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!" #$%& %'" '*!'+%'* %,'-' T'* Y'*/ Y'*/ M'' E#' %'&,*' '+'# ,&%'+' -'* %'&*"'*$' %'" -''+ ,*$,,#'"%' ,*$,,#'"%'* * +/'# '%'' '%'' KEPERA KEPERAW WATAN MEDIKAL MEDIKAL BEDAH BEDAH $'*/ ,&!- A#'* K,,&'4'+'* '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/'* N,&55/" L'*+'" VIII RSUD K5!' K5!' J'%'&+' U+'&'6.
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BAB I Penda%$l$an
A& Latar Belakang&
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
D'&" '#" ,*,"+"'* ,**!%'* '4' '#",* 7,-,&' %,'' &"*/'* ,*/''" *$,&" %,''8 ,,&'' ,*,"+"'* ,*,%'* '4' 3F '#",* 7,-,&' ,*/''" accute post traumatik headeche (ATPH) -,*/'* /,!'' '"*/ #,&"*/ '-' -',&' 9&5*+' -'* +"-'% '-' */'*$' -,*/'* ,&'+ %' 7,-,&' (W'+,& ,+ '8 200;)8 !/' -"%'+'%'* 5, O#"*#%$ (200) '4' '#",* +&'' %,'' &"*/'* '%'* ,*/''" *$,&" '-' "*// ,&+'' #,+,' +&''8 12 -'&" 33 (3
B& T$'$an& (& T$'$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$p&
P,*"# ,'+'#" "*/% ''#'**$' '-' #'+ %'## $'"+ A#'* %,,&'4'+'* '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/ N,&55/" RSUD K5!' J'%'&+' U+'&'8 M'" +'*//' 1 D,#,,& 2012 #''" 21 -,#,,& 2012.
D& "et,de Pen$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 $'*/ -"'" '" -'&" ,*/%'!"'*8 -"'/*5#' %,,&'4'+'*8 ,&,*7'*''*8 ,'%#'*''* -'* ,''#". BAB V ,*+ ,"+" %,#"'* -'* #'&'*.
BAB II TINJAUAN TERI
A& Pengertian .
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
B& Eti,l,gi.
M,*&+ C5"% H'&* R5#!"-" S'"9 N&"-'$'+8 (200 : ) ,+"55/" 7,-,&' %,'' '-'' : 1. 2. 3. . ;. <. @.
K,7,'%''* ' "*+'#. J'+. P%'*. K,!'+'* ,*-'. K,7,'%''* %,&!' '+' "*-#+&". C,-,&' '"&. L%' +,'%.
+& Pat,#isi,l,gi. (& Pr,ses Pen-akit . A-'*$' 7,-,&' %,'' -''+ ,*$,'%'* %,&#'%'* #+&%+&8 "#'*$' %,&#'%'* '-'
'&,*%" 5+'%8 %,&#'%'* , -'&'8 ,&-'&''*8 ,-,' -'* /'*//'* "5%""' 5+'% #,,&+" ,*&*'* adenosis tripospat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
,*-,&"+' 7,-,&' %,'' +,&!'-" %'&,*' "5+,*#" %'&,*' /'*//'* '+5&,/'#"8 %,+"%' +,&!'-" '+5&,/'#" ,*"%'* ,&9#" !'&"*/'* 7,&,&' -'* ,&'%"& '-' "#%,"' !'&"*/'* 5+'% (T'&45+58 200@). *& "ani#estasi Klinik . T'*-'+'*-' -'&" +,&!'-"*$' 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'&' #,&+' /,&'%'* .&
'. . 7. -. e&
5+5&"% -''+ +" #,/,&' '+' #,7'&' ''+. (C5&4"*8 2000). K,)plikasi. K5"%'#" $'*/ "#' +,&!'-" '%"'+ -'&" 7,-,&' K,'' '*+'&' '"* : H,5&'/"%. I*9,%#". E-,'. P*,5*"'. K,!'*/.
D& Penatalaksanaan "edis.
P,*'+''%#'*''* %",* 7,-,&' %,'' -"+,*+%'* '+'# -'#'& ,&'+*$' 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 ,*$,' 7"-,&'8 &"4'$'+
. 7. -. 1)
+'% #'-'&8 '*,#"'8 &"4'$'+ %,#,'+'* $'*/ '8 -'* &"4'$'+ %,#,'+'* %,'&/'. P,,&"%#''* 9"#"% ,'- +5 +5,. K,'-''* (+"*/%'+ %,#'-'&'* -'* %5*-"#" %",*). P,,&"%#''* ,&#"#+, -'* ,,&"%#''* 9*/#"5*'. 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 <) @) ) )
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erencanaan 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'+'+ #+'+# *,&55/"% +,*+'*/ 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$ksi
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dan perdara%an ,tak ata$ peningkatan tekanan intrakranial dan cedera psikis& T!'* : K,+'* &'#' *$''* +,&,*". I*+,,*#" %,,&'4'+'* : K'!" ,*/,*'" 5%'#"8 "*+,*#"+'#8 ,*$,'&'*8 +"*/%'+ %,/'4'+'* -'* %,'*%,'* '#",*. A!'&%'* '+"'* +,*"% &,'%#'#". B'+ 5#"#" %,'' ," +"*//". K5'5&'#" -,*/'* +" ,-"# -'' ,,&"'* 5'+5'+'* '*'/,+"%'. 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"-'%
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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&#" '%'* $'*/ -"#'!"%'* A : M'#'' +,&'+'#" P : I*+,&,*#" -",*+"%'*
BAB I! PE"BAHASAN
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A& Pengka'ian Kepera/atan&
P'-' #''+ ,*"# ,'%%'* ,*/%'!"'* T*.A T'*//' 1 D,#,,& 2012 # - 21 D,#,'& 2012 -"-''+ -'+' ,'" %",* -'* %,'&/' %", T*.A ,*-,&"+' C,-,&' %,'' &"*/'* %'&,*' '-'*$' &"4'$'+ ,&*' !'+ -'* -'' %,'&/' %",* +,&-''+ '*//5+' %,'&/' $'*/ ,*-,&"+' ",&+,*#". D'' ,*/%'!"'* %,'&/' T*. A #'*/'+ %55,&'+"9 #,"*//' ,*"# -' ,*-''+%'* -'+'. B& Diagn,saKepera/atan.
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+& Perencanaan Kepera/atan .
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
D& Pelaksanaan Kepera/atan .
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E& E7al$asi Kepera/atan.
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BAB ! PENUTUP
P'-' ' "*"8 ,*"# '%'* ,*$"%'* '#" -'&" '#'* %,,&'4'+'* '-' T*. A -,*/'* C,-,&' %,'' &"*/'* D"&'*/ N,&55/" '*+'" VIII RSUD KOJA J'%'&+' U+'&'8 '" -'&"
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B& Saran&
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DAFTAR PUSTAKA
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
