refjiwa agitaso akut agitasi
TRANSCRIPT
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
1/27
AKUT AGITASI
PSIKOSISDISUSUN OLEH :CATTLEYA ANANDA VILDA1102011063
HAFIZ ARQUSOY 1102011
RANTRI ZAHRA KIRANA 1102011222
PEMBIMBING :
DR. ERI ACHMAD ACHDIAR, SP.KJ
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
2/27
DEFINISI
• A!"#$! #%#' #($!)"#$ *)+#" #( %!$)+"#!-))&!$#'#( /"/+!-, $)+# %)(#( !+!"#*!&!"#$#( %!"#(%#! %)(#( )-$"#*!&!"#$ *)+&)*!'
%!$)+"#! -)#+#'#( #"# +#$# ")+#( #(%#' ")+!.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
3/27
A-" A!"#$! K)##"%#++#"#( P$!-!#"+!
-/(%!$! -/(!"!4, #4)-"!4 #"#$!-//"/+ #( "!%#- ! #(##*! "!%#- $))+# %!#"#$! %##"
*)+#-!*#" )()-#-#( %!+!#$!)( #"# /+#( !(.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
4/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
5/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
6/27
KELUHAN, #-"!!"#$ /"/+!- #( *)+&)*!'#(,
"!%#- $)$#! %#( "!%#- *)+"7#(,
#$!)( )!&!-! -/("+/& !&$ #( *+-, %# #(#()$!$ !$! )*!#+##(
*)+&)*!'#( %#( *)+$!4#" )('!(# ")-#(#($#+# -)+#$ %#( )(("",
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
7/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
8/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
9/27
KRITERIA DIAGNOSIS
P)(!!#( -&!(!$ "## %#( "+!#$) %!*"'-#( ("- )!&!'!(")+)($! ")#" %#( $))+#.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
10/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
11/27
TRIASE
PASIEN
AGITASI
SETTINGAN NONMEDIS
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
12/27
SETTINGANMEDIS
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
13/27
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
14/27
PEMERIKSAAN PENUNJANG
• D#+#' +"!(, $))+"! '!"( 7)(!$, $-+))(!(!(4)-$!, ")$ "!+/!% #"# &))& !"#!(
• H)#% CT #"# MRI
• P($! &*#&
• T)$ +!( :$-+)(!( !(4)-$! #"# /*#";
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
15/27
PENATALAKSANAAN
P)()&/#( #$!)( #!"#$! %!%#$#+-#( #%#)#" +!($! "## #!" <
• "!(%#-#( -)$)#"#(
• !(")+)($! )+*#&
• )()-#(#( 9$!-
• 4#+#-/&/!$.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
16/27
TINDAKAN KESELAMATAN
• P#$"!-#( -)'#%!+#( )(7##. K)'#%!+#( )(7## -)##(#( #-#()()#' #$!)( )--#( "!(%#-#( #+)$!4.
• J!-# #$!)( *)+#%# %! %# +#( -/($&"#$! #"# +#( -)+7#, 7#(-)&#+ '#+$ %!+)(#(#-#( %# -#$$ )+!- -)-)+#$#(.
R#(#( $)*#!-(# '#+$ &)*#+.. D!)+&-#( "!(%#-#( )()#'#(%)(#( )(7#'-#( *)(%#=*)(%# #( %##" %!(#-#( $)*##!$)(7#"#, ")+#$- )($!& %#( #$*#-.
• H!(%#+! -/("#- %)-#" %)(#( #$!)(. P#$!)( "!%#- %!")#"-#(%!#("#+# %/-")+ %#( !(" -)&#+.
• H!(%#+! "!(%#-#( )*)-#(! #$!)(.
•
>#" $#$#(# $)")(#( (-!(, )('!(%#+! +#($#(#()-$")+(#&, $))+"! $!-, *)+")+!#-, ")+#(
• ?#$#%#! "#(%#="#(%# "!(%#-#( #( "!*#="!*#
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
17/27
INTERVENSI VER>AL
• M))+-)(#&-#( %!+! $)*##! %/-")+
• H/+#"! +#( +!*#%! #$!)( %)(#( -&!(!$!
• M!(! 7#+#- 2 &)(#(
•
>! #$!)( )!&!-! )7# #+#(/!%, 7#+#- &)*!' %!)+&)*#+• M)*)+!-#( !(4/+#$!. P#$!)( '#+$ %!!(4/+#$!-#( )()(#!
"!(%#-#( #( %!#*!&. H!(%#+! #(##( %#( )*)+!#( '#+##(.
• >)+$!-# )#-!(-#( ")"#! ")#$ :"##- ")(#( %#()()(%#&!-#( $!"#$!;.
• G(#-#( $#+# #( /(/"/(
• ?#7#' %#( $!-# "*' ")(#( : "!%#- )(!(-#( -#-! #"#"#(#(
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
18/27
INTERVENSI VER>AL
• M))+-)(#&-#( %!+! $)*##! %/-")+
• H/+#"! +#( +!*#%! #$!)( %)(#( -&!(!$!
• M!(! 7#+#- 2 &)(#(
•
>! #$!)( )!&!-! )7# #+#(/!%, 7#+#- &)*!' %!)+&)*#+• M)*)+!-#( !(4/+#$!. P#$!)( '#+$ %!!(4/+#$!-#( )()(#!
"!(%#-#( #( %!#*!&. H!(%#+! #(##( %#( )*)+!#( '#+##(.
• >)+$!-# )#-!(-#( ")"#! ")#$ :"##- ")(#( %#()()(%#&!-#( $!"#$!;.
• G(#-#( $#+# #( /(/"/(
• ?#7#' %#( $!-# "*' ")(#( : "!%#- )(!(-#( -#-! #"#"#(#(
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
19/27
INTERVENSI VER>AL
• G(#-#( )+#-##( #( ")(#(, )+"#(##( )(%)- %#( %!('!(# %##" %!)()+"! /&)' #$!)(, #-"!4 )(%)(#+-#( #$!)(,)('!(%#+! -/(4+/("#$! #"# )+#(#( ")+'#%# !%) #"# $!-##$!)(.
•
M)('!(%#+! -/("#- #"# *)+-)#(7#(#(.• M)(/*# ("- )(##+-#( $)$#" :#-#( #"# !(; #(
%##" )(%-( %!#&/
• ?#$#%#! "#(%#="#(%# )+!- -)-)+#$#( $))+"! )(!(-#"#(/&) $#+#, )((##( *#'#$# #( -#$#+, -)")#(#( /"/":)()(-)+# -+$!;, , '!)+#-"!4 :)(/$/- "#(#(,*)+7#( /(%#+=#(%!+;.
• K)'#%!+#( #(/"# -)&#+# '#+$ %!)+"!*#(-#(. K)&#+# %##")*)+!-#( !(4/+#$! )()(#! #$!)( $))+"! +!##" #$!)( ,
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
20/27
PENGEKANGAN FISIK
• P)()-#(#( 9$!- )(7#%! "!(%#-#( )+"## %# -#$$ #!"#$!)-$"+! %)(#( +!$!-/ #+)$! #"# )+/*##( *(' %!+!.P)()-#(#( 9$!- 7# %!!(%!-#$!-#( #%# #$!)( #( )+!-(#)&!$#' %#( )('#*#" "!(%#-#( ")+#)"!-. S)*)&)()+#-#( )()-#(#( 9$!-, #$!)( '#+$ %!*)+!"#' ")("#(
#$#( %#( !&!'#( ")+#! #( %!#*!&, )*)+!-#( !&!'#( ")+#!4#+#-/&/!.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
21/27
PENGEKANGAN FISIK
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
22/27
TERAPI FARMAKOLOGIS
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
23/27
TERAPI FARMAKOLOGIS
• P)()-#(#( 9$!- )(7#%! "!(%#-#( )+"## %# -#$$ #!"#$!)-$"+! %)(#( +!$!-/ #+)$! #"# )+/*##( *(' %!+!.P)()-#(#( 9$!- 7# %!!(%!-#$!-#( #%# #$!)( #( )+!-(#)&!$#' %#( )('#*#" "!(%#-#( ")+#)"!-. S)*)&)()+#-#( )()-#(#( 9$!-, #$!)( '#+$ %!*)+!"#' ")("#(
#$#( %#( !&!'#( ")+#! #( %!#*!&, )*)+!-#( !&!'#( ")+#!4#+#-/&/!.
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
24/27
TERAPI FARMAKOLOGIS
HLD< '#&/)+!%/&
LRZ< &/+#5)#
OLZ< /(5#!()
ZIP< Z!+#$!%/()
ARP< A+!!+#5/&)
DOC< %+ /4
'/!)
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
25/27
EDUKASI
• M)! )+#( $)+"# #$#+#-#"• T)+#! % )+#( $)+"# #$#+#-#"
• R)'#*!&!"#$! !$#&(# )"!'#( #+# *)+$/$!#&!#$!,")+#! -/(!"!4 %#( )+!-
• P#$!)( )*)("- -)&//- *##!#(# #+# ("-)*#(" %!+! $)(%!+! $)#+# #(%!+!, )+-(*##!#(# #+# ))+--#( %!+! %#( )+-(#+# -)+#*#" :%!*)("- /&)' /+#( "# #$!)(;
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
26/27
EDUKASI
• T)+#! !(%!!%#&
• D-(#( %#( /+!)("#$! "!&!-#(
• P)(%)-#"#( !(%!!%#& *)+%#$#+-#( -/(%!$! -&!(!-, )()"#--)##( %#( +)4)+)() P)+#( $)+"# -)&#+#
•M)(!-"$)+"#-#( -)&#+# %# +)(#(# ")+#!, )(##!"7#( %#( )#(#(
• M)()%!#-#( *!*!(#(, %-(#(, )"(7- %#( )"!'#(("- )*!(# -)&#+# ))('! )+#( )+)-# $)*##!#+)!)+$
• D-(#( -)&//- ("- -)&#+# $)'#+$(# %!#(7+-#( T)+#! -)&//-
• $!-/")+#! %#( %-(#( -)&//- )*#(" -)($(#()()&)$#!#( #$#', +)(#(# "7#(, !(")+#-$! $/$!#& %#( )4)-$#!( )(/*#"#(
-
8/19/2019 Refjiwa Agitaso Akut Agitasi
27/27
PROGNOSIS
• E!$/%) #-" $)+!( )(#! +/(/$!$ #(*#!-, ")"#! # )+7#(#( )(#-!" $-#+%!+##&-#( '#(# %)(#( )&!'#" %#+! $#"
)!$/%) #-" $#7#. A!"#$! #( )*#'##-#(#$!)(, -)&#+# #"# #$#+#-#", ))+&-#('/$!"#&!$#$! #"# )(##$#( -)"#" %! $#"")#" #( ##(. J!-# #$!)( )(/-)(/*#"#(, (-!( %!)+&-#( "!(%#-#(%)(#( *#("#( )+##" -)$)'#"#( 7!#
#$#+#-#" %#( )+#(-#" %)$# $)+"#-)##(#( $)")#"