Askep Patent Duktus Arterious

8/17/2019 Askep Patent Duktus Arterious

1/18

PATENT

DUKTUS

ARTERIOUS

(PDA)


2/18

KELOMPOK 8 :

- JOSUA DAVIN HUTAGALUNG

- IRA RISKA MEI YANTI SIHOMBING

- EZRA NOVRI YANTI DUHA

- NOVYA L.A PURBA

-

SR.VENANTIA FSE

- ALBERISTA GULO

- YESI MELINDA LAWOLO


3/18

D E F E N I S I

Patent Duktus Arteriosus adalah !"a"ala# $!#%&%'#(a d%)&%*

a+&!+,-*%* a+&!+, (a#" $!#"h%/%#"a# a-+&a da# a+&!+,

'%l$-#al0 'ada $,#""% '!+&a$a !h,d%'a#1 (a#"

$!#(!/a/a# $!#"al,+#(a da+ah da+, a-+&a (a#" /!+&!a#a#

&,#"", ! a+&!+, '%l$-#al (a#" /!+&!a#a# +!#dah Al,$%l

h,da(a&123380.

Patent Duktus Arteriosus (PDA) adalah &!&a' &!+/%a#(a d%&%*

a+&!+,-*%* *!&!lah lah,+1 (a#" $!#(!/a/a# d,al,+a##(a

da+ah *!)a+a la#"*%#" da+, a-+&a &!a#a# l!/,h &,#"",0

!dala$ a+&!+, '%l$-#!+ &!a#a# l!/,h +!#dah0 A#,

Ma+(%#a#,123430.


4/18

ETIOLOGIFaktor Prenatal :

• I/% $!#d!+,&a '!#(a,& ,#5!*, : R%/!lla.• I/% al-h-l,*$!.

• U$%+ ,/% l!/,h da+, 63 &ah%#.

• I/% $!#d!+,&a '!#(a,& D,a/!&!* M!l,&%* DM0

(a#" $!$!+l%a# ,#*%l,#.

• I/% $!$,#%$ -/a&7-/a&a# '!#!#a#" a&a% a$%.

Faktor Genetik : – A#a (a#" lah,+ *!/!l%$#(a $!#d!+,&a '!#(a,& a#&%#" /aaa#.

– A(ah ; I/% $!#d!+,&a '!#(a,& a#&%#" /aaa#.

– K!la,#a# +-$-*-$ *!'!+&, S,#d+-$ D-#.


5/18

PATOFISIOLOGI

D%&%* A+&!+,-*%* Pa&!#& adalah &!&a' &!+/%a#(a

d%&%* a+&!+,-*%* *!&!lah lah,+1 (a#" $!#(!/a/a# d,

al,+a##(a da+ah *!)a+a la#"*%#" da+, a-+&a &!a#a#

l!/,h &,#"", 0 ! dala$ a+&!+, '%l$-#al &!a#a# l!/,h

+!#dah0. Al,+a# ,+, ! a#a# ,#, $!#(!/a/a#

+!*,+%la*, da+ah /!+-*,"!# &,#"", (a#" %$lah#(a

*!$a,# /a#(a da# $!#"al,+ ! dala$ 'a+%1 *!+&a$!#a$/ah /!/a# a#&%#" *!/!lah ,+,.

LANJUT40


6/18

U*aha &a$/aha# da+, =!#&+,!l ,+, %#&%

$!$!#%h, '!#,#"a&a# $!#(!/a/a# '!l!/a+a#

da# h,'!+&!#*, a&+,%$ ,+, (a#" '+-"+!*,5. Da$'a

*!$%a ,#, adalah $!#,#"a(a &!a#a# =!#a

da# a',l!+ '%l$-#al $!#(!/a/a# &!+ad,#(a!d!$a 'a+%. Ed!$a 'a+% ,#, $!#,$/%la#

'!#%+%#a# d,5%*, -*,"!# da# h,'-*,a *!+&a

&!+ad, -#&+,*, a+&!+,-l 'a+% (a#" '+-"+!*,5.

LANJUT20..


7/18

H,'!+&!#*, '%l$-#al da# "a"al a#&%#" a#a# aa#

&!+ad, ,a !adaa# ,#, &,da d,-+!*, $!lal%,

&!+a', $!d,* a&a% /!dah. P!#%&%'a# d%&%*

a+&!+,-*%* 'a&!#& &!+%&a$a &!+"a#&%#" 'ada

+!*'-# -#&+,&-+ da+, d%&%* &!+hada' &!a#a#

-*,"!# dala$ da+ah. Fa&-+ la,# (a#"

$!$'!#"a+%h, '!#%&%'a# d%&%* adalah

'!#"a+%h !+a '+-*&a"la#d,#1 &aha#a# '%l$-#!+da# *,*&!$,1 /!*a+#(a d%&%*1 da# !adaa# *,

/a(, '+!$a&%+ a&a% )%%' /%la#

LANJUTAN>0


8/18

D%&%* a+&!+,-*%* 'a&!#& l!/,h *!+,#"&!+da'a& 'ada /a(, '+!$a&%+ da#%+a#" da'a& d,&-l!+a#*, a+!#a$!a#,*$! -$'!#*a*, a#&%#"#(a&,da /!+!$/a#" /a, da# ',+a% ,+,7

a#a# ,&% )!#d!+%#" l!/,h /!*a+. Pada/a(, '+!$a&%+ %+a#" da+, >? $,#""%0d%&%* d,'!+&aha#a# &!&a' &!+/%a

-l!h '+-*&a"la#d,# (a#" ada+#(a$a*,h &,#"", a+!#a $!$a#" /!l%$a&%#(a /a(, lah,+.

LANJUTAN60


9/18

Ol!h *!/a/ ,&%1 d%&%* a+&!+,-*%*'!+*,*&!# 'ada /a(, '+!$a&%+

d,a#""a' *!/a"a, d!=!l-'$!#&al'a&!#& d%&%* a+&!+,-%*1 /%a#d%&%* a+&!+,-*%* 'a&!#& *&+%&%+al

*!'!+&, (a#" &!+ad, 'ada /a(, )%%'/%la#. Pada /a(, '+!$a&%+ d!#"a#'!#(a,& $!$/+a# h,al,# *,#d+-$"aa& #a'a* a,/a& !%+a#"a#*%+5a&a#01 d%&%* a+&!+,-*%*'!+*,*&!# *!+,#" /!+$a#,5!*&a*,*!&!lah *,#d+-$ "aa& #a'a*#(a

$!$/a,.


10/18

Pada ,/% (a#" &!+,#5!*, +%/!lla1'!l!'a*a# '+-*&a"la#d,# aa#$!#,#"a& (a#" d,*!+&a, d!#"a#5a&-+ #!+-*,* &%$-+ (a#" da'a&$!#,#"a&a# +!*,- '!$/%aa#

d%&%* a+&!+,-*%*.


11/18

"a$/a+


12/18

MANIFESTASI KLINIS

4. Gaa& #a'a* d,*!+&a, &a#da7&a#da "a"al a#&%#" 'ada /a(,

h%*%*#(a (a#" lah,+ '+!$a&%+

2. Ada#(a /,*,#" ",/*-# (a#" &!+%* $!#!+%* &!+d!#"a+

d,*!'a#a#" *,*&-l da# d,a*&-l 'ada a#a (a#" l!/,h /!*a+ da#

d!a*a a,/a& '!$,#&a*a# al,+a# da+ah da+, a-+&a ! dala$

a+&!+, '%l$-#al,* 'ada *aa& *,*&-l da# d,a*&-l.

>. V,/+a*, (a#" &!+a/a *aa& $!la%a# 'al'a*, 'ada &!', ,+,*&!+#%$

6. I$'%l* =!#&+,!l ,+, (a#" #(a&a a,/a& h,'!+&+- =!#&+,!l ,+,

@. D!#(%& #ad, '!+,5!+ (a#" $!$a#&%l a,/a& !adaa# al,+a#

(a#" &,#"",. P!+!$/a#"a# $-&-+, (a#" "a"al a,/a& "a"al a#&%#"

?. K!"a"ala# &%$/%h !$/a#" a,/a& "a"al a#&%#"

8. K!l!&,ha# da# d,*'#!a 'ada *aa& $!la%a# !",a&a#


13/18

KOMPLIKASI

4. E#d-a+d,&,* ,#5!*,-*a

2. Ga"al a#&%#"

>. P#!%$-#,a a$/%ha#

6. H,'!+&!#*, '%l$-#al

@. A+,&$a

. H!'a&-$!"al,

?. Ga#""%a# '!+&%$/%ha# da#'!+!$/a#"a#


14/18

Pemerikasaan Diagnostik

7 A#al,*a Ga* Da+ah A+&!+,7 F-&- &h-+a*

- E-a+d,-"+a

- MRI- EKG

- Ka&!&!+,*a*, a#&%#"

- P!$!+,*aa# d!#"a# d--'l!+/!+a+#a


15/18

PENATALAKSANAAN

4. P!$/!daha#2. P!$/!+,a# ,#d-$!&a*,# ,#h,/,&-+

'+-*&a"la#d,#0

>. T!+a', '+-la*,* d!#"a# a#&,/,-&,6. P!#a#"a#a# "a"al a#&%#" $!lal%,

'!$/a&a*a# )a,+a#1 '!$/!+,a#

d,%+!&, da# d,"-*,#@. T!+a', la,#1 &!+$a*% a&!&!+,*a*, a#&%#".


16/18

KONSEP DASAR MEDIS

PENGKAJIAN

•

R,a(a& !'!+aa&a# : +!*'-# *,-l-",* &!+hada' d!5!*,a#-*,*1 a&,=,&a* &!+/a&a*0

• Ka, ada#(a &a#da7&a#da "a"al a#&%#"1 #a5a* )!'a&1 *!*a

#a5a*1 +!&+a*,1 /%#(, a#&%#" &a$/aha# $a)h,#!+( $%+7

$%+01 !d!$a &%#"a,1 h!'a&-$!"al,.• Ka, ada#(a h,'-*,a +-#,* : Clubbing fnger

• Ka,ada#(a h('!+!$,a 'ada %%#" a+,

• Ka, '-la $aa#1 '-la '!+&a$/aha# /!+a& /ada#

•

P!#"a,a# '*,-*-*,al $!l,'%&, :%*,a a#a1 &%"a*'!+!$/a#"a# a#a1 -',#" (a#" d,"%#aa#1 !/,a*aa#

a#a1 +!*'-# !l%a+"a &!+hada' '!#(a,& a#a1 -',#"

!l%a+"a da# '!#(!*%a,a# !l%a+"a &!+hada' *&+!**.


17/18

DIAGNOSA KEPERAWATAN

a. P!#%+%#a# )%+ah a#&%#" /!+h%/%#"a# d!#"a#

$al5-+$a*, a#&%#"

/. Ga#""%a# '!+&%a+a# "a* /!+h%/%#"a# d!#"a#

-#"!*&, '%l$-#al

). K!&,da*!,$/a#"a# #%&+,*, %+a#" da+, !/%&%ha#

&%/%h /!+h%/%#"a# d!#"a# !l!laha# 'ada *aa&

$aa# da# $!#,#"a(a !/%&%ha# al-+,

d. R,*,- ,#5!*, /!+h%/%#"a# d!#"a# $!#%+%##(a

*&a&%* !*!ha&a#!. Ga#""%a# '!+&%$/%ha# da# '!+!$/a#"a#

/!+h%/%#"a# d!#"a# &,da ad!%a(a *%'la, -*,"!#

da# Ca& #%&+,*, ! a+,#"a#


18/18

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Askep Patent Duktus Arterious