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Guideline-Stroke-2011

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4. Kedlaya, Divakara. Swallowing, Nutrition, and Hydration During Acute <strong>Stroke</strong> Care,<br />

Loma Linda University Medical Center California, Top <strong>Stroke</strong> Rehabilitation.<br />

2002;9(2):23-38.<br />

5. Davenport RJ, Dennis MS Wellwood I. Complications After Acute <strong>Stroke</strong>. <strong>Stroke</strong><br />

1996; 27: 415-420<br />

6. Martino, Rosemary. Dysphagia After <strong>Stroke</strong>, University of Toronto Canada, <strong>Stroke</strong> .<br />

2005; 36: 2756-2763.<br />

7. Duncan PW, Zorowitz R, Bates B, Chol JY, Glasberg JJ, Glenn D, Graham.<br />

Management of Adult <strong>Stroke</strong> Rehabilitation Care, In: A Clinical Practice <strong>Guideline</strong>,<br />

<strong>Stroke</strong> 2005; 36:e100-e143.<br />

8. National <strong>Stroke</strong> Foundation. Clinical <strong>Guideline</strong>s for <strong>Stroke</strong> Management 2010<br />

9. Teasel RW, Foley NC, Bhogal SK et al. An evidence Based Review of <strong>Stroke</strong><br />

Rehabilitation. Available at: Top <strong>Stroke</strong> Rehabil 2003; 10 (1) : 29-58.<br />

www.thomasland.com<br />

10. Dottenkofer M, Ebner W, Hans FJ.Nosocomial Infections in A Neurosurgery<br />

Intensive Care Unit. Acta Neuroclinic (Wien). 1999; 141: 1303-1308.<br />

3. Stress Ulcer<br />

a. Prevensi 1<br />

Untuk mencegah timbulnya perdarahan lambung pada stroke, sitoprotektor<br />

atau penghambat reseptor H2 perlu diberikan.<br />

Tidak ada perbedaan hasil antara pemberian penghambat reseptor H2,<br />

sitoprotektor agen ataupun inhibitor pompa proton (SIGN, Level of<br />

evidence I).<br />

Antasida tidak perlu diberikan pada profilaksis stress ulcer (SIGN, Level of<br />

evidence I) 2<br />

Untuk semua penderita stroke, pemberian obat-obatan seperti NSAID dan<br />

kortikosteroid, serta makanan/minuman yang bersifat iritatif terhadap<br />

lambung (alkohol,rokok,cuka) perlu dihindari.<br />

b. Tatalaksana 3,4<br />

Pasien dipuasakan<br />

64

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