Download - PPT Presus saraf
-
8/15/2019 PPT Presus saraf
1/29
PRESENTASI KASUS
“PENURUNAN KESADARAN PADA STROKE NON
HEMORAGIK, HIPERTENSI, DIABETES MELITUS,
STRUMA TIROID, DAN ULKUS DEKUBITUS”
Disusun oleh:
Yoln! Shin" P
G#A$%#$&$
-
8/15/2019 PPT Presus saraf
2/29
STATUS PASIEN
IDENTITAS
N' : N() *
Usi : +% "hun
Al'" : Re'oh, B"u-!enPe.e-/n : I0u -u'h "n11
A1' : Isl'
2enis Kel'in: Pe-e'un
No) 3M : $&45+4%&Tn11l n'nesis: 6 M-e" 5$%+
Run1 : 3en!n
-
8/15/2019 PPT Presus saraf
3/29
SUBYEKTI7 A) Keluhn U"'
Penu-unn Kes!-n
B) Ri8(" Pen(.i" Se.-n1
%) Onse"
# h-i (n1 llu 9% M-e" 5$%+
5) K-onolo1iPsien 'en1l'i enu-unn .es!-n se/. u.ul $+);$ 1i !
h-i sels, % M-e" 5$%+) Psien suli" !i0n1un.n !n .e"i. !"
!i0n1un.n, sien "e-lih" 'en1n"u., !n ln1sun1 "e-"i!u- .e'0li)
S"u h-i se0elu' enu-unn .es!-n, sien 'en1l'i !e'')
Kelu-1 sien 'en1.u 0h8 sien 'e'ili.i 0o-o. (n1
-
8/15/2019 PPT Presus saraf
4/29
;) Kun"i"s
Psien 'en1l'i enu-unn .es!-n "e-us 'ene-us
#) Kuli"s
Psien "e-"i!u- !n suli" !i0n1un.n, .e"i. !"!i0n1un.n, sien ln1sun1 "e-"i!u- .e'0li
6) Ge/l en(e-"
Kelu-1 sien 'en(n1.l !n( .eluhn n(e-i
.el, 'ul, 'un"h, .e/n1 ! sien+) 7."o- (n1 'e'e-in1n 94
&) 7."o- (n1 'e'e-0e-" 94
-
8/15/2019 PPT Presus saraf
5/29
3) Ri8(" Pen(.i" Dhulu
= Ri8) Hie-"ensi: >, se/. %$ "hun (ll
= Ri8) DM: >, se/. & "hn (ll
= Ri8) Hie-"i-oi!: >, le0ih !- ;$ "hn (ll= Ri8) T-u': >, .el "e-0en"u-, .-en "e-/"uh !i !en
.'- 'n!i # h-i SMRS
D) Ri8(" Pen(.i" Kelu-1
= Ri8, Hie-"ensi !isn1.l= Ri8) DM !isn1.l
= Ri8) Hie-"i-oi! !isn1.l
-
8/15/2019 PPT Presus saraf
6/29
E) Ke!n sosil e.ono'i
Psien !n .elu-1 'e'ili.i s""us e.ono'i 'enen1h .e
08h) Psien 'e-u.n i0u -u'h "n11, se/. & 0uln
(n1 llu sien 'en1u-n1i ."i?i"s !n se/. 5 0uln
"e-.hi-, sien le0ih se-in1 0e-0-in1 !i "e'" "i!u-, hn(0e-n/. 0il in1in .e .'- .e
-
8/15/2019 PPT Presus saraf
7/29
H) Ri8(" Psi.olo1is
4 Kelu-1 sien 'en(".n sien "i!. 'e'ili.i
-i8(" 1n11un si.olo1is
4
Psien !l' .on!isi si.olo1is (n1 .u-n1 0i.,"'. !-i .e"i!.'un sien un"u. 'e'inu'
o0", !n 'en(e'0un(i.n o0" !i 08h -n/n1,
!n le0ih 0n(. 0e-0-in1 !i "e'" "i!u-
I) Ri8(" Si-i"ul
Psien 0e-1' Isl', !n /-n1 0e-i0!h
-
8/15/2019 PPT Presus saraf
8/29
OBYEKTI7
= S""us In"e-nus Psien
%) Ke!n u'u' : 0u-u.
5) Te.nn D-h : %+$C$ ''H1
;) Den(u" N!i : %$$'
#) Suhu : #$,%
6) Pe-nsn : 5#'
+) BB : #6 .1
&) TB : %65 > Rh 44 *h44%%) 3o- : S%FS5, -e1, ' 4, 1
%5) A0!o'en : !"-, suel, BU > N
%;) H"i : TTB
%#) Kel) Li'e : TTB
%6) S""us Gi@i : BMI: %,#&
-
8/15/2019 PPT Presus saraf
9/29
= S""us Neu-olo1is
%) N) 3-nilis : s!n
5) Sensi0il"s : s!n
;) Mo"o-i.
#) S") e1e""i : BAB >, BAK > 9D3
Motorik Superior Inferior Ge-. S!ns!n S!ns!n
Ke.u"n 'o"o-i. S!ns!n S!ns!n
Tonus nn nn
T-oi Eueu Eueu
Rele. isiolo1is >> >>
Rele. P"olo1is 44 44
Klonus 44 44
-
8/15/2019 PPT Presus saraf
10/29
ASSESSMENT
= Di1nosis Klinis : Penu-unn Kes!-n
= Di1nosis Toi. : He'ise- !e"-, "hl'us
= Di1nosis E"iolo1i : S"-o.e Non He'o-1i.= Di1nosis Klinis I : Hie-"ensi
= Di1nosis Klinis II : DM
= Di1nosis Klinis III : S"-u' Ti-oi!
= Di1nosis Klinis I : Ul.us De.u0i"us
= Di1nosis Bn!in1 : S"-o.e He'o-1i.
-
8/15/2019 PPT Presus saraf
11/29
PLANNING
%) Di1nos"i. : An'nesis, Pe'e-i.sn isi.,
e'e-i.sn enun/n1
5) Te-i
;) Moni"o-in1: 6 B, Ee."ii"s "e-i
#) Usuln e'e-i.sn enun/n1: L0o-"o-iu', 3T s
-
8/15/2019 PPT Presus saraf
12/29
6) E!u.si
E!u.si "en"n1 en(.i" sien 9.on!isi, e"iolo1i, ."o-
-isi.o, en(uli", -o1nosis
E!u.si "en"n1 en
-
8/15/2019 PPT Presus saraf
13/29
TIN2AUAN PUSTAKASTROKE NON HEMORAGIK
-
8/15/2019 PPT Presus saraf
14/29
%) Deinisi
= *HO !l' eneli"in MONI3A 9Multinational Monitoring
of Determinants and Trends in Cardiovascular Disease
'en!einisi.n s"-o.e se01i gangguan fungsional
otak o.l "uun 1lo0l .u", "e-/!i lebih dari 24 a!,
0e-sl !-i gangguan aliran darah otak !n 0u.n!ise00.n oleh 1n11un e-e!-n !-h o".
sein"s, "u'o- o"., s"-o.e se.un!e- .-en "-u',
'uun ine.si 9Se"(o-no"o, 5$%%
-
8/15/2019 PPT Presus saraf
15/29
5) E"iolo1iKelinn s.ul-
• A"e-os.le-osis• Dislsi
i0-o'us.ul- •
Gn11uninl'si• SLE• A-"e-i"is• Poli-"-i"is No!os• AIDS
• Dise.si )
-
8/15/2019 PPT Presus saraf
16/29
;) Ei!e'iolo1i= 5$$& In!onesi: -e?lensi C,; e- %$$$ en!u!u.)
= Slh s"u en(e00 .e'"in "e-"in11i ! se'u.elo'o. u'u-)
= Usi "e-'u! %C45# "hun
= P-e?lensi "e-"in11i NAD "e-en!h Pu
9Rh/en1, 5$%;)
#) Klsii.si 9O3SP= To"l An"e-io- 3i-
-
8/15/2019 PPT Presus saraf
17/29
6) 7."o- Risi.o
A Yn1 "i!. !" !iu0h
% M(o-: Usi F +6 "hun, Ri8(" s"-o.eP2Pen()
Pe'0 !-h
5 Mino-: Usi ;64#6 "hun, /enis .el'in, -s0n1s
B Yn1 !" !iu0h
% M(o-: Hie-"ensi, DM, 'e-o.o., A7
5 Mino-: TIA, P2, Dislii!e'i, Al.ohol e"<
9Rh/en1, 5$%;)
-
8/15/2019 PPT Presus saraf
18/29
+) Pene1..n Di1nosis An'nesis
• Kelu'uhn'en!!.
• A".si•
Dis-"-i• Asi• Gn11un Ko1ni"i • Gn11un
sensi0ili"s• Pe-u0hn s""us
'en"l• Penu-unn
.es!-n• N(e-i .el• Mul, 'un"h
Pe'e-i.sn 7isi.
• B-!i.-!i• E!e' il• K.u .u!u.•
B-u!@ins.(• Ke-ni1Js si1n• Gn11un
sensi0ili"s• D(s"oni< os"u-e
Pe'e-i.snPenun/n1
• 3T S
-
8/15/2019 PPT Presus saraf
19/29
&) P"o1enesis
S'i"h, e" l 95$%$
-
8/15/2019 PPT Presus saraf
20/29
C) T"l.sn
= Non Me!i.'en"os
% Ai-8(, B-e"hin1, 3i-
-
8/15/2019 PPT Presus saraf
21/29
= Me!i.'en"os
% An"i"-o'0o"i.: Asi-in, Dii-i!'ol, 3ilos"@ol, Ti
-
8/15/2019 PPT Presus saraf
22/29
) Ko'li.si
= E!e'
-
8/15/2019 PPT Presus saraf
23/29
TIN2AUAN PUSTAKASTRUMA TIROID
-
8/15/2019 PPT Presus saraf
24/29
%) Deinisi
= S"-u' "u !ise0u" /u1 1oi"e- 'e-u.n
e'0en1..n ! lehe- (n1 !ise00.n e'0es-n
.elen/- "i-oi! .i0" .elinn 1ln!ul "i-oi! (n1 !"
0e-u 1n11un un1si "u e-u0hn susunn
.elen/- !n 'o-olo1i 9De 2on1 S('suhi!(", %C)
-
8/15/2019 PPT Presus saraf
25/29
5) Klsii.si
= Be-!s-.n 7isiolo1is
% Eu"i-oi!
5 Hio"i-oi!
; Hie-"i-oi!=Be-!s-.n Klinis
% S"-u' To.si.
5 S"-u' non To.si.
9P-i
-
8/15/2019 PPT Presus saraf
26/29
;) Pene1..n Di1nosis
A) An'nesis
= Keluhn u"': 0en/oln, "n! !-i hio"i-oi! "u
hie-"i-oi!
= Keluhn en(e-": 1n1 'eneln, 1n1 0e-ns
B) Pe'e-i.sn 7isi.
= Pe'0es-n -e1io
-
8/15/2019 PPT Presus saraf
27/29
#) T"l.sn
A Pe'0e!hn
B Yo!iu' R!io."i
3 O0" n"i "i-oi! !n Ti-o.sin
9G"u", 5$$;)
-
8/15/2019 PPT Presus saraf
28/29
D"- Pus".= A-u *, Su!o(o, e" l) 5$$) Bu.u A/- Il'u Pen(.i" Dl') 2.-": B!n Pene-0i" 7KUI)
= As!1hi N, 2ee-."hil T, H'ee! B, Sini M, M
-
8/15/2019 PPT Presus saraf
29/29
TERIMAKASIH