Konsep Dasar Lp hipertensi

of 19 /19
LAPORAN PENDAHULUAN ASUHAN KEPERAW A T AN GERONTIK PADA TN. “NS” DENGAN HIPERTENSI DI BR. GELUMPANG, SUKAWATI, GIANYAR 11-16 APRIL 2016 OLEH : KADEK PONI MARJAYANTI (P07120214026) POLITEKNIK KESEHATAN KEMENKES DENPASAR DIV KEPERAWATAN TK.II / SEMESTER IV URUSAN KEPERAW A TA N 2016

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LAPORAN PENDAHULUAN ASUHAN KEPERAWATAN GERONTIK 

PADA TN. “NS” DENGAN HIPERTENSI DI BR. GELUMPANG,

SUKAWATI, GIANYAR 

11-16 APRIL 2016

OLEH :

KADEK PONI MARJAYANTI (P07120214026)

POLITEKNIK KESEHATAN KEMENKES DENPASAR 

DIV KEPERAWATAN TK.II / SEMESTER IV

URUSAN KEPERAWATAN

2016

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Pene%!%n! !it+ pen&&+n!!n etr&en pen!'it &in/!#

in"r* ,$+in& "!n $iperteni !n& %er$+%+n&!n "en&!n

'e$!*i#!n.

Men+r+t NANDA 201 Hiperteni p!"! +i! #!n/+t "i%e"!'!n

*en/!"i :

1. Hiperteni "i*!n! te'!n!n it#i' !*! !t!+ #e%i$ %e!r "!ri 140

**H& "!n !t!+ te'!n!n "i!t#i' !*! !t!+ #e%i %e!r "!ri -0 **H&

2. Hiperteni it#i' teri#!i "i*!n! te'!n!n it#i' #e%i$ %e!r "!ri

160 **H& "!n te'!n!n "i!t#i' #e%i$ ren"!$ "!ri -0 **H&

Pene%!% $iperteni !"! p!"! r!n& "en&!n #!n/+t +i! !"!#!$

ter/!"in! per+%!$!nper+%!$!n p!"! :

1. E#!tiit! "in"in& !rt! *en+r+n

2. K!t+% /!nt+n& *ene%!# "!n *en/!"i '!'+

?. Ke*!*p+!n /!nt+n& *e**p! "!r!$ *en+r+n 1@ eti!p t!$+n

e+"!$ %er+*+r 20 t!$+n 'e*!*p+!n /!nt+n& *e**p! "!r!$

*en+r+n *ene%!%'!n *en+r+nn! 'ntr!'i "!n 3#+*en!

4. Ke$i#!n&!n e#!tiit! pe*%+#+$ "!r!$. H!# ini ter/!"i '!ren!

'+r!n&n! ee'tiit! pe*%+#+$ "!r!$ perier +nt+' 'i&en!i

. Menin&'!tn! reiteni pe*%+#+$ "!r!$ perier 

T!n"! "!n &e/!#! "i !t! "ipen&!r+$i #e$ per'!#i!n !nt!r!

>!r"i!, O+tp+t (>O) "en&!n t!$!n!n perier !n&

*ene%!%'!n te'!n!n "!r!$ *enin&'!t.

<!'tr rii' $iperteni e,!r! +*+* ter%!&i *en/!"i "+!!'ni !'tr !n& ti"!' "!p!t "i*"ii'!i "!n "!p!t "i*"ii'!i.

<!'tr !n& ti"!' "!p!t "i*"ii'!i !"!#!$ +*+r ert! &eneti'

e"!n&'!n !'tr !n& "!p!t "i*"ii'!i !"!#!$ p#! *!'!n

!'ti3it! "!n e%!&!in!. ;eri'+t ini !'!n "i/e#!'!n ter#e%i$ "!$+#+

!'tr rii' !n& ti"!' "!p!t "i*"ii'!i:

". U#$%

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Pene#iti!npene#iti!n !n& "i#!'+'!n #e$ %e%er!p! !$#i

*en+n/+''!n %!$! e*!'in t+! eer!n& *!'! rii'

*en&!#!*i $iperteni !'!n e*!'in tin&&i. H!# tere%+t

"i!'i%!t'!n #e$ pen+r+n!n e#!tiit! pe*%+#+$ "!r!$ !rteri

eirin& "en&!n pert!*%!$!n +*+r. Hiperteni %i! "i/+*p!i

 p!"! e*+! +i! n!*+n p!#in& erin& "ite*+'!n p!"! +i! ?

t!$+n !t!+ #e%i$ "!n *enin&'!t 'eti'! *en&in/!' +i! 0 "!n 60

t!$+n. 8e#!in it+ p!"! !nit! *enp!+e !'!n #e%i$ %erii'

*en&!#!*i $iperteni. !#!+p+n %e#+* "!p!t "i%+'ti'!n "!#!*

 pene#iti!n n!*+n $r*n etr&en "iper'ir!'!n "!p!t

*enin&'!t'!n 'nentr!i HDL "!n *en+r+n'!n LDL !n&

"!p!t *en+r+n'!n rii' ter/!"i $iperteni.

&. G'(')*+ 

Ri!!t 'e#+!r&! *er+p!'!n !#!$ !t+ !'tr rei'

$iperteni !n& ti"!' "!p!t "i*"ii'!i "!n te#!$ ter%+'ti "!ri

 %!n!' pene#iti!npene#iti!n #e$ %e%er!p! !$#i. Hiperteni

,en"er+n& *er+p!'!n pen!'it 'et+r+n!n. Ji'! !#!$ !t+ "!ri

r!n& t+! 'it! *e*p+n!i $iperteni ep!n/!n& $i"+p 'it!

*e*p+n!i 2@ 'e*+n&'in!n ter'en! p+#!. Ji'! 'e"+! r!n&

t+! 'it! *e*p+n!i $iperteni 'e*+n&'in!n ter'en! pen!'it

tere%+t 60@ (8$ep 200). 8e#!in it+ per!n !'tr &eneti, /+&!

"!p!t "i%+'ti'!n "en&!n "ite*+'!nn! 'e/!"i!n $iperteni #e%i$

 %!n!' ter/!"i p!"! 'e*%!r *n9i&t "!rip!"! $etere9i&t.

8e#!in "+! !'tr rii' "i !t! ter"!p!t p+#! %e%er!p! !'tr

rii' #!in !n& "!p!t "i*"ii'!i !nt!r! #!in:

. M'%++ 

8!*p!i e'!r!n& *er'' *er+p!'!n !t+!t+n! !'tr

rii' p!#in& pentin& !n& "!p!t *ene%!%'!n $iperteni p!"!

#!ni!. K!n"+n&!n'!n"+n&!n %er%!$!! !n& ter"!p!t "!#!*

r'' "!p!t *ene%!%'!n %!n!' e'!#i 'er+&i!n p!"! t+%+$

"i!nt!r!n! !"!#!$B *en+r+n'!n '!"!r HDL *enin&'!t'!n

!"$ei3t! tr*%it "!n '!"!r i%rin&en *en&&!nti 'i&en

"en&!n '!r%n "i'i"! p!"! *#e'+# $e*&#%in ert!

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*enin&'!t'!n 'n+*i 'i&en "i *i'!r"i+*. O#e$ '!ren! it+

!n&!t#!$ pentin& +nt+' *e*%eri'!n pen/e#!!n 'ep!"! #!ni!

tent!n& 'e+nt+n&!n !n& "!p!t "iper#e$ "en&!n %er$enti

*er'' ert! 'er+&i!n'er+&i!n !n& !'!n "i "!p!t !p!%i#! tet!p

*en&'n+*i r'' tere%+t.

. H*'%**'#*"

K!"!r '#eter# p!"! #!ni! !'!n e,!r! !#!*i *enin&'!t

eirin& "en&!n %ert!*%!$n! +i!. 8e#!in it+ $iper#ipi"e*i! /+&!

 %er'!it!n "en&!n 'n+*i #e*!' /en+$ !n& er!t '!it!nn!

"en&!n penin&!t!n %er!t %!"!n "!n n!ntin! !'!n *en/!"i !'tr

rii' ter/!"in! $iperteni. Penin&'!t!n LDL "!n pen+r+n!n

HDL !"!#!$ t!n"! !n& pentin& +nt+' pen!'it !rteri 'rner

!t!+ !ter'#eri %er'!it!n "en&!n 'en!i'!n te'!n!n "!r!$

 %!i' p!"! pri! *!+p+n !nit!.

'. D*"&')' #'*)$ "( O&')*)"

Di!%ete *er+p!'!n pen!'it 'rni' !n& *en/!"i !'tr

rii' in"epen"en +nt+' $iperteni. Keti'! 3i'it! "!r!$

*enin&'!t *!'! te'!n!n "!r!$p+n !'!n i'+t *enin&'!t. L!ni!

!n& *en&!#!*i "i!%ete %i!!n! "ii'+ti "en&!n %eit!.

Pen+r+n!n %er!t %!"!n p!"! #!ni! !'!n !n&!t %+'!n $!n!

+nt+' "i!%ete n!*+n +nt+' $iperteni "!n $iper#ipi"e*i! !n&

*enert!in!.

. G"3" 4*$

A'ti3it! ii' !n& *en+r+n p!"! #!ni! "!p!t p+#! *en/!"i

!'tr rii' ter/!"in! $iperteni. Den&!n pen+r+n!n !'ti3it!ii' ini *!'! tn+ tt !'!n *en&!#!*i 'e$i#!n&!n *!! tt

t!' %er#e*!' !n& !'!n "i&!nti'!n "en&!n /!rin&!n #e*!' !n&

!'!n *en&!'i%!t'!n peni&'!t!n rii' pen!'it '!r"i3!'+#!r.

A'ti3it! ii' !n& ,+'+p /+&! !'!n *en/!&! %er!t %!"!n !n&

i"e!#. 8e#!in it+ tre "!p!t p+#! %erpen&!r+$ p!"! $iperteni

*!'! &!! $i"+p e$!t !n&!t "i!n/+r'!n +nt+' *en&+r!n&i

rii' $iperteni

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5. D*') )*(55* 5"%"#

;er"!!r'!n pene#iti!n R!"e,'i T$*! E J.D. Or!n& !n&

*e*i#i'i 'e%i!!!n 'n+*i tin&&i &!r!* !'!n *e*i#i'i rii'

$iperteni e%e!r 4.?. C!r!* !n& *e*i#i'i i!t *en!ri' !ir

!'!n *ene%!%'!n penin&'!t!n 3#+*e p#!*! "!n te'!n!n

"!r!$. L!ni! "!n r! Ari'! A*eri'! *+n&'in *e*i#i'i

eniti3it! tin&&i ter$!"!p int!' "i+* ter$!"!p per'e*%!n&!n

$iperteni (##*er et !. 2001 "!#!* Mi##er ).

8e#!in !'tr!'tr "i!t! ter"!p!t p+#! penin&'!t!n

'n+*i '!ein !n& "!p!t *en/!"i !'tr rii' ter/!"in!

$iperteni. Me'ip+n ti"!' i&nii'!n '!ein "!n !#,$# !'!n*enin&'!t'!n !'ti3it! !r! i*p!ti !n& "!p!t *er!n&!n&

e'rei corticotrophin realizing hormone (CRH) !n& "!p!t

*enin&'!t'!n te'!n!n "!r!$.

Hiperteni p!"! #!ni! "!p!t *en&!'i%!t'!n ti*%+#n! !*!

"!n 'en,in& *!ni ert! pe,!$n! pe*%+#+$ "!r!$ "i t!'

e$in&&! ter/!"i 'e#+*p+$!n 'e+#it!n %er%i,!r! !*p!i

'e*!ti!n.

. TANDA DAN GEALA

T!n"! "!n &e/!#! p!"! $iperteni "i%e"!'!n *en/!"i

1. Ti"!' !"! &e/!#!

Ti"!' !"! &e/!#! !n& peii' !n& "!p!t "i$+%+n&'!n "en&!n

 penin&'!t!n te'!n!n "!r!$ e#!in penent+!n te'!n!n !rteri #e$

"'ter !n& *e*eri'!. H!# ini %er!rti $iperteni !rteri!# ti"!'

!'!n pern!$ ter"i!&n! /i'! te'!n!n !rteri ti"!' ter+'+r 

2. Ce/!#! !n& #!9i*

8erin& "i'!t!'!n %!$! &e/!#! ter#!9i* !n& *enert!i

$iperteni *e#ip+ti neri 'ep!#! "!n 'e#e#!$!n. D!#!*

'en!t!!n! ini *er+p!'!n &e/!#! ter#!9i* !n& *en&en!i

'e%!n!'!n p!ien !n& *en,!ri pert#n&!n *e"i

;e%er!p! p!ien !n& *en"erit! $iperteni !it+ :

!. Men&e#+$ !'it 'ep!#! p+in&

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 %. Le*! 'e#e#!$!n

,. 8e!' n!!

". Ce#i!$

e. M+!#

. M+nt!$

&. Epit!'i

4. Ke!"!r!n *en+r+n

D. KLASI!IKASI

K#!ii'!i Hiperteni *en+r+t HO

K")'5%* S*) 7##H58 D*") 7##H58

Opti*!# 120 0

 Nr*!# 1?0

Tin&'!t 1 ($iperteni

rin&!n)

1401- -0--

8+% &r+p :

 per%!t!!n

14014- -0-4

Tin&'!t 2 ($iperteni

e"!n&)

16017- 10010-

Tin&'!t ? ($iperteni

 %er!t)

F 10 F 110

Hiperteni it# F 140 -0

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teri#!i

8+% &r+p :

 per%!t!!n

14014- -0

K#!ii'!i Hiperteni *en+r+t Joint National Committee 7 

K")'5%* S*) 7##H58 D"(/")"$ D*")'

7##H58

 Nr*!# 120 D!n 0

Pre$iperten

i

1201?- At!+ 0-

Hipertenit!$!p 1

1401- At!+ -0--

Hiperteni

t!$!p 2

F 160 At!+ F 100

K#!ii'!i Hiperteni H!i# Knen+ Per$i*p+n!n Hiperteni

In"nei!

K")'5%* S*) 7##H58 D"(/")"$ D*")'7##H58

 Nr*!# 120 D!n 0

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Pre $iperteni 1201?- At!+ 0-

Hiperteni

t!$!p 1

1401- At!+ -0--

Hiperteni

t!$!p 2

F 160 At!+ F 100

Hiperteni

it#

teri#!i

F 140 D!n -0

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E. POHON MASALAH

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!. PATO!ISIOLOGI

Me'!ni*e ter/!"in! $iperteni !"!#!$ *e#!#+i

ter%ent+'n! angiotensin II  "!riangiotensin I #e$ angiotensin Iconverting enzyme (A>E). A>E *e*e&!n& per!n ii#&i

 pentin& "!#!* *en&!t+r te'!n!n "!r!$. D!r!$

*en&!n"+n& angiotensinogen!n& "ipr"+'i "i $!ti. 8e#!n/+tn!

#e$ $r*n renin ("ipr"+'i #e$ &in/!#) !'!n "i+%!$

*en/!"i angiotensin I . O#e$ A>E !n& ter"!p!t "i p!r+

 p!r+ angiotensin I  "i+%!$ *en/!"iangiotensin II. Angiotensin

 II  ini#!$ !n& *e*i#i'i per!n!n '+n,i "!#!* *en!i''!n te'!n!n

"!r!$ *e#!#+i "+! !'i +t!*!.

A'i pert!*! !"!#!$ *enin&'!t'!n e'rei hormon

antidiureti  (ADH) "!n r!! $!+. ADH "ipr"+'i "i $ipt!#!*+

('e#en/!r pit+it!ri) "!n %e'er/! p!"! &in/!# +nt+'

*en&!t+r osmolalitas "!n 3#+*e +rin. Den&!n *enin&'!tn!

ADH !n&!t e"i'it +rin !n& "ie''rei'!n 'e #+!r t+%+$

(!nti"i+rei) e$in&&! *en/!"i pe'!t "!n tin&&iosmolalitasn!.

Gnt+' *en&en,er'!nn! 3#+*e ,!ir!n estraseluler  !'!n

"itin&'!t'!n "en&!n ,!r! *en!ri' ,!ir!n "!ri

 %!&i!n intraseluler. A'i%!tn! 3#+*e "!r!$ *enin&'!t !n& p!"!

!'$irn! !'!n *enin&'!t'!n te'!n!n "!r!$.

A'i 'e"+! !"!#!$ *enti*+#!i seresi aldosteron "!ri

'rte' !"ren!#. Aldosteron*er+p!'!n $r*n teri" !n&

*e*i#i'i per!n!n pentin& p!"! &in/!#. Gnt+' *en&!t+r 3#+*e

,!ir!n estraseluler! aldosteron !'!n *en&+r!n&i esresi

 NaCl  (&!r!*) "en&!n ,!r! merea"sorpsinya "!ri t+%+#+ &in/!#.

 N!i'n! 'nentr!i N!># !'!n "ien,er'!n 'e*%!#i "en&!n ,!r!

*enin&'!t'!n 3#+*e ,!ir!n estraseluler !n& p!"! &i#ir!nn!

!'!n *enin&'!t'!n 3#+*e "!n te'!n!n "!r!$ (An&&r!ini

!ren et. !#. 200-).

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I. PENEGAHAN

Opti*!#'!n "i !t!+

 pen!*%!$!n

 /eni %!t !*p!i

 

8!!r!n Te'!n!n D!r!$ T!' 

 

O%!t

%!t!n

+nt+'

in"i'!

i

'$++

Hiperteni t!np!

Pi#i$!n %!t +nt+' ter!pi

Hiperteni In"i'!i

T!' *en,!p!i !!r!n TD (1405-0

**H&) !t!+ 1?050 **H&

M"ii'!i

Hiperteni "er!/!t 1

(TD it#i' 140

1- **H&

!t!+ TD

"i!t#i' -0

-- **H&)

G*+*n! "i%eri'!n

Hiperteni "er!/!t 2

(TD it#i' F160

**H&) !t!+

TD "i!t#i'

100 **H&)

G*+*n!

"i%eri'!n

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"!r!$ tin&&i !t!+ $iperteni %i#! ti"!' e&er! "i!t!i !"!#!$ pr!

'n"ii %!&i pen!'it #!in !n& #e%i$ eri+. Den&!n "e*i'i!n

*en,e&!$ "!r!$ tin&&i %er!rti p+#! *en,e&!$ "iri 'it! "!ri

 pen!'it #!in.

Ji'! "!#!* pe*eri'!!n "ite*+'!n t!n"! !t!+ &e/!#!

$iperteni er!n& "'ter !'!n *e*%eri'!n !"3ie

 pen!n&!n!nn!. 8e%!#i'n! /i'! ti"!' %er!rti "ite*+'!n &e/!#!

!p!p+n.

,. Pen,e&!$!n "en&!n ,!r! tr!"iin!#

In"nei! !"!#!$ ne&!r! !n& '!! "en&!n t!n!*!n %!t

tr!"iin!#. ;e%er!p! "i!nt!r! t!n!*!n tr!"iin!# (ert!

$!i#n!) !n& %i! *en+r+n'!n te'!n!n "!r!$ *i!#n! :

 %!!* %i/i %+n&!n *!t!$!ri '!,!n&'!,!n&!n "!r' ,'#!t

 pi!n& 'e"e#!i 'ent!n& !#p+'!t *enti*+n %!!n& p+ti$ "!+n

e#e"ri %e#i*%in& p!,e !t!+ *en&'+"+ pep!! e#!"! !ir

,in,!+ $i/!+ "!n #!in#!in. ;e%er!p! t!n!*!n "i!nt!r!n! +"!$

"ite#iti "!n "i+/i e,!r! *e"i eperti :

1) ;!!*

;!!* *er+p!'!n +*%er *!&nei+* !n& !n&!t %!i'.

Ti"!' $!n! *e#in"+n&i An"! "!ri pen!'it /!nt+n& tet!pi

 /+&! "!p!t *en&+r!n&i te'!n!n "!r!$. 8e#!in it+ '!n"+n&!n

#!t "!#!* %!!* "!p!t *e#in"+n&i t+%+$ "!ri $*itein

!n& *e*%+!t %!$!n 'i*i! %er%!$!!. Pene#iti!n te#!$

*en+n/+''!n %!$! tin&'!t tin&&i !!* !*in

($*itein) "!p!t *ene%!%'!n er!n&!n /!nt+n& "!ntr'e.

2) ;i/i %+n&! *!t!$!ri.

K!n"+n&!n *!&nei+*n! !n&!t tin&&i "!n %i/i %+n&!

*!t!$!ri *en&!n"+n& pitter# !n& "!p!t *en&+r!n&i

'!"!r '#eter# "!#!* t+%+$. K#eter# tin&&i *er+p!'!n

 pe*i,+ te'!n!n "!r!$ tin&&i '!ren! "!p!t *ene%!%'!n

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 pen+*%!t!n pe*%+#+$ "!r!$. T!pi p!ti'!n *en&n+*i

'+!,i e&!r !n& ti"!' "i%eri &!r!*.

?) K!,!n&'!,!n&!n

K!,!n&'!,!n&!n eperti '!,!n& t!n!$ !#*n" '!,!n&

*er!$ *en&!n"+n& *!&nei+* "!n pt!i+*. Pt!i+*

"i'en!# ,+'+p ee'ti *en+r+n'!n te'!n!n "!r!$ tin&&i.

4) Pi!n&

;+!$ ini ti"!' $!n! *en!!r'!n r!! #e9!t tet!pi /+&!

*e*%+!t te'!n!n "!r!$ #e%i$ e$!t. Pi!n& *en&!n"+n&

'!#i+* "!n er!t tin&&i !n& %er*!n!!t *en,e&!$ pen!'it

 /!nt+n&. Pene#iti!n /+&! *en+n/+''!n %!$! !t+ pi!n&

e$!ri ,+'+p +nt+' *e*%!nt+ *en,e&!$ te'!n!n "!r!$

tin&&i.

) Ke"e#!i

;!n!' e'!#i 'e+nt+n&!n *en&n+*i '!,!n& 'e"e#!i

 %!&i 'ee$!t!n. 8!#!$ !t+n! !"!#!$ *en+r+n'!n '#eter#

 /!$!t "!n te'!n!n "!r!$ tin&&i. K!n"+n&!n i#!3nn!

*e*!n& !n&!t %er*!n!!t %!&i 'ee$!t!n.

6) Kent!n&

 N+trii "!ri 'ent!n& erin& $i#!n& '!ren! ,!r! *e*!!'n!

!n& ti"!' e$!t. P!"!$!# '!n"+n&!n *iner!# er!t "!n

 pt!i+* p!"! 'ent!n& !n&!t tin&&i !n& !n&!t %!i' +nt+'

*ent!%i#'!n te'!n!n "!r!$.

7) >'e#!t pe'!t ("!r' ,$,#!te)

K!ren! '!n"+n&!n #!3ni" "!#!* ,'e#!t "!p!t *e*%!nt+*en+r+n'!n te'!n!n "!r!$ "en&!n *er!n&!n& pr"+'i

nitr!t 'i"!. Nitr!t 'i"! *e*%+!t in!# tttt e'it!r

 pe*%+#+$ "!r!$ +nt+' #e%i$ re#!' "!n *ene%!%'!n !#ir!n

"!r!$ *enin&'!t.

) A3'!"

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A!* #e!t "!#!* !3'!" "!p!t *e*%!nt+ *en&+r!n&i

'#eter#. 8e#!in it+ '!n"+n&!n '!#i+* "!n !!* #!t

!n&!t pentin& +nt+' 'ee$!t!n /!nt+n&.

8e#!in "en&!n t!n!*!n %!t tr!"iin!# ,!r! tr!"iin!# #!in

!n& /+&! "!p!t *en+r+n'!n te'!n!n "!r!$ e'!#i&+

 pen,e&!$!n $iperteni *i!#n! ter!pi %e'!*. ;e'!*

*er+p!'!n ,!r! tr!"iin!# !n& +"!$ !n&!t ter'en!# "!n

 %er*!n!!t +nt+' pen,e&!$!n %er%!&!i *!,!* pen!'it

II. KONSEP DASAR ASUHAN KEPERAWATAN

A. PENGKAIAN

Men&&+n!'!n pen&'!/i!n %ipi'i!#pirit+!# :

1. I"entit! K#ien

Me#ip+ti n!*! +*+r('e%!n!'!n ter/!"i p!"! +i! t+!)

 /eni 'e#!*in pen"i"i'!n !#!*!t pe'er/!!n !&!*! +'+

 %!n&! t!n&&!# "!n /!* MR8 n*r >M (>!t!t!n Me"i)

"!n "i!&ni *e"i

2. Ke#+$!n Gt!*!

8erin& *en/!"i !#!!n '#ien +nt+' *e*int! pert#n&!n

'ee$!t!n !"!#!$ !'it 'ep!#! "iert!i r!! %er!t "i ten&'+'

!'it 'ep!#! %er"en+t.

?. Ri!!t 'ee$!t!n e'!r!n&

P!"! e%!&i!n %e!r pen"erit! $iperteni ti"!' *eni*%+#'!n

&e/!#!. Ce/!#! !n& "i*!'+" !"!#!$ !'it "i 'ep!#!

 pen"!r!$!n "i $i"+n& p+in& !/!$ 'e*er!$!n "!n'e#e#!$!n !n& %i! !/! ter/!"i p!"! pen"erit! $iperteni.

Ji'! $ipertenin! %er!t !t!+ *en!$+n "!n ti"!' "i %!ti

 %i! ti*%+# &e/!#! !'it 'ep!#! 'e#e#!$!n *+nt!$ e!'

n!p! p!n"!n&!n *en/!"i '!%+r !n& ter/!"i '!ren! !"!n!

'er+!'!n p!"! t!' *!t! /!nt+n& "!n &in/!#. K!"!n&

 pen"erit! $iperteni %er!t *en&!#!*i pen+r+n!n 'e!"!r!n

"!n %!$'!n '*!.

4. Ri!!t 'ee$!t!n "!$+#+

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Ap!'!$ !"! ri!!t $iperteni e%e#+*n! "i!%ete *i#it+

 pen!'it &in/!# %eit! $iper'#eter# !"!n! ri!!t

*er'' pen&&+n!!n !#,$# "!n pen&&+n!!n %!t

'ntr!epi r!# "!n #!in#!in.

. Ri!!t 'ee$!t!n 'e#+!r&!

;i!!n! !"! ri!!t 'e#+!r&! !n& *en"erit! $iperteni.

6. D!t! "!!r pen&'!/i!n p!ien

!. A'ti3it!5itir!$!t

Ce/!#! : 'e#e*!$!n #eti$ e!' n!p! &!! $i"+p *ntn.

T!n"! : re'+eni /!nt+n& *enin&'!t per+%!$!n ir!*!

 /!nt+n& t!'ipne!.

 %. 8ir'+#!i

Ce/!#! : ri!!t $iperteni !ter'#eri pen!'it /!nt+n&

'rner "!n pen!'it ere%r3!'+#er.

T!n"! :'en!i'!n te'!n!n "!r!$ *enin&'!t"en+t!n n!"i

 /e#! "!n '!rti.

,. Inte&rit! e&

Ce/!#! : per+%!$!n 'epri%!"i!n !niet! e+p$ri! *!r!$

'rni'("!p!t *en&in"i'!i'!n 'er+!'!n ere%r!#).

T!n"! :&e#i!$ tt *+'! te&!n& &er!'!n ii' ,ep!t

 penin&'!t!n p#! %i,!r!.

". E#i*in!i

Ce/!#! : &!n&&+!n !!t ini !t!+ !n& #!#+5%tr+'i ri!!t

 pen!'i &in/!#.

e. M!'!n!n "!n ,!ir!n

Ce/!#! : *!'!n!n tin&&i &!r!* tin&&i #e*!' tin&&i

'#eter# &+#! !n& %er!rn! $it!* '!n"+n&!n tin&&i

'!#ri *+!# *+nt!$ per+%!$!n %er!t %!"!n.

T!n"! :%er!t %!"!n %eit! !"!n! e"e*! 'n&eti 3en!

&#i'+ri!.

. NerenriCe/!#! : 'e#+$!n Penin&5p+in& %er"en+t !'it 'ep!#!

+%ipit!# &!n&&+!n pen&#i$!t!n("ip#pi! pen&#i$!t!n

'!%+r)

T!n"! : t!t+ *ent!# per+%!$!n 'eter/!&!!n rient!i p#!

 %i,!r! pre pi'iir repn *tri': pen+r+n!n 'e'+!t!n

&!n&&!*!n t!n&!n5re#e ten"n "!#!*.

&. Neri5'eti"!'n!*!n!n

Ce/!#! : !n&in!n neri t+#!n& ti*%+#p!"! t+n&'!i !'it

'ep!#! 'ipit!# %er!t neri !%"*en.

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$. Pern!p!!n

Ce/!#! : "ipne! !n& %er'!it!n "en&!n !'ti3it!5'er/!

t!'ipne! rtpne! n't+r!# p!r'i*!#%!t+' "en&!n5t!np!

 pe*%ent+'!n p+t+* ri!!t *er''.T!n"! :Ditre repir!i5pen&&+n!!n tt !'eri

 pern!p!!n %+ni n!p! t!*%!$!n i!ni.

i. Ke!*!n!n

Ce/!#! :&!n&&+!n 'r"in!i5 ,!r! %er/!#!n

T!n"! :epi"e P!retei! +ni#!ter!# tr!nient $ipteni

 pt+r!#.

 /. Pe*%e#!/!r!n5 pen+#+$!n

Ce/!#! : $iperteni !ter'#eri pen!'it /!nt+n& DM

 pen!'it ere%r3!'+#!r.

B. DIAGNOSA KEPERAWATAN

1. Pen+r+n!n ,+r!$ /!nt+n& %." penin&'!t!n !ter#!" 3!'ntri'i

$ipertri5ri&i"it! 3entri'+#er i'e*i! *i'!r"

2. Rei' 'eti"!'e'eti!n per+i /!rin&!n t!' 

?. Neri !'+t %." penin&'t!n te'!n!n 3!'+#er ere%r!# "!n i'e*i!

4. Ke#e%i$!n 3#+*e ,!ir!n

. Int#er!ni !'ti3it! %." 'e#e*!$!n 'eti"!'ei*%!n&!n +p#!i "!n

'e%+t+$!n 'i&en

6. Keti"!'ee'ti!n 'pin&

7. Rei' ,e"er!

. Deiieni pen&et!$+!n

-. Aniet!