PANDUAN KULIAH

KEPERAWATAN SISTEM
NEUROBEHAVIOUR (BLOK 9)

Koordinator Blok N!" A#at$! %$di I!#anto& S'"K('"An (A%I) T$tor )" N!" E!ro# Kanin(& S'"K('"* (EK) +" N!" R(,in$! Malara& S"K('" (RM) -" dr" Mi(k( K(#.$an& S'S (MK) /" dr" 0rida A,$& S'"K* (0A)

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS SAM RATULANGI FAKULTAS KEDOKTERAN
PRO1RAM STUDI ILMU KEPERAWATAN
Kampus UNSRAT Kode Pos 95115 Telp.(04 1! "41 SU$A%ESI UTARA #

Mata K$lia2 K('(ra3atan Si!t(# N($ro.(2a4io$r Kod( MK B(.an St$di Pra!8arat KB B9 5+65 7 SKS IDK II& IKD I& II& III

A" INTRODUKSI : Blok Sistem NeuroBeha iour meru!aka" #a$ia" %ari mata kuliah Clinical Nursing &a"$ mem!ela'ari #er#a$ai hal &a"$ me"$a"tarka" mahasis(a u"tuk me"%alami te"ta"$ #a$aima"a melakuka" asuha" ke!era(ata") me"$elola #e#era!a klie") mem#erika" !e"%i%ika" kesehata" %a" me"$i%e"ti*ikasi masalah !e"elitia" &a"$ #erkaita" %e"$a" Sistem Neuro#eha iour &a"$ %i%alam"&a 'u$a me"+aku! #er#a$ai ko"se! %a" !ri"si! ilmu %asar ke!era(ata" %a" ilmu %asar ke!era(ata" &a"$ #erkaita" %e"$a" sistem Neuro#eha iour, Sistem Neuro#eha iour a%alah sistem !ersara*a" !a%a tu#uh &a"$ mem!u"&ai kemam!ua" u"tuk me"$oor%i"asi) me"a*sirka" %a" me"$o"trol i"teraksi a"tara i"%i i%u %e"$a" li"$ku"$a" sekitar"&a, Sitem !ersara*a" me"$atur ke#a"&aka" akti itas s&stems&stem tu#uh lai""&a, .e"$atura" s&stem sara* terse#ut memu"$ki"ka" ter'ali""&a komu"ikasi a"tara #er#a$ai s&stem tu#uh hi"$$a me"&e#a#ka" tu#uh #er*u"$si se#a$ai u"it &a"$ harmo"is, Dalam s&stem i"ilah ter%a!at se$ala *e"ome"a kesa%ara") !ikira") i"$ata") #ahasa) se"sasi %a" $eraka", /a%i kemam!ua" u"tuk %a!at memahami) mem!ela'ari %a" meres!o" suatu ra"sa"$a" meru!aka" hasil ker'a i"te$rasi s&stem !ersara*a" &a"$ me"+a!ai !u"+ak"&a %alam #e"tuk ke!ri#a%ia" %a" ti"$kah laku i"%i i%u, Blok i"i me"$$u"aka" meto%a !em#ela'ara" stu%e"t +e"ter lear"i"$ 0S1L2 &a"$ ter%iri %ari .BL)SGD) .S) !rese"tasi) %a" %iseli"$i %e"$a" le+ture, Oleh kare"a itu %i!erluka" keakti*a" seluruh mahasis(a a$ar !e"+a!aia" kom!ete"si &a"$ %ihara!ka" o!timal,

B"KOMPETENSI: I" 9ARE PROVIDER: Mam!u melakuka" simulasi asuha" ke!era(ata" !a%a kasus klie" $a"$$ua" sistem "euro#eha iour !a%a semua ti"$kat usia %e"$a" me"era!ka" #er#a$ai ko"se! ilmuilmu %asar ke!era(ata" %a" ilmu ke!era(ata" %asar 3, Mam!u memahami ko"se! %asar !i!t(# N($ro.(2a4io$r 0!ato*isiolo$i) #iokimia) %a" *armakolo$i2 a, .ato*isiolo$i 32 Ga"$$ua" I"*eksi S&stem Sara* .usat

 Me"i"$itis Bell4s .als& Teta"us 52 Stroke 62 Trauma Sistem .ersara*a" .usat 1e%era ke!ala 07ematoma I"trasere#ral) Su#%ural)E!i%ural2 1e%era me%ulla s!i"alis

82 Ga"$$ua" De$e"erati* Sistem !ersara*a" .arki"so" N7. Al9heimer

:2 Ga"$$ua" ko" ulsi* %a" !e"&akit Neuromuskular E!ile!s& %a" status e!ile!tikus Miaste"ia Gra is ;2 Ga"$$ua" Ko"$e"ital Sistem .ersara*a" 7i%rose*alus S!i"a Bi*i%a Retar%asi Me"tal <2 Ga"$$ua" hu#u"$a" so+ial =2 Ga"$$ua" orie"tasi realita >2 Ga"$$ua" alam !erasaa" 3?2 Ga"$$ua" 'i(a !a%a la"sia 332 Ga"$$ua" 'i(a !a%a rema'a 352 .erilaku kekerasa" 0amuk2 362 .erilaku Bu"uh Diri 382 .erilaku !e"$$u"a NA.@A

#, Biokimia 32, meta#olisme oksi%asi Glukosa 52, Meka"isme aksi Neurotra"smitter - asetilkoli" - "oree!i"e*ri" A E!i"e*ri" - %o!ami"e - seroto"i" - histami"e - $lutamate A As!artat - GABA - Glisi" - E"ke*ali" A E"%or*i" - se"&a(a #ere"er$i ti"$$i 0AT.) GT.2 - !rosta$la"%i" - 1O A NO 62, .e"&era!a" 9at atau o#at +, Farmakolo$i 3, 5, 6, 8, :, ;, 3, 5, 6, .era"sa"$ s&stem sara* !usat Ma+am-ma+am a*etami" Farmakoki"etik Farmako%i"amik I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"eka" s&stem sara* .usat Ma+am-ma+am se%ati e hi!"otik %a" a"estetik Farmakoki"etik Farmako%i"amik

8, :, ;, 3, 5, 6, 8, :, ;, 3, 5, 6, 8, :, ;, 3, 5, 6, 8, :, ;,

I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" A"al$esi+ "arkotik %a" "o" "arkotik Ma+am-ma+am a"al$esi+ "arkotik %a" "o" "arkotik Farmakoki"etik Farmako%i"amik I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" A"tiko" ulsi Ma+am-ma+am a"tiko" ulsi Farmakoki"etik Farmako%i"amik I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" A"%re"er$ik %a" !e"$ham#at a"%re"er$ik Ma+am-ma+am a"ti!sikotik) a"ti a"sietas) %a" a"ti%e!resi Farmakoki"etik Farmako%i"amik I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika"

3, 5, 6,

Koli"er$ik %a" a"tikoli"er$ik Ma+am-ma+am a"ti!sikotik) a"ti a"sietas) %a" a"ti%e!resi Farmakoki"etik Farmako%i"amik

8, :, ;, <, =, >,

I"teraksi o#at E*ek sam!i"$ %a" reaksi &a"$ meru$ika" .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" A"ti!sikotik) a"ti a"sietas) %a" a"ti%e!resi Ma+am-ma+am a"ti!sikotik) a"ti a"sietas) %a" a"ti%e!resi Farmakoki"etik Farmako%i"amik

3?, I"teraksi o#at 33, E*ek sam!i"$ %a" reaksi &a"$ meru$ika" 35, .e"a"$a"a" e*ek sam!i"$ %a" reaksi &a"$ meru$ika" 5, Mam!u melakuka" !e"$ka'ia" !a%a sistem Neuro#eha iour a, Ri(a&at Kesehata" : 33 !ola !e"$ka'ia" Gor%o" ." Keluha" utama o Kesa%ara" me"uru" o N&eri ke!ala o Sesak "a*as o Malaise o .usi"$ o Nausea o Mu"tah o Ke'a"$ :" .emeriksaa" Fisik o Ti"$kat kesa%ara" o Fu"$si sere#ri o Sara* +ra"ial o S&stem motorik o Res!o" re*leB o S&stem se"sorik ." .emeriksaa" Dia$"ostik: 0Sesuai %e"$a" sistem2 o Darah le"$ka! o Ka%ar elektrolit serum o Kalium serum o Glukosa serum o Masa !er%araha" o Masa !em#ekua" o .rothrom#i"e Time

o o o o o o o o o o

A.TT .ro*il lemak %arah LDL BUN E"9im /a"tu"$ LD7 1K 1R. A"alisa $as %arah 1T s+a") .ET) Ro"t$e"

I,5, Mam!u merumuska" %ia$"osa ke!era(ata" !a%a sistem "euro#eha iour %e"$a" me"era!ka" #er#a$ai ko"se! ilmu-ilmu %asar ke!era(ata" %a" ilmu ke!era(ata" %asar (NANDA +6)+;+6)/) .eru#aha" !er*usi 'ari"$a" otak Keti%ake*ekti*a" #ersiha" 'ala" "a*as N&eri ke!ala Risiko +e%era Ga"$$ua" "utrisi kura"$ %ari ke#utuha" tu#uh Ko!i"$ i"%i i%u ti%ak e*ekti* Resiko !eru#aha" !erse!si se"sori halusi"asi Isolasi so+ial Ga"$$ua" orie"tasi realita De*i+it !era(ata" %iri Dll I,6, Mam!u merumuska" !ere"+a"aa" ke!era(ata" !a%a sistem "euro#eha iour %e"$a" mem!ertim#a"$ka" #er#a$ai ko"se! ilmu-ilmu %asar ke!era(ata" %a" ilmu ke!era(ata" %asar, 0NI1 NO12 i,8, Mam!u me"%emo"strasika" i"ter e"si ke!era(ata" !a%a sistem "euro#eha iour %e"$a" me"era!ka" ko"se! ilmu %asar ke!era(ata" %a" ilmu ke!era(ata" %asar serta me"era!ka" 'rin!i' l(,al dan (ti! La# Skill .e"$isia" *ormat !e"$ka'ia" .emeriksaa" ti"$kat kesa%ara" 0G1S2 .emeriksaa" status me"tal .e"ilaia" *u"$si i"telektual .eemeriksaa" %a&a !ikir .e"ilaia" kemam!ua" #ahasa .emeriksaa" sara* kra"ial .emeriksaa" to"us otot .emeriksaa" keseim#a"$a" %a" koor%i"asi .emeriksaa" res!o" re*leks !atolo$is %a" *isiolo$is .e"&uluha" kesehata"

 Simulasi Tera!i Akti itas Kelom!ok Simulasi Komu"ikasi tera!eutik La# A+ti it& : .e"$ka'ia" !a%a klie" %$ masalah sistem "euro#eha iour .emeriksaa" ti"$akt kesa%ara" 0G1S2 .emeriksaa" sara* kra"ial .emeriksaa" to"us otot .emeriksaa" res!o" re*leks !atolo$is %a" *isiolo$is .e"&uluha" kesehata" Simulasi Tera!i Akti itas Kelom!ok Simulasi Komu"ikasi tera!eutik

I,:, Mam!u me"%okume"tasika" asuha" ke!era(ata" !a%a klie" %e"$a" $a"$$ua" sistem "euro#eha iour %e"$a" me"era!ka" !ri"si! %okume"tasi &a"$ #e"ar

B"EDU9ATOR 3, 7ealth E%u+atio": a, .e"+e$aha" !rimer %a" seku"%er C Mo%i*ikasi $a&a hi%u! %a" me"uru"ka" *aktor resiko, #, .era(ata" ma"%iri #a$i !eru#aha" !ola &a"$ #ersi*at !erma"e" 9" MANA1ER Mam!u melakuka" simulasi !e"$elolaa" #e#era!a kasus klie" %e"$a" $a"$$ua" sistem "euro#eha iour D" RESEA9HER 3, Mam!u me"+ari %a" me"$$u"aka" mi"imal 5 'ur"al !e"elitia" mutakhir u"tuk !e"$elolaa" !asie" %e"$a" masalah !a%a sisitem "euro#eha iour, 5, Mam!u me"$i%e"ti*ikasi mi"imal 5 masalah utama &a"$ memerluka" ti"%ak la"'ut !e"elitia" #erkaita" %e"$a" ke!era(ata" klie" $a"$$ua" sistem "euro#eha iour

III" MATERI < METODA PEMBELA*ARAN M$ keMATERI 3 A"atomi Sistem Neuro#eha iour Fisiolo$i Sistem Neuro#eha iour .ato*isiolo$i !a%a $a"$$ua" s&stem Neuro#eha iour

DAKTU 5 B :?4 5 B :?4

METODA Re ie( Le+ture

KMB - Me"i"$itis) Bell4s !als&) teta"us - Stroke - .arki"so")N7.)Al9heimer - E!ile!si) Miaste"ia Gra is - 7i%ro+he!alus) s!i"a #i*i%a) RM /IDA -halusi"asi - (aham -ski9o*re"ia -keter$a"tu"$a" NA.@A - Isolasi Sosial Biokimia Sistem Neuro#eha iour 5 B :?4 Farmakolo$i Sistem Neuro#eha iour 5 B :?4 Aske! Klie" %e"$a" Ga"$$ua" I"*eksi S&stem Sara* 5 B :? .usat 3 B :? 5 B :? 3 B :? Aske! Klie" %e"$a" stroke 5 B :? 3 B :? 5 B :? 3 B :? Aske! Klie" %e"$a" trauma s&stem !ersara*a" !usat 5 B :? 3 B :? 5 B :? 3 B :? Aske! Klie" %e"$a" $a"$$ua" %e$e"erati* s&stem 5 B :? !ersara*a" 3 B :? 5 B :? 3 B :? Aske! Klie" %e"$a" $a"$$ua" ko" ulsi* %a" !e"&akit 5 B :? "euromuskular 3 B :? 5 B :? 3 B :? .e"$isia" *ormat !e"$ka'ia" .emeriksaa" ti"$kat kesa%ara" 0G1S2 .emeriksaa" status me"tal .e"ilaia" *u"$si i"telektual .emeriksaa" %a&a !ikir .e"ilaia" kemam!ua" #ahasa .emeriksaa" sara* kra"ial .emeriksaa" to"us otot .emeriksaa" keseim#a"$a" %a" koor%i"asi .emeriksaa" res!o" re*leks !atolo$is %a" *isiolo$is .e"&uluha" kesehata" Ko"se! Dasar kesehata" /i(a Komu"ikasi tera!eutik !a%a !asie" 'i(a .e"$$olo"$a" $a"$$ua" /i(a %i I"%o"esia 5 B ;? 6 B ;?

Le+ture Le+ture .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi

.BLE.SESGD .rese"tasi

La# Skill La# Skill

6 B ;? 5 B ;? 5 B ;? 5 B ;? 5 B :?4 5 B :?4 5 B :?4

La# Skill La# Skill La# Skill La# Skill Le+ture Le+ture Le+ture

5 B :?4 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" Ko"se! Diri 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" Krisis %a" marah 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" !erilaku kekerasa" 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" /i(a !a%a A"ak A 5 B :? Rema'a 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" !e"&alah$u"aa" 5 B :? NA.@A 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" Orie"tasi Realita 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" 7alusi"asi 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" /i(a !a%a la"sia 5 B :? 3 B :? 5 B :? 3 B :? Aske! !a%a klie" %e"$a" $a"$$ua" Isolasi Sosial 5 B :? Me"arik Diri 3 B :? 5 B :? 3 B :? Tera!i Mo%alitas 5 B :?4 Tera!i akti itas kelom!ok OS1E 0O#'e+ti e Stru+ture 1li"i+al EBami"atio"2 SO1A 0Stu%e"t Oral 1ase A"al&sis2EU'ia" Tulis Meto%a !em#ela'ara" &a"$ %i$u"aka" a%alah : 3, 5, Small Grou! Dis+usio" .ro#lem #ase% lear"i"$

Ko"se! Asuha" Ke!era(ata" /i(a Aske! !a%a klie" %e"$a" $a"$$ua" ke+emasa"

Le+ture .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi .BLE.SESGD .rese"tasi Le+ture La# Skill

6, 8, :,

.ro#lem sol i"$ .rese"tasi Le+ture

DAFTAR .USTAKA

Berma") A,) A S"&%er) S, /, 05?352, Kozier & Erbs Fundamental of nursing concepts, process and practice 0>th E%,2,. Ne( /erse&: .earso" e%u+atio") I"+, Da ies) /, 7, A 7assell) L, L, 05??<2, Children in intensive care, .e"er#it: Else ier, 7o+ke"#err&) M, /,) A Dilso") D, 05??<2, Wongs nursing care of infants and children 0=th E%,2, St, Louis: Mos#& Else ier, 7o+ke"#err&) M, /,) A Dilso") D, 05??>2, Wongs essensials of pediatric nursing 0=th E%,2, St, Louis: Mos#& Else ier, IDAI 05??=2, u!u a"ar Neonatologi. 0E%isi 32, .e"er#it: IDAI) /akarta, NANDA, 05?352, Nursing diagnoses# $efinition and classification %&'%(%&') Mur!h&) ., /,) Marria$e) S, S, A Da is) ., /, 05??>2, *ediatric critical care. .e"er#it: 1am#ri%$e U"i ersit&) Mel#our"e, Mus+ari) M, E, 05??32, +dvanced pediatric clinical assessment# s!ill and procedure. .e"er#it: Li!!i"+ott) .hila%el!hia, .ERINASIA 05??>2, u!u panduan resusitasi neonatus,0E%isi :2, .e"er#it: .eri"asia) /akarta .otter) ., A,) A .err&) A, G, 05??;2, Fundamental !epera,atan 0e%isi 82 0Re"ata Komalasari) Dia" E ri&a"i) E"ie No iestari) Al*ri"a 7a"&) Sari Kur"ia"i"$sih) .e"er'emah2, /akarta: EG1. .hila%el!ia: Mos#& Fear Book, S!eer) K, M, 03>>>2, *ediatric care planning, 06r% e%,2, .e""s&l a"ia: S!ri"$house, Dilso") D,) A 7o+ke"#err&) M, /, 05?352, Wongs clinical manual of pediatric nursing, 0=th E%,2, St, Louis: Mos#& Else ier, Dorl% 7ealth Or$a"i9atio" 05??=2, u!u sa!u pela-anan !esehatan ana! di rumah sa!it .ter"emahan/, /akarta : De!arteme" Kesehata" RI, Do"$) D, L,) 7o+ke"#err&-Eato") M,) Dilso") D,) Dilke"stei") M, L,) A S+h(art9) ., 05??>2, u!u a"ar !epera,atan pediatri! 0e%isi ;2 0A$us Sutar"a) Neti /u"iarti) Ku"+ara) .e"er'emah2, /akarta: .e"er#it Buku Ke%oktera" EG1, (((,.e%iatri+s,or$