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Clinical Reasoning Kasus: Stroke Hemmorhagic Diagnosis Utama: Stroke Hemmorhagic DD : ICH, SAH Risk Factor: - Modifying: ○ HTN kronis ○ Alkohol ○ Merokok ○ Kopi ○ Teh - Non modifying: ○ Sex ○ umur Penanganan Umum (Pre hospital emergency management) 5B: 1. Breath : evaluasi dan monitor jalan nafas (lapangkan jalan nafas) 2. Blood : monitor tekanan darah dan infus RL 3. Brain : - kejang - diazepam IV - panas - paracetamol - mual - antimual - TIK meningkat (TD naik, nadi turun, kejang, muntah, pusing) - oksigenasi, bedrest dg head up 20-30 derajat (untuk mengembalikan venous return ke jantung) 4. Bowel : monitor nutrisi, pasang NGT, evaluasi dan monitor defekasi 5. Blast : Kateter (kalo blast penuh) dievaluasi dan monitor

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Page 1: Stroke

Clinical ReasoningKasus: Stroke Hemmorhagic

Diagnosis Utama: Stroke Hemmorhagic

DD : ICH, SAH

Risk Factor: - Modifying:○ HTN kronis ○ Alkohol○ Merokok○ Kopi ○ Teh- Non modifying:○ Sex○ umur

Penanganan Umum (Pre hospital emergency management)5B:1. Breath : evaluasi dan monitor jalan nafas (lapangkan jalan nafas)2. Blood : monitor tekanan darah dan infus RL3. Brain : - kejang - diazepam IV- panas - paracetamol- mual - antimual- TIK meningkat (TD naik, nadi turun, kejang, muntah, pusing) - oksigenasi, bedrest dg head up 20-30 derajat (untuk mengembalikan venous return ke jantung) 4. Bowel : monitor nutrisi, pasang NGT, evaluasi dan monitor defekasi5. Blast : Kateter (kalo blast penuh) dievaluasi dan monitor

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