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Promosi Kesehatan Cuci Tangan Dan Jajanan Sehat Terhadap Pengetahuan Dan Sikap Siswa Keumalasari Keumalasari; Kartini Hasballah; Imran Imran
Jurnal Ilmu Keperawatan Vol 5, No 1 (2017): Jurnal Ilmu Keperawatan (JIK) Volume V No.1 Januari-Juni 2017
Publisher : Jurnal Ilmu Keperawatan

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AbstrakCuci tangan dan jajanan sehat merupakan salah satu solusi yang mudah dan efektif dalam pencegahan penyakit menular dan juga dapat mencegah gangguan saluran pencernaan. Penelitian ini bertujuan untuk mengetahui pengaruh promosi kesehatan cuci tangan dan jajanan sehat terhadap pengetahuan dan sikap siswa MIN Lamrabo Kecamatan Kutabaro Kabupaten Aceh Besar. Intervensi promosi kesehatan dilakukan dengan metode ceramah, diskusi, demontrasi serta permainan menggunakan leaflet, booklet dan gambar. Jenis Penelitian ini adalah kuantitatif dengan design pre experimental berupa the one gruop pretest-posttest design terhadap 153 responden yang diperoleh secara purposive sampling. Instrumen penelitian dalam bentuk kuesioner dengan tehnik analisa data menggunakan uji statistik parametrik paired t-test. Hasil penelitian menunjukkan terdapat pengaruh promosi kesehatan terhadap peningkatan pengetahuan dengan nilai rerata 8,398 sebelum intervensi meningkat jadi 13,99 (p=0,000) dan peningkatan sikap dengan nilai rerata 47,74 sebelum intervensi meningkat jadi 64,47 (p=0,000). Promosi kesehatan merupakan prioritas utama dan merupakan salah satu intervensi keperawatan yang efektif meningkatkan tingkat kesadaran siswa akan pentingnya cuci tangan dan jajanan sehat di sekolah. Diharapkan pendidikan kesehatan tentang cuci tangan dan jajanan sehat dapat dijadikan salah satu tindakan keperawatan pada siswa di sekolah. Kata Kunci : cuci tangan, jajanan sehat, pengetahuan, sikap Abstract Hands wash and healthy snacks is one solution that is easy and effective in the prevention of infectious diseases and also can prevent gastrointestinal disorders. This study aims to determine the effect of hand washing health promotion and healthy snacks on knowledge and attitudes of students MIN Lamrabo Kutabaro District of Aceh Besar district. Health promotion interventions carried out with lectures, discussions, demonstrations and games using leaflets, booklets and pictures. This type of research is quantitative with pre-experimental design such as the one gruop pretest-posttest design of the 153 respondents were obtained by purposive sampling. The research instrument in the form of a questionnaire with data analysis techniques using parametric statistical test paired t-test. The results showed a health promoting effect on the improvement of knowledge with a mean value of 8.398 before the intervention increased to 13.99 (p = 0.000) and improvement of attitudes with a mean value of 47.74 before the intervention increased to 64.47 (p = 0.000). Health promotion is a top priority and is one of the nursing interventions effectively improve the level of students' awareness of the importance of hand washing and healthy snacks at school. Expected health education about hand washing and healthy snacks can be one nursing actions on the students in the school.Keywords: hand washing, healthy snacks, knowledge, attitudes

Kesediaan Melakukan Voluntary Counseling and Testing pada Kelompok Resiko HIV/AIDS Faendi Putera; Asnawi Abdullah; Imran Imran
Jurnal Ilmu Keperawatan Vol 5, No 1 (2017): Jurnal Ilmu Keperawatan (JIK) Volume V No.1 Januari-Juni 2017
Publisher : Jurnal Ilmu Keperawatan

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Abstrak Konsep sikap, norma subjektif, dan kontrol perilaku yang dirasakan dalam Theory of Planned Behavior (TPB) dianggap berkaitan erat dengan kesediaan seseorang untuk melakukan VCT. Penelitian ini bertujuan untuk mengidentifikasi faktor determinan kesediaan melakukan Voluntary Counseling and Testing pada kelompok resiko HIV/AIDS di Kota Lhokseumawe. Rancangan penelitian adalah analitik dengan pendekatan cross-sectional study pada 97 responden yang dipilih secara accidental sampling pada populasi lima kelompok resiko HIV/AIDS terdiri dari Lelaki suka lelaki, Wanita pekerja seks, Waria, Bikers, dan Warga binaan pemasyarakatan. Penelitian ini dilakukan dari tanggal 18 Januari sampai dengan 13 Pebruari 2016 di Kota Lhokseumawe melalui penyebaran angket Hasil uji regresi logistik berganda didapatkan bahwa faktor determinan kesediaan melakukan VCT adalah norma subjektif (Exp (β)=0.054; p-value=0.001) dan TPB mampu menjelaskan 21.6% faktor determinan kesediaan melakukan VCT (Nagelkerke R Square=0.216). Sehingga disimpulkan bahwa Theory of Planned Behavior mampu mengidentifikasi faktor determinan kesediaan melakukan Voluntary Counseling and Testing dengan norma subjektif sebagai faktor determinan utamanya. Konselor dan Penjangkau Lapangan hendaknya melakukan pendekatan dengan orang–orang terdekat kelompok sasaran intervensi kesehatan dalam rangka meningkatkan keberhasilan program terkait pemanfaatan layanan Voluntary Counseling and Testing.Kata Kunci: Kelompok resiko HIV/AIDS, Kesediaan melakukan Voluntary Counseling and Testing, Theory of Planned Behavior. AbstractConcepts of attitude, subjective norms, and perceived behavior control in the Theory of Planned Behavior considered to have significant correlation to VCT uptake’s intention. This study aimed to identify determinants factors of voluntary and counseling testing uptake’s intention among HIV/AIDS risk groups in Lhokseumawe. This was an analytic with cross-sectional study on 97 respondents selected through accidental sampling technique among five HIV/AIDS risk groups consists of Men who have sex with men, Female sex workers, Transsexual, Bikers, and Prisoners, conducted from January 18 to February 13, 2016 in Lhokseumawe. Data were collected using questionnaire. The results by binary logistic regression test showed that determinant factor of VCT uptake’s intention was subjective norms (Exp (β)=0.054; p-value=0.001) and TPB explained the variability in VCT uptake’s intention by 21.6% (Nagelkerke R Square=0.216). Therefore it concluded that the Theory of Planned Behavior could identify determinant factor of Voluntary Counseling and Testing uptake’s intention with subjective norms as its main determinant. The counselors and field personals should assemble with the target group’s significant in order to improve the program success associated to the Voluntary Counseling and Testing service use.Key Words: HIV/AIDS Risk groups, The Theory of Planned Behavior, Voluntary Counseling and Testing uptake’s Intention.

ANALISIS KESIAP SIAGAAN KANTOR KESEHATAN PELABUHAN KELAS III BANDA ACEH MENGHADAPI RISIKO BENCANA INFEKSI VIRUS MERS-CoV DI BANDARA SULTAN ISKANDAR MUDA TAHUN 2015 Yusri Yusri; Imran Imran; Mudatsir Mudatsir
Jurnal Kedokteran Syiah Kuala Vol 16, No 2 (2016): Volume 16 Nomor 2 Agustus 2016
Publisher : Universitas Syiah Kuala

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Abstrak. Kantor Kesehatan Pelabuhan Kelas III Banda Aceh mempunyai tugas dan fungsi antara lain melaksanakan pencegahan masuk dan keluarnya penyakit berpotensial menimbulkan risiko Wabah dan KLB salah satunya adalah Middle East Respiratory Syndrome Corona Virus (MERS-CoV). Penyakit ini merupakan penyakit infeksi melular yang berbahaya. Pada skala yang besar bisa menjadi wabah dan Kejadian Luar Biasa yang mengakibatkan meningkatnya jumlah penderita dan korban jiwa. Tujuan penelitian ini adalah untuk mengetahui kesiapsiagaan Pegawai KKP Kelas III Banda Aceh menghadapi bencana penyakit MERS-CoV dilihat dari komponen Sumber Daya Manusia, Sarana Prasarana, Pendanaan dan Koordinasi. Penelitian ini dilakukan selama 1 (satu) bulan dari bulan November-Desember 2015. Penelitian ini menggunakan pendekatan kualitatif dan menggunakan metode triangulasi. Populasi penelitian ini adalah pegawai KKP Kelas III Banda Aceh 12 orang dan 6 intansi lain yang diwakili oleh 1 orang pegawai. Teknik pengumpulan data dilakukan melalui quesioner, wawancara mendalam, fokus grup diskusi dan dokumentasi. (JKS 2016; 2: 93-98) Kata Kunci: Kesiapsiagaan, MERS-CoV, SDM, Sarana dan Prasarana, Pendanaan dan Koordinasi. Abstract. Port Health Office Class III of Banda Aceh is aimed to prevent the spreading of communicable diseases such as Middle East Respiratory Syndrome Corona Virus (MERS-CoV) that can be a plague and Extraordinary Condition (KLB) and raise the number of victims. This research aimed to find out the preparedness of Port Health Office Class III of Banda in dealing with MERS-CoV disease in term of human resources, facilities and infrastructures, budget, and coordination. Research was conducted from November to December in 2015. Research approach used was qualitative and triangulasi methode in Port Health Office Class III Banda Aceh. Data was collected through In-depth interview, focus group discussion, documentation and observation. The results showed that; there was no Quick Response Team and simulated emergency response, there was no isolation room in in Sulthan Iskandar Muda International Airport, the thermal scanner tool was broken and there was a lack of budget and coordination. It is recommended that Quick Response Team should be formed as soon as possible, held simulated emergency response in order to improve human resources ability, prepare facilities and infrastructures like isolation room, fix the thermal scanner tool, increase budget, and improve cooperation and coordination with other institutions. (JKS 2016; 2: 93-98) Keywords: Preparedness, MERS-CoV, Human Resources, Facilities and Infrastructures, Fund and Coordination

HUBUNGAN TINGKAT PENGETAHUAN, PENDIDIKAN DAN SIKAP DENGAN PARTISIPASI IBU RUMAH TANGGA DALAM PENCEGAHAN WABAH DBD DI KECAMATAN KUTA ALAM BANDA ACEH Ayong Liza; Imran Imran; Mudatsir Mudatsir
Jurnal Kedokteran Syiah Kuala Vol 15, No 3 (2015): Volume 15 Nomor 3 Desember 2015
Publisher : Universitas Syiah Kuala

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Abstrak. Di Indonesia penyakit DBD masih merupakan masalah kesehatan masyarakat di Indonesia yang belum dapat ditanggulangi. Sampai dengan bulan November 2011, kasus DBD di Indonesia telah mencapai 124,811 (IR: 57,51/100.000 penduduk) dengan 403 kematian (CFR: 1,02%). Berdasarkan data dari Dinas Kesehatan Banda Aceh dari Bulan Januari sampai Juni 2013 jumlah kasus DBD tertinggi di Kecamatan Kuta Alam yaitu 32 Kasus. Tujuan penelitian untuk mengetahui hubungan tingkat pengetahuan, pendidikan dan sikap dengan partisipasi ibu rumah tangga dalam pencegahan DBD di Kecamatan Kuta Alam Banda Aceh. Desain penelitian ini merupakan penelitian analitik kuantitatif dengan pendekatan cros sectional. Populasi adalah seluruh ibu rumah tangga yang tinggal di Kecamatan Kuta Alam Banda Aceh dengan jumlah sampel 206 orang. Penelitian menunjukkan bahwa bahwa pada kelompok ibu rumah tangga yang menyatakan salah satu anggota keluarganya pendidikan yang tinggi mempunyai hubungan yang sangat baik terhadap peningkatan partisipasi ibu rumah tangga dalam pencegahan wabah DBD di Kecamatan Kuta Alam Banda Aceh (85,7%) selanjutnya diikuti oleh pengetahuan yang baik (68,3%) dan sikap yang positif (64,2%). Penelitian menyimpulkan bahwa terdapat hubungan tingkat pendidikan, pengetahuan dan Sikap dengan partisipasi ibu rumah tangga dalam pencegahan wabah DBD di Kecamatan Kuta Alam Banda Aceh.Kata Kunci: Pengetahuan, pendidikan, sikap, partisipasi ibu, demam berdarah dengue Abstract. In Indonesia, dengue disease still becomes one of public health problems in Indonesia that has not been overcome. Until November 2011, dengue fever cases in Indonesia reached 124.811 (IR: 57.51 / 100,000 population) with 403 deaths (CFR: 1.02%). Based on the data from the Health Office in Banda Aceh from January to June 2013, the highest number of dengue cases was in Kuta Alam sub-district that is 32 cases. The purpose of the Research was to determine the relationship between level of knowledge, education and attitude with the participation of housewives in the prevention of dengue fever outbreak in Kuta Alam sub-district, Banda Aceh. This study design is a quantitative analytical research with cross sectional approach. The population was all housewives who live in Kuta Alam sub-district, Banda Aceh with the number of sample were 206 people. Research showed that higher education has a very good connection to the increasing the participation of housewives in the prevention of dengue fever outbreak in Kuta Alam sub-district, Banda Aceh (85.7%) followed by a good knowledge (68.3%) and a positive attitude (64, 2%). The study concluded that there is a relationship between the level of education, knowledge and attitude with the participation of housewives in the prevention of dengue fever outbreak in Kuta Alam sub-district, Banda Aceh.Keywords: Knowledge, education, attitude, the participation of mothers, dengue fever

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP PERAWAT DENGAN KESIAPSIAGAAN MENGHADAPI BENCANA WABAH PENYAKIT MALARIA DI KABUPATEN ACEH BESAR Saidy Fahrul Radhi; Imran Imran; Mudatsir Mudatsir
Jurnal Kedokteran Syiah Kuala Vol 15, No 3 (2015): Volume 15 Nomor 3 Desember 2015
Publisher : Universitas Syiah Kuala

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Abstrak. Malaria merupakan salah satu dari penyakit menular yang masih merupakan masalah kesehatan di negara yang sedang berkembang termasuk Indonesia keadaan penyakit malaria di dunia tidak bertambah baik masih lebih dari 200 juta manusia di dunia yang terancam malaria sekarang ini. Di Provinsi Aceh jumlah orang yang terkena penyakit malaria masih tergolong tinggi, meskipun dari tahun ketahun jumlahnya cenderung menurun. Tahun 2011 serangan malaria tercatat sebanyak 2.757 orang, tahun 2012 sebanyak 2.363 orang, sampai Desember 2013 menurun menjadi 1.533 orang Penelitian bertujuan untuk mengetahui hubungan tingkat pengetahuan dan sikap perawat dengan kesiapsiagaan menghadapi bencana wabah penyakit malaria di Kabupaten Aceh Besar. Penelitian ini menggunakan analitik kuantitatif dengan menggunakan pendekatan cross sectional. Populasi seluruh perawat yang bertugas di Kabupaten Aceh Besar berjumlah 249 orang. Pemilihan perawat sebagai sampel dalam penelitian ini karena perawat adalah tenaga kesehatan yang mempunyai peran besar dalam mengantisipasi wabah penyakit malaria. Hasil penelitian menunjukkan bahwa 48,2% perawat berumur 30-40 tahun, dan berjenis kelamin perempuan (53,4%), 46,2% berpendidikan Diploma III keperawatan. penelitian ini menyimpulkan bahwa terdapat hubungan pengetahuan dengan kesiapsiagaan perawat menghadapi wabah malaria dan terdapat hubungan sikap dengan kesiapsiagaan perawat menghadapi wabah malaria di Kabupaten Aceh Besar.Kata kunci: Tingkat pengetahuan, sikap, kesiapsiagaan perawat, wabah malaria Abstract. Level of knowledge, attitude, nurse’s preparedness, malaria epidemic Malaria remains a public health problem in Indonesia, each year there are about 15 millions of clinical malaria patients resulting 30,000 people died. The data from the Survey of Malaria Metric indicated that Aceh Besar regency included to the category of endemic malaria with the number of clinical cases were 1,449 cases, 724 positive cases with the classification of plasmodium falcifarum was 441 cases, plasmodium vivax was 276 cases. It is a quantitative analytical research using cross sectional approach. Samples were all nurses who worked in Aceh Besar regency with the total 249 people. The data were collected using a close questionnaire and processed using chi square test. The results showed that 48.2% of nurses were 30-40 years old, and female (53.4%), 46.2% have Diploma III of Nursery, then 56.6% of nurses had sufficient knowledge about malaria, 60.6% of nurses gave good attitude toward the prevention of malaria and 54.2% were ready to face malaria plague, from 151 nurses with the good attitude were 68.9% ready to face malaria plague, from 98 nurses who had less attitude there were 68.4% who stated less prepared to face malaria plague, from 101 knowledgeable nurses there were 78.2% ready to face malaria plague, from 141 nurses who have sufficient knowledge there were 65.2% who stated less prepared, and all less knowledgeable nurses were ready to face malaria plague in Aceh Besar regency. There is a relationship between knowledge and attitude with the preparedness of nurses to face malaria plague in Aceh Besar regency.Keywords: Level of knowledge, attitude, preparedness of nurses, malaria

The Clinical Characteristics of Patients with Embolic Strokes among Indonesian Subjects Syahrul; Imran; Farida; Suherman; Nasrul Musadir; Nurul Fajri; Endang Mutiawati; Nova Dian Lestari
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.296

Stroke accounts for 10% of the world's deaths and causes severe long-term disabilities. Twenty-six million people world wide experience a stroke each year. Two-thirds represents cerebral ischemia. Age, a history of stroke or transient ischemic attack, hypertension, diabetes and heart failure characterize a stroke. Early detection with a proper treatment could improve clinical outcomes in such cases.

Foville Syndrome Due to Pontine Hemorrhage and Pontine Infarct: Case Series Imran I; Syahrul S; Nurul Fajri
Britain International of Exact Sciences (BIoEx) Journal Vol 3 No 2 (2021): Britain International of Exact Sciences Journal, May
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v3i2.438

Foville Syndrome is a rare clinical feature of stroke or brain hemorrhage. Few cases have been reported worldwide particularly in Asian, Indonesia, Aceh. Patient 1: We report the case of a female 64 years old patient, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy, left ipsilateral facial nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown in the right pontine hypodensity area is pontine infarct. Etiological investigations done to chronic hypertension. Patient received antiplatelet therapy and control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 8 days later. Patient 2: 45-year-old right-handed female, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy, left ipsilateral facial nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown spontaneous hemorrhage in the left pontine’s. Etiological investigations done to chronic hypertension. Patient received therapy control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 10 days later. The diagnosis and management of brainstem stroke bring a considerable burden to the healthcare system, the patient, the family members, and the society at large. The slow increase in the global burden of stroke has been steadily increasing.

Tingkat Kepuasan Pasien Setelah Operasi Katarak di Rumah Sakit dr. Zainoel Abidin Katijah Maulidda Desky; Saiful Basri; Imran Imran
Jurnal Ilmiah Mahasiswa Kedokteran Biomedis Vol 2, No 4 (2017): Volume 2 Nomor 4 November 2017
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Biomedis

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ABSTRAKKatarak merupakan kekeruhan pada lensa yang dapat terjadi akibat hidrasi (penambahan cairan) di lensa. Katarak dapat menimbulkan gangguan pada penglihatan seperti kabur dan silau. Pada umumnya angka kejadian katarak berbanding lurus dengan jumlah penduduk yang berusia lanjut atau diusia 45 tahun keatas. Tingkat kepuasan merupakan perasaan senang atau puas yang dirasakan seseorang, didapatkan dari pelayanan atau tindakan yang diberikan kepada pasien dan hasilnya dapat dilihat berupa tingkat kepuasan yang dirasakan pasien. Penelitian ini bertujuan untuk mendapatkan data tentang tingkat kepuasan pasien yang telah menjalani operasi katarak di Poliklinik Mata RSUZA Banda Aceh. Penelitian ini merupakan deskriptif analitik dengan desain cross sectional. Jumlah responden yang didapatkan 46 orang, dengan teknik pengambilan data acciendental sampling. Hasil uji analisa yang didapatkan pasien yang merasa sangat puas mencapai frekuensi 21 subjek dengan nilai presentase 45,7%, pasien yang merasa puas dengan frekuensi 20 subjek dengan nilai presentase 43,3%, pasien tidak puas dengan frekuensi 5 subjek dengan nilai presentase 10,9%. Dari data didapatkan bahwa lebih banyak pasien yang merasa sangat puas dan puas daripada pasien yang tidak merasa puas. Dapat disimpulkan bahwa pasien lebih banyak meras puas setelah menjalani operasi katarak di RSUZA Banda Aceh.Kata Kunci: Katarak, Tingkat Kepuasan, OperasiABSTRACTCataracts are opacities in the lens that can occur as a result of hydration (fluid replenishment) in the lens. Cataracts can cause interference such as blurred vision and glare. Cataracts is commonly linked to older people or people aged 45 years or older.The level of satisfaction is a happy or satisfied feeling one feels and is obtained from the service or given treatment. The results of service and treatment can be observed from the level of satisfaction patients feels.This study aimed to obtain data on the satisfaction level of patients who have undergone cataract surgery at the Eye Clinic of RSUZA Banda Aceh. This research is descriptive analytics with cross-sectional design.Accidental sampling technique was utilized to obtain 46 respondents. The results showed that 21 subjects, at about 45.7% were very satisfied, 20 subjects, around 43.3% were satisfied and only 5 subjects roughly at 10.9% were unsatisfied.The results indicated that there were more patients who were very satisfied and satisfied than patients who were not satisfied. It can be concluded that more patients feel satisfied after they underwent cataract surgery in RSUZA of Banda Aceh.Keywords: Cataract, Satisfaction Level, Surgery

SIADH in Hemorrhagic Stroke Patients: A Case Series Imran I; Syahrul S; Farida F; Ipak Nistriana
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 3 (2021): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i3.2093

Hyponatremia is common in acute stroke, possibly syndrome of inappropriate antidiuretic hormone (SIADH) or cerebral salt-wasting syndrome (CSWS). Hyponatremia is defined as a condition in which the sodium concentration is below 135 mEq/L. Hyponatremia can cause hypoosmolality in cerebral blood vessels and cause an increase in intracranial pressure resulting in cerebral edema which can be life threatening. Patient 1, 47 years old male with a hemorrhagic stroke came to the emergency room at Zainoel Abidin Hospital with acute weakness in the right side (2 hours’ onset) and headache when the patient was working in the office followed by a decrease in consciousness (GCS 14), he is an uncontrolled hypertensive patient, active smoker and rarely physical exercise. His blood pressure was 230/140 mmHg, heart rate, respiration and body temperature were normal, right side neurologic deficit with positive Babinsky reflex. The head CT scan shows intracerebral hemorrhage (ICH) in the left hemisphere. Laboratory examination revealed serum sodium levels of 130 mmol/L, potassium 3.9 mmol/L. During the treatment period, the patient often complained of headaches and frequent vomiting. There were no symptoms of hypovolemia, so it was suspected that the cause of hyponatremia was SIADH and the symptoms improved after fluid restriction and sodium chloride supplementation. After 2 weeks of treatment, the patient was allowed to go home. Patient 2, aged 60 years male with hemorrhagic stroke, came to the emergency room at Zainoel Abidin Hospital with a sudden loss of consciousness on activity (onset 4.5 hours, GCS 11), with vomiting twice, left side weakness, dysarthria, and headache. The patient is an uncontrolled hypertension and diabetes mellitus, blood pressure is 158/102 mmHg with normal heart rate, breathing and body temperature. The Head CT scan showed massive intracerebral and intraventricular hemorrhage in the right hemisphere, serum sodium level of 129 mmol/L, potassium 3.8 mmol/L, and chloride 106 mmol/L, and random blood sugar 226 mg/dL, no hypovolemia was found. The patient had SIADH. After fluid restriction, furosemide and sodium chloride supplementation, the patient's condition improved. Hyponatremia in stroke can be either SIADH or CSWS. These two conditions are similar but require different treatment, therefore they must be determined precisely. Monitoring serum sodium levels and determining the etiology of hyponatremia in stroke patients is very important.

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