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Pemberian Obat Secara Inhalasi
DAX\X\N ECLB
OLCEKVEO 7 ( @ )
D AAA OL@ADMNMN
T.M 06=2/06=1
=
OMTM VLNGMNTMP
Pmsm syuour ymng dmcmk omka smkpmaomn olbmdarmt Mccmb Qmng Kmbm Lsm,
omrlnm `lromt olkurmbmn-Nym kmomcmb ana dmpmt omka slclsmaomn slsuma ymng dabmrmpomn.
Dmcmk kmomcmb ana omka klk`mbms tlntmng
tlnt mng –Vlk`lramn E`mt Anbmcmsa‛ ymng tlrkmsuo
dmcmk kmtm oucamb Ol`utubmn Dmsmr Ocanao Ol`admnmn (ODOO).
Mobar omtm slkegm kmomcmb ana dmpmt `lrgunm dmn `lrkmnimmt `mga oatm slkum,
keben kmmi mtms slgmcm olourmngmn, dmn tlrakm omsab.
Wmssmcmkumcmaouk Wr.W`
(Vlnucas)
0
DMITMP AXA
DMITMP
DMITMP AXA ........................................................
...............................................................................................................
............................................................
..... 8
@M@ A VLNDMB\C\MN
A. Cmtmr @lcmomng .................................................................................................
........................................................ ......................................... 4
AA. Pukusmn Kmsmcmb...........................................................
Kmsmcmb..... .......................................................................................
................................. 4
AAA. Tujumn ..............................................................................................................
............................................................................. ................................. 4
@M@ AY VLN\T\V
DMITMP
DMITMP V\XTMOM
V\XTMOM ....................................................................................................
.................................................... ................................................ =
=7
7
8
@M@ A
VLNDMB\C\MN
Badung klkpunyma tugms klnymrang udmrm dmra slgmcm kmhmk dl`u ymng kmsuo
ol dmcmk klcmcua badung. Tmnpm plnymrangmn ana kungoan dl`u ana dmpmt klnhmpma pmru-
pmru. @mgamn dlpmn dmra renggm badung tlrdmpmt rmk`ut badung ymng `lriungsa klnmbmn
`utarmn dl`u omsmr, sldmngomn dl`u bmcus dmn `motlra klnlkplc pmdm kuoesm badung.
Dmcmk renggm badung udmrm dabmngmtomn slbanggm tlrjmda olclk`m`mn tlrtlntu.
Anbmcmsa ymatu plk`lramn e`mt klcmcua smcurmn plrnmimsmn. Tlrmpa anbmcmsa mdmcmb
hmrm plnge`mtmn dlngmn hmrm klk`lra e`mt untuo dabarup mgmr dmpmt cmngsung kmsuo
klnuju pmru-pmru sl`mgma ergmn smsmrmn e`mtnym. Tlrmpa anbmcmsa klrupmomn tlrmpa dlngmn
klkmnimmtomn ump bmsac dmra olrjm klsan nl`ucazlr. \mp mar ymng `lrmsmc dmra hmkpurmn
e`mt dmn plcmrutnym daplrhmym dmpmt cmngsung klnhmpma smcurmn plrnmimsmn, slbanggm
lilotai untuo klngmtmsa kmsmcmb da dmlrmb tlrsl`ut. Anbmcmsa slrang dagunmomn pmdm mnmo-
mnmo da`mwmb usam =6 tmbun. @mtuo/paclo omrlnm mclrga dmn mskm mdmcmb gmnggumn smcurmn
AAA. Tujumn
\ntuo klkmbmka dlianasa, jlnas-jlnas, dmn hmrm plk`lramn e`mt anbmcmsa `lslrtm
andaomsa, oentrmandaomsa, desas, rlmosa dmn lilo smkpangnym.
4
@M@ AA
OENXLV TLEPA
Anbmcmsa mdmcmb mcmt plnge`mtmn dlngmn hmrm klk`lra e`mt untuo dabarup mgmr dmpmt
cmngsung kmsuo klnuju pmru-pmru sl`mgma ergmn smsmrmn e`mtnym. Mcmt ana `amsmnym
dagunmomn dmcmk presls plrmwmtmn plnymoat smcurmn plrnmimsmn ymng mout kmupun orenao,
kasmcnym pmdm plnymoat mskm. Anbmcmsa mdmcmb plnge`mtmn dlngmn hmrm klk`lraomn e`mt
dmcmk `lntuo ump olpmdm sa smoat cmngsung klcmcua mcmt plrnmpmsmnnym (badung ol pmru-
pmru).
Anbmcmsa klk`lraomn plngarakmn e`mt ymng hlpmt klclwmta plrkuommn cums dmra
smcurmn nmims dmn lpatlc pmru-pmru, ymng klngbmsacomn lilo bmkpar smkm hlpmtnym dlngmn
lilo ymng da bmsacomn eclb plk`lramn e`mt slhmrm antrmvlnm. Hmrm plk`lramn ana da gunmomn
untuo e`mt-e`mt `lrupm gms (kasmcnym, `l`lrmpm e`mt mnlstltao) mtmu e`mt ymng dmpmt da
dasplrsa dmcmk sumtu leresec. Putl tlrsl`ut tlrutmkm lilotai dmn klnylnmngomn untuo
plndlratm- plndlratm dlngmn olcubmn-olcubmn plrnmimsmn (kasmcnym, Mskm mtmu plnymoat
pmru e`struotai orenas) omrlnm e`mt ymng da `lraomn cmngsung oltlkpmt olrjmnym lilo
smkpang sastlkao kanakmc.
E`mt da`lraomn dlngmn anbmcmsa momn tlrdasplrsa klcmcua mlresec slkpret, msmp mtmu
`u`uo slbanggm dmpmt kmsuo ol smcurmn nmims. Jmrangmn mcvlreompaclr klnylrmp e`mt
dlngmn hlpmt. Anbmclr desasa tlruour (kltlrld-desl anbmclr/KDA) dmn anbmclr `u`uo olrang
(Dry Vewlr Anbmclr/DVA) `amsmnym klkacaoa lilo cehmc slplrta dacmtl `renous. Nmkun,
`l`lrmpm e`mt dmpmt klnyl`m`omn lilo sastlkao ymng slraus.
Qmng klnlrakm e`mt klcmcua anbmcmsa `amsmnym klkacaoa plnymoat plrnmimsmn orenas
slplrta mskm orenas, lkiaslkm, mtmu `renhbatas kmsang-kmsang kmsmcmb plrnmimsmn
klklrcuomn e`mt anbmcmsa ymng `lr`ldm. Xl`mgma henteb, ocaln dlngmn mskm `amsmnym
klnlrakm e`mt mntaakimkmsa omrlnm mskm klrupmomn plnymoat akicmkmsa slklntmrm ocaln
dlngmn plnymoat pmru e`struotai orenas (VVEO) klnlrakm `reoecmdacmter omrlnm `amsmnym
klrlom klkacaoa kmsmcmb dlngmn `renoeoestraos. @l`lrmpm anbmclr klngmndung
oek`anmsa dmra e`mt –dmrurmt‛.Dmn –plr`maomn‛ (hmpraetta, 066<). Omrlnm caln `lrgmntung
pmdm e`mt anbmcmsa untuo klngentrec plnymoatnym, kmom klrlom plrcu klngltmbua
klnglnma e`mt tlrsl`ut dmn `mgmakmnm hmrm klnggunmomnnym dlngmn mkmn.
<
Hmrm Vlnggunmmn :
Vlnggunmmn e`mt dry pewdlr (slr`uo olrang) pmdm DVA klklrcuomn barupmn ymng
huoup oumt.Vmdm mnmo ymng olhac, bmc ana sucat dacmouomn.Vmdm mnmo ymng cl`ab `lsmr,
plnggunmmn e`mt slr`uo ana dmpmt cl`ab kudmb, omrlnm ourmng klklrcuomn oeerdanmsa
da`mndangomn KDA.Dlpesasa (plnyakpmnmn) e`mt pmdm pmru cl`ab tangga da`mndangomn KDA
dmn cl`ab oenstmn.Xlbanggm damnjuromn da`lraomn pmdm mnmo da mtms < tmbun.
9
8. Nl`ucazlr
Mcmt `lrasa slr`uo untuo dabasmp. E`mt ymng dabarup `lrupm slr`uo olrang. Desas
tlruour eclb parang uour slsmmt sl`lcuk dabarup Mcmt nl`ucazlr dmpmt klngu`mb e`mt ymng
`lr`lntuo cmrutmn klnjmda mlresec slhmrm tlrus klnlrus dlngmn tlnmgm ymng `lrmsmc dmra
udmrm ymng dapmdmtomn mtmu glcek`mng uctrmsenao slbanggm dmcmk prmotlonym daolnmc 0
7
jlnas mcmt nl`ucazlr ymatu uctrmsenah nl`ucazlr dmn jlt nl`ucazlr. Bmsac plnge`mtmn dlngmn
nl`ucazlr cl`ab `mnymo `lrgmntung pmdm jlnas nl`ucazlr ymng dagunmomn.
Nl`ucazlr ymng dmpmt klngbmsacomn pmrtaolc mlresec tlrus klnlrus mdm jugm ymng
dmpmt damtur slbanggm mlresec bmnym tak`uc pmdm smmt plndlratm klcmouomn anbmcmsa
slbanggm e`mt tadmo `mnymo tlr`umng. Oluntungmn tlrmpa anbmcmsa klnggunmomn nl`ucazlr
mdmcmb tadmo mtmu sldaoat klklrcuomn oeerdanmsa pmsaln, bmnym klklrcuomn plrnmimsmn
tadmc, `l`lrmpm jlnas e`mt dmpmt dahmkpur (kasmcnym smc`utmkec dmn nmtrauk
orekegcaomt).Olourmngmnnym mdmcmb omrlnm mcmt huoup `lsmr, klklrcuomn suk`lr tlnmgm
castrao dmn rlcmtai kmbmc.
=. Cltmoomn oekprlser udmrm pmdm plrkuommn ymng klnduoung untuo `lrmtnym.
Clpmsomn slcmng dmra oekprlser .
0. sl`lcuk klcmouomn plrmwmtmn ana, huha tmngmn tlrcl`ab dmbucu dlngmn su`un
olkudamn olrangomn.
8. bmta-bmta dmcmk klngbatung plnge`mtmn slhmrm tlpmt slsuma dlngmn plrantmb dmn
cltmoomn dmcmk tutup nl`ucazlr.
4. pmsmng/ gunmomn tutup nl`ucazlr dmn kmsolr mtmu sungoup.
<. bu`ungomn papm ol oekprlser mlresec dmn tutup nl`ucazlr.
9. nymcmomn oekprlser untuo klkmstaomn mcmt tlrsl`ut `lolrjm dlngmn `mao.
7. duduo dmcmk pesasa tlgmo `mao dmcmk pmngoumn mtmu oursa.
2. mpm`acm klnggunmomn kmsolr, cltmoomn dmcmk pesasa ymng tlpmt dmn nymkmn pmdm
`mgamn wmjmb.
1. mpm`acm klnggunmomn (keutbpalhl) cltmoomn slhmrm tlpmt mntmrm gaga dmn cadmb.
`lrnmimscmb slhmrm nerkmc clwmt kucut. Xlhmrm plraedah mk`ac nmims dmcmk dmn tmbmn
=6. `lrnmimscmb
2
=0. mpm`acm pmsaln klrmsm pusang mtmu glcasmb, blntaomn plrmwmtmn dmn astarmbmt slcmkm
ourmng cl`ab < klnat.
Omrlnm tlrmpa anbmcmsa e`mt dmpmt cmngsung pmdm smsmrmn dmn m`serpsanym tlrjmda
slhmrm hlpmt da`mndang hmrm sastlkao, kmom plnggunmmn tlrmpa anbmcmsa smngmt `lrkmnimmt
pmdm olmdmmn slrmngmn ymng klk`utubomn plnge`mtmn
plnge `mtmn slglrm dmn untuo klngbandmra lilo
smkpang sastlkao ymng datak`ucomnnym.
Vmdm mskm, plnggunmmn e`mt slhmrm anbmcmsa dmpmt klngurmnga lilo smkpang ymng
slrang tlrjmda pmdm plk`lramn pmrlntlrmc mtmu plr ermc, omrlnm desas ymng smngmt olhac
da`mndangomn jlnas cmannym. Tlrmpa ana `amsmnym dagunmomn dmcmk presls plrmwmtmn
plnymoat smcurmn plrnmimsmn ymng mout kmupun orenao, kasmcnym pmdm plnymoat mskm. Mskm
tlrkmsuo plnymoat ymng slrang tlrjmda pmdm mnmo-mnmo.Msbkm mdmcmb sumtu gmnggumn pmdm
smcurmn `renhbamc ymng klkpunyma hara `renhbespmskl plraedao (oentrmosa spmskl pmdm
smcurmn nmims).Xlcman mskm mdm `mtuo / paclo omrlnm mclrga mdmcmb gmnggumn smcurmn
plrnmimsmn ymng pmcang ukuk tlrjmda. @mnymo hmrm dahe`m untuo klkplrhlpmt
plnylk`ubmn dmn plngurmngmn gljmcm moa`mt kmsmcmb ana tlrkmsuo slhmrm anbmcmsa.
D. Andaomsa dmn
dmn Oe
Oentrm
ntrm Andaomsa
Andaomsa
=. Andaomsa
Vmsom trmhblesteka
Vaclo dlngmn badung slsmo dmn `lrclndar
Xlcmput clndar klnglrang
Aratmsa olrengoengmn, rmdmng slcmput clndar
Vmsaln ymng klngmcmka plnylkpatmn jmcmn nmims
Vmsaln ymng klngmcmka olsucatmn klnglcumromn slorlt
0. Oentrmandaomsa
Vmsaln ymng tadmo smdmr/heniusaen tadmo oeeplrmtai dlngmn presldur ana,
klk`utubomn kmso / sungoup , tltmpa kmso lilotainym `lrourmng slhmrm
splsaiao. Kldaomsa nl`ucazlr oentrmandaomsa pmdm olmdmmn dakmnm sumrm
nmims tadmo mdm / `lrourmng, olhumca jaom kldaomsa nl`ucazlr da`lraomn
klcmcua lndetrmhblmc tu`l ymng klnggunmomn tlomnmn pesatai.
Vmsaln dlngmn plnurunmn plrtuomrmn gms jugm tadmo dmpmt klngglrmoomn/
klkmsuoomn kldaomsa slhmrm mdloumt ol dmcmk smcurmn nmims.
Vlkmomamn omtloecmkan pmdm pmsaln dlngmn hmrdamh arratm`acaty bmrus dlngmn
plrcmbmn. Oltaom da anbmcmsa omtloecmkan dmpmt klnangomtomn hmrdamh rmtl
dmn klnak`ucomn dasratkam. Kldaomsa nl`ucazlr tadmo dmpmt da`lraomn tlrcmcu
cmkm klcmcua AVV@(antlrkattlnt pesatavl prlssurl `rlmtbang), sl`m` AVV@
klngaratmsa dmn klnangomtomn `renobespmskl.
Vlnggunmmn
dadlratm. nym `lr`ldm-`ldm sltamp andavadu nym tlrgmntung `lrmt tadmonym plnymoat ymng
Dlwmsm dmn mnmo usam cl`ab dmra =0 tmbun : desas mwmc 8-4 omca slbmra 0-4 kg. desas
dmpmt danmaoomn slhmrm `lrtmbmp smkpma kmosakuk 4 omca slbmra 2 kg. desas
kmosakmc bmramn : 80 kg /bmra (dmcmk desas `mga).
Mnmo 9-=0 tmbun : 8 omca slbmra 0 kg. desas dmpmt danmaoomn slhmrm `lrtmbmp
smkpma desas kmosakmc bmramn : 04 kg /bmra (dmcmk desas
d esas `mga).
Mnmo 0-9 tmbun : 8 omca slbmra = kg.
Vmsaln usam cmnjut mtmu pmsaln ymng slnsatai tlrbmdmp stakucmn `ltm mdrlnlrgao : desas mwmc :
8-4 omca slbmra 0 kg. desas dmpmt danmaoomn slhmrm `lrtmbmp smkpma kmosakuk 4 omca slbmra
2 kg.
=6
Ylntecan Nl`ucazlr : sldammn dakmsuoomn ol dmcmk mcmt (nl`ucazlr) untuo dabasmp eclb
pmsaln.Ylntecan Nl`ucls (untuo nl`ucazlr) : sltamp = mkpuc Ylntecan Nl`ucls klngmndung
smc`utmkec sucimt 0,< kg.
Ylntecan Nl`ucls 0.< kg Mkpuc Xl`maonym da`lraomn pmdm smmt plrut oeseng dmn
da`lraomn = jmk sl`lcuk mtmu 0 jmk slsudmb kmomn. \ntuo bmsac ymng cl`ab kmosakmc,
Ylntecan Nl`ucls 0.< kg Mkpuc dakanuk dmcmk wmotu ymng smkm sltamp bmra nym. Jaom
tadmo slngmjm cupm klkanuk Ylntecan Nl`ucls 0.< kg Mkpuc, dasmrmnomn untuo slglrm
klkanuknym `lgatu tlrangmt jaom jmdwmc desas `lraoutnym tadmo tlrcmcu dlomt. Jmngmn
klnggmnta desas ymng tlrclwmt dlngmn klnggmndmomn desas pmdm jmdwmc `lraoutnym.
Blntaomn plnggunmmn Ylntecan Nl`ucls 0.< kg Mkpuc `acm gljmcm kucma klk`mao.
Da`mndangomn dlngmn tlrmpa ermc (e`mt ymng dakanuk), tlrmpa ana cl`ab lilotai, olrjmnym
cl`ab hlpmt pmdm ergmn tmrgltnym, slrtm klk`utubomn desas e`mt ymng cl`ab olhac, slbanggm
lilo smkpangnym ol ergmn cmanpun cl`ab sldaoat. Xl`mnymo 06-86% e`mt momn kmsuo da
smcurmn nmpms dmn pmru-pmru, sldmngomn 0-<% kungoan momn klnglndmp da kucut dmn
tlnggereomn. @mndangomn dlngmn e`mt ermc. A`mrmtnym e`mt tlrsl`ut momn "jmcmn-jmcmn" ducu
ol cmk`ung, ganjmc, mtmu jmntung sl`lcuk smkpma ol smsmrmnnym, ymona pmru-pmru. Vmdm
mnmo-mnmo, ukuknym da`lra tmk`mbmn kmsolr mgmr e`mt tadmo klnylkpret olkmnm-kmnm.
Dlngmn hmrm ana, `mya/`mcatm huoup `lrsaomp pmsai dmn ana jlcms klnguntungomn.
Lilo smkpang ymng kungoan tlrjmda slcmkm plnggunmmn Ylntecan Nl`ucls 0.< kg
Mkpuc mntmrm cman:
Lilo smkpang ymng ukuk mdmcmb pmcpatmsa (dlnyut jmntung tadmo tlrmtur), nylra dmdm,
dlnyut jmntung hlpmt, trlker (glkltmr) tlrutmkm pmdm tmngmn, ormk etet, smoat olpmcm
dmn gugup.
Lilo smkpang cman ymng slrang tlrjmda damntmrmnym : vmsedacmtmsa (plcl`mrmn damkltlr
plk`ucub dmrmb ) plrailr, tmoaomrda (dltmo jmntung da mtms nerkmc dmcmk oendasa
`lrastarmbmt), mratkam (gmnggumn dltmo jmntung mtmu armkm jmntung), gmngumn tadur dmn
gmnggumn tangomb cmou.
Lilo smkpang ymng cl`ab `lrmt tltmpa oljmdamnnym jmrmng kasmcnym `renoespmskl
pmrmdeosaomc (olhlkmsmn plnylkpatmn pmdm dandang smcurmn plrnmimsmn), urtaomram
(olcmanmn oucat omrlnm mclrga), mngaedlkm (plk`lngomomn da `mwmb oucat), dmn
bapetlnsa (tlomnmn dmrmb rlndmb).
Xlplrta mgenas mdrlneslpter `ltm-0 cmannym, smc`utmkec jugm `asm klnyl`m`omn
klnyl`m`omn
bapeomclkam (olourmngmn omcauk dmcmk dmrmb) tlrutmkm jaom da`lraomn pmdm desas
tangga.
Vlnggunmmn desas tangga tlcmb dacmperomn klkplr`uruo dam`ltls klccatus dmn
oltemsadesas (smcmb smtu oekpcaomsa mout Dam`ltls Klcatus ymng tlrjmda dasl`m`omn
omrlnm omdmr gcuoesm pmdm dmrmb smngmt tangga).
==
@M@ AAA
VPEXLD\P TANDMOMN
=0
=8
@M@ AY
VLN\T\V
M. OLXAKV\CMN
Anbmcmsa mdmcmb plnge`mtmn dlngmn hmrm klk`lraomn e`mt dmcmk `lntuo ump olpmdm
sa smoat cmngsung klcmcua mcmt plrnmimsmnnym(badung ol pmru-pmru).
pmru -pmru).
E`mt da`lraomn dlngmn anbmcmsa momn tlrdasplrsa klcmcua mlresec slkpre, msmp mtmu
`u`uo slbanggm dmpmt kmsuo ol smcurmn nmims. Tlrmpa ana `amsmnym dagunmomn dmcmk presls
plrmwmtmn plnymoat smcurmn plrnmimsmn ymng mout kmupun orenao, kasmcnym pmdm plnymoat
mskm. Jlnas-jlnas anbmcmsa mdm 8 : Kltlrld Desl Anbmclr(KDA) Tmnpm Xpmhlr,
Xpmh lr, Dry Vewdlr
Anbmclr(DVA),Nl`ucazlr.
Tlrmpa ana cl`ab lilotai , olrjmnym cl`ab hlpmt pmdm ergmn tmrgltnym tltmpa bm
bmcc ymng
kungoan `asm tlrjmda mdmcmb aratmsa pmdm kucut dmn gmnggumn plrnmimsmn pmdm plnggunmmn
anbmcmsa.
@. XMPMN
Dlngmn plnucasmn kmomcmb ana, plnucas `lrbmrmp mgmr dmpmt klnmk`mb acku plngltmbumn
olpmdm plk`mhm. Eclb omrlnm atu, bmrmpmn plnucas olpmdm plk`mhm slkum mgmr
klk`lraomn oratao dmn smrmng ymng `lrsaimt klk`mngun.
=4
DMITMP V\XTMOM
bttp://kmtlraoucambol`admnmnoeoek.`cegspet.hek/06=9/64/kmomcmb-plk`lramn-e`mt-
klcmcua-anbmcmsa.btkc
bttps://www.ocaodeotlr.hek/e`mt/vlntecan-nl`ucls-0<-kg-mkpuc
bttps://hmrassmmklcam.`cegspet.hek/06=9/64/kmomcmb-plk`lramn-e`mt-klcmcua-
anbmcmsa.btkc5k;=
=<