NUR SOLIAH, NIM. A32020193 (2021) ASUHAN KEPERAWATAN PADA PASIEN CEDERA KEPALA DENGAN MASALAH KEPERAWATAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF DI INSTALASI GAWAT DARURAT RSUD DR. SOEDIRMAN KEBUMEN. Karya Ilmiah Akhir thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.
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Abstract
Background: The risk of ineffective brain tissue perfusion generally occurs in cases of head trauma caused by traffic accidents or non-traffic accidents. The risk of ineffective brain tissue perfusion is susceptible to decreased circulation in the brain which can interfere with health. The nurse's role in this case is to reduce the increase in intracranial pressure, nursing actions can be given with a flat head position of 0 ° and an elevation position of 30 °. Objective: Explaining nursing care in head injury patients with nursing problems at risk of ineffective cerebral perfusion in the Emergency Installation of RSUD dr. Sudirman Kebumen. Methods: The researched method is descriptive with a case study approach. The case study subjects that will be studied are 5 head injury patients with nursing problems at risk of ineffective cerebral perfusion. The tools in this study were the nursing care format, Nursing Kit, the format for assessing signs and symptoms of ineffective cerebral perfusion risk. Presentation of data that the author does by drawing conclusions based on subjective and objective data, which is presented in the documentation method and nursing care resume Results: The results of the study showed that all five patients had the same chief complaint of decreased consciousness. Priority nursing diagnosis in Patients I-V is the risk of ineffective cerebral tissue perfusion associated with increased ICP. The nursing interventions performed were TTV monitor, AGD monitor, pupil size, acuity, symmetry and reaction, monitor for diplopia, blurred vision, headache, monitor confusion level and orientation, monitor intracranial pressure and neurological response, maintain hemodynamic parameters, raise head (Head Up) 0-30o. The nursing implementation carried out is TTV monitor, AGD monitor, pupil size, sharpness, symmetry and reaction, monitor for diplopia, blurred vision, headache, monitor confusion level and orientation, monitor intracranial pressure and neurological response, maintain hemodynamic parameters, raise head (Head Up) 0-30o. The results of the nursing evaluation on the five patients showed that the nursing problem of cerebral tissue perfusion disorders was resolved. Recommendation: The results of this nursing care can be used as a reference for the preparation of SOPs for the management of head injuries by raising the head (Head Up) 0-30o to reduce signs and symptoms of the risk of ineffective cerebral perfusion.
| Item Type: | Thesis (Karya Ilmiah Akhir) |
|---|---|
| Additional Information: | Putra Agina WS, M.Kep |
| Uncontrolled Keywords: | Head Injury, (Head Up) 0-30o, Risk Of Ineffective Cerebral Perfusion;Cedera Kepala, (Head Up) 0-30o, Resiko Perfusi Serebral Tidak Efektif |
| Subjects: | Profesi Ners |
| Depositing User: | Aulia Rahmayanti Utami |
| Date Deposited: | 20 Jul 2022 03:24 |
| Last Modified: | 20 Jul 2022 03:24 |
| URI: | http://repository.unimugo.ac.id/id/eprint/2009 |
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