Nursing care in patient non-stroke hemorrhagic in dr. Suhardi Hardjolukito hospital
Keywords:
non-hemorrhagic strokeAbstract
Stroke is a significant and pressing issue in Indonesia. Strokes are caused by a disruption in the blood
supply to the brain. This disruption is generally caused by the rupture or blockage of a blood vessel in
the brain by a blood clot (Mauliddiyah et al., 2022).
Based on pathological abnormalities, strokes are classified into 2, namely non-hemorrhagic strokes
(blood clots) and hemorrhagic strokes (rupture of blood vessels). Non-hemorrhagic strokes occur in
blood vessels that experience blockages, causing reduced blood flow to brain tissue, cerebral
thrombosis, atherosclerosis and cerebral embolism which is a blockage of blood vessels that occurs due
to plaque formation resulting in narrowing of blood vessels caused by coronary heart disease, diabetes
mellitus, obesity, excess cholesterol, smoking, stress, lifestyle, damage or destruction of upper motor
neurons and hypertension (Tala et al., 2024).
Non-hemorrhagic stroke can cause problems, one of which can lead to death is impaired cerebral
perfusion. This occurs due to an infarct stimulus in the left lateral periventricular, frontal lobe, with
cerebral occlusion (Ros & Simanungkalit, 2024). Management of intracranial pressure (ICP) can
generally be done by positioning the patient at 30° and administering oxygen. Emergency management
for stroke patients includes controlling increased ICP by providing a head-up position. Positioning the
head elevated 30 degrees aims to reduce ICP. If the elevation is higher than 30 degrees, cerebral
perfusion pressure will decrease.(Hasan, 2018)
Impaired oxygen supply to the brain causes serious health problems because it can lead to
hemiparesis and even death. Stroke is the third most common cause of death after coronary heart disease
and cancer. Fifteen people worldwide suffer strokes each year, five million die, and another five million
are left disabled. Hemiparesis is a clinical syndrome that occurs suddenly and rapidly due to nontraumatic cerebral circulatory disorders, in the form of focal neurological deficits that last 24 hours or
more or directly cause death. Hemiparesis is a complication that occurs in 70-80% of stroke patients.
Meanwhile, impaired physical mobility is a condition where a person cannot move freely due to
conditions that interfere with movement.(Fawwaz et al., 2023).
Based on the background described above, the researcher is interested in writing a description of
nursing care for non-hemorrhagic stroke patients with the risk of ineffective cerebral perfusion, the risk of decreased cardiac output and impaired physical mobility in the Emergency Room of Hardjolukito
RSPAU.
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