18ksdw9GuLLbEQOtQ4sStuPBeTng5/W3n1V9+dOrdbzWb2q4IBr2WyZo+3lQlqvospW1ATRFYc4wx2zCVQXeTuCPJ5at/fg9btnqVbTKmDTBCLyWZhiI/JwiwncH6aW9FFGZVKaJKEFkIiidZmZfVBqA1jK0RbA0Do59xxYh5knnvsP0/LvjxL5+Lf2i7abxccg1zmgdl6cNcTxw7I9AaIh4fae/2LlgjWPi1cJfmnupBwRmCrjyxFJEix7fFKFGa1WaxJQm708TysrFDd29r+019X6bNML5LcUf/MNs9DW05Ios15XFaX0SWHFLFGHGGUxexKg0VKV5fIto8lKcYXRGZ6sRQxPokb0jxpiSjCVUs0aYnzf5UI2fKQDYa+tF5o+XGy+4qa6kDZZ51UsgDkA0iO0A2HlhYvgtiDyRdEHdj3INxN8ZuTGyQOCE+A4g1mlM+DEmvxr4TXflWfk39stBLETfERoj0CFoIbwO8g+OdPHAA6ASomyMODtgAcGFs5YGO5fQcsLLIXoddNTDA8v0038fBPoQtVWAsUPtuPV/runJ6NOBpUt0s62xw9hp0MagbcsYGIys2ZTXGgLAOIi0PTRyysMhU5bvL2BIAaxQ3N2ofHO8d1w6negqcvk65INYnyx1DAfXjpPJufL/z8aGu58ZIXR+jjt8P9hVZR5D5+NSFNar7+6569YmGowhNGV4dpSxJpBqtnjwfWNU6+L9/fPL3a2WrDw1uVz/Yd3bs4MOgJFwyZlltg6gLyJBhNHlKX0KuJunNlj744ueN64erv7BPxnUBRjRFS6NI5Oc6A6wg1DztrYnCvCyG5TEinOKEk7RonFL6OX2MaCJQMdXUBmh3ghjHmsuOOv7x4/1rDg22u/32O03l9cLe7rG95yfNEaAPMMYA7AoT3b3CVum1nepbgssR8wTdlcKWLFYlOWGCORVvClKMOoctWdybI9qhwmcHutbtHdB6kq2qF7tlt93PG11hYEhBXQHqilCRZ/VZTp1k1H0yp6QAACAASURBVBWsq2BlFiozQFci2iJS5nhtCekqWJ3ltUnWkAGGJKOP1a3xhi1aP1vG56pIPZFab7qyteeuKVnVl3hlnnVxxMUjI8MbKc7QoM0M14WJG+EuiLoxciHoBNABsIVHNhb2MaSn0NQ8Du+13p33o3zZQYvsaewcT7oI0CNWi3kj4h0AegD0AOxGxIWJBxEry1t50EWIjQdaitExnIUG5hLTXQGDNLIU67Ym4+GguUib81TLi/Du689lvpSzXBngwSAgzhqxlFgX1XRDaGKAqs4YIFIznIGHFh5bOWQs1PqK3EAcHx3wbtU+WN9yZpf+hj1Yc9F8PyKnnwTWaX7aYX8ouhIxDuVMj/MGf102Vt7guGeaqjp89A/mh8cuT6unqo4yspWguYT1WWgvEq2farke/k57ff5xz+fiS7usjw/3jW+w3t58YaRtIq9Osuoa1pSQPsNoy6yqAG11MlioLf38s58JW776S+dUQh9kRT5GEoPiIN8Z5AQRqt1HCYKcIAjEYSTwcRIfJ56kZD5GGkOiMCP01TRhxpkg+tHq6s7+md+Lf5Tc2qd/ctg6usv27K/WRzsvTWmnoTJI6wPAEuBdAaB+mNcMF4zjlMHHKr01caAmiTHiNGhPMYI0K0/z2iRvT8D286G538iXrtMdET4+2PngsHrI8iAvvBPp9JYMFWyqIVmB0uRpdZpSlaAiy8szrCLDqQtQWybaMtZVsK5CVFlenWKNBWTKAWcBdOU4Z4LqybCOaO34zYl1uss7zwzr42VdiZPlaCdPHDwyUKym1tTXaGOTcSHkgNDOATeCTgjsHLCywMwCKwv7OHKeRn3Tjbazowu2Khbv1ilGopcwcRFOixgNATrEOwDqBbgPki5MnAS7MDaznBVADyE2CHUMp2d5KwssFaavgpxZSpHImZqMi4aWfN1RYuXxsjyQsacaxni5uwbOQ+JpIGO+bi1TboDsAFp5aOSgimLNPDbS0M7jrmblQr1xJcurroe3y66v+F67eq9dPZTt5/BPhOw4+3DGdtWsHzUbpFeMjzLn40D+NLvvnPcT0QX501xXkBXdixq9TXcG2SvEXMa6ElTnoSEPDUkoHyufvBPefzPY8SSrH6/qXtb2Xhg/fHda6Guo00hVQaoiMJegrg7kRWQsEVcst3TVz4V9tPrLLn/aEOJEPlocBZIwFIShIEJ3BphOP9vh4zoDQBgAsiBQBHh5gO2IgvYIK44y2jhvjSHNaOl7w9WvBINHe8Y3q+9ukF7fan+652Lw2HBGHSPKCKeeouVjNXOIMwVYWxTZE0Q6Wdtzc2rXHV97oCrLIWGGF2ZYcZyWTVOmKGw/H37/B8OqHxx7Wu5sPvTT9s6rh20PNxmvHhiKaAvAXOf1FGducMYSI03TkhilyHLKHK/MA20ZG2pEVyXqMlIXoCYPDEVor+CuCnbnuN4835fn1OPprb0PdvQPy8ZS1hxlrgF1mf23w1FXp1Xlmq5G6+u0jQcOhOw8tANg53kHB60ssDDAykAPA3qq1Nk0bxrKrzziXrbXrBpJXkTEjnkV4tUE6RB0ANzLk16A3RBZITBD3shzVoCcCFshMvLQyEM7j5wUGKwR6ViizT9tYTg3g6zFmrvK2eq8q9LoLnJyb1nmK1myVQ9F2atNY5Yz11g7zzkgNNC8jgYmBiqLTVOd66Wps4X6uTAl6B/7dKvlnaXHl3yr2Occ0cXzAzT/Y++9BQft7/yg+bLznGY4eSEHRfdjG00PFx/v7bgbP5tBXVHaFqUdWWAoYm0RSbOsrABURajPY32CV4WaymnKlMVdJWKLI/lYVR1g1DGkzhFVBalL0FxGqiovK2FNjqheBhd/8snP/1Z8vubfhIn9tDgKJBEkDENRmO0McJ1+XhCAHX5eFADSAK8OI3UEtkf4jmlemcGaJDTEOPVEZe/Ak4ODL1Qj1YMDk1sdT1tvp6UTjHCK0iaIOgxEzwqnh1OilyWZr6aNstYsEXkrm38a+evZxydHM7I0kGaAOMWKo5QiRtvTRP+4slV5e7/0wXHZ4zXbnKt2WzcI+7/TXTgwFNbleGuNd2HSxRM3hZUZWhGjdEWsKSJFjtcUoaFONBUsLwBNGWsrSF8EzhoxppqaQL6/CC7UsXo8ua3vQedwZLCO3FXgpLGNxXYITQyjrVKqcl1bberrjJUFbkzchFh53spyLoAcPLKy0MZAW51RR5OmiZz+fnF1y5n399rEQ4lBjtggUiKkIsSIiROQHhZ7WOjgeCPHajjaAICFRyaGN7K8CSAzxA5AenjSWwaHb46dHPU7OdjFE0ul4apz3Szppih3mRVPlvff8R0bmbTVKt0cNGSBJl+zsYydB0aat3DY0ATSTFVTaLqqyB1lLU+rOxT331rR/rvZB5ZtMn4tvnLwwUtjpr7/+sSP3SPfGe7tGxw3TdU8aVY5kv3B8Xjxyb5DlwLny3igCNXBkipGKbJQkuFOx5uCPC+vYEUOqlK8YpqWTNeVSUaXBuoIbYoCaxLrkliewYoy1FWwsQAlOUqUg4oMlo34Fn38c2GfrF7r8iZ1AUYaYiVxJAoBQYCXRKAoBIUBKArgjile5OfFPlYVgqoIaA+ynSFOmSaKOK+NcbowferhtHgka47h0w+z+y4GJKOUMUaUYWBOEaWXPnYrePhWoGM0r44z0nDDlMXKCH10KLLn+mTLs7QywauzSJZk5TFGnwJdBeKJQMWtZKfHe0h2/5PN+o92aPc777TdnerwFi1F6K6hLpZ0NXE3RWxlaEwDU4noi1iZZtV53lAnmhKWF5CmStRlqCvyzioRTSRbH011Z5kLdaKbSu8+90j8InmGIc4q42ZgDyEOyOsbTWON1ddodblmojgri1wI/1/CuiDugsTKQhsLrQ1GHJwWDvnbLwU/PTW46IC95U6gqwEciKgAUiFsJcQFSDeD3TSwMayBYzQ8bYDQyEB1lVI3KCPHmwFycLgPEEuytv3c49ZnwS4WOTlioWgnBboZ3MPwHgopY/XtN19suTmszle6ANGXgLZUszG0C2ILA608sdBEXaQMVdbZJM40Ugzl/qq4PXu9Zs4a5V8Ft783j+x9MKlM1Ton8qdHMkfvRjtGcpYksGShNUwdvOT9Qn/7x4EXtgTjLnCyYFkQagrjXFuMPhqunUhQ7TlekGJlKU4WZToDFWmcFobqmgSnj3KmJFTE2M44Jc2zujIxF7EkTZ2ONJVpYvDGPvz83zWuq9a6ptK6ACMK0sIYEIegIMBLQkAeIeIQEvpg5yQn9LIiLyOdYmR+RhTgpGFeEUfSCKuKspooJ5qoKPxNZYTvGK21DOfVQWiIEWWQ0wfZI9cC35iuHL8blgfqqhgjDtYU07Q+zuvCjGi0IBwraGO8IYNVcU4TY80p5MrhnhxxeemWrhcH1Hf2qm5s01zRPUn0ZHltknEW0ECZWJKUfDJjTdF9deLIInMRGgtQlaTVWc5QJdoyUZeJtoaVBd5QBt0UaRn2bzt31xwpD5RAV7ohexlVBYq9NHE36G4anCWkjxBzg7Y3kbnJa0t1M83ZOOzgkQNiK4B2HnRB7EHEykAbD10c0OcKyom45GF0V9/TH7uHhGMJe512YWSESI+wg5AuQDw0dlHAynJmwBsRb0bYyEBVpamsNPQ0Z+agk0X9HJFMJr/vvS+dSA1CYmOJnqZtLOxuIg+DHDQyV9mWqejhlyFNmbayWN+Edpa1s5y2XG8JxFpDSUONN9aBscZZKGSvYLW3fPyGf5tzaIv+tvh2onMk2xYqyHOMJg/UKVoZaypitDYL5QneGKWk4/mWJ7HlmvN7bk7ZCrw6yQinuY5pvi3GnYjSR6abx6LN9gQnTnCyGCsKUfI4L43QphxRhSlNnJNEm6IUJcmxxgpxlIk2D0RR1lggjlDmoy++/JmwpSvXuH05bZDt8DU6wowsjIQBIPZzigiWhZBwiu+c5DrGaOE4LXzZEE9QiiBSR7FiGkpDrCzMSIO02E9J/HTbRKPtZV06xRpiRBVG8ilG+ry02f3wE3Gv+HneEONF/po03BROlXXTjC2BdH5K5asborwhAdTTjDrUVAeamnDDkmRsvuYh16P9+tudA2MnB5+rn6W6c8CS5bvSsCfEHLs8tsV1p3Mo6kpBV4K35YElD7QpWpfhjGWiKxNdheirSFXgbTXUVQOH7oz+OHBT48sYQwVXptZf551l0MPiAQ4MMMhdBc4G72GRowGNZVpfapibrIPHDh5bOWiDyAmRGyAPJDYa2njowdjD8b0NpifP2FOMPc9Zq4yVbrgw5ybYQYgTEw9PPDR2MtDGAxtCdkJsmJg5rG9w2hptoHgrh9wsGmCJcDS23nVT8jLZxyATBdU0bWFBD03cNDTWOTsLjU1eV+OtPNbTQE+jLoQdHDzpi3zae2FV/+Xj3qimROsqtLrKmWrYWgT2EjDEaurReFeqbqs01VUgzwN9DZnryNZAmiIQx5kWX03iK1lzvKeJFso8Ky1XVbGGLgsVaSJOYkESCzL4RJQ+HmkKU0gS5xVxoJgGmjjUxaAxCZURWpngpAlGVULyIjIUsTWNrHmiSSBLDjuD6Q8+/3lbsfTTr2wTKflUs9Pf7IzQ4gDfOclJ/ZzUx8qDUOKDoil4+nmj43lD8KIhnWAUPqAKI1mIlwRYSZAV+ShJgJMFQfsE3THW1IaJLoLFXkblZxWj5WOXvQcvTai9TV2E0cRYeYSS+GvaMG0MM7oArQlQ+girCdNyf000Xmgdjrc8jom8aYO3Irji39g5uGSr4rMW586+IY2/1F0h/SkkvxyY+4N06T7TD+Zbnfenu6Ksq4CcBWTN8qYsMBSQJg91RawtIGMFuhtYMBb7W/+N1vvj5khp/9Xhw3eGu+tMV5PYG8wgz//E4SN3J/fdeXEGE0uJlscLmmzVXGfdkLgRsfHYDpEdQDdA3YjYWWhheTvPu3lwjuAzHOzjSR8hFo43slUXpvsI6iGkC5IeHnez2MVhG8R2TJyY2AAxM9hMQQsFLCyyc7iLQWdZop0qrHdc23FpWOBLaCqUkYc2FnZR2MVCM8XbOeLCxIGIFWF1g9U0sZ3Ddh4fnQjNlJtmyi2rBq50RHMmCqhrnLGJ7RRxcsRJk64i110BDgrpG0SeYzUlRl9hDRVGmaXbg5XDLwuycNNZIwOEbL01ttp1d8vVUXGkoUgTTZGIU0icI61RuiPFyTNEmYTaJJL6m8YolI9V5BNVVZQTRRlJCiiySFHE4gglfJbThaj2pwXxWKk7Wljx9Zp/92r0lXk8Lpmsdfqpzggl9rGd46zMxwsnGjI/Jw9gyRRqf0F1Pqek46zaB+VTvNTHSfys2M/KQkA8xUimOEUAdYw2O583VFNQ4eNFk5QuzKsnKtLhlH6KNoR4ha9uzmBFhJYHm/oIqw/R2gAtm6yqg5Q6TMv9tc6x/NGhyJGHobaXMf1UVfMg/f5W9f/8p6/+uK51haD3wPWXzix1PkmOGx7+ZsHuj3fY/6a8ubt72DJR7inirhxyF7A9j4w5qM1CXQ5rcshU4k1Zasv5B6t1veqJVF+e3Xrm5iqjUxyY9rDEUqd7GfY8Q/7qvr3aeGGQI5ZCs907LYlkHU2+BxEXwHYeW3loA6gb4V5EnDy2ctBEM1aGGSSoF0A7D82IqBhODxouxPYD3AdJLyB9gHTz2MUTKyQWgB0sMjWBtsaZG9DJERckDha5m+ACR5yR5l8dV2d16JfZ+o/5QlYOuQF2UNhOYxsDLTTrQtABiYlDmgavoYCFg/oac2A0sMTcv7L7yprztzrjeSuLDBQwNZGliXUUNjSIs0ocJWJtEG0ZKtINTa6hL9C6HKVINDr9lZNjRU0MWUrATnHKNLvzVmjj4LA4VJXFeU0BihKsIA1OTTckOahMQ20SGOJA4as6oqDzTqT1TlgcbJ4KU6IUliaRrIiPjWS39jzZd2F8veX+tv7n+heB5Wt+PsMWfbLaMpmQeGttU/VT/prYxwrGGfE4JXhZE09Scj+STCHROC8Z49U+bAgSqQ8IvIzYx0j8rHKayHy8aJyRTvCtw8XOp1XFGCubZKU+Vh1iZeOlzkcx+VjVEAESb109zSkitDzQ1EVYSxQYwpxorKgMNPUxXjPNyEMNwUSxcyIvD5WsIUZxN7Fkq+o3H+1bccz5peL8pp7bSl/iQgwfVd5b+IVkv/KR8Hx4l/Nh5w1fV4bzZGF3kTgLxJLDphw2FYguB7UZRuLPfz9w6yvzoHYyfaFJ2p9MfeXsPfb0ZS8kXTwaZODZCtnW/WiV6rwpSTtL3Omx8OnxiJPiuiG2M8DGQjML7Aj3YtILiRsQB8RmmrExTD9B3QBbAdICouShEQEHy3vqsJfGvRzqBbgbECfAZh4bKWCpc9oSJc/X9RXWxRM3IjaKt1fZ8xxxR6jtvXd+u7ftN8cFP9wbMtdYDyA2Gpmq2NrgjY2KE7AOnpgprKOQjmGdGMmylT0jvs13X7YGcp2xsq7Gm2lgopCxCgxVqKWwpo5MRWCvIDtNdEVGlW4YCoy9CuxlpEmysnBT6Kuro1iXZTWFmjLFnnpZaxnJ6jO8PEpJk2xntClIse3xpjTLK5KcJs7po6wxSjsi9JGzz7633z3+JHM6wgmTRJ7CigI5+Cjxjf76F8oLH5zuXWe4cfrK/YUrlv18hn2y2jIRF06U2/z1oxP5ttFq+/N623Ch/Vmpc6wu9yOZH0u9WDGJdX6iD5DOKV7g4wU+XuSHymkinULtz6mOZ822kYp8jDYEoHKKl0wxQl9d6K0IxnKS8ao6yEi8dcF4WRliVCFGFaT1Yc4Y4VT+hjbMGhNQn4C6BK+Jc+okZ8jyzjTSPS9sM1z9Xnmu88Zky82Xuy4NyaeSAzFwQHPr851W7eVY/xS9r3toq+umzl/uyaPeEnHkiSWDbUViLWJ9FhlzQOQv7L09uv/GU3O0dJElpmTxyMMRoXfazfCDkNzkyY0c2et6+F6r68iDqD2LBd7ksWdeXani5IGNBTYOWTjkRNgFcRcgbggdPGOhaAfD9nHAXWdsLG9BRA+hhedNpaYlT3sawN1gnDTnAsiNiJVDhjqvrXLqQlORrWlKtIVBdp6Ym8BcYXto4knRp++Nf2bqWWHvO/x80lxhnTQ21Xh9CRjLvL7SNDU5UxMbG0hPYT3N2wFWlZrt0bwgXjI1sIUmFppYaGSoYV0ZactIU8OaCtIVobEMjTVkKPG6PG8qQWeDOGpEmwaKGKuIc5oUVqY4ZZqRRYEkDGURoE0jRZyVJJi2SE2W42U5oCogVRqqpnljDFrSUD1W/FI98OYOza6fQuo4EkwDUZjXFsnJ8cK2wZENjltf227vPPNCff/lkk8//nmn/9ka+3i8Y7RweqqybyRx5GH65MPcyTvJjmeljtG6ZIqX+pDUi5VeoppEygm+fYrrDMKOIOwMYdk0EXnBiYfFk/dygmdV3RRvjRC1H4i8dLuvLvDXRb6qwk8p/JQyQHeOFlVBRh1iZb6m0kfpA7Q+zOoirC7KaeO8Lgn0afhvfwnteWIPU8Znaeto6kKO7U7V5JNRY7zRGwf7rXdX7TPpbkbOTbOHB4bXqPpaH4Z6C7i3RGwZbE5jW5GY80ib5E0ZoJiuif05XbTcVaAHGsBVoyz5mjFZkcXS+kThbKp2MVA/OTDyifzs92efCUfzEn++MxBTl8oWlnMAZOeJlcUuCO0AOQBxQ+hkqC6G6QNwkIauYtPWZJyEmAGvq9bVqZIpT3XTwFFrmmpNOw+6MHGwyNSA2ibUVThNvqkoNHR1YGKIoQH0JcZWQ54ia4sWVP6oLJDUJCuWKm9vYmuNN5R4XYHXlaC2DHVVpK9DHYV0FLKwxMpgM42MTWimkJkipiY2NqC2jDQlrClhTRFrS1hbwpoS0hShoYQNRWIoElMZ6/JAGmdE001pjFGlgTKF1Gkii2JpFIsiQBbjVWkoT/Pt4ZqyABR5JMsAVRorwrwxTixZIh8trFB0/+O3wh09fnuSiMJcu5fS5ZEkyQpe5luGp08+y8jHKr3e9EerP/9547r6a8dEov1Z7viL7O5H00fuJk/cTp26nRSP1sQvm8JxuuMlLRzjZZNQOsZJRilxgO8Mch1R2BaF0jiRTLHHrseOnA+0Xo/LhivqMVo5xUn8nDhIS3wN8URFFWKUAVo3DWTehjrE/ndw/qZ6qq70N5TBpjJMK6OMKsEqk5wqA7QFYkpBV4wfiINzKf5KjZwtQ2eOdpVQdwzstd5dull21DFkHM4cOzvyhaJ335XnnjzyFLEpCUxpZM4RXRoqI5RmuqGJNSxZtreG+6rAVWh6Gmw/i02pyokX3oP3R07dfqa671c9irY8CG67/Gz7pSfSQM5a5ewsb+OAAxArR0w0b+d5ByAOgN0Ae1gwCMB5SAZqyJllLVXeComOYkTpvDxZdtRAP8SOBqMt1a0scHLYUuMtdWiisYXC+jIrz9e1Nc7MEn2NV+eb5hLnqfCDdXCGgV11YC4ylgpw0qSLwaYK1BV4XQnoKlBf+7+FmRls54idJyYK62vQ2ECGOlCXGHURaErk35Bp/58rh7Q5rMkiVZqXRKnOYK0jUO0IVCVRWpXGmjRRJIhkGnX4aWmMU6WhOoOEUUqSYkVJtj3clMWgPMRpp7E1Q8yh5vazjxedGtzV4zMGeWmEF07RygxU5rE+zisjdUWMtyZw31Tmw8/+3avRF+usE7HWx6mDj2L7Hk63DeU77uaEdzKql5RyghO8aB4bKp14XBG8ZGUTQOHl1dNIFAGCNG5LQXmW6KPg1PXIPvvjHaahg91jp67HZS+bijCUh1i1r6n1NRV+SjJZ00b4fxtgcl9TG+G1EVYxVVP46opAQx6mFFFakWDlSU6ZBeo8UsVYVwpcKJHzeXKmgLuynC3HuirEPFX/VjAw+9v2tS3dx/tftFyaWG+6eODaC08BuwrYEOcMKd6Qgeokrww1tMGabrreVYRnKdJfh64S1UPxPQw0ZcuSYPzww+ebei7t/+mhLVLuKXGnR4LbrzxQRvK9kPQQ4oLYxiFjExho2sxwNo50YdIDSC9HznCg5//k4756LbmvQ8F/k3kYzNsAMxcDD4wBfOc6Kpi+EmUrmaKiZSuZImnRMoNEsuOJO9ausKtq53BSB+ZMNkPnPt2nT5+0c86pcvjneSAtiDQwwEI91tMPay2sWrU0N1nT1bqV0ojq0dDEOFPvxUZmwWWbPpOndnioJV0sz51wcyKN7KRFc4AlLSQsfNXFGcwUC3IjUxzZBQ1ecOi2S7I6UKZeUkN5lxVcltBwfIbicxzXiGzSuEUkm0o2jVtINoFoeHEDxQ2UcKhsIG7q8jP0WQ77NIHNiDCjwozyI8wPMdeHka4faruBphtoOusNe61uhdog0sGRDg008GrVD7UB18fCiEW6cLlur3fh+YoVaMBwDXI1lOyzXA+G7k+ffPnk54k7qzenXB3E6ijcR8Ehjg8p1/PWW16yz7aO+199+PMz/a9+8x/l+/UXrrV/+0n99ze7oVva+gej4Ht9cc+WjtH6nv37a5Pnb85W9r1oiQk1JrbpegOe64AzbY8b0XQPhz/qPq1cffTFC4+eufRE6ubatZlQJZGSK5zYSsUPHhmr+/NPeX36VDpUakKuYsWqNv9ZAgNcH0ZHiJtSfkZjPZgZ4q0RLnRQcUCSXY9vWYkxjt4df/fs5t8+If5w+dKplx7Ebg+ff+dw5W6nOGPpMY53/HgfyCPM9wFft9NNN9cFGyO4PUfbOtqy8Y5HCpafN+xNEwiN8W/ev/n0x3ezU/sNytKD+dpRNTOztjHbIKxAWBoQ2QKy6ymen3BJEdGLmG05KDPUg3cbL751wN2dZGdMWsDzzfH5+kDVQNFnGYPwAys6NrMe5fvauf16tDFL67jgs4xLEzZNA5aGRNS96NAQRlZWQzkdJmZuYu4mNJA0UFJHCQ0pcyQvUHyB4/qnwqhkM8lmkgn4uROemKIGFIskXRY3ED8HwgL/F2FEmBFhjGMDHO2BaA/wQ8IPCddHXB+FO36g6QUaYL0OV6sg2ETBlh/pQmHEYgN6vmKFunitAUINHKnhSAWJdZhqe8k2Wb29eDT07rOvVMQaSHZZuAuXuiA6QIG+d6qqSx28edx/6OHP/83219/4lny//uL1zjPXWufuTQKfTF+8WF66XOGuz6UDENp3zt81Vg7cwAmOVhhfZ1ydnDs2n94bPrc/CtWcRNWTrg3PFfe++2zhK78UHzl18fSrdeGBFz2yuUNTOHECh/r6gcbXfL7mf1oulQ4V6n6s5gh1V2z6fAcIfRQbYW5CuBmNTak0pskhVeuuWDYzfZwcoGjTFjpu5N74qezVx6UPzr18rOwuNhsoUbHjbSc7IeoAyH1fHgB1QuIjzNfNTM3eGZCNnp/vuxsLeMFj2x4pOuACRC8Dum3gWE8LtkcZw30Vk5c8UDSsCz4u+jTj0wxgKZ8qDpRdX/V8xQZph1wkrLCwQ3utXxc/+An3cvCjzuaUiSPnfG0Q6S8KLtnwSGLhixNHteAGZOrICBy1hOasaOOCR1M2TXks5TPFRrG5HZtY8bmX1FBi7qtzP2PjnEdVA0oTNz51lAVQNCjrKG7gPxYWt5Co+bGZGzeQalPFoqKGhAUUNSIumLhgwh/x4qc4PqPimHJ9GBsgfkjCHX+9YUe6gB+SSBeu172Vinf+xF6v+2t1J9zxxRHlh2ypbIVaKNKlsQ6L1HC0isNHpljWkh0W2jO/t/bGE9k9tY7TXRZogbMdP9gHgQk81bKFLtk6GTz891+YuH77kWxpsLY/P3d/Gj6xzr7V+hX/8W+VG8tvt8U9J3boR04gVyfhKouUaazKghX8u1vjf3lt/7E3D1bujKR9Xb05495u/cv663/9L9yf/zj4pHQ1enXGH9rhQ0OogdCxGTwy+BqItzBf86UmkppIHeoykgAAIABJREFUbACuZn+aw2Itn++C6ACGxyg0hoGex/WBMiBqG4p1R2y6UgcIPRjruGrFSu5NuQ+6uX17s47zdVjos/SEKH1f6nrKCKojlJiQ5IKGT2bLH5aUg+lWxy+OQFFHO4Bt2Chnuhuut2OCyy7Lu0y2/KTtbjvO6xhdArBo+SnDT7lMNrFsQcWBkukqjqs6fsqmFwkrzq2zHx59cyn/1af49Tcrr5ssM/e4/iJteFs+yZtufGrKhpdHbBPTDcvPTcz81L2MaNGjioFVBydclvRI0oNJBykGlOe+PPMVDaoWVgwgzT1l4ecdkLaQoiPFQHETyyaRLRb/TBiJG1DSobDwhQXg55CfA27qCQss6UzU6B+E8VPKT4g8Z/KM8UMc6fqrNfN39/pP326dPpys1a1IF4Y7MNxGy2V7qWyu1uxwx5eGlOuRs0dasAnjI5aaslAFhMswfGxFj+ZSk/LH/o9Cb/5cvKZWsVwnSxX791Vzpe1wJj07RNEO3jjuf+0bn78q8PD3f7zZnPFVL1S2YxX3+Vcqj5579XvP7zyZuRW7o8sVIjSo2GGxBouWWOgQndo1n3q39dONW/+c+eS5Vx6EPuootxeJXf2ZjXvfejb/37+38sizG0+lbvH7VujY5BogcKhHSk6s6q09WERKNldxxQYU6n60YkUrFle1uZoTbbqhthvseetdd6VhBhqW2AGJPubrzvKDyfrJgu8CsQ/zXXSpjTaO/At1stHEyomT7iB1jOJ9X+x56hgmJkgdo6zJuMrs8Y0rz79+d7vnX9BozkTbiOVNmNGdouMVZvaOBTd8qroo4XgFw3oFwgsuTM2shOZmPJawkWIB1UWS5aqOl/RQxqU7kO7ofmyv/dPYy3/7eCz8xvHHiG1bKKW5Wz7eAbBoWdJsIRlWDuMCRJcgeQ2ylxx6GZKCi2UDxk2gOiQDaZ7QLKAJG8UXQFmguIZiMzcyMsWZl7XZDmFZh6g6Vk0sf16YbNO4gSQdRidObOYJCyjpiJt6wgLFDSZq5DNhU8JPKD+h8SkTRnitbp49np45mv5+r/vsbvvFB6NTB5O1uh1qA35Ag02wWrODTS/ShWKfRNvo2du9Z272zt6fR+v2yqEVKsFo2Q48mIcrKNlmv9u5/7PY1diBy5XxiweLF6vGStOJaGh5Qvk+3ij1H/ri9s73f5SvjoSaH6o4wWPz9FutH668+Rc/47678krk5jzRYFwN8y0mtRl3Qs/e0B5/rf6vOwdPbt77hfTeL8S3X7i0x9+epEve2Xdqj0kffvfp/NceU772Hxnunh4qOSslY3V/LjZApGT+8uW753ZHoWNTaqJIyeKqNle1YxU7VrGjVTvUsIItO9Cy1xrmet3kWm6s4aweTp+/1Tp9b7Be1qQ+UKu2cHtUOHKLdVRok2QdpHpIHHrqlMhjII99eQzkkZ+3WXJoP7Z15V/z72527W2DqLpfxCxnoZzp7UC8obmbunsBs5SPUw4sWuCSi3dskjf8jAVzgBYJzSGaBDQJUBrgNKAZDxccuGOg1zQQ+qD0yPP56FuHHwJWmPtZw9sB6CICF5Eva1pkNkv6Xh6ASwC9BtjLLt2yYNqEqoUUCyZdnPSI6kDFBgkXJSya0Gh8gbmxHR6Z0tzPWDTvsrRFkiZOWESxiGJR2f5MmOoy2USi5nNTV9KRYlHVpnEdSzqRdPoHYfyExsYkNibimAabznN3O0/fbq7WTGEEuL4f7vhnjxfnS/pa3Yl2UbSHuT6J9nCki4Qe5jv43z+u/WD7xqMbV3/+6v3f3xiGyyBcMlf25isnfnrIknv2E8l7S9fnkTI69WAe6MNgByx33dUxVSd0qzr6n9/8fA77u0e+ny71hJofKNurR3r4pvZE6s7/85PA109vh27O41W0cmCGK0BqsugB+t3b3Z+oN/9J/Oi32VuPxd569FzxidT7a9daSsUJ3Bqdfb38bOrW91+8+LXncuKBEy67Kyd6tOxkRnTtwfybypsvXO9Ey47cJtGKw9ddoeaKFVesOLGKHa1ZoboVatihphOomVzLjdTt5YPxi7uds/cHS4fjaN1cvtF+Iv/x+pW6emzmuizVwYk+Ekd+RmfJGY6P3PjIjY+9gsPyC/Dk5av/kno9U18UNCRpXtJDWQvlDC+jmfm5XVzYOz4pAlbwaNFi+TnOTeGGRYo+zUGywVgeszSkBcaykGYAy0GozvXizL3KWHqv/4PTW+cv7W60DamtFRx4EZMLGF6mSDX10HSS9L0dgl+C+GWHvgrYjsMyNkl5JO2RHKRpQFUHSaavOEA1SEJjqk6lOYiOrejQFMeOModJg6Qs8gVhosVUl8UNKCw8YQEVk8omkU0smzRu0E+R/bEwbkSkCQu3vU+FBZpuUv+0aJLlirlUNiJdPzYgsQGJDWiw5QeafnxI5QE7c3/8s5fv/UPynb8M7Pz8lf3lfSNac6IVd6Xix1pesUzOvtp55u3e0oG1UnHDAxpuw5WWuz6k6oRtVUdf++4X+7B/zJQGUgOul+3VY0M+RmffbP/1k8p31l6N3NFix/65vXngxI0c+eevLX6zU/pR4N1/Wnv9idi7P1+7+Mjp1K/U189/XBLKunhsxm7NuPf7vyve/1XqWmTPWDvQAyVTbID0EL9wvfOl4PbZO0OxiaQm4uu+1AJyHSg1X6l6UtmNVaxQ2QjXrGjL45qe2IWxphutm+GaHqkZa+VZuKKd+rD8Q/6lXybfWb7aSLSR3EXKkEgTmNJIco6koSsNncQU5G2anYGn37r789xb8cNRwcCiCTjDTZmgYIL4YJZf2IWFnZ1ZmzYpmjTass7e66/tj5JjbxuxjA9TPsxAmgbk07FFGtICwfJsUZiZHxMmXK899KTwk9Arp66cLB/3ch7aYWyL4h2KVNuKGXoWowuE7tigMHZyEyc5dhMazPgsB1kesSxkaUhVD8cdoOgoqbGUyeIaDg+ttdY02J4JIztp4PQfC7M+E6bYTDaQqAHZpKrNZBNLOpZ0KhkkbhBJp8KCfEGYMCLLFe3c8ZTrAWnCol0Q7cFA0wu2/PiUCSPC9VGw5a3W7LW6I/ag3MdSF60czH75+v1vKG8+/vbx+pEhdUC8y9aacK1iZ45B7Jr5SGL36RtDrsvWm5hroHAHrPdwvM82KsOvfvvzOezL//CdQnWstHCg6qxX7HgJL38w/OaZC/8kXQnv6tyxv35sB47dFz4ZPPVy9bHM3r+sv/vr8Dv/uvbyj09nfryS+7fiu8vXSkJlodaBcuiquyb3yfT0O83n3q+fuTkMnZjhEzNatv7t7aO/WM6vH2jxFhbqIFbz4i2gNIBS9dWSGz+x+ZIZPtHDZYNrekqfxPs41nQTI5KeYHUIY21LbFnR/dG/bX783eDmb16+JdSseA8qYyqOgDjy4lMgDN34yE0tUNbAqSk4c738650P+MPBlkfjHgwuzIThbXs0MbOycyvRn/K1bmbkKj3vqY/KP9y8+pu3DmKNxQ5mSceLm3YG0YRHVBsnPZTFOI9p1nEv2M57Llt/98GffP/5P3+Ce+zy9bPHXdWGRUKLlBQpTniu6vt5Sgs+VvqLwH7zzO3yqd16tG+kPZLxacolSRdnEc1iKnsoZeGswRI6FaYg2DfWW7NQdyGM7ISO0jZJ2vQLwmSbqjaVTaJYVLVZyqOKRYUFlnT8mTAN/7EwcUzFMY10/XDHk2dEHNNgy+X6KDYg/JBKExbtwXAHrFSN9YYbaHrhmsU1nMSQJkfk7L3R2XvjcMVJDLHcA1yDrbRgoOEWa5S/Yf3fz20//nFDHLLVGhSaJNr211pA6tJiZfCX3/j8ZZQv//0/5itDuQXDTZ/rotghfObV2o+F935VuHP22ih87AdL/pndxY/zt36cvPnbrZP/yNx7Onnj8dDrPz1f+Dfl1XNv3127U+MqU6Fux45Mad9OHOLgTe2xy3tnbvSEuh88Mlb2Zk+9ffy91HvhI1NtE7mFuLIrVF255sUONO7uJHp3LBzpYsUJH+vhqqOOmNRHQsfNTVl2iuMDl+8YatvMd/3obuefU2/920u3xLqZHJH4CPNjjxs6n15xkiZuQoNJHWVMHGmMn7v6QOosNgCVLS8y12XT3vBpYmIvP6j+x5Wbp67vi5Vp4GDw2Bt3frp95bkr+3Lf2CEs5SHF8RM+lm0km1h1cB6RDcx2ELno+NsD65mLH/8fj/77X/wm+PyVfXFkpHyUxTSHaB7SFPRT2M9jugnI8oPmv7780S9e+uC5q/vCSE95KOkixQRxzU+YMG3jpInTJk1pRJljaQqiA5vrW8LYiU/cpIEzNk05TLWJbNG4RSWLiSZTbJp0WMphogaFBZJNKGl+XIeKQRSDxg0q6pif49iUxMaYH2FhTPkxjY0wPybSjPAjEu4BboijPcT1SGzAwl0caIKlEzPY8IUe5lpuqGoIbT83Z3IXyT0idJAywnzHD9XpuQY6ezzfaJLld7r/7Sn1tzca4oAE60Bs4kDTWWtDsU/z1f5fP/zQ5798/8P3Ukcdvu6E236sT8MH8KlXKv9++eDpt2svXh2GyihQQs9dHT6S+OQXxb3VK5Pld3pnLpdObe4+m7my8vpd8V4nfNANlUeB0ixwtOAObOWEhu5YT716vH5/ovZIuGSv7M3O3ey/8HEremSqLZzokPCJFTo2+bK1fmewfLW5+kmTP1ioDT98qAcrljSkYh9KfS87wakR4Pum0NdzQ+uiRrJt++xH5fPXGmrby0yoOADc2OVGbnRoR8emMHPjC181YM6n8sJda4ySBsg6RNWduG7FbTvnk8TIevKda99SN59+706iOeeOe+duV1Z2y3y1u2HBTcRSPk0AFrexZELVxopFcpBtYXoRsQsWKvT0516/9mdPnH74DB/Zb1yALIdwCqC0R9MWTvpeirgZD10A7Nzd2q9e+ujpD25Fy82s46cATDi+YvlxzZcmrjz2MjOcMZiyQPIMJXWiaig+BeocKQuYNknGZimHqQ6VbSZZVLSYaDDFYgmbpVwWGTvhkc1NndjMkU2QNKlq0LhBRJ3wCxybYX6MxBEWJpQfk0+DG+HPYogCdXe97gXbONhhgQZeLXvhBlCGTOpDrmXHmo7aw8k+Ftt+pG6HG06040fa9GyDPL8/ylXBrxM3vrK8EyhP4mMSbYJYE6607LUeFscsV+195esPfSGHfU9+0AxXzbW6tdr0g0fo7I35+u48sGcG9m2uQYMV/Psbk6feaaxcXygHMHRtEfxwKF0fCZ805d1OqrbgqpP18nDleBIuW0IJCMc4tGuduzbiSqbcQaGStf5AixzbkSMrVnGlJpIacP1IXzvWQ8fayu3+uauNpasN7mCu1P1IyQzVbX5AYgMk9L3kBGXmWJnBxAJcMPFFA6l1SyoZcs2WO74ygOLAi43c2NCJDqzo0OAntjTzVB1kHKLqQBzbWZukTZiyQNqBigsKgBZ18PTHd76T3Dp7/fgVC11YeNm+kxtYhZm15dCsQ2QLKS5VbBK3oGxB1SYZQDcx2wLkooNfd5B02Pn2euKbK3Jgr7IDWRZAyXKSDpZnXty0MwymbLDhEK46Dhx2MxNzy/Q2EElBpHp+0sNJh8TnID72sguSt5mqEWWBsw7Lu1RdYHVBFA39V2GSReMmk0z66VQsPLJCQ4ObOKIBJRslDKLqRNKxoBF+gfkZESdYHBFxTIUxFUZEGJHYEMeGmB/h2BCv153lirVacwMtEmrRUANFm1DqEr7lyQOkDrBQc/mqrXSQ3EXhqhPrwViPrXTZUtlIHLrfPHPpB4mP0mOgzlmoAaINf73rr/ZxfMYy1e6X/udXP5/Dvvl9ca8WKOvLNetMxVo7QasPvNCRFSvB6AkMVeDykffstdHyfStRZakqC9+1IncW6RM3fbxQj6ZKUwvXxsvl4WppxjU8qU7EMo7cdyKHTvjE4Kp2qOIEjo1oxY03kVAHfAPGav7qsb5ettaPFku7gzPXmuevN7mjhdqCfN2NNN1YH0V6fqhl8V1HnSJ5juU5KixwZugIFSPXI6ke4mqm0PXUGZamQBh73MDiBgY/sqSpq+ogacDkAmYMnLdIcgGyDs5DmnBRAdIdny4fVn/+0tvhB623EXvdZRc1uqPhLR0UDCjNHGHhKQ5RHBI3fNn0Ey5JA5IDuOihCy56E9BLM/D8mzce33gretza8knGh5LpJCwgjC1Js7OEJE0vbyJ1aGSmziuUXUYs60PZ8xM+ymCWhSxhksQCFSyWd5iqEVWjaYulTCwvcHyOhKmfND4TpjhUtmnconGLyRaLGUR0mWST2NSJDA1u7Ig6klyqmkTV/qsw+mkf9qkwYYj5/4xAw1mumCsVO9CEkQ6NtHGk4UcbXqzmqT2SGjCp5sdOrHgNqC0i1iHXBVyXrnfZatUR7+pf/93WL4u76T6ODeBazYs0/MiYrI2INGPpavdLX6iSD33nR8K9SuBEW67ap8vmyjE4t2+fvTeNlmD42F85spcO7edujNceuGIJSyUSemCH9jS5ZMVP5sLJNFafrVVGq7VpoGqEa060AsUq4Y58ruyvHcwjJYNr+NGaF626SpvwNV9ooVgdrJdMrgVCFfPc3f65W53V3Z5QNrMDpnQw3/aFAQp33bWaFqob0tCXpkgYA7HtxGq63HILI5booVjDEvt+YkHiEyCNPWHoCENLGNnSxFEXnjJzExO/aLGcjpSxkzVRxiOKBbM+3oREGk7P3j2Sm5PXPPaSSS4s0LaONgyY0Xx+ZIozR7GwauO47sumn/JJBuAcQJsAbTnwogVfdVi2ORMPOqn+Im/5WR8mXaCavjixVRPkIE0absECOd3JG94FxLZ8knJ82fWTAGcIzUCWtIg89eIDi+9bwtiTpiA2dPihE1/g+AKJcz9hkozDkp8JI7JNZZspFg1rSHBJwqVJE8SntjzzUzZLQZY0qbog8c8Lk8afFzYifxAWanvrDSfQdENtFO3ScBuEak6oaosNGG9hpUXUJpZrUCqDeAXJdRJqesEGXm3RlZIt3dF/uPbWP0beefat8vP3x8tlO1BxwhMSmDJxxlK13lf+4Wtf2K34iXC7vL4/XTrWTx+bSwfe2fvWi7dHkRMQLsG1EzfUQEsHzsq+s7JrRg784IEd2NejR1r0aBarLrjGIlCdhltGuGavHRlL93WuBKMlGC37awcLoe6KTSR3iNzESgPFym68hfk6CFec+IDyTe/8vcHa/RF3tIhXnUyHqE2gdqEyJrEBCDbNaNOWR0id0/iERGs2VzGyI1IYs8yQJkdIGvriwBP7tth3pIEtDW1p7MgTR5258ZGl9J2CRtNTIA2s1AKqOpB0L+nBDIA5F6TnVn7hXHbISw59yaaXPbrl0qyBlLmnzH1ZA0kbJyyo2iADSQ6STUK3Edmw/S3De9mjr1rkJQ3lppY60bIuyGGasKCyAFmH5iFL6E7e9i5isg3wBiBFnxYgySCSAjjl45RLVM0PNSandisv7FbCzXm0o62Uh1zXSOokZdGMQ9IuSzksYVPF+c+wiWqR8NznTZRz2bZP85qXncO8ybIOS+k0scCyhsU/CJsSaUz/EOKIfBrCEAtDHO2BSBdyfcQPaKxHwi0vXHe4phfvULFFhDoUajDeIEqTyDUilOF63V+vw5UGXit7qQfgN6ndP/1X6S+eSf/srYPzx9bSob7S8wMTJk5Zut7/6jc/P9N/6OFHuU8Ol250T98ZvnBvfm7XOnPPfP7m4NydWeDED1ZArMOiDRo8Budv62v3rPU9Y+3efHVvvLY/jlS1aE0PlRexlh2tumuHxtm780gJxGo4dOKsH2hC3eXLrlj1hZLLH9tyFQhlN3piKh0ktECs5oRLOneiJxqecKif/qCycq1dHOLCgikTHOt6UhcmhyQ5YYkJE5tAaniFEcv1mdr0+brBty2xZ0s9m28Z0cY80pzFuro8cTIGTM/8ZN/fWNDcDCXHXkbDCR0qpp9GOIVQkdILjBUcsGn6lzx2yaM7HtnyWd6iKQ2mNJTQYNrCGQdnAcljlgdkm7CLhOUNNzszdizwBmSv+yw9MeKjec6FG5SlXZIySMFjBcBShp+x7IuUXKQsbXmq7mU9nHahanopB+Ucmph54erozG717F49XJ/w7UW0MZP7VlanWYvlHJZyWcKm6h+E2VS1iWoRXgOyjvImvuzRnYUfPuj8ZOOdpz86UscwqZH4Aoka5heYn9H/f2HcAPFDIk2YPGZCn0RabqzlK0MiD1isTaM1GK3BWI0IDSLWqVDFK1Uv0MBrLRKswkKZrbzR+T9/Evpfv/3it/MfLx1ZgZJ7vukudXF0QFK13le//fndii99+VvR9++f+aD2/MfNU7en52+Z53bN528Mn/2ovbxvBssg2iB8m0VrZOW+tXLXDN411u7Ol+9OlvbGgaN55ESPHOtC1YmVvMiRvXpfj5ag0KTBEzt0bAh1N3ZkcQ+M6H0tdHeWqMLIvs4dGukuCZ2YoRNdqntCyUw1/cDN/g+F13+d/7jY9jdnJDlGQs9X+iTZJ2qPJIc00SOpLsl2WaZN+WNj9V4vUpnFB4468vmWEaqM1yvDSHMmT5y8Q4smyY3xpsY2dVrQSMGgWZtkPZwjLEVJjpANQtO2lzW9LUg3fJy3UcGlWROnFyCj47SO0jrM2CjjogImG5BsArrh4lC1vXZcLWj2q5BdcnFqamY0uwjIBmI5n6Ytmndp3mMZGydNuwjhDmPxhRmbGCkLJHVPWTg5B2/6LKshpW/GO7rct9SBmRl7+SnKz2BBI1mdJTWasP6Il0NVmyZsmrCJYpCUhgsaumSSjYH97y9/8r/90zMPreWEppE22B+ECXMqTUl8wqQJkyZM/C/lkuvj2ICIIyqPKN+F4YbDt0FiwqQhi7ZZuIHDDRysolAVRetEbLPlKgg1cLjLQlWk7oOlN9t/+svY//791R9u3gqWfbnNluruqYob7OJUrf/Qdz6/gfjlL30z9v79s+9WXvywsbqnr++6y7v2izdHv7/aO707Wzt2IjXMt1ioAlceWKv3TOHAC9831x+Yyw8Wq/fn4QOdP7LEQ4u7b3H7dnDf5kroU2FcxVE6WC554qElHdrrN0fRe4vgnUmyhpQqCB8Z4RM9Vja5o4VctVc+aX0/8tJPhTfkvWmm7Uodj2u5Sg+rXay2kdrDSg/lRizdJqkWlip2+HASqczjfSc9w8rA49s6114IPUOdeVmLFAycm6LigmxqdEOjBYPkLFJwSRaRJEEZjFI+SNpe1oMbhOUhyXokY5PE3M8sYE4nqTnIaH7GBNLMyDjuRco2XKyMjSffv/rk+x/lFuYrmO04uGD6OxBvIZr3aNalKZumTJJ1aNalScsrIrRJqDS3hIVbcEnBwhkdFhy66bOiTfMa3tBxUSdbJtoxyPaCbRu0aLCMRpMLmrD+iJdLEw5NOZ+9P7WARQNf0GmiNv/11vt/9h/rD6+mI5VpxmDyHEkaERZYmBNpRuPTz4T9V2TRLol0UbQDuTaI1J31khGqOkIX8z0W7bBQiwRaeL2Bg3UcapJoi601SLAOuB4LVtD5D4ZP5u/8yS/Cf/VU9tkPOvEGyfTYatV94ciM9mmuPfm7Lwj7ype/FXvv/uk3T158rxbct0J3/dVd99TN0YvXB8/fGJy/r6+feJEqCpx464dO4L6tHCP+CHAlGDhxV/f18L4Zu2+Grk9WrwwD16b8gS9WCV/HgSMzWrHjTSCduMKhxe1pz75x/Pj27WfeOMo0qVwB0RMrUjYjJYMrG2rDFe7Pnrm4+1T+avRqV6nYQtONNt14D8ldKLeA3IXxPkwPSbKNU22caAGl7YltWx3DvM4yc5KcQmXiqVMvuQBpA+d0VJih/AwV52hLJxs6Lpio6JCMh5IAZCBM2F7KAQVM84SmIc5CmnGwMvUyc1jQaF5DBQtveDihmQnNvIjJBZ+pI+v03aOlB6VN29/xccECmx65RNkmIGkLpkycsmjSJEkLpxycsGAekiKmcc1TbFR0SdEkeZvmHJKxYNpAeZNtuWzLYRdcdtFmmwu6scAFnWZ0ljLYHxKY7BDVpQmXpl2adWjCQKoOUhoqaCx42PvtW7d/+9r1M+/di7eN1IIofyRM/E9h4mdBhTEVxpQfEX5EIl0SasFg3QvVnEDZXDqYLx9q6yU33EDRFo10aKhLA2261sRrDRRokmCbBase18HBCjr1XvfpS/e/eqrw09jHobt2osqyTca18LmSIw5Zvj35Yh/25a98K/b+/qk3j59/p7Z+V1+7aZ+/bf/+Wv93H7V/f7V39u58Zd8KHHvBYz9SguFDTz5C8RIRajRcRYETL7xvB27MXnyt9lTu3guvVqUDEK/RSMkLHpqREzN6YkYPjdihFbgz+eXG9b9b3fpx+opw4iSahKt50brLtVyh7WX6aLNLlPuLtXdrkU+6SsWRujDW9YUujHeh1PKlri8OgNQDyR5O90iqi5NDrAxhcopzGskuaHqOk3OYXMCUjlImzll4Y4GzE78w9S+YdMciGybacknBRRkHFDyctUHWQRuEZRFRXJBGJOMRdeZn52hDo1sG3XToDiQFF6Q0Z8NBRQPwzRnfnOQW7paL0oaTNt0tSC8QVnBQyvCTOkzqNGkSxUCyARULpz2ag0w1ccqlORvndJR3aNrFiunJC0/VYdZheYfmDFjQcX6BslOQXeC0yVSLyTZVHCq7/ynMoRmX5Fwim75kAkGDss7OHHTP7jWyA/N1ixbmWJ0gZfZHwuY0PmXilAn/GZ/u83y6cxHq0mATh+t+pO4FK/bywWLpwWLlyApVQLRBuC6L9GmwS1ebeKUGV+tovU0DVTdQc9dLYO3mPHJn9JuL9158qSbuAek+ju1asQZarQGhR9O1wd88/IWvRg99R/zkaPlK4/SV9uqdxblPFqeua09/1H7mg8YLV/vn7y0gyCGFAAAgAElEQVTWHliBYy9UAlwZcSUoHSK5wqIVsl5B4SoJ7bvnr/SfKtx75OxLjyWux+7a/DFc2zeiJTdWcSLHRuTQkCq+eGw/funul87lH028u3R7qLaJ2MF8FwoDLPZhog8vTNhmE3HXBpFPevGyLQ1IrA9jXSD1gNj1+a7L9R1h4KcnNDtmiT4Wu57Qd8WBpw49dQwSE5CYgeQCpgyctkneoRsaSQ3t3Ni9ZLMLDi3q/qYNtz1SdNCWRzc9nLdREbO0j0TLT0GacnFiATYtumXSTQ3nNZAzvYzh5E1QtBBXHz3z4d5v3r8VLLUzc1OZ6RnLu0DYDmYFB2VNmDaQusCyBhTTj+tANnHSYSmbpRyWcVnBpXmbZB2S8UnKx7IFJN1XbJKysTK1lbGd11BOw+oMqgaJW1SyiOwQyaWKS1WXJl2ScUneIXHH5ywvZmPOZKcqk/XG7DJgVxjb0LE6hsoUinP86b6rtGDylIkzxk8ZP2P8jMWm9NPgJiTUZaEW5dpEaONYAwRK9tqxEyj7XAPFGjTSoqE2CXZpoEPXGni5CpbrdK3snjuaLx3YobumeLDg9mbBK1N5D0SvW09fLJ2/Ozt35ITrMFXufekbn59WfPXr30vfaQn3poEb09BdY+nq4sxHi2feb/7uSuf09fHavsk3QLSKgsde5MiPHcPwfZcro5WSf64C1hskdOgvvdN9jP/oSz+LPXr6UujKWD6Gy7uLwJEVKdnhIz16YMSrfqKOf/du5e/Dl3+QfO/xV/bidZAYMXlIxAHmO77U9XNDkmn6oZvD1U/afMmUhkScEGGCpRGSBlDoe/zQUSY4M6PZKY13QbhuhFpWtONIPSvWNaSRI04ceearOkpaOOuyjE6UoZWZuhddVtR9oTXi2+PM3N5x0WXELkCy4eMiZmkfKy5KQZKyQNaCFwHbsUlRg+mJLfbm8cF824aXfSI1Rk+9fe2RzIXfXrmRnho5yys4cNODGx4uuiRjwKQOlTmUFk5cs+Kar5o4aeOEhdI+Sbk4Y+OMRdIWyQKWxkz2ieSiJKAZF8tTJzl3NyxaMFlSw7JBJIOKFpZcIjpEcnAC0IRPEw5OOSTu46DhRiwQtdDqyBI0P2k4OdNOLpA8R8Lci81gbEqEOZU0phhMtpigscgERWeIm9LomHITEhmSYAtH2lgcMnnC4kMSa0OuAfkWETtUaNNIE4eaONAmgS4N9uj5Blxv0LWye+ZgvnRgBfbt8L6W66DgtXnkmh58b/ydlVefePn49zdmgZJbqA+/WCX/9uuP5nf7iWOT3zX4PSdy2wp+bJ16v3Pmk/HSLS105CoDKjTJ+gM7cM+O7vvLd/X1Y/fsifNizVtqofCxv/pW95crb/3VD9YeeboYfquTr9LAfWv5gbF6aAQPdO7AiFf8VAOv3hj8OPnBj9IfPJp4N3qoZyZUGRC+7XMtV+pApYuEqr1+b7x0qxspGdIAx+csrrP4nEpDIg5AfOSnpjQ9IdkJiXf9UN0Mtmx+4MdHTrizEKcuN3XEhS9pQLVwyqWKDuW5lzXAjkdTE+P8/fLztw7C1d4FF7xC2TZAWwhvEJaBNA1ZGuCs7W/66BJiOw7ZMFB66vLduTqcX3bAm5he0NzQg8rjr777wo17Rd27AMgOwOmFldacDY+ldKgugDyH0sKW5oasgZSFU7afsJ0sgCkPJEyY0klKx0kbyy4RPSoBmiM056GUjooOKdo0b7KczVSDxg0m2lh0seAg0cUqorJPRBspPo0DFtK9iOHFLE+wQAqy1d5kvT8TNSyaOGq40YXPTzE/JaLGZI8pgAoWC4y90MzjpjQypNExCvZouAG5DoxPqKoxeU6FIeZ7SOwRqcuELuNaONIigRZebZPQiC11MNel6xX//JG5VnLXT9z1AzPTI0s3Rqdeb6++3n7oudyvCnvPfTAKnljbjcFXv/n5acXf/O13ktca0v05d1uP3bNjuw5/zVv+aLh6fRHas7kyFNqEq+O1B+bqrhG656ze1QNH7lLZO1PzlpsoXALn3mz988obDz+h/HL9bf7KqFBnfAUHSt76sR05svhjO9nAxR6LH5lPXNz9WfHao4l3l28N1D4U2j7XdPk2kHtY6SKx7gpliysZkYoZ60F+Svk5jS+YMMRc2433YbwHM1Oam9LkGAk9hxs48hQqUz/aN2QNSDr8dMM45ZKUiyXNT1moaOMth6TG+tph49mr95b2Kxu6ewmQouMVfLhBWA6zBGBJDxd8tIXoDmQ7Lt1ySE4DGc3btMHLAL/i48s23Jpb8WZf7c/yC3vT9i9hmpjq6tTY9FjOJikDx2e+OHcU3U/oJG1RVfdV3SoAVPBJziZFm6YXUBhb/MLjbSTYMOHBlAlyJslZJL1AaZ1mLZa0mGIxySG8DSUXq5DGfcw7UHSJApkCmWAjycWC5akeTgO23l+IC1e1maAjzgQxw1MtIs5obEFFj/Auipk0OAPhuR+b0+iIhYcg3Cdch/B9FJ8wZc6kKY0NYKQHuB6W+kzsMq6Jww0caKD1Jgl22WqHxrosWEfnDq31qh+p42gFxhv4zLXBE8X98y/XfhR445mXai9emQYO9PxR42++/vkq+ed/8/fylXLoem/1o2H4lh65YYQ+0CPXF9yuLRx4UpXwTRptkNUHxupdI7hnh/Zt7gSE62S9gYIdytXR6fc6PxOuPCZ9uPRaXbpjxI98rozWT5z1Y5Mve8KJI5XcbAul62Dt5uDFK41n3y2v7o7lLuLbPt/2430s97HcBmLdVZsg1SNcw4l0vPAQhYeIG6FI1482XamNYg0vPWaZCU3NsDLxpJmXNFBKw8oCpF2acKhiYUkDSZemXKIYMGujnOHndW/T9NMjfeV+9fTtw0R/sePgou0XfZRHNA2J4hPFRUVMtwnbhuwCZNs+zZtgw0UXMb2I8EUfX/TwK5BdcNC2gwqGW7C8S5ilFmZybm16rOCyjEWVBYhrQDVwQmcZi4kjWxhqW4BeAGzTZhcB27SZPHHjuq/4WHagZHjSxE5pIK2hxAwlF1TVsWpRxaaKRwQTKC7JECa6mLdRHDAZUtkjko0kGyVcmHRhwoLi1Mk6JOezuEEEE0u2l7ChvGCCxmIODBtuWCdRg3A6is1pdERDAz8yIMKQiSMWH7P4hPJDHO756z0Q6EG+R4QO5ds0WkeROoo0aaCGgk3K91iogc8dmsE6EtpMbNDQkfv8x73vRd4/dbG09Go98NHihXeGq/dmuYP6lx7+/FWB//evHhbeOTz3buXZy8fPXCo9VXzwdO5EvGnId53QjTl34AoNEm2Q5QfG6r4ZeOBEDzyhhGJVEqqhaJfybXr+5vSpS4drH/aTB0A+8IL3jPUD6/z+fPVA407syAN9/e6UP7RSNZiuw3jJU2qQP7HlLhI7QOpCZUDiPSQ1Panhqh2YGTGhC0IdNzxCoQFYbZqBhiV2QbwFhYanDkhqQhITIE9cRfNTFspaLOOQDKAJlyo2lgyQcEjKZUmHZGyUXNiZufUSpK9AprRn524fS/XxJZdse3gb0YyPVBcmAFE9lEN0g7INRLcQ3YQka/tZ29uEaAfjHUh2ALngk4LpFSx/2ycbLtqBtGD7eRts+ixr4bSJUyZO2CRhkqROMiYT+makOclrXnGOUwM3O/GSfSsz9XMuyxOaAUQ1/PjEUmdeWkNpjSgzJExd2cKqS9KQxU2g2igJSNzBcY8qmEmASBYSNE/UvCIkSctNmiCto3Bzosz9rMviJowbbkIHSZ3KBuFtP6S7IY0IDhNMyk1ZZESCfS8yINyACiMqjZg4JFwfhftwbYCW+zDaxWKHCC0SKblCDYtNFiz5oQoUByzSwucOrWAdxVqUb9DAoX3m5viR6HtP5/ei7w8D70+ffbm1enuycdz+u2996wvCvr7+0u1nLt37WfzDrz5X/O+/kP7xxTdiH064jya/3X7w+3cbwWMnUPKWD631Yydw6EQPPP7QD963V/etYA1GmnTtyD13ayafwGyDqVUSOnTWDs3lAy1wqC/fGS3fGq7cHoXuzRMVoJy4ahXmukxpQL7uxBqO0PblHlK6SOmi5ABnxiQ5wPEBivT92IxEJ/BcZb5e1xMjrLaB2vHjXS+7oMkplMZOQkdpi2QtmraIaiPZxgmXqi5OeTRhk4SNsx7J2TBvuJcBeYOw/NgO7jeUpvayzy4CuglI2vEVx08jmkJYBTiNSAaiDABZgHIAZnyviNAOpZsQF3244aGC7W94aAexooc2fbyNyDaiG4AmdZA0YN6jWcCyHss6NK2T1AzE6qPQUTu41zl/q/rCJw9++/ZNoTbdcFke0LSL0xYqWCitwYyGMzqVRi43MhUbZzHLY6bovmz4gubEbagAmiBUgli2YFxzUxbcBCxtekUPbbn0F2988uLd5obLUoYXH1t5Hed1Ep+7guFFDD+iE8llokljM8ZPaHgAYkOy1nRDHcD3Cd/F0S6KDMn6mJ4dgFiPKF0aPrHP3RzGjj25TrkTsP7AkgY01qXnj+zlEydY9mN1EqsioeY/90bzF+KHTyrXn8rtv/BaL7A7z+7XHvrW5+9W/Pe//NrKpZvPXNj9SfSd//bD1f/ly0//2Q/EX4Tfeypx/e9Pb/848eH5u4uVI3ut7EXqMFIBwpEfPwbBO9rKrr5+4q2WvNWyHyz58RqLl1Hs2AsdO+GqF6q6XNk5e6N39lp3bXcS3lskKkA8tOQKyHZYooW5qi00XKHlS20gt0Gij7Mzll8wdYCkIeTHUDaZqJG1phFtO6kxzvbcjSlS+k7RZKkZkoZu1qIFh6YNlLaIbABBc1UHZyDNQqaYUDFg1qNbkG37+KKPX/KI3Bifvvogcti7aJMLHtn0SdbxUy7IYprGRAZIRTgBoeK5aQTzBOUwLGK0RUkR4wJEGxBvIXyB0G3M8i4s+miHsG3CioAmDZC0UAGwAmJFwoo+S2v4gsdSvekTL33w+IUPn3rl2j/nXv/V5jvccT+vwaxDkhbMmGjbYzkDZTSct1liAaW5m7BhFuOUDeJTS9F9fmapLlQBSWAq+jDhwqwDcy7ahrTo4G2fbjv0e8VXv518TWprF328sfAzPTc7cDMzT5mDmAY5DXFzEBp5woyoBhMmhB/ilYYdaHqRNow0/FDTD/Xw6gifHvh8Fyc7NLA3f/zi3V9s3OLuW8kGCdw3uBaKdej5I2vp0AqceOEyiJT91ICJh+jx5I0frr76o+B7Z94cRu8byu2jL3/9853+//jrb/DvHC69U3kydfNvnkj8X99d/dNvhb70c/7na69/7dnMo/w7K/e0tbIXauBYhwotIpdRukb4PTvywAmX/HMPjPOHZrDiCxUcOXDW7y4CBwbXAFzDj1W9lTvjc9d7K7dGkb2FWvZTdZRs4GyXJVtEavlKF8sdJDY9seEqPZiesdyCJcdE6ANphhWTSQsijKA8xHLbLXSMyyZJj9yiSZNTJI9A0WKbLkkbMOvSpI34uS3qbsYnOUgVw1d0P+3gTcR2EL2E2JYBVvfKv7j4zjPv72ZG1o6DLyJWdGDW8QuQZiFOYJQmJImxCrwsQVkCNijewriAYBHjAsIbhF5g7CJjW5jmPVQEZBOxDcgKPs04KOORvM8KmBUwLXg0b+JXMbuoWT/NXP5OJP/khQ9/c+nDteulVEdPT52cSzIuThuwYJHkzOU6c2FgJBYgoYOk6WdcqM5seWxmLJQwQdpHCR8nIeVtL+OjLcTSprsF4A5gmw4pGvipD+58JZD9j3fvbC3ctzzG3+sHb7U3RzA/I+IU8nMY7JorDY0fg5RBlRnj+364DyJdEGr54boXbHiBNljrg+UhkJq+UvGXrna/y736J49HnnujlOtQ7tgN1SDXostHVrDsR6r/H1nv9dx2luV57vM+78u+bMRMzE5vR3dM90zXtqvqqkpT6Z3SKZVWaZUpl0p5pVJepOhBeO9+Bp5GpDzlvSiJngQIwhEAAYKEx89euw+q6emsjThx/4JPnHPu9557vqB3QeqYqtmz1B6nnVeyezwPvzXebhtbM0Vly4PZl974dR/28huf+MYLtieV08PxHYY7n/wy9NZ3zJdHBrTDS4fZx/vCU/oFWZME+hzVLyNtQjEvqJ4lYp1RrFFoSqAzM4326UZ/TLYuYd2MqJ2q6+Zb2rioWRS0canz6frxW+mj15MdDwqWeYFdplyOeLPUmUbWZeAsEEcOmVOSOS05VoCnTJkqda1h04piXkemCjKUVHuZutaIYbHqWVw9W0PcmuytqM411V3B3jLyNRDXgu4G8IrIVldMVdEpAEbGtrpsq0luAbAK9MkwDAlXlzqmYt+EL2wbuWZMFiISOk9oWIHeqhiSYBhjFkE/pQxGHqiyGLhU0Y/AIKUBCFlZcYuSD6EwpWFKAwhzCuJV4oOUUwgrY0bGrEoZmbCAuCWFEUBQxiMAX1LR4Qt3Xjlm+Cl007NUGlgVw1XI1VSfQnhIWAFxTdVSqBy8P7Xz+qMzsZy52PA21YCCfU3AN0BQIZwEvQJwiYCBxCoqnIqCiDqrDaYphlTsa8GwhI3p0vbhO5scQ6fuzV9s0q7rCzvc113zjcg6ta0CRxUZ80JfsmnICeaCaCti/bJoXoOGAtRkZN0yNOSRNgu0BWBcx86UYp6qHRiafPu072++bvvEeNEaV80ppEsTU5b2LcrGFNEtqv1RuXumac0QR5K6ZpSeq7mDA4td91u2FLaPR19969d/jd7d+N3gTJVfkHVjRf2l1XY2uvXIWLtraixKrdeLR84umBehKU/1OdKXkDTxlm0RepeoO4ZccWJNEU1U6Zlp6aOKJ0ldMeReBI6EqosJ3fON3mize6r689jiT2cnj4zFtRMVLkP8BcrkqCONrMvQWSDOPLFlVNuy6ixA9zp1r2N7EZoLqqkEtUW1Py/ZS9hdItrp1e4bM0yiGq4g77piL4neKnQUJF8Nsk2lJ5G3llucit2C6myqXhG5mqqjoXgl4BZkd1P0A+gTVX2m8MuDqePjM85ieVCGowBGRJVbFwZbcATikAoGEPapCqvIrCJ7JMGvKkOEDhHKtERHvenHOExpkFAfRF4ZMsqzkQrslaBXwqxCGBl7ZeRsKYwIgzIektAYou548aUjhi9tQ6MVcLFFBxvE3ySMBL0K5BXCC6q9VNt35/FXZ8d+fjTXt7TiKUsDCg0JKCjgYUTDKvE2ASMBTsVOEXhFwKvI3RA8ddEvQbahDqjEVwf6pfVNrnM/hG/7llsHQ3feOOA6OjDHJxVnTg20iKsomzOKY1WxFxRvmdqLqqtCTEXYlxa1WWAqYNMKcqxRX4OGc5SPKR1jSz8yd9/rDH9iuayPy4Zl3LekGtPIkED98/LxewVdVDYmoDGBdLMyu4ids0rvw2bvJHTkqGcy8eqbv66S73+0Jfh41TPdMt8o+8eRZWT1x2M32uxPRybkk4GJL01j3RM1cw73JpXeuKBPSZ4MZRKUS1HXErEsYUuS9M+KumnBMQ+88yq/hJg0Mi9J/XGhL9bSLAi/XFvaMfDklytx7dOKN4X4PGWyxJFCtix25ol7hbry2JVHjgK0l5B9FdhWgK0ITatAV1T0BdlagN4SNc6s7WOvnb4yHSwBfx061gRvVWLXWwMCspcqe24/0mSKEUqDELlbKiNCVsSMiHiAXYLkbIkcgEGEPXXJVqqxteYQwIMyiDSlYFXgC/VgSTzbVM8DeA6giCT5BYFvCSEF8E2BrTaGEfaJsrspBDAJERKmlFOhU1DcEvQhyqrILageETAyZhXsEqBbRD6F+ltoUMTnROxfbmzsC7zfy1hnspGiHKoAfwu7BNXalFiA/ArkW4omlT8+GetYyPQvrbhXW6E6tGfX7fnKkIoHAeVaMKgSVgReAXhExSsrrKJykuITAdtUIwB7ylLPYmnbxcf7xqZ0E/ntjrFXd7s2tQ2fuhDrnyoNtqAz29RFG1wFuFdlTwkwFeSpEHMRaJbFvmVJlwWWPHSvYr6EA4tKKKp4JmquyXr71dTRawlLDmqWYcdcq39R0cfBwbHk597bZx6t2dJEt6h2PCxbpgXnItDNo+5ZbMlSdib9ymu/dmF+9Y3PPLfSpvurtlvVwUna5099uevszhPnurgnnxz3vXDQsf9SvHOu0b5Q12dUyzJ0Jokjqvoy1L6ITYvQmab9E43O26td1/J91/POqaZ3SbUsSbYc0iWV/qh45mHhwKWFroer9qjkTkBXErjSyJYAzjx15qinQNkS9RaJPa+a8pJlRXYUkL2EzSVkKSNHBTmKmFunTELYabnyaX/ENLsaahK+qQYE5ZwKLgDSt5jZcuFaX2plkNIAwJ6WwouIl6lPpSFCGRV4FJXH2I+wX8FBFUUAPIvJWYgHBTmwWrcuLJum04OrjbuU3sD0MkDDkhRqCucRda6sdk7P+RutQYRYUfFKCgfgAKW8AuxNySUBDlGvDJxN2SMCVsaMDG11xS1hv0J9TTQgkMBqq+vuwoHI+Fb2yrErj3zLzUgNh2TCqMjalFmIghCFVcS1FHdVdK4LrlXBX1HZldbRO09PPpoNtdQBGfsaIKJST03yS8AHkVdRGUX1SrJPQUGAI5Ca87UvR+/9dGe+N1psu5084JvYpr/13DbTm0d82/13AiXRsLB69GbCmip3TWdOjqdM6Zq9qFhLyLwGDSWozwNjStIvVLoepk6fnT41MNF1biEUA2wM2Jdk8wruzaH+JVUbU3pnWp86b/72sGv74JR2TjTEQffjau+Dkm660bsAuxZofxIwM5m33vm1WvHCax85biwa7xbsN9e9N+t7Om++/qHplfc7N+6wPf9l7x93Gr/lHh66l+uMt5yr1J0j/Y/Xz9wsuJeobQmaYoInAXpurhzkn+513ttlu31yJOqYF11p1VuixgzUxFr9U9WORwXDfNOVBPa4aonJjiS0J4F9GTuyhClRrkS9BWTNSoZs07IiOQvAvgrs64htUZ9IvWXsq2BfRtyuO/+PWzt3Dz0I1+mwSEZVeovSIQkefji38+o9U74cgpRVsKsu803VJyEe4DClfkJZTHhCWYB8kAQw4RUprMgXKR2jdLAsnrk1sTd8zTW9fK0BrrTgZRGOiqpvrTFQB73Tya1Dl6zLhfOU+hXgElqsCiKU8gp0NGW3CBgFeSTgaqleCTEK8crQ2VI9IuBFzDdJuEXNi6vfsxf77qWNE7kzd6b4fCPSIkGAOUzsAvAC7EPYpyC/jIIKDqkkLNFhkXpS1a+5cz+evx5qSuEm8TeUsIL6l4uuRotTCCMDj9RyNhtBBQ8CehZSe6H69bl7J+aWvVW1+2nB+HjV+nD19QPu3241fWK84C+KHeOJ70N3+6OFg7fnPgvc2X754S9Pk92ZpqtBPQ1qr2BNtLqDu/l5T3jTIe+7u22fnQxY7q+yCejJY10O6daoJU+NKdQ3K2zQnvvbbZoPTFeO31zRLQBdVO0er3RNNtrm5LYFeGZBcD5NvLPh1/6SL2/4hHkQtz0sma5kTzITG753Pfda+z89t++5jR2vfWv8/MzwjuDEofs5XQ65isSdUPb6732mv26Yhu5laF2qsjHxVGhm87HwJ4fYd3a7Pjszor1f9ucps0L1S3LPfEU7VTHMN3QLDWNcNMdl06LkSCNHEprisi0NuHXKFIlrWbFlBFOuaS3ItpxoyTXd62pQpmGFcjXAVaE7Uf2yw/+fPzzwheP82ToeqYJwUQmXQc9CftvlR6emEp6K5JepV8K2isRURb+oMip8ZkrKYMJg4gWIRYQnhANyRFEuIXwFwGCheXD41ic97JHQPd3NuGk8xacqZ6vQkSr3Ted3X5j80D6ojWXOUxoCgFMlP0YhSjkFu1vAKwBGBIwEGRl5ZepVKaNSVkGMqHAi8gnU1yDH7kY3u84ap/LD64DPln1lwS+qnAq9ENlF5JSJB1CPgryi4m0IEQgHVDokEGds7V2d/9vIeW6t4sy0uPV6UFIOPJrqyRU9TcSKqldueFu1QRmFKkqkBtjVli61bq+0+Ba2Z8XBinK+rG4zX333SPBz0zX/injqzsLn3kvmVLVtKr858vAj/7lvLo/vn1y2FFWmShiJ9sXKbx9y/HHT6X9758Q/vnnkpe91HZeXLFHBmFY0WaBfx8Y8NeWIKYm/5h+83Bb8yHRtZ2SuY7yhTZL+edgbRaei8tG51omZmuVh9M03f93pv/jGh6GJZcv9lY7h+U9Ohf/2jWMvf6p793vz27tcX7WNnB5d6hmvnJmra5OqMSr03y38abf9v27q6H7YCK5RJtXg56RdfTdf/lz723eP/bdXD/7u895j4WgwSV1xqJlttD9Z6Z8qWxaF/vmabrFlTirWlGpLA0tc0kcFc0pm1qh3BTszsisrWVdEy4pkyQr6VMVWaPlEHJQoW1P5OrLGq28f8fznj37eO3TnuowGcuXTVya3B+5+aDv39cBN95oYUbFfwY6aZC8LbF0KyJCDkEfYLStuFbCYuFXglgELYJiQC5gGSw3j1FLnrdm9geufdDAfn+TfP8J/3BnsvB49VyWuZPmn0UfvGoY32oeN6cIQIiEIghgEKQpS6oOUlRAjQkaEjIQYBTMK9SrUq1JWxbwC/CoOAepeUzf7Lm8NXfWmasMVdaAq8zWRFSSPrLgBsovI0oBulXCY8ipkW0IEoqAEuJLQ8yD+cpvzU+dQx4P5wxcnrUvL4Sb4avB6WzQzCIlfBJyoDAPlPFCdyaJuumiNC841hVeRp4E9q/B8i95q0eP+iS9OjrxxOGh6WjxzM/aF7ZIn3fCtyoboWvdE6pcHmZ/uxE9O5HXpukMi5hX58zOh375z+G9+v+uvX9jz2o+W7hsZY7RpWFa1BdSRFroTki4DTWnS9rDUdnd572j0c+e9Q2PZnkVFt0h0SXo6Jh+erh2dXDM9XHjzL+6Sf3z+dce1Cd2t5JHwk/FMDDUAACAASURBVD8dcPzD1/3f9988HpnbH5g8Phq3zIi2BNYsyf0Lgu5J9Uho+h8+0f7Nx707fU9c8Robb/ZfXvnu+Nh737pe/qT7v72w9/cfduzsvam5VDwxmmi7let5UtLP1PRzjb6Zqjkp25ahOaWYE5I5LukXBV1CcBYJWyLurOrOSq5VxVZUzDnJkG1Yii13HTAN6KkBvkldK9IP/J03231dN+buyehCsbKbu/7bXYb/sb3nfWPQmi2PUBoC0FVusg05oMAQxLwKvLJibwluBfgI5QBkFMDLiKkK5niu887C7sD17x3nTo0+Ph66u+kI89sven+3pXuf/9ZwSR4oCyfuTm8fuv7L7SlPpRUCOIRgmGI/hn6E/ZDyCuZkxMmIkTCrIFbBjEK8CmEU5Ic4TGgYUnO2+W3k2ok7s6GSFFoXgzXZ31JYSXGIklMBNgGYqopLQhxAvAx8ohIGOCQDf1nouh99p5P9sD+yy39nt++eZ7EwWqff8XdOPYqPSDTYJIEmuUzp2Zbw09C1Lx1X9gzNG7N1HyTGFeHEg6R1unQhDdp9U5sPD//z5327HI96ruS/M9/g482xBr2wRoczWP+4tu9K7OCtpTOLZb1APAI9OTL95hbNbz9q+9NWww+mK+bJqiUhGbOqrgCPzZVPztV64pI2ARxp6ivSnqe1zcyDA1dSvTHZECfGNO2Iy8cXWm3Rhn0i8eY7v56i/sPvXzzpHdLeih8bnXqzO7TZdbfnfs0WU3Wzon5O0s+LPbPN7vmmYUFyTgsHmfHXfwxuNYx/0DF4emzOdH/1+64bW36+fLTr7intnY3fWD/+3vPtgaEdHde+7r78y9C8LSpbF0TNZLV3quLKE3sO6ZZahnjTvgxNablvsWHJq/4q5QrInRXZEnCtA1tRdVago/bn/YCuGuJa1CcSx4pw4sZS55XojTK838CnBqf/9euuf9nSsaHDc+rR7BClQaD4mmJEwRFCQ5iwouJotlyixEDsIzT0zE9ZJl1Tya88o9u9Yz84rnxpOGt9lBlarOyzXnt1q/VPO7V7+CvBfHUMkUijFao3Ai05oOAgwmGMI5TwSPUB6FcJr2BeQbyCOZlwMmZlxMiIkTErYz8gYUKDKjUs17tms+ZEaaCuDIrQ31KDAHMA2UXJIas2QbXUFaeInA3Z2xB9ohpU0BAiFyA2TKU29YbeOcn9YB87NRINJ4ThLNnFPzl8btqxIPkKONIAFwFlUrU/HjA8f9D+qfGSKb0eVKhmqfIVf21f6LHjbumYe/zTQwPPf2t8a9/QmeHyD+b75gflUBR7Hjb0F4pH+Lmd/JPjd7M9GbG3RVwqtUyUvj0T+bbn/KHA0+5by84l2ZSSuhdrvRnx9GK1LVrvWRR7o4I9Q+xJop+Xf7oQPX63oEsAS4JaMrQnqXSmgTaPmGjujb/Ysvn8H1845Y2YH6V772e2nX189P6qbhEbs1ifxvoU6piptU9WumfrlnkxEEdtgwvfdlzTX6nu9jw6cXb2eDD60peuj77j7Vzs4m2xvff+tl2RzVu47/YP/6S9c2ww6l5Etpiqmaxp5xqeIjWnlf7FhiHRdBWwtQA1Sw19puWv0lCZ+oqALwFXSXFXiadBnQ1sqQBzWXXWMNOivEpYCWhn1rrHEiNJ6cYqbY/Mv/xN36b9zuPhR+ZoPqgovNgckOQBBYUpDVDKyaq90fQoKgsxo8IgoSFK2aZ6/O7cRkPoa8uFLdYrW53X/IvlhxJtj0w8/43xT7sMvww/GFpvXaV0FNOLlJ6jNIypH+MQwSGKeKT60TMpn/hU7FOJT8X8M8gkxMrIKwJOQmFCQ4g61yVHscWui2dlNASpT0FBQllEnDJwqdApQ1tLdcvY1VJYQQmrOKigIUTPqbTjzsxLB42/29b9pSbyi39Cf2O5fyzzec/5H6y3Tp5LuxZqw3V5pE71D9f/3y36z/svt19OsPl6oAptGXH/5ck9wYmTA9EfjVc3HRncYbz96p7QXib5nWV8l3v2sC9+2D2/tf3phh3+908MHr2a1qSVjirSN5E93jgWeXxmLGGZaTgTimcF98aqB+8nnu21M+RUzZLYMVU1xVV7AjtS+Oid7MmHhb6YYIljR572L4OeZaBdgcxi7q2/cJJ/8cUXeyLn7VN520Klc6bUvaj0xNSOxWZPUu5NyCcm1o49LnZMrJlmGr5FaLhVPGB/ZL9d9z4RDNdXDtomX/nc/fxbXSe6LoXPl3p1T7ds8W3caNlx4LxheKXvasEVQ5aoop9tWRKKawVp4w19SjBnJMuyZMzJ+mXBlJM8ReDNSdyKzJdUZ1F017GzRuw1ZKkhcxXaa9jToowM7Y26JVHVPcj3Xo/3jSV+1Ixt+Eq798TZwOPqaIVEZNnXrJ+V1SEFMQpgEQoi7JEVBiIGIJescoj4MGUEVTOfPXTxyaGzE3uCD46cnw7nmg8g7b409/vv9G8ddffeT40IeBSRoIyCAAUxCRLKYxwg2IeBD4EgIUFMA4gGIAlA4oeYV54RBlkZeUSVEWEAkjCmAYW4y6K/pY5iOkAo9+zXCSJuQBhMPYC4JMRCwinYr+IQwH4FRgAJ1cGxsYfP7+99YW/Pft+Vo+GJrcarHxwPPv+j+bOusV9Ci4aHRT7Tss9V9/tn/+Vba/to6madXmzA4Crgi8iWrHfeKZw6l9zpuLGxfbjvWn7jmdGD4ejJi6n3T197Y//wx0cvbNhx+cVP7R8cGWi7ljekQOc67CzKhqWa5knOtNBwZKAji1yrtHOh/PODlCEnuSvEWaKGpKqZb1mWgCOBnGl05mnp1ONC92zNMK/Yl4kuC3qyal9Odkczb330F4S9/GL30EX7bN4Rr+mTLV2G9C/B9vmaJin1xIVjTwr7byeP313uf7JumWpYn9aP8BM9o8mhRRKYFjv8i1uPXvv9a6c2bOrY/cvo3kPnN2/2vPWm5sdDl9xjNePdinsRGxckY1R05YgjDzWLdWteteWU3uh6d7xsKSquMjYsVc48SpiiJV8JuFYlR1l9tuvbUoXmCrDVkLtJGQlxihRuINtC+Qfm8mbt0McHfZu+NP985JzjUm4op5yDmK82wjVhRMXOpuCShAFCeYwZhD0QuQH0IsxiwijAtdZ0ZOrWaOXMvWTfZDZSVq4Boh9f2tgV2sZfdaVrEYmEAAlAygPMQMwTwhPCE8QilcfQj7APkQChAUIDhPgQ4QHhVMQqkFUQq6Bn/VkIkjCgnqrkF9URQoOUugFyAeSExA3oM8IYQHlIeZXyMmJEhZXVICSBmtIzPv+dO7TLf46J5WxPCu+d8v3Vh0d/v8P4velh79ha/+31zhv5PaGnGztGf/uNqWt06ZFMb0gkXMK+VcAWZM2Tsu5+tf1ybLP+YvuFxS/1lwwPisM5+Fn3jd9+7Xp1q+f1Lf5P9w7vc0yYHgvOZaJdw505oT9VNyw3zVnFlFUNy4plBfUlWv0JwbOOTBnZkSXODHWmsHFe7ntSNcbEvoVa59x6z2ytf6plXFS1abkvr2ryimsh+dpf+Hy/8NrLfReuOaNFV6JhSLb6l4Ahidqnyz3RWsd85ch4dv+NxSPXE533833ja65F5bBvYov2Mj/duJDB3N2qzpfe+LXrlQ3t73xs3LZrYOsP4Xc36Pcfv94bSrSfT7liqikmGWItT4E6VpA+JTiK2JZVOqZXOuYLjjXoKqMTD2PbBm50jCcC65hZB/Y12VVDrgaxVZGlDOw17GpSRsIRCIZVak/Xt4evfu+8sLP38v6fzx/YP7q7a8x0J31RpoZYXjefHhQAL8ruVjMAEKMCt6K6AHwmWDgVVbu2rsuvhgQ00CLmVMWcWQ+3wEWM2ZXyqTuzuuhyWEIBCHmE/uzbgBBLkI9SHiMGqSwCjKp4gcoT7CPURwiPCYcwDzCvYk5FPkh4gFkJBQH1y9BRabrrLb8KvBCbJcUqA7tKnAp2KcgpQx4RHhKPCNwtydkQPLISgDgsQjZfMc3Ns+nsDYAiudaHvb6/+uT4pp6Rk+cynhnF9Lj6neveW+2Rt4+FPvgl8gvziH2cGC4KwRIOVJAzV993bur0lXQ4JRwZHP9Gf+krzRV+unVznf7smXltW/ilr+3Pfab58tjI6eGUY1r1pIlplXRlBW1eMpShbkXty4h9aVGTljVJyZgBlozUN1f1pEi4SB1R9efz8b3Dc/0zdUNC6E82u+fqPY9r2llBkxT6cnJfVrTNxl9599evRn98/ZXeSzds8wVXotEfq52ZqWsX5banxY6pUne0euJp/vCtpZM3Ul33C5qJijMFj0RmPuoYsjwonlsG5xche6Wy/fDFLbsi3/wYOXjk6vYdQ++8q/t+3/C2riu/hGccC6I5IffHGs4CcRSxJQccBWxNyz1zq/3JinMd9ifLW0dufeu/1DeVDVYIU1bYOmCa2Nsk7gZx1pGjhp11zAo4IpOgSF2lpmY+Zp5ImS8ua8wLu/df2rDFdSo8ObpO954b3zZ4g1trnSPUL4qcoHCywiqqB0Avwl6MLS3hVDJ1cnHJL6lnMfVUJEe5HlTBMAEhUWbKQkACYUJ9BDII+TBlEXFB4MGAp+TZMA+HoQcoHqiyGHGEcJjwmHAY84j4IOEh8WHsR9inogAkvKS6G4KjLjCy6lShXpCMLcUiQpsIHRJyipCD2KtAa71lq7fcouIF0AdxSEbhmjxYWx9pimMqHq7KuyJXN3SGTl9N2OdaoSy0zK5/bLqyofv8Tvf9ngvze60XP/7ZdTA8ziwrkQa1pCo7Ivd2cvf5aOXY4IOP20YOumaGZ0ngodTOLH1/6u4b33lf+kr/o+66/u6aOwY8aWxewV0ZQbui9Fdgz4rck5W0eaU3LWsSsjYu6WMtw0KTi2N/XG2/svxJ/6UfmIfamYZusaFJNrrnG71P6rp5sT8paLKSZrlln0m8+u6vc9jvXn6p49wV3WTGmWj0xarHn6yemaqefLrSNb1mSEudc+vHbifP3Mpox9eMs03LktJ1K7M3MGl92ggtiiOLquNicfvRy6c0T7v1MyfaH378ievFVzpe2di/6aCv63LSE5etWbV/qWlbQdY8tOWhNatakpIhXneuKe4KODIe/dx3/uCVx8yKwK8Dz5owqBKmDtxVyAmUEYijhhxVwDWxv0G5JvVJ8pBUvVQVfQ+qHdbFrQeuvfGV66h3ip2TNhrOva0LWZNrVykdlpVAUxlCZBATVkUeFXghsonSmVy+YznHy2AQU05Q3GLLj4AfSGxL9onEp1JGJQwmHog9gHgBdarAjRSOIgYBDkE/JSzBDMEMQSyBLMUcIc+CJ9RHqA+hIMZBhH0ABRH2I8yoyIewGyKDIOsbsrGhWprAKWO3ghmAXJJirjXsTZGFiCWYRcgnyGyxGqqscYVapCKdbYGu8eiRy7NMRvDnlfAqMMyt7RicOXg+Y3m6dn1dOsKc+6/P7frvm7pMT0qDZWpPNHrHsz/67u31P/zaMHiQnbXdqIfG4XHzwv7uJwe1T1/+xvX2Tv+ZgVggAfw54lrG2mXlTLLZnWx2FKSuFUlTBJYy0eWQNgn6o5IzjVwJYH/UODOytMVw8+1j4d2BSeOc2Dtb7o6t90QF7bRkjENdStRmZX1O8cxnXn//1xOI//Tc853nrmon0ralek+s8svjwpHxldNzq/3RujEjd82Xj1yPn7mR0t4vGqcbloTsTjQskyIXpdysEp6V9cPLezvudFujvbq53fsuvfRK93Mvt//TS0c/Pxz0TtYCWeRcRbq0aMkD47JiywF9vGVJyq5lxVtRuSY4cG/6m8iYfn5loI7dRZGtqkMqZiqyc03hWoRpEmcVOmuAayK+AZgWDSM8RuGVdVF3dvH7E1ff3zbwyqeebR23jwZjfzrqf6k70P506ZwkXVLBqIwuEBpRACeBICJBhF2Kqq/WzU0hgHAYYkYUnGKDATKnKqwMOZVykHpU6IWIxcSLIIeIFyEGQz8lDAIsBAFKfZR6CXJh1UuBl0KWEo5SjlKeUh+lAUJCGIUI8gEQxDhEKY9pkFIPhEZRMQvQ1ADGuuKQsBdQBmAvgC5ZcYiyQ1ZcAPAEBxXgW6+Hq41gSYrUlOEWZvIt22JlsCEO1tSBGjIn6+1Pi/akPFySnyj0NH/r/3n+wP/2f3zws2c8lFFN0+tcWmq7nniv6+wX5iHn05rxZv6A9fG7P4S+PXz+oP7BX73a9ncf6o7wE76U6itQ/aJwOlY9k2icml87Gl8/nW70FYBxjWqzxJTFfbMtV4oYpmqHuYmNR0Kv/uR553BoX3DaMi/3z9d6F8s9MUk3q5iWUH+i1Z+RDHngnV9+bcOv1Yp/fekl892njsWyNdHsjVdPTq0fe7raFauYkoJmsX766cqBi3MnLsV6b+W1TyumRcFfhJrH1YNDyZ7ra5Y71VP8giaY7nYv/Hjg4udfcX96pfP5Vzv+/oWfNx7i/TE5kMfWHNAlRXMO6NKSPiVqojX7MvAWkLMo8g10eir5y71ZpiD6y8BZEIIC4Wuye63lWpcd64qrDF3rKlODfgGEFDmokrBEfHnReCdzwH5va++VbT3XdnTc2Nl/+9Ouixs157/2Xv8+eK3/SfRCQ7wCyEBd7ZxKt80m/JI8TAkDkFNSWUyDlAQg9Eotl9j0qpIPQh5hBmIWYS8CbqiyFLMU+AjmKeEpCf57lSSYJ8SDoRMBD0FeihiCeUJ5SnyU+CkNUhrAKECQH0IfRDwiXkRYTBwQmhRgV6lDwo4W8EjII0GPpHIY85R6VGgVRIeq+ikJIxyW1IEWGGzicFMO1NRBgQYqINSoRerSoEC5KvCsiYMCPLsmDsaau/uvvvSF4f/+ze5vT13ov17svbsSXgFcWtpkvPA1c3M4D86cffzc5v7fvNr22U/8EdPj33xk/LtPdFtMY6aZKpOnmsXG6cVKZ6rVNl85Nl/uyLR0JajJA01StWWRfk60LSgnLsU3Hg385sPTv/mo/eVdzm/MN40zgiUlGjNi76Ksm1N0Mbk71uhJSbq8wiwsv/r2X3T677/jjy37ctCSlPqWan3RVu98SzNfsSSa3TOlX24v7R6ZOjQy23Ur3z9R0cxUXcvo++Cjv96i+Uh77WA4utf5OPhY0UaWPvmB3bTZ/d5G8wtv9f7da8f/9JPdPtt0JRTNQlMTbRmXoS4j9yzW+pearhXsXoHmjOBahcZ01ZiqeFZl54rgKUlhkdgKTVux4amrxpWGaw14S2qgrA4KYAioA5LIF+TTV3I7nJMHuAnr/ZVwtDmcaBnup74wj7Zdn9fej7/fzv1guzCQXbskq5b56ieO6x+6RvX53CBFHMRehfCY8BjzGPII8BD4EAhgwCHoAtADoBtCJwRujL0EMRhzhPgoDVDso5jH0A1lFiOWEBfCXkw4SrwQ+hAKUOwjMEiwn2KeYh8hPEIcQB6AbABZIDQhbILYDjCrkiAgfhG6qi13rcWowEcph7FHBRzGAUL9AAUhCSqIb8ruSsNZaQxAMggpV2vylWZYwAOAjCByHtLQsnQ6OPPej573tjmPWh7v0NzZaZnpuFYaLIFLEj14efy74NOhtNo38vR37534H3/4eeOX7nbbwmH7zFbD/a3sHc1kiS0QRxEZspImI2rSak9CNa4iZ5NolyVtQrAlZW8SmcYru5mHb+93/evHXf/w/ol//qLjreMhzUTNkVctWdi/BIwxVbPQPDPf7E4DTU7k4rnX//Lle+N7vsWcN6VoF+o9i1VDXDbEFd181RSvdU6uHLoe2zX8dM/QZPvNZc1ktW+6akuCn0Zm/9Pm9v/ro5Obei8dCy34xgX92dTH27m3Npk+2uze+B37+nbPFvMt80zTGpf7Flr9i6IupeiWFW1a1KdES0axZSRdvGlMCbZcy7umekqKNdd0r0r+OrYWBFupxbSQtSSwNcyugVBZPidj33rLMJexTlUO8Iu73QsdF9MjeXhbpg8IHa0rfROJyFprMNfcarn+tfZ8OL02WpFPXU18qLuyQT/UMR+PIOQHhAOEw5hDiCPQR3GA4ACGAQJYoDpk1aWoLgDdELkxZjBhMfERGqDUT4mPIA6rHFICBDMIOVXIQMph4pRlHqhhSnwYBDDyUcxSwhPKI8wC5AbICqABAD1CBoDMksIraAhTtiq4y02/qHAAshCxCPEI+zD2YxKAOIhwBOGAApiW7BUkXpLZpsA1pJCohgQ4oKJhoI7IyD1b+eLU8BvfWjdud7mv1fsvFLca59qvFEar4BpG9uVcz/wqO183X1365pfAyx/0vrJBu/v0TceVSu/53LFLMdN8zbdK/TVqzcvGnGIuUmOOWkvEVcPGnGLLqq4MGFilbZfjmzqHthuvbtfceG8/8+IO/evHg/3TTWcR6pOKdgnaUki3KJ6aaXSlYe9y05fIvfnepl/nsA0bHBNxw3S5e6LUHavo46I22uybWTVEy51ThV9uL+05N7VnePLk9ZRmsqpfaLoyUDvVeLU9/L8/v/WFPa5TAzHb1VXbpZXtJy+/+L7m+bd7th29st/6tPfGmmVOtCVUXULWJuS+hKTLKpYVZFpWTEnRmhIMS01DsmldbriKkqekPDvZCnaXVU9N5UTCNpFfoIEaHmqqlyG1xNb3BMcP++e2am7vto63nY35k42RmnhZAZcRGZXpBZWO1knvrfxO7x3L0wyzUD52bm47N77ZefX0o8UBhQxA4oeYfUYYhjxBPoL8GPoJYIHqFBWXrHoUwADEYuInNEConxAfeWYRojJQDhEcwsQlKw5B5lTsw8SryLyqhAnxY+hDkCeY+w+EeQG2A2SC0IiQCUBTU2Ql8IywoKAOQsKryCOrHknhAfRBFEA4hLBfUQcgCkMcxjRMqHW9eujR087o0iCAgzIKNuVASxioy6ZH2Q37PO987960gzOOFkYW6aHA0unLyXN1cFFRB8XmEMK99zO6m3ntaPrz/aEXP9Rs3Mkec00e42e0dwtcCkVKNFil+mTdWgC2NWIqYOsqshWhtYBcBexdoYECOnh2+t2OiO7mimdcaB9a2OW6vdlys3eyZsnJmrigTyJrEhiX5DMLQs8y6s00fYnc2x988mu14s13zI8WNI+LnU9K3dGqZqHeMbna9iihnS91zxROPlz++Vrs4Pm5kzdSfU/LpkWRzRNrTP7adfuvN5/5w4+WPc4HrjsV/8PWEdvEi5/q/8s/797b90B/pdJ1s2SclaxJqE+rmoTUl5T7M7Ihq9jy0JVHjoxszciOvGrLtWy5pqsoedcUtgy5KuXq2C9gv0x8AvE18KBIL0FyFVLtk5XNvdc+Onj29W+tb263bTWOGSeX/eX6CFDPIikkoVCTDAvUtlDZHXywx3/31Mj08bNzByMz3ziuH7sRHRTpOUxCCDEYsxhzGPME/TkoYgBwC7JHVBgJcAoKQBrGdIBQH4AsAAGCWVXmoBKilFehR1DcTZGX1DAmAxgHIQgiGKSYe5aN/p0wiDwAOwGyQGTFxEGITVB4EQ6qdFBE5xEJiyonqIwEPILMyWoQkhDEfkXlRMknq5ysBhAepFS7UnzT5f2ACzDV2igkwYYUluRITTY+yn74M//yl5bPdg/Yr+WulejJ0dipS7FIQYmU5FBdGIRk/6X5U2MZ1+PWtr6xT38Ofbzf9+5P3s+ODfZdyXILKp+EnoykWVhzrELbKjKuQNc6tuSBJQ/Ny8C5Qsxx4ci1pa3+B+55aTBN/THVPtnYNxQ9difXv1TTLonGNO6fa/RHW/0ZqCuSvuWmL5F958NPf0XYc2++Z34Q671faHtQODNT6phYPX4/eez2rGa20DO32jW92vYof/JWuv1utvfpmj7W8uSxK41O3Eh/brryef/Fw/4p/4w8uACOMbMvf2v96xd+7gqn2UnYfnPVFAW2DDHmYF9S0maBJi31LjUcBeRfo86MYs+pnlXsKiqOguAqSs6C4CxIXIUEWtQvEF6AbAO41+QBgVxGdLQpHT3/5K29vre/YX7z4uF/fufId/2jPeNJb1kIITWIa5wkMXUSkWlgXTh8afITzdlPOsJfas8dCE0cHJpuu5MMVcF5jCPkz4SxmHAEcf+TMBYAjyAzosJLwK+gMKADiA5hGlARB4AfQ1ZV/AiGCA1BOkxoQJDYaiOsKMMED1IUwjBCCQcQAyFPCY8JjzCLkAdgF0B2iOyEODFxSzAoEnatOdQEowry18SACAMq5iUYkNEgpiEAOUH0SXIAQB5ARlb8AFpr9Te97B/6dZpkZhjgiAQGARxsQc9C9Zvu8//4XueHOyPBydX7EtHeTnaNJe2TDc2DkiNVC4p4z9XY3ktxzcP1Q4GnmotL+613f/dp7x836/fZx08OLOwLjh8dm++fW3OvYUsBmorIsYrMWVWTEHRp2ZLH/XGxa7Z6erzgSABXDAQyNLBM94/Gd1+OdcytahZbvVHxzPhq71xdnyPaPNbmBH8y+9o7f/Fq9NZG893Fjhu5I9dTxx4tn7iX/uV29Oit6e7J5e65Yl+0opmv9k2u9zxZ7Ztc1yzUTGnJkcWGhVbbrWzbtYz2bimUwP5F5SA7teGA/0/fWZ13RHYedz+qW5eIPUtNRdyXUbQ52JsWe+J1VxEH1ogzLduyimMFuFYVT0lxrAimdMWabfIVHGhSf4vwLcA2VG9ZGpLoZUQH1huHIjc/+sX/47Erz71xasMWbcfohClW8tSgFygcrvuRyogkCOgwgJrZzE7f7U0dgXdP8fuDT7ruLJsW1sI1dRThAYr/A2H43wnjIGBllVdAQIEhBUVUMgDoEKQRSAIY8whwQA0RHFAhUxUGBHlQlMP1ZkQQQ7I4iGGE4jAhPIBeCP4DYdgLiQtiJ8R2TJwIswoONuCZ8TlrLMfkq2yxPiCTkEpCCh6AdBhTvyR7G82gCiKUhCl1iZJbkn0Y73/85OPI4JlYIiCCAUiCKhxWaaQI93rv7yIlWAAAIABJREFU/92Gtue+cA/MVm6Upa6LC0eDc4f9sR9s432Pc+EWaptd23cneeROovNuOpJS24djr25z/e5j/Qf7w2/v5/6w0/ip6Zx2tuxeJaYVaF4l5hWozUinF8o9SUGfx/1ZoM8hTUrWLUo9T5u2mKqdqH7nf7r32lLfUrUv1jz5eK3zcUkbbWnSsCuhGItKMJ1/+f83gfiR4Ubs2PnEntH5g7fiR28njtxaOH57um186cxUridW0S21TLGWfq7eP1vtXaj2xuu6pKiLtbTTdeNM0zonMEnkWGj9MhD9Vntt08lh17jsmsfaGcWSJPYcNRZJ77Lak5Z7MqIuK7tXKV8g7mXVkpHMacG+IrpWJVuuaUpX3auSv0a4Cg6KNKyQoITDIh5V6CVIz9YU7Z3oCe6Bnotu3u45Yrg0kq4HyworUrukeBQpgDGrYj+mQQj5WssRL7Vdnt0XHD8yutBxO8GtNM5BchbjECFeghmCWfJMLMXPMhmHEA+QH6CQiiIKHvifMYhImBIeQw7BMKXuerPt6ULn44XQevMqQqMq8NfqIVkeoMSPEAsgg+EzRePPhCHigdQNiZMQL6F+QH3rwvbghUOjt3rGFxyJ1YiIfQIIivAsosOIcA3RVW0GAAxgHKTUIyseRQ1SaqvXzywuabMFXlT8KvKKUgTiwTo5eWHhj9/b/v4Dvevmmvt+YYvm6hdtlz46OvrmwXDbtYVIXbGU4ano6onJtClVdS019/mebD596fXv/c99bv3bd0799886N/ad1U5X7XlsyCFDAZuKpCvZPBktn4rXNAXcmweaAurNqV3RZteUYI6pu0emv2AenHi86ihBXVI+Mb6qn29Z02pXXDyzKFjXYTi98saGXyuuf3p9k3Zs/uDAwrbg031XY8fupI7fjp68M3383tzJx8n22aJmqW5OSuYlUR9rahYbPalWz1Kzd6Gmm28ao6JxoWWJy9a4orlfPjwwv9P5wP5Usi0gYwybksS8THQrqDstty81e7KStUScBeLJY3YFWZdle17xlABbAcy67CnJbBnyFexeVYMiGcY0rFJ/HTgy6+xKdbgKh7KC43b6mOnW5ztdbd4bt1vgCqJBSF0y8orQBxCHsBdjBsjDBF2BdGRNdi40Om4tHxub8RbK5ymOQMgBxBDCYMwSzBLCkj/XSo4gHuMAxmGIIyp+tgolLMMwQCFCfBSzCIYptZTWd4xe/5YZ1U8lbmB6k9KzkhIQpQGMfQAyAPIEcxj/ew5jEPFC6oHUSyhHaBjQobq8nR/9zMD+FL5snc9GBMLWZX9THUH0HKFBEbBNmVMADxEPoFdR/Qj5EApRGlCBty74FOCVVaco+RQ1UFNts9Wdzsf/uNl51JneZ5p+/8DIZ8fOvbXL+8I225GRJ8E1xdGAujVBv1rjBNg7W/jSMrbb9vS703f/7SPT//nb3W/s4/eH5ywx2VXEuhzU5ompRM8kW+3pVlta6Cni9mXpdFo4k5U6462+KDAugk/d17ZEprrnm+51YkqrPfNNVwbbl2H7fL0jLppLamApu+GDj39F2KtvfWa4HjsYXvjB93j/1cXT97On7sZP35k+cnv6+KP4icls58KaISla04oxIWpTonYF9CaFvljDuCgZY6J2rqGPS44s9SRJ993iqUsp57xijgHjEjalqSFNdHnUlZLbl5qavGItEXMW2DOqdwU58qqvSn01GmjQAYn6ati7BtxFYExWuaoyCIlrXeiZW/7p3L1Dlx7ao8XRIrDcS31xnH1vp3m//cL5Uu0moYOYMBLhGoBpijzEHoS8SDhLwS1Kb0AaWFE04/n2uzFzcsVbqTCtFqNCL6EMJgzBLCUs/V9pjKXYR3AQojBAEQVGFBhSQEAFAYx9lDAIhCh1lmtHbz/+nhn9MXjJHM2OtqQLEIckNQxg4JniQJ+JbYR7VosRZRD1IsoQykEckcmYSrtvT32mZb4w8vonS4MiDghKSABnARnFdAjSMCCsDHmAGVnxSHIIE68k+wAYIjSkID/EjKp6AfAIIldpDZWp9bHwyv6z37bPfNc+vunw5e+7rr31o+P332n3hx/6CtBelW2C6pIhD7Bmae079vZO2/i2ngd/+tL1n144dMA75Z5XnWnkWaf9WaU3Cw0l2pNVe1dg9wrsLsC2jHQy0WzPiF0pSZck1hT6IfLo6J1Cz3xTn2r2R5v9i5Irg8wJ+fR0uSsha7Mt++T863+huL713lf2e5ljZxM7glOHric7xwtnHqba780euT194nH8xNRy+1xRt9SyZVRTStKlRW0B9qUlQ0J0Z7EjCQ0xUZdULFnC5qlpTjBPNZgUNsZUUxKZl6kpQ41F3JNRejKKtgCNBWjIyIallnmp6VxRQ03qXYPeNSUsUO+a6iyI9rzU9iRpzpR9TbV7Pr3r4oP3jMEP9f5jV556F8v9d6N7XJe3G0Z/9t9mY4UxBQ0pKtMEXFli1mt+RfUR4sXyMFFuUXpRwq5ESTe57ErWzInVU5NRY6Hkw8RDiIcQLyHPCGMp4QhhCHZRxFLkxygEURigMEAhAAMA+hDkCGYIDFASVGGo2uy8Of1et+srZqj78ZxvvR6WQEiFIUKChPop5jHmCWHJnwl7FgzCrIrCArqq0KFsfQ934cNOW9vYk0EBDCM8pJBBAfJVgW+qEUQ5QHhAWFl1i5IPIrcgeQUxDHBQAn6AghjzGLlbYrAlXWhRx4Twxs/nv+x4cMi1sPn0ja/aLr263fovX/XuCY/zRcQJyC0BW0uyNiX7unrybvI74/XPjo18sDv8b5uNfWOFoSK1JmXHKu7LyV0ZWVcg2lXSX8DdOdC9AnpXUF8edmXk7rRsyFD3Cu2ZLOtjSs9cs3O2ePz+8vFHBXNcMsSFk5OlziWpK77eee32v/7+hV8R9uaGzdyTYs/Y6qGR5KkHRc1UuWs83X5v5vjdmfbJZPv8Svv8av9S05pRjEmxb6nelRL6EqI5IXuzxJ0hliQwpKE5S7hV6kyobBpxWWpJqLYcMaSQafnPfVhfDhpKxFTClgLQxGqnx5e1ixV3Ue6NFtsmEoZk2ZJtcDXI1dRdlx8dvjftXmv2x3P7r05ssp792DDYdTsayNWc0bxnPm9+nDl9eaH7VupcjZwVRb4uBEpquNIMKCKHqQejsCoP1aWhGuBW1typ4rkm8eRae65PdS1lwpS6yJ8h+1+EUeKm2Eqhi0KOwCBCYUyehR9CFqgMQV4CfRQPE3qdUu292Gda/9bAxe3hy/2ziRGAQwD5AfRB5COYJ5gjhKXP7hOUxZRFlMPUB0i4hS828LhKey7fe2Fv2w7PaKgmjlI6rBKmWD9yb+LIoxl3Q+IgZSToVyEjyzyAPACcqIRVFFFQUEURTDkV+VT1HELBQmOb89bff277VnvDem99S9+9r9tubO+59UXHpbYbCU9BCcqUk7Gp2jLWJY9InVnpzMX4z86HJ12z35y5fDgwzSZa9oxkKQL9KujJS5os1OZxXw52Z5T+/4+r91qy67rSNV+gX6AvOqKjOqL7dETXOXXKtlRSiSo5SiQl0ZMiKdGJnqADATqAsIlEuu29N2v7vdMh4b1HwiWQfmdu771ZbvrZFzinI6i79QBfjPGvMf7xzwqxNLi9yfVFrCli7Ra2ZZGnyK1bzJSBlsLw42P33kreMqwPnUV0dK0/WYCH1yq7osn/57/98w+75JOvBO/VTYvyyNXO1LJoWBlq7lfGFzcP3d4aW6seXW+MrjaNGdmWh8ZtaSo9GN0YaLZkyxZwbWPHJjCty/p11VZkvjJ2bENPFruy2JaBthLSbam2ItfkwejmQFOEpjq1Namnw/Vbwy/PPPzuanp8ubH7wtJ7M5f2Xl+z5PqBBrDlmm+FTr7sTo09yHjrsmm7vffS2vfn10IV6TggswN4HvOZBjh4euPz8F3fujjdE2OilOiwOQVFoeRDLIi5MFR0y1nj/UKs2F9oKRchj9SUby9uTGzkkoz5GPMy6v2fej/AaJAzDycOjrwc+xkWCI4QEqEkxlmIEB9U/RT5GAoynCAsMSD7Tt359sRN23Zj1+nrE8vb84zFMQ1Iql8BAiVBRoKUBSkLEh7APIBZkNAQozFK47I62wG3EP8udu7vX9/9tm060pGTmERFYMpW3ps7/dHpy+ZG3wuZT4YCwO6h4pVhlPMIoVFCY4RHIAsh5lFgFOGTjDs3Kz/7wvS//37ktfFUeHW4J7K+w3LbdKFnWew7tvuuuhKRmaByc0eyD7FbpME2ixZp4MEw8gCNHs985Ls8eafqqWNbE1vaTFMF4xlFk0OTBagpImOVOlrc1eSmEjFW6OQmnFoVHXmiX4f2HHEWlTeFSy+6zhpXhr4yNeaRsczGNppfxef+8f/9yd8S5r5fMW2SyQ2ozyLDqmTdkEzrnaMr7fH04PDD5uhS055DrgI1bqumItbnkT4LrBnkTEPD7fbRy6XRG1V7BtnWhvq0OrUqG1Yk04ao3eobM5KnwiY2evvvV7V5VV8CxhLwtLg9r3x67O6O43f33Sx8unDn3cTF/dfWvXnl6LX8J5Erb5pTv/rG+K7/jCcvRfvE25JdDSmi0iiEM5Bd4Dxa7O6KXv3z5LEDMyvhwjChoKRCZygNATWM8DThQkf89uytNwyz+mPbl6v8JqCRUvfo9YxlqzxNUZgyP0F+gv0UBzAKEBRkJEBRkKIoZ0FKvED1QTmA1TCjEcZ8WPURJUCBH6thRKz1/lfXHhzdKoQRNTc7zv4wSmgUEUGBgopCBHsxEhALQx6BPKiwgAoFogSpGmFySK6nhtKxDv/tnsjfvbJv58y9WJ8Eh5K3O9AVq3sfrmnKNaeoOFXoR8QlgqlyT18X/YAFKPVg5CHMg7gLUpcK/JIyh5hru/mb710/3WF/8hun63bNtzzcPXvXuj2IKdzbh94eDErcO6TWpuLoIE+PeZrMUyG+Eg3VubcCR+6WDi9V7Q3i6DBTk00UldH0QFdE+jI216mhghxtZqlRTU4xVoi+iCe2JEMW6jfVybvtvSfW37Ccfjdwy3BHNC0PbVlo3kamLdV4/eGvnv2hDvvt71+13SuZ8kxX5MYKs6ahN0+tW/LoWn90fbDvTu3QYs26BVx5as1he41by8xaoo4CMT0cHDyxuSt658vU/ak7TdeGrNkCIyvSxFJ/8n5zdLluzA6FBtdlxCOrLV1BmcrL2oJir1F9uv/BzOIH83dGl5r7r+cPL2YdmXYwD3bG7rw8Nv2eYebf3x/97feeycViQuLTjMco9yPsVaQZyk8R6l4vfOo99ey+8IfW846VVhKyaUqTnAVUEENwgfGECPZdvPvk186PD5+au9NfBDxR6h69tGlPV+cojlHqR9BHoJ/AAIIBDIOMhBiOEBinLEKZHwE/koJEjTAS4zxAgI/IQaoGsBom1NIdHN4qmwbiI7vOowIThiSGSJJQAVJ7Xw0BOs15HENBkYOqLGDFj1WBSiG1Oa2qgTz6r+/Y/u61owcubU8rPDiUfUPZ3h0Y2t0Q535CXQB4ETK0BmO57liup6337IriodhFmJNwswTcKvD0pdgQO9KtPxmn33de+PNk0nmnOleney/d1xbqYc49gHiG2Ccyd4/YGoqjAbxd5mpQc0m1VYmrQwWVW2pgz73iyGbb2mKmJhvPy6PpnrYETDVqb3NDBTm77OhW/+Bay1TDpjqZyMmaLJhc6X97YvN1w6nXtSd2Jde01/uHL5Un7jUm7/Us6yCy2fjjG3/54eb7yZesi3l7npsK3FRmrhzzFZl5UzzyoH34QWvvrfK+GyXd8sCRxY4Ss9eYqYAdFe4pM83t5meB669rj/3FePzr+Yf+PNJn4OQ20q5J4/cb4+tt7VYvUGe2OjVVkaGGpkrqZFHRl+GR1danZ5d3XUpb8tCSA0Kbzojcvt59y3H2dcPxg9OLzx0M/PFIaM+Zh8E2iCMWwdwPoR/I04QuQCjka9+lrj9/KLbDddm+0kwRPsN5jBE/BGGMZjk/Rrhlo/LSaPjxdwwHfddP1WEk2/tqZlG7lDvGeZRiP4ZeCv0Uh8gjIU/CnISwGiI4znmIQIHIUQZjnMQ5FygOUBCkQKAoxlgQYmdP8ULsIcBPYIyzGCZhFScRnSYsrHJ3D0RUFAaiuZazNksBdRhE0I9gkMCQIs2pxJuRf/GN8KPPHPvOL0X7cgyQGKJBFdkHkg8RP6E+TJyyrK21TQ1pKtf9ZmldU29GOAsQ7sPcLqkCoCEZBZry0Rvpd72nRk5vjpxajW4PkxU0cmvzaLpk6SsumTr7yDUg7j6xNhVrXXF3qKfNbVVkKSNHHbvbzFhUvry+tePSmqagmlt8oqiObQ8ncpK+jCwNZqxiR4fuvpXZfStnqhFDFY9lJF0WjN5v7Zpffn40+erk/NfzW1PXu3vPZb85v7n3Yn7/pUJwufTUn344rfjPXz9jvbHtL3Bzhuq2oWObO7aJbVs9er915H5z783S3muFyaWOdQs4CsxeYcYctJeYu8R1d9rvWs/84TvfU3t87zvPOdKDqS3RUGbmAtJtDcwleXKj4ygiW4M6O9zaYbomPpIfjhfkiZw4utGdWO85qsxd55E+Tw35+GL+iRHhTfOJ6S1RcyG3O377+3Mr3poUFEEY0TAlAaIKijotK6dVoLmSfnVidk/igT87jCOapDyEUZDiECFxQhc4DzXld+zH/vvz3z6/26m/uGW8UXzPfergpZVjjMc4CVDoYzDIaYyxGGMhzsKUBIEiIBznPAgVPxhEmBrlOMKowKnASYihIIFhgsOERTAPM+YCsg+oUUaCshpRUQKSuEziACUgEAbiyMO1D06c3Xv3gWvQDyLFj2AAYW93MCsjf1Z8y3HlTfvFb45ft2SLccgShD9agfvQ/zhacciyqT3wScRY7r976srIZiZGeRCwIGRhTGOAJwG3ZVo7Ehd3TV833Cy5ltvTNZKsY9169cBq7lCuah4g+wA7esjZRaaGbKxK9hZ2t7itAo1FYC4BcxkYy2D3zczbx28f2eyZGmyyBCay0tj2cCIraYtAV4LmOnn31L2PL6zqK1hTAmPbkj4LplYH+85nnh2NvzSa+u5UVnNncOha+atzGzuPr70duGq6svz4c3+TjPKbZ9y3c95NdHSxs+9GVf9QNa8jVxaPLdZH7zX33SzvuVYYu9eybKqOHLUVqH5LMeagvUAcG9KX4VsvH44+vtP2jum4I92b2uqba8xQUM0lxdtmU5sdZxlZyshWJ+YW1TXxSH44WQHGJrW1uatBrRXqqBJnVfXXgeZ+6bE99se+NCU2BvNFbllsjt/MBRqKtycHVRRm2A1FryjFROkURPrF3KuauU98VyYXM5ZaUwAoRIjAqR+jMEQpTJMSHbuy+txe57PfuD60n9kzff8jz+k9p+7PIB5lOMCgjwGBswTnCc4jjAcB8vSH3iEIqTSoqmEoJxiKMixQKnAeYlRgKEhRAMEQxlFMY5QGoBqEMMZoQFajKp4jPCFRT7Vp3No+dHvl7diZN+Pn9yxuWJt9AUM/AgGohOXhMRVbl5ufhu9+N7+25+Q97Vo2puAowH4ZBjDxYeoC0I2wW1W9MgxDbq9Lf06cOPxwI4F4SKYxxEMSMOYapkxz96nbL5ljk9fTvo1OtKzOdnmqyzx1aWSrvHerYBpCp0ztfWTrQkNN0pVFaws729xSRfqCqs3L5iqwN+mRjc63d/OTOclYo5oSnCqoR7cGIxvdI5u9yZysKahvLdz+6MKKpgQnS6q2CE1FYt6GuvvdV40LTx+KfHs2a9sEkw+7I3erB66WPoguTpy8+fjTP9waPf7k84F7Jd211vuh22+Fbh68XNc+kBybYPxmbfxu6/Cd+oHF6vhSx7wm2zPIWaD6bVmzJZrzwF8iU1dKn7ov/nandYfzbKgCLEXJUIZHt7rmsmwvK1NrrWCTO4rIUoS6oqqtwImyamhSU5M5OtzbZeYSspaRKT9wFAe+kvysPvlf/rJXc3ZzOsvNtxr6u9VoDweGqk+GfoKcSi8IQExRk31Rfy//qmH+D4f9H8bOHFxZ94hShPMAxR6gCBBGAEkBOt2VLTfTe2LX39Af+ypyc//sne9O3BW6QMDAT4EbKwInCc4TjEcQ8/QVQ76u2W7Y65KgoCSl05RFMQ1hGmI8gIkfI4FTAeMQRoKixhCKERIhOMV5DJGYSuYQSw3w5O3cO8HTf/EuvBe/eOR+zlzsOdpSmHAfAB6lPcOk45CPXc2947y4Z2Fl4nrJnm9HFCDIwCeBAKF+yjwIOwH0qCAESQRyfw+9PX3m8L2NpMpjIk0h5qx2vjh948PUxdd9x98JnvRneomKkmij5ICnRB6Rmb7eGyk3LQp2Q+4YEmsPGmqSviLbO9TZ5eYa0ZegviQ7O9RSQ7oisDaIsYpNNaotY20JjmekQ2vtAyvNse3heEb85NL67sX8VAlMFBRTnVoqzJyBjgz6JLb49NHYrtNpT4ka0rJxSzJvKBOLLe2pxd/+TY7rb5583n+7cHA2/fjeyG9GYjtn1w9erRmWetrFpmapO/6wN7k60K2KuqWeZU0KVbm9jCe3hvqs4qlw2+rw2+S93+w07wxcSbVYsEG0WWl0q2OpSAcWtw/dzAUrPFjmrhLWbYv6IjDVialOdCXV2eKuFrWUsb1CzAXRXuzHe+ybU8u/HxEMlwuBZXn/wqpmsRTvk7iK/QryU+wnSpzSFMFzEAaK/bfcZ/5zj+Wv4YWRjW2PKEU59xHoBnKIkAhiSUxOEHJexuHN1ufCtQOzD4xXsl/N3TRu1/2q4sPACaUARXHGY5iFVOJsivtvpz8/d39sveofwBikERWHVRLBPMy5F0A3AGHO44wlKBUUOQJAgpIIhinOUozHFOKp9Dy5ztjl8otTJ/9iP6VbLsVFKIhqUAYRzD2ybG4X/YPqjATHrubetJ/ae/KhY30Q6aEYQIICBUyClAUo81PmBMAtq4KCYoilANt55ub315YTAxIf4JgIXJXOe8mzfzSEPp+/ZV5rxBswVhNDLSXUw7EhjQHuGAJNRzRLxKVyl8zsfWSsyaY6cPW5s8dNNWKsYmeHuHr88HrryEbHXCOTOdnaJIYK0ZXxVF49vN49sNIeTQ8nsvK+B40jm31NCY2kB7oyNpWxLi16yuzQlfwr9hOfntqw56kxo+i2RMPq0JshtovLjz/1w1dnfvnE88Fbxf2xtV/u9D05Ov1ZcvW7M7mpm3XdzYZxeTi1NtClZdOmOnKtPH6tHKvwYJtrs/LElmgqQMu6uGdu+clvXZ94LkRyarzBDdviZLZvrUjvJy7uSNwwPuh506o3D01p0VpEtiqxVok+J3ua3Ndm1hK2lqCrDp1lMdIm9rR08Ny2e6k7cjL9umlh7Gom1kUzhIUhDRIiMJhgLEXJAqeOXON5Y/KJce/+a/c93X5ABRHOfBR5MQgxFqc8SdEsVi5zfk7mk1cyhovZ0MPuV9M3Dt9N+0TFj5ATykEKE4zHIY0oxFbq7Th26zXh7ME7eVdTCUkoouIooHHKwox5AXSpIMx5gvNpzqMQxCBMMhohMMZInFBfR9x56vqu+RuWu519xzYPnF1LdtE8YREVRCCKYuoaDA9vrH96/pw9WxUKg8MX18zL5ekOnic8inAI4ijnQUL9lAUZ90DkV1FAAnFIFijff235qzN3AlUx1gXRrhJpK3suLj1niR26sTUr8nBDjXVkd2Pgbin+LgwMkEvC5gHUd4CtT9wSs3eRoSqZG9DV59YW1ZWAsYo9fe7o8v0r9YMrTW0RTOVlW4saq1RTgBNZZWRjMLLRH9noawpwMqvoy0RTxPtXO6PpoTavatJDT43rVvufH1/afTln3EKmPDjyoD5ysxqu8NiD8pN/k1D3n0++ELiW3+t/8Nze1NvO61+mNvaezmpuVLXX6+ZVaXy5O7kxNG7Iu+YefCLcsN3vhRvMUkBj6YE2IxnXhkcuZN8ynXjTMD96as2/odizqi4vOqvy+8KZZ8ZCn0Rujpzfcm3KrixwFJAlrzqr1JoH/gYXOsxWgLrtvqOquCqSt6z4itSxrtjutd5znvvDIWHiRj7eQbOExwkXMPZCJYRIDMEUAZMrmedtqQ9nLvqb3VlKw5gKnPoZ9jMsMBpnPMlQcNjyFuvhytB4J2u8tC3c6+wInP/m4pJ/CARMPVgNM5ykLAlpUqGWbPut0PkXHccP3S66m2pExknMk5jHKY1QGsTYi5DAWIjROKMJglOEpBiJUBSiKISQudR40RF9SR8XtnrH2yhaEZM9GO3DsIzCKooR4hWlgytbz7hj+68vnVTJ3IDNiew0YccYC8JHTn8eINRHqB+RAKZRwgUJRBW4QPiRxY0P4+fNG/VkHyV6aqqP3fnuzpM391x+aEw3neVBQsb21tDZkp1Nyd4YuIbQKRN9QzQ1FGef2NrQUJVMddXWIoYKnMiKuhKwtpipjifz8iOxZa5Tc50Zq2w8I4+mh6Pp4dEt8fB6T1fCuhI2VpmmiA6u90Y2utq8qs+r9irVpsWjD5pHlrv6NDAVwIG7xf1XCo40SqzW/vjcD13UP3/yBdOJ5ffHzr64Z+avjhsfB+/vP5XVXi2ZFtvmVWn0fnNiY6hdGbzlPv/UPv/uyG1fBriLbCot6rKKPQu9m/Lo2cyrE8lXjkQ0F/KOtKLNDH01eODE/R9/OPafuyzvOE97NmShRK3bsmlbclWINav6KtRVVOx5dXKtNbFWtZcHnqriyAJnGo5dzr1mmH9hImV50Ex16SziKcrDmLhlOaiSGIIxJHlag7GVoq3SSUGcACRCaJARH0V+hgMERzCLUagppD+aP/vV6euHL9w+Mnd3Ymbj6UPChzOXA30YIdxPUJSTFKUpgGdkat1uvR06/6J9/vDtQnhApjFLEZbELEZIhOIIY0HGAoR6IQwhlCB4mpAEQWGiCgxW/IFCAAAgAElEQVQIBBlLzbfCJ/7qPhnYbF7B/LTKZkUcH+I4ZDHI4phFMLG3xF2XHuw6cz1QaZ7EfB7yOQRjEHgVGMBYYCxAmRdhtwxCmCYoFyQ1IikLhOuWCy+YY0dvbx1TeKIHwnVpVsS2XPOTE9ffSp7RZ5vCkDr6wCtiR1O0VLteEYUIs3dkc1W0t6G1BY1VxVhRTDWoyctH072pvKyv4rHsUF/FhjIeTfcNFaIvE0OFPiJsIqtM5cFoeqgtokeQaYtoIqtM5RVTlRgreCorjW50zRVkKGLdlqrZGo6uNA7fqu67kDOdX3rqmR+6d/7150/uth1/9duZV/ctvDh24j3XzQMnM1MXcoabTfOKOLHan0pLmuX+J+GbT3zjfvFgxPGg7ytQ/ZZkLkB3mSbr3LMq7XBd+Mvh2OHk8oEzW8acHGpg+63CYx+M/eIL0zuOM75NOVrl1i3Jsi17K9SZR64cNK52rdvi1Grz4J1tw3bdURrasopjG45ezn/gu7xDuO7eGEz3aErBKcIimHplEEYsTnAMidOMz3E+x3kUgJAIE5QFKfYR5KfYh2AYsTgjk4XshwuX9l29o723OnZsaafpxs8/d7wVPuNqSGHIfBBEKJomeE5F8zL2Fnp7L6x9Onfr6L1CdAinMUogmEA4hlGM4QhnIc4FyvwIhRGOI5wkJE5xhEKBgSBBnp40tZSfuJq33605lsqedHN6gOcQD8uKIKsJwqOYxDGLDdDX52/sOnnFnm1EBzAiAp8kewD0YxygTODcC6BzIAkAxTGPqSgyFOcRDdWHf/HMf5A4G2kO52QWrA5nZZwYon2Lq3+dPTeerrl72C2zAOCujmJvDLwijDHu60NHVXS2katHHS1krgJjBWhy8tjWYCqvaErgULqrrUBTg07kJE0BagpQXybaItQUgKGCjTWqKYBHeE3lgaFCtEVkbTJzk+sq6OB6++BG29rjjjY35vFkeqDZ6o8vtT9L3R8/dv2Jp3840//7H//qg4nYx5OXP5y8/PT+6c9DDw6ezBw9vTl+MW9eGZpySJ9RTRvS2KXiW7qF3+1yaC7lvRlozQJ3hQZKNFbkgTVp7GT6+8Di98Ldt2yn3WUSqmHj5a2X9nk/cV04fCbt3ZTDFe7IQXse+GvcX2H2jKpfbhvXe9q19tiD0tRaxZztusvIW8TmpfbI+czRSwVfWkq0cGIIkwBHIQ2qKE55DKOQKkYRmuY8xUhQEqMymuY8SHCAkiCjfoSihKUY8Q6GznJ/XoXHRCVwv/aJ/vLjX/k+Sl6xVwaCSr2qEgRSoN/zV5v+YsudbbtyQ+N607hRF9pSVJLjQEkgFEUgxlCYkxB/dNbGE4wlEYlDFCM4SkmQQR+GMUSnhzReppZbvfcdV3cm7/iLSlJijnrb2e6kGPWLUkhWTlF+8ObSa57pby/e8TT6gQH2yNCLsQ8TgbEw4x4ZOHuiT1RjkE1jFh6K0zI6AenBq2vPW8KHbjxIDXC8i+IDFB4Ab0fSF1uTuZZ7gLyA+xTu7QJPW/L2lDBgwQH21GR3C/oHzNfnjhYx15C+BKaysjavThXV0exwqqRa28zaZNoi1BSgtoRMNWquM0uDW5vcWOX6MtGVyFQeGKp0Mg8sTaKv4akSOLDZPpLtG1rU3mTWAjFkZVNeHrvf+iC2aL744Klnf+ii/rdf/WEkclk/V/zGdufNsTOjJ2tjpwsjJ1dHz2WMK31TAVmKyJ1HU9fKHwcu//6Ab7dw3bEyCFR4tMGTRR5dU4P3B/qLhS89Vz62n3/Lfkqocl8W7IxcfVM7M3F6y7E8dKdVX4nZC8hRoe4q9VaoIw/1aXFqva/Z6OnTPdN235YXvVXoycuh9NC7NvCllUAGCCUQ76L4QI0rKKDgOOUBFTr6PbckhTGJIyKISlhBcc5DjAmMBTiLUJogJAbkJFBPE36R80uUHqtKn7vPPbffd+Diw8AQRBALE+wR+0dW13advbrr2NWjtzaFJgg1UbCuRHowLqKYjGOAhlQliOUIoyHGg5THOJvmZA7jmCQHBqJfgT6MfASFMZkBfLbLnQ/QnyYuvOO+qrnfMmdE7VbXXhsmCHF3Bt6uFOmpR+9vvz998cvzd4zltlvEXkjdALtVHKI8hKhroDq7krunxBBJEhySpJiozsjIUxq+nzj/Z98x3Wo5JdGoTH0iDkLuB9zWln0D7AHcI3N/FwSasq+hCH0aGjJfW7FWhs4W8PSZa8AtbWKsIX0JaHPKRE6eyCuGMnK0ub3OdEWoKcGJoqorEVOVGyvMUKHGCteXqCaPNXmkKaHJPJgoSBNFZaoMxguipiRPZAfatGhdVx1bsr9GDl8vP+s4Zbu09tSzfzPT//2L4Rv5yKL8tfnGDsNV1yKyXescPbMxdilvWBuYS8hZZ74SOXR+66u5+x8IFz+yn5m8UtQvta0PO8Fl0Xy+YDiT1Z3NvmtceHks/mViMVzmltXBn+0nPvZfdD/oB/PMlUWuErUUka3GrBXsKBN7CevzqmZb1GaG1hJwlaE1M3AWhoGSPFeB02XqWu2PXc5N3Mi7M51UX51RkbMrRyEVAHJIkkNVAwhHAY2rOAJwhPEI5wLnAcbinE1TElHEGShf4GxBBse64GSPTF5e2iWcsa5UHiUkhjG0d1pf31h8I3bsTf/x/VdWw32QFFlKZEmJTas8prIoYGEIBKxEGRco9yLiVaSgNJineBaowf4woEA3Qh6KfBC66qJ1s6u51n3DcOnbhQf6h62vL2x/fWXbXOpHIXW3JXtdHF8rH7mfPXR3e+RhzlgfuBTkRtQuQ6cEA4j5ZOToys6e4hmoEURDKgzLIDRQhK48q/KJh7kX3dNfnb8XE3ECc6/CPID5EffJJCTTRzUsNEDBluqpyv4WFgbM3wOmYtdcEW0t6Bwy+5DZOtRUhfqCOpaVpgqquUodLW6tUkMJ6yp4sgQ0BawrEl2RaIvkf3wUsCaPJ3JgIg+ObA+PZkRdGepLirGkTmy0p9ZE7xqKZnC8xT87tvTPIz7zhdWn/vA3hP32+ciNfOB6/0v9pc+t1713YOgBMlwtaRZrhrRkrVF3izmz8LuTy/vPrE9cL32fun/w5MZnsZs7E4tHz2W+jd4+OP3QfKm8y3PltbHk6PlMsMg0D9ofp27tO7shFKi/xJ0F7KgyYwmZ69RUxdYKsVSQPi8Z8rKxINvKirMsG9abjmwv3iILTR7OqN8fe/Cm5cR7vtP7z91PduT4QNFkaiEFJxgTKA0wFiQ0BHGK8CSmccYeERakNMrINGdJhFJAPs1xuC6PX604VpqJSiewUQ+WpBTncYIDsujotI6up7+9enfvpQemdDUJ6CziKZWmVDqNeQLTGKYJShOMRjkPMu4CYLJSOrK5FegN5glJYRhjzI2hk6g+jHVbza9OrLzvuvGe87xnqxquq5+ffPDhiZumciMkU1dLtdfEfbc3Dt7ZNGw3rdWBR0I+iO0AWiTVLgMPIC4JOgaKRwR+GQdV5hdxWCGBgRocqguM+5q9Ly/d3H3xjr8lJxALqsyvMq9CvRKJYSYgHgQ8onJ/D9vrsrMFvR0c6GJLeWiuSpYmsPWoS+IekZtqyFTB43l5qgiMNWprcluDmypUXya6CjFU6P9U90RTgNoi0peptogms3AiCyZz6mRGMpSgPieZ8rIpN7RlcGidxjeRKz14yXf6n0Z9luubTz310g8I++ljf9TP3LKdLY1Glg/ElnXnG+Fl4lrqG1b6xqxqKEFLBVm31Z2zd79eWLKvDJxL/YmLhfdc5971nP969sHO2KL+WiW0LBtO5/bG79kf9PxFMvmwNbncMm70PWXiKGJrEVpqVF/FpiYztZilyax1os+LxrxoLsqmXM+83bFvd4UqiLdoNI8mLmZf1809ezD8zOHA244511bdtFHcc3NVEGnskd2K8yAlPgCTjM9SGsc4TIjAHtmwyDRnc4TNQXiSYctq58mDC38yzCebnbMqjXdwipAUJWEoh4EcGIiuei9QH8aGIEXZLONJhJOYzDI+zViC0QSjM4zHKQsy7obqtyvLby+c3XtrLdQWFxhJcOplwMVUPyGm3PC94OIvd/k/D507pajzIjp6v3j4wZa3N/B0ka0qeztgdLlwZCljK/V8fRjGXCDUDqBVAQ6IPYi5VeJRsYBoUKV+iQkqC6rEPVBCAMcxDqvAUmseWtq0FDuBAQwpNChTR0d29WGc8qDKBIULgLsGxNhWTS3V08XBDrFVFXsbOXvE0WPOIfcp3NLE5hrRVKCuho0NZmtyR4ubylRTgPoyNVaZvkwe/TxO5YG2iPRloi8TXYFo8khXxIYCtJSxKStZc1Kgin1r2Hq5pb2Y/2J+8Y/2+deTN3yrlSf/pkv++7//4ZDvrO18KXC9Y7xQ+jq0ZL7Scj0caFZ7uow8lZWNJWgvwJ3H7n8xc9u+LobzzHa/t39h9duF5QOXMoevFoI5kspxYUl03O26NxRnFkyudQMd7m4wWxlayshUhuYG1dexqc1NHW5uc1uT6vOiPjuwFCTjVsea7kSbYGbAPVlp8mr1A9flp772v/B97Ll9oXcsxw+fX/lk+tJHx65EZS6o1KPAEGMCpV6E45TNQBADahShCCURzhKUpig5Rtlpyk5CduBs5r/82fjYN65AsXGJ8zmVTWMyy1mCoRlOZzhLQD5P+BzjMUaTnEYxjFM0w/k05wlOwwTFMYkRFmTMh8DBjc03kqdfD54/urg9p8BZzkIceajshWqwTXcmVn/+uefImds3OD8JcLgFwyKMIWytqaayFBKprTo05Vu+thxRaYzyMKMeTOwIOwn1Uu4j3I9ZiPIIZkGVhTDzAehWQIgyrwIESMKQGYpNQ77pbIgRhYZl6miKzo4SkKBzCD0S8cncJVJTHxi7imtIfANqa0H3kPkV7uoze4+7ZW7tUHOD6GvY2GKWNjc3mLXBjGUylQOaPNSXibFKdSWsLUJdCelKSFuEhgrRF5muQIxlaiwiSwlZsrKnCKI1ZjxT/UR/4ZWj8VesM+/MLWo2BsFs6/cv/fAi9yc/eXpUuCTc7c+uY+uVypuak3sTK/rFxqH7tbGNnjanWKvEVSX7rmS+O7tuWxdtm7JzTfKuK5bVgSEtWgsoWOXBDPGvKd60alkXTdvyVLrvaXN3izvqxNGgljq2tIihgYxNZmpxU5NZG1SfE7XbfXNGtGZEb0GZGbBYG+67kH7XdeOViZNPfCE89WngjZGFQzObnwk3nzjifyd+LqFyQaU+BQgYhykLch6nNCVJUVmOYxxnLM54krI4QfMUX2R8pkk/Ctz60Sf2j4TL4crgDOXHKZkmZJrRBEVJjqMYhGSQACRBeZjRKMUhDCIUJTlPcBbmyI9UAeEw40FGBAw83cGB6xt/Np/5NHRVKHYXGE9y7kOiVx4mB2z/iczzIzO2e7lrnJ+CbE5h04iGVWKsqJa6HJapIFJhiBKQJggLqCCIUYAxJ6MOgj2M+Rn3IRZALEZ5hPAAxF4IfZQEGPMALCDmk5m9JVqrXWdTjCo0qjBvF9iborHUNnWH1iH0iswrc5sIzCKwq9SlMOeAeGUWBNw9YI4ucQyovc+sXWqqYXOL2brcUCPGKjVUqDYPJ7ZVbREaq1hfRvoyMlaJoYI1RaArQV2RagvEUKGanGLMq5asFG6wYA58Yb7y6ze0P371wIees/sf1B015s01nnv5tR/WsJ8+fSh4YW4bL2zRIzPLT+z2fmS/Mna98t3t4shq25AHj7aHhvRQt9I1rQ8mVjrWTTla4d4iNRSAs8OdVWbalOxbqrdETBnZkge6jKjd7nua1F0nrha1NbC1gQ1VYKwhS4NbG8zeYIacos9Ilm3ZmYf+Eok2uXa59vup5H98Lrypv/7HXdP/9akjbx467bymvG+78S87DB/NXo0pPIp5BJMwxFHEI5wnOZ9TQUyU4gDFKU0wnqIsTuACQ5cRdywN/jR1/A3rsVChuyDheRVOAzkOYViV4wTEGQoA2TschGQQxlRgLExpmJJHD3+EGfVA2Q3VEKWPsnriFC9QJhTED21X39KemLqcidaVGcgjSAkrYrwDdiduv3h0xrRYn22wBYnPSMDb7rs7wFKH9pYsSCiGeILwac6DimKsN1ziMMCog2IbAnYE3Zj6EAsAFgY0jJgfQB9Gfs68jPkJCxPu7CN3V/V2Zf8AhEQUlmhIpJZK7/By1tLsOQfA2cdulVtVaAaqEzOniP0KEwAPSNQ3ZLam4uhin8ydQ2prEFMF2trMWCfGGjNUqb6ItTmkLyF9BRoq+BFe+jLSV5CuBPUVpilTTRmNZ0V9XrUVlJk+d672//ip9x9//c2v/zI2dnz94FLTmFGCxc5Lr77+A8L+8d9+t9s6f6LIk/fld4/O/PRt7Ue2K/oHvX1LtYn0wFrCum1pcnNoLSNnheo2+hPpgWlLcWSgu8z0RaCvEW0BTKaHljJy1rm5BI05xVJUNZsde0mx5Ia2mmqtKrY6MlehtYYcTe6oMUedGbPAuK2YtxRPgfjLLFDhB64Xfvyd/We7PEdOlXb77v7iPdPX7lvJTT5yMvOm8+TYci4o0SDEScajMvY0RFtTigC2gFlCUmMKSlIeJzSBSZLiBQJjufbn/tt/mpibur52ifGzlB0DMC6LvmHf3m6EgBRjKIhUvyqHAQwRGqA8RHmE8QjlEc4FxhyK7AJqmPMAJUECkwyfwCSQbn9ivfze1JnPXNf2LTyMteQTFM9jmOqpRy8s74ze2p1c2yHcHb2RDjZavmbX0wGeAXH15IAEw5BGMUkw5pNkY6PhFoc+ghwYWoFqlmWHCr2QBhQSFHFIoUGA/Yh4CPFQ6iMkQrlPxEEJCUMYGEJfXw0OUEiijtpQn62EukpkyDw96lK5BUE7BUHKPW3V14VhiYUGPNTnzorsboCQxAMy87SoMStaqshUI8Y61VWwroj0JWwoY10ZmmrkkQPRUEHGCtYWgbZKNDU6WYWTJdVQVG15NdbA+0+u/F+Pffn3P935xlch8/nCu9GbU/c60zX5xdfe+AFh//Avv/7GvjCzTo2prd//1fjTP43vsF5xpJXJjGQtY0eJTKx0DtyrTuUka5Vot0VzhVryeHKl7ypza5VNFsDotjSelc1NaqpRYxlObvadVewoK8btrma9Ycj3TcWhvQYdDeysE3eT2cvEUSbGjKJPi8ZNyZsnwQoP1vjEcvcl18J7wul4GcQyg8mzS/6HleMtmqqribYcB9grY6coJSiPD9H4vcxnp+5oNmvHMI9LKDRQY4DFIIkBOMvZMQh019ZePjr3rv28f6t+BuLjAJ+kNImQtdPUVUseeRBhOMJwhNE4YyHKfIg9yiuMPkrd4dwDkQuoj65F/BjEKZqWgPZm+iPL6Y+0517ck3j+UNSzWbvM+SlGT0BybADCRfUvlkv/7T3jy7aUp1JdwCQGWAgy91AOKEiASAAgxkiUkiCCIYz8BDsRtAPVJisOWXEMZHdXDos4pnBBZT5AnRB5CPYAGEYkMFSTiERk6OvLvoEaGMLAAIX6eA6Q6R7y5Ie69a4+27f1JIGRGOXeuuLMS9E2FypIf7/m2Oh7crKnpIb7NNyitu2+vayaqtBQx7oq0pShroQMFWSoIFONmOv0kQtDX0a6EpioAE2TTDWwtoqMRWjPAc+28oZp4X/5u5f/4T++/nDf7Fhy+fHvvN+f3JrO9Z556Ydd8he/edF/cct5tv7XndGnXpz87SuGP+2NTy5WHXXmqXNLWp540Dq83Bjd7mtLqqEI7HVuKVHtpuQoMluJmit4dFs6kO6Pl5TJgqIvgsn0wFkjtpJizPYshaE+3zUWBo46dDeJs4ZdNWLOqtY8sBZUfbqvX+u68zBY4+4KthTh4XtlzVIh1SGnFH58CE7KaLqDUz14lvMk416AnIqcIvSYSL47fudfvtC+4l2YJ1zoq8Z8zdUcxACZxmSBs+MY+dcbe2bXvojeMy3lz2AyB+AMQCnKXdLQ0G64ZDGAoUBRiNEoZ0FCPSoSCItxHqU8QnmM8xBhPoKCjAYZ9REQZXgWYqHY3jO7+PL+2C/ftz35tcd0M3ce8JOEzUNymvPjiH8Qufkf3/l3zFyNDvonOE8gHkbYLYoBFYQJihAU4zjGSYyzKOdhxvwEuxH0YuySFU2xpstWkxKaRTwwJH6VuSF2qmoQobAMNRvZaVmZo0yQYQjgEKCerhoX2WXOLeu1dwPnXxqf/th90b5SPY5ZVMG2quzNoONNrrmUf/Ib59GTm74Vaexy3rMtzTR5uKRGOthaU41NbO1RS4fqq8jSoLYmM1SQpqDoSkBfhoYKsjTIZFXRtrC+RcZzoqkAfSUibMNXJ6b/13/Z8YunNTu+nd1nv/7jv04+fjBkOvfgqSd/uDV6+pk3ji+1d2sv/uaJI889rfn1U+M/e3Vs1/RtaxH4K8yy0tc8bI+n+yOZ/nhRNlSQvcRMeWwuYluO2DLQXaETGWXfZnckM5zIS5qspNkeWIqKLtM1FPr2pmos943FgbUi2yuqpSg7y8iSVRxl6KlDU6bjyA99VeCpQGtBcbWYt81dJcnfUFMKXeD8GGOhAQq0lQTkAUDcCLignEL4jEz3zt7+u5e/+7evDNZSx9OSxtbzpkIjDug84yc4O0lJpDT8dmHr2cnjO+dvneV8GiJhoEQJ8yDVpoheBP0Y+Qn2EyQwGsTEo8IwYXHOI5iGEYkzFmVcYCTMSYBgP0VhTlIMnebcvFF5/Gv7rz6y7XBcGDu7kagqxxGPSTCsoISKtA+Le85veIrDeYITSI0CJCDgV6UQVGMcxxkKUxBmMMJYhPIY4wJ9lKfCvSocS+cP31sP1nopBYUkFFCgFyK3AhKMeer9dyMnjKub85hEIA0AHETM3VMjXTTTkb6ZXfzDHuEfnj702OtT4/NLZwZkbsg0q/Ujp3L6M4V3xo//H7/47GvbNe2x7Lv604bLjRNNPtck00NmqQ5NHWQbUkuPGJvE1mS2Jn1EmLakGirIWMXWFjF1kaGD9S08kRPddRqr81SWf2Q++5PXrL/4g/al12xfHDrxy7cN/9tLe3Zbpv/zp4//gLDf/u5l98LySx96nvrd+PNPaP7ln778199//6lweXyl4y1Sx5qkX+5NbA2P5IfjFUVbAo480WdUQw5atqBtQ7Vtg6lteTSvTBSApggm0/2JzY4209NsdyZzbV25Z6qKxuLAkOvrsz19pm8rQlsB+JvM30K2fD/aoZEOsZeGltLQ3eXuHnXU+r6+ElJhjKAwBmGIYpBGMQtg4kSKE0pJFZ3ps9GF5Z9/YfvZHseuK/c8LdWQa9mq3RigM5QtcLZAofFh7onDif/zjYk/e08cwzyFSHCoBhF2QNmFwP+fIR2gVGA0RKkPojAhcc5DEAsqiFEaYyxMUZhDH4E+ioOceOEwxXBoIL+gCT+/N2y4WB49tWZbKh6TWVSGzoEqKEp8KAcbICXyWYTC6iACpTBRoxRHKYwzFCFKAIthCiOchTGPUBqkyI+xwHkQEX2hdvD2ytidTW+tnUQ4oMheoAYRneHcvN341UHb28Ksp9EWFOwYyB4VB4YoUFcnbm58YjmzU3/116/b/unpQ184z80U5eMt+m3qzrPfRJ7a4f3VG6Yf/WHk8yNnPxk989TH7tFkZnpbCa61vLm+Pts2NYGxgzR11dCij7SXqUasTWqpU1ONGCpIXwauIdXV5KmSbKqiSJdHi9x3V9phOv/0Z4l/fuzAY787/PH3c69+Ifzfrx78eNT/o3/9+Q8Ie+xXz+sjN198w/bis6Y/PWP513/Y9bNnjn6fWtauS/YSN28j44aqz8LJMpqsQW1RdVWpfkvRrkuGVdGwMjRsyJqcqqlQbYFOZJTRte7YRkeXHepyw8lMX1sUzRVgKauT6e74ekuXGRoyknZj4CxjRwk5MjBc47E28TWHttrA3WOuLna35MAQCQoSVOAZikFZSUAaRcQDgY+gEIHHMDvR4IdTay98H39Nlzpw60G4jx1N2d5VQ4gnKZ/jdI4qzq3ie/bTP/7c8oIlEeuKC5RFFBCGKEiwH5MQpyGGwxTHOY9xHmLEDRUfkKOURCAKKUqKsRRnMYQiGHiY4sDIi5kDSi6lmyJw/9m770yddF8bOK+XJ089FAr9FIZuAD0QJzlPYB5VWURBIVUNYzVKUYyzMEcJRiJUFYgcpijMaYjyMGVBgn0IBxmLMObuiUcepD8/eWVqLRcHNARQAOEo53Oc24qdf/t68kffT+27s+YbAJ8EgyJMiTRag1+krnygPW+eK3xnufSHj13vTp32LXWtt8p/3BP55+eP/uiZoz/74/hvn9f/5ePoKx+HnvswsFt/cyK+9oX13Pep+7q7VVtBcXWJtgI1daarQmMdW5vM0qC2BtfmFW1O1hdUTwMeup09crfkzKu+rGxb6u8W7v7hG+GFb6Z//SfjCx+6jwj3vnJc/c23ro/Hg4/95Hc/IOw/fvOiPnzro8/j77wtvPmXwC//Y+R3r5hH5jP6dWAoME2WmraZOc8ni2S8pOpKqqNOjRlVszzQLHU1D3u6TUVbgFMFPJVBY5vy0Y2BNiuby8hUgtqMZC5jawk5akyXkSY2+qa8aikohnTfXgCmDPQVeKTEozUidBR3V3b3kbML3E3V2wGCiEMy8nRFX0eMiyiqIocshxif5nxGQq6l5pfO228eOrYvcSPcaCUkYmsrxq7qlHBQxdMEHaNgvifFV9t7Zm//NXAiWKyf4SwFURLRCCReWQ1iGCFqksAZzqOUBSh2QckpD6MUJzCOqCBFyAzjM4jEEfBy2YqgB3IPQVa5lURytNw7EH1oPNEI3Kjv9V8dv5JOQslPkQ1QH6YBzPwKFgCJEh6iNMpYhLNHZwFRhsJMDTMU5vTRuWWIMjeAXozDjIch1edrX164Mb6SD/ZJWGUBRAIIxRk166MAACAASURBVBAK9tUXnPFfTrm+ur7i6YE45JGuPNfFJ/vs4Lmlv2ovm08VU/dr+73XX9k3823k3ru2M7/aFfz9Z/4/vuv4+dNHf/a7kd88p335o+COQ2c+PHDyhU+Fx/489aXzmutex5GWgj1mrNOjJaipAnOb2rvMWEHWKjHkZWNWNuWUsRult5wnP/Bf+P74ylepe9/NrLw8Nvdv7+peHZn/VHPxe9/t0IO+5mrpk+j17wOnnnr8hw7En/zqxQn/ta8PnP7087l33o0+8YTm168Yd4XuHrzZGN9Ux9NIv0UNWTayLR/ODLRF1VwixiycetibvNfWrgwM26ouB8a25IlNSbOl6DKqvUrtVWYpYV1GtlWpray66sxRo/pt1bAlB9s00iWBOrTl1WSHz7V5qIA9ZdXTkW2tnqXRt5Q6tmo3OFQjKg5JMNiXExIOS9AhqWHKk5TZs9Uvo1f+OnX2M+MV0+XsKUziIjJW++PlzlS1a2l1Y0A9xdlpEV2oEmGtc+DsSrjYPEPIHEZzhLu7orne8qtyHMN5xiIqNLW6TkX1YeQFIMFYEtPAUPH1xKiKjhE2TaCfK26CA4QHOfVSKaLKJ4YwfK87MZ0djT/4aOrk59Eb3lbLj6BFgk4Z+CEVII1RnvgfSbBcYDTESYzzMIFBLAsMhjkLch7hPMSYSwVOVfVjGv7/6HqvJ8uu7E7vP9CTnqQnhTQjTWhEBjkT1LBJDbvJ7kY3CDRMAw3faPhGAQVTBVco79Nd77336bO8995lVmZWmuu9v/f47bcewIlgUZqI/XTiPH6xz4p11vp+kAf7immz4ih2g10QkZFPUp2DgW8oZjQ6vpjfefWxMdcOizgDWLQtTDW1S4BHcv0PDBf2xR6eL2mJu/VXd0Wf35l4dnd8a/jG6MKTz8eP/+qdib97ft+v3pj49MDCgcCDT48s/OXL+/7jy7uOnlzPVIk7K3qawNrGIyVpvKpYO9gncGcdO6s41KSBMravi38OXf/t3shv90R+dzD+/P7YFt+Vjx0X/3lX9KvgbdPJmvViPV3A7ieS8WHHdXn15Rf++BRh/+lnz++1n9625+QHnybe/Tj6wqv2v3119GPXhR0XC/se9g49FvXr0JBF+9fFQznRVIX2MrXk4PjD7ti9lnlFtOeAuQB0WXliTTRsyLYC8FW5t8odJWzKao4qdpQkTw2HWtyyAUbuNRMdelzj6a7mL8onJT7fxN4V2fxYNGy0RjY29YWKpdj0NPtJDU1iNonYFMTziKUU4pdhivKEig/dXHx9Iv7+xKl9iWX3ndoxFaYEaG0MDmxW968XDeV6XFbPcn68owSuFOxXyp7F3sm+dhbieU09Sbm3PdTnK2FJnsH0GOWmQuWrWw9M3WGMsASl05wnFGirNEdWs7ZKc0bF8wjHqRZjOM5+MuazpEouAna1zQ7EH300Mvfugfn3nect2VKcYK+GgxqKYZbAPM14hvEoJmFMgxhFKEpwGsVaQBOCSA1THGI0QmkYY58GPIrq11BUpQmFJAQY7cFgTwvL0CtIrqEQlNU5yqNd1V9X0gpOQ5ZSSawtTTa0kwINrHU+c135zHI+8ah1tqp9F774/M7My0cWzHfLczVkOPPk04mZ9/fGv9Af0889sZ/Lf6Kb+T/f2vsX7+0/dGF9asD9NVWf7VhbwNBQxyqSqQUDAg90uK9KIjUaKWDbw947plPvWk//YWLmH39wvDwS3zl7f/T85q75h7rr7ehj7F9Sg0VoWhP8NZZYbrz44tOE/Ye/+Kf3d/heetf1wpv2Nz+O/Omz9G+3eL5M3N57vbr7fmvfYm/iiTqxqR3MyaNVYGlQR4VPrEiHbtWO3K6ZV0RHHpgLmrUEDOuieVN2l6Ari9154i5Saw46SshZkpwF4K8w3SPhs8xd36Z0DvB4sb/vzIrlZn7i/Ma+Y2sHLtb23ijsf/jEWKjYyu1AV8xAMoXZLOXzlC8gnpZIVCMJSIJ9ybC0/kXk7FbX5e2+GyOnH0/25YyEPH1l/3p55+MNXbEeE7XTjCdWGx/sT348cTryWLsw4CcFcELRLnEe6kq6jWJsKB/DfAHxb67eejE1Y+wOU5T/VELZK62vzl395NjZoysbUzI6jliGwiQjUcRCAEVULSmQW4xfqSlfmU+/+n3og8Mnt/hvOrK1aUZjjCcoS1IeQzSGaRzTMMAhRAIIhuhPG5fAr0p+oAQw9GMUwDj0k8cfIr+GwgpOKHQa8JRIw0MQ00hAVsMQZBif5zzSlSNdNIt5BtKEjCYFNNfHgfXeB775P5nmPzSdNF3avCLQ8OP6h9Yrn4cehvP9EwpLFkX3raLrct5/p5Zek0JLrR8SF9+xzz5zJPhO8HiwpSVlptts2hqyq0f0FUVXURwNFGixUJUF8jC0AWx3O1+Eb49fqn6TufvswcA3Uzftj5qhTTGYk/w5Hs1xf57aytpodujt8sRa8/kXnnZR/+//4Re/effQ3z936NUPAx9+N7tHd2eH99749eroo/6Bpd6Bx/2JNWU8qx0ta4Y2sze5rcD232ntvJQ7dKNsWRk6C8Ba0BwVZMlKniKI1Kh9VbMsSc5NZM0BRwl6q9CR01x5PHqn86px/ujF7FQJGq9mf7c3/tqBybcOzXxiO7/nZOHgjfr4asPd7Duq3UBXTMgoqaJZxFISSvZgtK1lEItIqq/TmxHVyGb34PziO2NT36Uvz8t4SqVBCR3J13Y93jAUmrEhPKFx99XCL14/+ssPXdYL3dSKnMh257rCRc4DLdG0UUmL6knMFxDfcvri88lJr4YnKZ9lPAPZ0eWN3/ujbyWm9BulBcxOcj7LWRLzgEBt1aFutRAq9x9wnrldePP7wNu74987bx45lU+15XlKUoynOE8QGoEoDFAY4ggiMcrCBEcYjmAYIyiCQBjCIEZeCAKY/LTBFqI0hGhYJTEZp2USG6KoiJOIhVUQJyRD+STiwY4SamsJmYYFLSKAWY2dUJjudvYvPtvzTzssH7vP2O/XLml8tql8Hbv73fRqqDxIK3BapPNdPFdHMzWYqYJofuB4WPJm+5/P3/zZAZturT5NuKshOmqyt01sNTS2PjjwoDr+uOMv4UAO+tc11+Jw5ELd9xj+eHz1Jf3U6M2KL6cFCyhYJq4i9+a5q8INdaBrYUefh9frz7/49GzF//Hv/+H1rdYtO+f3Wx/sNN81RwvB64LxdvPQncb+xe7+x72xNWkiD8aq0Nhi9hozbeDd12o/nF0/eK1gXhkGajTQJK4qdhWUQBklG9z2SD50qbLvcmnsUdeSU1wl6C2TQIV4N+XPYzdfG5t6cU/0Q/3J334ZeX3H8bd3HtsZfeBdHLo3FdPGwFrsWoodT1OMCTgmoqQAHbm2fb3tyvXSCpoCMC6Kcyo8IdDkZu/IiYfGG+unEJ9FLKLgiUpz99L6xEY91FRnu9x3sfHM64a/fO7w+6MX9iQeHjz+YN+pa/bVrKPYdpU6sxo+Aemsxg4vb3x9fzHCeIawOcZnMLcWqruu3RpfWgn1xDnKjnE+y3mG8OCA6FcaO47dstzM3ha5fXbx2Y8NHxxOWU/kfQ/7Mz31JKWTjCUZjxMaQTj0k5of0yhlIQSjGMURThGawCQCURAil6YGCYkyHkDYh1AAkpBKQgIItqVQT40pNIF4SIURiH0DKdhXo0MU6mrBPvT01cBAS0v0mMq9m52XzbFnj3g+S1zyZsXpHpxqqxM3ih9HLrlyrQRECZXOSGxO4NMDnujAaENONJQZhVvz/Rc9U1+ff+BtS1GBeOvAWVb9dTrxuPtB6srr3hPWVSFSoc4nUqgAApvYsaTsOrv5w+knlnXFWSC2HLbmsH4TWnNUX0QHSuJYj060YCTbevalpwn7y//4y/22c7FTA/t0/UhozZauTi0x3fXq/pu1g48HB1b6o08EXV4br0B9FZlyUL8Cd1+ufnNi5cDVgvFxz1dBgQaaWO0781K4ihNlevhc6WP/1bc95w7dqVvyijWr+io02iAzPeZd6v1yu+d/+JtPfvaW5aUv0l8cvf316HX3+fqpLp8TmWm9fXSxbMx1nFUxJrDIABnWalvnLm+ZvLjv6kpS0E5zPoW0UKs32weXIT875Md79DTmc5hFFejoDnSFmqPU8xVF79LQfaLxpy+Sf/3ckd9+Gf1Yd+pd4/Q/H3JsnTxtzzfiA/UY4fOQTqs0qkCnrEUYSxE8TckcISlZO4bIec7nCQv1JHOxEx6oM4ylVOgv9Hemb3+iP26c39jnvv7Mx7qtlpmZJ+JURZ3pK6cZzRASQSSGSYzQKKFRwqKERTENKEoMgjRmU5ilAYmqMASQU5aDCEUJ8wHo0TQ/wCGNBAXN2xRCPS2u8LBC/BIMKNhUaVsr3ZhIQgPoH0KvBAMijAxRRiAzInfluz+eu73v2qqvgfw1NVpXwiVhy+R5Z6GToDwgwUgfJvokNqDhPg601FBLDbdZXOA7rq3/s3Nq3/1iZMADDeosqKEqMS8PXvcc/9tdjt2XNgNVat9QIk0WazLj4/7RezV3BdnL2FoihjzS5eDohmLKkSM5ZVe2d7gFj9TVVGXwzL+xnf/9f3nRPbMye5PusN//ynTzSHDDd12x3u/pl8WxTe3ohqTbFPV5ZaIMdQUw/lgcv6/sPFf6cvbhwWtF/WLLvD7QP+l/c2HZuNpO1FloHXziufrLHcFnjyYNq31Pg1o2NGdOC1XhVBsda8I/Wy/81SsTf/Hs6DNvuT7ZeerzvacM009mi+IJDVuzjUP3i5Zi31ERYgILdeEPlx78esz997uMH8VOT0r4JOcpKIU6/eMavYj5OZWfEPlJzGcRjakwBlBChekBdq30d2Ye7bXd+/Tb2d/+yfWp4dI259WXDoZ/udv6efpMsDWYI2ye8hnEZjBPER6iPMJIisAUBJMATKngFOPnOT/NuWGj9sncrbHHhbg4SMrd+T4an9/8Ty+N/vxPtg8Pzj77pXF3+vz5Pj6lsAWVHKckjpBfg2GEY/Rf8gCTlCcIC8lKCsJpzGcgm9RoXEFRQNyy4le0MMQhhIOYhAkLIxZWSVgAYZFEJeYfIJ+AgzIzlbvGQjvQBr4B8CnYD1kIsrCEw12Qlvg04PGB4msp3j7zdWioBSKNgelJKdABQcQ9MgoJNDJk/gH19pCrIbvqUqBBIx1++FHjr/fZt19a9TWZv858FeIrQNem8vnc3efNk1vm7lpzirOE3DXibyBXSXGUFG+bOBrEVqfGKtaV8XgBmApkpAD2l4SRDppoo8m6+MwLT2+z/dM/vR69UJy8S98fOfsPf/Y893n0I+Nl092eaU0d2ZDG8rKtgmxVZKwSfRYcvNHce6G543T+y+kHB64WDMtta1YaWWy9N3ll7FE1UiaWW703J078fLvvT95zwSYKdLkth22bsq+kJapguqx4rrd/9Dx84c+Rd7em9kxc/fP3mY/2ZsZPPZpqi+HGcGyxasn13HUpLfNoHx59mP0odfIFfeDDyIkpkc1iFFOFhKydpPyYQmLVYbg0PIb4FCRRVUsiklZpuCzuO7H8yr70K58G39sS2T52znu5fXhq5bWJ9NvOmQNXl1KicozzNKEpwicpj2MaIjTGaRKBuKqmNS3S6cXb/QUVncLMVWp/f35p76XlPdfu7Lt1K7DaGZvM/d+v6v/q1ZHnt3ue+U5/4Mz1syo+yfgUpFMYxSkOIhzGJPZTvikmSUKTEKcAnGNsFrJZhc5DNqXSNOIhAL1DMSBpUUxjnEcYD0Aa0khMo2GRBIfE04P+IQlKzN6QLOW+t6n5RezViI/wCONhwAJ9lFTYFOZThIdkbukj95D72yjaERMCCIrcC7hXpUGJBwbM3afuIXV2gLutRTo82OKWgvK8b+GHWwVXg3kbzFXGzgIINsjIYuub86v77hYNG6J+Q9JvyvYiclWop8GcDWKtYlMFG2tUX2UTZWQukIkiOlKRjX3qGPLJ2vB3f3i60v/Fr9+IXC0l75OPLNf+11cO//vnDj3zbXzkemPkUW/vUmskK7iazNXk5ho159Dore6Bi61956vb5pd2X1w3r/YCTTq22n1/+trYo1owj8cvNd63XHjl8OzI9UpiyOxVxZpH7hL0FzX/hhheEU6Xefqu9NXRE7sOn/fGNj7ZFvvrZ398/nvP2LXNaF1x5Lu2Qs/bENMyTogwOQCR+mDX+RufZc7EOyQNtJA0TKpkDrJpEeoXc2P3No9hPgVpEsE0xJGuqrtV/LPzzPPfhJ9/z/HGn2yWzOMLFT6ysPInx8LOs48Clf6UCqYZC2MSQjiGSRSREMFxThMIJTQQG0qm9Zw7V1mQ0UmNLmgo3pAOnVt7yz33ln9+98zKj+7FT46e+dR27l391Dv26PiDpWlZzVAWASQM1CjDYULDhEQYC2EShjBFSBqhaYyPUTaj4DmRHtdYcqDFJZhmLCyrQUGNIhpjLEy5H5CAisMaCYk4MCC+IQmKzNvH7pbmbCiBLgpqzKURJ2EBxoOQBySWgDymcW+PWTpwog8sQ+psgnBHiwyRR6QeyDwK8YvM2yfOPnGLzDUkAYFGujTYpv4u3/2wMpYTHG3mbjNLSbWUNV+XWkpg7MnQ2yKGTXH//cbhxY5xg1iy3FHmzho3FIAur5pqZKKMDDVsLTJTAY+XFVuXugcsWez8/u2np3f+4Tevh2+WIw/w9vjqf/nC/49box/Yb4zcbB+43dj9sHF4vW+vInuVmErIWWTuVWx9CA9fam5fWP7x3KpptRtq04mN/lfnHxtX29EKM9/obfXc+qPxrHcdhDtkfKNp2JTCLRYoQcvDVnxNOlvls0uDrYdT3+1ZcAWfvPdZ8H/6iw/+519s/8B91bbaj3bUQEt114fhnhQfKvMAn8Hs8I2774dn/RUtBTT/sB8WcFIkUyI6dGt5x4UH0wpLqSiFYAaiWFuduJ771HbmU925bYfPvPOhw3Ns8UaP7526/b53Qf+oPA/oDCJJTIKEuDXFD0CM0CglMUpShCUhdVc7R+4ueXP14xI9pdIrnJ+Sqe5S/o+uUx9EruzIrH/rfDg6sxlaFix3CvqHK6FuJ64oQYiCiLlVyYc0P8R+iMKUhgmOYjRF2SxjkxqYFNWpIVgQ6ZxAHBt1W7GRISSNaVSBEYDDmIQIC2AW0LBfRWGVRGQWlllY4o6W5mpp7iaICiSgEQckNkSciPkA9ysspHG/Qu0tom9DvYT1Q2yqqs6K4ushp4idKrELwDvEnj6x97BjSGx95BGwt6Z6aqq/zy0NYO9iaxs7u8Ra13QV1VgH+rI2tik660S/Ie65U913t6FbBcZ1Yi0Qd53r85KhJNiaYKw4tLapo8StRWooaeYqtDZgItd66a2n+2G/eO5N/62q554yeqn5UeDu1uDD/WfLugfCobudg4+6I6t947pgWpecRRSqctcqOHKp+2nk/ra5xSM3ypbVnrcK7GXt6HLblhtkGjz0SPvKe+9t/SnT4sDfxOb8wJaX/XXkLUPbameyhjJZELpd/+RI+r1tiR1Hz7/4jvU//3rn37w0utV917rUj3VxTCS+thboaJGeOCUMz2r48NlHb1vm3AUho4HAcBga4pRIZxS44+Ld9+Nnxh9kx1ezE9m8Plv0V7uB9c6+yYeH46vjkZU/fet3n390XaRHTy99v3DDV+yc4DzDeIzQEKUeTQ1oIEZZhLEYowlME5B4Gt2j99b0D4v25UaqKV3C/JxE/MvVHcceHrhUstzv6q9sRtb6JxU+NQRJSZpiOAlhCKAo4V4EfAB6BeCXQYKyJCMZSmYIn0E80dOClcHMAJ+HfLYLR2492XP9kbXU9PUEv6gENOhHKEiZn9AgxBGIo4hFIA+pPCgzVwd4u9DXI1GJ+RTohsiNqEMlHpUGNOYRsVtA1h42D4lNY8YBmSgp+pxor0Nnn9iHxNqDzgF29qm1R8w9ZOgAYxeYK4ohLzha2Dvk9h4Zr0jGpmZsaqMlaaQgGWtgIi8Z86o5rx6439h/tz6xouqfQMMGspWIviAZSwNLXZkoC84WcxapuYAMZVVXVI1lLZlrvvDG03+Nfvn8m747Tfs90bOi6u8Oxq+1x+60zMvqxLKiX1HM64pldWhbFaNlFsqBnSfXXjde+Ked8T2nN/wbinNDcJfUQIu56sRZkWaaPHRHfufI6ef2Jr89+djfIOEu91SROS/byqq3psXbyLbYM1+vbfNd/+jAic8OLbz0kfuzXdM/6q64zrcjOdVdlsNDFB7wYI+Fu0qs3V3ogvGT61ucl0NVcQ6iqCRHBDytkDkN7Lp6/w3v3CeJ01+evvT1pevbrtyy5csLA+S72zbOVw9GVj4YzQTvb17VuO9Jy7FaTXTFGcJiP+29MRZGJApxgrIQZXHOE5BEVBgTFGeuuffSky+n7pgeFTM1ZbYuz3X77tWWbxPOSWxa7k1L8pxG05oW09QUQRlCU4CkEI8SHkM8KqGYDCcpnWZkjrJpjUa7mnO9M3JjM7DRuaixk300fuPJp5lT76dP7rn/2Nkf+AH0ExLgzItREMEkYzHKg4j7VeaXqH9IAkMaFHlY4l4J+AAIIeZVsE8hQcDdQ+gZQJuAnArzqtzR47qyNp6XzBXgajFHmzo61N5j9j6zDpipR/QdNNEGhhoYK4iWOvYPuaUJR4vCRE3Rt8BYURorSK4uM5U1Q0521sj46uDIo5Z+VdGtaBOr0LiJDEVFXxjqS5KhClx1Zs9hQ0EdLQrjJdVYBql883evP+3e+cWzr0Ue9d1LWjhPw0VmX1KP3q5PLIojy5JhXXPkkTcPw3mcrnDTzcZbhmN/t9X7sy9cjgeD6SbzZGVfFfpa1Ntinqo6VePjx8t/95H95996P83c8NVAbMAdDTqRl/Rl2dnC9pJ85E7NcK89dr48ml4/FLn31egZQ+yRbXIjvQgmW9Ca6wQ6akSggS6KDnCiC6bb2HajsGf6fqYJT2KWVmGsDzMimAfItFrcOnt1S+bsd5du7Lr3aPe9RUepdlJmk1lgPtna5rj3hftsJte5CNl0X0kP1IxEEgqJEPqT5DdBeQLTJGURymKMpRCNSDClwHRPGrud+zJz6/CVpZHLT2x3q2cUMtkk0TI/Bvgprs0AdRrQDCFBRQ0pSgbSjEKTEo2INKnxWcKmEZ1EZBqjecKnJOzYbOw+++DjwMlvJy9Pl4eXFeZdrnwYnvnZnonPT1/yC3IEkSBlfsY9CPkwinISoTyIuE9hPpH5B9zXZwGBByXuk5FPgyHIghr1qywEuF+hPoHY+ppTID6Ju7rcVIXGsmatIVeTulvU3aKuDnP1uHPA7X1m7TFLj5qbyFyHjjb1DrithS1NaG4jc5foKqqhrHr6zFhS9VnJ06CWnKJ7MtQ/kXUrmm4NGrLQUFQmCkN9STLWoKvGrDlkLKpH8j19FZhKIF1oPf/a0w7EX73wZnJV8j3BwQINlPnIzfaW6XsfZu6+O33nm0ubIw/bwRJNVXhkA+yaWnxlf/qV/XMv7stEn6DpOvPntUCDOGrQWtE8FTWaJ18H7v67l/e9eHTy4LV8sAHcNcXapPqqNlaWxkviRE7Urw8cOdmxJEfuKs4L5fHJlcS1pnF21Xe7tSAQb20Q78PoAAW6alLmKYHPDJjncXnXzNXI+vC4TKZUnBHQlAgXAA7XB7a1unE5byvV3a2erdbyNjtzQ5DOaqMLhS22q3umH03XwCmNHUN4nvC0xiMyCgIYISTFeYKyBCJJQkMIRwnOUJZU6bRG5mQ1Wuy5HlccD/NvmKb+5DhzrMfiRTBxu+mv9OaJMo1AGrEU4yEAwyqYgnRSpL6SZFppWzdbk6p2gvNpRGYROUH4jICO3nz8hjX17D73MzvNR07evSSw4x3l6JWHb3mT+24/SmokjlgAUS+iTghdCHoI9ALkV6lPZp4+dbaIs0U8PeITaFCjIURCgIU05pdZQGUhjftFZm5I1pbi6mFnm9hqyFZHziZ1t4i3RX0t6mlRT5u6O9TVoa4Oc3aZrQncXerpMW+PubvM3eeWFja1sKEGTRXgaGJdTtJtis4KshWBJa8aNhTdE1W/Dow5YCjKE4WBviQaa8BSJuYcNJW08YpoahBTCWQK7edfe3rG9TevvBNbGfo3iK9A7Fmy60Lp3fjVl1ynnnHMvjdzc/f1vK+A/OvgyNncVt/V7YFbR48V3zOesd5oR7IwVEK+KjIVZENBdpdVzzrcGrrz/3zt+vHYcqRKwi1oWG/Zm8TRpeaGNpLv6Yuip0X8LeLOguQGtl4rms/n5lbEnYFLezO3Two03YdTAxpugmBbTas8I7N5iVke5N8yxHZmbrlXatGWMK+xeZXOqSDVV2dVPg/5NOGThEVlGB2KM0PVu9TemXmwI31v/FLZ90Sc7OM5TGcZTf5LHBWIIJTmPIFIXIUJRIIARglOUjKJ6Txms5J2SobXCJ9vqf/wnfuvPjM7FpuG29Vdp1cs6+VJKExSFCcsyniEsgTls5jPSEx3r7wlcfnj1Bl7vnKa83lCZyE9gdmCTA5dffDSePB1Q/I3uyzvmmLJjfYVwBcG0FdohlrDDGRRjfhU7AHUriE70JwIOiTFJ+GgzN1tZilBcxk6WtA7xGHEYpSHAPMp2CMij0j8MnMPqaHcN5X79qZqbwJbHTpa2N1lnh71tZm/xbwN4q5jVw05a8hVx44GttRkbx97O9jZAJ4O8fa5uQ71NWhuYmNFM5TU8aw0sSma8oqloDkq2JRTdWuKbk015jRjSdYVB/qSYKiq+gI057GprFk6wNIkppKWybdeeOPpftgvX3jD/6jlz1F/hVlz9Oi93r5btR8uFz87vfjD9dzESt+Vh6M3au/YTn7qv+q5L3gfyK/rFnbMLHrXlHCF2POyISfZKtBVga5NtP98+bv55WBRidRRsAWM6y1vC4cFHhhQZ1O1lARnTfO3SKCGknUwG8TbPAAAIABJREFUcnXFcqMwtyltMcx8apxbqGqTNRAtAl9W8RTF2ABOKXhOwIcuLv/d1vHffuf4JnPZslxegHwOsElZm9LwHOHzjM9wnqIkpqEpCE9CYrxT/Dp+zXqrYr7ZOnA+H6woM5iksZZiJMlomtIEwj+1qaKimoQ4RkiU0jDUMgQsUD4v43MQ3uP89JD/9kDq/9oy8f2xWwcurZoX67G+nKFqgpIwZQGMg4TEGZ9hfE7jB6+t/eqw778eNB+4u3Sc8TlC07I2o6LjgJmXc19NXxy/kd157Pbvx7xHL9w/q7JzlC9AntZoVMM+SfMp2I+ZU8N2FXgwcStaQMYRmXua3JRDuqxqrWsBmYQJizIeANglKi5RdQrQLRBbH+mLXVOpa28p9rZmbWn2LnYPuGfI/V0eaHFvgzor2FGG9jJ0VJCzik2lobcLPC1gyg8cVc3X4fYWsdSxvcNMVTCRl3V5RZeT9ZuiOa+568xcUHXr8sSaos9rprJiKA8NZVFfVSYKwFZilhoyt4G5AS1lLZ1tvPTG0z39X7/0RnCp5S8wT4VaS8ywqlnzyJqnprxiKar2IjSvSz+e33jLc+bbY8vREnevgc9T974/tuxcl30laFof2ovAVga69YEtBw3Lim0TRNrUlh+Ee8hREoItGOmiQEtJytxdE2ylgbcB/G0QasujD9a8T9rTefkz4/wf9ybs57O+O23/kuR4KOy/vGF6Ul2AbLaPD5198qvtrv/654lv0lf9xfaUSlMKTKsojXAS4LiKUgQlCI4jPEPJGc4ti9Xt6VveBx3b7e6OhcfhqnSM0zTRpvlP2cospoGoCpMKTAhqBpIEIXHGQ1BNUCkD8bREThP1Okfx4uBN+6k3vfOHby67N2uTAzQFSYJqUca8AHk02YdAmOJJzmcwN200/5g8/aInfmTxyQxmaQ1GBTklgznEg42+caUSacBkS/n2xKWjt5ZmJDyL6AzlCcICAHkVEII0RLhDBHZRDRIWADAgo+CAOKvEmIWjTwR9SQioxI+gF2kuRXKIQ7csuSXNqxDbEOqKHXN14BlCt4htA2gdYIfAXCL39rivxV0N5qhiexU5athVJ54GtVdFb1v1tYClILjrwN0g9gax1Ym9zcw1NJGXdTllIiuNrwvGrGorY0NO1m0q+hwwFqGhJOuKPX1ZMNY1fYU4a9zRpqambGshf5dkco2XXn/aW/HcH95Obgz8RWotQVOZ6Z6oxk3VWqC+Jve1uL0IDWvivlvVnVcLo4tdaw4a1pWxx8OxR11nHthzimld8NWotageWW6ai9BUQMY8tBQUU64bGRB3TQk01UBDdpV7KZl6GwNbpevtqO6O6u5IllI91cWZovKt5/KbOxJf6E4eTDwOLyr+JfHbubu7Li5lujhZgfbbzR8iN94+mBq7uH4MsLiIwqKSQiyKcVgFYUlLUJRmNI5IGqETnIdr0p7jK4fmlkfP5kcubiYa0glGpzBKARIVUUxV46oWEdRgS0gNtBnMkhgnOYtQGOdqTNWSIjzN0Tmmjt5a/nPqonGtOCVppxhbwDQiyWGkhSl3SpJbHniRHKRaktMkpjGNWprCwZWso9lNIhpRtIiiJgDKIJaQQbCr+tpgBtJQpx/oDJMajmowQXmQUS9BPkQihAUAsXdl91CJURYjJKQgbwfaipopq06sD3XFvlfBHqTatIFN6rnkgVcWfIoawswlodF801jt+2TqR9yhEIuALQKxiczZ4642dzSpvUHsDeJsMXebezvc2wbephboYHcNBDrUXoW2OrI3iL1JrXViKGn6gjqRlSfWJX1WMeQ0XU7W5VRDAZlKyFBWJor9ibJorENTjduqzN7CpqbkbOGYyGeK7Rdf+zeEvfrWVF7yl4mpoBrKRLeuGTZVR4X5mtzf5q4qsRaRMauaC8BeJcaCdnRN0G3K5rzmrhJbTrHlFF+N+urYXFIcLWprU10JmPKSoyx5a8Cal3xNJdjWgm051FEc1Y6l2vEOgXsAnD3J0elnFB4tyt+Hb765c/Llr4N/HjubWtXma3jiZn7HmccTd1rWu73Uhpxe6v/ou37wxMq8ymMyDEtqgvAIJWGEooAkGI1TEpDViKoucJaR6eiV4seG2a8Cl+x3m761dqqjxPuqrdAxF5qeTneG0PhQsa7V4k15gfBpSpOMBAlMcprQYFzSznA+LQo7zt/YdeV2UhaOc3aK8wxGfkmMYBgkzCEJXrnnBkKQqlEGA0CNUBpg3CXKQUWNYhJBOEZwktIkYRnCUoiFZRLXcIbQFCFRhEMIRxh3M+Sk0ItxABKfBF09NayiNOcpyhKQBvrIXpCsBdlWUiwNyS3DIEEuKDqVvk8beoV+QJJjmHkEeOBJeSTfcEvYT7gTMLNEjENsGhJrl9k6zNai1iaxNbC9SR1N6mozbxt76sDXIq4q8NSJvYLcberuMFeH25vsX3a+K9iQ1/Q51ZAHpjLUFbTxrGooQnNNM9YkXVXWVTRDjevyQF+SLC3JVBIdFXky13zxtae/ks++/HomJ3hL2FIG5jq1FLApB2xFYitqviZz1Zmrxu1V5qhRZ4Paa9hQ1KxV4GkQX4O7StBdRp4qCbW4r8U8Pe4YcEMN2UqKIyf6SshTAv4W9NaVcBt4KkNvQ3A2BL9MPAJxdVV7ZxAaoFBVPXxq8zPrlee+Cfxh72RqXTkv80hJOnS9vG1m7dv0UiY7fKDwseTSZ+6LM0M+hXFUBTHMI5QGEIxiHqUkQrBfBiFZSUOQVLhjqfeN5/i2wPnxc7nvJu/sO79ieFzdeeXh/ocrvu5gEpBgY+jNdzIddQ6wOc7jlAQxiiMeHiqeZjvS7rsLzaP3lxzFzSkipaGcQCCKYBCCKKdhSoNQC2qCBwohpkUZDCA1gIGX4RAlYQhDGP0U+ZbkPMFYirM040nMQzJIYhrHMARhjNE4524GnRR4CfJryC+BgAjjmMcw+Um0GROxszh0lgRfG7h6mm2ohCjxYc2riiFFDPaHMUFLqTzQw3uX8gfWSra+5oHMrlGziI19bOxjc5daOszSIuYGNteRpYbMVWipQk+TOCvAWYGOCnCUka0MnE3sbBFXh9sa1FonzjZ3NLmxCCeyirEITWWoLwBdHhpL2FQF+qqsqyj6KtTXma4ALTXV3lV33tn47MRd5+3l537/dLfiud+/lt4ceEvI3sDWFnfVuKWATJvIlFe8TeasMleV2UvIXoTOCvI1ia0CfU0SbDFflfprzF9nzgry1IivglxNZutye5e7a9Cy3A8VSaTCgnXiyUvhqhauKokuDrZgWOSeHnW3sL0l2RtKsINcq9KRc8V3bSfeNM5H14ZnFJ7saM6s8O3xtXcdZ+y3Nm700B7b5Zd3RiabdIHRqAKiGvdrwCVLYcxCBEYpjWIeBSAoCp4O8G/I3sub1kvrh48/ftt07FXj3A+nH/9w8d6RpdWUiryNwdijfLqjTnWUSFOY4zyKsVdU/ANoK7UPPVjeefnB6INcsNHKqJ1pKgelgV+VI5SEGQszEmM4QUkEan6khDlMcJLkNEKgn6AYZyEI/EAJMxLmLM55nNEEI2nCMoTHNZRCJCzLAVlJM5bm3MeghwE/QSGIQgoKqSRKuEfT/KKcQTSlYF9d8DUEf09xdCVTXwhgEiEoBrWkrGYkbUbmqS71FcGhx+Wjm3VbX3WqxKpgs4DMfWzuYnOHmjvU3CLmJjE3sLkGTSXNUFQ9DWovQ0tecVaQvQytZWCuAHMFWOvEVIHmKrI3ma3BTSU0kVUMBWAoaoYiMpWZucr1FTBWFCZKirFGJxrcUuPuPrX31C8vPnjFf+zI8cu/+d0LTxH24h/emM4LgQqxN7ChRh1VbilAS5bYasTV5K4a99S4r0a8RRysEV8FjCy2DCtdbwl6CtBfZf4GNxc0a0H1ZBV7GZmbzDPgoRb1rCmeZcXyYOjZUGNFnCrjuRZNVFCoDCMd7qpid4N5esjW1Lxd4K8hT1bdc2V1+/H7wbXecZklhiAtk/FH1Q/9J3dMXnOeW313m/+/fqDzLHfnEIlIakAg1s7ANuxHGI8wFGc8TnkcE++gbyr1HY+HifvdmawUW+1tS9/89YHY13OLlvWet9E/Rrl+vfzV8WvhkuBZaxiWcvOcR1RNX6zbqj39WnnrsSvvx84eurmREYV5KkwTNaKpYYyDjHkJ9WMYJUocgwjEQQxDFCYZneI8QXGUkiTnfk3xKFL0p5RnSiMUJxidJHwasYyGJhGNyrJ/KGYITRMWJNDPtAAGEYBCCgqoKEiYAwKvpKQhyWgoPlTjQ83fF83NrkWQQphNcTbP2SygpyA7IXPfhqC/VdevdWwNyS1ip0qtErQOoLVHLG1qbBFTm1ja1Npm9hazNbCtiixl4G4wRwUbNkRbAZjzqqNGzBVorGjGMjCUgLmKLDViqVFzlegLmj4PDRWoLyF9iRorzFCFEyVFV1INFTpWY+YatzQ1a0vcv1j65uLjsVPXnnnu+acIe/kP70xm+/4ycTSIoYYtJWoqQHMO22vI1WTuBvW1uL/FPAUYKiLPqvjNscW95ze9m9C9CXxl4ixBQ1a2FGR3UXNUkaVGPG0aqbPZJnfeFr4M3hm5UE5sUP8DKfhgOH6hrL/ZCuSoK4uCLZ6QuKuF3V3g7aJwn7pqkmmt688PkwMcGoIpwsMd5eClx1+Ez34wmv7VuyM//0S//+zj5BCHBehsqYfWKrpaM0pJjJMk41HEQwq1N4XRzdbYnZbpTDm9rlxXeGC1+Wnk/MjN4tSQZ2S+wLkxV/okc1F3v6y7l99/ZWVS4ikF6zZqznLPnm1sO3Zt2/x153r9BNSOUTmNQZyxEOduCpxY8RMQRnIYqFFMwgSHKEowmuYsSUmc0gRjIQgCQIsxGuMsQkmYoDgjaUKnEE2rcBqTSQCjojqJaRqxCMJxjsJIi0IQBjCgwQihIUxiAE8jPof4rIJnFJwQNWdn6FZhnPAFyo+rPNOU5hpyclXYM7f0dea2IzeMSswvM5eC7YJm7wNHDzs6xNiEpiaydpitw+1NZm8Qd4t629TT4s4qGV/pGzbEibWhrYJstZ9E1Jq1/pPXidoa1FTFxhKayGm6EhjPa6M5TVeAxio0VqG+AnRlPFahhjKcKA0tDcnTA96mZr7y8Jl/kwny4it/SjxpefPQ1aCWFraUsCFPDFnNlBWcFeCoAnebWStY97hvud8zXq69ZT7+VfJuOE/9OeIrYcumZM4r1rLqahJPmznr2FGE9hUxuibvz6z99qvgV76bnhvC4cn8V47b7xw9uT38wP+YBDdorI4nBzzYpN4ecQ00nwDCfRpsIGdRcNYlV1cNySil0kRT2Xfyzqv7fS985/6jfmr73M1Ij0RkbqoJ3956cuBJKYZRgpEkZUGFONtIX5CPrHdH7rd/TK6Mnc4fr4DpouBfrmSa0oLMMgrLMOZtt7edfHToRta5Vv/hxLLufmtKpI5cx5Xthsvi2K0ntseFqb5yDuMTBMURjHDmZthOJA8VwgwEEQxAGOPkpwj62L86UUrijMU5i9B/eRIhKEJxjJA0oXFVS0M0i2kGkEnMEyqOqiRDWRxqMaxGCQhDGAdkBrFZxGdUlumBTEOe76N5hSUkHIEkKCJ3UfE86I2fWR4/vrTfd/ePI/Ofpy+F6lJa5X4JOyXgEFRnX3P3kLuHzW1gbiFrh1la1FIntjrxdFlY4P4Ot5XgwQe1I4vNgw/r+k3RUsH6AjJVoKvDbA3qaHF3l+sKqi6vjW7KY3l1PK+O51R9XjOUNGMZ6MraeFnT15i5qhrKoq0NYxpLKMx+e/W3L7/+/0sYcjeZtU2sZWooUEMW6NeH+vWhMStZymh8Q9p5pbDr+Po30Xs/+8Lytvl4osLCZe4tQFtOsZehuSg56tDX4d4mtWfVfRc2P3KefuYr39+8OfbBkRMT08UdjvvPfRr82Vu6j3VnEks0vkbdS1Iki+JN7m1Ra0e0d4e+rhpowYnVhi7bsjZER1dKaPQ05Z61+tbgqe8T10Yvr++6tBiXWZJwU3P4xdVHex7nEoSkOUtS6hWguaKMb0oj2YFlXTp0bPML39UdieuGS+vzDfWsRudEdUojKUL8vd6ua5u6peq0oG1N33rTfixU7Nofl0avPQnnROdyI1jsJzrCtCifYiyJQZAAD4NepvmZHKJagJAQodF/RVj0XxPGeYLzIIJhDGOc/rd3aJyxiAajipaBNKXRmIzcrYGvr8YVnABaioAYhmGNBAdgDtB5jYUqw9Gra6Zr+akimO/xeY0nVPXw0ur70bNbHdfeO3Ls7d2Tr2+JvLojanmYnZVxUmJ+Gbsk4BSAuw/cXeTuYXuf2HrU0qbmBrE2qKPJ3B3q79FAhxs2pR+ubvx4PbvzZn5ktafPqeNZzVLDzjZzNJm7y10dNrIhHl0XjqwNJ4rAVMHmKjGV4EReHt0URnLiaFE2t5ijiawN4OjRgIgjAvIv5n732h//DWHvJtfa3jxy1qm5iS0laixQYw7p1sTDD1tjq0NLAZlyyu4r5S/i9147MvO/vPLjC4cT8SIJ5LGviN0VbC9Dc0FyloG3QcId7swp3x9/9Ozu4N99pP/VFtv7e+a+Grv04e75X7yu+8e3dV8azoZu9I7OrW5xX987t+FdUz1VZG0Mzc2uqyX4WqputTG6VrO3JddA8Q3UKQ2l+9jyqBJc76ba0JpvRVQUJdgtantW8+PFRhzTFGVxRPwCstY0fV4ezQ7cFeBbG34evfazr82/3u0fubo6PVQWVDCHyCQljkb96/OPjBuNM5x/OX3rb7ZPHLl63/oguz1z0bXUCW0qztXuweuL9s3iWc4nqRKhaoDBEMchCgJECzMWYewndP7NHRZGKIRwjLIgggGoRRmJcRomKMpojPMoJmEFJiD19eQjK/nvbz4c36iEBmpK09IIxCHxDqGlJMQ6MFEHhy8+eX00vcV6znO9O10kZzWe7A3eT0w9c9C7zX7ja+O1P+6Y+tXvDb983+K831xQeFxgAQl7ROQWkLeH3F3s6hCPxJ1DbmkTcx3bm8zd4c4WcTaQq4YOPWp+eWZx2/nl766sH1pqHVkdjKxL1jqxNYijxV0dZqrAo+vi0XVhdFPSl6CxjIxlZCxCfUGdyMtjBXmspBgbzN6AlrpmbWN3D4YGMLRceP4PT1s2X3z1j8m1ticH7VVsqEFTARsL1JRHujXp0IOmbk1y15i/xXSL4lfxe/+8I/LvXtv10pFkcA04VkR3DniqxFrSbGXgKkNfDcV63FPUDl/Nbktc3+o9/7X7wnbj5Q/3zL/2dfTZj+xbx0+NTS07LhS3WE78bkf0E9tF3fWmp6g5W5KlNfB01UAHusqSPtd2D0BApbaO7GxJMYElemRaILOIhyXoERWvqoYRdvRln6BFAI4jEtVwWGGeLrNU4Fh2aKvI6SE5eKP419vN/+Pvtz9niNsL9dOUHqN0jnNDqfje3MWJzdpxzkfu5H653/bd3Fn/emNr/Oz4tUI0R8auF99yTx658eAC59NEyjAcpT9dUThEcJzzGKP/X8LinAYB8KsggkiUkgDUQhhGGQliGCY4wliM8SiiCczHNqsfzJ9/b+7coaXNmKBMalpK01KYOdqKbrPnyEkTN6rvWc787fvGt3bN6KbzoVuD6SJyL5df0oVen5gxTBfNmdy342eff930l7/Z/6njTrxBUzIPCsQnYO8A+brY0yHODv1vhFFzAzta/0KYvQbNeWXXreJXZx9vv7Dy3ZX1A48au+/X9j/uGEqapYYdLW5vkrGspCuoP8WFTBS0saw8lpV1OdVUhtY6MdWxvgYnysxcVY0VyVjX3D0QEXBoufjbl57uh73wyjupjbavgB01YqhBc5GYisyYA7p1cWy5by0gf5sHO9y6BranHr5yMPPzbfY39bPeZdW62J941HGVkKdO3HXiKIJgi4bbxFNSPZvDSHYQXOnHVnv2841DqeXPzede25NwXKpObyixZWni3OaeyQd7ZxdNd1u+subrQXdP9fVwsEODbWyvSY6u6pWJU0COnuYTcFzm04BPURZUkU8BHgX4FOAXQFhGUUCiGgrJIKJw/4DbG1RXkA35XrApe0vgw/i1/+2jg/942GN8UjyGwXGGFzjXl4pbLt62NPozjKUGyrfzF/efvnasBXbP3dk5/9C/qhy8sPnsWGjf1btXOJ9V1WnIU5BPUT5JWZyw/x5hMUaihIQRjmASpSQA1ADUopyGCQpAzQ9hjNIE5XFId955/Fbq+M47TzxNMaPAaQRTUJukzDcAtqpszw0+9l75hy2+v3/Xuk1/Q5/M7w082h1/8H3yzjvmE3+2X/vOcHfL3lNvfO5/40PXf/7doZ9/GXZsDKcADwnEN4DeLvC1sadNnV3mHDJHn9m6zNomjjZ1/XSa2FoE++5Vf7ye23kj9+ON7P4H9W1X1r+5kR/ZGJir0NHi9iadyMu2BrE3mblKJgqavggMJWgswp/qMEMV6mtYV+GOFra3oK2DLXXB3RSTm41//v3TE4jPv/xWOtsJVZi7yc1NYqswS5kZc5phUzJlZVeV+lrMXaPOHBq9Utk3t/iJ+/yW4GX7w4HxYefInaqzCIMd7msxWwkEOszbQO6qGmqABZnP9Pg5lacKJLKumm9Vv4pfH7+SD64Pw1k41eALLR58MvCuD0MNGBwSfx8FuizU5qEODvaxs6M5BexRuVvC9oEWkGhSo3FAvCL0ytAno4AMIgKIiiiOeBzgsAzCCvX0qLWOjWV1PNc15HvBHneW5Q+nLn86f9ld7UwjbYaiGcps7dbetZxbkKcZO815uNj2rOVPqdS22Phu5tHuE5vbMw9f0afHrj+8gnko37cuN905Md1DMypNQRpnLPrfIez/Zes9m+Q60zS9n7D6pNAXKRQTMdKGZnc12hntamY0o9ltzfS2Ibvpye4mm+ymazZJ0AJ0AAEQvmz6c/Kk95nlC54AAcIQ3hRcFcpXVpqTx+bx57xeH9DaCHIn4vkJVzzufZ/7LhNcRLiESR6ArO9mfDcHgiKGOeBnAq+McRWRsof2P1jdfu0e3zVTolnQ7AkEa8irEVgIcM5CqY7+SuLrf343/+SH1S+52/vSD37zydQ//j7x2uj54fOb+4+uvvr5yf/8dOIffjH8+vvjT75X+ocPMuEFeRKyvIlTmi/IXkqCgkx5nUU1EtNoQqcJjSRklOghTiIphaYkOjivH7gn77sj7r0jDi7qn1xZ23a1eXDZfORmGu/RUAtwMktINNzGw5vwkbVWpIVHmv7whjfcCobaYKjNOAknNZLQyHBT5brGdKv/+LMv/oCwF8ZW1UKbJUUaElGsxaKbNLQWRNa9eDMQupjvoEQLCpuosAYa6/6+06tfHl8YvS4NXBcP3erxTZiVWFqiXBsJEuZ7ICn6fNuq6DQvujMOK3b9Sg+M62RkrvvW2MX3pm/sOL2SXYWHDdbowuKmV1JAVvczmp9XUK6Hsr2g5rCMQXiDCA7jbRTr+xmXlhySs0nKgFHJTvWDBqRjHqnapIHYGKbVAOcdnOgFo5tuqOUMbBgHNs24FpQR5XUn1uuXfThGSRXgaoCyrh1WtZTrTDFyGLFpC4/bzhgM8jLYenz+ldTF98s3tuS+GT07N9W0P5u++Qp38pOpO5Hr3XLLbriwglHx/8fr+1US5wHIA1QmpBAEed/LeW7GdQqBXwR+GYE6wVUAqx4oGF7VBlnJ3HH13vDyZi3wK8jJQbuAUQXgkm7uO31/a+a7LaOntxw49cfdJ558t/zXzw5+IMxNtUH2trpt9NJPf5P/p+cyb358fEv44m/583zTHA9Y3kCC4iV7jtADgkKTBouoOKZR3mB8nyYUFBdhoodTCsvrLLruhlasoYdaaM0SJDywbO5fNCMdxMnskcl3qAUeyeuH2zj0yNKhhcKbf1KqHu3AoTYYbNFIx0/IMCKBoQ0lJTuzHfMXP+j0H3/qhbFVNbOBw2v+wXU7tAYjTRppAq4D0z2SlQnfgXwXJVug0IRjHcLdNSO31Ni9/sHr3QM3xeiKmxZZqkdTEk32cFKCnOjF2mZWQ4m2WdCCjGgWFOcwZmUN7biw+Nv86afDs5+ffMjNq7UuHlNYUQr4rp7vOwXZSbesdMerO6xosaSGBZMlbZK0ccoh6T5K6Tje8wY3tJTmT0BWd0jVhJOETRDWQKRgo7joj27aoy1zsGkOtfzRrpl1/HHG6hjXIGogVnZx1nYLwC8hVERgnOIJQCc9Oo3IJMaprvnW9Pn3Z67w95TBb5f2Hru9+/Dcjz5O/h+/G/r1wNGPSpcjV9fHTb9OUYmiIvlTlP5rUFRGqIpJ7ZG2AEI1CGoQllyv5DpjBI1TUoewFoBxSI4xlpf7H5y5smvuYcEyi4GZBkYe+w2MJjxvvKXW7onhowtv7Jz6xeupV3efeDdyce/s6vC5zsCp1v7C/Rc/mHzijeqv365uy17dfbGVV2HDZzkDCrKbFB1BBIJCeYPFdBrXGW+ypMF4DSd6MNFDfA9nVZZogfiGF1oxY5teRmWhZjDSBEmVpXT2yE9+aN195A8S6ZBwh0Q6JNRCkRaOdFCkg0JdNNKFQ20W78Go6A+3naENJdHpT2/2H3vmNz8g7Ff1ZZlb8vfd07ff7R1asEIbJLoJ+A7MKSyn0Hgr4LqQawXJVTe17OY3UG4dJpf9gzfEPTc6IwuG0KF8G2c1JkgkpeCE6CZEO9vHnOSl1CAj2+meMR7QhseyXX/H2QfPhiaeHp747PC93GKQWbTjC3Kqq1ctvyRb2ZaRanlFFRf7NCVjQcMpk+Y8lrJwUoPRnndoTRvZNHIWagBWtmDVhhOYNiCuAZizAk7yIx0nIlojbWu0A0e7Vlw1KtCvIL/kBzXAqgHNOG7O98YZq1FcgqAGST3ADYAmCY5sdF8ZO7r7yvyJgNU27ejV9R0CdXFCAAAgAElEQVQzt/7m7fCfPfnlP3+Yf/ar2u5jN6dsMMZwicL/lrBH6/sxxooApkyz6LozjB1hbCyAdd+fpmQMobIXVAFsIDzDWMWwv7x+/6Pz16KtzQq0y8gtAq/u+7MeuADQFQeN3ZJf/3Lixy/GPudvF656yavKlsLdL8YX82fErcNnnn+v9uSbqc9q11OtoOqyikuyZpBWvFTPFXoBr5B4n8X7LNFnvEmTBhX6hFcQJ6FEF/IdzLVRsgPjTS/RDrguHllzR5oBJxNeIQOr9r6H+sCqHWrBcBtHuzT0qER2SLRNHhEWFnGohwdbLCaCWC8Iif5oS0t0+lOb+s+f/vUPCast9eIL7q5b8rYb7X33+qMbMLoJ4pswK7G0SCMbfqQNuA4SNiG35JRFVu6x5Gpw4FZvz41OaNHiNnFiA+RUKvRwRiF8zxdkP9Mngo4zJs1qIClZJYeUbFg1UEMBu0/NPbG/sK1+M3m9/+XsvV1nHlTUYMzGRdEttD1+w0423UwPpyWS7IGUivM2y1o0aeCBpr53WeI1WApoFZCyC6ouLDt+yXGqgZ+zfEEPkkqQ1P2I7I1IKNr3ecctIL+A/TwAJUSrhOX8IOu544w0CMoHfgmiKmYVFNSIn5CUPxw//8m3dyd09LVLj2l+ebX/UuzEv3v5wD++wz+1o7Tv5NysjxuMFP8lwkoElQlpMJbsm1/euTu8tj6N0DHGZiGdwWyWsZoP032nFKAGY2OENSCONcV3T5zZPXerDp1JRisezEtmrdU/Z+HrDqtdkX7/6cSzf6zsKyynLlipa/2PawsDp9bPrIB92SvPvFt5fkt57/GHNYdWA5K3Qcbys7qfkf2UHCQUHNZZVKdxjSb6hDdI2qApnSYVwoko1vT5Nk73SFokQg9Hmv7AkjW07oXb4FGbNbBqj24GMZHEeywm0tEWCndItEtjHRrt4mgXR3okItOBJh1p2ryKExqJilZadmfaxg9z2GNPPldflvilYM8d7dNb3QPzVmgDRZo+1yIZkQkdmmijSAfxEs2IlF/18z1a1Ri/Dg7Oyftv96IrDreB+CZOd0mqg7ISFnp+WoaCAngFZi0maFjQUd6lOcsv6M4pyhodc+eRq+FTa9HTzbf50x+NX65KqKIRbsVNrQahRSX0UOU3vEwXC22QllHewAWb8RY6uKEMd8y0w7IuygeggmDOMGMtMdvXxzAq+yjnkKxJcjbmND+kwExAShhXKC5TVIKoCEgR4rTv5gO/TsAkxWOEFDDOY1pGuAFR0XG337zz5rHT0ZXmScROAXbMYVsP3/yPbw///NPitvyVwgPpMCJlggr/YpUkqERIg7GEqm05d/7jCxdTHXHCdqfsYBqyacqqAU2ZoARIjbESIFVMqnbw5aXrW8+dzfalScpqNo3e7xw6c2f8gXlimQxU7r/wduWdL8+MNrpf1dd3NBbfy9/jrvSuS2Rv+vzjb+Re/Gg8dHFjguCiH2RML2N5OcPPqyCtwLiChzUyquCIjOM65g2SNlmmz1IaSyk0su4lNqHQxVmZ5TQW3nAHlsxHjswHloxwB4XbKCYSTmYJifEKC3dJpEsfERYTSUwkEZGEenhwk45uWPFeEOmBqGinZGdyQ/shYT/95bONFSW9QYaWvN0L+tCKH2mTWDtISkzoMa5Dkz0WE2lcJFwXxTaCZAvmJMI14fCCsfemGFp0Euso02UZkWRElBYB3/WSUhDpWOGuHZP9SNflDZK0cLLvZzSnYcBZAx7p+dWr/R35q38Mf/1+7lx13S9suHsuboTumkN3xYO32rEVS2gBoRXkVVzo45xJEwYKSRZnBCkXCVaQ80GDYkFT996fH11fn0BokrBKQPIuyQMm2IDTYQWzBmVVQmqM1jAueTCp9KNtcQzAsmcl1V4NghJEuSCoQjwO2BhEsW5r2+WLo2urhzE7DNgxyMIPWq9kjr5Xv5Sc02ZNMkNpiaACJY/eHIsYlTAsIlgiqERxAaEKJhnL2X3/wdbzl/bffhB9uDF6Z3F4aTMqGinTL/hojNAGpTnXKwRwGrFsu/vh18cPzN0Zs8FxxOJ3W88eqr0+8PWhyspHAxcefznz5ucnByqbb41efTV8eVt9mb+iTd5W394//fgfs9sSFytrWtHtZ2w7b4O8HRQsUOyjjIbiCh5S8JAIRkUQUwlv0LTJ0o8Ik2miBfgOiLecVA+WDBZt+qF1L9Tywq3gy7nuoWUz2sVJhXESi3UwL+GoxGI9Fu2SaIdEuzgq4nAPh3popIPD3SAi+iNdJ96zs7o3vqk99gNVgZ8+8UJjVcu1WaxFDqzZoxsgLtGEgjiVJSQW6zJOZNEuHd2EQ01vpOXHmiDeBFwbh9e8ndc6Aw+M2BrISayo0rxK+I6X6LpxyR/pGMM981BLHWqqCT2Iqn6o56VUGF408hvWNwZLne6+8Fnt9YMn3o18PfnQLc2r742fH7rZi97TDlxvxdfsxKaXFIOSwYo6Tqso0aeCg3nb4yxHsIJigCcoy1nWrrt3dly73rCdw4TVfVgIQJ6yFMRpG1UgrUKc9/0qI3WCK64/cG/5qwtzxx2U7XS3nDsf6fQaPqy6dh34Y4iOI1xynaQsl0x7lrBZwo4SNhnAVEfn1tWC4jYAmmC0xkiR0QKheQRKCJZgkAdekaIyo1kAcgGoYlJ0/NBq+9CdpX3XH2w9ceHds99tm1saEZUa9qcpnSCk5FolJ5hB7AiEOy6e3Xn2cmZROu2h+qb+N+/E//zHu3778cz7e84/8UrhhbcbX+WWfj947tX45d3HWwOnO7tq93+zc+J3B2eSN3rHAhzvtgTDqvi07KKKg4smTus4ruJRGQ93gpEuiCqU67NknyU1xkuE68KUjDMqCm+o0aZe6pNkB/EdmOi6iQ785LvVrd8tH1o2kzLlRRrdBNFmEJNoXKLRLn40SIa6MCzhiEwiXRiWcVRDEdVJKm7Vo5Oy8dgL31d3evyZl8ZW9UKHcV020HRDmzAm04RGYgqJiiTaoQmRxUUWaqHhVhDqoUQbxzYg3yGhVXfvbWnggTG67KS7pKCSgk540UvKIKmjhB4kTDAk9gc3layP4v1g34oeWncG51R+XpvasL8q3PgPz+/78R+4l3fWji369fvy68KR0I1upRkkFvrZLuTaQUqBJYvlFCQokLdYLmC840X1Pm96JUDGKatBNLK68tnFixVVnw3QuA9rGBcZzRCS80nRwyUP5DyvQlCDkLoPPvr60pv5kydlFr669LPR3J7rD2c90rC8cYQmKB0npA5hzQcNH0wiPInJeOBPYDhF2SPDkQoIytCvUVxhtEhpmZAKgXnkZgKrSGER4ywEBYxqjE0yVnFgTjbSHSW2tHFoZfXgpsgZToOhBmLjmE0if8z3pyA9ylhG3Eytdj+bvha7tHB8E7zy1ZG//tnBp14t/OGTU797/9gHey5Hp9X3kzd+F/n2D4VLW8rX3klf2lq4PvTNeq0FJj0WaUuC7lRcWnVI1WFFk6R0FFdxSKGhHgpJKKKQmEbiKonJOC7CeDsQZD+jwUML4v67zZwMKiYTRBDbdFJd8tnFld9PXfr0ymq46fM9luhgroNiEo1JNNZ9NEj+ibCwTKIiCCkkosGwYvGyU/XZhGo8/qvv57Ann3+5vqwUWizRoYc23NEmjEosodFID0c6KNomnMg4kcW6LNIjCZlyXcJ3Cd8lgw+N0SU7uuaFlu3kJsxJOKeSlASKNsvZLOuwjMdCijsqWxXGkg7cca9z8L6WWLCq63bprvzW0Mz/8tMP/uKxT37+TmTsujxxX38/9230aveIzsodWNVoVsVZDecMklGQoGHeJIKDONuN6n3OcgsA1ygbpyzZ7uy8dKUoKtMOnPLxOGZlitMAZT1a9nE1QAU/yAd+g9IJRD8+ff2JQ+P7pu5viZ3+uz8M7zp294TFGgacIGySsjFMagBV/KDi+fUANgCuem7Fdcchm0Ss4aOkLMdlseh7NcoqjFUpKzGUI14qsEoEVAgqYViiIA+8IvAbhEwxNsPYccamGKtAXEWswVgF0jFMjzAyFXi1AI4zcoSRSRO/FDrybvR07lRnd+TyK+82fv1G7aU3p9/74vLuyMq+wvrW9M0tme9+lz35/vSV3d88zDwwJrqs0EZCNxhtmrzkFvqwYpGqzYoGfURYWGcRnUR0EtFwWEVhGUYkEO0G8XaQVr28jvbe7rxz9Pq+W2tTActJML7mZbpkx+W1F8qn3/56bnDF4iXGSywps6hEYz0aE0msS6JdFBZRSMIhGUdFOCKhUckf6fVjXbNg0kZP+yFhTzz3Ym1RyrdYvEUOrjuDa15IJJzOHh0FxDqU7zK+y2IdGn1kd9OCKZnxIh582Be6MCsTrhWkOiAvk0wPCV2/4rGcRVMGTZokJHsJC5Up4y3w5Z3WwTtKdtU/rpKxReMPocn/+NLOv3lpz0/eGtlT+E44s7Etf2nPkflZlTV6qK6Tik3TGhY0lOmTtEETOozqDmc7CdsW3CAboCIlNYyFVvfArbv5rjbj4UmfNACuYJxyQMYhDUTHCS14ION6NUzqHjhwu/nk3qn//HLkxy/G//6FoS/yN8aXwZgKJjBrIFKHuAZwHeIaQHWI65COYzSG0Thi44AJPfWru3cPLD7MGmbJhwUfFSEqEpKnOOV7ZYwmGatRlIeO4OhJWy8j0GCkjvEkYxOYjiNS9UDFheMQj/v+tA+nHLcc+HVGDjOaXes/tbPxm89ntuw++e7n0+9snfntG41nX6q989ml9/fdfG7bzNvxb0fPrR24vhRdlYuSP2nRCYulu2h0zdn7oB/esDKyXzJo1WZFkwoaSug4atKISSImCRs4rKOICqMyiEmAE4OiiSsWPTAnvpA7/rvqibxoV2Sc2gCRBf2zb+dfGb/w4bmFoTU7IdFEj8R7JNIj8R6N92hCpPEeifTwqIRGJRTvoSERDHWdYVGLdoysjmpd5b/NYS+Nr6qlLou18L4VY/cD7cCaE1UeuXPhWIfwXcZ1WLSFHrncxNpIUFiig6JNt2SwgkbzCilpuKQyoR2EVnROdKIdO9yxOQ3GNZh2Wd5nvA72Peh9eWkjfk+f7eHDbXDg+K23k8c+LZx/7eD4k+/HX95d++W23DN7quV1Y0ojVQWVbZru46SGMibNO0wwYEy3U56X8v0sxBmAMxAUAShoJr/ZK+nONGTjAS55sIpJ1kVZm9QCWoe06KMShAU3GFrZ2HVp8S3u8n96Pvq3Px74ya+F13Yd3j12s9HzJgmrQlKDpI5IHdMaplVMK5CMMzpOSMn2k6K269bd986cPfBgoWS6XFcdWGpmTbtGaRbhbADqiM1g1oCwCNwCcDKeUUBBlZIyRBnLy2vOEUJLss4t9WYtWO2ppY427TgzCIwDeIyQ9Lr2718f/LdPHnzs1czL75a3bJt96Y36Y7/OvfH5t+8OXHvqi/FPGtenuk7d9OsBnWFsArOKRwQFDyyaX95Uh5aMZMcr9mnVYQWTJnUYN3DcpiEThUwUtknEJjGTcH3MaTgpo7zOKhaLrupvTV14MtZ47/CVQhtkm97bE9/9cerSzitrQ0v90KYfEVFUIuEefkRYosc4iSUkGpVISMIjEkxIeFgEQ11npKfHumZWg9WO/Itff3+WfOq5l2abZqXHYi20Z0n/9EZ757w6KgaxHol0YKQFE20ab5HIhj+y4YZaQaxLeJmEm57QQ2k5GFmW8zKoW6ysslQn2Henvf3qyq655qFlOamijMVyBs0aNKPB8Lr52bmlwRtiecM/orFG08ktKJPrYO/k7f/zhR3/7olP//rFA//4foS/3zpss4qK8gZJG5jXUNqkRY/lHZJyQA6AlO8XCSthmgGgCEAd4IqPyh6qI1pFJOfDEqEFSHMWKVqo4uEaImOMcYrx7jcXPjx69eDh5m/en/zJ08Kv3p14Ykv2k/zp2X5Q92ExgFVMaoTWHwWlZURqBJU9j+upg8sb22/M7bh2g98Ua2ZwYO7h9os3ioZ1mLEqwRUAC7pT14PpAE8SOMloDYMKwTXGCi7Yu7C288p8pWdmF8VDpx4ebfmZO2t7zsxlN8RjIJiy/WOQ1BTvHz6N/Zvf7P/Rm8LfvzD83B+Kv/9o+qVPZ7fyN/fNrn3YuDZ8o3kSsilEq5BOMlbBMBeAVB8Nr9hfXpMHHuiJTa+g0YrD8jblDRg3ccJjIxYcsUDYJTGPJTyWtFnKYIJKhB4t6Cwne0N3m69WvnkheUxYdeKL0s8Hiy8XTibWnGKfxXs4JMKIQkLSnwjjJJaUGS+zmExGZTQsgYSMR3pwpOeFFZOTnHwf/wuE/fKZX822zLLIYi24f9X89EZ714IWEkG4i0KbfqgZRJso2kShdW943Qlt+jERJ3p4aM3ke+DgvPjeqetcs1/p01wXpztw3632uydvfXZ58cBCT1Bx3mA5ieQVXNJxqht8dW1z5L6ebwcTJpux2YxJZ1UWudD80R9Df/Xi3sc/L78cO8YttGZsVjNJ1sSCgRMaFEyad1jRZUVAc0HAWU6FsAZlRUTKEFcQLWOW8XHKhTnCspjkKCkSlrdwrh/UAzJJ2RhjEVF99fCprcevJS8qr3wy/eK7U2/tPfPCl9X09ZVTAOS0ft4LKghXCa0S2iB0nLEKoUUQZPr9aLsX2RS5rpzX+mNWUOjZX164dejG/Ybtz2AyQ2nNDQbvLkbvrh9x8XHGZhkb/xOpLNN33ztz5fn00T1nF+PftXYVbh25a0W/vv/S6PSXp+5VdXPCdWccPGOQPWfubCl/+/jOyn//zx///cvR90MX9k0+FG5qpQ1v5EEr2dGnMCs4oODBGqMlCnMgEIwg1vb33JYP3dfiLT+n0ZLDsi7lLRi3UcJnow4cdUDYRVGXxB3KW0zoU0ElXBenZVxQYV709l5e23byfnRe23XxwRPh2huNb+MbbtFknE4jMo5qNKyQSI8kJMrLLCWzpMJiCh5R4LAMOIWEZBySg7juCqpfNOm/UCV/9tQzkxtaoUOjLTDcDr66rx1YdeIyCffgSMsf2QwiTRjeAMOrztCqNdJ0Hj0sjDSdRDf49NLCc8XZ8LJU0kh40Qgt9kOL/T23O4MLysCikhCDjIJzbVIQYVmB6Y4/vKDF1t2cBIs6rJq42gd1CeQfmh8WL78aPb21cXfoqpjd1EqKV/NYxsIJLYjIXtIgaYPlDVL0ccbxErpZBqzk4ZwdFH0oOEDwUMQOhnQnHqAMYzlGS4SVXZLr+3WAJxlrMJYx3Q/OXfv8mxv5W8p7g6ffO3T+s/zc9olrk229JolZTStBVCekTlmFkBohDUYLEJaCoOJ5Gd3KG+4YwLOUTftU2FAPXlvKbxiFrjPyoJkXrULX2TL57buVs4VlfdYmUwEbA7QGSB3Rig0+/27uqfCx9yr3v2osvr3n64lz+mDt7mOf1N6t3hNa+jQKxhw047FJA5Rb/a3TV/5mC/fE7omdM/OlZfuIzWYRKzlOwffLlGUcWAhQCeMyxTkIkoaT0VBk3RlZtuJtP6vTgssyHuUdGHcRF7BoQMIeCjlw1ISjfRjRUEJFnIzjHT/e8tIiKkgk2wriy/qO8/Ov1c+8M3t5742NWNPhekFURjGVxHQW1WlUIpzMkn8ijMZVPKqiYQVyCg0rJKohzvTTOig7rC6qPyTsJ089U1sV810aa6OIRIbW/NEW4hQaUfBoD452YLSNQptgaM0ZXLWGm3ZSp4JOo52A78FPvpv/pTA++KBbkNHn55e3X1xONoN0j6RENLJiRFsu3wWZTVzowlzX49bM6IrJtYKMijJqkJL9tOyUZK/aRqk7duRqf/ianmmiguIlRbPg0KQBo4oXEh1OQymN5jSUN0HacFK6nTPR8Jo8vNzOGm7S9hNWMKQ5+6T+oO6kECkzVsa06uGiFdQC1CC0hsk4Yfvn1z87ey12efWLzJWt3NUDx9dKy0ZhvTt4937Zc6uUjjNWZ6yMSRWTGqU5L6gEYJLQBqB1QCYRmyVs0sORhfbe71a4BXPfpY0PjtwM31O5B9YrydOP76l/NHaFuy82TNLwScHxawGaJYzfkLYdmd91uPsRP/eLN8qHMkvbwtde+Or4ruOdZMeZZKjqeJW+N+ORE5Dk1ns7Tj7Y+c3i8M3Nhuofx2QC+VXklinKM5pDrERYDqEKpQWEBNvLWTij4Vjbj/dAxqQ5n6V9ynso7mMOUA6wmE9GTTioeQOSO9zzwj0/JqG46IbXLa6FhTbJ9WBGdN47cfW3lbMDD6S8RuJdP9RxIjJI6DTeZ5zJ4irlZCZILCUxXiZxlYQ0PKwjTqFhlcZ0nDC8lBY8Iuznz3//f9hPn32utNwuKyzRJWGJRDZxpIXjPRTVaVgh4R6OiyTSQSNNf3jdGW27SYPxKomLIKXgr+aazxeO7Lm5nmx5r41d3HL0Jr/hpzqIawXhdTu26cZbAb8J8zJOtZzokhpZ6nObfloBuT5OK6BkkaqByx2UX0b5ZTo8Z4SWjYwecIrL90FU9aNqEO65CRmkNVLqk7wOMn23YAKh63x09uYn397KKXYNk7SHRxR3X9c4IBq8DaqUVQEuOaDswAYkVYhLAEwzFuson124vufU7S8K1z5IXBo8szEhgaHb83tu3athUsakQViNsCqiNUQbhJV9XPHAOMTjkNUDMgbJYcZmAjJyr/ne7LVtJ+c/PHz7s6/nuXknftfeUr/5sz1jP99T3H7iRr2PxgDN2U4lAEcZa5heYd0q3YcfC3N/8yz3+B+mn/royPuZK+UlN2+iMoMl24gvtmtt9xSks55TkJ1M10o2papuzgR+QZdTfamIYZbiLKF5StMIligpEZLxUdrGaQMnVMBpKGXTDKCpgPABTgCcAJjzadzFIwYYULwB0RnsuiNiEOmhhBRENr1khwodEt0w+bb5xZWFTy8u8xIs+yyugIgCeJPwBovrVLAZpzNeYYLEBJEmezim4JBORgySUEhEY1ENRTWHl52iReui+tNnf3Dz/eyz2cVmw2R8j410QKJNoy0c7cBIn4VUEpFJQmGczCLdR9osKGkyTiMJCWY1Flm33jpy9bPzC8PzyvPpY+8euZnaRKkOSncht+mHV02uDeJtUDRosu2OPpSjS0ayFQiiX+iTfJ9WXdawaakDsosws4j3Xu3snmsl+0HShBHVi5swrsNoz+OkIKeRSp8VVJBTnYqJ42v67+sn3z18oaz6k5TlPBZWg4OiNShaCdUt2UHNhQXbr7pgEtMqhEUQzDBWdoPRpc39F+Z3Vu++PXru8/G5Q5cfvn/kzMBSq4xZEeEKohVMa4jVEB3HrAHYGMDTmEwiWvPwOCKHGZsNaHrD2HN15eDtjch8JzrfSzyQc6t2alF9f+r608P13d/cHbdIDaAi8KswmILBlA++CfBphX1amPvffnnwX/3Vtr98PnLom/mzHq77tMpI3TH2XbzL3ZKOO/Qo86YZnMKoYvYnbGfa9mLLq4NLSxnPzVCYoSjLSIqgHMElSjMB5S2ctAlvYt7ESY+kABYA5gFKQJwAKO6iqIlG+sGQ4g9J/kgvCEkoKpGERHgJF/osI2O+4/JdP9I0ONFLakgwEdfHUQ3xFk3ajDOoYDFeZ0mFpSQmiITv4piCQ30aslhCoRGVhRUw0utHO/2iSWpd9SfP/EDd6cknErfmGxbje2Rw3Ym3SbxD4104quIRhUYVFlcZLzNeoTGFcH3G92nKpEmVZFSa7MIvLq988d3SoTviC+ljn5xZyIksJ7KCwvgOGl4xYl0Ul3HJZUIviKzp/IYjtLx01y1pqKBhoWtz62pmw84swdHb5hcX1vbcFzkDJB0c7QeCzzgTJ5SAV0FeJzWLVfoor7o1CyXW9LfGz23/5taMhaccmldgrOWGO15ShYLsZSSj5gRlD1TdYBLTBsFlCBoYj2FSdWB2XQ+fbb7HX/ig/N0Hk99+cOTbtB4UICshUoakhkgds0cn2nVAJhCdJXQckJqHJxCZxGTMw3WTVkw4BvERysqKHX6wUu5JpwhNrms7v72XWe9P+LTke2XilZFVcvWG750h4LxLQ+dW/2lr6r/7hy1/+3Y0t9Q+z+AEwOOETAfOF6euHji/PmmRGeaNs2CC4Tr0ZjCe8VBieXNkaT3nujkMMgRmGEkRlEaoSGkmwCmPZAKWcmnKJYKPkwClEElCHPdR1IMRG0QMGDZgSIdhDUcUHJFJVCJxkSUVljdIWkZZjWZ0lrVZxiJxLYgoAW/SmI5jOuFNxpuM77OkwQSN8RLhe5DvwbiKwn0y2idxCUVVElKCYVEPt7SsDmtd+Yc57G9/8pN9R8/mer4gweEVI9pEXI9xEhyRgyGJhWU22kHhDZhSaVTyoipJyDhrsozOBBklWu7B++LgvBxa1F+pndt5aSPTpqkWFjok0oZDLX+4Bzmd5jyWVJAgBVkpSDaNkuxV5CC+JO+9uvTFt3ejC1qqifbe7H1+pTW6CRIG5GzM2VjwmGBTwUCCDnIGanis5tKSAeouyLTdnWeX4nc2Tnv4iIwKi0bomsjPOxWZ5WWQkY2K6zcgqnhBPcBjhFYgyjt2GXpjmMx6uLbR33Xi5ldn7w5ceRi5v94IaAnhCsJ1TMcIe1Qia4iUA1CHeAyQigerPq5BXAao4PolH9UpqzFacl2ha8TXmzlpbRYEFR0WZGsKkBqExcAuoH4ayClPKiPnMAVnCT6s+7tP33l6qPLexNlJ0znJwDhBdRhMo2DbqWs7zy/XnGCSgRImeUKKBI9ROgFp2XCLpltDpAhhBqM0ockApgEsEJKDqIhplbJsgLMBTvtY8FEG0RQkUQeE7CDiwJiNEhbhTMoZLK6ScA+PijDSI9EuibZhrIMTPZKxmOCyIclJmDBhkITBeJOGFRJVGaezqMx4i/EGjfb8uOwl+yChg4iGBntBrOfGNRg2QFixYl2TVyJqo50AACAASURBVP2xrvyLX32/D/vzv/rrV4e4gTvNtAS5TS+6ARJdzPV8Tof7Vp0Dq9beB9ruG7LQRbGOHenhaBdk+ixnMEFGya7PtTy+7UdXzU+/XTp0R4ksWAfn5KGH5uC6N9iFwypJ6JTrY17BGR1VLCy0+pMOLrSttyfPvF49uePcfGRRF9pweNk8sGDGeiyqBlEdcCbmLSxYOGXhlIHSfVgwQMnCFRfXfVDsodFbUm6x940dfKOQ/G3pk+qV3UcW0w/dfBcWDVB2g1oAqgEsOUHZhxWAip5fxcE4RUcxPmr5mZV2flOZ1N2KqGc0rYzhGCGTlI0RVoW0CkkVkQqCVYjqgNQAbiBSg6SMcAGAIkJVRrKBv39x/cC9Vklza6ZUN80pDx1jdJqCsufVCCgRJw30DDKLBNQROILAacbGNT/6oJnakGYRmaFBFaKy7497wUfHb351aWPcB2PYy3iY84McBkUYlHy/AeEYoXXKCgBnMREQ4T2QBqhAaBHjAkI1RnMBygOcC0jC9BOOnwxI3MNhB0ZdnHAxb9OkxXiDxRUS6qHhTjDaBVGRhFtoZANEuyTtMM5hB0Sbs0HKZVGdjfbAYNsP9VC4Bw+uuVGNJPo0LPm8AbI+5g0YloNB0efVIGngmA3jfTepeKk+nJb1J1/8/j7sf/izP//ZB9s/P3WzKOOaxpItzLcQ17JyerD9enP3re6O7zZer18buqPG1uxYi4Q7flKleYvl+yyrkJxCMxLmmm5owYwveyN3tZ2XNg7cU4ZWneEOjGgsodKIBHkFZ3VYsVFO9qZ8MvJg84lE+fWx09xaX2j7qS7MKCzaweEOCotuWPKiahDTAWdAwURpk6QMwEt2RgcVH1fcoKKS5EOzsKLMisbksj54/O7vR6bf4s98ceTBwM1OUUcVF1WDoBKgTN9OaVbZhQ1ExgmdIGgWgK89dNwGR1z0NaFlSd278CCmKTUIJxmrY1r0UNbySj6oY1zHeJywCcrGKathVqesSmiFsAqGOcfZfuPBx9/czbbdkmSUFf0YCY7TYMyzGz4YJ7SKcBnDEoYlTKsINvxgCpIZyGomrFtwhrBJEtQAqQdozIDbZu6PXpO+xnSKeAUfZ32vhJyCbxY9qxy4hcDPYyJAnMIkCTHnQwGgImVlygTHz3gg46FCQLI+iepOSLcSLk5CFvcJ5xHeJbxNeZMlNBqVcaiHRrogJPrJPk1qbLTpJXpYMClv0rAWcJafcWlco4c2nIGmGRLd4baz/a54YN0ZFVG4F6QdWkKMN/Go5I8qMGOSlMWiFkwYXsaARY8d1swnfvP9bcX//Gd/8eSHX22dvVLu4SmDFTos1yapppHv9j878+DQLXH3ubX/sruy9cjdyLwR36CRrp+QUNZgBYOlZZwSYVbGeRkLGzCzSVLrwcg9PbzsRFswLOKITDmFxSUsqDTXR2nZK5m4qAdfXLr72uTpoQftmkEKCk33SEZj0S4e2fQjohcRvYjkRVQ/rkPeQIKFBRPympsxUdlHRctrmLQu4omuV17o7hm/+uqhsd8fmHw/+e2r8RNbpi4JXbsB6BghJR/yipGUjbzhF22/aHsNAI9T8g2gpwE77KIZOyjLxqc3bn1+/37WssYoqyGSMb2ErGdMp4JQDeExzMYIazzKbYSWH/lhoaAKg8GHm29Nnd9+dmHf5XVhrXsM+2OmVTO8WULrPig6cIyyCsBlROsY1wCqYVpDJO8EFR9NU9YIwBgg0xhPavSzsUXusvwdZScIbvh0EpMx7FWhNYa9cuAmbSvh+XGAOISTEHE+4LygSGmZsbjuRhUr46K8TzIO4kw/bnoJByUB4wATfJbyWNKmXJ/EVRyRYKiHRnowqvhpi2YsFhX9uATjKkj0UcKASdNPWyils0gXhDtOqG2EOvYXtzc/v9Pbv2YNt13BpEXIOAONSn5cx1mLJg0S6vsx3c2aqOSzWdV47Pnv92H//t/+37/bHv1j4Qw3388t29kVVBVZpRNMae5X3y7G7/VHLnf/r3cib5UuJB5amQ6L98Bo0zq0rI2s9rlOIIgw3cP5HuZX/WwTl0WWWoeJDcB3CS+xmERCm36kHfASymoovNHP6yit+LvnlvfdW69apKDBlAgS7SDWDsIdEO9BToYJCcTkIKIGMQ0k+pA3sWDhpAFyLqkiUvXBuE0O99lJkyavNl/df/hnb/O/2zWxpzq3Y+zarrN3Sro7RkidsmKAs4af7XucqA+tbA48XBOk/jHETth0Wg3qilsWnWzb3H57+Yt7D3O2UyeshmjeCdKGk3eDCkJViGqAVAJUhaQMcQmiXADyABVBMEFxTjZeqx/5bfroe+N3QnOduuqO3pVC99WG5U8EXt0LpiirA1pBuEFpDdMKZUVM0kFQCGDFg8mOnuqqU65dXDL/MHp15MjqBQvOqE6555wg7Dijk8ifwEEFBknXibpeHGKB0CyhAkQCgEXKMj4OS05CBQWf5j2SdVDGIykPJz0iBIwLaNpnWY8JFuU0HJNRuAceERbTgqQBBQPzGorLMCr5nAbTNs6YMKn6uT7JG1SQ4eh6n5f9vQudj641dy3og00nrsKUQ2JaEFYDzqQZAydUMKw6YcV6lMOmJO0nT39fP+xHf/eL7dGZ1/ivvzj2cOvk3I4Ta6O39dTD/pTkbD92f/hKL3pN+ceP+A8bV3JNv6KxmOjvutt669StD889iGw4OZUJXcSte5F5k1/xCm2abiKuCZMdIkg0JqIDD7VDy0ak7aU1HGmZScnL9CHXs5OyV3YI13Wjm1ZozRxdt+MSzBosozFBxQkFRVUY00Bch7xJkibmTZjzaJ2ycUxqBjhisOM62nf4/jMfT/6X11P/9Lvo56nvqg/6DcmZRqCC/TzEJYhrgFU9EmsrX964v/XCjYGHm40+yS5q4ZvrpY5dlwG/bOyfl0OiUUWwTlgV0nKACy4o+rCKcRWhSoALLigDXEa4AFHK9bIBKEM4y+ikB7bMHH9mpPpm5tb+8+3oXXXHqe6nx1dH7m/MAHeWggkEJzCrYVSDqIpohbICJRkCiwjl+t7AnY0vv5uL3Lu/a/rm429PvTd4pnJtI3T24ZfHbmeXlSMOnrJhw/UbCBUxEgAQMMlgkiMkjUgO05QL96x0vri7MbBulDxSBjTvkZxPMz5LBSwFGOeTtE+zHhNMwqnovxI2KqGYBmJKEFehYLK4SmJikJBAzqIFg6XloGSSmsO4Dth9s5uSYazT/3yuu2fJGm77UQXGNBCS3Ee9ckqHMSUYVp2IamUMWHDZZE/9IWGP/9OL+RMPPyxdey114ee764/tm34peeaTwzcHLy3/Onb846l7I5fEJ/Y19px+WO6BSp+ObFofX1p4oX76tcNXRlaMgs6SbRRdtsP3+/GHtrAWJNcDoYUEkSZaMLLp73ug7J1XhtfttE7TOuQkN92HBYdmTJI1UEqDsbYd2TTjHT/dp5k+y2ksrRFOhXEVxHWY6KOkRXgT8RbKeKSEaDVAJc2eMXBhUXk9fOKJ98cff6fwP/3DO898lp1Yc48HbBz52cBM+X4BoBqk9YCmZWv/vbVPLs7tvb+Rabs7Ttx+p/pNfqN/1GbxB/rAgpp1UJ2gOqElH5V8xKuG0LeqGNcJrkJS9FEF0SqhJUyyQZCDsEHpEcZmAd159tozQ/Xfhq9uP7q2+8zG/nP6Z0eXP5i9VFW1WezVPHOa0QZCRdur+KjGWIYAAflVSio2GrzT3DJ99vVc7ZkvS3/3TO4nL6U+iZ16/dDxH20R3kye5OfEyqZT07wpRBuMlSnNE8K7Hu96aYhzkA611d9/fem5sdOvHr+R67sTlOVcnLKQYGPBo0LAOI+kPZZxqdDHvILiEopIMCzhkELiGokpKCJjwWKczqJdGG35aZUUNJZXSNUiFZ0cuqu9OXMntunlTXBw1RrcBFGFJPokLHvDXSuqBXEdCDrkdBQ2gnjfy1m46LFpWf/5c9/fhz392Gsn5ox9JzZejJ35+48yf7e18I/bi89FZ94sfvvTvWPbZh8OX5Z+FTk6eGWj0HPyGo50vV13W++emfv4/EJozc5rTOjg6IrLrbj8isevBfwGSLdxSqTRdX901dlzT947rw6tWpyMeRXwKsjapAJY1mWcCgQNcj1fkEGuj/MWSyoorWBBhgkliGtB/FGJtEnSwryNUh5MO0HBAXXbn9CDHUduPL27tjV180P+u798fvvTuzPVdWs2YDUAMr4jeF4RoEqAah4qGkFsUz/4YHN0XcmJ3gfj554YyB+49LC4ru059/Dgvc06ZmUQFLwga3kFF8QljVP6f1L1wbSKaI2wCmUVygoIFQgeZ2w8QPmuvfvM/WcGJp/ef/qTqfn9FzeLG3Df+cVnoxOHri+PWe5YYB1mpA5xru+WXVBjLEdQBoEGY1OI5dvG5ydu/uTL8F++sOcv/in8r//+qyf+WPjRy/l/9Vfv/YdXBt/LXzhwZolb7NUtf5zQMcbKiKRdP+X6eUiKiI109XfO33p+/Mxz9bNJyZpiLGujhOrFNS9p46RHOQcLDhEs/IiwhIRjEopIJKLQiIxDIghJjxacLN7DXAdmejixDkIP9cS6yq0a204t/5I7dfCBUvVZTMIhESd0lnJYRPUHO2ZE8SKyJ+gwaZCESwQHFhz6qA/74bbimade/3rejt8w/1i9/UL0m19zF56Jn3qtfPadxuVXst+N3DQPfNd+IXp0+FYrJ9lpGaV0Fuv6I+tmaM3m2zArs2QHJ9aDXJemNlGmjdMdnNyEyQ6OrrsjK/beB+r+BX14zY60/eGmKfRxzqE5FwsWiitBUg3SCsz1ScVlOQNzks/3fL7nJ5QgrvucAZMWTjlUsAlvIcEJOMMqunAa0fym/OtQ46m99cIdO3+n/2H57PZjV8ui2/BYBbACxCnfLwBYcoOKE5RMIEhOpKknRLPaB3vOzj01VHyrfHb7sZtfHL8aX2lPMJZ13KRmJjWr4IKs5WVMt4YfSc+xGmE1ykqEVigrEVKkpE5pTnMH5tofTd54bmD6NyNf7zg+n5jXTgB28PK9/+dz/tnokcSydJjAw4zUIS1YoOyBKqUVxsqM1QidQuQIYLG53tP7i//m+d3/+y+j/+v/u//Hr5d+/Mb4//ifdvz1S4PP75vYOnYtfK+Vl82C4WR0s+QEDcKKAS76qAxIzkWjrf4H383/avz8yLo6jljexrGeHZVswUJJm8QMkDAgb8CkjngV8zJJyDgu05hMwyIabHmjEo5pLKEzXiF5jRUkuOe6+Pbhax+fvL73yur7h+8+wR3bM9cuOSSps3APRFWU9lisD4d7VkRxw7KT1IBgUt5naQ8XHfaIsF/++vv/9J965ncnFo3iKtnzXW/fRfng1f5XV6TEkhabVw9e04QV+MHMreciR2ILWllDKYmmdBYXg4QIsirNKTQl0sQG5DaCnMiETVSQWV6hsQ0/3gwia87Iin1wydz/0Bhed8OdR4QRQUeRnjXctRJqUPZJwcAZFVRdmlYCQfL4nsfJHq8HvAkFC6UcknFp2ia8CZK2lzSdKiCTEI/MzT/2Vfq5Q1OVFeeozsqbdr5j1GxYASzvswKgWejnfa9ouzUvKFuAF43hdXV4XS5rbmqh90753O9Tp95Ifx2+snjY88cxztgOp+hJzSy4oApJGeA6IQ3KKphWCK0QWkC4REiRkDzBJYgyinNorvXH8sVXuRNfzN4cvLyeWNBmLLTzzM2/enfkX796aPvZ+SOETmIyRlgd4EoAK4TWGKswVghAxfWPMpZfsz/6/9h6y2ZLrixN87eMzYexse4ea5sxm6muqpmurErqTJVSkClWSpWCFKWYpVAwx+XDx4+zH7ocrACFQsHMeBkOox+HzXvNh6vKbqW12f7gP+CxtdZ+9/L3LZz57Tr1iQ0Tv3zffmbD4Q8SN98cOfnizr3P757efOyeUw2z3XBkfmX9petKpTMF4ARUbftGDxW41H3x2aXZR/WD6y7P5EKRJzJe86I1Xw1E2hPDzSDSQrE2TjZJqinWLMGSDYjXIVIT/SU83JSRNkRbMtnkTheyDfLZiTuPREafTu39/MitdScf/GX/+T33q2qbKB0xXEXDtTAdyERPjLTCWBtHGkGigVJdkQhlJmSmJ80QphudR5/9qUPdbx5/au+9SrEGkYc4swiZZUiuwGgPxlywqzByr/vY8PhTkQPp2cBuynQVEg2WrJF4lagNYTQhtcqHZ4LYPFLKMrXCzCaYLYgu4vgSiS6E0SXcv4j75oPBZTJSJiOVMNEgkWowWO72lXvRBrKR1Fo4WfH0Fs7UQ61F0g2cbpNMj2UCoQVCDYQecM0XaY+lg1ALSI7COMKp2blPx86/rZ7fcfJhoYbHfDkhIctZJkSxTqiERGehhcMCQuOMFxFLVd2BxfbAUlur+Onb7c2H5z7IX38l9m3q8tJxDmOU2oSovUB1A91HDuZZKopSjgFkqbCpcIS0hbCF0BnVOLUpz/awUXY3Hr2189j17Fx5+PLqjnPlvkuNjyZvvpQ+9uiu0fUnZsZcGCVyHNiYZHnGLcoszm0pDULsIJiSdKxFUrdrm09cG7w4++XU1XVT9/Xr/vRyED278rpybNP3d8Z9McnEwOzSG/sO77z+oOCRfMDMTqB3/FEusgS+ubH8mHn4gxNX9TYepaC0ULpDDARJl420wuFGMNIIYg2SagilCekmpFuQaEC0LiINPtwSI10Z60ilzXNdNtVjG8/ffjw+/oJybNPJ+cxiO71UVWqu0iB6TyQ7dKQRJno8HUDCYymfxzsk0QgTHR4LRDpgpg8Wgsl662/nsJ8/+ujYvcVCQ8bmSWpRxJdgcC6MznXzTZatwMaT8//vV6mnhw4MXq6nl0KlJiJlrLRkvEqjqzhVkfFlNjjjDc96yRJLlbhal2pDJEosUeLxFZKuyqESi5RZpMxHyjRR59EKipT9eAPH2zRaR0qLJ8p+dMWNlVylgfUu11yue1wPpI5AR1ILpR5wzROZQGiEmFRYRBYImQiCfEns/KHyduH0pnMPBueqWcYtwUbarW1Lq7vLlYTbtkk4IfmUhCLhmXaYaqFMl6oV1He2vOnA0vq9q28kz34zec1a6I5jMQqQJdwMiOHjNc7yQo5JyDFhUW4LcCRYUmqU6pzlBIxzuU9IY7mVX20cDr3Yzcruc5VPp2f/4txW7nrqbCfxsGs1ZBHLUUBFIDkhdEw0Qk0hHSnznIwKPI3FZJeN9YIjUpgrrcysu68rTwFM19mHE+c+OnDWaQd7hcjUWx8dP/PG+PGtl2byLpug4Pg4h3mOwsBK960T17+4eE9poCIF3eN6IAwE8Q5JdOhwMxyu+9EmUtpcb4PegkwDlAZEajzaFEMtPtzlqQBUl9tdMo1kdLH84bFrnx55OHCzNRmIKcYtj2Q6wkKgBjLWxkmXZkJQEegIUh2SqqN0lyd8kQm4HYAdyOl652/nsF/9/rHC/KJZxvEZEl3ksZLc9dDdfqmUW2LGA/z56M1ffKQ9s3X6i9HrkTttvS4GllCsKkZKtH8hGF7G0VUyvBwOzrvx1SBVZekaS1RpoiaiNR6tslQbhis0UmXxmois0lRNxks0WWaJMk23eLrBMnWRWEXDi97AshupEsWVDgYbgx5CxheKJzKe1D2puVLrCZNJXUCGg0Z5jvJJCnqJvD197jlj/5enb2stlCVyqNr+8taDjy/f2Da3oPb8MYCikEaA1V5oYeZgbnfo8I3mp6P3vh5dfk+99cyeQ18fflB0YRKgQIQT8CwSSsdPtTwTsTyXOSkNIXQuNQGaAJ0LS8ichCLAGIgsRXkWjHLfqnYnq2jLsfvv2hfGl/ARCo4b2gHLUZKVxAFhC2EyZjBuSmGDdEA4ko8yMUXlPoDDAJOC50M6zuEgwKjH1p+5+/G3F5xGbyoMpxCKz9Z/vaP4r0Pj6ZXefoA8ZZpPHSYNxPtKtcFSO9PjOQEGkZmQa1jGOyTVZpE2G276iY5nBTznglMHdQWsCoyU5ECFDbXYSJeoRKa6WHGJEUKmR/qXupvvVHY8qOse132e6lLVB4NA2pexNlFcrvnCRmCHkKx5aiW0ekLpcdOXOU+YHb6v2nv25Z+mMP/mmScLq8vaShh7QAbnaaTEdj3o7rhYyT+kO4/OvZM4/cctB1/Z8e1HxoWRG41Mdc1tkQ0s4YElNLRK4lUWq7KR1TBdxVqbZ5o82WCplow2xEhDxNpyuEojVRqvyViZp2uQWGGRObTrdmtgrpssY7UulZqMrKDBFX+wQhIdYSKhh0LxeLxDok0Ub+Bkg2SaTOswxacZJhQpE5gZlI8JKCLYeHH2Bfvglz/cTiz3rC6P14IdC5V1tx5svj8fa7oO5XkhbUxtSnMgs4QVQp5Z8t+xLr+duvZFfuHJXYefiRwZvFMf52KMCcdnWcQz3TDdDSzMcxxyAKYUKhdpDhkBhgBbQA4gJ4UliQ1YlZ5K3L2MngPYcvjK+8b3+xfxIZcVEZoAMcqoQ4nJuSXE2jHXjNBBmgBZKoqEjnMxLsSoZDlBslLkACyf7rlb+urUHaPSHXW7Bxkad+GJ4cP/uMHadGHe7HQdEioBUjHNAmiEmlRaHCwhlZAmfKJiSLks3WKxjoy0UcYL7IAppTDxMIzcClP3w75ZMlBm0S4fbgUpHw3X2iOtMOKtrWnAYN3fsdwcbqBIi8baVEWgYkgFMulyzZd6Txous1yernp2jRR8UF1hdnm2Q+wO31f2nn7xp/5hv3n6yfFySVvF0Rk6ME8GF9GuB91NpxfjF8vrJq99Ylz6JnfnS+Pa1oMz6RkvUyPxKgwssj3zaKTEE3VINSBRk4kaN9pg9UDvgtYFpQPxJkSbEGnI4QqLVni8JhNVqVQhtkR33W59c35p/eWlnXfqI4t+skITFRwto2iNJFos1SHJLk10abSFhqre0Go3Uu4pTax3cLzpZxBPYzrS6hoIT3BZDERiubv58szA/XJyxdWbRO0yIxDJTjBUbsSbrhHSgoSCkFkhbCEdysaIMKv4HefSHwdPbNy7/PHYradG9n105FIOkQkBTkitgGgeMhDNC1mQkJVgCaFxoXCpCjAEWALyADnBLUEcwArtaqR3UMqTDL4cvbA+d/XIIqQvV9Pz1SlM9xE5TohDic2lzX+EzJbSltICmeeyiGmR8VHOLBzYNMwCtyXLYZlY6W2/tapU3bzfm6D+eCjWnZp7Xj/xzr7zW2/dN/yuQVCih3QiNCINIhwhNcKSXpgOqRKIlMuUDk+0Id6mmkfTdX/d2Zn399365MCDjSeWNl2tR6pc8WGo7kZb3f6V6nC9F+uxlCeUQGZCiLbRcCNI9UTaF2oI6UAooUz7QgvB8EBpIr1NM7VQWQ0zNRRvEqWB9UaQ7cF0ufe7p36akfvbZ/4wVatpqyg6SyOrvH8x3H6v/bL53Sf5H6JnV9VLndSpTv/B5eEzNacisx6kGtA3T3bNomhZKm1INyBelYmq0FtgdEHrgN4DpQ2xhoy3YbjGhyssXpWxqohXRLLMY8t0z/3u5muVL8/NfXbq/tfn53bfb8ZLYbJGEk2abJFYk8baNOnypMsijWCk5Caqgd6ldo8YPWKEMtbytz1cjFdbhZDkesjqUr2BjBY2WjjrcSeQeQJmIJSur/s4y0ROgImJGoYapTkhJiUYVfzR1PV/S3y/Yf/c0KXG5wevfXrikukHo1zmqchRbgTYxCTHRU6InJQWlxoXmR8Jk5YER4gs51nJbYk14TkC7aX8cEB3HH6YPF6fuIbeiZ/4bN95fbmxL+CHpChw6nDhcGFzYQvpCLmWLz4mYYzyIudFSU3iWzy0AWssyBGRdXmqhtQuyTE8KsJJIZVK8NmJW69PHFt36YYZBFnOEy5WAmZySLp+JkBKSFRMLSESLo61kOqKdBuSTaa5bGi+/sfc8X/e4jzat/fd4rXPT8zEysQIIdroJVvuSLmZ6KCUx0eaQdKlOgENy0gzSPtCJ5AJZaJHkx5L9pgaSCsEpYWNLo+v9jZfXfrq4oMtD6uRspesuHYP9lW8J/9mDnvkmacmajWjguOLPF6RwyW6a6b3ZHT6xaGidduzr/ubxx58ql1eN3Vn6/nlHXdLX11e+eLi6sabzcFlkmrKdBMSVRmv8HRVKA2RagilDdEKGyqTWFMOlMjgKo7XZKwqomUWWSEjC6jvvrvzTuubC0sffnf7o+9ubbm+mlgNtDZXuyzVIZEGi7Z42gMNgdJj6SY2uqyI5SjiuUDYHiRr4forD74+fyO+VLW7vhOwIoFcwLM9OoahiKEQgtXjNqI5KvNCOkxoiGRCpBLicD7Kudkkuy+Xvjhw+8t9t+J3muaqG1ksWyHKYlpgYs22RAsCm7Is5/9TwiwhHSGywE2BDUBZoOOI7O/hgZOL20dnPk+cfezr7Aejl4ZulKzV9jQmRc6zXGS5cLhwhMz+O2GjEkaZzHOeA+II5EhsiCDDvBwlEwxyBNSQawTZIhwHkQ3ZnnsrGy/ciiyVCoznGaS7JNWjloBEu5d2USakBhW2gISL4x2s9oThguEKy5OJ1e7bBy78ak/hkV3jH03c3HxmyWjQLAKlE1o+VtqegbhB5UC1Pdzw0j6zOCRcvPahBCzp06RHkz2S8aWJQO0yuye331l5IX/8t+nR145d2rPQipe6lgcH6v4f/qZL/vbpp0YrFatBUyUZqchECwaX0avZH15P7DdudHcdnHt209RvP7Ge3jn9bPrIc4Xvf5899tqhK19fXe1fDOI1kW5CqiHjVRZbofEyi5ZZrCp2z/d2zrnDVda3HPYvh/GaTNRltMxGVnHfQ3fbzfqmq+X1l1a+ubi06crynvsNpYYdDyxfpNp4qEqHazTpCoOAgUDviVwoJzmMB1yvhlqZaCX6zZn7L+cPbLl0x+4EDqIFKmwP2z08imEUQyGQVo9nzVvoFAAAIABJREFUCc9SaRNuU25z4UhpMGZg7GCS87hd4/G77fXf3R66XTrAYZxzh1IzDB1CClLoYaAFvk1JVvDs/0CYxsHkcm2pwQFpS2oKrAtsSzJB6H6Pbjx49bGvcn/3/O7H1me3n6puPbO64YcbicVKDvMcl2uQrf0wlxXSFjLPZZ4KmxJboBzQLFCd+xrzctSfELwgIINYIvAzxHc4tTFJlrt6zZ8gfFyILGYZF6dcqmOp+cQMuYmFToSKhOKxjC+UrrBckQtkNhCOJ6JLnc9P3H0jf3bzicXkA2/UE05PGC4ZpdLshTYVtoThRneg2ol3Q5PJTMjSPjWoTAdUozITciVgWghGCGqX25788sL9n/VZ/+Gb/t/lD295UBlYqKtdsb/hP/78839L2FitZjZosiwjNUj3YHAJvb/36jdTVybmyK5Di0+vn/zZW+lffuE8kz7+TPbk77Pfvnvy1q65dqxK43WerPNUUyQbLLpKYxUeKbHhVbrlbmPTnXr/arh7yRtaRYmmTLVkvMoSNdb30N14tfTF2bl1F5b6H3Tjyyi5Guotmg/B9nmi4feX8J4Vf6SB1VAaCIyecAIxhqVVDQZvVoZvtmO3/c8O3fpDYmzDmVvZHs5SmmPMDrAT0BziWZ/letzoEAtRBwsbc4syR0hHSoMyA+McY/mQjwZQaPORe2VltbUPoMCIRZCFQwuHOcEchi2CHIazkmWltLnUGdeY0Jk0hFgjbC2zyJJMZcgWdFrKaY98OHb8//nzrv/lVx8+vjG753znw6k7TyfGvjp13fRoQUCOiRyXa4StQZbjMseFSZDO/CwQG7DOfI14OdydFGhUgslEhtAMxhrGJiZWjxqtMB/SAmFmLzACmnZpusOzWGaxdCiYTCoBzfhMCyHVZmoLWS7OdALL5wUM0YXW50dubDu1ZC6zQkemK57RxRMCjG6gB1QjPNlDww035RGTgcmkikQm5JmQGwx0Ig0qDQxGAEqHOaH86srDfx50/vPWyBPjx9ffXf3m6sOhle501ftbxfVfn31uolbXaihVlSMNmeiK/qXgz4WzH1in8/fRlr1zT2/Y+/evxn/xRe7d6Tufnl765ML9HTP1VIspHZlo0ESdpJos3WKxCk/WZKzKR0pky93G5jvVgdVgYDWIVHCqDUpHJmo005aDC/62O/VvrixvvlZJlKjVAaMp7a4oYMiGPN0KBytk97I7WA1SntBD0F1uetTq4v4bq18dvrXh27l1++bess6/Yh4fvlvJh9ym2EShGeI8FU7ILJfkPGH1qIVojoo8E3nOf9zrYtwiJMeY1UN60yt6zGoGlhsWKNcCzyCBw7FBApOENsM5QQuC5YBnpbC5MBg3mNCZMIWwpLSEMDl3pLBBZCi2OJvkYrQT7Dh9/T19/2Ofxh//xlh36OFf8pce68t9dvSa6dKC/J8QVhCyKKXNic4CkyNLIIdjC4UF5O4HPC5kjoMjQMciExKL8SyiWqend5HVo1o7sANmeEzp0CySSjPI9LDDpUGYQYSJQfO42g20bpho9TIeznOh1NxN5x70XSo7JZ5tyvhqV22FRcK1tq90UbQbKiFLukjDwqDSFqDhH7UPnUiTgcnAwGAiULosS2TfYuOdo1df2Hvi3Yv3t801Pj17c+dMdbLsPfLUTxXX3z3/4lilqlSDdF0O1dlIkw6uhq/lTj25tbjzyNLrkZO/fM/4u1ciT+8+vPGH8vACi9VQskmVjki3ebJJU02abrF0iydqQmlCsiFiNbZ7vrtrrhWrkViNRCphpguZrojXiNqRI6vh4JLXN+8OznnJCjPaYHXAcWUulDkkrEDE22KoFow0wrTHDQSGzy2fqE3v6+9uv6afeNe4/Fr0zCvxk+uP3Cu0RBELAyOl19OCsCAhi4Tl0fxaXyAiz+U4wCSsbajKohRZSq0Q6V0vXqrpLc/qITPAFmU6QSYLHUkthlTkadjPCjYKMg/SAW4LbrAfjyWkLaUluCVEFsCSQmVEJyQbklzTm2wE33dx9OjN57fnv5i6vO3EvU+nLgzeLOUCnhfyry1yDS9HwijAKMgscFsQkyKHkSLjeUTHUXhQ8glMi5gXKdgINMQdAUbo2yGyfWH1pOWybMCygdB7NFHpbbk1P7hSz7K15wdpE2FjaSFihDTtYQURg1K14/XfWRm53tCXUK4jlDrKtELbp7qL0i4eqHeSHl5DSkXC4lLDQsNSJ6AiYTKpYaEG0qKgetwhUvN4qkH3rLT6qr1oA627cn/H/bIzW//VY0/+LWHFciVTR4kKG6yS4QYZruCdl1dejh5+Szn9y0/0v/vT4B82jG85uDh4s5eqgNaDZEvEaiTRZEpbqB2ptGSyIeJVrrQg1RLJJo9WSaQSpFo82aRDJVd1hdaTiQZR2mKk5I+U/GgFR8s0WkJKnZodaXa41iGWx3IE9ABSLku5TA2lRcEhIku40Qk/P3L9yb6JF/ccfXH70bdS52LX6wcIFDA3CUn1eipCeQCHStNntsfMHjYC5BA2JmEKYJzLAuNTUo4yZvooh4jZcVO1pt4LHC5MIS0hLIYtTvJSmARlkO8IlpMiK3kWuC24SblBucG5xYUlhSOlI6UlpClEhpB0EBpemO+EBwN5HWB6pv5l/lTs+sJUvVcodcddMsp+xCv778cR0pFQkGtjvsgKluWsyEW2h4oeG+/RaZ/l6r0Jj0xhKITgULCZSLldzUdOCAUME0wWMcn6VGvTry8+ePPQ6R0zKzkmTco0hFUfGQG1GDMoTyOewETnPE9pbKGx5fR8/82K3mRqmyktZHrcQSLj875qJ9oJVSSVgKd9pmGZCYWGQUUyEwqTgRLwjC8sBhmP6SG3MRQFmESqTBpIbLuzsPH6wsDpm//wL7/6CWGPv/hStlQy2mxklQ7WWaTNYw2eq8G2Y3OvJ7/7+7eG/+HV/i/My8WHMjNPkmWabMhohY2USazGE3WZqotkDRJVmagxpQ2plki3hepCus2STRJvoOFyV/eF7kO6w7SejNfDaNVPt1iqJWMVnKwRoyOMDldaWO/RLAELSy2UmUCoiFtUZrksCMgGfNOp+0/uHv/DpunnNx36xLrhzIf7Cc9h5AipYayRNUMUbobcCpjhIc0LHEwLTIxxOUr5GON7JYwznkVsCmCc0UyrY4TIFEKV0gKwObM4LQJkBTcYtgUzGLE4+QlhTFhC2iAdAFMIlVKDC5NxHWMbkWzbVxZr0210qOJlbq9MdIKTAN+B3A+8ILjDxV/ZsoV0JPxImOAFKXNcjALkEY3MrdoVd7QltYVO3+X7xZo76dKiRwtMqmEQ73W1kDgIigQOAIzi0HYDpYo+PnnrzwfO9C3UCgJ0hBUvyHiBHRJHCF1ADMkIZhpAEWBkrv7R/uvbr61oLa50WLKBTF/YCNIeG+6ECY9oGFIeS3lcCUQmFGmfJXs03sWZUKQ8rvrSwDLdI2kXqR6xETcI0wXYVPbNlr48d+/j/OH/4//6u58Q9tjzL6kzc2aLR0t0pCXiXRlvCrsK2v3w6723H/nGemK9s/vw/MQymMs8VVoz8ufRiohWYGRVDK+wyKqIV2SiwdJtmWqJdJvrHihdFq350ZofqwdGABmXZ1xhBDLT5YkmVjoi05Xptsi0udmVliuNHjd8YYbSCLgWcMWnik80xCwi8gLyWA7cWH1DP/nCjm+f2XDgM/tGYZlNI5ZD/poianJucK4SYmCeZTJLmRHiLGY5zHKIjVE+RthYSMYwW/PfzyHsIGwzlkZY4cIEyEpuSZ6Fv9YtZhBkMvxXwkzKTSYszk0hLACNUQUhi/MiwLiELKKpldqWq7eVpcYRX051/XGEpxmf5GFeBA5nDpd/VcLsH2+jUJAyL8UoyByjEyCzbvjZ0YtbfriTvu/tPrP4QeFE5k5Jn2kkZypW11eDbob0coI7CIwuLwQ8sVJWa22jHvTdr2y8Mp+sBkUBNmFqSAxMC0JkpcxwORKKESwUEBbnu+8sfzB9ZfB+03JlqoUTTWQEUvV4oovTSGhEahiUgCuBSPtcRTLh4ngXD9bceAenPKaFoIU83SNpN0x3A93FaoAzWJqhHFlqbLg6+4Gz/28J+9kjTw6dvKQvhcoyU1oi2aKxGkmWeL4Ew5cbbztnPxy7Nnitm1kQyqJMLvHdc/7gMh0p8UhZRityZJUPLZOREovUWKzG0i1INXm6xRINHGugWBNHayjTFdFakGrTRDNId0i8GUZqQbKGlTY3elJvc6sjHA80T2oBmAHPuDjdJZkey/SY6nGbQBbz5Hx764nFj4ybL2479l7mvD0X7kWiiKlNhMm5KZkuWIZhBRGDgEOlERIjIGbIrIBNMLBbQXqxPuGzA1LqzU660S1I0DBOeL4tpAPSBmYBs4DlQORBOJJmGbYIdoTICvFjBZJCR0Em9GzJTEoNTPOc7gW5j0F6xdt5a27nnYdGzT3IYB/nY5QUCHUIsjnOS+EIqTOuM2pLkQWwBMsCtxjRCc5J6ojeNNDRDn96eN/Pv7Y/tq9/U3zwZux437GZTQfuvVc4O3JvcYyERY4LjFkhiVTqux4svXXg9J7bqxMenwpoZqVjNmkuZDnGdSIsITUuNErjPooELEF5moUm8vfcnv1074XIvbLVxulWqAbcoJBwsdLDJpY6EZmQZUKmIpH2qYqEEvCUxyItP97FaZ9pSGpIqkioIVMD6gRcD7hOwApluurHyr2+M1f+6Te//Qlh/+Wff7u5cHjg7FL8VkdvsETVS9ZwpMScCiTu+9vPV/pv9wbn2J4ZMjwronN8x8Ne3wIaWCIjJb7mkzi4jAeW0I5Zd+dMN17l6YaIlVGkEkTqeKSOhla8WAX1L7ZjtWC45KZbJNEMR6pevBKmW9TwpNokRpParlR7UkdghkLp4nSXaL7QPKH2hBmCEzKrESoPwg1Ti89tPfzSwKHYjepeBKNY6gHVCTUkNYCpkmYI1Ym0qDQQ0QOiB8zyecHjibnG7kuzhToa64Sbr9za+XDBETxDUCoI8gBZEBYwG7gJLAsiBzIrWFGwLCEOYwUhspTnGB8FoXvdtNsqSpZlvMhFEaFso2utBDsurW66+lCptycQ3ytgWspxzvKMWuTHtTCTc50zjVEbpCOlhsOcoDZFOkJZQcbAPwaysEr/6X3zP70Yfa3v5EeRa898OfXO8Pcv7/r+dxumt52+e4CLccKyAUu3ul9du/r2sTOPK4fWn17KN+hxCWMdmmvzrEcKQlgcdC7jlMUJGux5I5gmOU8gzwr94QelDcfvGYv1MY/obaz4NBnyaA8biJshywQk5SMVMYPKTMiUgK1p+mmfKgH793slaFiqWKpI5JA0A9Ap2ERqLZLDUFytPP7STxXXn//68W2FI19OXtr63axeo/FKL9MQ0YrQymLwbnf4np9YkYOLbNc8Hlhgg3Nk2/3uzhmvbwEPrbA139jhVbpn3v/80soXl1YGF0OlLmMlHCmFgyte/1Knf741suwOLrajFS9W9Q1PqC5Tu0xp03SHaj2RaWGtSYwO031hMtCRzPhM8bAaMDMUFgITgR2IMY/nS3zTgbnnd+57eXjv0NXFSV/kQ6ojYlBmSK5LYYC0pcxJsCjXCLHWxrIeSy67w7fL208/GL5R7ru28s6B7zffuaeTUJdUYVQX0pLSFCILPz4XOhIsQvKMFSjNUlRkLItwFuFJkLbvW743DiLP2RSAslr/5vjVrw/d/PzIzZ13l3KITgqYljAFclzygmQOI1khHAk6Y5YUphBJ3491umnXzXI2IdgEFUUmJgU7wnn0QuVnb+lPfXNg69iDz+KXf/OW/rsP7P/27ti/fr1v14WFfVzmQmp5cnil+c7xH948fO5PxYtffbe89dxCZtG1q7TQldmAFoVwJCQRSXMeF3QQh8OCR4WMImSEPDrj7zrTnqiRvb5IrPg75up7ql7cZwYDLaSKj9M+1omwOGhYKAFTkVQCoSK5xtYaXpmQp32a8ojRE5oL6VAaRKgdnKcwVW89+fJPc40ef/wF6/Ttz0fPfzZxVa9SpR4mKyxWgeQq2369PjQbJiqwZwnvKbGhitg9F264Wd98p7VnPhwpiZESi5RYpMR2zvTe+37mw1NzfTN+uiISJRYvkeHl3p7Z+uB8M1kNEpUgVu4lan4WgRWAE4Lui3SPqb7QXKa3qd6hRsAtDhoGHQslREnXz/jIJtLCYPtyEvFpFyIX6+umbmw6fF2ZrY4HzPaRxbjJhSGkLqUhwQEoABiYJnzfoNzGMlMPd91cjdyq7/5h/h3n1CvW9+8fOh8pNTQUqpyoQihcGhIyhKuUWxJMARaHtOtbPpqUYpTiIiH5EI0xtg9glLJxzouM5DieZPLLo1d+uS7zyEbrzfyJodnyGJfjUoxyNipZXpKcZI4gWcEdCbYQDkid889v3vz48tVovZnn4iDwbwEKPkRnG3suLHyWvfHcuoPbcjOTt33lRPkvfcef/qz4X/+kPb3129RMe5+UWcosBJHV7vqr93fcKn1+fOHDfTPPpA+/bJ7afqmSc4UVYIcxg9Go76qCqCASgscBUgAZwi0XojfDPd/55u1Ave9+9f3DN49c2zTbSGGpMsggqiKmYW5x6UgwqMyEIhPKtM9UJPSfEpbySLKHDZerXREPeCokqkeKAvY22k+88NMt6mef+dOJ+dbG6WvvmKfTy6HWYokyVZqQrsKuO+2+h97QCtm1Eu4qk+Em7Jjzv7pS2nCzvmc+jFVhzT02UuY7Hrrvn5z/9OxS3wMvtkTiKzRVJrGSH112kyXPaDPL5UrDH15pGx63AmkjMJBMezTtM7VHtS7Ru8QKuc2lipkppEZpyvXTvVDzmeoTzQ1HPTTtydwidmb9wmqv0PTHEbdD4gBYUhoCVA4aBYOKLBc6pokw0Bl3KCRWe9svLabveTuPzj2+OffIjsLHh69l6iTVDoca7STCaco0IVOIJxEzJRhMmkymOj3TCyelzAdhAeFRQscoHWdsL8AUl1nfmxBkCrFXlW//4zPb/v7Pg2/bR9RSa1LIPKcmDWyOTB44kjiSZuWP0cw5AI3Spyan/jA6Eak0CwwOCTbloYF79dfHzz8bO/qnodPv9F/QjrlnqnDwPo/sW/4idvGxD8b+2Hc8Pe+Oc5GT0maQaSO14Y35sONi9Z3xW48Ojf/Hd1KvFS7neszGWENYJTgWdJLY17nUATJCmFIUmSw2+eDJyjrj/vaJxfVTM69b51+bvrJzoZuhkKZSJdxkYFKwONgCTAoahkwoUx7NhFxF4r+3SCSUgCk+tT2hujwWsKgXqAEbBdjf6jz2Nzuuzz/3ypnV3taDt19JHR+420zXSLxMk3WpVGV8mQ7O+f2LQV8Zb1sJButi+3xv/Y3alrvtgSUSq0K8BrGqHF6lu2Z7X12urL9W75/xR+b96GKg1km6EhhtZrRopoHyCGwf75ytRKqu0iUZj2mhSHo43sPJLsq0ke4SGwmbMQWHphS2lDaRRiDSnTDaaMXrdbXS1lddY96drJEDPh9z8TiRWcxtkJYEnYNCIB2ITEANTEzKdCFMKbMcUmV/8FYtcy/cOH33hb7p50f2vpE73X+7NbTobZstDbe6KYIyjClEKkQYAjTCTcKNADuY6V0vWW6uuUSZXTdVrYxiUvRQsdc7CmKi4b4ZP/KzV5QnP3U2Hbg42Q33AzgMq9jTqa8yz5LYAeYAdwCyAHkAU4gni+NP5saS9W6BwLhLhm4uvT527tHovmfi3/45fv6VracGRmuTV6VytDEwujI8Xv0kduPloRM7Lq8YHnOkcKSwES2G+LCEPVdWPj5w5729l//XP8V/N3w476FRwRUPaZSlcBDpuQoSpoAMwjlG91KZW+puHr3y6vqpz6JXPlKuv2vf2HC2mmhwDYNCpEaFyUDHUkOgY9AQ6ARUBCnvxyFMReKvZUxFQg257YmMJ+JIRH0/E7C8hEPd3u/+8PufEPbcC6/9sOrt/m72FeXE9qvl4SV398P2FxeXd1xvGBXQaixaokMV0lchQ1W+e9HfNev3L+KhFRYpy2hFDK/SgSW0ZyFYi+gdWcKxpSC54ud7Uqsjq8MyjXBooW77wg7Z1pny9vnqQKUbbYUpF8V7KOKieBtl2th0qR1yE1OVUJ3yLJcTAKMc0m2/f6Xav1TadWt+w+nbm0/dTT+oTvbYqE9HMVihMDizBOgM0qFM9ljaJzomBqWaEA5AloPjMn0lHLnc2DB9b/D7xW3H7r6mnVh/ciG2iIdXu5GWqzGscZahQmNSo1xDRA9wjgkLk40372+5OVdAYlpCqlr74tzZgQcP7HrnICKnBE9fvvf+yLHXvjn22fAZ62rpOBIHALKC6SzUeaBy3wLiALeBZUFaQuSkzIF89/T5974/Z3bxGIbMnPtm9sxv+6f+PHZu8PLK5unZ37w1+tJnp97defnldUc+6r+mHA7UH/w3M6c//+6e4nITiA3MxrQQBAeF3HlhdvvZUuxe9x8/n/rFtjG93h4XMt1FKhZpRBIBUojMMJHo9cY43YvE0LkHb/ZPPfO++uHu898YM1sPVSJ3qNIA1QeVgBLSlIdTPZJ0acoTmQA0tDbm/4jX/0hYJuSZgBldmvFEgogExmkPOxSOev7jz/x0P+yJZ/90eK4dv9z8fO/d/jvt4aXe9ju1p5zvX8mdSz5A+RakS3ykjCN1ESmz4RUyUhKxKkTKcqQkImUxuIzXEpeGSzRa5okyzVRophQ4bZLtcLOJhxZq6y7dS1R9rcd2L7e2zde2LzcH636ii+IeifZossv0Ls96IhtyM2QmAd3nWi8oYDwlhRWQ4XJ3z1ztq9M3XiscfWP0xMbTd/Syl3NZEYPh8wwmtgCdQtLjCZdmEDMoy2CiYGpLcBgUCeTbYtfZpa1H54sLov/0/JvmyR0Xls2GsAOZ8bFBmUa5xrnBpYaZiamFyBhArF5/49uTm67PjjOYBtDb7XePHP3k6HdmuXmKwb7F6geJsVc3jP9l44nNySv77nunEOyj0uHMlsSQSBOBBdQBbguWBWlybnNekDBUrg8vV/Mem8KQvNN6KXr8FxuKn+29NblERw6t/sMfUv/lEe1nzzq/fi33Qf/V6MHW+EO+/sjNTZfn9FDqQAzJdZ+and5kyLb8cK//Uitfhj+OXP6vXxp7bs4UQqq5NBOIVMBUDGksEgGKd7pTQuRr+D3j+0ffSz/1jvn2ppM7i6uJC6jvSndwzjcCMLBMuWG05cc6KN4hSVcoPii+TPtcCagSsL92yf9OWMj1LtECkaQiTYjSC3MMDnc6Tz730y75q8efG79Tdh6yyGUvs8zTFRKd93+vHfn1tuKXBx4YCzy1gKMrKFKisRUaX+XDqzxWhWgFohUZr8nhVdq/GA4u46EyjZRpokT0uojPd3ffXLabzG7SnbcX3z58etfDcqZDY3XUV+rtXHWHGigTiHQoYz2RcqXhyoIPxVDa/pqcyIYXyiPzy1nXH6VSdVlktfv1mVsvZ799fezkVz/cjs23tCbOhWAGXAmoJUAnMuHSpMc0KjXKFERUxC0uLcKzoXA6bNelhV3nlpM3e++YP7ydO6ku9wo+L1JpIqaGXMXCFMLi0qIiz+QolxMA2+7P/PnQ97GV+rSESQGTlG+5fPPD6WPqw+oPbegbO/vf3tj+xFvJ598tvL/1SO5C7WQHRruhFgS2IBoLVR4akliC2pzba05MlOW4tEKa9UmxR6dC4cx3P8leemTd1Mv93++ZnFufuP6zJ5J//5voz19wXtl4on+ismNy3rjXTs2WM3U3y0EHrjKh9oTeDsZ8uvX0zPYfKokb9NXhi3/3VvTLwxezbeSEUvWFEsh0ACmPJto9pdWbQjJxs/3spr3/9Fzk969nX/h0etvYQvoqWn9qcfvtikO4iYXi4ngHJVya7PKkC4oPaU8kezTt45RH1iBbI2wNMg1LK+AmgRTmaT80PTQhYbJcfuLZn9awnz3y+9y15fwsJK9hY1km5z2rxD4/dv9fvrL/5UszetVVF1lilcRWaXyZxpfY7rlgYImMlMRaLlysKoZWyNAqGanxgeUwukLUmtx+rfRy9tjum2WnIftuLb2UO7Duwl29I1NNNlIlQzUaa3OHgYoh0pGxpsw0ZLYjiz44Hst6yGigTecffHjw0s7ri2Y7zGFm9oJdtxf/sv/cJ8dubr2yHFt0ExU/3UTpNlFcpoVC8VmiR9KIaRzShKVDamMwMdd85CBudfG2K7M7ryylHvqvqMdecw7bTX+MMYdiHRENg87AljIvYZTLIoUxBmMUNl5/+NGpS3k/PAAwweReAup864upszuO3HHO1l/9wvmHJzc8+775wof55z7M7hq7vX+RKAu1RKNlU6LiQKWhxpHBiM2EQZlBqcW4w0SeiHECoz0y0SPjle7OI/de3PnDs1+feO2bE8+/Pfnzx2K/fib+65eNt3afiR3tflm8N3KjNOqTUSodCgohChYGAtunYyGL3a3vOlX9s3L+l3+x/+8/Dnw2dmmswwoY1B7P+BDtUK1HMw1Xq/XyNbbj2MoTn07/4+ORR1/Un/myuPPQQvK2t+t2bWjFVX3sUGmEXA25Esh4h0ebPNUDxZcpjykBTvZw2qdrephBwaA/cuYwaXFQMFO6Xj6g0wCFhYXfPfvETwj75WPPj96qqjfQ11MzG47Prjt2I3W7YcyRF4e/+w8v79pydN4uQarEY6s0WeIjs3jj7ea2B93BFRqvQ7IJiQZEKmK4zIbqfOtMd2ARpaty+/Xqk8n9r4+d01dFerb5avbguwfOGA0RL+GhFRSpyWQbTCRTnuivs5GqSJWFWqZmnWo1P9cNcm2889LCu5PnPz16rf/equn544KlVtubL8/vut0YmfVSFRyv+iMVL1pFiQYdqXiRRi/lY42JDIcEFhksChTMgGpekOfCDvCeB0uDM+VCR65Kb8P9AAAOWUlEQVT/4dbHR86Yba/IuUmxQnCGC00Ig4oChzEKlsdjK26y7PfNNPtmlvZJegjkXi72BTBWYpunbr81cPyD7d/95tnII39Kb0he/mzk1NMf5d8b+mHgyOyWM7fi5XqBcQ0jjRGVYZUSiwmdMA0Th0uHshymUxT2E36Q8ImWu+27B68MXn7xm7NPvTP5L09Ef/5E7Pn3xl5Zt//TxNmde5c+yN/efX1pjLE8lSZiGeRnELUYZAkt4rDYwInr7tM79/6fT+z4z4/uei99oVAmxVDoHs/4MtpFVij0TqA1/OHbzQ9zN1/e/v3TH4y/8tn4++nvY1cbmaVQbXMNwUjbywTEpmAxSPX4rmV3+3wnUqeZAFQkNcyV4EehXyNSp6ATudYoTS51JjOEm14w5vNiwCZWVx997vGfEPbo06/uvd8eOdV8Yc+3T+ws/ltqetuRm+OrsP7A8i+/cj6ZuGmvysQyGVkK0xU5MhOuv1HbdLvVt4CiFYjVZLwG8aocLrNdy+jrm9XdM4Fag/gSe+/ArT+kj8QehNZS7+P9Z14vHE0v+ZF5v2+mN7RMYjUZq+PBKt69SkaqMr7Chh92B+7VBu9Xsw0+7Qun5Pdfnd109ubWy/cT5e4oEVq9F13oJFZobAklqyjVRIlGGKuFgyvetoflPSvVdBAaEhQmExQMBoVQ6F1sI5IXIstYutXROt4Ek0qlGVut2j51qLSESDMcZyiBUdojZsgdXyo19OWZe+vOPYwshnrD/RbIIeB7Md7b5cV5un384R8+HPv5H6L/9Mjgv3162PreG9m38Pq2I6/u/O5PAwffn/ohU2+PS2kRZnCmMqJiYhBuUqETlhPSQqRI6EGAoxKOCZmtul8cuPNC39nn15944ZPJXz8f/cWzqT+tO9E38SB1cnbzvjsfT93ec2/JQl0DhRYODeqpmBgULBJkUWs6oLkFsn7q1q9fS/7v/7z5iS+nBs6XHBdbiGcClkZYx0INqN6j31yYeynzw6e5O1vH7w/uvRO5uGquEqvNTQwak/2tzkCjYxBhMRhuhl/fXv782uKeFV8NwaBg0DW5VepE6hQ0LDOIpwOW8sjaiKYRMUrYmEuNWu9ou/3YCz+9S/7m9y/tu9VKnWq/sGXit5/FP3S+33n8fnFJDF7038xe/Pzbh6klOTTvD8z5qRURnfW332ptv9Xpf4DiK5AsyVSJJ5ZpZAHvvNddf7nUf98z65ApwY6rrXemb/Xd6Izcr2w8d/vT4xeH7tcH7nd23+30P/CG5sPdc70dD7t75sNYSQw8dNefnfv0+I0NZx9qK2i8zaa7slj1lbna8N1SfLGj1kOl2tPrWFkJRh7Wh2fKas0zOjhecXfPN3Y8LA2s1NNuqCKWQUJjkONg1VF6tVvwaRYRh3ODYg0jhxMTYQMTDdEMIgrGMezFqB8LvFjbVXvY7HGthjafm3138uxXR+6mH9QPuuiwL+z5evzyYup8bbNz85E31P/y223/32/3vLHue+ckih5e+US99Hb87DM7Jj49dMFygxzBJgpMEujIV/1QDYgaYJPQLBdagIqc7weY8Ki+VN99cenrvXdfHTr+7JdTb2868cqXh/7lpeQv3jQHjy0erNORm6Wt11Zj9U6i00i2W2bgmtg3CNUJNahvou4EolNtkZ33/xI58Z8e3/m/Pb3zFeP7dMWzEE/1QiVEaUSTAdZCtuNh+a39F7adX8ouh6MrodNiussyPaxzmZF8oNva06plaGgwOVD3v7i19Mn1pd2lQCWgMZ7wgrTPMqFQA6EFXPV5xmNpj6V6VGl7WtPL+3QU85yLsy3vXM9/+qWfavp/90+/Sk5fGpx6+JddU3/8OrV18lLqSqUwhzO3SP/F2sANN7UEiaUwvUT0RW4sBOmHWHnIlIdCnxPJe73Yzdrw1Vr8Zid1z4/fclP3fG0OD19rarMs85BFb3WH7ixHZpYTc6vJ+UZ6wVPmw8x8qMyHsQUUmQmUFe40IPagu+nUg8+/vbbj/Jy5GozV+SEPjoZwyIPxlnRqxKihXJPkqn7kxuz2k5e2n7pkLlT2eSzfDNKlbqbS0+uB3SJ2h+Q9uVfCIQ7KnUbf6Xvq/XJqppR1wwkJUwBjAOMAYwBFgAKIrCCORKMgi8ALFE9wOU3hYAB763zHkZtvxvZtGruYODGbPrW4Zezi5vwl52wzfWDx3a2HX3hH//WTfc+8UdiSvpP4dlU9V+s7svS5cyF5p7wfYEKwScB7AU0LPMH5KINRLqcBJgEmAQ4DFD3cf31+3bcXtx6a0S60oofvf7T72FtffffBtnOvbTr4wsaJjXtvjJaCcVc4Hp8EsAJk99x9gk1LuRdgCuQUyGmAQxJOAJySoF9pvzJ4+Gefpd8uns22+T6AcQmjXI4C2JiMcTktILlYUVdaRwV8J+EAQFGCTeg4wASAKZApvVGgkwAOgUQTRepED2EcYBzAYaTAocjXYjFhksOkgAkJExKmCP//27f3r6YOA4DjO/sD7Nm6unVWd1TUWRERk9yQe5P7vnnzcPMcj1aszgfoyqqAAXklQBKDvFUeCSG5N/cmQWiVMV4JqHVqncdna08Luk0tPRMBFRCS3JvHfvYP6G9+/obvr99/hITRWGIkkbgQTwzwwjdL4ZyDuW8VlrTh49zixv2l9MES5+58W94p19ngA+bWE/Zfs8ydKcedaceDV13fTXm+n3Xff8Hce+a5P+t7uMA9mHfcmDT33Sr3jVX6v2oY+oa9N8Pdn3V8/fT00IMS7qr/4dyFR7zj5o9d9yaY7ya48cfc+FPfxJR/YsY/Me0dn6En5tzfv/I+fvPFs7Dr26mmqz/UBh+cu/nI82i658nc4HM+MB0fehG9+L+Qf3L+/ORC/0/zrrvjlef7j9kZA+23X78zODnd/9PL7n9P+x+/8D2a4h495yaed/93dmAmPDLFN128fazJb6QHjP6Rzrvjg7Pz14REYDEaFKIBXggI/DAfGggtDITngrFwMBoKRJZGQ+HAq8UrL/nbC4nuW//5W73/cKX7UIl73wnH3iK7qfVy8PZC4PqCwzNhNA9n7aiVk9V78z2e4JNrPwremy+a+779YuLFWEQYCb0J8HNj/PxYeCEQCg0uCcMRYSi01L/45lIsdiWeOHP34VFnT769p2VgPPADf2V8qYW5l/2JfXce29Yz4b86XU5fMvZe6nny8u+vQ8PR+MX5hQsz01eF8FgkFBQiI/ziiLAUiCxdXuJvhGK3FuNXngrs9cn6oYfOu5ODryKXotHL8VggEg4IfO/sTP/rua/jiaHZ118+e35pbulGKP5VLDEcDvctLIzEooFE/GJovi/8ajD2JsDzw5HYwFLs4pt432JsmI+PJqKjsfAwLwxHhJGIEIxEg5HoKB8LCvGgEB+NRsf4yD+jsWuJRL/AX5idvjU9tesvbz/fH7y3bGu6brN8L0gelGE7Qe2enEJLnrG5wOQoqGn7zGo/YrUfsjR+Xt+Rb23LrbAV2DoNdXSBxXn4ZMP2AwXaPUe27z+2v6CmwOIw1HYdrWjelW/M2FdkqHWWNtD5ppZj5sYCW31RfcOJxrPFTfbiFmdxi9PQ4ixsdhU2dhma3aVnPcdt9rzKpsOldZ/VtBxrtBvOuCvavaYOf0Wbt7jVU3jObWhlys+6D5das/cd0X9yIHtfXt7JqvKmtrIWR0lDh6G+/UR9e2Fd63Hb2eOnz5WccVa0MDm5JkK/P3Pnkcw9fz1UYSlr77SxfgvtP0X7rDRnZTgz7TF1uUwup5X1mFnGyLjNHtbcxVkdvjP0l6bTrh27izDqUwn4py0SvRTZkXOgzNbAms1McZH98MFTEHhgbdIOMXSgwNTR4LpQZHEdKWsub3FZaV8Ny9Z4aauPsXKeGsZrZLqr2O5Kt6ek01XNei3e8/vLLcTO3Oyc40dL26rP9dTZe48Wntmctg+Acg1Gd21b365DFbrdnxfVdZY5uDI3W9blOtnebmPoGoauZj0mxm3yuE202+z2nHb76jq99efOWxu7K+o5Y6uvyslWMe5av/cUx1q6fQZHx0mHo7G318J4ytrsVQ6Xzc3Vsl4LzZq6aDPrs/i6K9yuSrqrimOqacbCcBa2p4rpMdL+ao/XwrFWzlXFslUsV8NyZtZr5rwWzmf2+mp8PuN5f5WXtXV31/h8Bs5b7OqydrSiCuitwpb98he/en/tst9K3l+e9uGHyStWp67biqRIyXSAEonlIohKBYkkUZoIxsRyfMPmLTJYDSq0AECmpoFJSRvXrF2fvDFFIlYAUhyUK0USNDVNvikZACFKBmISABGLFUA6lC6Xy2AMRJUgpgUxLYirQVQJIZQcUSGoRirFRWlyUSoklaIATECYBsEzcCITxfQgopHCKimslkHqlBTZxnVbUpNFW5JFgBgCQVyajspkCAiicgUJKQipDN4GyMUyBShXpiTLV69M3rQubf2GlC2ADMBwUKXCVRkkoiUQNYmpcVSpUOAKBUrgKhinxCgKqzSEOgvDs0jsz6gsK3WtYv2q1FUr/vD73320evWabWkiHKMk2yBJmlwqwteslP3m15IVH0kBhVZObU+VKrfKcAWqIfAMTK3DtGpCpyE0WlSZoVBly6kMiNQCqBLAlKgqSyIlNm2QiT9GJVI9gOrSUWVyGvHBcmDVSkiSrkmHNds2o8lJIAjq01G9GCalKCGFYBRGYYxEVGo5RclJCsJJhFCRhJ5CdES6Dgf0MKBH4EwIVspgmKAolUqDZWZISBwgcGr7dkSjgQhKQSoRSq0k1UpSg2EqnNLjqgwFQcGkElWqEYzEMAohdApch5A6TKnGCEKBQBBJKigVolQjSjWq0qAqDarWwhqtRKeRURSpz5SQyq2UFs7KRjH0j8uXv1XYO+/8TN4V9s7P6/+Rf31mHKqhjAAAAABJRU5ErkJggg==" imageanchor="1"><img alt="" border="0" src="data:image/png;base64,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" /></a><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span> </h4>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span><br />
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</h4>
<div style="text-align: right;">
<div style="text-align: center;">
<span style="font-size: 12.0pt; mso-fareast-language: IN;"> Gambar.
<i>Corynebacterium difteriae</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"></span>
<span style="font-family: "Times New Roman","serif";"><span style="font-weight: bold;"></span></span></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<h4 class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">C.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-language: IN;">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Klasifikasi</span></b></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menurut tingkat keparahannya, penyakit difteri dibagi
menjadi 3 tingkat yaitu:</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Infeksi ringan
bila <i>pseudomembran </i>hanya terdapat pada mukosa hidung dengan gejala hanya
nyeri menelan.</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Infeksi sedang
bila <i>pseudomembran </i>telah menyerang sampai faring (dinding belakang
rongga mulut) sampai menimbulkan pembengkakan pada laring.</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Infeksi berat
bila terjadi sumbatan nafas yang berat disertai dengan
gejala komplikasi seperti <i>miokarditis </i>(radang
otot jantung), <i>paralisis </i>(kelemahan anggota gerak) dan <i>nefritis </i>(radang
ginjal).</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Disamping itu, penyakit ini juga dibedakan menurut
lokasi gejala yang dirasakan pasien, yaitu:</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Difteri hidung (<i style="mso-bidi-font-style: normal;">nasal diphtheria</i>) bila penderita
menderita pilek dengan ingus yang bercampur darah. Prevalesi Difteri ini
2 % dari total kasus difteri. Bila tidak diobati akan berlangsung mingguan dan
merupakan sumber utama penularan.</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Difteri faring (<i style="mso-bidi-font-style: normal;">pharingeal diphtheriae</i>)dan tonsil dengan
gejala radang akut tenggorokan, demam sampai dengan 38,5 derajat celsius, nadi
yang cepat, tampak lemah, nafas berbau, timbul pembengkakan kelenjar leher.
Pada difteri jenis ini juga akan tampak membran berwarna putih keabu abuan
kotor di daerah rongga mulut sampai dengan dinding belakang mulut (faring).</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Difteri laring (
<i>laryngo tracheal diphtheriae </i>) dengan gejala tidak bisa bersuara, sesak,
nafas berbunyi, demam sangat tinggi sampai 40 derajat celsius, sangat lemah,
kulit tampak kebiruan, pembengkakan kelenjar leher. Difteri jenis ini merupakan
difteri paling berat karena bisa mengancam nyawa penderita akibat gagal nafas.</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Difteri kutaneus
(<i style="mso-bidi-font-style: normal;">cutaneous diphtheriae</i>) dan vaginal
dengan gejala berupa luka mirip sariawan pada kulit dan vagina dengan
pembentukan membran diatasnya. Namun tidak seperti sariawan yang sangat nyeri,
pada difteri, luka yang terjadi cenderung tidak terasa apa-apa.</span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">D. Patofisiologi</span></b></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Biasanya bakteri
berkembang biak pada atau di sekitar permukaan selaput lendir mulut atau
tenggorokan dan menyebabkan peradangan. Bila bakteri sampai ke hidung, maka
hidung akan berair. Peradangan bisa menyebar dari tenggorokan ke pita suara
(laring) dan menyebabkan pembengkakan sehingga saluran udara menyempit dan
terjadi gangguan pernafasan. Bakteri ini ditularkan melalui percikan ludah dari
batuk penderita atau benda maupun makanan yang telah terkontaminasi oleh
bakteri. Ketika telah masuk dalam tubuh, bakteri melepaskan toksin atau racun.
Toksin ini akan menyebar melalui darah dan bisa menyebabkan kerusakan jaringan
di seluruh tubuh, terutama jantung dan saraf.</span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Akibat yang ditimbulkan oleh penyakit ini banyak bergantung pada efek
eksotoksin yang diproduksi. Toksin menghambat pembuatan protein sel sehingga
sel mati. Nekrosis jaringan pada tempat menempelnya kuman akan menunjang perkembang-biakan
kuman dan produksi toksin selanjutnya, serta pembentukan membran yang melekat
erat pada dasarnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"></span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Basil
hidup dan berkembang biak pada traktus respiratorius bagian atas, terlebih bila
terdapat peradangan kronis pada tonsil, sinus dan lain-lain. Tetapi walaupun
jarang, basil dapat pula hidup pada daerah vulva, telinga dan kulit. Pada
tempat ini basil membentuk pseudomembran dan melepaskan eksotoksin.
Pseudomembran dapat timbul lokal atau kemudian menyebar dari faring atau tonsil
ke laring dan seluruh traktus respiratorius bagian atas sehingga menimbulkan
gejala yang lebih berat. Kelenjar getah bening sekitarnya akan mengalami
hiperplasia dan mengandung toksin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">.</span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Eksotoksin
dapat mengenai jantung dan menyebabkan miokarditis toksik atau mengenai jaringan
saraf perifer sehingga timbul paralisis terutama otot-otot pernafasan. Toksin
juga dapat menimbulkan nekrosis lokal pada hati dan ginjal, malahan dapat
timbul nefritis interstitialis (jarang sekali). Kematian terutama disebabkan
oleh sumbatan membran pada laring dan trakea, gagal jantung, gagal pernafasan
atau akibat komplikasi yang sering yaitu bronkopneumonia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"></span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"><br /></span></h4>
<h4 style="text-align: left;">
</h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Pathway Difteri</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><img alt="" height="258" src="data:image/jpeg;base64,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" width="400" /></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><img alt="" height="224" src="data:image/jpeg;base64,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" width="400" /></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">E.
<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis </span></b></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan awal yang paling sering adalah
nyeri tenggorokan, nausea, muntah, dan disfagia. Selain itu ditandai dengan
adanya membran semu di tonsil dan di sekitarnya, serta pelepasan eksotoksin,
yang dapat menimbulkan gejala umum atau lokal. Gambaran klinik dibagi
menjadi 3 golongan, yaitu gejala umum, lokal, dan gejala akibat
eksotoksin.</span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala umum, seperti penyakit infeksi
lainnya, penyakit ini menimbulkan gejala suhu sub
febril, nyeri kepala, tidak nafsu makan, badan lemah serta nadi lambat.</span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejal lokal, berupa keluhan nyeri
menelan. Pada pemeriksaan tampak tonsil membengkak ditutupi bercak putih kotor
yang makin lama makin meluas dan bersatu membentuk membran semu. Membran ini
meluas ke palatum mole, uvula, nasopharing dan laring, bahkan dapat juga meluas
ke trakea dan bronkus. Membran semu ini melekat erat pada dasarnya, sehingga
bila diangkat akan mudah berdarah. Pada perkembangan penyakit ini, bila
infeksinya tidak terbendung, kelenjar limfe leher membengkak. Bengkaknya
kelenjar limfe di leher ini dapat sedemikian rupa sehingga leher menyerupai
leher sapi (bull neck) atau disebut juga Burgemeester’s hals.</span></h4>
<h4 style="text-align: left;">
</h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala akibat
eksotoksin pada jaringan tubuh, pada jantung, terjadi miokarditis
dan dapat mengakibatkan payah jantung atau decompensatio cordis. Akibat
eksotoksin juga dapat mengenai saraf kranial, khususnya bagian motorik dan
mengenai ginjal, sehingga terjadi albuminuria. </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</h4>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Rudolph M. Abhraham, dkk. 2006. <i style="mso-bidi-font-style: normal;">Buku Ajar Pediatri Rudolph </i>Edisi 20. Volume 1. Jakarta: EGC </span></div>
<div class="MsoNoSpacing">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Nursalam, dkk.
2005. <i>Asuhan Keperawatan Bayi dan Anak</i>. Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Salemba Medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-language: IN;">Richard E. Behrman. 1999. <i style="mso-bidi-font-style: normal;">Ilmu Kesehatan Anak Nelson</i>. Volume 2. Jakarta : EGC</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<h4 class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></h4>
</div>
<span style="font-family: "Times New Roman","serif";"><span style="font-weight: bold;"></span></span></div>
</div>
<div class="MsoBodyTextIndent3" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;}
</style>
<![endif]-->
</div>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-75326084949153620832012-06-13T19:00:00.001-07:002012-09-14T00:32:55.413-07:00Askep GASTRITIS<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1129"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1104"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1121"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1122"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1113"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1108"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1077"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1090"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1112"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1085"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1083"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1118"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1072"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1099"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1124"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1086"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1091"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1082"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1100"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1115"/>
<o:r id="V:Rule20" type="connector" idref="#_x0000_s1109"/>
<o:r id="V:Rule21" type="connector" idref="#_x0000_s1126"/>
<o:r id="V:Rule22" type="connector" idref="#_x0000_s1076"/>
<o:r id="V:Rule23" type="connector" idref="#_x0000_s1079"/>
<o:r id="V:Rule24" type="connector" idref="#_x0000_s1073"/>
<o:r id="V:Rule25" type="connector" idref="#_x0000_s1102"/>
<o:r id="V:Rule26" type="connector" idref="#_x0000_s1093"/>
<o:r id="V:Rule27" type="connector" idref="#_x0000_s1074"/>
<o:r id="V:Rule28" type="connector" idref="#_x0000_s1103"/>
<o:r id="V:Rule29" type="connector" idref="#_x0000_s1111"/>
<o:r id="V:Rule30" type="connector" idref="#_x0000_s1097"/>
<o:r id="V:Rule31" type="connector" idref="#_x0000_s1089"/>
<o:r id="V:Rule32" type="connector" idref="#_x0000_s1106"/>
<o:r id="V:Rule33" type="connector" idref="#_x0000_s1105"/>
<o:r id="V:Rule34" type="connector" idref="#_x0000_s1096"/>
<o:r id="V:Rule35" type="connector" idref="#_x0000_s1117"/>
<o:r id="V:Rule36" type="connector" idref="#_x0000_s1107"/>
<o:r id="V:Rule37" type="connector" idref="#_x0000_s1127"/>
<o:r id="V:Rule38" type="connector" idref="#_x0000_s1114"/>
<o:r id="V:Rule39" type="connector" idref="#_x0000_s1081"/>
<o:r id="V:Rule40" type="connector" idref="#_x0000_s1084"/>
<o:r id="V:Rule41" type="connector" idref="#_x0000_s1094"/>
<o:r id="V:Rule42" type="connector" idref="#_x0000_s1075"/>
<o:r id="V:Rule43" type="connector" idref="#_x0000_s1098"/>
<o:r id="V:Rule44" type="connector" idref="#_x0000_s1110"/>
<o:r id="V:Rule45" type="connector" idref="#_x0000_s1116"/>
<o:r id="V:Rule46" type="connector" idref="#_x0000_s1078"/>
<o:r id="V:Rule47" type="connector" idref="#_x0000_s1088"/>
<o:r id="V:Rule48" type="connector" idref="#_x0000_s1092"/>
<o:r id="V:Rule49" type="connector" idref="#_x0000_s1101"/>
<o:r id="V:Rule50" type="connector" idref="#_x0000_s1087"/>
<o:r id="V:Rule51" type="connector" idref="#_x0000_s1080"/>
<o:r id="V:Rule52" type="connector" idref="#_x0000_s1119"/>
<o:r id="V:Rule53" type="connector" idref="#_x0000_s1095"/>
<o:r id="V:Rule54" type="connector" idref="#_x0000_s1125"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></b><!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1029"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
</div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">“ASUHAN
KEPERAWATAN PADA PASIEN DENGAN GASTRITIS”</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disusun Oleh:</span></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelompok</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2 </span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Asmat Burhan<span style="mso-tab-count: 1;"> </span>(10620345)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diyah Prianti</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>(106203</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">51</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">)</span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ita Kusworini<span style="mso-tab-count: 1;"> </span>(10620359)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Moises D.<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>(106203</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">63</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">)</span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Nilwan Arfiansyah<span style="mso-tab-count: 1;"> </span>(10620366)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pungky Apri Utama<span style="mso-tab-count: 1;"> </span>(10620371)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rizky D.C Rahayu<span style="mso-tab-count: 1;"> </span>(10620373)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Wahyu Antoro<span style="mso-tab-count: 1;"> </span>(10620378)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Al Badrul Maniru<span style="mso-tab-count: 1;"> </span>(10620384)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="margin-left: 0cm; text-align: left;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<span style="height: 41px; left: 0px; margin-left: 567px; margin-top: 22px; mso-ignore: vglayout; position: absolute; width: 54px; z-index: 251660288;"></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PROGRAM
STUDI ILMU KEPERAWATAN</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> (S-1)</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FAKULTAS
ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">UNIVERSITAS
KADIRI</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span style="height: 32px; left: 0px; margin-left: 276px; margin-top: 57px; mso-ignore: vglayout; position: absolute; width: 32px; z-index: 251661312;"></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">201</span></b><span style="height: 24px; left: 0px; margin-left: 579px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 30px; z-index: 251662336;"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis adalah istilah yang digunakan
untuk menggambarkan sekelompok kondisi dengan satu hal yaitu radang selaput
perut . Peradangan ini (gastritis) sering kali adalah hasil dari infeksi
bakteri <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i> yang
menyebabkan radang perut yang paling sering ditemukan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Gastritis
adalah proses inflamsi pada lapisan mukosa dan sub mukosa lambung. Secara
histopastologi dapat dibuktikan dengan adanya infiltarsi sel-sel radang pada
daerah tersebut. Gastritis merupakan salah satu penyakit yang banyak dijumpai
di klinik / ruangan penyakit dalam pada umumnya. Kejadian penyakit gastritis
meningkat sejak 5 – 6 tahun ini dan menyerang laki-laki lebih banyak dari pada
wanita. Laki-laki lebih banyak mengalami gastritis karena kebiasaan
mengkonsumsi alkohol dan merokok.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di negara berkembang prevalensi infeksi <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i> pada orang dewasa
mendekati angka 90%. Sedangkan pada anak-anak prevalensinya lebih tinggi lagi.
Di Indonesia, prevalensi kuman ini menggunakan <i style="mso-bidi-font-style: normal;">urea breath test</i>. Penelitian serologis yang dilakukan secara <i style="mso-bidi-font-style: normal;">cross sectional</i> bertambahnya prevelansi
penyakit ini sesuai dengan pertambahan usia. Penyebab penyakit ini adalah gram
negatife, basil yang berbentuk kurva dan batang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Namun, banyak faktor lain seperti
cedera, traumatis, penggunaan obat penghilang rasa sakit tertentu atau minum
alkohol terlalu banyak, juga dapat berkontribusi untuk terjadinya gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis dapat terjadi secara mendadak
(gastritis akut) atau bisa terjadi perlahan-lahan dari waktu ke waktu
(gastritis kronis). Dalam beberapa kasus, gastritis dapat menyebabkan bisul
(ulkus) pada lambung dan peningkatan risiko kanker perut. Bagi kebanyakan
orang, gastritis tidaklah serius dan dapat dengan cepat mereda bahkan sembuh
dengan pengobatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Saat ini dalam
proses keperawatan gastritis banyak dijumpai dan menyerang 80 – 90% laki-laki<i style="mso-bidi-font-style: normal;">.</i></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis dapat terjadi secara mendadak
(gastritis akut) atau bisa terjadi perlahan-lahan dari waktu ke waktu
(gastritis kronis). Dalam beberapa kasus, gastritis dapat menyebabkan bisul
(ulkus) pada lambung dan peningkatan risiko kanker perut. Bagi kebanyakan
orang, gastritis tidaklah serius dan dapat dengan cepat mereda bahkan sembuh
dengan pengobatan.<span style="color: red;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
asuhan keperawatan pada pasien dengan Gastritis?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
asuhan keperawatan pada pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
definisi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
klasifikasi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
etiologi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
patofisiologi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
manifestasi klinis gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
pemeriksaan penunjang gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
penatalaksanaan gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
komplikasi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
asuhan keperawatan pasien dengan gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah pengetahuan dan keterampilan dalam memberikan asuhan keperawatan pada
pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga
keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
memberikan asuhan keperawatan yang baik dan tepat pada pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah wawasan dan pengetahuan bagi semua mahasiswa tentang asuhan
keperawatan pada pasien dengan gangguan gastritis sehingga menunjang
pembelajaran mata kuliah pencernaan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
referensi tambahan dalam proses penbelajaran mata kuliah pencernaan. Akademik
mendapatkan tambahan referensi untuk melengkapi bahan pembelajaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masyarakat
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan
informasi tentang penyakit gastritis, penyebab, tanda dan gejal, serta cara
perawatan dan pengobatannya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Gastritis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> atau lebih
dikenal sebagai maag berasal dari bahasa yunani yaitu <i>gastro</i>, yang
berarti perut/lambung dan <i>itis</i> yang berarti inflamasi/peradangan.
Gastritis adalah inflamasi dari mukosa lambung (Kapita Selekta Kedokteran,
Edisi Ketiga , 1999). Gastritis adalah segala radang mukosa lambung. Gastritis
merupakan suatu keadaan peradangan atau perdarahan mukosa lambung yang dapat
bersifat akut, kronis, difus atau local (Sylvia A Price, 2006).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berdasarkan
berbagai pendapat tokoh diatas, gastritis dapat juga diartikan sebagai suatu
proses inflamasi pada lapisan mukosa dan submukosa lambung dan secara
hispatologi dapat dibuktikan dengan adanya infiltrasi sel-sel radang pada
daerah tersebut. Gastritis bukan merupakan penyakit tunggal, tetapi terbentuk
dari beberapa kondisi yang kesemuanya itu mengakibatkan peradangan pada
lambung. Biasanya, peradangan tersebut merupakan akibat dari infeksi oleh
bakteri yang sama dengan bakteri yang dapat mengakibatkan borok di lambung
yaitu <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i>.
Peradangan ini mengakibatkan sel darah putih menuju ke dinding lambung
sebagai respon terjadinya kelainan pada bagian tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis
menurut jenisnya terbagi menjadi 2, yaitu: (David Ovedorf, 2002) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level2 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disebabkan
oleh mencerna asam atau alkali kuat yang dapat menyebabkan mukosa menjadi
gangren atau perforasi. Gastritis akut dibagi menjadi dua garis besar yaitu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis eksogen akut, biasanya
disebabkan oleh faktor-faktor dari luar, seperti bahan kimia. Misalnya lisol,
alkohol, merokok, kafein lada, steroid, mekanis iritasi bakterial, obat
analgetik, anti inflamasi terutama aspirin (aspirin yang dosis rendah sudah
dapat menyebabkan erosi mukosa lambung).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis endogen akut, adalah gastritis
yang disebabkan oleh kelainan badan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level2 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inflamasi lambung yang lama, dapat
disebabkan oleh ulkus benigna atau maligna dari lambung, atau oleh bakteri <em>Helicobacter
pylory. </em>Gastritis kronik dikelompokkan lagi dalam 2 tipe yaitu tipe A dan
tipe B. Dikatakan gastritis kronik tipe A jika mampu menghasilkan imun sendiri.
Tipe ini dikaitkan dengan atropi dari kelenjar lambung dan penurunan mukosa.
Penurunan pada sekresi gastrik mempengaruhi produksi antibodi. Anemia
pernisiosa berkembang pada proses ini. Gastritis kronik tipe B lebih
lazim. Tipe ini dikaitkan dengan infeksi <i style="mso-bidi-font-style: normal;">Helicobacter
pylori</i> yang menimbulkan ulkus pada dinding lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab
dari Gastritis dapat dibedakan sesuai dengan klasifikasinya sebagai berikut :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l31 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gastritis Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Penyebabnya adalah stres psikologi, obat analgetik,
anti inflamasi terutama aspirin (aspirin yang dosis rendah sudah dapat menyebabkan
erosi mukosa lambung), makanan, bahan kimia misalnya lisol, alkohol, merokok,
kafein lada, steroid dan digitalis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l31 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Penyebab dan patogenesis pada umumnya belum diketahui,
biasanya disebabkan oleh ulkus benigna atau maligna dari lambung </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Helicobacter pylori.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> Gastritis ini merupakan kejadian biasa pada orang
tua, tapi di duga pada peminum alkohol, dan merokok. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis
Akut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengaruh efek samping obat-obat NSAIDs
atau Non-Steroidal Anti Inflamatory Drug seperti aspirin juga dapat menimbulkan
gastritis. Obat analgesik anti inflamasi nonsteroid (AINS) seperti aspirin,
ibuproven dan naproxen dapat menyebabkan peradangan pada lambung dengan cara
mengurangi prostaglandin yang bertugas melindungi dinding lambung. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika pemakaian obat-obat tersebut hanya
sesekali maka kemungkinan terjadinya masalah lambung akan kecil. Tapi jika pemakaiannya
dilakukan secara terus menerus atau pemakaian yang berlebihan dapat
mengakibatkan <em>gastritis</em> dan<em> peptic ulcer</em>. Pemberian aspirin
juga dapat menurunkan sekresi bikarbonat dan mukus oleh lambung, sehingga
kemampuan faktor defensif terganggu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alkohol berlebih, terlalu sering memakan
makanan yang mengandung nitrat (bahan pengawet) atau terlalu asam (cuka),
kafein seperti pada teh dan kopi serta kebiasaan merokok dapat memicu
terjadinya gastritis. Karena bahan-bahan tersebut bila terlalu sering kontak dengan
dinding lambung akan memicu sekresi asam lambung berlebih sehingga dapat
mengikis lapisan mukosa lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemudian stress psikologis maupun
fisiologis yang lama dapat menyebabkan gastritis. Stress seperti syok, sepsis,
dan trauma menyebabkan iskemia mukosa lambung. Iskemia mukosa lambung
mengakibatkan peningkatan permeabilitas mukosa akibatnya terjadi difusi balik
H+ ke dalam mukosa. Mukosa tidak mampu lagi menahan asam berlebih menyebabkan
edema lalu rusak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis
Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis kronis dapat diklasifikasikan
tipe A atau tipe B. Tipe A (sering disebut sebagai gastritis autoimun)
diakibatkan dari perubahan sel parietal, yang menimbulkan atropi dan infiltrasi
sel. Hal ini dihubungkan dengan penyakit otoimun, seperti anemia pernisiosa dan
terjadi pada fundus atau korpus dari lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tipe B (kadang disebut sebagai gastritis
<i style="mso-bidi-font-style: normal;">H. pylory</i>) Ini dihubungkan dengan
bakteri <i style="mso-bidi-font-style: normal;">H. pylory</i>, faktor diet
seperti minum panas atau pedas, penggunaan obat-obatan dan alkohol, merokok
atau refluks isi usus kedalam lambung.<em> H. Pylori </em>termasuk bakteri yang
tidak tahan asam, namun bakteri jenis ini dapat mengamankan dirinya pada
lapisan mukosa lambung. Keberadaan bakteri ini dalam mukosa lambung menyebabkan
lapisan lambung melemah dan rapuh sehingga asam lambung dapat menembus lapisan tersebut.
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan demikian baik asam lambung maupun
bakteri menyebabkan luka atau tukak. Sistem kekebalan tubuh akan merespon
infeksi bakteri <em>H. Pylori </em>tersebut dengan mengirimkan butir-butir
leukosit, sel<em>T-killer</em>, dan pelawan infeksi lainnya. Namun demikian
semuanya tidak mampu melawan infeksi <em>H. Pylori </em>tersebut sebab tidak
bisa menembus lapisan lambung. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akan tetapi juga tidak bisa dibuang
sehingga respons kekebalan terus meningkat dan tumbuh. <em>Polymorph </em>mati
dan mengeluarkan senyawa perusak radikal superoksida pada sel lapisan lambung.
Nutrisi ekstra dikirim untuk menguatkan sel leukosit, namun nutrisi itu juga
merupakan sumber nutrisi bagi <em>H. Pylori. </em>Akhirnya, keadaan epitel
lambung semakin rusak sehingga terbentuk ulserasi superfisial dan bisa
menyebabkan hemoragi (perdarahan). Dalam beberapa hari gastritis dan bahkan
tukak lambung akan terbentuk.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l29 level2 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anoreksia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muntah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri epigastrum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo27; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan saluran cerna pada
Hematemasis melena, tanda lebih lanjut yaitu anemia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l29 level2 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
tipe A, biasanya asimtomatik, klien tidak mempunyai keluhan. Namun pada
gastritis tipe B, pasien biasanya mengeluh :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri ulu hati </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anorexia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nausea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anemia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun
pemeriksaan penunjang gastritis menurut Hudak dan Gallo, 1996, seperti di bawah
ini :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai
haemoglobin dan hematokrit untuk menentukan adanya anemia akibat perdarahan.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar serum gastrin rendah atau normal, atau meninggi pada gastritis kronik
yang berat.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
rontgen dengan sinar X barium untuk melihat kelainan mukosa lambung.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Endoskopi
dengan menggunakan gastrocopy untuk melihat kelainan mukosa lambung.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
asam lambung untuk mengetahui ada atau tidak peningkatan asam lambung</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
darah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">untuk
memeriksa apakah terdapat<em> H. Pylori</em> dalam darah. Hasil tes yang
positif menunujukkan bahwa pasien pernah kontak dengan bakteri pada suatu waktu
dalam hidupnya tapi itu tidak menunjukkan bahwa pasien tersebut terkena
infeksi. Tes darah dapat juga dilakukan untuk memeriksa anemia yang terjadi
akibat perdarahan lambung karena gastritis</span>.<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
feses tes ini untuk memeriksa apakah terdapat bakteri <em>H. Pylori</em> dalam
feses atau tidak. Hasil yang positif dapat mengindikasikan terjadinya infeksi.
Pemeriksaan juga dilakukan terhadap adanya darah dalam feses. Hal ini
menunjukkan adanya pendarahan dalam lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisa
lambung tes ini untuk mengetahui sekresi asam dan merupakan tekhnik penting
untuk menegakkan diagnosis penyakit lambung. Suatu tabung nasogastrik
dimasukkan ke dalam lambung dan dilakukan aspirasi isi lambung puasa untuk
dianalisis. Analisis basal mengukur BAO<i style="mso-bidi-font-style: normal;">(
basal acid output</i>) tanpa perangsangan. Uji ini bermanfaat untuk menegakkan
diagnosis sindrom <i style="mso-bidi-font-style: normal;">Zolinger- Elison </i>(suatu
tumor pankreas yang menyekresi gastrin dalam jumlah besar yang selanjutnya akan
menyebabkan asiditas nyata).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengobatan
gastritis meliputi :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatasi
kedaruratan medis yang terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatasi
atau menghindari penyebab apabila dapat dijumpai.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
obat-obat antasid atau obat-obat ulkus lambung yang lain (Soeparman,1999)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
gastritis, penatalaksanaanya dapat dilakukan dengan (medis dan non medis),
yaitu sebagai berikut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis
Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intruksikan
pasien untuk menghindari alkohol.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
pasien mampu makan melalui mulut, anjurkan diet mengandung gizi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
gejala menetap, cairan perlu diberi secara parenteral.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
perdarahan terjadi, lakukan penatalaksanaan untuk hemoragi saluran
gastrofestinal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menetralisir asam gunakan antasida umum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menetralisir alkhali gunakan jus lemon encer atau cuka encer.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembedahan
darurat mungkin diperlukan untuk mengangkat gangren atau perforasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
gastritis terjadi akibat menelan basa kuat, gunakan sari buah jeruk yang encer
atau cuka yang di encerkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reaksi
lambung diperlukan untuk mengatasi obstruksi polirus. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis
Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
diatasi dengan memodifikasi diet pasien, diet makan lunak diberikan sedikit
tapi lebih sering.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi
stress</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">H.pylori
diatasi dengan antibiotik (seperti tetraciklin ¼, amoxillin) dan gram bismuth
(pepto-bismol).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l35 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan
saluran cerna bagian atas berupa hematimesis dan melena yang dapat berakhir
sebagai syok hemoragie.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l35 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ulkus
peptikum, perforasi dan anemia karena gangguan absorbsi vitamin B12 (Mansjoer,
Arief 1999)</span></div>
<br />
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.9<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WOC</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN </span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PADA PASIEN DENGAN GASTRITIS</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l2 level2 lfo7; text-indent: -28.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.1
<span style="mso-spacerun: yes;"> </span>Anamnese meliputi :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. Nama<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>Tn. X<span style="mso-tab-count: 4;"> </span>
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. Usia<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>lebih banyak pada anak-anak<span style="mso-tab-count: 3;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3. Jenis kelamin<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>lebih banyak
laki-laki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4. Jenis pekerjaan<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>tidak
dipengaruhi jenis pekerjaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. Alamat<span style="mso-tab-count: 1;"> </span>: -</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6. Suku/bangsa<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>indonesia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">7. Agama<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>islam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; tab-stops: 177.2pt 184.3pt; text-align: justify; text-indent: -127.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">8. Tingkat
pendidikan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bagi orang yang tingkat pendidikan rendah/minim mendapatkan
pengetahuan tentang gastritis, maka akan menganggap remeh penyakit ini, bahkan
hanya menganggap gastritis sebagai sakit perut biasa dan akan memakan makanan
yang dapat menimbulkan serta memperparah penyakit ini.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">9.
Riwayat sakit dan kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 219.75pt; tab-stops: 212.65pt 219.75pt; text-align: justify; text-indent: -148.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
Keluhan utama<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Nyeri di ulu hati dan perut sebelah kanan
bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 219.75pt; tab-stops: 3.0cm 212.65pt 219.75pt; text-align: justify; text-indent: -148.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Riwayat penyakit saat ini<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Meliputi
perjalan penyakitnya, awal dari gejala yang dirasakan klien, keluhan timbul
dirasakan secara mendadak atau bertahap, faktor pencetus, upaya untuk mengatasi
masalah tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; tab-stops: 212.65pt 219.75pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c) <span style="mso-tab-count: 1;"> </span>Riwayat penyakit dahulu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Meliputi penyakit yang berhubungan
dengan penyakit sekarang, riwayat dirumah sakit, <span style="mso-spacerun: yes;"> </span>dan riwayat pemakaian obat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l2 level3 lfo7; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan fisik, yaitu <i style="mso-bidi-font-style: normal;">Review of system</i> (ROS)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; tab-stops: 155.95pt 163.05pt; text-align: justify; text-indent: -99.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
umum<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tampak kesakitan pada pemeriksaan fisik terdapat nyeri tekan di
kwadran epigastrik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B1(breath)<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>takhipnea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B2 (blood)<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>takikardi,
hipotensi, <span style="mso-spacerun: yes;"> </span>disritmia, nadi perifer lemah,
pengisian perifer lambat, warna kulit pucat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B3 (brain)<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>sakit kepala, kelemahan,
tingkat kesadaran dapat terganggu, disorientasi, nyeri epigastrum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B4 (bladder)<span style="mso-tab-count: 1;"> </span>: oliguria, gangguan keseimbangan cairan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B5 (bowel)<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>anemia, anorexia,
mual, muntah, nyeri ulu hati, tidak toleran terhadap makanan pedas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B6 (bone)<span style="mso-tab-count: 1;"> </span>: kelelahan, kelemahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; tab-stops: 99.25pt 155.95pt 163.05pt 184.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.3 <span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Fokus
Pengkajian</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. <span style="mso-tab-count: 1;"> </span>Aktivitas
/ Istirahat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kelemahan,
kelelahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>takikardia,
takipnea / hiperventilasi (respons terhadap aktivitas)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="mso-tab-count: 1;"> </span>Sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kelemahan, berkeringat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>hipotensi (termasuk postural)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">takikardia,
disritmia (hipovolemia / hipoksemia)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nadi
perifer lemah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pengisian
kapiler lambat / perlahan (vasokonstriksi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">warna
kulit pucat, sianosis (tergantung pada jumlah kehilangan darah) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kelemahan
kulit / membran mukosa, berkeringat (menunjukkan status syok, nyeri akut,
respons psikologik)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Integritas
ego</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>faktor
stress akut atau kronis (keuangan, hubungan kerja), perasaan tak berdaya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tanda
ansietas, misalnya gelisah, pucat, berkeringat, perhatian menyempit, gemetar,
suara gemetar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>riwayat
perawatan di rumah sakit sebelumnya karena perdarahan gastroenteritis (GE) atau
masalah yang berhubungan dengan GE, misalnya<span style="mso-spacerun: yes;">
</span>luka peptik atau gaster, gastritis, bedah gaster, iradiasi area gaster.
Perubahan pola defekasi / karakteristik feses.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>nyeri tekan abdomen, distensi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">bunyi
usus : sering hiperaktif selama perdarahan, hipoaktif setelah perdarahan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">karakteristik
feses : diare, darah warna gelap, kecoklatan atau kadang-kadang merah cerah, berbusa,
bau busuk (steatorea), konstipasi dapat terjadi (perubahan diet, penggunaan
antasida).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">haluaran
urine : menurun, pekat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makanan
/ Cairan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-
<span style="mso-tab-count: 1;"> </span>anoreksia, mual, muntah (muntah yang
memanjang diduga obstruksi pilorik bagian luar sehubungan dengan luka
duodenal).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">masalah
menelan : cegukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nyeri
ulu hati, sendawa bau asam, mual atau muntah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>muntah
dengan warna kopi gelap atau merah cerah, dengan atau tanpa bekuan darah, membran
mukosa kering, penurunan produksi mukosa, turgor kulit buruk (perdarahan
kronis).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neurosensi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>rasa
berdenyut, pusing / sakit kepala karena sinar, kelemahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tingkat
kesadaran dapat terganggu, rentang dari agak cenderung tidur, disorientasi / bingung,
sampai pingsan dan koma (tergantung pada volume sirkulasi / oksigenasi).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
/ Kenyamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>nyeri, digambarkan sebagai tajam, dangkal,
rasa terbakar, perih, nyeri hebat tiba-tiba dapat disertai perforasi. Rasa
ketidaknyamanan / distres samar-samar setelah makan banyak<br />
dan hilang dengan makan (gastritis akut). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nyeri
epigastrum kiri sampai tengah / atau menyebar ke punggung terjadi 1-2 jam
setelah makan dan hilang dengan antasida (ulkus gaster). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nyeri
epigastrum kiri sampai / atau menyebar ke punggung terjadi kurang lebih 4 jam
setelah makan bila lambung kosong dan hilang dengan makanan atau antasida
(ulkus duodenal). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tak
ada nyeri (varises esofegeal atau gastritis).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">faktor
pencetus : makanan, rokok, alkohol, penggunaan obat-obatan tertentu (salisilat,
reserpin, antibiotik, ibuprofen), stresor psikologis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>wajah
berkerut, berhati-hati pada area yang sakit, pucat, berkeringat, perhatian
menyempit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keamanan<br />
Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>alergi terhadap obat / sensitif misal : ASA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>peningkatan suhu, spider angioma, eritema
palmar (menunjukkan sirosis / hipertensi portal)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyuluhan
/ Pembelajaran</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>adanya
penggunaan obat resep / dijual bebas yang mengandung ASA, alkohol, steroid.
NSAID menyebabkan perdarahan GI. Keluhan saat ini dapat diterima karena (misal
: anemia) atau diagnosa yang tak berhubungan (misal : trauma kepala), flu usus,
atau episode muntah berat. Masalah kesehatan yang lama misal : sirosis,
alkoholisme, hepatitis, gangguan makan (Doengoes, 1999, hal: 455).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level3 lfo10; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Diagnostik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
darah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tes
ini digunakan untuk memeriksa apakah terdapat<em> H. Pylori</em> dalam darah.
Hasil tes yang positif menunujukkan bahwa pasien pernah kontak dengan bakteri
pada suatu waktu dalam hidupnya tapi itu tidak menunjukkan bahwa pasien
tersebut terkena infeksi. Tes darah dapat juga dilakukan untuk memeriksa anemia
yang terjadi akibat perdarahan lambung karena gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uji
napas urea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu
metode diagnostik berdasarkan prinsip bahwa urea diubah oleh urease <em>H.
Pylori </em>dalam lambung menjadi amoniak dan karbondioksida (CO<sub>2</sub>).
CO<sub>2</sub> cepat diabsorbsi melalui dinding lambung dan dapat terdeteksi
dalam udara ekspirasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
feces</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tes
ini memeriksa apakah terdapat bakteri <em>H. Pylori</em> dalam feses atau
tidak. Hasil yang positif dapat mengindikasikan terjadinya infeksi. Pemeriksaan
juga dilakukan terhadap adanya darah dalam feses. Hal ini menunjukkan adanya
pendarahan dalam lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Endoskopi
saluran cerna bagian atas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
tes ini dapat terlihat adanya ketidaknormalan pada saluran cerna bagian atas
yang mungkin tidak terlihat dari sinar-x. Tes ini dilakukan dengan cara
memasukkan sebuah selang kecil yang fleksibel(endoskop) melalui mulut dan masuk
ke dalam esofagus, lambung dan bagian atas usus kecil. Tenggorokan akan
terlebih dahulu dianestesi sebelum endoskop dimasukkan untuk memastikan pasien
merasa nyaman menjalani tes ini. Jika ada jaringan dalam saluran cerna yang
terlihat mencurigakan, dokter akan mengambil sedikit sampel(biopsy) dari
jaringan tersebut. Sampel itu kemudian akan dibawa ke laboratorium untuk
diperiksa. Tes ini memakan waktu kurang lebih 20 sampai 30 menit. Pasien
biasanya tidak langsung disuruh pulang ketika tes ini selesai, tetapi harus
menunggu sampai efek dari anestesi menghilang kurang lebih satu atau dua jam.
Hampir tidak ada resioko akibat tes ini. Komplikasi yang sering terjadi adalah
rasa tidak nyaman pada tenggorokan akibat menelan endoskop.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rontgen
saluran cerna bagian atas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tes
ini akan melihat adanya tanda-tanda gastritis atau penyakit pencernaan lainnya.
Biasanya akan diminta menelan cairan barium terlebih dahulu sebelum dirontgen.
Cairan ini akan melapisi saluran cerna dan akan terlihat lebih jelas ketika di
rontgen.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l1 level1 lfo37; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisis
Lambung</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tes
ini untuk mengetahui sekresi asam dan merupakan tekhnik penting untuk
menegakkan diagnosis penyakit lambung. Suatu tabung nasogastrik dimasukkan ke
dalam lambung dan dilakukan aspirasi isi lambung puasa untuk dianalisis.
Analisis basal mengukur BAO( basal acid output) tanpa perangsangan. Uji ini
bermanfaat untuk menegakkan diagnosis sindrom Zolinger- Elison(suatu tumor
pankreas yang menyekresi gastrin dalam jumlah besar yang selanjutnya akan
menyebabkan asiditas nyata).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisis
stimulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
dilakukan dengan mengukur pengeluaran asam maksimal (MAO, maximum acid output)
setelah pemberian obat yang merangsang sekresi asam seperti histamin atau
pentagastrin. Tes ini untuk mengetahui teradinya aklorhidria atau tidak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2<span style="mso-tab-count: 1;"> </span>Diagnosa Keperawatan yang mungkin muncul</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kekurangan volume
cairan berhubungan dengan intake yang tidak adekuat dan output cair yang
berlebih (mual dan muntah). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri berhubungan dengan iritasi mukosa
lambung sekunder karena stress psikologi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Nutrisi kurang
dari kebutuhan tubuh berhubungan dengan penurunan intake asupan gizi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansietas
berhubungan dengan perubahan status kesehatan, ancaman kematian, nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurang
pengetahuan berhubungan dengan kurangnya informasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3<span style="mso-tab-count: 1;"> </span>Intervensi keperawatan</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA KEPERAWATAN</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kekurangan
volume cairan kurang dari kebutuhan tubuh berhubungan dengan intake yang
tidak adekuat dan output cair yang berlebih (mual dan muntah)</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Tujuan:</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam intake cairan adekuat.</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mukosa bibir
lembab</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Turgor kulit
baik</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pengisian
kapiler baik</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Input dan
output seimbang</span></div>
<div class="MsoNoSpacing" style="margin-left: 152.7pt; mso-list: l24 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Penuhi kebutuhan individual. Anjurkan klien untuk minum (dewasa :
40-60 cc/kg/jam).</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Berikan cairan tambahan IV sesuai indikasi.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Awasi tanda-tanda vital, evaluasi turgor kulit, pengisian kapiler dan
membran mukosa.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Kolaborasi pemberian cimetidine dan ranitidine</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Intake cairan yang adekuat
akan mengurangi resiko dehidrasi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Mengganti kehilangan
cairan dan memperbaiki keseimbangan cairan dalam fase segera.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Menunjukkan status
dehidrasi atau kemungkinan kebutuhan untuk peningkatan penggantian cairan.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-language: IN;">Cimetidine dan ranitidine
berfungsi untuk menghambat sekresi asam lambung </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri berhubungan dengan iritasi
mukosa lambung sekunder karena stress psikologi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Setelah
dilakukan tindakan keperawatan selama 2 x 24 jam nyeri dapat berkurang,
pasien dapat tenang dan keadaan umum cukup baik</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien mengungkapakan nyeri yang dirasakan berkurang atau hilang</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien tidak menyeringai kesakitan </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">TTV dalam batasan normal</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intensitas nyeri berkurang (skala nyeri berkurang 1-10)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US;">Menunjukkan rileks, istirahat tidur, peningkatan
aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Selidiki keluhan
nyeri, perhatikan lokasi, itensitas nyeri, dan skala nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan pasien
untuk melaporkan nyeri segera saat mulai</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Pantau tanda-tanda
vital</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Jelaskan sebab dan
akibat nyeri pada klien<span style="mso-spacerun: yes;"> </span>serta
keluarganya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan istirahat
selama fase akut</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan teknik
distruksi dan relaksasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan situasi
lingkungan yang kondusif</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Kolaborasi dengan tim medis dalam pemberian tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -15.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Untuk mengetahui
letak nyeri dan memudahkan intervensi yang akan dilakukan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intervensi dini
pada kontrol nyeri memudahkan pemulihan otot dengan menurunkan tegangan otot </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Respon autonomik
meliputi, perubahan pada TD, nadi, RR, yang berhubungan dengan penghilangan
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dengan sebab dan
akibat nyeri diharapkan klien berpartisipasi dalam perawatan untuk mengurangi
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Mengurangi nyeri
yang diperberat oleh gerakan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menurunkan
tegangan otot, meningkatkan relaksasi, dan meningkatkan rasa kontrol dan
kemampuan koping</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Memberikan
dukungan (fisik, emosional, meningkatkan rasa kontrol, dan kemampuan koping)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menghilangkan atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">mengurangi
keluhan nyeri klien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nutrisi
kurang dari kebutuhan tubuh berhubungan dengan kurangnya intake makanan</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam kebutuhan nutrisi pasien
terpenuhi</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum cukup<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Turgor kulit baik<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BB meningkat<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesulitan menelan berkurang<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan pasien untuk makan dengan porsi yang
sedikit tapi sering</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan makanan yang lunak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan oral <i style="mso-bidi-font-style: normal;">hygiene</i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Timbang
BB dengan teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Observasi
tekstur, turgor kulit pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Observasi
intake dan output nutrisi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga nutrisi pasien tetap stabil dan mencegah
rasa mual muntah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mempermudah pasien menelan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebersihan mulut dapat merangsang nafsu makan pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui perkembangan status nutrisi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui status nutrisi pasien</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui keseimbangan nutrisi pasien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas
berhubungan dengan perubahan status kesehatan, ancaman kematian, nyeri.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan pasien dapat menunjukkan kecemasan berkurang
atau hilang.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengungkapkan perasaan dan
pikirannya secara terbuka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">elaporkan
berkurangnya cemas dan takut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">engungkapkan
mengerti tentang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">peoses penyakit</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">engemukakan
menyadari terhadap apa yang diinginkannya yaitu menyesuaikan diri terhadap
perubahan fisiknya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Awasi respon fisiologi misalnya:
takipnea, palpitasi, pusing, sakit kepala, sensasi kesemutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong pernyataan takut dan
ansietas, berikan umpan balik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan informasi yang akurat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan lingkungan yang tenang
untuk istirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong orang terdekat untuk
tinggal dengan pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunjukan teknik relaksasi.</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menjadi indikator derajat
takut yang dialami pasien, tetapi dapat juga berhubungan dengan kondisi fisik
atau status syok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membuat hubungan terapeutik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melibatkan pasien dalam rencana
asuhan dan menurunkan ansietas yang tak perlu tentang ketidaktahuan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memindahkan pasien dari stresor
luar, meningkatkan relaksasi, dapat meningkatkan keterampilan koping.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membantu menurunkan takut melalui
pengalaman menakutkan menjadi seorang diri.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Belajar cara untuk rileks dapat
membantu menurunkan takutdan ansietas</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
pengetahuan berhubungan dengan kurangnya informasi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
mendapatkan informasi yang tepat dan efektif.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat menyebutkan pengertian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawatan dan pengobatan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo29; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri pendidikan kesehatan
(penyuluhan) tentang penyakit, beri kesempatan klien atau keluarga untuk
bertanya, beritahu tentang pentingnya obat-obatan untuk kesembuhan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo29; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi tingkat pengetahuan klien</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan pengetahuan dasar
dimana klien dapat membuat pilihan informasi tentang kontrol masalah
kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian / evaluasi secara
periodik meningkatkan pengenalan / pencegahan dini terhadap komplikasi
seperti ulkus peptik dan pendarahan pada lambung.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l32 level2 lfo21; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis adalah suatu proses inflamasi
pada lapisan mukosa dan submukosa lambung dan secara hispatologi dapat
dibuktikan dengan adanya infiltrasi sel-sel radang pada daerah
tersebut. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastritis bukan merupakan penyakit
tunggal, tetapi terbentuk dari beberapa kondisi yang kesemuanya itu
mengakibatkan peradangan pada lambung. Biasanya, peradangan tersebut merupakan
akibat dari infeksi oleh bakteri yang sama dengan bakteri yang dapat
mengakibatkan borok di lambung yaitu <i style="mso-bidi-font-style: normal;">Helicobacter
pylori</i>. Tetapi faktor-faktor lain seperti trauma fisik dan pemakaian secara
terus menerus beberapa obat penghilang sakit dapat juga menyebabkan gastritis.
Walaupun banyak kondisi yang dapat menyebabkan gastritis, gejala dan tanda –
tanda penyakit ini sama antara satu dengan yang lainnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l32 level2 lfo21; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l32 level3 lfo21; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">penatalaksanaan
pada pasien dengan gastritis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l32 level3 lfo21; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu menambah wawasan dan pengetahuan bagi semua mahasiswa tentang asuhan
keperawatan pada pasien dengan gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bruner & Sudart, (2002), Buku Ajar Keperawatan
Medikal Bedah, Vol. 2, Edisi 8, EGC, Jakarta</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Doengoes,Marilyn.E.dkk.2006.<em>Buku
Ajar Ilmu Penyakit Dalam</em>. Jakarta: Pusat Penerbitan Departemen Ilmu
Penyakit Dalam FKU</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: SV;">Mansjoer. Arif.
2001. <i>Kapita Selekta Kedokteran. Ed3 .Jilid 2</i>. Jakarta : FKUI.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Wilkinson, Judith M. 2007. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis Keperawatan dengan Intervensi NIC dan Kriteria NOC</i>.
Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Nuzulul. 2011. <i style="mso-bidi-font-style: normal;">Askep Gastritis</i>. </span><a href="http://nuzulul-fkp09.web.unair.ac.id/artikel_%20detail-35839-Kep-Pencernaan-Askep-Gastritis.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http://nuzulul-fkp09.web.unair.ac.id/artikel_
detail-35839-Kep-Pencernaan-Askep-Gastritis.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
Diakses pada tanggal 2 Juni 2012 Jam 11.00 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Noname. 2009. <i style="mso-bidi-font-style: normal;">Asuhan keperawatan pada klien dengan gastritis</i>. http:// dezlicious.
blogspot.com/2009/05/asuhan-keperawatan-pada-klien-dengan_30.html. Diakses pada
tanggal 2 Juni 2012 Jam 11.10 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="454" width="242"><br /></td>
<td width="48"><br /></td>
<td width="9"><br /></td>
</tr>
<tr>
<td height="48"><br /></td>
<td align="left" valign="top"><br /></td>
</tr>
<tr>
<td height="13"><br /></td>
</tr>
<tr>
<td height="54"><br /></td>
<td align="left" colspan="2" valign="top"><br /></td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b>
</div>
Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-4492977319829542662012-06-06T20:24:00.002-07:002012-06-06T20:24:38.349-07:00ASKEP Aterosklerosis<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo17; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Latar Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aterosklerosis adalah mengerasnya
timbunan lemak pada dinding arteri, secara etimologis berasal dari bahasa
Yunani <em>ather</em> yang berarti ‘bubur’. Pengertian ‘bubur’ disni adalah
rupa timbunan lemak lembek yang menyerupai seperti seperti bubur. Serta kata
Yunani lainnya yakni <em>scleros</em> yang bermakna ‘keras’.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jadi secara harfiah, zat yang semula
lembut nan lembek tersebut tertimbun dan terakumulasi jumlahnya dalam suatu
area sehingga terjadi proses pengerasan hingga menyumbat aliran darah dalam
pembuluh darah. Timbunan lemak yang terjadi tersebut disebabkan oleh kolesterol
LDL yang sifatnya sangat mudah sekali melekat dalam pembuluh darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembuluh darah yang menjadi sebuah
sarana koridor transportasi proses mengalirnya substansi metabolisme tubuh akan
berakibat sangat fatal jika tersumbat. Dari rusaknya dinding arteri, sehingga
mengganggu kelancaran aliran darah ke otot jantung dan organ tubuh yang bisa
mengakibatkan serangan jantung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proses aterosklerosis sebenarnya sudah
dimulai sejak masa kanak-kanak, seiring dengan meningkatnya konsumsi makanan
dan perubahan gaya hidup, terutama jika gaya hidup akrab dengan seringnya
mengonsumsi makanan siap saji (<em>junk food</em>). Bahkan, proses
aterosklerosis sudah terjadi padaa saat bayi berusia tiga bulan. Persoalan
mulai mengemuka ketika proses aterosklerosis ini terakumulasi dan menahun.
Dampaknya baru terlihat dikala peranjakan dari masa remaja ke masa dewasa.
Umumnya pada masa ini bisa diperkirakan sebagai masa kepastian penyakit ini
terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aterosklerosis sebenarnya tidak hanya
dipicu dari tingginya konsumsi makanan berlemak, namun juga merokok. Ketika
manusia merokok, zat oksidan semakin banyak terlepas akibat dari respon
masuknya racun dari rokok yang terhisap. Zat oksidan inilah yang membuat
dinding pembuluh darah rusak dan membuat kolesterol LDL semakin mudah
‘tersangkut’ di area kerusakan yang ditimbulkan oleh zat oksidan tersebut. Kemudiannya
kolesterol yang ‘tersangkut’ tersebut kian tertimbun dan menimbulkan sumbatan
sehingga pembuluh darah menjadi mengeras dan terjadilah aterosklerosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah aterosklerosis cukup dengan
merubah gaya hidup dengan banyak aktivitas olahraga dan menjaga pola makan
membatasi dengan bijaksana makanan yang berlemak. Di Amerika sendiri
penyumbatan pembuluh darah merupakan pembunuh populasi paling populer setelah
kecelakaan lalu lintas. Jangan jadikan Indonesia ‘mengejar prestasi’ tersebut.
Rubahlah gaya hidup Anda.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo17; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Rumusan Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bagaimanakah asuhan keperawatan pada pasien dengan
Aterosklerosis?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo17; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l17 level3 lfo18; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Asuhan Keperawatan pada pasien dengan Aterosklerosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l17 level3 lfo18; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l10 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan pengkajian pada pasien
dengan Aterosklerosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l10 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan diagnosa pada pasien dengan
Aterosklerosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l10 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan intervensi pada pasien
dengan Aterosklerosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l10 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan evaluasi pada pasien dengan
Aterosklerosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l1 level2 lfo17; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Manfaat </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1 <span style="mso-tab-count: 1;"> </span>Manfaat
Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan tentang penatalaksanaan pada pasien dengan<span style="mso-spacerun: yes;"> </span>aterosklerosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.2<span style="mso-tab-count: 1;"> </span>Manfaat
Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l19 level1 lfo20; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
memberikan penjelasan yang lebih luas tentang aterosklerosis serta asuhan
keperawatan penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l19 level1 lfo20; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mampu memahami tentang aterosklerosis dan dapat menerapkan bagaimana cara
penanganan pasien dengan aterosklerosis<span style="mso-spacerun: yes;">
</span>serta dapat menambah referensi tentang penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">TINJAUAN
PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2.1 <span style="mso-tab-count: 1;"> </span>PENGKAJIAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1. <span style="mso-tab-count: 1;"> </span>Identitas<span style="mso-spacerun: yes;"> </span>klien : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">selain nama klien, juga
orangtua; umur, alamat, asal kota dan daerah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Riwayat kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Keluhan utama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penyebab utama klien sampai
dibawa ke rumah sakit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Riwayat penyakit sekarang : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">tanda dan gejala klinis aterosklerosis, gejala yang
mudah diamati adalah nyeri dada yang hilang saat istirahat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">R</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-language: IN;">iwayat penyakit dahulu : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">untuk
mengidentifikasi adanya faktor-faktor penyulit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">atau
faktor yang membuat kondisi pasien menjadi lebih parah kondisinya.<span style="mso-spacerun: yes;"> </span>Komplikasi dari penyakit terdahulu dapat
menjadi pertimbangan dalam penanganan aterosklerosis. Adanya penyakit
hipertensi, ataupun penyakit kardiovaskuler lain dapat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dipertimbangkan pengaruhnya
terhadap terjadinya aterosklerosis.</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat penyakit
keluarga : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">adakah
penyakit yang diderita oleh anggota keluarga yang mungkin ada hubungannya
dengan penyakit klien sekarang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3.<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola fungsi
kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola nutrisi-metabolik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kehilangan nafsu makan. Pada awal kejadian adanya mual
atau muntah (adanya peningkatan intra kranial) kehilangan senasai pada lidah,
dagu, tenggorokan dan gangguan menelan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya perubahan pola eliminasi, anuria, inkontensia
urine, distensi abdomen, tidak ada bising usus ( illeus paralitik ).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola aktifitas-latihan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya kesukaran terhadap aktivitas karena kelemahan,
kehilangan sensasi atau paralysis atau hemiplegi, mudah lelah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
tidur dan istirahat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesukaran untuk istirahat karena kelemahan secara umum
dan gangguan penglihatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l15 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola sensorik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya sinkop atau pusing, nyeri kepala menurunnya
penglihatan atau kekaburan pandangan, gangguan penciuman atau perabaan atau
sentuhan menurun terutama pada daerah luka dan ekstremitas, status mental,
koma, ekstremitas lemah atau paralisis, tidak dapat menggenggam, paralisis
wajah, tidak dapat bicara, berkomunikasi secara verbal, kehilangan pendengaran,
penglihatan, sentuhan, refleks pupil, dan dilatasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: -21.3pt;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4. <span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pemeriksaan fisik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">, fokus pada
sistem kardiovaskuler dan sistem respirasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan tanda-tanda
vital TD, Nadi, RR dan Suhu penting dilakukan untuk mengetahui tanda awal dari
ketidakstabilan hemodinamik tubuh, gambaran dari tanda vital yang tidak stabil
merupakan indikasi dari peningkatan atau penurunan kondisi perfusi jaringan dan
kegagalan jantung dalam berkontraksi.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Keluhan atau adanya
nyeri: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
identifikasi nyeri perlu dikaji lebih dalam seberapa besar nyeri muncul, lokasi
dan sifat nyeri termasuk penjalaran dari nyeri yang muncul sehingga dapat
diklasifikasikan daerah/area yang mengalami aterosklerosis. Adanya nyeri yang
terkaji dapat menjadi patokan, didaerah mana kira-kira lokasi yang mengami
penyumbatan dan setelah itu perlu di identifikasi kembali dengan beberapa
pemeriksaan penunjang untuk membuktikan dan mempertegas kondisi pasien.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pemeriksaan
tanda-tanda vital </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda vital
merupakan pemeriksaan fisik yang sangat penting dilakukan karena adanya
perubahan tanda-tanda vital menunjukkan kelainan sirkulasi dalam sistem
sistemik tubuh. Dengan asumsi penurunan kontraktilitas otot-otot jantung, maka
denyut nadi akan menurun dan juga tekanan darah naik lama kelamaan akan menurun
karena penurunan cardiac output. Oleh karena itu pengkajian terhadap
tanda-tanda vital sangat perlu dilakukan sebagai indikasi awal adanya kelainan
sistemik tubuh.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pemantauan
Hemodinamik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disamping pemantauan
TTV, perlu juga haru dikaji sistem hemodinamik tubuh, karena adanya perubahan
curah jantung, maka sirkulasi juga akan<span style="mso-spacerun: yes;"> </span>berkurang,
demikian juga cairan dan keseimbangan cairan akan berpengaruh terhadap tekanan
hemodinamik tubuh</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemantaun perubahan penampakan dan
temperature kulit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Symbol;">A</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">liran darah yang tidak memadai mengakibatkan ekstremitas dingin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: Symbol;">R</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ubor terlihat dalam 20 menit sampai 2 menit setelah ektremitas tergantung
dan merupakan petunjuk adanya kerusakan arteri dimana pembuluh darah tidak
mampu berkonstruksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sianosis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rambut
hilang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kuku rapuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit kering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atropi dan
ulserasi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Edema
bilateral atau unilateral</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. <span style="mso-tab-count: 1;"> </span>Pemeriksaan
penunjang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a) <span style="mso-tab-count: 1;"> </span>Pemeriksaan
ECG (<i style="mso-bidi-font-style: normal;">Electrocardiogram</i>)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ECG bermanfaat dalam mengidentifikasi
iskemia miokardium, apalagi dalam kondisi istirahat. Adanya gambaran depresi
S-T atau horizontal 1mm atau lebih diluar titik J, bersifat khas, walaupun
tidak patognomonik iskemia kardium. Gambaran lain dari adanya kelainan ECG
mencakup perubahan gelombang ST-T nonspesifik, kelambatan hantaran
atrioventrikularis dan intraventrikel serta aritmia bersifat non spesifik untuk
penyakit jantung koroner aterosklerotik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b) <span style="mso-tab-count: 1;"> </span>Laboratorium
darah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lipid darah (lemak) bahwa telah
diketahui bahwa hiperlipidemia adalah suatu faktor penting dalam perkembangan
aterosklerosis koronaria. Demikian juga peningkatan kadar gula darah yang
diatas rata-rata, hal ini menunjukkan adanaya risk factor lain yang dapat
menyebabkan aterosklerosis. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Elektrolit
: ketidakseimbangan dapat mempengaruhi konduksi dan dapat mempengaruhi
kontraktilitas, contoh: hipokalemia atau hiperkalemia. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sel
darah Putih (SDP) : leukosit (10.000-20.000) biasanya tampak sehubungan dengan
proses inflamasi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecepatan
sedimentasi : apabila meningkat maka menunjukkan adanya inflamasi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kimia
: mungkinnormal tergantung abnormalitas fungsi atau perfusi organ akut atau kronis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolesterol
atau trigeliserida serum : meningkat, menunjukkan arteriosclerosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l8 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan dengan Echokardiografi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan penunjang lain yaitu
pemeriksaan echo-kardiografi, dari pemeriksaan ini dapta dilihat lokasi
penyumbatan dan berapa besar tingkat aliran darah yang mengaliri koroner dan
jantung, dan dilihat juga seberapa besar adanya penyumbatan aliran tersebut.
Dari hasil echo yang dapat memotret dari 3 dimensi memungkinkan diagnosa dan
tindakan yang akan dilakukan akan tepat sasaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l8 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Angiografi
koroner </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menggambarkan penyempitan atau sumbatan
arteri koroner dan biasanya dilakukan sehubungan dengan pengukuran tekanan serambi
dan mengkaji fungsi ventrikel kiri (fraksi ejeksi).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l8 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Photo thorak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hasil, mungkin normal atau menunjukkan pembesaran
jantung didug gagal jantung koroner atau aneurisme ventrikuler. Pemeriksaan ini
disamping untuk mengetahui seberapa besar adanya pembesaran jantung, juga untuk
mengetahui dan mengidentifikasi gangguan sistem respirasi terutama paru. Dengan
adanya photo thorak dapat diketahui secara dini adanya pneumonia atau infeksi
lain sehingga faktor penyulit tersebut dapat dicegah dan ditangani dengan
cepat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2
<span style="mso-tab-count: 1;"> </span>DIAGNOSA KEPERAWATAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.1<span style="mso-tab-count: 1;"> </span>Bila
mengenai jaringan perifer</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.<span style="mso-tab-count: 1;"> </span>Ketidakefektifan
perfusi jaringan berhubungan dengan gangguan pertukaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.<span style="mso-tab-count: 1;"> </span>Nyeri
berhubungan dengan gangguan kemampuan pembuluh darah menyuplai oksigen ke
jaringan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c.<span style="mso-tab-count: 1;"> </span>Risiko
kerusakan integritas kulit berhubungan dengan gangguan sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.2<span style="mso-tab-count: 1;"> </span>Bila
dilakukan pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. <span style="mso-tab-count: 1;"> </span>Pra
pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansietas berhubungan dengan rencana
pembedahan yang kompleks.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. <span style="mso-tab-count: 1;"> </span>Post
pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Nyeri
akut berhubungan dengan diskontinuitas jaringan atau saraf-saraf akibat luka
operasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko infeksi berhubungan dengan adanya
port de entry akibat luka operasi (pembedahan)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko kerusakan integritas kulit
berhubungan dengan luka operasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.3<span style="mso-tab-count: 1;"> </span>Bila
dianjurkan modifikasi gaya hidup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Kurang
pengetahuan berhubungan dengan kurang informasi mengenai sumber- sumber
informasi (Wilkinson, 2007)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>INTERVENSI KEPERAWATAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.1<span style="mso-tab-count: 1;"> </span>Bila
mengenai jaringan perifer</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.<span style="mso-tab-count: 1;"> </span>Ketidakefektifan
perfusi jaringan berhubungan dengan gangguan pertukaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
NOC: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Denyut
proksimal dan perifer distal kuat dan simetris</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Suhu
ekstremitas hangat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Tingkat
sensasi normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l7 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rendahkan
ekstremitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional
: untuk meningkatkan sirkulasi arteri dengan tepat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l7 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tinggikan
anggota badan lebih tinggi dari jantung</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional
: untuk meningkatkan aliran darah balik vena</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l7 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
latihan rentang gerak aktif atau pasif selama tirah baring</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional
: untuk mencegah terjadinya perubahan integritas kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l7 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau
penggunaan alat yang panas atau dingin, seperti bantalan pansa, botol berisi
air panas, dan kantung es.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional
: suhu yang terlalu ekstrim dapat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l7 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
pasien untuk tidak menyilangkan kaki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional
: pencegahan terhadap adanya statis vena</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. <span style="mso-tab-count: 1;"> </span>Nyeri
berhubungan dengan gangguan kemampuan pembuluh darah menyuplai oksigen ke
jaringan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien akan mengenali faktor penyebab
dan menggunakan tindakan untuk mencegah nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien akan melaporkan kesejahteraan
fisik dan psikologis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien akan melaporkan nyeri pada
penyedia perawatan kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien dapat mempertahankan tingkat
nyeri </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji nyeri yang komprehensif pada pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan informasi tentang nyeri kepada
pasien dan keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ajarkan penggunaan tekhnik
nonfarmakologi sebelum, dan selama aktivitas yang menyakitkan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi dalam pemberian analgesia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kendalikan faktor lingkungan yang dapat mempengaruhi
respon pasien terhadap ketidaknyamanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c. <span style="mso-tab-count: 1;"> </span>Risiko
kerusakan integritas kulit berhubungan dengan gangguan sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kulit utuh, warna normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 126.0pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada nyeri ekstremitas yang
terlokalisasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
penilaian sirkulasi perifer yang komprehensif (misalnya cek nadi perifer,
edema, pengisian kapiler, warna kulit, dan suhu ekstremitas)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional : untuk mengetahui adanya peningkatan
sirkulasi arteri dan vena. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau
kulit dari adanya perubahan integritas kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasional : pencegahan, meminimalkan cedera, atau
rasa tidak nyaman pada pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari
trauma kimia, mekanik atau panas yang melibatkan ekstremitas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.2<span style="mso-tab-count: 1;"> </span>Bila
dilakukan pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.<span style="mso-tab-count: 1;"> </span>Pra
pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansietas
berhubungan dengan rencana pembedahan yang kompleks.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
ada manifestasi kecemasan secara fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
ada gangguan persepsi sensori</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
dapat mengomunikasikan kebutuhan dan perasaan negatif secara tepat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
tingkat ansietas yang terjadi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan
prosedur pembedahan secara sederhana sesuai tingkat pemahaman pasien dan keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beri
dorongan kepada pasien untuk mengungkapkan pikiran dan perasaan untuk
mengeksternalisasikan ansietas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurangi
rangsangan yang berlebihan dengan menyediakan lingkungan yang tenang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan
ketegangan dan harapan pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.<span style="mso-tab-count: 1;"> </span>Post
pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Nyeri
akut berhubungan dengan diskontinuitas jaringan atau saraf-saraf akibat luka
operasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- <span style="mso-tab-count: 1;"> </span>Pasien
mampu mengenali faktor penyebab dan menggunakan tindakan untuk mencegah nyeri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Pasien
mampu melaporkan nyeri pada penyedia perawatan kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Pasien
mampu menunjukkan tekhnik relaksasi secara individual yang efektif untuk
mencapai kenyamanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 148.85pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.0cm; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji nyeri yang komprehensif pada pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.0cm; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan informasi tentang nyeri kepada
pasien dan keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.0cm; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ajarkan penggunaan tekhnik nonfarmakologi
sebelum, dan selama aktivitas yang menyakitkan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 6.0cm; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi dalam pemberian analgesia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko infeksi berhubungan dengan adanya
port de entry akibat luka operasi (pembedahan)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terbebas
dari tanda atau gejalainfeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
akan melaporkan tanda atau gejala infeksi serta mengikuti prosedur dan
pemantauan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l6 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau tanda dan gejalan infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l6 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan hal-hal yang harus dihindari
agar luka tidak terinfeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l6 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ajarkan kepada pasien dan keluarga
tentang rawat luka dengan tekhnik sepsis dan asepsis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; mso-list: l6 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi dalam pemberian antibiotika</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko kerusakan integritas kulit
berhubungan dengan luka operasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan rutinitas perawatan kulit
yang efektif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengingesti makanan secara adekuat untuk
meningkatkan integritas kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 145.6pt; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau
tanda-tanda kerusakan integritas kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 145.6pt; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
untuk selalu menjaga agar luka tetap kering dan bersih</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 145.6pt; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
diet dengan makanan bergizi tinggi dan suplemen vitamin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 145.6pt; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi
obat untuk mempercepat pertumbuhan jaringan kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.3<span style="mso-tab-count: 1;"> </span>Bila
dianjurkan memodifikasi gaya hidup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.<span style="mso-tab-count: 1;"> </span>Kurang
pengetahuan berhubungan dengan kurang informasi mengenai sumber- sumber
informasi (Wilkinson, 2007)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 103.05pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan NOC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -17.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- <span style="mso-tab-count: 1;"> </span>Berpartisipasi
dalam proses belajar </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -17.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">- <span style="mso-tab-count: 1;"> </span>Mengungkapkan
pemahaman tentang kondisi atau prognosis dan aturan terapeutik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-tab-count: 1;"> </span>Memulai
perubahan gaya hidup yang diperlukan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi NIC:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 131.4pt; mso-list: l13 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan
keadaan patologis yang khusus dan kekuatan pada individu <br />
Rasional : membantu dalam membangun harapan yang realistis dan meningkatkan
pemahaman terhadap keadaan dan kebutuhan saat ini</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 131.4pt; mso-list: l13 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sarankan
pasien menurunkan atau membatasi stimulasi lingkungan terutama selama kegiatan
berfikir <br />
Rasional : stimulasi yang beragam dapat memperbesar gangguan proses berfikir </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 131.4pt; mso-list: l13 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identifikasi
faktor-faktor resiko secara individual ( seperti hipertensi, kegemukan,
merokok, aterosklerosis, menggunakan kontrasepsi oral)<br />
Rasional : meningkatkan kesehatan secara umum dan mungkin menurunkan resiko
kambuh.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 131.4pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>EVALUASI</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.1 Bila mengenai jaringan perifer </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Ketidakefektifan
perfusi jaringan: suplai darah arteri ke ekstremitas meningkat (teraba hangat,
warna kemerahan atau tidak pucat).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2) <span style="mso-tab-count: 1;"> </span>Nyeri
: pasien mengalami penurunan nyeri dan menggunakan analgetik dengan baik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3) <span style="mso-tab-count: 1;"> </span>Risiko
kerusakan integritas kulit : integritas kulit terjaga, tidak terjadi trauma dan
iritasi kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.2<span style="mso-tab-count: 1;"> </span>Bila
dilakukan pembedahan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. <span style="mso-tab-count: 1;"> </span>Pra
pembedahan :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansietas
: tanda dan gejala ansietas menurun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. <span style="mso-tab-count: 1;"> </span>Post
pembedahan :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Nyeri
akut : nyeri pasca bedah terkontrol.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2) <span style="mso-tab-count: 1;"> </span>Risiko
infeksi : infeksi luka operasi tidak terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3) <span style="mso-tab-count: 1;"> </span>Risiko
kerusakan integritas kulit : kulit tampak terawat baik, integritas kulit
terjaga.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.3<span style="mso-tab-count: 1;"> </span>Bila
dianjurkan modifikasi gaya hidup </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurang
pengetahuan : pemahaman pasien meningkat, pasien menunjukkan mengikuti anjuran
modifikasi gaya hidup dengan baik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3 </span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level2 lfo8; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arteriosklerosis atau
pengerasan arteri adalah suatu proses dimana serabut otot dan lapisan endotel
arteri kecil dan arteriola mengalami penebalan. Aterosklerosis merupakan proses
yang berbeda yang menyerang tunika intima arteri besar dan medium. Proses
tersebut meliputi penimbunan lemak, kalsium, komponen darah, karbohidrat dan
jaringan fibrosa pada tunika intima arteri. Penimbunan tersebut dikenal sebagai
“ateroma” atau “plak”.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit aterosklerosis disebabkan
akibat kelainan metabolisme lipid, koagulasi darah dan keadaan biofisika serta
biokimia dinding arteri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aterosklerosis dimulai ketika
kolesterol berlemak terimbun di intima arteri besar. Timbunan ini dinamakan
ateroma atau plak yang akan mengganggu absorbsi nutrient oleh sel endotel yang
menyusun lapisan dinding dalam pembuluh darah dan menyumbat aliran darah karena
timbunan ini menonjol ke lumen pembuluh darah. Endotel pembuluh darah yang
terkena akan mengalami nekrotik dan menjadi jaringan parut, selanjutnya lumen
menjadi sempit dan aliran darah terhambat. Pada lumen yang menyempit dan
berdinding kasar akan cenderung terjadi bekuan darah. <span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l13 level2 lfo16; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo16; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Mahasiswa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami tentang kelainan-kelainan yang ada pada sistem kardiovaskuler dan
dapat menerapkan bagaimana cara penanganan pasien dengan aterosklerosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo16; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan dapat memberikan penjelasan yang lebih luas
tentang aterosklerosis<span style="mso-spacerun: yes;"> </span>dan dapat lebih
banyak menyediakan referensi-referensi buku tentang penyakit-penyakit serta
asuhan keperawatan penyakit tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.3<span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan lebih
mengerti dan memahami tentang aterosklerosis serta bagaimana penyebaran dan
penularan penyakit tersebut untuk meningkatkan mutu kesehatan masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Capernito,
Linda Juall. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan</i>, Edisi 10. Jakarta: EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Doenges
Marilynn E, dkk. 1999. <i style="mso-bidi-font-style: normal;">Rencana Asuhan
Keperawatan Edisi 3</i>. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Herdman
T. Heather. 2010. <i style="mso-bidi-font-style: normal;">Diagnosis Keperawatan. </i>Jakarta
: EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Wilkinson
M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan Edisi 7. </i>Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><Diakses
dari internet> </span><a href="http://sitihadirah.blogspot.com/2011/04/makalah-aterosklerosis-plus-askepnya.html"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">http://sitihadirah.blogspot.com/2011/04/makalah-aterosklerosis-plus-askepnya.html</span></i></a><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><tanggal 15 November 2011></span></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com3tag:blogger.com,1999:blog-3977267168183211682.post-64001254114503475082012-06-06T20:22:00.002-07:002012-06-06T20:22:56.016-07:00ASKEP Rhinitis & Sinusitis<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:RelyOnVML/>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="0" Name="Body Text Indent 3"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1098"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1065"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1092"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1064"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1071"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1088"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1062"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1089"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1063"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1061"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1085"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1066"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1033"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1067"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1032"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1051"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1060"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1073"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1030"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1087"/>
<o:r id="V:Rule20" type="connector" idref="#_x0000_s1086"/>
<o:r id="V:Rule21" type="connector" idref="#_x0000_s1031"/>
<o:r id="V:Rule22" type="connector" idref="#_x0000_s1055"/>
<o:r id="V:Rule23" type="connector" idref="#_x0000_s1095"/>
<o:r id="V:Rule24" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule25" type="connector" idref="#_x0000_s1094"/>
<o:r id="V:Rule26" type="connector" idref="#_x0000_s1040"/>
<o:r id="V:Rule27" type="connector" idref="#_x0000_s1056"/>
<o:r id="V:Rule28" type="connector" idref="#_x0000_s1090"/>
<o:r id="V:Rule29" type="connector" idref="#_x0000_s1096"/>
<o:r id="V:Rule30" type="connector" idref="#_x0000_s1050"/>
<o:r id="V:Rule31" type="connector" idref="#_x0000_s1035"/>
<o:r id="V:Rule32" type="connector" idref="#_x0000_s1093"/>
<o:r id="V:Rule33" type="connector" idref="#_x0000_s1037"/>
<o:r id="V:Rule34" type="connector" idref="#_x0000_s1091"/>
<o:r id="V:Rule35" type="connector" idref="#_x0000_s1059"/>
<o:r id="V:Rule36" type="connector" idref="#_x0000_s1057"/>
<o:r id="V:Rule37" type="connector" idref="#_x0000_s1097"/>
<o:r id="V:Rule38" type="connector" idref="#_x0000_s1068"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l74 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis
dianggap salah satu penyebab gangguan kesehatan tersering di dunia<sup>. </sup></span><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";">Data dari
DEPKES RI tahun 2003 menyebutkan bahwa penyakit hidung dan sinus berada pada
urutan ke-25 dari 50 pola penyakit peringkat utama atau sekitar 102.817
penderita rawat jalan di rumah sakit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kejadian
sinusitis umumnya disertai atau dipicu oleh rhinitis sehingga sinusitis sering
juga disebut dengan rhinosinusitis. Rinosinusitis adalah penyakit inflamasi
yang sering ditemukan dan mungkin akan terus meningkat prevalensinya.
Rinosinusitis dapat mengakibatkan gangguan kualitas hidup yang berat, sehingga
penting bagi dokter umum atau dokter spesialis lain untuk memiliki pengetahuan
yang baik mengenai definisi, gejala dan metode diagnosis dari penyakit
rinosinusitis ini. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Penyebab utamanya ialah infeksi virus yang kemudian
diikuti oleh infeksi bakteri. Secara epidemiologi yang paling sering terkena
adalah sinus etmoid dan maksila. Yang berbahaya dari sinusitis adalah
komplikasinya ke orbita dan intrakranial. Komplikasi ini terjadi akibat
tatalaksana yang inadekuat atau faktor predisposisi yang tak dapat dihindari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis adalah suatu inflamasi ( peradangan ) pada
membran mukosa di hidung. Alergi hidung adalah keadaan atopi yang aling sering
dijumpai, menyerang 20% dari populasi anak-anak dan dewasa muda di Amerika
Utara dan Eropa Barat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Di tempat</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>lain, alergi
hidung dan penyakit atopi lainnya kelihatannya lebih rendah, terutama pada
negara-negara yang kurang berkembang. Penderita Rhinitis alergika akan
mengalami hidung tersumbat berat, sekresi hidung yang berlebihan atau rhinore,
dan bersin yang terjadi berulang cepat. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan ini sering
berhubungan dengan kelainan pernapasan lainnya, seperti asma. Rhinitis
memberikan pengaruh yang signifikan pada kualitas hidup. Pada beberapa kasus,
dapat menyebabkan kondisi lainnya seperti masalah pada sinus, masalah pada
telinga, gangguan tidur, dan gangguan untuk belajar. Pada pasien dengan asma,
rinitis yg tidak terkontrol dapat memperburuk kondisi asmanya.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l74 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien dengan <span style="mso-spacerun: yes;"> </span>sinusitis dan rhinitis ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l74 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l74 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
Asuhan Keperawatan pada pasien dengan Sinusitis dan Rhinitis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l74 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nisitis dan Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan epidemiologi Sinusitis dan
Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan etiologi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sinusitis dan Rhinitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan klasifikasi Sinusitis dan
Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan patofisiologi dari Sinusitis
dan Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan manifestasi klinis dari
Sinusitis dan Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">emeriksaan diagnostik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Sinusitis dan Rhinitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan penatalaksanaan Sinusitis
dan Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">omplikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Sinusitis dan Rhinitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l33 level1 lfo82; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan asuhan keperawatan Sinusitis
dan Rhinitis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l74 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1<span style="mso-tab-count: 1;"> </span>Manfaat
Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan tentang penatalaksanaan pada pasien dengan Sinusitis dan Rhinitis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.2<span style="mso-tab-count: 1;"> </span>Manfaat
Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l78 level1 lfo83; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
memberikan penjelasan yang lebih luas tentang sinusitis dan rhinitis, serta
asuhan keperawatan penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l78 level1 lfo83; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mampu memahami tentang kelainan-kelainan yang ada pada saluran pernapasan
(terutama pada hidung) dan dapat menerapkan bagaimana cara penanganan pasien
dengan sinusitis gan rhinitis serta dapat menambah referensi tentang penyakit
tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>SINUSITIS</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.1
<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis
adalah suatu peradangan yang terjadi pada sinus. Sinus sendiri adalah rongga
udara yang terdapat di area wajah yang terhubung dengan hidung. Fungsi dari
rongga sinus adalah untuk menjaga kelembapan hidung & menjaga pertukaran
udara di daerah hidung.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-layout-grid-align: none; text-autospace: none; text-indent: 42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Peradangan
mukosa sinus dapat berupa sinusitis maksilaris, sinusitis etmoid, sinusitis
frontal, dan sinusitis sfenoid.<sup> </sup>Bila yang terkena lebih dari satu
sinus disebut multisinusitis, dan bila semua sinus terkena disebut
pansinusitis.<b style="mso-bidi-font-weight: normal;"> (</b></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">cpddokter.com-</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Continuing Profesional Development Dokter
Indonesia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">http://</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada delapan sinus paranasal, empat buah pada
masing-masing sisi hidung yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l69 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus Frontal, terletak di atas mata
dibagian tengah dari masing-masing alis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l69 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus Maxillary, terletak diantara
tulang pipi, tepat disamping hidung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l69 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus Ethmoid, terletak diantara
mata, tepat di belakang tulang hidung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l69 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus Sphenoid, terletak dibelakang
sinus ethmoid dan dibelakang mata.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semua sinus ini dilapisi oleh mukosa
yang merupakan lanjutan mukosa hidung, berisi udara dan semua bermuara di
rongga hidung melalui ostium masing-masing. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
sinus paranasal adalah : </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l38 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membentuk
pertumbuhan wajah karena di dalam sinus terdapat rongga udara sehingga bisa
untuk perluasan. Jika tidak terdapat sinus maka pertumbuhan tulang akan
terdesak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l38 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
pengatur udara (<i>air conditioning</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l38 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peringan
cranium.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l38 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resonansi
suara.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l38 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu
produksi mukus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; text-autospace: none; text-indent: 1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">2</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <span style="mso-spacerun: yes;"> </span><span lang="EN-US">Epidemiologi</span></span></b></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-layout-grid-align: none; text-autospace: none; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinusitis merupakan penyakit yang
sering ditemukan dalam praktek sehari-hari, bahkan dianggap sebagai salah satu
gangguan kesehatan tersering di seluruh dunia. Sinusitis menyerang 1 dari 7
orang dewasa di United States, dengan lebih dari 30 juta individu yang di
diagnosis tiap tahunnya. Individu dengan riwayat alergi atau asma berisiko
tinggi terjadinya rhinosinusitis. 1,2 revalensi sinusitis tertinggi pada usia
dewasa 18 – 75 tahun dan kemudian anak-anak berusia 15 tahun. Pada anak-anak
berusia 5 – 10 tahun, infeksi saluran pernafasan di hubungkan dengan sinusitis
akut. Sinusitis jarang pada anak-anak berusia kurang dari 1 tahun karena sinus
belum berkembang dengan baik. </span></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-layout-grid-align: none; text-autospace: none; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinusitis maxilla paling sering
terjadi daripada sinusitis paranasal lainnya, karena:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 117.25pt; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l45 level1 lfo75; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukuran sinus paranasal
yang terbesar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.25pt; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l45 level1 lfo75; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi ostium sinus
maxilla lebih tinggi daripada dasarnya sehingga aliran secret atau drainasenya
hanya tergantung dari gerakan silia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.25pt; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l45 level1 lfo75; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak ostium sinus
maxilla berada pada meatus nasi medius disekitar hiatus semilunaris yang sempit
sehingga mudah tersumbat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.25pt; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l45 level1 lfo75; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak dasar sinus
maxilla berbatasan langsung dengan dasar akar gigi (processus alveolaris)
sehingga infeksi gigi dapat menyebabkan sinus maxilla.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.25pt; mso-add-space: auto; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l75 level3 lfo84; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Etiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Terjadinya
sinusitis dapat merupakan perluasan infeksi dari hidung (rinogen), gigi dan
gusi (dentogen), faring, tonsil serta penyebaran hematogen walaupun jarang.
Sinusitis juga dapat terjadi akibat trauma langsung, barotrauma, berenang atau
menyelam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis dapat disebabkan oleh:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l35 level1 lfo76; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 3.0cm; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bakteri: <i style="mso-bidi-font-style: normal;">Streptococcus
pneumonia, Haemaphyllus influenza, Staphylocuccus aureus, Neisseria,
Klebsiella, Basil gram, Pseudomonas.</i></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l35 level1 lfo76; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 3.0cm; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Virus: <i style="mso-bidi-font-style: normal;">Rhinovirus,
Influenza virus, Parainfluenza virus</i></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l35 level1 lfo76; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 3.0cm; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bakteri anaerob: <i style="mso-bidi-font-style: normal;">Fusobakteria</i></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l35 level1 lfo76; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 3.0cm; text-indent: -63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">jamur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt; mso-list: l50 level3 lfo65; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi
Sinusitis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l55 level1 lfo62; tab-stops: 70.9pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara
klinis, sinusitis dibagi menjadi 2, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l73 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinusitis
akut, yaitu s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">uatu
proses infeksi di dalam sinus yang berlansung selama 3 minggu. Macam-macam
sinusitis akut adalah sinusitis maksila akut, sinusitis emtmoidal akut, sinus
frontal akut, dan sinus sphenoid akut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l73 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinu
kronis, yaitu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">suatu
proses infeksi di dalam sinus yang berlangsung selama 3-8 minggu tetapi dapat
juga berlanjut sampai berbulan-bulan bahkan bertahun-tahun.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l55 level1 lfo62; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedangkan berdasarkan penyebabnya,
sinusitis dapat dibagi menjadi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l57 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rhinogenik (penyebab kelainan atau masalah di hidung),
Segala sesuatu yang menyebabkan sumbatan pada hidung dapat menyebabkan
sinusitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l57 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dentogenik/Odontogenik (penyebabnya kelainan gigi), yang
sering menyebabkan sinusitis infeksi pada gigi geraham atas (pre molar dan
molar)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-list: l50 level3 lfo65; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kesehatan sinus
dipengaruhi oleh patensi ostium-ostium sinus dan kelancaran klirens dari
mukosiliar didalam komplek osteo meatal (KOM). Disamping itu mukus juga
mengandung substansi antimikrobial dan zat-zat yang berfungsi sebagai
pertahanan terhadap kuman yang masuk bersama udara pernafasan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bila terinfeksi
organ yang membentuk KOM mengalami oedem, sehingga mukosa yang berhadapan akan
saling bertemu. Hal ini menyebabkan silia tidak dapat bergerak dan juga
menyebabkan tersumbatnya ostium. Hal ini menimbulkan tekanan negatif didalam
rongga sinus yang menyebabkan terjadinya transudasi atau penghambatan drainase
sinus. Efek awal yang ditimbulkan adalah keluarnya cairan serous yang dianggap
sebagai sinusitis non bakterial yang dapat sembuh tanpa pengobatan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Bila tidak
sembuh maka sekret yang tertumpuk dalam sinus ini akan menjadi media yang p</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">ten untuk tumbuh dan multiplikasi
bakteri, dan sekret akan berubah menjadi purulen yang disebut sinusitis akut
bakterialis yang membutuhkan terapi antibiotik. Jika terapi inadekuat maka
keadaan ini bisa berlanjut, akan terjadi hipoksia dan bakteri anaerob akan
semakin berkembang. Keadaan ini menyebabkan perubahan kronik dari mukosa yaitu
hipertrofi, polipoid atau pembentukan polip dan kista. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-list: l50 level3 lfo65; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Manifestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l2 level1 lfo66; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis maksila akut</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>d</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">emam, pusing, ingus kental di
hidung, hidung tersumbat, nyeri pada pipi, ingus mengalir ke nasofaring, kental
kadang-kadang berbau dan bercampur darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l2 level1 lfo66; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis etmoid akut</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ingus kental di hidung dan
nasafaring, nyeri di antara dua mata, dan pusing.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l2 level1 lfo66; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis frontal akut</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">demam, sakit kepala yang hebat pada
siang hari, tetapi berkurang setelah sore hari, ingus kental dan penciuman
berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l2 level1 lfo66; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis sphenoid akut</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nyeri di bola mata, sakit kepala,
ingus di nasofaring.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l2 level1 lfo66; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis Kronis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala : pilek yang sering kambuh, ingus kental dan
kadang-kadang berbau,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">selalu terdapat ingus di tenggorok,
terdapat gejala di organ lain misalnya rematik, nefritis, bronchitis,
bronkiektasis, batuk kering, dan sering demam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-list: l50 level3 lfo65; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan diagnostik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l41 level1 lfo71; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rinoskopi
anterior :</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l46 level1 lfo72; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mukosa merah</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l46 level1 lfo72; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mukosa bengkak</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l46 level1 lfo72; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mukopus di meatus
medius</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l41 level1 lfo71; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rinoskopi
postorior</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l56 level1 lfo73; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mukopus nasofaring</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l41 level1 lfo71; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
tekan pipi yang sakit</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l41 level1 lfo71; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transiluminasi
: kesuraman pada ssisi yang sakit</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 82.3pt; mso-add-space: auto; mso-list: l41 level1 lfo71; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">X
Foto sinus paranasalis :</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l56 level1 lfo73; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesuraman</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l56 level1 lfo73; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambaran
“airfluidlevel”</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 118.3pt; mso-add-space: auto; mso-list: l56 level1 lfo73; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penebalan mukosa</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.1.8 <span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-list: l54 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan Medis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a. <span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Drainage</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 124.35pt; mso-add-space: auto; mso-list: l18 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dengan pemberian obat, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">yaitu d</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ekongestan local</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> seperti </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">efedrin 1%(dewasa) ½%(anak)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> dan d</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ekongestan oral sedo efedrin 3 X 60
mg.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 124.35pt; mso-add-space: auto; mso-list: l18 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Surgikal dengan irigasi sinus maksilaris.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l68 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberian antibiotik dalam 5-7 hari (untuk Sinusitis akut)
yaitu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ampisilin 4 X 500 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Amoksilin 3 x 500 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sulfametaksol=TMP (800/60) 2 x 1tablet</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l12 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diksisiklin 100 mg/hari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l68 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberian obat simtomatik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Contohnya parasetamol., metampiron</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3 x 500 mg.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l68 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk Sinusitis kro</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">n</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">is</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> bisa denga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">n:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 124.35pt; mso-add-space: auto; mso-list: l49 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">C</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">abut geraham atas bila penyebab dentogen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 124.35pt; mso-add-space: auto; mso-list: l49 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Irigasi 1 x setiap minggu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">(</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10-20)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 124.35pt; mso-add-space: auto; mso-list: l49 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Operasi Cadwell Luc bila degenerasi mukosa ireversibel
(biopsi).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-list: l54 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan Pembedahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 110.15pt; mso-add-space: auto; mso-list: l25 level1 lfo63; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 63.8pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Radikal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l72 level1 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 63.8pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus maksila dengan operasi Cadhwell-luc.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l72 level1 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 63.8pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus ethmoid dengan ethmoidektomi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l72 level1 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 63.8pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinus frontal dan sfenoid dengan operasi Killian.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 110.15pt; mso-add-space: auto; mso-list: l25 level1 lfo63; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Non Radikal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 110.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">B</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">edah Sinus Endoskopik Fungsional
(BSEF). Prinsipnya dengan membuka dan membersihkan daerah kompleks ostiomeatal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l18 level3 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.9<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.3pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sinusitis dapat menyebabkan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 100.3pt; mso-add-space: auto; mso-list: l80 level1 lfo69; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan orbita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 100.3pt; mso-add-space: auto; mso-list: l80 level1 lfo69; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan intrakranial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 100.3pt; mso-add-space: auto; mso-list: l80 level1 lfo69; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kelainan paru-paru</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 100.3pt; mso-add-space: auto; mso-list: l80 level1 lfo69; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Osteomielitis dan abses subperiosteal biasanya akibat sinusitis
frontal dan lebih banyak terjadi pada usia anak-anak. Osteomielitis akibat
sinusitis maksila dapat menyebabkan fistula oroantral.</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.1.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">10</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Asuhan Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1). Pengkajian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Data Demografi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Identitas pada klien yang harus diketahui diantaranya: nama,
umur, agama, pendidikan, pekerjaan, suku/bangsa, alamat, jenis kelamin, status
perkawinan, dan penanggung biaya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat sakit dan kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l71 level1 lfo78; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Keluhan utama: biasanya klien mengeluh nyeri kelapa sinus
dan tenggorokan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l71 level1 lfo78; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit saat ini: k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">lien mengeluh hidung tersumbat,
pilek yang sering kambuh, demam, pusing, ingus kental di hidung, nyeri di
antara dua mata, penciuman berkurang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l71 level1 lfo78; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit dahulu: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l16 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klien pernah menderita penyakit akut
dan perdarahan hidung atau trauma.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l16 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klien pernah mempunyai riwayat penyakit
THT.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l16 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klien pernah menderita sakit gigi
geraham.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat penyakit keluarga: a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">dakah penyakit yang diderita oleh anggota
keluarga yang mungkin ada hubungannya dengan penyakit klien sekarang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pengkajian psiko-sosio-spiritual:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l70 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">I</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ntrapersonal : Perasaan yang dirasakan klien (cemas atau
sedih)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l70 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Interpersonal : hubungan dengan orang lain</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pola fungsi kesehatan:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l23 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola persepsi dan tatalaksana hidup</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Contohnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> untuk mengurangi flu biasanya klien
mengkonsumsi obat tanpa memperhatikan efek samping</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l23 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola nutrisi dan metabolism</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Biasanya nafsu makan klien berkurang
karena terjadi gangguan pada hidung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l23 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola istirahat dan tidur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adakah indikasi klien merasa tidak
dapat istirahat karena sering flu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l23 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola persepsi dan konsep diri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klien sering flu terus menerus dan
berbau yang menyebabakan konsep diri menurun.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l23 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pola sensorik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Daya penciuman klien terganggu kaena
hidung buntu akibat flu terus menerus (baik purulen, serous maupun mukopurulen).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">emeriksaan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">f</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">isik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tatus kesehatan umum : keadaan umum , tanda viotal,
kesadaran.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan fisik data focus hidung : nyeri tekan pada
sinus, rinuskopi (mukosa merah dan bengkak).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l82 level1 lfo77; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Data subyektif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Observasi nares:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l52 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat bernafas melalui mulut, kapan, onset, frekwensinya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l52 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat pembedahan hidung atau trauma</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l52 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunaan obat tetes atau semprot hidung : jenis, jumlah,
frekwensinyya , lamanya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Sekret hidung:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l30 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">W</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">arna, jumlah, konsistensi se</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">kret.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l30 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Epistaksis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l30 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ada tidaknya krusta/nyeri hidung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -22.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat sinusitis:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l76 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri kepala, lokasi dan beratnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l76 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hubungan sinusitis dengan musim</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">/ cuaca.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Gangguan umum lainnya: kelemahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -22.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Data obyektif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l64 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Demam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l64 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Polip mungkin timbul dan biasanya terjadi bilateral pada
hidung dan sinus yang mengalami radang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l64 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemerahan dan Odema membran mukosa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l62 level1 lfo79; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -22.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan penunjung :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l83 level1 lfo19; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kultur organisme hidung dan tenggorokan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 155.95pt; mso-add-space: auto; mso-list: l83 level1 lfo19; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan rongent sinus.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2). Pohon Masalah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Mikroorganisme</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Masuk ke
saluran</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pernapasan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Infeksi
Sinus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Oedem</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sumbatan
Ostium</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penumpukan
Sekret</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">SINUSITIS</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Peradangan pada sinus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">MK: Hipertermi</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan
Nafsu</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Makan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penurunan </span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Berat Badan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNoSpacing" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: <span style="mso-tab-count: 1;"> </span>Gangguan
Pemenuhan Nutrisi Kurang dari Kebutuhan tubuh</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Iritasi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Eksudat
Purulen</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Tekanan pada
sinus</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Meningkat</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNoSpacing">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: Nyeri</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sekret
Mengental</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Hidung
Tersumbat</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNoSpacing" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: Gangguan istirahat tidur </span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNoSpacing" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: Ketidakefektifan Jalan Napas </span></b></div>
</div>
</td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 64.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3). Diagnosa keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l10 level1 lfo80; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketidakefektifan jalan nafas berhubungan dengan dengan
obstruksi /</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ad</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nya secret yang mengental</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l10 level1 lfo80; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri : kepala, tenggorokan , sinus berhubungan dengan
peradangan pada hidung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l10 level1 lfo80; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Hipertermi berhubungan dengan peradangan pada hidung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l10 level1 lfo80; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan pemenuhan nutrisi kurang dari kebutuhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> tubuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>berhubungan dengan nafus makan menurun </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">sekunnder </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">dari peradangan sinus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-list: l10 level1 lfo80; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan istirahat tidur berhubungan dengan hidung </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">tersumbat, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nyeri sekunder peradangan hidung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4). Intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketidakefektifan jalan nafas
berhubungan dengan dengan obstruksi /</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ad</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nya se</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ret yang mengental</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 5.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tujuan: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Jalan nafas ef</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ektif
setelah se</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">ret dikeluarkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 5.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kriteria Hasil:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l11 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Klien tidak bernafas lagi melalui mulut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l11 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Respiratory Rate 16-20x/menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l11 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Suara napas tambahan tidak ada.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l11 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ronkhi (-).</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l11 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dapat melakukan batuk efektif.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l58 level1 lfo21; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">K</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">aji penumpukan se</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">ret yang ada</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l58 level1 lfo21; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Observasi tanda-tanda vital</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l58 level1 lfo21; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Ajarkan batuk efektif</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l58 level1 lfo21; tab-stops: 36.0pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Ko</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">l</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">aborasi </span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">pemberian nebulizing </span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">dengan tim medis<span style="mso-spacerun: yes;"> </span>untuk pembersihan secret</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l58 level1 lfo21; tab-stops: 36.0pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">Evaluasi suara napas, karakteristik sekret, kemampuan
batuk efektif.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l61 level1 lfo22; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Mengetahui tingkat keparahan dan tindakan selanjutnya</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l61 level1 lfo22; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Mengetahui perkembangan klien sebelum dilakukan operasi</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l61 level1 lfo22; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Mengeluarkan sekret di jalan napas</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l61 level1 lfo22; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Kerjasama untuk menghilangkan penumpukan secret/masalah </span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l61 level1 lfo22; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">Ronkhi (-) mengindikasikan tidak ada cairan/sekret
pada paru, jumlah, konsistensi, warna sekret di kaji untuk tindakan
selanjutnya</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2. <span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri : kepala, tenggorokan, sinus berhubungan dengan
peradangan pada hidung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan:
Nyeri klien berkurang atau hilang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kriteria
Hasil:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l63 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Klien mengungkapakan nyeri yang dirasakan
berkurang atau hilang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l63 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Klien tidak menyeringai kesakitan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo26; tab-stops: 18.0pt list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Kaji tingkat nyeri klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 18.0pt; text-align: left;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level1 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Jelaskan sebab dan akibat nyeri pada klien<span style="mso-spacerun: yes;"> </span>serta keluarganya</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level1 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Ajarkan tehnik relaksasi dan distraksi</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 0cm; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 0cm; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level1 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Observasi tanda tanda vital dan keluhan klien</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level1 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Kolaborasi dngan tim medis :</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 43.65pt; mso-list: l44 level1 lfo24; tab-stops: 18.0pt list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Terapi konservatif :</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 65.5pt; mso-list: l27 level1 lfo27; tab-stops: 18.0pt list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">obat Acetaminopen; Aspirin, dekongestan hidung</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 65.5pt; mso-list: l27 level1 lfo27; tab-stops: 18.0pt list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Drainase sinus</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 43.65pt; mso-list: l44 level1 lfo24; tab-stops: 18.0pt list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Pembedahan<span style="mso-spacerun: yes;"> </span>:</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 65.5pt; mso-list: l22 level2 lfo26; tab-stops: 18.0pt list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Irigasi Antral<span style="mso-spacerun: yes;"> </span>:</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 65.5pt; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Untuk
sinusitis maksilaris</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 65.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level2 lfo26; tab-stops: list 65.5pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Operasi Cadwell Luc.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo25; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Mengetahui tingkat nyeri klien dalam
menentukan tindakan selanjutnya</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo25; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Dengan sebab dan akibat nyeri diharapkan
klien berpartisipasi dalam perawatan untuk mengurangi nyeri</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo25; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Klien mengetahui tehnik distraksi dn
relaksasi sehinggga dapat mempraktekkannya bila mengalami nyeri</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo25; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Mengetahui keadaan umum dan perkembangan
kondisi klien. </span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l53 level1 lfo25; tab-stops: 12.6pt list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Menghilangkan /mengurangi keluhan nyeri
klien</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l22 level4 lfo26; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 99.25pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Hipertermi
berhubungan dengan peradangan pada hidung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan:
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">suhu tubuh
kembali dalam keadaan normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 103.05pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kriteria hasil:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 139.05pt; mso-add-space: auto; mso-list: l15 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 123.45pt; text-indent: -32.7pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">uhu tubuh </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 139.05pt; mso-add-space: auto; mso-list: l15 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 123.45pt; text-indent: -32.7pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ulit hangat dan lembab, membran
mukosa lembab</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; mso-list: l32 level1 lfo59; tab-stops: 36.0pt; text-indent: -22.95pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Monitoring perubahan suhu tubuh</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 0cm; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level3 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Mempertahankan keseimbangan cairan dalam tubuh dengan
pemasangan infuse</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level3 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Kolaborasi dengan dokter dalam pemberian antibiotik guna
mengurangi proses peradangan (inflamasi)</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 21.85pt; mso-list: l22 level3 lfo26; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Anjurkan pada pasien untuk memenuhi kebutuhan nutrisi yang
optimal sehingga metabolisme dalam tubuh dapat berjalan lancar</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; mso-list: l66 level1 lfo29; tab-stops: 36.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Suhu tubuh harus dipantau secara efektif guna mengetahui
perkembangan dan kemajuan dari pasien.</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; mso-list: l66 level1 lfo29; tab-stops: 36.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Cairan dalam tubuh sangat penting guna menjaga homeostasis
(keseimbangan) tubuh. Apabila suhu tubuh meningkat maka tubuh akan kehilangan
cairan lebih banyak.</span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; mso-list: l66 level1 lfo29; tab-stops: 36.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Antibiotik berperan penting dalam mengatasi proses
peradangan (inflamasi)</span><span style="font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; tab-stops: 36.0pt; text-indent: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 115%; margin-left: 22.95pt; mso-list: l66 level1 lfo29; tab-stops: 36.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 115%;">Jika metabolisme dalam tubuh berjalan sempurna maka tingkat
kekebalan/ sistem imun bisa melawan semua benda asing (antigen) yang masuk.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan pemenuhan nutrisi kurang
dari kebutuhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> tubuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>berhubungan dengan nafus makan menurun </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">sekunnder </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">dari peradangan sinus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Tujuan : kebutuhan nutrisi klien dapat terpenuhi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kriteria </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">hasil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l79 level1 lfo32; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Klien menghabiskan porsi makannya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l79 level1 lfo32; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Berat badan tetap (seperti sebelum sakit )
atau bertambah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 127.6pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoTitle" style="line-height: 150%;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoTitle" style="line-height: 150%;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo30; tab-stops: list 21.85pt left 27.0pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">kaji pemenuhan kebutuhan nutrisi klien</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo30; tab-stops: list 21.85pt left 27.0pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Jelaskan pentingnya makanan bagi proses
penyembuhan</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo30; tab-stops: list 21.85pt left 27.0pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Catat intake dan output makanan klien.</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo30; tab-stops: list 21.85pt left 27.0pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Anjurkan makan sediki-sedikit tapi sering</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo30; tab-stops: list 21.85pt left 27.0pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Sajikan makanan secara menarik</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo31; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Men</span><span lang="EN-US" style="font-family: "Times New Roman","serif";">getahui kekurangan nutrisi klie</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">n</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo31; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Dengan pengetahuan yang baik tentang nutrisi
akan memotivasi meningkatkan<span style="mso-spacerun: yes;"> </span>pemenuhan
nutrisi</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo31; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Mengetahui perkembangan pemenuhan nutrisi
klien</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo31; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Dengan sedikit tapi sering mengurangi
penekanan yang berlebihan pada lambung</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l37 level1 lfo31; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Mengkatkan selera makan klien</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l37 level2 lfo31; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 99.25pt 262.9pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan istirahat tidur berhubungan
dengan hidung </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">tersumbat, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nyeri
sekunder peradangan hidung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 99.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tujuan: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">klien dapat istirahat dan tidur dengan nyaman</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 99.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kriteria</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> hasil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 135.25pt; mso-add-space: auto; mso-list: l29 level1 lfo33; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Klien tidur 6-8 jam sehari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoTitle" style="line-height: 200%;">
<span lang="EN-US">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo34; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">kaji kebutuhan tidur klien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo34; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">C</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">iptakan suasana yang nyaman.</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo34; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Anjurkan klien bernafas lewat mulut</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo34; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Kolaborasi dengan tim medis pemberian
obat<span style="mso-spacerun: yes;"> </span></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l39 level1 lfo35; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Mengetahui permasalahan klien dalam
pemenuhan kebutuhan istirahat tidur</span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l39 level1 lfo35; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Agar klien dapat tidur dengan tenang</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l39 level1 lfo35; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Pernafasan tidak terganggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif";"></span></div>
<div align="left" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo35; tab-stops: list 21.85pt; text-align: left; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">Pernafasan dapat efektif kembali lewat
hidung</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="margin-left: 99.25pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l50 level2 lfo65; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RHINITIS</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt; text-align: justify; text-indent: 34.95pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis adalah suatu inflamasi (peradangan) pada membran
mukosa di hidung. Rhinitis adalah peradangan selaput lendir hidung.</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Rhinitis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">di kenal dengan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> istilah
peradangan mukosa. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l81 level1 lfo41; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Belum Jelas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l81 level1 lfo41; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa hal yang pada umumnya menjadi
penyebab rinitis antara lain :</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reaksi makanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Emosional</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hormon</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan anatomi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
imunodefisiensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Interaksi dengan hewan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l42 level1 lfo42; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Temperatur</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 120.5pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l22 level5 lfo26; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut sifatnya dapat dibedakan menjadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l43 level1 lfo67; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis akut (coryza, commond cold)
merupakan peradangan membran mukosa hidung dan sinus-sinus aksesoris yang
disebabkan oleh suatu virus dan bakteri. Penyakit ini dapat mengenai hampir
setiap orang pada suatu waktu dan sering kali terjadi pada musim dingin dengan
insidensi tertinggi pada awal musim hujan dan musim semi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l43 level1 lfo67; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis kronis adalah suatu peradangan
kronis pada membran mukosa yang disebabkan oleh infeksi yang berulang, karena
alergi, atau karena rinitis vasomotor.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l22 level5 lfo26; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan penyebabnya, dapat dibedakan
menjadi:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l43 level5 lfo67; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rhinitis alergi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: 35.4pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Merupakan </span><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>penyakit umum yang paling banyak di derita
oleh perempuan dan laki-laki yang berusia 30 tahunan. Merupakan inflamasi
mukosa saluran hidung yang disebabkan oleh alergi terhadap partikel, seperti:
debu, asap, serbuk/tepung sari yang ada di udara</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Macam-macam<span style="mso-spacerun: yes;"> </span>rhinitis alergi, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l60 level1 lfo68; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rinitis alergi musiman<i> (Hay Fever), </i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biasanya
terjadi pada musim semi.<i> </i>Umumnya disebabkan kontak dengan allergen dari
luar rumah, seperti benang sari dari tumbuhan yang menggunakan angin untuk
penyerbukannya, debu dan polusi udara atau asap. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l60 level1 lfo68; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rinitis alergi yang terjadi terus
menerus <i>(perennial)</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disebabkan
bukan karena musim tertentu ( serangan yang terjadi sepanjang masa (tahunan))
diakibatkan karena kontak dengan allergen yang sering berada di rumah misalnya
kutu debu rumah, bulu binatang peliharaan serta bau-bauan yang menyengat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l22 level5 lfo26; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rhinitis Non Alergi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rhinitis
non allergi disebabkan oleh infeksi saluran napas karena masuknya benda asing
kedalam hidung, deformitas struktural, neoplasma, dan massa, penggunaan kronik
dekongestan nasal, penggunaan kontrasepsi oral, kokain dan anti hipertensif. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.05pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Macam-macam
rhinitis non alergi, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; mso-list: l20 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rhinitis
vasomotor</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; text-align: justify;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis vasomotor adalah terdapatnya gangguan fisiologik
lapisan mukosa hidung yang disebabkan oleh bertambahnya aktivitas parasimpatis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; mso-list: l20 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rhinitis
medikamentosa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rhinitis
medikamentosa adalah suatu kelainan hidung berupa gangguan respon normal
vasomotor sebagai akibat pemakaian vasokonstriktor topical (obat tetes hidung
atau obat semprot hidung) dalam waktu lama dan berlebihan</span><i><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; mso-list: l20 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rhinitis
atrofi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 124.35pt; text-align: justify;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis Atrofi adalah satu penyakit infeksi hidung
kronik dengan tanda adanya atrofi progesif tulang dan mukosa konka. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt; text-align: justify; text-indent: 34.95pt;">
<span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Tepung sari yang dihirup, spora jamur, dan antigen
hewan diendapkan pada mukosa hidung. Alergen yang larut dalam air berdifusi ke
dalam epitel, dan pada individu individu yang kecenderungan atopik secara
genetik, memulai produksi imunoglobulin lokal (IgE ). Pelepasan mediator sel
mast yang baru, dan selanjutnya, penarikan neutrofil, eosinofil, basofil, serta
limfosit bertanggung jawab atas terjadinya reaksi awal dan reaksi fase lambat
terhadap alergen hirupan. Reaksi ini menghasilkan mukus, edema, radang, gatal,
dan vasodilatasi. Peradangan yang lambat dapat turut serta menyebabkan
hiperresponsivitas hidung terhadap rangsangan non spesifik suatu pengaruh
persiapan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l47 level1 lfo43; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Bersin
berulang-ulang, terutama setelah bangun tidur pada pagi hari (umumnya bersin
lebih dari 6 kali).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l47 level1 lfo43; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hidung tersumbat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l47 level1 lfo43; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Hidung meler.
Cairan yang keluar dari hidung meler yang disebabkan alergi biasanya bening dan
encer, tetapi dapat menjadi kental dan putih keruh atau kekuning-kuningan jika
berkembang menjadi infeksi hidung atau infeksi sinus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l47 level1 lfo43; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hidung
gatal dan juga sering disertai gatal pada mata, telinga dan tenggorok.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l47 level1 lfo43; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Badan
menjadi lemah dan tak bersemangat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 3.0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Diagnostik</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l13 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan laboratorium</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; text-align: justify;">
<span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
kadar IgE pada serum serta hitung jenis oesinofil pada spesimen sekret hidung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l13 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan in vivo</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; text-align: justify;">
<span lang="DA" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Dilakukan
dengan uji kulit (skin test) yaitu, prick test maupun patch test.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt; text-align: justify; text-indent: 34.95pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt; text-align: justify; text-indent: 34.95pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Belum adanya yang baku. Penatalaksanaan ditunjukkan untuk
menghilangkan etiologi, selain gejalanya dapat dilakukan secara konservatif
atau operatif. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara
konservatif dapat diberikan:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Antibiotic presprektum luas atau
sesuai uji resistensi kuman sampai gejala hilang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat cuci hidung agar bersih dari
krusta dan bau busuk hilang dengan larutan betadine satu sendok makan dalam 100
cc air hangat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Preparat Fe</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span class="fullpost"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
dan semprotan antihistamin</span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span class="fullpost"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leukotriene
antagonis</span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span class="fullpost"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semprotan
kortikosteroid</span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span class="fullpost"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pil
dan semprotan dekongestan </span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Imunoterapi
alergen </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l59 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pengobatan
sinusitis, bila terdapat sinusitis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto; mso-list: l8 level1 lfo70; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Polip hidung</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Rinitis alergi dapat
menyebabkan atau menimbulkan kekambuhan polip hidung.</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto; mso-list: l8 level1 lfo70; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Otitis media</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Rinitis alergi dapat
menyebabkan otitis media yang sering residif dan terutama kita temukan pada
pasien anak-anak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto; mso-list: l8 level1 lfo70; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Sinusitis kronik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Otitis media dan sinusitis
kronik bukanlah akibat langsung dari rinitis alergi melainkan adanya sumbatan
pada hidung sehingga menghambat drainase</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 99.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l51 level3 lfo61; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.9<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asuhan
Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 88.9pt; mso-add-space: auto; mso-list: l19 level1 lfo58; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pengkajian</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo45; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Identitas klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">N</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">ama, jenis
kelamin, umur, alamat, suku bangsa, penangggung biaya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo45; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Keluhan utama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">B</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">ersin-bersin,
hidung mengeluarkan sekret, hidung tersumbat, dan hidung gatal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l40 level1 lfo53; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="DA" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat peyakit dahulu</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">A</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pakah pasien pernah menderita
penyakit THT sebelumnya?</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l40 level1 lfo53; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat keluarga </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apakah keluarganya ada yang
menderita penyakit yang di alami pasien?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l40 level1 lfo53; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan fisik :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">- Inspeksi : permukaan hidung terdapat
sekret mukoid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">- Palpasi : nyeri, karena adanya inflamasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l40 level1 lfo53; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan penunjang :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l77 level1 lfo54; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
nasoendoskopi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l77 level1 lfo54; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
sitologi hidung </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l77 level1 lfo54; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Hitung
eosinofil pada darah tepi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-list: l77 level1 lfo54; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Uji kulit
alergen penyebab</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 148.85pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-list: l19 level1 lfo58; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pohon Masalah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 88.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Tepung
sari dihirup</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Spora
jamur, dan antigen hewan di endapkan pada mukosa hidung</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Allergen
larut dalam air berdifusi ke epitel</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pelepasan
mediator sel m</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">st</span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penarikan
neutrofil, basofil, eusinofil, dan limfosit</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Reaksi
allergen hirupan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Silia
bergerak</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bersin-bersin</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Terjadi
produksi sputum</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Hidung
tersumbat</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: ketidak efektifan jalan nafas</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: gangguan pola nafas</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">MK: gangguan konsep diri</span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mukus
cair/rhinore</span></div>
</div>
</td>
</tr>
</tbody></table>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 88.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 88.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 88.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 234.2pt;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpFirst" style="margin-left: 92.15pt; mso-add-space: auto; mso-list: l19 level1 lfo58; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Diagnosa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> Keperawatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l1 level3 lfo39; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Ketidakefektifan jalan nafas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">berhubungan
dengan</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"> obstruksi /adanya sekret yang mengental</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l1 level3 lfo39; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Gangguan pola istirahat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">berhubungan
dengan </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>penyumbatan pada
hidung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l1 level3 lfo39; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Gangguan konsep diri </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">berhubungan
dengan </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">rhinore</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 88.9pt; mso-add-space: auto; mso-list: l19 level1 lfo58; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Intervensi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l9 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Ketidakefektifan
jalan nafas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">berhubungan dengan </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>obstruksi/</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">ad</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">nya se</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">ret yang
mengental. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Tujuan : Jalan nafas efektif setelah se</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">k</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">ret dikeluarkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Kriteria</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> Hasil</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l6 level1 lfo57; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Klien tidak bernafas lagi melalui mulut</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 127.6pt; mso-add-space: auto; mso-list: l6 level1 lfo57; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jalan nafas kembali normal terutama
hidung</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.4pt;" valign="top" width="255">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.5pt;" valign="top" width="274">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 191.4pt;" valign="top" width="255">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l48 level1 lfo49; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Kaji penumpukan secret yang ada</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l48 level1 lfo49; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Observasi tanda-tanda vital</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l48 level1 lfo49; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Kolaborasi
dengan tim medis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.5pt;" valign="top" width="274">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 18.15pt; mso-add-space: auto; mso-list: l65 level1 lfo50; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Mengetahui
tingkat keparahan dan<span style="mso-spacerun: yes;"> </span>tindakan
selanjutnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 18.15pt; mso-add-space: auto; mso-list: l65 level1 lfo50; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Mengetahui
perkembangan klien sebelum dilakukan operasi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 18.15pt; mso-add-space: auto; mso-list: l65 level1 lfo50; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Kerjasama
untuk menghilangkan obat yang dikonsumsi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l9 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 106.35pt; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Gangguan pola istirahat b</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">erhubungan </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">engan</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"> penyumbatan
pada hidung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Tujuan : klien dapat istirahat dan
tidur dengan nyaman</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Kriteria</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> Hasil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> : Klien tidur 6-8 jam sehari</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rasional</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l34 level1 lfo51; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Kaji kebutuhan tidur klien</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l34 level1 lfo51; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Ciptakan suasana yang nyaman</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l34 level1 lfo51; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Anjurkan klien bernafas lewat
mulut</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l34 level1 lfo51; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kolaborasi
dengan tim medis pemberian obat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 19.6pt; mso-add-space: auto; mso-list: l3 level1 lfo52; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Mengetahui
permasalahan klien dalam pemenuhan kebutuhan istirahat tidur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 19.6pt; mso-add-space: auto; mso-list: l3 level1 lfo52; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Agar klien
dapat tidur dengan tenang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 19.6pt; mso-add-space: auto; mso-list: l3 level1 lfo52; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Pernafasan tidak terganggu</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 19.6pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 19.6pt; mso-add-space: auto; mso-list: l3 level1 lfo52; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Pernafasan
dapat efektif kembali lewat hidung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 92.15pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l9 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Gangguan konsep diri </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">berhubungan </span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">engan</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";"> rhinore</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tujuan: konsep diri baik setelah
intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Kriteria Hasil:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l0 level1 lfo60; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pasien mengekspresikan kepercayaan diri dalam kemampuan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l0 level1 lfo60; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mengekspresikan kepuasan dengan citra tubuh.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 128.15pt; mso-add-space: auto; mso-list: l0 level1 lfo60; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Mengekspresikan kepuasan dengan rasa berharga.</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 184.3pt;" valign="top" width="246">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 22.95pt; mso-list: l48 level2 lfo49; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Dorong
individu untuk bertanya mengenai masalah, penanganan, perkembangan dan
prognosis kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 22.95pt; mso-list: l48 level2 lfo49; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Ajarkan
individu menegenai sumber komunitas yang tersedia, jika dibutuhkan (misalnya
: pusat kesehatan mental)</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 22.95pt; mso-list: l48 level2 lfo49; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Dorong
individu untuk mengekspresikan perasaannya, khususnya bagaimana individu
merasakan, memikirkan, atau memandang dirinya</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.6pt;" valign="top" width="283">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif";">a.<span style="mso-spacerun: yes;"> </span>Memberikan minat dan perhatian, memberikan
kesempatan untuk memperbaiaki kesalahan konsep.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif";">b.<span style="mso-spacerun: yes;"> </span>Pendekatan secara komperhensif dapat
membantu memenuhi kebutuhan pasienuntuk memelihara tingkah laku koping.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif";">c.<span style="mso-spacerun: yes;"> </span>Dapat membantu meningkatkan tingkat
kepercayaan diri, memperbaiki harga diri, mrnurunkan pikiran terus menerus
terhadap perubahan dan meningkatkan perasaan terhadap pengendalian diri</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 56.15pt; text-indent: -56.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">BAB 3</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">PENUTUP</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.1 <span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sinusitis adalah suatu keradangan
yang terjadi pada sinus. Sinus sendiri adalah rongga udara yang terdapat di
area wajah yang terhubung dengan hidung. Fungsi dari rongga sinus adalah untuk
menjaga kelembapan hidung & menjaga pertukaran udara di daerah hidung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Peradangan mukosa sinus dapat berupa
sinusitis maksilaris, sinusitis etmoid, sinusitis frontal, dan sinusitis
sfenoid.<sup> </sup>Bila yang terkena lebih dari satu sinus disebut
multisinusitis, dan bila semua sinus terkena disebut pansinusitis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 35.45pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman";">Rhinitis adalah
suatu inflamasi (peradangan) pada membran mukosa di hidung. Rhinitis adalah
peradangan selaput lendir hidung.</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Rhinitis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">di kenal dengan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> istilah peradangan mukosa. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.2 <span style="mso-tab-count: 1;"> </span>Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.1 <span style="mso-tab-count: 1;"> </span>Bagi
Mahasiswa</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami tentang kelainan-kelainan yang ada pada sistem pernapasan
(terutama hidung) dan dapat menerapkan bagaimana cara penanganan pasien dengan
sinusitis dan rhinitis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.2 <span style="mso-tab-count: 1;"> </span>Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan dapat
memberikan penjelasan yang lebih luas tentang sinusitis dan rhinitis dan dapat
lebih banyak menyediakan referensi-referensi buku tentang penyakit-penyakit
serta asuhan keperawatan penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.3<span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan lebih
mengerti dan memahami tentang sinusitis dan rhinitis serta bagaimana penyebaran
dan penularan penyakit tersebut untuk meningkatkan mutu kesehatan masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doenges
Marilynn E, dkk. 1999. <i style="mso-bidi-font-style: normal;">Rencana Asuhan
Keperawatan Edisi 3</i>. Jakarta : EGC</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Herdman
T. Heather. 2010. <i style="mso-bidi-font-style: normal;">Diagnosis Keperawatan. </i>Jakarta
: EGC</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mansjoer,
Arif. 2000. <i style="mso-bidi-font-style: normal;">Kapita Selekta Kedokteran Edisi
III Jilid 1</i>. Jakarta : Media Aesculapius FKUI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><diakses dari internet> </span><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">cpddokter.com-</span></u></i><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Continuing Profesional Development Dokter Indonesia</span></u></i><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></u></i><i style="mso-bidi-font-style: normal;"><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">http://</span></u></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> <tanggal 23 Oktober 2011></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com7tag:blogger.com,1999:blog-3977267168183211682.post-15080649260552530012012-06-06T20:10:00.002-07:002012-06-06T20:10:43.600-07:00Resume Ca Laring<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
</div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">RESUME</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KEPERAWATAN DEWASA I</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">“</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KANKER LARING”</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">NAMA KELOMPOK :</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 5.0cm 148.85pt 269.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. DIYAH
PRIYANTI ( 10620351 )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 0cm 148.85pt 269.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. NAHROWI ( 10620364 ) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 148.85pt 269.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. RIZKY D.C
RAHAYU ( 10620373 )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 148.85pt 269.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. AL-BADRUL ( 10620384 )</span></div>
<div class="MsoNormal" style="margin-left: 157.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 157.5pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 157.5pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PROGRAM STUDI </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ILMU</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">
KEPERAWATAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FAKULTAS ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">UNIVERSITAS KADIRI</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2011</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 21pt; line-height: 150%;">RESUME CA.
LARING</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Pengertian </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laring adalah kotak kaku yang tidak dapat meregang,
laring mengandung ruang sempit antara pita suara (glottis) dimana udara harus
melewati ruangan ini. Kanker merupakan massa jaringan abnormal yang tumbuh
secara terus-menerus, tidak pernah mati. Jaringan tersebut tumbuh dan tidak
terkoordinasi dengan jaringan lain, akibatnya merugikan tubuh dimana jaringan
tersebut tumbuh. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyakit Kanker Laring adalah keganasan pada pita suara, kotak suara
(laring) atau daerah lainnya di tenggorokan. Kanker di laring hampir selalu
merupakan karsinoma sel skuamosa. Kanker yang biasa terjadi pada perokok.
Kanker pita suara sejati, berbeda dengan karsinoma supraglotis dan subglotis,
biasanya ditemukan dini karena dampaknya pada suara. Bila kanker pita suara
terdiagnosis dini, maka dapat dicapai angka penyembuhan 98% dengan operasi
singkat, tanpa keperluan trakeostomi permanen atau kehilangan suara. Sebaliknya
pada kasus lanjut, mungkin memerlukan terapi yang lama, kehilangan laring dan
kadang-kadang reseksi bedah yang mencakup faring atau laher.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kanker laring (pita suara) biasanya lebih banyak
ditemukan pada pria dan berhubungan dengan rokok serta pemakaian alkohol.
Adapun penyebab lain biasanya tidak dapat diketahui secara pasti karena
penyebab kanker dapat merupakan gabungan dari sekumpulan faktor, genetik dan
lingkungan. Namun ada beberapa faktor yang diduga meningkatkan resiko
terjadinya kanker, sebagai berikut :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.1 Faktor
Lingkungan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Merokok
sigaret meningkatkan resiko terjadinya kanker paru – paru, mulut, laring (pita
suara), dan kandung kemih darah, seperti Leukemia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.2 Faktor
Makanan yang mengandung bahan kimia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Makanan juga
dapat menjadi faktor risiko penting lain penyebab kanker, terutama kanker pada
saluran pencernaan. Contoh jenis makanan yang dapat menyebabkan kanker adalah
Makanan yang diasap dan diasamkan (dalam bentuk acar) meningkatkan resiko
terjadinya kanker lambung. Minuman yang mengandung alkohol menyebabkan berisiko
lebih tinggi terhadap kanker kerongkongan. Zat pewarna makanan. Logam berat
seperti merkuri yang sering terdapat pada makanan laut yang tercemar seperti:
kerang dan ikan. Berbagai makanan (manis,tepung) yang diproses secara
berlebihan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 42.55pt 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.3 Virus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Virus yang
dapat dan dicurigai menyebabkan kanker laring antara lain Virus Epstein-Bar (di
Afrika) menyebabkan Limfoma Burkitt, sedangkan di China virus ini menyebabkan
kanker hidung dan tenggorokan. Ini terjadi karena faktor lingkungan dan
genetik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Karsinoma laring banyak dijumpai pada
usia lanjut diatas 40 tahun. Kebanyakan pada orang laki-laki. Hal ini mungkin
berkaitan dengan kebiasaan merokok, bekerja dengan debu serbuk kayu, kimia
toksik atau serbuk, logam berat. Bagaimana terjadinya belum diketahui secara
pasti oleh para ahli. Kanker kepala dan leher menyebabkan 5,5% dari semua
penyakit keganasan. Terutama neoplasma laringeal 95% adalah karsinoma sel
skuamosa. Bila kanker terbatas pada pita suara (intrinsik) menyebar dengan
lambat. Pita suara miskin akan pembuluh limfe sehingga tidak terjadi metastase
kearah kelenjar limfe. Bila kanker melibatkan epiglotis (ekstrinsik) metastase
lebih umum terjadi. Tumor supraglotis dan subglotis harus cukup besar, sebelum
mengenai pita suara sehingga mengakibatkan suara serak. Tumor pita suara yang
sejati terjadi lebih dini biasanya pada waktu pita suara masih dapat digerakan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. Manifestasi Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manifestasi klinis paling dini adalah
berupa suara parau atau serak kronik, tidak sembuh-sembuh walaupun penderita
sudah menjalani pengobatan pada daerah glotis dan subglotis. Tidak seperti
suara serak laringitis, tidak disertai oleh gejala sistemik seperti demam.
Biasanya meraskan tidak enak ditenggorokan, seperti ada sesuatu yang
tersangkut. Terk</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">adang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">muncul </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">sebuah
benjolan di leher yang merupakan penyebaran kanker ke kelenjar getah bening,
muncul terlebih dulu sebelum gejala lainnya timbul.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada fase lanjut dapat disertai rasa
sakit untuk menelan atau saat berbicara. Sesak napas dapat terjadi bila rima
glotis tertutup atau hampir tertutup tumor 80%, sesak napas tidak timbul
mendadak tetapi perlahan-lahan. Karena itu penderita dapat beradaptasi,
sehingga baru merasakan sesak bila tumor sudah besar (terlambat berobat).
Stridor dapat terjadi akibat sumbatan jalan napas. Bila sudah dijumpai
pembesaran kelenjar berarti tumor sudah masuk dalam stadium lanjut. Bahkan
kadang-kadang tumornya dapat teraba, menyebabkan pembengkakan laring.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila tumor laring mengadakan perluasan
ke arah faring akan timbul gejala disfagia, rasa sakit bila menelan dan
penjalaran rasa sakit kearah telinga. Apabila dijumpai kasus dengan jelas
diatas, khususnya dengan keluhan suara parau lebih dari dua minggu yang dengan
pengobatan tidak sembuh, diderita orang dewasa atau tua, sebaiknya penderita
segera dirujuk.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5. Penatalaksanaan
Medis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada kasus kanker laring atau karsinoma
laring, dapat dilakukan pengobatan dengan radiasi dan pengangkatan laring
(Laringektomi). Pengobatan dipilih berdasar stadiumnya. Radiasi diberikan pada
stadium 1 dan 4. Alasannya mempunyai keuntungan dapat mempertahankan suara yang
normal, tetapi jarang dapat menyembuhkan tumor yang sudah lanjut, lebih-lebih
jika sudah terdapat pembesaran kelenjar leher. Oleh karena itu radioterapi
sebaiknya dipergunakan untuk penderita dengan lesi yang kecil saja tanpa
pembesaran kelenjar leher. Kasus yang ideal adalah pada tumor yang terbatas
pada satu pita suara, dan masih mudah digerakkan. Sembilan dari sepuluh
penderita dengan keadaan yang demikian dapat sembuh sempurna dengan radioterapi
serta dapat dipertahankannya suara yang normal. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fiksasi pita suara menunjukkan
penyebaran sudah mencapai lapisan otot. Jika tumor belum menyebar kedaerah
supraglotik atau subglotik, lesi ini masih dapat diobati dengan radioterapi,
tetapi dengan prognosis yang lebih buruk.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penderita dengan tumor laring yang besar
disertai dengan pembesaran kelenjar limfe leher, pengobatan terbaik adalah
laringektomi total dan diseksi radikal kelenjar leher. Dalam hal ini masuk
stadium 2 dan 3. Ini dilakukan pada jenis tumor supra dan subglotik. Pada
penderita ini kemungkinan sembuh tidak begitu besar, hanya satu diantara tiga
penderita akan sembuh sempurna. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laringektomi
dapat diklasifikasikan menjadi:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laringektomi
parsial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tumor yang terbatas
pada pengangkatan hanya satu pita suara dan trakeotomi sementara yang di
lakukan untuk mempertahankan jalan napas. Setelah sembuh dari pembedahan suara
pasien akan parau. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hemilaringektomi
atau vertikal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila ada kemungkinan
kanker termasuk pita suara satu benar dan satu salah. Bagian ini diangkat
sepanjang kartilago aritenoid dan setengah kartilago tiroid. Trakeostomi
sementara dilakukan dan suara pasien akan parau setelah pembedahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laringektomi
supraglotis atau horisontal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila tumor berada pada
epiglotis atau pita suara yang salah, dilakukan diseksi leher radikal dan
trakeotomi. Suara pasien masih utuh atau tetap normal. Karena epiglotis
diangkat maka resiko aspirasi akibat makanan peroral meningkat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laringektomi
total</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kanker tahap lanjut
yang melibatkan sebagian besar laring, memerlukan pengangkatan laring, tulang
hihoid, kartilago krikoid, 2-3 cincin trakea, dan otot penghubung ke laring.
Mengakibatkan kehilangan suara dan sebuah lubang (stoma) trakeostomi yang
permanen. Dalam hal ini tidak ada bahaya aspirasi makanan peroral, dikarenakan
trakea tidak lagi berhubungan dengan saluran udara pencernaan. Suatu sayatan
radikal telah dilakukan dileher pada jenis laringektomi ini. Hal ini meliputi
pengangkatan pembuluh limfatik, kelenjar limfe di leher, otot
sternokleidomastoideus, vena jugularis interna, saraf spinal asesorius,
kelenjar salifa submandibular dan sebagian kecil kelenjar parotis (Sawyer,
1990).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: 42.55pt; text-align: justify; text-indent: 31.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Operasi ini akan
membuat penderita tidak dapat bersuara atau berbicara lagi, </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tetapi
fungsi menelan akan normal. Laringektomi total mengubah cara dimana aliran
udara digunakan untuk bernafas dan berbicara. Pengangkatan seluruh pita suara
menyebabkan penderita tidak memiliki suara. Suara yang baru dapat dibuat dengan
salah satu dari cara berikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 75.3pt; mso-list: l0 level1 lfo2; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Esophageal
speech, penderita diajari untuk membawa udara ke dalam kerongkongan ketika
bernafas dan secara perlahan menghembuskannya untuk menghasilkan suara.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 75.3pt; mso-list: l0 level1 lfo2; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fistula trakeoesofageal,
merupakan katup satu arah yang dimasukkan diantara trakea dan kerongkongan.
Katup ini mendorong udara ke dalam kerongkongan ketika penderita bernafas,
sehingga menghasilkan suara. Jika katup mengalami kelainan fungsi, cairan dan
makanan bisa secara tidak sengaja masuk ke dalam trakea.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 75.3pt; mso-list: l0 level1 lfo2; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Elektrolaring
adalah suatu alat yang bertindak sebagai sumber suara dan dipasang di leher.
Suara yang dihasilkan oleh ketiga cara tersebut dirubah menjadi percakapan
dengan menggunakan mulut, hidung, gigi, lidah dan bibir. Suara yang dihasilkan
lebih lemah dibandingkan suara normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 75.3pt; mso-list: l0 level1 lfo2; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penggunaan
Blom-Singer Voice : prosthesis dan kutub tracheostomy dengan alat ini pasien
yang mengalami laringoctomy total dapat berbicara normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-31555990228443364962012-06-06T20:09:00.000-07:002012-06-06T20:09:00.681-07:00WSD (Water Seal Drainage)<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves>false</w:TrackMoves>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1029"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l13 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bernapas merupakan aktivitas yang
penting bagi manusia. Tubuh memerlukan suplai oksigen yang cukup untuk proses
metabolisme. Jika terjadi gangguan pada saluran pernapasan misalnya saluran
pernapasan terisi oleh zat lain seperti cairan, maka pertukaran gas akan
terganggu. Oleh karena itu perlu dilakukan tindakan untuk membantu
mengembalikan fungsi normal saluran pernapasan, salah satunya adalah dengan
pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>) misalnya, pada
trauma (luka tusuk di dada), biasanya disebabkan oleh benda tajam, bila tidak
mengenai jantung, biasanya dapat menembus rongga paru-paru. Mekanisme
penyebabnya bisa satu tusukan kuat ataupun satu gerakan mendadak yang hebat.
Akibatnya, selain terjadi peradarahan dari rongga paru-paru, udara juga akan
masuk ke dalam rongga paru-paru. Oleh karena itu, paru-paru pada sisi yang luka
akan mengempis. Penderita nampak kesakitan ketika bernapas dan mendadak merasa
sesak dan gerakan iga disisi yang luka menjadi berkurang (Kartono, M. 1991).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk itu dalam makalah ini kelompok
akan menjelaskan tentang asuhan keperawatan pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>) dan diharapkan bisa
membantu mahasiswa, tenaga kesehatan dan masyarakat umum untuk lebih memahami
tentang masalah WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l13 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bagaimanakah asuhan keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">yang harus diberikan kepada pasien
dengan pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal
Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">?</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l13 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menjelaskan asuhan keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">yang harus diberikan kepada pasien
dengan pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal
Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan tujuan pemasangan WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan indikasi dari pemasangan WSD
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan Kontraindikasi dari
pemasangan WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan komplikasi dari pemasangan
WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan macam-macam dari WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan prosedur pemasangan WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l4 level1 lfo63; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan asuhan keperawatan pada
pasien dengan pemasangan WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l13 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan tentang asuhan keperawatan pada pasien dengan dengan pemasangan WSD
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l13 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l21 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
memberikan penjelasan yang lebih luas tentang bagaimana </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asuhan
keperawatan pada pasien dengan dengan pemasangan WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l21 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mampu memahami tentang asuhan keperawatan pada pasien dengan dengan pemasangan
WSD </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(<i style="mso-bidi-font-style: normal;">Water
Seal Drainage</i>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> serta mampu mengimplementasikannya
dalam proses keperawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1
<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Water Seal Drainage</span></i><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> (WSD)
adalah Suatu sistem drainage yang menggunakan water seal untuk mengalirkan
udara atau cairan dari cavum pleura ( rongga pleura)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">WSD
merupakan tindakan invasive yang dilakukan untuk mengeluarkan udara, cairan
(darah,pus) dari rongga pleura, rongga thorax; dan mediastinum dengan
menggunakan pipa penghubung untuk mempertahankan tekanan negatif rongga
tersebut. Dalam keadaan normal rongga pleura memiliki tekanan negatif dan hanya
terisi sedikit cairan pleura/lubrican.</span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2 <span style="mso-tab-count: 1;"> </span>Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengeluarkan cairan atau darah, udara
dari rongga pleura dan rongga thorak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengembalikan tekanan negative pada
rongga pleura </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengembangkan kembali paru yang kolaps </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah refluks drainage kembali ke
dalam rongga dada </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengalirkan / drainage udara atau cairan
dari rongga pleura untuk mempertahankan tekanan negatif rongga tersebut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Indikasi
Pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>)</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -35.45pt;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3.1<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pneumothoraks </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pontan > 20% oleh karena rupture
bleb</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Luka
tusuk tembus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klem
dada yang terlalu lama</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kerusakan
selang dada pada sistem drainase</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 71.4pt; mso-list: l62 level3 lfo64; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Hemothoraks</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l37 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Robekan
pleura</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l37 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelebihan antikoagulan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l37 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasca bedah thoraks</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l37 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hemopneumothorak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l62 level3 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Thorakotomy :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l38 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lobektomy</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l38 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pneumoktomy</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l62 level3 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Efusi pleura : Post operasi jantung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l62 level3 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Emfiema :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l34 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">enyakit paru serius</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l34 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kondisi indflamsi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l62 level3 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Profilaksis pada pasien trauma dada yang akan dirujuk</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l62 level3 lfo64; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Flail Chest yang membutuhkan pemasangan ventilator</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Kontraindikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. <span style="mso-tab-count: 1;"> </span>Infeksi
pada tempat pemasangan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. Gangguan pembekuan darah yang tidak terkontrol</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.5<span style="mso-tab-count: 1;"> </span>Komplikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a) <span style="mso-tab-count: 1;"> </span>Komplikasi
primer : perdarahan, edema paru, tension pneumothoraks, atrial aritmia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b) <span style="mso-tab-count: 1;"> </span>Komplikasi
sekunder : infeksi, emfiema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c) <span style="mso-tab-count: 1;"> </span>Komplikasi
lainnya : laserasi (yang mencederai organ: hepar, lien), perdarahan, empisema
subkutis, tube terlepas, tube tersumbat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6<span style="mso-tab-count: 1;"> </span>Macam-macam WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.1 <span style="mso-tab-count: 1;"> </span>WSD dengan sistem satu botol</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem ini
terdiri dari satu botol dengan penutup segel. Penutup mempunyai dua lobang,
satu untuk ventilasi udara dan lainnya memungkinkan selang masuk hampir ke
dasar botol. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Air steril
dimasukan ke dalam botol sampai ujung selang terendam 2cm untuk mencegah
masuknya udara ke dalam tabung yang menyebabkan kolaps paru. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="height: 328px; left: 0px; margin-left: 171px; margin-top: 12px; mso-ignore: vglayout; position: absolute; width: 252px; z-index: -3;"><img height="328" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="252" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: center;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Gambar 2.1. WSD dengan
sistem satu botol</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungannya:</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l61 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyusunannya sederhana<span class="apple-converted-space"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l61 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mudah untuk pasien yang berjalan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya:</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l46 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat drainase dada mengisi botol lebih banyak
kekuatan yang diperlukan</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l46 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk terjadinya aliran tekanan pleura harus
lebih tinggi dari tekanan botol</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l46 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Campuran darah dan drainase menimbulkan busa
dalam botol yang membatasi garis pengukuran drainase</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><u><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hal yang harus diperhatikan</span></u></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:</span></i></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila
< 2 cm H<sub>2</sub>O, berarti <i>no water seal. </i>Hal ini sangat
berbahaya karena menyebabkan paru kolaps.</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila
> 2 cm H2O, berarti memerlukan tekanan yang lebih tinggi dari paru untuk
mengeluarkan cairan atau udara.</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila
tidak ada fluktuasi yang mengikuti respirasi apat disebabkan karena adanya
kinking, clotting atau perubahan posisi chest tube.</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Selang untuk ventilasi dalam botol
dibiarkan terbuka untuk memfasilitasi udara dari rongga pleura keluar</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Drainage
tergantung dari mekanisme pernafasan dan gravitasi</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 74.7pt; mso-list: l42 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Undulasi
pada selang cairan mengikuti irama pernafasan :</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 110.7pt; mso-list: l18 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Inspirasi
akan meningkat</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 110.7pt; mso-list: l18 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ekpirasi
menurun</span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 110.7pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l23 level3 lfo12; text-align: justify; text-indent: -35.45pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WSD dengan
sistem dua botol</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="height: 324px; left: 0px; margin-left: 158px; margin-top: 105px; mso-ignore: vglayout; position: absolute; width: 274px; z-index: -2;"><img height="324" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="274" /></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada sistem dua botol, botol pertama adalah sebagai botol penampung dan
yang kedua bekerja sebagai water seal. Pada sistem dua botol, penghisapan dapat
dilakukan pada segel botol dalam air dengan menghubungkannya ke ventilasi
udara.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Gambar 2.2 WSD dengan sistem dua botol</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Botol 1 dihubungkan dengan selang
drainage yang awalnya kosong dan hampa udara, selang pendek pada botol 1
dihubungkan dengan selang di botol 2 yang berisi water seal. Dapat dihubungkan
dengan suction control. Cairan drainase dari rongga pleura masuk ke botol 1 dan
udara dari rongga pleura masuk ke water seal botol 2.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip kerjasama dengan sistem 1 botol
yaitu udara dan cairan mengalir dari rongga pleura ke botol WSD dan udara
dipompakan keluar melalui selang masuk ke WSD. Biasanya digunakan untuk
mengatasi hemothoraks, hemopneumothoraks, efusi peural.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungannya:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l2 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempertahankan
water seal pada tingkat konstan</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l2 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memungkinkan
observasi dan pengukuran drainage yang lebih baik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l45 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
areal mati pada sistem drainage yang potensial untuk masuk ke dalam area
pleura.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l45 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
terjadinya aliran, tekanan pleura harus lebih tinggi dari tekanan botol.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l45 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempunyai
batas kelebihan kapasitas aliran udara pada kebocoran udara.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.3 <span style="mso-tab-count: 1;"> </span>WSD dengan sistem tiga botol</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sama
dengan sistem 2 botol, ditambah 1 botol untuk mengontrol jumlah hisapan yang
digunakan. Selain itu terpasang manometer untuk mengontrol tekanan. Paling aman
untuk mengatur jumlah hisapan. Yang terpenting adalah kedalaman selang di bawah
air pada botol ke-3. Jumlah hisapan tergantung pada kedalaman ujung selang yang
tertanam dalam air botol WSD.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="height: 282px; left: 0px; margin-left: 97px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 389px; z-index: -1;"><img height="282" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="389" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gambar 2.3
WSD dengan sistem tiga botol</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Drainage
tergantung gravitasi dan jumlah hisapan yang ditambahkan. Botol ke-3 mempunyai
3 selang, yaitu: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tube pendek diatas batas air
dihubungkan dengan tube pada botol ke dua</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tube pendek lain dihubungkan dengan
suction</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tube di tengah yang panjang sampai
di batas permukaan air dan terbuka ke atmosfer</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungannya: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l57 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="background: white;">istem paling aman untuk mengatur pengisapan.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l32 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lebih
kompleks, lebih banyak kesempatan untuk terjadinya kesalahan dalam perakitan
dan pemeliharaan.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l32 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sulit dan
kaku untuk bergerak / ambulansi</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.4 <span style="mso-tab-count: 1;"> </span>Unit drainage sekali pakai</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pompa
penghisap Pleural Emerson</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merupakan pompa penghisap yang umum digunakan
sebagai pengganti penghisap di dinding. Pompa Penghisap Emerson ini dapat
dirangkai menggunakan sistem dua atau tiga botol.<span class="apple-converted-space"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span style="background: white;">Keuntungannya:</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l57 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plastik dan tidak mudah pecah</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l49 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahal</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l49 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehilangan
water seal dan keakuratan pengukuran drainage bila unit terbalik.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fluther valve</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungannya: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l35 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ideal untuk
transport karena segel air dipertahankan bila unit terbalik.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l35 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurang satu
ruang untuk mengisi</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l35 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada
masalah dengan penguapan air</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l35 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
kadar kebisingan</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l54 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahal</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l54 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Katup
berkipas tidak memberikan informasi visual pada tekanan intra pleural karena
tidak adanya fluktuasi air pada ruang water seal.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Calibrated spring mechanism</span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keuntungannya:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l3 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mampu
mengatasi volume yang besar</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerugiannya:</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 121.05pt; mso-list: l3 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahal<span class="apple-converted-space"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l29 level2 lfo18; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat
Pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l29 level3 lfo18; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagian apeks paru (apikal)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anterolateral
interkosta ke 1- 2 untuk mengeluarkan udara dari rongga pleura.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.1.2 <span style="mso-tab-count: 1;"> </span>Bagian
basal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posterolateral
interkosta ke 8 – 9 untuk mengeluarkan cairan (darah, pus) dari rongga pleura.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l29 level2 lfo18; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Pemasangan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l29 level3 lfo18; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persiapan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l56 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l22 level1 lfo24; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memeriksa kembali instruksi dokter</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l22 level1 lfo24; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengecek inform consent</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l22 level1 lfo24; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengkaji status pasien; TTV, status
pernafasan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l56 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persiapan pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo25; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Siapkan
pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo25; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberi
penjelasan kepada pasien mencakup:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l51 level1 lfo26; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
dan prosedur tindakan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l51 level1 lfo26; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
tubuh saat tindakan dan selama terpasang WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l51 level1 lfo26; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Upaya-upaya
untuk mengurangi rangsangan nyeri seperti napas dalam, distraksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l51 level1 lfo26; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
rentang sendi (ROM) pada sendi bahu dan lengan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l56 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persiapan alat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem drainase tertutup</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motor suction</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selang penghubung steril</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cairan steril : NaCl, Aquades</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Botol berwarna bening dengan kapasitas 2 liter</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kassa steril </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pisau
jaringan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trocart</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benang
catgut dan jarumnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sarung
tangan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Duk bolong</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Spuit 10 cc
dan 50 cc</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat anestesi
: lidocain, xylocain</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.8pt; mso-list: l19 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masker<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l29 level3 lfo18; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelaksanaan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur
ini dilakukan oleh dokter. Perawat membantu agar prosedur dapat dilaksanakan
dengan baik, dan perawat memberi dukungan moril pada pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tentukan tempat pemasangan, biasanya
pada sela iga ke IV dan V, di linea aksilaris anterior dan media.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan analgesia atau anestesia pada
tempat yang telah ditentukan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buat insisi kulit dan sub kutis searah
dengan pinggir iga, perdalam sampai muskulus interkostalis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada saat inspirasi: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l27 level1 lfo29; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
dalam paru-paru > kecil dibanding tekanan yang ada di dalam WSD </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l27 level1 lfo29; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paru-
paru mengembang </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada saat ekspirasi: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
dalam paru- paru > besar dibanding tekanan yang ada di dalam WSD</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan Kelly klem melalui pleura
parietalis kemudian disebarkan. Masukkan jari melalui lubang tersebut. untuk
memastikan sudah sampai rongga pleura atau menyentuh paru.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan selang (chest tube) melalui
lubang yang telah dibuat dengan menggunakan Kelly forceps.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Chest tube yang telah terpasang,
difiksasi dengan jahitan di dinding dada.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Chest tube disambung ke WSD yang telah
disiapkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l30 level1 lfo28; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Foto
X-ray dada untuk menilai posisi selang yang telah dimasukkan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l29 level3 lfo18; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tindakan setelah prosedur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan undulasi pada selang WSD</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
undulasi tidak ada, berbagai kondisi dapat terjadi antara lain:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motor suction tidak berjalan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Slang tersumbat dan terlipat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l12 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paru-paru telah mengembang </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh
karena itu, yakinkan apa yang menjadi penyebab, segera periksa kondisi system
drainage, amati tanda-tanda kesulitan bernafas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cek ruang control suction untuk
mengetahui jumlah cairan yang keluar. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cek batas cairan dari botol WSD,
pertahankan dan tentukan batas yang telah ditetapkan serta pastikan ujung pipa
berada 2cm di bawah air.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat jumlah cairan yg keluar dari botol
WSD tiap jam untuk mengetahui jumlah cairan yg keluar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi tanda vital : pernafasan, nadi
setiap 15 menit pada 1 jam pertama.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan balutan pada insisi, apakah
ada perdarahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan pasien memilih posisi yg nyaman
dengan memperhatikan jangan sampai slang terlipat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan pasien untuk memegang slang
apabila akan merubah posisi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beri tanda pada batas cairan setiap
hari, catat tanggal dan waktu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti
botol WSD setiap 3 hari dan bila sudah penuh. Catat jumlah cairan yang dibuang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
pemijatan pada slang untuk melancarkan aliran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Observasi
dengan ketat tanda-tanda kesulitan bernafas, sianosis, emphysema subkutan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
pasien untuk menarik nafas dalam dan ystem cara batuk efektif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">14)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Botol
WSD harus selalu lebih rendah dari tubuh.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">15)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yakinkan
bahwa selang tidak kaku dan menggantung di atas WSD.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l31 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">16)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latih
dan anjurkan klien untuk secara rutin 2-3 kali sehari melakukan latihan gerak
pada persendian bahu daerah pemasangan WSD.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l29 level2 lfo18; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan
WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l52 level1 lfo32; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah infeksi di bagian masuknya
slang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendeteksi
di bagian dimana masuknya slang, dan pengganti verband 2 hari sekali, dan perlu
diperhatikan agar kain kassa yang menutup bagian masuknya slang dan tube tidak
boleh dikotori waktu menyeka tubuh pasien. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l52 level1 lfo32; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi rasa sakit dibagian masuknya
slang. Untuk rasa sakit yang hebat akan diberi analgetik oleh dokter. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l52 level1 lfo32; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam perawatan yang harus diperhatikan
: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penetapan
slang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Slang
diatur se-nyaman mungkin, sehingga slang yang dimasukkan tidak terganggu dengan
bergeraknya pasien, sehingga rasa sakit di bagian masuknya slang dapat
dikurangi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pergantian
posisi badan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usahakan
agar pasien dapat merasa enak dengan memasang bantal kecil dibelakang, atau
memberi tahanan pada slang, melakukan pernapasan perut, merubah posisi tubuh
sambil mengangkat badan, atau menaruh bantal di bawah lengan atas yang cedera. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendorong
berkembangnya paru-paru. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l9 level1 lfo34; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
WSD/Bullow drainage diharapkan paru mengembang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l9 level1 lfo34; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
napas dalam. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l9 level1 lfo34; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
batuk yang efisien : batuk dengan posisi duduk, jangan batuk waktu slang
diklem. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l9 level1 lfo34; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontrol
dengan pemeriksaan fisik dan radiologi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l9 level1 lfo34; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan
keadaan dan banyaknya cairan suction. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l52 level1 lfo32; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan dalam 24 jam setelah operasi
umumnya 500 - 800 cc. Jika perdarahan dalam 1 jam melebihi 3 cc/kg/jam, harus
dilakukan torakotomi. Jika banyaknya hisapan bertambah/berkurang, perhatikan
juga secara bersamaan keadaan pernapasan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suction
harus berjalan efektif : </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l48 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan
setiap 15 - 20 menit selama 1 - 2 jam setelah operasi dan setiap 1 - 2 jam
selama 24 jam setelah operasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l48 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan
banyaknya cairan, keadaan cairan, keluhan pasien, warna muka, keadaan
pernapasan, denyut nadi, tekanan darah. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l48 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perlu
sering dicek, apakah tekanan negative tetap sesuai petunjuk jika suction kurang
baik, coba merubah posisi pasien dari terlentang, ke 1/2 terlentang atau 1/2
duduk ke posisi miring bagian operasi di bawah atau di cari penyababnya misal :
slang tersumbat oleh gangguan darah, slang bengkok atau alat rusak, atau lubang
slang tertutup oleh karena perlekatanan di dinding paru-paru.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 67.65pt; mso-list: l48 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan
“slang” dan botol WSD atau <i style="mso-bidi-font-style: normal;">Bullow
drainage</i>. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l43 level1 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cairan
dalam botol WSD diganti setiap hari , diukur berapa cairan yang keluar kalau
ada dicatat. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l43 level1 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap
hendak mengganti botol dicatat pertambahan cairan dan adanya gelembung udara
yang keluar dari bullow drainage. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l43 level1 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggantian
botol harus “tertutup” untuk mencegah udara masuk yaitu meng”klem” slang pada
dua tempat dengan kocher. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l43 level1 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap
penggantian botol/slang harus memperhatikan sterilitas botol dan slang harus
tetap steril. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l43 level1 lfo36; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggantian
harus juga memperhatikan keselamatan kerja diri-sendiri, dengan memakai sarung
tangan. \</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l52 level1 lfo32; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cegah bahaya yang menggangu tekanan
negatip dalam rongga dada, misal : slang terlepas, botol terjatuh karena
kesalahan dll WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage</i>)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Cara mengganti botol WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l25 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Siapkan set yang
baru. Botol yang berisi aguades ditambah desinfektan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l25 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Selang WSD
diklem dulu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l25 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ganti botol WSD
dan lepas kembali klem</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l25 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Amati undulasi dalam selang WSD</span><span style="font-family: "Arial","sans-serif"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l29 level2 lfo18; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
Pelepasan WSD (<i style="mso-bidi-font-style: normal;">Water Seal Drainage)</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Produksi cairan <50 cc/hari </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bubling atau gelembung sudah tidak
ditemukan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernafasan pasien normal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1-3 hari <i>post cardiac surgery</i> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2-6 hari <i>post thoracic surgery</i>
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada thorax foto menunjukkan
pengembangan paru yang adekuat atau tidak adanya cairan atau udara pada rongga
intra pleura </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selang WSD tersumbat dan tidak dapat
diatasi dengan <i style="mso-bidi-font-style: normal;">Spooling </i>atau
pengurutan pada selang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l25 level2 lfo37; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l25 level3 lfo37; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anamnesa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas Pasien </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdiri
dari nama, umur, suku bangsa, agama, pendidikan, dan pekerjaan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l8 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama merupakan keluhan yang paling utama dirasakan pasien </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l8 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biasanya
pada pasien dengan efusi pleura didapatkan keluhan berupa : sesak nafas, rasa
berat pada dada, nyeri pleuritik akibat iritasi pleura yang bersifat tajam dan
terlokasilir terutama pada saat batuk dan bernafas serta batuk non produktif,
sedangkan pada pneumothorak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Penyakit Sekarang </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
yang menceritakan perjalanan penyakit pasien hingga pasien dibawa ke rumah
sakit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Penyakit Dahulu </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit yang dulu pernah diderita klien yang berhubungan dengan penyakit yang
diderita pasien sekarang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Penyakit Keluarga </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit yang mungkin diderita oleh anggota keluarga pasien yang disinyalir
sebagai penyebab penyakit pasien sekarang. Contohnya: Ca paru, TBC, dll.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l1 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Psikososial </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meliputi
perasaan pasien terhadap penyakitnya, bagaimana cara mengatasinya serta
bagaimana respon pasien terhadap tindakan pengobatan yang dilakukan terhadap
dirinya.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l25 level3 lfo37; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l63 level1 lfo41; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda vital meliputi: tekanan
darah, suhu, nadi, dan RR. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l63 level1 lfo41; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat kesadaran pasien perlu dikaji,
apakah composmentis, apatis, somnolen, sopor atau koma. Bagaimana penampilan
pasien secara umum, ekspresi wajah pasien selama dilakukan anamnesa, bagaimana
mood pasien untuk mengetahui tingkat kecemasan dan ketegangan pasien. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l63 level1 lfo41; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ROS (Review of System) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B1
(Breath) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
ada tidaknya kesulitan bernafas seperti adanya keluhan sesak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Batuk
(produktif atau tidak produktif, secret, warna, konsistensi, bau) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Irama
nafas pasien (teratur/tidak teratur), takipnea </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya
peningkatan kerja nafas, penggunaan otot bantu dada, retraksi interkostal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fremitus
fokal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkusi
dada : hipersonor </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
inspeksi dan palpasi dada tidak simetris </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kulit terdapat sianosis, pucat, krepitasi subkutan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selain
itu kaji riwayat penyakit paru kronik, peradangan, infeksi paru, tumor, biopsi
paru. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B2
(Blood)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l6 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Taki
kardi, irama jantung tidak teratur ( disaritmia ) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l6 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suara
jantung III, IV, galop atau gagal jantung sekunder</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l6 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hipertensi
atau hipotensi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l6 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CRT
(<i style="mso-bidi-font-style: normal;">Caimeppilary Revill Time</i>)<i style="mso-bidi-font-style: normal;"> </i>untuk mengetahui tingkat perfusi
perifer, normalnya < 3 detik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l6 level1 lfo44; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akral
: hangat, panas, dingin, kering atau basah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B3
(Brain)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l50 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tentukan
adanya keluhan pusing</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l50 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lamanya
istirahat atau tidur, normal kebutuhan istirahat tiap hari adalah sekitar 6-7
jam. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l50 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada
tidaknya gangguan pada nerves pendengaran, penglihatan, penciuman. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l50 level1 lfo45; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
adanya nyeri, tentukan skala nyeri pasien, lokasi nyeri misallnya nyeri dada
sebelah kanan, frekuensi nyeri (serangan datang secara tiba-tiba), nyeri
bertambah saat bernapas, nyeri menyebar ke dada, badan dan perut dan hal-hal
lain yang berhubungan dengan nyeri yang dirasakan pasien </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B4
(Bladder)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
beberapa hal yang berhubungan dengan system perkemihan, meliputi:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
kencing : nocturia, poliuria, disuria, oliguria, anuria, retensi, inkontinensia
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Produksi
urine tiap hari, warna, dan bau. Produksi urine normal adalah sekitar
500cc/hari dan berwarna kuning bening </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
kandung kemih : membesar atau tidak, adanya nyeri tekan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intake
cairan tiap hari, pemberiannya melalui oral atau parenteral. Intake cairan yang
normal setiap hari adalah sekitar 1 liter air. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l33 level1 lfo46; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
ada tidaknya penggunaan alat bantu kateter </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B5
(Bowel)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
keadaan mulut pasien: bersih, kotor atau berbau </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
mukosa: lembab, kering, stomatitis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenggorokan
: adanya nyeri menelan, pembesaran tonsil, nyeri tekan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
abdomen: tegang, kembung atau ascites </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya
nyeri tekan, ada tidaknya luka bekas operasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peristaltic
usus tiap menitnya </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi
BAB tiap hari da konsistensinya (keras, lunak, cair atau berdarah) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l55 level1 lfo47; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nafsu
makan, adanya diet makanan dan porsi makan tiap hari </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; mso-list: l20 level1 lfo42; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B6
(Bone)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l44 level1 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tentukan
pergerakan sendi pasien (bebas, terbatas) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l44 level1 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji
adanya kelainan ekstermitas, kelainan tualang belakang dan fraktur </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l44 level1 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
kulit: ikteri, siaonis, kemerahan atau hiperglikemi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l44 level1 lfo48; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
turgor kulit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l25 level3 lfo37; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Penunjang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan laboratorium </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Darah lengkap dan kimia darah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bakteriologis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisis cairan pleura </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan radiologis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biopsi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l25 level2 lfo37; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
Keperawatan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level3 lfo37; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketidakefektifan pola pernapasan yang
berhubungan dengan immobilitas, tekanan dan nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level3 lfo37; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Injuri, potensial terjadi trauma atau
hipoksia berhubungan dengan pemasangan alat WSD, kurangnya pengetahuan tentang
WSD (prosedur dan perawatan).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level3 lfo37; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resiko infeksi berhubungan dengan
terpasangnya benda asing dalam tubuh.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level3 lfo37; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurang pengetahuan mengenai kondisi,
aturan pengobatan berhubungan dengan kurang terpajan informasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l25 level2 lfo37; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 35.45pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">No.</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.35pt;" width="160">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Diagnosa Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" width="180">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Rasional</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.35pt;" valign="top" width="160">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Dx
: Ketidakefektifan pola pernapasan yang berhubungan dengan immobilitas,
tekanan dan nyeri.</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Ditandai
dengan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l60 level1 lfo53; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Dispneu, Takipneu</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l60 level1 lfo53; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Perubahan kedalaman pernapasan</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l60 level1 lfo53; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Penggunaaan otot aksesori</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l60 level1 lfo53; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Gangguan pengembangan dada</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l60 level1 lfo53; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Sianosis, <i style="mso-bidi-font-style: normal;">Artery
Blood Gas </i>abnormal </span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tujuan : pola nafas efektif</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l14 level1 lfo50; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan
pola napas normal atau efektif</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l14 level1 lfo50; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Bebas
sianosis dan tanda gejala hipoksia</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div class="MsoNoSpacing">
<u><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Independen</span></u></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l59 level1 lfo51; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pertahankan
posisi nyaman, biasanya peninggian kepala tempat tidur (head up)</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l59 level1 lfo51; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Evaluasi fungsi respirasi, catat naik turunnya
atau pergerakan dada, dspnue, kaji kebutuhan O<sub>2</sub>, terjadinya
sianosis dan perubahan vital sign.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l59 level1 lfo51; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Catat pergerakan dada dan posisi trakea</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Observasi
pola napas dan komplikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing">
<u><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Bila selang dada dipasang</span></u><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Periksa
pengontrol penghisap, batas cairan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Observasi
gelembung udara botol penampung</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Klem
selang pada bagian bawah unit drainase bila terjadi kebocoran</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Awasi
pasang surutnya air penampung dan <i style="mso-bidi-font-style: normal;">water
seal</i></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Catat
karakter/jumlah drainase selang dada.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 1.7pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kolaborasi</span></u></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
oksigen melalui kanul/masker, latih napas dalam dan batuk efektif</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Periksa ulang analisa gas darah, tekanan O<sub>2</sub>,
dan volume tidal.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 30.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 30.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 30.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 30.05pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Meningkatkan
inspirasi maksimal, meningkatkan ekspansi paru dan ventilasi pada sisi yang
tak sakit.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda kegagalan nafas dan perubahan vital
signs merupakan indikasi terjadinya syok karena hipoksia, stress dan nyeri</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergerakan dada yang terjadi pada saat inspirasi
maupun ekspirasi tidak dan posisi trakea akan bergeser akibat adanya tekanan
pneumotoraks.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Agar
pasien tercukupi oksigennya dan pola napasnya efektif, serta untuk mencegah
terjadinya komplikasi yang bias memperparah kondisi klien</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mempertahankan
tekanan negative intrapleural sesuai yang diberikan, yang meningkatkan ekspansi
paru optimum dan atau drainase cairan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Gelembung
udara selama ekspirasi menunjukkan lubang angin dari pneumothorak. Naik
turunnya gelembung udara menunjukkan ekspansi paru</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengisolasi
lokasi kebocoran udara pusat system</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Fluktuasi
(pasang surut) menunjukkan perbedaan tekanan inspirasi dan eksprirasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Berguna
dalam menevaluasi perbaikan kondisi/terjadinya komplikasi atau perdarahan
yang memerlukan upaya intervensi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Alat
dalam menurunkan kerja napas; meningkatkan penghilangan distress respirasi
dan sianosis b.d hipoksemia</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l10 level1 lfo52; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui pertukaran gas dan ventilasi untuk
menentukan therapi selanjutnya</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.35pt;" valign="top" width="160">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Dx
: Injuri, potensial terjadi trauma atau hipoksia berhubungan dengan
pemasangan alat WSD, kurangnya pengetahuan tentang WSD (prosedur dan
perawatan)</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l26 level1 lfo54; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mengenal tanda-tanda komplikasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l26 level1 lfo54; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pencegahan lingkungan atau bahaya fisik lingkungan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Review dengan pasien akan tujuan /
fungsi drainege, catat/ perhatikan tujuan yang penting dalam penyelamatan
jiwa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Fiksasi kateter thoraks pada didnding
dada dan sisakan panjang kateter agar pasien dapat bergerak atau tidak
terganggu pergerakannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Usahakan WSD berfungsi dengan baik dan
aman dengan meletakkannya ebih rendah dari bed pasien di lantai atau troli.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Monitor insersi kateter pada dinding
dada, perhatikan keadaan kulit di sekitar kateter drainage. Ganti dressing
dengan kassa steril setiap kali diperlukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Anjurkan pasien untuk tidak menekan
atau membebaskan selang dari tekanan, misalnya tertindih tubuh.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kaji perubahan yang terjadi, catat ;
beri tindakan perawatan jika :</span></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l5 level1 lfo56; mso-pagination: none;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">perubahan
suara bubling</span></li>
<li class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l5 level1 lfo56; mso-pagination: none;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">kebutuhan
O2 yang tiba-tiba</span></li>
<li class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l5 level1 lfo56; mso-pagination: none;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">nyeri
dada</span></li>
<li class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l5 level1 lfo56; mso-pagination: none;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">lepasnya
selang</span></li>
</ol>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-pagination: none; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Observasi adanya tanda-tanda respirasi
distress bila kateter thoraks tercabut.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Informasi
tentang kerja WSD akan mengurangi kecemasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mencegah
lepasnya kateter dan mengurangi nyeri akibat terpasangnya kateter dada</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mempertahankan
posisi gaya gravitasi dan mengurangi resko kerusakan ataupun pecahnya unit
WSD</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Untuk
mengetahui keadaan kulit seperti infeksi, erosi jaringan sedini mungkin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mengurangi resiko obstruksi drain atau lepasnya
sambungan selang</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Intervensi
yang tepat dapat mencegah terjadinya komplikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo55; text-indent: -14.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pneumothoraks
dapat terjadi sehingga timbul gangguan fungsi pernafasan yang memerlukan
tindakan emergency</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">3.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.35pt;" valign="top" width="160">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Dx
: Resiko infeksi berhubungan dengan terpasangnya benda asing dalam tubuh</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Ditandai
dengan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l47 level1 lfo57; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Adanya inflamasi didaerah yang terpasang WSD</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l47 level1 lfo57; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Suhu tubuh meningkat</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l47 level1 lfo57; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Nyeri pada daerah yang terpasang WSD</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Tujuan
: tidak terjadi infeksi pada pasien.</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l0 level1 lfo58; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">T</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">idak
terjadi infalamsi pada daerah yang terpasang WSD</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l0 level1 lfo58; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tidak
timbul rasa nyeri</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l0 level1 lfo58; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Suhu
tubuh normal (36,5-37,5)</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 8.65pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Rawat daerah yang terpasang WSD
secara teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ajarkan kepada keluarga untuk
merawat daerah WSD dan instruksikan untuk merawatnya secara teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ajarkan pasien tehnik mencuci
tangan yang benar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Ajarkan kepada pasien dan keluarga
tanda/gejala infeksi dan kapan harus melaporkan ke pusat kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Kolaborasikan untuk member
antibiotik jika diperlukan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 15.9pt; mso-add-space: auto; mso-list: l53 level1 lfo55; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Batasi jumlah pengunjung jika
diperlukan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Untuk
menjaga kebersihan daerah yang terpasang WSD sehingga dapat meminimalisir
peluang terjadinya infeksi.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Untuk
melindungi tubuh dari resiko infeksi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 15.85pt; mso-add-space: auto; mso-list: l24 level1 lfo59; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mencegah kontaminasi lingkungan
terhadap pasien yang dapat </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">me</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">micu
terjadinya infeksi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 15.85pt; mso-add-space: auto; mso-list: l24 level1 lfo59; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mendeteksi adanya infeksi sedini
mungkin sehingga dapa segera dilakukan tindakan agar infeksi tidak semakin
parah</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengendalikan
factor pemicu infeksi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Meminimalkan
pemicu infeksi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">4.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.35pt;" valign="top" width="160">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Dx
: Kurang pengetahuan mengenai kondisi, aturan pengobatan berhubungan dengan
kurang terpajan informasi.</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Ditandai
dengan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l58 level1 lfo60; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pasien sering bertanya</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l58 level1 lfo60; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Ketidakakuratan mengikuti instruksi</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l58 level1 lfo60; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pasien tampak gelisah</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Tujuan:
pengetahuan pasien dapat terpenuhi</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l36 level1 lfo61; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">P</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">asien
mengungkapkan pemahaman tentang kondisi/ proses penyakit dan rencana
pengobatan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l36 level1 lfo61; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Pasien d</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">apat
mengidentifikasi tanda / gejala untuk perawatan / pengobatan lebih lanjut</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.85pt; mso-list: l36 level1 lfo61; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mengikuti program therapi dan menunjukkan adanya
perubahan pola hidup untuk mencegah timbulnya / kambuhnya penyakit.</span></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l41 level1 lfo62; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
peran aktif pasien/ orang terdekat dalam proses belajar, misalnya: diskusi,
partisipasi kelompok</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l41 level1 lfo62; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
informasi tertulis dan verbal sesuai indikasi. Masukkan daftar artikel dan
buku yang berhubungan dengan kebutuhan pasien/ keluarga dan dorong membaca
dan memdiskusikan apa yang mereka pelajari</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l41 level1 lfo62; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Informasikan
kepada pasien tentang efek-efek pemasangan WSD</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; text-indent: -15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l41 level1 lfo62; text-indent: -15.9pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Tinjau
ulang pengetahuan pasien akan penyakit dan proses pengobatannya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; text-indent: -15.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Belajar
ditingkatkan bila individu secara aktif berperan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Membantu
pasien dan orang terdekat membuat pilihan berdasarkan informasi tentang masa depan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengurangi
rasa cemas pasien akibat terpasangnya alat di tubuhnya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l24 level1 lfo59; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengetahui
keefektifan intervensi yang telah dilakukan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 5</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l52 level2 lfo32; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l52 level2 lfo32; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoListParagraph">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Capernito,
Linda Juall. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan</i>, Edisi 10. Jakarta: EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Doenges Marilynn E, dkk. 1999. <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan Edisi 3</i>. Jakarta : EGC</span></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Herdman T. Heather. 2010. <i style="mso-bidi-font-style: normal;">Diagnosis Keperawatan. </i>Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Wilkinson
M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan Edisi 7. </i>Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-indent: -2.0cm;">
<span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nuzulul. 2011. <i style="mso-bidi-font-style: normal;">Asuhan Keperawatan (ASKEP) WSD (Water Seal Drainage) </i></span><a href="http://nuzulul-fkp09.web.unair.ac.id/artikel_detail-35532.html"><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://nuzulul-fkp09.web.unair.ac.id/artikel_detail-35532.html</span></a><span style="background: white; color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">. (Di akses tanggal 13 Desember 2011, Jam 10.15)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-40893700154287141892012-06-06T20:00:00.002-07:002012-06-06T20:00:54.761-07:00Resume TB paru<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves>false</w:TrackMoves>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="2050"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1045"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1071"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1078"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1060"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1049"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1076"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1043"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1062"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1074"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1055"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1077"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1053"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1064"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1070"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1063"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1061"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1050"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1042"/>
<o:r id="V:Rule20" type="connector" idref="#_x0000_s1075"/>
<o:r id="V:Rule21" type="connector" idref="#_x0000_s1052"/>
<o:r id="V:Rule22" type="connector" idref="#_x0000_s1051"/>
<o:r id="V:Rule23" type="connector" idref="#_x0000_s1037"/>
<o:r id="V:Rule24" type="connector" idref="#_x0000_s1072"/>
<o:r id="V:Rule25" type="connector" idref="#_x0000_s1036"/>
<o:r id="V:Rule26" type="connector" idref="#_x0000_s1058"/>
<o:r id="V:Rule27" type="connector" idref="#_x0000_s1056"/>
<o:r id="V:Rule28" type="connector" idref="#_x0000_s1048"/>
<o:r id="V:Rule29" type="connector" idref="#_x0000_s1040"/>
<o:r id="V:Rule30" type="connector" idref="#_x0000_s1065"/>
<o:r id="V:Rule31" type="connector" idref="#_x0000_s1054"/>
<o:r id="V:Rule32" type="connector" idref="#_x0000_s1034"/>
<o:r id="V:Rule33" type="connector" idref="#_x0000_s1068"/>
<o:r id="V:Rule34" type="connector" idref="#_x0000_s1057"/>
<o:r id="V:Rule35" type="connector" idref="#_x0000_s1069"/>
<o:r id="V:Rule36" type="connector" idref="#_x0000_s1041"/>
<o:r id="V:Rule37" type="connector" idref="#_x0000_s1067"/>
<o:r id="V:Rule38" type="connector" idref="#_x0000_s1038"/>
<o:r id="V:Rule39" type="connector" idref="#_x0000_s1059"/>
<o:r id="V:Rule40" type="connector" idref="#_x0000_s1046"/>
<o:r id="V:Rule41" type="connector" idref="#_x0000_s1047"/>
<o:r id="V:Rule42" type="connector" idref="#_x0000_s1044"/>
<o:r id="V:Rule43" type="connector" idref="#_x0000_s1035"/>
<o:r id="V:Rule44" type="connector" idref="#_x0000_s1066"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RESUME ASUHAN KEPERAWATAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TUBERKULOSIS (TB) PARU</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DEFINISI</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span class="nw"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis (TB)
adalah penyakit infeksius, yang terutama menyerang parenkim paru. Tuberkulosis
dapat juga ditularkan ke bagian tubuh lainnya, termasuk meninges, ginjal,
tulang, dan nodus limfe. </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tuberculosis paru adalah penyakit infeksi yang
disebabkan oleh <i style="mso-bidi-font-style: normal;">Mycobacterium
tuberculosis</i> dengan gejala yang sangat bervariasi (Kapita Selecta
Kedokteran, 2001)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ANATOMI dan
FISIOLOGI</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="height: 299px; left: 0px; margin-left: 80px; margin-top: 54px; mso-ignore: vglayout; position: absolute; width: 387px; z-index: -1;"><img height="299" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="387" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Saluran pernapasan terbagi atas 2 yaitu saluran pernapasan bagian atas dan
saluran pernapasan bagian bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Saluran pernapasan bagian atas adalah :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l8 level1 lfo2; tab-stops: 2.0cm 5.0cm 155.95pt; text-align: justify; text-indent: -120.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Hidung <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>merupakan saluran yang pertama, mempunyai dua lubang (cavum nasi)
dipisahkan oleh sekat (septum nasi). Rongga hidung dilapisi oleh selaput lendir
yang kaya akan pembuluh darah dan bersambung dengan faring dan selaput lendir.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l8 level1 lfo2; tab-stops: 2.0cm 5.0cm 155.95pt; text-align: justify; text-indent: -120.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tekak ( Faring )
<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>merupakan
pipa berotot yang berjalan dari dasar tengkorak sampai persambungannya dengan
osofagus pada ketinggian tulang rawan krikoid. Merupakan tempat persimpangan
antara jalan pernapasan dengan jalan makanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; mso-list: l8 level1 lfo2; tab-stops: 2.0cm 5.0cm 155.95pt; text-align: justify; text-indent: -120.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Laring<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>merupakan saluran udara dan bertindak sebagai pembentukan suara
terletak didepan bagian faring sampai ketinggian vertebra servikalis dan masuk
ke dalam trakea di bawahnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 155.95pt; tab-stops: 2.0cm 5.0cm 155.95pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Saluran pernapasan bagian bawah :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l13 level1 lfo3; tab-stops: 2.0cm 120.5pt 134.7pt; text-align: justify; text-indent: -106.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Trakea<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>merupakan
lanjutan dari laring yang dibentuk oleh 16-20 cincin yang terdiri dari tulang-tulang
rawan yang terbentuk seperti kuku kuda. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l13 level1 lfo3; tab-stops: 2.0cm 120.5pt 134.7pt; text-align: justify; text-indent: -106.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bronkus <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>terbentuk
dari belahan dua trakea pada ketinggian kira-kira vertebra torakalis kelima.
Bronkus kanan lebih pendek dan lebih lebar dari bronkus kiri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l13 level1 lfo3; tab-stops: 2.0cm 120.5pt 134.7pt; text-align: justify; text-indent: -106.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Alveoli <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pada
hakekatnya merupakan suatu gelembung gas yang dikelilingi oleh jaringan kapiler
sehingga batas antara cairan dan gas membentuk tegangan permukaan yang
cenderung mencegah pengembangan saat inspirasi dan cenderung kolaps saat
ekspirasi. Gelembung-gelembung alveoli terdiri dari sel-sel epitel dan endotel.
Banyaknya gelembung paru-paru ini lebih dari 700 juta buah kiri dan kanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l13 level1 lfo3; tab-stops: 2.0cm 120.5pt 134.7pt; text-align: justify; text-indent: -106.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Paru-paru<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>merupakan
alat pernapasan utama yang terdiri dari dua bagian yaitu paru-paru kanan
terdiri atas tiga lobus dan paru-paru kiri yang terdiri dari dua lobus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; tab-stops: 2.0cm 120.5pt 134.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 22.7pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pernapasan (respirasi) adalah peristiwa menghirup
udara dari luar yangmengandung (oksigen) kedalam tubuh serta menghembuskan
udara yangbanyak mengandung CO2 (karbondioksida) sebagai sisa dari oksidasi
keluardari tubuh. Penghisapan udara ini disebut inspirasi dan
menghembuskandisebut ekspirasi.</span></div>
<div class="MsoNormal" style="background: white; line-height: 22.7pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paru-paru adalah salah satu organ pada sistem pernapasan
yang berfungsi sebagai tempat bertukarnya oksigen dari udara yang
menggantikankarbondioksida di dalam darah. Proses ini dinamakan sebagai
respirasi dengan menggunakan bantuan haemoglobin sebagai pengikat oksigen.
Setelah O2didalam darah diikat oleh haemoglobin,selanjutnya dialirkan ke
seluruh tubuh. Dalam tubuh manusia O2 digunakan sel-sel tubuh dalam
prosespelepasan energi. Proses tersebut selain menghasilkan energi
juga menghasilkan <span style="letter-spacing: -.1pt;">CO2</span> <span style="letter-spacing: -.25pt;">yang</span> harus dikeluarkan <span style="letter-spacing: .1pt;">dari</span> tubuh. Sistem pernafasan berfungsi
untuk menyediakan suplai O2 dan mengeluarkanCO2 dari dalam tubuh. proses
pertukaran O2 dan CO2 terjadi pada saat manusia bernafas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PATOFISIOLOGI</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penularan terjadi karena kuman (<i style="mso-bidi-font-style: normal;">Mycobacterium tuberculosis) </i><span style="mso-spacerun: yes;"> </span>dibatukan atau dibersinkan keluar menjadi
droflet nuklei dalam udara. Partikel infeksi ini dapat menetap dalam udara
bebas selama 1 – 2 jam, tergantung ada atau tidaknya sinar ultra violet dan
ventilasi yang baik dan kelembaban. Dalam suasana yang gelap dan lembab kuman
dapat bertahan sampai berhari – hari bahkan berbulan, bila partikel infeksi ini
terhisap oleh orang yang sehat akan menempel pada alveoli kemudian partikel ini
akan berkembang bisa sampai puncak apeks paru sebelah kanan atau kiri dan dapat
pula keduanya dengan melewati pembuluh linfe, basil berpindah kebagian paru-
paru yang lain atau jaringan tubuh yang lain. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah itu infeksi akan menyebar
melalui sirkulasi, yang pertama terangsang adalah limfokinase, yaitu akan
dibentuk lebih banyak untuk merangsang makrofag, berkurang tidaknya jumlah kuman
tergantung pada jumlah makrofag. Karena fungsinya adalah membunuh kuman atau basil,
apabila proses ini berhasil dan makrofag lebih banyak maka klien akan sembuh
dan daya tahan tubuhnya akan meningkat. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetapi apabila kekebalan tubuhnya
menurun maka kuman tadi akan bersarang didalam jaringan paru-paru dengan
membentuk tuberkel (biji – biji kecil sebesar kepala jarum). Tuberkel lama
kelamaan akan bertambah besar dan bergabung menjadi satu dan lama-lama timbul
perkejuan ditempat tersebut. Apabila jaringan yang nekrosis dikeluarkan saat
penderita batuk yang menyebabkan pembuluh darah pecah, maka klien akan batuk
darah (hemaptoe).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MANIFESTASI
KLINIS</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis sering
dijuluki “<i style="mso-bidi-font-style: normal;">the great imitator</i>” yaitu suatu
penyakit yang mempunyai banyak kemiripan dengan penyakit lain yang juga
memberikan gejala umum seperti lemah dan demam. Pada sejumlah penderita gejala
yang timbul tidak jelas sehingga diabaikan bahkan kadang-kadang asimptomatik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
<span style="background: white;">Gambaran klinik TB paru dapat dibagi menjadi 2
golongan, gejala respiratorik dan gejala sistemik:</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala respiratorik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Batuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span style="background: white;">Gejala batuk timbul paling dini dan merupakan
gangguan yang paling sering dikeluhkan. Mula-mula bersifat non produktif
kemudian berdahak bahkan bercampur darah bila sudah ada kerusakan jaringan.
Biasanya batuk lebih dari 3-4 minggu.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Batuk darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Darah yang dikeluarkan dalam dahak bervariasi, mungkin tampak
berupa garis atau bercak-bercak darah, gumpalan darah atau darah segar dalam
jumlah sangat banyak. Batuk darah terjadi karena pecahnya pembuluh darah. Berat
ringannya batuk darah tergantung dari besar kecilnya pembuluh darah yang pecah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sesak napas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala ini ditemukan bila kerusakan parenkim paru sudah luas
atau karena ada hal-hal yang menyertai seperti efusi pleura, pneumothorax,
anemia dan lain-lain.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri dada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri dada pada TB paru termasuk nyeri pleuritik yang ringan.
Gejala ini timbul apabila sistem persarafan di pleura terkena.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala sistemik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span style="background: white;">Merupakan gejala yang sering dijumpai biasanya timbul
pada sore dan malam hari mirip demam influenza, hilang timbul dan makin lama
makin panjang serangannya. Sedangkan masa bebas serangan makin pendek.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala sistemik lain</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keringat malam, anoreksia, penurunan berat badan serta
malaise.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
<span style="background: white;">Timbulnya gejala biasanya gradual dalam beberapa
minggu sampai bulan, akan tetapi penampilan akut dengan batuk, panas, sesak
napas walaupun jarang dapat juga timbul menyerupai gejala pneumonia.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PATHWAY</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"></span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt;">Mycobacterium tuberculosis</span></i></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 9;"><span style="height: 34px; left: 0px; left: 255px; position: absolute; top: -1px; width: 12px;"><img height="34" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Inhalasi droplet</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="255"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="33" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Masuk ke jalan
napas</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="1" width="255"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="33" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="12" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="tab-stops: 148.85pt center 326.05pt; text-align: center;">
<span style="height: 84px; left: 0px; margin-left: 52px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 15;"><img height="84" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="12" /></span><span style="height: 2px; left: 0px; margin-left: 57px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 150px; z-index: 14;"><img height="2" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="150" /></span><span style="height: 12px; left: 0px; margin-left: 316px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 64px; z-index: 12;"><img height="12" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="64" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Bakteri mencapai<span style="mso-tab-count: 1;"> </span>Perjalanan penyakit TB</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 7.0cm 333.15pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 16;"><span style="height: 36px; left: 438px; position: absolute; top: -1px; width: 12px;"><img height="36" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Alveolus<span style="mso-tab-count: 1;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 7.0cm 333.15pt; text-align: center;">
<span style="height: 59px; left: 0px; margin-left: 255px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 13;"><img height="59" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 7.0cm 333.15pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span>Muncul
respon tubuh</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 12.0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>berupa
gejala-gejala fisik yang </span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span>mengganggu
aktivitas</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 0cm 42.55pt 49.65pt 2.0cm 7.0cm 326.05pt;">
<span style="height: 29px; margin-left: 438px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 17;"><img height="29" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Zat
endogen pyrogen <span style="mso-tab-count: 1;"> </span>Respon
terhadap rangsangan</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 20;"><span style="height: 32px; left: 0px; left: 52px; position: absolute; top: -1px; width: 12px;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">antigen-antibody</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt; text-align: center;">
<span style="height: 32px; left: 0px; margin-left: 255px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 25;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 3;"> </span>Stressor
Keluarga</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt;">
<span style="height: 32px; margin-left: 438px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 29;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Prostaglandin</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt; text-align: center;">
<span style="height: 100px; left: 0px; margin-left: 355px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 30px; z-index: 50;"><img height="100" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="30" /></span><span style="height: 2px; left: 0px; margin-left: 340px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 17px; z-index: 49;"><img height="2" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="17" /></span><span style="height: 32px; left: 0px; margin-left: 52px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 21;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Muncul reaksi peradangan</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt; text-align: center;">
<span style="height: 32px; left: 0px; margin-left: 255px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 26;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 3;"> </span><span style="mso-spacerun: yes;"> </span>Khawatir kondisi anggota</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 333.15pt; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Merangsang
Hipothalamus<span style="mso-tab-count: 1;"> </span>yang
sakit</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 42.55pt 2.0cm 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 30;"><span style="height: 20px; left: 0px; left: 438px; position: absolute; top: -1px; width: 12px;"><img height="20" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="12" /></span></span><span style="height: 32px; left: 0px; margin-left: 52px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 22;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pengeluaran sekret/mukus</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="255"><br /></td>
<td width="12"><br /></td>
<td width="120"><br /></td>
<td width="127"><br /></td>
</tr>
<tr>
<td height="1"><br /></td>
<td align="left" rowspan="2" valign="top"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td>
</tr>
<tr>
<td height="31"><br /></td>
<td><br /></td>
<td bgcolor="#FFC000" height="35" rowspan="2" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="127"><span style="mso-ignore: vglayout; position: absolute; z-index: 4;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Ansietas</span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
<tr>
<td height="4"><br /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNoSpacing" style="tab-stops: center 35.45pt 326.05pt;">
<span style="height: 32px; margin-left: 52px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 23;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Demam<span style="mso-tab-count: 1;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Akumulasi sekret
</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>di jalan napas<span style="mso-tab-count: 1;"> </span>Fibrosis
disebar oleh limfe<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 51;"><span style="height: 38px; left: 438px; position: absolute; top: -1px; width: 12px;"><img height="38" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="12" /></span></span><span style="height: 32px; margin-left: 255px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 28;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="height: 40px; margin-left: 52px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 24;"><img height="40" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Peningkatan
suhu tubuh</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 318.95pt; text-align: center;">
<span style="height: 53px; left: 0px; margin-left: 172px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 186px; z-index: 1;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#FFC000" height="53" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="186"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 1;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Bersihan Jalan napas</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">tidak efektif</span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Jaringan ikat di alveolus</span>
<div class="MsoNormal" style="line-height: normal; tab-stops: center 2.0cm 12.0cm;">
<span style="height: 38px; margin-left: 438px; margin-top: 12px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 52;"><img height="38" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="12" /></span><span style="height: 52px; margin-left: -14px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 173px; z-index: 2;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#FFC000" height="52" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="173"><span style="mso-ignore: vglayout; position: absolute; z-index: 2;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Ketidakefektifan Termoregulasi</span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>(perkejuan alveolus)</span>
<div class="MsoNormal" style="line-height: normal; tab-stops: center 2.0cm 347.3pt;">
<span style="height: 68px; margin-left: 367px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 181px; z-index: 5;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="68" style="vertical-align: top;" width="181"><span style="mso-ignore: vglayout; position: absolute; z-index: 5;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 3.6pt 7.2pt 3.6pt 7.2pt;">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menghalangi
proses </span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Difusi
oksigenasi</span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="height: 54px; margin-left: 65px; margin-top: 26px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 42;"><img height="54" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image021.gif" width="12" /></span><span style="height: 35px; margin-left: 255px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 41;"><img height="35" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image022.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span></span>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 3;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt; text-align: center;">
<span style="height: 18px; left: 0px; margin-left: 438px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 53;"><img height="18" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image023.gif" width="12" /></span><span style="height: 36px; left: 0px; margin-left: 255px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 35;"><img height="36" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span><span style="height: 2px; left: 0px; margin-left: 310px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 44px; z-index: 18;"><img height="2" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" width="44" /></span><span style="height: 170px; left: 0px; margin-left: 324px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 30px; z-index: 19;"><img height="170" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image026.gif" width="30" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Respon batuk</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 12.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Peningkatan metabolime tubuh<span style="mso-tab-count: 1;"> </span>
Sesak Napas</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="height: 32px; left: 0px; margin-left: 65px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 43;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="12" /></span><span style="height: 32px; left: 0px; margin-left: 438px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 31;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Penurunan nafsu makan</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="1" width="255"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="36" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image028.gif" width="12" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 333.15pt;">
<span style="height: 52px; margin-left: 378px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 163px; z-index: 6;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#FFC000" height="52" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="163"><span style="mso-ignore: vglayout; position: absolute; z-index: 6;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Gangguan Pertukaran Gas</span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Terjadi pemecahan<span style="mso-tab-count: 1;"> </span></span>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 7.0cm 326.05pt;">
<span style="height: 102px; margin-left: 141px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 47;"><img height="102" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image029.gif" width="12" /></span><span style="height: 2px; margin-left: 146px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 74px; z-index: 46;"><img height="2" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image030.gif" width="74" /></span><span style="height: 37px; margin-left: 65px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 44;"><img height="37" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image031.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Cadangan
makanan<span style="mso-tab-count: 1;"> </span>Penurunan</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">berat badan</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 326.05pt;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="2" width="438"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="12" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 12.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Kebutuhan nutrisi<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 12.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>Sel<span style="mso-tab-count: 1;"> </span>Transportasi
O<sub>2 </sub>terganggu</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm left 163.05pt center 326.05pt;">
<span style="height: 38px; margin-left: 65px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 45;"><img height="38" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="12" /></span><span style="height: 32px; margin-left: 438px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 33;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span>Penyakit
Bronchitis</span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm left 163.05pt center 326.05pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 37;"><span style="height: 36px; left: 255px; position: absolute; top: -1px; width: 12px;"><img height="36" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 3;"> </span></span></div>
<div class="MsoNoSpacing" style="tab-stops: center 2.0cm 12.0cm;">
<span style="height: 52px; margin-left: -10px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 192px; z-index: 3;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#FFC000" height="52" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="192"><span style="mso-ignore: vglayout; position: absolute; z-index: 3;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Nutrisi Kurang dari Kebutuhan tubuh</span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span>Kelemahan
fisik</span>
<div align="center" class="MsoNoSpacing" style="tab-stops: 5.0cm center 326.05pt; text-align: center;">
<span style="height: 32px; left: 0px; margin-left: 438px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 34;"><img height="32" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span>Peningkatan sumber stress</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="1" width="255"><br /></td>
<td width="12"><br /></td>
<td width="121"><br /></td>
<td width="147"><br /></td>
</tr>
<tr>
<td height="13"><br /></td>
<td align="left" rowspan="2" valign="top"><img height="28" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image032.gif" width="12" /></td>
</tr>
<tr>
<td height="15"><br /></td>
<td><br /></td>
<td bgcolor="#FFC000" height="52" rowspan="2" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="147"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 7;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Intoleransi Aktivitas</span></b></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
<tr>
<td height="37"><br /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="tab-stops: 5.0cm center 326.05pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Ketidaklengkapan informasi</span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="height: 52px; left: 0px; margin-left: -5px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 165px; z-index: 8;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#FFC000" height="52" style="background: #FFC000; border: .75pt solid black; vertical-align: top;" width="165"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 8;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MK :<span style="mso-tab-count: 1;"> </span>Kurang Pengetahuan</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 1.0cm; text-indent: -1.0cm;">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>proses penyakit & pengobatan</span>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<span style="height: 12px; left: 0px; margin-left: 153px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 109px; z-index: 40;"><img height="12" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image033.gif" width="109" /></span><span style="height: 17px; left: 0px; margin-left: 260px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 39;"><img height="17" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image034.gif" width="2" /></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span></span></div>
<div align="center" class="MsoNoSpacing" style="tab-stops: center 326.05pt; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l9 level1 lfo1; tab-stops: center 326.05pt; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ANALISA
DATA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo7; tab-stops: center 326.05pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doenges</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 27.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">NO</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DATA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">ETIOLOGI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MASALAH </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DIAGNOSA KEPERAWATAN</span></b></div>
</td>
</tr>
<tr style="height: 205.75pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">S : <span style="mso-spacerun: yes;"> </span>klien mengatakan sesak dan batuk lebih dari
3 minggu.</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">O : <span style="mso-spacerun: yes;"> </span>klien tampak batuk, bunyi napas ronkhi,
stridor</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Reaksi peradangan (inflamasi)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pengeluaran sekret</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Akumulasi sekret dijalan napas</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Bersihan jalan napas tidak efektif</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Bersihan
jalan napas tak efektif</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Bersihan
jalan napas tak efektif berhubungan dengan sekret kental/darah.</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 205.75pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="height: 42px; margin-left: 220px; margin-top: 302px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 59;"><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 359px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 60;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image036.gif" width="12" /></span><span style="height: 42px; margin-left: 220px; margin-top: 223px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 58;"><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 124px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 57;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 46px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 56;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN; mso-no-proof: yes;">2.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">S : <span style="mso-spacerun: yes;"> </span>klien mengatakan napasnya sesak.</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">O : <span style="mso-spacerun: yes;"> </span>takipnea dengan memakai pernapasan perut (RR
= 30 x/menit), tampak ada bantuan otot pernapasan sternokleidomastoideus,
perubahan GDA (nadi oksimetri, misalnya hipoksemia, hiperkapnia)</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Reaksi peradangan (inflamasi)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Fibrosis disebar oleh limfe</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Jaringan ikat di alveolus (terbentuk perkejuan di alveolus)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Menghalangi proses difusi oksigenasi</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Sesak Napas</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan pertukaran gas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan
Pertukaran Gas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan
pertukaran gas berhubungan dengan kerusakan membran alveolar-kapiler.</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo7; tab-stops: center 326.05pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nic
Noc</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 27.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">NO</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DATA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">ETIOLOGI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">MASALAH </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DIAGNOSA KEPERAWATAN</span></b></div>
</td>
</tr>
<tr style="height: 205.75pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="height: 41px; margin-left: 220px; margin-top: 187px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 63;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="height: 42px; margin-left: 220px; margin-top: 109px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 62;"><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 61;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">S : <span style="mso-spacerun: yes;"> </span>dispnea</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">O : <span style="mso-spacerun: yes;"> </span>bunyi napas tambahan (ronki), perubahan pada
irama dan frekuensi pernapasan, sputum.</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Reaksi peradangan (inflamasi)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pengeluaran sekret</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Akumulasi sekret dijalan napas</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Bersihan jalan napas tak efektif</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Bersihan
jalan napas tak efektif</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Ketidakefektifan
pembersihan jalan napas berhubungan dengan pengumpulan sekresi pada jalan
napas.</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="height: 205.75pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="height: 42px; margin-left: 220px; margin-top: 302px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 67;"><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 359px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 68;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image036.gif" width="12" /></span><span style="height: 42px; margin-left: 220px; margin-top: 223px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 66;"><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 124px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 65;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="height: 41px; margin-left: 220px; margin-top: 46px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 64;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image037.gif" width="12" /></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN; mso-no-proof: yes;">2.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">S : <span style="mso-spacerun: yes;"> </span>dispnea</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">O : <span style="mso-spacerun: yes;"> </span>ketidaknormal- an frekuensi, irama, dan
kedalaman pernapasan, gas darah arteri yang tidak normal, cuping hidung
mengembang, gelisah, takikardia</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 6.0pt; text-indent: -15.9pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Reaksi peradangan (inflamasi)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Fibrosis disebar oleh limfe</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Jaringan ikat di alveolus (terbentuk perkejuan di alveolus)</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Menghalangi proses difusi oksigenasi</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Sesak Napas</span></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan pertukaran gas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan
Pertukaran Gas</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan
pertukaran gas berhubungan dengan perubahan membran kapiler-alveolar.</span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l9 level1 lfo1; tab-stops: center 326.05pt; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERVENSI</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l15 level1 lfo8; tab-stops: center 326.05pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doenges</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 27.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">NO</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.9pt;" valign="top" width="95">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DIAGNOSA </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">TUJUAN</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="height: 42.25pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 42.25pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.9pt;" valign="top" width="95">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Bersihan
jalan napas tak efektif berhubungan dengan sekret kental/darah.</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah diberikan tindakan
keperawatan kebersihan jalan napas efektif, dengan criteria hasil: </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l7 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mempertahankan jalan napas pasien.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l7 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengeluarkan sekret tanpa bantuan.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l7 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan prilaku untuk memperbaiki bersihan jalan
napas.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l7 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Berpartisipasi dalam program pengobatan sesuai kondisi.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l7 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Mengidentifikasi potensial komplikasi dan melakukan
tindakan tepat.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kaji fungsi pernapasan: bunyi napas, kecepatan,
irama, kedalaman dan penggunaan otot aksesori.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Catat kemampuan untuk mengeluarkan secret atau
batuk efektif, catat karakter, jumlah sputum, adanya hemoptisis. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Berikan pasien posisi semi fowler atau fowler,
Bantu/ajarkan batuk efektif dan latihan napas dalam.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Bersihkan sekret dari mulut dan trakea, suction
bila perlu.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Lembabkan udara/oksigen inspirasi.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l6 level1 lfo11; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kolaborasi dalam pemberian obat: agen mukolitik,
bronkodilator, kortikosteroid sesuai indikasi.</span></div>
<div class="MsoNormal" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Penurunan bunyi napas menunjukkan <span style="mso-spacerun: yes;"> </span>indikasi atelektasis, ronki indikasi
akumulasi secret/ketidakmampuan membersihkan jalan napas sehingga otot
aksesori digunakan dan kerja pernapasan meningkat.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pengeluaran sulit bila sekret tebal, sputum
berdarah akibat kerusakan paru atau luka bronchial yang memerlukan
evaluasi/intervensi lanjut . </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Meningkatkan ekspansi paru, ventilasi maksimal
membuka area atelektasis dan peningkatan gerakan sekret agar mudah
dikeluarkan. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mencegah obstruksi/aspirasi. Suction dilakukan
bila pasien tidak mampu mengeluarkan sekret. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mencegah pengeringan membran mukosa. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l4 level1 lfo12; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menurunkan kekentalan sekret, lingkaran ukuran
lumen trakeabronkial, berguna jika terjadi hipoksemia pada kavitas yang luas.
</span></div>
</td>
</tr>
<tr style="height: 205.75pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN; mso-no-proof: yes;">2.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.9pt;" valign="top" width="95">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Gangguan
pertukaran gas berhubungan dengan kerusakan membran alveolar-kapiler.</span></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Setelah diberikan tindakan
keperawatan pertukaran gas efektif, dengan kriteria hasil: </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l10 level1 lfo10; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Melaporkan tidak terjadi dispnea.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l10 level1 lfo10; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan perbaikan ventilasi dan oksigenasi jaringan
adekuat dengan GDA dalam rentang normal. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.8pt; mso-list: l10 level1 lfo10; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Bebas dari gejala distress pernapasan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kaji dispnea, takipnea, bunyi pernapasan abnormal.
Peningkatan upaya respirasi, keterbatasan ekspansi dada dan kelemahan.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Evaluasi perubahan tingkat kesadaran, catat
tanda-tanda sianosis dan perubahan warna kulit, membran mukosa, dan warna
kuku. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Anjurkan untuk mengeluarkan napas dengan bibir
disiutkan, terutama pada pasien dengan fibrosis atau kerusakan parenkim.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Anjurkan untuk bedrest, batasi dan bantu aktivitas
sesuai kebutuhan.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Monitor GDA.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l11 level1 lfo13; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kolaborasi: Berikan oksigen sesuai indikasi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 205.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Tuberkulosis paru dapat rnenyebabkan meluasnya
jangkauan dalam paru-pani yang berasal dari bronkopneumonia yang meluas
menjadi inflamasi, nekrosis, pleural effusion dan meluasnya fibrosis dengan
gejala-gejala respirasi distress.</span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Akumulasi sekret dapat menggangpu oksigenasi di
organ vital dan jaringan. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Meningkatnya resistensi aliran udara untuk
mencegah kolapsnya jalan napas. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mengurangi konsumsi oksigen pada periode
respirasi. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menurunnya saturasi oksigen (PaO2) atau
meningkatnya PaC02 menunjukkan perlunya penanganan yang lebih adekuat atau
perubahan terapi. </span></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 8.75pt; mso-list: l3 level1 lfo14; text-indent: -8.75pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">f. Membantu
mengoreksi hipoksemia yang terjadi sekunder hipoventilasi dan penurunan
permukaan alveolar paru.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; mso-list: l15 level1 lfo8; tab-stops: center 326.05pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nic
Noc</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 27.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">NO</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">DIAGNOSA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">TUJUAN</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 27.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div align="center" class="MsoNormal" style="margin-top: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">INTERVENSI </span></b></div>
</td>
</tr>
<tr style="height: 175.5pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 175.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 175.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNoSpacing" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Ketidakefektifan
pembersihan jalan napas berhubungan dengan pengumpulan sekresi pada jalan
napas.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 175.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l12 level1 lfo15; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Menunjukkan
pembersihan jalan napas yang efektif.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l12 level1 lfo15; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Irama
dan frekuensi pernapasan dalam rentang yang normal.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l12 level1 lfo15; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pasien
mempunyai jalan napas yang paten.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l12 level1 lfo15; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pasien
mampu mendeskripsikan rencana untuk perawatan dirumah.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 175.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l16 level1 lfo16; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Auskultasi
bagian dada anterior dan posterior untuk mengetahui adanya penurunan atai tidak
adanya ventilasi dan adanya bunyi napas tambahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l16 level1 lfo16; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Catat
tipe dan jumlah sekresi yang dikumpulkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l16 level1 lfo16; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Instruksikan
kepada pasien dan keluarga dalam rencana perawatan dirumah.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l16 level1 lfo16; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Anjurkan
aktivitas fisik untuk meningkatkan pergerakan sekresi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l16 level1 lfo16; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kolaborasi
dalam pemberian udara/oksigen yang telah di humidifikasi sesuai instruksi.</span></div>
</td>
</tr>
<tr style="height: 179.05pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 179.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="margin-top: 6.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN; mso-no-proof: yes;">2.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 179.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNoSpacing" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan pertukaran
gas berhubungan dengan kerusakan membran alveolar-kapiler </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 179.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gangguan
pertukaran gas akan terkurangi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Dispnea
pada saat istirahat dan aktivitas tidak ada.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Gelisah,
sianosis, dan keletihan tidak ada.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">PaO<sub>2</sub>,
PaCO<sub>2</sub>, pH arteri dan saturasi O<sub>2</sub> dalam batas normal.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; text-indent: -8.75pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 179.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pantau
status mental.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Observasi
terhadap sianosis, terutama membran mukosa mulut.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Konsultasikan
dengan dokter tentang kebutuhan akan pemeriksaan GDA sesuai dengan adanya
perubahan kondisi pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kolaborasi
dalam pemberian udara yang dilembabkan atau oksigen sesuai dengan keperluan.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 8.75pt; mso-list: l2 level1 lfo17; text-indent: -8.75pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Ajarkan
kepada pasien dan keluarga tentang perencanaan perawatan dirumah.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.3pt; tab-stops: center 326.05pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<span style="color: #0f1a1c; font-family: "Times New Roman","serif"; font-size: 12.0pt;">Doengoes, Marilynn E. 1999. <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan Pedoman untuk Perencanaan dan
Pendokumentasian Perawatan Pasien</i>. EGC : Jakarta</span></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mansjoer,
Arif, dkk. 2001. <i style="mso-bidi-font-style: normal;">Kapita Selekta
Kedokteran Edisi Ketiga. </i>Media Aesculapius : Jakarta</span></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<span style="color: #0f1a1c; font-family: "Times New Roman","serif"; font-size: 12.0pt;">Underwood, J.C.E.1999. <i style="mso-bidi-font-style: normal;">Patologi
Umum dan Sistematik Volume 2</i>. EGC : Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 49.65pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Wilkinson
M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan Edisi 7. </i>EGC : Jakarta</span></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-46408921916091566072012-06-06T19:51:00.002-07:002012-06-06T19:51:54.299-07:00Pemberian Obat Sub Cutan<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">“PEMBERIAN OBAT SUB CUTAN”</span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Disusun Oleh:</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ARNEDA ADHITA<span style="mso-tab-count: 2;"> </span>(10620344)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DIYAH PRIYANTI<span style="mso-tab-count: 2;"> </span>(10620351)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EGA PRATAMA<span style="mso-tab-count: 2;"> </span>(10620352)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">JACINTA M.B.S<span style="mso-tab-count: 2;"> </span>(10620360)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PUNGKY A. UTAMA<span style="mso-tab-count: 2;"> </span>(10620371)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RIZKY D.C RAHAYU<span style="mso-tab-count: 2;"> </span>(10620373)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MAHPUT SARONI<span style="mso-tab-count: 2;"> </span>(10620383)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 117.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PROGRAM STUDI ILMU KEPERAWATAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">FAKULTAS ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">UNIVERSITAS KADIRI</span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="height: 90px; left: 0px; margin-left: 229px; margin-top: 47px; mso-ignore: vglayout; position: absolute; width: 89px; z-index: 251658240;"><img height="90" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="89" /></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">2011</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l12 level2 lfo11; tab-stops: 1.0cm; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 28.65pt; text-align: justify; text-indent: 35.45pt;">
<span style="color: windowtext;">Menurut PerMenKes
917/Menkes/Per/x/1993, obat adalah sediaan atau paduan-paduan yang siap
digunakan untuk mempengaruhi atau menyelidiki secara fisiologi atau keadaan
patologi dalam rangka penetapan diagnosa, pencegahan, penyembuhan, pemulihan,
peningkatan kesehatan dan kontrasepsi. Peran obat secara umum adalah: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
penetapan diagnosa </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
pencegahan penyakit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyembuhkan
penyakit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memulihkan
(rehabilitasi) kesehatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengubah
fungsi normal tubuh untuk tujuan tertentu </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
kesehatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l15 level1 lfo12; tab-stops: 2.0cm 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi
rasa sakit </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat dapat di lakukan dengan
berbagai cara sesuai dengan tujuan penggunaan obat tersebut, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oral
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat yang cara penggunaannya masuk
melalui mulut. Untuk tujuan terapi serta efek sistematik yang dikehendaki,
penggunaan oral adalah yang paling menyenangkan dan murah, serta umumnya paling
aman. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; text-indent: -14.2pt;">
<span style="color: windowtext; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: windowtext;">Sublingual </span></div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt;">
<span style="color: windowtext;">Cara penggunaannya, obat ditaruh dibawah lidah.
Tujuannya supaya efeknya lebih cepat karena pembuluh darah bawah lidah
merupakan pusat sakit. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inhalasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaannya dengan cara disemprot (ke
mulut). Misal obat asma. Keuntungannya yaitu absorpsi terjadi cepat dan
homogen, kadar obat dapat dikontrol, terhindar dari efek lintas pertama, dapat
diberikan langsung pada bronkus. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rektal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara penggunaannya melalui dubur atau
anus. Tujuannya mempercepat kerja obat serta sifatnya lokal dan sistemik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pervaginam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuknya hampir sama dengan obat
rektal, hanya saja obat dimasukkan ke vagina, langsung ke pusat sasar. Misal
untuk keputihan atau jamur. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Parenteral</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digunakan tanpa melalui mulut, atau
dapat dikatakan obat dimasukkan de dalam tubuh selain saluran cerna. Tujuannya
tanpa melalui saluran pencernaan dan langsung ke pembuluh darah. Misal suntikan
atau insulin. Efeknya biar langsung sampai sasaran. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l10 level1 lfo16; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Intravena (IV)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tidak ada fase
absorpsi dalam </span><a href="http://nursingbegin.com/prosedur-pemberian-obat-iv/" target="_blank" title="prosedur pemberian obat intravena"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; text-decoration: none; text-underline: none;">pemberian
obat secara intravena</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> karena obat
langsung masuk ke dalam vena, biasanya berupa infus kontinu untuk obat yang
waktu-paruhnya pendek (Joenoes, 2002).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l10 level1 lfo16; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Intramuskular
(IM)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P</span><a href="http://nursingbegin.com/prosedur-pemberian-obat-im/" target="_blank" title="prosedur pemberian obat secara intramusculer"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; text-decoration: none; text-underline: none;">emberian obat
secara intramusculer</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> bervariasi,
berupa larutan dalam air yang lebih cepat diabsorpsi daripada obat berupa
larutan dalam minyak, dan juga obat dalam sediaan suspensi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; mso-list: l10 level1 lfo16; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Subkutan (SC)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat sub cutan l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">ebih cepat daripada sediaan suspensi, determinan dari
kecepatan absorpsi ialah total luas permukaan dimana terjadi penyerapan,
menyebabkan konstriksi pembuluh darah lokal sehingga difusi obat
tertahan/diperlama.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level1 lfo13; tab-stops: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Topikal
(lokal)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat yang sifatnya lokal. Misal tetes
mata, tetes telinga, salep. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; tab-stops: 42.55pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l12 level2 lfo11; tab-stops: 1.0cm; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2.1<span style="mso-spacerun: yes;">
</span>Apakah pengertian dari pengobatan obat sub cutan ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2.2<span style="mso-spacerun: yes;">
</span>Apakah tujuan dari pengobatan sub cutan ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2.3<span style="mso-spacerun: yes;">
</span>Dimana lokasi dilakukannya injeksi sub cutan ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2.4<span style="mso-spacerun: yes;">
</span>Apa saja prinsip yang digunakan dalam pengobatan <span style="mso-spacerun: yes;"> </span>sub cutan ?</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2.5<span style="mso-spacerun: yes;">
</span>Bagaimanakah<span style="mso-spacerun: yes;"> </span>prosedur pelaksanaan
pada pengobatan sub cutan ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; tab-stops: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l12 level2 lfo11; tab-stops: 1.0cm; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 28.5pt; mso-add-space: auto; tab-stops: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3.1 Untuk mengetahui
pengertian dari pengobatan sub cutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3.2 Untuk mengetahui tujuan dari
pengobatan sub cutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3.3 Untuk mengetahui lokasi
dilakukannya injeksi sub cutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; tab-stops: 2.0cm; text-align: justify; text-indent: -28.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3.4<span style="mso-tab-count: 1;"> </span>Untuk mengetahui prinsip yang digunakan dalam
pengobatan sub cutan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 28.5pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3.5 Untuk mengetahui prosedur pengobatan sub cutan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; tab-stops: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l12 level2 lfo11; tab-stops: 1.0cm; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level3 lfo11; tab-stops: 1.0cm; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mahasiswa mampu memahami dan melakukan pemberian obat sub cutan secara benar
dengan memperhatikan prinsip pada pemberian obat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level3 lfo11; tab-stops: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
para tenaga institusi lebih memahami bagaimana cara pemberian obat sub cutan
dengan benar sehingga dapat menjelaskan tentang prosedur pelaksanaan kepada
mahasiswa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level3 lfo11; tab-stops: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mengetahui dan memahami tentang pengobatan sub cutan.</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1
<span style="mso-tab-count: 1;"> </span>Pengertian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat subkutan adalah pemberian
obat melalui injeksi (suntikan) ke area bawah kulit yaitu pada jaringan
konektif atau lemak di bawah dermis. Pemberian obat melalui subkutan biasanya
dilakukan dalam program pemberian insulin yang digunakan untuk mengontrol kadar
gula darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2 <span style="mso-tab-count: 1;"> </span>Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memasukkan
sejumlah obat ke dalam jaringan subkutan di bawah kulit untuk di absorpsi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melaksanakan
fungsi kolaborasi dengan dokter.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3 <span style="mso-tab-count: 1;"> </span>Lokasi Injeksi Sub cutan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengan
atas sebelah luar atau 1/3 bagian dari bahu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paha
depan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daerah
sekitar umbilicus (abdomen)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Area
scapula pada punggung bagian atas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Area
ventrogluteal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Area
dorsogluteal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4 <span style="mso-tab-count: 1;"> </span>Prinsip Injeksi Cubcutan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bukan
pada area yang nyeri, merah, dan pruritis tau edema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Area
kulit yang akan diinjeksi diregangkan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Injeksi
dilakukan dengan sudut 45°</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
aspirasi tidak boleh ada darah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Massage
pada daerah injeksi setelah injeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum
memberi obat,tanyakan riwayat pemberian obat sebelumnya, apakah pernah </span><a href="http://nursingbegin.com/penatalaksanaan-syok-anafilaktik/" target="_blank" title="penatalaksanaan syok anafilaktik"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">alergi </span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dengan
obat tertentu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
pasien mempunyai riwayat alergi terhadap obat tertentu, tulis nama obat pada
catatan alergi obat.</span></div>
<div class="MsoNoSpacing" style="margin-left: 49.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pemakaian injeksi subcutan untuk
jangka waktu yang lama, maka injeksi perlu direncanakan untuk diberikan secara
rotasi pada area yang berbeda.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5 <span style="mso-tab-count: 1;"> </span>Prosedur Injeksi Subcutan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l0 level1 lfo4; tab-stops: 2.0cm; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persiapan
Peralatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buku
catatan pemberian obat atau kartu obat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat
tulis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sarung
tangan 1 pasang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vial
atau ampul berisi obat yang akan diberikan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spuit
2 ml dan jarum steril </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapas
alkohol dalam kom (secukupnya)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kassa
steril untul membuka ampul (bila diperlukan)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plester</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bak
instrumen</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bengkok</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur
Pelaksanaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">PraInteraksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Melakukan
verifikasi data sebelumnya bila ada</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mencuci tangan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menyiapkan obat
dengan benar (mem</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asukkan obat dari vial atau ampul ke
dalam tabung spuit dengan cara yang benar)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengeluarkan udara dari spuit injeksi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menempatkan alat
di dekat pasien dengan benar</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tahap Orientasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Memberikan salam
sebagai pendekatan terapeutik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menjelaskan
tujuan dan prosedur tindakan pada keluarga/pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menanyakan
kesiapan klien sebelum kegiatan dilakukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tahap Kerja</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mengatur posisi
pasien dalam posisi yang nyaman sesuai tempat injeksi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(jangan
keliru pasien; bantu pasien pada posisi dimana tempat akan dilakukan injeksi
sehingga dapat rileks).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Memasang perlak
dan alasnya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Membebaskan daerah
yang akan di injeksi (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">usap dengan kapas alkoholdari tengah
keluar secara melingkar)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Memakai sarung
tangan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Membersihkan
kulit dengan kapas alcohol (melingkar dari arah dalam ke luar) biarkan kering</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menggunakan ibu
jari dan jari telunjuk untuk mengangkat cutan (kulit)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pegang spuit dengan salah satu tangan
antara jempol dan jari-jari pada area injeksi dengan telapak tangan menghadap
ke arah samping atau atas untuk kemiringan 45° atau dengan telapak tangan
menghadap ke bawah untuk kemiringan 45°</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Melakukan
aspirasi dan pastikan darah tidak masuk spuit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Memasukkan obat
ke dalam subcutan perlahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mencabut </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">spuit
dengan cepat dan hati-hati</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> sambil
menekan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
lalu usap dan massage pada area injeksi. Bila tempat penusukan mengeluaran
darah, maka tekan area tusukan dengan kassa steril kering sampai perdarahan
berhenti.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Membuang spuit
ke dalam bengkok</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tahap Terminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Melakukan
evaluasi tindakan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Merapikan pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Membereskan
alat-alat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mencuci tangan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mencatat
kegiatan dalam lembar catatan keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1
<span style="mso-tab-count: 1;"> </span>Kesimpulan </span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Injeksi
sub cutan diberikan dengan menusuk area di bawah kulit yaitu pada jaringan
konektif atau lemak di bawah dermis. Daerah yang lazim untuk injeksi sub cutan
adalah lengan atas bagian luar, paha bagian depan, perut, area scapula,
ventrogluteal dan area dorso gluteal. </span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun
prinsip yang harus diperhatikan pada pemberian obat sub cutan adalah sebagai
berikut:</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jangan memberikan ijeksi pada daerah
yang nyeri, merah, pruritis atau edema</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lokasi kulit yang akan diinjeksi harus diregangkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Injeksi dilakukan dengan sudut 45°</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan aspirasi, tidak boleh ada darah
dalam spuit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Massage pada daerah injeksi setelah dilakukan
injeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum memberi obat,tanyakan riwayat
pemberian obat sebelumnya, apakah pernah </span><a href="http://nursingbegin.com/penatalaksanaan-syok-anafilaktik/" target="_blank" title="penatalaksanaan syok anafilaktik"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">alergi </span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dengan
obat tertentu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l5 level1 lfo14; tab-stops: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila pasien mempunyai riwayat alergi
terhadap obat tertentu, tulis nama obat pada catatan alergi obat.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pemberian injeksi
sub cutan jangka lama, perlu direncanakan untuk diberikan secara rotasi pada
area yang bebeda. Jenis obat yang lazim diberikan secara sub cutan adalah
vaksin, obat-obatan preoperasi, narkotik, insulin dan heparin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 36.0pt 82.5pt; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2
<span style="mso-tab-count: 1;"> </span>Saran<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level3 lfo15; tab-stops: 63.8pt; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami dan melakukan pemberian obat sub cutan secara benar dengan
memperhatikan prinsip pada pemberian obat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l3 level3 lfo15; tab-stops: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapakan
agar lebih memahami bagaimana cara pemberian obat sub cutan dengan benar
sehingga dapat menjelaskan tentang prosedur pelaksanaan kepada mahasiswa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l3 level3 lfo15; tab-stops: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
agar mengetahui dan memahami tentang pengobatan sub cutan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 36.0pt 82.5pt; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kusmiyati, Yuni.
2007. <i style="mso-bidi-font-style: normal;">Keterampilan Dasar Praktik Klinik
Kebidanan. </i>Yogyakarta : Fitramaya</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Retna, Eni A dan
Tri Sunarsih. 2009. <i style="mso-bidi-font-style: normal;">KDPK Kebidanan. </i>Jogjakarta
: Nuha Medika</span></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Anief, Moh. Drs,
Apt. <i>Ilmu Farmasi. </i>1984. Jakarta: Ghalia Indonesia.</span></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><di akses
dari internet> </span><a href="http://diajengdwi.blogspot.com/2009/01/injeksi-sub-cutan.html"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">http://diajengdwi.blogspot.com/2009/01/injeksi-sub-cutan.html</span></i></a><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><tanggal 4 Oktober 2011, jam
12.00></span></div>
<div class="MsoNoSpacing">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-33310884575774391082012-06-06T19:44:00.001-07:002012-06-06T19:44:27.356-07:00Pengobatan secara oral<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:35.7pt;
text-align:justify;
text-indent:-17.85pt;
line-height:150%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB
1</span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendahuluan</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.1 Latar belakang </span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat dapat diberikan melalui
sejumlah rute yang berbeda. Faktor yang menentukan pemberian rute terbaik
ditentukan oleh keadaan umum pasien, kecepatan respon yang diinginkan, sifat
kimiawi dan fisik obat, serta tempat kerja yang diinginkan. Obat dapat
diberikan peroral, sublingual, parenteral, topikal, rektal, inhalasi.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat oral adalah rute pemberian yang
paling umum dan paling banyak dipakai, karena ekonomis, paling nyaman dan aman.
Obat dapat juga diabsorpsi melalui rongga mulut (sublingual atau bukal) seperti
tablet ISDN.</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; mso-outline-level: 2; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
obat secara oral yaitu obat yang cara pemberiannya melalui mulut. Untuk </span><span lang="EN-US"><a href="http://nursingbegin.com/menyiapkan-obat/" target="_blank" title="menyiapkan obat"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">cara pemberian obat</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
ini relatif aman, praktis dan ekonomis. Kelemahan dari pemberian obat secara
oral adalah efek yang timbul biasanya lambat, tidak efektif jika pengguna
sering muntah-muntah, diare, tidak sabar, tidak kooperatif, kurang disukai jika
rasanya pahit.</span></div>
<div class="MsoNormal" style="margin-left: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.2
Rumusan masalah </span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2.1 Pengertian
dari pemberian obat via oral ?</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2.2
Apakah tujuan dari pemberian via oral ?</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2.3
Apakah indikasi dan kontraindikasi pemberian obat via oral ?</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2.3 Hal apa
saja yang harus diperhatikan dalam pemberian obat ?</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2.4 Bagaimanakah
prosedur pemberian obat via oral ?</span></div>
<div class="MsoNormal" style="margin-left: 0cm; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.3 Tujuan </span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: -35.4pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.3.1 Untuk
memberikan informasi tentang pemberian obat <span style="mso-spacerun: yes;"> </span>via oral yang meliputi deinisi, tujuan,
indikasi, dan kontraindikasinya.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.3.2 Untuk
memberikan pengetahuan dan cara pengobatan via oral yang benar. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.4
Manfaat </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.4.1
Menambah wawasan tentang pemberian obat via oral yang meliputi deinisi, tujuan,
indikasi, dan kontraindikasinya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.4.2
Menambah pengetahuan tentang tata cara pemberian obat melalui oral se</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB
2</span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: center; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TINJAUAN
PUSTAKA</span></b></div>
<div align="left" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: left; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.1 Pengertian </span></b></div>
<div class="MsoNormal" style="margin-left: 21.25pt; mso-margin-bottom-alt: auto; text-indent: .05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberian
obat oral adalah suatu tindakan untuk membantu proses penyembuhan dengan cara
memberikan obat-obatan melalui mulut sesuai dengan program pengobatan dari
dokter. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; mso-margin-top-alt: auto; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.2 Tujuan</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien mendapatkan pengobatan sesuai
program pengobatan dokter.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memperlancar proses pengobatan dan
menghindari kesalahan dalam pemberian obat. <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mencegah, mengobati dan mengurangi
rasa sakit sesuai dengan efek terapi dari jenis obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Proses reabsorbsi lebih lambat
sehingga bila timbul efek samping dari obat tersebut dapat segera diatasi</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menghindari pemberian obat yang
menyebabkan kerusakan kulit dan jaringan.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.3 Indikasi</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada pasien yang tidak membutuhkan
absorbsi obat secara cepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada pasien yang tidak mengalami
gangguan pencernaan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo10; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontraindikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien dengan gangguan pada system
pecernaan, seperti kanker orall, gangguan menelan, dsb.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo10; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Yang harus diperhatikan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum memberikan obat perawat
harus mengetahui indikasi pemberian obat, dan efek samping obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menerapkan prinsip<span style="mso-spacerun: yes;"> </span>6 benar dalam pemberian obat, yaitu :</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Benar pasien
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum obat diberikan, identitas
pasien harus diperiksa (papan identitas di tempat tidur, gelang identitas) atau
ditanyakan langsung kepada pasien atau keluarganya. Jika pasien tidak sanggup
berespon secara verbal, respon non verbal dapat dipakai, misalnya pasien
mengangguk. Jika pasien tidak sanggup mengidentifikasi diri akibat gangguan
mental atau kesadaran, harus dicari cara identifikasi yang lain seperti
menanyakan langsung kepada keluarganya. Bayi harus selalu diidentifikasi dari
gelang identitasnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Benar obat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat memiliki nama dagang dan nama
generik. Setiap obat dengan nama dagang yang kita asing (baru kita dengar
namanya) harus diperiksa nama generiknya, bila perlu hubungi apoteker untuk
menanyakan nama generiknya atau kandungan obat. Sebelum memberi obat kepada
pasien, label pada botol atau kemasannya harus diperiksa <u>tiga kali</u>.
Pertama saat membaca permintaan obat dan botolnya diambil dari rak obat, kedua
label botol dibandingkan dengan obat yang diminta, ketiga saat dikembalikan ke
rak obat. Jika labelnya tidak terbaca, isinya tidak boleh dipakai dan harus
dikembalikan ke bagian farmasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jika pasien meragukan obatnya,
perawat harus memeriksanya lagi. Saat memberi obat perawat harus ingat untuk
apa obat itu diberikan. Ini membantu mengingat nama obat dan kerjanya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Benar dosis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum memberi obat, perawat harus
memeriksa dosisnya. Jika ragu, perawat harus berkonsultasi dengan dokter yang
menulis resep atau apoteker sebelum dilanjutkan ke pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Benar
Cara/Rute</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat dapat diberikan melalui
sejumlah rute yang berbeda. Faktor yang menentukan pemberian rute terbaik
ditentukan oleh keadaan umum pasien, kecepatan respon yang diinginkan, sifat
kimiawi dan fisik obat, serta tempat kerja yang diinginkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Benar
Waktu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ini sangat penting, khususnya bagi
obat yang efektivitasnya tergantung untuk mencapai atau mempertahankan kadar
darah yang memadai. Jika obat harus diminum sebelum makan, untuk memperoleh
kadar yang diperlukan, harus diberi satu jam sebelum makan. Ingat dalam
pemberian antibiotik yang tidak boleh diberikan bersama susu karena susu dapat
mengikat sebagian besar obat itu sebelum dapat diserap. Ada obat yang harus
diminum setelah makan, untuk menghindari iritasi yang berlebihan pada lambung
misalnya asam mefenamat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Benar
Dokumentasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setelah obat itu diberikan, harus
didokumentasikan, dosis, rute, waktu dan oleh siapa obat itu diberikan. Bila
pasien menolak meminum obatnya, atau obat itu tidak dapat diminum, harus
dicatat alasannya dan dilaporkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam pemberian obat oral harus
diperhatikan jenis obatnya. Pemberian obat secara sublingual dilakukan dengan
cara meletakkan obat di bawah lidah dan menganjurkan pasien agar tetap menutup
mulut, tidak minum atau berbicara selama obat belum larut seluruhnya. Dalam
pemberian obat kumur pasien disarankan untuk berkumur dengan obat yang telah
ditentukan, siapkan pula wadah untuk membuang cairan kumur. Dalam pemberian
obat salep untuk lesi di mulut, dilakukan sebelum atau setelah pasien makan dan
minum, sehingga pemberian obat efektif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawat harus memastikan bahwa
pasien betul-betul meminum obatnya. Bila ada penolakan dari pasien untuk makan
obat, maka perawat dapat mengkaji penyebab penolakan serta memotivasinya. Bila
pasien atau keluarga tetap menolak pengobatan setelah dilakukan informed
consent, maka pasien atau keluarga yang bertanggung jawab, menandatangani surat
penolakan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila pasien tidak kooperatif,
pemberian obat oral dapat melibatkan keluarga.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.6 <span style="mso-spacerun: yes;"> </span>Prosedur</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan pasien dan keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menjelaskan prosedur, tujuan , dan
manfaat pemberian obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan alat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat-obatan yang akan diberikan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mangkok atau sendok </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Daftar pemberian obat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Air minum (air putih) dan bila perlu
sedotan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perlak dan alasnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggerus obat, bila perlu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan lingkungan : perhatikan
privasi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tindakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Siapkan peralatan dan cuci tangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kaji kemampuan klien untuk dapat
minum obat per oral (menelan, mual, muntah, adanya program tahan makan atau
minum, akan dilakukan pengisapan lambung dll)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Periksa kembali perintah pengobatan
(nama klien, nama dan dosis obat, waktu dan cara pemberian) periksa tanggal
kedaluarsa obat, bila ada kerugian pada perintah pengobatan laporkan pada
perawat/bidan yang berwenang atau dokter yang meminta.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ambil obat sesuai yang diperlukan
(baca perintah pengobatan dan ambil obat yang diperlukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Siapkan obat-obatan yang akan
diberikan. Siapkan jumlah obat yang sesuai dengan dosis yang diperlukan tanpa
mengkontaminasi obat (gunakan tehnik aseptik untuk menjaga kebersihan obat).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tablet atau kapsul</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tuangkan tablet atau kapsul ke dalam
mangkuk disposibel tanpa menyentuh obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gunakan alat pemotong tablet bila
diperlukan untuk membagi obat sesuai dengan dosis yang diperlukan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Jika klien mengalami kesulitan menelan, gerus
obat menjadi bubuk dengan menggunakan martil dan lumpang penggerus, kemudian
campurkan dengan menggunakan air. Cek dengan bagian farmasi sebelum menggerus
obat, karena beberapa obat tidak boleh digerus sebab dapat mempengaruhi daya
kerjanya</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 2.0cm; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat dalam bentuk cair</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kocok /putar obat/dibolak balik agar
bercampur dengan rata sebelum dituangkan, buang obat yang telah berubah warna
atau menjadi lebih keruh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Buka penutup botol dan letakkan
menghadap keatas. Untuk menghindari kontaminasi pada tutup botol bagian dalam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pegang botol obat sehingga sisa
labelnya berada pada telapak tangan, dan tuangkan obat kearah menjauhi label.
Mencegah obat menjadi rusak akibat tumpahan cairan obat, sehingga label tidak
bisa dibaca dengan tepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tuang obat sejumlah yang diperlukan
ke dalam mangkuk obat berskala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum menutup botol usap bagian
tutup botol dengan menggunakan kertas tissue. Mencegah tutup botol sulit dibuka
kembali akibat cairan obat yang mengering pada tutup botol.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; tab-stops: 99.25pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila jumlah obat yang diberikan
hanya sedikit, kurang dari 5 ml maka gunakan spuit steril</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menyimpan kembali obat-obat persediaan
milik pasien ke tempatnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengobservasi keadaan umum pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cuci tangan.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dokumentasi</span></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div class="MsoNormal" style="margin-left: 0cm; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1 Kesimpulan</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.25pt; margin-right: 0cm; margin-top: 0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberian obat oral adalah suatu
tindakan untuk membantu proses penyembuhan dengan cara memberikan obat-obatan
melalui mulut sesuai dengan program pengobatan dari dokter. </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan dari pengobatan via oral
antara lain mencegah, mengobati dan mengurangi rasa sakit sesuai dengan efek
terapi dari jenis obat</span><span lang="EN-US">, dan m</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">enghindari pemberian obat yang menyebabkan
kerusakan kulit dan jaringan.</span></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sedangkan
hal yang harus diperhat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ikan meliputi indikasi, kontraindikasi, penggunaan prinsip 6
benar, jenis obat, serta memastikan bahwa pasien benar-benar meminum obat
tersebut.</span></div>
<div class="MsoNormal" style="margin-left: 0cm; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">3.2 Saran</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">1. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
mahasiswa diharapkan untuk menambah wawasan dengan banyak membaca buku dan
terus mencari informasi tetang pengobatan via oral.</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.
Bagi para tenaga kesehatan diharapkan untuk melakukan cara pemberian obat via
oral dengan baik</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;"> dan benar.</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA</span></b></div>
<div class="MsoNormal" style="margin-left: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potter,Perry.
2000. G<i style="mso-bidi-font-style: normal;">uide to Basic Skill and Prosedur
Dasar</i>, Edisi III, Alih bahasa Ester Monica, Penerbit buku kedokteran EGC.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Samba,
Suharyati, 2005. <i style="mso-bidi-font-style: normal;">Buku Ajar Praktik
Kebidanan</i>. Jakarta. EGC </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Uliyah, Musrfatul. 2009.<i style="mso-bidi-font-style: normal;">Ktrampilan Dasar Praktik Klinik.</i> Jakarta
: salemba medika.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 0cm; text-indent: 0cm;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-9336168531413219732012-06-06T19:41:00.000-07:002012-06-06T19:41:05.195-07:00Perawatan Luka dengan Daun Senduduk<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1027"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
</div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGARUH DAUN SENDUDUK <i style="mso-bidi-font-style: normal;">(Melastoma malabathricum.</i>L<i style="mso-bidi-font-style: normal;">)</i></span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TERHADAP PENYEMBUHAN LUKA BAKAR</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disusun
Oleh :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASMAT
BURHAN <span style="mso-tab-count: 1;"> </span>(10620345)<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MOISES
D. C.<span style="mso-tab-count: 1;"> </span>(10620363)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RIZKY
D.C RAHAYU<span style="mso-tab-count: 1;"> </span>(10620373)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WAHYU
EKAWATI<span style="mso-tab-count: 1;"> </span>(10620379)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"> 5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">YANUARIUS
F.R<span style="mso-tab-count: 1;"> </span>(10620381)</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PROGRAM STUDI ILMU KEPERAWATAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FAKULTAS ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">UNIVERSITAS KADIRI</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="height: 58px; left: 0px; margin-left: 227px; margin-top: 61px; mso-ignore: vglayout; position: absolute; width: 69px; z-index: 251660288;"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2011</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo20; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka adalah suatu gangguan dari kondisi
normal pada kulit ( Taylor, 1997). Luka adalah kerusakan kontinyuitas kulit,
mukosa membran dan tulang atau organ tubuh lain (Kozier, 1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka bakar adalah kehilangan jaringan
yang disebabkan kontak dengan sumber panas seperti air, api, bahan kimia,
listrik dan radiasi </span><span style="font-family: "Times-Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Times-Roman;">(Moenadjat,
2003)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
Luka bakar akan mengakibatkan tidak hanya kerusakan kulit, tetapi juga amat
mempengaruhi seluruh sistem tubuh pasien. Pada pasien dengan luka bakar luas
(mayor) tubuh tidak mampu lagi untuk mengkompensasi sehingga timbul berbagai
macam komplikasi yang memerlukan penanganan khusus (Effendi, 1999).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka bakar merupakan penyebab kematian
ketiga akibat kecelakaan pada semua kelompok umur. Laki-laki cenderung lebih
sering mengalami luka bakar dari pada wanita, terutama pada orang tua atau
lanjut usia ( diatas 70 th).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Banyak orang masuk rumah sakit setiap
tahunnya disebabkan karena luka bakar. Luka bakar tidak hanya berpengaruh
terhadap kulit tetapi berpengaruh terhadap sistem tubuh secara menyeluruh.
Menghisap asap dan infeksi pada luka merupakan komplikasi pasien yang mengalami
luka bakar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peristiwa kecelakaan luka bakar pada
umumnya adalah disebabkan oleh faktor kelalaian manusia. Pada kenyataannya
memang pengetahuan dan disiplin masyarakat umum terhadap penyebab dan akibat
yang ditimbulkan peristiwa kecelakaan luka bakar adalah masih sangat minim dan
memprihatinkan. Banyak contoh perilaku keseharian masyarakat disekitar kita
yang tanpa disadari dapat menyebabkan terjadinya peristiwa kecelakaan luka
bakar, seperti misalnya penggunaan telepon selular pada saat mengisi bensin di
SPBU atau pedagang bensin eceran yang berjualan di sebelah kios rokok.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masyarakat Indonesia sudah sejak zaman
dahulu mengenal dan memanfaatkan tanaman berkhasiat obat sebagai salah satu
upaya dalam penanggulangan masalah kesehatan yang dihadapi, jauh sebelum
pelayanan kesehatan formal dengan obat-obatan modern. Pemeliharaan dan
pengembangan pengobatan tradisional sebagai warisan budaya bangsa terus
ditingkatkan dan didorong pengembangannya melalui penggalian, pengujian dan
penemuan obat-obat baru, termasuk budidaya tanaman yang secara medis dapat
dipertanggungjawabkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salah satu tanaman berkhasiat untuk
menyembuhkan luka bakar adalah tumbuhan senduduk <i style="mso-bidi-font-style: normal;">(Melastoma malabathricum </i>L) dari suku Melastomataceae. Tumbuhan ini
mempunyai khasiat sebagai pereda demam, penghilang nyeri, peluruh urin,
mengobati keputihan, menghilangkan pembengkakan, darah haid yang berlebihan,
dan mengobati luka bakar atau luka berdarah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut pengalaman masyarakat di Aceh,
daun senduduk dapat digunakan sebagai obat luka dengan cara membubuhkan daun
segar atau daun yang dikeringkan setelah digiling halus pada luka bakar atau
luka berdarah. Senduduk mengandung senyawa flavonoida, saponin, tanin,
glikosida, steroida/triterpenoida yang berperan sebagai penyembuh luka.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo20; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan latar belakang diatas, dapat
dirumuskan masalah sebagai beikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo20; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah daun tumbuhan senduduk
dapat digunakan untuk penyembuhan luka bakar?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo20; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah cara perawatan luka bakar
dengan menggunakan daun tumbuhan senduduk?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo20; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo20; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
kegunaan dari daun tumbuhan senduduk untuk penyembuhan luka bakar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level3 lfo20; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui cara penggunaan daun tumbuhan senduduk sebagai penyembuhan luka
bakar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo20; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1 <span style="mso-tab-count: 1;"> </span>Bagi
Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
dapat menambah wawasan mahasiswa tentang manfaat daun tumbuhan senduduk sebagai
penyembuhan luka bakar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.2 <span style="mso-tab-count: 1;"> </span>Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
memberikan penjelasan yang lebih luas tentang penyembuhan pada luka bakar
dengan menggunakan tumbuhan herbal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.3 <span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
menambah pengetahuan tentang cara penyembuhan luka bakar dengan menggunakan
daun tumbuhan senduduk dan bagaimana cara penggunaannya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1
<span style="mso-tab-count: 1;"> </span>Tumbuhan Senduduk (<i style="mso-bidi-font-style: normal;">Melastoma malabathricum </i>L)</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.1
<span style="mso-tab-count: 1;"> </span>Sistematika Tumbuhan (Depkes dan
Kesejahteraan RI, 2001)</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Divisi<span style="mso-tab-count: 1;"> </span>:
Spermatophyta</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sub divisi<span style="mso-tab-count: 1;"> </span>: Angiospermae</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kalas <span style="mso-tab-count: 1;"> </span>:
Dicotyledoneae</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bangsa <span style="mso-tab-count: 1;"> </span>:
Myrtales</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku <span style="mso-tab-count: 1;"> </span>:
Melastomataceae</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Marga <span style="mso-tab-count: 1;"> </span>:
<i style="mso-bidi-font-style: normal;">Melastoma</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 127.6pt 134.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis <span style="mso-tab-count: 1;"> </span>:
<i style="mso-bidi-font-style: normal;">Melastoma malabathricum</i> L</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.2
<span style="mso-tab-count: 1;"> </span>Sinonim </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama lain dari senduduk (<i style="mso-bidi-font-style: normal;">Melastoma malabathricum </i>L.) adalah <i style="mso-bidi-font-style: normal;">Melastoma affine </i>G.Don, <i style="mso-bidi-font-style: normal;">Melastoma polyanthum</i> B1 (Depkes RI, 1995)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.3
<span style="mso-tab-count: 1;"> </span>Nama Daerah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama daerah tumbuhan ini di sumatra
adalah senduduk, sedangkan di jawa di kenal dengan nama senggani, sengganen,
kluruk, harendong dan kemanden (Depkes RI, 1995)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.4
<span style="mso-tab-count: 1;"> </span>Deskriptif Tumbuhan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tumbuhan senduduk (<i style="mso-bidi-font-style: normal;">Melastoma malabathricum </i>L) tumbuh liar pada tempat-tempat yang
mendapat cukup sinar matahari, seperti di lereng gunung, semak belukar,
lapangan yang tidak terlalu gersang, atau di daerah objek wisata sebagai
tanaman hias dan dapat tumbuh sampai ketinggian 1.650 m di atas permukaan air
laut. Perdu tegak, tinggi 0,5-4 m banyak bercabang, bersisik, berambut, daun
tunggal, bertangkai, letak berhadapan silang. Helai daun bundar telur memandang
sampai lonjong. Ujung lancip, pangkal membulat, tepi rata, permukaan berambut
pendek yang jarang dan kaku sehingga teraba kasar. Berbunga majemuk keluar di
ujung cabang, warna ungu kemerahna. Buah masak akan merekah dan terbagi dalam
berbagai bagian, warnanya ungu kemerahan. Biji kecil-kecil warnanya coklat.
Buahnya dapat dimakan, sedangkan daun muda dapat dimakan sebagai lalap atau di
sayur. Perbanyakan dengan biji (dalimartha, 2000).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.5
<span style="mso-tab-count: 1;"> </span>Kandungan Dan Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Senduduk mengandung senyawa flavonoida,
saponin, tanin, glikosida, steroida/triterpenoida. Zat aktif yang terkandung
daun senduduk yang berperan sebagai penyembuh luka yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Flavonoid
berfungsi sebagai anti bakteri, antioksidan, dan jika diberikan pada kulit
dapat menghambat pendarahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Steroid
berfungsi sebagai antiinflamasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saponin
memiliki kemampuan sebagai pembersih dan antiseptik yang berfungsi membunuh
atau mencegah pertumbuhan mikroorganisme (Robinson, 1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanin
berfungsi sebagai astringen yang dapat menyebabkan penutupan pori-pori kulit,
memperkeras kulit, menghentikan eksudat dan pendarahan yang ringan (Anief,1997).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tumbuhan ini berkhasiat untuk mengobati
diare, keputihan, obat kumur, luka bakar, sariawan, pendarahan rahim, dan luka
berdarah (Djauhariya dan Hermani, 2004).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2
<span style="mso-tab-count: 1;"> </span>Ekstrak</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstrak adalah sediaan pekat yang
diperoleh dengan mengekstraksi zat aktif dari simplisia nabati atau simplisia
hewani menggunakan pelarut yang sesuai, kemudian semua atau hampir semua
pelarut diuapkan dan massa atau serbuk yang tersisa diperlakukan sedemikian
hingga memenuhi baku yang ditetapkan (Depkes RI, 1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstraksi adalah suatu proses pemisahan
kandungan senyawa kimia dari jaringan tumbuhan ataupun hewan dengan menggunakan
penyari tertentu. Ada beberapa metode ekstraksi, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
dingin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Maserasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Maserasi adalah proses pengekstraksian
simplisisa dengan mengunakan pelarut dengan beberapa kali pengocokan atau
pengadukan pada temperatur ruangan (kamar). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkolasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkolasi adalah ekstraksi dengan
pelarut yang selalu baru sampai terjadi penyaringan sempurna yang umumnya
dilakukan pada temperatur kamar. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
panas </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Refluks</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Refluks adalah ekstraksi dengan pelarut
pada temperatur titik didihnya selama waktu tertentu dan dalam jumlah pelarut
terbatas yang relatif konstan dengan adanya pendingin balik (Depkes RI, 2000).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digesti </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digesti adalah maserasi dengan
pengadukan kontinu pada temperatur yang lebih tinggi dari temperatur kamar
yaitu pada 40-50°C (Depkes RI, 2000).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infus adalah ekstraksi menggunakan
pelarut air pada temperatur penangas air (bejana infus tercelup dalam penangas
air mendidih, temperatur terukur 90°C ) selama 15 menit (Depkes RI, 2000).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dekok </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dekok adalah ekstraksi dengan pelarut
air pada temperatur 90°C selama 30 menit (Depkes RI, 2000).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sokletasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sokletasi adalah metode ekstraksi untuk
bahan yang tahan pemanasan dengan cara meletakan<span style="mso-spacerun: yes;"> </span>bahan yang akan di ekstraksi dalam sebuah
kantung ekstraksi (kertas saring) didalam sebuah alat ekstraksi dari gelas yang
bekarja kontinu (voigt,1995)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3
<span style="mso-tab-count: 1;"> </span>Krim</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Krim adalah bentuk sediaan setengah
padat yang mengandung satu atau lebih bahan obat terlarut atau terdispersi
dalam bahan dasar yang sesuai. Krim digunakan sebagai :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahan
pembawa obat untuk pengobatan kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahan
pelembut kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelindung
kulit yaitu mencegah kontak permukaan kulit dengan larutan berair dan rangsang
kulit (Anief, 2000)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Luka</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.1<span style="mso-tab-count: 1;"> </span>Pengertian Luka</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka adalah suatu keadaan kerusakan
jaringan dan dapat mengenai stuktur yang lebih dalam dari kulit seperti saraf, otot,
atau membran. Luka, cacat atau kerusakan kulit dan jaringan dibawahnya
disebabkan oleh:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma
mekanis yang disababkan karena tergesek, terpotong, terpukul, tertusuk, terbentur
dan terjepit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma
elektris yang disebabkan cedera listrik dan petir.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma
termis yang disababkan panas dan dingin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma
kimia yang disebabkan oleh zat kimia yang bersifat asam dan basa serta zat
iritatif lainnya.(Karakata dan Bachsinar,1995)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.2
<span style="mso-tab-count: 1;"> </span>Klasifikasi Luka</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan kedalaman jaringan yang
dikenai, luka dapat dibagi dua yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Simpleks,
bila hanya melibatkan kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikatum,
bila melibatkan kulit dan jaringan dibawahnya. (Karakata dan Bachsinar,1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan
keadaannya luka dibagi atas dua bagian, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
tertutup. Dalam hal ini kulit masih utuh.contohnya:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus contussum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
atau luka memar. Disini kulit tidak rusak,tetapi pada pembuluh darah sub kutan,
sehingga dapat terjadi hematom.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus traumaticum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
Terjadi di dalam tubuh,tetapi tidak tampak dari luar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. <span style="mso-tab-count: 1;"> </span>Luka
terbuka. Dalam keadaan ini kulit sudah robek.Contohnya:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekskoriasi atau luka lecet adalah cedera
pada permukaan epidermis akibat bersentuhan dengan benda berpermukaan kasar
atau rata.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
scissum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> adalah luka sayat atau iris yang ditandai dengan
tepi luka berupa garis lutus beraturan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
laceratum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> atau luka robek adalah luka dengan tepi beraturan
atau compang-camping biasanya karena tarikan atau goresan benda tumpul.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
punctum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> atau luka tusuk adalah luka akibat tusukan benda
runcing yang biasanya kedalaman luka lebih dari lebarnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
caesum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> atau luka potong adalah luka yang disebabkan oleh
benda tajam yang besar,dengan tepi tajam dan rata.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
sclopetorum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> atau luka tembak yang terjadi karena
tembakan, granat, dan sebagainya, dengan tepi luka yang tidak teratur.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulnus
morsum</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> atau luka gigit yang disebabkan oleh gigitan
binatang atau manusia,bentuk luka tergantung bentuk gigi penggigit.(Karakata
dan Bachsinar,1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5<span style="mso-tab-count: 1;"> </span>Luka Bakar </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka bakar adalah suatu bentuk kerusakan
atau kehilangan jaringan yang disebabkan oleh kontak dengan sumber panas
seperti api, air panas, bahan kimia,<span style="mso-spacerun: yes;"> </span>listrik,
dan radiasi. Luka bakar merupakan suatu jenis trauma dengan mordibitas dan
mortalitas yang tinggi yang memerlukan penatalaksanaan khusus sejak awal (fase
syok) sampai fase lanjut. (Yefta, 2003).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kulit atau jaringan tubuh yang terbakar
akan menjadi jaringan nekrotik.kalau luka karena benda tajam atau benda tumpul,
bila ada jaringan nekrotik kita harus berusaha melakukan <i style="mso-bidi-font-style: normal;">debridement </i>pada waktu pertama kali pencucian luka tetapi lain pada
luka bakar, jaringan nekrotik ini tidak dapat dibuang segera tetapi tetep lekat
di tubuh penderita untuk waktu yang relatif lama. Tetap beradanya jaringan
jaringan nekrotik di tubuh si penderita akan mengandung infeksi serta
kesukaran-kesukaran lain dalam perawatannya (Marzoeki, 1993).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat ringannya luka bakar tergantung
dari lamanya dan banyaknya kulit badan yang terbakar.Kerusakan paling ringan
akibat terbakar yang timbul pada kulit adalah warna merah pada kulit. Bila
lebih berat, timbul gelembung. Pada keadaan yang lebih berat lagi bila seluruh
kulit terbakar sehingga dagingnya tampak, sedangkan yang terberat adalah bila
otot-otot ikut terbakar (Oswari, 2003).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5.1 Klasifikasi Luka
Bakar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka bakar dibedakan menjadi beberapa
jenis berdasarkan penyebab dan kedalaman kerusakan jaringan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan penyebabnya, luka bakar
dibedakan atas beberapa jenis, antara lain:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar karena api</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar karena air panas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bbakar karena bahan kimia (yang bersifat asam atau basa kuat)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar karena listrik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar karen logam panas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar karena radiasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera
karena suhu sangat rendah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l7 level1 lfo10; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan kedalaman kerusakan
jaringan, luka bakar dibedakan atas beberapa jenis yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar derajat I :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
terbatas pada superfisial epidermis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kulit
kering, tampak pucat sebagai eritrema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
dijumpai bula (gelembung berisi cairan)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
karena ujung-ujung saraf sensorik teriritasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyembuhan
terjadi secara spontan dalam waktu 5-10 hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka
bakar derajat II :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l8 level3 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
meliputi dermis dan epidermis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l8 level3 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dijumpai
bula</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l8 level3 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dasar
luka berwarna merah atau pucat, terletak lebih tinggi dari atas kulit normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l8 level3 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
karena ujung-ujung saraf sensorik teriritasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka bakar derajat II dibedakan menjadi 2, yaitu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l15 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat
II dangkal (<i style="mso-bidi-font-style: normal;">superficial</i>)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
mengenai bagian superfisial dermis. Apendices kulit seperti folikel rambut,
kelenjar keringat, kelenjar sebasea masih utuh. Penyembuhan terjadi secara
sponta<a href="" name="_GoBack"></a>n dalam waktu 10-14 hari.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l15 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat
II dalam (<i style="mso-bidi-font-style: normal;">deep</i>)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
hampir seluruh bagian dermis. Apendices kuulit seperti folikel rambut, kelenjar
keringat, kelenjar sebasea masih utuh. Penyembuhan lebih lama, tergantung kulit
tersisa. Biasanya penyembuhan terjadi lebih dari satu bulan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 4.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c. <span style="mso-tab-count: 1;"> </span>Luka
bakar derajat III</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
meliputi seluruh ketebalan dermis dan lapisan yang lebih dalam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l11 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apendices
kulit seperti folikel rambut, kelenjar keringat, kelenjar sebasea mengalami
kerusakan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l4 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
dijumpai bula</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l4 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kulit
yang terbakar berwarna abu-abu dan pucat, kering, letaknya lebih rendah
dibandingkan kulit sekitar koagulasi protein dan lapisan epidermis dan dermis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l4 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
dijumpai rasa nyeri, bahkan hilang sensasi karerna ujung-ujung saraf sensorik
mengalami kerusakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> atau</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
kematian.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; mso-list: l4 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyembuhan
terjadi lama karena tidak ada proses epitelisasi spontan baik dari dasar luka,
tepi luka maupun apendices kulit. (Moenadjat, 2003).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5.2<span style="mso-tab-count: 1;"> </span>Penyembuhan Luka</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bakar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan
yang dapat dilakukan pada luka bakar adalah dengan memberikan terapi local
dengan tujuan mendapatkan kesembuhan s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">cepat mungkin, sehingga jumlah jaringan fibrosis yang
terbentuk akan sedikit dan dengan demikian mengurangi jaringan parut. Diusahakan
pula pencegahan terjadi peradangan yang merupakan hambatan paling besar
terhadap kecepatan penyembuhan (Henderson M.A,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1997).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Proses
penyembuhan luka yang dibagi dalam tiga fase yaitu fase inflamasi, proliferasi
dan penyudahan yang merupakan penyerupaan kembali (<i style="mso-bidi-font-style: normal;">remodeling</i>) jaringan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l19 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Fase
inflamasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Fase
inflamasi berlangsung sejak terjadinya luka sampai hari kelima. Pembuluh darah
yang terputus pada luka menyebabkan perdarahan dan tubuh akan berusaha
menghentikannya dengan vasokontriksi. Pengerutan pembuluh yang terputus
(retraksi) dan reaksi hemostasis. Hemostasis terjadi karena trombosit yang
keluar dari pembuluh darah saling melengket dan bersama dengan jala fibrin yang
terbentuk membekukan darah yang keluar dari pembuluh darah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel mast
dalam jaringan ikat menghasilkan serotonin dan histamine yang meningkatkan
permeabilitas kapiler sehingga terjadi eksudat cairan, pembentukan sel radang
disertai vasodilatasi setempat menyebabkan pembengkakan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l19 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Fase
proliferasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Fase
poliferasi disebut juga fibroplasias karena yang menonjol adalah proses
proliferasi fibroblast. Fase ini berlangsung dari akhir fase inflamasi sampai
kira-kira akhir minggu ketiga. Pada fase ini serat kolagen yang mempertautkan
tepi luka.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l19 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Fase
penyudahan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada fase
ini terjadi proses pematangan yang terdiri dari penyerapan kembali jaringan
yang berlebih dan perupaan kembali jaringan yang terbentuk. Fase ini dapat
berlangsung berbulan-bulan dan dinyatakan berakhir kalau semua tanda radang
sudah lenyap. Tubuh berusaha menormalkan kembali semua yang menjadi abnormal
karena proses penyembuhan (Sjamsuhidajat. R dan Wim de jong, 1997).<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo18; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengolahan
Daun Senduduk</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daun senduduk yang telah dikumpulkan
dibersihkan dengan air bersih, ditiriskan di atas tampah yang dialasi dengan
koran. Selanjutnya ditimbang sebagi berat basah sebesar 7,5 kg, kemudian
dikeringkan dengan cara dimasukkan kedalam lemari pengering. Setelah ditimbang
sebagai berat kering sebesar 2,5 kg. Daun senduduk yang telah kering diserbuk
dengan <i style="mso-bidi-font-style: normal;">blender</i>.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2<span style="mso-tab-count: 1;"> </span>Pembuatan EEDS (Ekstrak Etanol Daun
Senduduk)</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembuatan ekstrak dilakukan secara
perkolasi dengan menggunakan pelarut etanol 96%.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur
pembuatan ekstrak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sejumlah serbuk daun senduduk dibasahi
dengan etanol dan dibiarkan selama 3 jam, kemudian dimasukkan kedalam alat
perkolator, lalu dituang cairan etanol 96% secukupnya sampai terendam dan
terdapat selapis cairan penyari diatasnya, mulut tabung ditutup dengan
aluminium foil dan biarkan selama 24 jam, kemudian kran dibuka dan biarkan
tetesan ekstrak mengalir. Perkolasi dihentikan setelah 500 mg perkolat terakhir
diuapkan tidak meninggalkan sisa. Selanjutnya ekstrak diuapkan dengan penguap
vakum putar pada temperatur tidak lebih dari 50<sup>o</sup>C sampai diperoleh
ekstrak kental.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3
<span style="mso-tab-count: 1;"> </span>Pembuatan Krim Ekstrak Luka Bakar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3.1<span style="mso-tab-count: 1;"> </span>Pembuatan Krim</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sediaan krim yang digunakan adalah krim
tipe minyak dalam air dan dibuat berdasarkan formula standar <i style="mso-bidi-font-style: normal;">vanishing cream </i>(ISFI, 1971) yaitu asam
stearat, gliserin, natrium biborat, trietanolamin, air suling, nipagin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
pembuatan yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbang semua bahan yang diperlukan.
Bahan yang terdapat dalam formula dipisahkan menjadi dua kelompok yaitu fase
minyak dan fase air. Fase minyak yaitu asam stearat dilebur di atas penangas
air dengan suhu 70<sup>o</sup>-75<sup>o</sup>C, fase aiy yaitu trietanolamin,
gliserin, metil paraben dan air suling dilarutkan dalam air panas. Kemudian
fase minyak dipindahkan ke dalam lumpang panas. Fase air ditambahkan secara
perlahan-lahan ke dalam fase minyak dengan pengadukan yang konstan sampai
diperoleh massa krim</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3.2
<span style="mso-tab-count: 1;"> </span>Pembuatan Krim Ekstrak Luka Bakar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbang 5 gram ekstrak kental, kemudian
masukkan kedalam lumpang diencerkan dengan sedikit pelarut kemudian digerus.
Ditambahkan 100 gram bahan dasar krim sedikit demi sedikit sambil digerus
samapi homogen.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.4
<span style="mso-tab-count: 1;"> </span>Penggunaan Sediaan Krim Terhadap Luka
Bakar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan sediaan krim yaitu dengan
mengoleskan pada kulit yang melepuh atau yang mengalami luka bakar tersebut
sebanyak 0,350 gram secara merata pada permukaan luka dengan interval
pengolesan 6 jam (tiga kali sehari). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l5 level2 lfo5; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daun tumbuhan senduduk mengandung
saponin, tanin, flavonoid, glikosida, dan streoid. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanin berfungsi sebagai adstringen yang
dapat menyebabkan penciutan pori-pori kulit, memperkeras kulit, menghentikan
eksudat dan pendarahan yang ringan (Anief, 1997), sehingga mampu menutup luka
dan mencegah pendarahan yang biasa timbul pada luka.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saponin memiliki kemampuan sebagai
pembersih dan antiseptik yang berfungsi membunuh atau mencegah pertumbuhan
mikroorganisme yang biasa timbul pada luka sehingga luka tidak mengalami
infeksi yang berat (Robinson, 1995). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Flavonoid bersifat sebagai anti
inflamasi, anti alergi, mencegah proses oksidasi, dan anti oksidan serta
berbagai fungsi lainnya (Jansen, 2006). Steroid sebagai anti radang yang mampu
mencegah kekakuan dan nyeri (Tan Hoan Tjay & Kirana, 2002).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam penyembuhan luka, daun tumbuhan
senduduk dapat diolah menjadi krim agar dapat digunakan untuk penyembuhan luka
bakar. Cara penggunaan sediaan krim pada luka bakar yaitu dengan mengoleskan
sediaan krim pada kulit yang melepuh atau yang mengalami luka bakar tersebut
sebanyak 0,350 gram secara merata pada permukaan luka dengan interval
pengolesan 6 jam (tiga kali sehari).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l5 level2 lfo5; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l5 level3 lfo5; tab-stops: 1.0cm 106.35pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm 106.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan mampu memahami dan dapat menambah
wawasan mahasiswa tentang manfaat daun tumbuhan senduduk sebagai penyembuhan
luka bakar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 2.0cm 106.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l5 level3 lfo5; tab-stops: 1.0cm 63.8pt 106.35pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 1.0cm 63.8pt 106.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan dapat memberikan penjelasan yang lebih luas
tentang penyembuhan pada luka bakar dengan menggunakan tumbuhan herbal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l5 level3 lfo5; tab-stops: 106.35pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 106.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapakan agar dapat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">menambah
pengetahuan tentang cara penyembuhan luka bakar dengan menggunakan daun
tumbuhan senduduk dan bagaimana cara penggunaannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Moenajat, Y.
(2003). Luka Bakar Pengetahuan Klinik Praktis. Edisi II. Jakarta: Fakultas
Kedokteran UI </span></div>
<div class="MsoNormal" style="line-height: normal;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Noname.
(2010). <i style="mso-bidi-font-style: normal;">Senggani. </i></span><a href="http://www.naturindonesia.com/tanaman-obat-indonesia/abjad-awal-s/303-senggani.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; text-decoration: none; text-underline: none;">http://www.naturindonesia.com/tanaman-obat-indonesia/abjad-awal-s/303-senggani.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> (diakses
tanggal 21 Oktober 2011, Jam 14:47)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Simanjuntak
R. Megawati. 2008. <i style="mso-bidi-font-style: normal;">Ekstraksi dan
Fraksinasi Komponen Ekstrak Daun Tumbuhan Senduduk (Melastoma malabathricum.L)
Serta Pengujian Efek Sediaan Krim Terhadap Penyembuhan Luka Bakar</i>. </span><a href="http://repository.usu.ac.id/bitstream/123456789/14472/1/09E01171.pdf"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; text-decoration: none; text-underline: none;">http://repository.usu.ac.id/bitstream/123456789/14472/1/09E01171.pdf</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> (diakses
tanggal 21 Oktober 2011, Jam 12:34)</span></div>
<div class="MsoNormal" style="line-height: normal;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com2tag:blogger.com,1999:blog-3977267168183211682.post-65804995241823952382012-06-06T18:57:00.000-07:002012-06-06T18:57:01.964-07:00Inkontinensia Urine<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
line-height:150%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1027"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNormal" style="background: white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">MAKALAH</span></b></div>
<div align="center" class="MsoNormal" style="background: white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ILMU KEPERAWATAN DASAR III</span></b></div>
<div align="center" class="MsoNormal" style="background: white; margin-left: 0cm; tab-stops: center 198.4pt; text-align: center; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INKONTINE</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">N</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SIA URINE</span></b></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: none repeat scroll 0% 0% white; margin-left: 0cm; text-align: center; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="background: white; margin-left: 0cm; tab-stops: center 198.4pt; text-align: center; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disusun Oleh:</span></div>
<div align="center" class="MsoNormal" style="background: white; margin-left: 0cm; tab-stops: center 198.4pt; text-align: center; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ditroid P<span style="mso-tab-count: 3;"> </span>(106203</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Januarko<span style="mso-tab-count: 3;"> </span>(10620361)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melsiansi M. Soares<span style="mso-tab-count: 1;"> </span>(10620362)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nahrowi<span style="mso-tab-count: 3;"> </span>(10620364)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilwan A. <span style="mso-tab-count: 3;"> </span>(10620365)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nur Hanifah<span style="mso-tab-count: 3;"> </span>(10620369)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nur hidayah<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 2;"> </span>(10620370)</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; margin-left: 120.5pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: center 198.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rani Novitasari<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 2;"> </span>(10620372)</span></div>
<div class="MsoNormal" style="background: white; margin-left: 0cm; tab-stops: center 198.4pt; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 0cm; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="mso-outline-level: 1; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PROGRAM
STUDI S1 KEPERAWATAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FAKULTAS ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">UNIVERSITAS KADIRI</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span style="height: 35px; left: 0px; margin-left: 268px; margin-top: 58px; mso-ignore: vglayout; position: absolute; width: 46px; z-index: 251660288;"></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">2011</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves>false</w:TrackMoves>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
text-align:justify;
line-height:150%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
text-align:justify;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="2050"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1061"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1040"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1044"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1047"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1041"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1062"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1049"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1050"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1045"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1071"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1072"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1069"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1070"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1063"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1048"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1043"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1046"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1042"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
</div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="left" class="MsoListParagraph" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level2 lfo6; text-align: left; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inkontinensia
urine adalah ketidakmampuan menahan air kencing. Gangguan ini lebih sering
terjadi pada wanita yang pernah melahirkan daripada yang belum pernah
melahirkan (nulipara). Diduga disebabkan oleh perubahan otot dan fasia di dasar
panggul. Kebanyakan penderita inkontinensia telah menderita desensus dinding
depan vagina disertai sisto-uretrokel. Tetapi kadang-kadang dijumpai penderita
dengan prolapsus total uterus dan vagina dengan kontinensia urine yang baik.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Angka
kejadian bervariasi, karena banyak yang tidak dilaporkan dan diobati. Di
Amerika Serikat, diperkirakan sekitar 10-12 juta orang dewasa mengalami
gangguan ini. Gangguan ini bisa mengenai wanita segala usia. Prevalensi dan
berat gangguan meningkat dengan bertambahnnya umur dan paritas. Pada usia 15
tahun atau lebih didapatkan kejadian 10%, sedang pada usia 35-65 tahun mencapai
12%. Prevalansi meningkat sampai 16% pada wanita usia lebih dari 65 tahun. Pada
nulipara didapatkan kejadian 5%, pada wanita dengan anak satu mencapai 10% dan
meningkat sampai 20% pada wanita dengan 5 anak.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
wanita umumnya inkontinensia merupakan inkontinensia stres, artinya keluarnya
urine semata-mata karena batuk, bersin dan segala gerakan lain dan jarang
ditemukan adanya inkontinensia desakan, dimana didapatkan keinginan miksi
mendadak. Keinginan ini demikian mendesaknya sehingga sebelum mencapai kamar
kecil penderita telah membasahkan celananya. Jenis inkontinensia ini dikenal
karena gangguan neuropatik pada kandung kemih. Sistitis yang sering kambuh,
juga kelainan anatomik yang dianggap sebagai penyebab inkontinensia stres,
dapat menyebabkan inkontinensia desakan. Sering didapati inkontinensia stres
dan desakan secara bersamaan.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
penyajian referat ini adalah untuk mengetahui lebih lanjut mengenai
inkontinensia urine, jenis-jenis dan cara penanganannya. Pemahaman yang lebih
baik akan membantu usaha mengatasi gangguan ini.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<br /></div>
<div align="left" class="MsoListParagraph" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level2 lfo6; text-align: left; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div align="left" class="MsoNormal" style="text-align: left; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
Asuhan<span style="mso-spacerun: yes;"> </span>Keperawatan Pasien dengan inkontinensia
Urine ?</span></div>
<div class="MsoNormal">
<br /></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level2 lfo6; text-align: left; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l14 level3 lfo6; text-align: left; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Umum</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan Asuhan Keperawatan
pasien dengan inkontnensia urin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l14 level3 lfo6; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Khusus </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
memahami pengertian dari inkontinesia urine.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui klasifikasi dari inkontinensia urin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui etiologi inkontinensia urin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui patofisiologi inkontinensia urin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui maninfestasi klinis inkontinensia urin.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui penatalaksanaan inkontinensia urin</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level2 lfo6; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l0 level1 lfo16; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
Pembaca</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar pembaca dapat menambah pengetahuan tentang
inkontinensia urin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l0 level1 lfo16; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi
Penulis </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mampu memahami tentang bagaimana asuhan keperawatan
pada pasien inkontinensia urine</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
2</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: text1;">TINJAUAN PUSTAKA </span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0cm; mso-add-space: auto; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1
<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inkontinensia
Urine (IU) atau yang lebih dikenal dengan beser sebagai bahasa awam merupakan
salah satu keluhan utama pada penderita lanjut usia. Inkontinensia urine adalah
pengeluaran urin tanpa disadari dalam jumlah dan frekuensi yang cukup sehingga
mengakibatkan masalah gangguan kesehatan dan sosial. Variasi dari inkontinensia
urin meliputi keluar hanya beberapa tetes urin saja, sampai benar-benar banyak,
bahkan terkadang juga disertai inkontinensia alvi (disertai pengeluaran feses) (brunner,
2011).</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Klasifikasi</span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
Terdapat beberapa macam klasifikasi inkontinensia urine, di
sini hanya dibahas beberapa jenis yang paling sering ditemukan yaitu : </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Inkontinensia
stres (Stres Inkontinence)</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-indent: 21.25pt;">
Inkontinensia stres biasanya disebabkan oleh lemahnya mekanisme penutup.
Keluhan khas yaitu mengeluarkan urine sewaktu batuk, bersin, menaiki tangga
atau melakukan gerakan mendadak, berdiri sesudah berbaring atau duduk. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Gerakan semacam itu dapat meningkatkan tekanan dalam
abdomen dan karena itu juga di dalam kandung kemih. Otot uretra tidak dapat
melawan tekanan ini dan keluarlah urine. Kebanyakan keluhan ini progresif
perlahan-lahan; kadang terjadi sesudah melahirkan. Akibatnya penderita harus
sering menganti pakaian dalam dan bila perlu juga pembalut wanita. Frekuensi
berganti pakaian, dan juga jumlah pembalut wanita yang diperlukan setiap hari,
merupakan ukuran kegawatan keluhan inkontinensia ini.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Biasanya dalam pemeriksaan badan tidak dijumpai
kelainan pada ginjal dan kandung kemih. Pada pemeriksaan vulva ternyata bahwa
sewaktu mengejan dapat dilihat dinding depan vagina. Informasi yang penting
bisa diperoleh dengan percobaan <i>Marshall-Marchetti</i>. Penderita diminta
untuk berkemih di WC sampai habis. Dalam posisi ginekologis dimasukan kateter
ke dalam kandung kemih. Ditentukan jumlah urine yang tersisa. Kemudian diikuti
oleh pengisian kandung kemih dengan air sampai penderita merasa ingin berkemih.
Dengan demikian ditentukan kapasitas kandung kemih. Normalnya seharusnya
400-450 ml. Kemudian dicoba menirukan stres yang mengakibatkan pengeluaran
urine dengan meminta penderita batuk. Jika pada posisi berbaring tidak terjadi
pengeluaran urine, maka percobaan diulang pada posisi berdiri dengan tungkai
dijauhkan satu sama lain. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Pada inkontinensia stres sejati, harus terjadi
pengeluaran urine pada saat ini. Kemudian dicoba dengan korentang atau dengan
dua jari menekan dinding depan vagina kanan dan kiri sedemikian rupa ke arah
kranial sehingga sisto-uretrokel hilang. Penderita diminta batuk lagi. Bila
sekarang pengeluaran urine terhenti maka ini menunjukkan penderita akan dapat
disembuhkan dengan operasi kelainan yang dideritanya. Pemeriksaan ini dapat
ditambah dengan sistometri, sistoskopi serta kalibrasi pada uretra untuk
menyingkirkan kemungkinan stenosis.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Pada foto rontgen lateral atas sistogram miksi bisa
tampak sudut terbelakang vesikouretra membesar sampai 180<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;">0 </span></sup>atau
lebih. Normalnya sudut ini sekitar 120<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;">0</span></sup>. Gambaran ini menegaskan adanya
sistokel pada pemeriksaan badan.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="mso-fareast-language: IN; mso-no-proof: yes;"><img height="225" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="460" /></span></div>
<div class="Default" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify;">
Gambar 2.1 : Anatomi Sudut Vesikouretra </div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
a. <span style="mso-tab-count: 1;"> </span>Normal : Sudut
vesikouretra 120<sup><span style="mso-text-raise: 4.0pt; position: relative; top: -4.0pt;">0 </span></sup></div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -14.15pt;">
1. simfisi, 2. Uretra, 3. Vesika, 4. Sudut 120<sup><span style="mso-text-raise: 4.0pt; position: relative; top: -4.0pt;">0</span></sup></div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
b. <span style="mso-tab-count: 1;"> </span>Patologik : Sudut
vesikouretra 180<sup><span style="mso-text-raise: 4.0pt; position: relative; top: -4.0pt;">0 </span></sup></div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -14.15pt;">
1. simfisi, 2. Uretra, 3. Vesika, 4. Sudut 180<sup><span style="mso-text-raise: 4.0pt; position: relative; top: -4.0pt;">0</span></sup></div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: -14.15pt;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Diagnosis dengan pengobatan inkontinensia pada wanita
merupakan masalah interdisipliner antara urologi dan ginekologi. Di sini
pengambilan keputusan yang tepat setidak-tidaknya sama penting seperti mutu
pengobatan. Sering terdapat kelainan ginekologis yang juga harus diobati.
Kebanyakan diagnostik yang tepat ditegakkan dari kerjasama yang baik antara
urolog dan ginekolog.<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;"> </span></sup>Pada inkontinensia stres yang ringan, misalnya yang
menghabiskan 3-4 pembalut sehari, penderita bisa memperoleh perbaikan dengan
fisioterapi dan senam untuk otot-otot dasar panggul. Pada prinsipnya pengobatan
inkontinensia stres bersifat operatif. Dikenal berbagai teknik bedah yang
semuanya dapat memberikan perbaikan 80-90 kasus. Semua bentuk operasi ini
berlandaskan pada prinsip yang sama yaitu menarik dinding vagina ke arah
ventral untuk menghilangkan sistokel dan mengembalikan sudut vesiko-uretral
menjadi 120<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;">0
</span></sup>seperti semula. Ini dapat terlaksana dengan menjahitkan dinding
vagina pada periosteum tulang pubis (teknik <i>Marshall-Marchetti</i>); dengan
mengikatkan dinding vagina lebih lateral pada lig. Pouparti (teknik <i>Burch</i>)
atau dengan bedah ‘sling’, menarik uretra ke atas memakai selembar fasia atau
bahan yang tidak dapat diresorpsi serta diikatkan pada fasia
abdominalis.Biasanya keluhan stres dan desakan bercampur aduk. Dalam keadaan
seperti ini, sangat penting diagnostik yang cermat yang juga meliputi
sistometri dan pengukuran aliran. Apabila inkontinensia desakan dengan atau
tanpa pembentukan sisa urine diobati dengan salah satu bedah plastik suspensi
di atas, maka pola keluhan semula dapat lebih mengikat.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Komplikasi terapi bedah inkontinensia stres terutama
terdiri dari pembentukan sisa urine segera dalam fase pascabedah. Biasanya
masalah ini bersifat sementara dan dapat diatasi dengan kateterisasi
intermiten, dengan karakter yang ditinggalkan atau lebih baik dengan drainase
kandung kemih suprapubik. Hal ini memungkinkan pencarian pembentukan sisa urine
tanpa kateterisasi. Komplikasi lain biasanya berasal dari indikasi yang salah.
Perforasi kandung kemih dengan kebocoran urine, infeksi saluran kemih yang
berkepanjangan dan osteitis pubis pada operasi <i>Marshall-Marchetti-Krantz </i>merupakan
komplikasi yang jarang terjadi.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Inkontinensia
desakan (Urgency Inkontinence) </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Inkontinensia desakan adalah keluarnya urine secara
involunter dihubungkandengan keinginan yang kuat untuk mengosongkannya (urgensi).<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;"> </span></sup>Biasanya
terjadi akibat kandung kemih tak stabil. Sewaktu pengisian, otot detusor
berkontraksi tanpa sadar secara spontan maupun karena dirangsang (misalnya
batuk). Kandung kemih dengan keadaan semacam ini disebut kandung kemih tak
stabil. Biasanya kontraksinya disertai dengan rasa ingin miksi. Gejala gangguan
ini yaitu urgensi, frekuensi, nokturia dan nokturnal enuresis.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Penyebab kandung kemih tak stabil adalah idiopatik,
diperkirakan didapatkan pada sekitar 10% wanita, akan tetapi hanya sebagian
kecil yang menimbulkan inkontinensia karena mekanisme distal masih dapat
memelihara inkontinensia pada keadaan kontraksi yang tidak stabil.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Rasa ingin miksi biasanya terjadi,
bukan hanya karena detrusor (urgensi motorik), akan tetapi juga akibat fenomena
sensorik (urgensi sensorik). Urgensi sensorik terjadi karena adanya faktor
iritasi lokal, yang sering dihubungkan dengan gangguan meatus uretra,
divertikula uretra, sistitis, uretritis dan infeksi pada vagina dan serviks.
Burnett, menyebutkan penyebabnya adalah tumor pada susunan saraf pusat,
sklerosis multipel, penyakit Parkinson, gangguan pada sumsum tulang, tumor/batu
pada kandung kemih, sistitis radiasi, sistitis interstisial. Pengobatan
ditujukan pada penyebabnya. Sedang urgensi motorik lebih sering dihubungkan
dengan terapi suportif, termasuk pemberian sedativa dan antikolinegrik.<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;"> </span></sup>Pemeriksaan
urodinamik yang diperlukan yaitu sistometrik. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo7; text-indent: -21.3pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Inkontinensia luapan (Overflow Incontinence) </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Inkontinensia luapan yaitu keluarnya urine secara
involunter ketika tekanan intravesikal melebihi tekanan maksimal maksimal
uretra akibat dari distensi kandung kemih tanpa adanya aktifitas detrusor.<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;"> </span></sup>Terjadi
pada keadaan kandung kemih yang lumpuh akut atau kronik yang terisi terlalu
penuh, sehingga tekanan kandung kemih dapat naik tinggi sekali tanpa disertai
kontraksi sehingga akhirnya urine menetes lewat uretra secara intermitten atau
keluar tetes demi tetes. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Penyebab kelainan ini berasal dari penyakit neurogen,
seperti akibat cedera vertebra, sklerosis multipel, penyakit serebrovaskular,
meningomyelokel, trauma kapitis, serta tumor otak dan medula spinalis.<sup><span style="mso-text-raise: 5.0pt; position: relative; top: -5.0pt;"> </span></sup></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Corak atau sifat gangguan fungsi
kandung kemih neurogen dapat berbeda, tergantung pada tempat dan luasnya luka,
koordinasi normal antara kandung kemih dan uretra berdasarkan refleks miksi,
yang berjalan melalui pusat miksi pada segmen sakral medula spinalis. Baik otot
kandung kemih maupun otot polos dan otot lurik pada uretra dihubungkan dengan
pusat miksi. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Otot lurik periuretral di dasar
panggul yang menjadi bagian penting mekanisme penutupan uretra juga dihubungkan
dengan pusat miksi sakral. Dari pusat yang lebih atas di dalam otak diberikan
koordinasi ke pusat miksi sakral. Di dalam pusat yang lebih atas ini, sekaligus
masuk isyarat mengenai keadaan kandung kemih dan uretra, sehingga rasa ingin
miksi disadari.</div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Refleks miksi juga dipengaruhi melalui pleksus
pelvikus oleh persarafan simpatis dari ganglion yang termasuk L<sub><span style="mso-text-raise: -5.0pt; position: relative; top: 5.0pt;">1</span></sub>, L<sub><span style="mso-text-raise: -5.0pt; position: relative; top: 5.0pt;">2</span></sub>, L<sub><span style="mso-text-raise: -5.0pt; position: relative; top: 5.0pt;">3</span></sub>. Pada
lesi, dapat terjadi dua jenis gangguan pada fungsi kandung kemih yaitu :</div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo8; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: bold;">Lesi
Nuklear (tipe LMN) </span></div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 21.25pt;">
Pada lesi di pusat sakral yang menyebabkan rusaknya lengkung
refleks terjadi kelumpuhan flasid pada kandung kemih dan dasar panggul.
Sehingga miksi sebenarnya lenyap. </div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; mso-list: l1 level1 lfo8; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: bold;">Lesi
Supranuklear (Tipe UMN) </span></div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 21.25pt;">
Lesi terjadi di atas pusat sakral, dengan pusat miksi sakral
dan lengkung refleks yang tetap utuh, maka hilangnya pengaruh pusat yang lebih
atas terhadap pusat miksi. Miksi sakral menghilangkan kesadaran atas keadaan
kandung kemih. Terjadi refleks kontraksi kandung kemih yang terarah kepada
miksi yang otomatis tetapi tidak efisien karena tidak ada koordinasi dari pusat
yang lebih atas. Sering kontraksi otot dasar panggul bersamaan waktunya dengan
otot kandung kemih sehingga miksi yang baik terhalang. Juga kontraksi otot
kandung kemih tidak lengkap sehingga kandung kemih benar-benar dapat
dikosongkan. </div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt;">
<span style="mso-fareast-language: IN; mso-no-proof: yes;"><img height="412" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="427" /></span></div>
<div class="Default" style="line-height: 150%;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
Gambar
2.2 : Persarafan kd. Kemih, uretra dan otot-otot periuretral. Otot polos uretra
digambar bertitik ; Otot lurik dasar panggul dan uretra digambar lurik.
(dikutip dari kepustakaan no.2) </div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 3.0cm; text-align: justify; text-indent: 21.3pt;">
Terdapat beberapa macam tes untuk memeriksa aktifitas refleks
pada segmen sakral medula spinalis. Bila ada aktifitas sakral, mungkin lesi
jenis supranuklear.</div>
<div class="Default" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i>Refleks anus </i>: kulit di dekat anus
dirangsang dengan sebuah jarum. Kontraksi pada sfingter anus bagian luar
membuktikan bahwa refleks ini ada. Jari yang dimasukan di dalam rektum
merasakan bahwa sfinger anus menegang. </div>
<div class="Default" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i>Refleks bulbokavernosus </i>: sewaktu
klitoris dipijit pada pemeriksaan rektal terjadi kontraksi otot bulbo dan
iskiokavernosus.</div>
<div class="Default" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i>Refleks ketok abdomen </i>: ketokan pada
dinding perut diatas simfisis menyebabkan tegangnya sfingter ani. Ini dapat
diraba dengan jari didalam rektrum. </div>
<div class="Default" style="line-height: 150%; margin-left: 106.35pt; mso-list: l7 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i>Tes air es </i>: kandung kemih dikosongkan
dengan kateter, lalu diisi 60-90 ml air es. Jika dalam waktu satu menit kateter
beserta air es tertekan keluar lagi, terbukti adanya gangguan fungi kandung
kemih jenis supranuklear. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Fistula
urine </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Fistula urine sebagian besar akibat persalinan, dapat
terjadi langsung pada waktu tindakan operatif seperti seksio sesar, perforasi
dan kranioklasi, dekapitasi, atau ekstraksi dengan cunam. Dapat juga timbul
beberapa hari sesudah partus lama, yang disebabkan karena tekanan kepala janin
terlalu lama pada jaringan jalan lahir di tulang pubis dan simfisis, sehingga
menimbulkan iskemia dan kematian jaringan di jalan lahir. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Operasi ginekologis seperti histerektomi abdominal
dan vaginal, operasi plastik pervaginam, operasi radikal untuk karsinoma
serviks uteri, semuanya dapat menimbulkan fistula traumatik. Tes sederhana
untuk membantu diagnosis ialah dengan memasukan metilen biru 30 ml kedalam
rongga vesika. Akan tampak metilen biru keluar dari fistula ke dalam vagina. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
Untuk memperbaiki fistula
vesikovaginalis umumnya dilakukan operasi melalui vagina (transvaginal), karena
lebih mudah dan komplikasi kecil. Bila ditemukan fistula yang terjadi pasca
persalinan atau beberapa hari pascah bedah, maka penanganannya harus ditunda
tiga bulan. Bila jaringan sekitar fistula sudah tenang dan normal kembali
operasi baru dapat dilakukan. </div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;">Etiologi</b></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
Seiring dengan bertambahnya usia, ada beberapa perubahan pada
anatomi dan fungsi organ kemih, antara lain: melemahnya otot dasar panggul
akibat kehamilan berkali-kali, kebiasaan mengejan yang salah, atau batuk
kronis. Ini mengakibatkan seseorang tidak dapat menahan air seni. Selain itu,
adanya kontraksi (gerakan) abnormal dari dinding kandung kemih, sehingga
walaupun kandung kemih baru terisi sedikit, sudah menimbulkan rasa ingin
berkemih. Penyebab Inkontinensia Urine (IU) antara lain terkait dengan gangguan
di saluran kemih bagian bawah, efek obat-obatan, produksi urin meningkat atau
adanya gangguan kemampuan/keinginan ke toilet. Gangguan saluran kemih bagian
bawah bisa karena infeksi. Jika terjadi infeksi saluran kemih, maka
tatalaksananya adalah terapi antibiotika. Apabila vaginitis atau uretritis
atrofi penyebabnya, maka dilakukan tertapi estrogen topical. Terapi perilaku
harus dilakukan jika pasien baru menjalani prostatektomi. Dan, bila terjadi
impaksi feses, maka harus dihilangkan misalnya dengan makanan kaya serat,
mobilitas, asupan cairan yang adekuat, atau jika perlu penggunaan laksatif.
Inkontinensia Urine juga bisa terjadi karena produksi urin berlebih karena
berbagai sebab. Misalnya gangguan metabolik, seperti diabetes melitus, yang
harus terus dipantau. Sebab lain adalah asupan cairan yang berlebihan yang bisa
diatasi dengan mengurangi asupan cairan yang bersifat diuretika seperti kafein.</div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
Gagal jantung kongestif juga bisa menjadi faktor penyebab
produksi urin meningkat dan harus dilakukan terapi medis yang sesuai. Gangguan
kemampuan ke toilet bisa disebabkan oleh penyakit kronik, trauma, atau gangguan
mobilitas. Untuk mengatasinya penderita harus diupayakan ke toilet secara
teratur atau menggunakan substitusi toilet. Apabila penyebabnya adalah masalah
psikologis, maka hal itu harus disingkirkan dengan terapi non farmakologik atau
farmakologik yang tepat. Pasien lansia, kerap mengonsumsi obat-obatan tertentu
karena penyakit yang dideritanya. Inkontinensia urine juga terjadi akibat
kelemahan otot dasar panggul, karena kehamilan, pasca melahirkan, kegemukan
(obesitas), menopause, usia lanjut, kurang aktivitas dan operasi vagina.
Penambahan berat dan tekanan selama kehamilan dapat menyebabkan melemahnya otot
dasar panggul karena ditekan selama sembilan bulan. Proses persalinan juga
dapat membuat otot-otot dasar panggul rusak akibat regangan otot dan jaringan
penunjang serta robekan jalan lahir, sehingga dapat meningkatkan risiko
terjadinya inkontinensia urine. Dengan menurunnya kadar hormon estrogen pada wanita
di usia menopause (50 tahun ke atas), akan terjadi penurunan tonus otot vagina
dan otot pintu saluran kemih (uretra), sehingga menyebabkan terjadinya
inkontinensia urine. Faktor risiko yang lain adalah obesitas atau kegemukan,
riwayat operasi kandungan dan lainnya juga berisiko mengakibatkan
inkontinensia. Semakin tua seseorang semakin besar kemungkinan mengalami
inkontinensia urine, karena terjadi perubahan struktur kandung kemih dan otot
dasar panggul.</div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;">Patofisiologi</b></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
Inkontinensia urine bisa disebabkan oleh karena komplikasi
dari penyakit infeksi saluran kemih, kehilangan kontrol spinkter atau
terjadinya perubahan tekanan abdomen secara tiba-tiba. Inkontinensia bisa
bersifat permanen misalnya pada spinal cord trauma atau bersifat temporer pada
wanita hamil dengan struktur dasar panggul yang lemah dapat berakibat
terjadinya inkontinensia urine. Meskipun inkontinensia urine dapat terjadi pada
pasien dari berbagai usia, kehilangan kontrol urinari merupakan masalah bagi
lanjut usia.</div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;">Manifestasi
Klinis</b></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Inkontinensia stres:
keluarnya urin selama batuk, mengedan, dan sebagainya. Gejala-gejala ini sangat
spesifik untuk inkontinensia stres. </span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 5.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 5.0pt; mso-add-space: auto; mso-list: l4 level1 lfo9; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Inkontinensia
urgensi: ketidakmampuan menahan keluarnya urin dengan gambaran seringnya
terburu-buru untuk berkemih. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 5.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 5.0pt; mso-add-space: auto; mso-list: l4 level1 lfo9; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Enuresis
nokturnal: 10% anak usia 5 tahun dan 5% anak usia 10 tahun mengompol selama
tidur. Mengompol pada anak yang lebih tua merupakan sesuatu yang abnormal dan
menunjukkan adanya kandung kemih yang tidak stabil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 5.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 5.0pt; mso-add-space: auto; mso-list: l4 level1 lfo9; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Gejala
infeksi urine (frekuensi, disuria, nokturia), obstruksi (pancara lemah,
menetes), trauma (termasuk pembedahan, misalnya reseksi abdominoperineal),
fistula (menetes terus-menerus), penyakit neurologis (disfungsi seksual atau
usus besar) atau penyakit sistemik (misalnya diabetes) dapat menunjukkan
penyakit yang mendasari.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 5.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 5.0pt; mso-add-space: auto;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;">Penatalaksanaan</b></div>
<div class="Default" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 21.3pt;">
<span style="color: black; mso-themecolor: text1;">Latihan
otot-otot dasar panggul</span><span style="color: black; mso-ansi-language: EN-US; mso-themecolor: text1;"> </span><span style="color: black; mso-themecolor: text1;">Latihan
penyesuaian berkemih</span><span style="color: black; mso-ansi-language: EN-US; mso-themecolor: text1;"> </span><span style="color: black; mso-themecolor: text1;">Obat-obatan
untuk merelaksasi kandung kemih dan estrogen</span><span style="color: black; mso-ansi-language: EN-US; mso-themecolor: text1;"> </span><span style="color: black; mso-themecolor: text1;">Tindakan pembedahan memperkuat muara kandung kemih</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 48.6pt; mso-add-space: auto; mso-list: l3 level1 lfo10; text-indent: -20.25pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Inkontinensia
urgensi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l10 level2 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Latihan
mengenal sensasi berkemih dan penyesuaiany</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l10 level2 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Obat-obatan untuk merelaksasi kandung kemih
dan estrogen</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l10 level2 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Tindakan
pembedahan untuk mengambil sumbatan dan lain-lain keadaan patologik yang
menyebabkan iritasi pada saluran kemih bagian bawah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l10 level2 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"> Kateterisasi,
bila mungkin secara intermiten, dan kalau tidak mungkin secara menetap.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l10 level2 lfo11; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Tindakan
pembedahan untuk mengangkat penyebab sumbatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 48.6pt; mso-add-space: auto; mso-list: l3 level1 lfo10; text-indent: -20.25pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Inkontensia overflow </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Kateterisasi,
bila mungkin secara intermiten, dan kalau tidak mungkin secara menetap</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l8 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Tindakan
pembedahan untuk mengangkat penyebab sumbatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 48.6pt; mso-add-space: auto; mso-list: l3 level1 lfo10; text-indent: -20.25pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span>Inkontinensia tipe fungsional </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l16 level1 lfo13; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Penyesuaian
sikap berkemih antara lain dengan jadwal dan kebiasaan berkemih </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l16 level1 lfo13; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Pekaian
dalam dan kain penyerap khusus lainnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l16 level1 lfo13; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Penyesuaian/modifikasi
lingkungan tempat berkemih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l16 level1 lfo13; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Kalau
perlu digaunakan obat-obatan yang merelaksasi kandung kemih </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 70.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.7<span style="mso-tab-count: 1;"> </span>Pathway</span></b></div>
<div class="MsoNormal">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="12" width="51"><br /></td>
<td width="150"><br /></td>
<td width="34"><br /></td>
<td width="323"><br /></td>
<td width="1"><br /></td>
</tr>
<tr>
<td height="235"><br /></td>
<td align="left" valign="top"><img height="235" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="150" /></td>
</tr>
<tr>
<td height="2"><br /></td>
</tr>
<tr>
<td height="31"><br /></td>
<td align="left" rowspan="4" valign="top"><img height="250" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="150" /></td>
</tr>
<tr>
<td height="139"><br /></td>
<td><br /></td>
<td align="left" colspan="2" valign="top"><img height="139" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="324" /></td>
</tr>
<tr>
<td height="1"><br /></td>
</tr>
<tr>
<td height="79"><br /></td>
<td><br /></td>
<td align="left" rowspan="2" valign="top"><img height="96" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="323" /></td>
</tr>
<tr>
<td height="17"><br /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"> </span>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 64px; left: 0px; margin-left: 51px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 150px; z-index: 7;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="64" style="background: white; border: .75pt solid black; vertical-align: top;" width="150"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 7;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Kehilangan sensasi dan reflek
sfinter<span style="mso-spacerun: yes;"> </span></span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="height: 20px; left: 0px; margin-left: 119px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 19;"><img height="20" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="12" /></span><span style="height: 64px; left: 0px; margin-left: 233px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 150px; z-index: 8;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="#92D050" height="64" style="background: #92D050; border: .75pt solid black; vertical-align: top;" width="150"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 8;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">MK: Inkontinensia urin<span style="mso-spacerun: yes;"> </span></span></b></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span></span></b>
<div align="left" class="MsoNormal" style="tab-stops: center 7.0cm right 14.0cm; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></b><span style="height: 12px; margin-left: 195px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 41px; z-index: 20;"><img height="12" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="41" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></b></div>
<div align="left" class="MsoNormal" style="tab-stops: center 7.0cm right 14.0cm; text-align: left;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASKEP INKONTINENSIA URIN</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l13 level1 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN</span></b></div>
<div class="MsoListParagraphCxSpMiddle">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.1 Anamnese </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
Klien <span style="mso-tab-count: 2;"> </span></span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nama :
Ny. M</span></div>
<div align="left" class="MsoNormal" style="margin-left: 3.0cm; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Tempat/Tanggal Lahir<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>55 th</span></div>
<div align="left" class="MsoNormal" style="margin-left: 3.0cm; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jenis
kelamin
<span style="mso-tab-count: 1;"> </span>: Perempuan</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Status Perkawinan<span style="mso-tab-count: 2;"> </span>:
-
</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendidikan <span style="mso-tab-count: 3;"> </span>:
-
</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pekerjaan <span style="mso-tab-count: 2;"> </span>: -
</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suku/Bangsa <span style="mso-tab-count: 2;"> </span>: Indonesia
</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanggal Masuk RS<span style="mso-tab-count: 2;"> </span>: Rabu,
23 November 2011 <span style="mso-spacerun: yes;"> </span>No. RM <span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: 235501 </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ruang <span style="mso-tab-count: 1;"> </span>: Dahlia </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa Medis </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l12 level1 lfo2; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat Sakit dan Kesehatan </span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan Utama</span></div>
<div align="left" class="MsoNormal" style="margin-left: 106.35pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien mengeluh<span style="mso-spacerun: yes;"> </span>keluar kencing saat tertawa, bersin dan
batuk, sering kencing sekitar 2 jam sekali. </span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat kesehatan sekarang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
mengeluh<span style="mso-spacerun: yes;"> </span>keluar kencing saat tertawa,
bersin dan batuk, sering kencing sekitar 2 jam sekali. Pasien malu, dan merasa
tidak nyaman dengan hal itu sehingga dia tidak mau bergaul dengan teman-2nya
sesama lansia .</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat kesehatan keluarga</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perilaku yang mempengaruhi kesehatan
</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lingkungan yang mempengaruhi
kesehatan </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat alergi </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; text-align: left;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l3 level3 lfo10; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l15 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keadaan Umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
tanpak lemah dan tanda vital terjadi peningkatan karena respon dari terjadinya
inkontinesia. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 3.0cm; mso-add-space: auto; mso-list: l15 level1 lfo5; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Sistem</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B1 (breathing)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative
(tidak ada)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B2 (blood)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative
(tidak ada)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B3 (brain)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative
(tidak ada)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B4 (bladder)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setiap
ada peningkatan tekanan intra abdomen urine pasien menetes keluar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebersihan:
negative</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">urin:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>jumlah<span style="mso-tab-count: 2;"> </span>:
- </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>warna<span style="mso-tab-count: 2;"> </span>:
-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Bau<span style="mso-tab-count: 2;"> </span>:
-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kandung
kemih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Membesar <span style="mso-tab-count: 1;"> </span>: tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Nyeri tekan <span style="mso-tab-count: 1;"> </span>: tidak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Anuria <span style="mso-tab-count: 1;"> </span>: tidak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Oliguria <span style="mso-tab-count: 1;"> </span>: tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Retensi <span style="mso-tab-count: 1;"> </span>: tidak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Nokturia <span style="mso-tab-count: 1;"> </span>: tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Inkontinensia<span style="mso-tab-count: 1;"> </span>: ada </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Lain-lain<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B5 (bowel)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative
(tidak ada)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; mso-list: l18 level1 lfo3; tab-stops: 4.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B6 (bone)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Negative
(tidak ada)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 4.0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l13 level1 lfo1; tab-stops: 4.0cm; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DIAGNOSA KEPERAWATAN</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 19.6pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="4" style="background: #92D050; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 388.1pt;" valign="top" width="517">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ANALISA DATA </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ANALISA</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">ETIOLOGI</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">M.K</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.1pt;" valign="top" width="83">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">D.K</span></div>
</td>
</tr>
<tr style="height: 178.45pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; height: 178.45pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data subjektif:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pasien
mengeluh keluar kencing saat tertawa, bersin dan batuk, sering kencing
sekitar 2 jam sekali</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data obyektif :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">setiap
kali ada peningkatan tekanan intra abdomen urine pasien menetes keluar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: right;">
<br /></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: right;">
<br /></div>
<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: right;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 178.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span style="height: 38px; left: 0px; margin-left: -1px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 39;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="38" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 39;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Degenerative
sel<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span>
<div class="MsoNormal" style="line-height: normal;">
<span style="height: 25px; left: 0px; margin-left: 60px; margin-top: 279px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 47;"><img height="25" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="height: 20px; left: 0px; margin-left: 61px; margin-top: 203px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 46;"><img height="20" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span><span style="height: 25px; left: 0px; margin-left: 62px; margin-top: 99px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 45;"><img height="25" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="height: 25px; left: 0px; margin-left: 62px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 44;"><img height="25" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="height: 66px; left: 0px; margin-left: -1px; margin-top: 220px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 42;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="66" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 42;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Kehilangan
sensasi dan reflek sfinter<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="height: 71px; left: 0px; margin-left: -1px; margin-top: 301px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 43;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="71" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 43;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">MK: Inkontinensia urin<span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span style="height: 88px; left: 0px; margin-left: -1px; margin-top: 121px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 41;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="88" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 41;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Terjadi
paralisis pada saluran perkemihan </span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span style="height: 62px; left: 0px; margin-left: -1px; margin-top: 41px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 40;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="62" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 40;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Penurunan
saluran system perkemihan </span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 178.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 178.45pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.1pt;" valign="top" width="83">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut. </span></div>
<div align="left" class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: left;">
<br /></div>
</td>
</tr>
<tr style="height: 215.35pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 215.35pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data subjektif:</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pasien
malu, dan merasa tidak nyaman dengan hal itu sehingga dia tidak mau bergaul
dengan teman-2nya sesama lansia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data objektif :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">-</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 215.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span style="height: 21px; left: 0px; margin-left: 62px; margin-top: 133px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 37;"><img height="21" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span style="height: 21px; left: 0px; margin-left: 62px; margin-top: 209px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 38;"><img height="21" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span style="height: 21px; left: 0px; margin-left: 62px; margin-top: 63px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 36;"><img height="21" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></span><span style="height: 63px; left: 0px; margin-left: -1px; margin-top: 224px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 35;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="63" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 35;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">MK. Interaksi sosial, hambatan<span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="height: 62px; left: 0px; margin-left: -1px; margin-top: 153px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 34;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="62" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 34;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Gangguan konsep
diri<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span style="height: 57px; left: 0px; margin-left: -1px; margin-top: 81px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 33;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="57" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 33;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Pasien<span style="mso-spacerun: yes;"> </span>merasa malu </span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span style="height: 65px; left: 0px; margin-left: -1px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 145px; z-index: 32;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="65" style="background: white; border: .75pt solid black; vertical-align: top;" width="145"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 32;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Pengeluaran urin
yang terlalu sering<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 215.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.85pt;" valign="top" width="94">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 4.0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Interaksi sosial, hambatan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 215.35pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 62.1pt;" valign="top" width="83">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Interaksi sosial, hambatan b/d
gangguan konsep diri</span></div>
</td>
</tr>
</tbody></table>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="mso-list: l13 level1 lfo1; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">INTERVENSI </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 19.6pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 3.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="4" style="background: #92CDDC; border: solid black 1.0pt; height: 3.5pt; mso-background-themecolor: accent5; mso-background-themetint: 153; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 388.1pt;" valign="top" width="517">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">INTERVENSI </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">No</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Diagnosa </span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Intervensi </span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.5pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Rasional </span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tujuan:</span></i></b></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.9pt; mso-add-space: auto; mso-list: l19 level1 lfo4; tab-stops: 63.8pt; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan kontinensia urin.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.9pt; mso-add-space: auto; mso-list: l19 level1 lfo4; tab-stops: 63.8pt; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keadekuatan waktu untuk mencapai
kamar kecil antara urgensi dan pengeluaran urin.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.9pt; mso-add-space: auto; mso-list: l19 level1 lfo4; tab-stops: 63.8pt; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pakaian dalam tetap kering
sepanjang hari </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.9pt; mso-add-space: auto; mso-list: l19 level1 lfo4; tab-stops: 63.8pt; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Mampu berkemih secara mandiri.</span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 16.9pt; mso-add-space: auto; tab-stops: 63.8pt; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-left: -1.1pt; tab-stops: 63.8pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kriteria
Hasil</span></i></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">:</span></b></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-left: -1.1pt; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kontinensia
urin. Mempertahankan frekuensi berkemih lebih dari 2 jam.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-left: -1.1pt; tab-stops: 63.8pt; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Lakukan latihan otot dasar panggul
</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Lakukan perawatan inkontinensia
urin </span></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Identifikasi penyebab
inkontinensia multifaktorial</span></div>
<div align="left" class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.5pt;" valign="top" width="130">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Memperkuat otot pubotogsigeal
dengan kontraksi volunteer berulang.</span></div>
<div align="left" class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">untuk meningkatkan kontinensia
urin dan untuk mempertahankan intregitas kulit perineal.</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui penyebab inkontinensia urin </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Interaksi sosial, hambatan b/d gangguan konsep diri</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tujuan:</span></i></b></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.45pt; mso-add-space: auto; mso-list: l6 level1 lfo18; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan
penampilan peran</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.45pt; mso-add-space: auto; mso-list: l6 level1 lfo18; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Menunjukkan
keterlibatan sosial </span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 16.45pt; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-left: -1.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kriteria
Hasil:</span></i></b></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 16.45pt; mso-add-space: auto; mso-list: l2 level1 lfo19; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keterampilan
interaksi sosial: penggunaan perilaku interaksi sosial yang efektif.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 16.45pt; mso-add-space: auto; mso-list: l2 level1 lfo19; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keterlibatan
sosial:interaksi sosial individu yang sering dengan orang lain, kelompok atau
organisasi </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tingkatankan sosialisasi</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kaji pola interaksi antara pasien dengan orang lain<span style="mso-spacerun: yes;"> </span></span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.5pt;" valign="top" width="130">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Untuk meningkatkan interaksi pasien dengan orang lain </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui pola interaksi pasien dengan orang lain </span></div>
</td>
</tr>
</tbody></table>
<div align="left" class="MsoListParagraphCxSpFirst" style="text-align: left;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="tab-stops: 131.55pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l13 level1 lfo1; tab-stops: 131.55pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">IMPLEMENTASI</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 19.6pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="4" style="background: #FABF8F; border: solid black 1.0pt; mso-background-themecolor: accent6; mso-background-themetint: 153; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 388.1pt;" valign="top" width="517">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">IMPLEMENTASI</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Hari/tanggal</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Diagnosa
Keperawatan</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Implementasi</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Paraf</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Senin,
26 November 2011</span></b></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul.
07.00 </span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span style="height: 64px; left: 0px; margin-left: 133px; margin-top: 25px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 26;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="77" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">mengidentifikasi
penyebab inkontinensia multifaktorial</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Senin,
26 november 2011</span></b></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul
13.00</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">melakukan perawatan inkontinensia
urin </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<span style="height: 64px; left: 0px; margin-left: -7px; margin-top: 30px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 31;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="77" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Selasa,
26 november 2011</span></b></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul.
07.00</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">melakukan perawatan inkontinensia
urin </span></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span style="height: 64px; left: 0px; margin-left: 138px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 30;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="77" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Selasa,
26 november 2011</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul. 13.00</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">melakukan latihan otot dasar
panggul </span></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<span style="height: 64px; left: 0px; margin-left: -7px; margin-top: 44px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 29;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="77" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Rabu,
27 november 2011</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul. 07.00</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Inkontinensia urin stress b/d
perubahan degenerative pada otot pelvis dan struktur pendukungnya yang
dihubungkan usia lanjut.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<span style="height: 64px; left: 0px; margin-left: 133px; margin-top: 38px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 28;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="77" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">melakukan
perawatan inkontinensia urin </span></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraph" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.55pt;" valign="top" width="123">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt; text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Rabu,
26 november 2011</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pukul. 13.00</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.75pt;" valign="top" width="176">
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Interaksi sosial, hambatan b/d gangguan konsep diri</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; tab-stops: 63.8pt; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.8pt;" valign="top" width="145">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Mengkaji<span style="mso-spacerun: yes;"> </span>pola
interaksi antara pasien dengan orang lain </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Meningkatankan<span style="mso-spacerun: yes;">
</span>sosialisasi</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-left: 0cm; mso-add-space: auto; tab-stops: 131.55pt;">
<span style="height: 64px; left: 0px; margin-left: -7px; margin-top: 49px; mso-ignore: vglayout; position: absolute; width: 77px; z-index: 27;"><img height="64" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="77" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></b></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="tab-stops: 131.55pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l13 level1 lfo1; tab-stops: 131.55pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.5<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">EVALUASI </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; tab-stops: 131.55pt; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">S : </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien mengatakan bahwa tidak
mengeluarkan urin pada saat bersin dan tertawa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; tab-stops: 131.55pt; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">O: </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setiap ada peningkatan tekanan intra
abdomen urin pasien tidak menetes.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; tab-stops: 131.55pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Pasien
mengeluarkan urin lebih dari 2 jam sekali. </span></div>
<div class="MsoListParagraphCxSpMiddle">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A:<span style="mso-spacerun: yes;">
</span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Masalah
teratasi<b style="mso-bidi-font-weight: normal;"> </b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="tab-stops: 131.55pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">P:<span style="mso-spacerun: yes;"> </span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Masalah teratasi pasien pulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="tab-stops: 131.55pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 99.25pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l17 level1 lfo20; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inkontinensia
urine adalah pengeluaran urin tanpa disadari dalam jumlah dan frekuensi yang
cukup sehingga mengakibatkan masalah gangguan kesehatan dan sosial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seiring
dengan bertambahnya usia, ada beberapa perubahan pada anatomi dan fungsi organ
kemih, antara lain: melemahnya otot dasar panggul akibat kehamilan
berkali-kali, kebiasaan mengejan yang salah, atau batuk kronis. Ini
mengakibatkan seseorang tidak dapat menahan air seni.Penyebab Inkontinensia
Urine (IU) antara lain terkait dengan gangguan di saluran kemih bagian bawah,
efek obat-obatan, produksi urin meningkat atau adanya gangguan
kemampuan/keinginan ke toilet</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asuhan
keperawatan inkontinensia urin meliputi pengkajian, diagnose keperawatan,
intervensi, implementasi dan evaluasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l17 level1 lfo20; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto; mso-list: l4 level3 lfo9; text-indent: -36.75pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi pembaca diharapkan
menambah pengetahuan tentang inkontinensia urin. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto; mso-list: l4 level3 lfo9; text-indent: -36.75pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi penyusun
diharapkan menambah pengetahuan tentang asuhan keperawatan tentang
inkontinensia urin<b style="mso-bidi-font-weight: normal;">.</b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.2pt; mso-add-space: auto;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nanda. 2009. <i style="mso-bidi-font-style: normal;">Diagnosa Keperawatan Definisi dan Klasifikasi</i>. Jakarta: EGC</span></div>
<div align="left" class="MsoNormal" style="margin-left: 42.55pt; text-align: left; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Wilkinson
M Judith. 2007. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis
Keperawatan dengan Intervensi NIC dan NOC. </i>Jakarta: EGC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com2tag:blogger.com,1999:blog-3977267168183211682.post-60916624331738939172012-06-06T18:50:00.001-07:002012-06-06T18:50:00.848-07:00Demam Thypoid<div dir="ltr" style="text-align: left;" trbidi="on">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:RelyOnVML/>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1086"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1054"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1062"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1059"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1069"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1078"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1079"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1051"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1067"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1045"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1061"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1071"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1084"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1083"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1081"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1056"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1047"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1049"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1080"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1077"/>
<o:r id="V:Rule20" type="connector" idref="#_x0000_s1046"/>
<o:r id="V:Rule21" type="connector" idref="#_x0000_s1063"/>
<o:r id="V:Rule22" type="connector" idref="#_x0000_s1052"/>
<o:r id="V:Rule23" type="connector" idref="#_x0000_s1055"/>
<o:r id="V:Rule24" type="connector" idref="#_x0000_s1050"/>
<o:r id="V:Rule25" type="connector" idref="#_x0000_s1085"/>
<o:r id="V:Rule26" type="connector" idref="#_x0000_s1076"/>
<o:r id="V:Rule27" type="connector" idref="#_x0000_s1072"/>
<o:r id="V:Rule28" type="connector" idref="#_x0000_s1044"/>
<o:r id="V:Rule29" type="connector" idref="#_x0000_s1068"/>
<o:r id="V:Rule30" type="connector" idref="#_x0000_s1048"/>
<o:r id="V:Rule31" type="connector" idref="#_x0000_s1075"/>
<o:r id="V:Rule32" type="connector" idref="#_x0000_s1058"/>
<o:r id="V:Rule33" type="connector" idref="#_x0000_s1073"/>
<o:r id="V:Rule34" type="connector" idref="#_x0000_s1060"/>
<o:r id="V:Rule35" type="connector" idref="#_x0000_s1053"/>
<o:r id="V:Rule36" type="connector" idref="#_x0000_s1082"/>
<o:r id="V:Rule37" type="connector" idref="#_x0000_s1057"/>
<o:r id="V:Rule38" type="connector" idref="#_x0000_s1070"/>
<o:r id="V:Rule39" type="connector" idref="#_x0000_s1074"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Deman thipoid
masih merupakan penyakit endemic di Indonesia. Penyakit ini termasuk penyakit
menular yang tercantum dalam Undang-Undang no 6 tahun 1962, <span style="letter-spacing: .6pt;">tentang wabah. Kelompok penyakit menular ini
merupakan penyakit yang mudah menular dan dapat menyerang banyak orang sehingga
dapat menimbulkan wabah. </span>Surveilans Departemen Kesehatan RI, frekuensi
kejadian deman thipoid di Indonesia pada tahun 1990 sebesar 9,2 dan pada tahun
1994 terjadi peningkatan frekuensi menjadi 15,4 per 10.000 penduduk. Dari
survey berbagai rumah sakit di Indonesia dari tahun 1981-1986 memperlihatkan
peningkatan jumlah penderita sekitar 35,8 % yaitu dari 19.596 menjadi 26.606
kasus. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Insiden demam
thipoid bervariasi di tiap daerah dan biasanya terkait dengan sanitasi
lingkungan ; di daerah rural (Jawa Barat) 157 kasus per 100.000 penduduk <span style="letter-spacing: .6pt;">sedangkan di daerah urban di temukan 760-810 per
100.000 penduduk. Perbedaan </span>insiden di perkotaan erhubungan erat dengan
penyediaan air bersish yang belum <span style="letter-spacing: .6pt;">memadai
serta sanitasi lingkungan dengan pembuangan sampah yang kurang memenuhi </span>sarat
kesehatan lingkungan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Case fatality
rate (CFR) demam thipoid di tahun 1996 sebesar 1,08 % dari seluruh kematian di
Indonesia. Namun demikian berdasarkan hasil Survey Kesehatan Rumah <span style="letter-spacing: .6pt;">Tangga Departemen RI (SKRT depkes RI) tahun 1995
demam thipoid tidak termasuk </span>dalam sepuluh penyakit dengan mortalitas
tertinggi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien dengan demam thypoid ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada pasien dengan demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
definisi demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
etiologi demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
klasifikasi demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
patofisiologi demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
manifestasi klinis demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
pemeriksaan penunjang demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
penatalaksanaan medis demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
komplikasi demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
askep pasien dengan demam thypoid </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-align: justify; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
teorotis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan tentang penatalaksanaan pada pasien dengan demam thypoid.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l12 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga
keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
tenaga keperawatan mampu menerapkan dan melaksanakan asuhan keperawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l12 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mahasiswa menambah referensi tentang demam thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span style="mso-ansi-language: IN;">D</span><span lang="EN-US">emam tifoid </span><span style="mso-ansi-language: IN;">atau <i style="mso-bidi-font-style: normal;">t</i></span><i style="mso-bidi-font-style: normal;"><span lang="EN-US">hypoid fever</span></i><span style="mso-ansi-language: IN;"> a</span><span lang="EN-US">tau thypus abdominalis
merupakan penyakit infeksi akut pada </span><span style="mso-ansi-language: IN;">saluran pencernaan</span> <span style="mso-ansi-language: IN;">yang </span><span lang="EN-US">disebabkan oleh kuman </span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">S</span><span lang="EN-US">almonella typhi</span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">i</span></i><span lang="EN-US">, </span><span style="mso-ansi-language: IN;">ditandai </span><span lang="EN-US">gejala demam satu minggu atau lebih disertai gangguan pada saluran
pencernaan dan dengan atau tanpa gangguan kesadaran (T.H. Rampengan dan I.R.
Laurentz, 1995). Penularan penyakit ini hampir selalu terjadi melalui makanan
dan minuman yang terkontaminasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US">Penyakit ini disebabkan oleh infeksi kuman <i style="mso-bidi-font-style: normal;">Samonella Th</i></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">ypii</span><span lang="EN-US">a/Eberthela Thyp</span></i><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">ii</span>
</i><span lang="EN-US">yang merupakan kuman negatif, motil dan tidak menghasilkan
spora, hidup baik sekali pada suhu tubuh manusia maupun suhu yang lebih rendah
sedikit serta mati pada suhu 70<sup>0</sup>C dan antiseptik. </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Salmonella</span></i><span lang="EN-US"> mempunyai tiga macam antigen, yaitu </span><span style="mso-ansi-language: IN;">a</span><span lang="EN-US">ntigen O</span><span style="mso-ansi-language: IN;"> (</span><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Ohne Hauch</span></i><span style="mso-ansi-language: IN;">) merupakan </span><span lang="EN-US">somatik
antigen </span><span style="mso-ansi-language: IN;">(</span><span lang="EN-US">tidak
menyebar</span><span style="mso-ansi-language: IN;">) </span><span lang="EN-US">ada
dalam dinding sel kuman, </span><span style="mso-ansi-language: IN;">a</span><span lang="EN-US">ntigen H</span><span style="mso-ansi-language: IN;"> (</span><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Hauch</span></i><span style="mso-ansi-language: IN;">, </span><span lang="EN-US">menyebar)</span><span lang="EN-US" style="mso-ansi-language: IN;"> </span><span lang="EN-US">terdapat pada
flagella dan bersifat termolabil dan </span><span style="mso-ansi-language: IN;">a</span><span lang="EN-US">ntigen V1</span><span style="mso-ansi-language: IN;"> (</span><span lang="EN-US">kapsul</span><span style="mso-ansi-language: IN;">)
</span><span lang="EN-US">merupakan kapsul yang meliputi tubuh kuman dan
melindungi O antigen terhadap fagositosis. Ketiga jenis antigen ini di manusia
akan menimbulkan tiga macam antibodi yang lazim disebut aglutinin.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Patofisiologi</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US">Kuman </span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">S</span><span lang="EN-US">almonella</span></i><span lang="EN-US"> masuk bersama makanan</span><span style="mso-ansi-language: IN;">
atau </span><span lang="EN-US">minuman yang terkontaminasi, setelah berada dalam
usus halus mengadakan invasi ke jaringan limfoid usus halus (terutama plak
peyer) dan jaringan limfoid mesenterika. Setelah menyebabkan peradangan dan
nekrosis setempat kuman lewat pembuluh limfe masuk ke darah (bakteremia primer)
menuju organ retikuloendotelial sistem (RES) terutama hati dan limpa. Di tempat
ini kuman difagosit oleh sel-sel fagosit retikuloendotelial sistem </span><span style="mso-ansi-language: IN;">(</span><span lang="EN-US">RES</span><span style="mso-ansi-language: IN;">)</span><span lang="EN-US"> dan kuman yang tidak
difagosit berkembang biak. </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US">Pada akhir masa inkubasi 5-9 hari kuman kembali masuk ke darah
menyebar ke seluruh tubuh (bakteremia sekunder) dan sebagian kuman masuk ke
organ tubuh terutama limpa, kandung empedu yang selanjutnya kuman tersebut
dikeluarkan kembali dari kandung empedu ke rongga usus dan menyebabkan reinfeksi
usus. Dalam masa bakteremia ini kuman mengeluarkan endotoksin. Endotoksin ini
merangsang sintesa dan pelepasan zat pirogen oleh lekosit pada jaringan yang
meradang. Selanjutnya zat pirogen yang beredar di darah mempengaruhi pusat
termoregulator di hipothalamus yang mengakibatkan timbulnya gejala demam.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US">Makrofag pada pasien akan menghasilkan substansi aktif yang disebut
monokines yang menyebabkan nekrosis seluler dan merangsang imun sistem,
instabilitas vaskuler, depresi sumsum tulang dan panas. Infiltrasi jaringan
oleh makrofag yang mengandung eritrosit, kuman, limfosist sudah berdegenerasi
yang dikenal sebagai tifoid sel. Bila sel ini beragregasi maka terbentuk nodul
terutama dalam<span style="mso-spacerun: yes;"> </span>usus halus, jaringan limfe
mesemterium, limpa, hati, sumsum tulang dan organ yang terinfeksi. </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span lang="EN-US">Kelainan utama yang terjadi di ileum terminale dan plak peyer yang
hiperplasi (minggu I), nekrosis (minggu II) dan ulserasi (minggu III). Pada
dinding ileum terjadi ulkus yang dapat menyebabkan perdarahan atau perforasi
intestinal. Bila sembuh tanpa adanya pembentukan jaringan parut. </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 34.65pt;">
<span lang="EN-US">Masa inkubasi 7-20 hari, inkubasi terpendek 3 hari dan terlama 60
hari (T.H. Rampengan dan I.R. Laurentz, 1995). Rata-rata masa inkubasi 14 hari
dengan gejala klinis sangat bervariasi dan tidak spesifik (Pedoman Diagnosis
dan Terapi, Lab/UPF Ilmu Penyakit Dalam RSUD Dr. Soetomo Surabaya, 1994).</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 34.65pt;">
<span lang="EN-US">Walaupun gejala bervariasi secara garis besar gejala yang timbul
dapat dikelompokan dalam : demam satu minggu atau lebih, gangguan saluran
pencernaan dan gnagguan kesadaran. Dalam minggu pertama : demam, nyeri kepala,
anoreksia, mual, muntah, diare, konstipasi dan suhu badan meningkat (39-41<sup>0</sup>C).
Setelah minggu kedua gejala makin jelas berupa demam remiten, lidah tifoid
dengan tanda antara lain nampak kering, dilapisi selaput tebal, dibagian
belakang tampak lebih pucat, dibagian ujung dan tepi lebih kemerahan.
Pembesaran hati dan limpa, perut kembung dan nyeri tekan pada perut kanan bawah
dan mungkin disertai gangguan kesadaran dari ringan sampai berat seperti
delirium.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 34.65pt;">
<span lang="EN-US">Roseola <i style="mso-bidi-font-style: normal;">(rose spot)</i>, pada
kulit dada atau perut terjadi pada akhir minggu pertama atau awal minggu kedua.
Merupakan emboli kuman dimana di dalamnya mengandung kuman salmonella.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 34.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.5<span style="mso-tab-count: 1;"> </span>Pemeriksaan penunjang</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 35.45pt;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pemeriksaan
penunjang pada klien dengan typhoid adalah pemeriksaan laboratorium, yang
terdiri dari : </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 78.0pt; mso-add-space: auto; mso-list: l28 level1 lfo15; mso-pagination: widow-orphan; text-indent: -21.3pt;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pemeriksaan leukosit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Di dalam beberapa literatur dinyatakan bahwa demam
typhoid terdapat leukopenia dan limposistosis relatif tetapi kenyataannya
leukopenia tidaklah sering dijumpai. Pada kebanyakan kasus demam typhoid,
jumlah leukosit pada sediaan darah tepi berada pada batas-batas normal bahkan
kadang-kadang terdapat leukosit walaupun tidak ada komplikasi atau infeksi
sekunder. Oleh karena itu pemeriksaan jumlah leukosit tidak berguna untuk
diagnosa demam typhoid. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-list: l28 level1 lfo15; mso-pagination: widow-orphan; text-indent: -21.3pt;">
<span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pemeriksaan SGOT dan SGPT </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">SGOT dan SGPT pada demam typhoid seringkali
meningkat tetapi dapat kembali </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">normal setelah sembuhnya typhoid.
</span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-list: l28 level1 lfo15; mso-pagination: widow-orphan; text-indent: -21.3pt;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Biakan darah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Bila biakan darah positif hal itu menandakan demam
typhoid, tetapi bila biakan darah negatif tidak menutup kemungkinan akan
terjadi demam typhoid. Hal ini dikarenakan hasil biakan darah tergantung dari
beberapa faktor : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l16 level1 lfo16; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Teknik pemeriksaan Laboratorium </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Hasil pemeriksaan satu laboratorium berbeda dengan
laboratorium yang lain, hal ini disebabkan oleh perbedaan teknik dan media
biakan yang digunakan. Waktu pengambilan darah yang baik adalah pada saat demam
tinggi yaitu pada saat bakteremia berlangsung. </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l16 level1 lfo16; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Saat pemeriksaan selama perjalanan Penyakit</span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Biakan darah terhadap salmonella thypi terutama
positif pada minggu </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">pertama dan berkurang pada minggu-minggu
berikutnya. Pada waktu kambuh </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">biakan darah dapat positif
kembali. </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l16 level1 lfo16; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Vaksinasi di masa lampau </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Vaksinasi terhadap demam typhoid di masa lampau
dapat menimbulkan </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">antibodi dalam darah klien, antibodi ini dapat
menekan bakteremia sehingga biakan darah negatif. </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-list: l16 level1 lfo16; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pengobatan dengan obat anti mikroba</span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 106.35pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Bila klien sebelum pembiakan darah sudah
mendapatkan obat anti mikroba pertumbuhan kuman dalam media biakan terhambat
dan hasil biakan mungkin negatif. </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-list: l28 level1 lfo15; mso-pagination: widow-orphan; text-indent: -21.3pt;">
<span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Uji Widal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 78.0pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Uji widal adalah suatu reaksi aglutinasi antara
antigen dan antibodi (aglutinin). Aglutinin yang spesifik terhadap salmonella thypi
terdapat dalam serum klien dengan typhoid juga terdapat pada orang yang pernah
divaksinasikan. Antigen yang digunakan pada uji widal adalah suspensi
salmonella yang sudah dimatikan dan diolah di laboratorium. Tujuan dari uji
widal ini adalah untuk menentukan adanya aglutinin dalam serum klien yang
disangka menderita typhoid. Akibat infeksi oleh salmonella thypi, klien membuat
antibodi atau aglutinin yaitu : </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l4 level1 lfo17; mso-pagination: widow-orphan; text-indent: -21.25pt;">
<span style="font-family: Symbol; letter-spacing: 8.5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Aglutinin
O, yang dibuat karena rangsangan antigen O (berasal dari tubuh kuman).</span><span style="letter-spacing: 8.5pt; mso-ansi-language: IN; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l4 level1 lfo17; mso-pagination: widow-orphan; text-indent: -21.25pt;">
<span style="font-family: Symbol; letter-spacing: 8.5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Aglutinin
H, yang dibuat karena rangsangan antigen H (berasal dari flagel kuman).</span><span style="letter-spacing: 8.5pt; mso-ansi-language: IN; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 120.5pt; mso-add-space: auto; mso-list: l4 level1 lfo17; mso-pagination: widow-orphan; text-indent: -21.25pt;">
<span style="font-family: Symbol; letter-spacing: 8.5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Aglutinin
Vi, yang dibuat karena rangsangan antigen Vi (berasal dari simpai kuman)</span><span style="letter-spacing: 8.5pt; mso-ansi-language: IN; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 78.0pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Dari ketiga aglutinin tersebut hanya aglutinin O
dan H yang ditentukan titernya untuk diagnosa, makin tinggi titernya makin
besar klien menderita typhoid. </span><span style="letter-spacing: 8.5pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6<span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-list: l11 level1 lfo3; tab-stops: 36.0pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tirah baring atau bed rest.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-list: l11 level1 lfo3; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Diit lunak atau diit padat
rendah selulosa (pantang sayur dan buahan), kecuali komplikasi pada intestinal.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-list: l11 level1 lfo3; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Obat-obat :</span></div>
<div class="MsoNormal" style="margin-left: 78.0pt; mso-list: l1 level3 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Antimikroba :</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l1 level4 lfo2; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kloramfenikol 4 X 500 mg
sehari/iv</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l1 level4 lfo2; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tiamfenikol 4 X 500 mg sehari
oral</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l1 level4 lfo2; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kotrimoksazol 2 X 2 tablet
sehari oral (1 tablet = sulfametoksazol 400 mg + trimetoprim 80 mg) atau dosis
yang sama iv, dilarutkan dalam 250 ml cairan infus.</span></div>
<div class="MsoNormal" style="margin-left: 92.15pt; mso-list: l1 level4 lfo2; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ampisilin atau amoksisilin 100
mg/kg BB sehari oral/iv, dibagi dalam 3 atau 4 dosis. </span></div>
<div class="MsoNormal" style="margin-left: 78.0pt;">
<span lang="EN-US">Antimikroba
diberikan selama 14 hari atau sampai 7 hari bebas demam. </span></div>
<div class="MsoNormal" style="margin-left: 78.0pt; mso-list: l1 level3 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Antipiretik seperlunya</span></div>
<div class="MsoNormal" style="margin-left: 78.0pt; mso-list: l1 level3 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Vitamin B kompleks dan vitamin
C</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt; mso-list: l11 level1 lfo3; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mobilisasi bertahap setelah 7
hari bebas demam.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7<span style="mso-tab-count: 1;"> </span>Komplikasi</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; tab-stops: 27.0pt; text-indent: 29.7pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US">Perdarahan intestinal, perforasi intestinal, ileus paralitik,
renjatan septik, pielonefritis, kolesistisis, pneumonia, miokarditis,
peritonitis, meningitis, ensefalopati, bronkitis, karir kronik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Kuman <i style="mso-bidi-font-style: normal;">Salmonella
typhii</i> </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">masuk ke saluran cerna</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">(melalui makanan yang terce</span></div>
</div>
</td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8<span style="mso-tab-count: 1;"> </span>WOC</span></b>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: -1.0cm;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Sebagian masuk </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Ke usus halus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Peningkatan asam</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">lambung</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Ileun terminalis</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Mual, Muntah</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Perdarahan dan</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">perforasi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Masuk aliran limfe</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Sebagian menembus</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">lamina propia</span><span lang="EN-US" style="font-size: 10.0pt;"></span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Sebagian hidup dan </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">menetap</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Sebagian dimusnahkan</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Asam lambung</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNormal" style="line-height: normal; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">MK
= <span style="mso-tab-count: 1;"> </span>Kekurangan Volume Cairan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Dilepasnya zat pirogen oleh leukosit pada</span><span style="mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"> jaringan</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">yang meradang</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">DEMAM
TIFOID</span><span lang="EN-US"></span></b></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Infeksi Salmonella typhi,</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Paratyphi dan
Endotoksin</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Hepato megali,</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-spacerun: yes;"> </span>Splenomegali</span><span lang="EN-US" style="font-size: 10.0pt;"></span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Masuk dan bersarang dihati</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">dan limpa</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Menembus dan masuk aliran darah</span><span lang="EN-US" style="font-size: 10.0pt;"></span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">MK = Hipertermi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Hipothalamus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Demam</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Peningkatan </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Suhu tubuh</span></div>
</div>
</td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: center; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: center; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CASE
STUDY</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: center; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kasus :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tn.
T (6 tahun) BB : 30 kg, di bawa ke UGD RS Gambiran karena demam tidak turun,
pagi turun sore malam naik lagi, mual muntah, setelah dilakukan pemeriksaan
oleh perawat didapatkan data mukosa bibir kering, turgor kulit jelek, pasien
tampak lemah, T : 40<sup>o</sup>C, N : 90 x/menit, RR : 23 x/menit. Pasien
tampak berkeringat, keluaran urin sedikit hanya 500 cc /jam. Lidah kotor.
Pasien didiagnosa demam thypoid.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1
<span style="mso-tab-count: 1;"> </span>Pengkajian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.1 <span style="mso-tab-count: 1;"> </span>Anamnesa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. <span style="mso-tab-count: 1;"> </span>Identitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Tn. T</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat tanggal lahir<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis kelamin<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Laki-laki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 1;"> </span>:
6 tahun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-tab-count: 1;"> </span>: SD</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan <span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal MRS<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No. RM<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 177.2pt 184.3pt 191.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa Medis<span style="mso-tab-count: 2;"> </span>: Demam Thypoid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 184.3pt 191.4pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.<span style="mso-tab-count: 1;"> </span>Keluhan utama<span style="mso-tab-count: 1;"> </span>:
<span style="mso-tab-count: 1;"> </span>Demam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c.<span style="mso-tab-count: 1;"> </span>Riwayat
kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.75pt; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit sekarang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.75pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sejak kapan pasien sudah merasa tidak enak badan dan
kurang nafsu makan, disertai dengan sakit kepala, badan panas, mual dan ada
muntah. Panas berkurang setelah minum obat parasetamol, tapi hanya sebentar
kemudian panas lagi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.75pt; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit dahulu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menanyakan apakah sebelumnya pasien pernah mengalami
penyakit seperti sekarang ini, apakah pasien pernah dirawat di RS, atau pernah
sakit biasa seperti flu, pilek dan batuk, dan sembuh setelah minum obat biasa
yang dijual di pasaran. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.75pt; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.75pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menanyakan apakah ada dalam keluarga pasien yang
pernah sakit seperti pasien. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.2<span style="mso-tab-count: 1;"> </span>Pemeriksaan
Fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l21 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
umum</span></div>
<div class="MsoListParagraph" style="margin-left: 92.7pt; mso-add-space: auto; mso-pagination: widow-orphan;">
<span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Mengkaji kesadaran dan keadaan umum pasien.
Kesadaran pasien perlu di kaji dari sadar – tidak sadar (composmentis – coma)
untuk mengetahui berat ringannya prognosis penyakit pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 128.7pt; mso-list: l22 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu : 40<sup>o</sup>c </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 128.7pt; mso-list: l22 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nadi : 90 x/menit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 128.7pt; mso-list: l22 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RR : 23 x/menit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; mso-list: l21 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda
vital dan pemeriksaan persistem</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu
: 40<sup>o</sup>c, Nadi : 90 x/menit, RR : 23 x/menit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B1
(<i style="mso-bidi-font-style: normal;">breath)</i></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level4 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Bentuk dada </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: simetris </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level4 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pola nafas : teratur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level4 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Suara nafas : tidak ada bunyi nafas tambahan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level1 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Sesak nafas : tidak ada sesak nafas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level1 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Retraksi otot bantu nafas : tidak ada </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l27 level1 lfo9; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Alat bantu pernafasan : tidak ada alat bantu
pernafasan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B2
(<i style="mso-bidi-font-style: normal;">Blood)</i></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Irama jantung : teratur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Nyeri dada </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: tidak ada </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Bunyi jantung : tidak ada bunyi jantung tambahan </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Akral </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: Tangan bentuk simetris, tidak
ada peradangan sendi dan oedem, dapat bergerak dengan bebas, akral hangat,
tangan kanan terpasang infus. Kaki bentuk simetris, tidak ada pembatasan gerak
dan oedem, akral hangat. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B3
(<i style="mso-bidi-font-style: normal;">Brain</i>)</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l19 level1 lfo11; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Penglihatan (mata) : Gerakan bola mata dan kelopak
mata simetris, konjungtiva tampak anemis, sklera putih, pupil bereaksi terhadap
cahaya, produksi air mata (+), tidak menggunakan alat bantu penglihatan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l19 level1 lfo11; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Pendengaran (telinga) : Bentuk D/S simetris, mukosa
lubang hidung merah muda, tidak ada cairan dan serumen, tidak menggunakan alat
bantu, dapat merespon setiap pertanyaan yang diajukan dengan tepat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l19 level1 lfo11; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Penciuman (hidung) : Penciuman dapat membedakan
bau-bauan, mukosa </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">hidung merah muda, sekret tidak ada, tidak ada
terlihat pembesaran mukosa atau polip. </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l19 level1 lfo11; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Kesadaran : kompos mentis </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B4
(<i style="mso-bidi-font-style: normal;">Bladder</i>)</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l7 level1 lfo12; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Kebersiahan : bersih </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l7 level1 lfo12; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Bentuk alat kelamin </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">: normal </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l7 level1 lfo12; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Uretra </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">: normal </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l7 level1 lfo12; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .5pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">Produksi urin : tidak normal (sedikit) 500 cc/jam,
buang air kecil tidak menentu, rata-rata 4-6x sehari, tidak pernah ada keluhan
batu atau nyeri. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B5
(<i style="mso-bidi-font-style: normal;">Bowel</i>)</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo13; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Nafsu makan </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: anoreksia </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo13; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Porsi makan </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: ¼ porsi </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo13; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Mulut </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">: Mukosa bibir kering, lidah
tampak kotor (keputihan), gigi lengkap, tidak ada pembengkakan gusi, tidak
teerlihat pembesaran tonsil </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l24 level1 lfo13; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .7pt; mso-ansi-language: IN; mso-fareast-language: IN;">Mukosa</span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">: pucat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l23 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B6
(<i style="mso-bidi-font-style: normal;">Bone</i>)</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l6 level1 lfo14; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Kemampuan pergerakan sendi : normal </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 134.7pt; mso-add-space: auto; mso-list: l6 level1 lfo14; mso-pagination: widow-orphan; text-indent: -14.2pt;">
<span style="font-family: Symbol; letter-spacing: .6pt; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;">Kondisi tubuh</span><span style="letter-spacing: 17.5pt; mso-ansi-language: IN; mso-fareast-language: IN;"> </span><span style="letter-spacing: .5pt; mso-ansi-language: IN; mso-fareast-language: IN;">:
kelelahan, malaise, lemah </span><span style="letter-spacing: .6pt; mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2<span style="mso-tab-count: 1;"> </span>Analisa Data </span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 529px;">
<tbody>
<tr style="height: 28.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #F2F2F2; border: solid black 1.0pt; height: 28.45pt; mso-background-themecolor: background1; mso-background-themeshade: 242; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" width="142">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Analisa Data</span></b></div>
</td>
<td style="background: #F2F2F2; border-left: none; border: solid black 1.0pt; height: 28.45pt; mso-background-themecolor: background1; mso-background-themeshade: 242; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" width="180">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Etiologi</span></b></div>
</td>
<td style="background: #F2F2F2; border-left: none; border: solid black 1.0pt; height: 28.45pt; mso-background-themecolor: background1; mso-background-themeshade: 242; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Masalah </span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Keperawatan</span></b></div>
</td>
<td style="background: #F2F2F2; border-left: none; border: solid black 1.0pt; height: 28.45pt; mso-background-themecolor: background1; mso-background-themeshade: 242; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Diagnosa </span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Keperawatan</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Data
Subjektif</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l9 level1 lfo22; tab-stops: 22.95pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Demam (panas naik <span style="mso-spacerun: yes;"> </span>turun)</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l9 level1 lfo22; tab-stops: 22.95pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mual </span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l9 level1 lfo22; tab-stops: 22.95pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Muntah </span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; tab-stops: 22.95pt 120.5pt;">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Data
Objektif</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mukosa bibir kering</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Turgor kulit jelek</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pasien tampak lemah</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Lidah tampak kotor</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Keluaran urin 500 cc/24 jam</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">T : 40<sup>o</sup>c</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">N : 90 x/m</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">RR : 23x/m</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l26 level1 lfo21; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Berkeringat </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Kuman <i style="mso-bidi-font-style: normal;">Salmonella
typhii</i> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">masuk ke
saluran cerna</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Sebagian dimusnahkan</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Asam lambung</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></b></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Peningkatan asam</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">lambung</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Mual, Muntah</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"> </span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="left" class="MsoNormal" style="line-height: normal; margin-left: 30.0pt; text-align: left; text-indent: -30.0pt;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">MK <span style="mso-spacerun: yes;"> </span>= <span style="mso-spacerun: yes;"> </span>Kekurangan Volume <span style="mso-spacerun: yes;"> </span>Cairan</span></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kekurangan
volume cairan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Berhubungan
dengan asupan cairan yang tidak adekuat.</span></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Data Subjektif</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l10 level1 lfo23; tab-stops: 22.95pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Demam (panas naik <span style="mso-spacerun: yes;"> </span>turun)</span></div>
<div class="MsoNoSpacing" style="tab-stops: 22.95pt 120.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="tab-stops: 22.95pt 120.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Data Objektif</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Mukosa bibir kering</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Turgor kulit jelek</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Pasien tampak lemah</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Lidah tampak kotor</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">T : 40<sup>o</sup>c</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">N : 90 x/m</span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; mso-list: l15 level1 lfo24; tab-stops: 42.55pt 120.5pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Berkeringat </span></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; tab-stops: 42.55pt 120.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 22.95pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: normal; mso-layout-grid-align: none; mso-pagination: widow-orphan; text-align: center; text-autospace: none;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Kuman <i style="mso-bidi-font-style: normal;">Salmonella
typhii</i> </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">masuk ke
saluran cerna</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Sebagian masuk </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Ke usus halus</span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Ileun terminalis</span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Sebagian menembus</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">lamina propia</span><span lang="EN-US" style="font-size: 10.0pt;"></span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Masuk aliran limfe</span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">Menembus dan masuk
aliran darah</span><span lang="EN-US" style="font-size: 10.0pt;"></span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Hipothalamus</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Demam</span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Peningkatan </span></div>
<div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN;">Suhu tubuh</span></div>
<div class="MsoNormal">
<span style="font-size: 11.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">MK =
Hipertermi</span></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Hipertermi
</span></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNoSpacing" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Berhubungan dengan proses infeksi</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.3<span style="mso-tab-count: 1;"> </span>Diagnosa</span></b></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l20 level1 lfo4; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kurangnya
volume cairan berhubungan dengan kurangnya intake cairan dan peningkatan suhu
tubuh</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l20 level1 lfo4; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hipertermi berhubungan dengan </span><span style="mso-ansi-language: IN;">proses infeksi</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">3.4 Prioritas Masalah </span></b></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l2 level1 lfo20; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kurangnya
volume cairan berhubungan dengan kurangnya intake cairan dan peningkatan suhu
tubuh</span><span lang="EN-US">.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 57.3pt; mso-list: l9 level2 lfo22; tab-stops: 21.3pt; text-align: justify; text-indent: -57.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Planning
</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 21.1pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 21.1pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" width="45">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">No.</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 21.1pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" width="198">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Diagnosa
Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 21.1pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" width="198">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 21.1pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Rasional</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kekurangan volume
cairan berhubungan dengan asupan cairan yang tidak adekuat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 39.2pt; text-indent: -39.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tujuan :<span style="mso-spacerun: yes;"> </span>asupan
cairan adekuat dalam jangka waktu 1 x 24 jam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 44.25pt; text-indent: -44.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kriteria Hasil: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 8.8pt; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-<span style="mso-spacerun: yes;"> </span>Memiliki keseimbangan asupan dan haluaran
yang seimbang dalam 24 jam.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 8.8pt; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-
<span style="mso-spacerun: yes;"> </span>Menampilkan hidrasi yang baik misalnya
membran mukosa yang lembab.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 8.8pt; text-indent: -8.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">-<span style="mso-spacerun: yes;"> </span>Memiliki asupan cairan oral dan atau
intravena yang adekuat.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.45pt; mso-list: l13 level1 lfo25; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kaji
tanda-tanda dehidrasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.45pt; mso-list: l13 level1 lfo25; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Berikan
minum per oral sesuai toleransi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.45pt; mso-list: l13 level1 lfo25; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Atur
pemberian cairan infus sesuai order.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.45pt; mso-list: l13 level1 lfo25; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Ukur
semua cairan output (muntah, urine, diare). Ukur semua intake cairan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Intervensi lebih dini</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Mempertahankan intake
yang adekuat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Melakukan rehidrasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Mengatur keseimbangan
antara intake dan output</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hipertermi<span style="mso-spacerun: yes;"> </span>berhubungan dengan proses infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tujuan :
mempertahankan suhu tubuh dalam barts normal pada jangka waktu 1x24 jam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kriteria
Hasil: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Suhu
antara 36<sup>o</sup>-37<sup>o</sup> c</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">RR
dan nadi dalam batas normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Membran
mukosa lembab</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kulit
dingin dan bebas dari keringat yang berlebih.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 10.5pt; mso-list: l3 level1 lfo27; text-indent: -10.5pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Pakaian
dan tempat tidur pasien kering</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Monitor
tanda-tanda infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Monitor
tanda-tanda vital tiap 2 jam.</span></div>
<div align="left" class="MsoListParagraph" style="margin-left: 15.35pt; mso-add-space: auto; text-align: left; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Berikan
suhu lingkungan yang nyaman bagi pasien. Kenakan pakaian tipis pada pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kompres
dingin pada daerah yang tinggi aliran darahnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Berikan
cairan iv sesuai order atau anjurkan intake cairan yang adekuat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Berikan
antipiretik, jangan berikan aspirin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 15.35pt; mso-list: l0 level1 lfo26; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Monitor
komplikasi neurologis akibat demam.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Infeksi pada umumnya
menyebabkan peningkatan suhu tubuh</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Deteksi resiko
peningkatan suhu tubuh yang ekstrem, pola yang dihubungkan dengan patogen
tertentu, menurun dihubungkan dengan resolusi infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kehilangan panas
tubuh melalui konveksi dan evaporasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Memfasilitasi
kehiliangan panas lewat konveksi dan konduksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Menggantikan cairan
yang hilang lewat keringat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Aspirin bersiko
terjadi perdarahanGI yang menetap.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Febril dan enselopati
bisa terjadi bila suhu tubuh yang meningkat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 180.45pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 180.45pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 180.45pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Implementasi
</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; width: 539px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-language: IN;">No</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.6pt;" valign="top" width="145">
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-language: IN;">Hari / Tanggal Waktu</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-language: IN;">Implementasi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-language: IN;">Paraf</span></b></div>
</td>
</tr>
<tr style="height: 106.95pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; height: 106.95pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">1.</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 106.95pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.6pt;" valign="top" width="145">
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Senin, 28 November <span style="mso-spacerun: yes;"> </span>2011</span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Jam 10.00 WIB</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 106.95pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l14 level1 lfo28; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mengkaji
tanda-tanda dehidrasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l14 level1 lfo28; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memberikan
minum per oral sesuai toleransi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l14 level1 lfo28; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mengatur
pemberian cairan infus sesuai order.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l14 level1 lfo28; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mengukur
semua cairan output (muntah,urine, diare), dan mengukur semua intake.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 106.95pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoListParagraph" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.6pt;" valign="top" width="145">
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Senin,
28 November 2011</span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 0cm; mso-add-space: auto; text-align: left;">
<span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Jam
11.00 WIB</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memonitor
tanda-tanda infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memonitor
tanda-tanda vital setiap 2 jam.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memberikan
suhu lingkungan yang nyaman pada pasien serta memakaikan pakaian tipis.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mengkompres
dingin pada daerah yang tinggi aliran darahnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memberikan
cairan iv sesuai order atau memnganjurkan intake cairan yang adekuat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memberikan
antipiretik.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 16.5pt; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -15.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Memonitor
komplikasi neurologis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l9 level2 lfo22; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
1:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pasien menunjukkan hidrasi yang baik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TTV normal, intake dan output cairan seimbang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Masalah teratasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pasien pulang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa 2:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pasien mengatakan tidak demam lagi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TTV
normal, membran mukosa lembab, kulit dingin dan bebas dari keringan yang
berlebih, pakaian dan tempat tidur pasien kering.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Masalah
teratasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pasien
pulang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 49.65pt 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1
<span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demam tifoid atau thypoid fever atau
thypus abdominalis merupakan penyakit infeksi akut pada saluran pencernaan yang
disebabkan oleh kuman <i style="mso-bidi-font-style: normal;">Salmonella typhii. </i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salmonella</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
mempunyai tiga macam antigen, yaitu antigen O (<i style="mso-bidi-font-style: normal;">Ohne Hauch</i>) antigen H (<i style="mso-bidi-font-style: normal;">Hauch</i>,
menyebar) dan antigen V1 (kapsul). Kuman <i style="mso-bidi-font-style: normal;">Salmonella</i>
masuk bersama makanan atau minuman yang terkontaminasi, setelah berada dalam
usus halus mengadakan invasi ke jaringan limfoid usus halus (terutama plak
peyer) dan jaringan limfoid mesenterika. Masa inkubasi 7-20 hari, inkubasi
terpendek 3 hari dan terlama 60 hari.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2
<span style="mso-tab-count: 1;"> </span>Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan penulisan makalah ini diharapkan
mahasiswa memahami dan mampu memberikan asuhan kepearawatan pada pasien dengan
demam thypoit. Dan bagi institusi diharapkan mampu dengan baik dalam menjalankan
asuhan keperawatan pada pasien demam thypoit yang sesuai dengan prosedur.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERTANYAAN</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apakah penyakit Thypus dan Demam Thypoid
itu sama? </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab : <span style="mso-tab-count: 1;"> </span>Demam Thypoid dan Thypus itu sama, hanya
namanya yang berbeda. Sebenarnya Thypus itu berasal dari kata <i style="mso-bidi-font-style: normal;">Thypus abdominalis</i> yang artinya sama
dengan Demam Thypoid.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apakah jika penderita yang pernah sakit
demam thypoid dan telah sembuh, bisa terinfeksi bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii </i>lagi?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab :<span style="mso-tab-count: 1;"> </span>Bisa. Karena bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii </i>dapat menular melalui makanan dan minuman, jadi
jika orang tersebut memakan makanan atau minuman yang terinfeksi bakteri
tersebut maka orang tersebut bisa saja terinfeksi lagi dan mengalami sakit
Demam Thypoid lagi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kenapa demam thypoid sering terjadi pada
anak-anak?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab :<span style="mso-tab-count: 1;"> </span>karena pada anak-anak daya tahan tubuhnya
masih rentan, selain itu pada anak-anak sering atau senang memasukkan apapun ke
dalam mulutnya yang kita tidak ketahui apakah ada bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii </i><span style="mso-spacerun: yes;"> </span>di dalam
benda-benda yang masuk ke dalam mulutnya tersebut. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengapa bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii</i> dapat menyebabkan hepatomegali? Apakah itu
merupakan infeksi dari bekteri tersebut atau merupakan komplikasi?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab : <span style="mso-tab-count: 1;"> </span>Bakteri <i style="mso-bidi-font-style: normal;">Salmonella
Thypii</i> masuk melalui saluran pencernaan masuk ke usus halus dan kemudian
masuk ke hepar. Di hepar terjadi proses fagositosis racun, karena adanya
bakteri disana maka kerja hepar semakin kuat untuk mengkompensasi dalam
membunuh kuman bakteri yang ada didalam hepar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; tab-stops: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana cara penularan penyakit Demam
Thypoid?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -42.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab :<span style="mso-tab-count: 1;"> </span>penularannya
melalui saluran pencernaan yaitu bisa melalui makanan dan<span style="mso-spacerun: yes;"> </span>minuman yang telah terkontaminasi bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii.</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; mso-list: l25 level1 lfo30; tab-stops: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengapa anda mengambil diagnosa
keperawatan Kekurangan Volume Cairan berhubungan dengan kurangnya intake cairan
dan peningkatan suhu tubuh?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab : karena bakteri <i style="mso-bidi-font-style: normal;">Salmonella Thypii </i>masuk kesaluran
pencernaan melalui makanan yang kemudian sebagian dimusnahkan asam lambung dan
menyebabkan peningkatan asam lambung yang mengakibatkan pasien merasa mual
muntah, dari perasan mual muntah itu sendiri dapat munurunkan intake nutrisi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l25 level1 lfo30; tab-stops: 21.3pt; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pasien demam thypoid diit yang
seperti apa yang diberikan?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jawab : untuk pasien yang baru masuk RS
diberikan diit lunak setelah itu kita berikan makanan setengah padat dan
kemudian makanan padat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 2.0cm; text-indent: -2.0cm;">
<span lang="EN-US">Herdman T. Heather. 2010. <i style="mso-bidi-font-style: normal;">Diagnosis Keperawatan. </i>Jakarta : EGC</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 2.0cm; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US">Rampengan dan Laurentz, 1995, <i style="mso-bidi-font-style: normal;">Penyakit Infeksi Tropik Pada Anak,</i> cetakan kedua, EGC, Jakarta.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Wilkinson M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis Keperawatan Edisi 7. </i>Jakarta
: EGC</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;">Anonim. 2007. <i style="mso-bidi-font-style: normal;">Demam Thypoid. </i></span><span lang="EN-US"><a href="http://cnennisa.files.wordpress.com/2007/08/%20demam-thypoid.pdf">http://cnennisa.files.wordpress.com/2007/08/<span style="mso-ansi-language: IN;"> </span>demam-thypoid.pdf</a> </span><span style="mso-ansi-language: IN;">(diakses pada tanggal 18 November 2011, Jam 09.00
WIB)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-70749160743192602912012-06-06T18:42:00.002-07:002012-06-06T18:51:15.866-07:00ASKEP Gastritis<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
</div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">MAKALAH </span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KEPERAWATAN
DEWASA VI</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">“ASUHAN
KEPERAWATAN PADA PASIEN DENGAN GASTRITIS”</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 191px; left: 0px; margin-left: 175px; margin-top: 18px; position: absolute; width: 204px; z-index: -4;"><img height="191" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="204" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disusun Oleh:</span></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelompok</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 2 </span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Asmat Burhan (10620345)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diyah Prianti</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (106203</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">51</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">)</span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ita Kusworini (10620359)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Moises D. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (106203</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">63</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">)</span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilwan Arfiansyah (10620366)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pungky Apri Utama (10620371)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rizky D.C Rahayu (10620373)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Wahyu Antoro (10620378)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 125.85pt; mso-list: l0 level1 lfo1; tab-stops: 9.0cm; text-align: left; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Al Badrul Maniru (10620384)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div align="left" class="MsoNormal" style="margin-left: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<div align="left" class="MsoNormal" style="margin-left: 0cm; text-align: left;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center;">
<span style="height: 41px; left: 0px; margin-left: 567px; margin-top: 22px; position: absolute; width: 54px; z-index: 2;"></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PROGRAM
STUDI ILMU KEPERAWATAN</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (S-1)</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FAKULTAS
ILMU KESEHATAN</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">UNIVERSITAS
KADIRI</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 0cm; text-align: center; text-indent: -.15pt;">
<span style="height: 32px; left: 0px; margin-left: 276px; margin-top: 57px; position: absolute; width: 32px; z-index: 3;"></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">201</span></b><span style="height: 24px; left: 0px; margin-left: 579px; margin-top: 8px; position: absolute; width: 30px; z-index: 4;"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.1<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis adalah istilah yang digunakan
untuk menggambarkan sekelompok kondisi dengan satu hal yaitu radang selaput
perut . Peradangan ini (gastritis) sering kali adalah hasil dari infeksi
bakteri <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i> yang
menyebabkan radang perut yang paling sering ditemukan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
adalah proses inflamsi pada lapisan mukosa dan sub mukosa lambung. Secara
histopastologi dapat dibuktikan dengan adanya infiltarsi sel-sel radang pada
daerah tersebut. Gastritis merupakan salah satu penyakit yang banyak dijumpai
di klinik / ruangan penyakit dalam pada umumnya. Kejadian penyakit gastritis
meningkat sejak 5 – 6 tahun ini dan menyerang laki-laki lebih banyak dari pada
wanita. Laki-laki lebih banyak mengalami gastritis karena kebiasaan
mengkonsumsi alkohol dan merokok.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Di negara berkembang prevalensi infeksi <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i> pada orang dewasa
mendekati angka 90%. Sedangkan pada anak-anak prevalensinya lebih tinggi lagi.
Di Indonesia, prevalensi kuman ini menggunakan <i style="mso-bidi-font-style: normal;">urea breath test</i>. Penelitian serologis yang dilakukan secara <i style="mso-bidi-font-style: normal;">cross sectional</i> bertambahnya prevelansi
penyakit ini sesuai dengan pertambahan usia. Penyebab penyakit ini adalah gram
negatife, basil yang berbentuk kurva dan batang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Namun, banyak faktor lain seperti
cedera, traumatis, penggunaan obat penghilang rasa sakit tertentu atau minum
alkohol terlalu banyak, juga dapat berkontribusi untuk terjadinya gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis dapat terjadi secara mendadak
(gastritis akut) atau bisa terjadi perlahan-lahan dari waktu ke waktu
(gastritis kronis). Dalam beberapa kasus, gastritis dapat menyebabkan bisul
(ulkus) pada lambung dan peningkatan risiko kanker perut. Bagi kebanyakan
orang, gastritis tidaklah serius dan dapat dengan cepat mereda bahkan sembuh
dengan pengobatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat ini dalam
proses keperawatan gastritis banyak dijumpai dan menyerang 80 – 90% laki-laki<i style="mso-bidi-font-style: normal;">.</i></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis dapat terjadi secara mendadak
(gastritis akut) atau bisa terjadi perlahan-lahan dari waktu ke waktu
(gastritis kronis). Dalam beberapa kasus, gastritis dapat menyebabkan bisul
(ulkus) pada lambung dan peningkatan risiko kanker perut. Bagi kebanyakan
orang, gastritis tidaklah serius dan dapat dengan cepat mereda bahkan sembuh
dengan pengobatan.<span style="color: red;"></span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.2<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagaimana
asuhan keperawatan pada pasien dengan Gastritis?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3.1<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
asuhan keperawatan pada pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3.2<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
definisi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
klasifikasi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
etiologi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
patofisiologi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
manifestasi klinis gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
pemeriksaan penunjang gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
penatalaksanaan gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
komplikasi gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
asuhan keperawatan pasien dengan gastritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l18 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manfaat
</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4.1<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat
menambah pengetahuan dan keterampilan dalam memberikan asuhan keperawatan pada
pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l18 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4.2<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tenaga
keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat
memberikan asuhan keperawatan yang baik dan tepat pada pasien dengan Gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat
menambah wawasan dan pengetahuan bagi semua mahasiswa tentang asuhan
keperawatan pada pasien dengan gangguan gastritis sehingga menunjang
pembelajaran mata kuliah pencernaan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebagai
referensi tambahan dalam proses penbelajaran mata kuliah pencernaan. Akademik
mendapatkan tambahan referensi untuk melengkapi bahan pembelajaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l8 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Masyarakat
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memberikan
informasi tentang penyakit gastritis, penyebab, tanda dan gejal, serta cara
perawatan dan pengobatannya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.1<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> atau lebih
dikenal sebagai maag berasal dari bahasa yunani yaitu <i>gastro</i>, yang
berarti perut/lambung dan <i>itis</i> yang berarti inflamasi/peradangan.
Gastritis adalah inflamasi dari mukosa lambung (Kapita Selekta Kedokteran,
Edisi Ketiga , 1999). Gastritis adalah segala radang mukosa lambung. Gastritis
merupakan suatu keadaan peradangan atau perdarahan mukosa lambung yang dapat
bersifat akut, kronis, difus atau local (Sylvia A Price, 2006).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berdasarkan
berbagai pendapat tokoh diatas, gastritis dapat juga diartikan sebagai suatu
proses inflamasi pada lapisan mukosa dan submukosa lambung dan secara
hispatologi dapat dibuktikan dengan adanya infiltrasi sel-sel radang pada
daerah tersebut. Gastritis bukan merupakan penyakit tunggal, tetapi terbentuk
dari beberapa kondisi yang kesemuanya itu mengakibatkan peradangan pada
lambung. Biasanya, peradangan tersebut merupakan akibat dari infeksi oleh
bakteri yang sama dengan bakteri yang dapat mengakibatkan borok di lambung
yaitu <i style="mso-bidi-font-style: normal;">Helicobacter pylori</i>.
Peradangan ini mengakibatkan sel darah putih menuju ke dinding lambung
sebagai respon terjadinya kelainan pada bagian tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.2<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klasifikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
menurut jenisnya terbagi menjadi 2, yaitu: (David Ovedorf, 2002) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level2 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disebabkan
oleh mencerna asam atau alkali kuat yang dapat menyebabkan mukosa menjadi
gangren atau perforasi. Gastritis akut dibagi menjadi dua garis besar yaitu :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a)<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis eksogen akut, biasanya
disebabkan oleh faktor-faktor dari luar, seperti bahan kimia. Misalnya lisol,
alkohol, merokok, kafein lada, steroid, mekanis iritasi bakterial, obat
analgetik, anti inflamasi terutama aspirin (aspirin yang dosis rendah sudah
dapat menyebabkan erosi mukosa lambung).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b)<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis endogen akut, adalah gastritis
yang disebabkan oleh kelainan badan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l8 level2 lfo3; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Inflamasi lambung yang lama, dapat
disebabkan oleh ulkus benigna atau maligna dari lambung, atau oleh bakteri <i>Helicobacter
pylory. </i>Gastritis kronik dikelompokkan lagi dalam 2 tipe yaitu tipe A dan
tipe B. Dikatakan gastritis kronik tipe A jika mampu menghasilkan imun sendiri.
Tipe ini dikaitkan dengan atropi dari kelenjar lambung dan penurunan mukosa.
Penurunan pada sekresi gastrik mempengaruhi produksi antibodi. Anemia
pernisiosa berkembang pada proses ini. Gastritis kronik tipe B lebih
lazim. Tipe ini dikaitkan dengan infeksi <i style="mso-bidi-font-style: normal;">Helicobacter
pylori</i> yang menimbulkan ulkus pada dinding lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.3<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyebab
dari Gastritis dapat dibedakan sesuai dengan klasifikasinya sebagai berikut :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l31 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a)<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyebabnya adalah stres psikologi, obat analgetik,
anti inflamasi terutama aspirin (aspirin yang dosis rendah sudah dapat menyebabkan
erosi mukosa lambung), makanan, bahan kimia misalnya lisol, alkohol, merokok,
kafein lada, steroid dan digitalis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l31 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b)<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyebab dan patogenesis pada umumnya belum diketahui,
biasanya disebabkan oleh ulkus benigna atau maligna dari lambung </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Helicobacter pylori.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Gastritis ini merupakan kejadian biasa pada orang
tua, tapi di duga pada peminum alkohol, dan merokok. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.4<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
Akut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengaruh efek samping obat-obat NSAIDs
atau Non-Steroidal Anti Inflamatory Drug seperti aspirin juga dapat menimbulkan
gastritis. Obat analgesik anti inflamasi nonsteroid (AINS) seperti aspirin,
ibuproven dan naproxen dapat menyebabkan peradangan pada lambung dengan cara
mengurangi prostaglandin yang bertugas melindungi dinding lambung. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jika pemakaian obat-obat tersebut hanya
sesekali maka kemungkinan terjadinya masalah lambung akan kecil. Tapi jika pemakaiannya
dilakukan secara terus menerus atau pemakaian yang berlebihan dapat
mengakibatkan <i>gastritis</i> dan<i> peptic ulcer</i>. Pemberian aspirin
juga dapat menurunkan sekresi bikarbonat dan mukus oleh lambung, sehingga
kemampuan faktor defensif terganggu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Alkohol berlebih, terlalu sering memakan
makanan yang mengandung nitrat (bahan pengawet) atau terlalu asam (cuka),
kafein seperti pada teh dan kopi serta kebiasaan merokok dapat memicu
terjadinya gastritis. Karena bahan-bahan tersebut bila terlalu sering kontak dengan
dinding lambung akan memicu sekresi asam lambung berlebih sehingga dapat
mengikis lapisan mukosa lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kemudian stress psikologis maupun
fisiologis yang lama dapat menyebabkan gastritis. Stress seperti syok, sepsis,
dan trauma menyebabkan iskemia mukosa lambung. Iskemia mukosa lambung
mengakibatkan peningkatan permeabilitas mukosa akibatnya terjadi difusi balik
H+ ke dalam mukosa. Mukosa tidak mampu lagi menahan asam berlebih menyebabkan
edema lalu rusak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l5 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis kronis dapat diklasifikasikan
tipe A atau tipe B. Tipe A (sering disebut sebagai gastritis autoimun)
diakibatkan dari perubahan sel parietal, yang menimbulkan atropi dan infiltrasi
sel. Hal ini dihubungkan dengan penyakit otoimun, seperti anemia pernisiosa dan
terjadi pada fundus atau korpus dari lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tipe B (kadang disebut sebagai gastritis
<i style="mso-bidi-font-style: normal;">H. pylory</i>) Ini dihubungkan dengan
bakteri <i style="mso-bidi-font-style: normal;">H. pylory</i>, faktor diet
seperti minum panas atau pedas, penggunaan obat-obatan dan alkohol, merokok
atau refluks isi usus kedalam lambung.<i> H. Pylori </i>termasuk bakteri yang
tidak tahan asam, namun bakteri jenis ini dapat mengamankan dirinya pada
lapisan mukosa lambung. Keberadaan bakteri ini dalam mukosa lambung menyebabkan
lapisan lambung melemah dan rapuh sehingga asam lambung dapat menembus lapisan tersebut.
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dengan demikian baik asam lambung maupun
bakteri menyebabkan luka atau tukak. Sistem kekebalan tubuh akan merespon
infeksi bakteri <i>H. Pylori </i>tersebut dengan mengirimkan butir-butir
leukosit, sel<i>T-killer</i>, dan pelawan infeksi lainnya. Namun demikian
semuanya tidak mampu melawan infeksi <i>H. Pylori </i>tersebut sebab tidak
bisa menembus lapisan lambung. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Akan tetapi juga tidak bisa dibuang
sehingga respons kekebalan terus meningkat dan tumbuh. <i>Polymorph </i>mati
dan mengeluarkan senyawa perusak radikal superoksida pada sel lapisan lambung.
Nutrisi ekstra dikirim untuk menguatkan sel leukosit, namun nutrisi itu juga
merupakan sumber nutrisi bagi <i>H. Pylori. </i>Akhirnya, keadaan epitel
lambung semakin rusak sehingga terbentuk ulserasi superfisial dan bisa
menyebabkan hemoragi (perdarahan). Dalam beberapa hari gastritis dan bahkan
tukak lambung akan terbentuk.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.5<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manifestasi
Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l29 level2 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anoreksia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Muntah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l7 level1 lfo27; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri epigastrum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo27; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perdarahan saluran cerna pada
Hematemasis melena, tanda lebih lanjut yaitu anemia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l29 level2 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada
tipe A, biasanya asimtomatik, klien tidak mempunyai keluhan. Namun pada
gastritis tipe B, pasien biasanya mengeluh :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri ulu hati </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anorexia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nausea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anemia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.6<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adapun
pemeriksaan penunjang gastritis menurut Hudak dan Gallo, 1996, seperti di bawah
ini :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
haemoglobin dan hematokrit untuk menentukan adanya anemia akibat perdarahan.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kadar serum gastrin rendah atau normal, atau meninggi pada gastritis kronik
yang berat.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">c.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
rontgen dengan sinar X barium untuk melihat kelainan mukosa lambung.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">d.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Endoskopi
dengan menggunakan gastrocopy untuk melihat kelainan mukosa lambung.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
asam lambung untuk mengetahui ada atau tidak peningkatan asam lambung</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">f.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
darah </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">untuk
memeriksa apakah terdapat<i> H. Pylori</i> dalam darah. Hasil tes yang
positif menunujukkan bahwa pasien pernah kontak dengan bakteri pada suatu waktu
dalam hidupnya tapi itu tidak menunjukkan bahwa pasien tersebut terkena
infeksi. Tes darah dapat juga dilakukan untuk memeriksa anemia yang terjadi
akibat perdarahan lambung karena gastritis</span>.<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">g.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
feses tes ini untuk memeriksa apakah terdapat bakteri <i>H. Pylori</i> dalam
feses atau tidak. Hasil yang positif dapat mengindikasikan terjadinya infeksi.
Pemeriksaan juga dilakukan terhadap adanya darah dalam feses. Hal ini
menunjukkan adanya pendarahan dalam lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Analisa
lambung tes ini untuk mengetahui sekresi asam dan merupakan tekhnik penting
untuk menegakkan diagnosis penyakit lambung. Suatu tabung nasogastrik
dimasukkan ke dalam lambung dan dilakukan aspirasi isi lambung puasa untuk
dianalisis. Analisis basal mengukur BAO<i style="mso-bidi-font-style: normal;">(
basal acid output</i>) tanpa perangsangan. Uji ini bermanfaat untuk menegakkan
diagnosis sindrom <i style="mso-bidi-font-style: normal;">Zolinger- Elison </i>(suatu
tumor pankreas yang menyekresi gastrin dalam jumlah besar yang selanjutnya akan
menyebabkan asiditas nyata).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.7<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengobatan
gastritis meliputi :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengatasi
kedaruratan medis yang terjadi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengatasi
atau menghindari penyebab apabila dapat dijumpai.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l2 level1 lfo7; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemberian
obat-obat antasid atau obat-obat ulkus lambung yang lain (Soeparman,1999)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada
gastritis, penatalaksanaanya dapat dilakukan dengan (medis dan non medis),
yaitu sebagai berikut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
Akut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intruksikan
pasien untuk menghindari alkohol.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila
pasien mampu makan melalui mulut, anjurkan diet mengandung gizi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila
gejala menetap, cairan perlu diberi secara parenteral.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila
perdarahan terjadi, lakukan penatalaksanaan untuk hemoragi saluran
gastrofestinal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk
menetralisir asam gunakan antasida umum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk
menetralisir alkhali gunakan jus lemon encer atau cuka encer.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pembedahan
darurat mungkin diperlukan untuk mengangkat gangren atau perforasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jika
gastritis terjadi akibat menelan basa kuat, gunakan sari buah jeruk yang encer
atau cuka yang di encerkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l33 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Reaksi
lambung diperlukan untuk mengatasi obstruksi polirus. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis
Kronik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat
diatasi dengan memodifikasi diet pasien, diet makan lunak diberikan sedikit
tapi lebih sering.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengurangi
stress</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">H.pylori
diatasi dengan antibiotik (seperti tetraciklin ¼, amoxillin) dan gram bismuth
(pepto-bismol).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.8<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Komplikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l35 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perdarahan
saluran cerna bagian atas berupa hematimesis dan melena yang dapat berakhir
sebagai syok hemoragie.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l35 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ulkus
peptikum, perforasi dan anemia karena gangguan absorbsi vitamin B12 (Mansjoer,
Arief 1999)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo33; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.9<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">WOC</span></b></div>
<div class="MsoNormal">
<span style="height: 887px; left: -57px; position: relative; top: 13px; width: 676px; z-index: 251659264;"><img height="874" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="676" /></span> </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ASUHAN KEPERAWATAN </span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PADA PASIEN DENGAN GASTRITIS</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l2 level2 lfo7; text-indent: -28.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengkajian</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1.1
Anamnese meliputi :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Nama :
Tn. X
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Usia :
lebih banyak pada anak-anak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. Jenis kelamin : lebih banyak
laki-laki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. Jenis pekerjaan : tidak
dipengaruhi jenis pekerjaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5. Alamat : -</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6. Suku/bangsa : indonesia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 177.2pt 184.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7. Agama :
islam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; tab-stops: 177.2pt 184.3pt; text-align: justify; text-indent: -127.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8. Tingkat
pendidikan : bagi orang yang tingkat pendidikan rendah/minim mendapatkan
pengetahuan tentang gastritis, maka akan menganggap remeh penyakit ini, bahkan
hanya menganggap gastritis sebagai sakit perut biasa dan akan memakan makanan
yang dapat menimbulkan serta memperparah penyakit ini.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9.
Riwayat sakit dan kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 219.75pt; tab-stops: 212.65pt 219.75pt; text-align: justify; text-indent: -148.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a)
Keluhan utama : Nyeri di ulu hati dan perut sebelah kanan
bawah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 219.75pt; tab-stops: 3.0cm 212.65pt 219.75pt; text-align: justify; text-indent: -148.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b) Riwayat penyakit saat ini : Meliputi
perjalan penyakitnya, awal dari gejala yang dirasakan klien, keluhan timbul
dirasakan secara mendadak atau bertahap, faktor pencetus, upaya untuk mengatasi
masalah tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; tab-stops: 212.65pt 219.75pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">c) Riwayat penyakit dahulu : Meliputi penyakit yang berhubungan
dengan penyakit sekarang, riwayat dirumah sakit, dan riwayat pemakaian obat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l2 level3 lfo7; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1.2<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan fisik, yaitu <i style="mso-bidi-font-style: normal;">Review of system</i> (ROS)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 163.05pt; tab-stops: 155.95pt 163.05pt; text-align: justify; text-indent: -99.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keadaan
umum : tampak kesakitan pada pemeriksaan fisik terdapat nyeri tekan di
kwadran epigastrik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B1(breath) : takhipnea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B2 (blood) : takikardi,
hipotensi, disritmia, nadi perifer lemah,
pengisian perifer lambat, warna kulit pucat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B3 (brain) : sakit kepala, kelemahan,
tingkat kesadaran dapat terganggu, disorientasi, nyeri epigastrum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B4 (bladder) : oliguria, gangguan keseimbangan cairan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B5 (bowel) : anemia, anorexia,
mual, muntah, nyeri ulu hati, tidak toleran terhadap makanan pedas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; mso-list: l4 level1 lfo36; tab-stops: 99.25pt 177.2pt 184.3pt; text-align: justify; text-indent: -106.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B6 (bone) : kelelahan, kelemahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 184.3pt; tab-stops: 99.25pt 155.95pt 163.05pt 184.3pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1.3 Fokus
Pengkajian</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Aktivitas
/ Istirahat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 134.7pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala : kelemahan,
kelelahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : takikardia,
takipnea / hiperventilasi (respons terhadap aktivitas)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala : kelemahan, berkeringat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : - hipotensi (termasuk postural)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">takikardia,
disritmia (hipovolemia / hipoksemia)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nadi
perifer lemah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">pengisian
kapiler lambat / perlahan (vasokonstriksi)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">warna
kulit pucat, sianosis (tergantung pada jumlah kehilangan darah) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kelemahan
kulit / membran mukosa, berkeringat (menunjukkan status syok, nyeri akut,
respons psikologik)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Integritas
ego</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala : faktor
stress akut atau kronis (keuangan, hubungan kerja), perasaan tak berdaya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : tanda
ansietas, misalnya gelisah, pucat, berkeringat, perhatian menyempit, gemetar,
suara gemetar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala : riwayat
perawatan di rumah sakit sebelumnya karena perdarahan gastroenteritis (GE) atau
masalah yang berhubungan dengan GE, misalnya
luka peptik atau gaster, gastritis, bedah gaster, iradiasi area gaster.
Perubahan pola defekasi / karakteristik feses.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : - nyeri tekan abdomen, distensi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bunyi
usus : sering hiperaktif selama perdarahan, hipoaktif setelah perdarahan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">karakteristik
feses : diare, darah warna gelap, kecoklatan atau kadang-kadang merah cerah, berbusa,
bau busuk (steatorea), konstipasi dapat terjadi (perubahan diet, penggunaan
antasida).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">haluaran
urine : menurun, pekat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Makanan
/ Cairan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala
: -
anoreksia, mual, muntah (muntah yang
memanjang diduga obstruksi pilorik bagian luar sehubungan dengan luka
duodenal).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">masalah
menelan : cegukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyeri
ulu hati, sendawa bau asam, mual atau muntah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda
: muntah
dengan warna kopi gelap atau merah cerah, dengan atau tanpa bekuan darah, membran
mukosa kering, penurunan produksi mukosa, turgor kulit buruk (perdarahan
kronis).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Neurosensi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala
: rasa
berdenyut, pusing / sakit kepala karena sinar, kelemahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : tingkat
kesadaran dapat terganggu, rentang dari agak cenderung tidur, disorientasi / bingung,
sampai pingsan dan koma (tergantung pada volume sirkulasi / oksigenasi).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri
/ Kenyamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala
: - nyeri, digambarkan sebagai tajam, dangkal,
rasa terbakar, perih, nyeri hebat tiba-tiba dapat disertai perforasi. Rasa
ketidaknyamanan / distres samar-samar setelah makan banyak<br />
dan hilang dengan makan (gastritis akut). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyeri
epigastrum kiri sampai tengah / atau menyebar ke punggung terjadi 1-2 jam
setelah makan dan hilang dengan antasida (ulkus gaster). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyeri
epigastrum kiri sampai / atau menyebar ke punggung terjadi kurang lebih 4 jam
setelah makan bila lambung kosong dan hilang dengan makanan atau antasida
(ulkus duodenal). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak
ada nyeri (varises esofegeal atau gastritis).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l14 level1 lfo12; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">faktor
pencetus : makanan, rokok, alkohol, penggunaan obat-obatan tertentu (salisilat,
reserpin, antibiotik, ibuprofen), stresor psikologis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : wajah
berkerut, berhati-hati pada area yang sakit, pucat, berkeringat, perhatian
menyempit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keamanan<br />
Gejala : alergi terhadap obat / sensitif misal : ASA</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanda : peningkatan suhu, spider angioma, eritema
palmar (menunjukkan sirosis / hipertensi portal)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 120.5pt 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l25 level1 lfo13; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyuluhan
/ Pembelajaran</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; tab-stops: 120.5pt 127.6pt; text-align: justify; text-indent: -49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala : adanya
penggunaan obat resep / dijual bebas yang mengandung ASA, alkohol, steroid.
NSAID menyebabkan perdarahan GI. Keluhan saat ini dapat diterima karena (misal
: anemia) atau diagnosa yang tak berhubungan (misal : trauma kepala), flu usus,
atau episode muntah berat. Masalah kesehatan yang lama misal : sirosis,
alkoholisme, hepatitis, gangguan makan (Doengoes, 1999, hal: 455).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l28 level3 lfo10; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1.4<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan Diagnostik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
darah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tes
ini digunakan untuk memeriksa apakah terdapat<i> H. Pylori</i> dalam darah.
Hasil tes yang positif menunujukkan bahwa pasien pernah kontak dengan bakteri
pada suatu waktu dalam hidupnya tapi itu tidak menunjukkan bahwa pasien
tersebut terkena infeksi. Tes darah dapat juga dilakukan untuk memeriksa anemia
yang terjadi akibat perdarahan lambung karena gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Uji
napas urea</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Suatu
metode diagnostik berdasarkan prinsip bahwa urea diubah oleh urease <i>H.
Pylori </i>dalam lambung menjadi amoniak dan karbondioksida (CO<sub>2</sub>).
CO<sub>2</sub> cepat diabsorbsi melalui dinding lambung dan dapat terdeteksi
dalam udara ekspirasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">c.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
feces</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tes
ini memeriksa apakah terdapat bakteri <i>H. Pylori</i> dalam feses atau
tidak. Hasil yang positif dapat mengindikasikan terjadinya infeksi. Pemeriksaan
juga dilakukan terhadap adanya darah dalam feses. Hal ini menunjukkan adanya
pendarahan dalam lambung.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">d.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Endoskopi
saluran cerna bagian atas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dengan
tes ini dapat terlihat adanya ketidaknormalan pada saluran cerna bagian atas
yang mungkin tidak terlihat dari sinar-x. Tes ini dilakukan dengan cara
memasukkan sebuah selang kecil yang fleksibel(endoskop) melalui mulut dan masuk
ke dalam esofagus, lambung dan bagian atas usus kecil. Tenggorokan akan
terlebih dahulu dianestesi sebelum endoskop dimasukkan untuk memastikan pasien
merasa nyaman menjalani tes ini. Jika ada jaringan dalam saluran cerna yang
terlihat mencurigakan, dokter akan mengambil sedikit sampel(biopsy) dari
jaringan tersebut. Sampel itu kemudian akan dibawa ke laboratorium untuk
diperiksa. Tes ini memakan waktu kurang lebih 20 sampai 30 menit. Pasien
biasanya tidak langsung disuruh pulang ketika tes ini selesai, tetapi harus
menunggu sampai efek dari anestesi menghilang kurang lebih satu atau dua jam.
Hampir tidak ada resioko akibat tes ini. Komplikasi yang sering terjadi adalah
rasa tidak nyaman pada tenggorokan akibat menelan endoskop.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l37 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rontgen
saluran cerna bagian atas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tes
ini akan melihat adanya tanda-tanda gastritis atau penyakit pencernaan lainnya.
Biasanya akan diminta menelan cairan barium terlebih dahulu sebelum dirontgen.
Cairan ini akan melapisi saluran cerna dan akan terlihat lebih jelas ketika di
rontgen.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l1 level1 lfo37; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">g.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Analisis
Lambung</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tes
ini untuk mengetahui sekresi asam dan merupakan tekhnik penting untuk
menegakkan diagnosis penyakit lambung. Suatu tabung nasogastrik dimasukkan ke
dalam lambung dan dilakukan aspirasi isi lambung puasa untuk dianalisis.
Analisis basal mengukur BAO( basal acid output) tanpa perangsangan. Uji ini
bermanfaat untuk menegakkan diagnosis sindrom Zolinger- Elison(suatu tumor
pankreas yang menyekresi gastrin dalam jumlah besar yang selanjutnya akan
menyebabkan asiditas nyata).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l1 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Analisis
stimulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat
dilakukan dengan mengukur pengeluaran asam maksimal (MAO, maximum acid output)
setelah pemberian obat yang merangsang sekresi asam seperti histamin atau
pentagastrin. Tes ini untuk mengetahui teradinya aklorhidria atau tidak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.2 Diagnosa Keperawatan yang mungkin muncul</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kekurangan volume
cairan berhubungan dengan intake yang tidak adekuat dan output cair yang
berlebih (mual dan muntah). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri berhubungan dengan iritasi mukosa
lambung sekunder karena stress psikologi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nutrisi kurang
dari kebutuhan tubuh berhubungan dengan penurunan intake asupan gizi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ansietas
berhubungan dengan perubahan status kesehatan, ancaman kematian, nyeri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kurang
pengetahuan berhubungan dengan kurangnya informasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.3 Intervensi keperawatan</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif";">No</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif";">DIAGNOSA KEPERAWATAN</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif";">INTERVENSI</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif";">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kekurangan
volume cairan kurang dari kebutuhan tubuh berhubungan dengan intake yang
tidak adekuat dan output cair yang berlebih (mual dan muntah)</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tujuan:</span></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam intake cairan adekuat.</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Mukosa bibir
lembab</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Turgor kulit
baik</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Pengisian
kapiler baik</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l34 level1 lfo24; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Input dan
output seimbang</span></div>
<div class="MsoNoSpacing" style="margin-left: 152.7pt; mso-list: l24 level1 lfo23; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Penuhi kebutuhan individual. Anjurkan klien untuk minum (dewasa :
40-60 cc/kg/jam).</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Berikan cairan tambahan IV sesuai indikasi.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Awasi tanda-tanda vital, evaluasi turgor kulit, pengisian kapiler dan
membran mukosa.</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l27 level1 lfo25; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kolaborasi pemberian cimetidine dan ranitidine</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Intake cairan yang adekuat
akan mengurangi resiko dehidrasi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Mengganti kehilangan
cairan dan memperbaiki keseimbangan cairan dalam fase segera.</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Menunjukkan status
dehidrasi atau kemungkinan kebutuhan untuk peningkatan penggantian cairan.</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l32 level1 lfo21; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Cimetidine dan ranitidine
berfungsi untuk menghambat sekresi asam lambung </span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Nyeri berhubungan dengan iritasi
mukosa lambung sekunder karena stress psikologi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tujuan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Setelah
dilakukan tindakan keperawatan selama 2 x 24 jam nyeri dapat berkurang,
pasien dapat tenang dan keadaan umum cukup baik</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Klien mengungkapakan nyeri yang dirasakan berkurang atau hilang</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Klien tidak menyeringai kesakitan </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">TTV dalam batasan normal</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Intensitas nyeri berkurang (skala nyeri berkurang 1-10)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l20 level1 lfo17; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;">Menunjukkan rileks, istirahat tidur, peningkatan
aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Selidiki keluhan
nyeri, perhatikan lokasi, itensitas nyeri, dan skala nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Anjurkan pasien
untuk melaporkan nyeri segera saat mulai</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Pantau tanda-tanda
vital</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Jelaskan sebab dan
akibat nyeri pada klien serta
keluarganya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Anjurkan istirahat
selama fase akut</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Anjurkan teknik
distruksi dan relaksasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">7.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Berikan situasi
lingkungan yang kondusif</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo20; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">8.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kolaborasi dengan tim medis dalam pemberian tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -15.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Untuk mengetahui
letak nyeri dan memudahkan intervensi yang akan dilakukan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Intervensi dini
pada kontrol nyeri memudahkan pemulihan otot dengan menurunkan tegangan otot </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Respon autonomik
meliputi, perubahan pada TD, nadi, RR, yang berhubungan dengan penghilangan
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Dengan sebab dan
akibat nyeri diharapkan klien berpartisipasi dalam perawatan untuk mengurangi
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Mengurangi nyeri
yang diperberat oleh gerakan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Menurunkan
tegangan otot, meningkatkan relaksasi, dan meningkatkan rasa kontrol dan
kemampuan koping</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">7.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Memberikan
dukungan (fisik, emosional, meningkatkan rasa kontrol, dan kemampuan koping)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l21 level1 lfo22; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">8.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Menghilangkan atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">mengurangi
keluhan nyeri klien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Nutrisi
kurang dari kebutuhan tubuh berhubungan dengan kurangnya intake makanan</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam kebutuhan nutrisi pasien
terpenuhi</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Kriteria hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 115%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Keadaan umum cukup</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 115%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Turgor kulit baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 115%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">BB meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 115%;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Kesulitan menelan berkurang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Anjurkan pasien untuk makan dengan porsi yang
sedikit tapi sering</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Berikan makanan yang lunak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Lakukan oral <i style="mso-bidi-font-style: normal;">hygiene</i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Timbang
BB dengan teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Observasi
tekstur, turgor kulit pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Observasi
intake dan output nutrisi</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">1.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Menjaga nutrisi pasien tetap stabil dan mencegah
rasa mual muntah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">2.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Untuk mempermudah pasien menelan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">3.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Kebersihan mulut dapat merangsang nafsu makan pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">4.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Mengetahui perkembangan status nutrisi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">5.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Mengetahui status nutrisi pasien</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">6.<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt; line-height: 115%;">Mengetahui keseimbangan nutrisi pasien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Ansietas
berhubungan dengan perubahan status kesehatan, ancaman kematian, nyeri.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Setelah
dilakukan tindakan keperawatan pasien dapat menunjukkan kecemasan berkurang
atau hilang.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kriteria
hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Mengungkapkan perasaan dan
pikirannya secara terbuka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">elaporkan
berkurangnya cemas dan takut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">engungkapkan
mengerti tentang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;">peoses penyakit</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo38; tab-stops: 15.85pt; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;">M</span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">engemukakan
menyadari terhadap apa yang diinginkannya yaitu menyesuaikan diri terhadap
perubahan fisiknya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Awasi respon fisiologi misalnya:
takipnea, palpitasi, pusing, sakit kepala, sensasi kesemutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Dorong pernyataan takut dan
ansietas, berikan umpan balik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Berikan informasi yang akurat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Berikan lingkungan yang tenang
untuk istirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Dorong orang terdekat untuk
tinggal dengan pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tunjukan teknik relaksasi.</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Dapat menjadi indikator derajat
takut yang dialami pasien, tetapi dapat juga berhubungan dengan kondisi fisik
atau status syok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Membuat hubungan terapeutik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Melibatkan pasien dalam rencana
asuhan dan menurunkan ansietas yang tak perlu tentang ketidaktahuan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">4.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Memindahkan pasien dari stresor
luar, meningkatkan relaksasi, dapat meningkatkan keterampilan koping.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">5.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Membantu menurunkan takut melalui
pengalaman menakutkan menjadi seorang diri.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">6.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Belajar cara untuk rileks dapat
membantu menurunkan takutdan ansietas</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">5.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kurang
pengetahuan berhubungan dengan kurangnya informasi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Klien
mendapatkan informasi yang tepat dan efektif.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Kriteria
hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Klien dapat menyebutkan pengertian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Penyebab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Tanda dan gejala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo28; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 10pt;">·<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Perawatan dan pengobatan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo29; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Beri pendidikan kesehatan
(penyuluhan) tentang penyakit, beri kesempatan klien atau keluarga untuk
bertanya, beritahu tentang pentingnya obat-obatan untuk kesembuhan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo29; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Evaluasi tingkat pengetahuan klien</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Memberikan pengetahuan dasar
dimana klien dapat membuat pilihan informasi tentang kontrol masalah
kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10pt;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">Pengkajian / evaluasi secara
periodik meningkatkan pengenalan / pencegahan dini terhadap komplikasi
seperti ulkus peptik dan pendarahan pada lambung.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l32 level2 lfo21; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.1<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis adalah suatu proses inflamasi
pada lapisan mukosa dan submukosa lambung dan secara hispatologi dapat
dibuktikan dengan adanya infiltrasi sel-sel radang pada daerah
tersebut. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gastritis bukan merupakan penyakit
tunggal, tetapi terbentuk dari beberapa kondisi yang kesemuanya itu
mengakibatkan peradangan pada lambung. Biasanya, peradangan tersebut merupakan
akibat dari infeksi oleh bakteri yang sama dengan bakteri yang dapat
mengakibatkan borok di lambung yaitu <i style="mso-bidi-font-style: normal;">Helicobacter
pylori</i>. Tetapi faktor-faktor lain seperti trauma fisik dan pemakaian secara
terus menerus beberapa obat penghilang sakit dapat juga menyebabkan gastritis.
Walaupun banyak kondisi yang dapat menyebabkan gastritis, gejala dan tanda –
tanda penyakit ini sama antara satu dengan yang lainnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l32 level2 lfo21; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.2<span style="font: 7pt "Times New Roman";">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l32 level3 lfo21; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.2.1<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diharapkan
mampu memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">penatalaksanaan
pada pasien dengan gastritis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l32 level3 lfo21; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.2.2<span style="font: 7pt "Times New Roman";">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diharapkan
mampu menambah wawasan dan pengetahuan bagi semua mahasiswa tentang asuhan
keperawatan pada pasien dengan gastritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Bruner & Sudart, (2002), Buku Ajar Keperawatan
Medikal Bedah, Vol. 2, Edisi 8, EGC, Jakarta</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Doengoes,Marilyn.E.dkk.2006.<i>Buku
Ajar Ilmu Penyakit Dalam</i>. Jakarta: Pusat Penerbitan Departemen Ilmu
Penyakit Dalam FKU</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Mansjoer. Arif.
2001. <i>Kapita Selekta Kedokteran. Ed3 .Jilid 2</i>. Jakarta : FKUI.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Wilkinson, Judith M. 2007. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis Keperawatan dengan Intervensi NIC dan Kriteria NOC</i>.
Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Nuzulul. 2011. <i style="mso-bidi-font-style: normal;">Askep Gastritis</i>. </span><a href="http://nuzulul-fkp09.web.unair.ac.id/artikel_%20detail-35839-Kep-Pencernaan-Askep-Gastritis.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; text-decoration: none;">http://nuzulul-fkp09.web.unair.ac.id/artikel_
detail-35839-Kep-Pencernaan-Askep-Gastritis.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">.
Diakses pada tanggal 2 Juni 2012 Jam 11.00 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Noname. 2009. <i style="mso-bidi-font-style: normal;">Asuhan keperawatan pada klien dengan gastritis</i>. http:// dezlicious.
blogspot.com/2009/05/asuhan-keperawatan-pada-klien-dengan_30.html. Diakses pada
tanggal 2 Juni 2012 Jam 11.10 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
</div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="454" width="242"><br /></td>
<td width="48"><br /></td>
<td width="9"><br /></td>
</tr>
<tr>
<td height="48"><br /></td>
<td align="left" valign="top"><img height="48" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="48" /></td>
</tr>
<tr>
<td height="13"><br /></td>
</tr>
<tr>
<td height="54"><br /></td>
<td align="left" colspan="2" valign="top"><img height="54" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="57" /></td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></b>
</div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-70561607750692967082012-06-05T22:25:00.000-07:002012-06-05T22:25:15.819-07:00Ensefalopati Hepatik<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l4 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hati merupakan organ terbesar di dalam
tubuh manusia, terletak di rongga perut sebelah kanan dan mempunyai fungsi amat
penting pada proses metabolisme</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tubuh, yaitu dalam proses anabolisme atau sintesis
bahan-bahan yang penting untuk kehidupan manusia seperti sintesis protein dan
pembentukan glukosa, sedangkan dalam proses katabolisme dengan melakukan
detoksikasi bahan-bahan seperti ammonia, berbagai jenis hormon dan obat-obatan.
Di samping itu hati juga berperan sebagai gudang tempat penyimpanan bahan-bahan
seperti glikogen dan beberapa vitamin dan memelihara aliran normal darah
splanknikus. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Oleh karena itu terjadi kerusakan sel-sel parenkhim
hati akut maupun kronik yang berat, fungsi-fungsi tersebut akan mengalami
gangguan atau kekacauan, sehingga dapat timbul kelainan seperti ensefalopati
hepatikum (Akil, 1998).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koma hepatikum dalam khasanah ilmu kedokteran disebut
ensefalopati hepatik atau hepatic encephalopathy. Ada dua jenis enselafalopati
hepatik berdasarkan ada tidaknya edema otak, yaitu <i style="mso-bidi-font-style: normal;">Portal Systemic Encephalopathy</i> (PSE) dan <i style="mso-bidi-font-style: normal;">Acute Liver Failure</i>. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ensefalopati hepatik adalah suatu sindrom
neuropsikiatri, mempunyai spektrum klinik yang luas, dapat timbul akibat
penyakit hati yang berat, baik akut maupun yang menahun ditandai adanya
gangguan tingkah laku, gejala neurologik, astriksis, berbagai derajat gangguan
kesadaran sampai koma, dan kelainan elektro ensefalografi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan dini ensefalopati hepatik meliputi setiap
upaya terapeutik yang dilakukan pada RHS ataupun pada Ensefalopati Hepatik
kronik, untuk mencegah terjadinya serangan ensefalopati hepatik akut. Karena
terjadinya episode ensefalopati hepatik akut biasanya didahului oleh keadaan dekompensasi
(fungsi) hati, pengobatan ini juga dapat bermakna mempertahankan keadaan
kompensasi selama mungkin. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun patogenesis yang tepat tentang terjadinya ensefalopati
hepatik belum diketahui sepenuhnya, namun hipotesa-hipotesa yang ada menekankan
peranan dari sel-sel parenkim hati yang rusak dengan atau tanpa adanya <i style="mso-bidi-font-style: normal;">by pass</i> sehingga bahan-bahan yang diduga
toksis terhadap otak tidak dapat dimetabolisir seperti : ammonia, merkaptan,
dan lain-lain dapat menumpuk dan mencapai otak. Faktor lain adalah terjadinya
perubahan pada neutransmitter, gangguan keseimbangan asam amino aromatik (AAA)
dan asam amino rantai cabang (AARC) yang akhir-akhir ini banyak dibicarakan.
Selain itu perlu disimak perubahan yang terjadi pada otak misalnya edema dan
peningkatan tekanan intra kranial, serta perubahan-perubahan pada astrosit
terutama terjadi pada ensefalopati hepatik akut (<i style="mso-bidi-font-style: normal;">fulminant hepatic failure</i>). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l4 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien dengan Ensefalopati Hepatic ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; text-align: justify; text-indent: 42.4pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l4 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l4 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada pasien dengan Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l4 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
definisi Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
etiologi Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
klasifikasi Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
patofisiologi Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
manifestasi klinis Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
pemeriksaan penunjang Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
penatalaksanaan medis Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
prognosis Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l48 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
askep pasien dengan Ensefalopati Hepatic</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l4 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l4 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
teorotis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan tentang penatalaksanaan pada pasien dengan Ensefalopati Hepatic.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l4 level3 lfo1; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga
keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
tenaga keperawatan mampu menerapkan dan melaksanakan asuhan keperawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l18 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mahasiswa menambah referensi tentang Ensefalopati Hepatic</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik adalah suatu
kompleks gangguan susunan saraf pusat yang dijumpai pada pasien yang mengidap
gagal hati. Kelainan ini ditandai oleh gangguan memori dan perubahan
kepribadian (Corwin, 2001).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik (ensefalopati
sistem portal, koma hepatikum) adalah suatu kelainan dimana fungsi otak
mengalami kemunduran akibat zat-zat racun di dalam darah, yang dalam keadaan
normal dibuang oleh hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik merupakan sindrom
neuropsikiatrik pada penderita penyakit hati berat. Sindrom ini ditandai oleh
kekacauan mental, tremor otot dan <i style="mso-bidi-font-style: normal;">flapping
tremor</i> yang dinamakan asteriksis (Price et al., 1995).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Anatomi dan Fisiologi Hepar</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.1 <span style="mso-tab-count: 1;"> </span>Struktur
Hepar</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hepar adalah kelenjar yang paling besar
dalam tubuh manusia dengan berat 1500 gram atau 1,5 kg. Hepar dibagi menjadi
dua lobus, yaitu lobus kiri dan kanan.</span><span style="mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Lobus kanan dibagi atas dua segmen, yaitu anterior dan
posterior oleh fisura segmentalis kanan yang tak terlihat dari luar. Lobus kiri
dibagi menjadi segmen medial dan lateral oleh ligamentum falsiformis. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Struktur
mikroskopis setiap lobus dibagi menjadi lobulus, yang merupakan badan heksagonal
yang terdiri dari lempeng-lempeng <span style="mso-spacerun: yes;"> </span>hati
yang berbentuk kubus. Di antara lempeng-lempeng hati terdapat kapiler yang
disebut sinusoid yang dibatasi oleh sel fagostik dan sel <i style="mso-bidi-font-style: normal;">kupffer</i>. Sel <i style="mso-bidi-font-style: normal;">kupffer</i>
merupakan sistem monosit-magrofag yang fungsi utamanya adalah menelan bakteri
dan benda asing yang masuk ke hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sirkulasi darah
ke dalam dan keluar hati sangat penting dalam penyelenggaraan fungsi hati.
Darah yang mengalir ke dalam hati berasal dari dua sumber. Kurang lebih 75%
suplai darah dari vena porta yang mengalirkan darah yang kaya akan nutrien dari
traktus gastrointestinal. Bagian lain suplai darah tersebut masuk kedalam hari
lewat arteri hepatika dan banyak mengandung oksigen.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.2<span style="mso-tab-count: 1;"> </span>Fungsi
Hati</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. <span style="mso-tab-count: 1;"> </span>Metabolisme
Karbohidrat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="mso-tab-count: 1;"> </span>Metabolisme
Protein</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.<span style="mso-tab-count: 1;"> </span>Metabolisme
Lemak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.<span style="mso-tab-count: 1;"> </span>Metabolisme
Bilirubin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5.<span style="mso-tab-count: 1;"> </span>Detoksifikasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6.<span style="mso-tab-count: 1;"> </span>Penyimpanan
Mineral dan Vitamin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahan-bahan yang diserap kedalam aliran
darah dari usus, akan melewati hati, dimana racun-racunnya dibuang. Namun, pada
ensefalopati hepatik, yang terjadi adalah:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Racun-racun
ini tidak dibuang karena fungsi hati terganggu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Telah
terbentuk hubungan antara system portal dan sirkulasi umum (sebagai akibat dari
penyakit hati), sehingga racun tidak melewati hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembedahan
<i style="mso-bidi-font-style: normal;">by pass</i> untuk memperbaiki hipertensi
portal <i style="mso-bidi-font-style: normal;">(shunt system portal</i>) juga
akan menyebabkan beberapa racun tidak melewati hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karena hal tersebut, akibatnya adalah
sampainya racun di otak dan mempengaruhi fungsi otak. Bahan yang bersifat racun
terhadap otak, secara pasti belum diketahui. Tetapi tingginya kadar hasil
pemecahan protein dalam darah, misalnya ammonia dapat memegang peranan penting
dalam mempengaruhi fungsi otak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
penderita penyakit hati menahun, ensefalopati biasanya dipicu oleh:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi
akut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemakaian
alkohol.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlalu
banyak makan protein, yang akan meningkatkan kadar hasil pemecahan protein
dalam darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan
pada saluran pencernaan, misalnya pada varises esofageal,<span style="mso-spacerun: yes;"> </span>juga bisa menyebabkan bertumpuknya hasil
pemecahan protein, yang secara langsung bisa mengenai otak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obat
tertentu, terutama obat tidur, obat pereda nyeri dan diuretic (azotemia, hipovolemia).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obstipasi
meningkatkan produksi, absorpsi ammonia dan toksin nitrogen lainnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4
<span style="mso-tab-count: 1;"> </span>Klasifikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.
Menurut cara terjadinya, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l26 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati
hepatik tipe akut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbul
tiba-tiba dengan perjalanan penyakit yang pendek, sangat cepat memburuk jatuh
dalam koma, sering kurang dari 24 jam. Tipe ini antara lain hepatitis virus
fulminan, hepatitis karena obat dan racun, atau dapat pula pada sirosis hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l26 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati
hepatic tipe kronik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
dalam periode yang lama, berbulan-bulan sampai dengan bertahun-tahun. Suatu
contoh klasik adalah ensefalopati hepatik yang terjadi pada sirosis hepar
dengan kolateral sistem porta yang ekstensif, dengan tanda-tanda gangguan
mental, emosional atau kelainan nueurologik yang berangsur-angsur makin berat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.<span style="mso-tab-count: 1;"> </span>Menurut
faktor etiologinya, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati
hepatic primer (endogen) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
tanpa adanya faktor pencetus, merupakan tahap akhir dari kerusakan sel-sel hati
(nekrosis sel hati yang meluas). Pada hepatitis fulminan terjadi kerusakan sel
hati yang difus dan cepat, sehingga kesadaran terganggu, gelisah, timbul disorientasi,
berteriak-teriak, kemudian dengan cepat jatuh dalam keadaan koma, sedangkan
pada siridis hepar disebabkan fibrosi sel hati yang meluas dan biasanya sudah
ada sistem kolateral, ascites. Disini gangguan disebabkan adanya zat racun yang
tidak dapat dimetabolisir oleh hati. Melalui sistem portal atau kolateral
mempengaruhi susunan saraf pusat. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati
hepatic sekunder (eksogen)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
karena adanya faktor-faktor pencetus pada pederita yang telah mempunyai
kelainan hati. Faktor-faktor tersebut antara lain adalah sebagai berikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
keseimbangan cairan, elektrolit dan PH darah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dehidrasi
/ hipovolemia </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Parasintesis
abdomen </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 127.6pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diuresis
berlebihan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendarahan
gastrointestinal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Operasi
besar </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi
berat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intake
protein berlebihan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konstipasi
lama yang berlarut-larut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat
– obat narkotik atau hipnotik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pintas
porta sistemik, baik secara alamiah maupun pembedahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.8pt; mso-list: l36 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Azotemia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5<span style="mso-tab-count: 1;"> </span>Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik merupakan suatu
bentuk intosikiasi otak yang disebabkan oleh isi usus yang tidak di metabolisme
oleh hati. Keadaan ini dapat terjadi bila terdapat kerusakan sel hati akibat nekrosis,
atau adanya pirau (patologis atau akibat pembedahan) yang memungkinkan adanya
darah porta mencapai sirkulasi sistemik dalam jumlah besar tanpa melewati hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Metabolit yang bertanggung jawab atas
timbulnya ensefalopati hepatik tidak diketahui dengan pasti. Mekanisme dasar
tampaknya adalah karena intosikasi otak oleh hasil pemecahan metabolisme
protein oleh bakteri dalam usus. Hasil-hasil metabolisme ini dapat memintas
hati karena adanya penyakit pada sel hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik pada penyakit hati
kronik biasanya dipercepat oleh keadaan seperti perdarahan saluran cerna,
asupan protein berlebihan, pemberian diuretik, parasentesis, hipokalemia,
infeksi akut, pembedahan, azotemia dan pemberian morfin, sedatif, atau obat-obatan
yang mengandung ammonia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik tidak disebabkan
oleh salah satu faktor tunggal, melainkan oleh beberapa faktor yang sekaligus
berperan bersama. Sebagian besar menunjukkan bahwa terdapat hubungan sirkulasi
porto sistemik yang langsung tanpa melalui hati, serta adanya kerusakan dan
gangguan faal hati yang berat. Kedua keadaan ini menyebabkan bahan-bahan toksik
yang berasal dari usus tidak mengalami metabolisme di hati, dan selanjutnya
tertimbun di otak (<i style="mso-bidi-font-style: normal;">blood brain barrier</i>),
yang memudahkan masuknya bahan-bahan toksik tersebut ke dalam susunan saraf
pusat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara garis besar ada dua teori yang
mendasarinya yaitu Teori Amonia dan neurotransmitter palsu. Amonia merupakan
zat yang sering di libatkan dalam patoganesis ensefalopati hepatic. Metabolit
lain yang dapat berperan pada ensefalopati hepatic meliputi mercaptans, <i style="mso-bidi-font-style: normal;">short chain fatty acid</i>, neurotransmitter
palsu. Kadar berlebihan dari gama amino butyric acid (GABA), yaitu suatu
penghambat transmitter di sistem saraf pusat merupakan faktor penting
terjadinya penurunan kesadaran yang terlihat pada ensefalopati hepatic.
Kenaikan kadar GABA di sistem saraf pusat merupakan refleksi dari kegagalan
hati untuk mengeluarkan GABA yang berasal dari usus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa bahan toksik yang diduga
berperan pada ensefalopati heoatik, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ammonia
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ammonia
berasal dari penguraian nitrogen oleh bakteri dalam usus, di samping itu
dihasilkan oleh ginjal, jaringan otot perifer, otak dan lambung. Secara teori
ammonia mengganggu faal otak karen dapat mempengaruhi metabolisme otak melalui
siklus peningkatan sintesis glutamin dan ketoglutarat, kedua bahan ini
mempengaruhi siklus kreb sehingga menyebabkan hilangnya molekul ATP yang diperlukan
untuk oksidasi sel. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asam
amino neurotoksik (triptofan, metionin, dan merkaptan)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Triptopan
dan metabolitnya serotonin bersifat toksis terhadap sistem saraf pusat (SSP).
Metionin dalam usus mengalami metabolisme oleh bakteri menjadi merkaptan yang
toksis terhadap SSP. Di samping itu merkaptan dan asam lemak bebas akan bekerja
sinergistik mengganggu detoksifikasi ammonia di otak, dan bersama-sama ammonia
menyebabkan timbulnya koma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
keseimbangan asam amino </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asam
Amino Aromatik (AAA) meningkat pada ensefalopati hepatik karena kegagalan deaminasi
di hati dan penurunan asam amino rantai cabang (AARC) akibat katabolisme protein
di otot dan ginjal yang terjadi hiperinsulinemia pada penyakit hati kronik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asam
lemak rantai pendek </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
ensefalopati hepatik terdapat kenaikan kadar asam lemak rantai pendek seperti
asam butirat, valerat, oktanoat, dan kaproat, diduga sebagai salah satu toksin
serebral penyebab ensefalopati hepatik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neurotramsmitter
palsu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neurotrasmitter
palsu yang telah diketahui adalah Gamma Aminobutyric Acid (GABA), oktapamin,
histamin, feniletanolamin, dan serotonin. GABA bekerja secara sinergis dengan
benzodiasepine membentuk suatu kompleks, menempati reseptor ionophore chloride
di otak, yang disebut reseptor GABA/BZ. Pengikatan reseptor tersebut akan
menimbulkan hiperpolarisasi sel otak, di samping itu juga menekan fungsi
korteks dan subkorteks, rangkaian peristiwa tersebut menyebabkan kesadaran dan
koordinasi motorik terganggu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glukagon
<br />
Peningkatan AAA pada ensefalopati hepatik mempunyai hubungan erat dengan
tingginya kadar glukagon. Peninggian glukagon turut berperan atas peningkatan
beban nitrogen. Karena hormon ini melepas asam amino aromatis dari protein hati
untuk mendorong terjadinya glukoneogenesis. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; mso-list: l16 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
sawar darah otak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembuluh
darah otak dalam keadaan normal tidak permeabel terhadap berbagai macam
substansi. Terdapat hubungan kuat antara endotel kapiler otak, ini merupakan
sawar yang mengatur pengeluaran bermacam-macam substansi dan menahan beberapa
zat essensial seperti neurotrasmitter asli. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 46.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6
<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gejalanya
merupakan akibat dari menurunnya fungsi otak,yang utama adalah gangguan
kesadaran. Pada stadium awal, perubahan hampir tidak terlihat yaitu terjadi
pada logis kepribadian dan tingkah laku, suasana hati penderita bisa berubah
dan terjadi gangguan dalam menyatakan pendapatnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sejalan dengan
perkembangan penyakit penderita menjadi mengantuk dan bingung, malas bergerak
dan bercakap-cakap sering terjadi disorientasi. Pada akhirnya penderita akan
kehilangan kesadarannya dan jatuh kedalam keadaan koma.<sup> </sup></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Secara garis besar gejala klinis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ensefalopati
hepatik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> terbagi menjadi:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l37 level3 lfo46; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.6.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ensefalopati
hepatik sub klinis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Disebut juga “<i style="mso-bidi-font-style: normal;">latent hepatic encephalopathy</i>”</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Dari penelitian
disimpulkan bahwa 45%-85% penderita sirosis hati sudah mengidap ensefalopati
hepatik sub klinis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Belum di temukan
atau terlihat gejala dan tanda penyakit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Dapat di deteksi
dengan test uji hubungan angka (<i style="mso-bidi-font-style: normal;">number
connection test</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 3.0cm; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Number connection test</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> (NCT) :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Uji psikomotorik
untuk deteksi dini </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ensefalopati hepatik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> sub klinis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Syarat pasien
tidak buta huruf.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sederhana, praktis,aman,
murah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bermanfaat pula
untuk monitoring dan evaluasi hasil terapi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pasien diminta
menyambung angka secara urut no.1-25 secepat mungkin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ada korelasi
antara lamanya waktu yang di perlukan untuk menyelesaikan NCT ( uji hubung
angka) dengan kondisi enesefalopati hepatik pasien ( makin lama ∞ makin buruk)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l41 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pada kondisi
baik uji ini harus dapat di selesaikan ± 30 detik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Skala NCT (menurut kriteria West Haven):</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border: solid windowtext 1.0pt; margin-left: 43.05pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 27.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 27.9pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Skala
NCT</span></b></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 27.9pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Lamanya
penyelesaian NCT</span></b></div>
</td>
</tr>
<tr style="height: 13.2pt; mso-yfti-irow: 1;">
<td style="border: solid windowtext 1.0pt; height: 13.2pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">0</span></div>
</td>
<td style="border: solid windowtext 1.0pt; height: 13.2pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">15-30 detik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">31-50 detik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">51-80 detik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">81-120 detik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 3.0cm;" width="113">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4</span></div>
</td>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 0cm 0cm 0cm; width: 233.9pt;" width="312">
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">>120 detik atau tidak dapat diselesaikan</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l37 level3 lfo46; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.6.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ensefalopati
Hepatik klinis, ada 4 stadium yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l30 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Stadium 1
(prodromal : awal) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Terdapat gangguan stasus mental, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sedikit
perubahan kepribadian dan tingkah laku, termasuk penampilan yang tidak terawatt
baik, pandangan mata kosong, bicara tidak jelas, tertawa sembarangan, pelupa,
dan tidak mampu memusatkan pikiran, penderita mungkin cukup rasional, hanya
terkadang tidak kooperatif atau sedikit kurang ajar, afektif hilang, eufori,
depresi, apati. Tingkat kesadaran somnolen, tidur lebih banyak dari bangun,
letargi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tandanya:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l39 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asteriksis : gangguan motorik yang di
tandai dengan penyimpangan intermiten dari postur.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l39 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesulitan bicara</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l39 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesulitan menulis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 118.3pt; mso-list: l39 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EEG (elektroensefalografi) (+)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l30 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Stadium 2 (<i style="mso-bidi-font-style: normal;">Impending</i>
koma atau koma ringan) gangguan mental semakin berat, <i style="mso-bidi-font-style: normal;">flapping tremor</i> (tangan bergetar)</span>, <span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pengendalian
sfingter kurang, kebingungan, disorientasi, mengantuk, dan asteriksis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l30 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Stadium 3
(Stupor) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
kebingungan yang nyata dengan perubahan tingkah laku yang mencolok, penderita
dapat tidur sepanjang waktu, bangun hanya dengan rangsangan, asteriksis, fetor
hepatik, lengan kaku, hiperreflek, klonus, <i style="mso-bidi-font-style: normal;">grasp</i>
dan <i style="mso-bidi-font-style: normal;">sucking reflek</i>. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l30 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Stadium 4 (koma)
pasien koma tidak sadarkan diri</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penderita
masuk ke dalam tingkat kesadaran koma sehingga muncul refleks hiperaktif dan
tanda <i style="mso-bidi-font-style: normal;">babinsky</i> yang menunjukkan
adanya kerusakan otak lebih lanjut. Napas penderita akan mengeluarkan bau apek
yang manis (fetor hepatikum). Fetor hepatikum merupakan tanda prognosis yang
buruk dan intensitas baunya sangat berhubungan dengan derajat kesadarannya, dan
tonus otot hilang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l37 level2 lfo46; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pemeriksaan Penunjang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7.1 <span style="mso-tab-count: 1;"> </span>Hematologi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l33 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemoglobin,
hematokrit, hitung lekosit-eritrosit-trombosit, hitung jenis lekosit. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l33 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
diperlukan : faal pembekuan darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level3 lfo47; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biokimia darah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uji
faal hati : trasaminase, billirubin, elektroforesis protein, kolestrol,
fosfatase alkali. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uji
faal ginjal : Urea nitrogen (BNU), kreatinin serum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kadar
amonia darah. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l8 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atas
indikasi : HbsAg, anti-HCV,AFP, elektrolit, analisis gas darah. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level3 lfo47; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urin dan tinja rutin </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level3 lfo47; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EEG (Elektroensefalografi) dengan
potensial picu visual (<i style="mso-bidi-font-style: normal;">visual evoked
potential)</i> merupakan suatu metode yang baru untuk menilai perubahan dini
yang halus dalam status kejiwaan pada sirosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level3 lfo47; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CT Scan pada kepala biasanya dilakukan
dalam stadium ensefalopatia yang parah untuk menilai udema otak dan
menyingkirkan lesi structural (terutama hematoma subdura pada pecandu alkohol).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l12 level3 lfo47; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pungsi lumbal, umumnya mengungkapkan
hasil-hasil yang normal, kecuali peningkatan glutamin. Cairan serebrospinal
dapat berwarna zantokromat akibat meningkatnya kadar bilirubin. Hitung sel
darah putih cairan spinal yang meningkat menunjukan adanya infeksi. Edema otak
dapat menyebabkan peningkatan tekanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8<span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8.1 <span style="mso-tab-count: 1;"> </span>Ensefalopati
hepatik tipe akut </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1) <span style="mso-tab-count: 1;"> </span>Tindakan
umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l15 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penderita stadium III-IV perlu perawatan
suportif yang intensif, yaitu dengan memperhatikan posisi berbaring, bebaskan
jalan nafas, pemberian oksigen, pasang kateter <i style="mso-bidi-font-style: normal;">forley</i>. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l15 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemantauan kesadaran, keadaan
neuropsikiatri, system kardiopulmunal dan ginjal keseimbangan cairan,
elektrolit serta asam dan basa. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l15 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian kalori 2000 kal/hari atau
lebih pada fase akut bebas protein gram/hari (peroral, melalui pipa nasogastrik
atau parental).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2) <span style="mso-tab-count: 1;"> </span>Tindakan
khusus </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l23 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi
pemasukan protein </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l42 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diet
tanpa protein untuk stadium III-IV </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l42 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diet
rendah protein (nabati 20 gram/hari) untuk stadium I-II. Segera setelah fase
akut terlewati, intake protein mulai ditingkatkan dari beban protein kemudian
ditambahkan 10 gram secara bertahap sampai kebutuhan <i style="mso-bidi-font-style: normal;">maintanance </i>(40-60 gram/hari). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l23 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi
populasi bakteri kolon (<i style="mso-bidi-font-style: normal;">urea splitting
organism</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Laktulosa
peroral untuk stadium I-II atau pipa nasogastrik untuk stadium III-IV, 30-50 cc
tiap jam, diberikan secukupnya sampai terjadi diare ringan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lacticol
(<i style="mso-bidi-font-style: normal;">Beta Galactoside Sorbitol</i>), dosis :
0,3-0,5 gram/hari.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengosongan
usus dengan lavement 1-2x/hari: dapat dipakai katartik osmotic seperti MgSO4
atau <i style="mso-bidi-font-style: normal;">laveman</i>, yaitu dengan memakai
larutan laktulosa 20% atau larutan neomisin 1% sehingga didapat pH = 4</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 117.25pt; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antibiotika
: neomisisn 4x1-2gram/hari, peroral, untuk stadium I-II, atau melalui pipa
nasogastrik untuk stadium III-IV.<span style="mso-spacerun: yes;">
</span>Rifaximin (derifat rimycin), dosis : 1200 mg per hari selama 5 hari
dikatakan cukup efektif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l23 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan
lain </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penderita koma hepatikum perlu
mendapatkan nutrisi parenteral. Sebagai langkah pertama dapat diberikan cairan
dektrose 10% atau maltose 10%, karena kebutuhan karbohidrat harus terpenuhi
lebih dahulu. Langkah selanjutnya dapat diberikan cairan yang mengandung AARC (<i style="mso-bidi-font-style: normal;">comafusin hepar</i>) atau campuran sedikit
AAA dalam AARC (aminoleban) : 1000 cc/hari. Tujuan pemberian AARC adalah untuk
mencegah masuknya AAA ke dalam sawar otak, menurunkan katabolisme protein, dan
mengurangi konsentrasi ammonia darah. Cairan ini banyak dibicarakan akhir-akhir
ini.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L-dopa : 0,5 gram peroral untuk stadium
I-II atau melalui pipa nesogastrik untuk stadium III-IV tiap 4 jam. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari pemakaian sedatva atau
hipnotika, kecuali bila penderita sangat gelisah dapat diberikan diimenhidrimat
(<i style="mso-bidi-font-style: normal;">dramamine</i>) 50 mg i.m: bila perlu
diulangi tiap 6-8 jam. Pilihan obat lain, yaitu fenobarbital, yang ekskresinya sebagian
besar melalui ginjal. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 120.5pt; mso-list: l5 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vitamin K 10-20 mg/hari i.m atau peroral
atau pipa nasogastrik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l23 level1 lfo40; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengobatan
radikal </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Exchange
tranfusio, plasmaferesis, dialysis, charcoal hemoperfusion, transpalantasi hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8.2 <span style="mso-tab-count: 1;"> </span>Ensefalopati
hepatik tipe kronik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip-prinsip
penatalaksanaan ensefalopati hepatik tipe kronik adalah sebagai berikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diet
rendah protein, maksimal 1 gram / kg berat badan terutama protein nabati. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari
konstipasi, dengan memberikan laktulosa dalam dosis secukupnya (2-3 x 10
cc/hari). </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
gejala ensefalopati meningkat, ditambah neomisin 4x1 gram/hari. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
timbul aksaserbasi akut, sama seperti ensefalopati hepatik tipe akut. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perlu
pemantauan jangka panjang untuk penilaian keadaan mental dan neuromuskulernya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l38 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembedahan
elektif : <i style="mso-bidi-font-style: normal;">colon by pass,</i>
transplantasi hati, khususnya untuk ensefalopati hepatik kronik stadium III-IV.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.9
<span style="mso-tab-count: 1;"> </span>Prognosis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perbaikan atau kesembuhan sempurna dapat
terjadi bila dilakukan pengeloaan yang cepat dan tepat. Prognosis penderita
ensefalopati hepatik tergantung dari : </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit hati yang mendasarinya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor-faktor pencetus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia, keadaan gizi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat kerusakan parenkim hati. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l1 level1 lfo45; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan regenerasi hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WOC</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN PADA PASIEN
DENGAN ENSEFALOPATI HEPATIK</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b><span lang="EN-US" style="mso-fareast-language: IN;">3.1
<span style="mso-tab-count: 1;"> </span>PENGKAJIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="mso-fareast-language: IN;">3.1.1
<span style="mso-tab-count: 1;"> </span>Biodata Pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Nama<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Umur<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Jenis
kelamin<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Alamat<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Pendidikan<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Pekerjaan<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Suku/bangsa<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 155.95pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Diagnosa
Medis<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; tab-stops: 127.6pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3.1.2 <span style="mso-tab-count: 1;"> </span>Keluhan Utama</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Biasanya keluarga atau orang terdekat melaporkan bahwa
adanya peubahan kepribadian dan penurunan mental.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: Ambrosia; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">3.1.3 <span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Riwayat Kesehatan. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l34 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-language: IN;">Riwayat Penyakit Sekarang</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Tanyakan sejak kapan pasien </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">mengalami</span><span lang="EN-US" style="mso-fareast-language: IN;"> keluhan seperti yang ada pada
keluhan utama dan tindakan apa yang dilakukan untuk menanggulanginya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l34 level1 lfo17; tab-stops: 21.3pt 1.0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-fareast-language: IN;">Riwayat Penyakit Dahulu</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Tanyakan pada pasien apakah pernah
mengalami penyakit hati seperti sirosis hati, infeksi hati, atau apakah pasien
sering mengkonsumsi alcohol </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">sebelumnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l34 level1 lfo17; tab-stops: 21.3pt 1.0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-fareast-language: IN;">Riwayat Penyakit Keluarga</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;">
<span lang="EN-US" style="mso-fareast-language: IN;">Apakah ada keluarga pasien yang pernah
menderita </span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">penyakit
seperti yang di derita pasien sekarang.</span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level3 lfo25; text-align: justify; text-indent: -28.4pt;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Riwayat Aktifitas Sehari-hari</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
dasar tergantung pada penyebab dan beratnya kerusakan atau gangguan hati.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelemahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelelahan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malaise</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l7 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bradikardi
( hiperbilirubin berat )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l7 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterik
pada sklera kulit, membran mukosa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l10 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urine
gelap</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l10 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diare
feses warna tanah liat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makanan
dan Cairan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anoreksia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat
badan menurun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mual
dan muntah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
oedema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asites</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neurosensori</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peka
terhadap rangsang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cenderung
tidur</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letargi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asteriksis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
/ Kenyamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kram
abdomen</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
tekan pada kuadran kanan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mialgia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atralgia</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sakit
kepala</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l28 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gatal
( pruritus )</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demam</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urtikaria</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lesi
makulopopuler</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eritema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Splenomegali</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l22 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran
nodus servikal posterior</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l14 level1 lfo26; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seksualitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
hidup atau perilaku meningkat resiko terpajan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level3 lfo25; text-align: justify; text-indent: -28.4pt;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.1.5<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Pemeriksaan Fisik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status
kesehatan umum : keadaan umum lemah, tanda-tanda vital.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala
: normo cephalic, simetris, pusing, benjolan tidak ada, rambut tumbuh merata
dan tidak botak, rambut berminyak, tidak rontok.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata:
alis mata, kelopak mata normal, konjuktiva anemis (+/+), pupil isokor sclera
agak ikterus (-/ -), reflek cahaya positif, tajam penglihatan menurun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Telinga
: sekret, serumen, benda asing, membran timpani dalam batas normal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidung:
deformitas, mukosa, secret, bau, obstruksi tidak ada, pernafasan cuping hidung
tidak ada.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mulut
dan faring : bau mulut, stomatitis (-), lidah merah merah mudah, kelainan lidah
tidak ada. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher
: simetris, kaku kuduk tidak ada.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Thoraks
: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paru:
gerakan simetris, retraksi supra sternal (-), retraksi intercoste (-), perkusi
resonan, rhonchi -/-, wheezing -/-, vocal fremitus dalam batas normal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -7.1pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jantung:
batas jantung normal, bunyi s1 dan s2 tunggal, gallop (-), mumur (-), <i style="mso-bidi-font-style: normal;">capillary refill time</i> 2 – 3 detik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l46 level1 lfo35; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen
: nyeri pada kuadran kanan atas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 64.3pt; mso-add-space: auto; mso-list: l2 level3 lfo25; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.1.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: Ambrosia; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Pemeriksaan </span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Penunjang</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hematologi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemoglobin,
hematokrit, hitung lekosit-eritrosit-trombosit, hitung jenis lekosit. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
diperlukan : faal pembekuan darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biokimia
darah </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uji
faal hati : trasaminase, billirubin, elektroforesis protein, kolestrol,
fosfatase alkali. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uji
faal ginjal : Urea nitrogen (BNU), kreatinin serum.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l43 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kadar
amonia darah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
ensefalopati kadar ammonia darah dalam satuan µg/dl:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 135.25pt; mso-list: l40 level1 lfo37; tab-stops: 191.4pt 7.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
0 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span><
150 </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 135.25pt; mso-list: l40 level1 lfo37; tab-stops: 191.4pt 7.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
1 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>151
– 200 </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 135.25pt; mso-list: l40 level1 lfo37; tab-stops: 191.4pt 7.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
2 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>201
– 250 </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 135.25pt; mso-list: l40 level1 lfo37; tab-stops: 191.4pt 7.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
3 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>251
– 300 </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 135.25pt; mso-list: l40 level1 lfo37; tab-stops: 191.4pt 7.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
4 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>>
300</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urin
dan tinja rutin </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EEG
(Elektroensefalografi) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
pemerikasaan EEG terlihat peninggian amplitudo dan menurunnya jumlah siklus
gelombang perdetik. Terjadi penurunan frekuensi dari gelombang normal Alfa (8 –
12Hz). Tingkat ensefalopati frekuensi gelombang EEG: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">frekuensi
gelombang Alfa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; tab-stops: 148.85pt 155.95pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat 0 <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>8,5 – 12 siklus per detik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; tab-stops: 148.85pt 155.95pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat I <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>7 – 8 siklus per detik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; tab-stops: 148.85pt 155.95pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat II <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>5 – 7 siklus per detik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; tab-stops: 148.85pt 155.95pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat III <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>3 – 5 siklus per detik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; tab-stops: 148.85pt 155.95pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat IV <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>3 siklus per detik atau
negatif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CT
Scan pada kepala biasanya dilakukan dalam stadium ensefalopatia yang parah
untuk menilai udema otak dan menyingkirkan lesi structural (terutama hematoma
subdura pada pecandu alkohol).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 82.3pt; mso-list: l31 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pungsi
lumbal, umumnya mengungkapkan hasil-hasil yang normal, kecuali peningkatan
glutamin. Cairan serebrospinal dapat berwarna zantokromat akibat meningkatnya
kadar bilirubin. Hitung sel darah putih cairan spinal yang meningkat menunjukan
adanya infeksi. Edema otak dapat menyebabkan peningkatan tekanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: Ambrosia; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">3.2 <span style="mso-tab-count: 1;"> </span>D</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">IAGNOSA KEPERAWATAN<span style="mso-bidi-font-weight: bold;"></span></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 64.35pt; mso-add-space: auto; mso-list: l45 level1 lfo18; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">Perubahan proses pikir berhubungan dengan perubahan fisiologis<span style="mso-spacerun: yes;"> </span>: peningkatan kadar ammonia serum.</span><span lang="EN-US" style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 64.35pt; mso-add-space: auto; mso-list: l45 level1 lfo18; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">Perubahan volume cairan : edema anasarka berhubungan dengan penurunan kadar
albumin dalam serum dan penurunan tekanan osmotik intra vaskuler.</span><span lang="EN-US" style="mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 64.35pt; mso-add-space: auto; mso-list: l45 level1 lfo18; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN; mso-fareast-language: IN;">Perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan penurunan
nafsu makan.</span><span lang="EN-US" style="mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: -21.3pt; text-align: justify; text-indent: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-language: IN;">3.3 <span style="mso-tab-count: 1;"> </span>INTERVENSI</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-fareast-language: IN;">No</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-fareast-language: IN;">DIAGNOSA KEPERAWATAN</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-fareast-language: IN;">INTERVENSI</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-fareast-language: IN;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Perubahan proses pikir berhubungan dengan perubahan fisiologis :
peningkatan kadar ammonia serum.</span></div>
<div class="MsoNormal" style="line-height: 115%; text-indent: -7.1pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Tujuan:</span></b></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama 1x24 jam pasien </span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">menunjukkan perilaku atau perubahan pola hidup untuk mencegah atau
meminimalkan perubahan mental.</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Kriteria Hasil:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l19 level1 lfo19; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menunjukkan proses berfikir yang logis dan terorganisasi</span><b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l19 level1 lfo19; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Tidak mudah terganggu </span><b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l19 level1 lfo19; text-indent: -7.1pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Dapat membandingkan dan membedakan dua benda.</span><b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Observasi perubahan
perilaku dan mental. Contohnya letargi, bingung, cenderung tidur, bicara
lambat atau tidak jelas, dan peka rangsang.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%;">Catat terjadinya i</span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%;">terik, aktivitas kejang.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Konsul pada orang terdekat
tentang perilaku umum dan mental pasien.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%;">Orientasikan kembali pada waktu, tempat, orang sesuai
kebutuhan</span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Pertahankan kenyamanan
lingkungan.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Pasang pengaman tempat
tidur, beri pengawasan ketat.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l11 level1 lfo14; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Kolaborasi dalam
pembatasan diet protein. Berikan tambahan glukosa, hidrasi yang adekuat.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Pengkajian terus menerus
terhadap perilaku dan status mental penting karena fluktuasi alami dari
ensefalopati hepatik.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menunjukkan peningkatan
kadar amonia serum.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Memberikan dasar unutk
perbandingan dengan status saat ini.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Membantu dalam mempertahankan
orientasi kenyataan, menurunkan bingung atau ansietas.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menurunkan rangsangan
berkebihan, meningkatkan relaksasi, dan dapat meningkatkan koping.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menurunkan resiko cedera
bila bingung, kejang, atau terjadi perilaku merusak.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l24 level1 lfo20; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Ammonia bertanggung jawab
terhadap perubahan mental pada ensefalopati hepatik. </span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 1.65pt; mso-add-space: auto;">
<span style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: IN;">Perubahan volume cairan : edema anasarka
berhubungan dengan penurunan kadar albumin dalam serum dan penurunan tekanan
osmotik intra vaskuler.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: -7.1pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Tujuan:</span></b></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan </span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">pasien
menunjukkan volume cairan yang stabil.</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: -7.1pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 1.65pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Kriteria hasil:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 22.95pt; mso-add-space: auto; mso-list: l3 level1 lfo23; text-indent: -12.05pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Keseimbangan input dan
output</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 22.95pt; mso-add-space: auto; mso-list: l3 level1 lfo23; text-indent: -12.05pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Berat badan stabil</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 22.95pt; mso-add-space: auto; mso-list: l3 level1 lfo23; text-indent: -12.05pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Tanda vital dalam rentang
normal</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 22.95pt; mso-add-space: auto; mso-list: l3 level1 lfo23; text-indent: -12.05pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Tidak ada edema</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 28.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l0 level1 lfo24; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: Calibri;">Ukur
masukan dan haluaran, </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">timbang berat badan.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l0 level1 lfo24; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Awasi
tanda-tanda vital terutama tekanan darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l0 level1 lfo24; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Kaji
derajat edema</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l0 level1 lfo24; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Ukur
lingkar abdomen</span></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l6 level1 lfo38; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menunujukkan status volume
sirkulasi, terjadinya atau perbaikan perpindahan cairan, dan respon terhadap
terapi.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l6 level1 lfo38; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Peningkatan tekanan darah
biasanya berhubungan dengan kelebihan volume cairan, tetapi mungkin tidak
terjadi karena perpindahan cairan keluar area vaskuler.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l6 level1 lfo38; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Perpindahan cairan pada
jaringan akibat retensi natrium dan air,penuruna albumin dan penurunan ADH.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l6 level1 lfo38; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Menunujukkan akumulasi
cairan diakibatkan oleh kehilangan proteon plasma atau cairan ke dalam area peritoeal.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">3.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan penurunan nafsu makan.</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Tujuan:</span></b></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Setelah dilakukan
tindakan keperawatan</span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">, </span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">kebutuhan
nutrisi pasien terpenuhi</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Kriteria
hasil:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; mso-list: l25 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Keadaan umum cukup</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; mso-list: l25 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Turgor kulit baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; mso-list: l25 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">BB meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; mso-list: l25 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Tidak mengalami malnutrisi
lebih lanjut</span><b><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l32 level1 lfo16; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Ukur masukan diet harian
dengan jumlah kalori</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l32 level1 lfo16; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Bantu dan dorong pasien
untuk makan, jelaskan alasan tipe diet yang di berikan.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l32 level1 lfo16; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Biarkan orang terdekat
membantu pasien. Pertimbangakan pilihan makanan yang disukai.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 15.85pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 15.85pt; text-indent: -14.15pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l32 level1 lfo16; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Berikan perawatan mulut
sering dan sebelum makan.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-left: 15.85pt; mso-add-space: auto; mso-list: l32 level1 lfo16; text-indent: -14.15pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Konsul dengan ahli gizi
tentang diet yang sesuai.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l17 level1 lfo22; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Memberikan informasi
tentang kebutuhan pemasukan atau defisiensi.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l17 level1 lfo22; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Diet yang tepat, penting
untuk penyembuhan.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l17 level1 lfo22; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Pasien mungkin akan merasa
lebih baik jika keluarga terlibat dan makan makanan yang di sukai sebanyak
mungkin.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l17 level1 lfo22; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Mulut kotor akan membuat
rasa tidak enak pada mulut yang akan menambah anoreksia.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 15.9pt; mso-add-space: auto; mso-list: l17 level1 lfo22; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; line-height: 115%; mso-ansi-language: IN; mso-fareast-language: IN;">Diet yang tepat, membantu
dalam penyembuhan.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: -7.1pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.1
<span style="mso-tab-count: 1;"> </span>Kesimpulan </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik adalah suatu
kompleks suatu gangguan susunan saraf pusat yang dijumpai yang mengidap gagal
hati. Kelainan ini ditandai oleh gangguan memori dan perubahan kepribadian.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik merupakan sindrom
neuropsikiatrik pada penderita penyakit hati berat. Sindrom ini ditandai oleh
kekacauan mental, tremor otot dan flapping tremor yang dinamakan asteriksis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalopati hepatik tidak disebabkan
oleh salah satu faktor tunggal, melainkan oleh beberapa faktor yang sekaligus
berperan bersama. Sebagian besar menunjukkan bahwa terdapat hubungan sirkulasi
porto sistemik yang langsung tanpa melalui hati, serta adanya kerusakan dan gangguan
faal hati yang berat. Kedua keadaan ini menyebabkan bahan-bahan toksik yang
berasal dari usus tidak mengalami metabolisme di hati, dan selanjutnya tertimbun
di otak (<i style="mso-bidi-font-style: normal;">blood brain barrier</i>), yang
memudahkan masuknya bahan-bahan toksik tersebut ke dalam susunan saraf pusat.</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">4.2 <span style="mso-tab-count: 1;"> </span>Saran</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">4.2.1 <span style="mso-tab-count: 1;"> </span>Bagi
Mahasiswa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US">Diharapkan mampu
memahami tentang tentang </span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">penatalaksanaan pada pasien dengan </span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">ensefalopati hepatik</span> <span lang="EN-US">dan dapat </span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">menerapkan
asuhan keperawatan pada penyakit yang diderita pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level3 lfo15; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US">Diharapkan</span><span lang="EN-US" style="mso-fareast-language: IN;"> dapat memberikan penjelasan yang
lebih luas tentang </span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">ensefalopati hepatik</span>
<span lang="EN-US" style="mso-fareast-language: IN;">dan dapat lebih banyak
menyediakan referensi-referensi buku </span><span lang="EN-US">tentang </span><span lang="EN-US" style="mso-fareast-language: IN;">penyakit-penyakit serta asuhan
keperawatan penyakit tersebut.</span><span lang="EN-US" style="mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l44 level3 lfo15; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bagi Masyarakat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US">Diharapkan</span><span lang="EN-US" style="mso-fareast-language: IN;"> lebih mengerti dan memahami tentang
</span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">ensefalopati hepatik</span><span style="mso-ansi-language: IN;"> </span><span lang="EN-US" style="mso-fareast-language: IN;">serta bagaimana
penyebaran </span><span style="mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: major-bidi; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: major-bidi;">ensefalopati hepatik</span><span lang="EN-US" style="mso-fareast-language: IN;"> untuk meningkatkan mutu kesehatan
masyarakat.</span><span style="mso-ansi-language: IN; mso-fareast-language: IN;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Baradero, Mary et al. 2008. <i style="mso-bidi-font-style: normal;">Klien Gangguan Hati : Seri Asuhan
Keperawatan. </i>Jakarta : Buku Kedokteran EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Brunner & Suddarth. 2001. <i style="mso-bidi-font-style: normal;">Buku Ajar Keperawatan Medikal-Bedah</i>.
Jakarta : EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Doenges E. Marilynn et al. 1999. <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan</i>. Jakarta :
EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-left: 2.0cm; text-indent: -2.0cm;">
<span lang="EN-US">Herdman T. Heather. 2010. <i style="mso-bidi-font-style: normal;">Diagnosis Keperawatan. </i>Jakarta : EGC</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pearce C. Evelyn. 2004. <i style="mso-bidi-font-style: normal;">Anatomi dan Fisiologi untuk Paramedis.</i>
Jakarta : Gramedia</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Wilkinson M. Judith. 2006. <i style="mso-bidi-font-style: normal;">Buku Saku Diagnosis Keperawatan Edisi 7. </i>Jakarta
: EGC</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 2.0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tri Harsono. 2008. <i style="mso-bidi-font-style: normal;">Ensefalopati Hepatikum</i> </span><a href="http://emedicine.medscape.com/gastroenterology#liver"><span style="color: #0070c0; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://emedicine.medscape.com/gastroenterology#liver</span></a><span style="color: #0070c0; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">(diakses pada tanggal 24 April 2012, jam
14.28 WIB)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-77561066912793659202012-06-05T22:18:00.000-07:002012-06-05T22:18:29.697-07:00SLE <!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Asmat
Burhan <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">(10620345)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Ita
Kusworini<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>(10620359)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Melsiansi
M. S.<span style="mso-tab-count: 1;"> </span>(10620362)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Pungky
A.<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>(10620370)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Siti
Arifah<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>(10620375)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Vaniaji
Satrio<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>(10620377)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;">Sendy
Rindra<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>(
)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi;"></span></div>
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid windowtext 1.0pt;
mso-border-alt:solid windowtext .5pt;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid windowtext;
mso-border-insidev:.5pt solid windowtext;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-US;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1121"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1094"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1049"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1047"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1109"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1091"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1074"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1108"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1086"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1033"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1093"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1083"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1102"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1084"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1037"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1110"/>
<o:r id="V:Rule16" type="connector" idref="#_x0000_s1046"/>
<o:r id="V:Rule17" type="connector" idref="#_x0000_s1107"/>
<o:r id="V:Rule18" type="connector" idref="#_x0000_s1034"/>
<o:r id="V:Rule19" type="connector" idref="#_x0000_s1095"/>
<o:r id="V:Rule20" type="connector" idref="#_x0000_s1096"/>
<o:r id="V:Rule21" type="connector" idref="#_x0000_s1085"/>
<o:r id="V:Rule22" type="connector" idref="#_x0000_s1111"/>
<o:r id="V:Rule23" type="connector" idref="#_x0000_s1117"/>
<o:r id="V:Rule24" type="connector" idref="#_x0000_s1048"/>
<o:r id="V:Rule25" type="connector" idref="#_x0000_s1098"/>
<o:r id="V:Rule26" type="connector" idref="#_x0000_s1092"/>
<o:r id="V:Rule27" type="connector" idref="#_x0000_s1114"/>
<o:r id="V:Rule28" type="connector" idref="#_x0000_s1103"/>
<o:r id="V:Rule29" type="connector" idref="#_x0000_s1080"/>
<o:r id="V:Rule30" type="connector" idref="#_x0000_s1104"/>
<o:r id="V:Rule31" type="connector" idref="#_x0000_s1082"/>
<o:r id="V:Rule32" type="connector" idref="#_x0000_s1099"/>
<o:r id="V:Rule33" type="connector" idref="#_x0000_s1113"/>
<o:r id="V:Rule34" type="connector" idref="#_x0000_s1040"/>
<o:r id="V:Rule35" type="connector" idref="#_x0000_s1106"/>
<o:r id="V:Rule36" type="connector" idref="#_x0000_s1036"/>
<o:r id="V:Rule37" type="connector" idref="#_x0000_s1115"/>
<o:r id="V:Rule38" type="connector" idref="#_x0000_s1038"/>
<o:r id="V:Rule39" type="connector" idref="#_x0000_s1101"/>
<o:r id="V:Rule40" type="connector" idref="#_x0000_s1116"/>
<o:r id="V:Rule41" type="connector" idref="#_x0000_s1112"/>
<o:r id="V:Rule42" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule43" type="connector" idref="#_x0000_s1100"/>
<o:r id="V:Rule44" type="connector" idref="#_x0000_s1097"/>
<o:r id="V:Rule45" type="connector" idref="#_x0000_s1035"/>
<o:r id="V:Rule46" type="connector" idref="#_x0000_s1105"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251753472;"><span style="height: 39px; left: 0px; left: 521px; position: absolute; top: -49px; width: 44px;">
</span></span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="39" style="background: white; border: .75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td><td bgcolor="white" height="39" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid white; vertical-align: top;" width="44"><br /></td>
</tr>
</tbody></table>
<div style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.1
Latar Belakang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Sistemik
Lupus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">E</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ritematosus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> (SLE)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> adalah suatu sindrom
yang melibatkan banyak organ dan memberikan gejala klinis yang beragam.
Perjalanan penyakit ini dapat ringan atau berat, secara terus-menerus, dengan
kekambuhan yang menimbulkan kerusakan jaringan akibat proses radang yang
ditimbulkannya. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik Lupus Eritematosus lebih banyak
dijumpai pada wanita umur antara 13-40 tahun dengan perbandingan perempuan :
laki-laki = 9:1 diduga ada kaitan faktor hormonal dengan patogenesis. Dari
berbagai laporan penelitian prevalensi dari masing-masing suku berbeda-beda,
diperkirakan 15 sampai 50 kasus per 100.000 penduduk. Suku Indian Amerika,
Afrika, dan Hispanik dilaporkan prevalensi SLE sangat tinggi bila dibandingkan
dengan suku Caucasian. Diperkirakan prevalensi di Inggris 12,5/100.000, Asia
17/100.000 penduduk, Aborigin 11/100.000. dilaporkan suku-suku di Asia
pevalensi SLE pada suku Cina, Jepang, dan Filipina lebih tinggi dibandingkan
suku India dan Pakistan (Askandar, 2007).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetik, lingkungan, hormonal dianggap
sebagai etiologi SLE, yang mana ke tiga faktor ini saling terkait erat. Faktor
lingkungan dan hormonalberperan sebagai pencetus pada individu peka genetik
(Askandar, 2007).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala utama Sistemik Lupus Eritmatosus
(SLE) adalah kelemahan umum, anoreksia, rasa mual, demam dan kehilangan berat
badan. Sekitar 80% kelainan melibatkan jaringan persendian, kulit, dan darah
30- 0% menyebabkan kelainan ginjal, jantung dan sistem saraf, serta 10-30%
menyebabkan trombosis arteri dan vena yang berhubungan dengan antibody
antikardiolipin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span style="height: 36px; left: 0px; margin-left: 241px; margin-top: 120px; mso-ignore: vglayout; position: absolute; width: 57px; z-index: 251811840;"><img height="36" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="57" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
klinis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LE pada sistem saraf
dapat berupa neuropsikiartik psikiosis,kejang, stroke, kelumpuhan saraf
kranial, maupun mielopati. Angka kejadian mielopatitransversa pada SLE sekitar
1-2%, sedangkan insiden kejadian mielopati transversa pada populasi umum
1,34/satu juta. Prevalensi SLE diantara etnik adalah wanita kulit hitam 1:250,
wanita kulit putih 1:4300, dan wanita Cina 1:1000.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saat ini mortalitas lupus pada dekade 5
tahun terakhir menunjukkan perbaikan. Five year survival rate-nya saat ini hampir
90 %, sedangkan 15 year survival rate-nya berkisar 63-79 %. Kemajuan ini
disebabkan pendekatan terapi yang lebih agresif dan kemajuan penggunaan
immunosupresan untuk menekan aktivitas penyakit. Prinsip engobatan adalah untuk
menekan aktivitas penyakit, untuk mencegah progresivitas dan memantau efek
mpaing obat. Sampai saat ini steriod masih digunakan sebagai pilihan utama
untuk mengendalikan aktivitas penyakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt 63.8pt; text-align: justify; text-autospace: none; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.2 <span style="mso-spacerun: yes;"> </span>Rumusan masalah</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-layout-grid-align: none; tab-stops: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dari
latar belakang diatas dapat dirumusan masalah sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien dengan penyakit Sistemik Lupus Eritematosus
(SLE) ?</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 21.3pt; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3 <span style="mso-spacerun: yes;"> </span>Tujuan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">1.3.1 <span style="mso-tab-count: 1;"> </span>Tujuan umum
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui asuhan keperawatan pada pasien denagan Sistemik Lupus Eritematosus
(SLE).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 2.0cm; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">1.3.2 <span style="mso-tab-count: 1;"> </span>Tujuan
Khusus :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui definisi dari Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui etiologi dari Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui patofisiologi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">dan pathway </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik Lupus
Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui manifestasi klinis Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui pemeriksaan penunjang Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui penatalaksanaan medis Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Untuk
mengetahui komplikasi yang ditimbulkan oleh penyakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l21 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Untuk
mengetahui asuhan keperawatan pada pasien dengan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik Lupus
Eritematosus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; tab-stops: 21.3pt; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 21.3pt; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">M</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anfaat</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 21.3pt; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1
Bagi mahasiswa </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 49.65pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Mahasiswa
mampu mempelajari dan memahami tentang penyakit Sistemik Lupus Eritematosus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 21.3pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>1.4.2
Bagi masyarakat </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 49.65pt; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masyarakat
mampu memahami tentang penyebaran penyakit Sistemik Lupus Eritematosus,
sehingga bisa mencegah penyakit ini sebelum menyerang mereka.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 21.3pt 49.65pt; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>1.4.3
Bagi institusi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 49.65pt; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mampu
memberikan pelayanan kesehatan kepada publi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
tentang pengobatan penyakit Sistemik Lupus Eritematosus, dan memberikan
penyuluhan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 49.65pt; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 1.0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251754496;"><span style="height: 40px; left: 0px; left: 523px; position: absolute; top: -36px; width: 43px;">
</span></span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="40" style="background: white; border: .75pt solid white; vertical-align: top;" width="43"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251754496;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
<span lang="EN-US">4</span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.
Definisi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">(SLE) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">adalah
suatu penyakit autoimun menahun yang menimbulkan peradangan dan bisa menyerang
berbagai organ tubuh, termasuk kulit, persendian dan organ dalam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus (SLE) adalah penyakit autoimun yang terjadi karena produksi
antibodi terhadap komponen inti sel tubuh sendiri yang berkaitan dengan
manifestasi klinik yang sangat luas pada satu atau beberapa organ tubuh, dan
ditandai oleh inflamasi luas pada pembuluh darah dan jaringan ikat, bersifat
episodik diselangi<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">e</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pisode remisi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus (SLE) adalah suatu penyakit autoimun yang kronik dan
menyerang berbagai sistem dalam tubuh. Tanda dan gejala dari penyakit ini bisa
bermacam-macam, bersifat sementara dan sulit untuk didiognisis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus (SLE) adalah penyakit radang multisistem yang sebabnya belum
diketahui, dengan perjalanan penyakit yang mungkin akut dan fulminan atau
kronik remisi dan eksaserbasi, disertai oleh terdapatnya berbagai macam
autoantibodi dalam tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-margin-top-alt: auto; mso-outline-level: 5; text-indent: 21.3pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi
SLE (Sistemik Lupus Erithematosus)</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada 3 jenis
penyakit Lupus yang dikenal yaitu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">1. <span style="mso-bidi-font-weight: bold;">Discoid Lupus</span>, yang juga dikenal
sebagai Cutaneus Lupus, yaitu penyakit Lupus yang menyerang kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">2. <span style="mso-bidi-font-weight: bold;">Systemics Lupus</span>, penyakit Lupus yang
menyerang kebanyakan system di dalam tubuh, seperti kulit, sendi, darah,
paru-paru, ginjal, hati, otak, dan </span><span lang="EN-US"><a href="http://nursingbegin.com/askep-klien-dengan-penyakit-parkinson/" target="_blank" title="askep parkinson"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; text-decoration: none; text-underline: none;">sistem saraf</span></a></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">. Selanjutnya kita singkat dengan SLE (Systemics Lupus
Erythematosus).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-margin-bottom-alt: auto; text-align: justify; text-indent: -14.15pt;">
<span style="height: 41px; left: 0px; margin-left: 238px; margin-top: 116px; mso-ignore: vglayout; position: absolute; width: 49px; z-index: 251812864;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="49" /></span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">3. <span style="mso-bidi-font-weight: bold;">Drug-Induced,</span> penyakit Lupus yang
timbul setelah penggunaan obat tertentu. Gejala-gejalanya biasanya menghilang
setelah pemakaian obat dihentikan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2
Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sampai
saat penyebab SLE (Sistemik Lupus Eritematosus) belum diketahui, Diduga ada
beberapa paktor yang terlibat seperti </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">f</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">aktor
genetik, infeksi dan lingkungan ikut berperan pada patofisiologi SLE (Sistemik
Lupus Eritematosus).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
imun tubuh kehilangan kemampuan untuk membedakan antigen dari sel dan jaringan
tubuh sendiri. Penyimpangan dari reaksi imunologi ini dapat menghasilkan
antibodi secara terus menerus. Antibodi ini juga berperan dalam kompleks imun sehingga
mencetuskan penyakit inflamasi imun sistemik dengan kerusakan multiorgan dalam
fatogenesis melibatkan gangguan mendasar dalam pemeliharaan self tolerance
bersama aktifitas sel B, hal ini dapat terjadi sekunder</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">terhadap beberapa faktor
:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l16 level1 lfo22; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek
herediter dalam pengaturan proliferasi sel B</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l16 level1 lfo22; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hiperaktivitas
sel T helper</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l16 level1 lfo22; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan
pada fungsi sel T supresor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Beberapa
faktor lingkungan yang dapat memicu timbulnya lupus :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antibiotik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinar
ultraviolet</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stress
yang berlebihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat-obatan
yang tertentu</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l5 level1 lfo21; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hormon</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lupus
seringkali disebut penyakit wanita walaupun juga bisa diderita oleh pria. Lupus
bisa menyerang usia berapapun, baik pada pria maupun wanita, meskipun 10-15 kali
sering ditemukan pada wanita. Faktor hormonal yang menyebabkan wanita sering terserang
penyakit lupus daripada pria. Meningkatnya gejala penyakit ini pada masa sebelum
menstruasi atau selama kehamilan mendukung keyakinan bahwa hormone (terutama
esterogen) mungkin berperan dalam timbulnya penyakit ini. Kadang-kadang obat
jantung tertentu dapat menyebabkan sindrom mirip lupus, yang akan menghilang bila
pemakaian obat dihentikan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-spacerun: yes;"> </span>Patofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
SLE terjadi akibat terganggunya regulasi kekebalan yang menyebabkan peningkatan
autoantibody yang berlebihan. Gangguan imunoregulasi ini ditimbulkan oleh
kombinasi antara faktor-faktor genetik, hormonal (sebagaimana terbukti oleh
awitan penyakit yang biasanya terjadi selama usia reproduksi) dan lingkungan
(cahaya matahari, luka bakar termal). Obat-obatan tertentu seperti hidralazin,
prokainamid, isoniazid, klorpromazin dan beberapa preparat antikonvulsan
disamping makanan seperti kecambah alfalfa turut terlibat dalam penyakit SLE
akibat senyawa kimia atau obat-obatan. Pada SLE, peningkatan produksi
autoantibodi diperkirakan terjadi akibat fungsi sel T supresor yang abnormal
sehingga timbul penumpukan kompleks imun dan kerusakan jaringan. Inflamasi akan
menstimulasi antigen yang selanjutnya terjadi serangan antibodi tambahan dan
siklus tersebut berulang kembali. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusaan
organ pada SLE didasari pada reaksi imunologi. Reaksi ini menimbulkan
abnormalitas respons imun didalam tubuh yaitu : </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo19; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel T dan sel B menjadi otoreaktif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo19; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pembentukan sitokin yang berlebihan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l7 level1 lfo19; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hilangnya regulasi kontrol pada sistem imun, antara
lain <span style="mso-spacerun: yes;"> </span>: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l8 level1 lfo20; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hilangnya kemampuan membersihkan antigen di kompleks
imun maupun sitokin dalam tubuh</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l8 level1 lfo20; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menurunnya kemampuan mengendalikan apoptosis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l8 level1 lfo20; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hilangnya toleransi imun : sel T mengenali molekul
tubuh sebagai antigen karena adanya mimikri molekuler.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 39.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akibat
proses tersebut, maka terbentuk berbagai macam antibodi di dalam tubuh yang
disebut sebagai autoantibodi. Selanjutnya antibodi-antibodi yang tersebut
membentuk kompleks imun. Kompleks imun tersebut terdeposisi pada jaringan/organ
yang akhirnya menimbulkan gejala inflamasi atau kerusakan jaringan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 39.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 14.2pt; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 14.2pt; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pathway
SLE</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<span style="height: 898px; left: -34px; mso-ignore: vglayout; position: relative; top: 14px; width: 617px; z-index: 251658240;"><img height="884" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="617" /></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; tab-stops: 1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-spacerun: yes;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perjalanan
penyakit SLE sangat bervariasi. Penyakit dapat timbul mendadak disertai dengan
tanda-tanda terkenanya berbagai sistem dalam tubuh. Dapat juga menahun dengan
gejala pada satu sistem yang lambat laun diikuti oleh gejala yang terkenanya
sistem imun. Pada tipe menahun terdapat remisi dan eksaserbsi. Remisinya
mungkin berlangsung bertahun-tahun. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Onset
penyakit dapat spontan atau didahului oleh faktor presipitasi seperti kontak
dengan sinar matahari, infeksi virus/bakteri, obat. Setiap serangan biasanya
disertai gejala umum yang jelas seperti demam, nafsu makan berkurang,
kelemahan, berat badan menurun, dan iritabilitasi. Yang paling menonjol ialah
demam,<span style="mso-spacerun: yes;"> </span>kadang-kadang disertai menggigil.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala Muskuloskeletal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala yang paling sering pada SLE adalah gejala
muskuloskeletal, berupa artritis (93%). Yang paling sering terkena ialah sendi
interfalangeal proksimal didikuti oleh lutut, pergelangan tangan,
metakarpofalangeal, siku dan pergelangan kaki. Selain pembekakan dan nyeri
mungkin juga terdapat efusi sendi. Artritis biasanya simetris, tanpa
menyebabkan deformitas, kontraktur atau ankilosis. Adakala terdapat nodul
reumatoid. Nekrosis vaskular dapat terjadi pada berbagai tempat, dan ditemukan
pada pasien yang mendapatkan pengobatan dengan streroid dosis tinggi. Tempat
yang paling sering terkena ialah kaput femoris.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 42.55pt; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -25.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala Mukokutan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
kulit, rambut atau selaput lendir ditemukan pada 85% kasus SLE. Lesi kulit yang
paling sering ditemukan pada SLE ialah lesi kulit akut, subakut, diskoid, dan
livido retikularis. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ruam
kulit berbentuk kupu-kupu berupa eritema yang agak edamatus pada hidung dan
kedua pipi. Dengan pengobatan yang tepat, kelainan ini dapat sembuh tanpa bekas
luka. Pada bagian tubuh yang terkena sinar matahari dapat timbul ruam kulit
yang terjadi karena hipersensitivitas. Lesi ini termasuk lesi kulit akut. Lesi
kulit subakut yang khas berbentuk anular. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lesi
diskoid berkembang melalui 3 tahap yaitu eritema, hiperkeratosis dan atrofi.
Biasanya tampak sebagai bercak eritematosa yang meninggi, tertutup oleh sisik
keratin disertai adanya penyumbatan folikel. Kalau sudah berlangsung lama akan
berbentuk silikatriks. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vaskulitis
kulit dapat menyebabkan ulserasi dari yang berbentuk kecil sampai yang besar.
Sering juga tampak perdarahan dan eritema periungual. Livido retikularis suatu
bentuk vaskulitis ringan, sangat sering ditemui pada SLE. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -25.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
ginjal ditemukan pada 68% kasus SLE. Manifestasi paling sering ialah
proteinuria atau hematuria. Hipertensi, sindrom nefrotik kegagalan ginjal
jarang terjadi, hanya terdapat pada 25% kasus SLE yang urinnya menunjukkan
kelainan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada
2 macam kelainan patologis pada ginjal, yaitu nefritis lupus difus dan nefritis
lupus membranosa. Nefritis lupus merupakan kelainan yang paling berat. Klinis
biasanya tampak sebagai sindrom nefrotik, hipertensi serta gangguan fungsi
ginjal sedang sampai berat. Nefritis lupus membranosa lebih jarang ditemukan.
Ditandai dengan sindrom nefrotik, gangguan fungsi ginjal ringan serta
perjalanan penyakit<span style="mso-spacerun: yes;"> </span>yang mungkin
berlangsung cepat atau lambat tapi progresif. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
ginjal yang lain yang mungkin ditemukan pada SLE ialah pielonefritis kronik,
tuberkulosis ginjal. Gagal ginjal merupakan salah satu penyebab kematian SLE
kronik.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -25.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Susunan Saraf Pusat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
susunan saraf pusat terdiri atas 2 kelainan utama yaitu psikosis organik dan
kejang-kejang. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
otak organik biasanya ditemukan bersamaan dengan gejala aktif SLE pada sistem
lain-lainnya. Pasien menunjukkan gejala halusinasi disamping gejala khas
organik otak seperti sukar menghitung dan tidak sanggup mengingat kembali
gambar yang pernah dilihat. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikosis
steroid juga termasuk sindrom otak organik yang secara klinis tak dapat
dibedakan dengan psikosis lupus. Perbedaan antara keduanya baru dapat diketahui
dengan menurunkan atau menaikkan dosis steroid yang dipakai. Psikosis lupus
membaik jika dosis steroid dinaikkan dan sebaliknya. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejang-kejang
yang timbul biasanya termasuk tipe grandmal. Kelainan lain yang mungkin
ditemukan ialah afasia, hemiplegia. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
mata dapat berupa konjungtivitas, perdarahan subkonjungtival dan adanya badan
sitoid di retina</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jantung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peradangan
berbagai bagian jantung bisa terjadi, seperti perikarditis, endokarditis maupun
miokarditis. Nyeri dada dan aritmia bisa terjadi sebagai akibat keadaan
tersebut.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paru-paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
lupus bisa terjadi pleuritis (peradangan selaput paru) dan efusi pleura
(penimbunan cairan antara paru dan pembungkusnya). Akibat dari kejadian
tersebut sering timbul nyeri dada dan sesak napas. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -25.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saluran Pencernaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
abdomen terdapat pada 25% kasus SLE, mungkin disertai mual dan<span style="mso-spacerun: yes;"> </span>diare. Gejalanya menghilang dengan cepat jika
gangguan sistemiknya mendapat pengobatan adekuat. Nyeri yang timbul mungkin
disebabkan oleh peritonitis steril atau arteritis pembuluh darah kecil
mesenterium dan usus yang mengakibatkan ulserasi usus. Arteritis dapat juga
menimbulkan pankreatitis.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l18 level1 lfo17; text-align: justify; text-autospace: none; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemik-Limfatik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelenjar
getah bening yang sering terkena adalah aksila dan sevikal, dengan
karakteristik tidak nyeri tekan dan lunak. Organ limfoid lain adalah
splenomegali<span style="mso-spacerun: yes;"> </span>yang biasanya disertai oleh
pembesaran hati. Kerusakan lien berupa infark atau thrombosis berkaitan dengan
adanya lupus antikoagulan. Anemia dapat dijumpai pada periode perkembangan
penyakit LES, yang diperantai oleh proses imun dan non-imun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5<span style="mso-spacerun: yes;"> </span>Pemeriksaaan Penunjang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">a. <span style="mso-spacerun: yes;"> </span>Pemeriksaan
Laboratorim</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
laboratorium mencakup pemeriksaan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.
Hematologi, ditemukan anemia, leukopenia, trombosittopenia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; tab-stops: 63.8pt; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan Imunologis, ditemuka
sel LE, antibodi antinuklir, komplemen serum menurun, anti DNA, faktor
reumatitoid, krioglobulin, dan uji lues yang positif semu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">b. <span style="mso-spacerun: yes;"> </span>Histopatologi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-
Umum : Lesi yang dianggap karakteristik untuk SLE ialah badan hematoksilin,
lesi<span style="mso-spacerun: yes;"> </span><i>onionskin </i>pada pembuluh
darah limpa dan endokarditis verukosa Libman-Sacks.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-spacerun: yes;"> </span>Ginjal : 2 bentuk utama ialah glomerulus
proliferatif difus dan nefritis lupus membranosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-<span style="mso-spacerun: yes;"> </span>Kulit : Pemeriksaan imunofluoresensi direks
menunjukkan deposit IgG granular pada <i>dermo-epidermal junction, </i>baik
pada lesi kulit yang aktif (90%) maupun pada kulit yang tak terkena (70%). Yang
paling karakteristik untuk SLE ialah jika ditemukan pada kulit yang tidak
terkena dan terpanjan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6
<span style="mso-spacerun: yes;"> </span>Penatalaksanaa</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">n Medis</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
penatalaksanaan ditentukan oleh beratnya penyakit. Luas dan <span style="mso-spacerun: yes;"> </span>jenis gangguan organ harus ditentukan secara
hati-hati. Dasar terapi adalah kelainan organ yang sudah terjadi. Adanya
infeksi dan proses penyakit bisa dipantau dari pemeriksaan serologis.
Monotoring dan evaluasi bisa dilakukan dengan parameter laboratorium yang dihubungkan
dengan aktivitas penyakit.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo25; text-align: justify; text-autospace: none; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pendidikan
terhadap Pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
diberikan penjelasan mengenai penyakit yang dideritanya (perjalanan penyakit,
komplikasi, prognosis), sehingga dapat bersikap positif terhadapn penanggulangan
penyakit.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo25; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Beberapa Prinsip Dasar Tindakan Pencegahan
pada SLE</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo13; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Monitoring
yang teratur<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo13; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penghematan
enersi, pada kebanyakan pasien kelelahan merupakan keluhan yang menonjol.
Diperlukan waktu istirahat yang terjadwal setiap hari dan perlu ditekankan
pentingnya tidur yang cukup.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo13; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fotoproteksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ontak dengan sinar matahari harus
dikurangi atau dihindarkan. Dapat juga digunakan lotion tertentu untuk
mengurangi kontak dengan sinar matahari langsung.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo13; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatasi
infeksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asien
SLE rentan terhadap infeksi. Jika ada demam yang tak jelas sebabnya, pasien
harus memeriksanya.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l6 level1 lfo13; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merencanakan
kehamila</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ehamilan
harus dihindarkan jika penyakit aktif atau jika pasien sedang mendapatkan
pengobatan dengan obat imunosupresif.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo25; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Pengobatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lupus
diskoid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, t</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">erapi
standar adalah fotoproteksi, anti-malaria dan steroid topikal. Krim luocinonid
5% lebih efektif dibandingkan krim hidrokrortison 1%. Terapi dengan
hidroksiklorokuin efektif pada 48% pasien dan acitrenin efektif terhadap 50%
pasien.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serositis
lupus (plueritis, perikarditis)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,
s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tandar
terapi adalah NSAIDs (dengan pengawasan ketat terhadap gangguan ginjal),
anti-malaria dan kadang-kadang diperlukan steroid dosis rendah. <span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arthritis
lupus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, u</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ntuk
keluhan muskuloskeletal, standar terapi adalah NSAIDs dengan pengawasan ketat
terhadap gangguan ginjal dan ati-malaria. Sedangkan untuk keluhan myalgia dan
gejala depresi diberikan serotonin reuptake inhibitor antidepresan (amitriptilin)<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Miositis
lupus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tandar
terapi adalah kortikosteroid dosis tinggi (dimulai dengan prednison dosis 1-2
mg/kg/hari dalam dosis terbagi, bila kadar komplemen meningkat mencapai dosis efektif
terendah. Metode lain yang digunakan untuk mencegah efek samping pemberian harian
adalah dengan cara pemberian prednison dosis alternate yang lebih tinggi (5 mg/kg/hari,
tak lebih 150-250 mg) metrotreksat atau azathioprine</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fenomena
Raynaud</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tandar
terapinya adalah calcium channel blockers, misalnya nifedipin dan nitrat, misalnya
isosorbid mononitrat.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Lupus nefritis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: OpenSymbol;">, l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">upus nefritis kelas II mempunyai prognosis
yang baik dan membutuhkan terapi minimal. Peningkatan proteinuria harus
diwaspadai karna menggambarkan perubahan status penyakit menjadi lebih parah.
Lupus nefritis III memerlukan terapi yang sama agresifnya dengan DPGN. Pada
lupus nefritis IV kombinasi kortikosteroid dengan siklofosfamid intravena.
Siklofosfamid intravena diberikan setiap bulan, setelah 10-14 hari pemberian,
diperiksa kadar leukositnya. Dosis siklofosfamid selanjutnya akan dinaikkan
atau diturunkan tergantung pada jumlah leukositnya (normalnya 3.000- 4.0000/ml).
Pada lupus nefritis V regimen terapi yang di berikan adalah (1) monoterapi dengan
kortikosteroid. (2) terapi kombinasi kortikosteroid dengan siklosporin A. (3) sikofosfamid,
azathioprine atau klorambusil. Pada lupus nefritis V tahap lanjut, pilihan terapinya
adalah dialisis dan transplantasi renal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Gangguan hematologis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: OpenSymbol;">, u</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">ntuk trombositopeni, terapi yang
dipertimbangkan pada kelainan ini adalah kortikosteroid, imunoglobulin
intravena. Sedangkan untuk anemi hemolitik, terapi yang dipertimangkan adalah
kortikosteroid, danazol, dan spelenektomi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Pneumonitis intersititialis lupus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: OpenSymbol;">, o</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">bat yang digunakan pada kasus ini adalah
kortikosteroid dan siklfosfamid intravena.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l23 level1 lfo14; mso-text-indent-alt: -7.1pt; text-align: justify; text-autospace: none; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Vaskulitis lupus dengan keterlibatan organ
penting</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: OpenSymbol;">, o</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">bat
yang digunakan pada kasus ini adalah kortikosteroid dan siklfosfamid intravena </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">2. 7<span style="mso-spacerun: yes;"> </span>Komplikasi </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Hipertensi (41%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Gangguan pertumbuhan (38%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Gangguan paru-paru kronik (31%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Abnormalitas mata (31%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Kerusakan ginjal permanen (25%</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: OpenSymbol;">)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Gejala neuropsikiatri (22%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Kerusakan muskuloskeleta (9%)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l2 level1 lfo23; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: OpenSymbol;">Gangguan fungsi gonad (3%)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 36.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251756544;"><span style="height: 39px; left: 0px; left: 512px; position: absolute; top: -43px; width: 43px;">
</span></span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="39" style="background: white; border: .75pt solid white; vertical-align: top;" width="43"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251756544;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">1</span><span lang="EN-US">5</span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
3</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Pengkajian</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 46.35pt; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anamnese
</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Identitas pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Nama, jenis kelamin, umur, status perkawinan,
pekerjaan, pendidikan terakhir, alamat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluhan utama</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama saat MRS <span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan utama yang biasa muncul
adalah demam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama saat pengkajian <span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan utama yang biasa muncul
saat pengkajian tidak pasti, tergantung kapan dilakukan pengkajian tersebut.
Biasanya adalah demam, kelemahan, nafsu makan menurun dan BB menurun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span> :<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat kesehatan sekarang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat dari dimulainya gejala penyakit
sampai pasien atau keluarga memutuskan untuk dibawa ke RS. Yang biasa muncul
adalah riwayat demam, kelemahan sampai intoleransi aktifitas, penurunan nafsu
makan dan penurunan BB.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyaki</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">t </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dahulu<span style="mso-tab-count: 1;"> </span> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian dilakukan untuk
mengetahui apakah pernah mengalami hipertensi, gangguan pada mata, dan adanya
nyeri sendi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyaki</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">t</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
keluarga<span style="mso-tab-count: 1;"> </span> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian dilakukan untuk
mengetahui apakah dalam keluarga ada anggota yang pernah menderita penyakit
yang sama.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">psikososial</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="height: 41px; left: 0px; margin-left: 247px; margin-top: 78px; mso-ignore: vglayout; position: absolute; width: 45px; z-index: 251813888;"><img height="41" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="45" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian dilakukan
untuk mengetahui bagaimanakah hubungan klien dengan keluarga dan masyarakat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Pasien dapat menunjukkan gejala mudah marah dan
fluktuasi, takut akan penolakan dari orang lain, harga diri rendah, kekawatiran
menjadi beban orang lain. Tanda yang dapat ditunjukkan adalah ansietas,
gelisah, menarik diri, depresi, fokus pada diri sendiri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan
sehari – hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi
<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>Makan; yang dikaji adalah frekuensi, jumlah
porsi yang habis, cara makan makanan yang disukai dan tidak disukai. Minum ;
yang dikaji adalah frekuensi, jumlah, komposisi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi
<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>BAB dan BAK<span style="mso-spacerun: yes;"> </span>; yang dikaji adalah
frekuensi, pola eliminasi, konsistensi, warna, bentuk. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
<span style="mso-tab-count: 1;"> </span>: jumlah jam tidur siang ataupun
malam, adanya gangguan tidur atau tidak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas<span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">kegiatan yang dilakukan dari bangun tidur sampai tidur
kembali</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal
hygiene : bagaimana kebiasaan dalam kebersihan diri sendiri ataupun lingkungan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
fisik </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan umum : dikaji bagaimana
keadaan umum klien saat pengkajian dilakukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TTV <span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>tanda- tanda vital
sangat penting untuk mengetahui kondisi umum pasien. Tindakan yang dilakukan
adalah pengukuran tekanan darah, nadi, RR, dan suhu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Integumen
: kulit tampak adanya ruam,<span style="mso-spacerun: yes;"> </span>ada luka
pada bibir atau mulut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Thoraks
: paru ; rriwayat inspeksi paru, riwayat abses paru, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">dapat juga ditemukan adanya cairan dalam paru, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nafas
pendek saat istirahat dan aktivitas, takipneu, distess pernapasan akut, dan
penurunan buyi napas. Jantung dan sirkulasi ; nyeri dada, tekanan nadi melebar,
desiran ( menunjukkan mekanisme anemia ),<span style="mso-spacerun: yes;">
</span>warna kulir pucat, ruam, sianosis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Abdomen : adanya nyeri tekan abdomen, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ekstremitas : menahan sendi pada posisi yang nyaman, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Persyarafan/ neurosensori : sakit kepala, penurunan
penglihatan, keseimbangan buruk, <span style="mso-spacerun: yes;"> </span>kesemutan
pada ekstremitas, kelemahan otot, penurunan kekuatan otot, kejang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data dasar pengkajian pasien</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: Keletihan, kelemahan, nyeri sendi karena gerakan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: Penurunan semangat bekerja, toleransi terhadap aktivitas rendah, penurunan
rentang gerak sendi, gangguan gaya berjalan.<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkuasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: Nyeri dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: TD : tekanan nadi melebar, desiran (menunjukkan mekanisme anemia), warna
kulit : pucat/sianosis, membaran mukosa, kulit terdapat ruam.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Integritas
Ego</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: Mudah marah dan fruktasi, takut akan penolakan dari orang lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">arga diri buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ekuatiran mengenai menjadi beban
bagi yang mendekat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: Ansietas, gelisah, menarik diri, depresi, fokus pada diri sendiri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: Sering berkemih, berkemih dengan jumlah besar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: Nyeri tekan pada abdomen, urine encer : terdapat darah atau protein.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makanan/Caira</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: Mual/muntah, anoreksia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,
h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">aus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">esulitan menelan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">danya penurunan BB</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: turgor kulit buruk berbentuk ruam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">idah tampak merah daging</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, b</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ibir : disudut bibir terdapat luka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Higiene</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: kesulitan untuk mempertahankan aksi (nyeri/anemia berat), berbagai kesulitan
untuk melakukan aktivitas perawatan pribadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: cerobaoh, tak rapih, kurang bertenaga.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neurosensori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: sakit kepala, berdenyut pusing</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,
p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enurunan
penglihatan, bayangan pada mata</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,
k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">elemahan,
keseimbangan buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">esemutan
pada ekstremita</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">s.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: kelemahan otot</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enurunan
kekuatan otot</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ejang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">embekakan sendi simetri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri/Kenyamanan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: nyeri hebat, berdenyut, rasa perih di berbagai lokasi, sakit kepala berulang,
tajam, sementara, nyeri tekan abdomen, nyeri dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: menahan sendi pada posisi nyaman, sensitivitas terhadap palpitasi pada area
yang sakit.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: riwayat inspeksi paru, riwayat abses paru, napas pendek pada istirahat dan
aktivitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: takipnea, distres pernapasan akut, bunyi napas menurun.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: kekeringan pada mata dan membran mukosa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">emam ringan menetap</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">esi kulit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, g</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">angguan penglihatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enyembuhan luka buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
: berkeringat, mengigil berulang, gemetar, luka pada wajah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyuluhan/Pembelajaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala
: riwayat penyakit hipertensi, hematologi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, r</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">iwayat adanya masalah dengan
penyembuhan luka/perdarahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,
p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ertimbangan
rencana pemulangan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ama
perawatan: 4-8 hari</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, m</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">emerlukan
bantuan dalam perawatan diri, pemeliharaan rumah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
diagnostik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ig
(Ig M dan Ig G) : peningkatan besar menunjukkan proses autoimun sebab</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penyebab AR</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinar
x dari sendi yang sakit : menunjukkan pembekuan pada jaringan lunak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">erosi sendi, memperkecil jarak
sendi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerapuhan
erirosit : menurun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah
trombosit : menurun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">JDL
: memungkinkan berkembangannya pneumonia bakterial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rontgen : menunjukkan pleuritis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan dada dengan stetoskop menunjukkan adanya
gesekan pleura</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">yang Sering Muncul</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; mso-text-indent-alt: -14.2pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan rasa nyaman (nyeri kronik)
berhubungan dengan efusi sendi dan sesak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> akibat efusi pleura</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; mso-text-indent-alt: -14.2pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan integritas kulit berhubungan
dengan gangguan mobilitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; mso-text-indent-alt: -14.2pt; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span>3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">I</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ntoleransi
aktivitas berhubungan dengan tidak seimbangnya suplai dan kebutuhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O2</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l9 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 1.0cm; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No. </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.85pt;" valign="top" width="138">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnosa Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.8pt;" valign="top" width="158">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.2pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rasional </span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">1. </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.85pt;" valign="top" width="138">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Gangguan rasa nyaman
(nyeri kronik) berhubungan dengan efusi sendi dan sesak akibat efusi pleura .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Tujuan</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif";"> : Setelah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Dilakukan tindakan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">keperawatan selama
3x24</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">jam, diharapkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">rasa nyeri teratasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Kriteria
Hasil</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif";">
: </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l14 level1 lfo6; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Menyatakan nyeri hilang/terkontrol</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l14 level1 lfo6; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Menunjukkan rileks, istirahat tidur, peningkatan
aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l14 level1 lfo6; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Menggabungkan ketrampilan relaksasi dan aktivitas
hiburan ke dalam program control/nyeri</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.8pt;" valign="top" width="158">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Mandiri </span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Tentukan karakteristik nyeri, missal : tajam, atau seperti ditusuk.
Selidiki perubahan lokasi/intensitas nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Pantau TTV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Berikan tindakan untuk meningkatkan kenyamanan, missal: relaksasi,
latihan nafas dalam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Anjurkan untuk sering mengubah posisi. Bantu pasien untuk bergerak
diatas tempat tidur, hindari tindakan yang menyentak</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Anjurkan untuk mandi dengan air hangat. Sediakan handuk hangat untuk
mengompres sendi-sendi yang sakit beberapa kali sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -13.65pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Berikan masase yang lembut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Kolaborasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Bantu dengan terapi fisik</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.2pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Nyeri dada biasanya ada dalam beberapa derajat pada pneumonia, juga
dapat timbul komplikasi pneumonia seperti perikarditis dan endokarditis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Perubahan frekuensi jantung menunjukkan klien merasa nyeri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Tindakan nonanalgesik diberikan dengan sentuhan lembut dapat menghilangkan
ketidaknyamanan dan memperbesar efek analgesic</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Mencegah terjadinya kelelehan umum dan kekakuan sendi, mengurangi
gerakan/rasa sakit pada sendi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Panas meningkatkan relaksasi otot dan mobilitas,
menurunkan rasa nyeri dan melepaskan kekakuan di pagi hari. Sensitivitas
terhadap panas dapat dihilangkan dan luka dermal dapat disembuhkan</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Meningkatkan relaksasi/mengurangi tegangan otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Memberikan dukungan untuk
menghilangkan nyeri</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">2. </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.85pt;" valign="top" width="138">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Gangguan
integritas kulit b.d gangguan mobilitas fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Tujuan </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">: setelah dilakukan
tindakan keperawatan selama 3 x 24 jam, diharafkan gangguan integritas kulit
berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Kriteria Hasil :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Mempertahakan integritas kulit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Mengidentifikasi faktor risiko /perilaku klien untuk mencegah cidera
dermal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Melakukan aktivitas sehari-hari</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Observasi perbaikan luka /penyembuhan lesi bila ada.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.8pt;" valign="top" width="158">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Mandiri </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Kaji integritas kulit, catat perubahan turgor,
warna, dan eritema</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Bantu untuk melakukan ROM</span><span style="font-family: "Times New Roman","serif";"> (Range Of Motion)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Inspeksi kulit/ titik tekan secara teratur untuk
kemerahan, berikan pijatan lembut</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Awasi tungkai terhadap kemerahan, perhatikan dengan
ketat terhadap pembentukan ulkus.</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Kolaborasi </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Gunakan
pelindung, misalnya lotion sesuai dengan indikasi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.2pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Kondisi kulit dipengaruhi oleh sirkulasi dan mobilitas jaringan dapat
menjadi rapuh dan cenderung untuk infeksi berat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Untuk meningkatkan sirkulasi jaringan dan mencegah statis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Potensial jalan masuk organisme pathogen pada adanya gangguan sistem
imun, hal ini meningkatkan resiko infeksi dan pelambatan proses penyembuhan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Meningkatkan abalik vena menurunkan statis vena/pembentukan edema.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Menghindari kerusakan
kulit dengan mencegah/menurunkan tekanan pada permukaan kulit.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">3. </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.85pt;" valign="top" width="138">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Intoleransi
aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">b.d tidak
seimbangnya suplai dan kebutuhan O2</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">(anemia)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Tujuan</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif";"> : Setelah dilakukan
intervensi keperawatan 3x24 jam, diharapkan menunjukkan penurunan tanda
fisiologis intorelansi</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Kriteria Hasil</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l14 level1 lfo6; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Adanya</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">peningkatan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">toleransi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">(termasuk</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">sehari-hari)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l14 level1 lfo6; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Berpartisipasi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dalam</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">sehari-hari</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">sesuai</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">tingkat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">
kemampuan </span><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 118.8pt;" valign="top" width="158">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif";">Mandiri </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l19 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Kaji</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">kemampuan pasien untuk
melakukan aktivitas. Catat</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">laporan
kelelahan dan keletihan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l19 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Awasi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">TD, nadi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">pernapasan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">, selama dan sesudah aktivitas</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l19 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Rencanakan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">latihan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dengan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">pasien,</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">termasuk</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">yang pasien</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">pandang</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">perlu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l19 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Gunakan
teknik</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">penghematan
energi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l19 level1 lfo11; text-align: justify; text-autospace: none; text-indent: -13.65pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Anjurkan
pasien</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">berhenti
bila</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">terjadi
nyeri</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dada,</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">kelemahan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">at</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">a</span><span style="font-family: "Times New Roman","serif";">u pusing</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">terjadi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif";">Kolaborasi :</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 13.65pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Berikan </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">terapi </span><span lang="EN-US" style="font-family: "Times New Roman","serif";">oksigen tambahan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.2pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo12; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Mempengaruhi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">pilihan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">intervensi/bantuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo12; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Manifestasi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">kardiopulmonal dari</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">upaya</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">jantung dan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">paru untuk</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">membawa</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">jumlah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">
oksigen adekuat ke jaringan</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo12; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Meningkatkan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">secara</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">bertahap</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">tingkat</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">aktivitas</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">sampai</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">normal dan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">memperbaiki tonus</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">otot tanpa</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">kelemahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo12; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">Mendorong
pasien</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">melakukan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">banyak</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dengan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">membatasi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">penyimpangan energi</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">mencegah</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">kelemahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l22 level1 lfo12; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif";">St</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">res</span><span style="font-family: "Times New Roman","serif";">s</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">berlebihan</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">dapat</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif";">menimbulkan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;"> kegagalan</span><span style="font-family: "Times New Roman","serif";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US;">Memeksimalkan sediaan oksigen untuk kebutuhan
seluler.</span><span style="font-family: "Times New Roman","serif";"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251759616;"><span style="height: 42px; left: 0px; left: 513px; position: absolute; top: -39px; width: 44px;">
</span></span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="42" style="background: white; border: .75pt solid white; vertical-align: top;" width="44"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251759616;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">2</span><span lang="EN-US">3</span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l24 level1 lfo15; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistemik
Lupus Eritematosus adalah suatu sindrom yang melibatkan banyak organ dan
memberikan gejala klinis yang beragam. Perjalanan penyakit ini dapat ringan atau
berat, secara terus-menerus, dengan kekambuhan yang menimbulkan kerusakan jaringan
akibat proses radang yang ditimbulkannya. Gejala utama Sistemik Lupus
Eritematosus (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LE)
adalah kelemahan umum, anoreksia, rasa mual, demam dan kehilangan berat badan.
Penyebab dari penyakit lupus meliputi pengaruh faktor genetik, lingkungan dan
hormonal terhadap respons imun. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan
ditentukan oleh beratnya penyakit. Luas dan jenis gangguan organ harus
ditentukan secara hati-hati. Dasar terapi adalah kelainan organ yang sudah terjadi.
Adanya infeksi dan proses penyakit bisa dipantau dari pemeriksaan serologis.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l24 level1 lfo15; text-align: justify; text-autospace: none; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bagi
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Bagi Mahasiswa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Diharapkan dapat memahami tentang asuhan
keperawatan dan penatalaksanaan pada pasien SLE agar nantinya dapat memberikan
asuhan keperawatan yang tepat.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Bagi
Institusi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Diharapkan untuk memberikan penanganan dan
asuhan keperawatan yang tepat pada pasien SLE. Serta terus meningkatkan
kualitas pelayanan bagi klien.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo16; tab-stops: 49.5pt; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Bagi
Masyarakat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: 49.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">Diharapkan masyarakat dapat me</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">mahami</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";"> tentang penyakit </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">SLE</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";"> serta </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";">penanganannya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";"> sehingga bisa lebih meningakatkan status
kesehatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman";"> masyarakat pada umumnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="133" width="238"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="42" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="57" /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-55490825283030555972012-06-05T21:59:00.000-07:002012-06-05T21:59:05.624-07:00Schleroderma<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="0" Name="Body Text"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:14.2pt;
text-align:justify;
text-indent:-14.2pt;
line-height:150%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:0cm;
mso-para-margin-left:14.2pt;
mso-para-margin-bottom:.0001pt;
text-align:justify;
text-indent:-14.2pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1056"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1047"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1046"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1052"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1038"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1043"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1053"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1050"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1044"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1045"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1048"/>
<o:r id="V:Rule12" type="connector" idref="#_x0000_s1049"/>
<o:r id="V:Rule13" type="connector" idref="#_x0000_s1037"/>
<o:r id="V:Rule14" type="connector" idref="#_x0000_s1051"/>
<o:r id="V:Rule15" type="connector" idref="#_x0000_s1054"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; text-align: left; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di comot dari teman kelasku,,<br />(Rani, Diyah, Wisnu, Benedikta, dll)</span></b></div>
<div align="center" class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; text-align: center; text-indent: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB
1</span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">Scleroderma
adalah suatu penyakit autoimun dari jaringan penghubung. Penyakit autoimun
adalah penyakit-penyakit yang terjadi ketika jaringan-jaringan tubuh diserang
oleh sistim imunnya sendiri. Scleroderma dikarakteristikan oleh pembentukan
dari jaringan parut (fibrosis) pada kulit dan organ-organ tubuh. Ini menjurus
pada ketebalan dan keteguhan dari area-area yang terlibat. Scleroderma, ketika
tersebar atau menyebar luas keseluruh tubuh, juga dirujuk sebagai systemic<b style="mso-bidi-font-weight: normal;"> </b>sclerosis. </span><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"></span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">Penyebab
dari scleroderma tidak diketahui. Peneliti-peneliti telah menemukan beberapa
bukti bahwa gen-gen adalah faktor-faktor yang penting, namun lingkungan
tampaknya juga memainkan suatu peran. Akibatnya adalah pengaktifan sistim imun,
menyebabkan luka pada jaringan-jaringan yang berakibat pada luka yang serupa
dengan pembentukan jaringan parut. Fakta bahwa gen-gen tampaknya menyebabkan
suatu kecenderungan untuk mengembangkan scleroderma berarti bahwa warisan
paling sedikit memainkan suatu bagian peran. Adalah tidak luar biasa untuk
menemukan penyakit-penyakit autoimun lain pada keluarga-keluarga dari
pasien-pasien scleroderma. Beberapa bukti untuk peran yang mungkin dimainkan
gen-gen dalam menjurus pada pengembangan dari scleroderma datang dari studi
dari Choctaw Native Americans yang adalah kelompok dengan kejadian dari
penyakit yang dilaporkan paling tinggi. Penyakit adalah lebih sering pada
wanita-wanita daripada pada pria-pria.</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">asuhan
keperawatan pada klien dengan scleroderma ?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo17; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan
Umum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Untuk mengetahui
asuhan keperawatan pada klien dengan gangguan scleroderma.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo17; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan
khusus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">def</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nisi dari scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pa saja klasifikasi
scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">etiologi dari
scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">patofisiologi
dari scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetagui</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">manifestasi
klinis dari scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi
dari scleroderma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> penatalaksanaan
terhadap scleroderma </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo18; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">asuhan keperawatan pada klien dengan scleroderma </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
2</span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN
PUSTAKA</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Def</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nisi</span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
Scleroderma adalah
suatu penyakit autoimun dari jaringan penghubung, <span style="mso-bidi-font-weight: bold;">penyakit langka kronis yang menyerang pertahanan tubuh. Scleroderma ialah
pengentalan patologis dan pengerasan kulit yang mempengaruhi sirkulasi pembuluh
darah, jaringan penghubung dan organ dalam tubuh. </span>Scleroderma adalah
suatu bentuk gangguan kulit akibat berkurangnya/rusaknya jaringan penyangga
kulit, terutama serat-serat kolagen. Kelainan ini bisa terjadi setempat (<i style="mso-bidi-font-style: normal;">localized scleroderma, atau “Morphea”</i>),
bisa pula menyeluruh sehingga menyerang berbagai organ tubuh (systemic
sclerosis). (Carpenito, 2004). Scleroderma adalah suatu kondisi yang berarti
kulit mengeras.<span style="mso-bidi-font-weight: bold;"></span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi
</span></b></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US">Scleroderma dapat diklasifikasikan dalam istilah-istilah dari
derajat dan lokasi kulit yang terlibat. Karena itu, scleroderma telah
dikatagorikan kedalam dua kelompok-kelompok utama,</span><span style="mso-ansi-language: IN;"> yaitu :</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Diffuse
(tersebar)</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US">Bentuk diffuse dari scleroderma (systemic sclerosis) melibatkan
penebalan simetris dari kulit</span><span style="mso-ansi-language: IN;">, </span><span lang="EN-US">kaki</span><span style="mso-ansi-language: IN;">,</span><span lang="EN-US"> tangan, muka, dan batang tubuh (dada, punggung, perut, atau
panggul) </span><span style="mso-ansi-language: IN;">y</span><span lang="EN-US">ang
dapat secara cepat maju/berkembang ke pengerasan setelah suatu fase peradangan
dini. Penyakit organ dapat terjadi sejak dini dan serius. Organ-organ yang
terpengaruh termasuk kerongkongan (esophagus), usus, paru-paru dengan luka
parut (fibrosis), jantung, dan ginjal</span><span style="mso-ansi-language: IN;">.</span></div>
<div class="MsoBodyText" style="margin-left: 49.65pt; mso-list: l3 level1 lfo3; text-indent: -21.3pt;">
<span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Limited
(terbatas)</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US">Bentuk limited dari scleroderma cenderung dibatasi pada kulit dari
jari-jari tangan dan muka. Perubahan-perubahan kulit dan ciri-ciri lain dari
penyakit cenderung terjadi lebih perlahan daripada pada bentuk diffuse. Karena
suatu pola klinik yang karakteristik dapat terjadi pada pasien-pasien dengan
bentuk limited dari scleroderma</span><span style="mso-ansi-language: IN;">.</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab skleroderma masih belum diketahui.
Beberapa kasus scleroderma dihubung-hubungkan dengan adanya reaksi bahan kimia.
Unsur-unsur lain yang bisa menyebabkan terjadinya scleroderma adalah keturunan
dan virus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab skleroderma tidak diketahui tapi dokter
percaya skleroderma disebabkan oleh sistem kekebalan tubuh secara keliru
menyerang jaringan tubuh sendiri. Serangan sistem kekebalan tubuh menyebabkan
peradangan dan berlebihan dari kolagen. Terlalu banyak kolagen menyebabkan
kulit, dan kadang-kadang organ-organ internal, untuk menjadi keras dan ketat.
Para peneliti tidak yakin apa yang memicu respons autoimun. Namun para peneliti
telah menemukan beberapa bukti bahwa gen adalah faktor penting, meskipun
lingkungan tampaknya juga memainkan peran pada penyakit ini. Akibatnya penyakit
ini menyerang sistem kekebalan tubuh, menyebabkan cedera pada jaringan yang
mengakibatkan cedera serupa dengan bekas luka pembentukan jaringan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patofisiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dasar patofisiologis penyakit komplek imun ini
adalah reaksi hipersensitivitas, terjadi bila reaksi antigen-antibodi ditemukan
dalam jaringan atau sirkulasi atau dinding pembuluh darah dan mengaktifkan
komplemen. Komplemen yang diaktifkan kemudian melepas <i>macrophage
chemotactik factor</i>. Makrofag yang dikerahkan ditempat tersebut melepas
enzim protease dan enzim yang lain yang dapat merusak jaringan sekitarnya.
Fibrosis (perusakan jaringan) terbentuk di kulit dan/atau organ-organ bagian
dalam. Fibrosis ini pada akhirnya menyebabkan kulit atau organ yang
bersangkutan mengeras. Makrofag juga melepas bahan toksik yang berasal dari
metabolisme oksigen dan arginin (oksigen radikal bebas) yang akan menyebabkan
kerusakan jaringan lebih parah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi dari skleroderma biasanya menyebabkan
fibrosis (perusakan jaringan) terbentuk di kulit dan atau organ-organ bagian
dalam. Fibrosis ini pada akhirnya menyebabkan kulit atau organ yang
bersangkutan mengeras. Karena itu skleroderma terkenal sebagai “penyakit yang
mengubah orang menjadi batu”.</span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">Scleroderma
mempengaruhi kulit untuk menyebabkan tanda-tanda peradangan yang ditempat
(lokal) atau yang menyebar luas (kemerahan, pembengkakan, keperihan, gatal, dan
nyeri) yang dapat menjurus pada pengetatan atau pengerasan kulit.
Perubahan-perubahan kulit ini dapat tersebar luas</span><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"> yang</span><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";"> dapat menjurus pada batasan
yang berkurang dari gerakan jari-jari tangan, jari-jari kaki, dan rahang.
Area-area kecil dari pengapuran atau kalsifikasi (<i style="mso-bidi-font-style: normal;">calcinosis</i>), sementara tidak umum, dapat adakalanya dicatat sebagai
nodul-nodul yang keras pada ujung-ujung dari siku-siku tangan atau di jari-jari
tangan. </span><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"></span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">Scleroderma
yang mempengaruhi kerongkongan (esophagus) menjurus pada heartburn (rasa
terbakar dihulu hati).</span><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"></span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">Scleroderma
yang mempengaruhi usus besar (kolon) paling sering menyebabkan sembelit namun
dapat juga menjurus pada kejang dan diare. Ketika ini adalah berat/</span><span lang="EN-US" style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"> </span><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman";">parah,
dapat berakibat pada rintangan pembuangan air besar sepenuhnya. </span><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"></span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US">Pembuluh-pembuluh darah yang dapat
dipengaruhi termasuk arteriol-arteriol yang kecil dari ujung-ujung jari tangan,
jari-jari kaki, dan ditempat lain. Pembuluh-pembuluh ini dapat mempunyai suatu
kecenderungan pada kekejangan ketika area-area dipaparkan pada dingin, menjurus
pada kebiruan, kepucatan, dan kemerahan dari jari-jari tangan, jari-jari kaki,
dan adakalanya hidung atau telinga-telinga yang terlibat. Perubahan-perubahan
warna ini dirujuk sebagai Raynaud's phenomenon. Raynaud's phenomenon dapat
menyebabkan suplai oksigen yang tidak cukup ke ujung-ujung jari-jari tangan
atau jari-jari kaki yang terlibat, menyebabkan borok-borok kecil atau kulit
yang menghitam (mati). Adakalanya Raynaud's phenomenon juga dihubungkan dengan
perasaan geli (tingling). Pembuluh-pembuluh darah lain yang dapt dilibatkan
pada scleroderma adalah kapiler-kapiler kecil dari muka, bibir-bibir, mulut, atau
jari-jari tangan. Kapiler-kapiler ini melebar membentuk tempat-tempat kecil
merah yang memucat, yang disebut telangiectasias. </span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoBodyText" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";">Komplikasi</span></b></div>
<div align="left" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan data-data hasil pengkajian,
komplikasi potensial yang dapat terjadi :</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jaringan parut.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-left: 49.65pt; mso-add-space: auto; mso-list: l8 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasa percaya diri.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 49.65pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: left; text-indent: 0cm;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: left; text-indent: -1.0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.6pt; margin-right: -17.85pt; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Medis</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.6pt; margin-right: -17.85pt; margin-top: 0cm; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada
obat yang dapat menghentikan perkembangan skleroderma. Tetapi obat hanya dapat
meredakan beberapa gejala dan mengurangi kerusakan organ atau dapat membantu
mencegah komplikasi. Gaya hidup dan perubahan pola makan bisa membuat hidup
dengan penyakit ini lebih mudah.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat-obat
yang dimaksud seperti :</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat anti peradangan non steroid
atau kadang-kadang kortikosteroid, membantu meredakan nyeri otot dan sendi yang
berat dan kelemahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek Penisilamin akan memperlambat penebalan kulit dan bisa menghambat
keterlibatan organ dalam, tetapi beberapa penderita tidak dapat mengatasi
samping obat-obatan ini. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat imunosupresan (penekan
kekebalan) seperti metotreksat, bisa membantu beberapa penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Heartburn bisa diredakan dengan makan dalam porsi kecil, minum antasida dan
obat anti histamin yang menghambat produksi asam lambung. Tidur dengan posisi
kepala yang lebih tinggi sering membantu. <br />
Pembedahan kadang-kadang dapat mengatasi masalah refluks asam lambung yang
berat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; tab-stops: 49.65pt; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetracycline
atau antibiotik lainnya dapat membantu mencegah gangguan penyerapan di usus
yang disebabkan oleh pertumbuhan bakteri berlebih pada usus yang rusak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; tab-stops: 49.65pt; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">f.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nifedipine
dapat meredakan gejala dari fenomena Raynaud, tapi juga bisa meningkatkan
refluks asam.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat anti tekanan darah tinggi,
terutama penghambat enzim pengubah angiotensin (ACE inhibitor), berguna untuk
mengobati penyakit ginjal dan tekanan darah tinggi</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nonmedis</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisioterapi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisioterapi merupakan hal yang tak boleh dilupakan pada penatalaksanaan
scleroderma. Latihan range of motion aktif/pasif, pemanasan. Keduanya
bermanfaat untuk memperbaiki peredaran darah dan kontraktur yang disebabkan
oleh fibrosis pada sendi dan kulit. Pencegahan vasokonstriksi karena dingin dan
usaha mempertahankan pembuluh darah dalam keadaan sedikit vasodilatasi
dilakukan misalnya dengan melindungi tubuh terhadap dingin dan melakukan
latihan jasmani bertahap.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi fisik
dan latihan olah raga dapat membantu mempertahankan kekuatan otot, tapi tidak
dapat secara keseluruhan mencegah sendi yang terfiksasi pada posisi fleksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 0cm; margin-right: -18.0pt; margin-top: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 0cm; margin-right: -18.0pt; margin-top: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level2 lfo3; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="height: 42px; left: 0px; margin-left: 148px; margin-top: 29px; mso-ignore: vglayout; position: absolute; width: 415px; z-index: 251658240;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="42" style="background: white; border: .75pt solid black; vertical-align: top;" width="415"><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251658240;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div align="center" class="MsoListParagraph" style="margin-bottom: 10.0pt; margin-left: 0cm; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reaksi bahan kimia keturunan, virus, reaksi auto
imun</span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">WOC</span></b>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="24" width="51"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="550" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="508" /></td>
</tr>
</tbody></table>
<b> </b>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b>BAB 3</b></div>
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b>ASUHAN KEPERAWATAN</b></div>
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -1.0cm;">
<b><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></b><b>PENGKAJIAN</b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
pengkajian dilakukan wawancara dan pemeriksaan laboraturium untuk memperoleh
informasi dan data yang nantinya akan digunakan sebagai dasar untuk membuat
rencana asuhan keperawatan klien.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.35pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo19; text-align: left; text-indent: -21.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anemnese</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama Istri<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>Nama Suami<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 2;"> </span>Alamat<span style="mso-tab-count: 3;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 2;"> </span>Umur<span style="mso-tab-count: 3;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis Kelamin<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 2;"> </span>Jenis
Kelamin<span style="mso-tab-count: 2;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 2;"> </span>Pendidikan<span style="mso-tab-count: 2;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 2;"> </span>Pekerjaan<span style="mso-tab-count: 2;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status Perkawinan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>Status
Perkawinan<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal MRS<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal Pengkajian<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No.MRS<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penanggung
Jawab<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo20; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dx
Medis<span style="mso-tab-count: 2;"> </span>:</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="mso-tab-count: 1;"> </span>Keadaan
Umum<br />
Meliputi kondisi seperti tingkat ketegangan/kelelahan, tingkat kesadaran
kualitatif atau GCS dan respon verbal klien.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda
Vital</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meliputi Pemeriksaan :</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan
darah : sebaiknya diperiksa dalam posisi yang berbeda, kaji tekanan nadi
dan kondisi patologis</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pulse rate</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respiratory
rate</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suhu</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Fisik<br />
Pemeriksaan fisik diperlukan untuk diagnosis penyakit ini. </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inspeksi </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
pemeriksaan fisik, saat infeksi ditemukan adanya kelainan berupa adanya
perubahan pada kulit seperti ulserasi (borok atau koreng), kalsifikasi
(pengapuran), dan perubahan pigmentasi (warna kulit), fenomena raynaud
(perubahan warna jari tangan dan jari kaki menjadi pucat, kebiruan, atau
kemerahan, jika terkena panas ataupun dingin), kulit tangan dan lengan depan
tampak mengkilat dan menebal, kulit wajah tampak kencang seperti topeng.
Apabila scleroderma menyebabkan terjadinya jaringan parut di paru-paru, akan
ditemukan dipsnea pada saat bernapas, adanya penggunaan otot bantu pernapasan,
klien tampak sesak nafas. Apabila scleroderma menyebabkan jaringan parut di
jantung klien tampak menglami palpitasi, terdapat sianosis sikumoral.</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="mso-tab-count: 1;"> </span>Palpasi
</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ditemukan
adanya pembengkakan, nyeri tekan, dan kekakuan pada persendian. Kulit menjadi
keras saat diraba, apabila scleroderma menyebabkan jaringan parut dijantung,
paru, ginjal dan organ-organ lainya akat detemukan tacicardia, denyut nadi
meningkat, turgor kulit menurun, Fremitus raba meningkat disisi yang sakit,
Hati mungkin membesar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apabila
scleroderma menyebabkan jaringan parut di paru maka didapatkan suara
perkusi pekak bagian dada dan suara redup pada paru yang sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 10.0pt; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi pada scleroderma yang menyebabkan jaringan parut di jantung
sehingga menimbulkan gagal jantung baik kanan maupun kiri akan ditemukan Bunyi
jantung; S3 (gallop) adalah diagnostik, S4 dapat terjadi, S1 dan S2 mungkin
melemah, adanya murmur. Sedangkan apabila scleroderma menyebabkan jaringan
parut pada paru akan terdengar stridor dan ronchii pada lapang paru.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: -18.0pt; margin-top: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -1.0cm;">
<b><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></b><b>DIAGNOSA KEPERAWATAN</b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: bold;">Ketidaknyamanan
nyeri berhubungan dengan proses inflamasi.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: bold;">Gangguan
Integritas kulit berhubungan dengan kerusakan permukaan kulit.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: bold;">Gangguan
citra diri berhubungan dengan rasa malu dan frustasi terhadap penampilan diri.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -1.0cm;">
<b><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></b><b>INTERVENSI KEPERAWATAN</b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 33.75pt; width: 558px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" style="margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">NO.</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189">
<div align="center" style="margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">DX. KEPERAWATAN</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="center" style="margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">INTERVENSI</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" style="margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">RASIONAL</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Ketidaknyamanan nyeri berhubungan dengan proses
inflamasi.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Tujuan :</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Kriteria Hasil :</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Kaji adanya nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Hindari bahan-bahan atau benda-benda yang menyebabkan nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Kolaborasi medis pemberian analgetik sesuai indikasi.</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo7; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Untuk mengetahui nyeri yang dirasakan.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.45pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo7; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mencegah timbulnya nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo7; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengurangi nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.45pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189">
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Gangguan Integritas kulit
berhubungan dengan kerusakan permukaan kulit.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="left" class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo11; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Kaji derajat lesi
untuk mengetahui seberapa parah lesi pada kulit.</span></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: left;">
<br /></div>
<div align="left" class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo11; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Anjurkan klien untuk
menghindari garukan pada daerah yang mengeras. </span></div>
<div align="left" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; text-align: left; text-indent: 0cm;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo11; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk
menghindari pemakaian kosmetik yang mengandung bahan kimia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo11; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi : pemberian
terapi topikal dan sistemik.</span></div>
<div align="left" class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin: 0cm; text-align: left; text-indent: 0cm;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo12; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengetahui tingkat keparahan guna memberikan terapi yang tepat</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo12; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Mencegah lesi dan kerusakan
integritas kulit.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo12; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mencegah kerusakan permukaan kulit.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo12; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempercepat proses
penyembuhan.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
</td>
</tr>
<tr style="height: 42.25pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 42.25pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">3.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Gangguan citra diri berhubungan dengan rasa malu
dan frustasi terhadap penampilan diri.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Tujuan :</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Kriteria Hasil :</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.7pt;" valign="top" width="180">
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo9; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan motivasi dan
harapan kepada klien bahwa penyakit scleroderma dapat diobati.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: left; text-indent: 0cm;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo9; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan kepada
klien untuk mengungkapkan perasaannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo9; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk
melakukan pengobatan secara konsisten.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 42.25pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengurangi kecemasan dan meningkatkan rasa percaya diri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengurangi kecemasan</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo10; text-indent: -14.2pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mempercepat proses penyembuhan.</span></div>
</td>
</tr>
</tbody></table>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo5; text-align: justify; text-indent: -1.0cm;">
<b><span style="mso-list: Ignore;">3.4<span style="font: 7.0pt "Times New Roman";">
</span></span></b><b>IMPLEMENTASI KEPERAWATAN</b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 33.75pt; width: 529px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">NO.</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">HARI, TANGGAL, JAM</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">IMPLEMENTASI</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">EVALUASI</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">PARAF</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Diagnosa 1</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengkaji <span style="mso-spacerun: yes;"> </span>adanya nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Menghindari bahan-bahan atau benda-benda yang menyebabkan nyeri.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l13 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Mengkolaborasi medis pemberian analgetik sesuai indikasi.</span></div>
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">S:Pasien </span><span style="font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>mengungkapkan rasa nyeri hilang atau
berkurang </span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">O:
Menunjukkan ekspresi wajah/postur tubuh yang rileks</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">P:
Masalah teratasi sebagian</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; line-height: 150%;">A: Intervensi dilanjutkan<span style="mso-bidi-font-weight: bold;"></span></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Diagnosa 2</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo14; text-align: left; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Mengkaji derajat
lesi untuk mengetahui seberapa parah lesi pada kulit.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo14; text-align: left; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan klien untuk
menghindari garukan pada daerah yang mengeras. </span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo14; text-align: left; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan klien untuk
menghindari pemakaian kosmetik yang mengandung bahan kimia.</span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo14; text-align: left; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkolaborasi <span style="mso-spacerun: yes;"> </span>: pemberian terapi topikal dan sistemik.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">S: </span><span style="font-size: 10.0pt;">Kerusakan
integritas kulit teratasi</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">O:
Tidak ada lesi</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">A:
Masalah teratasi sebagian</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">P:
Intervensi dilanjutkan<span style="mso-bidi-font-weight: bold;"></span></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 143.15pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 143.15pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 143.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 143.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">Diagnosa 3</span></div>
<div align="left" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: left; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan motivasi dan
harapan kepada klien bahwa penyakit scleroderma dapat diobati.</span></div>
<div align="left" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan kepada
klien untuk mengungkapkan perasaannya.</span></div>
<div align="left" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: left;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk melakukan
pengobatan secara konsisten.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 143.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt; mso-bidi-font-weight: bold;">S: </span><span style="font-size: 10.0pt;">Pasien
merasa percaya akan dirinya sendiri atau tidak merasa malu</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">O:
berinteraksi dengan keluarga, teman dan perawat.</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">A:
Masalah teratasi sebagian</span></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div style="margin-bottom: .0001pt; margin: 0cm;">
<span style="font-size: 10.0pt;">P:
Intervensi dilanjutkan<span style="mso-bidi-font-weight: bold;"></span></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 143.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.6pt;" valign="top" width="66">
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
4</span></b></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo16; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KESIMPULAN</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Scleroderma adalah penyakit langka kronis
yang menyerang pertahanan tubuh. Saat ini diperkirakan sekitar 150,000 sampai
500,000 orang Amerika telah terjangkit penyakit ini. Terutama wanita berumur
antara 30 sampai 50 tahun. Penyakit ini menjangkit 30 orang per 100.000 dan
perbandingan antara wanita dan pria berkisar empat banding satu. </span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab skleroderma masih belum diketahui.
Beberapa kasus scleroderma dihubung-hubungkan dengan adanya reaksi bahan kimia.
Unsur-unsur lain yang bisa menyebabkan terjadinya scleroderma adalah keturunan
dan virus.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo16; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">SARAN</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan makalah
asuhan keperawatan ini, dapat menambah wawasan pembaca dan khususnya untuk tim
medis dalam menerapakan konsep asuhan keperawatan pada pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-indent: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiyohadi,
B. 2006. <i style="mso-bidi-font-style: normal;">Buku Ajar Ilmu Penyakit Dalam.
Sklerosis</i>. Jakarta: Departemen Ilmu Penyakit Dalam.</span></div>
<div class="MsoListParagraph" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meisya.
2011. <i style="mso-bidi-font-style: normal;">Askep Scleroderma. </i></span><a href="http://nintia-meisya.blogspot.com/2011/10/askep-scleroderma.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://nintia-meisya.blogspot.com/2011/10/askep-scleroderma.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kurniati,
Nova. 2011. <i style="mso-bidi-font-style: normal;">Modul Skleroderma</i>. </span><a href="http://www.scribd.com/doc/49021181/MODUL-SKLERODERMA"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://www.scribd.com/doc/49021181/MODUL-SKLERODERMA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal">
<br /></div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com0tag:blogger.com,1999:blog-3977267168183211682.post-67447980062962694932012-06-05T21:55:00.000-07:002012-06-05T21:55:44.140-07:00Rheumatoid Arthritis<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:RelyOnVML/>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
<w:UseFELayout/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-SG;
mso-fareast-language:EN-SG;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid windowtext 1.0pt;
mso-border-alt:solid windowtext .5pt;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid windowtext;
mso-border-insidev:.5pt solid windowtext;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-SG;
mso-fareast-language:EN-SG;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1063"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_20"/>
<o:r id="V:Rule2" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_23"/>
<o:r id="V:Rule3" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_25"/>
<o:r id="V:Rule4" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_24"/>
<o:r id="V:Rule5" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_21"/>
<o:r id="V:Rule6" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_22"/>
<o:r id="V:Rule7" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_28"/>
<o:r id="V:Rule8" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_29"/>
<o:r id="V:Rule9" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_37"/>
<o:r id="V:Rule10" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_27"/>
<o:r id="V:Rule11" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_36"/>
<o:r id="V:Rule12" type="connector" idref="#Straight_x0020_Arrow_x0020_Connector_x0020_26"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: left;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ini di comot dari tugas kelompok temanku,,</span></b><!--[if gte mso 9]><xml>
<o:OfficeDocumentSettings>
<o:RelyOnVML/>
<o:AllowPNG/>
</o:OfficeDocumentSettings>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-ansi-language:EN-SG;
mso-fareast-language:EN-US;}
</style>
<![endif]-->
</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Ari Indra P<span style="mso-tab-count: 1;"> </span>(10620342)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">AyuPermatasari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>(106203</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">46</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">EgaPratama<span style="mso-tab-count: 1;"> </span>(10620352)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">JanuarkoAgung<span style="mso-tab-count: 1;"> </span>(10620361)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">NilwanArfiansyah<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">(106203</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">66</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Novan Suma P<span style="mso-tab-count: 1;"> </span>(10620367)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">NurHanifah<span style="mso-tab-count: 1;"> </span>(10620369)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">NurHidayah<span style="mso-tab-count: 1;"> </span>(10620370)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: left;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo3; text-indent: -20.25pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Latar Belakang</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.75pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Perubahan-perubahan akan terjadi pada tubuh manusia sejalan dengan
semakin meningkatnya usia. Perubahan tubuh terjadi sejak awal kehidupan hingga
usia lanjut pada semua organ dan jaringan tubuh. Keadaan demikian itu tampak
pula pada semua sistem muskuloskeletal dan jaringan lain yang ada kaitannya
dengan kemungkinan timbulnya beberapa golongan reumatik. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.75pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Salah satu golongan penyakit reumatik yang menimbulkan gangguan
muskuloskeletal adalah rheumatoid arthritis. Reumatik dapat mengakibatkan
perubahan otot hingga fungsinya dapat menurun bila otot pada bagian yang
menderita tidak dilatih guna mengaktifkan fungsi otot. Dengan meningkatnnya
usia menjadi tua fungsi otot dapat dilatih dengan baik. Namun usia lanjut tidak
selalu mengalami atau menderita rematik. Bagaimana timbulnya kejadian reumatik
ini, sampai sekarang belum sepenuhnya dapat dimengerti. Reumatik bukan
merupakan suatu penyakit, tetapi merupakan suatu sindrom. Golongan penyakit
yang menampilkan perwujudan sindroma reumatik cukup banyak, namun semua menunjukkan
adanya persamaan ciri. Menurut kesepakatan para ahli dibidang
rematologi,rematik dapat terungkap sebagai keluhan atau tanda. Dari
kesepakatan, dinyatakan ada tiga keluhan utama pada sistem muskuloskeletal
yaitu: nyeri, kekakuan(rasa kaku) dan kelemahan, serta adanya tiga tanda utama
yaitu: pembengkakan sendi,kelemahan otot dan gangguan gerak. (sonarto,1982)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.75pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Dari berbagai masalah ksehatan itu ternyata gangguan muskuloskletal
menempati urutan kedua 14,5 % setelah pnyakit kardiovaskuler dalam pola penyakit
masyarakat usia >55 tahun (Household Survey on Health,1996) dan berdasarkan
WHO di jawa ditemukan bahwa rheumatoid arthritis menempati urutan pertama ( 49%
) dari pola penyakit lansia (Boedhi Darmojo et.al, 1991).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.75pt; text-justify: inter-ideograph;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG">1</span></div>
</div>
</td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Rheumatoid Arthritis merupaka kasus panjang yang sering diujikan,biasanya
terdapat banyak tanda-tanda fisik. Diagnosa penyakit ini mudah ditegakkan. Tata
laksananya sering merupakan masalah utama. Insiden puncak dari rheumatoid
arthritis terjadi pada umur dekade keempat, dan penyakit ini terdapat pada
wanita 3 kali lebih sering dari pada laki-laki. Terdapat familial ( HLADR-4
ditemukan pada 70% pasien ). Rheumatoid arthritis<span style="mso-spacerun: yes;"> </span>diyakini sebagai respon imun terhadap antigen
yang tidak diketahui. Stimulusnya dapat virus atau bakterial. Mungkin juga
terdapat predisposisi terhadap penyakit. Berdasarkan hal tersebut kelompok
tertarik untuk membahas tentang penyakit rheumatoid arthritis dan dapat
mengaplikasikan dalam memberikan asuhan keperawatan pada klien.</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo3; text-indent: -20.25pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Rumusan Masalah</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apakah definisi dari rheumatoid
arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa saja klasifikasi dari
reumatoid arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apakah Etiologi dari rheumatoid
arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bagaimana patofisiologi
hreumatoid arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa Manifestasi klinis
rheumatoid arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bagaimana penatalaksanaan
rheumatoid arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; tab-stops: 2.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bagaimana Asuhan keperawatan
pada pasien dengan rheumatoid arthritis?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo3; text-indent: -20.25pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Tujuan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Tujuan Umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Mahasiswa
dapat memahami asuhan keperawatan pada klien dengan gangguan muskuloskeletal
yaitu rheumatoid arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level3 lfo3; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Tujuan Khusus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Mahasiswa
dapat menjelaskan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Definisi penyakit Rheumatoid
arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Klasifikasi<span style="mso-spacerun: yes;"> </span>penyakit Rheumatoid arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Etiologi penyakit Rheumatoid
arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Patofisiologi penyakit
Rheumatoid arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Manifestasi klinis penyakit
Rheumatoid arthritis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan penyakit
Rheumatoid arthritis.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Asuhan keperawatan pada pasien
dengan rheumatoid arthritis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo3; text-indent: -20.25pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1<span style="mso-tab-count: 1;"> </span>Bagi Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar mampu memahami tentang rheumatoid
arhtritis dan dapat menerapkan bagaimana cara penanganan pasien dengan
rheumatoid arthritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 49.65pt 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.2 <span style="mso-tab-count: 1;"> </span>Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat memberikan penjelasan yang lebih luas
tentang rheumatoid arthritis, serta dapat lebih banyak menyediakan
referensi-referensi buku tentang penyakit-penyakit serta asuhan keperawatan
penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 21.3pt 49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.3<span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar lebih mengerti dan memahami
tentang rheumatoid arthtritis serta mengenali gejala klinis dari rheumatoid
arthtritis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 35.45pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";">BAB 2</span></b><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";">PEMBAHASAN</span></b><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraph" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-indent: -1.0cm;">
<b><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="DE" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: DE; mso-fareast-font-family: "Times New Roman";">Definisi </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rheumatoid arthritis merupakan
penyakit inflamasi auto imun sistemik, kronis dan eksaserbatif yang menyerang
persendian dengan target jaringan sinovia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rheumatoid arthritis merupakan suatu
penyakit autoimun kronis dengan gejala nyeri, kekakuan, gangguan pergerakan,
erosi sendi dan berbagai gejala inflamasi lainnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rheumatoid Arthritis (RA) merupakan penyakit autoimun
(penyakit yang terjadi pada saat tubuh diserang oleh sistem kekebalan tubuhnya
sendiri) yang mengakibatkan peradangan dalam waktu lama pada sendi.Penyakit ini
menyerang persendian, biasanya mengenai banyak sendi, yang ditandai dengan
radang pada membran sinovial dan struktur-struktur sendi serta atrofi otot dan
penipisan tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Klasifikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="Default">
<br /></div>
<div class="Default" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG"><span style="mso-spacerun: yes;"> </span>Buffer (2010)
mengklasifikasikan rheumatoid arthritis menjadi 4 tipe, yaitu: </span></div>
<div class="Default" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Rheumatoid arthritis klasik
pada tipe ini harus terdapat 7 kriteria tanda dan gejala sendi yang harus
berlangsung terus menerus, paling sedikit dalam waktu 6 minggu. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Rheumatoid arthritis defisit
pada tipe ini harus terdapat 5 kriteria tanda dan gejala sendi yang harus
berlangsung terus menerus, paling sedikit dalam waktu 6 minggu. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG">4</span></div>
</div>
</td>
</tr>
</tbody></table>
<i><span lang="EN-SG">Probable </span></i><span lang="EN-SG">rheumatoid
arthritis pada tipe ini harus terdapat 3 kriteria tanda dan gejala sendi yang
harus berlangsung terus menerus, paling sedikit dalam waktu 6 minggu. </span>
<div class="Default" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i><span lang="EN-SG">Possible </span></i><span lang="EN-SG">rheumatoid arthritis pada tipe ini harus terdapat 2 kriteria tanda
dan gejala sendi yang harus berlangsung terus menerus, paling sedikit dalam
waktu 3 bulan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab penyakit
rheumatoid arthritis belum diketahui secara pasti, namun faktor predisposisinya
adalah mekanisme imunitas (antigen-antibodi), faktor metabolik, dan infeksi
virus (Suratun, Heryati, Manurung & Raenah, 2008).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Agen spesifik penyebab arthritis rheumatoid belum dapat
dipastikan, tetapi jelas ada interaksi factor genetik dengan faktor
lingkungan.(Maini dan Feldmann,1998:Blab et al.,1999).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada rheumatoid
arthritis, reaksi autoimun terutama terjadi dalam jaringan sinovial. Proses
fagositosis menghasilkan enzim-enzim dalam sendi. Enzim-enzim tersebut akan
memecah kolagen sehingga terjadi edema, proliferasi membran sinovial dan
akhirnya pembentukan pannus. Pannus akan menghancurkan tulang rawan dan
menimbulkan erosi tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Akibatnya adalah menghilangnya permukaan sendi
yang akan mengganggu gerak sendi. Otot akan turut terkena karena serabut otot
akan mengalami perubahan degenerative dengan menghilangnya elastisitas otot dan
kekuatan kontraksi otot (Smeltzer & Bare, 2002). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lamanya rheumatoid
arthritis berbeda pada setiap orang ditandai dengan adanya masa serangan dan
tidak adanya serangan. Sementara ada orang yang sembuh dari serangan pertama
dan selanjutnya tidak terserang lagi. Namun pada sebagian kecil individu
terjadi progresif yang cepat ditandai dengan kerusakan sendi yang terus menerus
dan terjadi vaskulitis yang difus (Long, 1996).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketika penyakit ini
aktif gejala dapat termasuk kelelahan, kehilangan energi, kurangnya nafsu
makan, demam kelas rendah, nyeri otot dan sendi dan kekakuan. Otot dan kekauan
sendi biasanya paling sering di pagi hari. Disamping itu juga manifestasi
klinis rheumatoid arthritis sangat bervariasi dan biasanya mencerminkan stadium
serta beratnya penyakit. Rasa nyeri, pembengkakan, panas, eritema dan gangguan
fungsi merupakan gambaran klinis yang klasik untuk rheumatoid arthritis
(Smeltzer & Bare, 2002). Gejala sistemik dari rheumatoid arthritis adalah
mudah capek, lemah, lesu, takikardi, berat badan menurun, anemia (Long, 1996).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan
utama terapi adalah :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Meringankan rasa nyeri dan
peradangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memperatahankan fungsi sendi dan
kapasitas fungsional maksimal penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mencegah atau memperbaiki deformitas.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Program terapi dasar terdiri dari lima komponen dibawah ini
yang merupakan sarana pembantu untuk mecapai tujuan-tujuan tersebut yaitu:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Latihan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Panas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengobatan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Nutrisi </span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aspirin (anti nyeri)dosis antara 8 s.d 25 tablet perhari,
kadar salisilat serum yang diharapakan adalah 20-25 mg per 100 ml</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Natrium kolin dan asetamenofen meningkatkan toleransi saluran
cerna terhadap terapi obat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat anti malaria (hidroksiklorokuin, klorokuin) dosis 200 –
600 mg/hari mengatasi keluhan sendi, memiliki efek steroid sparing sehingga
menurunkan kebutuhan steroid yang diperlukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Garam emas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kortikosteroid</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diet</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> untuk penurunan berat badan yang berlebih</span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; tab-stops: 108.0pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif";">Pathway Rematoid
Atritis </span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0cm; mso-add-space: auto; tab-stops: 108.0pt;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Reaksi<span style="mso-spacerun: yes;"> </span>Autoimun, Faktor Metabolik dan Infeksi</span><span lang="EN-SG"> Virus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div class="MsoCaption">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Reaksi
peradangan</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tanda-tanda
radang</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Senovial
menebal</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pembentukan
panus</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Penghancuran
tulang rawan</span></div>
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Odema</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">MK,Nyeri</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Menghilangnya
permukaan sendi</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gerak
sendi terganggu</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">MK.
Hambatan mobilitas fisik</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Elastisitas
otot dan kekakuan otot </span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">MK.
Resiko Cidera </span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Hilangnya
Kekuatan Otot </span></div>
</div>
</td>
</tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif";"> </span></b>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif";">BAB 3</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif";">ASUHAN KEPERAWATAN REMATOID
ATRITIS</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 18.0pt; text-align: center; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 22.5pt; mso-add-space: auto; mso-list: l2 level2 lfo5; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif";"><span style="mso-spacerun: yes;"> </span>PENGKAJIAN</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l0 level1 lfo6; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anamnese</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l8 level1 lfo8; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
kelamin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal
MRS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal
pengkajian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No.REG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dx.medis</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 76.5pt; mso-add-space: auto; mso-list: l8 level1 lfo8; tab-stops: 22.5pt 58.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
penanggung jawab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 22.5pt 45.0pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 22.5pt 45.0pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 22.5pt 45.0pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 22.5pt 45.0pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; tab-stops: 22.5pt 45.0pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungan dengan pasien<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt 45.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt 45.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG">8</span></div>
</div>
</td>
</tr>
</tbody></table>
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit sekarang</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt 45.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt 45.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l6 level1 lfo7; tab-stops: 22.5pt 45.0pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
psikososial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
dengan RA mungkin merasakan adanya kecemasan yang cukup tinggi apalagi pad
pasien yang mengalami deformitas pada sendi-sendi karean ia merasakan adanya
kelemahan-kelemahan pada dirinya dan merasakan kegiatan sehari-hari menjadi
berubah. Perawat dapat melakukan pengkajian terhadap konsep diri klien
khususnya aspek body image dan harga diri klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 45.0pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l0 level1 lfo6; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan fisik berfokus pada
aktivitas dan olahraga yang menonjolkan kesejajaran tubuh, cara berjalan,
penampilan dan pergerakan sendi, kemampuan dan keterbatasan gerak, kekuatan dan
massa otot, serta toleransi aktivitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesejajaran
tubuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan pemeriksaan
kesejajaran tubuh adalah untuk mengidentifikasi perubahan postur akibat
pertumbuhan dan perkembangan normal, hal-hal yang perlu dipelajari untuk
mempertahankan postur tubuh yang baik, faktor yang menyebabkan postur tubuh
yang buruk (misalnya kelelahan dan harga diri rendah) , serta kelemahan otot
dan kerusakan motorik lainnya. Pemeriksaan ini dilakukan dengan menginspeksi
pasien dari sisi lateral, dan posterior guna mengamati apakah bahu dan pinggul
sejajar, jari-jari kaki mengarah kedepan dan tulang belakang lurus, tidak
melengkung kesisi lain (Mubarok, Nurul & Chayatin, 2007).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.5pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
berjalan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian berjalan
dilakukan untuk mengidentifikasi mobilitas klien dan resiko cedera akibat
jatuh. Hal ini dilakukan dengan meminta klien berjalan sejauh kurang lebih 10
kaki didalam ruangan, kemudian amati hal-hal berikut: kepala tegak, pandangan
lurus, dan tulang belakang lurus. Tumit menyentuh tanah lebih dulu dari pada
jari kaki, kaki dorsofleksi pada fase ayunan.Lengan mengayun kedepan bersamaan
dengan ayunan kaki disisi yang berlawanan.Gaya berjalan halus, terkoordinasi,
dan berirama, ayunan tubuh dari sisi ke sisi minimal dan tubuh bergerak lurus
kedepan, dan gerakan dimulai dan di akhiri dengan santai.Selain itu perawat
juga perlu mengkaji kecepatan berjalan (normalnya 70-100 langkah permenit)
(Mubarok, Nurul & Chayatin, 2007).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 22.5pt; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penampilan dan
pergerakan sendi </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-indent: 1.0cm; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan ini meliputi inspeksi,
palpasi, serta pengkajian rentang gerak aktif atau rentang gerak pasif. Hal-hal
yang dikaji antara lain: adanya kemerahan atau pembengkakan sendi, adanya
deformitas, perkembangan otot yang terkait dengan masing-masing sendi, adanya
nyeri tekan, krepitasi, peningkatan temperatur di sekitar sendi dan derajat
gerak sendi.</span></div>
<div class="Default" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Kemampuan dan keterbatasan
gerak. <span style="mso-tab-count: 1;"> </span></span></div>
<div class="Default" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG">Pengkajian ini bertujuan
untuk mendapatkan data tentang adanya indikasi rintangan dan keterbatasan pada
pergerakan klien dan kebutuhan untuk memperoleh bantuan. Hal-hal yang perlu di
kaji antara lain :</span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Bagaimana penyakit klien
mempengaruhi kemampuan klien untuk bergerak. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Adanya hambatan dalam bergerak </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Kewaspadaan mental dan
kemampuan klien untuk mengikuti petunjuk. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Keseimbangan dan koordinasi
klien </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Adanya hipotensi ortostatik
sebelum berpindah tempat. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Derajat kenyamanan klien </span></div>
<div class="Default" style="line-height: 150%; margin-left: 103.5pt; mso-list: l14 level2 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Penglihatan </span></div>
<div class="Default" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Kekuatan dan masa otot. </span></div>
<div class="Default" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Toleransi aktivitas</span></div>
<div class="Default" style="line-height: 150%; margin-left: 63.8pt; mso-list: l14 level1 lfo9; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG">Masa terkait mobilisasi </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan ini dilakukan segera setelah
klien mengalami imobilisasi. Data yang diperoleh tersebut kemudian menjadi
standar (data dasar) yang akan di bandingkan dengan</span><span lang="EN-SG" style="font-size: 11.5pt; line-height: 150%;"> data selama periode
imobilisasi(Mubarok, Nurul &Chayatin )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l0 level1 lfo6; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
penunjang</span><span lang="EN-SG" style="font-size: 11.5pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo6; text-align: justify; text-indent: -21.25pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Laboratorium</span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.7pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Beberapa hasil uji laboratorium dipakai untuk membantu menegakkan diagnosis
artritis reumatoid. Sekitar 85% penderita artritis </span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.7pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">reumatoid
mempunyai autoantibodi di dalam serumnya yang dikenal sebagai faktor reumatoid.
Autoantibodi ini adalah suatu faktor anti-gama globulin (IgM) yang bereaksi
terhadap perubahan IgG. Titer yang tinggi, lebih besar dari 1:160, biasanya
dikaitkan dengan nodula reumatoid, penyakit yang berat, vaskulitis, dan
prognosis yang buruk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor reumatoid
adalah suatu indikator diagnosis yang membantu, tetapi uji untuk menemukan
faktor ini bukanlah suatu uji untuk menyingkirkan diagnosis reumatoid
artritis.Hasil yang positif dapat juga menyatakan adanya penyakit jaringan
penyambung seperti lupus eritematosus sistemik, sklerosis sistemik progresif,
dan dermatomiositis.Selain itu, sekitar 5% orang normal memiliki faktor
reumatoid yang positif dalam serumnya. Insidens ini meningkat dengan
bertambahnya usia. Sebanyak 20% orang normal yang berusia diatas 60 tahun dapat
memiliki faktor reumatoid dalam titer yang rendah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Laju
endap darah (LED) adalah suatu indeks peradangan yang bersifat tidak spesifik.</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman";">Pada
artritis reumatoid nilainya dapat tinggi (100 mm/jam atau lebih tinggi lagi).
Hal ini berarti bahwa laju endap darah dapat dipakai untuk memantau aktifitas
penyakit. Artritis reumatoid dapat menyebabkan anemia normositik normokromik
melalui pengaruhnya pada sumsum tulang. Anemia ini tidak berespons terhadap
pengobatan anemia yang biasa dan dapat membuat penderita cepat lelah.
Seringkali juga terdapat anemia kekurangan besi sebagai akibat pemberian obat
untuk mengobati penyakit ini. Anemia semacam ini dapat berespons terhadap
pemberian besi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;">
<span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman";"> Pada Sendi Cairan sinovial normal bersifat jernih, berwarna kuning
muda hitung sel darah putih kurang dari 200/mm3. Pada artritis reumatoid cairan
sinovial kehilangan viskositasnya dan hitungan sel darah putih meningkat
mencapai 15.000 – 20.000/ mm3. Hal ini membuat cairan menjadi tidak jernih.
Cairan semacam ini dapat membeku, tetapi bekuan biasanya tidak kuat dan mudah
pecah. Pemeriksaan laboratorium khusus untuk membantu menegakkan diagnosis
lainya, misalnya : gambaran immunoelectrophoresis HLA (Human Lymphocyte
Antigen) serta Rose-Wahler test.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.5pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Radiologi</span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.0pt; text-justify: inter-ideograph;">
<span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman";">Pada awal penyakit tidak ditemukan, tetapi setelah sendi mengalami
kerusakan yang berat dapat terlihat penyempitan ruang sendi </span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">karena hilangnya rawan sendi.
Terjadi erosi tulang pada tepi sendi dan penurunan densitas tulang.Perubahan
ini sifatnya tidak reversibel.Secara radiologik didapati adanya tanda-tanda
dekalsifikasi (sekurang-kurangnya) pada sendi yang terkena.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DIAGNOSA</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l15 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri b</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">erhubungan
dengan </span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">perubahan
patologis oleh rheumatoid arthritis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l15 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hambatan </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">mobilitas fisik b.d penurunan kekuatan otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l15 level1 lfo2; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Resiko cedera
berhubungan dengan penurunan fungsi tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo5; tab-stops: 1.0cm; text-align: justify; text-indent: -1.0cm; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">INTERVENSI</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 27.9pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" valign="top" width="42">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.55pt;" valign="top" width="150">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DIAGNOSA </span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.3pt;" valign="top" width="166">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.1pt;" valign="top" width="171">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">RASIONAL</span></b></div>
</td>
</tr>
<tr style="height: 155.65pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 155.65pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" valign="top" width="42">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 155.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.55pt;" valign="top" width="150">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Nyeri b.d perubahan patologis oleh rheumatoid
arthritis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kebutuhan rasa nyaman klien terpenuhi atau klien
terhindar dari rasa nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kriteria Hasil:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Keadaan umum baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Ekspresi wajah baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Tingkat nyeri 1</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">TTV normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 155.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.3pt;" valign="top" width="166">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Istirahatkan
klien sesuai kondisi (bed rest).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Bila
direncanakan klien dapat menggunakan splint, atau brace.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hindari
gerakan yang cepat dan tiba-tiba. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lakukan
perawatan dengan hati-hati khususnya pada anggota-anggota tubuh yang sakit. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Gunakan
terapi panas misal kompres hangat pada area/bagian tubuh yang sakit.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lakukan
peawatan kulit dan masase perlahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Memberikan
obata-obatan sesuai terapi dokter misal, analgetik, antipiretik, anti
inflamasi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 155.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.1pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hal
ini dapat membantu menurunkan stress muskuloskeletal,mengurangi tegangan
otot, dan meningkatkan relaksasi karena kelelahan dapat mendorong terjadinya
nyeri.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hal
ini dapat mencegah deformitas lebih lanjut.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Agar
tidak menimbulkan dislokasi dan stres pada sendi-sendi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Karena
gerakan-gerakan yang<span style="mso-spacerun: yes;"> </span>kasar akan
semakin menimbulkan nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Panas
dapat meningkatkan sirkulasi, relaksai otot-otot, mengurangi kekakuan.
Kemungkinan juga dapat membantu pengeluaran endorfin yaitu sejenis morfin
yang diproduksi oleh tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hal
ini membantu meningkatkan aliran darah relaksasi otot, dan menghambat
impuls-impuls nyeri serta merangsang pengeluaran endorfin.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Menurunkan
rasa nyeri klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" valign="top" width="42">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.55pt;" valign="top" width="150">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hambatan mobilitas fisik b.d penurunan kekuatan otot</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan
:</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US;"> setelah
dilakukan perawatan 3 x 24 jam mobilitas persendian klien dapat meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 8.1pt; text-align: justify; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kriteria Hasil : Klien mampu berpartisipasi
pada aktivitas yang diinginkan.</span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.3pt;" valign="top" width="166">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bantu klien untuk melakukan ROM
aktif atau Pasif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rencanakan program latihan setiap
hari (dapat bekerja sama dengan dokter)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo21; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lakukan observasi untuk setiap
kali latihan </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.1pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo12; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk memelihara<span style="mso-spacerun: yes;"> </span>fungsi sendi dan kekuatan otot,
meningkatkan elastisitas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo12; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Agar tidak terjadi kekakuan sendi
pada klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo12; tab-stops: 22.5pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk memantau perkembangan
pasien<span style="mso-spacerun: yes;"> </span></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.5pt;" valign="top" width="42">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.55pt;" valign="top" width="150">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Resiko tinggi
cedera b.d penurunan fungsi tulang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan:
setelah dilakukan perawatan 3 x 24 jam diharapkan tanda-tanda cidera tidak
ada.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kriteria hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 8.1pt 12.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Klien dapat mempertaahankan keselamatan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.3pt;" valign="top" width="166">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Kendalikan
lingkungan dengan: Menyingkirkan bahaya yang tampak jelas, mengurangi
potensial cedera akibat jatuh ketika tidur misalnya menggunakan penyanggah
tempat tidur, usahakan posisi tempat tidur rendah, gunakan pencahayaan malam
siapkan lampu panggil </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Memantau
regimen medikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Izinkan
kemandirian dan kebebasan maksimum dengan memberikan kebebasan dalam
lingkungan yang aman, hindari penggunaan restrain, ketika pasien melamun
alihkan </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">perhatiannya
daripada mengagetkannya</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 128.1pt;" valign="top" width="171">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lingkungan
yang bebas bahaya akan mengurangi resiko cedera dan membebaskan keluaraga </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">dari kekhawatiran yang konstan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -2.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Hal ini
akan memberikan pasien merasa otonomi</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Restrain dapat meningkatkan agitasi, meng</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">a</span><span lang="EN-SG" style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">getkan
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">pasien akan meningkatkan ansietas.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.5pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB 4</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENUTUP</span></b></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; tab-stops: 22.5pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesimpulan</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rheumatoid
Arthritis (RA) merupakan penyakit autoimun (penyakit yang terjadi pada saat
tubuh diserang oleh sistem kekebalan tubuhnya sendiri) yang mengakibatkan
peradangan dalam waktu lama pada sendi.Penyakit ini menyerang persendian, biasanya
mengenai banyak sendi, yang ditandai dengan radang pada membran sinovial dan
struktur-struktur sendi serta atrofi otot dan penipisan tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.4pt; text-justify: inter-ideograph;">
<span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab penyakit
rheumatoid arthritis belum diketahui secara pasti, namun faktor predisposisinya
adalah mekanisme imunitas (antigen-antibodi), faktor metabolik, dan infeksi
virus (Suratun, Heryati, Manurung & Raenah, 2008).</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo19; tab-stops: 22.5pt; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami tentang penyakit </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rheumatoid
Atritis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
dan dapat menerapkan bagaimana cara penanganan pasien dengan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rheumatoid Atritis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapkan
dapat memberikan penjelasan yang lebih luas tentang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rheumatoid Atritis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat lebih banyak menyediakan
referensi-referensi buku tentang penyakit-penyakit serta asuhan keperawatan
penyakit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diharapakan
agar lebih mengerti dan memahami tentang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rheumatoid Atritis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">serta bagaimana penyebaran dan
penularan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rheumatoid
Atritis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
meningkatkan mutu kesehatan masyarakat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -35.4pt; text-justify: inter-ideograph;">
</div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td>
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-SG">16</span></div>
</div>
</td>
</tr>
</tbody></table>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-align: center; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -1.0cm; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Doenges E Marilynn, 2000., <u>Rencana Asuhan
Keperawatan</u>, EGC, Jakarta </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -1.0cm; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Kalim, Handono, 1996., <u>Ilmu Penyakit Dalam</u>,
Balai Penerbit FKUI, Jakarta.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -1.0cm; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-layout-grid-align: none; text-align: justify; text-autospace: none; text-indent: -1.0cm; text-justify: inter-ideograph;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Mansjoer, Arif, 2000., <u>Kapita Selekta
Kedokteran</u>, Media Aesculaapius FKUI, Jakarta. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.5pt; text-indent: -1.0cm;">
<br /></div>
<br />Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com3tag:blogger.com,1999:blog-3977267168183211682.post-38868185463230924872012-06-05T21:32:00.000-07:002012-06-05T21:32:05.163-07:00Network antar Tenaga Kesehatan<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1046"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1044"/>
<o:r id="V:Rule2" type="connector" idref="#_x0000_s1039"/>
<o:r id="V:Rule3" type="connector" idref="#_x0000_s1041"/>
<o:r id="V:Rule4" type="connector" idref="#_x0000_s1037"/>
<o:r id="V:Rule5" type="connector" idref="#_x0000_s1040"/>
<o:r id="V:Rule6" type="connector" idref="#_x0000_s1042"/>
<o:r id="V:Rule7" type="connector" idref="#_x0000_s1034"/>
<o:r id="V:Rule8" type="connector" idref="#_x0000_s1043"/>
<o:r id="V:Rule9" type="connector" idref="#_x0000_s1038"/>
<o:r id="V:Rule10" type="connector" idref="#_x0000_s1036"/>
<o:r id="V:Rule11" type="connector" idref="#_x0000_s1035"/>
</o:rules>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ko</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laborasi
meru</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pak</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">an
is</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tilah umum ya</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ng
se</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ring di</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">gunakan
untuk </span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">men</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ggambarkan
suatu hubu</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ngan ker</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ja
sam</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a yang dilakukan pih</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ak
ter</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ten</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tu.
</span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sekian banyak pengertian dikemukakan
dengan sudut pandang beragam, namun didasari prinsip yang sama yaitu mengenai
kebersamaan, kerja sama, berbagi tug</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">as,
kes</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">etaraa</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n,
tanggung jawab dan tanggun</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">g gugat. Nam</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">un
demiki</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">an, </span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kolaborasi
sulit </span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">didefinisikan untuk menggambarkan
apa yang sebenarnya </span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">yang </span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">men</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">jad</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">i
ese</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nsi dari kegi</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ata</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n
ini</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">. Sep</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ert</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">i
yan</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">g dik</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">emu</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kaka</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n
Nat</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ion</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">al
Joint </span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Practice Commision (1977) yang
dikutip Siegler dan Whitney (2000) bahwa ti</span></span><span class="l10"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">da</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">k
ad</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a defi</span></span><span class="l9"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nisi
yang ma</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mp</span></span><span class="l9"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">u
me</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">nj</span></span><span class="l9"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">elas</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ka</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n
se</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ki</span></span><span class="l9"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">an
raga</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">m va</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ri</span></span><span class="l9"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asi
da</span></span><span class="l8"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n </span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kompleknya
kolaborasi dalam kontek perawatan kesehatan.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apapun bentuk dan tempatnya, kolaborasi
meliputi suatu pertukaran pandangan atau ide yang memberikan perspektif
kepada seluruh kolaborator. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efektifitas hubungan kolaborasi
profesional membutuhkan mutual respek baik setuju atau ketidaksetujuan
yang dicapai dalam interaksi tersebut. <i style="mso-bidi-font-style: normal;">Partnership</i>
kolaborasi merupakan usaha yang baik sebab mereka menghasilkan <i style="mso-bidi-font-style: normal;">outcome</i> yang lebih baik bagi pasien
dalam mecapai upaya penyembuhan dan memperbaiki kualitas hidup. Kolaborasi
merupakan proses komplek yang membutuhkan <i style="mso-bidi-font-style: normal;">sharing</i>
pengetahuan yang direncanakan dan menjadi tanggung jawab bersama untuk merawat
pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bekerja bersama dalam kesetaraan adalah
esensi dasar dari kolaborasi yang kita gunakan untuk menggambarkan hubungan
perawat dandokter. Tentunya ada konsekweksi di balik issue kesetaraan yang dimaksud.
Kesetaraan kemungkinan dapat terwujud jika individu yang terlibat merasa dihargai
serta terlibat secara fisik dan intelektual saat memberikan bantuan kepada
pasien. </span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dasar
hubungan perawat, dokter, dan pasien merupakan <i style="mso-bidi-font-style: normal;">mutual humanity</i> dan pada hakekatnya hubungan yang saling
ketergantungan dalam mewujudkan harapan pasien terhadap keputusan tindakan
asuhan keperawatan. Untuk memulai memahami hubungan secara manusiawi pada
pasien, perawat sebagai pelaksana asuhan keperawatan harus memahami bahwa penyebab
bertambahnya kebutuhan manusiawi secara universal menimbulkan kebutuhan baru dan
membuat seseorang (pasien) yang rentan untuk menyalahgunakan.</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Oleh sebab
itu sebagai perawat professional, harus dapat mengidentifikasi komponen-
konponen yang berpengaruh terhadap seseorang dalam membuat keputusan etik.
Faktor - faktor tersebut adalah faktor agama, sosial, pendidikan, ekonomi,
pekerjaan/ posisi pasien termasuk perawat, dokter dan hak-hak pasien, yang
dapat mengakibatkan pasien perlu mendapat bantuan perawat dan dokter dalam
ruang lingkup pelayanan kesehatan. Disamping harus menentukan bagaimana keadaan
tersebut dapat mengganggu humanitas pasien sehubungan dengan integritas pasien
sebagai manusia yang holistik. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
konsep <i style="mso-bidi-font-style: normal;">network</i> antar tenaga
kesehatan?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l6 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui konsep <i style="mso-bidi-font-style: normal;">network </i>antar
tenaga kesehatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l6 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui pengertian kolaborasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Hubungan Kolaborasi Tim
Kerja di Rumah Sakit</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Dasar-dasar Komperensi
Kolaborasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Faktor-faktor sosial
yang Mempengaruhi Komunikasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Hubungan antara
Perawat, Pasien, dan Dokter</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Faktor Penghambat
Kolaborasi Perawat dengan Dokter</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui Penerapan hubungan
antara perawat dengan pasien, tenaga kesehatan lain dan masyarakat</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l6 level2 lfo1; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l6 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat Teoritis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menambah
pengetahuan dan wawasan yang luas tentang konsep <i style="mso-bidi-font-style: normal;">network</i> antar tenaga kesehatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l6 level3 lfo1; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat Praktis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah pengetahuan dan wawasan yang lebih luas tentang konsep <i style="mso-bidi-font-style: normal;">network</i> antar tenaga kesehatan sehingga
dapat memberikan pelayanan kesehatan yang maksimal sesuai dengan kebutuhan
pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt; mso-list: l5 level1 lfo3; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 81.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah referensi dan pengetahuan konsep <i style="mso-bidi-font-style: normal;">network</i>
antar tenaga kesehatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>Pengertian<span style="mso-spacerun: yes;">
</span>Kolaborasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi adalah hubungan kerja
diantara tenaga kesehatan dalam memberikan pelayanan kepada pasien/klien adalah
dalam melakukan diskusi tentang diagnosa, melakukan kerjasama dalam asuhan
kesehatan, saling berkonsultasi atau komunikasi serta masing-masing bertanggung
jawab pada pekerjaannya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi adalah suatu proses dimana
praktisi keperawatan atau perawat klinik bekerja dengan dokter untuk memberikan
pelayanan kesehatan dalam lingkup praktek profesional keperawatan, dengan
pengawasan dan supervisi sebagai pemberi petunjuk pengembangan kerjasama atau
mekanisme yang ditentukan oleh pertukaran suatu negara dimana pelayanan
diberikan. Bagi perawat, hubungan kerjasama dengan dokter sangat penting
apabila ingn menunjukkan fungsinya secara independen. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan kolaborasi perawat adalah untuk
membahas masalah-masalah tentang klien dan untuk meningkatkan pamahaman tentang
kontrbusi setiap anggota tim serta untuk mengidentifikasi cara-cara
meningkatkan mutu asuhan klien. Agar hubungan kolaborasi dapat optimal, semua
anggota profesi harus mempunyai keinginan untuk bekerjasama. Perawat dan dokter
merencanakan dan mempraktekkan sebagai kolega, bekerja saling ketergantungan
dalam batas-batas lingkup praktek dengan berbagai nilai-nilai dan pengetahuan
serta respek terhadap orang lain yang berkonstribusi terhadap perawatan
individu, keluarga dan masyarakat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; mso-list: l5 level2 lfo3; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungan
Kolaborasi Tim Kerja di Rumah Sakit</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumah sakit memiliki suatu tim disiplin
ilmu yang meliputi tim perawat, tim dokter, tim administrasi, dan lain-lain.
Tim pelayanan kesehatan interdisiplin merupakan sekelompok professional yang
mempunyai aturan yang jelas, tujuan umum dan berbeda keahlian. Tim akan
berfungsi baik, jika terjadi adanya konstribusi dari anggota tim dalam
memberikan pelayanan kesehatan efektif, bertanggung jawab dan saling menghargai
sesama anggota tim. Perawat sebagai anggota membawa perspektif yang unik dalam
tim interdisiplin. Perawat memfasilitasi dan membantu pasien untuk mendapatkan
pelayanan kesehatan dari praktek profesi kesehatan lain. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="height: 310px; left: 1px; mso-ignore: vglayout; position: relative; top: -1px; width: 532px; z-index: 251676672;"><img height="310" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="532" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: center; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 115%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gambar
2.1 Bagan hubungan kolaborasi tim kerja di rumah sakit</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat berperan sebagai penghubung
penting antara pasien dan pemberi pelayanan kesehatan. Dokter memiliki peran
utama dalam mendiagnosis, mengobati dan mencegah penyakit. Pada situasi ini
dokter menggunakan modalitas pengobatan seperti pemberian obat dan pembedahan. Mereka
sering berkonsultasi dengan anggota tim lain sebagai membuat relevan pemberian
pengobatan. Tim multi disiplin meliputi: tim operasi, tim infeksi nasokomial,
dan lain-lain. Elemen kunci kolaborasi dalam kerjasama tim multidisiplin dapat
digunakan untuk mencapai tujuan kolaborasi tim seperti :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan pelayanan kesehatan yang
berkualitas dengan menggabungkan keahlian unik profesional. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Produktivitas maksimal serta efektifitas
dan efesiensi sumber daya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatnya profesionalisme dan
kepuasan kerja. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatnya kofensifitas antar
professional. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejelasan peran dalam berinteraksi antar
professional. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menumbuhkan komunikasi, kolegalitas,
menghargai dan memahami orang lain. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3
<span style="mso-tab-count: 1;"> </span>Dasar-dasar Komperensi Kolaborasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. <span style="mso-tab-count: 1;"> </span>Komunikasi
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komunikasi
sangat dibutuhkan dalam berkolaborasi, karena kolaborasi membutuhkan pemecahan
masalah yang lebih komplek, dibutuhkan komunikasi efektif yang dapat dimengerti
oleh semua anggota tim. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. <span style="mso-tab-count: 1;"> </span>Respek
dan kepercayaan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Respek
dan kepercayaan dapat disampaikan secara verbal maupun non verbal serta dapat
dilihat dan dirasakan dalam penerapannya sehari-hari. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c. <span style="mso-tab-count: 1;"> </span>Memberikan
dan menerima <i style="mso-bidi-font-style: normal;">feed back</i> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Feed back</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
dipengaruhi oleh persepsi seseorang, pola hubungan, harga diri, kepercayaan
diri, emosi, lingkungan serta waktu, <i style="mso-bidi-font-style: normal;">feed
back</i> juga dapat bersifat negatif maupun positif. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d. <span style="mso-tab-count: 1;"> </span>Pengambilan
keputusan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam
pengambilan keputusan dibutuhkan komunikasi untuk mewujudkan kolaborasi yang
efektif guna menyatukan data kesehatan pasien secara komperensip sehingga
menjadi sumber informasi bagi semua anggota tim.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e. <span style="mso-tab-count: 1;"> </span>Manajemen
konflik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menurunkan komplik maka masing-masing anggota harus memahami peran dan fungsinya,
melakukan klarifikasi persepsi dan harapan, mengidentifikasi kompetensi,
mengidentifikasi tumpang tindih peran serta melakukan negosiasi peran dan
tanggung jawabnya. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4
<span style="mso-tab-count: 1;"> </span>Faktor-faktor sosial yang Mempengaruhi
Komunikasi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun faktor-faktor sosial yang
mempengaruhi komunikasi yaitu sebagai berikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
kelamin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelas
sosial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etnik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status
sosial </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekuasaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peraturan
sosial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran
sosial</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5
<span style="mso-tab-count: 1;"> </span>Hubungan antara Perawat, Pasien, dan
Dokter</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat, pasien, dan dokter adalah tiga
unsur manusia yang saling berhubungan selama mereka terkait dalam hubungan
timbal balik pelayanan kesehatan. Hubungan perawat dengan dokter telah terjalin
seiring perkembangan kedua kedua profesi ini, tidak terlepas dari sejarah,
sifat ilmu atau pendidikan, latar belakang personal dan lain- lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedokteran dan keperawatan, walaupun
kedua disiplin ilmu ini sama- sama berfokus pada manusia, mempunyai beberapa
perbedaan. Kedokteran lebih bersifat paternalistik, yang mencerminkan figur
seorang bapak, pemimpin dan pembuat keputusan (judgment). Sedangkan keperawatan
lebih bersifat motehernalistik, yang mencerminkan figur seorang ibu dalam
memberikan asuhan keperawatan, kasih sayang, dan bantuan (helping
relationship).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbagai model hubungan antara perawat,
dokter dan pasien telah dikembangkan oleh Szasz dan Hollander. Mereka mengembangkan
tiga model hubungan dokter, perawat, dimana model ini terjadi pada semua
hubungan antar manusia, termasuk hubungan antar perawat dan dokter. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Model aktivitas- pasivitas<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu model dimana perawat dan dokter
berperan aktif dan pasien berperan pasif. Model ini tepat untuk bayi, pasien
koma, pasien dibius, dan pasien dalam keadaan darurat. Dokter berada pada
posisi mengatur semuanya, merasa mempunyai kekuasaan, dan identitas
pasien kurang diperhatikan. Model ini bersifat otoriter dan paternalistic.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Model hubungan membantu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merupakan dasar untuk sebagian
besar dari praktik keperawatan atau praktik kedokteran. Model ini terdiri dari
pasien yang mempunyai gejala mencari bantuan dan perawat atau dokter yang
mempunyai pengetahuan terkait dengan kebutuhan pasien. Perawat dan dokter
memberi bantuan dalam bentuk perlakuan/ perawatan atau pengobatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbal baliknya pasien diharapkan
bekerja sama dengan mentaati anjuran perawat atau dokter. Dalam model ini,
perawat dan dokter mengetahui apa yang terbaik bagi pasien, memegang apa yang
diminati pasien dan bebas dari prioritas yang lain. Model ini bersifat
paternalistik walau sedikit lebih rendah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Model partisipasi mutual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Model ini berdasarkan pada anggapan
bahwa hak yang sama atau kesejahteraan antara umat manusia merupakan nilai yang
tinggi, model ini mencerminkan asumsi dasar dari proses demokrasi. Interaksi,
menurut model ini, menyebutkan kekuasaan yang sama, saling
membutuhkan, dan aktivitas yang dilakukan akan memberikan kepuasan kedua
pihak. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Model ini mempunyai ciri bahwa setiap
pasien mempunyai kemampuan untuk menolong dirinya sendiri yang merupakan aspek
penting pada layanan kesehatan saat ini. Peran dokter dalama model ini
adalah membantu pasien menolong dirinya sendiri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dari perspektif keperawatan, model
partisipasi mutual ini penting untuk mengenal dari pasien dan kemampuan diri
pasien. Model ini menjelaskan bahwa manusia mempunyai kemampuan untuk tumbuh
dan berkembang. Keperawatan bersifat menghargai martabat individu yang unik,
berbeda satu sama lain dan membantu kemampuan dalam menentukan dan mengatur
diri sendiri. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6
<span style="mso-tab-count: 1;"> </span>Faktor Penghambat Kolaborasi Perawat
dengan Dokter</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungan perawat dan dokter adalah suatu
bentuk hubungan interaksi yang telah cukup lama dikenal ketika memberikan
bantuan kepada pasien. Perspektif yang berbeda dalam memandang pasien, dalam
praktiknya menyebabkan munculnya hambatan-hambatan tehnik dalam melakukan
proses kolaborasi. Kendala psikologi keilmuan dan individual, faktor sosial,
serta budaya menempatkan kedua profesi ini memunculkan kebutuhan akan upaya
kolaborasi yang dapat menjadikan keduanya lebih solid dengan semangat
kepentingan pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hambatan kolaborasi perawat dengan
dokter sering dijumpai pada tingkat professional dan institusional. Perbedaan
status dan kekuasaan tetap menjadi sumber utama ketidaksesuaian yang membatasi
pendirian professional dalam aplikasi kolaborasi. Dokter cenderung pria, dari
tingkat ekonomi lebih tinggi dan biasanya fisik lebih besar dibandingkan
perawat, sehingga iklim dan kondisi sosial masih mendukung dominasi dokter.
Inti sesungguhnya dari komplik perawat dengan dokter terletak pada perbedaan
sikap profesional mereka terhadap pasien dan cara berkomunikasi diantara
keduanya. Dari hasil observasi peneliti di rumah sakit nampaknya perawat dalam
memberikan asuhan keperawatan belum dapat melaksanakan fungsi kolaborasi
khususnya dengan dokter. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat bekerja memberikan pelayanan
kepada pasien berdasarkan instruksi medis yang juga didokumentasikan secara
baik, sementara dokumentasi asuhan keperawatan meliputi proses keperawatan
tidak ada. Disamping itu hasil wawancara peneliti dengan beberapa perawat rumah
sakit pemerintah dan swasta, mereka menyatakan bahwa banyak kendala yang dihadapi
dalam melaksanakan kolaborasi, diantaranya pandangan dokter yang selalu
menganggap bahwa perawat merupakan tenaga vokasional, perawat sebagai
asistennya, serta kebijakan rumah sakit yang kurang mendukung. Isu-isu tersebut
jika tidak ditanggapi dengan benar dan proporsional dikhawatirkan dapat
menghambat upaya melindungi kepentingan pasien dan masyarakat yang membutuhkan
jasa pelayanan kesehatan, serta menghambat upaya pengembangan dari keperawatan
sebagai profesi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berkaitan dengan isu kolaborasi dan soal
menjalin kerjasama kemitraan dokter, perawat perlu mengantisipasi konsekuensi
perubahan dari vakosional menjadi profesional. Status yuridis seiring perubahan
perawat dari perpanjangan tangan dokter menjadi mitra dokter yang sangat
komplek. Tanggung jawab hukum juga akan terpisah untuk masing-masing kesalahan
atau kelalaian, yaitu malpraktik medis dan malpraktik keperawatan. Perlu ada
kejelasan dari pemerintah maupun para pihak yang terkait mengenai tanggung
jawab hukum dari perawat, dokter maupun rumah sakit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Organisasi profesi juga harus berbenah
dan memperluas struktur organisasi agar dapat mengantisipasi perubahan.
Komunikasi dibutuhkan untuk mewujudkan kolaborasi yang efektif, hal tersebut
perlu ditunjang oleh saran komunikasi yang dapat menyatukan data kesehatan
pasien secara komperensip sehingga menjadi sumber informasi bagi semua anggota
tim dalam pengambilan keputusan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7 <span style="mso-tab-count: 1;"> </span>Penerapan hubungan antara perawat dengan pasien,
tenaga kesehatan lain dan masyarakat </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penerapan hubungan antara perawat dengan
pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk-bentuk
penerapan, dalam konteks hubungan perawat dan pasien, perawat dapat berperan
Sebagai konselor pada saat pasien mengungkapkan kejadian dan perasaan tentang
penyakitnya.Perawat juga dapat berperan sebagai pengganti orang tua (terutama
pada pasien anak), saudara kandung, atau teman bagi pasien dalam ungkapan
perasaan-perasaannya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penerapan hubungan antara perawat dengan
perawat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat
dan perawat memiliki etika khusus mengatur tanggung jawab moral perawat yang
disusun oleh organisasi perawat itu sendiri. Berdasarkan suatu sumber
yang ada dilingkungan baik lingkungan kesehatan, lingkungan
konsumen dan lingkungan komunitas keperawatan. Contoh penerapannya yaitu
sebagai beikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tritmen pada pasien yang menghadapi ajal
, yaitu: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
O2<span style="mso-spacerun: yes;"> </span>diteruskan atau di hentikan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Program
pengobatan diteruskan atau tidak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Support </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">terapi
( RJP ) sampai kapan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengijinkan unsur mengakhiri penderitaan
dan hidup pasien dengan sengaja atas permintaan pasien sendiri, pembatasan perilaku,
dan <i style="mso-bidi-font-style: normal;">infomrmed consent. Infomrmed consent</i>
dapat diberikan pada:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
terimina</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status
vegetatif</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
HIV/AIDS</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
mendapat terapi diet</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
menghadapi tindakan medik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Operasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemakaian
obat yang harganya mahal dll.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bioetika dalam tindakan aborsi,
pembatasan kelahiran, sterilisasi, bayi tabung, tranplantasi organ dll.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 92.15pt; mso-list: l12 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengungkapan
kebenaran dan kerahasiaan dalam bidang kedokteran, yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Permintaan
informasi data pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catatan
medik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembicaraan
kasus pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penerapan hubungan antara perawat dan
profesi lain </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penerapan
hubungan antara perawat dan profesi lain dalam bidang kesehatan adalah saling
berketergantungan satu sama lain misalnya seorang dokter pasti membutuhkan, perawat,
apoteker dan lain-lain, yang saling berkaitan satu sama lain.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penerapan hubungan anatra perawat dengan
masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat
mengemban tugas tanggung jawab bersama masyarakat untuk memprakarsai dan
medukung berbagai kegiatan dalam memenuhi kebutuhan kesehatan masyarakat, dan
tetap menghargai privasi yang ada dalam<span style="mso-spacerun: yes;">
</span>masyarakat. Privasi yang ada dalam masyarakat yaitu berupa privasi
pasien, menghargai harkat martabat pasien, sopan santun dalam pergaulan, saling
menghormati, saling membantu, dan peduli terhadap lingkungan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1 <span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNormal" style="margin-left: 21.3pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mencapai pelayanan yang efektif maka perawat,
dokter dan timkesehatan harus berkolaborasi satu dengan yang lainnya.Tidak ada
kelompok yang dapat menyatakan lebih berkuasa diatas yang lainnya. Masing-masing profesi
memiliki kompetensi profesional yang berbeda sehingga ketikadigabungkan dapat
menjadi kekuatan untuk mencapai tujuan yang diharapkan.Banyaknya faktor yang
berpengaruh seperti kerjasama, sikap saling menerima, berbagi tanggung
jawab, komunikasi efektif sangat menentukan bagaimanasuatu tim berfungsi.
Kolaborasi yang efektif antara anggota tim kesehatanmemfasilitasi
terselenggaranya pelayanan pasien yang berkualitas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-SG;">Pada
dasaranya hubungan antara perawat dan pasien berdasarkan pada sifat alamiah
perawat dan pasien. Dalam interaksi perawat dan pasien, peran yang dimiliki
masing–masing membentuk suatu kesepakatan atau persetujuan dimana pasien
pempunyai peran dan hak sebagai pasien dan perawat dapat melaksanakan asuhan
keparawatan mempunyai peran dan hak sebagai perawat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: EN-SG;">Dalam konteks
hubungan perawat dan pasien, maka setiap hubungan harus didahului dengan
kontrak dan kesepakatan bersama, dimana pasien mempunyai peran sebagai pasien
dan perawat sebagai pelaksana asuhan keperawatan. Kesepakatan ini menjadi
parameter bagi perawat dalam menentukan setiap tindakan etis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 18.0pt; mso-list: l0 level2 lfo13; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l11 level1 lfo12; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tenaga Keperawatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
agar tenaga keperawatan lebih memamahi dan dapat <span style="mso-spacerun: yes;"> </span>menambah pengetahuan dan wawasan yang lebih
luas tentang konsep <i style="mso-bidi-font-style: normal;">network</i> antar
tenaga kesehana sehingga dapat memberikan pelayanan kesehatan yang maksimal
sesuai dengan kebutuhan pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; mso-list: l11 level1 lfo12; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
agar mahasiswa dapat menambah referensi dan pengetahuan konsep <i style="mso-bidi-font-style: normal;">network</i> antar tenaga kesehatan. Sehingga
mahasiswa dapat memahami tentang konsep <i style="mso-bidi-font-style: normal;">network</i>
antar tenaga kesehatan.</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gaffar, Jumadi. 1997.<span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">Pengantar
Keperawatan Profesional</i>. Jakarta : EGC.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Robert, Priharjo. 1995.<span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">Pengantar
Etika Keperawatan</i>. Yogyakarta: Kanisius.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Gumala, Nining. 2012. <i style="mso-bidi-font-style: normal;">Kode Etik Keperawatan</i>. </span><span style="mso-field-code: HYPERLINK;"><span class="MsoHyperlink"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://ngumala.
blogspot.com/2012/02/kode-etik-keperawatan.html</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
Diakses pada kamis 31 Mei 2012, Pukul 11.30 WIB</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="709" width="245"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="44" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="46" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> </span>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1tag:blogger.com,1999:blog-3977267168183211682.post-58313593506902813232012-06-05T21:24:00.000-07:002012-06-05T21:24:03.277-07:00Askep HIV/AIDS komplikasi Toxoplasmosis<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves>false</w:TrackMoves>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="0" Name="Normal (Web)"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="2050"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l2 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toksoplasmosis disebabkan oleh <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>, protozoa intraselular
obligat distribusi di seluruh dunia. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengembangan diperantarai sel
kekebalan setelah infeksi akut. <i>Toxoplasma gondii</i> merupakan salah satu
penyebab paling umum infeksi kronis dengan organisme intraseluler pada manusia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HIV mungkin juga secara
langsung menginfeksi sel-sel saraf, menyebabkan kerusakan neurologis. Kelainan
ini mengenai SSP dan sedikit kesistem saraf tepi. Infeksi yang mengenai SSP
pada AIDS ada dua jenis yaitu infeksi opportunis sekunder atas imunosupresi
yang diinduksi oleh hilangnya imunitas sel-T, dan infeksi HIV langsung yang
tampil sebagai meningitis atau kompleks dementia AIDS, manifestasi ensefalitis HIV
yang secara klinis danbiologis berjangkauan luas.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalitis toksoplasma merupakan
penyebab tersering lesi otak fokal infeksi oportunistik yang paling banyak
terjadi pada pasien AIDS. Di Amerika angka kejadiannya mencapai 15-29,2%,
sedangkan di Eropa mencapai rata-rata 90%. Sekitar 10-20% dari pasien yang
terinfeksi HIV di Amerika Serikat pada akhirnya akan terkena ensefalitis
toksoplasma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosis presumtif ensefalitis
toksoplasma dapat ditegakkan berdasarkan gejala klinis, pemeriksaan penunjang
serologis dan pencitraan, baik dengan tomografi komputer (CT Scan) atau <i style="mso-bidi-font-style: normal;">Magnetic Resonance Imaging </i>(MRI).
Diagnosis pasti ditegakkan berdasarkan baku emasnya dengan pemeriksaan
histopatologi dari biopsi dan ditemukannya takizoit dan bradizoit. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lesi toksoplasma ensefalitis (TE) sulit
dibedakan dengan lesi lainnya, meskipun demikian gambaran yang dianggap khas
yaitu lesi otak fokal tunggal atau multipel yangn yata bagian tepi menyerupai
cincin, dengan lokasi tersering pada basal ganglia 75%, thalamus, periventrikular
dan corticomedullary junction (subkotikal) disertai edema perifokal dan
berdiameter 1 - 3 cm.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di Indonesia sendiri, menurut Menkes RI,
jumlah penderita terinfeksi HIV tahun2002 diestimasikan sebanyak 90.000-130.000
orang. Sebagian besar tersangka HIV ini merupakan pengguna obat narkotika<span style="mso-spacerun: yes;"> </span>(<i style="mso-bidi-font-style: normal;">intravenous
drug users</i>). Lebih dari 50 % penderita yang terinfeksi HIV akan
berkembang menjadi kelainan neurologis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan neurologis yang sering terjadi
pada penderita yang terinfeksi HIV adalah ensefalitis toksoplasma, limfoma SSP,
meningitis kriptococcal, CMV ensefalitis dan <i style="mso-bidi-font-style: normal;">progressive multifocal leukoencephalopathy</i>. Infeksi oportunistik
SSP yang paling sering pada penderita HIV adalah ensefalitis toksoplasma.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l2 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
asuhan keperawatan pada pasien HIV/AIDS dengan komplikasi Toksoplasmosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l2 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l2 level3 lfo1; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
asuhan keperawatan pada pasien HIV/AIDS dengan komplikasi Toksoplasmosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l2 level3 lfo1; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan definisi HIV/AIDS dan
Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan etiologi klien HIV/AIDS
dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan daur hidup <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan patofisiologi klien HIV/AIDS
dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan manifestasi klinis klien
HIV/AIDS dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan pemeriksaan penunjang klien
HIV/AIDS dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan penatalaksanaan klien
HIV/AIDS dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan WOC klien HIV/AIDS dengan
komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 88.9pt; mso-list: l7 level1 lfo19; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan asuhan keperawatan klien HIV/AIDS
dengan komplikasi Toksoplasmosis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt; mso-list: l2 level2 lfo1; text-indent: -28.5pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo16; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Manfaat
teoritis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menambah
pengetahuan dan keterampilan dalam memberikan asuhan keperawatan pada klien HIV/AIDS
dengan komplikasi Toksoplasmosis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo16; text-align: justify; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Manfaat
praktis <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tenaga keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dapat
memberikan asuhan keperawatan yang baik dan tepat pada klien HIV/AIDS dengan
komplikasi Toksoplasmosis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mahasiswa </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menambah
wawasan bagi semua mahasiswa tentang asuhan keperawatan pada klien HIV/AIDS
dengan komplikasi Toksoplasmosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1<span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-language: IN;">AIDS berasal dari kata</span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><i><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-language: IN;">acquired</span></i><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-language: IN;"> yang artinya didapat atau bukan penyakit keturunan, <i>immune</i> berarti
sistem kekebalan tubuh, <i>deficiency</i> atau kekurangan dan <i>syndrome</i>
yang berarti kumpulan gejala-gejala penyakit. Jadi, dari kata-kata tersebut
dapat diartikan bahwa AIDS adalah kumpulan gejala penyakit akibat menurunnya
sistem kekebalan tubuh oleh virus yang disebut <i style="mso-bidi-font-style: normal;">Human Immunodeficiency Virus</i> (HIV).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Toksoplasmosis
adalah penyakit infeksi pada manusia dan hewan yang disebabkan oleh <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>. Toxsoplasma adalah
parasit protozoa dengan sifat alami dengan perjalanannya dapat akut atau
menahun, juga dapat menimbulkan gejala simtomatik maupun asimtomatik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-language: IN;">Insiden komplikasi SSP pada penderita AIDS cukup besar. Manifestasi klinis
AIDS pada SSP dapat terjadi karena 2 hal yaitu virus AIDS itu sendiri atau
akibat infeksi oportunistik atau neoplasma</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalitis toksoplasma merupakan
penyebab tersering lesi otak fokal infeksi oportunistik yang paling banyak
terjadi pada pasien AIDS. Ensefalitis toksoplasma muncul pada kurang lebih 10%
pasien AIDS yang tidak diobati. Hal ini disebabkan oleh parasit <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i> yang dibawa oleh
kucing, burung dan hewan lain yang dapat ditemukan pada tanah yang
tercemar oleh tinja kucing dan kadang pada daging mentah atau kurang matang. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Begitu parasit masuk ke dalam sistem kekebalan,
ia menetap di sana, tetapi sistem kekebalan pada orang yang sehat dapat
melawan parasit tersebut hingga mencegah penyakit. Gejala termasuk
ensefalitis, demam, sakit kepala berat yang tidak menanggapi pengobatan,
lemah pada satu sisi tubuh, kejang, kelesuan, kebingungan yang meningkat,
masalah penglihatan, pusing, masalah berbicara dan berjalan, muntah dan
perubahan kepribadian. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalitis toksoplasma<span style="mso-spacerun: yes;"> </span>disebabkan oleh parasit <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>, yang dibawa oleh kucing, burung dan hewan lain yang
dapat ditemukan pada tanah yang tercemar oleh tinja kucing dan kadang pada
daging mentah atau kurang matang. Begitu parasit masuk ke dalam sistem
kekebalan, parasit tersebut menetap di sana, sistem kekebalan pada orang yang
sehat dapat melawan parasit tersebut hingga tuntas, dan dapat mencegah terjadinya
suatu penyakit. Namun, pada orang pasien HIV/AIDS mengalami penurunan kekebalan
tubuh sehingga tidak mampu melawan parasit tersebut. Sehingga pasien mudah
terinfeksi oleh parasit tersebut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transmisi pada manusia terutama terjadi
bila memakan daging babi atau domba yang mentah dan mengandung oocyst (bentuk
infektif dari <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>).
Bisa juga dari sayur yang terkontaminasi atau kontak langsung dengan feses kucing.
Selain itu dapat terjadi transmisi lewat transplasental, transfusi darah, dan
transplantasi organ. Infeksi akut pada individu yang immunokompeten biasanya
asimptomatik. Pada manusia dengan imunitas tubuh yang rendah dapat terjadi
reaktivasi dari infeksi laten. Yang akan mengakibatkan timbulnya infeksi
opportunistik dengan predileksi di otak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Daur Hidup <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toxoplasma
gondii</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> hidup dalam 3 bentuk yaitu <i style="mso-bidi-font-style: normal;">thachyzoite, tissue cyst </i>(yang mengandung <i style="mso-bidi-font-style: normal;">bradyzoites</i>) dan <i style="mso-bidi-font-style: normal;">oocyst</i> (yang
mengandung <i style="mso-bidi-font-style: normal;">sporozoites</i>). Bentuk akhir
dari parasit diproduksi selama siklus seksual pada usus halus dari kucing.
Kucing merupakan pejamu definitif dari <i style="mso-bidi-font-style: normal;">Toxoplasma
gondii</i>. Siklus hidup aseksual terjadi pada pejamu perantara (termasuk
manusia). Dimulai dengan tertelannya <i style="mso-bidi-font-style: normal;">tissue
cyst </i>atau <i style="mso-bidi-font-style: normal;">oocyst </i>diikuti oleh terinfeksinya
sel epitel usus halus oleh <i style="mso-bidi-font-style: normal;">bradyzoites</i>
atau <i style="mso-bidi-font-style: normal;">sporozoites</i> secara
berturut-turut. Setelah bertransformasi menjadi <i style="mso-bidi-font-style: normal;">tachyzoite</i>, organisme ini menyebar ke seluruh tubuh
lewat peredaran darah atau limfatik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Parasit ini berubah bentuk menjadi <i style="mso-bidi-font-style: normal;">tissue cysts</i> begitu
mencapai jaringan perifer. Bentuk ini dapat bertahan sepanjang hidup
pejamu, dan berpredileksi untuk menetap pada otak, myocardium, paru, otot
skeletal dan retina. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tissue
cyst</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
ada dalam daging, tapi dapat dirusak dengan pemanasan sampai 67<sup>o</sup>C, didinginkan
sampai -20<sup>o</sup>C atau oleh iradiasi gamma. Siklus seksual
entero-epithelial dengan bentuk <i style="mso-bidi-font-style: normal;">oocyst</i>
hidup pada kucing yang akan menjadi infeksius setelah tertelan daging yang mengandung
<i style="mso-bidi-font-style: normal;">tissue cyst</i>. Ekskresi <i style="mso-bidi-font-style: normal;">oocysts</i> berakhir selama 7-20 hari dan
jarang berulang. <i style="mso-bidi-font-style: normal;">Oocyst</i> menjadi
infeksius setelah diekskresikan dan terjadi sporulasi (pembentukan spora).
Lamanya proses ini tergantung dari kondisi lingkungan, tapi biasanya 2-3 hari
setelah diekskresi. <i style="mso-bidi-font-style: normal;">Oocysts</i> menjadi
infeksius di lingkungan selama lebih dari 1 tahun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transmisi pada manusia terutama terjadi
bila makan daging babi atau domba yang mentah yang mengandung <i style="mso-bidi-font-style: normal;">oocyst</i>. Bisa juga dari sayur yang
terkontaminasi atau kontak langsung dengan feces kucing. Selain itu dapat
terjadi transmisi lewat transplasental,transfusi darah, dan transplantasi
organ. Infeksi akut pada individu yang imunokompeten biasanya
asimptomatik. Pada manusia dengan imunitas tubuh yang rendah dapat terjadi reaktivasi
dari infeksi laten. yang akan mengakibatkan timbulnya infeksi oportunistik
dengan predileksi di otak. <i style="mso-bidi-font-style: normal;">Tissue
cyst</i> menjadi ruptur dan melepaskan invasive tropozoit (<i style="mso-bidi-font-style: normal;">tachyzoite</i>). <i style="mso-bidi-font-style: normal;">Tachyzoite</i>
ini akan menghancurkan sel dan menyebabkan focus nekrosis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pasien yang terinfeksi HIV, jumlah
CD4 limfosit T dapat menjadi prediktor kemungkinanan adanya infeksi
oportunistik. Pada pasien dengan CD4 < 200 sel/mL kemungkinan untuk terjadi
infeksi oportunistik sangat tinggi. Oportunistik infeksi yangmungkin terjadi
pada penderita dengan CD4 < 200 sel/mL adalah <i style="mso-bidi-font-style: normal;">pneumocystis carinii</i>, CD4 <span class="a">< 100 sel/mL adalah <i style="mso-bidi-font-style: normal;">toxoplasma gondii</i> , dan CD4 < 50
adalah <i style="mso-bidi-font-style: normal;">M. Avium Complex</i>, sehingga diindikasikan
untuk pemberian profilaksis primer. <i style="mso-bidi-font-style: normal;">M.
tuberculosis</i> dan <i style="mso-bidi-font-style: normal;">candida species</i>
dapat menyebabkan infeksi oportunistik pada CD4 > 200 sel/mL.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="height: 608px; left: -1px; mso-ignore: vglayout; position: relative; top: 16px; width: 532px; z-index: 1;"></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></b><img alt="" src="data:image/png;base64,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" /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: center; text-indent: -36.0pt;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; text-align: center; text-indent: -36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Gambar 2.1<span style="mso-spacerun: yes;"> </span>Daur hidup <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Patofisiologi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.1<span style="mso-tab-count: 1;"> </span>Patofisiologi
HIV/AIDS</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HIV secara signifikan berdampak pada kapasitas
fungsional dan kualitas kekebalan tubuh. HIV mempunyai target sel utama yaitu
sel limfosit T4, yang mempunyai reseptor CD4. Beberapa sel lain yang juga mempunyai
reseptor CD4 adalah sel monosit, sel makrofag, sel folikular dendritik, sel
retina, sel leher rahim, dan sel langerhans. Infeksi limfosit CD4 oleh HIV
dimediasi oleh perlekatan virus kepermukaan sel reseptor CD4, yang menyebabkan
kematian sel dengan meningkatkan tingkat apoptosis pada sel yang terinfeksi. Selain
menyerang sistem kekebalan tubuh, infeksi HIV juga berdampak pada sistem saraf
dan dapat mengakibatkan kelainan pada saraf.<span class="a"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span class="a"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Human
Immunodeficiency Virus</span></i></span><span style="font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(HIV) masuk
ke dalam tubuh seseorang dalam keadaan bebas atau berada di dalam sel limfosit.
Virus ini memasuki tubuh dan terutama menginfeksi sel yang mempunyai molekul
CD4. Sel-sel CD4-positif (CD4+) mencakup monosit, makrofag dan limfosit T4
helper. Saat virus memasuki tubuh, benda asing ini segera dikenal oleh sel T
helper (T4), tetapi begitu sel T helper menempel pada benda asing tersebut,
reseptor sel T helper tidak berdaya; bahkan HIV bisa pindah dari sel induk ke
dalam sel T helper tersebut. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadi, sebelum sel T helper dapat mengenal benda asing HIV, ia lebih dahulu
sudah dilumpuhkan. HIV kemudian mengubah fungsi reseptor di permukaan sel T
helper sehingga reseptor ini dapat menempel dan melebur ke sembarang sel
lainnya sekaligus memindahkan HIV. Sesudah terikat dengan membran sel T4
helper, HIV akan menginjeksikan dua utas benang RNA yang identik ke dalam sel
T4 helper.</span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan menggunakan enzim yang dikenal sebagai reverse transcriptase, HIV
akan melakukan pemrograman ulang materi genetik dari sel T4 yang terinfeksi
untuk membuat double-stranded DNA (DNA utas-ganda). DNA ini akan disatukan ke
dalam nukleus sel T4 sebagai sebuah provirus dan kemudian terjadi infeksi yang
permanen.</span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi T helper dalam mekanisme pertahanan tubuh sudah dilumpuhkan, genom
dari HIV dan proviral DNA kemudian dibentuk dan diintegrasikan pada DNA sel T
helper sehingga menumpang ikut berkembang biak sesuai dengan perkembangan
biakan sel T helper. Sampai suatu saat ada mekanisme pencetus (mungkin karena
infeksi virus lain) maka HIV akan aktif membentuk RNA, ke luar dari T helper
dan menyerang sel lainnya untuk menimbulkan penyakit AIDS. Karena sel T helper
sudah lumpuh maka tidak ada mekanisme pembentukan sel T killer, sel B dan sel
fagosit lainnya. Kelumpuhan mekanisme kekebalan inilah yang disebut AIDS (<i style="mso-bidi-font-style: normal;">Acquired Immunodeficiency Syndrome</i>) atau
sindroma kegagalan kekebalan.</span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4.2 <span style="mso-tab-count: 1;"> </span>Patofisiologi
Toxoplasmosis sebagai komplikasi HIV/AIDS</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi oportunistik dapat terjadi
akibat penurunan kekebalan tubuh pada penderita HIV/AIDS. Infeksi tersebut
dapat menyerang sistem saraf yang membahayakan fungsi dan kesehatan sel
saraf.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah infeksi oral, bentuk tachyzoite atau invasif
parasit dari <i style="mso-bidi-font-style: normal;">Toxoplasma gonii </i>menyebar
ke seluruh tubuh. Takizoit menginfeksi setiap sel berinti, di mana mereka
berkembang biak dan menyebabkan kerusakan. Permulaan diperantarai sel kekebalan
terhadap <i>T gondii</i> disertai dengan transformasi parasit ke dalam jaringan
kista yang menyebabkan infeksi kronis seumur hidup. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme bagaimana HIV menginduksi
infeksi oportunistik seperti toxoplasmosis sangat kompleks. Ini meliputi
deplesi dari sel T CD4, kegagalan produksi IL-2, IL-12, dan IFN-gamma,
kegagalan aktivitas Limfosit T sitokin. Sel-sel dari pasien yang terinfeksi
HIVmenunjukkan penurunan produksi IL-12 dan IFN-gamma secara in vitro dan
penurunan ekspresi dari CD 154 sebagai respon terhadap <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>. Hal ini memainkan peranan yang penting dari
perkembangan toxoplasmosis dihubungkan dengan infeksi HIV. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ensefalitis toksoplasma biasanya terjadi
pada penderita yang terinfeksi virus HIV dengan CD4 T sel <100/mL.
Ensefalitis toxoplasma ditandai dengan onset yang subakut. Manifestasi klinis
yangtimbul dapat berupa defisit neurologis fokal (69%), nyeri kepala (55%),
bingung atau kacau(52%), dan kejang (29%). Pada suatu studi didapatkan adanya
tanda ensefalitis global dengan perubahan status mental pada 75% kasus, adanya
defisit neurologis pada 70% kasus, nyeri kepala pada 50 % kasus, demam
pada 45 % kasus dan kejang pada 30 % kasus.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisit neurologis yang biasanya terjadi
adalah kelemahan motorik dan gangguan bicara. Bisa juga terdapat
abnormalitas saraf otak, gangguan penglihatan, gangguan sensorik, disfungsi
serebelum, meningismus, movement disorders dan menifestasi neuropsikiatri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pasien yang terinfeksi HIV, jumlah
CD4 limfosit T dapat menjadi prediktor untuk validasi ke mungkinanan
adanya infeksi oportunistik. Pada pasien dengan CD4< 200sel/mL kemungkinan
untuk terjadi infeksi oportunistik sangat tinggi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5<span style="mso-tab-count: 1;"> </span>Manifestasi Klinis</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala termasuk ensefalitis, demam,
sakit kepala berat yang tidak respon terhadap pengobatan, lemah pada satu
sisi tubuh, kejang, kelesuan, kebingungan yang meningkat, masalah penglihatan,
pusing, masalah berbicara dan berjalan, muntah dan perubahan kepribadian. Tidak
semua pasien menunjukkan tanda infeksi. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri kepala dan rasa bingung dapat
menunjukkan adanya perkembangan ensefalitis fokal dan terbentuknya abses
sebagai akibat dari terjadinya infeksi toksoplasma. Keadaan ini hampir selalu
merupakan suatu kekambuhan akibat hilangnya kekebalan pada penderita-penderita
yang semasa mudanya telah berhubungan dengan parasit ini. Gejala-gejala
fokalnya cepat sekali berkembang dan penderita mungkin akan mengalami
kejang dan penurunan kesadaran.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6<span style="mso-tab-count: 1;"> </span>Pemeriksaan Penunjang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a. Pemeriksaan Serologi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Didapatkan
seropositif dari anti-<i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>
IgG dan IgM. Deteksi juga dapat dilakukan dengan <i style="mso-bidi-font-style: normal;">indirect fluorescent antibody</i> (IFA), aglutinasi, atau <i style="mso-bidi-font-style: normal;">enzyme linked immunosorbentassay</i>
(ELISA). Titer IgG mencapai puncak dalam 1-2 bulan setelah terinfeksi kemudian bertahan
seumur hidup.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b. Pemeriksaan cairan serebrospinal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
adanya pleositosis ringan dari mononuklear predominan dan elevasi protein.
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c. Pemeriksaan <i style="mso-bidi-font-style: normal;">Polymerase Chain Reaction</i> (PCR)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digunakan
untuk mendeteksi DNA <i style="mso-bidi-font-style: normal;">Toxoplasmosis gondii</i>.
<i style="mso-bidi-font-style: normal;">Polymerase Chain Reaction</i> (PCR) untuk
<i style="mso-bidi-font-style: normal;">Toxoplasmosis gondii</i> dapat
juga positif pada cairan bronkoalveolar dan cairan vitreus atau aquos
humor dari penderita toksoplasmosis yang terinfeksi HIV. Adanya PCR yang
positif pada jaringan otak tidak berarti terdapat infeksi aktif
karena <i style="mso-bidi-font-style: normal;">tissue cyst</i> dapat bertahan
lama berada di otak setelah infeksi akut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d.<span style="mso-tab-count: 1;"> </span>CT
scan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
fokal edema dengan bercak-bercak hiperdens multiple dan biasanya ditemukan
lesi berbentuk cincin atau penyengatan homogen dan disertai edema vasogenik
pada jaringan sekitarnya. Ensefalitis toksoplasma jarang muncul dengan lesi tunggal
atau tanpa lesi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e. <span style="mso-tab-count: 1;"> </span>Biopsi
otak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
diagnosis pasti ditegakkan melalui biopsi otak </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7<span style="mso-tab-count: 1;"> </span>Penatalaksanaan </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toksoplasmosis
otak diobati dengan kombinasi pirimetamin dan sulfadiazin. Kedua obat ini dapat
melalui sawar-darah otak. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toxoplasma gondii</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,
membutuhkan vitamin B untuk hidup. Pirimetamin menghambat pemerolehan
vitamin B oleh tokso.<i style="mso-bidi-font-style: normal;"> Toxoplasma gondii</i>.
Sulfadiazin menghambat penggunaannya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kombinasi
pirimetamin 50-100mg perhari yang dikombinasikan dengan sulfadiazin1-2 g tiap 6
jam.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
yang alergi terhadap sulfa dapat diberikan kombinasi pirimetamin 50-100
mg perhari dengan clindamicin 450-600 mg tiap 6 jam.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
asam folinic 5-10 mg perhari untuk mencegah depresi sumsum tulang.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
alergi terhadap sulfa dan clindamicin, dapat diganti dengan Azitromycin
1200mg/hr, atau claritromicin 1 gram tiap 12 jam, atau atovaquone 750 mg tiap 6
jam. Terapi ini diberikan selam 4-6 minggu atau 3 minggu setelah perbaikan
gejala klinis.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ter</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">api
ant</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">i retr</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">o
vir</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">al (ARV) dii</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ndikas</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ika</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">n
pada pen</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">derita yan</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">g
ter</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">infeksi HIV</span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">den</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">gan
CD4 kurang dari 200 sel/m</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">L, dengan gej</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ala
(AIDS) ata</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">u lim</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">fos</span></span><span class="l6"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">it
tot</span></span><span class="l7"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">al</span></span><span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kurang
dari 1200. Pada pasien ini, CD4 42, sehingga diberikan ARV.</span></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WOC</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEPERAWATAN PADA PASIEN
HIV/AIDS DENGAN KOMPLIKASI TOKSOPLASMOSIS</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1<span style="mso-tab-count: 1;"> </span>Pengkajian </span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1.1 Kebiasaan sehari-hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. <span style="mso-tab-count: 1;"> </span>Aktivitas/istirahat
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l1 level1 lfo3; tab-stops: 92.15pt 134.7pt; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>mudah
lelah, berkurangnya toleransi terhadap aktifitas, kelelahan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l1 level1 lfo3; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kelemahan
otot, nyeri otot, menurunnya massa otot, respon fisiologi terhadap aktifitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. <span style="mso-tab-count: 1;"> </span>Sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>demam, proses penyembuhan luka yang lambat,
perdarahan lama bila cedera</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>suhu tubuh meningkat, berkeringat, takikardia, mata
cekung, anemis, perubahan tekanan darah postural, volume nadi perifer menurun,
pengisian kapiler memanjang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3. <span style="mso-tab-count: 1;"> </span>Integritas
ego</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>merasa tidak berdaya, putus asa, rasa bersalah,
kehilangan kontrol diri, dan depresi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>mengingkari, cemas, depresi, takut, menarik
diri, marah, menangis, kontak mata kurang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4. <span style="mso-tab-count: 1;"> </span>Eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>diare, nyeri pinggul, rasa terbakar saat
berkemih.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>feces encer disertai mucus atau darah, nyeri
tekan abdominal, lesi pada rectal, ikterus, perubahan dalam jumlah warna urin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. <span style="mso-tab-count: 1;"> </span>Makanan/cairan
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tidak ada nafsu makan, mual, muntah, sakit
tenggorokan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>penurunan BB yang cepat, bising usus yang
hiperaktif, turgor kulit jelek, lesi pada rongga mulut, adanya selaput putih/perubahan
warna mukosa mulut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6.<span style="mso-tab-count: 1;"> </span>Hygiene</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; mso-list: l13 level1 lfo4; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tidak
dapat menyelesaikan ADL, mempeliahtkan penampilan yang tidak rapi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">7.<span style="mso-tab-count: 1;"> </span>Neurosensorik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pusing, sakit kepala, photofobia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>perubahan status mental, kerusakan mental,
kerusakan sensasi, kelemahan otot, tremor, penurunan visus, bebal, kesemutan
pada ekstrimitas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 42.55pt 99.25pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">8.<span style="mso-tab-count: 1;"> </span>Nyeri/kenyamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>nyeri umum atau lokal, sakit, nyeri otot, sakit
tenggorokan, sakit kepala, nyeri dada pleuritis, nyeri abdomen.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pembengkakan pada sendi, hepatomegali, <span style="mso-spacerun: yes;"> </span>nyeri tekan, penurunan ROM, pincang.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">9.<span style="mso-tab-count: 1;"> </span>Pernapasan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 2.0cm 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>terjadi ISPA, napas pendek yang progresif,
batuk produktif/non, sesak pada dada, takipneu, bunyi napas tambahan, sputum
kuning.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">10.<span style="mso-tab-count: 1;"> </span>Keamanan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)<span style="mso-tab-count: 1;"> </span>Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>riwayat jatuh, terbakar, pingsan, luka lambat
proses penyembuhan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b)<span style="mso-tab-count: 1;"> </span>Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>demam berulang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; tab-stops: 49.65pt 99.25pt 106.35pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">11.
Seksualitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>riwayat perilaku seksual resiko tinggi, penurunan libido, penggunaan
kondom yang tdk konsisten, lesi pada genitalia, keputihan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">12. Interaksi social</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 5.0cm; tab-stops: 92.15pt 134.7pt 5.0cm; text-align: justify; text-indent: -63.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a)
Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>isolasi, kesepian, perubahan interaksi keluarga, aktifitas yang tidak
terorganisir</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.2<span style="mso-tab-count: 1;"> </span>Pemeriksaan Diagnostik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a) <span style="mso-tab-count: 1;"> </span>Pemeriksaan yang dilakukan adalah pemeriksaan
antibodi spesifik toksoplasma, yaitu IgG, IgM dan IgG <i style="mso-bidi-font-style: normal;">affinity.</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">IgM</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> adalah antibodi yang
pertama kali meningkat di darah bila terjadi infeksi toksoplasma. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">IgG adalah
antibodi yang muncul setelah IgM dan biasanya akan menetap seumur hidup pada
orang yang terinfeksi atau pernah terinfeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">IgG <i style="mso-bidi-font-style: normal;">affinity</i><b> a</b></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">dalah kekuatan ikatan antara antibodi IgG dengan
organisme penyebab infeksi.<i style="mso-bidi-font-style: normal;"> </i>Manfaat
IgG <i style="mso-bidi-font-style: normal;">affinity</i> yang dilakukan pada wanita
yang hamil atau akan hamil karena pada keadaan IgG dan IgM positif diperlukan
pemeriksaan IgG <i style="mso-bidi-font-style: normal;">affinity</i> untuk
memperkirakan kapan infeksi terjadi, apakah sebelum atau pada saat hamil<i style="mso-bidi-font-style: normal;">. </i>Infeksi yang terjadi sebelum kehamilan
tidak perlu dirisaukan, hanya infeksi primer yang terjadi pada saat ibu hamil
yang berbahaya, khususnya pada trimester I.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Bila IgG (-) dan IgM (+)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kasus ini jarang terjadi, kemungkinan merupakan awal
infeksi. Harus diperiksa kembali 3 minggu kemudian dilihat apakah IgG berubah
jadi (+). Bila tidak berubah, maka IgM tidak spesifik, yang bersangkutan tidak
terinfeksi toksoplasma. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Bila IgG (-) dan IgM (-)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Belum pernah terinfeksi dan beresiko untuk terinfeksi.<br />
Bila sedang hamil, perlu dipantau setiap 3 bulan pada sisa kehamilan (dokter
mengetahui kondisi dan kebutuhan pemeriksaan anda). Lakukan tindakan pencegahan
agar tidak terjadi infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Bila IgG (+) dan IgM (+)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kemungkinan mengalami infeksi primer baru atau mungkin
juga infeksi lampau tapi IgM nya masih terdeteksi. Oleh sebab itu perlu
dilakukan tes IgG <i style="mso-bidi-font-style: normal;">affinity</i> langsung
pada serum yang sama untuk memperkirakan kapan infeksinya terjadi, apakah
sebelum atau sesudah hamil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-language: IN;">Bila IgG (+) dan IgM (-)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pernah terinfeksi sebelumnya. Bila pemeriksaan
dilakukan pada awal kehamilan, berarti infeksinya terjadi sudah lama (sebelum
hamil) dan sekarang telah memiliki kekebalan, untuk selanjutnya tidak perlu
diperiksa lagi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
cairan serebrospinal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
adanya pleositosis ringan dari mononuklear predominan dan elevasi protein.
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
<i style="mso-bidi-font-style: normal;">Polymerase Chain Reaction</i> (PCR)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Digunakan
untuk mendeteksi DNA <i style="mso-bidi-font-style: normal;">Toxoplasmosis gondii</i>.
<i style="mso-bidi-font-style: normal;">Polymerase Chain Reaction</i> (PCR) untuk
<i style="mso-bidi-font-style: normal;">Toxoplasmosis gondii</i> dapat
juga positif pada cairan bronkoalveolar dan cairan vitreus atau aquos
humor dari penderita toksoplasmosis yang terinfeksi HIV. Adanya PCR yang
positif pada jaringan otak tidak berarti terdapat infeksi aktif
karena <i style="mso-bidi-font-style: normal;">tissue cyst</i> dapat bertahan
lama berada di otak setelah infeksi akut.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CT
scan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menunjukkan
fokal edema dengan bercak-bercak hiperdens multiple dan biasanya ditemukan
lesi berbentuk cincin atau penyengatan homogen dan disertai edema vasogenik
pada jaringan sekitarnya. Ensefalitis toksoplasma jarang muncul dengan lesi tunggal
atau tanpa lesi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l13 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biopsi
otak </span></div>
<div class="MsoListParagraph" style="margin-left: 78.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk
diagnosis pasti ditegakkan melalui biopsi otak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2<span style="mso-tab-count: 1;"> </span>Diagnosa Keperawatan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. <span style="mso-tab-count: 1;"> </span>Nyeri kronik berhubungan dengan adanya proses
infeksi atau inflamasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b.<span style="mso-tab-count: 1;"> </span>Hipertermi berhubungan dengan peningkatan
metabolisme dan penyakit, ditandai dengan peningkatan suhu tubuh, tubuh
menggigil</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c.<span style="mso-tab-count: 1;"> </span>Kekurangan volume caiaran berhubungan dengan
tidak adekuat masukan makanan dan cairan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.4<span style="mso-tab-count: 1;"> </span>Intervensi Keperawatan </span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;">
<tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA
KEPERAWATAN</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b></div>
</td>
<td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri kronik berhubungan dengan
adanya proses infeksi/inflamasi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNoSpacing" style="margin-left: 1.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Setelah
dilakukan tindakan keperawatan selama 2 x 24 jam nyeri dapat berkurang,
pasien dapat tenang dan keadaan umum cukup baik</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria
Hasil:</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l11 level1 lfo6; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien mengungkapakan nyeri yang dirasakan hilang dan terkontrol</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l11 level1 lfo6; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien tidak menyeringai kesakitan </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l11 level1 lfo6; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">TTV dalam batasan normal</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l11 level1 lfo6; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intensitas nyeri berkurang (skala nyeri berkurang 1-10)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l11 level1 lfo6; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Klien m</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US;">enunjukkan rileks, istirahat tidur, peningkatan
aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Selidiki keluhan
nyeri, perhatikan lokasi, itensitas nyeri, dan skala</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan pasien
untuk melaporkan nyeri segera saat mulai</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Pantau tanda-tanda
vital</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Jelaskan sebab dan
akibat nyeri pada klien<span style="mso-spacerun: yes;"> </span>serta
keluarganya</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan istirahat
selama fase akut</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan teknik
distruksi dan relaksasi</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Tingkatkan tirah
baring, bantulah kebutuhan perawatan diri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan situasi
lingkungan yang kondusif</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan latihan
rentang gerak aktif/pasif secara tepat dan masase otot daerah leher/bahu</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo7; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Kolaborasi dengan tim medis dalam pemberian tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Nyeri insisi
bermakna pada pasca operasi awal diperberat oleh gerakan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intervensi dini
pada kontrol nyeri memudahkan pemulihan otot dengan menurunkan tegangan otot </span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Respon autonomik
meliputi, perubahan pada TD, nadi, RR, yang berhubungan dengan penghilangan
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dengan sebab dan
akibat nyeri diharapkan klien berpartisipasi dalam perawatan untuk mengurangi
nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Mengurangi nyeri
yang diperberat oleh gerakan</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menurunkan
tegangan otot, meningkatkan relaksasi, dan meningkatkan rasa kontrol dan
kemampuan koping</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menurunkan gerakan
yang dapat meningkatkan nyeri</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Memberikan
dukungan (fisik, emosional, meningkatkan rasa kontrol, dan kemampuan koping)</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dapat membantu
merelaksasikan ketegangan otot yang meningkatkan reduksi nyeri/rasa tidak
nyaman tersebut</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l15 level1 lfo8; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menghilangkan
atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">mengurangi keluhan nyeri klien</span></div>
<div class="MsoNoSpacing" style="margin-left: 15.9pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Hipertermi berhubungan dengan peningkatan
metabolisme dan penyakit, ditandai dengan peningkatan suhu tubuh, tubuh
menggigil</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -7.1pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam suhu tubuh dapat dipertahankan
dalam batas normal.</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil:</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l16 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Suhu
antara 36<sup>o</sup>-37<sup>o</sup> c</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l16 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">RR
dan nadi dalam batas normal</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l16 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Membran
mukosa lembab</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l16 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kulit
dingin dan bebas dari keringat yang berlebih.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.85pt; mso-list: l16 level1 lfo9; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pakaian
dan tempat tidur pasien kering</span></div>
<div class="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Monitor
tanda-tanda infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Monitor
tanda-tanda vital tiap 2 jam.</span></div>
<div class="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; text-indent: -15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Berikan
suhu lingkungan yang nyaman bagi pasien. Kenakan pakaian tipis pada pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kompres
hangat, hindari penggunaan alkohol</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Berikan
cairan iv sesuai order atau anjurkan intake cairan yang adekuat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Berikan
antipiretik, jangan berikan aspirin.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.35pt; mso-list: l0 level1 lfo10; text-indent: -15.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Monitor
komplikasi neurologis akibat demam.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Infeksi
pada umumnya menyebabkan peningkatan suhu tubuh</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Deteksi
resiko peningkatan suhu tubuh yang ekstrem, pola yang dihubungkan dengan
patogen tertentu, menurun dihubungkan dengan resolusi infeksi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kehilangan
panas tubuh melalui konveksi dan evaporasi</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Dapat
membantu mengurangi demam, penggunaan air es atau alkohol dapat menyebabkan
peningkatan suhu secara aktual</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Menggantikan
cairan yang hilang lewat keringat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Aspirin
bersiko terjadi perdarahan GI yang menetap.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l12 level1 lfo11; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Febril
dan enselopati bisa terjadi bila suhu tubuh yang meningkat.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Kekurangan volume caiaran berhubungan dengan tidak
adekuat masukan makanan dan cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam, asupan cairan adekuat</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Memiliki keseimbangan asupan dan haluaran yang
seimbang dalam 24 jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Tanda-tanda vita, dalam batas normal</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Membran mukosa lembab</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Nadi perifer teraba</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menampilkan hidrasi yang baik misalnya membran
mukosa yang lembab.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo12; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Memiliki asupan cairan oral dan atau intravena
yang adekuat.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Kaji
tanda-tanda dehidrasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pantau
Tanda-tanda vital, status membran mukosa dan turgor kulit</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pantau
tekanan darah atau denyut jantung</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Palpasi
denyut perifer</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Berikan
minum per oral sesuai toleransi.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Atur
pemberian cairan infus sesuai order.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 10.45pt; mso-list: l9 level1 lfo13; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Ukur
semua cairan output (muntah, urine, diare). Ukur semua intake cairan.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170">
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Intervensi
lebih dini</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Sebagai
indikator ke adekuatan sirkulasi</span></div>
<div class="MsoNoSpacing" style="line-height: 115%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Pengurangan
dalam sirkulasi volume cairan dapat mengurangi tekanan darah.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Denyut
yang lemah dan mudah hilang dapat menyebabkan hipovolemia.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mempertahankan
intake yang adekuat</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Melakukan
rehidrasi</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 15.9pt; mso-list: l10 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Mengatur
keseimbangan antara intake dan output</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
status nutrisi pasien</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo15; text-indent: -7.1pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
keseimbangan nutrisi pasien</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.1 <span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toksoplasmosis disebabkan oleh <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i>, protozoa intraselular
obligat distribusi di seluruh dunia. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengembangan diperantarai sel
kekebalan setelah infeksi akut. <i>Toxoplasma gondii</i> merupakan salah satu
penyebab paling umum infeksi kronis dengan organisme intraseluler pada manusia.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HIV mungkin juga secara
langsung menginfeksi sel-sel saraf, menyebabkan kerusakan neurologis. Kelainan
ini mengenai SSP dan sedikit kesistem saraf tepi. Infeksi yang mengenai SSP
pada AIDS ada dua jenis yaitu infeksi opportunis sekunder atas imunosupresi
yang diinduksi oleh hilangnya imunitas sel-T, dan infeksi HIV langsung yang
tampil sebagai meningitis atau kompleks dementia AIDS, manifestasi ensefalitis
HIV yang secara klinis danbiologis berjangkauan luas.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Toksoplasmosis merupakan infeksi
oportunistik yang serius. Jika belum terinfeksi, dapat menghindari risiko
terpajan infeksi dengan tidak memakan daging atau ikan mentah, dan dengan
kewaspadaan lebih lanjut ketika membersihkan kandang kucing, atau dapat memakai
obat anti-HIV yang untuk menahan jumlah CD4. Ini kemungkinan akan mencegah masalah
kesehatan yang diakibatkan oleh <i style="mso-bidi-font-style: normal;">Toxoplasma
gondii</i>. Dengan diagnosis dan pengobatan dini, <i style="mso-bidi-font-style: normal;">Toxoplasma gondii</i> dapat diobati secara efektif. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi oportunistik dapat terjadi
akibat penurunan kekebalan tubuh pada penderita HIV/AIDS, akibatnya mudah
terkena penyakit- penyakit lain seperti penyakit infeksi disebabkan oleh
virus, bakteri, protozoa dan jamur dan juga mudah terkena penyakit
keganasan. Pengobatan untuk infeksi oportunistik bergantung pada penyakit
infeksi yang ditimbulkan. Pengobatan status kekebalan tubuh dengan menggunakan <i style="mso-bidi-font-style: normal;">immune restoring agent</i>s, diharapkan
dapat memperbaiki fungsi sel limfosit, dan menambah jumlah limfosit.
Penatalaksanaan HIV/AIDS bersifat menyeluruh terdiri dari pengobatan, perawatan
atau rehabilitasi dan edukasi. Pengobatan pada pengidap HIV/penderita AIDS
ditujukan terhada virus HIV (obat ART), infeksi opportunistik,
kanker sekunder, status kekebalan tubuh, simptomatis dan suportif.</span></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.2<span style="mso-tab-count: 1;"> </span>Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. <span style="mso-tab-count: 1;"> </span>Bagi
institusi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
dapat memberikan penanganan dan asuhan keperawatan yang tepat pada pasien
HIV/AIDS dengan komplikasi toksoplasmosis. Serta terus meningkatkan kualitas
pelayanan bagi klien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l14 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi klien HIV/AIDS</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
klien dapat memahami tentang penyakit HIV/AIDS dengan komplikasi toksoplasmosis
yang meliputi penyebab, pencegahan, serta penanganannya sehingga bisa
meningakatkan status kesehatan dan dapat beraktivitas seperti biasa.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="text-align: center;">
<br /></div>
<div class="MsoNoSpacing">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span class="a"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Aru W. Sudoyo, dkk. <i style="mso-bidi-font-style: normal;">HIV/AIDS di Indonesia. Buku Ajar Ilmu
Penyakit Dalam. Jilid III. Edisi IV</i>.Jakarta: Departemen Ilmu Penyakit Dalam
FKUI, 2006</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span class="ft61"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Manjur,A.,dkk. </span></span><span class="ft101"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2000.
<i style="mso-bidi-font-style: normal;">Kapita Selekta Kedokteran</i>. Jakarta:
Media Aesculapius FKUI.</span></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Syahlan, JH (1997) <i style="mso-bidi-font-style: normal;"><span style="mso-spacerun: yes;"> </span>AIDS dan Penanggulangan</i>.
Jakarta : Studio Driya Media </span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Wilkinson,J.M. 2006. <i style="mso-bidi-font-style: normal;">Diagnosa Keperawatan dengan Intervensi NIC
dan Kriteria Hasil NOC</i>. Jakarta: Buku Kedokteran EGC. </span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Athur, Frank. <i>2010. Toxoplasmosis. </i></span><a href="http://www.scribd.com/doc/81494363/BAB-I-II-III-Edit-Toxoplasmosis"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">http://www.scribd.com/doc/81494363/BAB-I-II-III-Edit-Toxoplasmosis</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-language: IN;">. D</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">iakses pada tanggal 20 Mei 2012.</span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span class="fn"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Sandy, Indah. 2011. <i style="mso-bidi-font-style: normal;">Infeksi Oportunistik Susunan Saraf Pusat
Pada Pasien AIDS</i>. </span></span><a href="http://www.scribd.com/doc/49900217/Infeksi-Oportunistik-Susunan-Saraf-Pusat-Pada-AIDS"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://www.scribd.com/doc/49900217/Infeksi-Oportunistik-Susunan-Saraf-Pusat-Pada-AIDS</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">.
Diakses pada tanggal 20 Mei 2012.</span></div>
<div class="MsoNoSpacing">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="494" width="241"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="57" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="64" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com64tag:blogger.com,1999:blog-3977267168183211682.post-62359670580806791892012-05-31T03:36:00.001-07:002012-05-31T03:36:36.812-07:00Restraint pada Bayi dan Anak<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves>false</w:TrackMoves>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>IN</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1036"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkah laku adalah aksi, reaksi,
terhadap perangsangan dari lingkungan. Bisa beruparespon pasif atau tanpa
tindakan, maupun aktif dengan tindakan. Tingkah laku dapatmengalami suatu
perubahan yang relatif menetap. Tingkah laku anak sangat dipengaruhi
olehkarakteristik individu dan lingkungannya. Faktor lingkungan memiliki
kekuatan besar dalam menentukan perilaku atau kebiasaan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada beberapa jenis tingkah laku anak
yaitu Koperatif (<i style="mso-bidi-font-style: normal;">Cooperative</i>), Kurang
koperatif (<i style="mso-bidi-font-style: normal;">Inability to Cooperative</i>),
Tingkah laku yang tidak terkontrol (<i style="mso-bidi-font-style: normal;">hysterical
or Uncontrolled Behavior</i>), Anak yang keras kepala (<i style="mso-bidi-font-style: normal;">Obstinate Behavior</i>), Anak yang Pemalu (<i style="mso-bidi-font-style: normal;">Timid Behavior</i>), Tingkah laku yang tegang (<i style="mso-bidi-font-style: normal;">Tense Cooperative</i>), Anak yang Cengeng (<i style="mso-bidi-font-style: normal;">Whining Patient</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun tehnik-tehnik dalam menangani
tingkah laku anak yaitu, komunikasi dengan pasien, penanganan farmakologis dan
penanganan non farmakologis. Yang termasuk penanganan non farmakologis adalah
pembentukan tingkah laku TSD atau ceritakan (<i style="mso-bidi-font-style: normal;">Tell</i>), tunjukan (<i style="mso-bidi-font-style: normal;">Show</i>),
kerjakan (<i style="mso-bidi-font-style: normal;">Do</i>), pengontrolan suara,
Reinforcement, HOME (Hand <i style="mso-bidi-font-style: normal;">Over Mounth
Excercises</i>), <i style="mso-bidi-font-style: normal;">Modelling</i>,
Desensitisasi, Hipnosis, Appointment <i style="mso-bidi-font-style: normal;">physical
restraint</i>. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap anak memiliki sifat dan prilaku
yang berbeda-beda saat menjalankan suatu perawatan, ada yang dapat
menerima perawatan dengan baik dan ada yang tidak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teknik pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) merupakan teknik menahan
gerakan pasien dengan cara mengunci gerakan tangan, kepala, ataupun kaki pasien
sehingga memudahkan perawatan. Tekhnik ini biasanya digunakan pada anak
yang mengalami kondisi tertentu, seperti gangguan kepribadian, tujuan
penggunaan teknik ini adalah untuk mencegah terjadinya luka ataupun hal-hal
yang tidak diinginkan pada pasien ataupun orang lain yang terlibat
dalam perawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat penggunaan teknik pengendalian
fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) adalah supaya
pasien yang mengalami gangguan kepribadian ataupun pasien yang tidak dapat
menjadi kooperatif dapat mendapatkan perawatan dengan baik.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanakah
tekhnik penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>)
pada bayi dan anak ?</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Umum</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
tekhnik penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>)
pada bayi dan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Khusus</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
definisi <i style="mso-bidi-font-style: normal;">Restraint</i> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
tujuan penggunaan <i style="mso-bidi-font-style: normal;">Restrain</i> </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
indikasi penggunaan <i style="mso-bidi-font-style: normal;">Restrain</i> pada
bayi dan anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
kontraindikasi penggunaan <i style="mso-bidi-font-style: normal;">Restrain</i>
pada bayi dan anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
hal-hal yang perlu diperhatikan dalam penggunaan <i style="mso-bidi-font-style: normal;">Restrain</i> pada bayi dan anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjelaskan
macam-macam <i style="mso-bidi-font-style: normal;">Restrain</i> pada bayi dan
anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 28.5pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.1 <span style="mso-tab-count: 1;"> </span>Bagi
Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar
mampu memahami tentang penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak, serta dapat mengetahui macam-macam <i style="mso-bidi-font-style: normal;">Restraint</i> pada bayi dan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.2 <span style="mso-tab-count: 1;"> </span>Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
memberikan penjelasan yang lebih luas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penggunaan tindakan
fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> serta dapat
lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>)
pada bayi dan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.4.3 <span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar lebih
mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> serta dapat
lebih mengetahui macam-macam <i style="mso-bidi-font-style: normal;">Restraint</i>
pada bayi dan anak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 2</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>Definisi</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
(dalam psikiatrik) secara umum mengacu pada suatu bentuk tindakan
menggunakan tali untuk mengekang atau membatasi gerakan ekstremitas individu
yang berperilaku di luar kendali yang bertujuan memberikan keamanan fisik dan
psikologis individu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
(fisik) merupakan alternative terakhir intervensi jika dengan intervensi
verbal, chemical <i style="mso-bidi-font-style: normal;">restraint</i> mengalami
kegagalan. Seklusi merupakan bagian dari restraint fisik yaitu dengan
menempatkan klien di sebuah ruangan tersendiri untuk membatasi ruang gerak dengan
tujuan meningkatkan keamanan dan kenyamanan klien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawat perlu mengkaji apakah <i style="mso-bidi-font-style: normal;">restraint</i> di perlukan atau tidak.
Restrein seringkali dapat dihindari dengan persiapan anak yang adekuat,
pengawasan orang tua atau staf terhadap anak, dan proteksi adekuat terhadap
sisi yang rentan seperti alat infus. Perawat perlu mempertimbangkan
perkembangan anak, status mental, ancaman potensial pada diri sendiri atau
orang lain dan keamannnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2<span style="mso-tab-count: 1;"> </span>Tujuan Penggunaan <i style="mso-bidi-font-style: normal;">Restraint </i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
memastikan keselamatan dan kenyaman anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memfasilitasi
pemeriksaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu
dalam pelaksanaan uji diagnostik dan prosedur terapeutik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3<span style="mso-tab-count: 1;"> </span>Indikasi Penggunaan <i style="mso-bidi-font-style: normal;">Restrain </i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan tekhnik pengendalian fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) dapat siterapkan dalam
keadaan:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
yang membutuhkan diagnosa atau perawatan dan tidak bisa menjadi
kooperatif karena suatu keterbatasan misalnya : pasien dibawah umur,
pasien agresif atau aktif dan pasien yang memiliki retardasi mental.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketika
keamanan pasien atau orang lain yang terlibat dalam perawatan dapatterancam tanpa
pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>).</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
bagian dari suatu perawatan ketika pasien dalam pengaruh obat sedasi.</span><span style="mso-tab-count: 1;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4<span style="mso-tab-count: 1;"> </span>Kontraindikasi Pengunaan <i style="mso-bidi-font-style: normal;">Restrain</i></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan teknik pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) tidak boleh diterapkan dalam
keadaan yaitu:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
bisa mendapatkan izin tertulis dari orang tua pasien untuk
melaksanakan prosedur kegiatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
anak kooperatif.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien
anak memiliki komplikasi kondisi fisik atau mental</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan teknik pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) pada anak dalam penatalaksanaanya
harus memenuhi syarat-syarat yaitu sebagai berikut:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penjelasan
kepada pasien anak mengapa pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) dibutuhkandalam perawatan, dengan harapan memberikan
kesempatan kepada anak untuk memahami bahwa perawatan yang akan diberikan
sesuai prosedur dan aman badi pasien maupun keluarga yang bersangkutan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memiliki
izin verbal maupun izin tertulis dari psikiater yang menjelaskan jenis
teknik pengendalian fisik yang boleh digunakan kepada pasien anak
dan pentingnya teknik pengendalian fisik yang dapat digunakan
terhadap pasien berdasarkan indikasi-indikasi yang muncul.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya
dokumen yang menjelaskan kepada orang tua pasien anak maupun
pihak keluarga pasien yang bersangkutan mengapa pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) dibutuhkan dalam perawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya
penilaian berdasarkan pedoman rumah sakit dari pasien yang pernahmenjalankan
pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) untuk
memastikan bahwa pengendalian fisik tersebut telah diaplikasikan secara benar,
serta memastikan integritas kulit dan status neurovaskular pasien tetap dalam
keadaan baik. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alasan mengapa perlu digunakan teknik
pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) adalah
karena tenaga kesehatan harus mengutamakan kebutuhan kesehatan pasien, teknik
pengendalian tersebut dapat dilaksanakan dengan cara menjaga keamanan pasien
ataupun keluarga yang bersangkutan, mengontrol tingkat agitasi dan agresi
pasien, mengontrol perilaku pasien, serta menyediakan dukungan fisik bagi
pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.5<span style="mso-tab-count: 1;"> </span>Hal-hal yang perlu di perhatikan dalam
penggunaan <i style="mso-bidi-font-style: normal;">Restraint </i>pada bayi dan
anak</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kondisi gawat darurat, restrain/seklusi dapat dilakukan tanpa order dokter.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sesegera
mungkin (< 1jam) setelah melakukan restrain, perawat melaporkan pada dokter
untuk mendapatkan legalitas tindakan baik secara verbal maupun tertulis.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intervensi
restrain dibatasi waktu yaitu: 4 jam untuk klien berusia >18 tahun, 2 jam
untuk usia 9-17 tahun, dan 1 jam untuk umur <9 tahun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi
dilakukan 4 jam untuk klien >18tahun, 2 jam untuk anak-anak dan usia 9-17
tahun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu
minimal reevaluasi oleh dokter adalah 8 jam untuk usia >18 tahun dan 4 jam
untuk usia <17 tahun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
restrain klien di observasi tiap 10-15 menit, dengan fokus observasi:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda
cedera yang berhubungan dengan restrain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi
dan hidrasi </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi
dan <i style="mso-bidi-font-style: normal;">Range of Motion</i> eksstremitas</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vital Sign</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hygiene </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dan
eliminasi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status
fisik dan psikologis</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesiapan
klien untuk dibebaskan dari restrain </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 64.35pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat restrain bukan tanpa resiko dan
harus diperiksa dan di dokumentasikan setiap 1-2 jam untuk memastikan bahwa
alat tersebut mencapai tujuan pemasangannya, bahwa alat tersebut dipasang
dengan benar dan bahwa alat tersebut tidak merusak sirkulasi, sensai, atau
integritas kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selekman dan Snyder (1997)
merekomendasikan intervensi keperawatan yang tepat untuk anak yang direstrain
adalah:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lepaskan
dan pasang kembali restrain secara periodik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
tindakan untuk memberi rasa nyaman, gunakan pelukan terapeutik bukan restrain
mekanik</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
latihan rentan gerak jika diperlukan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tawarkan
makanan, minuman dan bantuan untuk eliminasi, beri anak dot.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan
kriteria pelepasan restrain </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
analgesik dan sedatif jika diinstruksikan atau di minta</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hindari
kemarahan psikologik kepada pasien lain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
distraksi (membaca buku) dan sentuhan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertahankan
harga diri anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
pengkajian keperawatan yang kontinu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dokumentasikan
penggunaan restrain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6<span style="mso-tab-count: 1;"> </span>Jenis-jenis <i style="mso-bidi-font-style: normal;">Restrain</i> pada Bayi dan Anak</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.6.1 <span style="mso-tab-count: 1;"> </span>Pengendalian
fisik (<i style="mso-bidi-font-style: normal;">physical restraint</i>) dengan
menggunakan alat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian fisik dengan menggunakan
alat merupakan bentuk pengendalian dengan menggunakan bantuan alat bantu untuk
menahan gerakan tubuh dan kepala pasien maupu nmenahan gerakan rahang dan mulut
pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat
bantu untuk menahan gerakan tubuh dan kepala pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sheet and ties</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan selimut untuk membungkus
tubuh pasien supaya tidak bergerak dengan cara melingkarkan selimut ke
seluruh tubuh pasien dan menahan selimutnya dengan perekat atau mengikatnya
dengan tali.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 106.35pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jaket</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
jaket digunakan pada anak dengan tali diikat dibelakang tempat tidur sehingga
anak tidak dapat membukanya. Pita panjang diikatkan ke bagian bawah tempat
tidur, menjaga anak tetap di dalam tempat tidur. <i style="mso-bidi-font-style: normal;">Restrain </i>jaket berguna sebagai alat mempertahankan anak pada posisi
horizontal yang diinginkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Papoose board </span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Papoose
board</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> merupakan alat yang biasa digunakan untuk
menahan gerak anak saat melakukan perawatan gigi. Cara penggunaannya adalah
anak ditidurkan dalam <span style="mso-spacerun: yes;"> </span>posisi
terlentang di atas papan datar dan bagian atas tubuh, tengah tubuh dan kaki
anak diikat dengan menggunakan tali kain yang besar. Pengendalian dengan
menggunakan <i style="mso-bidi-font-style: normal;">papoose board</i> dapat
diaplikasikan dengan cepat untuk mencegah anak berontak dan menolak perawatan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 106.35pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan utama dari penggunaan alat
ini adalah untuk menjaga supaya pasien anak tidak terluka saat mendapatkan
perawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 264px; left: 0px; margin-left: 220px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 314px; z-index: -9;"><img height="264" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" width="314" /></span><span style="height: 262px; left: -4px; mso-ignore: vglayout; position: relative; top: 6px; width: 224px; z-index: 1;"><img height="256" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" width="224" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">Gambar 2.1 <span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat <i style="mso-bidi-font-style: normal;">Restrain</i> </span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif";">Sheet and ties</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mumi
atau Bedong</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selimut
atau kain dibentangkan diatas tempat tidur dengan salah satu ujungnya dilipat
ke tengah.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
diletakkan di atas selimut tersebut dengan bahu berada di lipatan dan kaki ke
arah sudut yang berlawanan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengan
kanan bayi lurus kebawah rapat dengan tubuh, sisi kanan selimut ditarik ke
tengah melintasi bahu kanan anak dan dada diselipkan dibawah sisi tubuh bagian
kiri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengan
kiri anak diletakkan lurus rapat dengan tubuh anak, dan sisi kiri selimut
dikencangkan melintang bahu dan dada dikunci dibawah tubuh anak bagian kanan.
Sudut bagian bawah dilipat dan ditarik kearah tubuh dan diselipkan atau
dikencangkan dengan pinpengaman.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Lengan dan Kaki</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint
</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pada
lengan dan kaki kadang-kadang digunakan untuk mengimobilisasi satu atau lebih
ekstremitas guna pengobatan atau prosedur, atau untuk memfasilitasi
penyembuhan. Beberapa alat <i style="mso-bidi-font-style: normal;">restraint</i>
yang da di pasaran atau yang tersedia, termasuk <i style="mso-bidi-font-style: normal;">restrain</i>t pergelangan tangan atau kaki sekali pakai, atau dapat
dibuat dari pita kasa, kain muslin, atau tali <i style="mso-bidi-font-style: normal;">stockinette </i>tipis. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika <i style="mso-bidi-font-style: normal;">restraint</i>
jenis ini di gunakan, ukurannya harus sesuai dengan tubuh anak. Harus dilapisi
bantalan untuk mencegah tekanan yang tidak semestinya, konstriksi, atau cidera
jaringan. Pengamatan ekstremitas harus sering dilakukan untuk memeriksa adanya
tanda-tanda iritasi dan atau gangguan sirkulasi. Ujung <i style="mso-bidi-font-style: normal;">restraint</i> tidak boleh diikat ke penghalang tempat tidur, karena
jika penghalang tersebut diturunkan akan mengganggu ekstremitas yang sering
disertai sentakan tiba-tiba yang dapat menciderai anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restraint </span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">siku</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adalah tindakan mencegah anak menekuk
siku atau meraih kepala atau wajah. Kadang-kadang penting dilakukan pada pasien
setelah bedah bibir atau agar anak tidak menggaruk pada kulit yang terganggu.
Bentuk <i style="mso-bidi-font-style: normal;">restraint</i> siku paling banyak
digunakan, terdiri dari seutas kain muslin yang cukup panjang untuk mengikat
tepat dari bawah aksila sampai ke pergelangan tangan dengan sejumlah kantong
vertikal tempat dimasukkannya depresor lidah. <i style="mso-bidi-font-style: normal;">Restraint </i>di lingkarkan di seputar lengan dan direkatkan dengan
plester atau pin.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pedi-wrap </span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 14.2pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pedi-wrap</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
merupakan sejenis perban kain yang dilingkarkan pada leher
sampai pergelangan kaki pasien anak untuk menstabilkan tubuh anak serta
menahan gerakan tubuh anak. <i style="mso-bidi-font-style: normal;">Pedi-wrap</i>
mempunyai berbagai variasi ukuran sesuai dengan kebutuhan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 229px; left: 0px; margin-left: 26px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 208px; z-index: -7;"><img height="229" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image006.jpg" width="208" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 335px; left: 0px; margin-left: 241px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 329px; z-index: 3;"><img height="335" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image008.jpg" width="329" /></span><span style="background: black; border: none black 1.0pt; color: black; font-family: "Times New Roman","serif"; font-size: 0pt; layout-grid-mode: line; line-height: 150%; mso-border-alt: none black 0cm; mso-fareast-font-family: "Times New Roman"; mso-font-width: 0%; padding: 0cm;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="height: 203px; left: 0px; margin-left: 26px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 208px; z-index: -6;"><img height="203" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image010.jpg" width="208" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambar
2.2<span style="mso-spacerun: yes;"> </span>Alat <i style="mso-bidi-font-style: normal;">Restrain</i> <i style="mso-bidi-font-style: normal;">Pedi-wrap</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alat
bantu untuk menahan gerakan mulut dan rahang pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Molt Mouth Prop</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Molt
mouth prop</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> merupakan salah satu alat yang paling penting dalam
melakukan perawatan gigi. Alat ini biasanya digunakan dalam anestesi umum untuk
mencegah supaya mulut tidak tertutup saat perawatan dilakukan. Alat
ini juga sangat cocok dalam penanganan pasien yang tidak bisa membuka
mulut dalam jangka waktu lama karena suatu keterbatasan. </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan <i style="mso-bidi-font-style: normal;">molt mouth prop</i><span style="mso-spacerun: yes;"> </span>harus
memperhatikan posisi <span style="mso-spacerun: yes;"> </span>rahang pasien saat
pasien membuka mulutnya, supaya tidak terjadi dislokasi temporomandibular.
Sebagai tambahan, dokter gigi harus memindahkan <i style="mso-bidi-font-style: normal;">molt mouth prop</i> dari mulut pasien setiap sepuluh hingga lima belas
menit agar rahang dan mulut pasien dapat beristirahat.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="12" width="50"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="336" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image012.jpg" width="449" /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambar
2.3<span style="mso-spacerun: yes;"> </span>Alat <i style="mso-bidi-font-style: normal;">Restrain</i> <i style="mso-bidi-font-style: normal;">Molt Mouth Prop</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Molt Mouth Gags</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Molt mouth gags</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
juga merupakan salah satu alat bantu yang dapat digunakan untuk menahan mulut
pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="4" width="275"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="348" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image014.jpg" width="246" /></td>
</tr>
</tbody></table>
<span style="height: 348px; left: 0px; margin-left: -1px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 287px; z-index: -4;"><img height="348" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image016.jpg" width="287" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambar
2.4<span style="mso-spacerun: yes;"> </span>Alat <i style="mso-bidi-font-style: normal;">Restrain Molt Mouth Gags</i></span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tongue Blades</span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tongue blades</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
merupakan alat bantu yang digunakan untuk menahan lidah pasien supaya
tidak mengganggu proses perawatan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="height: 290px; left: -11px; mso-ignore: vglayout; position: relative; top: 17px; width: 230px; z-index: 9;"><img height="273" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image018.jpg" width="230" /></span><span style="mso-ignore: vglayout; position: relative; z-index: -1;"><span style="height: 320px; left: 0px; left: 198px; position: absolute; top: -1px; width: 341px;"><img height="320" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image020.jpg" width="341" /></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambar
2.5<span style="mso-spacerun: yes;"> </span>Alat <i style="mso-bidi-font-style: normal;">Restrain Tongue Blades</i></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian
fisik (<i style="mso-bidi-font-style: normal;">physical restraint</i>) tanpa
bantuan alat (dengan bantuan orang lain) </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian fisik tanpa bantuan alat
merupakan bentuk pengendalian fisik tanpa menggunakan bantuan alat,
pengendalian bentuk ini merupakan bentuk pengendalian yang menggunakan bantuan perawat
maupun bantuan orang tua atau pihak keluarga pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian
fisik dengan bantuan tenaga kesehatan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian fisik dengan menggunakan
bantuan tenaga kesehatan merupakan bentuk pengendalian fisik dimana
diperlukan tenaga kesehatan, misalnya perawat untuk menahan gerakan pasien anak
dengan cara memegang kepala, lengan, tangan ataupun kaki pasien anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian
fisik dengan bantuan orang tua pasien</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 49.6pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengendalian fisik dengan bantuan orang
tua sebenarnya sama dengan pengendalian fisik dengan bantuan tim medis
(tenaga kesehatan). Hanya saja peran perawat digantikan oleh orang tua pasien
anak. Cara pengendalian dengan menggunakan bantuan orang tua lebih disukai anak
apabila dibandingkan dengan menggunakan bantuan tim medis, sebab anak lebih
merasa aman apabila dekat dengan orang tuanya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.7<span style="mso-tab-count: 1;"> </span>Resiko Penggunaan <i style="mso-bidi-font-style: normal;">Restraint</i> pada Bayi dan Anak</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat beberapa laporan ilmiah
mengenai kematian pasien anak yang disebabkan oleh penggunaan teknik
pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>). Hubungan
kematian pasien dengan gangguan psikologi yang disebabkan penggunaan <i style="mso-bidi-font-style: normal;">restraint </i>adalah dimana ketika
pengendalian fisik (restrain) dilakukan, pasien anak mengalami reaksi psikologis
yang tidak normal, yaitu seperti menigkatnya suhu tubuh, cardiac arrhythmia
yang kemudian dapat menyebabkan timbulnya positional asphyxia,
excited delirium, acute pulmonary edema, atau pneumonitis yang dapat
menyebabkan kematian pada anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 3</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.1 <span style="mso-tab-count: 1;"> </span>Kesimpulan</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam mengatasi tingkah laku anak yang
sangat beragam, seorang <span style="mso-spacerun: yes;"> </span>tenaga medis memerlukan
teknik tertentu dalam melakukan perawatan, salah satunya adalah dengan penggunaan
teknik pengendalian fisik (<i style="mso-bidi-font-style: normal;">restraint</i>).
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teknik pengendalian fisik (restraint) hanya
boleh digunakan pada anak yang tidak dapat menjadi kooperatif, teknik ini tidak
boleh digunakan pada anak yang kooperatif atau anak yang memiliki potensi
menjadi kooperatif. Teknik pengendalian fisik memiliki beberapa jenis, yaitu
teknik pengendalian dengan menggunakan bantuan alat dan teknik pengendalian
tanpa menggunakan bantuan alat. Teknik pengendalian dengan
menggunakan alat merupakan teknik pengendalian yang dalam
proses pengendaliannya menggunakan alat bantu.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sedangkan teknik pengendalian tanpa menggunakan
alat merupakan teknik pengendalian fisik dengan bantuan orang lain, teknik ini dapat
dibagi menjadi dua jenis, yakni teknik pengendalian dengan menggunakan bantuan
tim medis dan teknik pengendalian dengan menggunakan bantuan orang tua.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam praktiknya, teknik pengendalian
fisik (<i style="mso-bidi-font-style: normal;">restraint</i>) tidak selalu dapat
diterapkan pada setiap anak, sebab teknik ini memiliki resiko yang dapat
membahayakan pasien anak hingga dapat menyebabkan kematian pada anak.
Penggunaan teknik ini menyebabkan terjadinya berbagai berdebatan di kalangan
masyarakat karena cara penerapannya yang dianggap kasar. Oleh karena itu, tekhnik
pengendalian fisik yang baik tidak boleh berdampak buruk terhadap keadaan
tubuh pasien.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sehingga dapat disimpulkan bahwa tekhnik
pengendalian fisik memiliki beberapa cara perawatan yang berbeda, tetapi
tekhnik <i style="mso-bidi-font-style: normal;">restraint </i> yang paling
baik adalah teknik pengendalian tanpa penggunaan bantuan alat, sebab
dengan menggunakan alat, anak akan cenderung merasa depresi karena tubuh anak
hanya ditahan oleh alat bantu, dan tidak dapat merasakan sentuhan dari orang
lain, terutama orang terdekat pasien anak yaitu orang tua maupun keluarga dekat
pasien anak,sedangkan teknik pengendalian tanpa menggunakan alat akan cenderung
membuat pasien anak merasa lebih nyaman dan aman.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seorang perawat yang baik harus dapat
membuat pilihan yang bijaksana dalam menangani pasien anak, terutama yang tidak
kooperatif. Pilihan tekhnik pendekatan perawatan yang baik akan memberikan
hasil yang baik dan maksimal dalam proses perawatan, teknik <i style="mso-bidi-font-style: normal;">restraint </i>hanya boleh digunakan
apabila teknik pendekatan yang lain sudah digunakan dan tidak berhasil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2<span style="mso-tab-count: 1;"> </span>Saran</span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.1<span style="mso-tab-count: 1;"> </span>Bagi
Mahasiswa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
mampu memahami tentang penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak, serta dapat mengetahui macam-macam <i style="mso-bidi-font-style: normal;">Restraint</i> pada bayi dan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.2<span style="mso-tab-count: 1;"> </span>Bagi
Institusi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat
memberikan penjelasan yang lebih luas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penggunaan tindakan
fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> serta dapat
lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang
penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>)
pada bayi dan anak.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.2.3<span style="mso-tab-count: 1;"> </span>Bagi
Masyarakat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> lebih
mengerti dan memahami tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penggunaan tindakan fisik (<i style="mso-bidi-font-style: normal;">restrain</i>) pada bayi dan anak,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> serta dapat
lebih mengetahui macam-macam <i style="mso-bidi-font-style: normal;">Restraint</i>
pada bayi dan anak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com4tag:blogger.com,1999:blog-3977267168183211682.post-67426167563533082772012-05-31T00:18:00.000-07:002012-05-31T00:18:01.071-07:00Askep POLIMIOSITIS<!--[if !mso]> <style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style> <![endif]--><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>IN</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/> <w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/> <w:LsdException Locked="false" Priority="39" Name="toc 1"/> <w:LsdException Locked="false" Priority="39" Name="toc 2"/> <w:LsdException Locked="false" Priority="39" Name="toc 3"/> <w:LsdException Locked="false" Priority="39" Name="toc 4"/> <w:LsdException Locked="false" Priority="39" Name="toc 5"/> <w:LsdException Locked="false" Priority="39" Name="toc 6"/> <w:LsdException Locked="false" Priority="39" Name="toc 7"/> <w:LsdException Locked="false" Priority="39" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" Name="toc 9"/> <w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/> <w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/> <w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/> <w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/> <w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1135"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> <o:rules v:ext="edit"> <o:r id="V:Rule1" type="connector" idref="#_x0000_s1113"/> <o:r id="V:Rule2" type="connector" idref="#_x0000_s1077"/> <o:r id="V:Rule3" type="connector" idref="#_x0000_s1080"/> <o:r id="V:Rule4" type="connector" idref="#_x0000_s1034"/> <o:r id="V:Rule5" type="connector" idref="#_x0000_s1100"/> <o:r id="V:Rule6" type="connector" idref="#_x0000_s1078"/> <o:r id="V:Rule7" type="connector" idref="#_x0000_s1126"/> <o:r id="V:Rule8" type="connector" idref="#_x0000_s1063"/> <o:r id="V:Rule9" type="connector" idref="#_x0000_s1107"/> <o:r id="V:Rule10" type="connector" idref="#_x0000_s1099"/> <o:r id="V:Rule11" type="connector" idref="#_x0000_s1101"/> <o:r id="V:Rule12" type="connector" idref="#_x0000_s1097"/> <o:r id="V:Rule13" type="connector" idref="#_x0000_s1059"/> <o:r id="V:Rule14" type="connector" idref="#_x0000_s1061"/> <o:r id="V:Rule15" type="connector" idref="#_x0000_s1108"/> <o:r id="V:Rule16" type="connector" idref="#_x0000_s1102"/> <o:r id="V:Rule17" type="connector" idref="#_x0000_s1069"/> <o:r id="V:Rule18" type="connector" idref="#_x0000_s1064"/> <o:r id="V:Rule19" type="connector" idref="#_x0000_s1124"/> <o:r id="V:Rule20" type="connector" idref="#_x0000_s1134"/> <o:r id="V:Rule21" type="connector" idref="#_x0000_s1076"/> <o:r id="V:Rule22" type="connector" idref="#_x0000_s1129"/> <o:r id="V:Rule23" type="connector" idref="#_x0000_s1091"/> <o:r id="V:Rule24" type="connector" idref="#_x0000_s1065"/> <o:r id="V:Rule25" type="connector" idref="#_x0000_s1128"/> <o:r id="V:Rule26" type="connector" idref="#_x0000_s1098"/> <o:r id="V:Rule27" type="connector" idref="#_x0000_s1103"/> <o:r id="V:Rule28" type="connector" idref="#_x0000_s1118"/> <o:r id="V:Rule29" type="connector" idref="#_x0000_s1104"/> <o:r id="V:Rule30" type="connector" idref="#_x0000_s1079"/> <o:r id="V:Rule31" type="connector" idref="#_x0000_s1066"/> <o:r id="V:Rule32" type="connector" idref="#_x0000_s1122"/> <o:r id="V:Rule33" type="connector" idref="#_x0000_s1127"/> <o:r id="V:Rule34" type="connector" idref="#_x0000_s1121"/> <o:r id="V:Rule35" type="connector" idref="#_x0000_s1116"/> <o:r id="V:Rule36" type="connector" idref="#_x0000_s1125"/> <o:r id="V:Rule37" type="connector" idref="#_x0000_s1062"/> <o:r id="V:Rule38" type="connector" idref="#_x0000_s1109"/> <o:r id="V:Rule39" type="connector" idref="#_x0000_s1133"/> <o:r id="V:Rule40" type="connector" idref="#_x0000_s1123"/> <o:r id="V:Rule41" type="connector" idref="#_x0000_s1106"/> <o:r id="V:Rule42" type="connector" idref="#_x0000_s1114"/> <o:r id="V:Rule43" type="connector" idref="#_x0000_s1117"/> <o:r id="V:Rule44" type="connector" idref="#_x0000_s1035"/> <o:r id="V:Rule45" type="connector" idref="#_x0000_s1130"/> <o:r id="V:Rule46" type="connector" idref="#_x0000_s1081"/> <o:r id="V:Rule47" type="connector" idref="#_x0000_s1036"/> <o:r id="V:Rule48" type="connector" idref="#_x0000_s1046"/> <o:r id="V:Rule49" type="connector" idref="#_x0000_s1028"/> <o:r id="V:Rule50" type="connector" idref="#_x0000_s1105"/> <o:r id="V:Rule51" type="connector" idref="#_x0000_s1120"/> <o:r id="V:Rule52" type="connector" idref="#_x0000_s1119"/> <o:r id="V:Rule53" type="connector" idref="#_x0000_s1115"/> </o:rules> </o:shapelayout></xml><![endif]--> <br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="right" class="MsoNormal" style="text-align: right;">1</div></div></td> </tr>
</tbody></table><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 1</span></b> <div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo1; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Latar Belakang</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Polimiositis adalah suatu peradangan otot yang etiologinya belum diketahui, dan merupakan kelainan jaringan ikat yang jarang terjadi. Gangguan imunologi mempengaruhi derajat variasi dari polimiositis. Polimiositis ini biasanya terjadi pada dewasa dan merupakan kelainan yang didapat, walaupun mungkin ada predisposisi genetik.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Polimiositis merupakan penyakit jaringan ikat menahun yang ditandai dengan peradangan yang menimbulkan nyeri dan degenerasi dari otot-otot. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Insidens polimiositis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">biasanya terjadi pada dewasa (usia 40-60 tahun) atau pada anak-anak (usia 5-15 tahun). Insidens polimiositis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">diperkirakan 5-10 kasus / 1 juta penduduk / tahun, dengan prevalensi 6-7 kasus/100.000 penduduk. Polimiositis lebih banyak ditemukan pada wanita, dengan perbandingan pria dan wanita adalah 1:2.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab polimiositis<span style="mso-spacerun: yes;"> </span>tidak diketahui secara pasti, <span style="mso-spacerun: yes;"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">namun v<span class="fullpost">irus atau reaksi autoimun diduga berperan dalam timbulnya penyakit ini. Kanker juga bisa memicu timbulnya penyakit ini, dimana reaksi autoimun terhadap kanker mungkin diarahkan untuk melawan bahan yang terkandung di dalam otot. </span><span style="mso-spacerun: yes;"> </span><span class="fullpost">Sekitar 15% penderita laki-laki berusia diatas 50 tahun, juga menderita kanker.</span></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala polimiositis pada semua umur hampir sama, tetapi biasanya pada anak-anak gejalanya timbul secara lebih mendadak. Gejalanya bisa dimulai selama atau sesudah suatu infeksi, yaitu berupa kelemahan otot (terutama otot lengan atas, panggul dan paha), nyeri otot dan sendi, kemerahan (ruam kulit), kesulitan menelan, demam, kelemahan, hingga penurunan berat badan.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Terapi untuk komponen otot dermatomiositis melibatkan penggunaan kortikosteroid, dengan atau tanpa agen imunosupresif. Penyakit kulit diobati dengan menghindari sinar matahari, tabir surya, kortikosteroid topikal, agen antimalaria, metotreksat, mycophenolate mofetil, atau intravena (IV) imunoglobulin. Terapi fisik dan tindakan rehabilitatif diperlukan pada pasien tertentu. Langkah-langkah pelindung matahari diperlukan untuk pasien dengan penyakit kulit. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo1; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Rumusan Masalah</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagaimanakah asuhan keperawatan pada pasien dengan polimiositis?</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo1; tab-stops: list 1.0cm; text-align: justify; text-indent: -42.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tujuan Penulisan</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level3 lfo1; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.3.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tujuan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Menjelaskan asuhan keperawatan pada pasien dengan polimiositis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level3 lfo1; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.3.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-font-weight: bold; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tujuan Khusus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan definisi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan klasifikasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan etiologi Polimiositis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">atofisiologi Polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan manifestasi Klinis Polimiositis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">enatalaksanaan Polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l19 level1 lfo13; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Menjelaskan k<span class="fullpost">omplikasi Polimiositis</span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 1.0cm; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo1; tab-stops: 1.0cm; text-align: justify; text-indent: -42.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Manfaat Penulisan</span></b></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level3 lfo1; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Bagi Mahasiswa</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar mampu memahami tentang tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">penatalaksanaan pada pasien dengan polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dan dapat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">menerapkan asuhan keperawatan pada penyakit yang diderita pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level3 lfo1; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.4.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat memberikan penjelasan yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">polimiositis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penyakit-penyakit serta asuhan keperawatan penyakit tersebut.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level3 lfo1; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agar </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lebih mengerti dan memahami tentang polimiositis serta bagaimana penyebaran limfadenitis untuk meningkatkan mutu kesehatan masyarakat.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="right" class="MsoNormal" style="text-align: right;">4</div></div></td> </tr>
</tbody></table><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">BAB 2</span></b> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">TINJAUAN PUSTAKA</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>Definisi</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polimiositis adalah suatu peradangan otot yang etiologinya belum diketahui, dan merupakan kelainan jaringan ikat yang jarang terjadi. Gangguan imunologi mempengaruhi derajat variasi dari polimiositis. Polimiositis ini biasanya terjadi pada dewasa dan merupakan kelainan yang didapat, walaupun mungkin ada predisposisi genetik.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polimiositis merupakan penyakit jaringan ikat menahun yang ditandai dengan peradangan yang menimbulkan nyeri dan degenerasi dari otot-otot. Polimiositis biasanya menyebabkan kelemahan simetris disertai atropi otot, terutama mengenai otot-otot paroksimal gelang bahu dan panggul, leher dan faring. Apabila peradangan otot disertai bercak merah disebut dermatomiositis.</span><span style="font-family: "Tahoma","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Tahoma","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis dan dermatomiositis adalah inflamasi miopati idiopatik (IMI). Walaupun penyakit tersebut diakui dapat dibedakan dari penyakit jaringan ikat lainnya, namun sulit dibedakan dengan inflamasi otot yang menyertai penyakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">au</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">toimun. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis dan dermatomiositis jarang terjadi, insiden pertahun 5-10 kasus per sejuta. Penyakit ini lebih sering dijumpai pada wanita dari pada pria pada semua kelompok umur. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2 <span style="mso-tab-count: 1;"> </span>Klasifikasi </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis dewasa (tanpa keterlibatan kulit)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dermatomiositis dewasa (keterlibatan otot dan kulit)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis atau dermatomiositis dengan penyakit keganasan</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis pada anak-anak</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis atau dermatomiositis bersama kelainan-kelainan jaringan ikat lain</span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><br clear="ALL" style="mso-ignore: vglayout;" /> <div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.3 <span style="mso-tab-count: 1;"> </span>Etiologi</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebabnya tidak diketahui secara pasti, diduga faktor pencetusnya yaitu virus atau reaksi autoimun yang berperan dalam timbulnya penyakit ini. <i style="mso-bidi-font-style: normal;">Picorna virus</i> telah diidentifikasi pada otot penderita polimiositis, dan pemeriksaan serologis juga membuktikan keterlibatan virus <i style="mso-bidi-font-style: normal;">Coxsackie</i> baik pada anak maupun dewasa. <i style="mso-bidi-font-style: normal;">Toksoplasmosis</i> juga ditemukan pada polimiositis, tetapi pemeriksaan serologis menimbulkan dugaan bahwa toksoplasmosis hanya berperan pada miositis idiopatik.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polimiositis juga ditemukan pada infeksi retrovirus HIV dan <i>human T-lymphocyte virus-1</i> (HTLV-1). Polimiositis dilaporkan juga ditemukan pada penggunaan obat-obatan seperti D-penicillinamine, simetidin, ranitidine, analgesik (pentazocine), implantasi silikon atau kolagen, dan beberapa toksin (<i>cyanoacrylate glues</i>, kontaminasi silica). Obat yang terutama menginduksi polimiositis adalah D-penicillinamine.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kanker juga bisa memicu timbulnya penyakit ini, dimana reaksi autoimun terhadap kanker mungkin diarahkan untuk melawan bahaya yang terkandung didalam otot. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.4 <span style="mso-tab-count: 1;"> </span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisiologi</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit ini dapat terjadi pada segala usia. Menurut patologi didapat dari pemeriksaan histologi hasil biopsi otot bervariasi, kelainan-kelainan tersebut adalah:</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Degenerasi serat-serat otot, baik setempat maupun meluas.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Basopilia dari sebagian serat dengan migrasi sentral dari nuklei sarkolemal.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nekrose sebagian atau sekelompok serat-serat otot.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inflamasi dari pembuluh darah yang memberi suplai kepada otot.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fibrosis interstitia yang bervariasi tingkatannya dan lamanya dalam waktu timbulnya penyakit.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 63.8pt; mso-list: l24 level1 lfo15; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bervariasi menurut diameter dari serabut.</span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan ini diduga berhubungan dengan sistem imun tubuh. Adanya cedera otot yang diperantarai oleh virus atau mikrovaskuler menyebabkan pelepasan dari autoantigen otot. Autoantigen ini kemudian disampaikan ke T Limfosit oleh makrofag dalam otot. Aktifasi T Limfosit menyebabkan proliferasi dan pelepasan sitokin seperti interferon gamma (IFN-gamma) dan Interleukin 2 (IL-2). IFN-gamma menyebabkan aktivasi makrofag lagi dan pelepasan mediator inflamasi seperti IL-1 dan <i>tumor necrosis factor-alpha</i> (TNF-alfa). </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sitokin kemudian menyebabkan ekspresi yang menyimpang dari histokompabilitas kompleks mayor (MHC) molekul kelas I dan Iidan adesi molekul pada sel otot. Kerusakan serat otot terjadi ketika CD8<sup>+</sup> T Limfosit (sitotoksik) bertemu dengan antigen bersama dengan MCH molekul kelas I pada sel otot. Makrofag kemudian menyebabkan kerusakan otot, baik<span style="mso-spacerun: yes;"> </span>secara langsung maupun secara tidak langsung melalui sekresi sitokin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit ini biasanya timbul dan sering dijumpai pada otot-otot paroksimal khususnya pelvis dan bahu. Mendaki tangga, berdiri dari kursi dan kegiatana lain yang mengakibatkan badan menjadi semakin sukar atau tidak mungkin melakukannya. Mengangkat lengan semakin lama semakin sukar dan menyisir rambut menjadi tidak mungkin. Otot lain (fleksor leher, otot menelan) juga terserang.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sakit otot atau lemah terjadi terutama pada tingkat awal. Tanda eritema menunjukan dermatomiositis. Lesi merah yang menyerupai serbuk dapat terlihat didaerah periorbital yang disertai edema. Eritema dapat meluas ke muka, dahi, leher, bahu bagian atas, dada, punggung sebelah atas. Lesi pada lengan dan kaki menyerang permukaan ekstensor, jalur-jalur itu kadang mengelupas.</span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>2.5 <span style="mso-tab-count: 1;"> </span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi Klinis</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejalanya pada semua umur hampir sama, tetapi biasanya pada anak-anak gejalanya timbul secara lebih mendadak. Gejalanya bisa dimulai selama atau sesudah suatu infeksi, yaitu berupa:</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan otot (terutama otot lengan atas, panggul dan paha)</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri otot dan sendi</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fenomena Raynaud</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemerahan (ruam kulit)</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesulitan menelan</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 2.0cm; mso-list: l5 level1 lfo16; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan berat badan.</span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan otot bisa dimulai secara perlahan atau secara tiba-tiba, dan bisa memburuk dalam beberapa minggu atau beberapa bulan. Karena yang paling sering terkena adalah otot-otot yang dekat dengan pusat badan, penderita akan mengalami kesulitan dalam mengangkat lengannya melampaui bahu, menaiki tangga dan bangun dari posisi duduk di kursi. Jika menyerang otot leher, penderita akan mengalami kesulitan pada saat mengangkat kepalanya dari bantal. Kelemahan pada bahu atau panggul menyebabkan penderita harus duduk di kursi dorong atau di tempat tidur. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan otot pada bagian atas kerongkongan bisa menyebabkan kesulitan menelan dan <i>regurgitasi</i> makanan. Kerusakan otot tidak terjadi pada otot-otot tangan, kaki dan wajah. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada 1/3 kasus terjadi pembengkakan dan nyeri sendi, tetapi cenderung ringan. <i style="mso-bidi-font-style: normal;">Fenomena Raynaud</i> lebih sering terjadi pada penderita polimiositis yang disertai penyakit jaringan ikat lainnya. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polimiositis biasanya tidak mengenai organ-organ dalam selain tenggorokan dan kerongkongan. Tetapi paru-paru bisa terkena, menyebabkan sesak nafas dan batuk. Perdarahan pada <i>ulkus</i> di lambung atau usus, bisa menyebabkan tinja berdarah atau tinja kehitaman, yang lebih sering terjadi pada anak-anak.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada dermatomiositis, kemerahan cenderung timbul bersamaan dengan melemahnya otot dan gejala lainnya. Pada wajah bisa timbul bayangan kemerahan (ruam <i>heliotrop</i>). Yang khas adalah pembengkakan ungu-kemerahan di sekeliling mata. Kemerahan lainnya, apakah bersisik, licin atau menonjol, bisa timbul di hampir seluruh bagian tubuh, tetapi yang paling sering muncul di buku-buku jari. Bantalan kuku jari tampak kemerahan. Pada saat kemerahan ini memudar, timbul bercak kecoklatan, jaringan parut, pengkerutan atau bercak pucat di kulit. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2.6 <span style="mso-tab-count: 1;"> </span>Pemeriksaan Penunjang</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Creatinin kinase dengan isoenzim </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Elektrolit, kalsium, magnesium </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Serum mioglobin </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Kreatinin serum dan BUN </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Urinalisis: Mioglobinuria diindikasikan bila urinalisis positif dengan sedikit RBCs pada evaluasi mikroscopik. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Hitung darah lengkap</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Laju endap darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Tes fungsi tiroid </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l25 level1 lfo22; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">AST</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;"><a href="" name="WorkupOtherTests"></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Test lainnya:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Elektrokardiogram, untuk menemukan tanda-tanda hipokalemia di bawah ini: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo24; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Perubahan nonspesifik difuse gelombang ST-T </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo24; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Peningkatan interval PR </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo24; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Gelombang U </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l7 level1 lfo24; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">QRS lebar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Terapi steroid, sebaiknya diberikan sampai diagnosis pasti ditegakkan, tetapi banyak tes penting untuk menggambarkan ragam penyebab dari miopati yang tidak bersifat emergensi. Berikut ini diantaranya: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Tes Genetik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Antibodi antinuklir (ANA) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">MRI </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Elektromiogram (EMG) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 70.9pt; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Biopsi otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.7 <span style="mso-tab-count: 1;"> </span>Penatalaksanaan</span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada saat peradangan, hendaknya aktivitas atau pergerakan penderita dibatasi. Biasanya diberikan kortikosteroid (misalnya </span></span><a href="http://medicastore.com/index.php?mod=obat_search&selSub=0&selJenis=0&inpNamaObat=&inpNamaGenerik=prednison&inpIndikasi=&go=+go+"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">prednison</span></a><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">) dosis tinggi per-oral, yang secara perlahan akan memperbaiki kekuatan otot dan meringankan nyeri dan pembengkakan, serta mengendalikan penyakit.</span></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah sekitar 4-6 minggu, jika kadar enzim otot dan kekuatan otot telah kembali normal, dosisnya diturunkan secara bertahap. Sebagian besar orang dewasa harus terus menerus mengkonsumsi prednison dosis rendah untuk beberapa tahun atau untuk mencegah kekambuhan. Setelah sekitar 1 tahun, anak-anak tidak lagi mendapatkan kortikosteroid dan bebas dari gejala.</span></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kadang-kadang prednison memperburuk penyakit atau tidak sepenuhnya efektif. Jika hal ini terjadi, diberikan obat imunosupresan sebagai pengganti atau sebagai tambahan terhadap prednison. Jika obat-obat lainnya tidak efektif, bisa diberikan <i>gamma globulin</i> (bahan yang banyak mengandung antibodi) intravena (melalui pembuluh darah). </span></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika poliomiositis disertai dengan kanker, biasanya tidak akan menunjukkan respon yang baik terhadap prednison. Tetapi polimiositis akan membaik bila kankernya berhasil diatasi. Penderita dewasa dengan penyakit yang berat dan progresif, yang mengalami kesulitan menelan, <i>malnutrisi</i>, <i>pneumonia</i> atau kegagalan pernafasan, bisa meninggal.</span></span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><span class="fullpost"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.8<span style="mso-tab-count: 1;"> </span>Komplikasi</span></b></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesulitan menelan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspirasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot </span><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> atrofi dan kontraktur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada anak vasculitis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 49.65pt; mso-list: l21 level1 lfo17; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perforasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.9 <span style="mso-tab-count: 1;"> </span>WOC</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td></tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr><td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td></tr>
</tbody></table><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b> <br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="center" class="MsoNormal" style="line-height: normal; text-align: center;"><br />
</div></div></td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td><br />
</td> </tr>
</tbody></table><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><br clear="ALL" style="mso-ignore: vglayout;" /> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="right" class="MsoNormal" style="text-align: right;">12</div></div></td> </tr>
</tbody></table><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB 3</span></b> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PEMBAHASAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ASUHAN KEPERAWATAN PADA PASIEN DENGAN POLIMIOSITIS</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.1 <span style="mso-tab-count: 1;"> </span>PENGKAJIAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.1.1 Anamnese</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 127.6pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. <span style="mso-tab-count: 1;"> </span>Identitas Pasien</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Nama, jenis kelamin, umur, status perkawinan, pekerjaan, pendidikan terakhir, alamat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">b.<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Keluhan Utama</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Biasanya pasien mengeluh lemah otot, nyeri sendi, sulit atau tidak dapat melakukan kegiatan pergerakan dan pada dermatomiositis ditemukan tanda eritema.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Riwayat Kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Penyakit Sekarang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat dari dimulainya gejala penyakit sampai pasien atau keluarga memutuskan untuk dibawa ke rumah sakit. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan sejak kapan pasien merasakan keluhan seperti yang ada pada keluhan utama dan tindakan apa yang dilakukan untuk menanggulanginya.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; tab-stops: 21.3pt 1.0cm; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Penyakit Dahulu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt 1.0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian dilakukan untuk mengetahui apakah pernah mengalami penyakit yang sama sebelumnya. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan pada pasien apakah pernah mengalami kelemahan otot, nyeri sendi sebelumnya dan kebiasaan pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; tab-stops: 21.3pt 1.0cm; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Penyakit Keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian dilakukan untuk mengetahui apakah dalam keluarga ada anggota yang pernah menderita penyakit yang sama.<span style="mso-spacerun: yes;"> </span>Tanyakan a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pakah ada keluarga pasien yang pernah menderita miositis, polimiositis (deramatomiositis).</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><br />
</div><br clear="ALL" style="mso-ignore: vglayout;" /> <div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -14.2pt;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebiasaan sehari – hari </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo23; mso-text-indent-alt: -9.0pt; tab-stops: 7.0cm 205.55pt; text-align: justify; text-indent: -108.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi <span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; tab-stops: 6.0cm 177.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makan, yang dikaji adalah frekuensi, jumlah porsi yang habis, cara makan <span style="mso-spacerun: yes;"> </span>makanan yang disukai dan tidak disukai. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; tab-stops: 6.0cm 177.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum, yang dikaji adalah frekuensi, jumlah, dan komposisi. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo23; mso-text-indent-alt: -9.0pt; text-align: justify; text-indent: -108.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi <span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo25; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB dan BAK, yang dikaji adalah frekuensi, pola eliminasi, konsistensi, warna, bentuk. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo23; mso-text-indent-alt: -9.0pt; tab-stops: 7.0cm 205.55pt; text-align: justify; text-indent: -108.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat <span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 7.0cm 205.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah jam tidur siang ataupun malam, adanya gangguan tidur atau tidak.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo23; mso-text-indent-alt: -9.0pt; text-align: justify; text-indent: -108.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktivitas<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">egiatan yang dilakukan dari bangun tidur sampai tidur kembali</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo23; mso-text-indent-alt: -9.0pt; text-align: justify; text-indent: -108.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span>5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal hygiene </span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana kebiasaan dalam kebersihan diri sendiri ataupun lingkungan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3.1.2<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Pemeriksaan Fisik</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data subjektif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo19; text-align: justify; text-indent: -13.05pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo19; text-align: justify; text-indent: -13.05pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri sendi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo19; text-align: justify; text-indent: -13.05pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo19; text-align: justify; text-indent: -13.05pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah gastrointestinal (nafsu makan menurun)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data objektif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpasi otot dan sendi apakah ada nyeri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah mengalami kesukaran bernafas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraktur dan atrofi otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BB menurun</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi kemerahan pada siku, tangan, lutut, bahu, dada.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Dasar data Pengkajian Pasien</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Aktivitas / Istirahat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kelelahan, nyeri atau kelemahan pada otot</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tidak mampu beraktivitas atau bekerja</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gangguan tidur (insomnia atau gelisah)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -42.5pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kelemahan otot, kehilangan tonus otot, penurunan rentang gerak.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Sirkulasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Perdarahan lama pada cedera (komplikasi)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l17 level1 lfo20; text-align: justify; text-autospace: none; text-indent: -7.1pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan darah : tekanan<span style="mso-spacerun: yes;"> </span>nadi melebar, desiran (menunjukkan mekanisme anemia). </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l17 level1 lfo20; text-align: justify; text-autospace: none; text-indent: -7.1pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna kulit : pucat atau sianosis, membaran mukosa, kulit terdapat ruam.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Integritas Ego</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Mudah marah dan fruktasi, takut akan penolakan dari orang lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">arga diri buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ekuatiran mengenai menjadi beban bagi yang mendekat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ansietas, gelisah, menarik diri, depresi, fokus pada diri sendiri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Eliminasi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; tab-stops: 4.0cm 120.5pt; text-align: justify; text-autospace: none;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Sering berkemih, berkemih dengan jumlah besar</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; tab-stops: 4.0cm 120.5pt; text-align: justify; text-autospace: none; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Nyeri tekan pada abdomen, urine encer : terdapat darah atau protein.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Makanan / Cairan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Anoreksia berat, mual atau muntah, kesulitan menelan, penurunan berat badan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Turgor kulit buruk (berbentuk ruam), membran mukosa kering</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Neurosensori</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; tab-stops: 4.0cm 120.5pt; text-align: justify; text-autospace: none; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Gemetar, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enurunan penglihatan, bayangan pada mata</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">elemahan, keseimbangan buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">esemutan pada ekstremita</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">s.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; tab-stops: 4.0cm 120.5pt; text-align: justify; text-autospace: none; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kelelahan, kelemahan otot</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enurunan kekuatan otot</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ejang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">embekakan sendi simetri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Nyeri / Kenyamanan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Nyeri otot, kaku perut, nyeri pada ekstremitas atas.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menahan sendi pada posisi nyaman, sensitivitas terhadap palpitasi pada area yang sakit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Pernapasan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Dispnea</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kecepatan pernapasan meningkat, takipnea.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Keamanan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekeringan pada mata dan membran mukosa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">emam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, l</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">esi kulit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, g</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">angguan penglihatan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Berkeringat, mengigil berulang, gemetar, lesi pada kulit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo28; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Penyuluhan/Pembelajaran</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify; text-indent: -45.8pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gejala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Riwayat kanker, riwayat penggunaan obat, hematologi, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">r</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">iwayat adanya masalah dengan penyembuhan luka atau perdarahan.</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 4.0cm 120.5pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertimbangan rencana pemulangan : memerlukan bantuan dalam hal obat, aktivitas sehari-hari, perwatan diri, mempertahankan kewajibannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: Ambrosia; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">3.1.3 <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Pemeriksaan Diagnostik</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan atau tes secara manual</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tes otot secara manual untuk menetukan tingkat kelemahan otot akibat penyakit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biopsi otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektromiografi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tes serum enzim (serum SGOT), creatinin, CPK dan adolase meningkat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo21; tab-stops: 42.55pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tes urine 24 jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: Ambrosia; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">3.2 <span style="mso-tab-count: 1;"> </span>D</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">IAGNOSA YANG SERING MUNCUL<span style="mso-bidi-font-weight: bold;"></span></span></b></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo6; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">Gangguan rasa nyaman (nyeri kronik) <span style="mso-spacerun: yes;"> </span>berhubungan dengan peradangan pada otot</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo6; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi <span style="mso-spacerun: yes;"> </span>aktivitas berhubungan dengan kelemahan otot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo6; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan <span style="mso-spacerun: yes;"> </span>kurangnya intake makanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo6; tab-stops: 42.55pt; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko cidera berhubungan dengan defisit motorik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 42.55pt; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.3 <span style="mso-tab-count: 1;"> </span>INTERVENSI</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -1.7pt; width: 548px;"><tbody>
<tr style="height: 35.45pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="background: #EEECE1; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span></b></div></td> <td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA KEPERAWATAN</span></b></div></td> <td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b></div></td> <td style="background: #EEECE1; border-left: none; border: solid black 1.0pt; height: 35.45pt; mso-background-themecolor: background2; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" width="170"> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">RASIONAL</span></b></div></td> </tr>
<tr style="mso-yfti-irow: 1;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri kronik berhubungan dengan peradangan pada otot.</span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div><div class="MsoNoSpacing" style="margin-left: 1.65pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Setelah dilakukan tindakan keperawatan selama 2 x 24 jam nyeri dapat berkurang, pasien dapat tenang dan keadaan umum cukup baik</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div><div class="MsoNoSpacing"><br />
</div><div class="MsoNoSpacing"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Kriteria Hasil:</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l18 level1 lfo5; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien mengungkapakan nyeri yang dirasakan berkurang atau hilang</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;"></span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l18 level1 lfo5; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Klien tidak menyeringai kesakitan </span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l18 level1 lfo5; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">TTV dalam batasan normal</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l18 level1 lfo5; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intensitas nyeri berkurang (skala nyeri berkurang 1-10)</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l18 level1 lfo5; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-ansi-language: EN-US;">Menunjukkan rileks, istirahat tidur, peningkatan aktivitas dengan cepat</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;"></span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Selidiki keluhan nyeri, perhatikan lokasi, itensitas nyeri, dan skala</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan pasien untuk melaporkan nyeri segera saat mulai</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Pantau tanda-tanda vital</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Jelaskan sebab dan akibat nyeri pada klien<span style="mso-spacerun: yes;"> </span>serta keluarganya</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan istirahat selama fase akut</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Anjurkan teknik distruksi dan relaksasi</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Berikan situasi lingkungan yang kondusif</span></div><div class="MsoNoSpacing" style="margin-left: 15.85pt; text-indent: -15.85pt;"><br />
</div><div class="MsoNoSpacing"><br />
</div><div class="MsoNoSpacing" style="margin-left: 15.85pt; mso-list: l6 level1 lfo26; text-indent: -15.85pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Kolaborasi dengan tim medis dalam pemberian tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Nyeri insisi bermakna pada pasca operasi awal diperberat oleh gerakan</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Intervensi dini pada kontrol nyeri memudahkan pemulihan otot dengan menurunkan tegangan otot </span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Respon autonomik meliputi, perubahan pada TD, nadi, RR, yang berhubungan dengan penghilangan nyeri</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Dengan sebab dan akibat nyeri diharapkan klien berpartisipasi dalam perawatan untuk mengurangi nyeri</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Mengurangi nyeri yang diperberat oleh gerakan</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Menurunkan tegangan otot, meningkatkan relaksasi, dan meningkatkan rasa kontrol dan kemampuan koping</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">Memberikan dukungan (fisik, emosional, meningkatkan rasa kontrol, dan kemampuan koping)</span></div><div class="MsoNoSpacing" style="margin-left: 15.9pt; mso-list: l22 level1 lfo27; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt;">Menghilangkan atau </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: Calibri;">mengurangi keluhan nyeri klien</span></div></td> </tr>
<tr style="mso-yfti-irow: 2;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi<span style="mso-spacerun: yes;"> </span>aktivitas berhubungan dengan kelemahan otot.</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -7.1pt;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama 1x24 jam pasien dapat melakukan aktivitas dan latihan secara mandiri</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil:</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum cukup<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan otot pasien berkurang<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien mampu melakukan aktivitas secara mandiri<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV dalam batas normal<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji<span style="mso-spacerun: yes;"> </span>kemampuan pasien untuk melakukan aktivitas. Catat laporan kelelahan dan keletihan.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Awasi TD, nadi, pernapasan, selama dan sesudah aktivitas</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu pasien dalam melaksanakan aktivitas dan latihan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan alat bantu untuk ambulatori yang sesuai</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan pasien berhenti bila terjadi nyeri dada, kelemahan atau pusing terjadi.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengatur posisi yang nyaman.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dalam pemberian terapi oksigen tambahan</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempengaruhi pilihan intervensi/bantuan</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi kardiopulmonal dari upaya jantung dan paru untuk membawa jumlah oksigen adekuat ke jaringan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas dan latihan yang teratur dapat mengurangi kelemahan otot pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk memudahkan pasien melakukan aktivitas</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stress berelebihan dapat menimbulkan kegagalan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi yang nyaman dapat memberikan rasa nyaman pada pasien saat beristirahat</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo8; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memaksimalkan sediaan oksigen untuk kebutuhan seluler</span></div></td> </tr>
<tr style="mso-yfti-irow: 3;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan kurangnya intake makanan</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama 7x24 jam kebutuhan nutrisi pasien terpenuhi</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil:</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum cukup<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Turgor kulit baik<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BB meningkat<span style="mso-bidi-font-weight: bold;"></span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo9; text-indent: -7.1pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesulitan menelan berkurang<span style="mso-bidi-font-weight: bold;"></span></span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan pasien untuk makan dengan porsi yang sedikit tapi sering</span></div><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan makanan yang lunak</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan oral <i style="mso-bidi-font-style: normal;">hygiene</i></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Timbang BB dengan teratur</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Observasi tekstur, turgor kulit pasien</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-language: IN;">Observasi intake dan output nutrisi</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga nutrisi pasien tetap stabil dan mencegah rasa mual muntah</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mempermudah pasien menelan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebersihan mulut dapat merangsang nafsu makan pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui perkembangan status nutrisi pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui status nutrisi pasien</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo10; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui keseimbangan nutrisi pasien</span></div></td> </tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko cidera berhubungan dengan defisit motorik</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -7.1pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama 1x24 jam keadaan pasien membaik</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -7.1pt; margin-right: 0cm; margin-top: 0cm;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.65pt; margin-right: 0cm; margin-top: 0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil:</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 28.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo11; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak terjadi atau tidak ada cedera</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 28.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo3; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu pasien dalam memenuhi kebutuhan sehari-hari</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo3; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan posisi tidur yang nyaman pada pasien</span></div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; text-indent: -14.15pt;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo3; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cegah tekanan pada daerah tonjolan dengan pelindung yang seimbang</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo3; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan pasien untuk istirahat dan melakukan kegiatan yang seimbang</span></div></td> <td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"> <div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien merasa nyaman saat melakukan aktivitasnya</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi yang nyaman dapat memberikan rasa nyaman pada pasien saat beristirahat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi resiko terjadinya cedera</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -14.2pt;"><br />
</div><div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; text-indent: -14.2pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengontrol aktivitas pasien</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -7.1pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"> </div><table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div> <div align="right" class="MsoNormal" style="text-align: right;">19</div></div></td> </tr>
</tbody></table><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB 4</span></b> <div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></b></div><div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.1 <span style="mso-tab-count: 1;"> </span>Kesimpulan </span></b></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polimiositis merupakan penyakit jaringan ikat menahun yang ditandai dengan peradangan yang menimbulkan nyeri dan <em>degenerasi</em><i> </i>dari otot-otot. Penyebabnya tidak diketahui,di duga adanya virus atau reaksi autoimun berperan dalam timbulnya penyakit ini. </span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kanker juga bisa memicu timbulnya penyakit ini, dimana reaksi autoimun terhadap kanker mungkin diarahkan untuk melawan bahan yang terkandung di dalam otot. Sekitar 15% penderita laki-laki berusia diatas 50 tahun, juga menderita kanker.</span></div><div class="MsoNoSpacing" style="line-height: 150%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejalanya pada semua umur hampir sama, tetapi biasanya pada anak-anak gejalanya timbul secara lebih mendadak. Untuk pengobatannya pada saat peradangan, hendaknya aktivitas/pergerakan penderita dibatasi.</span></div><div class="MsoNoSpacing"><br />
</div><div class="MsoNoSpacing" style="margin-left: 1.0cm; text-indent: -1.0cm;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">4.2 <span style="mso-tab-count: 1;"> </span>Saran</span></b></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-theme-font: major-bidi;">4.2.1 <span style="mso-tab-count: 1;"> </span>Bagi Mahasiswa</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan mampu memahami tentang tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">penatalaksanaan pada pasien dengan polimiositis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dan dapat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">menerapkan asuhan keperawatan pada penyakit yang diderita pasien</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level3 lfo3; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"><span style="mso-list: Ignore;">4.2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Bagi Institusi</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat memberikan penjelasan yang lebih luas tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">polimiositis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan dapat lebih banyak menyediakan referensi-referensi buku </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tentang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penyakit-penyakit serta asuhan keperawatan penyakit tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level3 lfo3; text-align: justify; text-indent: -35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi Masyarakat</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> lebih mengerti dan memahami tentang polimiositis serta bagaimana penyebarannya untuk meningkatkan mutu kesehatan masyarakat.</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><br clear="ALL" style="mso-ignore: vglayout;" /> <div align="center" class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: center; text-indent: -42.55pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>DAFTAR PUSTAKA</span></b></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Barbara C. 2004 .<i>Perawatan Medikal bedah 2 (Suatu Pendekatan Proses Keperawatan). </i>Jakarta:EGC</span></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Dongoes, Marilynn E, dkk. 1999. <i>Rencana Asuhan Keperawatan</i>. Edisi 3. Jakarta: Buku Kedokteran EGC.</span></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Price, Sylvia. A dan Wilson, lorraince. M. 2006. <i>Patofisiologi </i>Edisi 6. Volume 2 Jakarta : EGC</span></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stanley L. Robbins. 1998. <i>Buku Ajar Patologi I. </i>Jakarta:EGC</span></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stanley L. Robbins. 2000. <i>Buku Ajar Patologi II.</i> Jakarta:EGC</span></div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><br />
</div><div class="MsoNoSpacing" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Anonim. 2008. <i style="mso-bidi-font-style: normal;">Inflamasi Miopati Idiopatik</i>. </span><span style="mso-field-code: HYPERLINK;"><span class="MsoHyperlink"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">http://indonesiamedicals.blogspot. com/2008/12/inflamasi-miopati-idiopatik.html</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> (diakses pada tanggal 24 April 2012 jam 11.22 WIB)</span></div>Anonymoushttp://www.blogger.com/profile/13398158833914150059noreply@blogger.com1