Vous êtes sur la page 1sur 13

askep cedera kepala ringan

ASUHAN KEPERAWATAN PADA KLIEN TN. A DENGAN


CEDRA 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 2013
Kata Pengantar

P!" #$%& %'" '*!'+%'* %,'-' T'* Y'*/ M'' E#' %'&,*' '+'# ,&%'+' -'* %'&*"'*$'
%'" -''+ ,*$,,#'"%'* +/'# '%'' KEPERAWATAN MEDIKAL BEDAH $'*/
 ,&!- A#'* K,,&'4'+'* '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/'*
 N,&55/" L'*+'" VIII RSUD K5!' J'%'&+' U+'&'6.
P'-' %,#,'+'* "*" ' %'" "*/"* ,*/7'%'* +,&"' %'#" #,,#'&*$' %,'-'

: 1. B''% -&. T5/" A#'*8 M.K,#.8 #,'% -"&,%+& RSUD %5!'.

2. B''% H. H'-5&" A-"8 SKM8 #,'% -"&,%+& A%'-," K,,&'4'+'* H#'-'


K'&$' J'$'.

3. I N#. W"4"% S59"'8 APP8 S.%,.8 #,'% %55&-"*'+5& K,,&'4'+'* M,-"%' B,-'
III -" A%'-," K,,&'4'+'* H#'-' K'&$' J'$'.

. P'&' -5#,* -'* #+'9 A%'-," K,,&'4'+'* H#'-' K'&$' J'$'.

;. O&'*/ +' -'* %,'&/' $'*/ #,' ,*-5'%'* -'* +,' ,,&"%'* -5&5*/'* '"% 
5&" '* '+,&"'8 #,"*//' %'" -''+ ,*$,,#'"%'* M'%'' "*".

<. R,%'* = &,%'* M''#"#4' > I A%'-," K,,&'4'+'* H#'-' K'&$' J'$'8 K##*$'
'*/%'+'* ?VI $'*/ +,' ,'*+ -'' ,*$,,#'"'* +/'# "*".

P'-' '%"&*$' %'" ,*$'-'&" '4' '%'' "*" '#" !' -'&" #,&*'. O, %'&,*'
"+8 %&"+"% -'* #'&'* -'&" +,'* #,!'4'+ #'*/'+ %'" +%'* *+% #'"*/ ,,*/%'"
 ,*$#*'* '%'' "*" '/'& -''+ ," ,&'*9''+ '/" %"+' #,'. A%"& %'+' %'" #,'%
+" ,*$#* ,*/7'%'* +,&"' %'#".

J'%'&+'8 2 J'*'&" 2013

  P,*$#*
DAFTAR ISI

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


DAFTAR ISI ................................................................................................ ""
BAB I PENDAHULUAN
A. L'+'& B,'%'*/ M'#'' ............................................................................. ..... 1
B. T!'* P,*"#'* ..................................................................................... .....
1. 2
T!'* U ........................................................................................ 2
2. T!'* K## ................................................................................... ..... 2
C. R'*/ L"*/% ........................................................................................ 2
.....
D. M,+5-, P,*"#'* .................................................................................... 2
.....
E. S"#+, M'+"%' P,*"#'* .......................................................................... 3
.....

BAB II TINJAUAN TERI

A. P,*/,&+"'* ................................................................................................ 
......
B. E+"55/" ................................................................................................... 
.......
C. P'+59"#"55/" ............................................................................................. 
.......
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,-,&' %,'' ,&'%'* #'' #'+ ,*$,' %,'+"'* -'* %,7'7'+'* +'' '-'
%,55% #"' &5-%+"9 -'* #,'/"'* ,#'& +,&!'-" '%"'+ %,7,'%''* ' "*+'#. ( M'*#!5,&8
200@: 3).
D" -*"' -",&%"&'%'* #,'*$'% 182 !+' !"4' *$'4' ,'$'*/ #,+"' +'**$'
#,'/'" '%"'+ %,7,'%''* ,&5+5&8 -",&%"&'%'* #,%"+'& 08308;F ,*/''" 7,-,&' %,''.
D" I*-5*,#"' -",&%"&'%'* ," -'&" 0F ,*/,*-'&' %,*-'&''* ,*/''" &,#"%5
%,7,'%''*. 1F -"'*+'&'*$' ,*/''" 7,-,&' %,'' -'* %,7,-,&''* ,&'*,*8 +"*//"*$'
'*/%' %,7,'%''* ' "*+'# +"-'% +,&,'# -'&" '%"* -'*$' 5&'*/ *+% ,""%"
%,*-'&''* ,&5+5& -'* %,7,'%''* '*#"'. (S,8 200).
D",&%"&'%'* 100.000 5&'*/ ,*"*//' #,+"' +'**$' -'* ," -'&" @00.000
,*/''" 7,-,&' 7% ,&'+ $'*/ ,,&%'* ,&'4'+'* -"&' #'%"+8 -' ,&+"/'
 ,&#"' -"'4' 30 +'* -,*/'* !' '%"'%" ," '*$'% -"'*-"*/%'* !' 4'*"+'8
," -'&" #,+,*/' #,' '#",* 7,-,&' %,'' ,*$'" #"/*"9"%'#" +,&'-' 7,-,&'
 '/"'* + '"*$'. ( S,+,& '*- '&,8 2002 ).
D'&" '#" ,*,"+"'* ,**!%'* '4' '#",* 7,-,&' %,'' &"*/'* ,*/''" *$,&"
%,''8 ,,&'' ,*,"+"'* ,*,%'* '4' 3F '#",* 7,-,&' ,*/''" accute post 
traumatik headeche (ATPH) -,*/'* /,!'' '"*/ #,&"*/ '-' -',&' 9&5*+' -'* +"-'% '-'
*/'*$' -,*/'* ,&'+ %' 7,-,&' (W'+,& ,+ '8 200;)8 !/' -"%'+'%'* 5, O#"*#%$
(200) '4' '#",* +&'' %,'' &"*/'* '%'* ,*/''" *$,&" '-' "*// ,&+''
#,+,' +&''8 12 -'&" 33 (3<F)8 -'&" '#" ,*,"+"'* #,,*$' !/' ,**!%'* '4'
-'&" 2@ '#",* 7,-,&' %,'' ,*/''" *$,&" %,'' 3 '&" #''" 1
""*// 33F. ( B,%%,*- '*- S',#,*8 2002 ).
 N$,&" %,'' '-' '#",* 7,-,&' %,'' &"*/'* -"#,'%'* 5, ,&''* *,&5%""'
,"+" -,5'&"#'#" #'&'98 ,*/,'&'* '#' '"*5 '-' *,&5 +&'*#"+,& $'*/ ,&,"'*8
-"#9*/#" #,&5+5/,*"% 8 /'*//'* 5"'+, ,*-5/,*. G,!'' %"*"# *$,&" '-' '#",* 7,-,&'
%,'' &"*/'* +,&-''+ ,,&'' +", $'"+ : *$,&" %,'' "/&'"*,8 *$,&" %,'' %#+,&8 *$,&"
%,'' 7,&7"75/,*"% -'&" '#" ,*,"+"'* -"-''+%'* '#" 3@ F '#",* ,*/''" *$,&"
%,'' +,*#"5*8 2@ F "/&'"*, -'* 1 F 7,&7"75/,*"% -'* /,!'' *$,&" '%'* +,&# -"''"
5, '#",* #''" 1 +'*. ( L,*',&+# '*- C578 200 ).

B& T$'$an&
(& T$'$an $)$)&
D"'&'%'* ''#"#4' ,*/,&+" +,*+'*/ '#'* %,,&'4'+'* -,*/'* 7,-,&' %,'' &"*/'*.
*& T$'$an k%$s$s&
'. M' ,'%%'* ,*/%'!"'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.
 . M' ,*,*+%'* '#'' %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.
7. M' ,&,*7'*'%'* '#'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.
-. M' ,'%#'*'%'* +"*-'%'* %,,&'4'+* '-' %",* -,*/'* 7,-,&' %,''.
,. M' ,'%%'* ,''#" '-' %",* -,*/'* 7,-,&' %,''.
9. M' ,*/"-,*+"9"%'#" %,#,*!'*/'* $'*/ +,&-''+ '-' +,5&" -'* &'%+"%.
/. M' ,*/"-,*+"9"%'#" 9'%+5& = 9'%+5& ,*-%*/8 ,*/''+ #,&+' ,*7'&" #5#" -'*
'+,&*'+"9 ,,7''* '#'' '-' %",* -,*/'* 7,-,&' %,''.
. M' ,*-5%,*+'#"%'* '#'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.

+& R$ang Lingk$p&


P,*"# ,'+'#" "*/% ''#'**$' '-' #'+ %'## $'"+  A#'* %,,&'4'+'*
 '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/ N,&55/" 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 $'"+ BAB I
 ,*-''*8 '/"'* "*" +,&-"&" -'&" '+'& ,'%'*/8 +!'*8 &'*/ "*/%8 ,+5-, ,*"#'*
-'* #"#+,'+"%' ,*"#'*8 BAB II T"*!''* +,5&"+"#8 '/"'* "*" +,&-"&" -'&" ,*/,&+"'* 7,-,&'
%,''8 ,+"55/"8 '+59"#"55/" ( &5#,# ,&!''*'* ,*$'%"+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 TERI
C,-,&' %,'' &"*/'* '+' minor head injury ( GCS : 131;).
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'"&'*.
G,!'' : '8 *+'8 -'* ,*/''" ,&''* #,,&'.
T'*-' : *+' %,*/%"*'* *+' &5$,%+"8 /'*//'* ,*,'* ( '+%8 '"& "& 
%,'&8-"#9'/"' ).
10) A%+"9"+'# > "#+"&''+
G,!'' : ,&'#' ,'8 ,+"8 %'%8 %,"'*/'* %,#,"'*/'*.
T'*-' : ,&''* %,#'-'&'*8 ,+'&/",8 ,"'&,#,8 %'-&,,/"'8 '+'%#"'8 7'&' ,&!''*
+'% +,/'8 '#'' %,#,"'*/'*8 %,"'*/'* +5*# 5+5+ -'* +5*# #'+"%.
11) S"&%'#"
G,!'' : *5&' '+' ,&''* +,%'*'* -'&'.T'*-' : ,&''* 9&,%,*#" !'*+*/
(&'-"%'&"'8 +'%"%'&-"' $'*/ -"#,"*/" -"#&"+"').

12) I*+,/&"+'# ,/5


G,!'' : ,&''* +"*/%' '% %,&"'-"'* ( +,&'*/ '+' -&''+"# )
T'*-' : 7,'# -' +,&#"*//*/8 -,"&"8'/"+'#"8 "*/*/8 -,&,#" -'* "#",.
13) E""*'#"
G,!'' : "*%5*+"*,*#"' %'*-*/ %," > ## '+' ,/''" /'*//'* 9*/#"8
1) N,&5#,*#5&"
G,!'' : %,"'*/'* %,#'-'&'*8 '*,#"' #,+'& %,!'-"'*8 ,&+"/58 #"*%5,8 +"**"+#8
%,"'*/'* ,*-,*/'&'*8 P,&''* -'' ,*/"'+'* #,,&+" %,+'!''**$'8 -"5"'8
%,"'*/'* #,'/"'* ''*/ '*-'*/8 95+55"'.
T'*-' : ,&''* #+'+# ,*+' ( 5&,"*+'#"8 %,4'#'-''*8 ,&'+"'* > %5*#,*+&'#"8 ,,7''*
'#''8 ,*/'& ,5#" '+' +"*/%' '% -'* ,5&" ). P,&''* " ( &,#5* +,&'-'
7''$' #",+&"# )8 K,+"-'%''* %,"'*/'* ,*/"-,&''* #,,&+" ,*/,7''*8 ,*7"'*
-'* ,*-,*/'&'*. W'!' +"-'% #",+&"#8 /,*/''* ,' +"-'% #,"'*/8 &,9 ,% +,*-5* -''
+"-'% '-' '+' ,'8 ''%#"'8 ,"'&,#,8 5#+& -,%5&+"%'#" '+' -,#,,&'#"8 %,!'*/ #'*/'+
#,*#"+""+'# +,&'-' #,*+'* -'* /,&'%'*.
1;) N$,&" -'* %,*$''*'*
G,!'' : #'%"+ %,'' -,*/'* "*+,*#"+'# -,*/'* 5%'#" $'*/ ,&,-' "#''*$' #''.
T'*-' : 4'!' ,*$,&"*/'"8 &,#5* ,*'&"% '-' &'*/#'*/'* *$,&" $'*/ ,'+8 /,"#'8 +"-'% 
 "#' "#+"&''+8 ,&"*+".
*& Pe)eriksaan Diagn,stik .
'. CTS7'* : *+% ,*/"-,*+"9"%'#" '-'*$' SOL ,5/&'9"8 ,*,*+%'* %&'* ,*+&"%,&8
 ,&/,#,&'* !'&"*/'*.
 . A*/"5/&'9"#,&,&' : ,**!%'* %,'"*'* #"&%'#" #,&,&' #,,&+" %,'"*'* ,&/,#,&'*
 !'&"*/'* 5+'% '%"'+ ,-,'8 ,&-'&''* +&''.
7. EEG : *+% ,,&"'+%'* %,,&'-''* '+' ,&%,'*/*$' ,+55/"#.S"*'& ? :
,*-,+,%#" '-'*$' ,&''* #+&%+& +'*/ ( 9&'%+&).
-. BAER ( Brain Auditori Evoker Respon ) : ,*,*+%'* 9*/#" %5&+,%# -'* '+'*/ 5+'%.
,. PET (  Position Emission Yomography ) ,**!%'* ,&''* '%+""+'# ,+'5"#, '-'
5+'%.
9. */#" L' CSS : -''+ ,*-/' '-'*$' ,&''* # '&'%*5"-.
/. K""' '+' ,,%+&5"+ -'&' : ,*/,+'" %,+"-'%#,"'*/'* $'*/ ,&,&'* -''
 ,*"*/%'+'* TIK '+' ,&''* #+'+# ,*+'.
( D5,*/55,#82000 ).

F& Diagn,sa Kepera/atan.


D"/*5#' %,,&'4'+'* ,&'%'* +'' %,-' -'' &5#,# %,,&'4'+'*. D"'/*5#'
%,,&'4'+'* '-'' %,+#'* %"*"# ,*/,*'" #,#,5&'*/8 %,'&/'8 '+' '#$'&'%'+8 #,'/'"
'%"'+ -'&" '#'' %,#,'+'* > &5#,# %,"-'* '"% $'*/ '%+' '*
5+,*#"' ( *&#'' ).
1. G'*//'* ,&9#" !'&"*/'* #,&,&' ,&*/'* -,*/'* ,-,' 5+'%.
2. P5+,*#"' +"-'% ,9,%+"9*$' 5' ,&*''#'* ,&*/'* -,*/'* '-'*$' 5#+&%#"
+&'%,'&5*%"'.
3. G'*//'* %,#,"'*/'* 7'"&'* -'* ,,%+& 5"+ ,&*/'* -,*/'* ,*&*'* ADH.
. R,#"%5 +"*//" /'*//'* *+&"#" %&'*/ -'&" %,+'* ,&*/'* -,*/'* %,,''* 5+5+
$'*/ -",&%'* *+% ,*/*$'.
;. G'*//'* &'#' *$''* *$,&" %,'' ,&*/'* -,*/'* %,&#'%'* !'&"*/'* 5+'% -'*
 ,&-'&''* 5+'% '+' ,*"*/%'+'* +,%'*'* "*+&'%&'*"' -'* 7,-,&' #"%"#.
<. G'*//'* 5""+'# 9"#"% ,&*/'* -,*/'* ,*&*'* %,%'+'* 5+5+ '+' %,&#'%'*
*,&5#%'&.
@. P5+,*#"' +,&!'-"*$' "*9,%#" ,&*/'* -,*/'* '#%*$' %'* ,'" !'&"*/'*.
. G'*//'* "*+,/&"'+'# %"+ ,&*/'* -,*/'* +,&!'-"*$' %,&#'%'* !'&"*/'* %"+.
. R,#"%5 +"*//" 7,-,&' '#"&'#" ,&*/'* -,*/'* %,#"+'* ,*,'*.

G& Perencanaan Kepera/atan&


P,&,*7'*''* %,,&'4'+'* '-'' '/"'* -'&" 9'#, ,*/5&/'*"#'#"'* -'' &5#,#
%,,&'4'+'* $'*/ ,"+" +!'* ,&'4'+'*8 ,*,&''* ,,7''* '#'' %,,&'4'+'*8
-'* ,*,*+%'* +!'* ,&,*7'*''* %,,&'4'+'* *+% ,*/'+'#" '#'' %",* ( N&#''
2001 ).
(& Gangg$an per#$si 'aringan sere0ral 0er%$0$ngan dengan ede)a ,tak .
T!'* : T"*/%'+ %,#'-'&'* -'' '+'# *5&'8 9*/#" %5/*"+"9 -'* #,*#5&" > 5+5&"% *5&'.
I*+,&,*#" %,,&'4'+'* :
'. K'!" 9'%+5&9'%+5& $'*/ ,*$,'%'* %5'8 %,#'-'&'* ,*&* -'* ,*"*/%'+'* TIK.
 . M5*"+5& -'* 7'+'+ #+'+# *,&55/"% +,*+'*/ 9&,%,*#" +,&!'-" -'* '*-"*/%'* -,*/'* GCS :
R,#5* '+' +,&'-' &'*/#'*/'*8 R,#5* ,&' +,&'-' 5&'*/8 4'%+ -'* +,'+8 R,#5*
5+5&"% (,%#+&,"+'# '+'#8 '4').
7. E''#" "8 ,#'& -'* &,#5**$' +,&'-' 7''$'.
-. K&'*/" #+"# $'*/ +"-'% ,&'&+".
*& P,tensial tidak e#ekti#n-a p,la pernapasan 0er%$0$ngan dengan adan-a ,0str$ksi
trakea0r,nkial.
T!'* : P5' *''# ,9,%+"9 -'' '+'# *5&'.
I*+,&,*#" %,,&'4'+'* :
'. K'!" %,7,'+'*8 %,-'''* 9&,%,*#" -'* *$" *''#.
 . A+& 5#"#" '#",* -,*/'* 5#"#" #," 954,& (1; 0 = ;0).
7. B,&"%'* 5#"#" #," &5*, '+,&' '+' "&"*/.
-. A'"' '#",* #-' #'-'&8 '*!&%'* -'* '!'% '+"'* *''# -''.
,. L'%%'* %5'5&'#" -,*/'* +" ,-"# -'' ,,&"'* +,&'" 5%#"/,*.
9. L'%%'* -,*/'* +" '*'"# -'' ,'%#'*'%'* '*'"#' /'# -'&'.
.& Gangg$an kesei)0angan cairan dan elektr,lit 0er%$0$ngan dengan pen$r$nan ADH&
T!'* : C'"&'* ,,%+&5"+ + #,"'*/8 T&/5& %"+ '"%.
I*+,&,*#" :
'. M5*"+5& '#'* ''&'* #,+"'  !' #,%'".
 . B,&"%'* 7'"&'* #,+"' '&" +"-'% 5, ," -'&" 2000 77.
7. K5'5&'#" -,*/'* +" '*'"#"# *+% ,,&"%#''* %'-'& ,,%+&5"+ +.
-. K5'5&'#" -,*/'* +" ,-"# -'' ,,&"'* '#".
1& Resik, tinggi gangg$an n$trisi k$rang dari ke0$t$%an 0er%$0$ngan dengan
kele)a%an ,t,t -ang diperl$kan $nt$k )eng$n-a% (M'&"$* E. D5,*/5,#8 2000 : 2;).
T!'* : M,*-,5*#+&'#"%'* ,,"'&''* > %,'!'* ,*"*/%'+'* ,&'+ '-'*
#,#'"
+!'*8 T"-'% ,*/''" +'*-'+'*-' '*+&"#".
I*+,&,*#" %,,&'4'+'* :
'. K'!" %,''* '#",* *+% ,*/*$'8 ,*,'*8 '+% -'* ,*/'+'#" 7,&,#".
 . A#%+'#" "#"*/ ##.
7. T"'*/ ,&'+ '-'* #,#'" "*-"%'#".
-. B,&"%'* '%'* -'' !' %,7" -'* -'' 4'%+ #,&"*/ -'* +,&'+&.
,. K'!" 9,7,#8 7'"&'* '*/8 *+' -'&' -'* #,'/'"*$'.
2& Gangg$an rasa n-a)an n-eri kepala 0er%$0$ngan dengan ker$sakan 'aringan ,tak 
dan perdara%an ,tak ata$ peningkatan tekanan intrakranial dan cedera psikis&
T!'* : K,+'* &'#' *$''* +,&,*".
I*+,,*#" %,,&'4'+'* :
'. K'!" ,*/,*'" 5%'#"8 "*+,*#"+'#8 ,*$,'&'*8 +"*/%'+ %,/'4'+'* -'* %,'*%,'* '#",*.
 . A!'&%'* '+"'* +,*"% &,'%#'#".
7. B'+ 5#"#" %,'' ," +"*//".
-. K5'5&'#" -,*/'* +" ,-"# -'' ,,&"'* 5'+5'+'* '*'/,+"%'.
3& Gangg$an ),0ilitas #isik 0er%$0$ngan dengan pen$r$nan kek$atan ,t,t dan
ker$sakan ne$r,)$sk$lar& (M'&"$* E. D5,*/,#8 2001).
T!'* : P'#",* -''+ ,'%%'* %,'" '+' ,,&+''*%'* 5#"#" 9"'#" 5+"'8 T"-'% 
'-' %5*+&'%+&8 M,,&+''*%'* "*+,/&"+'# %"+.
I*+,&,*#" %,,&'4'+'* :
'. P,&"%#' %,'" %,''* -'* %,'-''* #,7'&' 9*/#"5*' '-' %,&#'%'* $'*/ +,&!'-".
 . K'!" -,&'!'+ "5""#'#" '#",* -,*/'* #%'' %,+,&/'*+*/'* (0).
7. L,+'%%'* '#",* '-' 5#"#" +,&+,*+ *+% ,*/"*-'&" %,&#'%'* %'&,*' +,%'*'*.
-. I*#+&%#"%'* '+' '*+ '#",* -,*/'* &5/&' '#%*$' '+"'* -'* ,*//*''* ''+
5""#'#".
4& P,tensial ter'adin-a in#eksi 0er%$0$ngan dengan )as$kn-a k$)an )elal$i 'aringan&
T!'* : T"-'% +,&!'-" "*9,%#".
I*+,&,*#" %,,&'4'+'* :
'. L'%%'* 77" +'*/'* #,, -'* #,#-' ,'%%'* +"*-'%'* '#,+"% -'* '*+"#,+"%.
 . M5*"+5& # + -'* ,*&*'* %,#'-'&'*.
7. K5'5&'#" -,*/'* +" ,-"# -'' ,,&"'* 5'+ '*+""5+"% ,%5#+"8 "5& -'&" "-*/8
+,"*/' -'* &"*.
5& Gangg$an integriatas k$lit 0er%$0$ngan dengan ter'adin-a ker$sakan 'aringan k$lit&
T!'* : P'#",* -''+ ,*/"-,*+"9"%'#" 9'%+5&9'%+5& &,#"%5 +,&!'-"*$' /'*//'* "*+,/&"+'#
%"+8 P'#",* -''+ ,&'&+"#"'#" > %55,&'+"9 '-' #,+"' +"*-'%'*.
I*+,&,*#" %,,&'4'+'* :
'. I*#,%#" '&,' %"+8 %,,&''*8 ,*/%'%8 ,*,%'*'*8 %,,''*.
 ,*/%'!"'* %,,&'4'+'* #''" -,*/'* ,''#" %,,&'4'+'* $'*/ -"'%#'*'%'* '-'
+'*//' 1 D,#,,& 2012 #''" 21 D,#,,& 2012.

A. Kesi)p$lan.
P'-' ,*/%'!"'*8,*"# ,*,%'* ,,&'' ,&,-''*8#,,&+" ,,&"%#''* -"'/*5#+"% 
$'*/ -"'%%'* '-' %",*.''+'* $'*/ -"+,%'* ,'%'' -"'*+'&'*$' -5%,*+#"
%,,&'4'+'* $'*/ %&'*/ ,*/%' 8#,,&+" -'+' ,**!'*/.
S,'*!+*$' *+% -"'/*5#' %,,&'4'+'* '-' %'## ,'%'' ,*/'*/%'+ +"/' -"/*5#'
%,-"'* '-' ,&,*7'*''* $'*/ '-' '-' %'## *$' #,#'" -,*/'* +,5&" .
P,&,*7'*''* %,,&'4'+'* -"'+ #,#'" -,*/'* &"5&"+'# '#'' '-' '-' %",* $'*/ -"
+,+'%'*. +!'* ,'%'' ,*,+'%'* +"*-'%'* %,,&'4'+'* #,'' 32 !' .-'* %&"+,&"'
$'*/ ,'%'' +,+'%'* '-' %'## #'' -,*/'* $'*/ ,&+,&' '-' +,&5&" #,7'&' *$'.
P'-' ,'%#'*'*'* +"/' -"'/*5#' -''+ -"'%#'*'%'* -,*/'* '"%. ' "*" -''+ +,&'%#'*'
 ,&%'+ %,&!' #'' ,&'4'+ &'*/'*8%",* ,#,&+' %,'&/'. +'' '%"& $'"+ ,''#"
%,,&'4'+'* -'&" +"/' '#'' $'*/ ,'%'' +,%'* -''+ +,&'+'#" %,+"/' = +"/'*$'.

B& Saran&
S,+,' ,'%'' ,'+ %,#"'* +,*+'*/ '#'* %,,&'4'+'* '-' T*. A -,*/'*
C,-,&' %,'' &"*/'*8 '%' ,*"# ,*/'*//' ,&*$' '-'*$' #'&'* *+% ,,&'"%"
-'* ,*"*/%'+%'* + '#'* %,,&'4'+'*.
A-'* #'&'*#'&'* #,'/'" ,&"%+*$':
1. U*+% M''#"#4'.
D'' ,'%%'* '#'* %,,&'4'+'* '-' %",* #,'"%*$' ,*//*'%'* +,%*"% 
%5*"%'#" +,&',+"% '"% '-' #''+ ,*/%'!"'*8 +"*-'%'8 ,''#"8 '/'& +,&!'"* %,&!' #''
$'*/ '"%8 /*' ,,&7,'+ %,#,'* %",*.
2. U*+% P,&'4'+.
'. D'' ,*-5%,*+'#"'* %,,&'4'+'* ,*-'%*$' ," !,'# -'* ,*/%'.
 . D'' ,*,/'%%'* -"'/*5#' '&# #,#'" -,*/' &"5&"+'# +'' -,*/'* '#'' $'*/ +,&!'-"
 '-' %",* -'* %,+'* %",* '-' #''+ "+.
7. K,&!' #'' $'*/ '"% #,'' "*" -"'*+'&' ,&'4'+8 ,'%''8 %",* -'* %,'&/' ,*-'%*$'
+,+' -",&+''*%'*8 -'* *+% ,*/'+'#" +,&!'-"*$' %5"%'#" '*!+ ,'%''
,*$'&'*%'* '/'& ,&'4'+ ,,&"%'* ,*-"-"%'* %,#,'+'* '-' %",* -'* %,'&/'
+,*+'*/ ,*$'%"+ %",* -'* ,*+"*/*$' "- #,'+.
3. U*+% M'#$'&'%'+ U.
M-'-''* '' $'*/ ,'%'' +"# -''+ ,&'*9''+ '/" $'*/ ,'7' -'* !/'
*+% ,*'' ,*/,+''* '#$'&'%'+ +,*+'*/ '%'' $'*/ -"'+ 5,
 ,'%''.,'%'' 55* ''9 "' '-' %'+'%'+' $'*/ %&'*/ '+' #''  -'&" ,'+'*
'%'' "*"8 %'&,*' ,'%'' !/' '#" ,& #'&'* -'&" '#$'&'%'+  -,"
,*''%'* ,*/,+''* ,*"#.

DAFTAR PUSTAKA

B&**,& -'* S--'&+. (2001)8 B% A!'& K,,&'4'+'* M,-"%' B,-'8 E-"#"  V5 3. J'%'&+'
: EGC
C'&,*"+58 L$*-' J'. (200<). B% #'% D"'/*5#' K,,&'4'+'* . E-"#" 10. J'%'&+' : EGC.
D5,*/,# M.E. (2000)8 R,*7'*' A#'* K,,&'4'+'* : P,-5'* U*+% P,&,*7'*''* -'*
P,*-5%,*+'#"'* P,&'4'+'* P'#",*. E-"#" 3. J'%'&+' : EGC
M'&"5* J5*#5*8 -%%8 (2000)8 N&#"*/ O+75, C'##"9"7'+"5*# (NOC)8 M5#$
Y,'&B55%8 S+. L5"#.
M'#!5,&8 A&",9. (2000). K'"+' S,,%+' %,-5%+,&'*8 E-"#" 3 J"- 2. J'%'&+' : M,-"'
A,#7'#.
M'&!5&$ G5&-5*8 -%%8 (2001)8 N&#"*/ D"'/*5#,#: D,9"*"+"5*  C'##"9"7'+"5* 200120028
 NANDA.
 N&#''. (2001). P,*/'*+'& D5%,*+'#" K,,&'4'+'. J'%'&+' : EGC
T'&45+5. (200@). K,,&'4'+'* M,-"%' B,-' G'*//'* S"#+, P,&#'&'9'* ,  J'%'&+' :
CV. S'/*/ S,+5.

Vous aimerez peut-être aussi