Studi Kasus SIKER

7/24/2019 Studi Kasus SIKER

1/21

Studi Kasus

SENTRA INFORMASI KERACUNAN(SIKER)1. Felisitas

2. Fitri

3. Gabriel

. Gali!

". Gra#e

$. Nia

%. &e'dra


2/21

Kasus 1

ari data la*ra' +era#u'a' diru,a! sa+it- ba'a+ ter/adi+era#u'a' +are'a di 0i0it ular.

Seba0ai ertu0as SIKER-i'*r,asi aa a'0 disia+a'u'tu+ ,e'a'0a'i +asus tersebut

elas+a' se#ara Ri'#i4


3/21

Ta!a e'#e0a!a'

Gu'a+a' erle'0+aa' bere'a'0atau ,e'ela, a'0 a,a' bilaberada di dala, air laut (u'tu+

0i0ita' ular laut).Me'0e'a+a' alas +a+i atau

seatu da' #ela'a +ulit sa,ai

sebatas a!a u'tu+ e'dudu+didaera! di,a'a dite,u+a'ba'a+ ular

&i'dari ber/ala' ada daera!5


4/21

Ga,bara' Kli'is

Ge/ala 6*+al

Ede,a- 'eri- 'eri te+a'-e+!i,*sis (dala, 37 ,e'it52

/a,)Ge/ala Siste,i+

&i*te'si- +ele,a!a'-

ber+eri'0at-,e'00i0il- ,ual-,u'ta! da' 'eri +eala


5/21

Ge/ala da' Ta'da5ta'da+era#u'a' u,u,6u+a 0i0ita' berua ta'da 0i0ita' +e#il

a'0 tida+ 'eri. Ra#u''a daat,eebab+a' !e,*lisis- rabd*,i*lisis-albu,i'uria da' 0a0al 0i'/al.

Ta'da5 ta'da +era#u'a' a'0 se0era,u'#ul seerti sa+it +eala- lida! terasatebal- ber+eri'0at da' ,u'ta!

Setela! 37 ,e'it sa,ai beberaa /a,8+a+u da' 'eri- sas,e *t*t ra!a'0-aralisis *t*t- uri' 9ar'a #*+lat 0ela-0a0al 0i'/al.


6/21

Ede,a- s*+- ,ual- ,idriasis-le,a!- arit,ia- ra!a'0 terasa+a+u da' +e/a'0.

ala, +asus berat8 a'da'0a'+abur- !ierte'si- sia'*sis- da'+e,atia'.


7/21

Ge/ala K!usus

&e,at*t*+si+ 8 e'dara!a' di te,at 0i0ita'-ul,*- /a'tu'0- 0i'/al- erit*'iu,- *ta+- 0usi-!e,ate,esis ,ele'a- +ulit- !e,*t*e-!e,aturia- IC (Disseminated Intravascular

Coagulation)Neur*t*+si+ 8 !iert*'i+- asi+ulasi-

aresis-aralisis er'aasa'- t*sis-*ta,*le0i- aralisis *t*t lari'0- re:e+ab'*r,al- +e/a'0 da' +*,a

Kardi*t*+si+ 8 !i*te'si- !e'ti /a'tu'0- +*,aSi'dr*,a +*,arte,e' 8 ede,a tu'0+ai

de'0a' ta'da "; (ai'- all*r- arest!esia-aralsis- ulseless'ess)


8/21

3. ;ert*l*'0a' ;erta,a

Tu/ua'Me'0!a,bat abs*rsi bisa ular

Me,erta!a'+a' !idu +*rba'

Me'0!i'dari +*,li+asi sebelu,,e'daat+a' era9ata' ,edis diRS.

e+*'ta,i'asi 8 Cu#i daera! 0i0ita'de'0a' sabu' da' air bersi! ataularuta' a'tiseti+ u'tu+,e,bersi!+a' ra#u'.


9/21

Met*de ert*l*'0a' a'0 dila+u+a' adala!i,*bilisasi (,e,buat +*rba' tida+ ber0era+)

I,,*bilisasi daat dila+u+a' de'0a' #ara,e'0i+at atau ,e'a'00a ba0ia' tubu!a'0 ter0i0it de'0a' +au a0ar tida+ ter/adi+*'tra+si *t*t +are'a daat ,e'i'0+at+a'e'eraa' bisa +e dala, alira' dara! da'

0eta! be'i'0. ;*sisi daera! a'0 ter0i0it !arus di*sisi+a'

lebi! re'da! dari /a'tu'0.


10/21

;e'a'0a'a' di Ru,a!Sa+itTu/ua'Me'0!ala'0i> ,e,erla,bat

abs*rsi bisa

Me'etral+a' bisa ular a'0suda! ,asu+ +e sir+ulasi

Me'0atasi ee+ l*+al da' siste,i+


11/21

;e'atala+sa'aa'

;e'0*bata' s*+ atau 0a0al 'aas8;aralisis *t*t er'aasa' ,e,erlu+a' i'tubasi da'?e'tilasi ,e+a'i+ !i'00a u'0si er'aasa' '*r,al

+e,bali.


12/21

;ed*,a' Terai SA


13/21

Terai ta,ba!a'

Ga'00ua' +*a0ulasi berat 8 res!r*He' las,a

;e'dara!a' 8 tra'usi

R


14/21

KASUS 2

Se*ra'0 ibu +era#u'a' +are'a ,e'e0a+#aira' e,bersi! la'tai S.O.S- +eluar0a'aa'i+ da' ,e'0!ubu'0i ;etu0as SiKer. Aaa'0 !arus A'da la+u+a' seba0ai ;etu0asSiKer


15/21

Benzalkonium Klorida

;e,bersi! 6a'tai S.O.S ,e'0a'du'0


16/21

*sis t*+si+*sis atal e'ela'a' 8 153 0ra,

K*se'trasi 1 daat ,erusa+

,u+*saK*se'trasi 17 bersiat +*r*si

ter!ada +er*'0+*'0a' da' ,u+*sa


17/21

Ee+ *te'sial ter!ada+ese!ata'

Efekotensial

Jangka endek Jangka anjang

I'!alasi Iritasi iritasi

K*'ta+ ,elalui+ulit da' ,ata

Rea+si aler0i- lu+a ba+ar Rea+si aler0i- lu+aba+ar

Tertela' 6u+a ba+ar- ,u'ta!-su+ar ber'aas- 0e/alaseerti ,abu+- +ulit

+ebirua'- +erusa+a'0i'/al

diare


18/21

Ga,bara' Kli'is

Mu'ta! da' ada +eadaa' beratdaat ter/adi diare da'!e,ate,esis da' ,ele'a

K*'ta+ ,ata 8 +erusa+a' +*r*siK*'ta+ +ulit 8 erite,a atau rua,

ri'0a'


19/21

KASUS 2

Ge/ala da' ta'da5ta'da +era#u'a' terba0iatas 2 aitu

a. Kera#u'a' A+ut 8 lu+a ba+ar a'0 eri!ada ,ulut- te'00*r*+a' da' erut

disertai de'0a' sali?asi a'0 ba'a+-,u'ta!- ter/adi ta'da5ta'da sir+ulasis!*#+ (!i*te'si- susa! ber'aas da'ter/adi #a'*sis.

b. Kera#u'a' Kr*'i+ 8 ,e'ebab+a'diare


20/21

;e'atala+sa'aa'

;e'atala+saa' /ala' 'aas da'u'0si 'aas

;e'atala+sa'aa' sir+ulasi 8

asa'0 i'us1.,u'ta! atau diare !ebat-

beri+a' R6 u'tu+ +*re+si

de!idrasi da'+etida+sei,ba'0a' ele+tr*lit

2. /i+a didu0a ter/adi +*r*si-

+*'sultasi de'0a' a!li


21/21

e+*'ta,i'asi Gastr*i'testi'alila+u+a' bila ada du0aa' e'ela'a'

ba!a' +ati*'i+ dala, /u,la! ba'a+

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Studi Kasus SIKER