LAPORAN PENDAHULUAN STROKE NON HEMORAGIK RUANG BOUGENVIL RUMAH SAKIT UMUM DAERAH BANYUMAS
Disusun oleh : SRI HANDAYANI NIM. I4B016051
BAB I PENDAHULUAN
A. AT ATAR BEAK BEAKAN# AN#
TINJAUAN PUSTAKA
1. Pengertian Stroe Non He!oragi "SNH# S/o2e +/+u
+n
7i+2i=+/2+n oleh =ehen/in>+ sul+i 7++h 2e =+i+n o/+2 3S-el/?e @. Su?+nne! )00). Se7+n2+n! s/o2e non he-o+i2 +7+l+h sin7o-+ 2linis >+n +,+ln>+ /i-=ul -en7+7+2! oesi +n =el+nsun )4 8+- +/+u le=ih +/+u l+nsun -eni-=ul2+n 2e-+/i+n >+n 7ise=+=2+n oleh +nu+n ee7++n 7++h o/+2 non s/+u-+/i2 3M+ns8oe! )000. Menuu/ Mu//+in 3)009! s/o2e non he-o+i2 -eu+2+n oses /e8+7in>+ is2e-i+ +2i=+/ e-=oli 7+n /o-=osis see=+l =i+s+n>+ /e8+7i se/el+h l+-+ =eis/i+h+/! =+u =+nun /i7u +/+u 7i +i h+i 7+n /i7+2 /e8+7i e7++h+n. N+-un /e8+7i is2e-i+ >+n -eni-=ul2+n hio2si+ 7+n sel+n8u/n>+ 7++/ /i-=ul e7e-+ se2un7e. $. K%a&i'ia&i Stroe I&e!i Ber(a&aran Pen)e*a*n)a a. Stroe Tro!*o&i& S/o2e /o-=o/i2 e-=uluh 7++h =es+ 7en+n +li+n l+-=+/ =i+s+n>+
/e8+7i s++/ /i7u! s++/ +sien el+/i -en+l+-i 7ehi7+si 7+n 7in+-i2+
S/o2e e-=oli2 /e8+7i +2i=+/ e-=olus =i+s+n>+ -eni-=ul2+n 7eisi/ neuoloi2 -en7+7+2 7en+n ee2 -+2si-u- se8+2 +,i/+n en>+2i/. E-=olus =e+s+l 7+i =+h+n /o-=o/i2 >+n /e=en/u2 7i 7in7in on+ 8+n/un +/+u 2+/u -i/+lis. K+en+ =i+s+n>+ +7+l+h =e2u+n 2e+n 7i/i-=ul2+nn>+ /e+n/un +7+ =+i+n -+n+ si2ul+si >+n /esu-=+/ 7+n se=e++ 7+l+- =e2u+n =e8+l+n 7i e<+=+n+n +/ei se=elu- /es+n2u/. E-=olis-e 7++/ /eu+i 7+n /eus -en+li se+n8+n e-=uluh 7++h sehin+ e8+l+e8+l+ -ee7+. N+-un! +-en +-en /ese=u/ 2e-u7i+n /es+n2u/ 7i se=el+h hili 7+n -eni-=ul2+n e8+l+e8+l+ o2+l. P+sien 7en+n s/o2e 2+7ioe-=oli2 -e-ili2i isi2o >+n le=ih =es+ /e2en+ s/o2e he-o+i2! 2+en+ /e8+7i e7++h+n e/e2ie +/+u =+h2+n e7++h+n =es+ 7i 8+in+n >+n -en+l+-i in+2 =e=e++ 8++/+u -un2in h+i se/el+h e-=oli e/+-+. Pe7++h+n /ese=u/ 7ise=+=2+n 2+en+ s/u2/u 7in7in +/ei se=el+h 7is/+l 7+i o2ul+si e-=olus -ele-+h +/+u +uh 2+en+ eusi. Den+n 7e-i2i+n! e-ulih+n /e2+n+n eusi 7++/ -en>e=+=2+n e7++h+n +/eiol +/+u 2+ile 7i e-=uluh /ese=u/. S/o2e 2i/oeni2 +7+l+h s/o2e is2e-i2 +2i=+/ su-=+/+n -en7+7+2 e-=uluh
Be=e++ eneli/i+n -e-=u2/i2+n =+h,+ ) se+n+n s/o2e /e8+7i +7+ usi+ 7i +/+s 65 /+hun. Mes2iun 7e-i2i+n! =u2+n =e+/i usi+ -u7+ +/+u o7u2/i +2+n /e=e=+s 7+i se+n+n s/o2e 3Wi,i/ S.! )010. ) &enis Kel+-in Peneli/i+n -enun8u22+n =+h,+ i+ le=ih =+n>+2 /e2en+ s/o2e 7+i+7+ ,+ni/+! >+i/u -en<++i 2is++n 1!)5 2+li le=ih /ini. N+-un +nehn>+! 8us/u le=ih =+n>+2 ,+ni/+ >+n -enin+l 7uni+ 2+en+ s/o2e. H+l ini 7ise=+=2+n i+ u-u-n>+ /e2en+ se+n+n s/o2e +7+ usi+ -u7+. Se7+n2+n! ++ ,+ni/+ 8us/u se=+li2n>+! >+i/u s++/ usi+n>+ su7+h /u+ 3Wi,i/ S.! )010. #+is Ke/uun+n Te7++/ 7u++n =+h,+ s/o2e 7en+n +is 2e/uun+n s+lin =e2+i/+n. D+l+- h+l ini! hie/ensi! 7i+=e/es! 7+n <+<+/ +7+ e-=uluh 7++h -en8+7i +2/o ene/i2 >+n =ee+n. Sel+in i/u! +>+ hi7u 7+n ol+ -+2+n 7+l+- 2elu++ >+n su7+h -en8+7i 2e=i+s++n >+n suli/ 7iu=+h 8u+ -enin2+/2+n esi2o s/o2e 3Wi,i/ S.! )010. 4 As+l $sul B+ns+ Be7+s+2+n li/e+/u! =+ns+ Ai2+! Asi+! 7+n 2e/uun+n His+ni2 le=ih en/+n /e2en+ se+n+n s/o2e 3Wi,i/ S.! )010. 5 Kel+in+n Pe-=uluh D++h 3A/i+l 'i=ill+/ion Kel+in+n ini +7+l+h su+/u 2on7isi 2e/i2+ s+l+h s+/u =ili2 8+n/un =+i+n
enen7+li+n /e2+n+n 7++h 3In7i+n+ S/o2e Pe;en/ion T+s2 'o )006 $7+/e7! )00*. ) Di+=e/es Meli/us "+n 7en+n 7i+=e/es -eli/us le=ih en/+n /eh+7+ +/eos2leosis 7+n enin2+/+n e;+lensi o+/eoeni2! /eu/+-+ hie/ensi 7+n lii7 7++h >+n +=no-+l. Be7+s+2+n s/u7i <+se +n -el+o2+n 2+i/+n +n/++ hie2oles/eole-i+ 7+n isi2o e7++h+n in/+see=+l. "77s R+/io 2eseluuh+n un/u2 2oles/eol >+n /ini +7+l+h 1!)) 35 @I: 0!56 )!6*! 7i -+n+ en>eli7i2+n /eh+7+ eneli/i+n 2oho/ -el+o2+n 2+i/+n +n/++ hie2oles/eole-i+ 7+n PISF se-u+n>+ -eneli/i 2+7+ 2oles/eol seu- /o/+l. 4 Meo2o2 Peneli/i+n -enun8u22+n =+h,+ o2o2 -e-=ei2+n 2on/i=usi /e8+7in>+ s/o2e >+n =e+2hi 7en+n 2e-+/i+n se2i/+ 1) s+-+i 14 3#ol7s/ein e/ +l! )011.
H+sil eneli/i+n -enun8u22+n =+h,+ isi2o s/o2e e2uen 7+n +/+u 2e-+/i+n le=ih /ini +7+ -ino is+n sinii2+n h+n>+ +7+ 2e-+/i+n. 9 Pen>+2i/ &+n/un A/i+l i=il+si 3A' -eu+2+n +nu+n i+-+ >+n =+n>+2 -en>e+n i+ 7e,+s+! A' 7i/e-u2+n +7+ 11!5 oul+si 7i ne++ne++ =++/ 7+n -eu+2+n s+l+h s+/u +2/o isi2o in7een7en s/o2e. A' 7++/ -en>e=+=2+n isi2o s/o2e +/+u e-=oli -en8+7i 5 2+li li+/ 7+i+7+ +sien /+n+ A'. . Tan(a Ge/a%a Stroe Non He!oragi Menuu/ B+uh-+n! @ Di+ne.722! 3)000! /+n7+ 7+n e8+l+ 7+i s/o2e +7+l+h
se=++i =ei2u/ : 1. Kehil+n+n -o/oi2. Disunsi -o/oi2 +lin u-u- +7+l+h he-ilei+ 3++lisis +7+ s+l+h s+/u sisi 7+n he-i+esis 32ele-+h+n s+l+h s+/u sisi 7+n 7is+i+. ). Kehil+n+n 2o-uni2+si Disunsi =+h+s+ 7+n 2o-uni2+si +7+l+h 7is+/i+ 32esuli/+n =e=i<++ +/+u ++si+ 32ehil+n+n =e=i<++. . #+nu+n esesi Meliu/i 7isunsi esesi ;isu+l hu-+nus! he-in+si+ +/+u 2ehil+n+n enlih+/+n eie 7+n 7iloi+!
hu=un+n ;isu+l! sesi+l 7+n
7+l+- ,+2/u sin2+/ 8i2+ /i7+2 +7+ eeusi. Di lu+ 7+e+h + =elu- -+/i +2+n /e/+i s+n+/ =e2u+n unsiunsin>+ 7+n -en>e=+=2+n 8u+ 7eisi/ neuoloi2. Tin2+/ is2e-in>+ -+2in 2e eie -+2in in+n. D+e+h enu-=+ is2e-i2! 7i lu+n>+ 7++/ 7i2elilini oleh su+/u 7+e+h h>ee-i< +2i=+/ +7+n>+ +li+n 7++h 2ol+/e+l 3luJu> eusion +e+. D+e+h enu-=+ is2e-i2 inil+h >+n -en8+7i s+s++n /e+i s/o2e is2e-i2 +2u/ su+>+ 7++/ 7i eeusi 7+n sel( sel o/+2 =eunsi 2e-=+li. Re;esi=ili/+s /e+n/un +7+ +2/o ,+2/u 7+n 8i2+ /+2 /e8+7i eeusi! 7+e+h enu-=+ 7++/ =e+nsu(+nsu -en+l+-i 2e-+/i+n. Di+n7+n 7+i sei =ioloi -ole2ule! +7+ 7u+ -e2+nis-e 2e-+/i+n sel o/+2. Pe/+-+ oses ne2osis! su+/u 2e-+/i+n =eu+ le7+2+n sel +2u/ +2i=+/ enh+n+n =e+2i=+/ /i-=uln>+ e+2si inl+-+si 7+n oses +osi/osis 7e=is ne2o/i2. Poses 2e-+/i+n 2e7u+ +7+l+h oses +o/osis +/+u silen/ 7e+/h! si/os2ele/on sel neuon -en+l+-i en+ e+2si inl+-+si selule. Ne2osis selule 7ii 7+n ee +7i<+l in8u> +2i=+/ =o+ neuo/+ns-i//e lu/+-+/e 7+n +s+/+/ >+n s+n+/ /o2si2 /eh+7+ s/u2/u si/os2ele/on o/+2. De-i2i+n ul+ le+sn>+ +7i2+l =e=+s -e-=+2+ -e-=+n lii7 sel 7en+n se+l+ +2i=+/n>+.
. Pat23a) Stroe Non He!oragi "SNH#
9. P+/h,+> S/o2e non he-o+i2 3@+eni/o! )000 7+n Doenoes! )000 . e-=oli see=+l To-=us 7+n Su-=+/+n e-=uluh 7++h 7i o/+2 Peu=+h+n eusi 8+in+n
Is2e-i+ Sul+i 7++h 2e o/+2 -enuun
In+2 =+/+n o/+2
In+2 8+in+n see=+l He-ise 2+n+n
He-ise 2ii A+si+
Mu7+h us/+si H++ 7ii en7+h
Dis+i+ Keus+2+n -enel+n Ke/i7+2se( i-=+n+n nu/isi 2u+n 7+i 2e=u/uh+n /u=uh
Keus+2+n 2o-uni2+si ;e=+l
Kel+in+n ;isu+l 2+n+n
Kel+in+n ;isu+l 2ii
He-i+( esis 2+n+n
He-i+( esis 2ii
Kele-+h+n isi2
Bol+ -+/+ /i7+2 -+u -eni2u/i ein/+h
Deisi/ ese/u+l
Resi2o /ini
Ne;us I
D+>+ en+ enlih+/+n Penuun+n l++n +n7+n
Rele2 <+h+>+ -enuun Peu=+( h+n u2u+n uil
Ne;us I! ! I! %
-enu/u 2elo+2 -+/+! unsi ene<+(+n ) li7+h
Ke-+-u+n -enel+n -enuun
Ne;us II
Ne;us III! I%! %I
Ne;us II
#+nu+n nu/isi G 2e=u/uh+n
Ne;us %II Ne;us %III Pn7en++n 7+n 2esei-=+n+n /u=uh -enuun
Rele2 -enun>+h -enuun Tese7+2 Besih+n 8+l+n n++s /i7+2 ee2/i
"=s/u2 si 8+l+n n++s
14. Pe!eri&aan Pen5n/ang Stroe Non He!oragi "SNH# +. Anio+i see=+l
11.
Menen/u2+n en>e=+= s/o2e se<++ sesii2 see/i e7++h+n +/+u
o=s/u2si +/ei. +. Sinle Pho/on E-ission @o-u/e7 To-o+h> 3SPE@T. 1).
$n/u2 -en7e/e2si lu+s 7+n 7+e+h +=no-+l 7+i o/+2! >+n 8u+
-en7e/e2si! -elo2+lis+si! 7+n -enu2u s/o2e 3se=elu- n+-+2 oleh e-in7+i+n @T. +. @T s<+n 1.
Penin7+i+n ini -e-elih+/2+n se<++ sesii2 le/+2 e7e-+! osisi
he-+/o-+! +7+n>+ 8+in+n o/+2 >+n in+2 +/+u is2e-i+ 7+n osisin>+ se<++ +s/i. +. MRI 3M+ne/i< I-+in Reson+n
Menun+2+n elo-=+n -ene/i2 un/u2 -enen/u2+n osisi 7+n =s+
/e8+7in>+ e7++h+n o/+2. H+sil >+n 7i7++/2+n +e+ >+n -en+l+-i lesi 7+n in+2 +2i=+/ 7+i he-o+i2. +. EE# 15.
Pe-ei2s++n ini =e/u8u+n un/u2 -elih+/ -+s+l+h >+n /i-=ul 7+n
•
•
• •
• •
Me-e/+h+n2+n s+lu+n n++s >+n +/en >+i/u l+2u2+n enis++n len7i>+n sein! o2sien+si! 2+l+u elu l+2u2+n /+2eos/o-i! -e-=+n/u en++s+n. Menen7+li2+n /e2+n+n 7++h =e7+s+2+n 2on7isi +sien! /e-+su2 un/u2 us+h+ -e-e=+i2i hio/ensi 7+n hie/ensi. Beus+h+ -enen/u2+n 7+n -e-e=+i2i +i/-i+ 8+n/un. Mene-+/2+n +sien 7+l+- osisi >+n /e+/! h+us 7il+2u2+n se+n =ele=ih+n! 1. Peno=+/+n Konse;+/i
)0.
+. %+so7il+/o -enin2+/2+n +li+n 7++h see=+l 3ADS se<++ e+: +7+ /u=uh -+nusi+ =elu- 7++/ 7i=u2/i2+n. )1. =. D++/ 7i=ei2+n his/+-in! +-inohilin! +se/+?ol+-i7! ++;ein in/+ +/ei+l.
)).
<. An/i +e+si /ho-=osis see/i +siin 7iun+2+n un/u2 -enh+-=+/ e+2si ele+s+n +e+si /ho-=osis >+n /e8+7i sesu7+h ulse+si +l/eo-+.
).
7. An/i 2o+ul+n 7++/ 7iese2+n un/u2 -en+ -e-=e+/n>+ /o-=osis +/+u e-=oli 7i /e-+/ l+in 7i sis/e- 2+7io;+s2ule.
+. Keluh+n u/+-+ ). Bi+s+n>+ 7i7++/2+n 2ele-+h+n +no/+ e+2 se=el+h =+7+n! =i<++ elo! 7+n /i7+2 7++/ =e2o-uni2+si. +. Ri,+>+/ en>+2i/ se2++n . Se+n+n s/o2e sein2+li =el+nsun s+n+/ -en7+7+2! +7+ s++/ 2lien se7+n -el+2u2+n +2/i;i/+s. Bi+s+n>+ /e8+7i n>ei 2e+l+! -u+l! -un/+h =+h2+n 2e8+n s+-+i /i7+2 s+7+! 7is+-in e8+l+ 2elu-uh+n se+oh =+7+n +/+u +nu+n unsi o/+2 >+n l+in. +. Ri,+>+/ en>+2i/ 7+hulu 4. A7+n>+ i,+>+/ hie/ensi! 7i+=e/es -ili/us! en>+2i/ 8+n/un! +ne-i+! i,+>+/ /+u-+ 2e+l+! 2on/+sesi o+l >+n l+-+! enun++n o=+/(o=+/ +n/i 2o+ul+n! +siin! ;+so7il+/o! o=+/(o=+/ +7i2/i! 2ee-u2+n. +. Ri,+>+/ en>+2i/ 2elu++ 5. Bi+s+n>+ +7+ i,+>+/ 2elu++ >+n -en7ei/+ hie/ensi +/+uun 7i+=e/es -ili/us. +0. Penga/ian ,o5&6 •
A2/i;i/+sis/i+h+/: *. Klien +2+n -en+l+-i 2esuli/+n +2/i;i/+s +2i=+/ 2ele-+h+n! hil+nn>+ +s+! ++lisis! he-ilei! -u7+h lel+h! 7+n sus+h /i7u.
•
Neuo Sensoi 4). Pusin! sin2oe! s+2i/ 2e+l+! e7++h+n su= ++s+loi+! l++n +n7+n -en>e-i/. Hil+nn>+ 7+>+ sensoi +7+ =+i+n >+n =el+,+n+n 7i=+i+n e2s/e-i/+s 7+n 2+7+n(2+7+n +7+ sisi >+n s+-+ 7i -u2+.
•
N>+-+nn>ei
4. o/+2-u2+ •
S+2i/ 2e+l+! eu=+h+n /in2+h l+2u 2ele-+h+n! /e+n +7+
Resi+si 44. Ke/i7+2-+-u+n -enel+n! =+/u2! -elin7uni 8+l+n n++s. Su++ n++s! ,he?in! on
•
Ke+-+n+n 45. Sensoi2 -o/oi2 -enuun +/+u hil+n -u7+h /e8+7i in8u>. Peu=+h+n esesi 7+n oien/+si Ti7+2 -+-u -enel+n s+-+i 2e/i7+2-+-u+n -en+/u 2e=u/uh+n nu/isi. Ti7+2 -+-u -en+-=il 2eu/us+n.
•
In/e+2si so
#+nu+n 7+l+- =i<++! Ke/i7+2-+-u+n =e2o-uni2+si.
4. 'o2us In/e;ensi 50. No
51. Diagno&a
52.T5/5an
53. Inter7en&i
Ke-era3atan 54. 1.
55. Ke/i7+2ee2/i+n
Peusi 8+in+n see=+l =.7 +li+n 7++h 2e o/+2 /eh+-=+/. 56.
57. Se/el+h
7il+2u2+n /in7+2+n 2ee+,+/+n 7ih++2+n sul+i +li+n 7++h 2eo/+2 l+n<+ 7en+n 2i/ei+ h+sil:
63. Monitor
ne5ro%ogi&
Moni/o u2u+n! 2esi-e/is+n! e+2si 7+n =en/u2 uil ). Moni/o /in2+/ 2es+7++n 2lien 65. . Moni/i /+n7+(/+n7+ ;i/+l 66. 4. Moni/o 2eluh+n n>ei 2e+l+! -u+l! N>ei 2e+l+ ;e/io =e2u+n 67. 58.( s+-+i 7e(n+n hil+n -un/+h 5. Moni/o eson 2lien /eh+7+ Beunsin>+ s++ 7en+n =+i2 68. 59.( T+n7+(/+n7+ ;i/+l s/+=il eno=+/+n 60.( 61. 6. Hin7+i +2/i;i/+s 8i2+ TIK -enin2+/ 69. *. "=se;+si 2on7isi isi2 2lien 70. 64.
62.
1.
71. 72. Tera-i o&igen
Besih2+n 8+l+n n++s 7+i se2e/ Pe/+h+n2+n 8+l+n n++s /e/+ ee2/i 74. . Bei2+n o2sien sesu+i in/u2si 75. 4. Moni/o +li+n o2sien! 2+nul o2sien 76. 7+n sis/e- hu-i7iie 5. Bei en8el+s+n 2e+7+ 2lien /en/+n 77. en/inn>+ e-=ei+n o2sien 6. "=se;+si /+n7+(/+n7+ hio(;en/il+si 78. *. Moni/o eson 2lien /eh+7+ 79. e-=ei+n o2sien 9. An8u2+n 2lien un/u2 /e/+ -e-+2+i 80. 73.
1. ).
o2sien sel+-+ +2/ii/+s 7+n /i7u 81. 82. )
83. Keus+2+n
98.
99. Deisi/
85. Se/el+h
7il+2u2+n 9. 1. 2o-uni2+si ;e=+l =.7 /in7+2+n 2ee+,+/+n! 90. i=+/2+n 2elu++ un/u2 -e-=+n/u -e-+h+-i enuun+n si2ul+si 7ih++2+n 2lien -+-u -e-+h+-2+n ino-+si 7+i 2e 2lien 2e o/+2 un/u2 =e2o-uni2+si l+i91.). Den+2+n se/i+ u<++n 2lien 7en+n enuh 7en+n 2i/ei+ h+sil: eh+/i+n 84. 92.. #un+2+n 2+/+(2+/+ se7eh+n+ 7+n en7e2 7++/ -en8+,+= e/+n>++n 86.( 7+l+- 2o-uni2+si 7en+n 2lien >+n 7i+8u2+n e+,+/ 93.4. Doon 2lien un/u2 -enul+n 2+/+(2+/+ 7++/ -ene/i 7+n -e-+h+-i 87.( 94.5. Bei2+n ++h+n ein/+h >+n se7eh+n+ es+n(es+n -el+lui +-=+ se/i+ in/e+2si 7en+n 2lien 7++/ -ene2sesi2+n 88.( 95.6. Po+-2+n see e+s++nn>+ se<++ ;e=+l -+uun 96.*. +2u2+n see se/i+ non;e=+l in/e+2si 7en+n 2lien 97.
e+,+/+n
7iiF -+n7i!=e+2+i+n! -+2+n! 100.
Se/el+h 7il+2u2+n /in7+2+n 2ee+,+/+n! 7ih++2+n 2e=u/uh+n -+n7ii 2lien /eenuhi! 7en+n 2i/ei+ h+sil:
101.
10*.
1
K+8i 2+-+-u+n 2lien un/u2 e+,+/+n 7ii ) P+n/+u 2e=u/uh+n 2lien un/u2 +l+/(+l+/ 109. =+n/u 7+l+- -+2+n! -+n7i! =e+2+i+n 7+n /oile/in ( Klien 7++/ -+2+n 102. Bei2+n =+n/u+n +7+ 2lien hin+ 110. 7en+n =+n/u+n o+n l+in -+n7ii 2lien seenuhn>+ =is+ -+n7ii ( Klien 7++/ -+n7i 7e( 103. 4 Bei2+n 7u2un+n +7+ 2lien un/u2 111. n+n =+n/u+n o+n l+in -enun8u22+n +2/i;i/+s no-+l sesu+i ( Klien 7++/ -e-+2+i 104. 2e-+-u+nn>+ +2+i+n 7en+n =+n/u+n o+n l+in 5 i=+/2+n 2elu++ 7+l+- e-enuh+n 112. -+n7ii 2e=u/uh+n ( Klien 7++/ /oile/in 105. 108.
7en+n =+n/u+n +l+/
113.
106.
114.
e+,+/+n 7ii 2lien
115. 116. 117. 118. 119. 120.
4
Keus+2+n -o=ili/+s isi2 =.7 2eus+2+n neuo;+s( 2ule
121.
122.
138.
5
Se/el+h 7il+2u2+n 1 A8+2+n 2lien un/u2 l+/ih+n en/+n 128. /in7+2+n 2ee+,+/+n e+2 +2/i +7+ sisi e2s/i-i/+s >+n seh+/ sel+-+! 7ih++2+n 2lien 129. ) A8+2+n en/+n e+2 +si +7+ sisi 7++/ -el+2u2+n e2s/i-i/+s >+n +ese lei 7+l+- /ole+nsi ee+2+n isi2 7en+n n>ei 2i/ei+ h+sil : To+n e2s/i-i/+s 7en+n =+n/+l 130. un/u2 -en+n 7is++n2+n ( P+sien -en<++i 126. 6 i=+/2+n 2elu++ un/u2 -e-=+n/u 133. 2esei-=+n+n s++/ 7u7u2 2lien l+/ih+n sen7i ( P+sien -+-u 127. 134. -enun+2+n sisi /u=uh >+n /i7+2 135. s+2i/ un/u2 2o-ens+si hil+nn>+ 136. unsi +7+ sisi >+n +eselei 137.
Resi2o 2eus+2+n in/ei/+s 2uli/ =.7 i--o=ilis+si isi2
139.
140.
123.
Se/el+h 7il+2u2+n 1 Bei en8el+s+n +7+ 2lien /en/+n: 144. /in7+2+n e+,+/+n esi2o +7+n>+ lu2+ /e2+n! /+n7+ 7+n e8+l+ lu2+ sel+-+! 7ih++2+n +sien /e2+n! /in7+2+n en+n n>+-+n 146.
141.
( Klien -+-u -ene(n+li147. ( #un+2+n lo/ion! -in>+2 +/+u =e7+2 /+n7+ 7+n e8+l+ +7+n>+ esi2o lu2+ un/u2 eli
152. 153. 154.
(
+2u2+n +lih =+in $=+h osisi 2lien se/i+ 0 -eni/( )
8+( Pe/+h+n2+n /e-+/ /i7u se7+/+ -un2in un/u2 -enu+ni 2e2u+/+n ese+n ( B+/+si osisi se-i o,le h+n>+ 0 156. -eni/ ( "=se;+si +e+ >+n /e/e2+n 3/elin+! 157. -+/+ 2+2i! s+2u-! s2o/u-! si2u! is+ 2e-e+h+n 7+n 163. e<+h(e<+h ( Bei ele-=+= +7+ 2uli/ >+n 2ein 164. 155.
7+n e<+h(e<+h ( &++ sei 7+l+- 2e+7++n =esih 7+n 2ein ( Moni/o +2/i;i/+s 7+n -o=ili/+s 2lien 166. ( Bei =e7+2 +/+u 2+-e si/us +7+ 167. +e+ >+n /e/e2+n 165.
168. 169.
6
Resi2o Asi+si =ehu=un+n 7en+n enuun+n /in2+/ 2es+7++n
Se/el+h 7il+2u2+n /in7+2+n e+,+/+n! 7ih++2+n /i7+2 /e8+7i +si+si +7+ +sien 7en+n 2i/ei+ h+sil :
170.
A&-iration 8ontro% Manage!ent 6
171.
175.
( Moni/o /in2+/ 2es+7++n! ele2 =+/u2 7+n2e-+-u+n -enel+n ( Pelih++ 8+l+n n++s 177. ( D++/ =en++s 7en+n 178. ( +2u2+n s++n +2+n ( M+-u 7i=ei2+n 173. -enel+n!-enun>+h /+n+ /e8+7i 180. ( H+lus2+n o=+/ se=elu- e-=ei+n 181. +si+si 176.
174.
183.
*
Resi2o In8ui =ehu=un+n 7en+n enuun+n /in2+/ 2es+7++n
Se/el+h 7il+2u2+n /in7+2+n e+,+/+n! 7ih++2+n /i7+2 /e8+7i /+u-+ +7+ +sien 7en+n 2i/ei+ h+sil:
184.
182.
185.
( =e=+s 7+i
190.
Ri& 8ontro% In/5r)
( -en>e7i+2+n lin2un+n >+n +-+n =+i +sien ( -e-=ei2+n ino-+si -enen+i <++ 192. -en+n
( -enun+2+n +sili/+s 2eseh+/+n >+n +7+
188.
189. 195.
9
Pol+ n++s /i7+2 ee2/i =ehu=un+n 7en+n enuun+n 2es+7++n
196.
Se/el+h 7il+2u2+n /in7+2+n e+,+/+n! 7ih++2+n ol+ n++s +sien ee2/i 7en+n 2i/ei+ h+sil :
197.
200.
( ( ( 203. ( 204. /+-=+h+n 198. ( Menu8u22+n 8+l+n n++s +/en 3 /i7+2 -e+s+205. ( /e
Re&-iratori Stat5& Manage!ent
Pe/+h+n2+n 8+l+n n++s >+n +/en "=se;+si /+n7+(/+n7+ hio;en/il+si Bei2+n /e+i ") Den+2+n +7+n>+ 2el+in+n su++ Moni/o ;i/+l sin
( T+n7+(/+n7+ ;i/+l 7+l+- =+/+s no-+l
199.
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DA'TAR P$STAKA
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S-el/?e! 722. )00). Bu2u A8+ Kee+,+/+n Me7i2+l Be7+h Bunne C Su77+/h E7isi 9 %ol ). +lih =+h+s+ H. Y. Kun<++! An7> H+/ono! Moni<+ Es/e! Y+s-in +sih. &+2+/+: E#@ )15. 216.