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Definitions
Epidemiology
The increasing age of life expectancy will tend to increase the risk of vascular
disease (coronary heart disease, stroke and peripheral artery disease). Data
in Indonesia showed the tendency of an increase in stroke cases both in
terms of mortality, incidence, and disability. The mortality rate based on age is:
15.9% (age 45-55 years) and 26.8% (age 55-64 years) and 23.5% (age 65
years). The incidence of stroke (incidence) amounted to 51.6 / 100,000
population. Sufferers are men more than women and age profile under 45
years of 11.8%, 54.2% aged 45-64 years, and age over 65 years amounted to
33.5%. Stroke attacking reproductive age and the elderly that could potentially
give rise to new problems in health development nationally at a later date
5. Basic management:
- Bed rest and positioned head and body 20-300 to maintain adequate
circulation to the brain.
- Infusion RL 20 drops / minute to maintain the state of euvolumic and needs
glucose.
- Infusion of Mannitol 125 cc / 6 hours to reduce cerebral edema.
- Injection 3x 2500 mg of tranexamic acid to control hemorrhage.
Giving citicolin aiming as a neuroprotective.
.5 Management
Stroke patients should be handled by a multidisciplinary team in conducting
the treatment of.
Management stroke be done by improving the general state of the patient,
treat disease risk factors, and prevent complications
1.6 Complications
Systemic complications often occurs on the first day of stroke. this condition
five time as much causing death than due to lessions. Some circumstances
that should always be monitored for systemic complications :
Blood Sugar