ASUHAN KEPERAWATAN PADA PASIEN CEREBROVASCULER ACCIDENT (CVA) DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF DI RSUD Dr. HARDJONO PONOROGO

Impaired cerebral tissue perfusion is one of the problems that arise in Cerebro Vascular Accident (CVA) which can cause death. Appropriate nursing care for the risk of ineffective cerebral perfusion in non-hemorrhagic stroke patients is the management of increased intracranial pressure which can be done by monitoring signs and symptoms of increased intracranial pressure such as increased blood pressure. The purpose of this scientific paper is to provide nursing care to non-hemorrhagic stroke patients with the risk of ineffective cerebral perfusion which includes assessment, data analysis, diagnosis, intervention, implementation, and evaluation of nursing.

This nursing care was carried out on 13 May 2023 – 16 May 2023 in the Aster room RSUD Dr. Harjono Ponorogo for 4 days with the nursing process approach method.

The results of this study the client has a risk of ineffective cerebral perfusion which is characterized by the patient's condition, namely the general condition is weak, the level of consciousness in coma, weakness of the upper and lower limbs. The interventions used are monitoring neurological status, monitoring vital signs, providing a 30 degree bed position, and maintaining normal body temperature. During 4 days of treatment, the results were obtained, namely GCS E1V1M1, level of consciousness in coma, cold feet, body temperature 39.8 degrees, the client's condition worsened every day and the need for therapy to be carried out so that the client was able to open his eyes and weakness in his extremities could return to normal but worsened the patient's condition causing the patient to die.

Keyword: Cerebro Vascular Accident, Non Hemorrhagic Stroke, and Nursing care