Glomerulonefritis Akut Dewasa

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  • 7/23/2019 Glomerulonefritis Akut Dewasa

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    Glomerulonefritis Akut

    Dewasa

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    Non Farmakologi

    Restrict your salt intake to prevent orminimize uid retention, swelling andhypertension

    ut !ack on protein and potassiumconsumption to slow the !uildup of wastesin your !lood

    "aintain a healthy weight

    ontrol your !lood sugar level if you havedia!etes

    #uit smoking

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    Farmakologi

    $% Anti!iotik

    &% 'oop diuretik

    (% )asodilator*% alsium channel !locker

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    $% Anti!iotik

    Pennicilin V

    + mg -. /$&hr or &+ mg -. /0hr for$ days

    1nhi!its the !iosynthesis of cell wallmucopeptide

    Erythromyin

    * mg -. divided /$&hr for $ days1nhi!its !acterial growth, possi!ly !y

    !locking dissociation of peptidyl tRNAfrom ri!osomes,

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    &% 'oop Diuretik

    Furosemide

    &23 mg -. once daily4 may !eincreased !y &2* mg /023hr4 not to

    e5ceed 0 mg6day1nhi!its rea!sorption of sodium and

    chloride ions at pro5imal and distal renal

    tu!ules and loop of 7enle4 !y interferingwith chloride2!inding cotransportsystem, causes increases in water,calcium, magnesium, sodium, and

    chloride

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    (% )asodilator

    Hydralazine

    $ mg -. /0hr for &2* days

    Direct vasodilator4 dilates arterioles withlittle e8ect on vein4 decreases systemicresistance, which su!se/uentlydecreases !lood pressure%

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    *% alcium channel !locker

    Nifedipine

    (20 mg -. once daily

    inhi!its transmem!rane inu5 ofe5tracellular calcium ions acrossmyocardial and vascular smooth muscle4this results in inhi!ition of cardiac and

    vascular smooth muscle contraction,there !y dilating main coronary andsystemic arteries