Studi Kasus: Asuhan Keperawatan pada Pasien Stroke Non Hemoragik di RS Otak Dr. Drs. Muh. Hatta Kota Bukittinggi Tahun 2024
DOI:
https://doi.org/10.57213/medlab.v4i2.279Keywords:
Stroke, Non-Hemorrhagic, Care, NursingAbstract
Non hemorrhagic stroke is the death of brain tissue due to insufficient blood flow caused by a blood clot. In Indonesia stroke is the main cause of death (15.4%), followed by tuberculosis, hypertension and injury. The purpose of this research is the implementation of nursing care in non-hemorrhagic stroke patients. The design of this research is descriptive using a single case study method. The research was carried out from the emergency room to the neurological treatment room of DR Brain Hospital. Drs. M. Hatta Kota Bukitinggi with 1 client who was diagnosed with a non hemorrhagic stroke who received thrombolytic therapy. The research time is carried out from March 15-19, 2024. Analysis of the nursing process carried out includes assessment, diagnosis, intervention, implementation, and evaluation. Data on patients is obtained from the results of interviews, observations, physical examinations, direct measurements and documentation results. The results of the assessment were found by participants who complained that they could not move the left extremities, stiff joints, headaches, snooping lips and pelo speech. Emerging nursing diagnoses are the risk of ineffective cerebral perfusion, impaired physical mobility and impaired verbal communication. The implementation carried out is to provide immediate treatment in the emergency room in the form of thrombolytic therapy with a bolus dose of 5 cc further 45 cc out within 1 hour, monitoring the increase in intracranial pressure, providing a semifowler position, providing active and passive range of motion (ROM), as well as performing physiotherapy collaboration in the provision of motor and speech therapy. After implementation, the results of cerebral perfusion increased, physical mobility increased and verbal communication increased.
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