eliminasi urine
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eliminasi urinTRANSCRIPT
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Eliminasi Urine
UNIVERSITAS MUHAMMADIYAH MALANG
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Eliminasi Urine
1. Anatomi & Fisiologi System Urinary
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1) Ren
2) Ureter
TDD :
3) Vesica urinaria
4) Uretra
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Ginjal
Fungsi Ginjal
• Mengatur keseimbangan cairan tubuh
• Mengatur keseimbangan elektrolit
• Pengaturan konsentrasi garam dalam darah & keseimbangan asam-basa
• Ekskresi bahan buangan & hasil metabolisme
• Fungsi hormonal & metabolisme
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Sekresi urine & mekanisme fungsi ginjal
• Filtrasi glomerolus
• Reabsorbsi tubula
• Ekskresi tubula
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Komposisi urine normal
• Air : 96 %
• Larutan : 4 %
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Ureter
• 2 Ureter tebal : setebal tangkai bulu angsa
• P : 35 – 40 cm
• Dinding luar Fibrus
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Vesika Urinaria
• Bentuk : seperti buah pir / kendi
• Letak : di dlm panggul besar diantara simfisis, pubis, uterus & vagina
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Urethra
• Sebuah saluran dari bladder ke lubang luar dilapisi membrane mukosa
• Meatus urinarius serabut otot lingkar S.urethra
• P : Wanita : 2,5 – 3,5 cm
Pria : 17 – 22,5 cm
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Mekanisme berkemihBerkemih pros. O v.urinaria
Menekan v.u
Syaraf2 sensorik (ddg v.u) bag. Reseptor
Med. Spinalis (di kortex cerebral)
Neuromotorik (di daerah sacral) kontraksi otot detrusor – relaksasi otot s. interna
urine dilepas di v.u
1-2 liter/hari berkemih (S. eksternal)
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Faktor-faktor yang mempengaruhi miksi
• Tingkat perkembangan
• Toilet training
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To be cont….
• Stress psikologik
• Makanan & cairan/diet & intake
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To be cont….
• Kebiasaan hidup/pola hidup
• Hal yg fisiologis
• Tingkat aktifitas
• Kondisi patologik
• Medikasi/obat-obatan
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Asuhan Keperawatan
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Pengkajian
• Pengumpulan data
• Pemeriksaan fisik dan saluran perkemihan
• Pemeriksaan penunjang
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Pengkajian karakteristik urine
• Warna
• Bau
• Turbidity/kekeruhan
• Ph
• Berat jenis
• Jumlah
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To be cont…
• Anamnesa
• Keluhan utama
• Masalah/keluhan sesuai dengan persepsi pasien
• Upaya atau bantuan yang telah/biasa dilakukan
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Pemeriksaan fisik
• Inspeksi
• Palpasi
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Beberapa masalah yg mungkin timbul dalam pemeriksaan adalah :
• K menolak pemeriksaan
• Klien pria mengalami ereksi
• Adanya beberapa masalah/kelainan pada pasien
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Problem umum sistem urinary
1. Anuria
2. Dysuria
3. Glucosuria
4. Eneuresis
5. Hematuria
6. Incontinentia urine
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Ada 2 pemikiran spesifik untuk membedakan incontinentia
• Stress incontinentia
• Urge incontinentia
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To be cont…
7. Oliguria
8. Proteinuria – albuminuria
9. Polyuri / dysuria
10. Pyuria
11. Urinary supression
12. Retensio urine
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Diagnosa keperawatan
• Perubahan pola eliminasi urine
• Potensial gangguan integritas kulit
• Perubahan rasa nyaman (nyeri, panas, risih)
• Keidaktahuan pasien
• Potensial terjadinya infeksi
• Gangguan keseimbangan cairan (kurang/lebih)
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To be cont…
• Gangguan konsep diri (self esteem)
• Gangguan psikologis (cemas/takut)
• Dysfungsi seksual
• Ketidakmampuan / kurangnya perawatan diri (toileting)
• Gangguan dalam aktivitas sehari-hari
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Good Bye………….
Da……da…da………….