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gcs pada anak

gcs pada anak

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Published by: dinifatianifpw on May 02, 2012
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11/16/2012

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Sebenarnya tidak jauh berbeda dengan dewasa, akan tetapi ada beberapa komponen yang penilaiannya spesifik untuk

anak dan bayi. Beberapa pengkajian pada orang dewasa tidak sesuai untuk bayi dan anak – anak, oleh karena itu harus dimodifikasi. Modified Glasgow Coma Scale for Infants and Children Area Assessed Infants Open spontaneously respon membuka mata Open in response to verbal stimuli Open in response to pain only No response respon verbal Coos and babbles Irritable cries Cries in response to pain Moans in response to pain No response respon motorik** Moves spontaneously and purposefully Withdraws to touch Withdraws in response to pain Responds to pain with decorticate posturing (abnormal flexion) Responds to pain with decerebrate posturing (abnormal extension) No response Children Open spontaneously Score* 4

Open in response to verbal stimuli Open in response to pain only No response Oriented, appropriate Confused Inappropriate words Incomprehensible words or nonspecific sounds No response Obeys commands Localizes painful stimulus Withdraws in response to pain Responds to pain with flexion Responds to pain with extension No response

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*Score: 12 suggests a severe head injury. 8 suggests need for intubation and ventilation. 6 suggests need for intracranial pressure monitoring. **If the patient is intubated, unconscious, or preverbal, the most important part of this scale is motor response. This section should be carefully evaluated. Adapted from Davis RJ et al: Head and spinal cord injury. In Textbook of Pediatric Intensive Care, edited by MC Rogers. Baltimore, Williams & Wilkins, 1987; James H, Anas N, Perkin RM: Brain Insults in Infants and Children. New York, Grune & Stratton, 1985; and Morray JP et

1984.al: Coma scale for use in brain-injured children. . Critical Care Medicine 12:1018.

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