Anemia Tranfusi tunggu advice DPJP

Fe sirup 15 mg 1 x 7,5 mg
Ikterik Cek bilirubin direk, indirek, total, lab Hema II
Hasil :
- 10 – 12,5 : foto terapi / 24 jam
- >12,5 : fototerapi 2 x 24 jam
BBLR / Prematur Cek gds, hema II, CRP
Jika high : inf D5% 8 tpm
- < 2 kg : inf D10% 8 tpm mikro
- 3 kg : inf D10% 10 tpm mikto
Diare Cairan sesuai BB anak D5 ¼ NS
- Zync : < 6 bulan : 10 mg, > 6 bulan : 20
mg (L-Zink= 10 mg = 1 cth)
Dewasa :
- Attapulgit / new diatab 2 x 1 tiap diare
- Inj omeprazole 2 x 40 mg atau
- Inj ranitidin 2 x 25 mg / 2ml atau
- Inj ondancetron 2 x 4 mg / 2 ml
AF Digoxin 1 x 0.25 mg
ATP 1 x 1 tab
Psikosomatis Alprazolam tab 1 x 0.5 tab
Tetanus (trismus, epistotonus, port de entry) Inf D5 20 tpm + valium (diazepam) 2 amp (syr
pump)
Tetagram 3000 iu 12 vial (IM) (1amp = 250 iu)
Inj Metronidazol 3 x 500 mg
Inj Ceftriaxone 2 x 1 gr
DHF Cek trombosit, HT
Anak:
- <15 kg = 7 cc/kgbb/jam
- 15-40 kg = 5 cc/kgbb/jam
- >40 kg = 3 cc/kgBB/jam
Dewasa 30 – 40 tpm
Pantau TTV/jam, hema II/6 jam
PSIIDII 3 x 1 tab / 1 cth
Asfiksia Lihat apgar score
Infus cek lab
Dosis cpap : PEEP 4 FiO2 40%

Asma attack Inf RL 20 tpm + aminophilin 1 amp 1 jam

O2 3 – 4 lpm nk
Nebu anak ventolin + pulmicord = ½ : ½
Nebu dewasa combivent + pumicord = 1 : 1
Inj metilprednisolon 2 x ½ amp
Salbutamol 3 x 0,1 – 0,15 mg/kgBB
Brpn Antibiotik amoksisilin 25-50 mg/kgbb (3x)
Inj metilprednisolon 2 x ½ amp
Bromheksin syr 2 – 3 x 4 mg (1 cth)
Meptin mini (saba) 2 x 25 mcg (1 tab)
Oedem pulmo Ronki basah basal paru, sesak nafas, kaki
bengkak (1/3 pretibial), jvp meningkat
- O2 8 – 15 lpm NRM
- Inj furosemid 1 x 20 mg
- Nitroglicerin (cedocard) 30
mcg/kgbb/menit (syr pump)
CHF
Intoksikasi amfetamin (stimulan)
Intoksikasi opioid (depresan)
Kejang
Hematemesis melena
Hematokezia - hemoroid
Penurunan kesadaran
Malaria
CKD (anemia, edema, hipertensi)
ACS
- O2 3 lpm nasal kanul
- Posisi ½ duduk
- Inj furosemid 1 x 1 amp (20 mg)
- ISDN 1 x 5 mg
- Aspilet 1 x 80 mg
- CPG 1 x 75 mg
- Digoxin 1 x 0.25 mg jika HR > 150
Propanolol 1 x 40 mg tab
Nalokson Hcl 0.01 mg/kgBB
Belum diinfus = diazepam (stesolid) = 5 mg
(bb< 5kg), 10 mg (bb>12 kg)
Sudah diinfus
- Diazepam iv 0.2 – 0.5 mg/kgbb atau
- Cybital 15 – 20 mg/kgbb (1 amp = 200
mg) atau
- Fenitoin 15 – 20 mg/kgbb (1 amp = 100
mg)
Sadar: diazepam oral 0.5 mg/kgbb (dibagi 3
dosis)
Jika epilepsi penurunan kesadaran :
- Diazepam 10 mg
- Fenitoin 2 x 100 mg
- Citicolin 2 x 500 mg
Variceal / non variceal bleeding
Hematemesis : inj as traneksama 3 x 500 mg
Inj omeprazole 2 x 40 mg
Inj ondancetron 2 x 4 mg
Sucralfat syr 2 x 1 cth
Inj as traneksamat 2 x 250 mg
Ciflon tab (antihemoroid) 3 x 500 mg
Ardium tab 3 x 500 mg
Inj ketorolax 2 x 30 mg
Inj vit K 2 x 2 mg
Dd koma hipoglikemik, hiperglikemik
(KAD/HONK), takiaritmia tidak stabil, gagal
jantung akut, av block, syok anafilaktik, stroke
ICH, SOL
Cek gds, ekg, ur, cr, kolesterol, TG
PF: pupil, kaku kuduk, hemiparesis, td, hr,
edema
Jika ICH : mecobalamin 2 x 500ug, piracetam 3
x 1 gr / 5 ml, citicolin 3 x 250 mg / 2ml
Obat anti malaria 1 x 3 tab single dose
Cek ur, cr
Hitung GFR  stage 5  HD cito
Syarat HD: jika sudah pernah Hb > 8, belum >
10
Cek ckmb, troponin, ct, bt, ekg
O2
Stemi :
- Konsul dpjp
- Streptokinase/heparin 60u/kgbb/jam
(syr pump)  12u/kgbb/jam
- Aspilet 2 x 80 mg
 - Cpg 4 x 75 mg
- Isdn 1 x 5 mg sublingual jika td > 90
NSTEMI
Aspilet, CPG
VES Tyarit (amiodarone) 2 x 200 mg
Bradikardia Sulfasatropin 3 x 2 amp (1 amp = 0.25 mg/ml
Jika td rendah +dopamin
Tifoid Cek hema II, widal
Inj ceftriaxone 2 x 1 gr
Gagal ginjal akut Cek ur cr
Inf rl 20 tpm
Aritmia atrial fibrilasi O2
Digoksin 2 x 0.5 mg (500 mcg) 1 tab 0.25 mg
Bisoprolol 1 x 2.5 mg (1 tab 5 mg)
Aspilet 1 x 80 mg (1 tab 80 mg)
Pasang dc
HT emergency Amlodipin 1 x 5 mg (5mg, 10 mg)
Captopril 3 x 12,5 mg (12,5 mg, 25 mg)
Candesartan 2 x 8 mg (8 mg, 16 mg)
SP nicardipin 1 amp/ 6 jam
Adalat oros (nifedipin 1 x 30 mg)
Vertigo Betahistin 2 x 12 mg (6,12 mg)
Inj Ondancetron 2 x 4 mg
Flunarizin 1 x 5 mg (anti migrain) malam hari
GBS Imunoglobulin 5%
Inj Mecobalamin 2 x 500 ug
Psikiatri Lodemer 1.5 mg inj IM
Stesolid 1 amp IM
Abses cerebri, submandibula Inj ceftriaxone 2 x 1 gr
Metronidazole 3 x 500 mg
Hernia inkarserata Drip diazepam 1 amp
Inj ketorolac 2 x 30 mg/ml
Reaksi alergi Inf rl 20 tpm
Inj hidrokortison 2 x 100 mg
Cetirizine 1 x 10 mg
Stroke attack Inj citicolin 3 x 250 mg
Inj piracetam 3 x 1 gr
Inj mecobalamin 2 x 500 ug
Hiperglikemik >300 Neonatus : inf D5
Inf Nacl 20 tpm
Inj ceftriaxone 2 x 1 gr
Inj novorapid 0,1 IU/kgbb/jam
- >350 = 20 IU
- 251 – 300 = 15 IU
- 151 – 200 = 5 IU
- 100 – 150 = 1 IU
Hipoglikemik gds < 80 Inf D5 20 tpm + bolus D40 fl

Anak: D5 ¼ NS bolus D10 2 cc/kgbb jika sudah

150 – 200 ganti RL
Ileus BNO 2 posisi, NGT, DC
Inj ceftriaxone 2 x 1 gr
Inj ketorolac 2 x 30 mg
Inj ranitidin 2 x 1 amp
Luka bakar % x bb x 4 ml
½ nya dikasih 8 jam pertama
½ nya dikasih 16 jam selanjutnya
Silver sulfadiazine cream
Amox 3 x 500 mg atau ceftriaxone
Meningitis Inj ceftriaxone 2 x 1gr
Inj citicolin 2 x 250 mg
Inj piracetam 3 x 1 gr
Inj metilprednisolon 2 x 125 mg
Hepatoma, ascites Curcuma 3 x 1 tab
Inj Omeprazole 2 x 40 mg
Inj ondancetron 2 x 4 mg
Inj furosemid 2 x 1 amp jika td>90
Pneumonia Inf RL 20 tpm
Inj ceftriaxone 2 x 1 gr
Inj ranitidin 2 x 1 amp
Ambroxol 3 x 30 mg
Pct 3 x 500 mg
Ro thoraks
Trauma mata Irigasi NaCl
Cendo xytrol 4 x 1 gtt ods
Asmef 3 x 500 mg
Ciprofloxacin 2 x 500 mg
Hematoma pada mata Prednison ED 3 gtt ods
Asmef 3 x 500 mg
Dexa 3 x 0,5 mg
Rantidin 2 x 150 mg
LBP, ischialgia Calporosis (kalsium + vit B) 1 x 500 mg
Lansoprazole 1 x 30 mg
Ibuprofen 3 x 200 mg
Thalasemia Inf nacl 20 tpm
Tranfusi prc 385 cc (2 kolf) (10-hb)x4.8xbb
Exjade tab 1 x 1 (kelasi besi)
Sengatan lebah, reaksi anafilaktik Inf asering 20 tpm
Inj dexketoprofen 2 x 25 mg
Inj metilprednisolon 2 x 125 mg
Snake bite Inf D5 + antibisaular 2 vial drip 20 tpm
Inj ketorolax 2 x 30 mg
Inj ranitidin 2 x 1 amp
Inj ceftriaxone 2 x 1 gr
BPH Tamsulosin 1 x 0.4 mg (harnal ocas)
Brpn rawat jalan NAC 3 x 200 mg
Meptin mini 2 x 1 tab (Procaterol HCl
hemihydrate 25 mcg)
Levofloxacin 1 x 500 mg
Amebiasis anak Inj metronidazol 150 mg / 8 jam (7,5mg/kgbb 3
kali sehari)
Ckd dengan oedem pulmo O2 8 lpm
Inf RL 10 tpm
Cedocard 10mcg/kgbb/menit
Inj furosemid 1 amp / 24 jam
Oedem pulmo Cedocard 10 mcg/kgbb/menit
Penurunan kesadaran Dobutamin 10 mcg/kgbb/menit
Chf Inj furosemid 1 amp/ 24 jam
Penurunan kesadaran ec snh dd sh
Obs konvulsi
Inf RL 20 tpm
O2 3 lpm nasal kanul
Inj citicolin 2 x 500 mg
Inj piracetam 3 x 1 gr
Inj mecobalamin 2 x 500 ug
Inj diazepam 10 mg k/p

Ekstra igd
Inj stesolid 1 amp
Ckb NRM 10 lpm
Inf RL 20 tpm
Inj ketorolac 3 x 30 mg
Inj ceftriaxon 2 x 1 gr
Inj ranitidin 2 x 50 mg
Inj citicolin 3 x 1 gr
Inj manitol 3 x 125 cc
Ct scan kepala
Icu
Obs kejang demam Inf RL 12 tpm
Pamol syr 3 x 1½ cth
Valisanbe 3 x 2 mdig pulv
Obs dyspneu dd brpn dd asthma Inf RL 10 tpm + aminofilin 6 mg selama 1 jam
Bb 12 kg (aminofilin 0.5mg/kgbb/jam)
Inj metilprednisolon 2 x 25 mg
Paracetamol syr 3 x 1 cth
Salbutamol 3 x 2 mg (kata dr. Tri 3 x 0,5-0,75
mg. Dosis 0.1-0.15 mg/kgbb/kali)
Inj ceftriakson 2 x 300 mg( cara= 12 x 50 : 2)
Lapifed ekspektoran 3 x cth ½
Obs kejang demam dd KDK Inf d5 ½ ns 8 tpm
Bb 7 kg O2 nasal 2 lpm
Pamol syr 3 x ½ cth
Diazepam oral 3 x 0,75 mg pulv (kata dr tri.
Padahal dosis 0.2-0.4 mg/kgbb/kali. Kalo aku 3
x 1,4-2 mg)
Cybital 2 x 20 mg
Inj ceftriakson 1 x 350 mg
Brpn + PDP O2 masker 2 lpm
Bb 5 kg Inf d5 ¼ ns 15cc/jam
Aminofilin 0,5mg/kgbb/jam
Inj ceftriakson 1 x 250 mg
Sanmol drop 3 x 0,5 cc (tiap 0.6 cc terdapat 60
mg paracetamol)
Pasang NGT asi 8 x 20 cc
Lab hema 1, gds, crp kuantitatif, rapid test
Ro thoraks
Brpn + PDP O2 nasal 2 lpm
Usia 1 bulan bb 3,8 kg Inf D5 ¼ ns 10 tpm mikro
Inj vicilin 3 x 125 mg
Inj gentamycin 1 x 15 mg
Aminophilin syr pump 0,5 mg/kgbb/jam
Lab hema 1, crp kuantitatif, rapid test
Ro thoraks
Hipoglikemia D40 2 fl + d10 20 tpm
 Gds < 80 = 2 fl D40 + d10 20 tpm
< 150 = D10 lanjut
>150 = D5 : nacl 0,9 = 1:1
Obs penurunan kesadaran, ht, anemia post Inf nacl 20 tpm
tranfusi Inj citicolin 2 x 500 mg
Ct scan : infark lacuner di pons Inj piracetam 3 x 1 gr
Inj manitol 3 x 125 cc
Inj ceftazidim 2 x 1 gr
Epilepsi 02 nasal 3 lpm
Bb 13 kg Inf RL 12 tpm
Extra igd =
Inj diazepam 7 mg ( 0.2 – 0.5 mg/kgbb/kali)
Inj cibital 50 mg iv pelan ( 13 x 10 :2)
Maintenance = inj cibital 2 x 25 mg (2
mg/kgbb/kali)
Diare akut dengan dehidrasi Extra igd =
Obs vomitus frekuen Inf RL 12 tpm makro dalam 3 jam pertama
Kds (dibuat jangan overidrasi. 100 cc dalam 3 jam
pertama = 12 tpm dalam 3 jam)
Bb : 5,5 kg
Rencana terapi :
Inf RL 6 tpm
Inj ondancentron 0.5 mg k/p
Inj diazepam 1,5 mg jika kejang (0.2 - 0.5
mg/kgbb/kali)
Zinc 1 x 20 mg (<6 bulan = 10 mg/hri, >6 bulan
= 20 mg/hari)
L-bio 1 x 1 sach
Paracetamol syr 3 x ½ cth
Diazepam pulv 3 x 1 mg (0,2 – 0,5
mg/kgbb/kali)
Lab hema 1 gds
Skizofrenia Ekstra igd
Inj stesolid 1 amp
Inj lodomer 1 amp

Cpz 2 x 100 mg
Risperidon 2 x 2 mg
Obs dyspneu pengobatan tb bulan 6 02 nasal 3 lpm
Inf rl 20 tpm
Inj metilprednisolon 2 x 62.5 mg
Inj ceftriakson 2 x 1 gr
N acetilcystein 3 x 200 mg