Embed Size (px)
Citation preview
2018
Workshop & Symposium
SEKRETARIAT PANITIADivisi Ginjal dan Hipertensi, SMF/Bagian Ilmu Penyakit DalamFK Unud/RSUP Sanglah Denpasar - BaliEmail : [email protected]
BUN SCSanur Paradise Plaza Hotel
Jumat-Sabtu, 23-24 Maret 2018
Bali Dialisis ForumAula Werkudara
RSUP Sanglah DenpasarMinggu, 25 Maret 2018
First Announcement
BUN SCBali Update in Nephrology Scientific Communication
BDFBali Dialisis Forum
PROCEDING BOOK
BUN SC
Bali Update in Nephrology Scientific Communication
Sanur Paradise Plaza Hotel Jumat-Sabtu, 23-24 Maret 2018
SEKRETARIAT PANITIADivisi Ginjal dan Hipertensi, SMF/Bagian Ilmu Penyakit DalamFK Unud/RSUP Sanglah Denpasar - BaliEmail : [email protected]
BDFBali Dialisis Forum
Bali Update in Nephrology Scientific Communication
PROCEEDING BOOK
BALI UPDATE IN NEPHROLOGY
SCIENTIFIC COMMUNICATION (BUN-SC) 2018
&
BALI DIALYSIS FORUM (BDF) 2018
Sanur Paradise Plaza Hotel, 23 – 24 Maret 2018
Aula Werkudara, RSUP Sanglah Denpasar, 25 Maret 2018
KATA PENGANTAR
Penyakit Ginjal Kronis telah menjadi masalah
kesehatan serius di dunia. Menurut WHO, 2002 dan burden
disease, penyakit ginjal dan saluran kemih telah
menyebabkan kematian sebesar 850.000 orang setiap
tahunnya. Hal ini menunjukkan bahwa penyakit ini telah
menduduki peringkat ke-12 sebagai penyebab kematian.
Jumlah ini diprediksi akan terus meningkat di masa depan
karena meningkatnya penyakit diabetes mellitus, hipertensi
dan penyakit degeneratif lain. Fakta ini mulai terlihat jelas
dengan bertambah panjangnya daftar tunggu pasien dialisis
di berbagai rumah sakit pemerintah maupun swasta, dimana
kapasitas mesin hemodialisa yang tersedia tidak mampu
memenuhi kebutuhan pasien. Untuk itu pencegahan sedari
dini terhadap progresifitas penyakit ini perlu dilakukan,
mengingat perburukan dari ginjal terjadi secara perlahan-
lahan, tersembunyi dan sering kali tidak disadari sebelum
pasien akhirnya jatuh kepada gagal ginjal stadium akhir (end
stage renal disease).
Dalam memperingati Hari Ginjal Sedunia (World
Kidney Day) yang jatuh pada hari kamis, minggu ke-2 setiap
bulan Maret. Pada tahun 2018 jatuh hari Kamis tanggal 8
Maret 2018. Perhimpunan Nefrologi Indonesia (PERNEFRI)
koordinator wilayah Bali, NTB dan NTT bekerjasama dengan
Divisi Ginjal dan Hipertensi RSUP Sanglah Denpasar pada
kesempatan ini akan menyelenggarakan serangkaian
kegiatan, meliputi symposium yaitu; Bali Update Nephrology
Scientific Communication 2018 dan Bali Dialysis Forum
2018. Acara ini bertujuan untuk meningkatkan kualitas
pelayanan di bidang nefrologi, baik kepada tenaga medis
maupun paramedis yang bekerja dan memiliki minat pada
bidang Ginjal dan Hipertensi . selain symposium melalui
kegiatan World Kidney Day tahun 2018 yang mengambil
tema “Kidney and Women's Health – Include, Value,
Empower”, kami juga melaksanakan serangkaian kegiatan
lainnya seperti Virtual Run “World Kidney Day Run”,
Seminar Awam, Takshow kesehatan di televisi nasional dan
swasta yang kesemuanya kami harapkan selanjutnya dapat
menjadi wadah untuk mewujudkan masyarakat yang lebih
sehat pada umumnya, dan kesehatan ginjal terutama pada
wanita yang lebih baik pada khususnya.
Denpasar, 20 Februari 2018
Ketua Panitia
DR. Dr. Yenny Kandarini, SpPD-KGH
EDITOR
Prof. DR.dr. Ketut Suwitra, SpPD-KGH
Prof. DR. dr. I Gde Raka Widiana, SpPD-KGH
DR. dr Wayan Sudhana, SpPD-KGH
DR. dr. Yenny Kandarini, SpPD-KGH
dr. Jodi S. Loekman, SpPD-KGH
SUSUNAN PANITIA BUN SC 2018 dan BDF 2018
Ketua Panitia DR. dr. Yenny Kandarini, SpPD-KGH
Ketua Pelaksana dr. IGN Agung Tresna Erawan, M.Biomed, SpPD
PIC Kegiatan dr. Hery Sikesa
Bendahara dr. Jodi S. Loekman, SpPD-KGH
dr. Wina Dharmesti
Sekretariat dr. Prima Yogi*
Acara DR. Dr. Wayan Sudhana, SpPD-KGH
dr. Nyoman Sutarka, SpPD-KGH
dr. Nyoman Paramita Ayu, SpPD
dr. Adi Suryana*
dr. Sista Widya
Perlengkapan & Pameran dr. Eka Handrean*
Ilmiah Prof. DR.dr. Ketut Suwitra, SpPD-KGH*
Prof. DR.dr. Raka W, SpPD-KGH*
dr. Ida Bagus Mahendra, SpPD
dr. Rama, SpPD
dr. Renny Duarsa, SpPD
dr. Narakusuma*
dr. Wisnu Mataram
dr. Agus Aprianta
dr. Gilang Bhaskara
Transportasi dr. Oka Yudaswara*
Konsumsi dr. Gusde Janardhana
Dokumentasi dr. W. Eko Radityo*
Registrasi dr. Carissa Ayu*
Publikasi dr. Sandra*
Design & Kreatif dr. Aditya Siskara*
dr. Made Arya Winangun
DAFTAR ISI
KATA PENGANTAR
KONTRIBUTOR
DAFTAR ISI
JADWAL ACARA
MATERI
BUN-SC 2018
UPDATE FOR KIDNEY TRANSPLANTATION IN
RS SANGLAH BALI
I Gde Raka Widiana
1
BIOSIMILAR EPO THERAPY OFFER MORE BENEFITS “EFFICACY AND SAFETY” I Gde Raka Widiana
7
KIDNEY TRANSPLANTATION AT A GLANCE
I Gde Raka Widiana
11
WOMEN AND KIDNEY DISEASE
I Gde Raka Widiana
16
THE ROLE OF CERA FOR THE TREATMENT IN
PREDIALYSIS ANEMIA
Yenny Kandarini
22
OPTIMAL PROTECTION FOR POST TRANSPLANT
PATIENT WITH MYCHOPHENOLATE SODIUM
(MYFORTIC)
Yenny Kandarini
30
THE DISTINCT PROFILE OF ENOXAPARIN AS LMWH IN
HEMODIALYSIS
Yenny Kandarini
42
TYPE 2 DIABETES MANAGEMENT : SITAGLIPTIN ON
RENAL IMPAIRED T2DM PATIENTS
Yenny Kandarini
50
HYPERTENSION IN CKD Wayan Sudhana
60
MANAGEMENT OF ANEMIA IN DIALYSIS : ROLE OF EPO Wayan Sudhana
71
ACUTE COMPLICATION IN HEMODIALYSIS Wayan Sudhana
83
TACROLIMUS AS ANTI REJECTION Jodi S. Loekman
90
MANAGEMENT OF ANEMIA IN PREDIALYSIS
Jodi S. Loekman
96
HEMODIALYSIS ADEQUACY
Jodi S. Loekman
107
CASE SHARING MODERATE-HIGH RISK KIDNEY TRANSPLANT PATIENT IN RSCM Maruhum Bonar H. Marbun
114
NEPHROTIC SYNDROME, WHAT NEXT?
I Nyoman Sutarka
116
BIOPSY INTERPRETATION
Reny Setya Pratiwi Duarsa
126
DPP-4 INHIBITORS: FOCUS ON SITAGLIPTIN
Made Ratna Saraswati
137
KIDNEY BIOPSY AT SANGLAH HOSPITAL
IB Mahendra
145
MANAJEMEN DISASTER DI UNIT PELAYANAN DIALISIS Ni Wayan Puspawati
180
KESELAMATAN PASIEN DI RUANG HEMODIALISIS
I Nyoman Suka
197
MANAJEMEN HEMODIALISIS
Ni Wayan Widiasih
218
AKSES VASKULAR UNTUK HEMODIALISIS
Nyoman Paramita Ayu
229
PEMANTAUAN DAN EVALUASI JANGKA PANJANG
PASIEN HEMODIALISIS REGULER
Yenny Kandarini
238
FLUID MANAGEMENT IN DIALYTIC PATIENTS
Nyoman Sutarka
246
MANAJEMEN TRANFUSI INTRADIALITIK
Rama IM
256
BALI DIALYSIS FORUM 2018 PD REFRESHING : UPDATE MANAGEMENT Yenny Kandarini
263
TRANSPLANT PREPARATION I Gde Raka Widiana
279
VASCULAR ACCESS COMPLICATIONS IB Mahendra
287
HOW TO MAINTAIN VASCULAR ACCESS Nym Paramita Ayu
315
VASCULAR ACCESS HEMODIALYSIS : SURGICAL ASPECTS Nyoman Semadi
322
Jadwal Acara Simposium BUN-SC dan BDF 2018
BUN-SC 2018
Jumat, 23 Maret 2018
Time Program
07.00-08.00 Registration
08.30-09.00 Opening Ceremony
09.00-09.30 Plenary Lecture 1
Topic : Professionalism in Medicine
Prof. DR.dr. Ketut Suwitra, SpPD-KGH
09.30-10.00 Coffee Break
10.00-11.00 Symposium 1
Moderator : DR.dr. Yenny Kandarini, SpPD-KGH
Topic : Hypertension
• 1st Topic: Hypertension in CKD
Speaker 1: DR. dr Wayan Sudhana, SpPD-KGH
• 2nd
Topic: The role of Nebivolol in the management of
hypertension in CKD
Speaker 2: Prof. DR.dr. Ketut Suwitra, SpPD-KGH
• Discussion
11.00-12.00
Lunch Symposium 1
Moderator : DR. dr Wayan Sudhana, SpPD-KGH
Topic : Kidney Tranplantation
• 1st Topic: Update for Kidney Transplantation in RS Sanglah Bali
Speaker 1: Prof. DR. dr. Raka Widiana, SpPD-KGH
• 2nd
Topic : Optimal Protection for Post transplant patient with
mychophenolate sodium (Myfortic)
Speaker 2 : DR. dr. Yenny Kandarini, SpPD-KGH
• 3rd
Topic : Case sharing moderate-high risk kidney transplant
patient in RSCM
Speaker 3: dr. Maruhum Bonar H. Marbun, SpPD-KGH
• Discussion
12.00-13.00 Lunch
13.00-14.30
Scientific Sympo 2
Moderator : Prof. DR.dr. Ketut Suwitra, SpPD-KGH
Topic : Anemia
• 1st Topic : Management of Anemia in Dialysis : Role of Epo
Speaker 1: DR. dr. Wayan Sudhana, SpPD-KGH
• 2nd
Topic : Biosimilar Epo therapy offer more benefits “efficacy
and Safety”
Speaker 2: Prof. DR. dr. I Gde Raka Widiana, SpPD-KGH
• Discussion
14.30-16.00
Scientific Sympo 3
Moderator : DR. dr. Yenny Kandari, SpPD-KGH
Topic : Kidney Transplantation
• 1st Topic : Kidney Transplantation at a Glance
Speaker 1:Prof. DR. dr. Raka Widiana, SpPD-KGH
• 2nd
Topic : Tacrolimus as Anti Rejection
Speaker 2: dr. Jodi S. Loekman, SpPD
• Discussion
16.00-till end Closing 1st day & Door prize
BUN-SC 2018
Sabtu, 24 Maret 2018
Time Program
08.00-08.30 Plenary Lecture 2
Topic : Women and Kidney Disease
Speaker : Prof. DR. dr. Raka Widiana, SpPD-KGH
08.30-10.00 Scientific Sympo 4 Moderator :dr. Jodi S. Loekman, SpPD-KGH
Topic : Glomerular Disease and Renal Biopsy at Sanglah
Hospital
• 1st Topic : Nephrotic Syndrome, What next?
Speaker 1: dr. I Nyoman Sutarka, SpPD-KGH
• 2nd
Topic : Kidney Biopsy at Sanglah Hospital
Speaker 2: dr. IB Mahendra, SpPD
• 3rd
Topic : Biopsy Interpretation
Speaker 3 : dr. Reny Setya Pratiwi Duarsa, SpPD
• Discussion
10.00-10.30 Symposium 5
Moderator : DR. Wayan Sudhana, SpPD-KGH
Topic : CERA on Predialityc patient
• 1st Topic : Management of anemia in predialysis
Speaker 1:dr. Jodi S. Loekman, SpPD-KGH
• 2nd
Topic: The role of CERA for the treatment in
predialysis anemia
Speaker 2: DR. dr. Yenny Kandarini, SpPD-KGH
• Discussion
10.30-11.00 Coffee Break
11.00-12.30 Symposium 6
Moderator : dr. Jodi S. Loekman, SpPD-KGH
Topic : Diabetes and Chronic Kidney Disease
• 1st Topic : DPP-4 inhibitors: Focus on Sitagliptin
Speaker 1: DR. dr. Ratna Saraswati, SpPD-KEMD
• 2nd
Topic : Type 2 Diabetes Management : Sitagliptin on
Renal impaired T2DM Patients
Speaker 2: DR. dr Yenny Kandarini, SpPD-KGH
• Discussion
12.30-14.00
Lunch Symposium 2
Moderator : Prof. DR. dr. Raka Widiana, SpPD-KGH
Topic : Dialisis
• 1st Topic : Hemodialysis adequacy
Speaker 1: dr. Jodi S. Loekman, SpPD-KGH
• 2nd
Topic : Acute complication in Hemodialysis
Speaker 2:DR. Wayan Sudhana, SpPD-KGH
• Discussion
14.00-15.00 Lunch
15.00-16.00
Symposium 7
Moderator : dr. Jodi S. Loekman, SpPD-KGH
Topic : LMWH as anticoagulant on Hemodialisis
• 1st Topic : Management of complications during and post
HD session: focus on anticoagulant
Speaker 1: Prof. DR. dr. Ketut Suwitra, SpPD-KGH
• 2nd
Topic : The distinct profile of Enoxaparin as LMWH in
Hemodialysis
Speaker 2: DR. dr. Yenny Kandarini, SpPD-KGH
16.00-till
end
Closing 2nd day & Door prize
BUN-SC 2018
Sabtu, 24 Maret 2018
Time Program
08.00-08.30 Plenary Lecture :
Topic : Nurse ethical profession
Speaker : PPNI
08.30-09.30 Scientific Symposium
Moderator : Ns. I Ketut Suardana, S.Kep
Topic : Nursing General Topics and Dialysis
• 1st Topic : Management Disaster in Dialysis Unit
Speaker 1: Ns. Ni Wayan Puspawati, S.Kep
• 2nd
Topic : Patient Safety in Dialysis Unit
Speaker 2: Ns. I Nyoman Suka, S. Kep
• Discussion
09.30-10.00 Coffee Break
10.00-11.30 Scientific Symposium
Moderator : Ns. Ni Wayan Kartha Supartami, S.Kep
Topic : Dialytic Nursing
• 1st Topic : Assessment of HD patient
Speaker 1: Septiary Endang Kusumaningrum
• 2nd
Topic : Management of HD patient
Speaker 2: Ns. Ni Kadek Indrayanti, S.Kep
• Discussion
11.30-13.00
Lunch Symposium
Moderator : Prof. DR. dr. Ketut Suwitra, SpPD-KGH
Topic : Dialytic Nursing
• 1st Topic : Vascular Access for hemodialysis
Speaker 1: dr. Paramita Ayu, SpPD
• 2nd
Topic : Hemodialysis patient monitoring
Speaker 2: DR. Yenny Kandarini, SpPD-KGH
• Discussion
13.00-14.00 Lunch
14.00-15.30
Scientific Symposium
Moderator : DR. dr. Wayan Sudhana, SpPDKGH
Topic : Dialytic Nursing
• 1st Topic : Fluid Management in Dialytic Patient
Speaker 1: dr. Nyoman Sutarka, SpPD-KGH
• 2nd
Topic : Management of Intradialytic Transfusion
Speaker 2: dr. Rama Putra, SpPD
15.30-
selesai
Closing 2nd day & Door prize
Bali Dialysis Forum 2018
Minggu, 25 Maret 2018
Time Program
07.00-08.00 Registration
08.00-08.30 Opening Ceremony BDF
08.30-10.00 Workshop 1 : Renal Replacement Therapy
Moderator : DR. dr. Wayan Sudhana, SpPD-KGH
Speaker 1 Hemodialysis
Prof.DR.dr.Ketut Suwitra,SpPD-KGH
Speaker 2 PD refreshing : Update management
DR. dr. Yenny Kandarini, SpPD-KGH
Speaker 3 Transplant preparation
Prof. DR. dr. Raka Widiana, SpPD-KGH
10.00-10.15 Coffee Break
10.15-11.15 Workshop 2 : Vascular Access
Moderator : dr. Jodi S. Loekman, SpPD-KGH
Speaker 1 : Vascular Access hemodialysis : Surgical Aspects
dr. Nyoman Semadi SpB-BTKV
Speaker 2 : Vascular Access complica_ons
dr. IB Mahendra, SpPD
Speaker 3 : How to maintain vascular access
dr. Nym Paramita Ayu, SpPD
11.15-13.00 Workshop Hands On PD refreshing, vascular access care and
vascular mapping
13.00-14.00 Lunch
14.00-15.00
Dialysis Unit Reports : Selong, Dharma Yadnya, Klungkung, Sanglah
15.00-16.30 Panel Discussion
16.30-selesai
Closing
PROCEDING BOOK
BUN SCBali Update in Nephrology Scientific Communication
Sanur Paradise Plaza Hotel Jumat-Sabtu, 23-24 Maret 2018
SEKRETARIAT PANITIADivisi Ginjal dan Hipertensi, SMF/Bagian Ilmu Penyakit DalamFK Unud/RSUP Sanglah Denpasar - BaliEmail : [email protected]
