REUMATOLOGI (FONT 12)

1. Gout Artritis (JUDUL FONT

9)
Sindroma klinis akibat dari
deposit kristal monosodium urat
(MSU) dalam jaringan, berasal
dari cairan ekstraselular (font 8)

Perjalanan Alamiah Artritis Gout klasik

Hiperurisemia
Kadar asam urat tinggi, gejala (-)
asimptomatik

Gejala peradangan sendi akut (+), kadar

Gout artritis akut asam urat umumnya (+)

Gejala (-), kadar asam urat bisa tinggi,

Gout interkritikal
riwayat serangan sebelumnya

Gout kronik tophaceus Gejala peradangan (+), asam urat (+),

topus (+), riwayat serangan sebelumnya

CLUE KHUSUS UNTUK MENGINGAT!

xxxx xxxx xxxx
axas

Mininotes Emergency 1
 PENGENALAN TRIASE MEDIS1

TRIASE adalah suatu proses untuk memproritaskan penanganan

pasien demi menyelamatkan nyawa selama kejadian gawat darurat.
Prinsip triase:
- Prioritas utama adalah keselamatan penyelamat
- Lakukan tindakan yang terbaik menggunakan sumber daya
yang ada
- Membuat keputusan cepat
- Mempersiapkan sistem triase untuk insiden korban massal
- Memahami sumber daya yang tersedia
Metode cara memprioritaskan pasien menggunakan “START“ yang
mempermudah penolong mengategorikan pasien dalam 30 detik
pertama didasarkan pada Respiration, Perfusion and Mental status
(RPM)

2 Mininotes Emergency
Ada 4 kategori warna triase berdasarkan prioritas
MERAH semua jenis syok + fraktur terbuka femur
KUNING semua jenis open fraktur kec. Femur + fraktur tertutup femur
HIJAU semua jenis fraktur tertutup
HITAM
Kategor Usia dan BB Rumus Produksi urin
i luka kebutuhan
bakar cairan
Api atau Anak ≥14 2 ml x KgBB x 0,5
air tahun dan TBSA (%) ml/kgBB/jam
panas dewasa
Anak <14 3 ml x KgBB x 1
tahun TBSA (%) ml/kgBB/jam
Bayi dan anak 3 ml x KgBB x 1
dengan BB ≤ TBSA (%) ml/kgBB/jam
30kg Ditambah
cairan gula
pada
maintenance
listrik Semua usia 2 ml x KgBB x 1-1,5
TBSA (%) ml/kgBB/jam
sampai urin sampai urin
jernih jernih

Mininotes Emergency 3
4 Mininotes Emergency
Mininotes Emergency 5
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Mininotes Emergency 9
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10 Mininotes Emergency
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Mininotes Emergency 11
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30. Keputusan Menteri Kesehatan Republik
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Mininotes Emergency 13