Tutorial a Blok 16 Tb

8/19/2019 Tutorial a Blok 16 Tb

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TUBERCULOSISKELOMPOK 8


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ANGGOTAErika Sandra (04011181419014)

Abdrra!"an Akib (040111814190#0)

Sara! U""a! M$%i"a! (04011181419004)

A&ri'a Nrkari"a (04011181419#1)

i%da Nad!i%a a$bi (04011#81419080)

E%i$ab*'! S'*+ann, (04011#81419114)

-i'ria Ma$'ra! (04011#8141911).*na Nabi%a! /a$"in (04011#814191#8)

S,a! -i'ri (04011#814191)

N,i"a$ S!ara (04011#8141918)


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OUTLINE

1. Skenario dan Identifikasi Masalah2. Anatomi dan Fisiologi

3. Tuberculosis

4. Penatalaksanaan

. !erangka !onse"#. $earning Issue


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SKENARIO

Mr2 /3 a 40,*ar 5%d3 'r6k dri7*r3 a$ ad"i''*d '5 !5$&i'a% i'! "a$$i7* hemoptoe2 * 65"

hours a5 !* !ad a severe of coughing i'! +r*$! b%55d 5+ ab5' # %a$$*$2 * a%$5 $aid '

&r*7i5$ "5n'!$3 !* !ad productive cough i'! a lot phlegm3 mild fever3 loss of appe

of body weight (previous weight: 70 kg), and shortness of breath. Sin6* a **k a5

$,"&'5"$ *r* 5r$*nin2 -r5" +r'!*r in'*r7i*3 Mr2 / !a7* $i"i%ar $,"&'5"$ ,*ar$ a5

"*di6a'i5n a+'*r 65n$%'in i'! d56'5r a' '!a' 'i"*2 B' $'5& '!* 'r*a'"*n' a+'*r # **k$ b*

+**%in b*''*r2

hysical !"amination :

G*n*ra% a&&*aran6* : !* %55k*d $*7*r*%, $i6k and &a%*2 B5d, !*i!' : 1;< 6"3 b5d, *i!' :

100=;0 ""3 R:11# >="in'*3 RR: >="in'*3 '*"&*ra'r*: ;25C2 T!*r* a$ a 'a''5 5

6!*$' a$6%'a'i5n '!*r* a$ an in6r*a$* 5+ 7*$i6%ar $5nd a' '!* ri!' a&*> %n i'! "5d*


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Ana'5"i dan -i$i5%5i


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TUBERCULOSIS


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TUBERCULOSIS


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TUBERCULOSIS

• PENULARAN


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TUBERCULOSE

• Pan?an 14="• L*bar 0203="

• .indin $*%3

a$a" %*"ak

&*&'id5%ikanArabin5"ann

• Si'5&%a$"a "akr5+a

• a*r5b


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PATOGENESIS

• Tb*r6%5$i$ &ri"*r

• Tb*r6%5$i$ &a$6a &ri"*r


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PEMERIKSAAN

• emeriksaan #sik k5n?n'i7a &6a'

$b+*bri$

&*rk$i r*d&3 a$k%'a$i na+a$ br5nkia%

r5nki ba$a!3ka$ar3 n,arin


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PEMERIKSAAN

• emeriksaan laboratorium TB bar @ L*k5$i' $*diki' "*nini

%i"+5$i' "a$i! dibaa! n5r"

LE. "*ninka'

TB "%ai $*"b! @ L*k5$i' k*"ba%i n5r"a %i"+5$i' "a$i! 'ini

LE. 'rn k* n5r"a%


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PEMERIKSAAN

$putumdian5$i$ @ di'*"kan k"an BTA

k"an BTA di'*"kan bi%a br5nk$ , '*r%iba'

&r5$*$ &*n,aki' '*rbka k*%ar

&*"*rik$aan @ dian?rkan "in" air # %i'*r3 r*

ba'k

5ba' "k5%i'ik *k$&*k'5ran

in!a%a$i %ar'an ara" !i&*r'5nik $*%a"a #00 "

br5nk5$k5&i


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PEMERIKSAAN

• %es %uberculin

T*$ Man'5>3"*n,n'kkan 031 66'b*rk%in P2P2.2 (&ri*d

&r5'*in d*ri7a'i7*)in'rak'an b*rk*ka'an <


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TATALAKSANA


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TATALAKSANA


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&ategori' : (*+!) - (*+)

• Padan OAT ini dib*rikan n'k &a$i*n bar:• Pa$i*n TB &ar '*rk5nr"a$i bak'*ri5%5i$2

• Pa$i*n TB &ar '*rdian5$i$ k%ini$

• Pa$i*n TB *k$'ra &ar

• 1% &2% &ategori : (*+!)-(*+)/


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&ategori : ($*!) - (*+!3(*+)/!/)

• Padan OAT ini dib*rikan n'k &a$i*n BTA &5$i'&*rna! di5ba'i $*b*%"n,a (&*n5ba'an %an):

• Pa$i*n ka"b!

• Pa$i*n aa% &ada &*n5ba'an d*nan &adan O

ka'*5ri 1 $*b*%"n,a• Pa$i*n ,an di5ba'i k*"ba%i $*'*%a! &'$ b*r5b

to follow-up)


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&ategori : ($*!) - (*+!3(*+)/!/)


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&ategori /

• S&'n BTA n*a'i+ • K*%ainan &ar 'idak %a$

• Ka$$ *k$'ra &%"5na%

k* Ka'a5ri 1


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&ategori

• Tb*rk%5$i$ kr5nik• R*$i$'*n$i anda

• S&'" !ar$ dik%'r "*nr' ?i k*&*kaan 5ba

• O@ $*"r !id& dib*ri $a?a


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KERANGKA KONSE


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Tn. %& 4' tahun

terinfeksi M. tuberculosis

infiltrasi sel

radang di al(eolus) suara (esikular

akumulasi cairan

di al(eouluskerusakan membran

mukosa saluran

na"as

gangguan difusi

*2 dan +*2) sekresi s"utum

taki"neusaluran na"as

terhalangrefleks batuk

↑ "irogen endogen

Pele"asan angiogenesis

growth factor

hi"er(askularisasi dan dilatasi

"embuluh darah "ulmoner

ru"tur "embuluh darah

hemo"toe, -b

takikardi

P sedikit menurun

↑ set "oint di

hi"otalamus

↑ sekresi

hormon le"tin

demam ringan ↓ nafsu makan

↓ berat badanasu"an nutrisi

kurang


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KESIMPULAN .AN SARA


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•Mr2 / 40 'a!n3 "*r&akan &a$ka$$ bar 'b*rk%5$i$ &ar d*n

'a'a%ak$ana &*"b*rian OAT ka'*


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TERIMA KASI

Tutorial a Blok 16 Tb

Documents

Transcript of Tutorial a Blok 16 Tb