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Farmakoterapi Ginjal
Farmakoterapi Ginjal
Background
Uncontrol
Hypertensive
Hypertensive Draws, P ; Rahman, M ; M,
Prevalence
Laine, C. et.al. Chronic Kidney
Disease- Screening and
GFR < 15 ml/ HD Prevention. Annals of Internal
min
Medicine. 2009.
Mortality
Diabetic
Uncontrol
Diabetic Metformin
Glomerular
demage
Kidney Diseases
• Acute Kidney Disease (Gagal Ginjal Akut)
• Chronic Kidney Disease (Gagal Ginjal Kronik)
Adopted from Kidney Disease
Guideline
Klasifikasi CKD
1. Dari Nilai GFR
Stag Description GFR (ml/min/1,73 Related Terms
e m2)
Hematuria
GFR Proteinuria,
Hematuria
Insufficiency,
Insufficiency
Insufficiency, Late
Renal Insufficiency,
Pre-ESRD
Uremia, End-Stage
Renal Disease
2. Dari Nilai Albumin
2 Symptoms and Signs of Late (Uremic) General (lassitude , fatigue , elevated blood pressure , signs of volume overload , decreased mental
Stages of CKD acuity , intractable hiccups , uremic fetor )
Pulmonary (dyspnea , pleural effusion , pulmonary edema , uremic lung )
Cardiovascular (periCardial friction rub ,congestive heart failure )
Gastrointestinal ( anorexia , nausea , vomiting, weight loss , stomatitis , unpleasant taste in the mouth
)
Neuromuscular ( muscular twitches , peripheral sensory and motor neuropathies, muscle cramps ,
restless legs ,sleep disorders , hyperrefl exia , seizures , encephalopathy , coma )
Endocrine-metabolic ( decreased libido , amenorrhea , impotence )
Hematologic ( anemia , bleeding diathesis )
Perhitungan ClCr
1. MDRD (Modification of Diet in
Renal Disease) equation