Implementation of Standardized Nutritional Care Processes for Children with Convulsive Epileptic Status + Slit Ventricle Syndrome Post VP Shunt ec Hydrocephalus + Comorbid Congenital Heart Disease

Authors

  • Dyah Octavia Rizky RSUP Prof. Dr. I.G.N.G Ngoerah, Denpasar, Indonesia
  • Kadarwati RSUP Prof. dr. I. G.N.G.Ngoerah, Denpasar, Indonesia
  • Hendrayati Dietitian Professional Study Program, Poltekkes Kemenkes Makassar, South Sulawesi, Indonesia
  • Sukmawati Dietitian Professional Study Program, Poltekkes Kemenkes Makassar, South Sulawesi, Indonesia

Keywords:

Status epilepticus, Case Study

Abstract

Background: Status epilepticus is an early symptom that occurs in 75% of epilepsy patients. The incidence rate of SE in children varies between 10 and 73 cases per 100,000 children per year. Objective: To present the implementation of standardized nutritional care processes provided to pediatric patients with Convulsive Status Epilepticus + Slit Ventricle Syndrome Post VP Shunt + Hydrocephalus + Comorbid Congenital Heart Disease. Method: This study used an observational study design with a case study approach. The data used in this study included primary data obtained through interviews and secondary data from the patient's medical records. Results: Nutritional status assessment showed that the patient had good nutritional status; however, physical examination revealed inadequate contact, leading to limitations in food intake. The patient was given a stepwise epilepsy diet via a combination of enteral and parenteral routes. Conclusion: During the six-day monitoring period, nutritional intake reached optimal target requirements: energy intake 100%, protein 99%, fat 91%, and carbohydrates 103%. Laboratory test results showed a hemoglobin level of 11.7 g/dL (low).

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References

Departemen Ilmu Kesehatan Anak FKUI. Tata Laksana Berbagai Keadaan Gawat Darurat Pada Anak. Departemen Ilmu Kesehatan Anak FKUI-RSCM; 2013.

Fitriyani PPD, Januarti RW. Diagnosis Dan Tatalaksana Epilepsi. Meduia. 2023;13(6):941-944.

Gunawan PI, Noviandi R, Samosir SM. Serum Interleukin-1β and Interleukin-6 levels in children with status epilepticus in Indonesia. Rom J Pediatr. 2024;73(4):219-223. doi:10.37897/RJP.2024.4.1

Hardaningsih G, Bahtera T. Faktor Risiko Status Epileptikus Konvulsivus Sebagai Prediktor Bangkitan Status Epileptikus Konvulsivus. 2016;1(Januari-April):13-18.

Gunawan PI, Susilo RI. Unusual Complication of Abdominal Pseudocyst Following Cystoperitoneal Shunt in Posterior Cranial Fossa Arrachnoid Cyst. Medico-legal Updat. 2021;21(4):292-294.

Al-Beltagi M, Saeed NK, Bediwy AS, Elbeltagi R. Unraveling the nutritional challenges in epilepsy: Risks, deficiencies, and management strategies: A systematic review. World J Exp Med. 2025;15(2):104328. doi:10.5493/wjem.v15.i2.104328

Yong RL et al. Seizures in patients with hydrocephalus. 2012;23(3):507-515.

Kurosawa H et al. Effects of aortic regurgitation on cardiac output and systemic circulation in rabbits. 1991;55(1):1-8.

Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 Tentang Standar Antropometri Anak. Vol 20.; 2020. BN.2020/No.7, jdih.kemkes.go.id: 8 hlm

Ariyani DE, Achadi EL, Irawati A. Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia. Kesmas Natl Public Heal J. 2012;7(2):83. doi:10.21109/kesmas.v7i2.67

Wahtini S. Faktor-faktor yang berpengaruh dengan kejadian anemia pada bayi. J Heal Stud. 2019;3. doi:10.31101/jhes.764

Kementerian Kesehatan RI. Laporan Riskesdas 2018 Nasional.pdf. Lemb Penerbit Balitbangkes. Published online 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3 514/1/Laporan Riskesdas 2018 Nasional.pdf

H. MH, Putranti AH. Perbedaan Manifestasi Klinis Kejang Demam Pada Anak Anemia Dengan Anak Tanpa Anemia. J Kedokteran Diponegoro. 2014;3(1).

Khanis A. Defisiensi Besi dengan Parameter sTfR sebagai Faktor Risiko Bangkitan Kejang Demam. Media Medika Indonesia. 2019;44:1-139. https://ejournal.undip.ac.id/index.php/mmi /article/view/21906/14642

Hare, Dominic, Scott Ayton, Ashley Bush PL. A delicate balance: iron metabolism and diseases of the brain. The Florey Institute of Neuroscience and Mental Health, University of Melbourne, VIC, Australia, Elemental Bio-imaging Facility, University of Technology, Sydney, NSW, Australia. https://doi.org/10.3389/fnagi.2013.00034

Trislawati C, Gunadharma S, Gamayani U, Wibisono Y, Sobaryati S, Amalia L. Faktor-faktor yang Berperan pada Status Epileptikus Non-konvulsivus di RSUP Dr. Hasan Sadikin Bandung. J Neuroanestesi Indones. 2022;11(3):137-143. doi:10.24244/jni.v11i3.423

Homan TD, Bordes SJ CE. Physiology, Pulse Pressure. In: In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. https://www-ncbi-nlm-nih-gov.translate.goog/books/NBK482408/?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=sge

Ponzo V, Pellegrini M, Cioffi I, Scaglione L, Bo S. The Refeeding Syndrome: a neglected but potentially serious condition for inpatients. A narrative review. Intern Emerg Med. 2021;16(1):49-60. doi:10.1007/s11739-020-02525-7

Espinosa-Salas S GAM. Nutrition: Macronutrient Intake, Imbalances, and Interventions. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. https://www-ncbi-nlm-nih-gov.translate.goog/books/NBK594226/?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc

Irawan R. Diet Ketogenik Pada Anak Penderita Epilepsi Dan Sindroma Epilepsi. Vol 1.; 2018.

Published

2026-08-02

How to Cite

1.
Rizky DO, Kadarwati, Hendrayati, Sukmawati. Implementation of Standardized Nutritional Care Processes for Children with Convulsive Epileptic Status + Slit Ventricle Syndrome Post VP Shunt ec Hydrocephalus + Comorbid Congenital Heart Disease . JHCD [Internet]. 2026 Aug. 2 [cited 2026 Aug. 11];1(2):79-85. Available from: https://journalmpci.com/index.php/jhcd/article/view/641

Issue

Vol. 1 No. 2 (2026)

Section

Articles
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