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Algoritma Pengobatan Kejang Anak ( Zae )

Algoritma Pengobatan Kejang Anak ( Zae )

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Published by Zaenudin

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Published by: Zaenudin on Sep 12, 2012
Copyright:Attribution Non-commercial

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05/13/2014

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I.
5 10 MENITKEJANG
Perhatikan jalan nafas, kebutuhan oksigen atau bantuan pernafasanBila kejang menetap dalam 3 – 5 menit
II.15 – 20 MENIT
( Pencarian akses vena dan pemeriksaan laboratorium sesuai indikasi )
III.
>30 MENIT : STATUS KONVULSIVUS
Diazepam rectal 0,5 mg/kg5 10 kg: 5 mg>10 kg: 10 mg
ATAU
Diazepam IV ( 0,2 – 0,5 mg/kg/dosis ) dapatdiberikan 2 kali dengan interval 5 – 10 menitKejang(-)Kejang (+)Fenitoin IV ( 15 – 20 mg/kg ) diencerkandengan NaCl 0,9 %. Diberikan selama 20 – 30 menit atau dengan kecepatan 50 mg/menit
 
Kejang(-)Kejang (+)Dosis pemeliharaanFenitoin IV 5 – 7 mg/kgDiberikan 12 jamkemudianFenobarbital IV/IM10 – 20 mg/kg

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