askep cedera kepala ringan

7/21/2019 Askep Cedera Kepala Ringan

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askep cedera kepala ringan

ASUHAN KEPERAWATAN PADA KLIEN TN. A DENGANCEDRA KEPALA RINGAN DI RUANG PERAWATAN NEUROLOGI

LANTAI VIII RSUD KOJA JAKARTA UTARA

DI SUSUN OLEH : KELOMPOK 1 ( SATU )

ABDUL MUHAMAD

DWI TARBIYATUL M

NOVITA SARI

SEPTI SUSANTI

AKADEMI KEPERAWATAN HUSADA KARYA JAYA

JAKARTA

TAHUN 2013Kata Pengantar

P!" #$%& %'" '*!'+%'* %,'-' T'* Y'*/ M'' E#' %'&,*' '+'# ,&%'+' -'* %'&*"'*$'

%'" -''+ ,*$,,#'"%'* +/'# '%'' KEPERAWATAN MEDIKAL BEDAH $'*/

,&!- A#'* K,,&'4'+'* '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/'*

N,&55/" L'*+'" VIII RSUD K5!' J'%'&+' U+'&'6.

http://abdulmuhamadcliquers676.blogspot.com/2013/03/askep-cedera-kepala-ringan.html

http://abdulmuhamadcliquers676.blogspot.com/2013/03/askep-cedera-kepala-ringan.html



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J'%'&+'8 2 J'*'&" 2013

P,*$#*

DAFTAR ISI

KATA PENGANTAR ................................................................................ "

DAFTAR ISI ................................................................................................ ""

BAB I PENDAHULUAN

A. L'+'& B,'%'*/ M'#'' ............................................................................. ..... 1

B. T!'* P,*"#'* ..................................................................................... ..... 2

1. T!'* U ........................................................................................ 2



2. T!'* K## ................................................................................... ..... 2

C. R'*/ L"*/% ........................................................................................ ..... 2

D. M,+5-, P,*"#'* .................................................................................... ..... 2

E. S"#+, M'+"%' P,*"#'* .......................................................................... ..... 3

BAB II TINJAUAN TERI

A. P,*/,&+"'* ................................................................................................ ......

B. E+"55/" ................................................................................................... .......

C. P'+59"#"55/" ............................................................................................. .......

1. P&5#,# P,*$'%"+ ............................................................................... .......

2. M'*"9,#+'#" K"*"# ........................................................................... ........ ;

3. K5"%'#" ...................................................................................... ........ ;D. P,*'+''%#'*''* M,-"# ................................................................................ ........ ;

E. P,*/%'!"'* K,,&'4'+'* ............................................................................. ........ <

1. P,*/%'!"'* 9"#"% .......................................................................... ........ @

2. T,+# D"'/*5#+"% .......................................................................... ........

. D"'/*5#' K,,&'4'+'* ................................................................................ ........

G. P,&,*7'*''* K,,&'4'+'* ............................................................................ ........

H. P,'%#'*''* K,,&'4'+'* ........................................................................... ........ 12

I. E''#" K,,&'4'+'* ................................................................................. ........ 13

BAB III TINJAUAN KASUS

A. P,*/%'!"'* K,,&'4'+'* ....................................................................... ... 1

B. D"'/*5#' K,,&'4'+'* .......................................................................... ... 21

C. P,&,*7'*''* K,,&'4'+'* ...................................................................... ... 21

D. P,'%#'*''* K,,&'4'+'* ....................................................................... ... 22

E. E''#" K,,&'4'+'* ........................................................................... .... 2;

BAB I! PE"BAHASAN

A. P,*/%'!"'* K,,&'4'+'* ............................................................................ ..... 2

B. D"'/*5#' K,,&'4'+'* ............................................................................. ...... 2

C. P,&,*7'*''* K,,&'4'+'* .......................................................................... ...... 2

D. P,'%#'*''* K,,&'4'+'* ........................................................................... ...... 2

E. E''#" K,,&'4'+'* .............................................................................. ...... 2

BAB ! PENUTUP

A. K,#"'* ............................................................................................ ...... 30



B. S'&'* .................................................................................................... ...... 30

Da#tar P$staka

BAB I

Penda%$l$an

A& Latar Belakang&

C,-,&' %,'' ,&'%'* #'' #'+ ,*$,' %,'+"'* -'* %,7'7'+'* +'' '-'

%,55% #"' &5-%+"9 -'* #,'/"'* ,#'& +,&!'-" '%"'+ %,7,'%''* ' "*+'#. ( M'*#!5,&8

200@: 3).

D" -*"' -",&%"&'%'* #,'*$'% 182 !+' !"4' *$'4' ,'$'*/ #,+"' +'**$'

#,'/'" '%"'+ %,7,'%''* ,&5+5&8 -",&%"&'%'* #,%"+'& 08308;F ,*/''" 7,-,&' %,''.

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%,*-'&''* ,&5+5& -'* %,7,'%''* '*#"'. (S,8 200).

D",&%"&'%'* 100.000 5&'*/ ,*"*//' #,+"' +'**$' -'* ," -'&" @00.000

,*/''" 7,-,&' 7% ,&'+ $'*/ ,,&%'* ,&'4'+'* -"&' #'%"+8 -' ,&+"/'

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," -'&" #,+,*/' #,' '#",* 7,-,&' %,'' ,*$'" #"/*"9"%'#" +,&'-' 7,-,&'

'/"'* + '"*$'. ( S,+,& '*- '&,8 2002 ).



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%,''8 ,,&'' ,*,"+"'* ,*,%'* '4' 3F '#",* 7,-,&' ,*/''" accute post

traumatik headeche (ATPH) -,*/'* /,!'' '"*/ #,&"*/ '-' -',&' 9&5*+' -'* +"-'% '-'

*/'*$' -,*/'* ,&'+ %' 7,-,&' (W'+,& ,+ '8 200;)8 !/' -"%'+'%'* 5, O#"*#%$

(200) '4' '#",* +&'' %,'' &"*/'* '%'* ,*/''" *$,&" '-' "*// ,&+''

#,+,' +&''8 12 -'&" 33 (3<F)8 -'&" '#" ,*,"+"'* #,,*$' !/' ,**!%'* '4'

-'&" 2@ '#",* 7,-,&' %,'' ,*/''" *$,&" %,'' 3 '&" #''" 1 ""*// 33F.

( B,%%,*- '*- S',#,*8 2002 ).

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,"+" -,5'&"#'#" #'&'98 ,*/,'&'* '#' '"*5 '-' *,&5 +&'*#"+,& $'*/ ,&,"'*8

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%,'' &"*/'* +,&-''+ ,,&'' +", $'"+ : *$,&" %,'' "/&'"*,8 *$,&" %,'' %#+,&8 *$,&"

%,'' 7,&7"75/,*"% -'&" '#" ,*,"+"'* -"-''+%'* '#" 3@ F '#",* ,*/''" *$,&"

%,'' +,*#"5*8 2@ F "/&'"*, -'* 1 F 7,&7"75/,*"% -'* /,!'' *$,&" '%'* +,&# -"''"

5, '#",* #''" 1 +'*. ( L,*',&+# '*- C578 200 ).

B& T$'$an&

(& T$'$an $)$)&

D"'&'%'* ''#"#4' ,*/,&+" +,*+'*/ '#'* %,,&'4'+'* -,*/'* 7,-,&' %,'' &"*/'*.*& T$'$an k%$s$s&

'. M' ,'%%'* ,*/%'!"'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.

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7. M' ,&,*7'*'%'* '#'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.

-. M' ,'%#'*'%'* +"*-'%'* %,,&'4'+* '-' %",* -,*/'* 7,-,&' %,''.

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'+,&*'+"9 ,,7''* '#'' '-' %",* -,*/'* 7,-,&' %,''.

. M' ,*-5%,*+'#"%'* '#'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.

+& R$ang Lingk$p&

P,*"# ,'+'#" "*/% ''#'**$' '-' #'+ %'## $'"+ A#'* %,,&'4'+'*

'-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/ N,&55/" RSUD K5!' J'%'&+'

U+'&'8 M'" +'*//' 1 D,#,,& 2012 #''" 21 -,#,,& 2012.

D& "et,de Pen$lisan.



P,*"# '%'' "*" ,*//*'%'* ,+5-, -,#%&"+"98 -,*/'* ,*//*'%'* +,%*"%

,*/'* -'+' ,'" #+-" %,#+'%'*. D'' ,+5-, -,#%&"+"9 ,*-,%'+'* $'*/

-"/*'%'* '-'' #+-" %'## -" '*' ,*"# ,*/,5' #'+ %'## ,*//,*%'* &5#,#

%,,&'4'+'*8#,-'*/%'* #,+-" %,#+'%''* $'"+ -,*//'* ,'7' ''* ""' $'*/

,&*//'* -,*//'* !- '%'' $/ -" '" -'&" ,&'7''7' #,&.

E& Siste)atika Pen$lisan.

A-'* #"#+,'+"%' ,*"#'* '%'' "*" $'"+ +,&-"&" -'&" ; BAB8 $'"+ BAB I

,*-''*8 '/"'* "*" +,&-"&" -'&" '+'& ,'%'*/8 +!'*8 &'*/ "*/%8 ,+5-, ,*"#'*

-'* #"#+,'+"%' ,*"#'*8 BAB II T"*!''* +,5&"+"#8 '/"'* "*" +,&-"&" -'&" ,*/,&+"'* 7,-,&'

%,''8 ,+"55/"8 '+59"#"55/" ( &5#,# ,&!''*'* ,*$'%"+8 '*"9,#+'#" %"*"# -'*

%5"%'#" )8 ,*'+''%#'*''* ,-"# -'* '#'* %,,&'4'+'* $'*/ -"'" -'&" ,*/%'!"'*

9"#"%8 +,+# -"'/*5#+"%8 -"'/*5#'8 ,&,*7'*''*8 ",,*+'#" -'* ,''#". S,'*!+*$' BAB III

T"*!''* %'##8 '/'"'* "*" +,&-"&" -'&" : ,*/%'!"'*8 -"'/*5#' %,,&'4'+'*8 ,&,*7'*''*8

",,*+'#" -'* ,''#". BAB IV ,''#'*8 '/"'* "*" ,''# +,*+'*/ %,#,*!'*/'*

= %,#,*!'*/'* $'*/ +,&!'-" '*+'&' +,5&" -'* %'##8 $'*/ -"'" '" -'&" ,*/%'!"'*8

-"'/*5#' %,,&'4'+'*8 ,&,*7'*''*8 ,'%#'*''* -'* ,''#". BAB V ,*+ ,"+"

%,#"'* -'* #'&'*.

BAB II

TINJAUAN TERI



A& Pengertian.

C,-,&' %,'' &"*/'* '-'' "'*/*$' 9*/#" *,&55/$ '+' ,*&**$' %,#'-'&'*

+'*' ,*$,'%'* %,&#'%'* '"**$' (S,+,&8 2002).

C,-,&' %,'' &"*/'* '-'' +&'' %,'' -,*/'* GCS: 1; (#'-'& ,*) +"-'% '-'

%,"'*/'* %,#'-'&'*8 ,*/, #"*/ -'* *$,&" %,''8 ,'+5'8 '#,&'#" -'* '&'#"

(M'*#!5,&8 2000).

C,-,&' %,'' &"*/'* '-'' 7,-,&' %,'' +,&++ $'*/ -"+'*-'" -,*/'* "'*/*$'

%,#'-'&'* #,,*+'&' (C5&4"*8 2000)

J'-" 7,-,&' %,'' &"*/'* '-'' 7,-,&' %'&,*' +,%'*'* '+' %,!'+'* ,*-' + $'*/

-''+ ,*$,'%'* "'*/*$' 9*/#" *,&55/$ #,,*+'&' '+' ,*&*$' %,#'-'&'*

#,,*+'&'8 ,*/, #"*/ *$,&" %,'' +'*' '-'*$' %,&#'%'* '"**$'.

B& Eti,l,gi.

M,*&+ C5"% H'&* R5#!"-" S'"9 N&"-'$'+8 (200 : ) ,+"55/" 7,-,&' %,'' '-''

:

1. K,7,'%''* ' "*+'#.

2. J'+.

3. P%'*.

. K,!'+'* ,*-'.

;. K,7,'%''* %,&!' '+' "*-#+&".<. C,-,&' '"&.

@. L%' +,'%.

+& Pat,#isi,l,gi.

(& Pr,ses Pen-akit.

A-'*$' 7,-,&' %,'' -''+ ,*$,'%'* %,&#'%'* #+&%+&8 "#'*$' %,&#'%'* '-'

'&,*%" 5+'%8 %,&#'%'* , -'&'8 ,&-'&''*8 ,-,' -'* /'*//'* "5%""' 5+'%

#,,&+" ,*&*'* adenosis tripospat 8 ,&''* ,&,'""+'# '#%,&8 '+59"#"55/" 7,-,&'

%,'' -''+ +,&'/" '+'# -' &5#,# $'"+ 7,-,&' %,'' &",& -'* 7,-,&' %,'' #,%*-,&8

7,-,&' %,'' &",& ,&'%'* #'+ &5#,# "5,%'*"% $'*/ +,&!'-" #,7'&' '*/#*/ #''+

%,'' +,&,*+& -'* -''+ ,,&" -''+ %,&#'%'* !'&"*/'* 5+'+. P'-' 7,-,&' %,''

#,%*-,& +,&!'-" '%"'+ -'&" 7,-,&' %,'' &",&8 "#'*$' '%"'+ -'&" "5%#,"'8"#%,"'

-'* ,&-'&''*. P,&-'&''* 7,&,&' ,*"%'* ,'+5' "#'*$' '-' ,"-&'

,'+5'8 ,&%*$' '*+'&' ,&"5#+,* +,*/%5&'% -,*/'* -&',+,&8 #-&' ,'+5'

'%"'+ ,&%*$' -'&' '-' &'*/ '*+'&' -&',+,& -,*/'* #'&'%*5"- -'* "*+&'

7,&,&'8 ,'+5' '-'' ,&%*$' -'&' -"-'' !'&"*/'* 7,&,&'. K,'+"'* '-'



,*-,&"+' 7,-,&' %,'' +,&!'-" %'&,*' "5+,*#" %'&,*' /'*//'* '+5&,/'#"8 %,+"%' +,&!'-"

'+5&,/'#" ,*"%'* ,&9#" !'&"*/'* 7,&,&' -'* ,&'%"& '-' "#%,"' !'&"*/'* 5+'%

(T'&45+58 200@).

*& "ani#estasi Klinik .

T'*-'+'*-' -'&" +,&!'-"*$' 7,-,&' %,'' &"*/'* '-'' : P"*/#'* +"-'% ," -'&" 10 ,*"+8

+'*-'+'*-' "+' -'' '+'# *5&' '+' ,*&*8 #,+,' #'-'& +" *$,&"8 #"*/8

*+'8 GCS 131;8 +"-'% +,&-''+ %,'"*'* *,&55/"#.

G,!'' '"* 7,-,&' %,'' &"*/'* '-'' : P'-' ,&*'9'#'* #,7'&' &5/&,#"9 ,*!'-" '*5&'8

&,#5* " */%"* ,*$' '+' &5/&,#"9 ,&%8 *$,&" %,'' -''+ +" #,/,&' '+'

,&+'' #,"&"*/ -,*/'* +,%'*'* "*+&'%&'*"'8 -''+ +" *+'*+' '%"'+ +,%'*'*

"*+&'%&'*"'8 ,&''* ,&"'% %5/*"+"9 -'* ,&''* 9"#"% '-' ,&"7'&' #,&+' /,&'%'*

5+5&"% -''+ +" #,/,&' '+' #,7'&' ''+. (C5&4"*8 2000).

.& K,)plikasi.K5"%'#" $'*/ "#' +,&!'-" '%"'+ -'&" 7,-,&' K,'' '*+'&' '"* :

'. H,5&'/"%.

. I*9,%#".

7. E-,'.

-. P*,5*"'.

e& K,!'*/.

D& Penatalaksanaan "edis.

P,*'+''%#'*''* %",* 7,-,&' %,'' -"+,*+%'* '+'# -'#'& ,&'+*$' 7,-,&' -'* -"'%%'*

,*&+ &"5&"+'#8 $'*/ "-,' ,*'+''%#'*''* +,&#,+ -"'%%'* 5, +" $'*/ +,&-"&" -'&"

,&'4'+ $'*/ +,&'+" -'* -5%+,& #,#"'"# #'&'9 -'* ,-' #'&'98 &'-"55/"8 '*'#+,#"8 -'*

&,'""+'#" ,-"%. K",* -,*/'* 7,-,&' %,'' '&# -"'*+' +,&# -'&" +,'+ %,7,'%''*8

#,'' +&'*#5&+'#" : -" &'*/ /'4'+ -'&&'+8 *"+ &'-"55/$8 &'*/ ,&'4'+'* -'* *"+ ICU

#,' #,4'%+4'%+ -''+ ,&' '%"'+ '#"&'#"8 "5+,*#"8 %,!'*/ -'* #,'/'"*$'.

M,*&+ &"5&"+'# +"*-'%'* '-' 7,-,&' %,'' -"+,*+%'* ,&-'#'&%'* ,&'+*$' 7,-,&' $'*/

-"-'#'&%'* '+'# %,#'-'&'* '-' #''+ -",&"%#'.

1. Klien dala) keadaan sadar ( GCS : 1; )

'. C,-,&' %,'' #",%# ( simple head injury ).

K",* ,*/''" 7,-,&' %,'' +'*' -""%+" -,*/'* /'*//'* %,#'-'&'*8 '*,#"' '*

/'*//'* %,#'-'&'* '"*$'. P'-' %",* -,"%"'* -"'%%'* ,&'4'+'* %'8 ,&"%#' &'-"55/"

'*$' '+'# "*-"%'#"8 %,'-' %,&/' -""*+' *+% ,*/5#,&'#" %,#'-'&'*.

. K,#'-'&'* +,&/'*// #,#''+.

K",* ,*/''" ,*&*'* %,#'-'&'* #,#''+ #,+,' 7,-,&' %,'' -'* #''+ -",&"%#' #-'

#'-'& %,'"8 '%' -"'%%'* ,,&"%#''* 95+5 %,'' -'* ,*'+''%#'*''* #,'*!+*$'

#,,&+" 7,-,&' %,'' #",%#.2. Klien dengan kesadaran )en$r$n.



C,-,&' %,'' &"*/'* '+' minor head injury ( GCS : 131;).

K,#'-'&'* -"#5&",*+'#" '+' not abay comand +'*' -"#,&+'" -,9"#"+ 95%' #,&,&'. S,+,'

,,&"%#''* 9"#"% -"'%%'* ,&'4'+'* %'8 -"'%%'* 95+5 %,''8 CT S7'* K,''

-"'%%'* !"%' -"7&"/'" '-'*$' ,'+5' "*+&'%&'*"'8 "#'*$' '-' "*+,&' #"-8 '-'

follow up %,#'-'&'* #,'%"* ,*&* '+' +" '+,&'"#'#"8 5#,&'#" %,#'-'&'*8 "8

/,!'' 95%' #,&,&' -"#'"*/ +'*-'+'*-' "+'. K",* 7,-,&' %,'' "'#'*$' -"#,&+'"

-,*/'* 7,-,&' +", 9&'%+&8 5, %'&,*' "+ #,'"* -"#'"*/ %,'"*'* #,&,&' !/' "#'

-"#,&+'" -,*/'* %,'"*'* #"#+,"% ( C5&4"*8 2000).

E& Pengka'ian kepera/atan.

P,*/%'!"'* %,,&'4'+'* '-'' +'' ,&+'' -'' &5#,# %,,&'4'+'* -'* ,&'%'*

#'+ &5#,# $'*/ #"+,'+"# -'' ,*/%'* -'+' -'&" ,&'/'" #,& -'+' *+% ,*/,''#" -'* ,*/"-,*+"9"%'#" #+'+# %,#,'+'* %",*. P,*/%'!"'* %,,&'4'+'*

-"+*!%'* '-' &,#5* %",* +,&'-' '#'' %,#,'+'* $'*/ ,&*/'* -,*/'*

%,+'* -'#'& '*#"' ( N&#'' 2001 ).

(& Pengka'ian #isik&

5%# ,*/%'!"'* '-' 7,-,&' %,'' &"*/'* ,*&+ D5,*/5,# ( 2000 )8 ,"+":

'. R"4'$'+ %,#,'+'* ,"+": %,'* +''8 %''* 7"-,&' +,&!'-"8 ,*$,' 7"-,&'8 &"4'$'+

+'% #'-'&8 '*,#"'8 &"4'$'+ %,#,'+'* $'*/ '8 -'* &"4'$'+ %,#,'+'* %,'&/'. . P,,&"%#''* 9"#"% ,'- +5 +5,.

7. K,'-''* (+"*/%'+ %,#'-'&'* -'* %5*-"#" %",*).

-. P,,&"%#''* ,&#"#+, -'* ,,&"%#''* 9*/#"5*'.

1) S"#+, ,&#,#" -'* #,*#5&" ( ,,&"%#''* '*7' "*-,&': ,*/"'+'*8 ,*-,*/'&'*8

,*7"'*8 ,*/,7'8 -'* ,&'#' ).

2) S"#+, ,&#'&'9'* ( +"*/%'+ %,#'-'&'* > *"'" GCS8 &,9,% "7'&'8 "8 5&",*+'#" 4'%+ -'*

+,'+ ).

3) S"#+, ,&*'9'#'* (*"'" 9&,%,*#" *'9'#8 %'"+'#8 #'&'8 -'* %,'+,*'* !''* *'9'# ).

) S"#+, %'&-"5'#%,& ( *"'" TD8 *'-" -'* "&''8 %'"+'#8 -'* 9&,%,*#" ).

;) S"#+, /'#+&5"*+,#+"*' ( *"'" %,''* ,*,'*8 *'9# '%'* > "*8 ,&"#+'+"%8

,""*'#" ).

<) S"#+, "*+,/,* ( *"'" 4'&*'8 +&/5&8 +,%#+& -'&" %"+8 %' > ,#" ).

@) S"#+, &,&5-%#".

) S"#+, ,&%,"'* (*"'" 9&,%,*#" BAK8 5, BAB)

) P5' M'%'* > 7'"&'*.

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g& P,la Ke0iasaan Dir$)a% Sakit.

P5' *+&"#" %",* #''+ -" &' #'%"+ 3 %'" #,'&" -'* *'9# '%'* %",* ,&%&'*/ -,*/'*

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2 %'" #,'&"8 '*$' -" ' '-' 4'%+ '/" -'* #5&, '&" -'* #"%'+ /"/" 2 %'" #,'&" '-'

4'%+ '/" -'* #5&,. S,'' -" &' #'%"+ %",* , ,&*' ,*77" &'+8 '-' 5'

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'-'**$' ,'#.

1& Pengka'ian #isik&

a& Pe)eriksaan secara #isik $)$)&

B,&'+ '-'* @2 %/ ( ,&'+ '-'* #,, #'%"+ @; %/ )8 +"*//" '-'* 1@2 78 %,'-''*

#,-'*/8 -'* +"-'% '-' ,,#'&'* %,,*!'& /,+' ,*"*/.

0& Siste) pengli%atan&

P5#"#" '+' +''% #",+&"#8 %,5'% '+' *5&' -,*/'* ,&/,&'%'* '+' *5&'8 %5&*,'

'+' *5&'8 #%,&' "%+,&"%8 %5*!*/+"' '*,"#8 " "#5%5&8 +"-'% '-' %,'"*'* 5+5+5+5+

'+'8 ,*/"'+'* ,&9*/#" -,*/'* '"%8 +"-'% +,&-''+ +'*-'+'*-' &'-'*/8 %",* +"-'% ,*//*'%'* %'7' '+' -'* ,*#' %5*+'%8 &,'%#" +,&'-' 7''$' '"%.

c& Siste) pendengaran&

D'* +,"*/' %",* *5&'8 %'&'%+,&"#+"% #,& +"-'% '8 %5*-"#" +,"*/' +,*/' *5&'8 +"-'%

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d& Siste) /icara&

K",* "7'&' *5&' -'* +"-'% ,*/''" /'*//'* "7'&'.

e& Siste) perna#asan&



P,&*'9'#'* %",* #,#'% 23 %'" ,&,*"+8 "&'' *'9'# +"-'% +,&'+&8 #'&' *'9'# &5*7".

M,*//*'%'* ''+ '*+ *'9'# *'#' %'* O2 3 "+,&.

#& Siste) kardi,7ask$ler&

1) S"&%'#" ,&"9,&.

N'-" 0 %'" ,&,*"+8 "&''*$' +,&'+&8-,*$+ %'+8 +,%'*'* -'&' 1@0>100 H/8 +"-'% '-'

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!'*+*/8 +"-'% ,*/''" #'%"+ -'-'.

g& Siste) %e)at,l,gi&

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'+'*/ 5+'% *5&'8 %,#'* : "*9'&% 7,&,&" -,+&'. T5&' : %'&-"5,/'"8 #'/,#+"9 &,-,'

'&.

%& Siste) sara# p$sat&

T"*/%'+ %,#'-'&'* %",* 755# ,+"#8 ,&*"'" GLASGOW COMA SCOLE 8 E 8 M <8

V ;8 +"-'% '-' +'*-'+'*-' ,*"*/%'+'* "*+&'5%'&8 &,9,%# "55/"# *5&' -'* '-' &,9,%#

'+55/"#.

i& Siste) pencernaan&K,'-''* 7'&",#8 +"-'% ,*//*'%'* /"/" '#8 +"-'% '-' #+5'+"#+"#8 "-' +"-'% %5+5&8 #'"'

*5&'8 ' 8+,&'#' ,* -" -',&' ,&+8 "#"*/ ## 12 %'" ,&,*"+8 %",* +"-'% -"'&,8

4'&*' 9,#,# %*"*/8 %5*#"#+,*#" '-'+8 +"-'% ,*/''" %5*#+"'#".

'& Siste) end,krin&

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k& Siste) $r,genital&M'#%'* 7'"&'* 1;00 77 ,&'&"8 ,*/,'&'* 00 77 ,&'&"8 4'&*' %*"*/ %,&8 +"-'% '-'

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l& Siste) integ$)en&

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)& Siste) "$sk$l,sketal&

K",* #,-"%"+ ,*/''" %,#"+'* -'' ,&/,&'%'*.

; ; ; ; ; ; ; ;



2& Data Ta)0a%an&

K",* -'* %,'&/' %&'*/ ,*/,+'" +,*+'*/ ,*$'%"+ $'*/ -"-,&"+' %",*.

3& Data Pen$n'ang.

H'#" ,,&"%#''* ST SCAN8 "*9'&% #,&,&" -,+&'8 P,,&"%#''* T5&'8

,,&"%#''* '5'+5&" H'#" : H :1;838 H+ :8 L,%5#"+ :;<008 T&55#"+ :22;80008

MCV :8 MCHC :3;8 U&, :218 K&,'+"*"* :088 '#' &'+:;8; K'" :38<8 N'+&" :128

%""'8 '"* :38@8 /5"* :28328 &5+,"* +5+' :<8108 ,'%8 %5,#+&5 +5+' :2;38

+&"/"#,&"-' :1208 %5,#+&5 HDL : ;8 %5,#+&5 LDL :1.

4& PENATALAKSANAAN "EDIS&

'. I*9# N'7 08F;00 -'' 12 !'.

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7. N"75"* 2;00 /.

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,*/'+'%'* '%+"9"+'# -"'*+.

Data 0-ekti#&

K > ,'8 %,#'-'&'* 78 TTV : T,%'*'* D'&' :130 > @0 H/8 N'-" : 0 > ,*"+8

P,&*'9'#' : 2 > ,*"+ S : 3<8;78 ,,&"%#''* ST #7'* "*9&'% #,&,&" -,+&'8 %",*

+''% #,&"*/ ,,/'*/ %,''*$'8 %",* +''% ,&"*/"# %,#'%"+'*8 %",* +''%

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#,, #'%"+ : @; %/8 #'%"+ : @2 %/8 "-,':<2@2 %/8 :1;83 / > -L.

Analisa Data&

N, D'+' M'#'' E+"55/"

1 D# :

K",* ,*/'+'%'* *$,&" %,''

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3. %",* +''% ,&"*/"# %,#'%"+'*.

. S%'' *$,&" < = @

;. N$,&" #,,&+" -"+#% = +#%

<. TTV :

'. TD:130>@0 H/.

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7. RR :2>,*"+

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@. P,,&"%#''* ST #7'* "*9&'%

#,&,&" -,+&'

N$,&" C,-,&' 9"#"%"#



2 D# :

K",* +"-'% *'9# '%'*

D5 :

%",* +''% ,*/'"#%'*

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M'.

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1.%> ,'

2.'%+""+'# '#" -'*+

K,&#'%'*5""+'# 9"#"%

K,&#'%'**,&5#%,&

B& Diagn,sa kepera/atan&

B,&-'#'&%'* '*'"#' -'+' ,*"# ,*/'*/%'+ 3 -"'/*5#' %,,&'4'+'* $'*/ -"+,%'* '-'

T*. A #"' ;; +'* +'*//' 1 D,#,,& 2012 #,'/'" ,&"%+ :

1. N$,&" ,&*/'* -,*/'* 7,-,&' 9"#"%"#.

2. R,#"%5 %,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + ,&*/'* -,*/'* "*+'%, +"-'%

'-,%'+.

3. K,&#'%'* 5""+'# 9"#"% ,&*/'* -,*/'* %,&#'%'* *,&5#%,&

+& Perencanaan kepera/atan&

1. N$,&" ,&*/'* -,*/'* 7,-,&' 9"#"%"#.

T!'* : #,+,' -"'%%'* +"*-'%'* %,,&'4'+'* #,'' 3 2 !' -"'&'%'* *$,&" +,&'+'#" >

,&%&'*/.

&"' H'#" : % > ,'"%8 %",* +''% +,*'*/8 TTV -"'+'# '+'# *5&'8 #%'' *$,&" 01.

,*#" :

'. K'!" #%'' *$,&".

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2. R,#"%5 %,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + ,&*/'* -,*/'* "*+'%, +"-'%

'-,%'+.



T!'* : #,+,' -"'%%'* +"*-'%'* %,,&'4'+'* #,'' 3 2 !' -"'&'%'* &,#"%5

%,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + +,&'+'#".

K&"+,&"' H'#" : %",* ,*/'"#%'* 1 5&#" '%'* $'*/ -"#,-"'%'*8 +"-'% *+' ' '/"8

%5*!*/+"' '*'*,"#8 BB #,, #'%"+:@; %/8 BB #'%"+:@2 %/8 BB "-,':<2@2 %/8 HB :1;83

/>-.

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. A*!&%'* %",* '%'* #,-"%"+ +'" #,&"*/.

7. 5#,&'#" : BB %",*.

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D& Pelaksanaan kepera/atan.

(& Tanggal (6 Dese)0er *:(*&

Diagn,sa perta)a : N$,&" ,&*/'* -,*/'* 7,-,&' 9"#"%"#

'. P% 0 : 00 4".

M,*/5#,&'#" TTV : T,%'*'* -'&'8 N'-"8 S8 P,&*'9'#'*8 H'#" : TD : 130 > 0 H/8

N'-" : 0 > ,*"+8 RR : 22 > ,*"+8 S : 3@C.

. P% 0 : 30 W".

M,*/%'!" #%'' *$,&"8 H'#" : #%'' *$,&" <.

7. P% 10 : 00 W".

M,'%%'* ,,&"'* 5'+ ,4'+ " 5# : %,+5&5'% ; 778 H'#" : 5'+ '#% -,*/'* '*7'&.

Diagn,sa ked$a ; R,#"%5 %,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + ,&*/'*

-,*/'* "*+'%, +"-'% '-,%'+.

-. P% 10 : 30 W".

M,'%%'* ,,&"'* 5'+ ,'" IV 5# : &'*"+"-"* 28; 778 H'#" : 5'+ '#% -,*/'*

'*7'&.

,. P% 12 : 00 W".

M,*/'!&%'* %",* '%'* #,-"%"+ +'" #,&"*/8 H'#" : K",* -''+ ,*/'"#%'* '%'* 1 >

5&#" '%'* $'*/ -" #'!"%'*.

Diagn,sa ketiga ; K,&#'%'* 5""+'# 9"#"% ,&*/'* -,*/'* %,&#'%'* *,&5#%,&.

9. P% 13 : 00 W".

M,*/'*!&%'* %",* *+% ,'%%'* '%+"9"+'#8 H'#" : %",* , -''+ ,'%%'* '%+"9"+'#*& Tanggal *: Dese)0er *:(*.



Diagn,sa perta)a : N$,&" ,&*/'* -,*/'* 7,-,&' 9"#"%"#

'. P% 0 : 1; W".

M,*/5#,&'#" TTV : T,%'*'* -'&'8 N'-"8 S8 P,&*'9'#'*8 H'#" : TD : 120 > 0 H/8

N'-" : @ > ,*"+8 R& : 22 > ,*"+8 S : 3< C.

. P% 0 : 30 W".

M,*/%'!" #%'' *$,&"8 H'#" : S%'' *$,&" 8

7. % 10. 00 W".

M,*/'!'&%'* %",* +,*"% &,'%#'#" : +'&"% *'9'# -''8 H'#" : %",* ,&'#' *$,&" ,&%&'*/.

-. % 10.30 W".

M,'%%'* ,,&"'* 5'+ ,4'+ " 5# : %,+5&5'% ; 77 H'#" : 5'+ '#% -,*/'* '*7'&8

Diagn,sa ked$a ; R,#"%5 %,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + ,&*/'*

-,*/'* "*+'%, +"-'% '-,%'+.

,. P% 11 : 00 W".

M,'%%'* ,,&"'* 5'+ ,'" IV 5# : &'*"+"-"* 28; 778 H'#" : 5'+ '#% -,*/'*

'*7'&

9. P% 12. 30 W".

M,*/'!&%'* %",* '%'* +'" #,&"*/8 H'#" : K",* -''+ ,*/'"#%'* '%'* 5&#"

'%'* $'*/ -" #'!"%'*.

Diagn,sa ketiga : K,&#'%'* 5""+'# 9"#"% ,&*/'* -,*/'* %,&#'%'* *,&5#%,&.

/. % 13. 00.

,*/'*!&%'* %",* *+% ,'%%'* '%+"9"+'#8 H'#" : %",* -''+ ,'%%'* '%+"9"+'#

#,*-"&".

.& Tanggal *( Dese)0er *:(*&

Diagn,sa perta)a : N$,&" ,&*/'* -,*/'* 7,-,&' 9"#"%"#.'. P% 0 : 10 W".

M,*/5#,&'#" TTV : T,%'*'* -'&'8 N'-"8 S8 P,&*'9'#'*8 H'#" : TD : 120 > @0 H/8

N'-" : 0 > ,*"+8 R& : 20 > ,*"+8 S : 3< C.

. P% 0 : 30 W".

M,*/%'!" #%'' *$,&"8 H'#" : S%'' *$,&" 18

7. % 10.30 W".

M,'%%'* ,,&"'* 5'+ ,4'+ " 5# : %,+5&5'% ; 77 H'#" : 5'+ '#% -,*/'* '*7'&8

Diagn,sa ked$a ; R,#"%5 %,%&'*/'* *+&"#" %&'*/ -'&" %,+'* + ,&*/'*

-,*/'* "*+'%, +"-'% '-,%'+.

-. P% 11 : 00 W".M,'%%'* ,,&"'* 5'+ ,'" IV 5# : &'*"+"-"* 28; 778 H'#" : 5'+ '#% -,*/'*

'*7'&

,. P% 12. 30 W".

M,*/'!&%'* %",* '%'* +'" #,&"*/8 H'#" : K",* -''+ ,*/'"#%'* 1 5&#" '%'* $'*/

-" #'!"%'*.

E& E7al$asi kepera/atan&



(& Tanggal (6 Dese)0ar *:(*&

P% 1 : 00 W".

Diagn,sa Perta)a :

S : K",* ,*/'+'%'* '#" *$,&" .

O : K,'-''* ,'.

K",* ,&"*/"# %,#'%"+'*.

S%'' *$,&" <.

K'&'%+,&"#+"% *$,&" #,,&+" -" +#%+#%

O#,&'#" TTV : TD : 130 > 0 H/8 N'-" : 0 > ,*"+8 R& : 22 > ,*"+8

S : 3@ C

A : M'#'' , +,&'+'#".

P : I*+,&,*#" -" '*!+%'*.

P% 1 : 00 W"Diagn,sa ked$a ;

S : K",* ,*/'+'%'* +"-'% *'9# '%'*6

O : ,* '%'* '*$' -" '"#%'* 5&#" '%'*.

K",* '

BB #,, #'%"+:@; %/8

BB #'%"+:@2 %/8 BB "-,':<2@2 %/8

HB :1;83 />-L.

A : '#'' , +,&'+'#".

P : "*+,&,*#" -"'*!+%'*.

P% 1 : 00 W".

Dign,sa ketiga&

S : %",* ,*/'+'%'* '%+""+'# '#" -" '*+6

O : %",* , -''+ ,'%%'* '%+""+'# #,*-"&"

A : '#'' , +,&'+'#"

P : "*+,&,*#" -"'*!+%'*.

*& Tanggal *: dese)0er *:(*&

P% 1 : 00 W".

Diagn,sa perta)a ;

S : K",* M,*/'+'%'* N$,&" '/'% ,&%&'*/

0 : O#,&'#" TTV : TD : 120 > 0H/ 8N :@ ,*"+ S : 3<C R& :22>,*"+. S%'' *$,&

K'&'%+,&"#+"% ,&%&'*/.

A : M'#'' +,&'+'#" #,'/"'*.

I : I*+,&,*#" -"'*!+%'*

P% 1 : 00 W".

Diagn,sa ked$a ;

S : K",* M,*/'+'%'* *'9# '%'* ,'"%

O : %",* -''+ ,*/'"#%'* 1 > 2 5&#" '%'* $'*/ -"#'!"%'*

A : M'#'' +,&'+'#" #,'/"'*

P : I*+,&,*#" -"'*!+%'*



P% 1 : 00 W".

Diagn,sa ketiga ;

S : K",* M,*/'+'%'* '%+"9"+'# #-' +"-'% -"'*+ 6

O : K",* -''+ ,'%%'* '%+"9"+'#

A : M'#'' +,&'+'#"

P : I*+,&,*#" -",*+"%'*.

.& Tanggal *( dese)0er *:(*

P% 1 : 00 W".

Diagn,sa perta)a ;

S : K",* M,*/'+'%'* *$,&" #-' +"-'% '-'

O : O#,&'#" TTV : TD : 120>@0H/8 N'-" : 0>,*"+8 R& : 20>,*"+8

S :3<C.

S%'' *$,&" 1

A : M'#'' +,&'+'#"

P : "*+,&,*#" -",*+"%'*

P% 1 : 00 W"

Diagn,sa ked$a

S : K",* M,*/'+'%'* ' #-' +"-'% '-'

O : %",* ,*/'"#%'* 1 5&#" '%'* $'*/ -"#'!"%'*

A : M'#'' +,&'+'#"

P : I*+,&,*#" -",*+"%'*



BAB I!

PE"BAHASAN

D'' ,'#'* "*" ,*"# '%'* ,'*-"*/%'* '#" +"*!''* %'## $'*/ -"'%%'* '-'

T*. A -,*/'* 7,-,&' %,'' &"*/'* $'*/ -"&'4'+ -" &'*/ *,&55/" '*+'" VIII RSUD KOJA

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DAFTAR PUSTAKA

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S'/*/ S,+5.

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