Askep Pada Anak Dengan Pneumonia

ASKEP PADA ANAK DENGAN DENGAN PNEUMONIA NURLAILA

Causes of death: under-5 years)

(1-4

Causes of death: under-5 years)

(1-4

PNEUMONIA 

Pneu#on$a %$asan&a d$se%a%'an o(eh )$rus atau %a'ter$



Se%a*$an %esar e+$sode ser$us d$se%a%'an o(eh %a'ter$,



Da(a# M.S dan IMCI/ ana' den*an %atu' &an* d$'(as$0'as$'an se%a*a$  Pen&a'$t san*at %erat 1+neu#on$a %erat" harus #enaa(an$ ra3at $na+  Pneu#on$a %ero%at a(an  .atu' %u'an +neu#on$a 4u'u+ d$%er$ nasehat untu' %ero%at d$ru#ah,

PNEUMO NIA IS  E NO 6 KILLER O7 CILDRE N

CLASSI7ICAION 

Sour4e of $nfe4t$on Community acquired pneumonia (CAP) o os+$ta( a48u$red +neu#on$a 1AP" o 9ent$(ator asso4$ated +neu#on$a 19AP" o



D$a*nos$s Clinical -- #ost(& o Rad$o(o*$4a( -- su++ort$n* o Et$o(o*&  d$;4u(t/ s+e4$#en o



Se)er$t&  <O 4(ass$04at$on

PNEUMONIA EIOLOG=

60% bacterial

MEDICAL PRO.LEM COMMON D PAERN $a

symptomatologi

patofsiologi patologi patogenesis

Tanggap Adaptive

* n o

s $s > -

re a t# e n

insults

t

 E INSULS  Infe4t$on

symptom

patopys

 A((er*&  Me4han$4a(  Inur&:

trau#a

ther#a(/ e(e4tr$4a(/

4he#$4a(/ $rrad$at$on 

Auto$##une



Can4er

patology adaptive response

 ,,,

Insult

PNEUMONI A

In?a##at$on of the (un* +aren4h&#e

+aren4h&#e: a()eo($ > $nterst$t$a( t$sue

In!ection/ as+$rat$on/ rad$at$on/ ,,,

$

Acute upper resp in!ection

 "acteremia & Ad#acent org

Pneumonia patogenesis

PAOGENESIS > PAOP=SIOLOG=

E@terna( res+$rat$on ventilation

'

per!usion



to ta'e +(a4e/ *as e@4han*e 1d$us$on" fro# a$r to %(ood $n a()eo(ar 4a+$((ar& %ed need an o+t$#a( rat$o %et3een 9ENILAION > PER7USION

' * +,  ' matcing  '

'

D&s+nea +atho+h&s$o(o*& ' * +,

C78CIA9 P1IT:

Clinically

345PA Res+ s&ste# tr& to 4o+e %& $n4reas$n* res+ eort

' mis.matc/ ' - +, 1T optimal di2usion

O.SER9AION O7 PAOLOG= simtomatologi patofsiologi patologi patogenesis

Tanggap adapti!  insults

D $a * n o

s $s > -

re a t# t

e n

O.SER9AION O7 IN7ECION simtomatologi patofsiologi patologi patogenesis

Tanggap adapti!  insults

D $a * n o

s $s > -

re a t# t

e n

PNEUMONIA/ S=MPOMAOLOG= symptom



Pre4eeded %& AURI: fe)er/ rh$norrhea/ > coug



7e)er: )$ra( B %a4ter$a( - *enera((&

patopys 

Tacypnea   #ost 4ons$stent patology  3yspnea -  
PNEUMONIA/ PAOP=SIOLOG= symptom

patopys

patology adaptive response

Insult

Coug  4ou*h $nsu(ts  4ou*h re4e+tors  %aro/ 4he#o  4ou*h re?e@  4ou*h #e4han$s# 3yspnea  res+$rator& +h&s$o(o*&  )ent$(at$on  d$us$on  +erfuss$on  )ent$(at$on +erfus$on #$ss#at4h

NASAL 7LARING symptom

patopys

patology adaptive response

Insult

CES INDRA
symptom

patopys

patology adaptive response

Insult

O.SER9AION O7 PAOLOG= simtomatologi patofsiologi patologi patogenesis

Tanggap adapti!  insults

D $a * n o

s $s > -

re a t# t

e n

PNEUMONIA/ PAOLOG= symptom

Insu(st  ada+t$)e res+onse 1es+, $##une res+onse"  patopys in;ammation/ patology  7ed =epati>ation sta*e a()eo($ 4ons$st of : (eu4o4&te/ patology 0%r$ne/er&thro4&te/ %a4ter$a  ?rey =epati>ation sta*e adaptive 0%r$ne de+os$t$on/ +ha*o4&tos$s response  7esolution  sta*e neutro+h$( de*enerat$on/ (oose of 0%r$ne/ Insult

PNEUMONIA/ PAOLOG=

333,#ed$4s$nde@,n$n*,4o#

 ANDA KLINIK SEDERANA PNEUMONIA 1<O" apas cepat (ta@ipnu) 9a#u napas U#ur

1@#nt"

  bulan 60  . $ bulan ,0 $. , taun +0

5esa@ napas Tari@an dinding dada bagian ba
P8B1IA "7AT  5A?AT "7AT

7a
A#+$s$($na#o's$s$($n 25-5 #*'*%%'a($ I9 atau IM/ set$a+  a#



arus d$+antau da(a# F-!2 a#/ %$(a #e#%a$' A. terus'an/ %$(a #e#%uru' se%e(u# 2F a# atau da(a# 'eadaan &an* %erat ta#%ah'an '(ora#fen$'o( 125 #*'*%%'a($ I9 set$a+ -F a# atau *enta#$s$n !/5 #*'*%%har$ da(a# 6-2 'a($ +e#%er$an atau 622 a#"



Ant$%$ot$'a a(ternat$f ada(ah seftr$a'son F-6 #*'*%%har$/ I9 atau IM 6-2 'a($ sehar$ 1set$a+ 62-2 a#"



.$(a d$du*a 'u#an +en&e%a%n&a sta0(o'o'us d$%er$'an '(o'sas$($n 5 #*'*%%'a($ d$%er$'an  'a($ 1set$a+  a#" atau '($nda#$s$n 65 #*'*%%har$/  'a($ 1set$a+ F a#"

PB"7IA 1D5I? 

.er$'an o's$*en +ada se#ua ana' den*an +neu#on$a %eratsan*at %erat



Guna'an 4ara nasa( +ron* 1&an* d$anur'an"/ nasa( 'ateter atau nasofar$n*ea(



Mon$tor sed$'$tn&a set$a+  a# %ah3a 'ateter 'ateter atau atau nasa( +ron* td' tersu#%at/ +os$s$ n&a %enar



Mon$tor SaO2

PERA
.$(a ada de#a# %er$'an +araseta#o( 6-65 #*'*%%'a($ - 'a($ +e#%er$an



.$(a terda+at se'ret 'enta( d$ ten**oro'an &an* td' da+at d$'e(uar'an/ $sa+ den*an a(at +en*$sa+ se4ara +er(ahan



Past$'an ana' #enda+at 4a$ran ru#atan &an* 4u'u+ : 

anur'an +e#%er$an as$ atau 4a$ran +erora(   H$'a td' %$sa #$nu# +asan* naso*astr$' dan %er$'an 4a$ran ru#atan da(a# u#(ah sed$'$t ta+$ ser$n*   H$'a asu+an +erora( 4u'u+ h$ndar$ +en**unaan +$+a naso*astr$' 'arena a'an #en$n*'at'an r$s$'o as+$ras$  Ke%utuhan 4a$ran d$h$tun* den*an for#u(a : 

6 #('*%% untu' 6 '* +erta#a/ (a(u 5 #*'*%% untu' 6 '* %er$'utn&a/ se(anutn&a 25 #('*%% untu' set$a+ ta#%ahan '*

BBATA8 DBAE8A AAD  Prosedur +e#antauan 

a( ha( &an* harus d$'etahu$ :   ata(a'sana    

&an* %enar Ke#auan 'ond$s$ ana' &an* d$hara+'an Ke#un*'$nan efe' sa#+$n* &an* d$t$#%u('an dar$ tata(a'sana &an* d$%er$'an Ko#+($'as$ &an* t$#%u( dan 4ara #en*$dent$0'as$n&a D$a*nos$s %and$n* %$(a ana' t$da' #e#%er$'an res+ons terhada+ +en*o%atan

MEMANAU KEMAHUAN ANAK  

Ana' &an* d$ra3at harus d$+er$'sa se4ara teratur  %$(a terad$ +enurunan 'ond$s$B efe' sa#+$n* o%at/'o#+($'as$ atau 'esa(ahan da+at d$'etahu$ se*era



7ree'uens$ +e#antauan ter*antun* 'e*a3atan dan en$s +en&a'$t



R$n4$an 'ond$s$ dan 'e#aauan &an* terad$ harus d$4atat a*ar %$sa d$'a$ u(an* o(eh +etu*as (a$nn&a

MEMANAU KEMAHUAN ANAK  

.a*an +e#antauan 

Data d$r$ +as$en   anda )$ta( 1'esadaran/suhu/fre'uens$ na+as/ den&ut nad$/ D"  Kese$#%an*an 4a$ran  Ga#%aran '($n$s/ 'o#+($'as$ dan te#uan &an* +os$t$f    ata(a'sana &an* d$%er$'an  Pe#%er$an nutr$s$  4atat

se#ua te#uan +ent$n* ts%

PBATA8A 8T8D P8B1IA 

Ana' harus d$+er$'sa o(eh +era3at +a($n* sed$'$t set$a+  a# dan o(eh do'ter #$n$#a( 6@har$,



Per%a$'an '($n$s a'an ter($hat da(a# 2 har$ 1na+as a'an #enurunt$da' 4e+at/ tar$'an d$nd$n* dada %er'uran*h$(an*/%e%as de#a#/ da+at #a'an #$nu# den*an %a$' "



.$(a t$da' ada +er%a$'an da(a# 2 har$ atau #e#%uru' ($hat 'e#un*'$nan adan&a 'o#+$('as$ atau ada d$a*nos$s (a$n atau ant$%$ot$'a &an* d$%er$'an %e(u# te+at

PB89A?A 3A7I 78BA= 5ADIT Proses +e#u(an*an ana' dar$ RS harus #e($+ut$ :    



Saat +e#u(an*an &an* te+at Konse($n* 'e+ada $%u #en*ena$ +en*o%atan dan +e#%er$an #a'an ana' d$ru#ah .er'o#un$'as$ den*an +etu*as 'esehatan &an* #eruu' atau &an* %ertan**un* a3a% da(a# +era3atan (anutan Mene(as'an 'a+an 'e#%a($ 'e RS untu' 'unun*an u(an* dan #e#%er$tahu $%u *ea(a atau tanda &an* #en*$nd$'as$ ana' harus d$%a3a se*era 'e RS 1ut' +neu#on$a ada(ah #en*etahu$ adan&a na+as 4e+at dan tar$'an d$nd$n* dada " Me#%antu 'e(uar*a den*an ha( ha( &an* d$+er(u'an

PNEUMONIA Ra3at a(an 

A#o's$s$($n 25 #*'*%%'a($ ora( da(a# 2 'a($ +e#%er$an 1set$a+ 62  a#" se(a#a  har$ atau Kotr$#'sao(  #* MP'*%%'a($ da(a# 2 'a($ +e#er$an 1set$a+ 62 a#" se(a#a  har$



Kontro( 2 har$ %$(a #e#%a$' o%at d$terus'an/ $'a #eneta+ *ant$ ant$%$ot$'a +$($han 'edua/ %$(a #e#%uru' ruu' untu' +era3atan

.AUK .UKAN PNEUMONIA 

Ra3at a(an



.er$ +e(e*a ten**oro'an+ereda %atu' &an* a#an



.$(a de#a# %er$ ant$+$ret$' 1+araseta#o("



.ers$h'an se'ret(end$r h$dun* den*an 'a+as atau (a+ %asah &an* d$*u(u* #en&eru+a$ su#%u



Anur'an $%u untu' #e#%er$ #a'an#$nu# &an* 4u'u+



Aar$ $%u untu' #en*etahu$ adan&a na+as 4e+at dan tar$'an d$d$n* dada



arus 'e#%a($ se*era %$(a ada na+as 4e+at/ tar$'an d$nd$n* dada/ t$da' #au #$nu#

 +era3atan

d$ru#ah

Pera
di

7RAME