GUILDELINE STROKE PERDOSSI TAHUN 2011
GUILDELINE STROKE PERDOSSI TAHUN 2011
GUILDELINE STROKE PERDOSSI TAHUN 2011
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150-199<br />
200-249<br />
250-299<br />
300-349<br />
>349<br />
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2<br />
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4<br />
5<br />
1<br />
3<br />
5<br />
7<br />
8<br />
2<br />
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7<br />
10<br />
12<br />
Catatan:<br />
i. Algoritma dosis rendah dipakai untuk pasien membutuhkan < 40 U<br />
insulin/hari.<br />
ii. Algoritma dosis sedang dipakai untuk pasien membutuhkan 40-80 U<br />
insulin/hari.<br />
iii. Algoritma dosis tinggi dipakai untuk pasien membutuhkan > 80 U insulin/hari.<br />
d. Pengobatan bila timbul hipoglikemia (glukosa darah < 60 mg/dl) 8<br />
Hentikan insulim drip<br />
Berikan dextrose 50% dalamair (D50W) intravena<br />
i. Bila penderita sadar: 25 ml (1/2 amp)<br />
ii. Bila tak sadar: 50 ml (1 amp)<br />
Periksa ulang gula darah tiap 20 menit dan beri ulang 25 ml D50W intravena bila<br />
gula darah 70 mg/dl<br />
(periksa 2 kali). Mulai insulin drip dengan algoritma lebih rendah (moving down).<br />
KEPUSTAKAAN<br />
1. Baird TA, Parsons MW, Phanh T, Butcher KS, Desmond PM, Tress BM, Colman PG,<br />
Chambers BR, Davis SM: Persistent poststroke hyperglycemia is independently<br />
associated with infarct expansion and worse clinical outcome. Stroke 2003; 34:2208-<br />
2214.<br />
2. Baird TA, Parsons MW, Barber PA, Butcher KS, Desmond PM, Tress BM, Colman<br />
PG, Jerums G, Chambers BR, Davis SM: The influence of diabetes mellitus and<br />
hyperglycaemia on stroke incidence and outcome. J Clin Neurosci 2002;9:618-626.<br />
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