ASKEP KRANIOTOMI PDF

anestesi kraniotomi pada pasien cedera kepala by cfha_arista. Satuan Acara Penyuluhan Hernia. Cargado por. Sucia Fha’arista · askep tbc. Cargado por. Asuhan Keperawatan klien dengan post KRANIOTOMI – PowerPoint PPT Presentation. To view this presentation, you’ll need to enable Flash. Show me how. Asuhan Keperawatan pada Klien dengan Space Occupying Lession Fitria Handayani, , Defisnisi SOL SOL merupaka istilah dari Space.

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Get the plugin now. Help Preferences Sign up Log in. To view this presentation, you’ll need to allow Flash. Click to allow Flash. View by Category Toggle navigation. Products Sold on our sister site CrystalGraphics. USER Last modified by: Pengertian Kraniotomi Kraniotomi adalah operasi membuka tulang tengkorak untuk mengangkat tumor, mengurangi TIK, mengeluarkan bekuan darah atau menghentikan perdarahan.

Mengontrol bekuan darah, dan Pembenahan organ-organ intrakranial. Tumor otak Perdarahan hemorrage Kelemahan dalam pembuluh darah cerebral aneurysms Peradangan dalam otak Trauma pada tengkorak. Sebelum pembedahan, steroid deksametason dapat diberikan untuk mengurangai edema serebral. Pasien mungkin atau tidak diintubasi dan mendapat terapi oksigen tambahan.

Mengurangi Edema Serebral Terapi medikasi untuk mengurangi edema serebral meliputi pemberian manitol, yang meningkatkan osmolalitas serum dan menarik air bebas dari area otak dengan sawar darah-otak utuh. Meredakan Nyeri dan Mencegah Kejang Asetaminofen biasanya diberikan selama suhu di atas 37,5 C dan untuk nyeri. Memantau Tekanan Intrakranial Kateter ventrikel, atau beberapa tipe drainase, sering dipasang pada pasien yang menjalani pembedahan untuk tumor fossa posterior.

Tanda-tanda objektif-sumbatan Airway Look lihat apakah penderita mengalami agitasi atau kesadarannya menurun. Listen dengar adanya suara-suara abnormal. Pernapasan yang berbunyi suara napas tambahan adalah pernapasan yang tersumbat. Feel raba 11 Breathing. Tanda-tanda objektif-ventilasi yang tidak adekuat Look lihat naik turunnya dada yang simetris dan pergerakan dinding dada yang adekuat.

Listen dengar adanya pergerakan udara pada kedua sisi dada. Alat ini mampu memberikan informasi tentang saturasi oksigen dan perfusi perifer penderita, tetapi tidak memastikan adanya ventilasi yang adekuat. Respon awal tubuh terhadap perdarahan adalah takikardi untuk mempertahankan cardiac output walaupun stroke volum menuru 2. Selanjutnya akan diikuti oleh penurunan tekanan nadi tekanan sistolik-tekanan diastolik 3.

Jika aliran darah ke organ vital sudah dapat dipertahankan lagi, maka timbullah hipotensi 4. Perdarahan yang tampak dari luar harus segera dihentikan dengan balut tekan pada daerah tersebut 5. Semua cairan yang diberikan harus dihangatkan untuk menghindari terjadinya koagulopati dan gangguan irama jantung.

GCS setelah resusitasi b. Bentuk ukuran dan reflek cahaya pupil c. Nilai kuat motorik kiri dan kanan apakah ada parese atau tidak Expossure dengan menghindari hipotermia. Semua pakaian yang menutupi tubuh penderita harus dilepas agar tidak ada cedera terlewatkan selama pemeriksaan.

Askep Post Kraniotomi

Pemeriksaan bagian punggung harus dilakukan secara log-rolling dengan harus menghindari terjadinya hipotermi America College of Surgeons ATLS 14 b. Kepala dan leher Kepala. Inspeksi kesimetrisan muka dan tengkorak, warna dan distribusi rambut kulit kepala aslep, palpasi keadaan kraniootomi, tengkorak, kulit askel, massa, pembengkakan, nyeri tekan, fontanela pada bayi. Inspeksi bentuk kulit warna, pembengkakan, jaringan parut, massatiroidpalpasi kelenjar limpe, kelenjar tiroid, trakeamobilitas leher.

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Dada dan paru Inspeksi. Dada diinspeksi terutama mengenai postur, bentuk dan kesimetrisan ekspansi serta keadaan kulit. Dilakukan dengan tujuan untuk mengkaji keadaan kulit pada dinding dada, nyeri tekan, massa, peradangan, kesimetrisan ekspansi, dan tactil vremitus Perkusi.

Perhatikan adanya hipersonor atau kaniotomi yang menunjukkan udara pneumotorak atau cairan hemotorak yang terdapatb pada rongga pleura. Berguna untuk mengkaji aliran udara melalui batang trakeobronkeal dan untuk mengetahui adanya sumbatan aliran udara.

Kardiovaskuler Inspeksi dan palpasi. Area jantung diinspeksi dan palpasi secara stimultan untuk mengetahui adanya ketidaknormalan denyutan atau dorongan heaves.

Dilakukan untuk mengetahui ukuran dan bentuk jantung. Mengetahui faktor penyebab nyeri 2. Mengetahui permulaan terjadinya nyeri 3. Menggunakan tindakan pencegahan 4. Melaporkan nyeri berkurang atau hilang 2. Frekuensi nyeri berkurang 3. Lamanya nyeri berlangsung 4. Ekspresi wajah saat nyeri 5. Lakukan pengkajian nyeri secara menyeluruh meliputi lokasi, durasi, kualitas, keparahan nyeri dan faktor pencetus nyeri.

Observasi ketidaknyamanan non verbal. Tentukan lokasi, karakteristik, kualitas dan tingkat nyeri sebelum mengobati pasien. Cek obat meliputi jenis, dosis, dan frekuensi pemberian analgetik. Tentukan jenis analgetik Narkotik, Non-Narkotik disamping tipe dan tingkat nyeri.

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