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SKENARIO KASUS TUGAS NCLEX ALAT DAN BAHAN : 1. 2. 3. 4.

BABY TIMBANGAN BABY LEMBAR IMUNISASI ALAT UKUR PANJANG BADAN SKENARIO : Pada suatu hari sepasang suami istri datang ke puskesmas untuk memeriksakan anaknya yang berusia 7 hari karena mengalami demam, sering rewel dan tidak mau menghisap ASI. Pasangan suami istri merasa khawatir dengan kondisi anaknya dan kemudian membawa ke puskesmas. Riwayat persalinan spontan, anak yang pertama, persalinan di bantu dukun bayi di desanya. Sebelumnya belum pernah mengontrol anaknya dan belum mendapat imunisasi, orang ua beranggapan bahwa immunisasi dapat membuat anaknya semakin sakit karena melihat tetangganya yang anaknya mendapat imunisasi kemudian demam. Orang tua beranggapan

An 26 years old women have just delivered a healthy baby. The nurse will give the baby Hepaitis B immunization but when the nurse will ask the parents to give a signature on the informed consent letter, they reject. Based on their belief, they argue the vaccination is a process giving the body with something that will poison or harm the body. They construct an analog that vaccination process is similar with Sending a hostile to the innocent body for one purpose of creating the army. They believe that it just doesnt make a sense. Vaccine BCG DPT Polio Measles Hepatitis B TT 0,05cc 0,5cc 2 drips 0,5cc 0,5cc 0,5cc Dosage Methode Intracutan, right of incercio musculo deltoideus Intramuscular Oral drip Subcutan, right arm Intramuscular, out of thigh Intramuscular, musculo deltoideus

Source of Reference : Indonesian Health of department, 2000 Vacccine BCG DPT Polio Measles Hepatitis Immunization of degree 1 time 3 times 4 times 1 time 3 times Range of time 4 weeks 4 weeks 4 weeks 4 weeks Age 0-11 months 2-11 months 0-11 months 9-11 months 0-11 months Explanationn For baby with new born in the hospital, local government clinic give Hepatitis B, BCG and polio can be gave

early

Immunization is eforts to do something by intentional with a purpose to give of immune for baby or children so that them can avoid from disease. ( Indonesian health of department, 2000 ) Base of law in immunization :

1. Law number 23th, 1992 about health 2. Law number 4th, 1984 about contaminate of epidemic disease 3. Serve of health ministry number 1611/helath ministry/serve receipt/XI/2005 about manual implementation of immunization

Vaccine BCG

Contents Bacillus CalmetteGuerrin bacteria of life but the bacteria have been weaked

Contraindication Immune disorder ( e.g. leukimia, HIV )

DPT / 3 in 1 ( difteria, pertusis, tetanus Polio

Pertusis bacteria, diphteria toxoid IPV (Inactivated Polio Vaccine, Vaksin Salk) and (Oral Polio Vaccine, Vaksin Sabin) from polio virus have been weaked Measles virus have been weaked

Reaction Erytema in area ijection, small lump and tight then become to pustula, ulcus ( 812 weeks ) and become to scrape tissue Fever, convulsion ( 1% incident ), pain Pain and erytema

Pregnancy, diarrhea, immune disorder

Measles

Hepatitis B

Protein from hepatitis virus

Acute infection, immune disorder, allergy with egg protein, pregnancy -

Fever, diarrhea, skin eruption

Fever, pain, listless, nausea

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