kasus 3 farmakoterapi diabetes millitus
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KASUS 3
KELOMPOK 1
Nauval Muzakki (1308010088)
Maryam Makhmudah (1308010090)
Ulfi fariah (1308010092)
Sri Mardiyai (130801009!)Sulkhi "au Pra#$# (130801009%)
&adik# 'fik# Prad$i (1308010098)
Pra$ya$i *iria$i (1308010100)
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KASUS
• Nama pasien : Ny DT• Umur : 40 tahun• BB : 78 kg
Pasien datang ke RS karena adanya rytema dan gata! pada"u!"a dan "agina# pasien se$e!umnya menga!ami "aginitisyang sudah $erhasi! diatasi dengan pem$erian %etr&nida'&!e
supp&sit&ria se!ama 7 hari(
)asi! pemeriksaan : TD * +,0-80 mm)g# gu!a darah a.ak * /4mg-d1# )$A+2* 8#4 3# k&!ester&! t&ta! * /80 mg-d1# )D1 */ mg-d1# 1D1 * +7 mg-d1# trig!iserida * ,/ mg-d1(
Ri5ayat pasien : )ipertensi#)iper!ipedemia#D% 6estasi&na!anak ke/
Ri5ayat peng&$atan : Am!&dipin + sehari dan sim"astatin +sehari
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Apa itu diabetes melitus?
• Menurut American DiabetesAssociation (ADA) 2010, DiabetesMelitus (DM) merupakan suatu
kelompok penakit metabolik den!ankarakteristik "iper!likemia an!ter#adi karena kelainan sekresi
insulin, ker#a insulin atau kedua$duana
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E+,OLO-,
%besitas&ipertensiDM&iperlipidemia&iper!likemiaDM tipe 2
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'AK% *S+K%
1 &ormon
2 %besitas
3 idak ada akti-itas tubu". Umur (.0 ta"un atau lebi" beresiko
men!alami DM )
/ &ipertensi
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P'+O.,SOLO-,
asien datan! ke S karena kelu"an *rt"emadan a!initis tetapi suda" di atasi den!anpemberian metronidaol suppo, pasien
sebelumna perna" men!alami "pertensi,"perlipidemia, dan DM !estasional anak ke 2
berat badan pasien pun berlebi", dari tanda$
tanda klinis aal pasien masuk S dan men!alami!atal dan #amur pada ba!ian !enital, itu adala"sala" 1 tanda pasien men!alami DM tipe 2
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P&O-NOS,S
• ro!nosis pasien memburuk karenadari tanda$tanda klinis dan nilaipemeriksaan laboratorium tidak
normal
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)AS91 pemeriksaan Tandatanda ita! dan 1AB;RAT;R9U%
Laboratorium klinik Nilai Normal Interpretasi
4DA 5 /4 mg-d1# 6aktu uasa 5 7
120 2 #am Setela" Makan 5 7
200
4ula dara" tidak
normal
)$A+2* 8#4 3 .$8 9 enderita DM !memiliki kerentaanter#adi komplikasi
K&!ester&! t&ta! * /80 mg-d1 7 200 m!:d; Kolesterol tin!!i
)D1 * / mg-d1 < ./ m!:d; &D; pasien renda"
1D1 * +7 mg-d1 7130 m!:d; Men!alami bordenline
trig!iserida * ,/ mg-d1 71/0 m!:d; &pertri!liserida
Tanda-tanda Vital Nilai Normal Interpretasi
D 5 130:=0 mm&! 120:=0 mm&! >ormal
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ekanan dara" pasien 130:=0 mm&!
ekanan dara" normal 7120 : 7=0mm&!
intrepretasi D asien >%MA;
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Ni!ai n&rma! 6DA kurang dari +40 mg-d16u!a Darah A.ak <Rand&m P!asma 6!uk&se= pasien/4 mg-d1
9nterpretasi 6DA Pasien * D9ABTS
Ni!ai N&rma! )$A+. N&rma! kurang dari >#7 3
Ni!ai )$A+. Pasien * 8#4 3
9nterpretasi )$A+. Pasien * D9ABTS
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ene!akan dia!nosis DM
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K&!ester&! 1D1 n&rma! ?+,0 mg-d1
K&!ester&! 1D1 pasien * +7 mg-d1
9ntrepretasi 1D1 pasien * tidak n&rma!# tinggi dan $eresik& terkenakardi&"asku!ar
Kolesterol &D; normal < ./ m!:d; K&!ester&! )D1 pasien / mg-d1
9ntrepretasi )D1 pasien * rendah# tidak n&rma!
Kadar tri!liserid normal 71/0 m!:d;
Kadar trig!iserid pasien ,/ mg-d1
9ntrepretasi Pasien hypertrig!iserida
Kadar kolesterol normal 200m!:d;
Kadar kolesterol pasien 2=0m!:d;
+ntrepretasi pasien &perkolesterolemia
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'm$
• iaat pen!obatan asien diberi
Amlodipin untuk menan!ani riaat"pertensi, namun setela" "asilpemeriksaan nilai tekanan dara"
an! diperole" suda" normal se"in!!apemberian amlodipin di"entikan
•iaat pemberian obat an! keduaaitu sim-astatin an! memiliki e@ek@armakol!i seba!ai penurun kolesterol
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....Assessment
•emberian sim-astatin di!unakan untukmenurunkan kadar kolesterol baik kadar;D; maupun tri!liserida, namunsim-astatin memiliki e@eksampin! an!
tidak diin!inkan meli"at !e#ala pasienan! suda" memasuki dia!nosa Diabetesmilitus tipe 2 an! sala" satuna memilikitanda !atal dan ruam pada ba!ian!enetalis
• Sedan!kan e@ek sampin! dari sim-astatinitu sendiri aitu ert"ema se"in!!a
pen!!unaan sim-astatin "arus di!anti
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.....Assessment
• indakan an! dilakukan aituden!an men!!anti sim-astatinden!an met@ormin dan sul@onilurea
Alasan pemili"an sul@onilurea karenaobat ini beker#a spesik ter"adappenakit diabet tipe 2
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Sulf#iluraSu!@&ni!urea menstimu!asi se!se! dari $eta pu!au 1angerhans#sehingga
sekresi insu!in ditingkatkan(Disamping itu#kepekaan se!se! $eta $agi kadarg!uk&sa darah di per$esar me!a!ui pengaruhnya atas pr&tein transp&r
g!uk&sa( ;$at ini hanya e@ekti@ pada penderita tipe/ yang tidak $egitu
$erat#yang se!se! $etannya masih $ekera .ukup $aik(
E/S hi#likmi ya daa$ $radi 4r $rlu5u6da ada kalaya $aa alakha
M$f#rmi
%et@&rmin mengurangi teradinnya k&mp!ikasi makr&"asku!er me!au!ui
per$aikan pr&@i! !ipida darah yaitu peningkatan )D1# penurunan 1D1 dantrig!iserida#uga @i$rin&!is di per$aiki dan $erat $adan tidak $egitu
meningkat
E/S a4id#i aam lak$a$ da ai#a$i lua 6$ru$ama ada laia
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Assesment
Kadar normal kolesterol sebaikna kuran! dari200m!:d;, namun Kadar kolesterol pasien2=0m!:d; se"in!!a pasien diintrepretasikanmen!alami "perkolesterolemia
indakan an! diambil aitu den!anmen!kombinasikan nikotianat den!an kolestid
an! dapat menurunkan kolesterol "in!!a ./9
*S 5 Konstipasi, Diare, Mual, Munta", dan rasa tidakenak dalam saluran cerna
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PL'N (&EKOMEN"'S,)
Tujuan Terapi Strategi Terapi
Menembu"lkan ert"emadan !atal
Menurunkan 4ula Dara"
(4DA)%enurunkan )$A+.
Sul@onilurea
Men!atasi DM den!anMenurunkan ;D;, tri!liseriddan Menin!katkan &D;
Menurunkan kolesterol
Met@ormin
Bolestid C >ikotianat
( kolesterol sampai ./9 )
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+rai N#7.armakl#i
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A. Edukasi• im kese"atan mendampin!i pasien dalam peruba"an
perilaku se"at upaa edukasi dilakukan secara
komp"re"ensi@• u#uan dari edukasi diabetes adala" mendukun! usa"a
pasien penandan! diabetes untuk men!erti per#alananalami penakitna dan pen!elolaanna, men!enalimasala" kese"atan:komplikasi an! mun!kin timbulsecara dini: saat masi" re-ersible, ketaatan perilaku
pemantauan dan pen!elolaan penakit secara mandiri,dan peruba"an perilaku:kebiasaan kese"atan
• *dukasi pada penandan! diabetes meliputi 51 pemantauan !lukosa mandiri
2 peraatan kaki3 ketaatan pen!unaan obat$obatan dan ber"enti merokok. menin!katkan aktitas sik/ men!uran!i asupan kalori dan diet tin!!i lemak
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B. Terapi Gizi edis
rinsip pen!aturan makan pada
penandan! diabetes aitu makanan an!seimban!, sesuai den!an kebutu"an kalorimasin!$masin! indi-idu
•
Komposisi makanan an! dian#urkan terdiridari 5
karbo"idrat ./9$8/9,
lemak 209$2/9,
protein 109$209,>atrium kuran! dari 3!,
Diet cukup serat sekitar 2/!:"ari
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!. Lati"an #asmani
1 ;ati"an #asmani secara teratur 3$. kali semin!!u,masin!$masin! selama kuran! lebi" 30 menit
2 ;ati"an #asmani dian#urkan an! bersi@at aerobikseperti ber#alan santai, #o!!in!, bersepeda danberenan! ;ati"an #asmani selain untuk men#a!akebu!aran #u!a dapat menurunkan berat badandan menin!katkan sensititas insulin
$. Inter%ensi &armakologis
erapi @armakolo!is terdiri dari obat oral danbentuk suntikan
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+rai .armak#l#i
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'"arma(ologi( treatment )or (ontrollingblood glu(ose *Gula $ara"+
1 Met@ormin
2 Sul@onlureas
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M$f#rmi%et@&rmin mengurangi teradinnya k&mp!ikasi makr&"asku!er
me!au!ui per$aikan pr&@i! !ipida darah yaitu peningkatan )D1#
penurunan 1D1 dan trig!iserida#uga @i$rin&!is di per$aiki dan $erat
$adan tidak $egitu meningkatE/S a4id#i aam lak$a$ da ai#a$i lua 6$ru$ama ada laia
Sulf#iluraSu!@&ni!urea menstimu!asi se!se! dari $eta pu!au
1angerhans#sehingga sekresi insu!in ditingkatkan(Disamping
itu#kepekaan se!se! $eta $agi kadar g!uk&sa darah di per$esar
me!a!ui pengaruhnya atas pr&tein transp&r g!uk&sa( ;$at ini hanyae@ekti@ pada penderita tipe/ yang tidak $egitu $erat#yang se!se!
$etannya masih $ekera .ukup $aik(
E/S hi#likmi ya daa$ $radi 4r $rlu5u6da ada kalaya $aa ala
kha
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Monitorin!
• &bA1c
Dosis aal 2/0m! 1se"ari
Dosis ak"ir, 1000m! 2se"ari atau #u!a den!an =/0m!3se"ari
• 4DA
Setiap 3 bulan sampai tar!et tercapai , setela" tercpaidapat di monitorin! setiap 12 bulan
Monitorin! e@ek sampin! obat
Eika "asil kuran!dari 1,/ (seserin!mun!kin )
#ika creatinin lb" tin!!i dari 1,/ (2 dalam seta"un)
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;+*AU*
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*+MAKAS+&