Guideline-Stroke-2011

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Nitrogliserin Nitrovasodilator 5-100 µg/kg/menit IV * belum tersedia di Indonesia menit) Awitan 1-2 menit, durasi 3-5 menit serebral (dapat mengakibatkan peningkatan tekanan intracranial), reflex takikardia Produksi methemoglobin, reflex takikardia 2. Penatalaksanaan Hipotensi Pada Stroke Akut Hipotensi arterial pada stroke akut berhubungan dengan buruknya keluaran neurologis, terutama bila TDS
tinggi Fenilefrin * Agonis reseptor α1 dan α2 * belum tersedia di Indonesia Efek minimal pada reseptor β (tidak mempengaruhi kontraktilitas dan Irama jantung karena iskemia dengan ekstravasasi, peningkatan tekanan intraokular Refleks bradikardia KEPUSTAKAAN 1. Harold P Adam et al. Guideline for the Early Management of Paients with Ischemic Stroke. Stroke 2003;34:1056. 2. Misbach 3, All W. Stroke in Indonesia: a First Large Prospective Hospital-Based Study of Acute Stroke in 28 Hospitals in Indonesia. Journal of Clinical Neuroscience. 2000; 8(3):245-9. 3. Special Writing Group of Stroke Council AHA. Guidelines for The Management of Patients with Acute ischemic stroke. Circulation 1994; 90: 1558-1601. 4. Morns L, Shwartz RS, Poulos RI et al. Blood Pressure Changes in Acute Cerebral Infarction and Hemorrhage. Stroke 1997; 28:1401-1405. 5. Adams H, Aktinson R, Broderick J,et al. Basic Principles of Modern Management for Acute Stroke. American Academy of Neurology 1999; 2FC.004: 18-22. 6. Powers W. Acute Hypertension After Stroke: The Scientific Bases for The Treatment Decisions. Neurology 1995; 3: 3-5. 7. Lip GYH, Zarifis 31 Farooqi S, et al. Ambulatory Blood Pressure Monitoring in Acute Stroke. Stroke 1997; 28: 314-35/ 8. Aboderin I, Venables G. Stroke Management in Europe. Pan Europe Consensus Meeting on Stroke Management. J Intern Med 1996; 240: 173480. 9. Adams HP, Brott TG, Crowell RM, et al. Guidelines for The Management of Patients with Acute Ischemic Stroke. A Statement for Healthcare Professionals from A Special Writing Group of the Stroke Council, American Heart Association. Stroke 1994; 25:19014914. 10. Brott T, Lu M, Kothari, et al. Hypertension and Its Treatment in The NINDS rt-PA Stroke Trial. Stroke 1998; 29: 15044509. 11. Dandapani BK, Suzuki S, Kelly RE, et al. Relation between Blood Pressure and Outcome in Intra-cerebral Hemorrhage. Stroke 1995; 26(1): 21-244 12. Kaneko, Tanaka K, Shimada T, et al. Long-term Evaluation of Ultra-early Operation for Hypertensive Intra-cerebral Hemorrhage in 100 cases. J Neurosurg 1983; 58: 838- 842. 13. Arakawa S, Saku Y, lbyashi, et al. Blood Pressure Control and Recurrence of 54
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GUIDELINE STROKE TAHUN 2011 POKDI S
Page 3 and 4: KATA SAMBUTAN Syukur alhamdulillah
Page 5 and 6: KATA PENGANTAR Ilmu kedokteran sang
Page 7 and 8: DAFTAR ISI KATA SAMBUTAN………
Page 9 and 10: consensus pendapat ahli, studi kasu
Page 11 and 12: Kelas II Studi prospektif pada popu
Page 13 and 14: National Stroke Foundation (NSF) Gu
Page 15 and 16: BAB I PENDAHULUAN Meningkatnya usia
Page 17 and 18: 3. Misbach J. pandangan umum mengen
Page 19 and 20: c. Beberapa jenis seperti ikan tuna
Page 21 and 22: mengidentifikasi individu yang mung
Page 23 and 24: a. skrining aktif adanya AF pada pe
Page 25 and 26: g. Skrining di populasi untuk menge
Page 27 and 28: kontrol diabetes, memperbaiki kebia
Page 29 and 30: heriditer atau yang didapat asimpto
Page 31 and 32: TABEL II.2 Lanjutan Profil Risiko S
Page 33 and 34: isiko stroke Alkohol Pengurangan se
Page 35 and 36: HDL-C rendah Tidak ada konsensus tt
Page 37 and 38: BAB III MANAJEMEN PRAHOSPITAL PADA
Page 39 and 40: d. Memeriksa dan menilai gejala dan
Page 41 and 42: BAB IV PENATALAKSANAAN UMUM STROKE
Page 43 and 44: d. Pengendalian Peninggian Tekanan
Page 45 and 46: Berikan Asetaminofen 650 mg bila su
Page 47 and 48: . Berikan antibiotika atas indikasi
Page 49 and 50: BAB V KEDARURATAN MEDIK STROKE AKUT
Page 51 and 52: Class I, Level of evidence B). Untu
Page 53: eseptor α1, β1, β2 tiap 10 menit
Page 57 and 58: B. Penatalaksanaan Gula Darah pada
Page 59 and 60: Tabel IV.4. Infus insulin intravena
Page 61 and 62: 3. Parsons MW, Barber PA, Desmond P
Page 63 and 64: Pneumonia akibat disfagia atau gang
Page 65 and 66: 4. Kedlaya, Divakara. Swallowing, N
Page 67 and 68: 5. Ulkus Dekubitus a. Prevensi 1 M
Page 69 and 70: Berikan suplemen vitamin dan minera
Page 71 and 72: KEPUSTAKAAN 1. National Stroke Foun
Page 73 and 74: KEPUSTAKAAN 1. Scottish Intercolleg
Page 75 and 76: Terapi farmakologi hanya diberikan
Page 77 and 78: BAB VI PENATALAKSANAAN KHUSUS STROK
Page 79 and 80: hari dan dilanjutkan dengan oral 2x
Page 81 and 82: 6 jam kemudian. Kecepatan pemberian
Page 83 and 84: kraniotomi standar dapat dipertimba
Page 85 and 86: a. Tatalaksana pasien PSA derajat I
Page 87 and 88: e. Pada pasien yang gagal dengan te
Page 89 and 90: BAB VII TERAPI SPESIFIK STROKE AKUT
Page 91 and 92: B. Rekomendasi NIH tentang Response
Page 93 and 94: KEPUSTAKAAN 1. Adams H, et al. 2007
Page 95 and 96: f. Pilihan obat yang spesifik dan t
Page 97 and 98: Tabel VIII.I Rekomendasi Pengelolaa
Page 99 and 100: terdapat kondisi spesifik seperti r
Page 101 and 102: 3. Faktor risiko kardiomiopati a. P
Page 103 and 104: i. Penambahan aspirin pada terapi k
Page 105 and 106:
4. Inheritage Trombophily a. Pasien
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tinggi dari amyloid anginopati (mis
Page 109 and 110:
10. Toksin botulinum direkomendasik
Page 111 and 112:
3. Pasien mendapatkan pendidikan da
Page 113 and 114:
3. Penggunaan stoking kompresi atau
Page 115 and 116:
c. Dikonsulkan ke professional yang
Page 117 and 118:
. visual neglect c. defisit memori
Page 119 and 120:
3. National Clinical Guideline for
Page 121 and 122:
B. Rekomendasi Pemeriksaan Diagnost
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c. Gambaran hiperdens dari arteri i
Page 125 and 126:
ultrasonografi vertebral ekstrakran
Page 127 and 128:
D. Tes Diagnostik lain 1. Pemeriksa
Page 129 and 130:
subarakhnoid maka harus dilakukan d
Page 131 and 132:
11. Latchaw et at. Recommendations
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