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Tata Laksana Kejang Demam Di Puskesmas

Tata Laksana Kejang Demam Di Puskesmas

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Published by: asepharirohman on Sep 06, 2012
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09/30/2013

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TATA LAKSANA KEJANG DEMAM DI PUSKESMAS
1.
 
Turunkan suhu badan : kompres es atau atau alcohol, bila suhu sudahnormal ganti kompres hangat2.
 
O2 kalau perlu3.
 
Pasang infus RL4.
 
Injeksi diazepam IV pelan (1 cc tiap menit)
dosis : 0,3-0,5mg / kgBB
BB 5 kg 10 kg 15 kg 20 kg 25 kg 30 kgdosis
2 mg (0,4 cc) 4 mg (0,8 cc) 6 mg (1,2 cc) 8 mg (1,6 cc) 10 mg (2 cc) 10 mg (2 cc)
5.
 
Bila masih kejang ulangi injeksi diazepam 15 menit lagi6.
 
Injeksi metampyron atau metamyzole 10mg/kgBB/x, bila tidak ada berikanparasetamol sirup 10-20 mg/kgBB/x7.
 
Antibiotik sesuai indikasi8.
 
Injeksi EXTRA dexametason (sekali pemberian)
dosis : 0,3 mg/kgBB
BB 5 kg 10 kg 15 kg 20 kg 25 kg 30 kgdosis
1,5 mg (0,3 cc) 3 mg (0,6 cc) 5 mg (1 cc) 5 mg (1 cc) 5 mg (1 cc) 5 mg (1 cc)
9.
 
Bila masih kejang konsul dokter
 
TATA LAKSANA DIARE
DIARE BERAT
Tanda :1.
 
Ubun2 cekung, mata cowong2.
 
Tidak kencing selama 8 jam3.
 
Turgor kulit menurun4.
 
Kesadaran menurun5.
 
Tanda2 syok : nadi cepat, ujung2 jari dingin
Jumlah cairan infus : 30 cc x BB
habiskan 1 jam, bila gizi buruk selama 2 jamDIARE SEDANG
Tanda :1.
 
Ubun2 cekung, mata cowong2.
 
Tidak kencing selama 8 jam3.
 
Turgor kulit menurun
Jumlah cairan infus : 70 cc x BB
habiskan 3 jam, bila gizi buruk selama 6 jamDIARE RINGAN
Tanda :1.
 
Anak merasa haus2.
 
Tidak kencing selama 8 jam3.
 
Turgor normal
Jumlah cairan infus : 50 cc x BB
habiskan 3 jam, bila gizi buruk selama 6 jam

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