LAPORAN PENDAHULUAN ASUHAN ASUH AN KEPERAW KEP ERAWA ATAN PADA KLIEN KLIE N DENGAN DENG AN GANGGUAN SISTEM PERSARAFAN STROKE NON HEMORAGIK (SNH)
OLEH : NAMA KADEK ITA
RATNA DEWI
NIM
:
P07120214081 KELAS
: NI
: II.3 D III KEPERAWATAN
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK POLITEKNI K KESEHAT KES EHATAN AN DENPASAR JURUSAN KEPERAWATAN 2016
I. KONSEP KONSEP DASAR DASAR STRO STROKE KE NON NON HAEM HAEMORA ORAGIK GIK A. Peng Penge e!" !"#n #n Menurut Smet!er ". Su!#nne •
$2002%&
Str'(e #t#u
)e*er# cerebrovaskuler #*##+ #*##+ (e+,#n (e+,#n-#n -#n un-/, un-/, 't#( 't#( #n#n- *,#(, *,#(,#t( #t(#n #n •
'e+ er+ent,n# /u#, *#r#+ (e #-,#n 't#(. Menu Menuru rutt WHO& WHO& Stro Stroke ke #*##+ #*##+ m#n,e/ m#n,e/t#/, t#/, (,n,( (,n,( *#r, *#r, -#n--u -#n--u#n #n un-/, un-/, )erer )erer#& #& #,( #,( '(# '(# m#uun m#uun -'# -'#&& #n#n- er#n er#n-/u -/unn- *en-#n *en-#n )e#t& )e#t& er#n-/un- e,+ *#r, 24 #m #t#u er#(+,r *en-#n m#ut& t#n#
•
*,temu(#nn# ene# /e#,n *#r,#*# -#n--u#n vaskuler. Menuru Menurutt "+#n"+#n- $2010% $2010%&& Ser#n-# Ser#n-#n n 't#( 't#( meru# meru#(#n (#n ,/t,#+ ,/t,#+ ('ntem ('ntem'r 'rer er untu( untu( /tr'(e #t#u )e*er# /erer'#/(ue /erer'#/(uerr #n- men-#)u (e#*# -#n--u#n /u#, *#r#+ 't#( /e)#r# men*#*#( /e#-#, #(,#t *#r, '(u/, emuu+
•
*#r#+ #r/,# #t#u t't#& #t#u #(,#t e)#+n# emuu+ *#r#+ 't#(. Menurut Menurut W,,#m/ W,,#m/ $2008%& $2008%& Str'(e Str'(e meru#(#n meru#(#n -#n--u#n -#n--u#n men*#*#( men*#*#( #*# /,r(u#/, /erer# *, /#tu emuu+ *#r#+ #t#u e,+ #n- men/u#, 't#(. Str'(e Str'(e men-,n men-,nter teru/ u/,, #t#u #t#u men-ur men-ur#n#n-,, /u#, /u#, '(/,-e '(/,-en n *#n umumn umumn## mene#(#n (eru/#(#n /er,u/ #t#u ne(r'/,/ *, #r,n-#n 't#(. Str' Str'(e (e *,( *,(#/ #/,, ,,(# (#/,( /,(#n #n men# men#*, *, *u#& *u#& #,tu #,tu /tr'( /tr'(ee +em' +em'r# r#-,( -,( $r,m $r,m#r #r +em'r +em'rr+# r+#-, -,)) /tr' /tr'(e (e/% /% *#n *#n /tr' /tr'(e (e n'n n'n +em' +em'r#r#-,( ,( $,/)+ $,/)+em em,) ,)
•
/tr'(e/%. Menurut Pr,)e $2005%& $2005%& /tr'(e n'n +em'r#-,( +em'r#-,( $SNH% meru#(#n meru#(#n -#n--u#n /,r(u#/, )erer, #n- *##t t,mu /e(un*er *#r, r'/e/ #t''-,/ #*# emuu+ m,/#n# tr'mu/& em'u/ #t#u en#(,t #/(uer *#/#r /eert, #rte #rter' r' /(er /(er'/ '/,/ ,/ *#n *#n #rter #rter,t ,t,/ ,/ #n#n- menmen--# -#nn--u -u #,r#n #,r#n *#r#+ *#r#+ )ere )erer# r# /e+,n--# /u#, nutr,/, *#n '(/,-en (e 't# menurun #n- mene#(#n
•
ter#*,n# ,n#r(. Menurut P#*,# $2012%& Str'(e N'n H#em'r#-,( #*##+ )e*er# 't#( #n er(#,t#n *en-#n '/tru(/, #,r#n *#r#+ 't#( ter#*, #(,#t ementu(#n tr'mu/ *, #rter, )ererum #t#u em',/ #n- men-#,r (e 't#( *#n tem#t
•
#,n *, tuu+. Menuru Menurutt Ar, M#n/' M#n/'er er $2000% $2000%&& Str'(e Str'(e n'n +em'r# +em'r#-,( -,( #*##+ #*##+ /,n*r'm# /,n*r'm# (,n (,n,/ ,/ #n#n- #6#n #6#n# # t,mu t,mu men* men*#* #*#( #(&& r'r'-re/ re/,, )e# )e#tt eru eru# # *e, *e,),t ),t neur' neur'''-,/ ,/ '(# '(# #t#u #t#u -'# -'# #n#n- er#n er#n-/u -/unn- 24 #m #t#u e,+ #t#u #n-/un- men,mu (em#t,#n #n- *,/e#(#n 'e+ -#n--u#n ere*#r#n *#r#+ 't#( n'n /tr#um#t,(.
•
Menurut Menurut Ar, Ar, Mutt#,n Mutt#,n $2008%& $2008%& Str'(e Str'(e n'n +em'r#-,( +em'r#-,( meru#(#n meru#(#n r'/e/ r'/e/ ter#*,n# ,/(em,# #(,#t em', *#n tr'm'/,/ /erer# ,#/#n# ter#*, /ete#+ #m# er,/t,r#+#t& #ru #n-un t,*ur #t#u *, #-, +#r, *#n t,*#( ter#*, er*#r#+#n. N#mun ter#*, ,/(em,# #n- men,mu(#n +,'(/,# *#n /e#nutn# *##t t,mu e*em# /e(un*er. #*,& *#r, eer## en-ert,#n /tr'(e *,#t#/& *,/,mu(#n /tr'(e n'n +em'r#-,( #*##+ #*##+ -#n--u#n )erer'#/(u#r #n- *,/e##(#n 'e+ /um#tn# /um#tn# emuu+ *#r#+ #(,#t en#(,t tertentu /eert, #ter'/(er'/,/& #ter'/(er'/,/& #rter,t,/& tr'mu/ *#n em'u/.
B. T#n$ n$# # $#n $#n Ge%# Ge%#&# &#
Menuru Menurutt Smet!e Smet!err *#n 9#re& 9#re& $2002% $2002% Str'(e Str'(e mene# mene#(# (#n n er#er#-#, #, *e,),t neur''-,(& -e## mun)u #(,#t *#er#+ 't#( tertentu t,*#( erun-/, #(,#t ter-#n--un# #,r#n *#r#+ (e tem#t ter/eut& er-#ntun- #*# '(#/, e/, $emuu+ *#r#+ m#n# #n- ter/um#t%& u(ur#n #re# #n- eru/,n# t,*#( #*e(u#t& *#n um#+ #,r#n *#r#+ ('#ter# $/e(un*er #t#u #(/e/'r,%. un-/, 't#( #n- ru/#( t,*#( *##t mem#,( /eenu+n#. M#n,e/t#/, (,n,/ $t#n*# *#n -e##% *#r, /tr'(e menurut Smet!er ; 9#re $2002% #*##+ /e#-#, er,(ut: 1. Ke+, Ke+,# #nn-#n #n m't m't'r 'r,( ,( Str'(e #*##+ en#(,t m't'r neur'n #t#/ *#n men-#(,#t(#n (e+,#n-#n )'ntr' )'ntr' 'unt 'unter er ter+#*# ter+#*# -er#(# -er#(#n n m't'r, m't'r,(. (. K#ren# K#ren# neur'n neur'n m't'r m't'r #t#/ me,nt#/& -#n--u#n )'ntr' m't'r 'unteer #*# /##+ /#tu /,/, tuu+ *##t menunu((#n (eru/#(#n #*# neur'n m't'r #t#/ #*# /,/, #n- er#6#n#n *#r, 't#(. D,/un-/, m't'r,( #,n- umum #*##+ +em,e-,# $#r#,/,/ #*# /##+ /#tu /,/,% (#ren# e/, #*# /,/, 't#( #n- er#6#n#n. Hem,#re/,/ #t#u (eem#+#n #*# /##+ /#tu /,/, tuu+& #*##+ t#n*# #n- #,n. 2. Ke+, Ke+,# #nn-#n #n ('mu ('mun, n,(# (#/, /, unun-/, /, 't#( 't#( #,n #,n #n#n- *,e *,enn-#r #ru+ u+,, 'e+ 'e+ /tr' /tr'(e (e #*# #*##+ #+ #+# #+#/# /# *#n *#n ('mun,(#/,. Str'(e #*##+ ene# ##/,# #,n- umum. D,/un-/, #+#/# *#n ('mun,(#/, *##t *,m#n,e/t#/,(#n 'e+ +# er,(ut: #. D,/#r D,/#rtr, tr,## $(e/ $(e/u u,t# ,t#n n er er,)# ,)#r#% r#%:: *,tu *,tun nu( u((# (#n n *en*en-#n #n ,)# ,)#r# r# #n#n- /u, /u,tt *,men-ert, #n- *,/e#(#n 'e+ #r#,/,/ 't't #n- ert#n--un- #6# untu( men-+#/,(#n ,)#r#. . D,/#/,# #t#u ##/,# $,)#r# *ee(t, #t#u (e+,#n-#n ,)#r#%& #nterut#m# e(/re/, #t#u re/et,.
3. <#n<#n--u -u#n #n er/ er/e e/, /, <#n--u <#n--u#n #n er/e/ er/e/,, #*##+ #*##+ (et,*# (et,*#(m#m (m#mu# u#n n untu( untu( men-,n men-,nter terret ret#/,( #/,(#n #n /en/#/,. Str'(e *##t men-#(,#t(#n *,/un-/, er/e/, ,/u#& -#n--u#n *##m +uun-#n ,/u# /#/,# *#n (e+,#n-#n /en/'r,. 4. Keru/#( Keru/#(#n #n un-/, un-/, ('-n ('-n,t, ,t, *#n *#n ee( /,(' /,('''-,( ,( D,/un-/, ,n, *##t *,tunu((#n *##m ##n- er+#t,#n ter#t#/& (e/u,t#n *##m em#+#m#n& u#& *#n (ur#n- m't,#/,& #n- mene#(#n #/,en ,n, men-+#*#, m#/##+ ru/t#/, *##m r'-r#m re+#,,t#/, mere(#. =. D,/u D,/unn-/, /, (#n (#n*u *unn- (em,+ (em,+ Sete#+ /tr'(e #/,en mun-(,n men-##m, ,n('nt,nen/,# ur,n#r,u/ /ement#r# (#ren# (#ren# ('nu/ ('nu/,& ,& (et,*# (et,*#(m# (m#mu mu#n #n men-(' men-('mu mun,( n,(#/, #/,(#n (#n (eutu (eutu+#n +#n&& *#n (et,*# (et,*#(m# (m#mu mu#n #n untu( untu( men--u men--un#( n#(#n #n ur,n# ur,n# (#ren# (#ren# (eru/# (eru/#(#n (#n ('ntr' ('ntr' m't'r,( *#n '/tur#.
T#n*# #n*# *#n -e## -e## #n#n- mun)u mun)u /#n-#t /#n-#t ter-#nt ter-#ntunun- *en-#n *en-#n *#er#+ *#er#+ 't#( 't#( #n#nter(en#:
1. Pen-#ru+ ter+#*# /t#tu/ ment#: t,*#( /#*#r& ('nu/& u# tuu+ /ee#+ Pen-#ru+ /e)#r# ,/,(: #r#,/e& *,/#-,#& -#n--u#n -#n--u#n /entu+#n /entu+#n *#n /en/#/,& 2. Pen-#ru+ -#n--u#n en-,+#t#n 3. Pen-#ru+ ter+#*# ('mun,(#/,& ,)#r# t,*#( e#/& (e+,#n-#n #+#/#. D,,+#t *#r, #-,#n +em,/er #n- ter(en# t#n*# *#n -e## *##t eru#: Hem,/er (,r, Men-##m, +em,#re/e (#n#n •
Hem,/er (#n#n Hem,#re/e /ee#+ (,r, tuu+ •
•
Per,#(u #m#t *#n +#t,>+#t,
•
•
Ke#,n#n ##n #n*#n- (#n#n
•
•
D,/#-,# -'#
A#/,#
•
•
Mu*#+ ru/t#/,
Pen,#,#n uru( Memun#, (erent#n#n ter+#*# /,/, ('ntr##ter#
/e+,n--#
memun-(,n memun-(,n(#n (#n ter#tu+ ter#tu+ (e /,/, #n er#6#n#n ter/eut
'. E!" E!"& &g" g" Stroke ,#/#n# Stroke ,#/#n# *, #(,#t(#n *#r, /##+ /#tu tem#t (e#*,#n& #,tu: 1. Trombosis $9e(u#n *#r#+ *, *##m emuu+ *#r#+ 't#( #t #u e+er%.
Str'(e tr'm't,( *##t *,#-, men#*, /tr'(e #*# emuu+ *#r#+ e/#r $term#/u( /,/tem #rter, (#r't,/% *#n emuu+ *#r#+ (e), $term#/u( /,r(uu/ W,,/, W,,/, *#n /,r(uu/ /,r(uu/ '/ter,'r%. '/ter,'r%. Tem#t Tem#t ter#*,n# ter#*,n# tr'm'/,/ #n- #,n-
/er,n /er,n- #*# #*##+ #+ t,t, t,t,( ( er)# er)## #nn-#n #n #rter, #rter, /ere /erer# r# ut#m ut#m#n #n# # #*# #*# *#er# *#er#+ + *,/t *,/tr, r,u u/, /, *#r, *#r, #rte #rter, r, (#r' (#r't, t,//
,nte ,ntern rn#. #. A*#n *#n##
/ten /ten'/ '/,/ ,/ #rte #rter, r, *## *##tt
mene#(# mene#(#n n ter#*,n# ter#*,n# turuen/, turuen/, #,r#n *#r#+ $/e+,n--# men,n-(#t( men,n-(#t(#n #n re/,(' ementu(#n tr'mu/ #ter'/(er'/,/ $u/er#/, #(%& *#n eren-(et#n #teet. Pene# #,n ter#*,n# tr'm'/,/ #*##+ ',/etem,#& #nem,# /,)(e /e& *e,/ *e,/,en ,en/, /, r't r'te, e,n n "& *,/ *,/# #/, /,## ,r ,r'm 'mu/ u/(u (u# #rr *#r, *#r, #rter #rter,, /ere /erer# r#& & *#n *#n #/'('n/tr,(/, #n- er(e#n#n-#n #(,#t -#n--u#n m,-ren. Set,# r'/e/ #n- mene#(#n *,/e(/, #rter, /erer# u-# *##t mene#(#n ter#*,n# /tr'(e tr'm't,( $)'nt'+n# tr#um#& *,/e(/, #'rt# t+'r#/,(& #rter,t,/%. 2. Em', Em',/me /me /erer /erer# # $9e(u#n $9e(u#n *#r#+ *#r#+ #t#u #t#u m#ter,# m#ter,# #,n #n#n- *, #6# (e 't#( 't#( *#r, #-,#n 't#( #t#u *#r, #-,#n tuu+ #,n%. 3. Hem'r#r-,( cerebral $Pe)#+n# emuu+ *#r#+ /erer# *en-#n er#+#n (e *##m #r,n-#n 't#( #t#u ru#n- /e(,t#r 't#(%. A(,#tn# #*##+ -#n--u#n /u#, *#r#+ (e 't#( & mene#(#n (e+,#n-#n -er#(& ,(,r& mem'r,& ,)#r#& #t#u /en/#/, #,( /ement#r# #t#u erm#nen.
Pene# #,n ter#*,n# /tr'(e n'n +em'r#-,( #*##+ : 1. Aterosklerosis Aterosklerosis Terentu(n# Terentu(n# aterosklero aterosklerosis sis er#6# *#r, en*##n ateroma ateroma $en*##n $en*##n em#(% #n- (#*#rn# ere,+#n *##m emuu+ *#r#+.Se#,n *#r, en*##n em#(& atero ateroskle sklero rosis sis ,n, ,n, u-# u-# munmun-(, (,n n (#re (#ren# n# arterio arterioskle sklero rosis, sis, #,tu ene##n ene##n *,n*,n *,n*,n- #rter, #rter, $tun,( $tun,(## ,nt,m# ,nt,m#%% (#ren# (#ren# t,mun t,mun#n #n (#/,um (#/,um #n#n- (emu*, (emu*,#n #n men-#(,#t( men-#(,#t(#n #n ert#m#+n ert#m#+n## *,#meter *,#meter emuu+ emuu+ *#r#+ *en-#n #t#u t#n# men-e),n# emuu+ *#r#+. 2. Ine(/, Per#*#n-#n u-# mene#(#n menem,tn# emuu+ *#r#+& terut#m# #nmenuu (e 't#(. 3. O#t>' #t>'# #t# t#n n A*# eer## en,/ '#t>'#t#n #n- u/tru *##t mene#(#n stroke mene#(#n stroke /eert,: #met#m,n *#n ('(#,n *en-#n ##n memer/em,t umen emuu+ *#r#+ (e 't#(. 4. H,'ten/,
Penurun#n te(#n#n *#r#+ #n- t,#>t,# ,/# mene#(#n er(ur#n-n# #,r#n *#r#+ (e 't#(& #n- ,#/#n# mene#(#n /e/e'r#n- ,n-/#n. Stroke ,/# ter#*, ,(# +,'ten/, ,n, /#n-#t #r#+ *#n men#+un. Se*#n-(#n #(t'r re/,(' #*# stroke #*# stroke #nt#r# #,n : 1. H,erte H,erten/, n/, meru meru#( #(#n #n #(t'r #(t'r re/,( re/,(' ' ut#m#. ut#m#. 2. Pen#(,t Pen#(,t (#r*,'#/( (#r*,'#/(uer uer $Em',/m $Em',/mee /erer# mun-(, mun-(,n n er#/# er#/# *#r, #ntun-% #ntun-%.. 3. K#*#r +em#t'(r +em#t'(r,t ,t n'rm# n'rm# t,n--, t,n--, $#n- er+u er+uun-#n un-#n *en-#n *en-#n ,n#r( )erer# )erer#%. %. 4. K'ntr#/ K'ntr#/e/, e/, 'r#& 'r#& en,n-( en,n-(#t#n #t#n 'e+ 'e+ +,erten +,erten/, /, #n- menert# menert#,, u/,# *, #t#/ #t#/ 3= t#+un *#n (#*#r esterogen #n- t,n--,. =. Penuru Penurun#n n#n te(#n#n te(#n#n *#r#+ *#r#+ #n- ere,+ ere,+#n #n #t#u *##m #n-(# #n-(# #n#n#n#n- *##t *##t mene#(#n ,/(+em,# /erer# umum. 5. Pen##+-un Pen##+-un##n ##n '#t '#t tertentu tertentu #*# #*# rem## rem## *#n *#n *e6#/# *e6#/# mu*#. mu*#. 7. K'n/ut#n K'n/ut#n ,n*,,*u ,n*,,*u #n#n- mu*# mu*# untu( men-'n men-'ntr' tr' em#( em#( *#r#+& *#r#+& te(#n#n te(#n#n *#r#+& mer'('( (rete( *#n 'e/,t#/. 8. Mun-(,n Mun-(,n ter*##t ter*##t +uun-#n +uun-#n #nt#r# ('n/um ('n/um/, /, #('+' #('+' *en-#n *en-#n /tr'(e. /tr'(e.
D. K&# K&#"* "*"+ "+# #"" K#/,,(#/, Str'(e N'n H#em'r#-,( menurut P#*,#& $2012% #*##+ : 1. Tr#n/ Tr#n/,en ,entt I/)+em I/)+em,) ,) Att#)( Att#)( $TIA% $TIA% TIA #*##+ *e,/,t neur''-,( '(# #(ut #n- t,mu (#ren# ,/(em,# 't#(
/e,nt#/ *#n men-+,#n- #-, t#n# /,/# *en-#n )e#t *##m 6#(tu t,*#( e,+ *#r, 24 #m. 2. Reer/, Reer/,e e I/)em,) I/)em,) Neur' Neur'''-,)# ,)# De,), De,),tt $RIND% $RIND% RIND #*##+ *e,/,t neur''-,( neur''-,( '(# #(ut #n- t,mu t,mu (#ren# ,/(em,# 't#( er#n-/un- e,+ *#r, 24 #m *#n men-+,#n- t#n# /,/# *##m 6#(tu 1>3 m,n--u 3. Str'(e Str'(e ,n ,n E'ut E'ut,'n ,'n $Pr' $Pr'-re -re//,n //,n- Str'(e Str'(e%% Str'(e ,n e'ut,'n #*##+ *e,),t neur''-,( '(# #(ut (#ren# -#n--u#n ere*#r#n *#r#+ 't#( #n- er#n-/un- r'-re/, *#n men)##, m#(/,m# *##m eer## #m /#me r# +#r, 4. Str' Str'(e (e ,n Re/' Re/'u ut, t,'n 'n Str'(e ,n re/'ut,'n #*##+ *e,),t neur''-,( '(# #(ut (#ren# -#n--u#n ere*#r#n *#r#+ 't#( #n- memer,+#t(#n er#,(#n *#n men)##, m#(/,m# *##m eer## #m /#m#, eer## +#r,. =. "'met "'mete* e* Str' Str'(e (e $,n $,n#r( #r( /erer, /erer,%%
"'me "'mete* te* /tr'(e /tr'(e #*##+ #*##+ *e,/,t *e,/,t neur' neur''-, '-, '(# '(# #(ut #(ut (#ren# (#ren# '(u/, '(u/, #t#u -#n--u -#n--u#n #n ere*# ere*#r#n r#n *#r#+ *#r#+ 't#( 't#( #n#n- /e)#r# /e)#r# )e#t )e#t men#* men#*,, /t#, /t#, t#n# t#n# memuru( #-,. Se*#n-(#n /e)#r# #t'-en,t#/ menurut T#r6't' *((& $2007% Str'(e ,/(em,( $Str'(e N'n Hem'r#-,(% *##t *,#-, men#*, : 1. Str'(e Str'(e tr'm't tr'm't,(& ,(& #,tu #,tu /tr'(e /tr'(e ,/(em,( ,/(em,( #n- *,/e#( *,/e#(#n #n 'e+ (#ren# (#ren# tr'm tr'm'/, '/,// *, #rter, (#r't,/ ,ntern# /e)#r# #n-/un- m#/u( (e #rter, /erer, me*,#. Permu##n -e## /er,n- ter#*, #*# 6#(tu t,*ur&#t#u /e*#n- ,/tr,r#+#t (emu*,#n er(em#n- *en-#n )e#t& )e#t&#m #m#t #t #un #un #t#u /e)#r# /e)#r# ert#+ ert#+# # /#m#, /#m#, men)## men)##,, -e## -e## m#(/,m m#(/,m# # *##m *##m eer## #m& (#*#n->(#*#n- *##m eer## +#r, $2>3 +#r,%& (e/#*#r#n ,#/#n# t,*#( ter-#n--u ter-#n--u *#n #*# (e)en*run(e)en*run-#n #n untu( mem#,( *##m eer## eer## +#r,&m,n--u +#r,&m,n--u #t#u u#n. 2. Str'(e Str'(e em',(& em',(& #,tu /tr'(e /tr'(e ,/(em,( ,/(em,( #n- *,/e#( *,/e#(#n #n 'e+ (#ren# (#ren# em', em', #n- #*# #*# umun# er#/# *#r, #ntun-. Permu##n -e## ter,+#t /#n-#t men*#*#( er(em#n/#n-#t )e#t& (e/#*#r#n ,#/#n# t,*#( ter-#n--u& (emun-(,n#n u-# *,/ert#, em', #*# 'r-#n *#n #*# (e)en*erun-#n untu( mem#,( *##m eer## +#r,& m,n--u #t#u u#n. E. P#! P#!*" *"" "& &g g"" In#r( /erer# #*##+ er(ur#n-n# /u#, *#r#+ (e #re# tertentu *,
't#(. Lu#/n# ,n#r( +er-#ntun- #*# #(t'r>#(t'r /eert, '(#/, *#n e/#rn# emuu+ *#r#,*#n #*e(*#tn# /,r(u#/, ('#ter# ter+#*# #re# #n- *,/u#, 'e+ emuu+ *#r#+ #n- ter/um#t. Su#, *#r#+ (e 't#( *##t eru#+ $m#(,n #m#t #t#u )e#t% #*# -#n--u#n '(# $tr'mu/& em',& er*#r#+#n& *#n /#/me #/(u#r% #t#u (#ren# -#n--u#n umum $+,'(/,# (#ren# -#n--u#n #nt *#n #ntun-%. Ater'/(er'/,/ /er,n- /e#-#, / e#-#, #(t'r ene# en e# ,n#r( #*># 't#(. Tr'mu/ *##t er#/# *#r, #( #rter'/(er't,(& #t#u *#r#+ *##t e(u #*# #re# #n- /ten'/,/& tem#t #,r#n *#r#+ men-##m, e#m#t#n #t#u ter#*, turuen/, $Mutt#,n& 2008%. Tr'mu/ *##t e)#+ *#r, *,n*,n- emuu+ *#r#+ ter#6# /e#-#, em', *##m #,r#n *#r#+. Tr'mu/ men-#(,+#t(#n ,/(em,# #r,n-#n 't#( #n#n- *,/u *,/u #, #, 'e+ 'e+ em emu uu+ u+ *#r# *#r#+ + #n#n- er/# er/#nn-(u (ut#n t#n *#n *#n e*em e*em## *#n *#n ('n-e/t, *, /e(,t#r #re#. Are# e*em# ,n, mene#(#n *,/un-/, #n- e,+ e/#r *#r,#*# #re# ,n#r( ,tu /en*,r,. E*em# *##t er(ur#n- *##m eer## #m #t#u (#*#n->(#*#n- /e/u*#+ eer## +#r,. Den-#n er(ur#n-n# e*em#
(,en mu#, menunu((#n er#,(#n. Oe+ (#ren# tr'm'/,/ ,#/#n# t,*#( #t# #t#?? ,(# ,(# t,*# t,*#( ( ter#* ter#*,, er* er*#r# #r#+# +#n n m#/, m#/,.. O(u O(u/, /, #*# #*# em emu uu+ u+ *#r# *#r#+ + /erer# 'e+ em'u/ mene#(#n e*em# *#n ne(r'/,/ *,,(ut, tr'm'/,/. ,(# ter#*, /et,( ,ne(/, #(#n meu#/ #*# *,n*,n- emuu+ *#r#+ m#(# #(#n ter#*, #/e/ #t#u en/e#,t,/& #t#u ,(# /,/# ,ne(/, er#*# #*# emuu+ *#r#+ #n- ter/um#t . mene#(#n *,#t#/, #neur,/m# emuu+ *#r#+. H# ,n, #(#n mene#(#n mene#(#n er*#r#+#n er*#r#+#n /erer#& /erer#& ,(# #neur,/m# e)#+ #t#u rutur $Mutt#,n& 2008%. Per*#r Per*#r#+# #+#n n #*# #*# 't#( 't#( *,/e# *,/e#(# (#n n 'e+ 'e+ rutur rutur #rter,' #rter,'/( /(er' er't,( t,( )#n )#n +,erten/, emuu+ *#r#+. Per*#r#+#n ,ntr#/erer# #n- /#n-#t u#/ #(#n e,+ e,+ /er,n/er,n- mene# mene#(# (#n n (em#t,# (em#t,#n n *, #n*,n #n*,n-(# -(#n n (e/eu (e/euru+ ru+#n #n en#(,t en#(,t /erer' #/(u#,@ (#ren# er*#r#+#n #n- u#/ ter#*, *e/tru(/, m#//# 't#(& en,n-(#t#n te(#n#n ,ntr#(r#n,# *#n #n- e,+ er#t *##t mene#(#n +ern,#/, 't#( #*# #( /erer, #t#u e6#t 'r#men m#-num $Mutt#,n& 2008%. Kem#t,#n *##t *,/e#(#n 'e+ ('mre/, #t#n- 't#(& +ern,/er 't#(& *#n er*#r#+#n #t#n- 't#( /e(un*er #t#u e(/ten/, er*#r#+#n (e #t#n- 't#(. Pereme/#n *#r#+ (e entr,(e 't#( ter#*, #*# /eert,-# (#/u/ er*#r#+#n 't#( *, nu(eu/ nu(eu/ (#u*#tu/& t##mu/& *#n 'n/ $Mutt#,n& 2008%. ,(# /,r(u#/, /erer# /erer# ter+#m ter+#m#t& #t& *##t *##t er(em er(em#n #n- #n'(/, #n'(/,## /erer# /erer#: : Peru# Peru#+#n +#n #n#n*,/e#(#n 'e+ #n'(/,# /erer# *##t reer/,e untu( 6#(tu 4>5 men,t. Peru#+#n ,reer/,e ,(# #n'(/,# e,+ *#r, 10 men,t. An'(/,# /erer# *##t ter#*, ter#*, 'e+ 'e+ (#ren# (#ren# -#n--#n--u#n u#n #n#n- er#r, er#r,#/, #/, /##+ /##+ /#tun /#tun## +ent, +ent, #ntun #ntun$Mutt#,n& 2008%. Se#,n (eru/#(#n #ren(,m 't#(& #(,#t 'ume er*#r#+#n #n- re#t, #n#( #(#n men-#(,+#t(#n en,n-(#t#n te(#n#n ,ntr#(r#n,# *#n enurun#n te(#n#n eru/, 't#( /ert# -#n--u#n *r#,n#/e 't#(. 't #(. Eernen>eemen #/'#(t, *#r#+ #n- (eu#r *#n (#/(#*e ,/(em,( #(,#t menurunn# te(#n#n eru/,& mene#(#n /#r# *, #re# #n- ter(en# *#r#+ *#n /e(,t#rn# terte(#n ter te(#n #-, $Mutt#,n& 2008%. um#+ *#r#+ #n- (eu#r menentu(#n r'-n'/,/. ,(# 'u 'ume me *#r# *#r#+ + e, e,+ + *#r, *#r, 50 )) m#(# m#(# r,/,( r,/,(' ' (em# (em#t, t,#n #n /ee/ /ee/#r #r 3B 3B #*# #*# er*#r#+#n *##m *#n 71B #*# er*#r#+#n '#r. Se*#n-(#n ,(# ter#*, er*#r#+#n
/eree#r
*en-#n
'ume
#nt#r#
30>50
))
*,er(,r#(#n
(emun-(,n (emun-(,n#n #n (em#t,#n /ee/#r 7=B& n#mun 'ume *#r#+ = )) *#n ter*##t *, 'n/ /u*#+ er#(,#t #t# $M,/#)+& 1 *##m Mutt#,n& 2008%. F#+! Re"+
Menurut Smet!er& 2002 #(t'r re/,(' #n- *##t mene#(#n /tr'(e n'n +em'r#-,( #,tu: #(t'r re/,(' ter(en*#, 9eer## #(t'r re/,(' ter(en*#, #n- mene#(#n /tr'(e n'n +em'r#-,( /e#-#, er,(ut : #% H,erten ten/, % Pen#(,t (#r*,'#/(uer& em',/me /erer# #n- er#/# *#r, #ntun-& en#(,t en #(,t #rter, ('r'n#r,#& -#-# #ntun- ('n-e/t,& +,ertr', entr,(e (,r,& #n'rm#,t#/ )% *% e% % -% +% ,%
,r#m# $(+u/u/n# ,r#/, #tr,um%& en#(,t #ntun- ('n-e/t,. 9er#-#, 9er#-#, en#(,t en#(,t #ntun#ntun- er'te er'ten/, n/, untu( untu( men,m men,mu(#n u(#n /tr'(e. /tr'(e. K'e K'e/t /ter' er' t,nt,n--, -, Ine(/, Oe/,t#/ Pen,n-(#t#n Pen,n-(#t#n +em't'(r,t +em't'(r,t men,n-( men,n-(#t(#n #t(#n re/,(' ,n#r( /erer# D,#ete/ K'ntr#/ K'ntr#/e/ e/,, 'r# $(+u/u $(+u/un n## *en-#n *en-#n *,/ert#, *,/ert#, +,erte +,erten/,& n/,& mer'(' mer'('(& (& *#n e/tr'-en e/tr'-en
t,n--, % Pen##+-un##n '#t $('(#,n% (% K'n/ K'n/um um/, /, #( #('+ '+' ' #(t'r re/,(' t,*#( ter(en*#, 9eer## #(t'r re/,(' t,*#( ter(en*#, #n- mene#(#n /tr'(e n'n +em'r#-,( /e#-#, er,(ut : #% C/,#& C/,#& meru meru# #(# (#n n '(t '(t'r 'r re/,( re/,(' ' ,n*e ,n*ee en* n*en en ter#* ter#*,n ,n# # /tr'( /tr'(&& *,m# *,m#n# n# ree ree(/ (/ /,r(u#/, /u*#+ t,*#( #,( #-,. % (eturun#n -enet,) F. K,-&" ,-&"+# +#" " K'm,(#/, #*# stroke #*# stroke non hemoragik adalah adalah::
1. 9er+u 9er+uunun-#n #n *en-#n *en-#n ,m', ,m',,/#/ ,/#/,: ,: ,ne(/ ,ne(/,, ern## ern##/#n& /#n& ner, ner, #*# #*# *#er#+ *#er#+ terte(#n& ('n/t,#/,. 2. 9er+ 9er+u uun un-# -#n n *en*en-#n #n paralise paralise:: ner, un--un-& *,/'(#/, /en*,& deformitas& deformitas& ter#tu+. 3. 9er+u 9er+uunun-#n #n *en-# *en-#n n (eru/# (eru/#(#n (#n 't#( 't#(:: epilepsy& epilepsy& /#(,t (e##. 4. Hidrosefalus G. Pen#! Pen#!#&# #&#+# +#n## n##n n Menurut Smet!er *#n 9#re& $2002% en#t##(/#n##n /tr'(e *##t *,#-, men#*, *u#& #,tu :
#. P+#/e A(ut : 1% Pert# Pert#+# +#n( n(#n #n unun-/, /, ,t# ,t# /ee /eert rt,, : ##n ##n n##/ n##/&& ern ern# ##/# #/#n& n& '(/, '(/,-e -en, n,/# /#/, /, *#n *#n /,r(u#/,. 2% Ree Reeru ru/, /, *en-# *en-#n n tr'm tr'm' ',t ,t( ( #t#u #t#u #/' #/'*, *,#t #t,' ,'n n
: N,m' N,m't' t'. . Pem Pemer, er,#n #n ,n,
*,+#r#(#n men)e-#+ er,/t,6# tr'm',t,( em'',(. 3% Pen)ePen)e-#+# #+#n n en,nen,n-(#t# (#t#n n TIK. TIK. Den-#n Den-#n men,nmen,n--,( -,(#n #n (e## (e## 1=>30 1=>30 men-+ men-+,n* ,n*#r, #r, e, *#n r't#/, (e## #n- ere,+#n& emer,#n *e#met+#/'n. 4% Men-ur Men-ur#n#n-,, e*em# e*em# )erer# )erer# *en-#n *en-#n *,uret, *,uret,( ( =% P#/,en *, *, tem#t(#n tem#t(#n #*# #*# '/,/, #ter# #ter# #t#u /em, /em, teun-(u teun-(u *en-#n *en-#n (e## (e## tem#t tem#t t,*ur #-#( *,t,n--,(#n /#m#, te(#n#n en# /erer# er(ur#n . P'/t +#/e #(ut 1. Pen)e-#+#n Pen)e-#+#n /#t,( #r#,/,/ #r#,/,/ *en-#n *en-#n #nt,/#/m'*, #nt,/#/m'*,( ( 2. Pr'Pr'-r# r#m m ,/,' ,/,'t+ t+er er# #,, 3. Pen#nPen#n-#n# #n#n n m#/##+ m#/##+ /,('/ /,('/'/, '/,# #
Tuu# Tuu#n n ,nter ,nteren/ en/,, #*##+ #*##+ eru/# eru/#+# +# men/t# men/t#,( ,(#n #n t#n*#>t t#n*#>t#n* #n*## ,t# ,t# *en-#n *en-#n me#(u(#n t,n*#(#n /e#-#, er,(ut: •
Memer Memert#+ t#+#n( #n(#n #n /#ur#n /#ur#n n##/ n##/ #n#n- #ten #ten #,tu #,tu #(u(# #(u(#n n en-,/ en-,/## ##n n en*,r en*,r#n#n-
•
/er,n-& '(/,-en#/,& (##u eru #(u(#n tr#(e'/t'm,& mem#ntu ern##/#n. Men-en*#,( Men-en*#,(#n #n te(#n#n te(#n#n *#r#+ er*#/#r(#n er*#/#r(#n ('n*,/, ('n*,/, #/,en& #/,en& term#/u( term#/u( untu( u/#+#
• •
• •
memer#,(, +,'ten/, *#n +,erten/,. 9eru/#+# menentu(#n *#n memer#,(, #r,tm,# #ntun-. Menem Menem#t( #t(#n #n #/,en #/,en *##m *##m '/,/, '/,/, #n#n- te#t& te#t& +#ru/ +#ru/ *,#(u *,#(u(#n (#n /e)e#t /e)e#t mun-(, mun-(,n n #/,en +#ru/ *,ru#+ '/,/, t,# 2 #m *#n *,#(u(#n #t,+#n>#t,+#n -er#( #/,. Men-en*#,(#n +,erten/, *#n menurun(#n TIK DenDen-#n #n men,n men,n---,( ,(#n #n (e# (e## # 1=>3 1=>30 0 menmen-+, +,n* n*#r #r,, e e,, *#n *#n r't# r't#/, /, (e# (e### #n#n ere,+#n&
Peng#!#n Kne/#!"*
a. F#/'*,#t'r men,n-(#t(#n #,r#n *#r#+ /erer# $ADS% /e)#r# er)'##n& tet#, m#(n#n#: #*# tuu+ m#nu/,# eum *##t *,u(t,(#n. b. D##t *,er,(#n +,/t#m,n& #m,n'+,,n& #/et#!'#m,*& ##er,n ,ntr# #rter,#. t+r'm'/,/ /eert, #/,r,n *,-un#(#n *,-un#(#n untu( men-+#m#t men-+#m#t re#(/, c. Ant, #-re-#/, t+r'm'/,/ ee#/#n #-re-#/, t+r'm'/,/ #n- ter#*, /e/u*#+ u/er#/, #ter'm#. Ant, ('#-u ('#-u#n #n *##t *##t *,re/e *,re/e(#n (#n untu( untu( men)e-# men)e-#+ + ter#*, ter#*,n# n# memer# memer#tn tn## d. Ant, tr'm'/,/ #t#u em', *, tem#t #,n *, /,/tem (#r*,'#/(uer. Peng#!#n Pe,e$##n
Tuu#n ut#m# #*##+ memer#,(, #,r#n *#r#+ /erer#
a. En*'/tere(t'm, (#r't,/ mementu( (em#, #rter, (#r't,/& #,tu *en-#n memu(# #rter, (#r't,/ *, e+er. Re#/(u#r,/#/,, terut#m# terut#m# meru#(#n meru#(#n t,n*#(#n t,n*#(#n eme*#+#n eme*#+#n *#n m#n##tn# m#n##tn# #,n#,nb. Re#/(u#r,/#/ *,r#/#(#n 'e+ #/,en TIA. c. E#u#/, e(u#n *#r#+ *,#(u(#n #*# /tr'(e #(ut d. C-#/, #rter, (#r't,/ ('mun,/ *, e+er (+u/u/n# #*# #neur,/m#
H. Pe,e Pe,e"+ "+##n ##n Penn Penn%# %#ng ng Menu Menuru rutt Mutt Mutt# #,n ,n&& $200 $2008% 8%&& eme emer,( r,(/# /##n #n enu enun n#n #n- #n#n- *## *##tt
*,#(u(#n ,##+ /e#-#, er,(ut : #. An-, An-,''-r# r#, , /er /ere er# r# Mem#n Mem#ntu tu menent menentu(# u(#n n ene ene# # *#r, *#r, /tr'(e /tr'(e /e)#r# /e)#r# /e/,, /e/,,( ( /eert, /eert, er*#r#+#n #rter,'en# #t#u #*#n# rutur *#n untu( men)#r, /umer er*#r#+#n /eert, #neur,/m# #t#u m#'rm#/, #/(u#r. . Lum# un-/, Te(#n#n #n- men,n-(#t *#n *,/ert#, er)#( *#r#+ #*# )#rr#n um# menunu((#n #*#n# +ern'r#-, #*# /u#r#(n',* #t#u er*#r#+#n #*# ,ntr#(r#n,# ,ntr#(r#n,#.. Pen,n-(#t#n Pen,n-(#t#n um#+ r'te,n r'te,n menunu((#n menunu((#n #*#n# r'/e/ ,n#m ,n#m#/,. #/,. H#/, H#/, emer, emer,(/# (/##n #n ,(u'r ,(u'r mer#+ mer#+ ,#/#n ,#/#n## *,um *,um#, #, #*# #*# er*#r#+#n #n- m#/,& /e*#n-(#n er*#r#+#n #n- (e), ,#/#n# 6#rn# ,(u'r m#/,+ n'rm# $#nt'(r'm% /e6#(tu +#r,>+#r, ert#m#. ). "T /)#n. Pem,n* Pem,n*#,#n #,#n ,n, memer memer,+# ,+#t(# t(#n n /e)#r# /e)#r# /e/,, /e/,,( ( et#( et#( e*em#& e*em#& '/,/, '/,/, +en#t'm#& #*#n# #r,n-#n 't#( #n- ,n#r( #t#u ,/(em,#& *#n '/,/,n# /e)#r# /e)#r# #/t,. #/t,.H#/, H#/, emer,( emer,(/##n /##n ,#/#n ,#/#n## *,*## *,*##t(# t(#n n +,er* +,er*en/ en/ '(#& '(#& (#*#n- em#*#t#n ter,+#t *, entr,(e& #t#u mene#r (e ermu(##n 't#(. *. MRI MRI $M#-net,) Im#-,n- Re/'n#n)e% men--un#(#n -e'm#n- m#-net,( untu( menentu(#n '/,/, *#n e/#ru#/ ter#*,n# er*#r#+#n 't#(.H#/, emer,(/##n ,#/#n# *,*##t(#n #re# #n- men-##m, e/, *#n ,n#r( #(,#t *#r, +em'r#-,(. e. CS< D'er Cntu( Cntu( men-,*ent,, men-,*ent,,(#/, (#/, #*#n# #*#n# en#(,t en#(,t #rter,'en# #rter,'en# $m#/##+ $m#/##+ /,/tem (#r't,/%. . EE<
Pemer,( Pemer,(/##n /##n ,n, ertur erturu#n u#n untu( untu( me,+# me,+#tt m#/##+ m#/##+ #n#n- t,mu t,mu *#n *#m#( *#r, #r,n-#n #n- ,n#r( /e+,n--# menurunn# ,mu/ ,/tr,( *##m #r,n-#n 't#(. II.
KONSEP KONSEP ASUHAN ASUHAN KEPERA KEPERAW WATAN PADA ADA PASIEN ASIEN DENGAN DENGAN STROKE STROKE NON HAEMORAGIK A. Peng Peng+# +#%" %"#n #n
1.
I*ent,t#/ (,en
Me,u Me,ut, t, n#m#& n#m#& umur umur $(e#n $(e#n#( #(#n #n ter#*, ter#*, #*# #*# u/,# u/,# tu#%& tu#%& en,/ en,/ (e#m, (e#m,n& n& en*,*,(#n& ##m#t& e(er##n& #-#m#& /u(u #n-/#& t#n--# *#n #m MRS& n'm'r re-,/ter& *,#-n'/e me*,/. 2.
Keu+#n ut#m#
9,#/#n# *,*##t(#n (eem#+#n #n--'t# -er#( #*#n /e#-,#n & ,)#r# e'& *#n t,*#( *##t er('mun,(#/,. 3.
R,6##t en#(,t /e(#r#n-
Ser#n-#n /tr'(e /er,n-(#, er#n-/un- /#n-#t men*#*#(. 9,#/#n# ter#*, ner, (e##& mu#& munt#+ #+(#n (e#n- /#m#, t,*#( /#*#r& *,/#m,n-e## (eumu+#n /e#ru+ #*#n #t#u -#n--u#n un-/, 't#( #n- #,n. 4.
R,6##t en#(,t *#+uu
A*#n A*#n## r,6## r,6##tt +,erte +,erten/, n/,&& *,#et *,#ete/ e/ m,,tu m,,tu/& /& en#( en#(,t ,t #ntun#ntun-&& #nem,#& #nem,#& r,6##t tr#um# (e##& ('ntr#/e/, 'r# #n- #m#& '#t>'#t #*,(t, *#n (e-emu(#n. =.
R,6##t en#(,t (eu#r-#
9,#/#n# #*# r,6##t (eu#r-# #n- men*er,t# +,erten/, #t#uun *,#ete/ m,,tu/. 5.
Pen-(#,#n '(u/:
a. A(t,,t#/,/t,r#+#t
K,en #(#n men-##m, (e/u,t#n #(t,,t#/ #(,#t (eem#+#n& +,#n-n# r#/#& #r#,/,/& +em,e-,& mu*#+ e#+& *#n /u/#+ t,*ur. b. S,r(u#/,
A*#n# A*#n# r,6# r,6##t #t en#( en#(,t ,t #ntun #ntun-& -& (#tu (#tu #ntun #ntun-& -& *,/r,tm *,/r,tm,#& ,#& "H& "H& ',/,tem,# *#n +,erten/, #rter,#. c. Inte-r,t#/ E-'
Em'/, Em'/, #,& #,& re/'n re/'n #n#n- t#( te#t& te#t& mu*#+ mu*#+ m#r#+& m#r#+& (e/u, (e/u,t#n t#n untu( untu(
men-e(/re/,(#n *,r,. d. E,m,n#/,
Peru#+#n (e,#/##n 9A9 *#n 9AK . M,/#n# ,n(''nt,nent,# ur,ne& #nur #nur,# ,#&& *,/t *,/ten en/, /, (#n* (#n*un un- (em, (em,+& +& *,/t *,/ten en/, /, #*' #*'me men& n& /u#r /u#r## u/u/ u/u/ men-+,#n-. e. M#(#n#n)#,r#n
N#u/e#& 'm,t,n-& *## /en/'r, +,#n- *, ,*#+& ,, *#n ten--'r'(#n /ert# */+#-,#. f. Neur' Sen/'r,
Pu/,n-& /#(,t (e##& er*#r#+#n /u ,ntr#(r#n,#. Keem#+#n *en-#n er#-#, t,n-(#t#n& -#n--u#n en-,+#t#n& (#ur& */#',#& ##n #n*#n- menem,t. H,#n-n# *## /en/'r, #*# #-,#n #n er#6#n#n *,#-,#n e(/trem,t#/ *#n (#*#n->(#*#n- #*# /,/, #n/#m# *, mu(#. g. N#m#nner,
S#(, S#(,tt (e# (e##& #& eru eru# #+# +#n n t,nt,n-(# (#+ + #(u #(u (eem (eem#+ #+#n #n&& te-#n te-#n- #*# #*# 't#(mu(#. h. Re/,r#/,
Ket,*#(m#mu#n mene#n& #tu(& me,n*un-, ##n n##/. i.
Ke#m#n#n Sen/'r,( m't'r,( menurun #t#u +,#n- mu*#+ ter#*, ,nur. Peru#+#n er/e/, *#n 'r,ent#/,.
j.
Inter#(/, /'),# <#n--u#n *##m ,)#r# *#n (et,*#(m#mu#n er('mun,(#/,.
7.
Pen-(#,#n T,n-(#t Ke/#*#r#n
a. Ku#,t#t,
A*##+ un-/, ment# (e/euru+#n *#n *er##t (e6#/##*##n. 1% "M" G *#/#r #(#n #(#n *,r, *,r, *#n un# un# 'r,ent#/, 'r,ent#/, enu+ enu+ 2% APA APATIS G t,n-(#t t,n-(#t (e/#*#r#n (e/#*#r#n #n- t#m#( t#m#( e/u *#n men-#nt men-#ntu( u( 3% LAT LATAR
=% SOMN SOMNOL OLEN EN G (e#* (e#*##n ##n #/,e #/,en n #n#n- /e#u /e#u m6 t,*u t,*urr G *,r#n *,r#n/#n /#n #n-un #u t,*ur (em#, 5% KOMA KOMA G (e/#* (e/#*#r# #r#n n #n#n- +,#n+,#n- /#m# /#m# /e(#, /e(#, b. Ku#nt,t#t,
Den-#n Men--un#(#n <#/-'6 "'m# S)#e $<"S% 1% Re/'n Re/'n memu( memu(## m#t# m#t# $ E Ee Ee % >
S'nt#n $4%
>
Denen-#n er,n r,nt#+ $3% $3%
>
Den-#n n ner, $2 $2%
>
T,*#( ere/ e/'n $1% $1% 2% Re/'n Re/'n Fer# $ F F Fe Fer# %
>
9er'r,ent#/, $=%
>
9,)#r ,)#r## mem mem, ,n n-un-un-(# (#n n $4 $4%
>
K#t#> #t#>( (#t# #t# t,* t,*#( #( te te#t $3% $3%
>
Su#r Su#r## t,*# t,*#( ( *# *##t #t *,m *,men en-e -ert rt,, $2% $2%
>
T,*#( #*# #*# re/ re/ 'n/ $1 $1% 3% Re/'n Re/'n M't'r, M't'r,( ( $M $M M't'r M't'r,( ,( %
>
Denen-#n er,n r,nt#+ $5% $5%
>
Me' Me'(# (#, ,/# /#/, /, ner ner,, $=% $=%
>
Men Men#r,( #r,( #re# #re# #n#n- n ner, er, $4% $4%
>
e( e(/, /, #n #n'r 'rm# m# ' '/tu /turr *e( *e('r 'rt,( t,(#/, #/, $3% $3%
>
E(/te E(/ten/ n/,, #n' #n'rm rm# #' '/t /tur ur *e/e *e/ere rer#/ r#/,, $2% $2%
>
T,*#( ere/ e/'n $1% $1%
8.
Pen-(#,#n un-/, Serer#
Pen-(#,#n ,n, me,ut, /t#tu/ ment#& un-/, ,ntee(tu#& (em#mu#n #+#/#& 'u/ r'nt#& *#n +em,/er. a. St#tu/ Ment#
O/er#/, en#m,#n& t,n-(#+ #(u& n,#, -## ,)#r#& e(/re/, 6##+& *#n #(t,,t#/ m't'r,( (,en. P#*# (,en /tr'(e t#+# #nut ,#/#n# /t#tu/ ment# (,en men-##m, eru#+#n. b. un-/, Intee(tu#
D,*##t(#n enurun#n *##m ,n-#t#n *#n mem'r,& #,( #n-(# en*e( m#u m#uun un #n-( #n-(## #n #n#n #n-. -. Penu Penuru run# n#n n (em#m (em#mu u#n #n er+ er+,t ,tun un- *#n *#n (#(u#/,. (#(u#/,. P#*# eer## (#/u/ (,en men-##m, men-##m, brain brain damage damage #,tu (e/u,t#n (e/u,t#n untu( men-en# men-en# er/#m##n er/#m##n *#n ere*##n #n- t,*#( e-,tu n#t#. c. Kem#mu#n 9#+#/#
Pen Penuru urun#n n#n
(em (em#m #mu#n u#n
#+# #+#/# /#
terter-#n #ntu tun n-
*#er *#er#+ #+
e/, e/,
#n#n-
memenmemen-#ru #ru+, +, un-/, un-/, *#r, *#r, /erer# /erer#. . Le/, Le/, #*# #*# *#er#+ *#er#+ +em,/e +em,/err #n#n*'m,n# *'m,n#n n #*# #*# #-,#n #-,#n '/ter '/ter,'r ,'r *#r, *#r, -,ru/ -,ru/ tem'r tem'r#,/ #,/ /uer, /uer,'r 'r $#re# $#re# Wern,) rn,)(e (e%% *,*# *,*## #t( t(#n #n disf disfas asia ia rese resept ptif if,, #,tu #,tu (,e (,en n t,*# t,*#( ( *## *##tt mem#+#m mem#+#m,, #+#/# #+#/# ,/#n ,/#n #t#u #+#/# #+#/# tertu, tertu,/. /. Se*#nSe*#n-(#n (#n e/, #*# #*# #-,#n '/ter,'r *#r, -,ru/ r'nt#,/ ,ner,'r $#re# 9r')#% *,*##t(#n disfa disfagi gia a eksp ekspre resi sif, f, #,tu #,tu (,en (,en *## *##tt menmen-ert ert,& ,& tet# tet#,, t,*# t,*#( ( *## *##tt men#6# *en-#n te#t *#n ,)#r#n# t,*#( #n)#r. Disartria #n)#r. Disartria $(e/u,t#n er,)#r#%& *,tunu((#n *en-#n ,)#r# #n- /u,t *,men-ert, #n*,/e *,/e# #( (#n #n 'e+ 'e+ #r# #r#, ,/, /,// 't't 't't #n#n- ert ert#n #n---un un- #6# #6# untu untu( ( men-+# men-+#/,( /,(#n #n ,)#r#. ,)#r#. Apraksia $(et,*#(m#m $(et,*#(m#mu#n u#n untu( untu( me#(u(#n me#(u(#n t,n*#( t,n*#(#n #n #n#n- *,e# *,e##r, #r, /eeum /eeumn# n#%& %& /eert, /eert, ter,+# ter,+#tt (et,(# (et,(# (,en (,en men-#m, /,/,r *#n eru/#+# untu( men,/,r r#mutn#. d. L'u/ r'nt#
Keru Keru/#( /#(#n #n unun-/, /, ('-n ('-n,t ,t, , *#n *#n ee( ee( /,( /,(' '''-,/ ,/ *,*# *,*## #t( t(#n #n ,(# ,(# (eru/# (eru/#(#n (#n te#+ te#+ ter#*, ter#*, #*# #*# 'u/ 'u/ r'nt# r'nt# (##/,t (##/,t#/& #/& mem'r, mem'r,&& #t#u un-/, ,ntee(tu# ('rt,(# #n- e,+ t,n--, mun-(,n ru/#(. D,/un-/, ,n, *##t *,tunu((#n *##m ##n- er+#t,#n ter#t#/& (e/u,t#n *##m em#+#m#n& u#& *#n (ur#n- m't,#/,& #n- mene#(#n (,en ,n, men-+# men-+#*# *#,, m#/##+ m#/##+ ru/tr ru/tr#/, #/, *##m *##m r'-r# r'-r#m m re+#, re+#,,t# ,t#/, /, mere(#. mere(#. Dere/, umum ter#*, *#n mun-(,n *,erer#t 'e+ re/'n/ ##m,#+ (,en ter+#*# en#(,t (#t#/tr',( ,n,. M#/##+ /,(''-,/ #,n u-# umum ter#*, *#n *,m#n,e/t#/,(#n 'e+ em'/, #n- #,& ermu/u+#n& ru/tr#/,& *en*#m& *#n (ur#n- (er# /#m#. e. Hem,/er
Str'(e Str'(e +em,/e +em,/err (#n#n (#n#n *,*## *,*##t(# t(#n n +em,#r +em,#re/e e/e /ee# /ee#+ + (,r, (,r, tuu+& tuu+& en,#,#n uru( *#n memun#, (erent#n#n ter+#*# /,/, ('#ter# /e+,n--# (emun-(,n#n ter#tu+ (e /,/, #n- er#6#n#n ter/eut. P#*# /tr'(e +em,er (,r,& men-##m, +em,#re/e (#n#n& er,#(u #m#t *#n /#n-#t /#n-#t +#t,>+ +#t,>+#t,& #t,& (e#,n (e#,n#n #n ,*#n,*#n- #n*#n #n*#n- /ee#+ /ee#+ (#n#n& (#n#n& *,/#*,/#-,# ,# -'#& ##/,#& *#n mu*#+ ru/tr#/,.
9.
Pen-(#,#n S#r# Kr#n,#
Menuru Menurutt Mutt# Mutt#,n& ,n& $2008% $2008% Pemer, Pemer,(/## (/##n n ,n, me,u me,ut, t, emer,( emer,(/##n /##n /#r# /#r# (r#n,# I>J11. #.S#r# I: 9,#/#n# #*# (,en /tr'(e t,*#( #*# (e#,n#n #*# un-/, en),um#n. .
S#r# II. D,/un-/, er/e/, ,/u# (#ren# -#n--u#n #r#/ /en/'r, r,mer *, #nt#r# m#t# *#n ('rte(/ ,/u#. <#n--u#n +uun-#n ,/u#>/#/,# $men*##t(#n +uun-#n *u# #t#u e,+ 'e( 'e( *##m *##m #re# /#/,# /#/,#%% /er,n/er,n- ter,+ ter,+#t #t #*# #*# M,en M,en *en-#n *en-#n +em, +em,e-, e-,## (,r,. (,r,. K,en K,en mun-(, mun-(,n n t,*#( t,*#( *##t *##t mem#(#, mem#(#, #(#,#n #(#,#n t#n# t#n# #ntu#n #ntu#n (#ren# (#ren# (et,*# (et,*#(m# (m#mu mu#n #n untu( untu( men)')'((#n #(#,#n (e #-,#n tuu+.
).S#r# III& IF& *#n FI. ,(# #(,#t /tr'(e men-#(,#t(#n #r#,/,/& #*# /#tu /,/, 't't>'t't '(u#r,/ *,*##t(#n enurun#n (em#mu#n -er#(#n ('nu-#t un,#ter# *, /,/, #n- /#(,t. *.
S#r# F. F. P#*# eer# eer### (e#*##n (e#*##n /tr'(e /tr'(e mene#(# mene#(#n n #r#,/,/ #r#,/,/ /#r# /#r# tr,-en,mu/ tr,-en,mu/&& enurun#n enurun#n (em#m (em#mu#n u#n (''r*, (''r*,n#/ n#/,, -er#(# -er#(#n n men-un men-un#+ #+&& en, en,m# m#n-# n-#n n r#+#nr#+#n- #6#+ #6#+ (e /,/, ,/,#ter#& /ert# (eumu+#n /#tu /,/, 't't ter,-',*eu/ ,nternu/ *#n e(/ternu/.
e.S#r# FII. Per/e/, en-e)##n *##m #t#/ n'rm#& 6##+ #/,metr,/& *#n 't't 6##+ tert#r,( (e #-,#n /,/, #n- /e+#t. . S#r# FIII. T,*#( *,temu(#n #*#n# #*#n# tu, ('n*u(t, *#n tu, er/e/,. -.
S#r# S#r# IJ *#n J. J. Kem#m Kem#mu#n u#n mene mene#n #n (ur#n (ur#n- #,( #,( *#n (e/u (e/u,t ,t#n #n memu( memu(## muut. muut.
+.
S#r# S#r# JI. T,* T,*#( #( #*# #tr' #tr', , 't't 't't /tern'( /tern'(e,* e,*'m# 'm#/t' /t',*e ,*eu/ u/ *#n tr# tr#e!,u e!,u/. /.
i. S#r# S#r# JII. JII. L,*#+ L,*#+ /,met /,metr,/ r,/&& ter* ter*# ##t #t *e, *e,#/ #/,, #*# #*# /#tu /#tu /,/, /,/, *#n *#n #/,( #/,(u u#/, #/,&& /ert# /ert# ,n*r ,n*r##
en-e)##n n'rm#.
10.
Pen-(#,#n S,/tem M't'r,(
Str'(e Str'(e #*##+ #*##+ en#( en#(,t ,t /#r# /#r# m't'r,( m't'r,( #t#/ #t#/ $CMN% $CMN% *#n men-#( men-#(,# ,#t(# t(#n n (e+,#n-#n ('ntr' 'unter ter+#*# -er#(#n m't'r,(. Oe+ (#ren# CMN er/,#n-#n& -#n--u#n ('ntr' m't'r 'unter #*# /##+ /#tu /,/, tuu+
*##t menunu((#n (eru/#(#n #*# CMN *, /,/, #n- er#6#n#n *#r, 't#(. a.
Inspeksi Umum. D,*##t(#n +em,e-,# $#r#,/,/ #*# /##+ /#tu /,/,% (#ren# e/, #*# /,/, 't#( #n- er#6#n#n. Hem,#re/,/ #t#u (eem#+#n /##+ /#tu /,/, tuu+ #*##+ t#n*# #n- #,n.
b. c.
asikulasi. D,*##t(#n #*# 't't>'t't e(/trem,t#/. Tonus !tot. D,*##t(#n men,n-(#t.
11.
Pen-(#,#n S,/tem Sen/'r,(
D##t ter#*, +em,+,e/te/,. P#*# er/e/, ter*##t (et,*#(m#mu#n untu( men-,nterr men-,nterret#/,(# et#/,(#n n /en/#/,. /en/#/,. D,/un-/, D,/un-/, er/e/, er/e/, ,/u# ,/u# (#ren# (#ren# -#n--u#n -#n--u#n #r#/ /en/'r, r,mer *, #nt#r# m#t# *#n ('rte(/ ,/u#.
12.
Pemer,(/##n , ,/,( S, S,/tem Ne Neur''-,/
#. Men, Men,# #,, Ke(u Ke(u#t #t#n #n Ot' Ot'tt K#, )#r# er##n *#n (e/e,m#n-#n O/er#/, O/er#/, )#r# er##n& er##n& (emu*#+#n (emu*#+#n er##n *#n (''r*,n#/, (''r*,n#/, -er#(#n -er#(#n t#n-#n& tuu+ /#m#, (#(,. Per,(/# t'nu/ 't't *#n (e(u#t#n. Ke(u##n 't't *,n#t#(#n *en-#n men--un#(#n #n-(# *#r, 0>= 0 t,*#( *,*##t(#n /e*,(,tun ('ntr#(/, 't't @ Iumu+ t't# 1 ter,+#t ('ntr#(/, tet# @ t,*#( #*# -er#(#n #*# /en*,. 2 #*# -er#(#n #*# /en*, tet#, t,*#( *##t me#6#n -r#,t#/, 3 ,/# ,/# me# me#6# 6#n n -r# -r#,t ,t#/ #/,, tet# tet#, , t,*# t,*#( ( *## *##tt men# men#+# +#n n t#+# t#+#n# n#n n emer,(/# 4 ,/# ,/# er-er er-er#( #( me#6#n me#6#n t#+#n# t#+#n#n n emer,( emer,(/# /# tet#, tet#, (e(u#t (e(u#t#nn #nn# # er(ur#n= *##t me#6#n t#+#n#n emer,(/# *en-#n (e(u#t#n m#(/,m# . Pemer,(/##n ree( Pemer,(/##n Pemer,(/##n ree(/ ,#/#n# ,#/#n# *,#(u(#n *,#(u(#n #,n- #(+,r. #(+,r. K,en ,#/#n# ,#/#n# *##m '/,/, *u*u( #t#u t,*ur ,(# ('n*,/, (,en t,*#( memun-(,n(#n. E#u#/, re/'n (,en *en-#n men--un#(#n /(## 0 4 0 t,*#( #*# re/'n 1 9er(ur#n- $%
2 N'rm# $% 3 Le,+ *#r, n'rm# $% 4 H,er#(t, $% 1% Ree Ree( ( ,/, ,/,' '''-,/ ,/ #% Ree ee( ( #t #te e# # P#/,en e#r,n- terent#n- utut *,#n-(#t (e#t#/ e(/, (ur#n- e,+ *#r, 300. ten*'n ten*'n #te# #te# $*,ten-#+>ten $*,ten-#+>ten-#+ -#+ #te# *#n Tuer'/, Tuer'/,t#/ t#/ t,,#e% *,u(u *en-#n ree( +#mer. re/'n eru# ('ntr#(/, 't't -u#r*r,/e em'r,/ #,tu e(/ten/, *#r, utut. % Ree( 9,/e Len-#n *,e(/,(#n ter+#*# /,(u *en-#n /u*ut 0 0 /u,n#/, *#n en-#n #6#+ *,t'#n- #*# #t#/ $me# er,(/#% #r, er,(/# *,tem#t (#n #*# ten*'n m.,/e $*,#t#/ ,#t#n /,(u% (emu*,#n *,u(u *en-#n ree( +#mer.n'rm# ,(# #*# ('ntr#(/, 't't ,)e/& /e*,(,t men,n-(#t ,# #*# e(/, /e#-,#n #*# r'n#/,& +,er#(t, m#(# #(#n te#*, ene#r#n -er#(#n>-er#(#n #*# #r, #t#u /en*,. )% Ree ee( ( tr,/ tr,/e e LenLen-#n #n #6# #6#+ + *,/e *,/em, m,e e(/ (/,( ,(#n #n&& ten*' ten*'n n ,/e ,/e *,u *,u(u (u *en*en-#n #n *en-#n ree( +#mer $ten*'n ,/e er#*# #*# #r#( 1>2 )m *,#t#/ 'e(r'n'n% re/'n #n- n'rm# #*##+ ('ntr#(/, 't't tr,/e& /e*,(,t men,n-(#t men,n-(#t ,# #*# e(/ten/, r,n-#n *#n +,er#(t, ,# e(/ten/, ,# e(/ten/, /,(u ter/eut mene#r (e#t#/ /#m#, (e 't't 't't #+u. *% Re Ree( e( A)+, )+,e/ e/ P'/,/, (#(, #*##+ *'r/' e(/, untu( memu*#+ (#n emer,(/##n ree( ,n, (#(, #n- *,er,(/# *,et#(#n*,/,#n-(#n *,#t#/ tun-(#, #6#+ ('ntr# #ter#.ten*'n #)+,e/ *,u(u *en-#n ree( +#mer& re/'n n'rm# eru# -er#(#n #nt#r e(/, (#(,. e% Re Ree( e( Su Suer er, ,/, /,# # >
Ree( (u (u,t e erut
>
Ree( (r (reme#/ter
>
Ree( ('rne#
>
Ree ee( ( u u '(# '(#er ern' n'/u /u//
>
Ree( #nt#r
2% Re Ree( e( P#t P#t' '''-,/ ,/ #% 9#,n/(, Meru#(#n ree( #n- #,n- ent,n- ,# +#n# *,um#, #*# en#(,t tr#(tu/ ('rt,('/,t#.
).
R#n-/#n-#n Men,n-e# Cntu( men-et#+u, r#n-/#n-#n /e#ut 't#( $m,/#n# #*# men,n-,t,/% *,#(u(#n emer,(/##n : 1% K#(u #(u (u (u*u( 9,# e+er *, te(u( /e)#r# #/, ter*##t t#+#n#n& /e+,n--# *#-u t,*#( *##t meneme #*# *#*# >>> K#(u (u*u( '/,t, $% 2% T#n*# n*# 9ru* 9ru*!u !un/ n/( ( I Let#((#n /#tu t#n-#n emer,(/# *, #6#+ (e## (,en *#n t#n-#n #,n *, *#*# (,en untu( men)e-#+ #*#n t,*#( ter#n-(#t. ter#n-(#t. Kemu*,#n (e## (,en *, e(/,(#n (e*#*# /e)#r# #/,. #/,. 9ru*!,n/( I '/,t, $% 3% T#n*# n*# 9ru* 9ru*!,n !,n/( /( II T#n*# ru*!,n/( II '/,t, $% ,# e(/, (,en #*# /en*, #n--u /e)#r /e)#r## #/, #/, #(#n #(#n *,,( *,,(ut ut,, 'e+ 'e+ e( e(/, /, tuntun-(# (#,, #,n #,nn n## #*# #*# /en*, /en*, #n--u *#n utut. 4% T#n*# n*# (ern (ern, , e(/, tun-(#, #t#/ te-#( uru/&#u *,)'# meuru/(#n tun-(#, #6#+ #*# /en*, utut n'rm#>&,# tun-(#, mementu( /u*ut 13=0 ter+#*# tun-(#, #t#/. Kern, ,# e(/ten/, utut #/, #(#n mene#(#n r#/# /#(,t /#(,t t,,# t,,# e(/ten e(/ten/, /, utut utut #/, #/, #(#n #(#n mene mene#( #(#n #n r#/# /#(,t /#(,t ter+#*# +#m#t#n. =% Te/t #/ #/ee-ue ue e(/, /en*, #+# *en-#n /en*, utut #n- uru/ #(#n men,mu(#n ner, /e#n#n- M,/)+,#*,)u/.
B. D"#gn# 1. Ket,*# Ket,*#(e (ee(t e(t,#n ,#n eru/, eru/, #r,n#r,n-#n #n /erer# /erer# er+u er+uunun-#n #n *en-#n *en-#n enurun# enurun#n n
#,r#n *#r#+ (e 't#( 2. H#m#t#n H#m#t#n m',,t#/ m',,t#/ ,/,( er+uuner+uun-#n #n *en-#n *en-#n (eru/#(#n (eru/#(#n neur'mu/(u neur'mu/(u#r #r 3. De, De,/,t /,t er#6 er#6#t #t#n #n *,r, *,r,:: m#(# m#(#n& n& m#n* m#n*,& ,& er er#( #(#, #,#n #n&& t', t',et et,n ,n- er+ er+u uun un-# -#n n (eem#+#n ,/,(
4. Keru/#(#n Keru/#(#n ,nte-r,t#/ ,nte-r,t#/ (u,t (u,t er+uuner+uun-#n #n *en-#n *en-#n Hem,#re/,/+ Hem,#re/,/+em,e em,e-,#& -,#& /ert# /ert# enurun#n m',,t#/ =. Re/,(' Re/,(' #tu+ er+uun er+uun-#n -#n *en-#n *en-#n enuru enurun#n n#n (em#mu# (em#mu#n n 't't& 't't& (eem# (eem#+#n +#n 't't #t#u eru#+#n (et##m#n en-,+#t#n en-,+#t#n 5. Ket,*#(/e,m#n-#n nutr,/, (ur#n- *#r, (eutu+#n tuu+ er+uun-#n *en-#n (et,* (e t,*#( #(m# m#m mu# u#n n un untu tu( ( me men)e n)ern rn## m# m#(# (#n# n#n& n& e enu nuru run# n#n n u unn-/, /, ne ner ru/ u/ +,'-'/u/ 7. H#m H#m#t# #t#n n ('mu ('mun, n,(# (#/, /, er er# # er+ er+u uun un-# -#n n *en*en-#n #n enu enuru run# n#n n unun-/, /, 't't 't't #),#'r# 8. <#n--u#n <#n--u#n Mene#n Mene#n er+uun er+uun-#n -#n *en-#n *en-#n enurun# enurun#n n un-/, neru/ neru/ #-u/ #-u/ #t#u +,#n-n# reu(/ munt#+ '. In!e/ In!e/en en"" Ke-e#3# Ke-e#3#!# !#n n N
D"#gn#
T%#n
In!e/en"
Ke-e#3
1.
#!#n Ket,*#(ee(t,#n
eru/, #r,n-#n
NO'
NI' Pe"-e#& Sen#!"n
/erer# .*
'"4&#!"n S!#! T"e -e*"n
enurun#n #,r#n
4ee#&
en#" -e"*e)
*#r#+ (e 't#(
Kr,ter,# H#/, : 1. Men* Men*em em'n 'n/tr /tr#/ #/,( ,(#n #n /t#tu/ /,r(u#/, #n*,t#n*#, *en-#n: 2. Te(#n e(#n#n #n //t' //t'e e *#n *#n *,#/t'e *##m rent#n#n- *,+#r#(#n 3. T,*# T,*#( ( #*# #*# 'rt' 'rt'/t# /t#t, t,( ( +,erten/, 4. T,*# T,*#( ( #*# #*# t#n* t#n*#>t #>t#n #n*# *# en,n-(#t#n te(#n#n ,ntr#(r#n,# $t,*#( e,+ *#r, 1= mmH-% =. Men* Men*em em'n 'n/tr /tr#/ #/,( ,(#n #n (em#mu#n ('-n,t, #n- *,t#n*#, *en-#n: 5. 9er( 9er('m 'mun un,( ,(#/ #/,, *en *en-# -#n n
M#n#ge,en! (M#n#%e,en
1. M'n, M'n,t' t'rr #*# #*#n n## *#er *#er#+ #+ tertentu #n- +#n# e(# ter+#*# #n#/*,n-,nt##mtumu 2. M'n, M'n,t' t'rr #*#n #*#n## #r# #r#te te/e /e 3. Intru( Intru(/,( /,(#n #n (eu#r (eu#r-# -# untu( untu( men-'/er#/, (u,t ,(# #*# e/, #t#u #/er#/, 4.
e#/ /e/u#, *en-#n (em#mu#n 7. Menu Menun nu u((#n (#n
ene# eru#+#n /en/#/,.
er+#t,#n& ('n/entr#/,& *#n 'r,ent#/, 8. Mem Memr' r'/e /e// ,n'r ,n'rm# m#/, /, . Mem Memu# u#tt (eu (eutu tu/# /#n n *en-#n en#r 10. Menunu((# Menunu((#n n un-/, /en/'r, m't'r, )r#n,# #n- utu+: t,n-(#t (e/#*#r#n mem#,(& t,*#( #*# -er#(#n 2
H#m#t#n
-er#(#n ,n'unter NO'
m',,t#/ ,/,( .*
J"n! M/e,en!
(eru/#(#n
#4!"/e M"&"!5 Le/e& Se&* '#e ADL T#n*e
neur'mu/(u#r
-e*,#n4e
Kr,ter,# H#/,: 1. A(t, A(t,,t# ,t#// ,/, ,/,( ( (,e (,en n men,n-(#t 2. Men-e Men-ert rt,, tuu tuu#n #n *#r, *#r, en,n-(#t#n m',,t#/ 3. Mem Memer er# #, ,/# /#/, /,(# (#n n er#/##n *##m men,n-(#t(#n (e(u#t#n *#n (em#mu#n er,n*#+#n 4. Mem Memer# er#-# -#(# (#n n en--un##n ##t =. 9#nt 9#ntu u untu ntu( m',,/#/, $6#(er%
NI' Ee4"e Te#-5 A,&#!"n 1. M'n, M'n,t' t'r,n r,n- ,t ,t# # /,-n /,-n
/eeum #t#u /e/u*#+ #t,+#n *#n ,+#t re/'n #/,en /##t #t,+#n 2. K'n/ K'n/u ut#/ t#/,( ,(#n #n *en*en-#n #n ter#, ,/,( tent#n- ren)#n# #mu#/, /e/u#, *en-#n (eutu+#n 3. 9#nt 9#ntu u (, (,en en untu untu( ( men--un#(#n t'n-(#t /##t er##n *#n )e-#+ ter+#*# )e*er# 4. A#r A#r(# (#n n #/, #/,en en #t#u #t#u ten ten##-## (e/e+#t#n #,n tent#nte(n,( #mu#/, =. K#, K#, (em# (em#m mu# u#n n #/, #/,en en *##m m',,/#/, 5. L#t, L#t,+ + #/ #/,e ,en n *# *##m #m emenu+#n (eutu+#n ADL/ /e)#r# m#n*,r, /e/u#, (em#mu#n 7. D#m D#m,n ,n-, -, *#n *#n #n #ntu tu #/ #/,e ,en n
/##t m',,/#/, *#n #ntu enu+, (eutu+#n ADL/ #/,en 8. 9er, 9er,(# (#n n ## ##tt #n #ntu tu ,(# ,(# (,en memeru(#n . A#r A#r(# (#n n #/, #/,en en ##-#, #,m# m#n# n# meru#+ '/,/, *#n er,(#n #ntu#n ,(# *,eru(#n 3
De,/,t
er#6#t#n
NO'
NI'
*,r,@
Sete#+ *,#(u(#n t,n*#(#n
m#n*,&er#(#,#n
(eer#6#t#n& *,+#r#(#n
m#(# m#(#n& n&
(eutu+#n m#n*,r, (,en
t',e t',et, t,nn-
er+uun-#n
terenu+,& *en-#n (r,ter,#
*en-#n
+#/,:
(eem#+#n ,/,(
1. P#/,en
1. Men Mene* e*,# ,#(# (#n n (e/e (e/e+# +#t# t#n n muut $'r# +-,ene% 2. Mem#/,,t#/, #/,en untu( m#n*, *, #t#/ *, tem#t t,*ur 3. Mem Mem#/, #/,, ,t# t#/, /,
m#mu
(eer/,+#n (eer/,+#n t',et #/,en
memenu+, ADLn DLn##
$me $men--#nt,
/e)# /e)#r# r#
#/,en% 4. Tem#t m#t(# (#n n #/, #/,en en *## *##m m
m#n*,r, 2. M#mu
'/,/, #n- n#m#n =. Men Men--#n --#nt, t, #(#, #(#,#n #n *#n *#n
memert#+#n(#n (eer/,+ /,+#n (er# er#,# ,#n n
*#n
#( #(en
/e)# /e)#r# r#
m#n*,r, 3. M#mu
#/,e #/,en n
/ete /ete# #+ +
mem#n*,(#n #/,en
untu(
mer#6 r#6#t
muut
*#n
/e) /e)#r#
-,-,
*r rer/ er/
m#n*,r, 4. M#m M#mu untu untu( ( memer/,+(#n tuu+ /en*,r, /e)#r# m#n*,r, 4
Keru/#(#n
NO'
NI'
,nte-r,t#/ (u,t .*
T"e In!eg"!5
Pee &4e -e/en!"n 3n$
+em,#re/,/+em,
+"n #n$ ,4 Wn$ e#&"ng
4#e
e-,# /ert#
•
•
Anur(#n #/,en untu(
enurun#n
-",#5 #n$
men--un#(#n #(#,#n
m',,t#/
e4n$#5 "n!en!"n
#n- 'n--#r #-# (u,t #-#r tet#
Kr,ter,# +#/, :
•
1. Per Peru u/, #r, #r,nn-#n #n •
n'rm# 2. T,*# T,*#( ( #*# #*# t#n* t#n*#>t #>t#n #n*# *# ,ne(/, 3. Kete Kete# ##n #n *#n *#n te(/ te(/tu tur r #r,n-#n n'rm# 4. Menu Menun nu(( u((#n #n
er/,+ *#n (er,nM',,/#/, #/,en $u#+ '/,/, #/,en% /et,# *u#
•
•
#m /e(#, M'n,t'r (u,t #(#n #*#n# (emer#+#n Oe/(#n 't,'n #t#u
em#+#m#n *##m
m,n#( # ', #*#
r'/e/& er#,(#n •
*#er#+ #n- terte(#n M'n,t'r #(t,,t#/ *#n
•
m',,/#/, #/,en M'n,t'r /t#t/ nutr,/,
•
#/,en Mem#n*,(#n #/,en
(u,t *#n men)e-#+ ter#*,n# ),*er# =. Menu Menun nu(( u((#n #n ter#*,n# r'/e/ enemu+#n u(#
*en-#n /#un *#n #,r •
+#n-#t O/er#/, u(# : '(#/,& *,men/,& (e*##m#n u(#& #r,n-#n ne(r't,(& t#n*#>t#n*# ,ne(/,
•
'(#& 'rm#/, tr#(tu/ A#r(#n (eu#r-# tent#n- u(# *#n
•
er#6#t#n u(# K'#'r#/, #+, -,!,
•
emer,#n *,et TKTP "e-#+ ('nt#m,n#/, e/e/
•
*#n ur,ne L#(u(#n te(n( er#6#t#n u(# *en-#n
•
/ter, 9er,(# '/,/, #nmen-ur#n-, te(#n#n #*# u(#
•
H,n*#r, (erut#n #*# tem#t t,*ur
=.
Re/,(' #tu+ er+uun-#n *en-#n
NO' T#,# "+ * In%5 "+ *
NI' F#&& Pe/en!"n Pe/en!"n •
Men-,*ent,,(#/,(#n *e,/,t
enurun#n
Kr,ter,# +#/,
('-n,t, #t#u ,/,( #/,en
(em#mu#n 't't&
1. Ke/e,m#n-#n:
#n- *##t men,n-(#t(#n
(eem#+#n 't't
(em#mu#n untu(
'ten/, #tu+ *##m
#t#u eru#+#n
memert#+#n(#n
,n-(un-#n tertentu. Men-,*ent,,(#/,(#n
(et##m#n en-,+#t#n
e(u,,r,um 2.
•
er,#(u *#n #(t'r #n-
(em#mu#n 't't untu( e(er# /#m# /e)#r#
•
memen-#ru+, re/,(' #tu+ Men-,*ent,,(#/,(#n
'unter untu(
(#r#(ter,/t,( ,n-(un-#n
me#(u(#n -er#(#n
#n- *##t men,n-(#t(#n
#n- ertuu#n 7. Per,#(u en)e-#+#n
'ten/, untu( #tu+ $m,/#n# #nt#, ,),n.
#tu+: t,n*#(#n ,n*,,*u
t#n--# teru(# *#n #,n>
#t#u emer, #/u+#n untu( mem,n,m#(#n
•
#,n% S#r#n(#n eru#+#n *##m
•
-## er##n Men*'r'n- #/,en untu(
#(t'r re/,(' #n*##t mem,)u #tu+
men-un#(#n t'n-(#t #t#u
*,,n-(un-#n ,n*,,*u 8. Ke#*,#n #tu+ : t,*#( #*# (e#*,#n #tu+ 9. Pen-et#+u#n :
•
tem#t t,*ur& #t#u r#n(#r
em#+#m#n en)e-#+#n #tu+
•
/e#m# tr#n/er #/,en Tem#t Tem#t #rt,(e mu*#+
•
*,#n-(#u *#r, #/,en A#r(#n #/,en #-#,m#n#
en-et#+u#n (e/e#m#t#n #n#( ,/,( 6. Pen-et#+u#n: (em#n#n r,#*, :. Pe#n--#r#n er,n*un-#n t,n-(#t (e,n-un-#n #(ut ;. T,n-(#t #-,t#/,
##t em#ntu er##n Kun), r'*# *#r, (ur/, r'*#&
#tu+ untu( mem,n,m#(#n •
)e*er# Mem#nt#u (em#mu#n untu( mentr#n/er *#r, tem#t t,*ur (e (ur/, *#n *em,(,#n u# /e#,(n#
<. K'mun,t#/
•
en-en*#,#n re/,(' 10. (e(er#/#n 11. 11. K'mun,t#/ en-en*#,#n re/,(' 12.
untu( mentr#n/er #/,en (e *#n *#r, (ur/, r'*#& tem#t t,*ur& t',et& *#n •
e#r,#nuntu( (#6,n 18. Ke#*,#n terun 19. Men-#/u+ (e/e#m#t#n ,/,( rem## 16. Men-#/u+ #,#,t#
/e#-#,n# Mene*,#(#n t',et *,t,n--,(#n untu(
•
memu*#+(#n trn/er Mene*,#(#n (ur/, *#r, (et,n--,#n #n- te#t& *en-#n /#n*#r#n *#n
(e/e#m#t#n ,/,( 1:. Per,#(u (e/e#m#t#n r,#*, 1;. Ke#r#+#n )e*er# ,/,( 1<. Pen-en*#,#n re/,(' 20. en-en*#,#n re/,('
/#n*#r#n t#n-#n untu( •
memu*#+(#n tr#n/er Mene*,#(#n tem#t t,*ur(#/ur *en-#n te, #n-
en--un##n #('+'&
er#t untu( memu*#+(#n
n#r('# 21. Pen-en*#,#n re/,(' :
tr#n/er
•
en)#+###n /,n#r m#t#+#r, 22. Dete(/, re/,(' 27. L,n-(u-#n rum#+ #m#n 28. Am#n er(e,#r#n 29. #t en#r,(#n
#n- /e/u#, *en-#n t,n--, utnu( men)e-#+ #tu+ *#r, tem'#t t,*ur& /e/u#, •
(e#r#+#n 26. Inte-r,t#/ #r,n-#n :
(eutu+#n Memer,(#n #/,en ter-#ntun- *en-#n /#r#n# #ntu#nem#n--,#n
(u,t *#n memr#n
$m,/#n# e&#t#u )#+##
mu('/# 2:. Per,#( (e#tu+#n ,/,
#n--,#n% (et,(# en#-# •
t,*#( #*# Mem#tu t',et,n/er,n-(#,& ,nter#
•
*,#*6#(#n Men#n*#, #m#n- ,ntu *#n te, #n-(#+ /e/u#,
•
(eutu+#n H#u/ *#t#r#n ren*#+
er#'t#n $m,/#n# tumu#n #t#u t#e% #nen,mu(#n #+## •
•
ter/#n*unH,n*#r, (e(#)#u#n #*# ermu(##n #nt#, Memer,(#n en)#+###n #n- mem#*#, untu(
•
men,n-(#t(#n ,/,,,t#/ Mene*,#(#n #mu m##m
•
*,/#m,n- tem#t t,*ur Mene*,#(#n e-#n-#n #n-#n ter,+#t meme-#n-
•
t,#nMene*,#(#n #ur #nt, ter-e,n/,r& ermu(##n #nt#,
•
n'tr,t,*#( ter/#n*unMene*,#(#n ermu(##n n'n/,#nt, ter-e,n),r*,
•
#( m#n*, #t#u #n)ur#n Mene*,#(#n ('('+& t,n# )ur#m n'n/, untu( mem#/,,t#/, #n-(#u#n
•
mu*#+ P#/t,(#n #/,en #nmem#(#, /e#tu #n- #/& (e)#n-(#n #m#n& mem,,(,
•
/' t,*#( mu*#+ ter-e,n),r Anur(#n #/,en utnu( mem#(#, (#)#m#t# /e/u#, (et,(# (eu#r *#r, tem#t
•
t,*ur Mem*,*,( #n--'t# (eu#r-# tent#n- re/,(' #n er('ntr,u/, ter+#*# #tu+ *#n #-#,m#n# mere(#
*##t menurun,(#n re/,(' •
ter/eut S#r#n(#n #*#t#/, rum#+ untu( men,n-(#t(#n
•
(e/e#m#t#n Intru(/,(#n (eu#r-# #*# ent,n-n# e-#n-#n t#n-#n untu( (#m#r m#n*,& t#n--#&
•
*#n tr't'#r S#r#n(#n ##/ (#(, #n-
•
#m#n Men-em#n-(#n )#r# untu( #/,en er#rt,/,#/, (e/e#m#t#n *##m (e-,#t#n
•
re(re#/, Lem#-# r'-r#m #t,+#n rut,n ,/,( #n- me,ut,
•
er##n T#n*#>t#n*# T#n*#>t#n*# /t,n- untu( men-,n-#t(#n /t# #+6# #/,en #n- ere/,(' t,n--,
•
untu( #u+ 9er('#'r#/, *en-#n #n--'t# t,m (e/e+#t#n #,nn# untu( mem,n,m#(#n ee( /#m,n- *#r, '#t #n er('ntr,u/, ter+#*# #tu+ : $m,/#n# +,'ten/,
•
'rt'/t#t,( *#n (,r#+ -'#+% Memer,(#n en-#6#/#n #n- (et#t *#ner#n-(#t en#+#n.
5.
Ket,*#(/e,m#n#n nutr,/, (ur#n-
NO'
NI' N!"!"n#&
N!"!"n M#n#ge,en!
*#r, (eutu+#n tuu+
S!#! N!"!"n#&
• •
K#, #*#n# #er-, m#(#n#n K'#'r#/, *en-#n #+, -,!,
er+uun-#n
S!#! *$ #n$
untu( menentu(#n um#+
*en-#n
*&"$ "n!#+e N!"!"n#&
(#'r, *#n nutr,/, #n-
(et,*#(m#mu#n untu( men)ern# m#(#n#n& enurun#n un-/, neru/ +,'-'/u/
S!#! n!"en! "n!#+e We"g! 4n!&
•
*,utu+(#n #/,en Anur(#n #/,en untu(
•
men,n-(#t(#n Int#(e e Anur(# #/,en untu(
Kr,ter,# H#/, :
men,n-(#t(#n r'te,n *#n
1. A*#n A*#n## en, en,nn-(# (#t# t#n n er#t #*#n /e/u#, tuu#n 2. 9er# 9er#tt #* #*#n #n ,*e# ,*e#
• •
men-#n*un- t,n--, /er#t untu(
/e/u#, *en-#n t,n--, #*#n 3. M#mu
•
m#nutr,/, =. Men Menunu unu(( ((#n #n
•
mene#n 5. T,*#( ter ter# #* *,
#+, -,!, A#r(#n #/,en #-#,m#n# )#r# memu#t )#t#t#n m#(#n#n
•
+#r,#n M'n,t'r um#+ nutr,/, *#n
•
(#n*un-#n (#'r, 9er,(#n ,n'rm#/, tent#n-
•
(eutu+#n nutr,/, K#, (em#mu#n #/,en untu(
en,n-(#t#n un-/, en-e)##n *#r,
men)e-#+ ('n/t,#/, 9er,(#n m#(#n#n #n- ter,,+ $/u*#+ *,('n/ut#/,(#n *en-#n
men-,*ent,,(#/,(#n (eutu+#n nutr,/, 4. T,*# T,*#( ( #*# #*# t#n* t#n*#>t #>t#n #n*# *#
,t#m,n " 9er,(#n /u/t#n/, -u# #(,(n(#n *,et #n- *,m#(#n
enurun#n er#t
men*##t(#n nutr,/, #n-
#*#n#n- er#rt,
*,utu+#n Nut,t,'n M'n,t'r,n•
99 #/,en *##m #t#/
•
n'rm# M'n,t'r #*#n# enurun#n
•
er#t #*#n M'n,t'r t,e *#n um#+ #(t,,t#/ #n- ,#/#
•
*,#(u(#n M'n,t'r ,nter#(/, #n#( *#n
•
'r#n- tu# /e#m#m#(#n M'n,t'r ,n-(un-#n /eer#
•
m#(#n #*6#(#n en-'#t#n *#n t,n*#(#n t,*#( /e#m# #m
•
• •
m#(#n M'n,t'r (u,t (er,n-*#n eru#+#n ,-ment#/, M'n,t'r tur-'r (u,t M'n,t,r (e(er,n-#n& r#mut
•
(u/#m& *#n mu*#+ #t#+ M'n,t'r mu# *#n munt#+ M'n,t'r (#*#r #um,n&
•
(#*#r r'te,n Le#/(#n ,m#(/, t,n#
•
/e)#r# m#nu#& ,(# eru T,m#n- #/,en /e)#r#
•
ter#tur A#r(#n #/,en #t#u
•
(eu#r-# tent#n- r'/e/ •
en)#r,#n #n- n'rm# A#r(#n #/,en(eu#r-# tent#n- (er#n-(# 6#(tu untu( re/'u/, /eme,t
7.
H#m#t#n ('mun,(#/, er# .* enurun#n un-/, 't't #),#'r#
NO'
NI' An"e!5 e&* 4n!& '-"ng Sen"=*n4!"n
',,n"4#!"n En#n4e,en! S-ee4 De*""! •
e#"ng > /""n Fe# e&* 4n!& •
Kr,ter,# +#/, :
,(# *,eru(#n 9er, /#tu (#,m#t /e*er+#n# /#t,# (#,
1. K'mun 'mun,( ,(#/ #/,, : ener,m##n&
•
ertemu& ,(# *,eru(#n K'n/ut#/,(#n *en-#n
,ntreret#/, *#n
*'(ter (eutu+#n ter#,
e(/re/,e/#n& ,/#n&
6,)#r# D'r'n- #/,en untu(
tu,/#n *#n n'n )er# men,n-(#t
•
er('mun,(#/, /e)#r#
2. K'mu K'mun, n,(# (#/, /, e(/ e(/re re/, /,
er#+#n *#n untu(
$(e/u,t#n er,)#r#: e(/re/, e/#n er#
•
*#n #t#u n'n er# •
#n- erm#(n# 3. Kmun,(#/, re/t,$(e/u,t#n
•
('/#(#t#&#+#/#
('mun,(#/, *#n
#/,n-&)'muter&*#n #,n>
,nterret#/, e/#n
#,n untu( mem#/,,t#/,
er# *#n n'n er# 4.
('mun,(#/, *u# #r#+
ter(''r*,n#/,(#n : •
•
men--un#(#n #+#/#
tent#n- en--un##n ##t •
#ntu ,)#r# 9er,(# u,#n '/,t,e&
•
,(# *,eru(#n Anur(#n #*#
•
ertemu#n (e'm'( Anr(#n (unun-#n
: (,en m#mu untu( memer'e+&
men--un#(#n
(eu#r-# /e)#r# ter#tur
re/'n (et#(ut#n *#n
untu( memer,(#n
(e)em#/#n ter+#*# (et,*#(m#mu#n er,)#r# 7. M#mu mem#n#emen (em#mu#n ,/,( #n- *,m,,(, 8. M#mu
*,eru(#n 9er, #nur#n (e#*# #/,en *#n (eu#r-#
,/#r#t =. PenPen-' '#+ #+#n #n ,n' ,n'rm rm#/, #/,
,n'rm#/, 5. M#m M#mu u menmen-'n 'ntr tr' '
#n- 't,m# A#r(#n ,)#r# *en-#n e/'+#-u/& ,(#
men-(''r*,n#/,
men-#tur& *#n
(et,(# er,)#r#
# tuu+&-#m#r&*#t#r tuu+&-#m#r&*#t#r
ener,m##n
-er#(#n *##m
enu+ er+#t,#n 9er*,r, *, *e#n #/,en
#)#&(ert#/&en/,&#+#/
men*en-#r% :
m#mu
men-u#n-, erm,nt##n Den-#r(#n *en-#n
•
/t,muu/ ('mun,(#/, Anur(#n e(/re/, *,r, *en-#n )#r# #,n *##m men#m#,(#n ,n'rm#/, $#+#/# ,/#r#t%
',,n"4#!"n En#4e,en!
men-('mun,(#/,(#n( He#"ng De*""!
eutu+#n *en-#n
',,n"4#!"n En#4e,en!
,n-(un-#n /'/,#
?"#& De*""! An"e!5 Re$4!"n A4!"/e &"!en"ng
8.
<#n--u#n Mene#n er+uun-#n *en-#n enurun#n
un-/,
ner neru/ u/ #-u #-u// #t#u #t#u +,# +,#nn-n n## munt#+
re reu( u(//
NO' Pen4eg##n #-"#" Ke!"$#+e*e+!"*#n Ke!"$#+e*e+!"*#n -&#
NI' A-"#!"n Pe4#!"n Pe4#!"n •
,en5" S!#! ,ene&#n
(e/#*#r#n& ree(/ #tu(& ree(/ munt#+& *#n
!"n$#+#n -"#$" n!+ ,en4eg#
Mem#nt#u t,n-(#t
•
(em#mu#n mene#n M'n,t'r /t#tu/ #ru&
-enge&##n 4#"#n
men#-#memert#+#n(#n#
$#n -#!"+e& -#$#! +e $#&#, -# S!#! ,ene&#n *#e
•
#n n##/ P'/,/, te-#( 0 *er##t #t#u
e*#g -en5#&#n
•
/e#u+ mun-(,n #u+(#n m#n/et tr#(e#
•
men,n-(#t #u+(#n en-#tur#n +,/#
•
#n- ter/e*,# Menu#(#n m#(#n#n
•
*##m um#+ (e),/e*,(,t Per,(/# enem#t#n t#un-
4#"#n #!# -#!"+e& -#$#! $#" *#"ng +e &#,ng S!#! ,ene&#n *#e #& -e"#-#n@ -en##n#n@ $#n
N< #t#u -#/tr'/t'm
-ege#+#n 4#"#n #!# -#!"+e& -#$#! +e
•
/eeum menu/u, Per,(/# t#un- N< #t#u
## -!e" ,&! S!#! ,ene&#n *#e
-r#/t'/t'm /,/# /eeum
*#"ng -en5#&#n
m#(#n H,n*#r, m#(#n& ,(# re/,*u
•
4#"#n #!# -#!"+e&
t,n--, tem#t e6#rn#
-#$#! $#" ,&! +e •
*##m t#un- en-,/, N< H,n*#r, )#,r#n #t#u
•
men--un#(#n !#t en-ent# Pen#6#r#n m#(#n#n #t#u
e*#g K"!e"# #"&
1. D## D##tt mem memert ert#+ #+#n #n(#n (#n m#(#n#n *##m muut 2. (em (em#mu #mu#n #n men mene e#n #n
)#,r#n #n- *##t *,entu( men#*, 'u/ /eeum
#*e(u#t 3. PenPen-,r ,r,m ,m#n #n 'u 'u// (e
•
+,'#r,n- /e#r#/
mene#n P't'n- m#(#n#n men#*,
*en-#n ree( mene#n 4. Kem# Kem#m mu# u#n n unt untu( u(
•
't'n-#n>'t'n-#n (e), (e), Perm,nt##n '#t *##m
men-'/'n-(#n r'n--#
•
entu( '#t mu#r# I/t,r#+#t #t#u men-+#n)ur(#n , /eeum
muut =. M#m M#mu u menmen-'n 'ntr tr' ' mu# *#n munt# 5. Im' Im',, ,,t# t#// (en/ (en/e( e(ue uen/ n/,: ,: ,/,''-,/ 7. PenPen-et# et#+u +u#n #n tent# tent#nn r'/e*ur en-'#t#n 8. T,*# T,*#( ( #*# #*# (eru (eru/#( /#(#n #n 't't ten--'r'n- #t#u 't't 6##+ & mene#n& men--er#((#n ,*#+. #t#u ree( munt#+ . Pem Pemu,+ u,+#n #n #/) #/)## r'/e*ur en-'#t#n 10. K'n*,/, K'n*,/, ern##/#n& ern##/#n& ent,#/, #*e(u#t 11. 11. M#mu me#(u(#n me#(u(#n er#6#t#n ter+#*# n'n en-'#t#n #renter# 12. Men-,*ent,, Men-,*ent,,(#/, (#/, #(t'r #(t'r em'/, #t#u /,(''-,/ #n- men-+#m#t mene#n 13. D##t ment'er#n/, ment'er#n/, ,n-e/t, m#(#n#n t#n# ter*e/#(#t#u #/,r#/, 14. Menu/u, Menu/u, #*e(u#t #*e(u#t 1=. K'n*,/, K'n*,/, mene#n mene#n #, #, 15. Meme,+#r# Meme,+#r# ('n*,/, ('n*,/, -,!,:m#(#n#n *#n #/u#n )#,r#n ,u *#n #, 17. H,*r#/, t,*#(
•
emer,#n #u+(#n (e## tem#t t,*ur *,t,n--,(#n 30>4= men,t
•
/ete#+ m#(#n S#r#n(#n ,*#t'er,)#r# #t''-, er('n/ut#/,
*,temu(#n 18. Pen-et#+u#n Pen-et#+u#n men-en#, men-en#, )#r# menu/u, 1. K'n*,/, K'n*,/, ern##/#n ern##/#n #*e(u#t 20. T,*#( T,*#( ter#*, -#n--u#n -#n--u#n neur''-,/
DAFTAR PUSTAKA
"+#n "+#n-& -& E/ter E/ter . 2010 2010 . "atofisiologi # Aplikasi "ada "raktik $epera%atan. $epera%atan . #(#rt#: E<". 9runner #n* Su**#rt+& 2002. Keperawatan Keperawatan Medikal Bedah. E*,/, 8 'ume 2 Pener,t #(#rt#: E<"
D'en-'e/& M#r,nn E& #)'/& E/ter M#t#/#rr,n. Rencana asuhan asuhan keperawatan: pedoman untuk perencanaan dan pendokumentasian perawatan pasien. 2000. #(#rt# : ener,t 9u(u Ke*'(ter#n E<"
H#rt,n#.201=. &aporan &aporan "endahuluan "endahuluan Stroke Haemoragik. Haemoragik. $On,ne% $On,ne% A#,#e: +tt/:666.#)#*em,#.e*u.=48047LAPOR +tt/:666. #)#*em,#.e*u.=48047LAPORANQPENDAHCLCANQ ANQPENDAHCLCANQNHS NHS $*,#(/e/ #*# t#n--# 25 '(t'er 201= u(u 20.00 W,t#% W,t#% K#+#ru& At,(#.201=. &aporan At,(#.201=. &aporan "endahuluan "endahuluan Stroke 'on 'on Haemoragik . $On,ne% A#,#e: +tt/:666.#)#*em,#.e*u.170780=LPQ +tt/:666. #)#*em,#.e*u.170780=LPQSTROKEQNONQHAEM STROKEQNONQHAEMORA
NQDEN
Den#/#r& 02 Me, 2015
Men-et#+u,&
Pem,m,n- Pr#(t,(
M#+#/,/6#
N, K#*e( It# R#tn# De6, NIM. P07120014081 P07120014081
Men-et#+u,& Pem,m,n- A(#*em,(
F. M. En*#n- SP R#+#u& S. K.& M.P* NIP. 1=812118=03200= 1=812118=03200=
