Catatan Kecil

BEKELD KTER

2nd Edition

I Gede ‘Ajik’ Sastrawan

Sekapur Sirih Penulis

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Suksma Hyang Widhi…. Akhirnya selesai juga ne buku… Mungkin, belum layak dibilang buku, hanya catatan kecil dari percikan ide yang kecil… Tamplian catatan ini pun kecillllll, tapi mudah-mudahan isinya ga sekecil ide dan tampilannya…

Catatan kecil yang berjudul “Bekel Dokter” ini berawal dari keisengan saya membuat orek-orek selama masa Dokter Muda. Beginilah saya, tidak suka membaca, apalagi English (nilai Pra UAN SMA English: 3,80!!!). Senengnya dapat tentiran dari SPV, residen, dan TS (Dokter Muda red). Isi “Bekel Dokter” ini pun tak jauh dari pikiran simpel itu. Ada yang dari tentiran, buku saku yang lain, internet, slide kuliah, dan beberapa buku. Plagiat??? Betul, Anda 100% betul. Tak banyak yang saya rubah dalam “Bekel Dokter” ini. Kalau ada yang ga suka atau nyalahin isi catatan ini, berarti sumbernya yang salah hahahaha….(ngeles).

Yah... Pada dasarnya “Bekel Dokter” ini saya dedikasikan pada TS yang se-otak dengan saya (malas, bodo, ga suka baca, ga suka bawa beban berat di tas, dan yang ga punya banyak uang untuk beli buku atau nge-net). Catatan ini juga jauh dari kesan eksklusif. Kalau ada TS yang tidak seotak dengan saya sudi memanfaatkan buku ini, saya berterima kasih sekali dan mohon kripik dan saladnya… hehe (kritik dan saran red).

“Bekel Dokter” dikemas dengan cara yang amatiran, berisi beberapa algoritma penanganan penyakit, kriteria penyakit, serta obat-obat lengkap dengan dosisnya. Tentu isinya jauh dari sempurna, dan ga akan pernah sempurna karena buku ini saya dedikasikan untuk TS yang belum sempurna (Sindrom Tamatan FK: ga tau dosis obat, ga tau nama obat, bingung ngadapin kasus pertama/kasus baru, cemas kalau ada pasien anak-anak atau ibu hamil hahaha). Setidaknya “Bekel Dokter ini bisa diumpetin di laci meja praktek TS, dikebit-kebit kalau ada yang lupa… Masih banyak yang belum tertuang dalam catatan ini, hanya kerelaan TS untuk SMS/telp saya agar ada materinya ditambah. Dengan senang hati….

BTK coll: TS I Gede ‘Ajik’ Sastrawan

DAFTAR ISI

HalamanHALAMAN JUDUL ..................................................................................................... i

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DAFTAR ISI ............................................................................................................... ii

SEKAPUR SIRIH PENULIS ........................................................................................... ii

ALGORITMA PENATALAKSANAAN REAKSI ANFILAKTIS ............................................. 1

BAB 1 OBAT

Daftar Obat dalam Praktek Sehari-Hari........................................................... 4Takaran Obat Pulveres (10 Pulveres).............................................................. 7Bentuk Sediaan Obat (BSO)............................................................................. 8Istilah dalam Peresepan ................................................................................. 9The Part Of Prescription ................................................................................. 10Contoh Resep ………………................................................................................. 10

BAB 2 PEDIATRIResusitasi Bayi Baru Lahir................................................................................ 12Skor APGAR..................................................................................................... 13Penilaian Bayi Lahir (Finnstrom)...................................................................... 13Penilaian Maturitas Bayi Baru Lahir ............................................................... 14Neonatal Jaundice........................................................................................... 15Algorithm of Management of Neonatal Hypoglicemia ................................... 17 Penanganan Kejang Demam........................................................................... 18Klasifikasi Kejang Demam................................................................................ 20Prinsip Penatalaksanaan Diare Anak............................................................... 20Derajat Dehidrasi & Penanganan Menurut MTBS........................................... 21Obat Anti Mikroba pada Pengobatan Diare Akut ........................................... 25Penatalaksanaan DBD .................................................................................... 26Alur Diagnosis Asma Anak .............................................................................. 30Alur Deteksi Dini &Rujukan TBC Anak ............................................................ 31Pneumonia...................................................................................................... 32Penanganan Nyeri pada Anak ........................................................................ 34Malaria pada Anak ......................................................................................... 35Jadwal Imunisasi............................................................................................. 38Parameter Fisiologis Anak pada Berbagai Usia................................................ 39

BAB 3 INTERNAHipertensi........................................................................................................ 42Chest Discomfort Suggestive of Ischemia ....................................................... 54Tachycardia with Pulses ................................................................................. 55Bradycardia .................................................................................................... 56Gagal Jantung ................................................................................................. 57Hipotensi, Syok, dan Edema Paru Akut .......................................................... 58Pulseless Arrest .............................................................................................. 59TBC & OAT....................................................................................................... 60HIV/AIDS ......................................................................................................... 63Algoritma Penatalaksanaan DHF..................................................................... 65Demam Tifoid.................................................................................................. 69Malaria ........................................................................................................... 70Hepatitis ......................................................................................................... 74Sirosis Hepatis Child-Pugh............................................................................... 76Wayne Index .................................................................................................. 76Skor Daldiyono ............................................................................................... 77Body Mass Index............................................................................................. 77Kadar Hemoglobin Menurut Usia & Anemia................................................... 77

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Klasifikasi dan Penatalaksanaan Asma ........................................................... 80DM dan Penatalaksanaanya............................................................................ 86DMDF Klasifikasi Wagner................................................................................ 90Hipoglikemia .................................................................................................. 90 Algoritma Tatalaksana Ketoasidosis Diabetik ................................................. 91Algoritma Penanganan Ulkus Peptikum.......................................................... 92Penanganan Keracunan Akut ......................................................................... 93Gagal Ginjal Akut ............................................................................................ 94CKD & Indikasi Hemodialisis............................................................................ 95

BAB 4 THTKelainan Lumrah THT .................................................................................. 97Indikasi dan Kontraindikasi Tonsiloadenoidektomi......................................... 99Epistaksis ........................................................................................................ 100

BAB 5 KULIT & KELAMINPenyakit Kulit ................................................................................................. 102Penyakit Menular Seksual............................................................................... 109

BAB 6 MATADiagnosis Kelainan Mata Berbasis Keluhan............................................... 117Diagnosis Banding Mata Merah...................................................................... 121Katarak............................................................................................................ 121

BAB 7 NEUROLOGIKriteria Penilaian Skor Nuartha....................................................................... 123Siriraj Stroke Score.......................................................................................... 124Penatalaksanaan Stroke.................................................................................. 125Penatalaksanaan Hipertensi pada Stroke Akut ............................................... 126Rabies ............................................................................................................. 126Penanganan Status Epileptikus....................................................................... 129Cefalgia ........................................................................................................... 130Vertigo............................................................................................................ 131Bell’s Palsy....................................................................................................... 132Low Back Pain................................................................................................. 133Dermatome .................................................................................................... 133

BAB 8 BEDAHCedera Kepala................................................................................................. 135Luka Bakar....................................................................................................... 141Waktu Penyembuhan Patah Tulang ............................................................... 144Abdominal Pain............................................................................................... 145MANTRELS Scoring System ............................................................................. 145

BAB 9 OBSTETRI & GINEKOLOGIKehamilan ...................................................................................................... 147Risiko Kehamilan Menurut Poedji Rochyati.............................................. 150Persalinan........................................................................................................ 151Rujuk Ibu & Ingat BAKSOKU ........................................................................... 162Perdarahan Pasca Persalinan.......................................................................... 163Atonia Uteri..................................................................................................... 164Persalinan Traumatika .................................................................................... 165Plasenta Akreta .............................................................................................. 166Letak Lintang dalam Persalinan ...................................................................... 167

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Ketuban Pecah Dini......................................................................................... 168Hipertensi Dalam Kehamilan .......................................................................... 169Bishop (Pelvic) Score....................................................................................... 171Perdarahan Pervaginam.................................................................................. 172Jenis dan Derajat Abortus .............................................................................. 173Penanganan Hiperemesis Gravidarum............................................................ 174Kontrasepsi ..................................................................................................... 175Menstruasi dan Kelainannya .......................................................................... 178

BAB 10 PSIKIATRIObat Antipsikotik............................................................................................. 181Sindrom Ekstrapiramidal................................................................................. 182Obat Antidepresan ......................................................................................... 184Obat Antiansietas............................................................................................ 185

BAB 11 ANESTESIShock and/or map < 60 mmHg........................................................................ 187Obat Inotropik ................................................................................................ 188Nyeri & Penatalaksaannya.............................................................................. 189Terapi Cairan .................................................................................................. 195Volume Darah, Transfusi & Perdarahan ......................................................... 196

BAB 12 RADIOLOGI Contoh Interpretasi Foto X-Ray....................................................................... 199

BAB 13 FORENSIKLuka................................................................................................................. 202Tanda-Tanda Kematian .................................................................................. 204Tanda-Tanda Asfiksia pada Pemeriksaan Luar................................................ 205Pemeriksaan Luar Penjeratan/Strangulation .................................................. 205Penggantungan............................................................................................... 206Tenggelam ...................................................................................................... 207Pemeriksaan Infanticide & Perkiraan Umur Orok........................................... 208

LAMPIRANKertas Resep.................................................................................................... 210Surat Rujukan ................................................................................................. 211Surat Keterangan Sakit/Istirahat .................................................................... 212Surat Lamaran Kerja ....................................................................................... 213Daftar Riwayat Hidup...................................................................................... 214

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