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Laporan Laju Endap Darah
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Laporan Laju Endap Darah
laporan praktikum laju endap darah. Analis Kesehatan Poltekkes DenpasarDeskripsi lengkap...
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LAPORAN PRAKTIKUM HEMATOLOGI LAJU ENDAP DARAH (LED)
OLEH : NI WA WAYAN GEK GITA ULANDARI P07134014025
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN KESEHATAN DENPASAR JURUSAN ANALIS KESEHATAN KESEHATAN 2015
LAJU ENDAP DARAH (LED)
Hari, Tangga
: Ra!", 23 #$%&$'!$r 2015(
T$'%a&
: La!)ra&)ri"' H$'a&))gi *"r"+an Anai+ K$+$a&an P)i&$-ni- K$+$a&an D$n%a+ar
I.
Tujuan a. Tujuan Ins!u"s#$na% U&u& 1( .aa+i+/a a%a& '$ng$&a"i ara %$n$&a%an La" Ena% Dara %aa ara
%r)!an"+( 2( .aa+i+/a a%a& '$n$a+-an ara %$n$&a%an La" Ena% Dara %aa ara %r)!an"+( '. Tujuan Ins!u"s#$na% Kusus 1( .aa+i+/a a%a& '$a-"-an ara %$n$&a%an La" Ena% Dara %aa ara %r)!an"+( 2( .aa+i+/a a%a& '$ng$&a"i -$$%a&an %$ng$na%an $ri&r)+i& aa' ''a' I( 3( .aa+i+/a a%a& '$ngin&$r%r$&a+i-an a+i %$n$&a%an La" Ena% Dara %aa ara %r)!an"+( II.
III.
M$* W$+&$rgr$$n( P!#ns#+
#%$+i'$n ara $ngan an&i-)ag"an ang &$a ia'%"r $ngan !ai- i&"ang-an -$ aa' &a!"ng W$+&$rgr$$n an i$&a--an %aa ra- W$+&$rgr$$n a&a" i&"ang-an aa' &a!"ng Win&r)!$ an i&"ngg" +$a'a 1 a' i&" aaa LED na( I,.
Dasa! T$!#
Dara aaa '$ia -)'%$-+ non-Newtonian ang &$riri ari %a+'a ara an +$ +$ ara( #$ ara '$ra 6$ri&r)+i& '$n$'%a&i 30508 ari 9)"'$ ara an '$'ii-i %$ran ang +anga& %$n&ing aa' '$n$n&"-an +ia& '$-ani- ara +$!agai '$ia %ar&i-"a&( 6Ana ;$', 2012 <$ra+ar-an
%$n$i&ian
'$ng$nai
ara,
!$r!agai
%$na-i&
-ari)9a+-"$r
'$n$!a!-an %$r"!aan +ia& !i)i+i- %aa ara( #ia& !i)i+i- ara ian&arana aaa 9i+-)+i&a+, 9i+)$a+&ii&, $)r'a!ii&a+, agr$ga+i, an &ing-a& +$i'$n&a+i $ri&r)+i& 6a"
$na% ara( #ia& !i)i+i- ara i"-"r "n&"- '$'an&a" +$ara $$-&i -$aaan an %$r-$'!angan %$na-i& &$r+$!"&( Di an&ara +ia& = +ia& !i)i+i- ara &$r+$!"&, LED 6a" $na% ara i+aran-an )$ W$+&$rgr$$n %aa &a"n 1>21 +$ara -ini+ ig"na-an "n&"- '$n$&$-+i in$-+i a&a" ina'a+i %$na-i&, &$r'a+"- an$'ia, %$na-i& gina, %$na-i& &ir)i, r$"'a&)i ar&ri&i+, a&$r)+-$r)+i+, an !a-an -an-$r( La" $na% ara '$r"%a-an /a-&" i'ana +$ = +$ ara '$ra $ngan an&i-)ag"an a&" aa' &a!"ng 9$r&ia +$&$a 1 a'( P$r!$aan a+i LED &$rgan&"ng %aa -)ni+i i+i))gi+, +$%$r&i &ing-a& %r)&$in %a+'a an $'a&)-ri&( #$ain i&", LED '$r"%a-an inia&)r R<; 6R$ <)) ;$ agr$ga+i an 9+i-)+i&a+ ara %aa -)ni+i a" g$+$r r$na( 6I)'ir)"ii+, 2014 Paa &a"n 1?>7 )-&$r P)ania E'"n @a"+&n
1? an A i$' A!$r&++)n W$+&$rgr$n( .$&)$ ini ina'a-an '$&)$ W$+&$rgr$$n( Daa' '$&)$ W$+&$rgr$$n, ig"na-an a'%"ran 4 : 1 an&ara ara 9$na $ngan na&ri"' +i&ra& an i'a+"--an aa' &a!"ng $ngan +-aa +$i'$n&a+i 200 ''( Ta!"ng ini i$&a--an 9$r&ia aa' ra- /$+&$rgr$$n aa' +"" -a'ar( #$&$a 1 a', ara- ari '$ni+"+ %$r'"-aan -$ &ing-a& a &a+ +$i'$n +$ ara '$ra &$ra&a& +$!agai LED aa' +a&"an ''a'( *a&"na $ri&r)+i& -$ !agian a+ar %i%$& W$+&$rgr$$n '$ngi-"&i +ig')i !$r!$n&"- -"r9a ang '$r"%a-an -"r9a $ri&r)+i& +$i'$n&a+i( K"r9a ini &$riri ari &iga &aa% ai&" : &aa% a/a, ang '$i%"&i agr$ga+i an %$r$%a&an +$i'$n&a+i $ri&r)+i&B a+$ ang %anang, i 'ana aa &ing-a& -)n+&an a&"B an a+$ %$ra'!a&an a-ir, ang '$i%"&i -"'%"an agr$ga& i !agian !a/a &a!"ng( 6PL)# On$, 2015( Ting-a& +$i'$n&a+i $ri&r)+i& &inggi '$n"n"--an -$'"ng-inan aana %$raangan a&a" &"')r( #$ang-an, &ing-a& +$i'$n&a+i $ri&r)+i& r$na a%a& &$rai %aa -)ni+i %)i+i&$'ia 9$ra( 6a+ H$a& Ri+- .anag, 2012
,. A%a *an Baan a( Aa&
Ra- &a!"ng, &a!"ng r$a-+i 10 ', %"+
Ra- W$+&$rgr$$n an Pi%$&
!a, an !)&) +$'%r)& $ngan
W$+&$rgr$$n
a-"a$+ !(
Dara 9$na $ngan an&i-)ag"an
Na; 0,?5 8
EDTA ,I.
-a!a K!ja
.$n"r"& W$+&$rgr$$n: 1( Dii+a% 50 '' Na; 0,?5 8 $ngan %i%$& W$+&$rgr$$n an !an&"an %"+ !a, -$'"ian i%ina-an -$ aa' &a!"ng r$a-+i( 2( Dii+a% 200 '' ara 9$na $ngan an&i-)ag"an EDTA '$ngg"na-an %i%$& W$+&$rgr$$n an %"+ !a, -$'"ian i%ina-an -$ aa' &a!"ng r$a-+i ang &$a !$ri+i Na; 0,?5 8( 3( Di)')g$n-an ara $ngan Na; 0,?5 8 $ngan !ai-( 4( Dii+a% a'%"ran &$r+$!"& -$ aa' %i%$& W$+&$rgr$$n +a'%ai gari+ &ana 0 '' -$'"ian i!iar-an %i%$& i&" aa' +i-a% &$ga- "r"+ aa' ra- W$+&$rgr$$n +$a'a C0 '$ni&( 5( Di!aa &inggina a%i+an %a+'a $ngan 'ii'$&$r an ia%)r-an ang-a &$r+$!"& +$!agai LED(
,II.
N#%a# Ruju"an
W$+&$rgr$$n :
La-i = a-i
+ 10 ''a' I
P$r$'%"an
+ 15 ''a' I
,III. Has#% Pna&aan
Pr)!an"+ : Na'a U'"r *$ni+ -$a'in Ha+i :
I/.
P&'aasan
: I Ka$- Hara/an : 1> &a"n : La-i = a-i
La" Ena% Dara
: 5 ''a'
Paa %ra-&i-"' Ra!", 23 #$%&$'!$r 2015 ia-"-an %ra-&i-"' %$ng"-"ran a" $na% ara 6LED( LED aaa -$$%a&an %$ng$na%an $ri&r)+i& %aa +"a&" +a'%$ ara ang i$&a--an aa' &a!"ng &$r&$n&" an ina&a-an aa' +a&"an ''a'( La" $na% ara '$'ii-i &iga -$g"naan "&a'a, ai&" aa& !an&" "n&"- '$n$&$-+i %r)+$+ %$raangan, %$'an&a"an a-&i9i&a+ a&a" %$raanan %$na-i&, an %$'$ri-+aan %$na%i+an%$naring (screening) "n&"- %$raangan an n$)%a+'a ang &$r+$'!"ni( .$&)$ %$ng"-"ran a" $na% ara ang ig"na-an %aa %ra-&i-"' ini aaa '$&)$ W$+&$rgr$$n( .$&)$ W$+&$rgr$$n aaa +"a&" '$&)$ %$ng"-"ran a" $na% ara ang '$ngg"na-an a'%"ran 4 : 1 an&ara ara 9$na $ngan Na&ri"' +i&ra& 3,? 8 ang i$&a--an aa' %i%$& W$+&$rgr$$n +$ara 9$r&ia +$a'a 1 a'( #a'%$ ang ig"na-an %aa %ra-&i-"' ini aaa ara 9$na $ngan an&i-)ag"an EDTA ari %r)!an"+ a-i = a-i $/a+a ang !$r"'"r 1> &a"n( Dig"na-an an&i-)ag"an EDTA 6$&$n$ ia'in$ &$&ra a$&a&$ -ar$na, +$!agai gara' na&ri"' a&a" -ai"'na, gara'
= gara' &$r+$!"& a%a& '$ng"!a i)n -a+i"' 6;a 2 ari ara '$nai !$n&"- ang !"-an i)n +$ingga '$n$ga &$raina %$ngg"'%aan( Tia% 1 'g EDTA a%a& '$n$ga '$'!$-"na 1 ' ara( An&i-)ag"an ini +anga& ))- ig"na-an "n&"- %$'$ri-+aan $'a&))gi +$%$r&i %$ng"-"ran a" $na% ara %aa ara 'an"+ia( P$'$ri-+aan +a'%$ $ngan an&i-)ag"an EDTA ar"+ ia-"-an +$g$ra +$&$a ara i'a+"--an -$ aa' &a!"ng, na'"n i-a %$'$ri-+aan &$r%a-+a ar"+ i&"na, 'a-a +a'%$ a%a& i$&a--an %aa $'ari $+ $ngan +"" 4 ); aa' /a-&" 24 a'( *i-a &ia-, 'a-a a-an '$'%$ngar"i a+i %$'$ri-+aan( P$ng"-"ran a" $na% ara $ngan '$&)$ W$+&$rgr$$n ia-"-an $ngan '$ngg"na-an %i%$& W$+&$rgr$$n, ra- W$+&$rgr$$n, &a!"ng r$a-+i 10 ', %"+ !a, an Na&ri"' +i&ra& 3,? 8 +$!agai an&i-)ag"an +$-aig"+ %$ng$n$r( Na'"n %aa %ra-&i-"' ini Na&ri"' +i&ra& 3,? 8 igan&i-an $ngan Na&ri"' K)ria 6Na; 0,?5 8( Dig"na-an Na; -ar$na +a'%$ ara 9$na ang ig"na-an &$a i&a'%"ng aa' &a!"ng "ng" ang !$ri+i an&i-)ag"an EDTA, +$ingga &$a &$rai %$ng$n$ran ara $ngan an&i-)ag"an &$r+$!"&( *i-a &$&a% ig"na-an Na&ri"' +i&ra& 3,? 8 'a-a a-an &$rai %$ng$n$ran ara !$r$!i -ar$na Na&ri"'
+i&ra& '$r"%a-an
+aa
+a&" $ni+
an&i-)ag"an,
+$ingga a%a&
'$'%$ngar"i a+i %$ng"-"ran a" $na% ara( #$ain i&", ar"&an Na&ri"' -)ria 6Na; "ga !$r"ng+i "n&"- '$'!"a& a'%"ran '$nai i+)&)ni- -ar$na Na; '$'ii-i %H n$&ra 67,0( I+)&)ni- aaa -$aaan i'ana -)n+$n&ra+i Fa& &$rar"& ang aa i aa' an i"ar +$ +a'a( K$aaan i+)&)ni- i!"a& "n&"- '$nginari &$raina -$r"+a-an %aa +$ = +$ ara &$r"&a'a +$ ara '$ra +$%$r&i &$raina i+i+ 6%$a a&a" -r$na+i 6'$ng-$r"&( P$r!aningan ara 9$na $ngan Na; ang ig"a-an aaa 4 : 1, ai&" 200 '' ara 9$na $ngan 50 '' Na;( #$!ana- 50 '' Na; ang &$a i"-"r $ngan %i%$& W$+&$rgr$$n i%ina-an -$ aa' &a!"ng r$a-+i 10 ', -$'"ian +$!ana- 200 '' ara 9$na i'a+"--an -$ aa' &a!"ng r$a-+i &$r+$!"& an ia-"-an %$ng)')g$nan( ;a'%"ran ang &$a )')g$n ii+a% -$ aa' %i%$& W$+&$rgr$$n +a'%ai &ana !a&a+ 0 '' an -$'"ian i$&a--an +$ara 9$r&i-a %aa ra- W$+&$rgr$$n +$a'a 1 a'( Pi%$& W$+&$rgr$$n ar"+ i$&a--an +$ara 9$r&i-a %aa ra- W$+&$rgr$$n agar &ia- '$'%$ngar"i -$$%a&an %$ng$na%an $ri&r)+i&( Kar$na +$'a-in !$+ar -$'iringan %$n$'%a&an %i%$& 'a-a -$$%a&an %$ng$na%anna a-an +$'a-in &inggi +$ingga a+i ang ia%a&-an &ia- &$%a&( P$ng"-"ran LED ia-"-an +$a'a 1 a' -ar$na -$$%a&an %$ng$na%an $ri&r)+i& '$$/a&i 3 a+$ ang 'a+ing = 'a+ing '$'ii-i /a-&" &$r&$n&"( @a+$ = a+$ &$r+$!"& ai&", a+$ %$'!$n&"-an rouleaux, a+$ %$ng$na%an, an a+$ %$'aa&an( *i-a /a-&" %$ng"-"ran -"rang ari 1 a' 'a-a a+$ = a+$ &$r+$!"& &ia- a-an &$ra%ai $ngan !ai-, +$ang-an i-a /a-&" %$ng"-"ran
&ia- &$%a&( #$&$a 1 a', -$&inggian a%i+an %a+'a ang &$r!$n&"- i!aa aa' +a&"an ''a' an ia%)r-an +$!agai niai a" $na% ara 6LED( <$ra+ar-an a+i %ra-&i-"', ia%a&-an niai a" $na% ara %aa %r)!an"+ a-i = a-i !$r"+ia 1> &a"n aaa 5 ''a', ang ar&ina +$a'a 1 a' &$rai %$'!$n&"-an %a+'a +$&inggi 5 ''( Ha+i ini '$n"n"--an !a/a niai LED %r)!an"+ 'a+i aa' !a&a+ n)r'a i-a i!aning-an $ngan niai r""-an ang i&$&a%-an ai&" + 10 ''a' I( Dari a+i ini a%a& i-a&a-an !a/a -)ni+i &"!" %r)!an"+ &$r"&a'a +i+&$' -ari)9a+-"$rna aa' -$aaan !ai-( Na'"n %$'$ri-+aan a" $na% ara 6LED !"-an '$r"%a-an %$'$ri-+aan "&a'a, '$ain-an +$!agai %$'$ri-+aan %$n"-"ng "n&"- '$'!an&" )-&$r aa' '$n$ga--an iagn)+$ %$na-i&( Niai LED ang &inggi a%a& &$rai %aa : •
P$raangan 6ina'a+i a-"& 'a"%"n -r)ni+(
•
.$n+&r"a+i an -$a'ian(
•
Di+-ra+ia +$ %a+'a( T$rai %$ning-a&an -aar i''"n)g)!"in ang '$n$!a!-an %$ning-a&an %$'!$n&"-an r)"$a" $ri&r)+i&(
•
P$na-i& -)ag$n9a+-"ar, -$gana+an, -an-$r, an T<;(
•
P$na-i& $')i&i- %aa !ai !ar" air(
•
P$na-i& "%"+ $ri&$'a&)+"+ +i+&$'i-(
•
P$ngar" )!a&( 6Ri+/an&), 2013 <$!$ra%a +&"i &$a '$n$'"-an !a/a 9aria+i niai LED i%$ngar"i )$
%$r"!aan '"+i', "'"r, $ni+ -$a'in, -$!ia+aan '$r)-)- an !$ra& !aan %r)!an"+( K$$n$r"ngan niai niai LED '$ning-a& %aa "+ia &"a( #$ain i&", !$!$ra%a +&"i &$a '$n$'"-an !a/a niai niai LED "ga i%$ngar"i )$ a-&)r g$)grai+( #$!agai )n&), !$!$ra%a +&"i '$n$'"-an !a/a LED +$ara +ignii-an !$r-)r$a+i $ngan -$&inggian, in&ang, -$$'!a!an r$a&i, +"" ra&ara&a &a"nan an "ra "an &a"nan( 6In& * H$a& G$)gr, 2013 P$ng"-"ran niai a" $na% ara i%$ngar"i )$ !$!$ra%a a-&)r, ai&" : 1( K$'a'%"an $ri&r)+i& '$'!$n&"- r)"$a"( R)"$a" aaa g"'%aan +$ = +$ ara '$ra ang i+a&"-an !"-an )$ an&i!)i a&a" i-a&an -)9a$n, &$&a%i +$'a&a = 'a&a )$ gaa &ari- %$r'"-aan( 2( L"a+ %$r'"-aan"-"ran $ri&r)+i&, +$'a-in "a+ %$r'"-aan +"a&" $ri&r)+i& 'a-a LED +$'a-in '$ning-a&( 3( <$n&"- $ri&r)+i&, +$ +a!i& gaga '$'!$n&"- r)"$a" +$ingga LED na r$na(
4( Ra+i) $ri&r)+i& &$raa% %a+'a, %aa an$'ia LED '$ning-a&, +$ang-an %aa %)i+i&$'ia LED r$na( 5( K)n+$n&ra+i 'a-r)')$-" aa' %a+'a, %$ning-a&an -aar g)!"in a&a" i!rin)g$n '$n$!a!-an %$ning-a&an %$'!$n&"-an r)"$a" +$ingga %$ng$na%an $ri&r)+i& "ga $!i $%a&( C( i+-)+i&a+ 6-$-$n&aan %a+'a, 9i+-)+i&a+ %a+'a ang &inggi '$n$&ra-an &ari-an -$ !a/a a&a" g"'%aan +$ = +$ ara '$ra +$ingga -$$%a&an %$ng$na%an !$r-"rang( 7( @a-&)r &$-ni+
L$&a- %)+i+i %i%$&, %i%$& ang i$&a--an 'iring '$ning-a&-an -$$%a&an %$ng$na%an $ri&r)+i&(
P$na'%ang %i%$&, 'a-in !$+ar ia'$&$r %i%$&, 'a-in &inggi LED(
T$'%$ra&"r$, 'a-in &inggi +"", 'a-in &inggi LED(
K$$!ian an&i-)ag"an a%a& '$n$!a!-an %$n"r"nan LED(
6Ri+/an&), 2013 P$ng"-"ran a" $na% ara $ngan '$&)$ W$+&$rgr$$n '$'ii-i !$!$ra%a -$$'aan, +$%$r&i /a-&" %$ng"-"ran ang %anang 61 a', '$'$r"-an 9)"'$ ang !$+ ar, !iaa &inggi -ar$na in+&r"'$n !$r"-"ran 'a++a an +%$+i'$n &a!"ng, %r)+$"r %$'!$r+ian &ia- $$-&i, an -$+"i&an aa' )n&r) -"ai&a+ a+i( K$a-"ra&an %$ng"-"ran LED i%$ngar"i )$ !$!$ra%a a-&)r, &$r'a+"- +""& in+&aa+i 9$r&i-a an -)n&a'ina+i ari &a!"ng +%$+i'$n( #$an"&na,
'$&)$ %$ng"-"ran LED
-)n9$n+i)na 6)n&)na
W$+&$rgr$$n ana '$n$ia-an niai &"ngga "n&"- +$&ia% +a'%$ ara +$&$a 1 a'( O$ -ar$na i&", %$n$-a&an -)n9$n+i)na &ia- "-"% "n&"- '$'%$r)$ -$aaan ina'i+ ari +$ ara '$ra +$a'a %$r)!aan -ar$na %$r&$'"an an&ara /iaa R<;a!i+ an /iaa R<;-aa &ia- $a+ i&"n"--an aa' &a!"ng +%$+i'$n(
/.
S#&+u%an
Dari a+i %ra-&i-"' a%a& i+i'%"-an !a/a niai a" $na% ara 6LED %r)!an"+ ang i"-"r $ngan '$ngg"na-an '$&)$ W$+&$rgr$$n 'a+i aa' !a&a+ n)r'a( Ha ini '$n"n"--an !a/a -$aaan +i+&$' -ari)9a+-"$r %r)!an"+ aa' -$aaan !ai-( P$ng"-"ran a" $na% ara +anga& i%$r"-an +$!agai %$'$ri-+aan %$n"-"ng ari !$!$ra%a %$'$ri-+aan "&a'a "n&"- '$'!an&" aa' %$n$ga-an iagn)+i+ &$r"&a'a %aa %$na-i& ang !$r"!"ngan $ngan +i+&$' -ari)9a+-"$r(
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