Pemberian-Obat-Secara-Topikal.doc

Untuk Memenuhi Salah Satu Tugas Mata Kuliah Keperawatan Dasar

Disusun Oleh  

: Rheka Permatahati (1606141440104! " #$u Sekar Sekar Rini (1606141440106% " K&'#S 1

#K#D&M) K&P&R#*#T#+ 1, K#R#+-#+.#R 

/016/01,

P&M&R)#+ O#T S&#R# TOP)K#' PEMBERIAN OBAT SECARA TOPIKAL

1. Definisi Pemberian obat secara topia! a"a!a# memberian obat secara !oa! pa"a $!it ata$ pa"a membrane pa"a area mata% #i"$n&% !$ban& te!in&a% 'a&ina "an rect$m. (. T$)$an T$)$an "ari pemberian obat topia! secara $m$m a"a!a# $nt$ mempero!e# reasi !oa! "ari obat terseb$t. *. Macam + macam pemberian obat topia! a. Pemberian obat topia! pa"a $!it 1, Pen&ertian Pemberian obat secara topica! a"a!a# memberian obat secara !oa! pa"a $!it. (, T$)$an T$)$an "ari pemberian obat secara topica! pa"a $!it a"a!a# $nt$ mempero!e# reasi !oa! "ari obat terseb$t *, Persiapan a!at a, Obat topica! ses$ai -an& "ipesanan " ipesanan rim% !otion% aeroso!% b$b$% spra-,  b, B$$ obat c, Kassa eci! steri! ses$ai eb$t$#an, ", Sar$n& tan&an e, Li"i apas ata$ ton&$e spate! f, Basom "en&an air #an&at% /as!ap% #an"$ "an sab$n basa# &, Kassa ba!$tan% pen$t$p p!astic "an p!ester ses$ai eb$t$#an, 0, Prose"$r er)a a, Ce instr$si "oter $nt$ memastian nama obat% "a-a er)a "an tempat pemberian.  b, C$ci tan&an c, At$r pera!atan "isampin& tempat ti"$r !ien  !ien ", T$t$p &or"en ata$ pint$ r$an&an e, I"entifiasi !ien secara tepat f, Posisian !ien "en&an tepat "an n-aman% pastian #an-a memb$a area -an& aan "iberi obat &, Inspesi on"isi $!it. C$ci area -an& sait% !epasan sem$a "ebris "an era pa"a $!it #, Kerin&an ata$ biaran area erin& o!e# $"ara i, Bi!a $!it ter!a!$ erin& "an men&eras% &$naan a&en topia!  ), $naan sar$n& tan&an bi!a a"a in"iasi , O!esan a&en topica! 2 1, Krim% sa!ep "an !osion -an& men&an"$n& min-a  a, Letaan sat$ sampai "en&an "$a sen"o te# obat "i te!apa tan&an em$"ian !$naan "en&an men&&oso !emb$t "iantara e"$a tan&an b, 3sapan merata "iatas perm$aan $!it% !a$an &eraan meman)an& seara#  pert$mb$#an b$!$.

c, 4e!asan pa"a !ien ba#/a $!it "apat terasa bermin-a sete!a# pemberian (, Lotion men&an"$n& s$spensi a, Koco /a"a# "en&an $at b, O!esan se)$m!a# eci! !otion pa"a assa ba!$tan ata$ banta!an eci! c, 4e!asan pa"a !ien ba#/a area aan terasa "in&in "an erin&. *, B$b$  a, Pastian ba#/a perm$aan $!it erin& secara men-e!$r$# b, Re&an&an "en&an bai !ipatan ba&ian $!it seperti "iantara ib$ )ari ata$ ba&ian  ba/a# !en&an c, B$b$#an secara tipis pa"a area -an& bersan&$tan 0, Spra- aeroso! a, Koco /a"a# "en&an eras b, Baca !abe! $nt$ )ara -an& "ian)$ran $nt$ meme&an& spra- men)a$#i area biasan-a 156*7 cm, c, Bi!a !e#er ata$ ba&ian atas "a"a #ar$s "isemprot% minta !ien $nt$ mema!in&an /a)a# "ari ara# spra-. ", Semprotan obat "en&an cara merata pa"a ba&ian -an& sait !, Rapian emba!i pera!atan -an& masi# "ipaai% b$an& pera!atan -an& s$"a# ti"a "i&$naan pa"a tempat -an& ses$ai. m,C$ci tan&an  b. Pemberian obat mata 1, Pen&ertian Pemberian obat me!a!$i mata a"a!a# memberi obat e"a!am mata ber$pa cairan "an sa!ep. (, T$)$an a, 3nt$ men&obati &an&&$an pa"a mata  b, 3nt$ men"i!atasi p$pi! pa"a pemerisaan str$t$r interna! mata c, 3nt$ me!ema#an otot !ensa mata pa"a pen&$$ran refrasi mata ", 3nt$ mence&a# eerin&an pa"a mata *, Persiapan a!at a, Boto! obat "en&an penetes steri! ata$ sa!ep "a!am t$be ter&ant$n& )enis se"iaan obat,  b, B$$ obat c, Bo!a apas erin& steri! st$ppers, ", Bo!a apas basa# norma! sa!in, steri! e, Basom c$ci "en&an air #an&at f, Pen$t$p mata bi!a per!$, &, Sar$n& tan&an (, Prose"$r er)a a, Ce instr$si "oter $nt$ memastian nama obat% "a-a er)a "an tempat pemberian.  b, C$ci tan&an "an &$naan sar$n& tan&an c, I"entifiasi !ien secara tepat ", 4e!asan prose"$r pen&obatan "en&an tepat e, At$r !ien "en&an posisi ter!entan& ata$ "$"$ "en&an #iperetensi !e#er  f, Paai sar$n& tan&an &, Den&an apas basa# steri!% bersi#an e!op mata "ari "a!am e!$ar 

#, Minta !ien $nt$ me!i#at e !an&it 6 !an&it i, Tetesan obat tetes mata 2 1, Den&an tan&an "ominan an"a "i "a#i !ien% pe&an& penetes mata -an& terisi obat $ran& !ebi# 16( cm 7%5 + 7%85 inci, "iatas sac$s on)$n&ti'a. Sementara )ari tan&an non "ominan menari e!opa mata eba/a#. (, Tetesan se)$m!a# obat -an& "iresepan e"a!am sac$s on)$n&ti'a. Sac$s on)$n&ti'a norma! mena#an 16( tetes. Menetesan obat tetes e "a!am sac$s memberian pen-ebaran obat -an& merata "i se!$r$# mata. *, Bi!a !ien bere"ip ata$ men$t$p mata ata$ bi!a tetesan )at$# e pin&&ir !$ar e!opa mata% $!an&i prose"$r  0, Sete!a# menetesan obat tetes% minta !ien $nt$ men$t$p mata "en&an per!a#an 5, Berian teanan -an& !emb$t pa"a "$t$s naso!arima! !ien se!ama *7697 "eti   ), Memas$an sa!ep mata 2 1, Pe&an& ap!iator sa!ep "iatas pin&&ir e!opa mata% pencet t$be se#in&&a memberian a!iran tipis sepan)an& tepi "a!am e!opa mata ba/a# pa"a on)$n&ti'a. (, Minta !ien $nt$ me!i#at eba/a# 1, Memb$a e!opa mata atas (, Berian a!iran tipis sepan)an& e!opa mata atas pa"a on)$n&ti'a ba&ian "a!am *, Biaran !ien meme)aman mata "an men&&oso e!opa mata secara per!a#an "en&an &eraan sir$!er men&&$naan bo!a apas. , Bi!a ter"apat e!ebi#an obat pa"a e!opa mata% "en&an per!a#an $sap "ari ba&ian "a!am e !$ar ant$s !, Bi!a !ien memp$n-ai pen$t$p mata% pasan& pen$t$p mata -an& bersi# "iatas pa"a mata -an& sait se#in&&a se!$r$# mata ter!in"$n&i. P!ester "en&an aman tanpa memberian peneanan pa"a mata. m,Lepasan sar$n& tan&an% c$ci tan&an "an b$an& pera!atan -an& s$"a# "ipaai n, Catat obat% onsentrasi% )$m!a# tetesan% /at$ pemberian "an mata iri% anan ata$ e"$a "$an-a, -an& menerima obat. c. Pemberian obat tetes te!in&a 1, Pen&ertian Memberian obat pa"a te!in&a me!a!$i ana! esterna!% "a!am bent$ cair. (, T$)$an a, 3nt$ memberian effe terapi !oa! men&$ran&i pera"an&an % memb$n$# or&anisme  pen-ebab infesi pa"a ana! te!in&a esterna!,  b, Men&#i!an&an n-eri c, 3nt$ me!$naan ser$men a&ar m$"a# $nt$ "iambi! *, Persiapan a!at a, Boto! obat "en&an penetes steri! a, B$$ obat  b, Cotton b$" c, Norma! sa!in ", Sar$n& tan&an 0, Prose"$r er)a a, Ce emba!i pen&obatan% /at$% )$m!a# "an "osis serta pa"a te!in&a ba&ian mana obat #ar$s "iberian.  b, Siapan !ien

1, I"entifiasi !ien "en&an tepat "an tan-aan naman-a (, Se"iaan asisten bi!a "iper!$an% $nt$ mence&a# ci"era pa"a ba-i "an ana eci! *, At$r posisi !ien mirin& esampin& si"e !-in&, "en&an te!in&a -an& aan "iobati pa"a  ba&ian atas. c, Bersi#an "a$n te!in&a "an !$ban& te!in&a 1, $naan sar$n& tan&an bi!a "ic$ri&ai a"a infesi (, Den&an men&&$naan cotton b$" -an& "ibasa#i cairan% bersi#an "a$n te!in&a "an meat$s a$"itor", :an&atan obat "en&an tan&an an"a ata$ ren"am obat e "a!am air #an&at "a!am /at$ -an& sin&at e, Tari "a$n te!in&a eatas "an ebe!aan& $nt$ "e/asa "an ana6ana "iatas * ta#$n,% tari "a$n te!in&a eba/a# "an ebe!aan& ba-i, f, Mas$an se)$m!a# tetes obat -an& tepat sepan)an& sisi ana! te!in&a &, Berian peneanan -an& !emb$t beberapa a!i pa"a tra&$s te!in&a #, Minta !ien $nt$ tetap bera"a pa"a posisi mirin& se!ama 5 menit. i, Ka)i respon !ien Ka)i pa"a arater "an )$m!a# pen&e!$aran% a"an-a eti"an-amanan "an !ain seba&ain-a. La$an se&era sete!a# obat "imas$an "an $!an&i pa"a saat efe obat te!a#  beer)a.  ), Rapian a!at "an b$an& pera!atan -an& s$"a# ti"a "ipaai , Do$mentasian sem$a tin"aan ". Pemberian obat tetes #i"$n& 1, Pen&ertian Memberian obat tetes me!a!$i #i"$n& (, T$)$an a, 3nt$ men&enceran seresi "an memfasi!itasi "rainase "ari #i"$n&  b, Men&obati infesi "ari ron&&a #i"$n& "an sin$s *, Persiapan a!at a, Boto! obat "en&an penetes steri!  b, B$$ obat c, Sar$n& tan&an 0, Prose"$r er)a a, Ce emba!i pen&obatan% /at$% )$m!a# "an "osis serta pa"a te!in&a ba&ian mana obat #ar$s "iberian.  b, Siapan !ien 1, I"entifiasi !ien "en&an tepat "an tan-aan naman-a (, Se"iaan asisten bi!a "iper!$an% $nt$ mence&a# ci"era pa"a ba-i "an ana eci! *, At$r posisi !ien berbarin& s$pinasi "en&anepa!a #iperestensi "iatas banta! $nt$  pen&obatan sin$s et#moi" "an sp#enoi", ata$ posisi s$pinasi "en&an epa!a #iperetensi "an mirin& esampin& $nt$ pen&obatan sin$s masi!aris "an fronta!, c, Bersi#an !$ban& te!in&a ", $naan sar$n& tan&an bi!a "ic$ri&ai a"a infesi e, Mas$an se)$m!a# tetes obat -an& tepat pa"a ba&ian ten&a# ona s$perior t$!an& etmoi"a!is f, Minta !ien $nt$ tetap bera"a pa"a posisi ini se!ama 1 menit &, Ka)i respon !ien

Ka)i pa"a arater "an )$m!a# pen&e!$aran% a"an-a eti"an-amanan "an !ain seba&ain-a. La$an se&era sete!a# obat "imas$an "an $!an&i pa"a saat efe obat te!a#  beer)a. #, Rapian a!at "an b$an& pera!atan -an& s$"a# ti"a "ipaai i, Do$mentasian sem$a tin"aan e. Pemberian obat me!a!$i 'a&ina 1, Pen&ertian Memberian se)$m!a# obat e "a!am 'a&ina (, T$)$an a, 3nt$ men&obati infesi pa"a 'a&ina  b, 3nt$ men&#i!an&an n-eri% rasa terbaar "an eti"an-amanan pa"a 'a&ina c, 3nt$ men&$ran&i pera"an&an *, Persiapan a!at a, Obat ses$ai -an& "iper!$an cream% )e!!-% foam% ata$ s$ppositoria  b, Ap!iator $nt$ rim 'a&ina c, Pe!$mas $nt$ s$ppositoria ", Sar$n& tan&an e, Pemba!$t f, :an"$ bersi# &, Kor"en;pembatas;setse! 0, Prose"$r er)a a, Ce emba!i or"er pen&obatan% men&enai )enis pen&obatan% /at$% )$m!a# "an "osis  b, Siapan !ien 1, I"entifiasian !ien "en&an tepat "an tan-aan naman-a (, 4a&a pri'asi% "an minta!a# !ien $nt$ beremi# ter!ebi# "a#$!$ *, At$r posisi !ien berbarin& s$pinasi "en&an ai f!esi "an pin&&$! s$pinasi esterna! 0, T$t$p "en&an se!im$t man"i "an espose #an-a pa "a area perinea! sa)a. c, Paai sar$n& tan&an ", Inspesi orifisi$m 'a&ina% catat a"an-a pen&e!$aran% ba$ ata$ rasa -an& ti"a n-aman e, La$an tin"aan pera/atan perine$m f, S$ppositoria 1, B$a b$n&$s a!$m$ni$m foi! s$positoria "an o!esan se)$m!a# pe!$mas -an& !ar$t "a!am air pa"a $)$n& s$positoria -an& b$!at "an #a!$s. L$masan )ari te!$n)$ -an& te!a# "ipasan& sar$n& tan&an "ari tan&an "ominan. (, Den&an tan&an non "ominan -an& s$"a# terpasan& sar$n& tan&an% re&an&an !ipatan !abia *, Mas$an s$ppositoria seitar