12
Terapi farmakologi

Presentation Farmakologi Dan Non Farmakologi

Embed Size (px)

DESCRIPTION

preskrip

Citation preview

PowerPoint Presentation

Terapi farmakologiFenoterol HBr ( Berotec )

IndikasiAsma bronkial, chronic bronchitis, emphysemaKlasBeta2 AgonistkontraindikasiHipertiroidisme, stenosis aortik, takiaritmiadosisMetered dose inhaler (MDI):Acute treatment: 1 isapan untuk pertama kali; dapat diulang setiap 5 menit; jika tidak ada perubahan, penambahan dosis dan atau obat lain mungkin diperlukanIntermittent/long-term treatment: 1-2 isapan 3-4 kali/hari (maximum of 8 isapan/24 jam) Inhalation solution: 0.5-1 mg (up to maximum of 2.5 mg)Tempat penyimpananAerosol: Store at 15C to 30C (59F to 86F). Efek samping >10%: Endocrine & metabolic: Serum glucose increased, serum potassium decreased 1% to 10%: Cardiovascular: Palpitation, tachycardia Central nervous system: Headache, dizziness, nervousnessNeuromuscular & skeletal: Tremor, muscle cramps Respiratory: Pharyngeal irritation, coughperhatianBronchospasm, Asthma, Cardiovascular disease, Diabetes, Glaucoma, Hyperthyroidism, Hypokalemia, Seizures, Pediatrics, Pregnancy : similar agents rated C , Lactation : Enters breast milkInteraksi Alpha-/Beta-Blockers, Beta-Blockers (Beta1 Selective), Beta-Blockers (Nonselective), Betahistine, MAO Inhibitors, Sympathomimetics, Tricyclic Antidepressants, Food: Avoid or limit caffeine (may cause CNS stimulation).

IndikasiBronchodilator in reversible airway obstruction due to asthma or COPD; because of its delayed onset of action (1 hour) and prolonged effect (4 or more hours), this may not be the drug of choice for assessing response to a bronchodilatorKlasBeta2 AgonistkontraindikasiHypersensitivity terhadap Metaproterenol sulfatdosisInhalation: 2-3 inhalations every 3-4 hours, up to 12 inhalations in 24 hours Nebulizer: 5-20 breaths of full strength 5% metaproterenol or 0.2 to 0.3 mL 5% metaproterenol in 2.5-3 mL normal saline until nebulized every 4-6 hours (can be given more frequently according to need)Tempat penyimpananStore in a tight, light-resistant container. Do not use if brown solution or contains a precipitate.Efek samping >10%: Tachycardia (