panduan ham

7/23/2019 Panduan Ham

http://slidepdf.com/reader/full/panduan-ham 1/18



1 Me'*e#i%,%' %'#%' '!, "%h +%,i! %!% /%+ili!%+ ,e+eh%!%' l%i''*%

"e'ge'%i ,ei%,%' "%'%e"e' #%' e"ei%' &%!-&%!%' *%'g !eg&-

l&'g #%l%" ,%!eg&i high %le! "e#i$%!i&'

2 Me'i'g,%!,%' ,e;%+%#%%' %,%' high %le! "e#i$%!i&' +ehi'gg%

"e'i'g,%!,%' ,e+el%"%!%' %+ie'3 Me"ei,%' el%*%'%' ,e+eh%!%' #e'g%' ,%li!%+ !i'ggi #%'

"e"i'i"%li+%+i !e%#i'*% ,e+%l%h%'-,e+%l%h%' "e#i+ #%' "e'',%'

&!e'+i i+i,& !eh%#% %+ie'

III. DEFINISI

High %le! "e#i$%!i&' %#%l%h &%!-&%! *%'g "e"'*%i i+i,& leih

!i'ggi '!, "e'i"l,%' %#%'*% ,&"li,%+i 7 "e"%h%*%,%' %+ie' +e$%%+ig'i/i,%' i,% !e#%%! ,e+%l%h%' e'gg'%%' %i, #%l%" #&+i+. i'!e8%l. #%'

e"ilih%''*%

IV. TABEL OBAT-OBAT HIGH ALERT MEDICATION

KATEGORI / KELAS OBAT-OBATAN JENIS OBAT

Ag&'i+ A#e'egi, I<

I+&&!ee'&lEi'e/i'. :e'ile/i'. '&ei'e/i'

A'!%g&'i+ A#e'egi, I< P%%'&l&l. "e!&&l&l. l%e!%l&l Age' A'e+!e+i (U"". i'h%l%+i. #%' I<) P&&/&l. ,e!%"i' A'!i Ai!"i% I< Li#&,%i'. %"i&#%&' A'!i T&"&!i,

% A'!i 9&%gl%' I'hii!& :%,!& =%$ Die$! T&"i' I'hii!& # T&"&li!i,e I'hii!& Gli,&&!ei' II 7 III%

W%/%i'. LMWH (L&; M&le,le

Weigh! He%i'. U'/%$!i&'%!e# He%i' I< :&'#%%i'>

Ag%!&%'. Bi8%l#i'.

D%ig%!%'. E!e>il%!e. Lei#i'

L%!%' 7 +&l+i& ,%#i&legi, Al!el%+e. Re!el%+e. Te'e$!el%+e Age' 9e"&!e%i (%e'!e%l ? &%l)

De>!&+e hie!&'i, @ 20

E!i/i%!i#e. A$i>i"% Ti&/i%'

L%!%' Di%l*+% (Pei!&'e%l He"&#i%li+i+

O%!-&%!%' ei#%l %!% i'!%!e,%l

O%! hi&gli,e"i, (&%l)

O%! i'&!&i, I< Dig&,+i'. "ili'&'e

I'+li' (SC ? I<) I'+li' egle. A+%! NPH. Gl%gi'

O%!-&%!%' #e'g%' e'!, li&+&"%l A"/&!ei+i' B li&+&"%l

Age' +e#%+i "&#e%! 7 +e#%'g I< De>"e#e!&"i#i'e. Mi#%&l%" Age' +e#%+i "&#e%!7+e#%'g &%l. '!, Chl&%l h*#%!e. ,e!%"i'



%'%,

Oi&i# 7 N%,&+e

% I< T%'+#e"%l$ O%l (!e"%+, ,&'+e'!%! $%i.

/&"l% %i# #%' le%+ l%"%!

Age' l&, 'e&"+$le S,+i'il,&li'. &,&'i". 8e&'i". A!%,i". %',&'i"

Pe%%! '!i+i

P%e'!e%l %ge' %#i& ,&'!%+ I<

Ai#e+!il%!%. i'h%l%+i. ? iig%+i

(#%l%" ,e"%+%' @ 100 "l)

N%Cl '!, i'e,+i. hie!&'i,. #e'g%'

9&'+e'!%+i @ 0.

9&'+e'!%! 9Cl '!, i'e,+i E&&+!e'&l

I<

I'e,+i M%g'e+i" Sl/%! (MgS&6)

Dig&>i' I<

Me!&!e,+%! &%l (e'gg'%%' '&'

&',&l&gi)

Oi" !i'$!e

O,+i!&+i' I<

I'e,+i N%!i"

N!&+i#e i'e,+i

9%li" :&+/%!

P&"e!%i I<

9%l+i" I<

<%+ie+i' ( I< 7 i'!%&+e+)

A'!i ,&'8l+%' Be'&#i%ei'

<i%l *%'g "e'g%'#'g ,&'+e'!%! ele,!&li! ("i+%l'*% 9Cl) !i#%, &leh #i+i"%'

#i %e% e%;%!%' %+ie' O%!-&%!%' *%'g #ig'%,%' #%l%" e"ege'+i "e#i+ (#%l%" ,&'#i+i

"e'g%'$%" '*%;% *%'g e+i/%! g%;%! #%%!) TIDA9 #i;%i,%' "e'gi,!i

S!%'#% P&+e# Oe%+i&'%l (SPO) e'gg'%%' High Ale! Me#i$%!i&'

Prinsip

1 9%'gi 7 eli"i'%+i ,e"'g,i'%' !e%#i'*% % "l%h high %le! "e#i$%!i&' *%'g #i+i"%' #i 'i!



9&'+e'!%+i #%' 8&l"e &%! *%'g !e+e#i%$ Hi'#%i e'gg'%%' high %le! "e#i$%!i&' +e#%%! "'g,i'

2 L%,,%' e'ge$e,%' g%'#%3 Mi'i"%l,%' ,&'+e,e'+i ,e+%l%h%'

% 9e+%l%h%' /%!%l !e%#i "i+%l'*% i'e,+i 8i%l li#&,%i' 2 i'e,+i 8i%l 50 "l

!e!,% #e'g%' "%'i!&l (,e"%+%' #%' $%i%' &%! +e%)

S&l+i +e#i%,%' li#&,%i' 2 #%l%" 8i%l 10 "l. +ehi'gg% %%il% !e%#i +%l%h

e"ei%'. "l%h li#i,%i' *%'g #i i'e,+i,%' ,%'g e#%"%, /%!%l

Pi+%h,%' &%!-&%! #e'g%' '%"% %!% l%el *%'g "ii$ Mi'i"%li+%+i i'+!,+i 8e%l #%' hi'#%,%' e'gg'%%' +i'g,%!%'# B%!%+i %,+e+ !eh%#% high %le! "e#i$%!i&'e G'%,%' !%el #&+i+ +!%'#% (#%i %#% "e'gg'%,%' #&+i+ ehi!'g%'

e#%+% e%! %#%' 7 /'g+i gi'%l. #i"%'% e'!%' !e%#i ,e+%l%h%')

V. STANDAR PROSEDUR OPERASIONAL (SPO

L%,,%' SPO #e'g%' %"%' #%' h%!i-h%!i +el%"% "e"ei,%' i'+!,+i..

"e"e+i%,%'. "e"ei,%' &%!. #' "e'*i"%' high %le! "e#i$%!i&'"

1 Pee+e%'% U'!, &%! *%'g !e"%+, high %le! "e#i$%!i&'. %'g%' "e"ei,%'

i'+!,+i h%'*% +e$%% 8e%l Mi'i"%l i'+!,+i "e'$%, 6 h%l

N%"% ? '&"& e,%" "e#i, %+ie' T%'gg%l ? ;%,! i'+!,+i #i%!

N%"% &%! (ge'ei,). #&+i+. %l e"ei%'. !%'gg%l e"ei%'

!i% &%! 9e$e%!%' #%' %!% #%+i e"ei%' &%!

$ D&,!e ;%i "e"'*%i #i%g'&+i+. ,&'#i+i. i'#i,%+i e'gg'%%'

+e!i% high %le! "e#i$%!i&' +e$%% !e!li+# Si+!e" i'+!,+i ele,!&'i, "e%,%' i'/&"%+i +e$%% ei&#i,

"e'ge'%i +!%'#% el%*%'%'. #&+i+. ,&'+e'!%+i &%! (*%'g !el%h

#i+e!i &leh S 9&"i!e :%"%+i Te%i). +e!% i'/&"%+i *%'g

#iel,%' '!, &!i"%li+%+i ,e+el%"%!%' %+ie'e Pee+e%' high %le! '"e#i$%!i&' h%+ #i+!%'#%i+%+i #e'g%'

"e'gg'%,%' i'+!,+i !e$e!%,/ I'+!,+i ,e"&!e%i ;%i #i!li+ %#% /&"li 4I'+!,+i ,e"&!e%i

#%' #i!%'#% !%'g%'i +e+i%li+ &',&l&gi I'/&"%+i i'i !e"%+, i;%*%!

%legi. !i'ggi %#%' #%' e%! %#%'. l%+ e",%%' !h %+ie'

H%l i'i "e"'g,i',%' %hli /%"%+i #%' e%;%! '!, "el%,,%'



e'ge$e,%' g%'#% !eh%#% ehi!'g%' #&+i+ e#%+%,%' h%l

!e+e! #i %!%+2 Pe+i%%' #%' e'*i"%'%'

% High %le! "e#i$%!i&' #i+i"%' #i &+ e%;%! #i #%l%" !&li %!%

$%i'e! #%' #i,'$i Se"% !e"%! e'*i"%'%' h%+ #iei l%el el%+ #%' #ii+%h,%'

#e'g%' &%!-&%! !i' l%i''*%

A%il% high %le! "e#i$%!i&' h%+ #i+i"%' #i %e% e%;%!%'

%+ie'. ,'$il%h !e"%! e'*i"%'%' #e'g%' #iei l%el ei'g%!%'

4high %le! "e#i$%!i&' %#% !! l% !e"%! e'*i"%'%'

$ i,% "e'gg'%,%' #i+e'+i'g $%i'e! '!, "e'*i"%' high %le!

"e#i$%!i&'. ei e+%' e'gi'g%! #i !! $%i'e! %g% e%;%!

;%+%#% #e'g%' high %le! "e#i$%!i&' Se!i% ,&!%, 7 !e"%! *%'g

ei+i high %le! "e#i$%!i&';%i #iei l%el# I'/+ i'!% 8e'% high %le! "e#i$%!i&' ;%i #iei l%el el%+ #e'g%'

"e'gg'%,%' h/ 7 !li+%' *%'g ee#% #e'g%' +e,i!%'*%3 Pe"ei%' &%!

% Pe%;%! h%+ +el%l "el%,,%' e'ge$e,%' g%'#% (#&le-$he$,)

!eh%#% +e"% high %le! "e#i$%!i&' +eel" #i'ei,%' ,e%#%

%+ie'

Pe'ge$e,%' g%'#% T%'

I#e'!i/i,%+i &%!-&%! *%'g "e"el,%' 8ei/i,%+i %!% e'ge$e,%'

g%'#% &leh e!g%+ ,e+eh%!%' l%i''*% (&%'g ,e#%) +eel"

"e"ei,%' &%! #e'g%' !%' "e'i'g,%!,%' ,e+el%"%!%' #%'

%,%+i

9ei%,%'

Pe'ge$e,%' g%'#% #iel,%' +eel" "e"ei,%' high

%le! "e#i$%!i&' !e!e'! 7 +e+i/i, 7 #i +%%! el%&%'

eg%'!i%' %g% 7 +%%! "el%,,%' !%'+/e %+ie' Pe'ge$e,%' g%'#% #i$%!%! #%l%" e,%" "e#i+ %!% %#%

$%!%!%' e"ei%' "e#i,%+i Pe'ge$e,%' p!r"#$# ;%i #il%,,%' e!g%+ *%'g

e;e'%'g "e'gi'+!,+i,%'. "ee+e,%'. "e"ei,%'

&%!-&%!%' (#&,!e. %hli /%"%+i. e%;%!)



Pe'ge$e,%' %!&'# #il%,,%' e!g%+ *%'g e;e'%'g

(!e,'i+i. e%;%!) Pe!g%+ !i#%, &leh +%"% #e'g%'

e'ge$e,%' e!%"% K!'"')#n $ini$#* '!, "el%,,%' e'ge$e,%' g%'#% 7

8ei/i,%+i &leh &%'g ,e#% #il%,,%' %#% ,&'#i+i +

• Se!i% %,%' "e"ei,%' i'e,+i &%!

• U'!, i'/+

o S%%! !e%i i'i+i%l

o S%%! !e#%%! e%h%' ,&'+e'!%+i &%!

o S%%! e"ei%' &l+

o S%%! eg%'!i%' %g% e%;%! 7 !%'+/e %+ie'

o Se!i% !e%#i e%h%' #&+i+ &%!

Pe'ge$e,%' !%"%h%' #%%! #il%,,%' +e+%i #e'g%'

i'+!,+i #&,!e

High Ale! "e#i$%!i&' *%'g "e"el,%' e'ge$e,%' g%'#% '!,+e"% #&+i+ !e"%+, &l+

O%!-O%!%'9e"&!e%i

He%i'. I'+li'

I'/+ M%g'e+i" Sl/%! %#% %+ie'

O+!e!i$ i'/+ ,%!e!e +%%/ ei#%l #%' ei/e

A$i>i"%

Ag%!&%'

Bi8%li#i'E!i/i%!i#e

Lei#%'

Ci!%! ACDA

9%l+i" 9l&i#% F "g 7 1000 "l i'/+ ('!, CRRT)

O%!-&%!%' *%'g +e%i,'*% !i#%, #iei,%' +e%g%i &l+ #%i

,%'!&'g i'/+ 7 8i%l

O%!-&%!%' *%'g "e"el,%' e'ge$e,%' g%'#% i,% !e#%%!

e%h%' ,%'!&'g i'/+

I'/+ e'&#i%ei'

9e"&!e%i

I'/+ &i&i#

I'/+ ei#%l

I'/+ ,%!e!e +%%/ ei/e

O%!-&%!%' *%'g "e"el,%' e'ge$e,%' g%'#% i,% !e#%%!

e%h%' #&+i+ 7 ,e$e%!%' e"ei%'

E&&+!e'&l



Te&+!i'&l

Be'+&#i%ei'

I'/+ &i&i#

I'/+ ei#%l

He%i'

S!%'#% P&+e# Oe%+i&'%l (SPO)

U'!, #&+i+ i'i+i%l %!% i'i+i%l i'/+ %

• Pe!g%+ p!r"#$# "e"e+i%,%' &%! #%' h%l-h%l #i %;%h

i'i '!, e'ge$e,%' g%'#% &leh e!g%+ ,e#%o O%!-&%! #e'g%' l%el *%'g "%+ih i'!%,

o Re,%" "e#i+ %+ie'. $%!%!%' e"ei%' "e#i,%+i 7 e+e

7 i'+!,+i !e!li+ #&,!e

o O%! *%'g he'#%, #iei,%' le'g,% #e'g%' l%el'*%• Pe!g%+ %!&'# %,%' "e"%+!i,%' h%l-h%l ei,!

o O%! !el%h #i+i%,%' #%' +e+%i #e'g%' i'+!,+i

o Pe%;%! h%+ "e"8ei/i,%+i %h;% &%! *%'g he'#%,

#iei,%' !el%h +e+%i #e'g%' i'+!,+i #&,!e o O%! "e"e'hi 5 (li"%) e+*%%!%'

o Me"%$% l%el #e'g%' +%% l%'!%'g ,e%#% e%;%!

'!, 8ei/i,%+i 5 +*%%! Te%! &%!

Te%! #&+i+ %!% ,e$e%!%''*% !e%!. !e"%+,

e'ge$e,%' g%'#% "e'ge'%i ehi!'g%' 8ei/i,%+i

&"% i'/+ Te%! !e e"ei%'

Te%! /e,e'+i 7 i'!e8%l

Te%! %+ie'

• P%#% ee%% ,%++. ;%i !e+e#i% ,e"%+%' 7 8i%l &%!

'!, "e"%+!i,%' %h;% &%! *%'g #i+i%,%' %#%l%h &%!

*%'g e'%. "i+%l'*% #&+i+ i'+li'

• S%%! e!g%+ ,e#% +ele+%i "el%,,%' e'ge$e,%' g%'#%.

,e#% e!g%+ %+ %h;% &%! !el%h +e+%i. l%,,%'e'$%!%!%' %#% e,%" "e#i+ 7 $%!%!%' e"ei%' "e#i,%+i

• Pe!g%+ ,e#% h%+ "e'li+ 4#i $e, &leh #%' #ii+i '%"%

e'ge$e,

• Pe'ge$e,%' g%'#% %,%' #il%,,%' +eel" &%! #iei,%'

,e%#% %+ie'

• P%+!i,%' i'/+ &%! e%#% %#% %l 7 +el%'g *%'g e'% #%'

l%,,%' e'ge$e,%' +el%'g i'/+ "l%i #%i l%!%' 7 $%i%'

i'/+. &"%. hi'gg% !e"%! e'+e+i +el%'g

• P%+!i,%' &"% i'/+ !e&g%" #e'g%' ,e$e%!%'

e"ei%' !e%!. !e"%+, ,e!e%!%' #%!% e%! %#%'



VI. HIGH ALERT MEDICATION

1. AKALOID VINCA (VINCRISTIN, VINBLASTINE, VINORELBINE

% Se"% #&+i+ <i'$i+!i' #%' 8i'l%+!i' #i+i%,%' #%' #i+i"%' #%l%"l%!%' 10 "l N%Cl 0. (i'e,+i)

<i'&eli'e #i+i%,%' #%' #i+i"%' #%l%" l%!%' 20 "l N%Cl 0.(i'e,+i)$ Si! h%+ #iei l%el #e'g%' ei'g%!%'

4/%!%l i,% i'!%!e,%l

4h%'*% '!, e'gg'%%' I<

4Pel e'ge$e,%' g%'#%

# Ti% +i! h%+ #i+e!%i !! #%' h%+ !e!% i'!%, hi'gg% ;%,!e"ei%' &%!

. PEMBERIAN OBAT MELALUI INTRATEKAL

% L%,,%' e'ge$e,%' g%'#% +e!el%h e+i%%' #&+i+ &%! i'!%!e,%l '!,

"e"%+!i,%' &%! #%' el%el%' e'% Pel%el%' "eli!i ei'g%!%'

4eh%!i%'. h%'*% '!, e'gg'%%' i'!%!e,%l

4el e'ge$e,%' g%'#%

$ O%!-&%!%' ,e"&!e%i i'!%!e,%l #i+i%,%' #%' #i+i"%' #%l%" +e#i%%' +i!10 "l %!% leih ,e$il

# Ti#%, &leh %#% &%!-&%!%' +i!&!&l+i, l%i''*% #i +eel%h !e"%! !i# %+ie'+el%"% &+e+ e"ei%' &%! ,e"&!e%i i'!%!e,%l

e L%,,%' e'ge$e,%' g%'#%

. AGONIS ADRENERGIK IV (EPINEFRIN, FENILEFRIN, NIREPINEFRIN, ISOPROTERENOL

% I'+!,+i "e#i,%+i h%+ "eli!i 4,e$e%!%' %;%l

S%%! !i!%+i &%!. "eli!i %%"e!e'*%$ 9&'+e'!%+i +!%'#% '!, i'/+ ,&'!i'

Ei'e/i' 6 "g 7 250 "l

N&ei'e/i' F "g 7 250 "l

:e'ile/i' 50 "g 7 250 "l

# P%#% ,&'#i+i ,li'i+ #i"%'% #iel,%' ,&'+e'!%+i i'/+ *%'g !i#%, +e+%i+!%'#%. +i! %!% &!&l i'/+ h%+ #iei l%el 4,&'+e'!%+i *g#ig'%,%' %#%l%h

e G'%,%' "&'i!& ,%#i&8%+$le %#% +e"% %+ie' #e'g%'e"%+%'g%' 8e'% +e'!%l

4. ANTAGONIS ADRENERGIK (PROPANOLOL, ESMOLOL, METOPROLOL, LABETALOL

% 9&'+e'!%+i +!%'#% e+"&l&l <i%l 100 "g 7 10 "l

A"l 2.5 g 7 10 "l

. DOPAMINE DAN DOBUTAMIN

% Sei'g !e%#i ,e+%l%h%' e% &%! !e!,% ,%e'% '%"% *%'g "ii.,&'+e'!%+i "ii. i'#i,%+i'*% +e% G'%,%' l%el *%'g #%%!"e"e#%,%' '%"% &%! ("i+%l'*% DOBUT%"i'. DOP%"i')



G'%,%' ,&'+e'!%+i +!%'#% $ Bei l%el %#% &"% #%' &!&l i'/+ e% 4'%"% &%! #%' #&+i+'*%

6. KALSIUM INTRAVENA (+e%g%i gl$e!%!e. gl$&'%!e. $hl&i#e)% C%Cl Ti&#% B0*!) #iei,%' "el%li IM +e% e+i/%! +%'g%! ii!%!i/

!eh%#% %i'g%' :%,!& *%'g #%%! "e"e'g%hi ,&'+e'!%+i ,%l+i" #%l%" #%%h %#%l%h

,%#% /&+/& +e" #%' %l"i' +e"$ E/e, +%"i'g *%'g #%%! !e%#i

I'!e%,+i &%! #e'g%' #ig&,+i' (i'e,+i $e%! ,%l+i" #%%! "e'*e%,%'

%#i%i!"i%. !e!%"% %#% %+ie' *%'g "e'g,&'+"+i #ig&,+i') A'!%g&'i+ !eh%#% C%l+i" C%h%''el Bl&$,e (CCB) #%' e'i'g,%!%'

!e,%'%' #%%h Hi&,%l+ie"i% %!% hie,%l+e"i% %,i%! e"%'!%%' ,%#% ,%l+i" *%'g

!i#%, e/i+ie' R%+i& ,%l+i" *%'g !i#%, !e%! #%l%" l%!%' I< #%' "e'*e%,%'

e+ii!%+i #%' ,e+%,%' &g%' Ne,&+i+ %i'g%' %,i%! e,+!%8%+%+i ,%l+i" ,l&i#%

# I'+!,+i,%' e"ei%' ,%l+i" #%l%" +%!%' "ge L%,,%' e'ge$e,%' g%'#%

7. AGEN KEMOTERAPI (i'!%8e'%. i'!% ei!&'e%l. i'!% %!ei%l. i'!%he%!i,.i'!%le%l)

% Seel" "ee+e,%' ,e"&!e%i #%' "e"ei,%' ,e"&!e%i. el+ei/i,%+i ? 8ei/i,%+i +e$%% !e%!

I'+!,+i ,e"&!e%i ;%i #i!li+ #i 4/&"li i'+!,+i ,e"&!e%i #%'#i!%'#% !%'g%'i +e+i%li+ &',&l&gi

$ Ti#%, &leh "e"ei,%' i'+!,+i ,e"&!e%i h%'*% #%l%" e'!, 8e%l# %'g%' "e'gg'%,%' +i'g,%!%' Si'g,%!%' 4 '!, 'i! !i#%, &lehe %'g%' "e'gg'%,%' &"% I< i,% h%'*% el #&+i+ &l+/ G'%,%' i'+!,+i *%'g #i$e!%, (i'!) #%l%" e+e &%!g Re+e ,e"&!e%i I< h%+ !e!li+. #e'g%' #&+i+ i'#i8i#%l. ,%' "l%h

!&!%l &%! *%'g #iei,%' +e%'%'g &g%" !e%i

h I'+!,+i le'g,% e"ei%' ,e"&!e%i + N%"% %+ie' ? '&"& e,%" "e#i+

T%'gg%l ? ;%,! e'li+%' i'+!+i

Se"% ele"e' *%'g #ig'%,%' '!, "e'ghi!'g #&+i+ i'i+i%l 7

e%h%' !%!%l%,+%'% ,e"&!e%i ;%i "e'$%'!",%' #%l%" e+e(!i'ggi %#%'. e%! %#%'. l%+ e",%%' !h)

I'#i,%+i ? i'/&"e# $&'$e'!

Alegi

N%"% ,e"&!e%i. #&+i+. !e e"ei%'. !%'gg%l e"ei%' +e!i%

&%! "l%h +i,l+ #%' %!% "l%h "i'gg e"ei%' egi"e'

e'g&%!%'. i,% "'g,i'i Bei l%el *%'g el%+ ? ,e"%+%' ee#%-e#% '!, "e"e#%,%'



#e'g%' &%! l%i' Se"% #&+i+ &%! ;%i #i+e!%i !li+%' 4Peh%!i%'%ge' ,e"&!e%i, A%il% %#% #&+i+ &%! *%'g hil%'g ;%i #i+eli#i,i +ege% &leh %hli

/%"%+i. #%' #&+i+ e'gg%'!i +e%i,'*% !i#%, #iei,%' +eel" #i+&+i+i#&+i+ e!%"% #i8ei/i,%+i

l 9e"&!e%i #iei,%' e#%+%,%' i'+!,+i #&,!e #%' #il%,,%' +e+%i#e'g%' &+e# *%'g el%,

" Bei l%el %#% +e!i% e'#% 7 l%! +e+i/i, "ili, %+ie' *%'g eh'g%'#e'g%' ,e"&!e%i. "i+%l'*% 4Pei'g%!%'"%!ei7%h%' %'!i 'e&l%+!i,.el%,,%' #e'g%' %i, #%' h%!i-h%!i

' 9e"&!e%i %,%' #i,e"%+ #e'g%' 2 (#%) l%i+%' '!, "e"i'i"%li+%+i,e"'g,i'%' !e$e$e %!% !e+e%

& Se"% ,e"&!e%i *%'g !el%h #i+i%,%' %,%' "e'%l%'i e'ge$e,%'g%'#%

L%,,%' e'ge$e,%' #%l%" ehi!'g%' #&+i+ +e%'*%, 2 (#%) ,%li &leh2 (#%) &%'g *%'g ee#%

L%,,%' e'ge$e,%' e'g%!%' &"% ,e"&!e%i +eel" "e"ei,%'&%!

%'g &leh "e"ei,%' ,e"&!e%i h%'*% e%;%! *%'g "e"'*%i,&"!e'+i e"ei%' ,e"&!e%i

1. INFUS KONTINU HEPARIN, LEPIRUDIN, ARGATROBAN, 2ARFARIN IV

% P&!&,&l +!%'#% i'#i,%+i %#%l%h''!, !&"&+i+ 8e'% #%l%" (Deep VeinThrombosis – DVT ). +%,i! %'!'g. +!&,e. l!% /il!%+i

Si'g,%!%' 4U '!, 'i! !i#%, &leh (%'g%' g'%,%' +i'g,%!%')$ S!%'#% ,&'+e'!%+i &%! '!, i'/+ ,&'!i'

He%i' 25000 'i! 7 500 "l #e>!&+e 5 (+e!%% #e'g%' 50 'i!

7 "l) Lei#i' 50 "g 7 250 "l #%' 100 "g 7 250 "l

Ag%!&%' 250 "g 7 250 "l

# G'%,%' &"% i'/+e L%,,%' e'ge$e,%' g%'#%/ Bei,%' +!i,e %!% l%el %#% 8i%l he%i' #%' l%,,%' e'ge$e,%' g%'#%

!eh%#% e%h%' ,e$e%!%' e"ei%'g Pe"ei%' &l+. ei,% #g' +i! (#%i%#% "e"&#i/i,%+i ,e$e%!%' i'/+)h O%!-&%!%' ;%i #i%;%+i #%' #i%'!%i W%/%i' h%+ #ii'+!,+i,%' +e$%% h%i+' e#%+%,%' 'il%i INR7PT

h%i%'

3. INSULIN IV

% Si'g,%!%' 4U '!, 'i! !i#%, &leh (%'g%' g'%,%' +i'g,%!%') I'/+ i'+li' ,&'+e'!%+i +!%'#% 1 'i! 7 "l. ei,%' l%el 4High Ale!. i,!i

&!&,&l +!%'#% ICU$ <i%l i'+li' *%'g !el%h #i,% "e"'*%i ;%,! ,%#%l%+% #%l%" 30 h%i

+e!el%h #i,%# <i%l i'+li' #i+i"%' %#% !e"%! !ei+%h #i #%l%" ,l,%+ #%' #iei l%el



e Pi+%h,%' !e"%! e'*i"%'%' i'+li' #%' he%i' (+ei'g !e!,%)/ %'g%' e'%h "e'*i%,%' i'+li' #&+i+ 100 'i! #%l%" +i! 1$$. +el%l

g'%,%' +i! i'+li' ,h++g L%,,%' e'ge$e,%' g%'#%h Pe%;%! ;%i "e"ei!%h ,e%#% %+ie' %h;% "ee,% %,%' #iei

+'!i,%' i'+li'i Di+!i+i #%' e'*i"%'%' 8i%l i'+li' #e'g%' e%g%" #&+i+

Si"%' #%l%" ,l,%+ +e$%% !ei+%h #%' #iei l%el *%'g !e%!

Se"% 8i%l i'+li' ;%i #i%'g #%l%" 30 h%i +e!el%h #i,%

(i'e,+i %" +'!i,) T%'gg%l #i,% 7 #ig'%,%''*% i'+li' '!,e!%"% ,%li h%+ #i$%!%! %#% 8i%l

10. KONSENTRAT ELEKTROLIT i'e,+i N%Cl 0.. i'e,+i 9%li" (,l&i#e. %$e!%!./&+/%!) @ 0.6 E 7 "l% i,% 9Cl #ii'e,+i !el%l $e%! (,e$e%!%' "eleihi 10 "E 7 %") %!% #e'g%'

#&+i+ *%'g !el%li !i'ggi. #%%! "e'*e%,%' he'!i %'!'g 9Cl !i#%, &leh #iei,%' I< +h 7 &l+$ H%'*% #i+i"%' #i %&!i,. ICU. ICCU. #%' ,%"% &e%+i# S!%'#% ,&'+e'!%+i e"ei%' i'/+ N%Cl "%,+i"" 3 #e'g%' 500 "le Diei,%' l%el %#% &!&l i'/+ 4l%!%' '%!i" hie!&'i, 3 ("e%h)/ P&!&,&l 9Cl

I'#i,%+i i'/+ 9Cl

9e$e%!%' "%,+i"%l i'/+

9&'+e'!%+i "%,+i"%l *%'g "%+ih #ie&leh,%'

P%'#%' "e'ge'%i ,%%' #iel,%''*% "&'i!& ,%#i&8%+$le

Pe'e'!%' %h;% +e"% i'/+ 9Cl h%+ #iei,%' 8i% &"%

L%%'g%' "e"ei,%' l%!%' 9Cl "l!iel +e$%% e+%"%%' (9Cl i'!%8e'% #%' '/+ 9Cl #i %l I< l%i''*%)

Die&leh,%' "el%,,%' ++!i!+i 9Cl &%l "e'%#i 9Cl I<. i,% #iel,%'

L%,,%' e'ge$e,%' g%'#%

11. INFUS NARKOSE / OPLAT, !e"%+, i'/+ '%,&+e ei#%l

% Oi%!e #%' ++!%'+i l%i''*% ;%i #i+i"%' #%l%" %l"%i e'*i"%'%'!e,'$i #i %&!i, 7 'i! /%"%+i #%' #i %'g e%;%!%' %+ie'

9%%'' "e"'g,i',%'. i'+!,+i *%'g #i$e!%, (i'!) +e%i,'*% !e+e#i%#%l%" "ee+e,%' &%!$ Bei l%el 4High Ale! '!, i'/+ ,&'!i' #e'g%' ,&'+e'!%+i '&' +!%'#%

*%'g #iei,%' 7 #i%'!%,%' ,e 'i! %;%!. i,% #iel,%' +e;%,!-;%,!# 9&'+e'!%+i +!%'#%

M&/i' 1 "g 7 "l

Meei#i' 10 "g 7 "l

Hi#&"&/i' 0.2 "g 7 "l (5 ,%li leih &!e' #i%'#i'g,%' "&/i')

:e'!%'il (e'gg'%%' ICU) 10 "$g 7 "l

e 9&'+e'!%+i !i'ggi (ei,%' l%el 4,&'+e'!%+i !i'ggi M&/i' 5 "g 7 "l

Hi#&"&/i' 1 "g 7 "l ( 5 ,%li leih &!e' #i%'#i'g,%' "&/i') :e'!%'il (e'gg'%%' ICU) 50 "$g 7 "l



/ I'+!,+i e'gg'%%' '%,&+e h%+ "e'gi,!i ,ei%,%' Ti!%+ig P%+!i,%' !e+e#i% '%l&,+&' %!% +ee'i+'*% #i +e"% %e% *%'g !e#%%!

,e"'g,i'%' "e'gg'%,%' "&/i'h T%'*%,%' ,e%#% +e"% %+ie' *%'g "e'ei"% &i%!e "e'ge'%i i;%*%!

%legi

i H%'*% g'%,%' '%"% ge'ei, %l e"ei%' ei#%l

Se"% e"ei%' i'/+ '%$&+e 7 &i%!e h%+ #iei,%' #e'g%'

&"% i'/+ !e&g%" #%' #iei,%' l%el %#% %l%! &"% G'%,%' !%'g i'/+ +e+i/i, (;%'% ,'i'g eg%i+) !%'% &!%l

i'e,+i Bei,%' l%el %#% 'g #i+!%l +el%'g i'/+ ei#%l #%' +el%'g i'/+

I< '!, "e"e#%,%', i,% #iel,%' e%h%' #&+i+. h'gi #&,!e *%'g e!%'gg'g %;%l L%,,%' e'ge$e,%' g%'#%

12. AGEN SEDASI IV (l&%e%". "i#%&l%". &&/&l

% Se!i% i'/+ +e#%+i ,&'!i" "e"'*%i +!%'#% #&+i+ L&%e%" 1 "g 7 "l

Mi#%&l%" 1 "g 7 "l. e/e, '$%, 5-10 "'!

P&&/&l 10 "g "l L%,,%' "&'i!& +el%"% e"ei%' &%! (&,+i"e!i #e'*!. !%'#% 8i!%l.

!e+e#i% e%l%!%' e++i!%+i)

4. INFUS MAGNESIUM SULFAT

% Teg&l&'g +e%g%i High Ale! %#% e"ei%' ,&'+e'!%+i "eleihi +!%'#%.*%i! @ 60 "g 7 "l #%l%" l%!%' 100 "l ( 6 g #%l%" 100 "l l%!%' i+&!&'i, 7+%li'e)

Pel e'ge$e,%' g%'#% (ehi!'g%' #&+i+. e+i%%' #&+i+. e'g%!%'&"% i'/+

45. INFUS ALTEPLASE ("-PA, A6"i7#s! IV

% Se"% i'/+ Al!el%+e *%'g #ig'%,%' #i "%h +%,i! h%+ #i+i%,%' &leh%hli /%"%+i

U'!, e'gg'%%' #%l%" ,&'#i+i e"ege'+i. +%%! %hli /%"%+i !i#%, %#% #i!e"%! '!, "e"e+i%,%' &%!. +e#i%%' Al!el%+e #i+i"%' #i IGD S%%!&%! i'i %,%' #ig'%,%'. l%,,%' e'$%!%!%' +e+%i #%' le'g,% ei+ii#e'!i/i,%+i %+ie' #%' %l%+%' 7 i'#i,%+i e"ei%' &%!Pe'$%!%!%' i'i h%+ #i!%'+"i+i,%' ,e /%"%+i 7 %&!i, +el" #&+i+ &%!ei,!'*% #iei,%'

$ Si%,%' Al!el%+e #e'g%' #&+i+ +e+i/i, '!, +e!i% %+ie'# Ti#%, &leh %#% &%! e,+!% 7 eleih #i $&'!%i'e &%! /i'%l *%'g %,%'



#iei,%' %+ie' (h%'*% &%! #e'g%' #&+i+ +e+i/i, #%' !e%! *%'g#ile!%,,%' #i $&'!%i'e &%! /i'%l)

e Bei l%el %#% +e!i% #&+i+ &%! *%'g #ig'%,%' ( #i +i! #%' #i $&'!%i'e i'/+) #%' h%+ "eli!i "i'i"%l + N%"% %+ie'

N&"& e,%" "e#i+ L&,%+i %+ie'

N%"% ge'ei, #%' %!e' &%! *%'g #ig'%,%'

9&'+e'!%+i &%! *%'g #i'*%!%,%' #%l%" "g 7 "l

9%'!i!%+ !&!%l &%! 7 8&l"e !&!%l l%!%' *%'g !e,%'#'g #i #%l%"

+e#i%%' T%'gg%l ,e#%l%+% &%!

9e$e%!%' e"ei%' i'/+

/ Pe"ei%' &%! !i#%, &leh #ii'!e+i #%' #il%,,%' #i %e% 7 !e"%! *%'ge%+ g%'gg%' 7 #e+!,+i

g Pel e'ge$e,%' g%'#%

15. INJEKSI TENECTEPLASE IV

% P%#% !e"%! e'*i"%'%' &%!. ei,%' l%el *%'g el%+.'!, #%%!"e"e#%,%' #e'g%" %l!el%+e #%' "e"i'i"%li+i ,e"'g,i'%' &%!!e!,%

L%,,%' e'ge$e,%' g%'#%

16. AGEN BLOK NEUROMUSCUAR (S,+i'il,&li'. &,&'i". %',&'i")

% H%+ #i+i"%' #i %e% ,h++ #%' +e+i/i, +ee!i ,%"% &e%+i. %'g%;%! i'+!e'+i/ (Pediatric Intensif Care Unit / Neonatus Intensive Care Unit / Intensif Care Unit ). IGD. C%!h L%

Bei,%' l%el *%'g !elih%! el%+ #%' #%%! #ie#%,%' #e'g%' &%! l%i':%"%+i %,%' "e"ei,%' l%el %#% +e"% 8i%l '!, e'*i"%'%' &%!#i l% ,%"% &e%+i

$ Pe'*i"%'%' h%+ #ii+%h,%' #%i &%!-&%!%' l%i'. "i+%l'*% #e'g%',&!%, e;%'%. e'*e,%!%'. #+

# Se"% i'/+ %ge' l&, 'e&"+$l% h%+ "e"'*%i l%el *%'ge!li+,%' 4Pei'g%!%'. %ge' %%li+i+

4D%%! "e'*e%,%' he'!i '%/%+

e Le,,%' e'ge$e,%' g%'#%/ U'!, +e!i% ,&'!%i'e &%! % *%'g #i+e#i%,%' /%"%+i (8i%l. +i!. #+).

e'ge$e,%' g%'#% h%+ #i$%!%! &leh ,e#% e!g%+ #i e,%" "e#i+g C%!%!l%h i,% %#% e%h%' i'+!,+i. !e"%+, e%h%' ,e$e%!%' i'/+

#%' e'g%!%' &"% i'/+h 9%%'' "e"'g,i',%' i'+!,+i *%'g #i$e!%, (i'!) +e%i,'*% !e+e#i%

I'+!,+i g% h%+ "e'*%!%,%' 4P%+ie' h%+ !e%+%'g 8e'!il%!& %'g%' e'%h "e'g%'gg% &%!-&%!%' +e%gh%i 4Rel%,+%'



H%+ #ihe'!i,%' e"ei%''*% %#% %+ie' *%'g #i e,+!%+i #%'

!i#%, "e'gg'%,%' 8e'!il%!& l%gi

17. OBAT-OBATAN INOTROPIK IV (Dig&,+i'. "il!i'&'e)% O%!-&%!%' i'i "e'*%i e'!%'g !e%e!i, *%'g +e"i! #%'

"e"'*%i +e"l%h i'!e%,+i &%! P%+ie' *%'g h%+ "e'#%%! e'g%;%+%' e,+!% %#%l%h l%'+i% (gei%!i)

*%'g "e'#%%! #&+i+ !i'ggi &%! i'&!&i, #%' g% "e'g,&'+"+ii'i#i'e

$ D%l%" "e'gg'%,%' &%!. ei,%' +e#,%+i ,e%#% %+ie' "e'ge'%ie'!i'g'*% ,e%!h%' %+ie' #%l%" #&+i+. el'*% e"ei,+%%' #%%hei/e +e$%% !i'. #%' !%'#%-!%'#% ei'g%!%' %,%' !e%#i'*% &!e'+i&8e#&+i+

# Ti'g,%!,%' e"%'!%%' %+ie' #e'g%' "e"e%'*%, ,''g%' #&,!e

#%' e"ei,+%%' l%&%!&i"e L%,,%' e"ei,+%%' #ig&,+i' #%%h +e$%% !i'/ M&'i!& e'gg'%%' #ig&,+i' #%' ,e"%'g,%' &!&,&l "e'ge'%i i'#i,%+i

e'gg'%%' #ig&,+i'

18. GARAM FOSFAT (N%!i" ? 9%li")

% Se#%%! "'g,i' ei,%' !e%i e'gg%'!i /&+/%! "el%li %l &%l Bei,%' #%l%" e'!, 4N%!i" /&+/%! ,%%'' "e"'g,i',%'

$ Pe"ei%' 9%li" /&+/%! e#%,%' le8el 7 ,%#% /&+//%! i'&g%'i$ %+ie'#%' /%,!& ,li'+ l%i''*%

# D&+i+ '&"%l 9%li" /&+/%! !i#%, "eleihi 0.32 ""&l79g BB 12 %" D&+i+#%%! #il%'g hi'gg% +e" /&+/%! @ 2 "g 7 #l

e Sel%l i,%' 8i% &"% i'/+

VII. PEMBERIAN HIGH ALLERT MEDICATION PADA PEDIATRI DAN NEONATUS

1 High Ale! Me#i$%!i&'' %#% e#i%!i #%' 'e&'%!+ +e% #e'g%' #e;%+%.+

% Regi+i#e (+e"% %l e"ei%') Chl&%l H*#%!e (+e"% %l e"ei%')$ I'+li' (+e"% %l e"ei%')# Dig&,+i' (&%l ? I<)e I'/+ #&%"i'e. #&!%"ie. ei'e/i'. '&ei'e/i'

2 Pe"ei%' $hl&%l h*#%!e '!, +e#%+i% 9e+%l%h%' *%'g +ei'g !e%#i D&+i+ !e!,%! ,%e'%!e#%%! 2 (#%) +e#i%%' 250 "g 7 5 "l #%' 500

"g7 5 "l

I'+!,+i +ei'g #%l%" e'!, +%!%' 8&l"e ("l) #%' ,%' #%l%"#&+i+ "g



P%+ie' %gi!%+i +ei'g "ee'#%%! #&+i+ "l!iel +eel" #&+i+ *%'g

e!%"% "e'$%%i e/e, '$%,'*% +ehi'gg% "e'g%,i%!,%' !e%#i'*%&8e#&+i+

Ti#%, &leh #ig'%,%' #i "%h$ M&'i!& +e"% %'%, *%'g #iei $hl&%l h*#%!e '!, +e#%+i e

&e%!i/ +eel" #%' +e!el%h &+e# #il%,,%'. B%! e'$%'%e++i!%+i #%' %+!i,%' !e+e#i%'*% e%l%!%' e++i!%+i

3 P&+e# e"ei%' &%!% L%,,%' e'ge$e,%' g%'#% &leh 2 (#%) e!g%+ ,e+eh%!%' *%'g

e,%li!%+ (#&,!e. e%;%!. %hli /%"%+i) Bei,! %#%l%h ,&'+e'!%+i +%!%'#% &%!-&%!%' '!, e'gg'%%'

+e$%% ,&'!i' i'/+ i'!% 8e'% '!, +e"% %+ie' e#i%!i *%'g#i%;%!. PICU ? NICU Bei,%' l%el 49&'+e'!%+i '!, +i! %!%&!&l i'/+ #e'g%' ,&'+e'!%+i "&#i/i,%+i

$ H%'*% +!%/ ee'g%l%"%' #%' ,&"e!e' *%'g #ie&leh,%'"e"ei,%' &%!

# Si"%' #%' i'+!+i,%' h%'*% 1 (+%!) ,&'+e'!%+ie H%+ "e"ei,%' i'+!,+i #%l%" +%!%' "ilig%". !i#%, &leh

"e'gg'%,%' +%!%' "ilili!e / %'g%' "e'gi'+!,+i,%' e'gg'%%' &%!-&%!%' i'i +e%g%i

!i'i!%+ i,% #iel,%' +e$%% pro renata (i,% el). !e'!,%' #&+i+"%,+i"%l *%'g "%+ih #ie&leh,%'. "i+%l'*% #&+i+ "%,+i"%l 500 "g7h%i

TABEL KONSENTRASI STANDAR OBAT-OBATAN UNTUK PEDIATRIC, PICU, NICU

O#" K0ns!n"r#si 4 K0ns!n"r#si K0ns!n"r#si

KCl 0.1 "E 7 "l

(10 "E 7 100 "l)

0.2 "E 7 "l

(20 "E 7 100 "l)

Sp!si8i% 'n"'% P!&i#"ri6 / PICU

D&%"i' 100 "$g 7 "l

(600 "$g 7 250 "l)

3200 "$g 7 "l

(F00 "$g 7 250 "l

D&!%"i' 200 "$g 7 "l

(500 "$g 7 250 "l)

6000 "$g 7 "l

(1 "g 7 250 "l)6 "$g 7 "l

Ei'e/i' 1 "$g 7 "l

(6 "g 7 250 "l)

32 "$g 7 "l

1 "g 7 250 "l)

1 "g 7 250 "l

N&ei'e/i' 1 "$g 7 "l

(6 "g 7 250 "l)

32 "$g 7 "l

(F "g 7 250 "l)

I'+li' egle

1 U'i! 7 "l

0.5 '7 "l

Sp!si8i% 'n"'% NICU

D&%"i' 600 "$g 7 "l F00 "$g 7 "l 100 "$g 7 "l

D&!%"i' 500 "$g 7 "l 1000 "$g 7 "l 2000 "$g 7 "l

Ei'e/i' 20 "$g 7 "l 60 "$g 7 "l

I'+li' egle 0.1 'i! 7 "l



0.5 'i! 7"l

:e'!%'il 6 "$g 7 "l

DA:TAR PUSTA9A

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