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  • JANTUNG

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    dwi-wilyani
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    This document provides treatment guidelines for various conditions involving the heart, skin, and burns. For heart conditions like angina pectoris, STEMI, NSTEMI, and acute/chronic heart failure, it recommends medications like nitrates, beta blockers, antiplatelets, diuretics, ACE inhibitors, and inotropes. For skin conditions like miliaria, warts, herpes, scabies, fungal infections and others, it recommends topical and oral antibiotics, antifungals, antivirals and antihistamines. It also provides burn treatment guidelines including Baxter's formula for fluid resuscitation and wound care.

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    This document provides treatment guidelines for various conditions involving the heart, skin, and burns. For heart conditions like angina pectoris, STEMI, NSTEMI, and acute/chronic heart failure, it recommends medications like nitrates, beta blockers, antiplatelets, diuretics, ACE inhibitors, and inotropes. For skin conditions like miliaria, warts, herpes, scabies, fungal infections and others, it recommends topical and oral antibiotics, antifungals, antivirals and antihistamines. It also provides burn treatment guidelines including Baxter's formula for fluid resuscitation and wound care.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    23 views39 pages

    JANTUNG

    Uploaded by

    dwi-wilyani
    This document provides treatment guidelines for various conditions involving the heart, skin, and burns. For heart conditions like angina pectoris, STEMI, NSTEMI, and acute/chronic heart failure, it recommends medications like nitrates, beta blockers, antiplatelets, diuretics, ACE inhibitors, and inotropes. For skin conditions like miliaria, warts, herpes, scabies, fungal infections and others, it recommends topical and oral antibiotics, antifungals, antivirals and antihistamines. It also provides burn treatment guidelines including Baxter's formula for fluid resuscitation and wound care.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 39

    JANTUNG

    Dwi Wilyani
    J11 Angina Pectoris
    • O2
    • Nitrat 5 mg sublingual  po
    • B blocker : propranolol, bisoprolol / CCB non dihidropiridin :
    verapamil, diltiazem
    • Antiplatelet : Aspirin 320mg

    2
    J11 IMA (STEMI NSTEMI)
    • O2
    • IV line
    • Nitrat 5 mg sublingual max 3x
    • Antiplatelet: Aspirin 320mg maint 160mg

    3
    J11 Gagal Jantung akut & Kronik
    • O2 2-4 lpm • Dobutamin
    • Inf lifeline max 1000mg/hari • Dopamin
    • Furosemide 20-40mg (max 600mg/hari)

    • KRONIS
    • Diuretik : furosemide + tiazide
    • ACE inh / ARB titrasi
    • Digoxin : menjaga denyut bila takikardi+

    4
    KULIT
    Dwi Wilyani
    L74.3 Miliaria
    • Loratadin 1x10mg
    • Calamin + mentol + ksmfora  caladine?

    6
    B07 Veruka vulgaris / viral warts

    8
    J11 Herpes Zoster
    • Acyclovir 4x400mg
    • Analgesik

    9
    J11 Herpes simpleks
    • Acyclovir 4x800mg
    • Pct 3x500mg
    • AB prn

    10
    J11 Moluskum kontagiosum
    • Kuret
    • AB

    11
    J11 Reaksi gigitan serangga
    • Mometasone furoat 1%
    • Loratadin 1x10mg (7hari)

    12
    J11 Skabies
    • Permetrin 5%
    • Loratadin 1x10mg

    13
    J11 Pedikulosis kapitis
    • Permetrin 5%
    • Loratadin 1x10mg

    14
    J11 Pedikulosis pubis
    • Permetrin 5%
    • Loratadin 1x10mg

    15
    J11 Dermatofitosis
    • Albendazole 2x200mg
    • Albendazole cr
    • Loratadin 1x10mg

    16
    J11 PV / Tinea versikolor
    • Albendazole cr

    17
    J11 Pioderma
    • Mupirosin

    18
    J11 Erisipelas

    19
    J11 Dermatitis seboroik

    20
    J11 Dermatitis atopi
    • Mometasone furoat 1% 2ue
    • Loratadin 1x10mg

    21
    J11 Dermatitis numularis
    • Kompres PK 1:5000 15 menit

    • Mometasone furoate 1% cr 2ue


    • Loratadin 1x10mg po

    22
    L28 Liken simpleks kronik / neurodermatitis
    sirkumskripta
    • Kompres PK 1:5000 15 menit

    • Mometasone furoat cr 1% 2ue


    • Loratadin 1x10mg

    24
    L23 DKA
    • Mometasone furoat 0,1% 2ue
    • Loratadin 1x10mg

    25
    L24 DKI
    • Mometasone furoat 0,1%
    • Loratadin 1x10mg

    26
    L22 Napkin eczema / Diaper rash (D. popok)
    • Hidrokortison 1-2,5% 2ue
    • Zinc oxide (protektif) + nystatin 2ue

    27
    L71 Dermatitis perioral
    • Klindamisin 1% / eritromisin 2-3%
    • Eritromisin 2x250mg (1 bulan)
    • Azitromisin 1x500 mg (3hari)/minggu  4 minggu

    28
    L42 Pitriasis rosea
    • Anti-pruritus: bedak as salisilat 1-2% / mentol 0,25-0,5%

    29
    L08.1 Eritrasma
    • Tetrasiklin 3%
    • Eritromisin 4x250mg (2mgg)

    30
    A18.4 Skrofuloderma
    • = TB paru oral

    • Kelj <1cm
    • Semua fistula/sikatrik menutup
    • Sikatrik tidak eritem
    • LED <

    31
    L73.2 Hidradenitis supurativa
    • Skor sartorius

    • Abses  insisi
    • Rifampisin 600 mg DT + clindamisin 2x300mg
    • Eritromisin 4x500mg / tetrasiklin 4x 500mg, doksisiklin 2x200mg
    • Dapson 50-150mg DT

    32
    L70.0 Akne vulgaris
    • Retinoid + benzoil peroxide + klindamisin 1%
    • Iritan / peeling : sulfur, resorsinol, as salisilat, benzoil peroxide, AHA
    • Hidrokortison 1%

    • AB po: tetrasiklin 4x500mg, eritromisin 4x250mg

    33
    L50 Urtikaria akut / kronis >6mgg
    • Siproheptadin 3x4mg (dingin)
    • Loratadin 1x10mg
    • Difenhidramkn 4x50mg
    • Antipruritus: cream menthol 1%

    • Angioedema / generalisata urtikaria : prednisone 3x20mg (3 hari tapp off)

    34
    L27 FDE / Generalized skin eruption due to
    drugs and medicaments
    • Prednison 3x10mg
    • Loratadin 1x10mg 7 hari

    • Kompres NaCl 0.9% / KP 1:10.000 15 menit


    • Mometasone furoate 0.1% cr 2ue / Hidrokortisone 2.5% cr

    35
    B76.9 CLM / Hookworm disease
    • Albendazole 1x400mg (3 hari)
    • Etil klorida spray

    36
    T30 Combustio derajat I – II / burn and
    corrosion
    • Baxter Formula
    • Hari I : RL 4cc x BB x %luka bakar (1/2 8 jam II) & (1/2 16 jam selanjutnya)
    anak : RL:Dextran 17:3
    • Hari II : Maintenance anak Holiday Segar

    37
    L97 Ulkus tungkai / Ulcer of lower limb
    • Ulkus varikosum : Zn sulfat 2x200mg + proximal di ikat
    • Ulkus arteriosum : ab+ metronidazole + analgesik
    • Ulkus tropikum : tetrasiklin 3x500mg

    • Kompres KMnO4 1:5000


    • Salisil zalf

    38
    L51.1 SJS / Bulous erythema multiforme
    • Metilprednisolon 5x8mg
    • SCORTEN ≥ 3  UPI
    • Ureum >10mmol/L
    • Usia >40th
    • Takikardi >120x/menit
    • Keganasan
    • Bikarbonat >20mmol/L
    • Luas SJS >10%

    39

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