LP+ASKEP PRURITUS

7/23/2019 LP+ASKEP PRURITUS

1/35

SISTEM INTEGUMEN

LAPORAN PENDAHULUAN ASUHAN KEPERAWATAN DAN

HEALTH EDUCATION PRURITUS

Oleh :

KELOMPOK SGD 3

NI PUTU INTAN PARAMA ASTI 1302105007

KADEK LISA DWI BUDAYANI 1302105009

NI PUTU SRI ANGGRENI 1302105021

LUH ANGGARIASIH 1302105023

NI MADE DITA ANDAYANI 1302105027

NI LUH DIAH PRADNYA KERTHIARI 130210503

PUTU MAYA PRIHATNAWATI 13021050!0

HERDI SAHIRLAN 13021050!3

IDA AYU MADE SINTA DEWI 1302105053

NI LUH TRISNAWATI 1302105079

PROGRAM STUDI ILMU KEPERAWATAN

"AKULTAS KEDOKTERAN UNI#ERSITAS UDAYANA

2015


2/35

A. DEFINISI

1$ P%&%'(&) *+,(,l- .e%&/,, e(',,.,, &(,., ),./,' ('+,( %'+, ,(,& 4e%,(

/,, 'l,.,)' &l'( *L6+ B8 199-

2$ P%&%'(&) *+,(,l+,(,l- .e%&/,, ),l,h ),(& ,%' )e&.l,h el&h, ,+ /,l'+ )e%'+

'&./,' /,, +,++&, e%.,(6l6+' ,+ .e'.4&l, +,++&, %,), ,.,

, /e%&4,h, '(e+%'(,) &l'( ', /,)'e .e%e)/6, e+, +,%&, *B%&e% ,

S&,%(h 2002-

3$ P%&%'(&) ,,l,h +e,l, ,%' 4e%4,+,' /e,'( &l'( 4,' le)' /%'.e% .,&/& le)'

)e&e% .e)'/& ,, /%&%'(&) ,+ '('.4&l, ,'4,( ,(6% )')(e.' 6le)'

&l'($ P%&%'(&) ,+ (', ')e%(,' el,', &l'( ')e4&( pruritus esensial *pruritus

sine materi- *D&,, A$ 2007-

;,' /%&%'(&) *+,(,l- .e%&/,, ),l,h ),(& ,%' )e&.l,h el&h, ,+ /,l'+ )e%'+'&./,' /,, +,++&, e%.,(6l6+' e+, )e),)' (', .ee,+, ' &l'(

,+ .e'.4&l, e'+', &(& .e++,%&$ P%&%'(&) ,+ he4,( .ee4,4,

/,)'e .e++,%& &l'( le4'h ,l,. , l,., )eh'++, ,,+ &l'( 4'), ),./,'

4e%,%,h ,%e, )e),)' e%' '(6le%,)' le4'h 4,' ,%'/,, %,), +,(,l$ P%&%'(&) ,+

(', ')e%(,' el,', &l'( ')e4&( )e4,+,'pruritus esensial (pruritus sine materi).

B. KLASIFIKASI

Be%,),%, e'), /%&%'(&) '4,+' .e,':

1$ P%&%'(&) P%'.e% ,,l,h /%&%'(&) (,/, ,,, /e,'( e%.,(6l6+' ,(,& ,l,( ,l,.

, ,/,( 4e%)',( l6,l'),(, ,(,& +ee%,l'),(, 4'), 4e%)',( /)'6+e' ,+

')e4,4, 6leh 6./ee /)'6+e' ,+ .e.4e%', )('.&l,)' /,, itch centre$

2$ P%&%'(&) Se&e% ,,l,h /%&%'(&) ,+ ('.4&l )e4,+,' ,'4,( /e,'( )')(e.' /,,

/%&%'(&) )')(e.' (6)'(6)' .e(,46l' .&+' (e%('.4& '


3/35

!$ G,(,l /)'6+e' ,,l,h +,(,l ,+ '(,) /)'6l6+')

, e4',),, 4e%&l,+$ M'),l, e(,&(, (e%h,,/ /,%,)'( */,%,)'(664',- ,/,(

.ee4,4, )e),)' +,(,l$

*T='(,) %e)/6 '.&$ Se%'+,l' ,&), )e


4/35

Pee4,4 /%&%'(&) ,+ 4e%,),l ,%' +,++&, &l'( ),+,( 4e%,+,.$ Be4e%,/,

',(,%,, ,'(& e%.,('(') 6(, '%'(, , ,le%+' &l'( e%'+ /%&%'+6 6&l,%')

&%(',%', /)6%',)') e%.,('(') ,(6/'


5/35

5$ P%e>,le)' /%&%'(&) ,+ 4e%h&4&+, e+, e+,,), ),+,( )e''( )e'(,% 1

?C$ D'6.',)' 6leh H6+' l'.6., )e'(,% 35C ,%' &.l,h e)el&%&h, ,

10C 6leh 6h6+' l./h6., *NHL-$

E. MANIFESTASI KLINISMe&%&( B%&e% , S&,%(h *2000- .,'e)(,)' l'') /%&%'(&) ,,l,h

1$ G,%&, )e%'+ le4'h he4,( /,, .,l,. h,%'

P%&%'(&) )e'(,) .e++,%&

,+ 'l,&, )e'& ,

.e+,++& /e,./'l, /,)'e$ D,l,. 4e4e%,/, ,)&) +,(,l ,+ (e%,' 4',),,

')e%(,' e+, e%' , )e),)' (e%4,,%$


6/35

F. PATOFISIOLOGI

P%&%'(&) ,/,( ')e4,4, 6leh ,(6% e)6+e ,(,& e6+e$

",(6% e)6+e .'),l, e%.,('(') 6(, '%'(, */,,', l6+,. 4e, ,)'+-

e%.,('(') 6(, ,lle%+e *.,,, ,%e( /e=,+' /e%h',), 4,l)e. ),4& .,'-

%,+),+, 6leh e(6/,%,)'( *)e%,++, (&+,& ),4'e) /e'&l&) l,%>, .'+%,)- ,(,&

,(6% l'+&+, ,+ .e.4&,( &l'( le.4,4 ,(,& e%'+$ ",(6% e6+e .'),l,

%e,)' 64,( ,(,& /e,'( )')(e.' )e/e%(' +,++&, +',l +,++&, .e(,46l' *DM

h'/e%('%6'').e , h'/6('%6'').e- , )(%e)) /)'6l6+') ,+ .ee4,4,

.e'+,(, )e)'('>'(,) %e)/6 '.&$ Se%'+,l' ,&), )e'(,) %e)/6 '.& h,l '' .e+,'4,(, )')(e. '.& .ele/,), .e',(6%

'l,.,)' )e


7/35

.e.6%' (e%)e4,% e )el&%&h (&4&h .ee4,4, e,,, )e)'('>'(,) ,+ ),., '

)el&%&h &l'( (&4&h , ,/,4'l, (e%/,/,% 4,h, ,lle%+e e.4,l' .,, ,,

.e)('.&l,)' &&+ ),%, 4e4,) ' e,( &


8/35

Faktor Eksog!

K&l'( e%'+ P,,, (e%h,,/ ,(6% (e%(e(&

*,( '.', , %,+),+, ')'

, .e,'- .'),l, l6+,.

Ke%&),, &l'( 6leh

/%&%'(6+e

Faktor E!"og!

*Re,)' '.&6l6+'- : ,lle%+e (e%',(e+, /%6(e' .e.4e(& ,('+e

le+,/

Sel T 4e%'e%e)',)' , 4e%/l6%'e%,)'.e.4e(& )el T ee(6% ,+ (e%)e)'('),)'

)e


9/35

G,++&, +',l : 8KD

Pe'+,(, &%e&. )e%&.

Be%6(%'4&)' )e4,+,' ,+e

/%&%'(6+e'

D',4e(e) .el'(&) H'/e%('%6'').e H'/6('%6'').e

A46%.,l'(,) .e(,46l'


10/35

H6%.6,l S(%e))

I&)' h6%.6e e)(%6+e /,,(%'.e)(e% e3 /,, eh,.'l,

Te%,/,( h&4&+, e+,

6le)(,)')

Te%,/,( +,%,. e./e& '

,l,. &l'(

Me'+,(, )'(e)') )e,=,

6/'6'

Me'+,(, )e)'('>'(,) %e)/6 '.&

S)(e. '.& .ele/,), .e',(6%

'l,.,)' )e


11/35

A B C D E

S('.&l,)' &&+ ),%, 4e4,) ' e,( &


12/35

G. PEMERIKSAAN PENUN+ANG

Pe.e%'),, /e&,+ '4&(&h, &(& .e+e(,h&' /ee4,4 /%&%'(&) =,l,&/&

/e.e%'),, l'') &+, 4'), .e,,' ,,, el,', )')(e.' (e%(e(&$ Pe.e%'),,

,+ 4'), 'l,&, &(& .e',+6)') e.&+', /%&%'(&) ,%e, /e,'(

/ee%(, )')(e.' ,(,%, l,' :

N6$ ;e') Pe.e%'),, Te.&, Pee%(,

S')(e.'

;e') P%&%'(&)

1 H'(&+ ,%,h

le+,/ *8B8-

H


13/35

4e4,) .e&%&

? 8he)( R,'6+%,/h L'.,e6/,('

.e',)('&.

H6+'

l./h6.,

P%&%'(&)

.,l'+,)'

H. PENATALAKSANAAN

P,, +,(,l ,+ (e%+ee%,l'),)' , (e%,' h,./'% ' )el&%&h (&4&h /,)'e )e4,',

(e(,/ ,l,. e,,, (&4&h ,+ '+' , .e+h',%' &,%, /,,)$ H',%' 6)&.)'

,l6h6l , .,,, ,+ /e,)$ Pe++&,, .e(h6l )e


14/35

,('/%&%'(&)$ A('h')(,.' /ee,+ ,/,( '+&,, ,%e, ee /ee,+,

(e%)e4&(

!- Th,l'6.'e (e%4&(' ,./&h .e+,(,)' /%&%'+6 6&l,% , 4e4e%,/, e')

/%&%'(&) %6'$

Se


15/35

1$ Mee&, ,%e, ,+ (e%e, , .e'+,(, PH &l'( e+,


16/35

ASUHAN KEPERAWATAN PADA PASIEN PRURITUS KARENA DERMATITIS

KONTAK ALERGEN

A. PENGKA+IAN

1$ Ie('(,)

,$ P,)'e

N,., : T$B

U.&% : 0 T,h&

;e') el,.' : L,'l,'

Pe'', : SD

Pee%,, : B&%&h

S(,(&) /e%,=', : Me',h

A+,., : H'&

S&& : B,l'

Al,.,( : B%$ Ul&e), Be%,(, Ke'%' T,4,,


17/35

T,++,l .,)& : 12 "e4%&,%' 2015

T,++,l /e+,', : 12 "e4%&,%' 2015

S&.4e% I6%.,)' : P,)'e

D',+6), .,)& : De%.,('(') 6(, ,lle%+e

2$ S(,(&) e)eh,(,

,$ S(,(&) Ke)eh,(, S,,( I'

Kel&h, &(,.,:

G,(,l ' )el&%&h (&4&h$

Al,), .,)& R&.,h S,'( , /e%,l,, /e,'( ),,( '':

Kl'e ,(,+ e+, el&h, +,(,l+,(,l /,, )el&%&h (&4&h ')e%(,' %,)h$

P,, 4,+', l&(&( /,)'e (e%,/,( le)' ,+ ','4,(, ,%e, +,%&, ,+

6('& , e%,)$ P,)'e .e+,(,, 4,h=, +,(,l+,(,l .&


18/35

+,(,l+,(,l .&


19/35

$ P6l, 6+'('/e%)e/(&,l

P,)'e .e+,(,, (', .e.''' .,),l,h /,, /,


20/35

P,)'e .e+,(,, )e4el&. , )e)&,h ),'( h&4&+, e+, el&,%+,,

4,'$ Kel&,%+, .e&&+ /,)'e (e%&(,., ,l,. /ee.4&h, e (e,+,

e)eh,(,$

$ P6l, .,,e.e 6/'+ )(%e))

P,)'e .e+,(,, ', ,/,( .e+,l'h, .,),l,h ,+ 'h,,/', , ),,(

/,)'e (', ,., /,)'e .,./& &(& .e+,(,)' e(',,.,,

(e%)e4&($ D,l,. h,l el&h,, ),,( '' /,)'e (', .e+,l,.' )(%e))

/)'6l6+') ,+ 4e%,%(' =,l,&/& ', .e%,), (', ,., e+, +,(,l+,(,l

,+ ',l,.',$

$ P6l, e,','l,'

P,)'e .e+,(,, 4,h=, ', .e+,&( ,+,., h'& , )e.4,h,+ )e


21/35

+- P,)'e .e+,(,, 4ee%, ' 4,=,h /,/,%, )',% .,(,h,%' (e(,/' /,)'e (',

/e%,h +,(,l+,(,l /,, &l'(,$ P,)'e &+, .e+,(,, )e, .e++,('

.e%e ),4& ,+ 4e%4e, )e, 1 4&l, ,+ l,l& /,)'e .e,' +,(,l+,(,l

/,, (&4&h,$

7$ Pe.e%'),, ',+6)('

,- H'(&+ ,%,h le+,/ *8B8-

4- K,,% >'(,.' B12 )e%&.


22/35

.e++,%& e+,

&& ,.&

(e%,,+ &+,

e+, (el,/,

(,+,$

P,)'e .e+,(,,

4,h=, (el,h 1 4&l,

.e++&,,

),4& .,'

e+, .e% 4,%&

, )e, '(& )e%'+

.e%,),, +,(,l

,+ h'l,+ ('.4&l$

DO:

P,, ')/e)' &l'(

(e%l'h,( ,,,

%&,. ' (,+,

,' h'++, &l'(

,46.e$

P,, 4,+', )e'(,%

l&(&( '(e.&,

,,, e)6%',)'

*+6%e),-$

2$ DS: P,)'e .e+,(,,

%,), +,(,l ,+

.e'+,( '

.,l,. h,%'

.ee4,4, )&l'(

('&%$

P,)'e .e+,(,,

(', .,./& &(&

Ga!gg&a! Rasa

N)a*a!

Me'.4&l, %&,. , le)'

Kr&saka! I!tgr$tas K&($t

K6%(e) )e%e4%'

.e./e%)e/)', +,(,lGa!gg&a! Rasa N)a*a!


23/35

%el,)$

DO:

P,)'e (e%,,+

(,./, .e%'('h

,%e, le)' /,,

4,+', l&(&($

P,)'e (,./,

+el'),h ,%e,

/%&%'(&) ,+

'%,),,,$

3$ DS:

P,)'e .e+,(,,

.,l& ,'4,( ,,,

4e,) le)' ,%e,

+,%&, (e%&(,.,

' 4,+', ,'$

DO:

P,)'e (,./,

.e&(&/' 4,+',

,+ +,(,l+,(,l

e+,

.e+e,,


24/35

4e%le+, /,,+$

!$ DS:

P,)'e .e+,(,,

)el,l& .e++,%&

4,+', &l'( ,+

+,(,l e+, &&

e


25/35

.e,+,',$

DO:

P,)'e .e%&/,,

l&l&), SD$

1. D$ag!osa K,ra-ata!

1$ Ke%&),, '(e+%'(,) &l'( 4$ ,( '.', *4,h, ,(,& 6./6)')' ),4&- '(,,'

e+, e%&),, l,/'), &l'( *le)' e%6)' , %,)h-$

2$ G,++&, %,), ,., 4$ +e,l, (e%,'( /e,'( e%.,('(') 6(, ,lle%+e

*+,(,l+,(,l ,+ (', ,/,( ',4,',- , %')'6 .&


26/35


27/35

C. RENCANA ASUHAN KEPERAWATAN

D',+6), T&&, , K%'(e%', h,)'l I(e%>e)' R,)'6,l

Ke%&),, I(e+%'(,)

&l'( 4e%h&4&+,

e+, ,( '.',*4,h, ,(,& 6./6)')'

),4&- '(,,' e+,

e%&),, l,/'), &l'(

*le)' e%6)' , %,)h-

Se(el,h 'l,&, (',,

e/e%,=,(, )el,., 3@2! ,.

'h,%,/, e%&),, '(e+%'(,)/,)'e 4e%&%,+ e+, %'(e%',

h,)'l:

NOC La'(

Tissue Integrity Skin: Skin and

Mucous Membranes

1$ Le)' (e%,(,)'

NOC La'(

Allergic Response Localized

1$ R&,. e.e%,h, 4e%&%,+

NIC La'(

Skin Surveillance

1$ I)/e)' &l'( l'h,( ,,,e.e%,h, le)' e%6)'$

2$ P,(,& e.&+', (e%,',

'e)' (e%&(,., /,, ,%e, ,+

(e%,' e%&),, l,/'), &l'(

*le)'-$

NIC La'(

Skin Care: Topical Treatments

1$ A,%, l'e &(& (',

.e++,%& (e%l,l& e%,) ,(,&

.e++,%& e+,

.e++&,, &&+ &&+

,%' , (el,/, (,+, *4&,

1$ D,%'


28/35

&&-

2$ L,&, (',, ele+,('

e+, .e.4e%', 64,(

(6/'


29/35

.el,/6%, %,), +,(,l$ le+, ,(,& )'& )el,., ('&%$

!$ Be%', (e%,/' ,('/%&%'(&) (6/',l

)e)&,' '',)'$ D, 4e%', 64,(

6%,l ,('h')(,.' )e)&,' '',)'$

5$ I)(%&)', /,)'e &(&

.e++&,, (el,/, (,+,

&(& .e++6)6 ,%e, ,+ +,(,l

,(,& .ee/'( &&+ &l'( )e


30/35

(e(,+ (&4&h ''>'&

,l,. /e,./'l,

*.e+e,,


31/35

De')'e)' /e+e(,h&,

4e%h&4&+, e+,

&%,+ /,,,

'6%.,)' ,

e(e%4,(,), 6+'('

*l&l&), SD- '(,,'

e+,

.e+&+,/,

.,),l,h *, (',

.e.,h,.'


32/35


33/35

D. IMLPLEMENTASI

I./le.e(,)' 'l,&, 4e%,),%, /,, h,)'l ,,.e), ',+6)e e/e%,=,(,

,+ '(e+,, , (&&, ,+ '+' '


34/35

$ De')'e)' /e+e(,h&, 4e%h&4&+, e+, &%,+ /,,, '6%.,)' ,

e(e%4,(,), 6+'(' * l&l&), SD- '(,,' e+, .e+&+,/, .,),l,h *,

(', .e.,h,.'


35/35

D,>' " B&(le% MD ;,%e ; L& MD 2010$ Pruritus and Sstemic !isease$ D',)e)

(,++,l 1 "e4%&,%' 2015 ,%' ===$e.e'e%)'(,) I6e)',: ;,,%(,

D6

Documents

LP+ASKEP PRURITUS