{"id":4055,"date":"2015-11-17T06:10:02","date_gmt":"2015-11-16T23:10:02","guid":{"rendered":"http:\/\/akreditasi.web.id\/2012\/?p=4055"},"modified":"2017-06-22T18:47:50","modified_gmt":"2017-06-22T11:47:50","slug":"panduan-praktek-klinis-ppklinis-stroke-perdarahan-sub-arachnoid","status":"publish","type":"post","link":"http:\/\/snars.web.id\/rs\/panduan-praktek-klinis-ppklinis-stroke-perdarahan-sub-arachnoid\/","title":{"rendered":"Panduan Praktek Klinis (PPKlinis) &#8211; STROKE  PERDARAHAN SUB ARACHNOID"},"content":{"rendered":"<p><span style=\"color: #000000;\"><button id=\"listenButton1\" class=\"responsivevoice-button\" type=\"button\" value=\"Play\" title=\"ResponsiveVoice Tap to Start\/Stop Speech\"><span>&#128266; Baca &amp; Dengarkan!<\/span><\/button>\n        <script>\n            listenButton1.onclick = function(){\n                if(responsiveVoice.isPlaying()){\n                    responsiveVoice.cancel();\n                }else{\n                    responsiveVoice.speak(\"Pengertian : Perdarahan sub arachnoid adalah perdarahan yang terjadi didalam ruang sub arachnoid, suatu area diantara selaput arahnoid dan piameter yang mengelilingi otak Anamnesis Kejadian mendadak (akut), nyeri kepala hebat satu sisi, mual muntah dapat disusul dengan gangguan kesadaran dan kejang Mencari riwayat penyakit sebelumnya, adakah riwayat trauma atau tidak, hal ini bertujun untuk menentukan apakah gejala tersebut akibat perdarahan sub arachnoid atau penyebab Pemeriksaan Fisik Pemeriksaan fisik umum Pemeriksaan fisik neurologik : Kesadaran Fungsi luhur (berbahasa, memori) Tanda rangsang meningeal Saraf wajah Motoris Sensoris Autonom Reflek (fisiologis, patologis) Pemeriksaan NIHSS Kriteria diagnosis Riwayat inset\u00a0 yang\u00a0\u00a0\u00a0 \u00a0mendada,\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nyeri\u00a0\u00a0 kepala \u00a0hebat \u00a0disertai kebingungan atau obtundasi Kaku kuduk Hasil pemeriksaaan neurologi non fokal dan Cairan cerebro spinal berdarah adalah spesifik untuk perdarahan subarahnoid Diagnosis kerja :\u00a0PERDARAHAN SUB ARACHNOID Diagnosis banding Meningitis Migraine Cerebral venous sinus Perdarahan intraserebral Meningitis bacterial Rupture aneurisma mikotik Pemeriksaan Penunjang : Darah lengkap, BUN, ureum kreatinin, SGOT\/PT, albumin, GDA,GD puasa\/GD 2 jam PP, lipid Faal hemostasis, urine lengkap, analisis gas darah, dan serum elektrolit (sesuai indikasi) Foto thorak, ECG CT-Scan kepala tanpa kontras Megnetic resonance angiography (MRA), ekokardiographi dupleks carotid sonography, transcranial doppler ( sesuai indikasi), DSA (sesuai indikasi) Terapi Infus NaCl 0.9% atau RL atau Ringer asering atau .... Oksigen (bila saturasi less than 95 %) Pemasangan pipa oropharyng, pipa nasopharing dan intubasi ETT sesuai indikasi Dopamine atau dobutamin atau epinephrine bila MAP less than 70 mmHg Nicardipin 0.5 \u2013 5 mcg\/kgBB atau diltiazem 5 \u2013 15 mcg\/kgBB bila tekanan darah lebih dari 220\/120 mmHg 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 Insulin titrasi bila kadar GDA greater than 180 mg\/dl dan bolus dextrose 40% dilanjutkan dengan infus dextrose 10% Paracetamol infuse 3 x gr atau 3-4 x 500 mg (per oral) (atas indikasi) Metampiron 3 x 1 ampul (atas indikasi) Ondancentron 3 x 4 \u2013 8 mg (atas indikasi) Ranitidine atau omeprazole atau lazoprazole (bila terjadi perdarahan lambung) Manitol 0.25 \u2013 0.5 gr\/kgBB diulang setiap 4 \u2013 6 jam ( Tapering off 5 hari) bila didapatkan tanda \u2013 tanda tekanan intracranial meninglat. Ceftriazone 2 x 1 gr, levofloksasin 1 x 500 \u2013 750 mg meropenem 3 x 1 gr sesuai indikasi 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) Atorvastatin 1 x 4 mg Captopril 3 x 25 mg atau derivat sartan : Valsartan 1 x 80 mg, candesartan 1 x 8 -16 mg. Bisoprolol 1 x 5 mg, amlodipine 1 \u00a0\u20132 x 5 \u2013 10 mg (atas indikasi) 17.Citicholin 3 x 500 mg intravena 18.Piracetam 12 gr dilanjutkan dengan 3 x 3 gr (atas indikasi) Multivitamin yang diperkaya dengan ...(atas indikasi) Diet cair, bubur halus, bubur saring, nasi tim, nasi biasa dengan kalori 30 kkal\/kgBB dan protein 1.2 gr (disesuaikan kondisi) Edukasi Identifikasi faktor\u00a0\u00a0 risiko\u00a0\u00a0 stroke\u00a0\u00a0 Infark\u00a0\u00a0 Trombotik\u00a0\u00a0 dan mengendalikannya Kontrol rutin klinik saraf Prognosis Ad \u00a0vitam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 : dubia ad bonam Ad sanationam : dubia ad bonam Ad fumgsionam: dubia ad bonam Kepustakaan : Guideline stroke PERDOSSI 2011\", \"Indonesian Female\");\n                }\n            };\n        <\/script>\n    <\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Pengertian :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Perdarahan sub arachnoid adalah perdarahan yang terjadi didalam ruang sub arachnoid, suatu area diantara selaput arahnoid dan piameter yang mengelilingi otak<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Anamnesis<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Kejadian mendadak (akut), nyeri kepala hebat satu sisi, mual muntah dapat disusul dengan gangguan kesadaran dan kejang<\/span><\/li>\n<li><span style=\"color: #000000;\">Mencari riwayat penyakit sebelumnya, adakah riwayat trauma atau tidak, hal ini bertujun untuk menentukan apakah gejala tersebut akibat perdarahan sub arachnoid atau penyebab<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Pemeriksaan Fisik<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Pemeriksaan fisik umum<\/span><\/li>\n<li><span style=\"color: #000000;\">Pemeriksaan fisik neurologik :<\/span>\n<ol>\n<li><span style=\"color: #000000;\">Kesadaran<\/span><\/li>\n<li><span style=\"color: #000000;\">Fungsi luhur (berbahasa, memori)<\/span><\/li>\n<li><span style=\"color: #000000;\">Tanda rangsang meningeal<\/span><\/li>\n<li><span style=\"color: #000000;\">Saraf wajah<\/span><\/li>\n<li><span style=\"color: #000000;\">Motoris<\/span><\/li>\n<li><span style=\"color: #000000;\">Sensoris<\/span><\/li>\n<li><span style=\"color: #000000;\">Autonom<\/span><\/li>\n<li><span style=\"color: #000000;\">Reflek (fisiologis, patologis)<\/span><\/li>\n<\/ol>\n<\/li>\n<li><span style=\"color: #000000;\">Pemeriksaan NIHSS Kriteria diagnosis<\/span><\/li>\n<li><span style=\"color: #000000;\">Riwayat inset\u00a0 yang\u00a0\u00a0\u00a0 \u00a0mendada,\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nyeri\u00a0\u00a0 kepala \u00a0hebat \u00a0disertai kebingungan atau obtundasi<\/span><\/li>\n<li><span style=\"color: #000000;\">Kaku kuduk<\/span><\/li>\n<li><span style=\"color: #000000;\">Hasil pemeriksaaan neurologi non fokal dan<\/span><\/li>\n<li><span style=\"color: #000000;\">Cairan cerebro spinal berdarah adalah spesifik untuk perdarahan subarahnoid<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Diagnosis kerja<\/strong> :\u00a0PERDARAHAN SUB ARACHNOID<\/span><\/p>\n<p><span style=\"color: #000000;\"> <strong>Diagnosis banding<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Meningitis<\/span><\/li>\n<li><span style=\"color: #000000;\">Migraine<\/span><\/li>\n<li><span style=\"color: #000000;\">Cerebral venous sinus<\/span><\/li>\n<li><span style=\"color: #000000;\">Perdarahan intraserebral<\/span><\/li>\n<li><span style=\"color: #000000;\">Meningitis bacterial<\/span><\/li>\n<li><span style=\"color: #000000;\">Rupture aneurisma mikotik<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Pemeriksaan Penunjang :<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Darah lengkap, BUN, ureum kreatinin, SGOT\/PT, albumin, GDA,GD puasa\/GD 2 jam PP, lipid<\/span><\/li>\n<li><span style=\"color: #000000;\">Faal hemostasis, urine lengkap, analisis gas darah, dan serum elektrolit (sesuai indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Foto thorak, ECG<\/span><\/li>\n<li><span style=\"color: #000000;\">CT-Scan kepala tanpa kontras<\/span><\/li>\n<li><span style=\"color: #000000;\">Megnetic resonance angiography (MRA), ekokardiographi dupleks carotid sonography, transcranial doppler ( sesuai indikasi), DSA (sesuai indikasi)<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\"> <strong>Terapi<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Infus NaCl 0.9% atau RL atau Ringer asering atau &#8230;.<\/span><\/li>\n<li><span style=\"color: #000000;\">Oksigen (bila saturasi &lt; 95 %)<\/span><\/li>\n<li><span style=\"color: #000000;\">Pemasangan pipa oropharyng, pipa nasopharing dan intubasi ETT sesuai indikasi<\/span><\/li>\n<li><span style=\"color: #000000;\">Dopamine atau dobutamin atau epinephrine bila MAP &lt; 70 mmHg<\/span><\/li>\n<li><span style=\"color: #000000;\">Nicardipin 0.5 \u2013 5 mcg\/kgBB atau diltiazem 5 \u2013 15 mcg\/kgBB bila tekanan darah lebih dari 220\/120 mmHg<\/span><\/li>\n<li><span style=\"color: #000000;\">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<\/span><\/li>\n<li><span style=\"color: #000000;\">Insulin titrasi bila kadar GDA &gt; 180 mg\/dl dan bolus dextrose 40% dilanjutkan dengan infus dextrose 10%<\/span><\/li>\n<li><span style=\"color: #000000;\">Paracetamol infuse 3 x gr atau 3-4 x 500 mg (per oral) (atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Metampiron 3 x 1 ampul (atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Ondancentron 3 x 4 \u2013 8 mg (atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Ranitidine atau omeprazole atau lazoprazole (bila terjadi perdarahan lambung)<\/span><\/li>\n<li><span style=\"color: #000000;\">Manitol 0.25 \u2013 0.5 gr\/kgBB diulang setiap 4 \u2013 6 jam ( Tapering off 5 hari) bila didapatkan tanda \u2013 tanda tekanan intracranial meninglat.<\/span><\/li>\n<li><span style=\"color: #000000;\">Ceftriazone 2 x 1 gr, levofloksasin 1 x 500 \u2013 750 mg meropenem 3 x 1 gr sesuai indikasi<\/span><\/li>\n<li><span style=\"color: #000000;\">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)<\/span><\/li>\n<li><span style=\"color: #000000;\">Atorvastatin 1 x 4 mg<\/span><\/li>\n<li><span style=\"color: #000000;\">Captopril 3 x 25 mg atau derivat sartan : Valsartan 1 x 80 mg, candesartan 1 x 8 -16 mg. Bisoprolol 1 x 5 mg, amlodipine 1 \u00a0\u20132 x 5 \u2013 10 mg (atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">17.Citicholin 3 x 500 mg intravena<\/span><\/li>\n<li><span style=\"color: #000000;\">18.Piracetam 12 gr dilanjutkan dengan 3 x 3 gr (atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Multivitamin yang diperkaya dengan &#8230;(atas indikasi)<\/span><\/li>\n<li><span style=\"color: #000000;\">Diet cair, bubur halus, bubur saring, nasi tim, nasi biasa dengan kalori 30 kkal\/kgBB dan protein 1.2 gr (disesuaikan kondisi)<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\"> <strong>Edukasi<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Identifikasi faktor\u00a0\u00a0 risiko\u00a0\u00a0 stroke\u00a0\u00a0 Infark\u00a0\u00a0 Trombotik\u00a0\u00a0 dan mengendalikannya<\/span><\/li>\n<li><span style=\"color: #000000;\">Kontrol rutin klinik saraf<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Prognosis<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">Ad \u00a0vitam\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 : dubia ad bonam<\/span><\/li>\n<li><span style=\"color: #000000;\">Ad sanationam : dubia ad bonam<\/span><\/li>\n<li><span style=\"color: #000000;\">Ad fumgsionam: dubia ad bonam<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\"><strong>Kepustakaan :<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Guideline stroke PERDOSSI 2011<\/span><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_4055\" class=\"pvc_stats all  \" data-element-id=\"4055\" 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 : Perdarahan sub arachnoid adalah perdarahan yang terjadi didalam ruang sub arachnoid, suatu area diantara selaput arahnoid dan piameter yang mengelilingi otak &nbsp; Anamnesis Kejadian mendadak (akut), nyeri kepala <a class=\"more-link\" href=\"http:\/\/snars.web.id\/rs\/panduan-praktek-klinis-ppklinis-stroke-perdarahan-sub-arachnoid\/\">Continue Reading &rarr;<\/a><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_4055\" class=\"pvc_stats all  \" data-element-id=\"4055\" 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":[142,168],"tags":[195,199,171,196],"class_list":["post-4055","post","type-post","status-publish","format-standard","hentry","category-pelayanan-pasien","category-panduan-praktek-klinis","tag-klinis","tag-medis","tag-ppk","tag-ppklinis"],"a3_pvc":{"activated":true,"total_views":1872,"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 (PPKlinis) - STROKE PERDARAHAN SUB ARACHNOID - 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-ppklinis-stroke-perdarahan-sub-arachnoid\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Panduan Praktek Klinis (PPKlinis) - STROKE PERDARAHAN SUB ARACHNOID - STARKES 2024- Akreditasi RS Indonesia - SNARS.WEB.ID\" \/>\n<meta property=\"og:description\" content=\"Pengertian : Perdarahan sub arachnoid adalah perdarahan yang terjadi didalam ruang sub arachnoid, suatu area diantara selaput arahnoid dan piameter yang mengelilingi otak &nbsp; 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