Asuhan Vertigo Tht

8/18/2019 Asuhan Vertigo Tht

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TIM PERAWAT POLI THTTIM PERAWAT POLI THT

RSPAD GATOT SOEBROTO DITKESADRSPAD GATOT SOEBROTO DITKESADTAHUN 2009TAHUN 2009

ASUHAN KEPERAWATAN PADA KLIEN NY. L ASUHAN KEPERAWATAN PADA KLIEN NY. L

DENGAN GANGGUAN KESEIMBANGANDENGAN GANGGUAN KESEIMBANGAN

““ VERTIGO POSISIONAL”VERTIGO POSISIONAL”DI POLIKLINIK THTDI POLIKLINIK THT


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Identt!" #$en %Identt!" #$en %

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TD 33040 S(,( *@ N 40TD 33040 S(,( *@ N 40

Pen/#!-!n "#Pen/#!-!n "#


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Pe&e)#"!!n Pen(n-!n/Pe&e)#"!!n Pen(n-!n/

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T/$ 2322004 MRI #e6!$! : MRAT/$ 2322004 MRI #e6!$! : MRA

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MR An/ /)!6,' d!$!& !t!" n)&!$.MR An/ /)!6,' d!$!& !t!" n)&!$.T/$ *322004 #n"($ THTT/$ *322004 #n"($ THT

A(d&et) % ADAS &!", !# /!6 :F Ke"!n t(!) =!t!) A(d&et) % ADAS &!", !# /!6 :F Ke"!n t(!) =!t!)DD. BPPVDD. BPPV

T'&6!n&et) >$!t :F AD 7300 d! PA AS 7 30 d! PAT'&6!n&et) >$!t :F AD 7300 d! PA AS 7 30 d! PA

Te"t Ke"e&!n/!n %Te"t Ke"e&!n/!n %R&e)/ % NFR&e)/ % NF

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Pen!t!$!#"!n!!nPen!t!$!#"!n!!n

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St(/e)nSt(/e)n *


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Re"(&eRe"(&e

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K$en t!&6!# $e&!,K$en t!&6!# $e&!,


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NN D!t!D!t! Et$/Et$/ P)$e&P)$e&

3.3.

2.2.

*.*.

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D . S(,( *@ N 40 TDD . S(,( *@ N 40 TD

33040 &&,/33040 &&,/

MRI #e6!$! : MRA % DBNMRI #e6!$! : MRA % DBN

L! T)/$"e)n 34C &/d$L! T)/$"e)n 34C &/d$ K$en t!&6!# $e&!,K$en t!&6!# $e&!,

D" . K$en &en/e$(, 6e)(tD" . K$en &en/e$(, 6e)(t&e)!"! &(!$.&e)!"! &(!$.

D. A$(&n *4D. A$(&n *4

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D. K$en t!&6!# $e&!,D. K$en t!&6!# $e&!,

Pe)(!,!nPe)(!,!n6""6""

M(!$M(!$

P("n/P("n/e)6(t!)86(t!)e)6(t!)86(t!)

G!n//(!n )!"!G!n//(!n )!"!n'!&!n % P("n/n'!&!n % P("n/e)6(t!)86(t!) e)6(t!)86(t!)

Re"# n(t)"Re"# n(t)"#()!n/ d!)#()!n/ d!)

#e(t(,!n t((,#e(t(,!n t((,Kete)!t!"!nKete)!t!"!n!#t?t!"!#t?t!"

An!$"! D!t! An!$"! D!t!


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D!>t!) D!/n"!D!>t!) D!/n"!

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6e)(!,!n 6""6e)(!,!n 6""

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6(t!) 6(t!)


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L!t,!n D Te&6!t Td() L!t,!n D Te&6!t Td()

Exercise in bed Exercise in bed

( Latihan Visual-Vestibular)( Latihan Visual-Vestibular)

A. A. EyeEye

Movements/ Movements/ Pe)/e)!#!nPe)/e)!#!n

M!t!M!t!

3.3. Looking up and thenLooking up and then

downdown

L,!t #e !t!" #e&(d!n L,!t #e !t!" #e&(d!n

#e !5!,#e !5!,


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2.2. LookingLooking

alternatively let andalternatively let and

right right

L)# #e #) #e&(d!n L)# #e #) #e&(d!n

#e #!n!n#e #!n!n


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*.*. !onvergence!onvergence

exerciseexercise

Latihan pemusatanLatihan pemusatan

pandangan mata ke pandangan mata ke

satu titik temusatu titik temu


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B.B. "ead Movements /"ead Movements /

Pe)/e)!#!n Ke6!$!Pe)/e)!#!n Ke6!$!

3.3.

#ending alternately#ending alternately

orward and backward orward and backward

Ge)!##!n #e6!$! #e Ge)!##!n #e6!$! #e

de6!n #e&(d!n #ede6!n #e&(d!n #e

e$!#!n/e$!#!n/


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2.2. $urning alternately$urning alternately

let and then right let and then right

Ge)!##!n #e6!$! #e Ge)!##!n #e6!$! #e#!n!n #e&(d!n #e #)#!n!n #e&(d!n #e #)


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L!t,!n Den/!n P"" D(d(#L!t,!n Den/!n P"" D(d(#

Exercise in %itting &ositionExercise in %itting &osition

' %hrugging and rotating ' %hrugging and rotating

sholderssholders

An/#!t d!n 6(t!) An/#!t d!n 6(t!) !,(!,(


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# #ending orward# #ending orward

and picking upand picking up

ob*ectsob*ects Te#(##!n !d!n #eTe#(##!n !d!n #e

de6!n "!&$de6!n "!&$

&en/!&$ $!&en/!&$ $!


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! $urning head and! $urning head and

trumkalternatelyto thetrumkalternatelyto the

let and to the right let and to the right Ge)!##!n #e6!$! d!nGe)!##!n #e6!$! d!n

!d!n !t!" #e #)!d!n !t!" #e #)

#e&(d!n #e #!n!n#e&(d!n #e #!n!n


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L!t,!n Den/!n P"" Be)d)L!t,!n Den/!n P"" Be)d)

Exercise in %tanding &ositionExercise in %tanding &osition

' !hanging rom sitting to ' !hanging rom sitting to

standing +nitially with eyesstanding +nitially with eyes

open , then with the eyesopen , then with the eyes

shut shut

U!, 6"" d(d(#(U!, 6"" d(d(#(

#e&(d!n e)d) $!#(#!n#e&(d!n e)d) $!#(#!n

e()$!n/ #!$ den/!n &!t!e()$!n/ #!$ den/!n &!t!te)(#! #e&(d!n den/!nte)(#! #e&(d!n den/!n

&!t! te)t(t(6&!t! te)t(t(6


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# $hrowing a small (ping# $hrowing a small (ping

pong) ball in an arc rom pong) ball in an arc rom

hand and ollowingit withhand and ollowingit with

the eyesthe eyes Le&6!) $! d!) "!t(Le&6!) $! d!) "!t(

t!n/!n#e t!n/!n $!nn'!t!n/!n#e t!n/!n $!nn'!

"e6e)t 6"" 6!d! /!&!)"e6e)t 6"" 6!d! /!&!)

/e)!#!n $! d#(t den/!n/e)!#!n $! d#(t den/!n/e)!#!n &!t!/e)!#!n &!t!


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. T,)5n/ ! "&!$$. T,)5n/ ! "&!$$

!$$ >)& ,!nd t ,!nd!$$ >)& ,!nd t ,!nd

(nde) t,e #nee(nde) t,e #nee

Le&6!) $! #e=$ Le&6!) $! #e=$

d!5!, $($(t $!d!5!, $($(t $!

d$e&6!) d!) t!n/!nd$e&6!) d!) t!n/!n

'!n/ "!t( #e t!n/!n'!n/ "!t( #e t!n/!n'!n/ $!nn'!'!n/ $!nn'!


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L!t,!n S!&$ Be)-!$!nL!t,!n S!&$ Be)-!$!n

Exercise while walking Exercise while walking

3.3. $hrowing and catching$hrowing and catching

the ball while walking the ball while walking

%ambil ber*alan lempar%ambil ber*alan lempardan tangkap boladan tangkap bola


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2.2. .alking up and down.alking up and down

a light o stairsa light o stairs

N!# !n!# t!n//! d!n N!# !n!# t!n//! d!n

#e&(d!n t()(n $!/#e&(d!n t()(n $!/


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*.*. .alking around in the.alking around in the

room with eyes openroom with eyes open

and closed and closed

1!$!n &en/e$$n/ 1!$!n &en/e$$n/

)(n/!n den/!n &!t!)(n/!n den/!n &!t!

te)(#! #e&(d!nte)(#! #e&(d!n

den/!n &!t! te)t(t(6den/!n &!t! te)t(t(6


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;.;. &laying any game&laying any game

involving bendinginvolving bending

stretching and aimingstretching and aiming

with the ball with the ball

L!#(#!n 6e)&!n!n $! L!#(#!n 6e)&!n!n $!

den/!n &e&(n/#(#den/!n &e&(n/#(#

&e)e/!n/ d!n&e)e/!n/ d!n&en!n/#!6 $!&en!n/#!6 $!

>> M t d B dt D >>


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. Metde B)!ndt8D!)>> . Metde B)!ndt8D!)>>

D(d(# d te6 te&6!t td() d/n t(n/#! te)/!nt(n/ $!$( t(t(6 $! &!t!D(d(# d te6 te&6!t td() d/n t(n/#! te)/!nt(n/ $!$( t(t(6 $! &!t!d!n e)!)n/ den/!n den/!n =e6!t #e"!$!, "!t( "" t((, t!,!nd!n e)!)n/ den/!n den/!n =e6!t #e"!$!, "!t( "" t((, t!,!n"e$!&! *0 dt# #e&(d!n d(d(# te/!# #e&!$. Sete$!, *0 dt#"e$!&! *0 dt# #e&(d!n d(d(# te/!# #e&!$. Sete$!, *0 dt#!)n/#!n t((, d/n =!)! '/ "!&! #e "" $!n t!,!n *0 dt# #e&(d!n!)n/#!n t((, d/n =!)! '/ "!&! #e "" $!n t!,!n *0 dt# #e&(d!nd(d(# te/!# #e&!$. D$!#(#!n e)($!n/ C $&!F #!$ e)t()(t8t()(td(d(# te/!# #e&!$. D$!#(#!n e)($!n/ C $&!F #!$ e)t()(t8t()(t

P!d! 6!/ d!n 6et!n/ ,!) F P!d! 6!/ d!n 6et!n/ ,!) F


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%ekian , $erima asih%ekian , $erima asih

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Asuhan Vertigo Tht