Cakpur Tok Sak Nomerr.docx

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J. WOC

Trauma Kepala

EkstraKranial

TulangKranial

Terputusnyakontinuitas jaringankulit, ototdanvaskuler

Intra Kranial Jaringanotakrusak (kontusio,laserasi)

Terputusnyakontinuitasj aringantulang

Gangguansuplaid arah -Perdarahan -Hematoma Iskemia Perubahansi rkulasi CSS Peningkatan TIK

Girusmedialislobus temporalis tergeser

Nyeri

Resikoinf eksi

Hipoksia

-

Kejang Perubahanperfusij aringan

Gangguanneurologis fokal

Gangguanperfusio tak -

Defisitneurologis

Mualmuntah Papilodema Pendengaranmenurun Penurunanfungsipendengaran Nyerikepala

Resikokurang nyafolumecair an

Gangguanperse psisensori

Tonsil cerebrum tergeser

Gangguankesadaran

Kompresi medulla oblongata

Resikoinjuri

immobilitasi

Cemas

-

Bersihanjalann afas Obstruksijalan nafas Dispnea Hentinafas Perubahanpol anafas

Resikoketidakefektifanj alannafas

Herminasiunkus

Messenfalontertekan

Perubahanautor egulasi Odemaserebral

Resikogangguani ntegritaskulit

Kurangnyaperawatandiri

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