7. keracunan narkotika

7/23/2019 7. KERACUNAN NARKOTIKA

1/25

KERACUNAN NARKOTIK

OLEH

dr. JIMS FERDINAN

NARASUMBER :NARASUMBER :

DR. H. GUNTUR BUMIDR. H. GUNTUR BUMI

NASUTION Sp.FNASUTION Sp.F


2/25

NAPZANAPZA::

ARKOTIKA,

ARKOTIKA,

PSIKOTROPIKA

SIKOTROPIKA

,

DA ZAT ADIKTIF

A ZAT ADIKTIF

.


3/25

NARKOTIKANARKOTIKA(UU RI No. 22 1997)(UU RI No. 22 1997)

Adalah : Adalah : a!a!a!a"a!a" o#a!o#a! $a%& #'aal$a%& #'aal da*da*

!a%a+a%!a%a+a% #a*,#a*, *%!'!**%!'!*+a"p"%+a"p"%

'+**%!'!*,- $a%&'+**%!'!*,- $a%&dapa!dapa! +'%$'#a#,a%+'%$'#a#,a%

p'%""%a% a!a" p'"#aha% ,'adaa%-p'%""%a% a!a" p'"#aha% ,'adaa%-h*la%&%$a aa- +'%&"a%&* a+pa*h*la%&%$a aa- +'%&"a%&* a+pa*

+'%&h*la%&,a% aa %$'* da%+'%&h*la%&,a% aa %$'* da%

+'%*+#"l,a%+'%*+#"l,a% ,'!'&a%!"%&a,'!'&a%!"%&a%%.


4/25

NARKOTIKA :NARKOTIKA :

a.a. Na,o!*,a Golo%&a% I :Na,o!*,a Golo%&a% I :Ha%$a "%!", *l+" p'%&'!ah"a% #",a%Ha%$a "%!", *l+" p'%&'!ah"a% #",a%

"%!", !'ap*- o%!oh : H"%!", !'ap*- o%!oh : H'o*%-'o*%-,o,a*%,o,a*%da%da%&a%/a&a%/a..

#.#. Na,o!*,a Golo%&a% II :Na,o!*,a Golo%&a% II :D*&"%a,a% '#a&a* p*l*ha% !'a,h* "%!",D*&"%a,a% '#a&a* p*l*ha% !'a,h* "%!",

!'ap*- o%!oh : M!'ap*- o%!oh : Mo0*%o0*%da%da%p'!*d*%p'!*d*%..

.. Na,o!*,a Golo%&a% III :Na,o!*,a Golo%&a% III :D*&"%a,a% "%!", !'ap*- o%!oh : KD*&"%a,a% "%!", !'ap*- o%!oh : Kod'*%od'*%..


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SIKOTROIKASIKOTROIKA

((UU RI No. 1997UU RI No. 1997))

adalahadalah a! a!a" o#a!- #a*, ala+*aha! a!a" o#a!- #a*, ala+*ah+a"p"% *%!'!*+a"p"% *%!'!*--#",a% %a,o!*,a#",a% %a,o!*,a- $a%&- $a%&

#',ha*a! p*,oa,!*0 +'lal"* p'%&a"h#',ha*a! p*,oa,!*0 +'lal"* p'%&a"h

'l',!*0 pada ""%a% aa0 p"a! $a%&'l',!*0 pada ""%a% aa0 p"a! $a%&+'%$'#a#,a% p'"#aha% ,ha pada+'%$'#a#,a% p'"#aha% ,ha pada

a,!*3*!a +'%!al da% p'*la,"a,!*3*!a +'%!al da% p'*la,"d'+*,*a%d'+*,*a%

/"&a d'%&a% 4a! add*,!*05 la*%%$a/"&a d'%&a% 4a! add*,!*05 la*%%$a..


6/25

GO6ONGAN AT SIKOTROIKA :GO6ONGAN AT SIKOTROIKA :

*,o!op*,a Golo%&a% I.

Ha%$a d*&"%a,a% "%!", ,'p'%!*%&a% *l+"p'%&'!ah"a% da% !*da, d*&"%a,a% dala+

(+'+p"%$a* po!'%* a+a! ,"a!

,'!'&a%!"%&a%)) o%!oh : Eo%!oh : E,!a*- ha#"- 6SD,!a*- ha#"- 6SD

(I$'&* a*d d$'!h$la+*d')(I$'&* a*d d$'!h$la+*d').

*,o!op*,a Golo%&a% II.Ha%$a dapa! d*&"%a,a% !"/"a% *l+"

p'%&'!ah"a% da% a!a" dala+ !'ap*-(+'+p"%$a* po!'%* ,"a! +'%&a,*#a!,a%

,'!'&a%!"%&a%) o%!oh : AA+0'!a+*%-+0'!a+*%-

+'!*l0'%*da! a!a" *!al*%+'!*l0'%*da! a!a" *!al*%.


7/25

*,o!op*,a Golo%&a% III*,o!op*,a Golo%&a% III..

Bol'hBol'hd*&"%a,a% "%!", !"/"a% *l+"d*&"%a,a% "%!", !"/"a% *l+"

p'%&'!ah"a% da% a!a" dala+ !'ap*p'%&'!ah"a% da% a!a" dala+ !'ap*-- ((+'+p"%$a*+'+p"%$a*

po!'%* 'da%& +'%&a,*#a!,a%po!'%* 'da%& +'%&a,*#a!,a% ,'!'&a%!"%&a%,'!'&a%!"%&a%))

o%!oh : o%!oh : '%!o#a#*!al-'%!o#a#*!al- 0l"%*!a'pa+0l"%*!a'pa+..

*,o!op*,a Golo%&a% I8*,o!op*,a Golo%&a% I8SSa%&a! l"a d*&"%a,a% dala+ !'ap* da% a!a"a%&a! l"a d*&"%a,a% dala+ !'ap* da% a!a"

"%!", !"/"a% *l+" p'%&'!ah"a% '!a"%!", !"/"a% *l+" p'%&'!ah"a% '!a ((+'+p"%$a*+'+p"%$a*

po!'%* *%&a% +'%&a,*#a!,a%po!'%* *%&a% +'%&a,*#a!,a% ,'!'&a%!"%&a%,'!'&a%!"%&a%).).

o%!oh :o%!oh : DD*a'pa+-*a'pa+- #o+a'pa+- 0'%o#a#*!al-#o+a'pa+- 0'%o#a#*!al-,lo%a'pa+-,lo%a'pa+- ,lod*a'po*d'- %*!a'pa+- 'p'!*,lod*a'po*d'- %*!a'pa+- 'p'!*

p*l BK-p*l BK- p*l Koplop*l Koplo..


8/25

'%$alah&"%aa% o#a!'%$alah&"%aa% o#a! (DRUG ABUSE)(DRUG ABUSE)Dapa! d*a!*,a% : apa#*la "a!" o#a! d*&"%a,a%

!a%pa *%d*,a* da% !*da, #'!"/"a% +'d*- a!a"p'%&&"%aa% $a%& !*da, '+'!*%$a (a#"').

Misuse:

M'+p'&"%a,a% o#a! $a%& !*da, '"a*

0"%&*%$a.Overuse :

'%&&"%aa% o#a! $a%& !*da, '"a* d'%&a%

a!"a% a!a" #'l'#*hl'#*ha%.

'%$alah&"%aa%'%$alah&"%aa%o#a!.....o#a!.....

K'!'&a%!"%&aK'!'&a%!"%&a%.....%.....

K'a"%a%K'a"%a%..........

K'+a!*a%K'+a!*a%..


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BERDASARBERDASARKANKANEFEK ;ANGEFEK ;ANG

DITIMBU6KANDITIMBU6KAN ::

Golo%&a% D'p'a% (Do


10/25

APZAAPZA(NARKOTIKA, PSIKOTROPIK DAN ZAT ADDIKTI(NARKOTIKA, PSIKOTROPIK DAN ZAT ADDIKTI

GANGGUAN KESEHATANGANGGUAN KESEHATAN

F**,F**, M'%!alM'%!al So*alSo*al

Ga%&&"a%Ga%&&"a% da%da%,,'"a,a%'"a,a%

!!"#"h:"#"h://a%!"%&-a%!"%&-

hha!*-a!*- &&*%/al-*%/al- ,,','#ala%','#ala%

!!"#"h ?-"#"h ?- +'%&a,*#a!,a%+'%&a,*#a!,a%

K'+a!*a%.K'+a!*a%.

Ga%&&"a% p''p*-Ga%&&"a% p''p*-

da$a p*,*- ,'a*da$a p*,*- ,'a*

da% '+o*da% '+o*

$a%& dapa!$a%& dapa!

+'"#ah p*la,"-dll.+'"#ah p*la,"-dll.

A%!*o*al- p'la,"A%!*o*al- p'la,"

,*+*%al*!a- dll.,*+*%al*!a- dll.


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MA@AMMA@AM NAAMA@AMMA@AM NAA


12/25


13/25

E0',E0', : A%al&'!*,: A%al&'!*,da%da%H*p%o!*,H*p%o!*,..

Maa++aa+ Op*o*d:Maa++aa+ Op*o*d:

Op*"+Op*"+

- +o0*%- h'o*%- +o0*%- h'o*%

--

,od'*%- !'#a*%-,od'*%- !'#a*%-

d*la"d*d- p',oda%- '!o0*%- +'p'*d*%-d*la"d*d- p',oda%- '!o0*%- +'p'*d*%-

popo,*0'%- +'!ado%- 0popo,*0'%- +'!ado%- 0'%!a%*l'%!a%*l- #- #"p'%o0*%"p'%o0*%--

pp'%!ao*%'%!ao*%-- *,lao*%- *,lo0a%- %alo0*%-*,lao*%- *,lo0a%- %alo0*%-

%alo,o%- %al!',o%%alo,o%- %al!',o%..

1.1.

Fa+a,o,*%'!*, da% 0a+a,od*%a+*, :Fa+a,o,*%'!*, da% 0a+a,od*%a+*, :MM'%',a%'%',a% ,o!', o!a,- p"a!,o!', o!a,- p"a!

p'%apaa%- p"a! #a!",.p'%apaa%- p"a! #a!",.D*a+p*%& *!" /"&a +'a%&a%& p"a!D*a+p*%& *!" /"&a +'a%&a%& p"a!

+"%!ah-%'3" 3a&"- aa0 p*%al*.+"%!ah-%'3" 3a&"- aa0 p*%al*.


14/25

@[email protected]'d*aa% : G'!ah.

'+a,a*a% : d*h*ap.

MORFINMORFIN..S'd*aa% : B"#", a!a" '#", da% a*a%-

'+a,a*a% : d*h*ap da% d*"%!*,,a%.

HEROHEROIIN (UTA)N (UTA)..S'd*aa% : '#", p"!*h.

'+a,a*a% : d*h*"p- d*h*ap- d*"%!*,,a%.

KODEINKODEIN..S'd*aa% : p*l a!a" a*a% /'%*h

'+a,a*a% : d*!'la% da% d*"%!*,,a%.


15/25

DEMERO6 (ETHIDINA)DEMERO6 (ETHIDINA)..S'd*aa% : p*l da% a*a% !*da, #'


16/25

2.2.

ADAADA 2 ENIS:2 ENIS:

Ko,a*% H@l da% Ko,a*% T'#a'Ko,a*% H@l da% Ko,a*% T'#a'..

Fa+a,o,*%'!*,Fa+a,o,*%'!*, da%da%Fa+a,od*%a+*,:Fa+a,od*%a+*,:Ko,a*% +'%&ha+#a! '"p!a,' dopa+*% da*Ko,a*% +'%&ha+#a! '"p!a,' dopa+*% da*

*%ap- '"p!a,' %o'p*%'0*% da% 'o!o%*%.*%ap- '"p!a,' %o'p*%'0*% da% 'o!o%*%.'%&&"%aa% la+a'%&&"%aa% la+a +'%*+#"l,a%+'%*+#"l,a%p'"#aha%p'"#aha%

'%*!*3*!a'%*!*3*!a +',a%*+' !a%d",* *%$al+',a%*+' !a%d",* *%$al dopa+*%'.dopa+*%'.


17/25C.C.

Ga%/a=Ma*/"a%a=@a%a#*Ga%/a=Ma*/"a%a=@a%a#*..

(d'l!a9 !'!ah*do,a%a#*%ol (TH@)(d'l!a9 !'!ah*do,a%a#*%ol (TH@)..

Fa+a,o,*%'!*, da% 0a+a,od*%a+*, :Fa+a,o,*%'!*, da% 0a+a,od*%a+*, :TH@ !'"!a+a #'p'%&a"h pada o!a,- *!'+TH@ !'"!a+a #'p'%&a"h pada o!a,- *!'+

,ad*o3a,"l' da% pa".,ad*o3a,"l' da% pa".

S*0a!%$a a,"! da% '3'*#'l.S*0a!%$a a,"! da% '3'*#'l.


18/25

Sa,*! ,'palaSa,*! ,'pala..

S*a%o*S*a%o*..

R'p*a*R'p*a*??

Ko+aKo+a..

aal**aal**%a0a.%a0a.

@'+a@'+a..

a%*,a%*,..

@"*&a@"*&a..Na0" +a,a% Na0" +a,a%

Apa!*Apa!*= a%!* o*al.= a%!* o*al.

D'%$"! /a%!"%& D'%$"! /a%!"%&

Ta,h*,ad*Ta,h*,ad*..

D*la!a* p"p*lD*la!a* p"p*l..

B B

S"h" T"#"hS"h" T"#"h

A*!+*aA*!+*a..

TANDATANDA DANDANGEA6A INTOKSIKASIGEA6A INTOKSIKASI

NARKOTIKANARKOTIKA

Ga%/aGa%/a Op*o*dOp*o*d Ko,a*%Ko,a*%


19/25

ASEK MEDIKO6EGA6ASEK MEDIKO6EGA6:: K''la,aa%K''la,aa%..

'+#"%"ha% d'%&a% "%!*,a% ('+#"%"ha% d'%&a% "%!*,a% (hot-shothot-shot)).. BB"%"h d** a,*#a! *%do+ a#!*%'%*"%"h d** a,*#a! *%do+ a#!*%'%*

M',a%*+' K'+a!*a% :M',a%*+' K'+a!*a% :

D'p'* p'%apaa% (D'p'* p'%apaa% (kurang sensitifkurang sensitifterhadap stimulus CO2terhadap stimulus CO2))

Ed'+a pa"Ed'+a pa" S$o, a%a0*la,!*, (S$o, a%a0*la,!*, (hipersensitifitashipersensitifitas))

A,*#a! hal la*% (A,*#a! hal la*% (infeksi ok.alat suntik &infeksi ok.alat suntik &bahan tidak steril, embolibahan tidak steril, emboliudaraudara))..

'%$'#a#'%$'#a#K'+a!*a% :K'+a!*a% :ASFIKSIA.ASFIKSIA.


20/25

PEMERIKSAANPEMERIKSAAN

FORENSIKFORENSIK

EMERIKSAAN 6UAREMERIKSAAN 6UAR..B',a#',a "%!*,a%B',a#',a "%!*,a%(,*%popp*%&)(,*%popp*%&)

da% "l," d* :da% "l," d* :l*pa! *,"- l'%&a% a!a-l*pa! *,"- l'%&a% a!a-

p"%&&"%& !a%&a% da% !"%&,a*p"%&&"%& !a%&a% da% !"%&,a*..Ra/ahRa/ah= !a!o da% ,'lo*d (= !a!o da% ,'lo*d ("%!","%!",

+'%"!"p*+'%"!"p*#',a#',a"%!*,a%"%!*,a%).).'+#'aa% ,'l'%/a &'!ah #'%*%&'+#'aa% ,'l'%/a &'!ah #'%*%&

d* da'ahd* da'ah d',a! "%!*,a%.d',a! "%!*,a%.Ta%da!a%da ,"a%& &** da% *,!'".Ta%da!a%da ,"a%& &** da% *,!'".'%&'*la% p"p*l (p*% po*%!).'%&'*la% p"p*l (p*% po*%!).Ta%da!a%da a0*,*aTa%da!a%da a0*,*a "+"+."+"+.


21/25

EMERIKSAAN DA6AMEMERIKSAAN DA6AM

Ta%da!a%da a0*,*a "+"+.Ta%da!a%da a0*,*a "+"+.

ada da'ah #',a "%!*,a%: p'daaha%ada da'ah #',a "%!*,a%: p'daaha%"#,"!a%- 0*#o*= p'%'#ala% /al" #',a"#,"!a%- 0*#o*= p'%'#ala% /al" #',a

"%!*,a%- a#' "#,"!a% da% !o+#o*"%!*,a%- a#' "#,"!a% da% !o+#o* 3'%a3'%a

$a%& d*"%!*,.$a%& d*"%!*,. 6"%& (pa"pa") :6"%& (pa"pa") : ,o%&'!*- p'daaha%,o%&'!*- p'daaha%

da% a!'l',!a*- '+0*'+a da% p'"#aha%da% a!'l',!a*- '+0*'+a da% p'"#aha%

a,"! pa" 5%ao!* l"%&5 (&a+#aa%a,"! pa" 5%ao!* l"%&5 (&a+#aa% lo#"l'lo#"l'

p'+",aa% pa"pa" +'%o%/ol).p'+",aa% pa"pa" +'%o%/ol). a%!"%&:a%!"%&: 5+a,'d loa!*o%5 (3'%!*,'l5+a,'d loa!*o%5 (3'%!*,'l

,a%a%) : '%do,ad*!*- '+#ol* 'p!*- a#',a%a%) : '%do,ad*!*- '+#ol* 'p!*- a#'

da% *%0a,.da% *%0a,.


22/25

Ha!*:Ha!*: Ko%&'!*- h'pa!o+'&al*- h'pa!*!* a,"!- *o*Ko%&'!*- h'pa!o+'&al*- h'pa!*!* a,"!- *o*po! %',o* da% 0*#o* po!al.po! %',o* da% 0*#o* po!al.

K'l'%/a &'!ah #'%*%& :K'l'%/a &'!ah #'%*%& : p'+#'aa% ,'l'%/ap'+#'aa% ,'l'%/a&'!ah #'%*%&.&'!ah #'%*%&.

O!a,:O!a,: 'd'+a o!a,- ,o%&'!* da% p'l"%a,a%.'d'+a o!a,- ,o%&'!* da% p'l"%a,a%. G*%/al:G*%/al: ,o%&'!*- l"%a, da% ,'%$al.,o%&'!*- l"%a, da% ,'%$al. 6*+pa:6*+pa: p'+#'aa%- ,o%&'!* da% p'l"%a,a%.p'+#'aa%- ,o%&'!* da% p'l"%a,a%.

To,*,olo&*.To,*,olo&*.


23/25

ENGAMBI6AN SAME6

BAHANBAHAN

EMERIKSAANEMERIKSAAN

ARINGANSEKITAR

SUNTIKAN

@AIRAN

EMEDU

ISIISI

6AMBUNG6AMBUNG

URIN


24/25

METODE ENGUIAN

6ABORATORIUM :

22. U/* %alo0*%. U/* %alo0*%(p'%dah"l"a%)(p'%dah"l"a%)

. A%al*a "*%. A%al*a "*%= *d'%!*0*,a*= *d'%!*0*,a*

11.. (''%*%&)(''%*%&) Ko+a!o&a0* lap* !*p* (T6@)Ko+a!o&a0* lap* !*p* (T6@)

CC. U/* +a>"*. U/* +a>"*(,o%0*+a*)(,o%0*+a*)

. U/* +*,o,*!al. U/* +*,o,*!al(,o%0*+a*)(,o%0*+a*)


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7. keracunan narkotika

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