Post on 01-Mar-2018
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TRACTUS URINARY
INFECTION
CLASIFICATION
NS.MARWAN
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INFEKSI SALURAN KEMIH
BERKEMBANG BIAKNYA MIKROORGANISME DIDLMSALURAN KEMIH YANG DALAM KEADAAN NORMALTDK MENGANDUNG BAKTERI, VIRUS ATAUMIKROORGANISME LAIN.
KLASIFIKASI ISK BERDASARKAN TEMPAT:
A. SISTITIS
B. URETRITIS
C. PIELONEFRITIS
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ETIOLOGI Dapat beraa! "ar# $r%a'e p" (ae)e *a&% &a#+ "ar# per#&e' retra "a&
+a&"&% +e'#-, erta 'e&e'pe! p" per'+aa& ')$a.
Pe&%$$&%a& +a&"&% +e'#- *a&% t"+ !e&%+ap
Ga&%%a& tat 'etab$!# "#abete, +e-a'#!a&, %$t/
Re(!+ retr$0e#+e! re(!+ a!#ra& ba!#+/ r#&e "ar# retra +e "!' +a&"&%+e'#-.
Re(!+ reter$0e#+e! "pt "#ebab+a& $1 "#(&%# !e-er +a&"&% +e'#- retra.Uretr$0e#+e! ata re(!+ reter$0e#+e! a!#ra& ba!#+ r#& "ar# +a&"&% +e'#-+e "!' +e"a reter.
K$&ta'#&a# (e+a!
Hb&%a& e+a! berpera& 'a+&*a $r%a'e "ar# per#&e' +e"!' +a&"&%+e'#-
Pe'aa&%a& a!at +e"!' tra+t r#&ar#
Stat# r#&e
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MANIFESTASI KLINIS
Ba+ter#r#a
N*er# *a&% er#&% "a& raa pa&a +et#+a ber+e'#-#t##/
He'atr#a
N*er# p&%%&%
De'a'
Me&%%#%#!, &*er# +et#+a ber+e'#-
Ter"ea+ +e&)#&% r%e&)*/, "#r#a
N*er# te+a& "# area "t +$t$0ertebra! CVA/.
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URETERITIS
Pe&%ert#a&: pera"a&%a pa"a retra
Pe&*ebab : 2 K'a& %$&$r-$e
2 t#&"a+a& #&(a#(
2 tr#)$'$&a 0a%#&a!#
2 $r%a'e %ra' &e%at#( e)er#)3#a )$!#,
pe"$'$&/
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Pe'ba%#a& reter#t#: Uretr#t# terba%# "a:
4. retr#t# a+t
5. retr#t# +r$ Ma(eta# +!#:
4. M)$a 'e'era- "a& $"e'a
5. ter"apat )a#ra& e+"at *a&% pr!e&t
6. a"a&*a !era# p" retra
7. a"a&*a raa %ata! *a&% 'e&%%e!#t#+
8. a"a&*a &a&a- a9a! '#+# . &*er# aat '#+#
;. &*er# p" ab"$'e& ba%#a& ba9a-
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K$'p!#+a#
4. pr$tat#t#
5. abe retra *a&% "apat 'e&*ebab+a& (#te! retra
Pe'er#+aa& "#a%&$t#+
4. K!tr r#&e
5. r#&e a&a!##
6. "ara- !e&%+ap.
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PIELONEFRITISDEFENISI
P#e!$&e(r#t# a"a!a- #&(e+# ba+ter# pa"a a!a- at ata+e"a %#&3a! *a#t 'erpa+a& #&(e+# ba+ter# p#a!a%#&3a!, "a& 3ar#&%a& #&tert#t#a! "ar# a!a- at ata+e"a %#&3a!.
P#e!$&e(r#t# !eb#- ba&*a+ "#te'+a& pa"a 9ata
+et#'ba&% pa"a pr#a.
Re#+$ *a&% "apat 'e&)et a&tara !a#& #t##, &e+r$#pap#!ar# %#&3a!, bat %#&3a!, re(!+ 0e#+$retra, ata$btr+# r$pat-*.
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ETIOLOGI P#e!$&e(r#t# er#&% eba%a# a+#bat "ar# re(!+
reter$0e#+a!
Escherichia coliba+ter# *a&% "a!a' +ea"aa& &$r'a!"#te'+a& "# bear/ 'erpa+a& pe&*ebab "ar# #&(e+# %#&3a! "#!ar r'a- a+#t "a& pe&*ebab"ar# 8=> #&(e+# %#&3a! "# r'a- a+#t
I&(e+# 3%a b#a "#ba9a +e %#&3a! "ar# ba%#a& tb-
!a#&&*a 'e!a!# a!#ra& "ara-
Ke-a'#!a&, "#abete, #'&$"epre#
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MANIFESTASI KLINIK De'a' ? 'e&%%#%#!,
N*er# pa&%%!, &*er# te+a& pa"a "t +$t$0ertebra! CVA/,
Le+$#t$#, "a& a"a&*a ba+ter# "a& e! "ara- pt#- "a!a' r#& erta
"#te'+a&&*a "ara- pa"a r#&.
Ge3a!a a!ra& r#&ar# ba9a- epert# "#r#a, erta &$+tr#.
Abe "apat "#3'pa# pa"a +ap! %#&3a! "a& pa"a tat +$rt#+$'e"!!ar#.
Pa"a a+-#r&*a, atr$(# "a& +era+a& tb! erta %!$'er$! ter3a"#.
B#a ter3a"# kolik renalis, Ket#+a p#e!$&e(r#t# 'e&3a"# +r$, %#&3a! 'e'be&t+ 3ar#&%a& part,
ber+$&tra+# "a& t#"a+ ber(&%#.
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E0a!a# D#a%&$t#+ Ur#&a!##, 'e'er#+a e! "ara- pt#- "a& e! "ara-
'era-
K!tr r#&, "a& te et#0#ta "#!a++a& &t+'e&e&t+a& $r%a'e pe&*ebab e-#&%%a a%e&a&t#'#+r$ba *a&% tepat "apat "#reep+a&.
K!tr "ara- '&%+#& "apat 'e&&3++a& #&(e+#
P*e!$%ra' #&tra0e&a ata CT S)a& "apat 'e&&3++a&pe'beara& %#&3a!
U!tra$&"
B#$p# %#&3a!
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pe&ata!a+a&aa&
Pe'ber#a& a&t#b#$t#+
A&t#'#+r$b#a! A%e& a&t#'#+r$b#a! p#!#-a& "#"aar+a& pa"a #"e&t#(#+a#
pat$%e& 'e!a!# +!tr r#&. @#+a ba+ter# t#"a+ "apat
-#!a&% "ar# r#&, t#(ra&t$#& ata +$'b#&a#!(a'et$a$!e "a& tr#'et-$pr#' "apat "#%&a+a& &t+'e&e+a& pert'b-a& ba+ter#. F&%# re&a! *a&% ter%a&%
a+a& 'e'pe&%ar-# e+re# a%e& a&t#'#+r$b#a! "a&+ebt-a& pe'a&taa& (&%# re&a! *a&% +etat, terta'a3#+a 'e"#+a# p$tea! t$+#+ ba%# %#&3a!.
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Diagnosa & Intervensi Ke.
resiko infeksi b/d adanya bakteri pada saluran kemih perta-a&+a& #t#' +ateter ter#! ber#+a& pera9ata& +ateter re%!ar "e&%a&
ab& "a& a#r, ber#+a& a!ep a&t#b#$t#+ "#e+#tar ## +atter +$!ab$ra# ber#+a& a&t#b#$t#+ ea# #&"#+a#
Nyeri b/d proses inflamasi
)atat !$+a#, !a'a&*a, #&teta +a!a =24=/ "a& pe&*ebara&. Per-at#+a&ta&"a &$&0erba!
ber#+a& t#&"a+a& &*a'a& )$&t$- p#3ata& p&%%&% "a& #t#ra-at
per-at#+a& +e!-a& pe&%+ata&1 'e&etap&*a &*e# ab"$'e& ber#+a& +$'pre -a&%at pa"a p&%%&%
+!ab$ra# ber#+a& $bat a&a!%et#+ ea# #&"#+a#
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perubahan pola eliminasi urin b/d sering berkemih
a9a# 'a+a& "a& +e!ara& r#&, erta +ara+ter#t#+ r#&
te&t+a& p$!a ber+e'#- &$r'a! pa#e& "a& per-at#+a& 0ar#a#
"$r$&% pe&%+ata& 'a+a& )a#ra& e!#"#+# +e!-a& +a&"&% +e'#-pe&-, pa!pa# &t+ "#te prapb#+
+$!ab$ra# a'b#! r#&e &t+ +!tr "a& et#0#ta
!eri"an anti!ioti"
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Krg pengetahuan b/d informasi tdk adekuat +a3# pe'a-a'a& 'e&%e&a# pe&*ebab p#e!$&e(r#t#, +$&e+e&*a, "a& pe&a&%a&a&&*a
3e!a+a& 'e+a'e "a& +$&e+e p#e!$&e(r#t# ea# "e&%a& t#&%+at pe'a-a'a& "a&
+e#apa& pa#e& &t+ be!a3ar
anjurkan pada klien untuk segera memeriksakan diri bila telah terdapat tanda-tanda
infeksi kandung kemih
Krg pengetahuan b/d informasi tdk adekuat
+a3# pe'a-a'a& 'e&%e&a# pe&*ebab p#e!$&e(r#t#, +$&e+e&*a, "a& pe&a&%a&a&&*a
3e!a+a& 'e+a'e "a& +$&e+e p#e!$&e(r#t# ea# "e&%a& t#&%+at pe'a-a'a& "a&
+e#apa& pa#e& &t+ be!a3ar
anjurkan pada klien untuk segera memeriksakan diri bila telah terdapat tanda-tandainfeksi kandung kemih