Good Afternoon 

Non Hemoragic Stroke and Nursing Care

Team
1. Bian Firmansyah 1. Ajeng Dwi Ningrum
 What?
• Stroke or cerebrovascular injuries are sudden neurologic disorder
that occurs due to the restriction or cessation of blood flow through
brain arteries supply system (Sylvia A Price, 2006)
• Non-hemorrhagic stroke is a clinical syndrome that first sudden
onset, rapid progression in the form of focal or global neurological
deficit that lasts 24 hours or more, or directly causing any deaths
caused by circulatory disorders of the brain non straumatik (Arif
Mansjoer, 2000)

Definition NURSING BEING LENGEND

“NON HEMORAGIC STROKE”
1. Based on clinical manifestations
a. Ischemic Attacks glance / transient ischemic attack (TIA)
b. Neurologic symptoms that arise as a result of circulatory disorders in the brain will
disappear within 24 hours.
c. Ischemic Neurologic deficits glance / Reversible Ischemic Neurological Deficit (Rind)
d. Neurologic symptoms that arise will disappear in time longer than 24 hours, but no more
than a week.
e. Stroke Progressive (Progressive Stroke / Stroke In Evaluation)
f. Neurologic symptoms more and more severe.
g. Stroke complete (Completed Stroke / Permanent Stroke)
h. Neurological disorders have been settled, and does not develop again.

Classification NURSING BEING LENGEND

1. Based on clinical manifestations
“NON HEMORAGIC STROKE”
2. based on the causal
2. Based on the causal
a. thrombotic strokes
Thrombotic strokes occur because of clots in blood vessels in the brain. Thrombotic can occur
in large veins and small blood vessels. In large blood vessels caused by atherosclerosis
thrombotic followed by a rapid formation of a blood clot. In addition, thrombotic also caused
by high levels of bad cholesterol or Low Density Lipoprotein (LDL). While the small blood
vessels, thrombotic occurs because blood flow to the small arteries obstructed. It is
associated with hypertension and is an indicator of atherosclerotic disease.
b. Stroke Embolism / Non-thrombotic
Embolic stroke occurs because the clot from the heart or the layer of fat off. Thus, there is
block age of blood vessels that cause the blood can not flow through the oxygen and
nutrients to the brain.

Classification NURSING BEING LENGEND

1. Based on clinical manifestations
“NON HEMORAGIC STROKE”
2. based on the causal
At the macroscopic level, non-hemorrhagic stroke is most often caused by embolism or thrombosis
of intracranial ektrakranial. In addition, non-hemorrhagic stroke can also be caused by a decrease
in cerebral flow. At the cellular level, any process that disrupts blood flow to the brain causing an
ischemic cascade that leads to the death of neurons and cerebral infarction.

NURSING BEING LENGEND

Etiology “NON HEMORAGIC STROKE”
Signs and symptoms of a stroke are (Baughman, C Diane.dkk, 2000):
• loss of motoric
The most common motor dysfunction is hemiplegia (paralysis on one side) and hemiparesis (weakness of one
side) and dysphagia
• Lost contact
Language and communication dysfunction is disatria (difficulty speaking) or aphasia (loss of speech).
• perceptual disorders
Covering visual perception dysfunctions humanus, heminapsia or loss of peripheral vision and diplopia,
impaired visual relationship, specials and sensory loss.
• Paraesthesia cognitive impairment (occurring on the opposite side).
Bladder dysfunction include: inkontinensiaurinarius transier, peristen urinary incontinence or urinary retention
(perhaps symptomatic of brain damage bilateral), urinary incontinence and defekasiyang continue (to reflect
the extensive neurological damage).

Clinical NURSING BEING LENGEND

“NON HEMORAGIC STROKE”
Manisfestations
• After experiencing stroke patients may be mengalmi complications, these complications can be
sorted by:
• Associated with the immobilizationèrespiratory infections, pain in a depressed area,
constipation and thromboflebitis.
• Associated with paralysisèpain in the hip area, joint dislocations, deformities and fall
• Associated with brain damageèepilepsy and headache.
• hydrocephalus

NURSING BEING LENGEND

Complications “NON HEMORAGIC STROKE”
• The purpose of intervention is to try to stabilize the vital signs by doing the following:
• Maintain a patent airway suctioning of mucus that is done often, oxygenation, if you need to do
a tracheostomy, assist breathing.
• Controlling blood pressure is based on the condition of the patient, including for efforts to
improve hypotension and hypertension.
• Placing the patient in the proper position, should be done as soon as possible the patient
should be changed position every 2 hours and do passive motion exercises.
• Controlling hypertension and lowering ICT
• By elevating the head 15-30 and the flexi avoid excessive head rotation.

NURSING BEING LENGEND

Management “NON HEMORAGIC STROKE”
Surgical treatment
• The main objective is to improve cerebral blood flow:
• Endosterektomi carotid reshape the carotid artery, which is by opening the carotid artery in the
neck.
• Revascularization surgery and especially the benefits most felt by the TIA patients.
• Evaluation of blood clots is done in acute stroke
• Ugasi common carotid artery in the neck, especially in the aneurysm

NURSING BEING LENGEND

Management “NON HEMORAGIC STROKE”
 NURSING BEING LENGEND
Demography “NURSING CARE OF
NON HEMORAGIC STROKE”
Physical NURSING BEING LENGEND
“NON HEMORAGIC STROKE”
Exemination
Data Analysis & NURSING BEING LENGEND
“NURSING CARE OF
Diagnostic NON HEMORAGIC STROKE”
 NURSING BEING LENGEND
Intervention “NURSING CARE OF
NON HEMORAGIC STROKE”
 NURSING BEING LENGEND
Implentation “NURSING CARE OF
NON HEMORAGIC STROKE”
 NURSING BEING LENGEND
Evaluation “NURSING CARE OF
NON HEMORAGIC STROKE”
 A’DIOS
THANK YOU SO MUCH