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  • 8/19/2019 Refjiwa Agitaso Akut Agitasi

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    AKUT AGITASI

    PSIKOSISDISUSUN OLEH :CATTLEYA ANANDA VILDA1102011063

    HAFIZ ARQUSOY 1102011

    RANTRI ZAHRA KIRANA 1102011222

    PEMBIMBING :

    DR. ERI ACHMAD ACHDIAR, SP.KJ

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    DEFINISI

    • A!"#$! #%#' #($!)"#$ *)+#" #( %!$)+"#!-))&!$#'#( /"/+!-, $)+# %)(#( !+!"#*!&!"#$#( %!"#(%#! %)(#( )-$"#*!&!"#$ *)+&)*!'

    %!$)+"#! -)#+#'#( #"# +#$# ")+#( #(%#' ")+!.

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    A-" A!"#$! K)##"%#++#"#( P$!-!#"+!

    -/(%!$! -/(!"!4, #4)-"!4 #"#$!-//"/+ #( "!%#- ! #(##*! "!%#- $))+# %!#"#$! %##"

    *)+#-!*#" )()-#-#( %!+!#$!)( #"# /+#( !(.

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    KELUHAN, #-"!!"#$ /"/+!- #( *)+&)*!'#(,

    "!%#- $)$#! %#( "!%#- *)+"7#(,

    #$!)( )!&!-! -/("+/& !&$ #( *+-, %# #(#()$!$ !$! )*!#+##(

    *)+&)*!'#( %#( *)+$!4#" )('!(# ")-#(#($#+# -)+#$ %#( )(("",

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    KRITERIA DIAGNOSIS

    P)(!!#( -&!(!$ "## %#( "+!#$) %!*"'-#( ("- )!&!'!(")+)($! ")#" %#( $))+#.

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  • 8/19/2019 Refjiwa Agitaso Akut Agitasi

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    TRIASE

    PASIEN

    AGITASI

    SETTINGAN NONMEDIS

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    SETTINGANMEDIS

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  • 8/19/2019 Refjiwa Agitaso Akut Agitasi

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    PEMERIKSAAN PENUNJANG 

    • D#+#' +"!(, $))+"! '!"( 7)(!$, $-+))(!(!(4)-$!, ")$ "!+/!% #"# &))& !"#!(

    • H)#% CT #"# MRI

    • P($! &*#&

    •  T)$ +!( :$-+)(!( !(4)-$! #"# /*#";

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    PENATALAKSANAAN

    P)()&/#( #$!)( #!"#$! %!%#$#+-#( #%#)#" +!($! "## #!" <

    • "!(%#-#( -)$)#"#(

    • !(")+)($! )+*#&

    • )()-#(#( 9$!-

    • 4#+#-/&/!$.

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     TINDAKAN KESELAMATAN

    • P#$"!-#( -)'#%!+#( )(7##. K)'#%!+#( )(7## -)##(#( #-#()()#' #$!)( )--#( "!(%#-#( #+)$!4.

    •  J!-# #$!)( *)+#%# %! %# +#( -/($&"#$! #"# +#( -)+7#, 7#(-)&#+ '#+$ %!+)(#(#-#( %# -#$$ )+!- -)-)+#$#(.

    R#(#( $)*#!-(# '#+$ &)*#+.. D!)+&-#( "!(%#-#( )()#'#(%)(#( )(7#'-#( *)(%#=*)(%# #( %##" %!(#-#( $)*##!$)(7#"#, ")+#$- )($!& %#( #$*#-.

    • H!(%#+! -/("#- %)-#" %)(#( #$!)(. P#$!)( "!%#- %!")#"-#(%!#("#+# %/-")+ %#( !(" -)&#+.

    • H!(%#+! "!(%#-#( )*)-#(! #$!)(.

    >#" $#$#(# $)")(#( (-!(, )('!(%#+! +#($#(#()-$")+(#&, $))+"! $!-, *)+")+!#-, ")+#(

    • ?#$#%#! "#(%#="#(%# "!(%#-#( #( "!*#="!*#

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    INTERVENSI VER>AL

    • M))+-)(#&-#( %!+! $)*##! %/-")+

    • H/+#"! +#( +!*#%! #$!)( %)(#( -&!(!$!

    • M!(! 7#+#- 2 &)(#(

    >! #$!)( )!&!-! )7# #+#(/!%, 7#+#- &)*!' %!)+&)*#+• M)*)+!-#( !(4/+#$!. P#$!)( '#+$ %!!(4/+#$!-#( )()(#!

    "!(%#-#( #( %!#*!&. H!(%#+! #(##( %#( )*)+!#( '#+##(.

    • >)+$!-# )#-!(-#( ")"#! ")#$ :"##- ")(#( %#()()(%#&!-#( $!"#$!;.

    • G(#-#( $#+# #( /(/"/(

    • ?#7#' %#( $!-# "*' ")(#( : "!%#- )(!(-#( -#-! #"#"#(#(

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    INTERVENSI VER>AL

    • M))+-)(#&-#( %!+! $)*##! %/-")+

    • H/+#"! +#( +!*#%! #$!)( %)(#( -&!(!$!

    • M!(! 7#+#- 2 &)(#(

    >! #$!)( )!&!-! )7# #+#(/!%, 7#+#- &)*!' %!)+&)*#+• M)*)+!-#( !(4/+#$!. P#$!)( '#+$ %!!(4/+#$!-#( )()(#!

    "!(%#-#( #( %!#*!&. H!(%#+! #(##( %#( )*)+!#( '#+##(.

    • >)+$!-# )#-!(-#( ")"#! ")#$ :"##- ")(#( %#()()(%#&!-#( $!"#$!;.

    • G(#-#( $#+# #( /(/"/(

    • ?#7#' %#( $!-# "*' ")(#( : "!%#- )(!(-#( -#-! #"#"#(#(

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    INTERVENSI VER>AL

    • G(#-#( )+#-##( #( ")(#(, )+"#(##( )(%)- %#( %!('!(# %##" %!)()+"! /&)' #$!)(, #-"!4 )(%)(#+-#( #$!)(,)('!(%#+! -/(4+/("#$! #"# )+#(#( ")+'#%# !%) #"# $!-##$!)(.

    M)('!(%#+! -/("#- #"# *)+-)#(7#(#(.• M)(/*# ("- )(##+-#( $)$#" :#-#( #"# !(; #(

    %##" )(%-( %!#&/

    • ?#$#%#! "#(%#="#(%# )+!- -)-)+#$#( $))+"! )(!(-#"#(/&) $#+#, )((##( *#'#$# #( -#$#+, -)")#(#( /"/":)()(-)+# -+$!;, , '!)+#-"!4 :)(/$/- "#(#(,*)+7#( /(%#+=#(%!+;.

    • K)'#%!+#( #(/"# -)&#+# '#+$ %!)+"!*#(-#(. K)&#+# %##")*)+!-#( !(4/+#$! )()(#! #$!)( $))+"! +!##" #$!)( ,

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    PENGEKANGAN FISIK 

    • P)()-#(#( 9$!- )(7#%! "!(%#-#( )+"## %# -#$$ #!"#$!)-$"+! %)(#( +!$!-/ #+)$! #"# )+/*##( *(' %!+!.P)()-#(#( 9$!- 7# %!!(%!-#$!-#( #%# #$!)( #( )+!-(#)&!$#' %#( )('#*#" "!(%#-#( ")+#)"!-. S)*)&)()+#-#( )()-#(#( 9$!-, #$!)( '#+$ %!*)+!"#' ")("#(

    #$#( %#( !&!'#( ")+#! #( %!#*!&, )*)+!-#( !&!'#( ")+#!4#+#-/&/!.

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    PENGEKANGAN FISIK 

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     TERAPI FARMAKOLOGIS

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     TERAPI FARMAKOLOGIS

    • P)()-#(#( 9$!- )(7#%! "!(%#-#( )+"## %# -#$$ #!"#$!)-$"+! %)(#( +!$!-/ #+)$! #"# )+/*##( *(' %!+!.P)()-#(#( 9$!- 7# %!!(%!-#$!-#( #%# #$!)( #( )+!-(#)&!$#' %#( )('#*#" "!(%#-#( ")+#)"!-. S)*)&)()+#-#( )()-#(#( 9$!-, #$!)( '#+$ %!*)+!"#' ")("#(

    #$#( %#( !&!'#( ")+#! #( %!#*!&, )*)+!-#( !&!'#( ")+#!4#+#-/&/!.

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     TERAPI FARMAKOLOGIS

    HLD< '#&/)+!%/&

    LRZ< &/+#5)#

    OLZ< /(5#!()

    ZIP< Z!+#$!%/()

    ARP< A+!!+#5/&)

    DOC< %+ /4

    '/!) 

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    EDUKASI

    • M)! )+#( $)+"# #$#+#-#"•  T)+#! % )+#( $)+"# #$#+#-#"

    • R)'#*!&!"#$! !$#&(# )"!'#( #+# *)+$/$!#&!#$!,")+#! -/(!"!4 %#( )+!-

    • P#$!)( )*)("- -)&//- *##!#(# #+# ("-)*#(" %!+! $)(%!+! $)#+# #(%!+!, )+-(*##!#(# #+# ))+--#( %!+! %#( )+-(#+# -)+#*#" :%!*)("- /&)' /+#( "# #$!)(;

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    EDUKASI

    •  T)+#! !(%!!%#&

    • D-(#( %#( /+!)("#$! "!&!-#(

    • P)(%)-#"#( !(%!!%#& *)+%#$#+-#( -/(%!$! -&!(!-, )()"#--)##( %#( +)4)+)() P)+#( $)+"# -)&#+#

    •M)(!-"$)+"#-#( -)&#+# %# +)(#(# ")+#!, )(##!"7#( %#( )#(#(

    • M)()%!#-#( *!*!(#(, %-(#(, )"(7- %#( )"!'#(("- )*!(# -)&#+# ))('! )+#( )+)-# $)*##!#+)!)+$

    • D-(#( -)&//- ("- -)&#+# $)'#+$(# %!#(7+-#( T)+#! -)&//-

    • $!-/")+#! %#( %-(#( -)&//- )*#(" -)($(#()()&)$#!#( #$#', +)(#(# "7#(, !(")+#-$! $/$!#& %#( )4)-$#!( )(/*#"#(

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    PROGNOSIS

    • E!$/%) #-" $)+!( )(#! +/(/$!$ #(*#!-, ")"#! # )+7#(#( )(#-!" $-#+%!+##&-#( '#(# %)(#( )&!'#" %#+! $#"

    )!$/%) #-" $#7#. A!"#$! #( )*#'##-#(#$!)(, -)&#+# #"# #$#+#-#", ))+&-#('/$!"#&!$#$! #"# )(##$#( -)"#" %! $#"")#" #( ##(. J!-# #$!)( )(/-)(/*#"#(, (-!( %!)+&-#( "!(%#-#(%)(#( *#("#( )+##" -)$)'#"#( 7!#

    #$#+#-#" %#( )+#(-#" %)$# $)+"#-)##(#( $)")#"