STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx
-
Upload
alfrida-ade-bunapa -
Category
Documents
-
view
18 -
download
2
Transcript of STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx
![Page 1: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/1.jpg)
STROKE ISKEMIK DAN HIPERTENSI GRADE II
Nama: Helga Valentine Kapissa
NIM: 102012376
![Page 2: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/2.jpg)
SKENARIO 4
Seorang laki-laki berusia 62 tahun, sejak 3 hari yang
lalu merasa lengan dan tungkai kanannya lemah,
bicara mulai pelo secara tiba-tiba tapi pasien belum
berobat. Namun sejak kemarin pagi, lengan dan
tungkai kanannya sama sekali tak bisa digerakkan
dan pasien tak bisa bicara. Mulai tadi malam pasien
tampak tidur terus, tak bisa dibangunkan, tak bisa
makan atau minum, sampai akhirnya pasien dibawa
ke rumah sakit.
![Page 3: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/3.jpg)
ANATOMI PERDARAHAN OTAK
![Page 4: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/4.jpg)
ANAMNESIS
Identitas Pasien
Keluhan Utama
Riwayat Penyakit sekarang
Riwayat Obat-obatan
Riwayat Penyakit Dahulu
Riwayat Penyakit Keluarga
Riwayat Pribadi dan Sosial
![Page 5: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/5.jpg)
PEMERIKSAAN FISIK
Keadaan Umum
Pemeriksaan TTV
Tingkat kesadaran menggunakan Skor Koma
Glasgow(GCS)
Pemeriksaan Lengkap Neurologis
![Page 6: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/6.jpg)
SKOR KOMA GLASGOW(GCS
![Page 7: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/7.jpg)
Darah lengkap
LED,
Ureum
Elektrolit
Glukosa
Lipid
.
PEMERIKSAAN PENUNJANG
Rontgen dada
EKG
MRI kepala
CT scan kepala non
kontras
![Page 8: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/8.jpg)
DIFERENTIAL DIAGNOSIS
Aspek
DD
GejalaKlinis
Patofisiologi
Penatalaksanaan
Stroke iskemik ec emboli
Stroke intracerebral
Stroke subarachnoid
![Page 9: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/9.jpg)
WORKING DIAGNOSIS
Stroke iskemik ec thrombosis & Hipertensi
grade II
![Page 10: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/10.jpg)
ETIOLOGI
![Page 11: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/11.jpg)
FAKTOR RESIKO
![Page 12: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/12.jpg)
PATOFISIOLOGI
![Page 13: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/13.jpg)
MANIFESTASI KLINIS
![Page 14: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/14.jpg)
DIAGNOSIS
No Gejala/ tanda Penilaian Indeks
1 Kesadaran
(1) Kompos mentis
(2) Mengantuk
(3) Semi koma/ koma
x 2,5
2 Muntah(1) Tidak
(2) Yax 2
3 Nyeri kepala(1) Tidak
(2) Yax 2
4 Tekanan darah Diastolik x 10%
5
Atheroma (DM, angina
pectoris, klaudicatio
intremt)
(1) Tidak
(2) Yax (-3)
6 Konstanta -12
Total SSSSSS>1 stroke perdarahan
SSS<1 stroke iskemik
![Page 15: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/15.jpg)
EPIDEMIOLOGI
![Page 16: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/16.jpg)
PENATALAKSANAAN
![Page 17: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/17.jpg)
KOMPLIKASI
![Page 18: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/18.jpg)
PROGNOSIS
![Page 19: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/19.jpg)
PENCEGAHAN
![Page 20: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/20.jpg)
HIPERTENSI GRADA II
![Page 21: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/21.jpg)
MANIFESTASI KLINIS
![Page 22: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/22.jpg)
![Page 23: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/23.jpg)
![Page 24: STROKE ISKEMIK DAN HIPERTENSI GRADE II.pptx](https://reader035.fdocument.pub/reader035/viewer/2022062304/55cf9319550346f57b9bb186/html5/thumbnails/24.jpg)