lbm 3 kel.3 fix

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A. JUMP 4 : KERANGKA KONSEP

1Modul Sistem Integumen Lbm 2 Kasus Abses Kulit Kutanius

Kelompok III PSIK VI B

KEPERAWATAN PENGOBATAN

PENATALAKSANAAN

ETIOLOGIDEFINISI

MENIFESTASI KLINIS HERPES

ZOOSTER

PEMERIKSAAN PENUNJANG

KOMPLIKASI

MEDISPENCEGAHAN

PATOFISIOLOGI

ASKEP,NIC,NOC

FARMAKOLOGI NON

FARMAKOL

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E. JUMP 5 : TUJUAN MINIMALSecara umum tuua! "a!# $%&ara'(a! a$a)a& ma&a*%*+a mam'u menjelaskan

asuan ke!e"a#a$an !a%a kl&en %en'an 'an''uan s&s$em &n$e'umen.

Se$a!#(a! tuua! (&u*u* "a!# $%&ara'(a! ma&a*%*+a mam'u (. Me!#%$e!t%-%(a*% 'e!#ert%a! 'e!"a(%t atau #a!##ua! (e*e&ata! 'a$a *%*tem

%!te#ume!.). Me!e)a*(a! c)%!%ca) 'at+a" $ar% me!%-e*ta*% ()%!%* 'a$a #a!##ua! (e*e&ata!

*%*tem %!te#ume!.*. Me!#%$e!t%-%(a*% 'r*e* t%m/u)!"a (m')%(a*% "a!# ter$a'at 'a$a *%*tem

%!te#ume!.4. Me)a(u(a! 'emer%(*aa! -%*%( 'a$a #a!##ua! (e*e&ata! *%*tem %!te#ume!.5. Me!e)a*(a! /er/a#a% 'emer%(*aa! 'e!u!a!# "a!# $%'er)u(a!.

+. Me!e)a*(a! 'e!#(a%a! (e'era+ata! 'a$a *%*tem %!te#ume! "a!# *'e*%-%($a! $%'er)u(a! 'a$a ()%e!.

,. Me!"e/ut(a! $%a#!*%* (e'era+ata! "a!# mu!#(%! $%a)am% ()%e! 'a$a

#a!##ua! *%*tem %!te#ume!.-. Me!e)a*(a! 'ere!ca!aa! (e'era+ata! u!tu( me!#ata*% #a!##ua! ma*a)a&

()%e!.. Me!e)a*(a! t%!$a(a! (e'era+ata! "a!# &aru* $%)a(u(a!.(/. Me!e)a*(a! tera'% "a!# $%/er%(a! u!tu( me!#ata*% #a!##ua! (e'era+ata!

'a$a ()%e! "a!# me!#a)am% ma*a)a& #a!##ua! 'a$a *%*tem %!te#ume! $a!

%m')%(a*% (e'era+ata!.

((. Merumu*(a! /e/a#a% 'e!$%$%(a! (e*e&ata! 'a$a ()%e! $a! (e)uar#a u!tu(

me!ca'a% (e*e&ata! "a!# 't%ma).



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0. JUMP + : PERTAN1AAN TEORITIS(. ANATOMI 0ISIOLOGI

Ku)%t a$a)a& *uatu r#a! 'em/u!#(u* *e)uru& 'ermu(aa! )uar tu/u&,

meru'a(a! r#a! ter/erat $a! ter/e*ar $ar% tu/u&. Se)uru& (u)%t /erat!"a*e(%tar 01 2 /erat tu/u&, 'a$a ra!# $e+a*a *e(%tar 3.4 5 6.1 (# $a! )ua*!"a

*e(%tar 0.7 5 0.8 meter 'er*e#%. Te/a)!"a (u)%t /er9ar%a*% mu)a% :.7 5 1 mm

ter#a!tu!# $ar% )eta(, umur $a! e!%* (e)am%!. Ku)%t t%'%* ter)eta( 'a$a (e)'a(

mata, 'e!%*, )a/%um m%!u* $a! (u)%t /a#%a! me$%a) )e!#a! ata*. Se$a!#(a!

(u)%t te/a) ter$a'at 'a$a te)a'a( ta!#a!, te)a'a( (a(%, 'u!##u!# $a! /a&u.Ku)%t /era*a) $ar% $ua )a'%* "a!# /er/e$a, )a'%*a! )uar a$a)a& e'%$erm%* "a!#

meru'a(a! )a'%*a! e'%te) /era*a) $ar% ect$erm *e$a!#(a! )a'%*a! $a)am

"a!# /era*a) $ar% me*$erm a$a)a& $erm%* atau (r%um "a!# meru'a(a!

*uatu )a'%*a! ar%!#a! %(at.(. E!&%e"m&s

E'%$erm%* ;Kut%)(u)a< E'%$erm%* meru'a(a! )a'%*a! ter)uar $ar% (u)%t, "a!#

mem%)%(% *tru(tur t%'%* $e!#a! (ete/a)a! *e(%tar :,:4 mm ter$%r% ata*

/e/era'a )a'%*a!, a!tara )a%! *e'ert% /er%(ut a. Stratum (r!eum "a!# $%*e/ut u#a )a'%*a! =at ta!$u(. Leta( )a'%*a!

%!% /era$a 'a)%!# )uar $a! meru'a(a! (u)%t mat%. Jar%!#a! e'%$erm%* %!%

$%*u*u! )e& 7: )a'%*a! *e)>*e) mat%. Se)>*e) mat% %!% a(a! me!#a)am%

'e!#e)u'a*a! $a! teru*>me!eru* $%#a!t% )e& *e)>*e) /aru $ar%

*tratum #erm%!at%9um ;*tratum /a*a)e*e) $ar% *tratum (r!eum

me!#a!$u!# (erat%!, *e/ua& 'rte%! "a!# mem/a!tu me!a#a &%$ra*%

(u)%t $e!#a! me!ce#a& 'e!#ua'a! a%r. Se)a%! %tu, *e)>*e) %!% u#a

$a'at me!"era' a%r, "a!# mem/a!tu &%$ra*% )e/%& )a!ut $a!



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me!e)a*(a! me!#a'a ma!u*%a $a! &e+a! )a%! me!#a)am% (eruta!

'a$a (u)%t $% ar% ta!#a! $a! (a(% (et%(a /ere!$am $a)am a%r u!tu(

+a(tu "a!# )ama. Stratum (r!eum 'a)%!# te/a) 'a$a te)a'a( (a(% $a!

'a)%!# t%'%* 'a$a 'e)u'u( mata, '%'% $a! $a&%./. Stratum )u*%$um, "a!# /er-u!#*% me)a(u(a! ?'e!#ecata!@ ter&a$a'

(u)%t $a! ram/ut. Sema(%! /a!"a( me)a!%! "a!# $%&a*%)(a! $ar% *e)>*e)

%!%, ma(a +ar!a (u)%t a(a! me!a$% *ema(%! #e)a'. Se)a%! mem/er%(a!

+ar!a 'a$a (u)%t, me)a!%! %!% u#a /er-u!#*% u!tu( me)%!$u!#% *e)>*e)

(u)%t $ar% *%!ar u)tra9%)et mata&ar% "a!# $a'at mem/a&a"a(a! (u)%t.

Wa)au'u! *e/e!ar!"a $a)am um)a& "a!# te'at *%!ar u)tra9%)et %!%

/erma!-aat u!tu( me!#u/a& )ema( terte!tu $% (u)%t me!a$% 9%tam%! D,teta'% $a)am um)a& "a!# /er)e/%&a! *a!#at /er/a&a"a /a#% (u)%t.

Ka$a!#>(a$a!# *e*era!# me!#&%!$ar% *%!ar mata&ar% $% *%a!# &ar%

"a!# ter%(, (are!a %!#%! me!#&%!$ar% *%!ar u)tra9%)et %!%. Ha) %!%

$%*e/a/(a! (are!a ter!"ata *%!ar u)tra9%)et %!% $a'at mem/uat (u)%t

*ema(%! &%tam. Ber$a*ar(a! r%*et, *%!ar u)tra9%)et $a'at mera!#*a!#

'em/e!tu(a! me)a!*%t me!a$% )e/%& /a!"a( u!tu( tuua!

'er)%!$u!#a! ter&a$a' (u)%t. Se$a!#(a! %(a (%ta )%&at *e*era!#

mem'u!"a% (u)%t (u!%!# )a!#*at, %!% $%*e/a/(a! ra!# ter*e/utmem%)%(% '%#me! (arte!.

c. Stratum #ra!u)*um, "a!# me!#&a*%)(a! '%#me! +ar!a (u)%t, "a!#

$%*e/ut me)am%!. La'%*a! %!% ter$%r% ata* *e)>*e) &%$u' $a! ter)eta(

'a$a /a#%a! 'a)%!# /a+a& $ar% ar%!#a! e'%$erm%*.$. Stratum #erm%!at%9um, *er%!# $%(ata(a! *e/a#a% *e) &%$u' (are!a

)a'%*a! %!% meru'a(a! )a'%*a! "a!# a(t%- mem/e)a&. Se)>*e)!"a

mem/e)a& (e ara& )uar u!tu( mem/e!tu( *e)>*e) (u)%t ter)uar. Se)>*e)

"a!# /aru ter/e!tu( a(a! me!$r!# *e)>*e) "a!# a$a $% ata*!"a

*e)a!ut!"a *e) %!% u#a a(a! $%$r!# $ar% /a+a& )e& *e) "a!# )e/%&

/aru )a#%. Pa$a *aat "a!# *ama *e)>*e) )a'%*a! 'a)%!# )uar

me!#e)u'a* $a! #u#ur.). 2e"m&s



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Derm%* a$a)a& )a'%*a! (u)%t (e$ua $% /a+a& e'%$erm%*. Jar%!#a! %!% )e/%&

te/a) $ar%'a$a e'%$erm%* "a%tu *e(%tar 3,7 mm. Pe!"u*u! utama $ar%

$erm%* a$a)a& ()a#e! ;'rte%! 'e!#uat*ara- 'e!er%ma ra!#*a!#a! *e!tu&a! ;*e/a#a% *e!*r

'e!er%ma ra!#*a!#a! *e!tu&a! "a!# (emu$%a! a(a! $%(%r%m(a! (e

ta(%! *e'ert% NA $%e(*(re*% me)a)u% (u)%t,

(are!a 'a$a (u)%t ter$a'at (e)e!ar (er%!#at ;(e)e!ar *u$r%-era< "a!#

tre)eta( $% )a'%*a! $erm%* "a!# me!#e)uar(a! 7>0:2 $ar% *e)uru& *%*a

meta/)%*me.

). LATAR ELAKANGHer'e* =*ter te)a& $%(e!a) *ea( =ama! u!a!% (u!. Her'e* =*ter

$%*e/a/(a! )e& 9%ru* "a!# *ama $e!#a! 9ar%*e)a, "a%tu 9%ru* 9ar%*e)a

=*ter.0,3 Her'e* =*ter $%ta!$a% $e!#a! a$a!"a !"er% &e/at u!%)atera) *erta

t%m/u)!"a )e*% 9e*%(u)er "a!# ter/ata* 'a$a $ermatm "a!# $%'er*ara-%

*era/ut *ara- *'%!a) mau'u! #a!#)%! *era/ut *ara- *e!*r%( $a! !er9u*

(ra!%a)%*.6,I!*%$e! &er'e* =*ter ter*e/ar merata $% *e)uru& $u!%a, t%$a( a$a 'er/e$aa!

a!#(a (e*a(%ta! a!tara 'r%a $a! +a!%ta. A!#(a (e*a(%ta! me!%!#(at $e!#a!

'e!%!#(ata! u*%a. D%'er(%ra(a! ter$a'at a!tara 0,6>7 'er 0::: ra!# 'er

ta&u!. Le/%& $ar% 36 (a*u* /eru*%a $% ata* 7: ta&u! $a! (ura!# $ar% 0:2

(a*u* /eru*%a $% /a+a& 3: ta&u!.Pat#e!e*%* &er'e* =*ter /e)um *e)uru&!"a $%(eta&u%. Se)ama tera$%

9ar%*e)a, 9%ru* 9ar%*e)a =*ter /er'%!$a& tem'at $ar% )e*% (u)%t $a! 'ermu(aa!

mu(*a (e uu!# *ara- *e!*r%( $a! $%tra!*'rta*%(a! *ecara *e!tr%'eta)

me)a)u% *era/ut *ara- *e!*r%* (e #a!#)%! *e!*r%*. Pa$a #a!#)%! tera$%

%!-e(*% )ate!, 9%ru* ter*e/ut t%$a( )a#% me!u)ar $a! t%$a( /ermu)t%')%(a*%, teta'%

!Modul Sistem Integumen Lbm 2 Kasus Abses Kulit Kutanius


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teta' mem'u!"a% (emam'ua! u!tu( /eru/a& me!a$% %!-e(*%u*. Her'e*

=*ter 'a$a umum!"a tera$% 'a$a $ermatm *e*ua% $e!#a! )(a*% ruam

9ar%*e)a "a!# ter'a$at. A(t%9a*% 9%ru* 9ar%*e)a =*ter )ate! $%$u#a (are!a(ea$aa! terte!tu "a!# /er&u/u!#a! $e!#a! %mu!*u're*%, $a! %mu!%ta*

*e)u)ar meru'a(a! -a(tr 'e!t%!# u!tu( 'erta&a!a! 'eamu ter&a$a' %!-e(*%

e!$#e!.Km')%(a*% &er'e* =*ter $a'at tera$% 'a$a 0:>072 (a*u*, (m')%(a*% "a!#

ter/a!"a( a$a)a& !eura)#%a 'a*(a &er'et%( "a%tu /eru'a ra*a !"er% "a!#

'er*%*te! *ete)a& (ru*ta ter)e'a*. Km')%(a*% ara!# tera$% 'a$a u*%a $%

/a+a& : ta&u!, teta'% &am'%r 06 (a*u* tera$% 'a$a u*%a $% ata* 1: ta&u!.

Pe!"e/ara! $ar% #a!#)%! "a!# ter(e!a *ecara )a!#*u!# atau )e+at a)%ra!

$ara& *e&%!##a tera$% &er'e* =*ter #e!era)%*ata. Ha) %!% $a'at tera$% )e&

(are!a $e-e( %mu!)#% (are!a (e#a!a*a! atau 'e!#/ata! %mu!*u're*%.

Secara umum 'e!#/ata! &er'e* =*ter mem'u!"a% 6 tuua! utama "a%tume!#ata*% %!9e(*% 9%ru* a(ut, me!#ata*% !"er% a(ut "!a# $%t%m/u)(a! )e& 9%ru*

&er'e* =*ter $a! me!ce#a& t%m/u)!"a !eura)#%a 'a*(a &er'et%(.

*. 2E0INISIHer'e* *ter a$a)a& ra$a!# (u)%t a(ut, mem'u!"a% *%-at (&a* "a%tu

9e*%(e)>9e*%(e)!"a "a!# ter*u*u! /er(e)m'( *e'a!a!# 'er*ara-a! *e!*%(

(u)%t *e*ua% $ermatm. ;Me!urut R.S S%re#ar, 0881, Ha) 81=*ter $ar% %!-e(*%

e!$#e! "a!# te)a& me!eta' $a)am /e!tu( )ate! *ete)a& %!-e(*% 'r%mer )e&9%ru*. ;Me!urut Mar+a)% Hara&a', 3:::, Ha) 83=*ter "a!# me!"era!# (u)%t $a! mu(*a, %!-e(*% %!% meru'a(a!

rea(t%9a*% 9%ru* "a!# tera$% *ete)a& %!-e(*% 'r%mer. ;Me!urut A$&% Dua!$a $((,

0886,Ha) 8

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Her'e* *ter meru'a(a! *uatu 'e!"a(%t "a!# $%*e/a/(a! )e& 9%ru*

9ar%*e)a "a!# /era$a )ate! $% ara* *ara- *e!*r%( *ete)a& 'a*%e! 'u)%& $ar%

9ar%*e)a $a! mu!cu) /e/era'a ta&u! *ete)a& %!-e(*% 9ar%*e)a. ;Me!urutE)%=a/et& J. Cr+%!, Ha) 1:

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4. ETIOLOGI 2AN EPI2IMIOLOGIRea(t%9a*% 9%ru* 9ar%*e)a =*ter, Her'e* =*ter $%*e/a/(a! )e& 9%ru* 9ar%ce))a=*ter. %ru* 9ar%ce))a =*ter ter$%r% $ar% (a'*%$ /er/e!tu( %(*a&e$ra) $e!#a!$%ameter 0::!m. Ka'*%$ ter*u*u! ata* 013 *u/ u!%t 'rte%!>9ar%! "a!#)e!#(a' $e!#a! $%ameter!"a 07:>3::!m, $a! &a!"a 9ar%! "a!# ter*e)u/u!#"a!# /er*%-at %!-e(*%u*. I!-e(*%*%ta* 9%ru* %!% $e!#a! ce'at $%&a!cur(a! )e&/a&a! r#a!%c, $etere!, e!=%m 'rte)%t%(, 'a!a* $a! *ua*a!a P& "a!# t%!##%.Ma*a %!(u/a*%*!"a 0>30 &ar%.E'%$em%)#% Her'e*Data Ka*u* 'e!"a(%t &er'e* =*ter $a! &er'e* #e!%ta)%* Her'e* =*ter tera$%'a$a ra!# "a!# 'er!a& me!$er%ta 9ar%*e)a *e/e)um!"a (are!a 9ar%*e)a $a!&er'e* =*ter $%*e/a/(a! )e& 9%ru* "a!# *ama "a%tu 9%ru* 9ar%*e)a =*ter.Sete)a& *em/u& $ar% 9ar%*e)a, 9%ru* "a!# a$a $% #a!#)%! *e!*r%* teta' &%$u'$a)am (ea$aa! t%$a( a(t%- $a! a(t%- (em/a)% %(a $a"a ta&a! tu/u& me!uru!.Le/%& $ar% 36 u*%a $% ata* 7: ta&u! $a! (ura!# $ar% 0:2 u*%a $% /a+a& 3:ta&u!.De'arteme! 'e!e)%t%a! 'u*at (e*e&ata! Om*te)$ me)a(u(a! 'e!e)%t%a!$e!#a! met$e me!##u!a(a! $ata $ar% 0 Ja!uar% 0881>07 O(t/er 3::7,$%)a(u(a! *tu$% 'a$a ''u)a*% 'e!$u$u( $e+a*a ; 33 ta&u!< $ar% O)m*te$Cu!t", MN, u!tu( me!e!tu(a! ;$e!#a! 'e!%!aua! re(am me$%*< (ea$%a!&er'e* =*ter $a! t%!#(at (m')%(a*% &er'e* =*ter. T%!#(at %!*%$e! $%te!tu(a!)e& u*%a $a! e!%* (e)am%! $a! $%*e*ua%(a! $e!#a! ''u)a*% Amer%(aSer%(at. Ha*%)!"a a$a)a& Se/a!"a( 0.118 'e!$u$u( $e+a*a $e!#a!$%a#!*%* $%(!-%rma*% &er'e* =*ter $%%$e!t%-%(a*% a!tara 0 Ja!uar% 0881 $a!60 De*em/er 3::0. Se/a#%a! /e*ar ;832< $ar% 'a*%e! %mu!(m'ete! $a!1:2 a$a)a& 'erem'ua!. Ket%(a $%*e*ua%(a! $e!#a! ''u)a*% ra!# $e+a*a

Amer%(a Ser%(at, (ea$%a! &er'e* =*ter a$a)a& 6,1 'er 0::: ra!#>ta&u!;872 c!-%$e!ce %!ter9a), 6.>6,4, 0 'er0::: ra!#>ta&u! $ar% 0881 *am'a% 3::0. I!*%$e! &er'e* =*ter $a! t%!#(at(m')%(a*% &er'e* =*ter me!%!#(at $e!#a! u*%a, $e!#a! 12 (a*u* tera$%'a$a ra!# /eru*%a 7: ta&u! (e ata*. Neura)#%a tera$% 'a$a 02 'a*%e!$e+a*a $e!#a! &er'e* =*ter $a! $% 662 $ar% *e!%r0:

5. 0AKTOR RESIKO0< U*%a )e/%& $ar% 7: ta&u!, %!-e(*% %!% *er%!# tera$% 'a$a u*%a %!% a(%/at

$a"a ta&a! tu/u&!"a me)ema&. Ma(%! tua u*%a 'e!$er%ta &er'e*=*ter ma(%! t%!##% 'u)a re*%( ter*era!# !"er%.

3< Ora!# "a!# me!#a)am% 'e!uru!a! (e(e/a)a! ;%mmu!cm'rm%*e$tu)a!#, #ata), 'e#a) $a! *e/a#a%!"a.Sete)a& t%m/u) er%tema "a!#

$a)am +a(tu *%!#(at me!a$% 9e*%(e) "a!# /er(e)m'( $e!#a! $a*ar (u)%t

"a!# er%tema $a! e$ema. e*%(e) %!% /er%*% ca%ra! er!%& (emu$%a! me!a$%

(eru& ;/er+ar!a a/u>a/u

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Se&%!##a me!%m/u)(a! (e)a%!a! 'a$a mata, $%*am'%!# %tu u#a ca/a!#

(e$ua$a! (et%#a me!"e/a/(a! (e)a%!a! (u)%t 'a$a $aera& 'er*"ara-a!!"a.

S%!$rm Ram*a"Hu!t $%a(%/at(a! )e& #a!##ua! !er9u* -a*a)%* $a! t%(u*

*e&%!##a me!"e/a/(a!'e!#e)%&ata! #a!$a 'ara)%*%* tt mu(a ;Para)%*%* Be))

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6 Le*% $%mu)a% $e!#a! macu)a er%tr*(uam*a, (emu$%a! ter/e!tu( 'a'u) 5

'a'u) $a! $a)am +a(tu 0353 am )e*% /er(em/a!# me!a$% 9e*%(e). Pa$a

&ar% (et%#a/eru/a& me!a$% 'a*tu) "a!# a(a! me!#er%!# me!a$% (ru*ta

$a)am 45 0: &ar%.Kru*ta $a'at /erta&a! *am'a% 35 6 m%!##u (emu$%a!

me!#e)u'a*. Pa$a *aat %!%!"er% *e#me!ta) u#a me!#&%)a!#. Le*% /aru $a'at teru* mu!cu) *am'a% &ar% (e $a! (a$a!#5 (a$a!#

*am'a% &ar% (e4.7 Eru'*% (u)%t "a!# /erat $a'at me!%!##a)(a! macu)a &%'er'%#me!ta*% $a!

ar%!#a! 'arut ;'%tte$ *car(%ra 0>3 m%!##u 9%ru* /er$%am $% #a!#)%! '*ter%r

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1!Modul Sistem Integumen Lbm 2 Kasus Abses Kulit Kutanius


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1"Modul Sistem Integumen Lbm 2 Kasus Abses Kulit Kutanius


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-. PATHA1 HERPES ZOSTER

. PEMERIKSAAN PENUNJANG

2#Modul Sistem Integumen Lbm 2 Kasus Abses Kulit Kutanius


KERUSAKAN

INTEGRITAS

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lbm 3 kel.3 fix

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