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Scoring RtPA

Skor

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343 views2 pages

Scoring RtPA

Skor

Uploaded by

eko a
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Intravenous Thrombolysis Checklist
  • Intravenous Thrombolysis Flowchart

Cek list Trombolisis Intravena pada Stroke Iskemik

Ceklis Dokter IGD/Ruangan


Langkah 1

Ceklis Kriteria Inklusi IVT


Langkah 2

Ceklis Kriteria Eksklusi IVT


Langkah 3
Alur Trombolisis Intravena pada Stroke Iskemik

 IGD (Triage) Pasien dicurigai Gejala FAST : (Lihat Ceklis)


 Ruang Rawat Stroke
-Face (mulut mencong)
-Arm (lemah separuh badan)
-Speech (pelo/afasia)
TIM TRIAGE
DOKTER RUANGAN -Time last normal (< 6 jam)
(CURIGA STROKE AKUT < 4.5 jam)
Konsul / Refer cito ! Dalam 10 menit :
Neurologi 1. Diagnosis Klinis Stroke (5 menit)
2. EKG
PPDS/DPJP NEUROLOGI 3. GDS (stick)
4. Lab (bila perlu)
(Warfarin  INR ; NOAC  APTT)
5. Order Urgent CT/MRI Brain
6. Nilai NIHSS
ACTIVATE CODE STROKE
7. Pasang iv-line

TIM CODE STROKE


SELURUH anggota tim hadir ASAP
Urgent  Konfirmasi Stroke Iskemik
CT/MRI Brain  Klarifikasi onset gejala
 NIHSS
ELIGIBILITAS TROMBOLISIS  Order Obat Alteplase (Actilyse®)
Lihat Ceklis

 Dosis Alteplase 0.6-0.9


START TROMBOLISIS mg/kgBB
 Berikan bolus 10% dosis
 Sisanya di drip dalam 1 jam
TRANSFER KE RUANGAN
(STROKE UNIT/Bangsal
Neuro/HCU/ICU)

Cek list Trombolisis Intravena pada Stroke Iskemik Ceklis Dokter IGD/Ruangan Ceklis Kriteria Inklusi IVT Ceklis Kriteria Eksk
Pasien dicurigai Stroke TIM TRIAGE DOKTER RUANGAN (CURIGA STROKE AKUT < 4.5 jam) PPDS/DPJP NEUROLOGI Gejala FAST : (Lihat C

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