ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN STROKE NON HEMORAGIK DENGAN MASALAH KEPERAWATAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF DI IGD RSUD DR. HARJONO PONOROGO

EMERGENCY NURSING CARE FOR NON-HEMORRHAGIC
STROKE PATIENTS WITH NURSING PROBLEMS OF RISK OF INEFFECTIVE CEREBRAL PERFUSION

By
AZIZAH NUR LISDYANA
22613574

Non-hemorrhagic stroke is a neurological disorder caused by a blockage in blood flow to the brain, which can lead to the risk of ineffective cerebral perfusion. This condition requires prompt and appropriate nursing intervention to prevent further complications.
This research method was a qualitative case study using descriptive writing techniques through the nursing process starting from assessment, nursing diagnosis, intervention, implementation, and evaluation. This study was conducted for 3 days starting from June 25 to June 27, 2025 at Dr. Harjono Ponorogo Regional Hospital.
The assessment results showed that the patient had right extremity weakness, hypertension, slurred speech, and hypodense lesions on CT scan. The nursing diagnosis was risk of ineffective cerebral perfusion. The main interventions were management of increased intracranial pressure, such as providing a 30° head-up position during the acute phase, monitoring MAP, and collaboration with NaCl infusion therapy and medications such as citicoline and ranitidine. The patient's clinical symptoms were consistent with the theory of risk of ineffective cerebral perfusion, primarily due to a history of diabetes mellitus.
The nursing interventions demonstrated positive results, resulting in more stable patient conditions and improved consciousness. Implementing comprehensive nursing care can prevent further complications. This emergency nursing care is expected to serve as a reference for improving service quality and broadening healthcare professionals' knowledge of stroke management.
Keywords: Emergency nursing, cerebral perfusion risk, non-hemorrhagic stroke.