Guideline-Stroke-2011
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
- 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
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- 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
tinggi<br />
Fenilefrin * Agonis reseptor<br />
α1 dan α2<br />
* belum tersedia di Indonesia<br />
Efek minimal<br />
pada reseptor β<br />
(tidak<br />
mempengaruhi<br />
kontraktilitas<br />
dan Irama<br />
jantung<br />
karena iskemia<br />
dengan<br />
ekstravasasi,<br />
peningkatan<br />
tekanan<br />
intraokular<br />
Refleks<br />
bradikardia<br />
KEPUSTAKAAN<br />
1. Harold P Adam et al. <strong>Guideline</strong> for the Early Management of Paients with Ischemic<br />
<strong>Stroke</strong>. <strong>Stroke</strong> 2003;34:1056.<br />
2. Misbach 3, All W. <strong>Stroke</strong> in Indonesia: a First Large Prospective Hospital-Based<br />
Study of Acute <strong>Stroke</strong> in 28 Hospitals in Indonesia. Journal of Clinical Neuroscience.<br />
2000; 8(3):245-9.<br />
3. Special Writing Group of <strong>Stroke</strong> Council AHA. <strong>Guideline</strong>s for The Management of<br />
Patients with Acute ischemic stroke. Circulation 1994; 90: 1558-1601.<br />
4. Morns L, Shwartz RS, Poulos RI et al. Blood Pressure Changes in Acute Cerebral<br />
Infarction and Hemorrhage. <strong>Stroke</strong> 1997; 28:1401-1405.<br />
5. Adams H, Aktinson R, Broderick J,et al. Basic Principles of Modern Management for<br />
Acute <strong>Stroke</strong>. American Academy of Neurology 1999; 2FC.004: 18-22.<br />
6. Powers W. Acute Hypertension After <strong>Stroke</strong>: The Scientific Bases for The Treatment<br />
Decisions. Neurology 1995; 3: 3-5.<br />
7. Lip GYH, Zarifis 31 Farooqi S, et al. Ambulatory Blood Pressure Monitoring in<br />
Acute <strong>Stroke</strong>. <strong>Stroke</strong> 1997; 28: 314-35/<br />
8. Aboderin I, Venables G. <strong>Stroke</strong> Management in Europe. Pan Europe Consensus<br />
Meeting on <strong>Stroke</strong> Management. J Intern Med 1996; 240: 173480.<br />
9. Adams HP, Brott TG, Crowell RM, et al. <strong>Guideline</strong>s for The Management of Patients<br />
with Acute Ischemic <strong>Stroke</strong>. A Statement for Healthcare Professionals from A Special<br />
Writing Group of the <strong>Stroke</strong> Council, American Heart Association. <strong>Stroke</strong> 1994;<br />
25:19014914.<br />
10. Brott T, Lu M, Kothari, et al. Hypertension and Its Treatment in The NINDS rt-PA<br />
<strong>Stroke</strong> Trial. <strong>Stroke</strong> 1998; 29: 15044509.<br />
11. Dandapani BK, Suzuki S, Kelly RE, et al. Relation between Blood Pressure and<br />
Outcome in Intra-cerebral Hemorrhage. <strong>Stroke</strong> 1995; 26(1): 21-244<br />
12. Kaneko, Tanaka K, Shimada T, et al. Long-term Evaluation of Ultra-early Operation<br />
for Hypertensive Intra-cerebral Hemorrhage in 100 cases. J Neurosurg 1983; 58: 838-<br />
842.<br />
13. Arakawa S, Saku Y, lbyashi, et al. Blood Pressure Control and Recurrence of<br />
54
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