Gynecologic Disorders Presentation

7/23/2019 Gynecologic Disorders Presentation

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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



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



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



Pe!eri<a+ora



=: >: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%



: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



: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



+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=<;



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,



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



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



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



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;



Invite uetion Hro! the auien$e.

Luetion ? an*er



Documents

Gynecologic Disorders Presentation