{"id":4047,"date":"2015-11-17T05:48:40","date_gmt":"2015-11-16T22:48:40","guid":{"rendered":"http:\/\/akreditasi.web.id\/2012\/?p=4047"},"modified":"2015-11-17T05:49:51","modified_gmt":"2015-11-16T22:49:51","slug":"panduan-praktek-klinis-ppk-insufisiensi-vertebrobasiler","status":"publish","type":"post","link":"http:\/\/snars.web.id\/rs\/panduan-praktek-klinis-ppk-insufisiensi-vertebrobasiler\/","title":{"rendered":"Panduan Praktek Klinis (PPK) &#8211; INSUFISIENSI VERTEBROBASILER"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"http:\/\/akreditasi.web.id\/2012\/ga1.html\" width=\"620\" height=\"30\" frameborder=\"0\" scrolling=\"no\"><\/iframe><br \/>\n<strong>Pengertian :<\/strong><\/p>\n<p>Gangguan hemodynamic sementara (TIA) pada sirkulasi posterior yang disebabkan oleh oklusi arteri<\/p>\n<p>Infusiensi vertebrobasiler sering terjadi karena arteroslerosis ateri subklavia, vertebralis dan basilaris<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Anamnesis<\/strong><\/p>\n<ol>\n<li>Pusing berputar, pandangan ganda, pelo, kesemutan atau baal separuh wajah, atxia, lemah atau baal separuh atau kedua bagian tubuh, nyeri kepala, telinga berdenging, gangguan penglihatan seperti pandangan kabur, buta sebagian atau total, sulit menelan, gangguan keseimbangan<\/li>\n<li>Ditemukan faktor risiko : kencing manis, hipertensi, gangguan keseimbangan lemak (dislipidemia), merokok, obesitas (kegemukan), riwayat keluarha menderita stroke, penyakit jantung koroner, kurang aktifitas<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Pemeriksaan Fisik<\/strong><\/p>\n<ol>\n<li>Pemeriksaan fisik umum<\/li>\n<li>Pemeriksaan fisik neurologik :\n<ol>\n<li>Kesadaran<\/li>\n<li>Fungsi luhur (berbahasa, memori)<\/li>\n<li>Tanda rangsang meningeal<\/li>\n<li>Saraf wajah<\/li>\n<li>Motoris<\/li>\n<li>Sensoris<\/li>\n<li>Autonom<\/li>\n<li>Reflek (fisiologis, patologis)<\/li>\n<li>Gerakan koordinasi Kriteria diagnosis<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>Gejala tergantung lokasi arteri yang terkena, bila mengenai arteri basilaris, muncuk dua macam atau lebih dari gejala :<\/p>\n<ol>\n<li>Hilang keseimbangan<\/li>\n<li>Penglihatan ganda<\/li>\n<li>Kelemahan anggota gerak<\/li>\n<li>Kelemahan anggota badan (unilateral atau bilateral)<\/li>\n<li>Bicara pelo<\/li>\n<li>Disfagia<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Diagnosis kerja : \u00a0<\/strong>INSUFISIENSI VERTEBROBASILER<\/p>\n<p>&nbsp;<br \/>\n<iframe loading=\"lazy\" src=\"http:\/\/akreditasi.web.id\/2012\/ga1.html\" width=\"620\" height=\"30\" frameborder=\"0\" scrolling=\"no\"><\/iframe><br \/>\n<strong>Diagnosis banding<\/strong><\/p>\n<ol>\n<li>BPPV<\/li>\n<li>Perilymphatic fistula<\/li>\n<li>Vestibular Neuritis<\/li>\n<li>Labyrinitis<\/li>\n<li>Hyperventilation<\/li>\n<li>Ototoxicity<\/li>\n<li>Meniere\u2019s disease<\/li>\n<li>Hipotensi artostatik<\/li>\n<li>Gangguan telinga tengah lain<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Pemeriksaan Penunjang :<\/strong><\/p>\n<ol>\n<li>Darah lengkap, BUN, ureum kreatinin, SGOT\/PT, albumin, GDA,GD puasa\/GD 2 jam PP, lipid<\/li>\n<li>Faal hemostasis, urine lengkap, analisis gas darah, dan serum elektrolit (sesuai indikasi)<\/li>\n<li>Pada kondisi tertentu : homosistein, lipoprotein, faktor \u2013 faktor koagulasi, penanda inflamasi seperti hsCRP,Lp-PLA2<\/li>\n<li>Foto thorak, ECG<\/li>\n<li>CT-Scan kepala tanpa kontras<\/li>\n<li>Megnetic resonance angiography (MRA), ekokardiographi dupleks carotid sonography, transcranial doppler ( sesuai indikasi), DSA (sesuai indikasi)<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Terapi<\/strong><\/p>\n<ol>\n<li>Infus NaCl 0.9% atau RL atau Ringer asering atau cairan isotonik lainnya<\/li>\n<li>Oksigen (bila saturasi &lt; 94 %)<\/li>\n<li>Pemasangan pipa oropharyng, pipa nasopharing dan intubasi ETT sesuai indikasi<\/li>\n<li>Dopamine atau dobutamin atau epinephrine bila MAP &lt; 70 mmHg<\/li>\n<li>Nicardipin 0.5 \u2013 5 mcg\/kgBB atau diltiazem 5 \u2013 15 mcg\/kgBB bila tekanan darah lebih dari 220\/120 mmHg<\/li>\n<li>Diazepam bolus lambat 5 \u2013 20 mg dan diikuti fenitoin dosis awal 15 \u2013 20 mg\/kg bolus dengan kecepatan 50 mg\/mnt bila kejang<\/li>\n<li>Insulin titrasi bila kadar GDA &gt; 180 mg\/dl dan bolus dextrose 40% dilanjutkan dengan infus dextrose 10%<\/li>\n<li>Paracetamol infuse 3 x gr atau 3-4 x 500 mg (per oral) (atas indikasi)<\/li>\n<li>Metampiron 3 x 1 ampul (atas indikasi) 10.Ondancentron 3 x 4 \u2013 8 mg (atas indikasi)<\/li>\n<li>Ranitidine atau omeprazole atau lazoprazole (bila terjadi perdarahan lambung)<\/li>\n<li>Ceftriazone 2 x 1 gr, levofloksasin 1 x 500 \u2013 750 mg meropenem 3 x 1 gr sesuai indikasi<\/li>\n<li>Aspirin 1 x 160 \u2013 320 mg, kombinasi aspirin 80 mg dan kopidrogel 300 mg dilanjutkan dengan aspirin 80 mg dan clopidogrel 75 mg (atas indikasi)<\/li>\n<li>Atorvastatin 1 x 40 mg atau simvastatin 1 x 20 mg<\/li>\n<li>Captopril 3 x 25 mg atau derivat sartan : Valsartan 1 x 80 mg, candesartan 1 x 8 -16 mg.<\/li>\n<li>Bisoprolol 1 x 5 mg, amlodipine 1 \u00a0\u2013\u00a02 x 5 \u2013 10 mg (atas indikasi)<\/li>\n<li>Citicholin 3 x 500 mg intravena<\/li>\n<li>Piracetam 12 gr dilanjutkan dengan 3 x 3 gr (atas indikasi)<\/li>\n<li>Multivitamin (atas indikasi)<\/li>\n<li>Diet cair, bubur halus, bubur saring, nasi tim, nasi biasa dengan kalori 30 kkal\/kgBB dan protein 1.2 gr (disesuaikan kondisi)<\/li>\n<\/ol>\n<p>&nbsp;<br \/>\n<iframe loading=\"lazy\" src=\"http:\/\/akreditasi.web.id\/2012\/ga1.html\" width=\"620\" height=\"30\" frameborder=\"0\" scrolling=\"no\"><\/iframe><br \/>\n<strong>Edukasi<\/strong><\/p>\n<ol>\n<li>Identifikasi faktor\u00a0\u00a0 risiko\u00a0\u00a0 stroke\u00a0\u00a0 Infark\u00a0\u00a0 Trombotik\u00a0\u00a0 dan mengendalikannya<\/li>\n<li>Kontrol rutin klinik saraf<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Prognosis<\/strong><\/p>\n<ol>\n<li>Ad \u00a0vitam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 : dubia ad bonam<\/li>\n<li>Ad sanationam : dubia ad bonam<\/li>\n<li>Ad fumgsionam: dubia ad bonam Indikator medis :<\/li>\n<li>Kematian \u00a0langsung : 3 \u2013 4%<\/li>\n<li>Disabilitas : 6%<\/li>\n<li>Bila terdapat cardio emboli, keterlibatan arteri basiler, dan area intracranial yang luas, maka prognosis akan lebih buruk<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Kepustakaan :<\/strong><\/p>\n<ol>\n<li>Ainaam, J., Siddiqui,M.,Saqqur M,. (2012), \u201dcase Report The Diagnosis of Vertebrobasiler insufisiency Using Transcranial Dopler Ultrasound. Vol 2012<\/li>\n<li>A (2002) \u201c Gangguan Vestikuler yang Disebabkan oleh Gangguan Peredaran Darah Otak Dlam Neuro-cologi Klinis Vertigo\u201d, kelompok Studi Vertigo Perhimpunan Dokter Spesialis Saraf Indonesia, Airlangga University Press Surabaya<\/li>\n<li>Kerry Roger.,Alam J.Taylor (2006) \u201cCervical Arterial Dysfunction Assesment and Manual Therapy\u201d<\/li>\n<li>Rapper A.H.,Brown A.H (2005) \u201cAdam N.VictorPrinciples of Neurology 8th Mc Grow-Hill.Boston<\/li>\n<li>Sean.Louis R.\u201dCaplan Vertebrobasilar Disease\u201d, The New England Journal of Medicine<\/li>\n<\/ol>\n<p><iframe loading=\"lazy\" src=\"http:\/\/akreditasi.web.id\/2012\/ga2.html\" width=\"620\" height=\"60\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_4047\" class=\"pvc_stats all  \" data-element-id=\"4047\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"http:\/\/snars.web.id\/rs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pengertian : Gangguan hemodynamic sementara (TIA) pada sirkulasi posterior yang disebabkan oleh oklusi arteri Infusiensi vertebrobasiler sering terjadi karena arteroslerosis ateri subklavia, vertebralis dan basilaris &nbsp; Anamnesis Pusing berputar, pandangan <a class=\"more-link\" href=\"http:\/\/snars.web.id\/rs\/panduan-praktek-klinis-ppk-insufisiensi-vertebrobasiler\/\">Continue Reading &rarr;<\/a><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_4047\" class=\"pvc_stats all  \" data-element-id=\"4047\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"http:\/\/snars.web.id\/rs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[142],"tags":[199,171,196,198],"class_list":["post-4047","post","type-post","status-publish","format-standard","hentry","category-pelayanan-pasien","tag-medis","tag-ppk","tag-ppklinis","tag-tindakan-medis"],"a3_pvc":{"activated":true,"total_views":3683,"today_views":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Panduan Praktek Klinis (PPK) - INSUFISIENSI VERTEBROBASILER - STARKES 2024- Akreditasi RS Indonesia - SNARS.WEB.ID<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/snars.web.id\/rs\/panduan-praktek-klinis-ppk-insufisiensi-vertebrobasiler\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Panduan Praktek Klinis (PPK) - INSUFISIENSI VERTEBROBASILER - STARKES 2024- Akreditasi RS Indonesia - SNARS.WEB.ID\" \/>\n<meta property=\"og:description\" content=\"Pengertian : Gangguan hemodynamic sementara (TIA) pada sirkulasi posterior yang disebabkan oleh oklusi arteri Infusiensi vertebrobasiler sering terjadi karena arteroslerosis ateri subklavia, vertebralis dan basilaris &nbsp; 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