{"id":232,"date":"2019-09-28T07:57:36","date_gmt":"2019-09-28T00:57:36","guid":{"rendered":"http:\/\/budirahayu.ip-dynamic.com:81\/sdki\/?p=232"},"modified":"2026-08-25T05:01:45","modified_gmt":"2026-08-24T22:01:45","slug":"d-0061-disrefleksia-otonom","status":"publish","type":"post","link":"https:\/\/snars.web.id\/sdki\/d-0061-disrefleksia-otonom\/","title":{"rendered":"D.0061 Disrefleksia Otonom."},"content":{"rendered":"
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D.0061 Disrefleksia Otonom<\/strong><\/p>\n

Definisi<\/strong><\/p>\n

Hiperreaktivitas sistem saraf otonom di atas level spinal T6 sebagai respons terhadap iritasi di bawah level lesi.<\/p>\n

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Penyebab<\/strong><\/p>\n

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  1. Lesi spinal di atas T6<\/strong> — Cedera tulang belakang yang memutus jalur simpatis di atas T6..<\/li>\n
  2. Iritasi bawah level lesi<\/strong> — Pemicu seperti kandung kemih penuh, impaksi feses, atau infeksi..<\/li>\n
  3. Pengisian kandung kemih<\/strong> — Distensi kandung kemih yang merangsang respons simpatis..<\/li>\n
  4. Impaksi feses<\/strong> — Penumpukan feses yang mengiritasi rektum dan memicu disrefleksia..<\/li>\n<\/ol>\n
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    Kondisi Klinis Terkait<\/strong><\/p>\n

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    1. Hipertensi berat<\/strong> — Peningkatan tekanan darah yang signifikan dan mendadak..<\/li>\n
    2. Bradikardia<\/strong> — Penurunan denyut jantung sebagai respons baroreseptor..<\/li>\n
    3. Vasokonstriksi perifer<\/strong> — Pelebaran pembuluh darah di atas lesi dan kontriksi di bawah lesi..<\/li>\n
    4. Diaphoresis di atas lesi<\/strong> — Berkeringat berlebih di area di atas level lesi spinal..<\/li>\n
    5. Flushing<\/strong> — Kemerahan pada wajah dan leher..<\/li>\n<\/ol>\n
      \n

      SLKI (Sistem Luaran Keperawatan Indonesia)<\/strong><\/span><\/p>\n

      Luaran Utama:<\/strong><\/span><\/p>\n

      Disrefleksia Otonom<\/strong> — Tekanan darah dan respons otonom kembali normal..<\/span><\/p>\n

      Luaran Tambahan:<\/strong><\/span><\/p>\n

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      1. Identifikasi pemicu<\/strong> — Pemicu disrefleksia dapat diidentifikasi dan dihilangkan..<\/span><\/li>\n
      2. Pengetahuan pasien<\/strong> — Pasien memahami tanda-tanda dan penanganan disrefleksia..<\/span><\/li>\n<\/ol>\n
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        SIKI (Sistem Intervensi Keperawatan Indonesia)<\/strong><\/span><\/p>\n

        Disrefleksia Otonom<\/strong><\/span><\/p>\n

        Intervensi Utama:<\/strong><\/span><\/p>\n

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        • Pencarian dan eliminasi pemicu<\/strong> — Mengidentifikasi dan menghilangkan penyebab iritasi di bawah level lesi..<\/span><\/li>\n
        • Posisi duduk tegak<\/strong> — Mengubah posisi pasien ke duduk tegak untuk mengurangi tekanan darah..<\/span><\/li>\n
        • Pengosongan kandung kemih<\/strong> — Memastikan kateter tidak tertekuk dan kandung kemih terkeringkan..<\/span><\/li>\n<\/ul>\n

          Intervensi Pendukung:<\/strong><\/span><\/p>\n

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          • Pemantauan tanda vital<\/strong> — Memantau tekanan darah dan denyut jantung secara rutin..<\/span><\/li>\n
          • Edukasi pasien<\/strong> — Mengajari pasien mengenali dan menangani episode disrefleksia..<\/span><\/li>\n<\/ul>\n
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            Sumber: Standar Diagnosis Keperawatan Indonesia (SDKI)<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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            D.0061 Disrefleksia Otonom Definisi Hiperreaktivitas sistem saraf otonom di atas level spinal T6 sebagai respons terhadap iritasi di bawah level lesi. Penyebab Lesi spinal di atas T6 — Cedera tulang belakang yang memutus jalur simpatis di atas T6.. Iritasi bawah level lesi — Pemicu seperti kandung kemih penuh, impaksi feses, atau infeksi.. Pengisian kandung kemih […]<\/p>\n","protected":false},"author":1,"featured_media":1301,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,12],"tags":[],"class_list":["post-232","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisiologis","category-neurosensori"],"a3_pvc":{"activated":true,"total_views":1891,"today_views":0},"_links":{"self":[{"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/posts\/232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/comments?post=232"}],"version-history":[{"count":13,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/posts\/232\/revisions"}],"predecessor-version":[{"id":3347,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/posts\/232\/revisions\/3347"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/media\/1301"}],"wp:attachment":[{"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/media?parent=232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/categories?post=232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/snars.web.id\/sdki\/wp-json\/wp\/v2\/tags?post=232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}