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  • Algoritma Stroke (Tanpa Trombolisis)

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    Kristin Rifawaty
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    7 views1 page

    Algoritma Stroke (Tanpa Trombolisis)

    Uploaded by

    Kristin Rifawaty

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    OPD / AE Ischemic Stroke suspected

    HT: onset ≤ 6 hrs thrombolytic algorithm


    > 6 hrs ≤ 7 days
    Consult Neurologist PE: vital sign, SpO2
    Lab: CBC, blood glucose, electrolyte, kidney & liver
    function
    ECG, Chest radiography
    Brain CT Scan or MRI non-contrast

    Montoring
    Head elevation 30O
    Supplemental O2 if SpO2 < 94%
    Swallowing screening test
    IV line NaCl 0,9%
    Anti hypertension drugs if BP ≥ 220/120 mmHg
    Exception: CHF, lung edema

    STROKE UNIT

    Inclusion criteria: Consult Internist


    Acute ischemic stroke (≤ 7 days) Consult Cardiologist
    Consult Medical Rehabilitation specialist
    Exclusion criteria: Swallowing screening test – reassessment
    Loss of consciousness Clinical monitoring
    Breathing problems Lab exam: lipid profile, uric acid, fasting
    Pneumonia, CAD glucose, 2 hours PP glucose, HbA1C

    ICCU/ ICU / HCU Clinical condition Clinical condition Discharge from


    Complicated Stable SU

    Inpatient in General Ward


    Until 5th – 7th day of onset

    HOSPITAL
    DISCHARGED

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