RENCANA KEGIATAN
KEGIATAN MINGGUAN
MINGGUA N (RKM)
( RKM)
Untuk Memenuhi Tugas Pendidikan Profesi Ners Deartemen Medika!
M edika!
di Ruang "# $troke Unit R$ $aifu! A
An%ar
n%ar Ma!ang

&!eh'
ENN TRI$NANINGTA$
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PR&GRAM $TUDI I1MU KEPERAA

KEPERAATA
TAN
N
2AKU1TA$ KED&KTERAN
UNI3ER$ITA$ 4RAI5AA
MA1ANG
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RENCANA KEGIATAN MINGGUAN (RKM)

Nama Mahasiswa : WENNY TRISNANINGTYAS Program : 2012 A

NIM : 150070300111044 Ruaga : R! 2" S#ro$%
&%'om(o$ :) Miggu : 27 *%+uari,4 Mar%# 2017
 
A* Ta
Target
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di7aai
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-a(a# m%m+%ri$a asuha $%(%rawa#a (a.a (asi% .%ga /A Em+o'i s%'ama 1
miggu 27 *%+uari,4 Mar%# 2017:
1! Mam(u m%gi.%#ii$asi
m%gi.%#ii$asi #a.a .a g%a'a
g%a'a s(%sii$ (a.a $'i
$'i%
% .%ga /A
/A Em+o'i
2! Mam(u m%gi.%#ii$asi
m%gi.%#ii$asi %#io'ogi
%#io'ogi .a a$#or r%si$o #%ra.ia
#%ra.ia /A Em+o'i
3! Mam(u
Mam(u m%m+%ri$
m%m+%ri$a
a i#%r6%
i#%r6%si
si (%a#a'a
(%a#a'a$sa
$saaa
aa $%(%rawa#a
$%(%rawa#a (a.a $'i%
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/A Em+o'i
4! Mam(u m%'a$u$a
m%'a$u$a aam%sa .a (%m%ri$saa
(%m%ri$saa isi$ (a.a $'i%
$'i% .%ga /A
/A Em+o'i
5! Mam(u
Mam(u +%r$o'a+
+%r$o'a+oras
orasii .%ga
.%ga #im m%.is
m%.is $%s%ha#a
$%s%ha#a  $'i%
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#a#a'a$saa $'i%
.%ga /A Em+o'i
"! Mam(u m%'a$u$a
m%'a$u$a .o$um%#asi $%(%rawa#a
$%(%rawa#a (a.a $'i%
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/A Em+o'i
ag m%'i(u#i:
 M%'a$u$a (%g$aia (a.a $'i% .%ga /A Em+o'i

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$'i% .%ga /A Em+o'i
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 M%m+ua# r%aa i#%r6%si $%(%rawa#a!
$%(%rawa#a!
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7! M%'a$u$
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a %6a'u
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asi #i.a
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2    M%m+ua#
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masa'ah ag
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3    Im('%m%#asi 9ari 1 ; " M%'a$u$a
im('%m%#asi
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C* E8a!
E8a!uasi
uasi Pe!a
Pe!aksan
ksanaan
aan Kegia
Kegiatan
tan

D* E8a!uasi Diri Praktikan

 

E* Ren7ana Tindak 1an9ut

M%g%#ahui Ma'ag< 4 Mar%# 2017

Pr%%(#or &'ii$ R!2" S Mahasiswa

  !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

1AP&RAN PENDA:U1UAN
C3A EM4&1
EM4&1II

Disusun untuk Memenuhi Tugas 1aoran Indi8idu Profesi Ners Deartemen Medika! di
Ruang "#s R$UD* Dr* $aifu! An%ar Ma!ang
 

DI$U$UN &1E: '

ENN TRI$NANINGTA$
+,--.-/---++-00

PR&GRAM $TUDI I1MU KEPERAA

KEPERAATAN
TAN

2AKU1TA$
2AKU1TA $ KED&KTERAN
UNI3ER$ITA$ 4RAI5AA
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1AP&RAN PENDA:U1UAN
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+* Pengertian
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"* K!asifikasi
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a. Defi
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• 9%mi(ar%s%< h%mi('%gia

• -is#ria $%rusa$a o#o#,o#o# +iara

• -isagia $%rusa$ o#o#,o#o# m%%'a

b. Defi
Defisi
sitt Sen
Senso
sori 
ri 
• -%isi#
-%isi# 6isua'
6isua' umum $ar%a aras 6isua'
6isua' #%r(o#og
#%r(o#og s%+agia
s%+agia +%sar
+%sar (a.a
(a.a
h%mis%r s%r%+ri
̵ 9%miao
9%miao(sia
(sia homoimo
homoimosa
sa $%hi'a
$%hi'aga
ga (a.aga
(a.aga
 (a.a s%#%gah
s%#%gah
+i.ag (a.ag (a.a sisi ag sama
̵ -i('o(ia (%g'iha#a ga.a
̵ P%urua $%#aama (%g'iha#a

• Ti
Ti.a$
.a$ m%m+%
m%m+%ri$
ri$a
a a#au
a#au hi
hi'a
'ag
ga
a r%s(o
r%s(o
 #%rha
#%rha.a(
.a( s%sas
s%sasii su(%r
su(%ris
isia'
ia'
s%#uha< %ri< #%$aa< (aas .a .igi
• Ti
Ti.a
.a$
$ m%m+
m%m+%r
%ri$
i$a
a a#au
a#au hi'a
hi'ag
g
a
a r%s(
r%s(o
o #%
#%rh
rha.
a.a(
a( (ro(
(ro(ri
rior
or%s
%s%(
%(si
si

(%g%#ahua
(%g%#ahua #%#ag (osisi +agia #u+uh
c. Defisit Perseptua
tual (Gangguan dalam merasakan dengan tepat dan
menginterpretasi diri dan/atau lingkungan)
• Gag
Gaggu
gua
a s$%m
s$%m=m
=ma$
a$su
su.
. #u+u
#u+uh
h am
am%s
%sia
ia a#
a#au
au m%
m%a
ag$
g$a'
a' #%
#%rh
rha.
a.a(
a(
%$s#r%mi#as ag m%ga'ami (ara'is%K $%'aia ui'a#%ra'
• -isori%#asii wa$#u<
-isori%#as  wa$#u< #%m(a#< orag

•  A(ra$sia $%hi'aga $%mam(ua u#u$ m%ggua$a

m%ggua$a o+%$,o+%$
o+%$,o+%$ .%ga
#%(a#
•  Agosia $%#i.a$mam(ua
$%#i.a$mam(ua u#u$
u#u$ m%gi.%#ii$asi
m%gi.%#ii$asi 'ig$uga
'ig$uga m%'a'ui i.%ra
i.%ra

• &%'ai
&%'aia
a .a
.a'am
'am m%%m
m%%mu$a
u$a
 '%#a$
'%#a$ o+%$
o+%$ .a'am
.a'am ruag<
ruag< m%m(%
m%m(%r$i
r$ira$
ra$a
a
u$uraa .a m%i'ai auha
• &%rusa$a m%mori u#u$ m%giga# '%#a$ s(asia' o+%$ a#au #%m(a#

• -isori%#asii $aa $iri

-isori%#as
d. Defis
Defisit
it Bahasa
Bahasa/Ko
/Komun
munik
ikasi 
asi 
•  Aasia %$s(r%si $%su'i#a .a'am m%gu+ah suara m%a.i (o'a,(o'a +iara
ag .a(a# .iahami , .a(a# +%r+iara .%ga m%ggua$a r%s(os sa#u
$a#a
•  Aasia r%s%(#i $%rusa$a $%'%g$a(a $a#a ag .iua($a , mam(u u#u$
+%r+iara< #%#a(i m%ggua$a $a#a,$a#a .%ga #i.a$ #%(a# .a #i.a$ sa.ar 

#%#ag $%sa'aha ii

 

•  Aasia g'o+a' $om+iasi aasia %$s(r%si .a r%s%(#i ; #i.a$ mam(u

+%r$omui$asi
+%r$omui$asi (a.a s%#ia( #ig$a#
•  A'%$sia $%#i.a$mam(ua
$%#i.a$mam(ua u#u$ m%g%r#i $a#a ag
ag .i#u'is$a
.i#u'is$a

•  Agraasia $%#i.a$mam(ua
$%#i.a$mam(ua u#u$
u#u$ m%g%$s(r%si$a
m%g%$s(r%si$a i.%,i.% .a'am
.a'am #u'isa
e. Defi
Defisi
sitt nt
ntel
elek
ektu
tual 
al 
• &%hi'aga
&%hi'aga m%mori
• R%#ag (%rha#ia sig$a#

• P%ig$a#a .is#ra$#i+i'i#as mu.ah +uar

• P%i'aia +uru$

• &%#i.a$mam(ua u#u$ m%#ras%r (%m+%'aara .ari sa#u si#uasi $% si#uasi

ag 'ai
• &%#i.a$ma
&%#i.a$mam(ua
m(ua
 u#u$
u#u$ m%ghi#u
m%ghi#ug<
g< m%m+%ri
m%m+%ri a'asa
a'asa a#au +%r(i$ir
+%r(i$ir s%ara
s%ara
a+s#ra$
f. Disfu
Disfungs
ngsii !kti"
!kti"ita
itas
s Mental
Mental dan
dan Psik
Psikol
ologi
ogis
s
•
a+i'i#as %mosioa' m%uu$$a
m%uu$$a r%a$si .%ga mu.ah a#au #i.a$ #%(a#
# %(a#
• &%hi'aga
&%hi'aga $o#ro' .iri .a ham+a#a sosia'

• P%urua #o'%rasi #%rha.a( s#r%s

• &%#a$u#a< (%rmusuha< rus#asi< marah

• &%$aaua m%#a' .a $%(u#usasaa

$%(u#usasaa


• M%ari$ .iri< iso'asi

• -%(r%si
g. Ganggua
Gangguan
n #limin
#liminasi
asi (Kandu
(Kandung
ng kemih
kemih dan
dan usus)
usus)
• %si ui'a#%ra
ui'a#%ra'' $ar%a
$ar%a s#ro$
s#ro$%
% m%ga$i+
m%ga$i+a#$a
a#$as
s s%sasi
s%sasi .a $o#ro'
$o#ro' (ar#ia'
(ar#ia'
$a.ug $%mi< s%higga $'i% s%rig m%ga'ami +%r$%mih< .oroga .a
i$o#i%sia
i$o#i%sia uri%!
• 8i$a '%si s#ro$% a.a (a.a +a#ag o#a$< ma$a a$a #%ra.i $%rusa$a 'a#%ra'
ag m%ga$i+
m%ga$i+a#$a
a#$a
 %uro
%uro mo#ori$
mo#ori$ +agia
+agia a#as $a.ug
$a.ug $%mih
$%mih .%ga
.%ga
$%hi'aga s%mua $o#ro' mi$si
• &%mug$ia u#u$ m%mu'ih$a ugsi orma' $a.ug $%mih saga# +ai$

• &%rusa$a ugsi usus a$i+a# .ari (%urua #ig$a# $%sa.ara< .%hi.rasi

.a imo+i'i#as
• &os#i(asi .a (%g%rasa %s%s

h. Gang
Ganggu
guan
an Kesa
Kesada
dara
ran
n
 

4erikut ada!ah ta;e! er;edaan antara C3A infark dan C3A 4!eeding '
Ge9a!a (anamnesa) Infark Perdarahan
P%rmu'aa awi#a Su+ a$u#=$urag m%.a.a$ Saga# a$u#=m%.a.a$
Wa$#u saa# Fs%raga agu (agi=is#iraha# S%.ag a$#ii#as
P%riga#a L 50 TIA ,
N%ri &%(a'a L=, LLL
&%ag , L
Mu#ah , L
&%sa.ara m%uru &a.ag s%.i$i# LLL
&oma=$%sa.ara m%uru L=, LLL
&a$u $u.u$ , LL
&%rig , L
(u(i' %.%ma , L
P%r.araha R%#ia , L
ra.i$ar.ia hari $%,4 s%a$ awa'
P%a$i# 'ai Ta.a a.aa a#%ros$'%rosis 9am(ir s%'a'u h(%r#%si<
.i r%#ia< $oro%r< (%ri%r! a#%ros$'%rosis<
a#%ros$'%rosis< 99-
Em+o'i (a.a $%,'aia $a#u+<
i+ri'asi< +isig $aro#is

P%m%ri$saa: , L
-arah (a.a P L &%mug$ia (%rg%s%ra
) o#o S$%.%' g'a.u'a (i%a'

 Agiograi >$'usi< s#%osis  A%urisma! AM! massa

i#ra h%mis%r= 6aso,
s(asm%!
/T Sa -%si#as +%r$urag Massa i#ra$raia'
'%si h(o.%si .%si#as +%r#am+ah!
'%si h(%r.%si
>(#ha'moso(% /rossig (h%om%a P%r.araha r%#ia a#au
Si'6%r wir% ar# or(us 6i#r%um
um+a' (ugsi
• T%$aa Norma' M%ig$a#

•
8%rih M%rah
Wara
 250=mm3 H1000=mm3
• Eri#rosi#
 

 Ar#%riograi o$'usi a.a shi#

EEG .i #%gah shi# mi.'i% %ho

.* Peme
Pemeri
riks
ksaa
aan
n Pen
Penun
un9a
9ang
ng
a! Aam%sis
Pros%s
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aam%sis
is a$a .i#%mu$a
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s%+%'ah +a.a<
+a.a<
mu'u## m%og
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+iara (%'o<
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a#au(u s%wa$#u is#iraha#!
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h mu.ah<
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sa.ar 
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sara o#a$ .a mo#ori$ a(a$ah ugsi $omui$asi masih +ai$ a#au a.a$ah .isasia!
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(%m%ri$saa r%'%$s ; r%'%$s +a#ag o#a$ ai#u :
• R%a$si (u(i' #%rha.a( ahaa!
• R%'%$s $or%a!
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<* Pena
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• %rusaha m%%#u$a .a m%m(%r+ai$i ari#mia a#ug!
 

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Pengobatan Konservatif 

• aso.i'a#or m%ig$a#$a a'ira .arah s%r%+ra' A-S s%ara (%ro+aa< #%#a(i

ma$aa: (a.a #u+uh mausia +%'um .a(a# .i+u$#i$a!
ma$aa: .i+u$#i$a!
• -a(a# .i+%ri$a his#ami< amio(hi'i< as%#aBo'ami.< (a(a6%ri i#ra ar#%ria'!
•  A#i agr%gasi #hrom+osis s%(%r#i as(iri .igua$a u#u$ m%gham+a#
m%gham+a# r%a$si
(%'%(asa agr%gasi #hrom+osis ag #%ra.i s%su.ah u's%rasi a'#%roma!
(%'%(asa
•  A#i $oagu'a .a(a# .ir%s%($a
.ir%s%($a u#u$ m%%gah #%ra.ia=
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m%m+%ra#a
#rom+osis a#au %m+o'i .i #%m(a# 'ai .i sis#%m $ar.io6as$u'%r!
Pengobatan Pembedahan
Tuua u#ama a.a'ah m%m(%r+ai$i a'ira .arah s%r%+ra' :
• E.os#%r%$#omi $aro#is m%m+%#u$ $%m+a'i ar#%ri $aro#is< ai#u .%ga m%m+u$a
ar#%ri $aro#is .i '%h%r!
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• E6a'uasi +%$ua .arah .i'a$u$a (a.a s#ro$% a$u#
• gasi ar#%ri $aro#is $omuis .i '%h%r $hususa (a.a a%urisma

Pengo;atan Pem;edahan
Tuua u#ama a.a'ah m%m(%r+ai$i a'ira .arah s%r%+ra' '
 

1! E.os#%r%
E.os#%r%$#omi
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2! R%6as$u
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3! E6a'uasi +%$ua .arah
.arah .i'a$u$a
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(a.a s#ro$% a$u#

4! gasi ar#%ri $aro#is

$aro#is $omuis .i
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$hususa (a.a a%urisma!
a%urisma!

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