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7/21/2019 Askep Cedera Kepala Ringan
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askep cedera kepala ringan
ASUHAN KEPERAWATAN PADA KLIEN TN. A DENGANCEDRA 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 2013Kata Pengantar
P!" #$%& %'" '*!'+%'* %,'-' T'* Y'*/ M'' E#' %'&,*' '+'# ,&%'+' -'* %'&*"'*$'
%'" -''+ ,*$,,#'"%'* +/'# '%'' KEPERAWATAN MEDIKAL BEDAH $'*/
,&!- A#'* K,,&'4'+'* '-' %",* T*. A -,*/'* C,-,&' K,'' R"*/'* -" &'*/'*
N,&55/" L'*+'" VIII RSUD K5!' J'%'&+' U+'&'6.
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,*$#*'* '%'' "*" '/'& -''+ ," ,&'*9''+ '/" %"+' #,'. A%"& %'+' %'" #,'%
+" ,*$#* ,*/7'%'* +,&"' %'#".
J'%'&+'8 2 J'*'&" 2013
P,*$#*
DAFTAR ISI
KATA PENGANTAR ................................................................................ "
DAFTAR ISI ................................................................................................ ""
BAB I PENDAHULUAN
A. L'+'& B,'%'*/ M'#'' ............................................................................. ..... 1
B. T!'* P,*"#'* ..................................................................................... ..... 2
1. T!'* U ........................................................................................ 2
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2. T!'* K## ................................................................................... ..... 2
C. R'*/ L"*/% ........................................................................................ ..... 2
D. M,+5-, P,*"#'* .................................................................................... ..... 2
E. S"#+, M'+"%' P,*"#'* .......................................................................... ..... 3
BAB II TINJAUAN TERI
A. P,*/,&+"'* ................................................................................................ ......
B. E+"55/" ................................................................................................... .......
C. P'+59"#"55/" ............................................................................................. .......
1. P&5#,# P,*$'%"+ ............................................................................... .......
2. M'*"9,#+'#" K"*"# ........................................................................... ........ ;
3. K5"%'#" ...................................................................................... ........ ;D. P,*'+''%#'*''* M,-"# ................................................................................ ........ ;
E. P,*/%'!"'* K,,&'4'+'* ............................................................................. ........ <
1. P,*/%'!"'* 9"#"% .......................................................................... ........ @
2. T,+# D"'/*5#+"% .......................................................................... ........
. D"'/*5#' K,,&'4'+'* ................................................................................ ........
G. P,&,*7'*''* K,,&'4'+'* ............................................................................ ........
H. P,'%#'*''* K,,&'4'+'* ........................................................................... ........ 12
I. E''#" K,,&'4'+'* ................................................................................. ........ 13
BAB III TINJAUAN KASUS
A. P,*/%'!"'* K,,&'4'+'* ....................................................................... ... 1
B. D"'/*5#' K,,&'4'+'* .......................................................................... ... 21
C. P,&,*7'*''* K,,&'4'+'* ...................................................................... ... 21
D. P,'%#'*''* K,,&'4'+'* ....................................................................... ... 22
E. E''#" K,,&'4'+'* ........................................................................... .... 2;
BAB I! PE"BAHASAN
A. P,*/%'!"'* K,,&'4'+'* ............................................................................ ..... 2
B. D"'/*5#' K,,&'4'+'* ............................................................................. ...... 2
C. P,&,*7'*''* K,,&'4'+'* .......................................................................... ...... 2
D. P,'%#'*''* K,,&'4'+'* ........................................................................... ...... 2
E. E''#" K,,&'4'+'* .............................................................................. ...... 2
BAB ! PENUTUP
A. K,#"'* ............................................................................................ ...... 30
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B. S'&'* .................................................................................................... ...... 30
Da#tar P$staka
BAB I
Penda%$l$an
A& Latar Belakang&
C,-,&' %,'' ,&'%'* #'' #'+ ,*$,' %,'+"'* -'* %,7'7'+'* +'' '-'
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200@: 3).
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#,'/'" '%"'+ %,7,'%''* ,&5+5&8 -",&%"&'%'* #,%"+'& 08308;F ,*/''" 7,-,&' %,''.
D" I*-5*,#"' -",&%"&'%'* ," -'&" 0F ,*/,*-'&' %,*-'&''* ,*/''" &,#"%5
%,7,'%''*. 1F -"'*+'&'*$' ,*/''" 7,-,&' %,'' -'* %,7,-,&''* ,&'*,*8 +"*//"*$'
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'/"'* + '"*$'. ( S,+,& '*- '&,8 2002 ).
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D'&" '#" ,*,"+"'* ,**!%'* '4' '#",* 7,-,&' %,'' &"*/'* ,*/''" *$,&"
%,''8 ,,&'' ,*,"+"'* ,*,%'* '4' 3F '#",* 7,-,&' ,*/''" accute post
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*/'*$' -,*/'* ,&'+ %' 7,-,&' (W'+,& ,+ '8 200;)8 !/' -"%'+'%'* 5, O#"*#%$
(200) '4' '#",* +&'' %,'' &"*/'* '%'* ,*/''" *$,&" '-' "*// ,&+''
#,+,' +&''8 12 -'&" 33 (3<F)8 -'&" '#" ,*,"+"'* #,,*$' !/' ,**!%'* '4'
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%,'' +,*#"5*8 2@ F "/&'"*, -'* 1 F 7,&7"75/,*"% -'* /,!'' *$,&" '%'* +,&# -"''"
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. M' ,*,*+%'* '#'' %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.
7. M' ,&,*7'*'%'* '#'* %,,&'4'+'* '-' %",* -,*/'* 7,-,&' %,''.
-. M' ,'%#'*'%'* +"*-'%'* %,,&'4'+* '-' %",* -,*/'* 7,-,&' %,''.
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9. M' ,*/"-,*+"9"%'#" %,#,*!'*/'* $'*/ +,&-''+ '-' +,5&" -'* &'%+"%.
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'+,&*'+"9 ,,7''* '#'' '-' %",* -,*/'* 7,-,&' %,''.
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+& R$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.
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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 $'*/ -"'" '" -'&" ,*/%'!"'*8
-"'/*5#' %,,&'4'+'*8 ,&,*7'*''*8 ,'%#'*''* -'* ,''#". BAB V ,*+ ,"+"
%,#"'* -'* #'&'*.
BAB II
TINJAUAN TERI
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A& Pengertian.
C,-,&' %,'' &"*/'* '-'' "'*/*$' 9*/#" *,&55/$ '+' ,*&**$' %,#'-'&'*
+'*' ,*$,'%'* %,&#'%'* '"**$' (S,+,&8 2002).
C,-,&' %,'' &"*/'* '-'' +&'' %,'' -,*/'* GCS: 1; (#'-'& ,*) +"-'% '-'
%,"'*/'* %,#'-'&'*8 ,*/, #"*/ -'* *$,&" %,''8 ,'+5'8 '#,&'#" -'* '&'#"
(M'*#!5,&8 2000).
C,-,&' %,'' &"*/'* '-'' 7,-,&' %,'' +,&++ $'*/ -"+'*-'" -,*/'* "'*/*$'
%,#'-'&'* #,,*+'&' (C5&4"*8 2000)
J'-" 7,-,&' %,'' &"*/'* '-'' 7,-,&' %'&,*' +,%'*'* '+' %,!'+'* ,*-' + $'*/
-''+ ,*$,'%'* "'*/*$' 9*/#" *,&55/$ #,,*+'&' '+' ,*&*$' %,#'-'&'*
#,,*+'&'8 ,*/, #"*/ *$,&" %,'' +'*' '-'*$' %,&#'%'* '"**$'.
B& Eti,l,gi.
M,*&+ C5"% H'&* R5#!"-" S'"9 N&"-'$'+8 (200 : ) ,+"55/" 7,-,&' %,'' '-''
:
1. K,7,'%''* ' "*+'#.
2. J'+.
3. P%'*.
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;. K,7,'%''* %,&!' '+' "*-#+&".<. C,-,&' '"&.
@. L%' +,'%.
+& Pat,#isi,l,gi.
(& Pr,ses Pen-akit.
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#,,&+" ,*&*'* adenosis tripospat 8 ,&''* ,&,'""+'# '#%,&8 '+59"#"55/" 7,-,&'
%,'' -''+ +,&'/" '+'# -' &5#,# $'"+ 7,-,&' %,'' &",& -'* 7,-,&' %,'' #,%*-,&8
7,-,&' %,'' &",& ,&'%'* #'+ &5#,# "5,%'*"% $'*/ +,&!'-" #,7'&' '*/#*/ #''+
%,'' +,&,*+& -'* -''+ ,,&" -''+ %,&#'%'* !'&"*/'* 5+'+. P'-' 7,-,&' %,''
#,%*-,& +,&!'-" '%"'+ -'&" 7,-,&' %,'' &",&8 "#'*$' '%"'+ -'&" "5%#,"'8"#%,"'
-'* ,&-'&''*. P,&-'&''* 7,&,&' ,*"%'* ,'+5' "#'*$' '-' ,"-&'
,'+5'8 ,&%*$' '*+'&' ,&"5#+,* +,*/%5&'% -,*/'* -&',+,&8 #-&' ,'+5'
'%"'+ ,&%*$' -'&' '-' &'*/ '*+'&' -&',+,& -,*/'* #'&'%*5"- -'* "*+&'
7,&,&'8 ,'+5' '-'' ,&%*$' -'&' -"-'' !'&"*/'* 7,&,&'. K,'+"'* '-'
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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'&' #,&+' /,&'%'*
5+5&"% -''+ +" #,/,&' '+' #,7'&' ''+. (C5&4"*8 2000).
.& K,)plikasi.K5"%'#" $'*/ "#' +,&!'-" '%"'+ -'&" 7,-,&' K,'' '*+'&' '"* :
'. H,5&'/"%.
. I*9,%#".
7. E-,'.
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e& K,!'*/.
D& Penatalaksanaan "edis.
P,*'+''%#'*''* %",* 7,-,&' %,'' -"+,*+%'* '+'# -'#'& ,&'+*$' 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.
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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 ,*$,' 7"-,&'8 &"4'$'+
+'% #'-'&8 '*,#"'8 &"4'$'+ %,#,'+'* $'*/ '8 -'* &"4'$'+ %,#,'+'* %,'&/'. . P,,&"%#''* 9"#"% ,'- +5 +5,.
7. K,'-''* (+"*/%'+ %,#'-'&'* -'* %5*-"#" %",*).
-. P,,&"%#''* ,&#"#+, -'* ,,&"%#''* 9*/#"5*'.
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BAB I!
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DAFTAR PUSTAKA
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