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CEREBRUM (otak                                                                                     BATANG                                     CEREBELUM
               besar)                                                                                             OTAK                                       (otak kecil)


         Gg fs                                                                                                                                                           Gerakan
         motorik                   Gg fs                                                                             Menekan           Defisit         Defisit           involunter/in
                                   vegetatif       Gg persepsi                                     Penurinan tk                        motorik         motorik
                                                   sensori                                         kesadaran
                                                                                                                     medula                                              koordinasi
                                                                         Penglihatan:              Apatis s.d        oblongata
                                                                         Diplopia                  koma
bicara         Kelemahan angg        Kelemahan otot
                                                                         Hilang separuh            -                                       Reflek
               gerak                 spicter                                                                                               patologi
                                                                         lapang pandang
                                                                         Pandangan kabur                           GG pola
                                                                                              kematian                                                       GG
- Disfasia                                                                                                         napas                     Reflek          mobilitas
- Disatria           Hemiplegi       inkontine        Konstip                                                                                batuk           fisik
                     Paraplegi       nsia urin /      asi                                                                                    menuru
                                                                         Peraba:
                     Tetraplegi      feses            Retensi                                                                                n
                                                                         Parastesi
                                                      urin
                                                                         Hemistesi
Gg
                   Gg mobilitas
komunik            fisik                                                                                                                   Gg
asi                                                                      Pendengaran:                                                      bersihan
verbal                                                                                                                                     jalan nps


                   Resiko atrofi
                                                                         Pengecap:
                                                                         Hilang rasa
                                                                                                                             Reflek
                                                                         ujung lidah
                                                                                                                             menelan
                                                                                                                             turun


                                                                     Gg pemenuhan nutrisi
                                                                     : kurang




     PATHWAYS STROKE NON HEMORAGIK

         Trombosis cerebral                                                                                                        Emboli cerebral


                                                                 Sumbatan pembuluh darah di otak



         <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt
         Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan
         Sembuh Ischemic Attack
         Kelainantotal Iskemik
             jam        25 –30       Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18
                                            In 24 jam (dalam darah dan O2 )
                                                         Suplai                      Cerebrum (otak Infark serebri Batang Otak
                                                                                                     besar)                              STROKE KOMPLIT
                                                                                                                                           Cerebelum (otak kecil)
         sementara
CEREBRUM (otak                                                                                     BATANG                                     CEREBELUM
               besar)                                                                                             OTAK                                       (otak kecil)


         Gg fs                                                                                                                                                           Gerakan
         motorik                   Gg fs                                                                             Menekan           Defisit         Defisit           involunter/in
                                   vegetatif       Gg persepsi                                     Penurinan tk                        motorik         motorik
                                                   sensori                                         kesadaran
                                                                                                                     medula                                              koordinasi
                                                                         Penglihatan:              Apatis s.d        oblongata
                                                                         Diplopia                  koma
bicara         Kelemahan angg        Kelemahan otot
                                                                         Hilang separuh            -                                       Reflek
               gerak                 spicter                                                                                               patologi
                                                                         lapang pandang
                                                                         Pandangan kabur                           GG pola
                                                                                              kematian                                                       GG
- Disfasia                                                                                                         napas                     Reflek          mobilitas
- Disatria           Hemiplegi       inkontine        Konstip                                                                                batuk           fisik
                     Paraplegi       nsia urin /      asi                                                                                    menuru
                                                                         Peraba:
                     Tetraplegi      feses            Retensi                                                                                n
                                                                         Parastesi
                                                      urin
                                                                         Hemistesi
Gg
                   Gg mobilitas
komunik            fisik                                                                                                                   Gg
asi                                                                      Pendengaran:                                                      bersihan
verbal                                                                                                                                     jalan nps


                   Resiko atrofi
                                                                         Pengecap:
                                                                         Hilang rasa
                                                                                                                             Reflek
                                                                         ujung lidah
                                                                                                                             menelan
                                                                                                                             turun


                                                                     Gg pemenuhan nutrisi
                                                                     : kurang




     PATHWAYS STROKE NON HEMORAGIK

         Trombosis cerebral                                                                                                        Emboli cerebral


                                                                 Sumbatan pembuluh darah di otak



         <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt
         Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan
         Sembuh Ischemic Attack
         Kelainantotal Iskemik
             jam        25 –30       Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18
                                            In 24 jam (dalam darah dan O2 )
                                                         Suplai                      Cerebrum (otak Infark serebri Batang Otak
                                                                                                     besar)                              STROKE KOMPLIT
                                                                                                                                           Cerebelum (otak kecil)
         sementara
CEREBRUM (otak                                                                                     BATANG                                     CEREBELUM
               besar)                                                                                             OTAK                                       (otak kecil)


         Gg fs                                                                                                                                                           Gerakan
         motorik                   Gg fs                                                                             Menekan           Defisit         Defisit           involunter/in
                                   vegetatif       Gg persepsi                                     Penurinan tk                        motorik         motorik
                                                   sensori                                         kesadaran
                                                                                                                     medula                                              koordinasi
                                                                         Penglihatan:              Apatis s.d        oblongata
                                                                         Diplopia                  koma
bicara         Kelemahan angg        Kelemahan otot
                                                                         Hilang separuh            -                                       Reflek
               gerak                 spicter                                                                                               patologi
                                                                         lapang pandang
                                                                         Pandangan kabur                           GG pola
                                                                                              kematian                                                       GG
- Disfasia                                                                                                         napas                     Reflek          mobilitas
- Disatria           Hemiplegi       inkontine        Konstip                                                                                batuk           fisik
                     Paraplegi       nsia urin /      asi                                                                                    menuru
                                                                         Peraba:
                     Tetraplegi      feses            Retensi                                                                                n
                                                                         Parastesi
                                                      urin
                                                                         Hemistesi
Gg
                   Gg mobilitas
komunik            fisik                                                                                                                   Gg
asi                                                                      Pendengaran:                                                      bersihan
verbal                                                                                                                                     jalan nps


                   Resiko atrofi
                                                                         Pengecap:
                                                                         Hilang rasa
                                                                                                                             Reflek
                                                                         ujung lidah
                                                                                                                             menelan
                                                                                                                             turun


                                                                     Gg pemenuhan nutrisi
                                                                     : kurang




     PATHWAYS STROKE NON HEMORAGIK

         Trombosis cerebral                                                                                                        Emboli cerebral


                                                                 Sumbatan pembuluh darah di otak



         <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt
         Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan
         Sembuh Ischemic Attack
         Kelainantotal Iskemik
             jam        25 –30       Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18
                                            In 24 jam (dalam darah dan O2 )
                                                         Suplai                      Cerebrum (otak Infark serebri Batang Otak
                                                                                                     besar)                              STROKE KOMPLIT
                                                                                                                                           Cerebelum (otak kecil)
         sementara
CEREBRUM (otak                                                                                     BATANG                                     CEREBELUM
               besar)                                                                                             OTAK                                       (otak kecil)


         Gg fs                                                                                                                                                           Gerakan
         motorik                   Gg fs                                                                             Menekan           Defisit         Defisit           involunter/in
                                   vegetatif       Gg persepsi                                     Penurinan tk                        motorik         motorik
                                                   sensori                                         kesadaran
                                                                                                                     medula                                              koordinasi
                                                                         Penglihatan:              Apatis s.d        oblongata
                                                                         Diplopia                  koma
bicara         Kelemahan angg        Kelemahan otot
                                                                         Hilang separuh            -                                       Reflek
               gerak                 spicter                                                                                               patologi
                                                                         lapang pandang
                                                                         Pandangan kabur                           GG pola
                                                                                              kematian                                                       GG
- Disfasia                                                                                                         napas                     Reflek          mobilitas
- Disatria           Hemiplegi       inkontine        Konstip                                                                                batuk           fisik
                     Paraplegi       nsia urin /      asi                                                                                    menuru
                                                                         Peraba:
                     Tetraplegi      feses            Retensi                                                                                n
                                                                         Parastesi
                                                      urin
                                                                         Hemistesi
Gg
                   Gg mobilitas
komunik            fisik                                                                                                                   Gg
asi                                                                      Pendengaran:                                                      bersihan
verbal                                                                                                                                     jalan nps


                   Resiko atrofi
                                                                         Pengecap:
                                                                         Hilang rasa
                                                                                                                             Reflek
                                                                         ujung lidah
                                                                                                                             menelan
                                                                                                                             turun


                                                                     Gg pemenuhan nutrisi
                                                                     : kurang




     PATHWAYS STROKE NON HEMORAGIK

         Trombosis cerebral                                                                                                        Emboli cerebral


                                                                 Sumbatan pembuluh darah di otak



         <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt
         Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan
         Sembuh Ischemic Attack
         Kelainantotal Iskemik
             jam        25 –30       Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18
                                            In 24 jam (dalam darah dan O2 )
                                                         Suplai                      Cerebrum (otak Infark serebri Batang Otak
                                                                                                     besar)                              STROKE KOMPLIT
                                                                                                                                           Cerebelum (otak kecil)
         sementara

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Stroke Non Hemoragik

  • 1. CEREBRUM (otak BATANG CEREBELUM besar) OTAK (otak kecil) Gg fs Gerakan motorik Gg fs Menekan Defisit Defisit involunter/in vegetatif Gg persepsi Penurinan tk motorik motorik sensori kesadaran medula koordinasi Penglihatan: Apatis s.d oblongata Diplopia koma bicara Kelemahan angg Kelemahan otot Hilang separuh - Reflek gerak spicter patologi lapang pandang Pandangan kabur GG pola kematian GG - Disfasia napas Reflek mobilitas - Disatria Hemiplegi inkontine Konstip batuk fisik Paraplegi nsia urin / asi menuru Peraba: Tetraplegi feses Retensi n Parastesi urin Hemistesi Gg Gg mobilitas komunik fisik Gg asi Pendengaran: bersihan verbal jalan nps Resiko atrofi Pengecap: Hilang rasa Reflek ujung lidah menelan turun Gg pemenuhan nutrisi : kurang PATHWAYS STROKE NON HEMORAGIK Trombosis cerebral Emboli cerebral Sumbatan pembuluh darah di otak <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan Sembuh Ischemic Attack Kelainantotal Iskemik jam 25 –30 Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18 In 24 jam (dalam darah dan O2 ) Suplai Cerebrum (otak Infark serebri Batang Otak besar) STROKE KOMPLIT Cerebelum (otak kecil) sementara
  • 2. CEREBRUM (otak BATANG CEREBELUM besar) OTAK (otak kecil) Gg fs Gerakan motorik Gg fs Menekan Defisit Defisit involunter/in vegetatif Gg persepsi Penurinan tk motorik motorik sensori kesadaran medula koordinasi Penglihatan: Apatis s.d oblongata Diplopia koma bicara Kelemahan angg Kelemahan otot Hilang separuh - Reflek gerak spicter patologi lapang pandang Pandangan kabur GG pola kematian GG - Disfasia napas Reflek mobilitas - Disatria Hemiplegi inkontine Konstip batuk fisik Paraplegi nsia urin / asi menuru Peraba: Tetraplegi feses Retensi n Parastesi urin Hemistesi Gg Gg mobilitas komunik fisik Gg asi Pendengaran: bersihan verbal jalan nps Resiko atrofi Pengecap: Hilang rasa Reflek ujung lidah menelan turun Gg pemenuhan nutrisi : kurang PATHWAYS STROKE NON HEMORAGIK Trombosis cerebral Emboli cerebral Sumbatan pembuluh darah di otak <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan Sembuh Ischemic Attack Kelainantotal Iskemik jam 25 –30 Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18 In 24 jam (dalam darah dan O2 ) Suplai Cerebrum (otak Infark serebri Batang Otak besar) STROKE KOMPLIT Cerebelum (otak kecil) sementara
  • 3. CEREBRUM (otak BATANG CEREBELUM besar) OTAK (otak kecil) Gg fs Gerakan motorik Gg fs Menekan Defisit Defisit involunter/in vegetatif Gg persepsi Penurinan tk motorik motorik sensori kesadaran medula koordinasi Penglihatan: Apatis s.d oblongata Diplopia koma bicara Kelemahan angg Kelemahan otot Hilang separuh - Reflek gerak spicter patologi lapang pandang Pandangan kabur GG pola kematian GG - Disfasia napas Reflek mobilitas - Disatria Hemiplegi inkontine Konstip batuk fisik Paraplegi nsia urin / asi menuru Peraba: Tetraplegi feses Retensi n Parastesi urin Hemistesi Gg Gg mobilitas komunik fisik Gg asi Pendengaran: bersihan verbal jalan nps Resiko atrofi Pengecap: Hilang rasa Reflek ujung lidah menelan turun Gg pemenuhan nutrisi : kurang PATHWAYS STROKE NON HEMORAGIK Trombosis cerebral Emboli cerebral Sumbatan pembuluh darah di otak <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan Sembuh Ischemic Attack Kelainantotal Iskemik jam 25 –30 Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18 In 24 jam (dalam darah dan O2 ) Suplai Cerebrum (otak Infark serebri Batang Otak besar) STROKE KOMPLIT Cerebelum (otak kecil) sementara
  • 4. CEREBRUM (otak BATANG CEREBELUM besar) OTAK (otak kecil) Gg fs Gerakan motorik Gg fs Menekan Defisit Defisit involunter/in vegetatif Gg persepsi Penurinan tk motorik motorik sensori kesadaran medula koordinasi Penglihatan: Apatis s.d oblongata Diplopia koma bicara Kelemahan angg Kelemahan otot Hilang separuh - Reflek gerak spicter patologi lapang pandang Pandangan kabur GG pola kematian GG - Disfasia napas Reflek mobilitas - Disatria Hemiplegi inkontine Konstip batuk fisik Paraplegi nsia urin / asi menuru Peraba: Tetraplegi feses Retensi n Parastesi urin Hemistesi Gg Gg mobilitas komunik fisik Gg asi Pendengaran: bersihan verbal jalan nps Resiko atrofi Pengecap: Hilang rasa Reflek ujung lidah menelan turun Gg pemenuhan nutrisi : kurang PATHWAYS STROKE NON HEMORAGIK Trombosis cerebral Emboli cerebral Sumbatan pembuluh darah di otak <24 Menurun< 24 jamotak gr otak/menitEvolution–21 hari perkembanganke otak dan perawatan tidak akurat ml/100gr otak/mnt Transient neurologik ml/100 Stroke Gejala beberapa bertambah jaringan Sembuh Ischemic Attack Kelainantotal Iskemik jam 25 –30 Sembuh total neurologik Gg perfusi Pengobatan menurun Menurun > =18 In 24 jam (dalam darah dan O2 ) Suplai Cerebrum (otak Infark serebri Batang Otak besar) STROKE KOMPLIT Cerebelum (otak kecil) sementara