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    PRESENTASI KASUS

    “PENURUNAN KESADARAN PADA STROKE NON

    HEMORAGIK, HIPERTENSI, DIABETES MELITUS,

    STRUMA TIROID, DAN ULKUS DEKUBITUS”

    Disusun oleh:

    Yoln! Shin" P

    G#A$%#$&$

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    STATUS PASIEN

    IDENTITAS

    N' : N() *

    Usi : +% "hun

     Al'" : Re'oh, B"u-!enPe.e-/n : I0u -u'h "n11

     A1' : Isl'

    2enis Kel'in: Pe-e'un

    No) 3M : $&45+4%&Tn11l n'nesis: 6 M-e" 5$%+

    Run1 : 3en!n

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    SUBYEKTI7 A) Keluhn U"'

    Penu-unn Kes!-n

    B) Ri8(" Pen(.i" Se.-n1

    %) Onse"

    # h-i (n1 llu 9% M-e" 5$%+

    5) K-onolo1iPsien 'en1l'i enu-unn .es!-n se/. u.ul $+);$ 1i !

    h-i sels, % M-e" 5$%+) Psien suli" !i0n1un.n !n .e"i. !"

    !i0n1un.n, sien "e-lih" 'en1n"u., !n ln1sun1 "e-"i!u- .e'0li)

    S"u h-i se0elu' enu-unn .es!-n, sien 'en1l'i !e'')

    Kelu-1 sien 'en1.u 0h8 sien 'e'ili.i 0o-o. (n1

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    ;) Kun"i"s

    Psien 'en1l'i enu-unn .es!-n "e-us 'ene-us

    #) Kuli"s

    Psien "e-"i!u- !n suli" !i0n1un.n, .e"i. !"!i0n1un.n, sien ln1sun1 "e-"i!u- .e'0li

    6) Ge/l en(e-"

    Kelu-1 sien 'en(n1.l !n( .eluhn n(e-i

    .el, 'ul, 'un"h, .e/n1 ! sien+) 7."o- (n1 'e'e-in1n 94

    &) 7."o- (n1 'e'e-0e-" 94

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    3) Ri8(" Pen(.i" Dhulu

    = Ri8) Hie-"ensi: >, se/. %$ "hun (ll

    = Ri8) DM: >, se/. & "hn (ll

    = Ri8) Hie-"i-oi!: >, le0ih !- ;$ "hn (ll= Ri8) T-u': >, .el "e-0en"u-, .-en "e-/"uh !i !en

    .'- 'n!i # h-i SMRS

    D) Ri8(" Pen(.i" Kelu-1

    = Ri8, Hie-"ensi !isn1.l= Ri8) DM !isn1.l

    = Ri8) Hie-"i-oi! !isn1.l

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    E) Ke!n sosil e.ono'i

    Psien !n .elu-1 'e'ili.i s""us e.ono'i 'enen1h .e

    08h) Psien 'e-u.n i0u -u'h "n11, se/. & 0uln

    (n1 llu sien 'en1u-n1i ."i?i"s !n se/. 5 0uln

    "e-.hi-, sien le0ih se-in1 0e-0-in1 !i "e'" "i!u-, hn(0e-n/. 0il in1in .e .'- .e

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    H) Ri8(" Psi.olo1is

    4 Kelu-1 sien 'en(".n sien "i!. 'e'ili.i

    -i8(" 1n11un si.olo1is

    4

    Psien !l' .on!isi si.olo1is (n1 .u-n1 0i.,"'. !-i .e"i!.'un sien un"u. 'e'inu'

    o0", !n 'en(e'0un(i.n o0" !i 08h -n/n1,

    !n le0ih 0n(. 0e-0-in1 !i "e'" "i!u- 

    I) Ri8(" Si-i"ul

    Psien 0e-1' Isl', !n /-n1 0e-i0!h

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    OBYEKTI7

    = S""us In"e-nus Psien

    %) Ke!n u'u' : 0u-u.

    5) Te.nn D-h : %+$C$ ''H1

    ;) Den(u" N!i : %$$'

    #) Suhu : #$,%

    6) Pe-nsn : 5#'

    +) BB : #6 .1

    &) TB : %65 > Rh 44 *h44%%) 3o- : S%FS5, -e1, ' 4, 1

    %5) A0!o'en : !"-, suel, BU > N

    %;) H"i : TTB

    %#) Kel) Li'e : TTB

    %6) S""us Gi@i : BMI: %,#&

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    = S""us Neu-olo1is

    %) N) 3-nilis : s!n

    5) Sensi0il"s : s!n

    ;) Mo"o-i.

    #) S") e1e""i : BAB >, BAK > 9D3

    Motorik Superior Inferior  Ge-. S!ns!n S!ns!n

    Ke.u"n 'o"o-i. S!ns!n S!ns!n

    Tonus nn nn

    T-oi Eueu Eueu

    Rele. isiolo1is >> >>

    Rele. P"olo1is 44 44

    Klonus 44 44

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     ASSESSMENT

    = Di1nosis Klinis : Penu-unn Kes!-n

    = Di1nosis Toi. : He'ise- !e"-, "hl'us

    = Di1nosis E"iolo1i : S"-o.e Non He'o-1i.= Di1nosis Klinis I : Hie-"ensi

    = Di1nosis Klinis II : DM

    = Di1nosis Klinis III : S"-u' Ti-oi!

    = Di1nosis Klinis I : Ul.us De.u0i"us

    = Di1nosis Bn!in1 : S"-o.e He'o-1i.

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    PLANNING

    %) Di1nos"i. : An'nesis, Pe'e-i.sn isi.,

    e'e-i.sn enun/n1

    5) Te-i

    ;) Moni"o-in1: 6 B, Ee."ii"s "e-i

    #) Usuln e'e-i.sn enun/n1: L0o-"o-iu', 3T s

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    6) E!u.si

    E!u.si "en"n1 en(.i" sien 9.on!isi, e"iolo1i, ."o-

    -isi.o, en(uli", -o1nosis

    E!u.si "en"n1 en

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    TIN2AUAN PUSTAKASTROKE NON HEMORAGIK

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    %) Deinisi

    = *HO !l' eneli"in MONI3A 9Multinational Monitoring

    of Determinants and Trends in Cardiovascular Disease

    'en!einisi.n s"-o.e se01i gangguan fungsional

    otak o.l "uun 1lo0l .u", "e-/!i lebih dari 24 a!,

    0e-sl !-i gangguan aliran darah otak !n 0u.n!ise00.n oleh 1n11un e-e!-n !-h o".

    sein"s, "u'o- o"., s"-o.e se.un!e- .-en "-u',

    'uun ine.si 9Se"(o-no"o, 5$%%

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    5) E"iolo1iKelinn s.ul- 

    • A"e-os.le-osis• Dislsi

    i0-o'us.ul- •

    Gn11uninl'si• SLE• A-"e-i"is• Poli-"-i"is No!os• AIDS

    • Dise.si )

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    ;) Ei!e'iolo1i= 5$$& In!onesi: -e?lensi C,; e- %$$$ en!u!u.)

    = Slh s"u en(e00 .e'"in "e-"in11i ! se'u.elo'o. u'u-)

    = Usi "e-'u! %C45# "hun

    = P-e?lensi "e-"in11i NAD "e-en!h Pu

    9Rh/en1, 5$%;)

    #) Klsii.si 9O3SP= To"l An"e-io- 3i-

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    6) 7."o- Risi.o

     A Yn1 "i!. !" !iu0h

    % M(o-: Usi F +6 "hun, Ri8(" s"-o.eP2Pen()

    Pe'0 !-h

    5 Mino-: Usi ;64#6 "hun, /enis .el'in, -s0n1s

    B Yn1 !" !iu0h

    % M(o-: Hie-"ensi, DM, 'e-o.o., A7

    5 Mino-: TIA, P2, Dislii!e'i, Al.ohol e"<

    9Rh/en1, 5$%;)

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    +) Pene1..n Di1nosis An'nesis

    • Kelu'uhn'en!!.

    • A".si•

    Dis-"-i• Asi• Gn11un Ko1ni"i • Gn11un

    sensi0ili"s• Pe-u0hn s""us

    'en"l• Penu-unn

    .es!-n• N(e-i .el• Mul, 'un"h

    Pe'e-i.sn 7isi.

    • B-!i.-!i• E!e' il• K.u .u!u.•

    B-u!@ins.(• Ke-ni1Js si1n• Gn11un

    sensi0ili"s• D(s"oni< os"u-e

    Pe'e-i.snPenun/n1

    • 3T S

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    &) P"o1enesis

    S'i"h, e" l 95$%$

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    C) T"l.sn

    = Non Me!i.'en"os

    %  Ai-8(, B-e"hin1, 3i-

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    = Me!i.'en"os

    %  An"i"-o'0o"i.: Asi-in, Dii-i!'ol, 3ilos"@ol, Ti

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    ) Ko'li.si

    = E!e'

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    TIN2AUAN PUSTAKASTRUMA TIROID

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    %) Deinisi

    = S"-u' "u !ise0u" /u1 1oi"e- 'e-u.n

    e'0en1..n ! lehe- (n1 !ise00.n e'0es-n

    .elen/- "i-oi! .i0" .elinn 1ln!ul "i-oi! (n1 !"

    0e-u 1n11un un1si "u e-u0hn susunn

    .elen/- !n 'o-olo1i 9De 2on1 S('suhi!(", %C)

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    5) Klsii.si

    = Be-!s-.n 7isiolo1is

    % Eu"i-oi!

    5 Hio"i-oi!

    ; Hie-"i-oi!=Be-!s-.n Klinis

    % S"-u' To.si.

    5 S"-u' non To.si.

    9P-i

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    ;) Pene1..n Di1nosis

     A) An'nesis

    = Keluhn u"': 0en/oln, "n! !-i hio"i-oi! "u

    hie-"i-oi!

    = Keluhn en(e-": 1n1 'eneln, 1n1 0e-ns

    B) Pe'e-i.sn 7isi.

    = Pe'0es-n -e1io

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    #) T"l.sn

     A Pe'0e!hn

    B Yo!iu' R!io."i 

    3 O0" n"i "i-oi! !n Ti-o.sin

    9G"u", 5$$;)

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    D"- Pus".= A-u *, Su!o(o, e" l) 5$$) Bu.u A/- Il'u Pen(.i" Dl') 2.-": B!n Pene-0i" 7KUI)

    = As!1hi N, 2ee-."hil T, H'ee! B, Sini M, M

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    TERIMAKASIH