Sabtu, 12 Juni 2010

Serumen Prop

Gangguan telinga yang umum dialami oleh semua orang adalah ambang pendengaran yang berkurang akibat penumpukkan serta pengerasan serumen di antara telinga sampai dengan gendang telinga atau selaput Timpani. Akibat dari penumpukkan serumen ini bila segera dibersihkan akan mengakibatkan terjadinya infeksi.
Untuk mengatasi gangguan tersebut diperlukan suatu tindakan untuk membersihkan serumen,yang biasa dilakukan oleh Dokter THT, disamping tindakan tersebut ada tindakan yang biasa dilakukan oleh perawat atas instruksi Dokter yaitu Tindakan Spooling Telinga.
Dalam melakukan tindakan Spooling ada beberapa hal yang harus diketahui oleh perawat sebelum melakukan tindakan keperawatan, antara lain :

1. Pasien tidak mempunyai riwayat sakit telinga (Infeksi telinga) yang menyebabkan rupture gendang telinga.
2. Pasien tidak sedang mengalami sakit telinga.

Prosedur Tindakan Spooling (Irigasi) telinga adalah ;

Persiapan Alat :
1. Alat Spooling atau Spuit 20 cc.
2. Kom berisi airhangat kuku secukupnya.
3. Bengkok untuk menampung kotoran telinga.
4. Handuk sebagai alas pelindung .
5. Sarung tangan disposable.
6. Otoscope
7. Cotton bud secukupnya.
8. Cairan NaCl hangat.
9. Cairan H2O2 3 %.dalam tempatnya.


Persiapan pasien :
1. Jelaskan kepada pasien mengenai tindakan yang akan dilakukan, dan minta kepada pasien agar bersikap kooperatif.
2. Posisikan pasien dengan terlentang dan kepala miring ke sisi berlawanan dengan telinga yang akan dibersihkan
Tindakan :
1. Tetesi telinga pasien dengan H2O2 3 %
2. Tunggu sampai kotoran hancur atau larut kira-kira 10 – 15 menit.
3. Tempatkan bengkok dibawah telinga yang dibersihkan, dan beri alas handuk untuk mencegah tetesan air mengenai pasien.
4. Perintahkan pasien agar bangun dan duduk tegak
5. Semprot telinga pasien dengan Cairan NaCl hangat secara perlahan sampai telinga bersih.
6. Rapihkan peralatan dan kembalikan ketempat semula

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Word of the Day

swerve discuss

Definition:(verb) Turn sharply; change direction abruptly.
Synonyms:sheer, slue, trend, veer, curve, cut
Usage:The driver had to swerve to avoid hitting a deer and nearly lost control of his car in the process.

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Sophocles
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