Manajemen Peningkatan Tekanan Intrakranial Dengan Pemberian Posisi SemiFowler Dan Monitoring Tekanan Darah Untuk Mengatasi Kegawatan Sirkulasi Pada Pasien Stroke Non Hemoragik Di IGD RS TK II Ridwan Meuraksa Jakarta.

Sitinjak, Stepanus Fernando (2025) Manajemen Peningkatan Tekanan Intrakranial Dengan Pemberian Posisi SemiFowler Dan Monitoring Tekanan Darah Untuk Mengatasi Kegawatan Sirkulasi Pada Pasien Stroke Non Hemoragik Di IGD RS TK II Ridwan Meuraksa Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Abstrak Latar Belakang: Angka kejadian Stroke didunia sekitar 15 juta/orang setiap tahunnya, di Jakarta timur insiden Stroke Non Hemoragik sebesar 58,5% dan Stroke Hemoragik sebesar 54,9% . Pemberian posisi semi-fowler 45° dan pemantauan tekanan darah dapat membantu meningkatkan aliran darah ke otak dan menjaga stabilitas tekanan darah pasien. Mengobservasi pengaruh pemberian posisi semi-fowler dan pemantauan tekanan darah dalam mengatasi masalah sirkulasi pada pasien stroke, guna memperbaiki kondisi pasien dan mencegah komplikasi lebih lanjut. Metode : Metode studi kasus pendekatan deskriptif berbentuk studi kasus untuk mengevaluasi penatalaksanaan Asuhan Keperawatan kegawatdaruratan pada pasien stroke dengan fokus pada pengelolaan sirkulasi, yaitu pemberian posisi semi-fowler dan pemantauan tekanan darah. Subjek penelitian adalah dua pasien yang mengalami penyakit stroke non-hemoragik dengan Riwayat penyakit hipertensi dan saturasi oksigen <95%. Data dikumpulkan melalui observasi langsung, wawancara, serta pemeriksaan fisik di IGD RS TK. II Moh. Ridwan Meuraksa Jakarta. Hasil : Data Obejktif Pasien 1 tekana darah pre intervensi 185/90 mmHg dan post intervensi 165/80 mmHg, pasien 2 tekanan darah pre intervensi 180/90 mmHg dan post intervensi 160/80 mmHg. Kesimpulan : mengatasi permasalahan dibagian circulation dalam gawatdarurat dengan cara pemberian posisi semi-folwer dan monitoring tekanan darah pada pasien yang mengalami penyakit Stroke Non-Hemoragik bisa menurunkan tekanan darah dan mencegah komplikasi yang lebih serius. Saran: pemberian posisi semi fowler dan monitoring tekanan darah agar dilakukan oleh tim perawat di IGD RS TK.II Moh.Ridwan Meuraksa Jakarta, sebegai Tindakan awal untuk mencegah peningkatan Tekanan Intrakranial pada pasien Stroke Non-Hemoragik. "/" Abstract Background: The incidence of stroke in the world is around 15 million/person each year, in East Jakarta inside Non-Hemorrhagic Stroke is 58.5% and Hemorrhagic Stroke is 54.9%. Providing a 45° semi-fowler position and monitoring blood pressure can help increase blood flow to the brain and maintain the stability of the patient's blood pressure. Observing the effect of providing a semi-fowler position and monitoring blood pressure in overcoming circulation problems in stroke patients, in order to improve the patient's condition and prevent further complications. Method: Case study method descriptive approach in the form of a case study to evaluate the management of Emergency Nursing Care in stroke patients with a focus on circulation management, namely providing a semi-fowler position and monitoring blood pressure. The subjects of the study were two patients who experienced non-hemorrhagic stroke with a history of hypertension and oxygen saturation <95%. Data were collected through direct observation, interviews, and physical examinations at the Emergency Room of RS TK. II Moh. Ridwan Meuraksa Jakarta. Results: Objective Data Patient 1 pre-intervention blood pressure 185/90 mmHg and post-intervention 165/80 mmHg, patient 2 pre-intervention blood pressure 180/90 mmHg and post-intervention 160/80 mmHg. Conclusion: Overcoming circulation problems in emergencies by providing a semi-follower position and monitoring blood pressure in patients experiencing non-hemorrhagic stroke can lower blood pressure and prevent more serious complications. Suggestion: provision of semi-Fowler position and blood pressure monitoring should be carried out by the nursing team at the Emergency Room of Moh.Ridwan Meuraksa Hospital, Jakarta, as an initial action to prevent increased intracranial pressure in non-hemorrhagic stroke patients.

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