lapsus dalam - malaria gt
DESCRIPTION
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MALARIA
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DEFINISIPenyakit infeksi akut maupun kronik yang disebabkan oleh parasit plasmodium yang menyerang eritrosit dan ditandai dengan ditemukannya bentuk aseksual dalam darah dg gejala demam, menggigil,anemia dan pembesaran limpa
Spesies : Plasmodium falciparumPlasmodium vivax Plasmodium malariaePlasmodium ovale
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KARAKTERISTIK SPESIES MALARIA
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SIKLUS TRANSMISI MALARIA
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Hall mark Sign & symptom
• Demam paroksismal• Kontak area endemis• Ikterik• Splenomegali• Hepatomegali• Anemis• GCS -> malaria cerebral
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Pem.FisikTanda Patognomonis
Periode demam• Kulit terlihat
merah,panas,suhu tubuh meningkt.
• Px dpt juga terlihat pucat
• Nadi teraba cepat• takipneu
Periode dingin & berkeringat• Kulit teraba dingin &
berkeringat• Nadi teraba cepat &
lemah• Kondisi tertentu
penurunan kesadrn
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Malaria berat (kriteria who)
• Malaria falciparum + ≥ 1 kriteria berikut
• M.cerebral• Anemia berat (Hb,5gr
%)• AKI• Edema paru
• Hipoglikemia• Syok• Perdarahan spontan• Kejang berulang• Asidemia• Makroskopik
hemoglobinuri
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PENEGAKAN DIAGNOSA • Pemeriksaan mikroskopis malaria hapusan
darah tebal/tipis
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PENATALAKSANAANFalciparum atau mixed
L.1: DHP L.2:kina+ doksisiklin/tetra+primaquin
Vivax,ovale1.
DHP+primakuin2.kina+
primaquin
MalariaeDHP (3hr),
primakuin 14 hari
Malaria bumilTM I:
kina+klindamycinTM II & III:
DHP
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Penatalaksanaan Malaria dengan
komplikasi
Artemisin/ artesunat IM/IV dg dosis awal 3,2 mg/kgBB
rujuk
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Diagnosis banding
1. Demam dengue2. Demam tifoid3. leptospirosis
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TERIMA KASIH
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