Download - Contoh Ppk Stroke Infark
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8/10/2019 Contoh Ppk Stroke Infark
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PANDUAN PRAKTIK KLINIS (PPK)
RS SAIFUL ANWAR MALANG
JAWA TIMUR
2013 2015
STROKE INFARK TROMBOTIK AKUT
1. Pene!"#$n
(De%#n#)
G$n'$n %'n &$!$% $n "e!$*# +en*$*$, -e#/ *$!# 2 $+
$"$' $en +en#n$- &ee-'+ 2 $+ $n *#&e$,$n -e/
$n'$n e+'-'/ *$!$/ *# "$, .
2. An$+ne& 1. Ke-e+$/$n &e$!'/ "''/ ,e&e+'"$n $"$' !$&$ $$-&e$!'/ "''/ #4$!$ e-$" $$/ +e!" ,e&$*$!$n
+en'!'n6"#*$, &$*$! -'$ "#*$, #&$ #4$!$ "#*$,+ene!"# e+#4$!$$n !$n -$#n 7e!"# "#*$, #&$
+enen$-# !$n $"$' en*$8en*$ "#*$, #&$ +ene'"
n$+$ en*$ '"$.
2. D#"e+',$n %$,"! !#, 9 Ken4#n +$n#& :#e!"en
$n'$n ,e&e#+$n$n -e+$, (*#&-##*e+#$) +e!,,
e"$& (,ee+',$n) !#$$" ,e-'$!$ +en*e!#"$ &"!,e
en$,#" $n"'n ,!ne! ,'!$n $,"#%#"$&
3. Pe+e!#,&$$n F#, 1. Pe+e!#,&$$n %#, '+'+2. Pe+e!#,&$$n %#, ne'!-#, 9
$. Ke&$*$!$n. F'n -'/'! (e!$/$&$ +e+!#)
4. T$n*$ !$n&$n +en#ne$-
*. S$!$% $$/
e. M"!#&
%. Sen&!#&
. A'"n+
/. Re%-e, (%#-#& $"-#&)
Pe+e!#,&$$n NI:SS
. K!#"e!#$ D#$n& 1. G$n'$n %'n &$!$%2. Men*$*$,
3. Le#/ *$!# 2 $+ $"$' ,'!$n *$!# 2 $+ "$#en*e!#"$ +en#n$-.
. ;T S4$n $"$' MRI "#*$, "$+$, $*$n$ e!*$!$/$n
5. D#$n& Ke!$ S"!,e #n%$!, "!+"#,
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=. Pe+e!#,&$$n
Pen'n$n
1. D$!$/ -en,$ BUN '!e'+ ,!e$"#n#n SGOT6PT
$-'+#n GDA GD '$&$6GD 2 $+ PP -##* !%#-e.
2. F$$- /e+&"$& '!#ne -en,$ $n$-#& $& *$!$/ *$n
&e!'+ e-e,"!-#" (&e&'$# #n*#,$)
3. P$*$ ,n*# "e!"en"' 9 /+&"e#n -#!"e#n %$,"!8%$,"! ,$'-$ en$n*$ #n%-$+$ &ee!"# /&;RP L8
PLA2.
. F" "/!$, E;G.
5. ;T S4$n ,e$-$ "$n$ ,n"!$&
81< + B#&!-- 15+
$+-*##ne 182 5810 + ($"$& #n*#,$)
1=. ;#"#4/-#n 3 500 + #n"!$7en$
1>. P#!$4e"$+ 12 ! *#-$n'",$n *en$n 3 3 ! ($"$&
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#n*#,$)
1?. M'-"#7#"$+#n $n *#e!,$$ *en$n.($"$& #n*#,$)
20. D#e" 4$#! ''! /$-'& ''! &$!#n n$ "#+ n$ #$&$
*en$n ,$-!# 30 ,,$-6,BB *$n !"e#n 12 !
(*#&e&'$#,$n ,n*#).
?. E*',$ 1. I*en"#%#,$ %$,"! !#, S"!,e In%$!, T!+"#,*$n +enen*$-#,$nn$.2. Kn"!- !'"#n ,-#n#, &$!$%
10. P!n& A* 7#"$+ 9 *'#$ $* n$+A* &$n$"#n$+ 9 *'#$ $* n$+
A* %'+n$+ 9 *'#$ $* n$+
11. T#n,$" E7#*en& I
12. T#n,$"
Re,+en*$
;
13. Pene-$$/ K!#"#& 1. D!. :$!# P'!n+ S.S (K)
2. D! E, A!#&e"#n S.S3. D! W#** M$!*# &$n"& S.S
1. In*#,$"! Me*#& >0@ $en e!"$/$n /#*'>0@ $en &"!,e +en$-$+# en'!'n$n &,! NI:SS *$-$+
$,"' 2 +#n'
15. Ke'&"$,$$n 1. G'#*e-#ne &"!,e PERDOSSI 2011
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