Upload
filipushendrisuryawan
View
222
Download
0
Embed Size (px)
Citation preview
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 1/15
I Putu Cahya S.N. (09152)
Kurnia I.P. (09153)
Novitri Furoni (09156)
Sri Septiani (09157)Fitri Ku!iati (0915")
#yne$o%o&i$ 'iorerPreentation
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 2/15
TUJUAN PRAKTIKUM
– ahai*a !a!pu !en&a!+i% ata paien ari medical record an penata%a,anaan terapi paa paien ra*at -a%an e$ara %an&un& i r
Drug related problems (DRPs)
– erupa,an ,e-aian tia, iharap,an yan& ia%a!i paien i !anatau iu&a !e%i+at,an terapi o+at an apat !en&&an&&u pen$
terapi yan& iin&in,an.
Tujuan mengidentifkasi DRPs
– e!+antu paien untu, !enapat,an tu-uan terapi an apat !e*ter+ai, ari terapi o+at. /ntu, !en&ienti,ai !enye%eai,an aanya 'P pra,tii haru !en&erti +a&ai!ana 'P paa paien
IN'/CIN
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 3/15
Paien Ny. !en&e%uh ,e%uar $airan +enin& tia, +er+au
perut +a*ah eperti ,ra! hai Paien !en&ata,an in&in $onen&an ,e%uhan !aih ,e%uar $airan +enin& ,a%au ,e$ape,an
+a&ian +a*ah. Keputihan iraa,an e-a, 1 !in&&u yan& %a%u
%enir ,e%uar teruta!a +i%a ,e$ape,an. eraa P ya,in PP
aat hari yan& eharunya hai (8 !in&&u ari P)
i*ayat penya,it ahu%u Paien ri*ayat operai tu!or ,e%en-+enin& i ,etia, ,iri 3 tahun yan& %a%u i S P
:%er&i
'ia&noi /ta!a Supervision of Other Normal Pregnancy
';SKIPSI K:S/S
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 4/15
Pe!eri<a+ora
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 5/15
=: >:N# 'I;S;PK:N 'I ;K:;'IS ? :N': @I:<
PARAMETER NILAI
NORMAL
Fekuensi Pemeiksaan KETERAN!AN
1 2 3 8 5
Tekanan Daa"
(mm#g)
A120BA"0 110B7
0
110B"
0
120B7
0
110B"
0
100B7
0
Nor!a%
$eat $adan (kg) 52 585 56 56
#eat Rate
(detak%menit)
70100 "0 "0 Nor!a%
Res&iati'n Rate
(kai%menit)
1820 1" 20 Nor!a%
Tem&eatu (O) 366372 C 362 Nor!a%
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 6/15
:N:<ISIS K:S/S S;C:: S:PMA*ALA#
MEDIKTERAPI * O A (DRP)
Supervision of OtherNormal Pregnancy
F%u$onao%e a+%et 150 !&
1 D Sehari
Paien!en&e%uh
,e%uar $airan+enin& tia,+er+au 4e,() nyeri perut+a&ian +a*ahepeeti hai
Pe!eri,aan %a+ 1" Septe!+er 2015 pe*arnaan
&ra! E ite!u,an &ra! E+atan&
PN;pite%Ga!urBSpora Ne&atiH
ri$ho!ona ne&ative
F%u$onao%e,ontraini,ai en&an
,eha!i%an. F%u$ona%oeter!au, ,ata&ori C'
paa ,eha!i%an
F%u$onetro
CeDi!eKapu% 100!& 2 ,a%i
Sehari
Keputihaniraa,an e-a,
1 !in&&u yan&%a%u tia,+er+au %enir
,e%uarteruta!a +i%a
,e$ape,an
Pe!eri,aan %a+
5 ,to+er 2015 Pe*arnaan&ra! E ite!u,an +a,teri &ra!E +atan& PN (510). Ga!urBSpora PoitiH
ri$ho!ona Ne&atiH
CeDeh
Paien ri*ayatoperai tu!or,e%en-ar &etah
+enin& i ,etia,,iri 3 tahunyan& %a%u
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 7/15
:N:<ISIS K:S/S S;C:: S:PPARAMETER NILAI NORMAL Fekuensi Pemeiksaan
1 2 3 8 5
Tekanan Daa" (mm#g) A120BA"0 110B70 110B"0 120B70 110B"0 100B70
$eat $adan (kg) 52 585 56 56
#eat Rate (detak%menit) 70100 "0 "0
Res&iati'n Rate
(kai%menit)
1820 1" 20
Tem&eatu (O) 366372 C 362
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 8/15
+at F%u$onao%e +eraar,an &uie%ine National Guthe Management of Vulvovaginal Candidiasis ,ontr
terhaap ,eha!i%an. Sete%ah i%a,u,an pen&e$
F%u$onao%e ter!au, ,ate&ori C an ' (e$ape
'/# ;<:;' P=<;
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 9/15
1. etroniao%e
Mekanisme aksi !etroniao%e aa%ah anti+a,teri an antiprotooa inteti, erivatyan& !e!punyai a,tivita +a,terii a!e+ei an tri,o!onii.
Kontraindikasi penerita yan& hiperenitiH terhaap !etroniao%e atau erivat nitro
Efek samping !ua% a,it ,epa%a anore,ia iare nyeri epi&atru! an ,ontipai.
P;I<I:N =: :SIN:
2. K%ina!iin
Mekanisme aksi K%ina!iin apat +e,er-a e+a&ai +a,teriotati, !auter&antun& ,onentrai o+at paa te!pat inHe,i an or&ani!e penye+a+ in!en&ha!+at intea protein or&ani!e en&an !en&i,at u+unit ri+o!en&a,i+at,an terha!+atnya pe!+entu,an i,atan peptia.
Kontraindikasi hiperenitiH terhaap ,%ina!iin an %in,o!iin.
Efek samping a%uran pen$ernaan eperti !ua% !untah an iare rea,i hip
rah an urti,aria &an&&uan hati perti penya,it ,unin& a+nor!a%ita pe!eri,
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 10/15
P;I<I:N =: :SIN:3. F%u,onao%e
Mekanisme aksi Se%e,tiH !en&ha!+at eni! ito,ro! p850 ari -a!ur ehin&&hi%an&nya tero% an tera,u!u%ainya 18a%pha!ethy% paa -a!ur.
Kontraindikasi iperenitiH terhaap 4u$onao%e atau enya*a ao%e %ainnya.
Efek samping ua% nyeri perut ,e!+un& rua! ,u%it a,it ,epa%a peru+ahan Huhe!ato%o&i.
8. CeDi!e
Mekanisme aksi erupa,an anti+ioti, &o%on&an $epa%oporin &enerai ,e 3 yanuntu, !e!+unuh +a,teri &ra! ne&atiH en&an !e,ani!e !en&i,at 1 atau %einding protein ehin&a !en&ha!+at pe!+entu,an inin& e% +a,teri an ari +a,teri.
Kontraindikasi i*ayat yo, atau hiperenitiH terhaap Ce$Di!e.
Efek samping Syo, rea,i hiperenitiH! ,e%ainan he!ato%o&i peni&,atan hai% t
&an&&uan #I &an&&uan Hun&i &in-a% &an&uan pernapaan a,it ,epa%a atau pu
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 11/15
etroniao%e
'oi 500 !&
Fre,ueni 2 ,a%i ehari tiap 28 -a!
'urai 7 ari
Intera,i +at ia, aa inter,ai en&an $eDi!e etroniao
!eta+o%i!e *arHarin an oi anti,oa&u%an ,u!arin %ainnya Pe!+erian a%$oho% e%a!a terapi en&an !etroniao%e apat !eeperti paa iu%ra! yaitu !ua% !untah a,it perut an a,it ,epa%
:na%ii =iaya p. 20.265B,e!aan
;@:</:SI =: ;PI<I
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 12/15
CeDi!e
'oi 50 E 100 !& 2 ,a%i ehari oi apat itin&,at,an a!pai 20ahari paa inHe,i +erat
Fre,ueni 2 Ka%i Sehari tiap 12 -a!
'urai 18 ari
Intera,i +at ia, aa intera,i en&an o+at !etroniao%e. Pro+enei!enin&,at,an ,onentrai a%a! arah ari $eDi!e yaitu en&an !e%i!inai o%eh &in-a%. CeDi!e +era!a &o%on&an a!ino&%i,oia (t&enta!iin) apat !en&hai%,an eHe, aitiH apat !e!+unuh +
-u&a !enin&,at,an rei,o paa &in-a%.
:na%ii =iaya Kapu% 100 !& D 2" ,apu% (p. 168.680)
;@:</:SI =: ;PI<I
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 13/15
NIIN# ? F<<J /P
– e%a,u,an ,ontro% 1 !in&&u %a&i -i,a ,eputihan !enetap
– :NC 1 +u%an %a&i
K/NIK:SI INF:SI ':N ;'/K:SI K;P:': P:SI;N
–InHor!ai $ara pe!a,aian o+at eHe, a!pin& +ia ti!+u% !aupun $apeyi!panan o+at -u&a haru i+eri,an ,epaa paien.
– 'iet !a,anan yan& +er&ii an po%a !a,an iatur a&ar teratur.
– enapat itirahat yan& $u,up -an&an a!pai ,e%e%ahan.
– =anya, !inu! air an %a,u,an ,ontro% u%an& -i,a ,e%uhan !enetap.
NIIN# F<<J /P ? KI;
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 14/15
Invite uetion Hro! the auien$e.
Luetion ? an*er
7/23/2019 Gynecologic Disorders Presentation
http://slidepdf.com/reader/full/gynecologic-disorders-presentation 15/15