Ppt Tatalaksana Stroke Hemoragik
Transcript of Ppt Tatalaksana Stroke Hemoragik
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PEMBIMB ING: DR . R ID WAN SP.S
RIZKY AMALIA SHARFINA1102011239
TATALAKSANA HIPERTENSI PADA
STROKE HEMORAGIK AKUT
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STROKE
“Gangguan fungsi serebral yang terjadi mendadak, lebih dari 24
jam, disebabkan karena gangguan vaskular (WHO)”
Hiertensi meruakan fakt!r risik! utama terjadinya str!ke,karena hiertensi daat mengganggu aliran darah serebral"
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penyebb
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KLASIFIKASI
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• /!$• en$! "e(#$n• )e&e+$%!
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HIPER-ENSI DAN S-RKE
En+'%e(H$pe&%en!$ +n
en+'%e(
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: -IK#ene"n ;#e&,!" 5&. %"
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S-RKE HEMRAGIK
Pe<)ny pe#b,(,) +&) '%" #enyebb"n"e(,&ny +&) "e 5&$n*n p&en"$# '%"= %,"e &,n* <$&n !e&eb&'!p$n($! +$!e"$%& '%".
Pe&+&)n %e&!eb,% #enyebb"n *n**,n!e&b,% !&> '%" #e((,$ pene"nn !%&,"%,&'%" +n 5,* '(e) )e#%'# yn* #enyebb"n$!"e#$" p+ 5&$n*n !e"$%&ny. Pen$n*"%n%e"nn $n%&<&n$( +p% #en$#b,("n )e&n$!$
5&$n*n '%" +n #ene"n b%n* '%".
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PERDARAHAN IN-RASEREBAL
n!e% pe&+&)n $n%&!e&eb&$:#en++"=%e&5+$ !% be&"%$?$%!+$!e&%$ nye&$ "ep( be&%= #,n%)+n pen,&,nn "e!+&n=%e&"+n* +$!e&%$ "e5n*.
A%e&'!"(e&'!$!
Men+'&'n*!%&,"%,& '%"
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-A-ALAKSANA HIPER-ENSI S-RKEHEMRAGIK AK/-
• - e " n n S $ ! % ' ( $ " @ - D S 2 2 0 # # H * % , M A P 1 0 # # H * : + p % + $ p e & % $ # b n * " n 6 - D ! e < & * & e ! $ > + n " ' n % $ n y , + e n * n p e # n % , n - D + e n * n p e # b e & $ n $ n % & ? e n $ n > , ! $ ' n
• A p b $ ( - D S 1 7 0 # # H * % , M A P 1 3 0 # # H * C * e 5 ( - I K = ( " , " n p e # n % , n - I K . - D + p % + $ % , & , n " n + e n * n # e n * * , n " n ' b % n % $ ) $ p e & % e n ! $ $ n % & ? e n
• A p b $ ( - D S 1 7 0 # # H * % , M A P 1 3 0 # # H * = % n + p e n $ n * " % n - I K @ 8 = - D
+ $ % , & , n " n ! e < & ) % $ ) % $ + e n * n # e n * * , n " n ' b % n % $ ) $ p e & % e n ! $ $ n % & ? e n " ' n % $ n , % , $ n % e & # $ % e n + e n * n p e # n % , n % - D % $ p 1 # e n $ % ) $ n * * M A P 1 1 0 # # H * % , % e " n n + & ) 1 E 0 4 9 0 # # H * .
• P + p ! $ e n ! % & ' " e p e n + & ) n $ n % & ! e & e b & ( + e n * n - D S 1 0 2 2 0 # # H * = p e n , & , n n % e " n n + & ) + e n * n < e p % ) $ n * * - D S 1 F 0 # # H * < , " , p # n
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• P e n n * n n n y e & $ % e & # ! , " , p y p e n % $ n * + ( # p e n , & , n n % e " n n + & ) p + p e n + e & $ % ! % & ' " e p e n + & ) n $ n % & ! e & e b & (
• / n % , " # e n < e * ) n p e n + & ) n b e & , ( n * = % e " n n + & ) + $ % , & , n " n ) $ n * * - D S 1 F 0 1 E 0 # # H * .
• B $ ( % e " n n + & ) ! $ ! % ' ( $ " 2 3 0 # # H * % , % e " n n + $ ! % ' ( $ " 1 F 0 # # H * = b e & $ " n n $ " & + $ p $ n = + $ ( % $ G e # % , n $ # ' + $ p $ n
• B $ ( % e " n n ! $ ! % ' ( $ " 1 7 0 8 2 3 0 # # H * % , % e " n n + $ ! % ' ( $ " 1 0 8 1 F 0 # # H * = % , % e " n n + & ) & % e & $ ( & % 8 & % 1 3 0 # # H * : L b e % ( ' ( = N $ < & + $ p $ n = D $ ( % $ G e # = N $ # ' + $ p $ n
• P + > ! e " , % % e " n n + & ) % " b ' ( e ) + $ % , & , n " n ( e b $ ) + & $ 2 0 8 2 + & $ % e " n n + & ) & % e & $ & e & % .
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Labetalol
Gb,n*n (> +n be% b('<"e&. b% $n$ be&*,n +n #n ,n%," "e*%
+&,&%n )$pe&%en!$= %e%p$ %$+" b'(e) +$be&$"n p+ pen+e&$% **( 5n%,n* ",% %, b('" 5n%,n* +e&5% 2 %, 3. Se+$n $n5e"!$.
Nikardipin
Me&,p"n <)nne( b('<"e& @B! yn* +$ be&$"n !e<& $n>,! "'n%$ny,.E>e" )e#'+$n#$"ny +() #en$#b,("n ?!'+$(%!$ pe&$>e& +en*n
#e#pe&%)n"n %, pen$n*"%"n "%$%! p'#p 5n%,n*.. D&$bebe&p !%,+$ %e() +$b,"%$"n b) n$"&+$p$n +en*n pe#be&$n $n>,!(n*!,n* #en,&,n"n %e"nn +&) !$!%e#$" +n !e(n5,%ny +p%
+$pe&%)n"n p+ (e?e( %e"nn +&) yn* +$$n*$n"n. Se+$n $n%&?en
EsmololMe&,p"n be% b('"e& "&+$'!e(e"%$> &e(%$>= +$#e%b'($!#e !e<& <ep%'(e) e!%e&!e +&) +n #e#p,ny$ )(> ($>e pen+e" @90 #en$% +n (#"e&5 ",&n* +&$ 30 #en$%. D'!$! yn* +$n5,&"n +() 200800,*
4"*4#en$% ,n%," #en$%= !e(n5,%ny 08300 ,* 4"*4 #en$% $?.
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TERIMA KASIH