Pulmo Flashcards

(37 cards)

1
Q

Tatalaksana Abses Paru

A

Klindamisin 3x600mg IV / PO 2-3mgg

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2
Q

Gold standard Asma

A

spirometri
bila eksaserbasi: BGA, peak flow

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3
Q

Tatalaksana Asma Terkontrol

A

LABA + ICS
Bude sakit FLU makan Telor

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4
Q

Tatalaksana Asma Serangan

A

SABA + SAMA
Ipra makan SaTe

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5
Q

Klasifikasi Asma Terkontrol

A

Intermitten: <1x/mgg
Persisten ringan: >1x/mgg - ICS
Persisten sedang: setiap hari - ICS + LABA
Persisten berat: terus menerus - ICS + LABA + KS sistemik / teofilin

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6
Q

Klasifikasi Asma Serangan

A

Ringan: tidur terlentang, satu kalimat, RR <20
Serang: membungkuk, beberapa kata, RR 20-30
Berat: duduk membungkuk, kata, RR >32

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7
Q

Klasifikasi PPOK menurut GOLD

A

GOLD 1: FEV1 >80% - SABA
GOLD 2: FEV1 50-79% - SABA + LABA
GOLD 3: FEV1 30-49% - SABA + LABA + ICS
GOLD 4: FEV1 <30% - SABA + LABA + ICS + O2

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8
Q

Terapi PPOK riwayat MRS

A

riw. MRS (-) / MMRC 0-1 / CAT <10 - bronkodilator
selain itu LABA + LAMA

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9
Q

Resistensi OAT

A

Monoresisten: 1 jenis obat
RR: Rifampisin + OAT lain kecuali Isoniazid
MDR: RH

pre XDR: MDR + gol aminoglikosida / quinolon
XDR: MDR + gol aminoglikosida dan quinolon

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10
Q

Klasifikasi Kasus TB

A

<28 hari / tidak pernah: kasus baru

> 28 hari
Relapse / kambuh: pernah pulih, now gejala +
Drop Out / Loss to Follow Up / Putus Obat: berhenti 3 bulan berturut2
Gagal Pengobatan: BTA + di bulan ke 5

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11
Q

Efek Samping OAT

A

Rifampisin: Red
Isoniazid: Saraf
Pirazinamid: Purin
Ethambutol: Eye
Streptomisin: Sound

most hepatotoxic: Pirazinamid
most nefrotoxic: Streptomisin

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12
Q

Gold Standard Pneumonia

A

kultur sputum

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13
Q

CURB-65

A

Consciousness
Urea >20
RR >30
Blood Pressure <90
Age 65

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14
Q

Tatalaksana Pneumonia

A

Macrolida: Azitro 1x500mg ; Klaritromisin 2x500mg
Quinolon: Levofloxacin 1x750mg
Beta Lactam: Amoxicillin 3x1gr

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15
Q

Tatalaksana Pneumonia Anak

A

Ringan: Beta Lactam, Macrolida (BakMi)
Berat: Beta Lactam, Sefalosporin (BakSo)

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16
Q

Klasifikasi Pneumonia berdasarkan Epidemiologi

A

CAP: diluar RS / di dalam RS <48 jam
HAP: ranap >48 jam
VAP: ventilator >48 jam
HCAP: saat ini tidak ranap, riwayat ranap 90harii
Aspirasi: tersedah

17
Q

Penunjang Bronkiekstasis

A

awal: analisa sputum (3 lapis)
foto thorax: honey comb app
gold standard: CT HRCT

18
Q

Tatalaksana Bronkiekstasis

A

SABA + ICS + Mukolitik + Antibiotik bila eksaserbasi

19
Q

Klasifikasi Flu Burung

A

Suspek: gejala +, penunjang -
Probable: gejala +, penunjang + bukan gold standard / pasien meninggal
Confirmed: gejala + penunjang gold standard

20
Q

Gold Standard Flu Burung

21
Q

Tatalaksana Flu Burung

A

Probable & Confirmed: Oseltamivir 2x75mg
Suspek: Oseltamivir 1x75mg

22
Q

Atelektasis
1. gejala
2. pemfis
3. tx

A
  1. sesak nafas tidak terpengaruh posisi
  2. perkusi redup
  3. rujuk
23
Q

komplikasi Ca Paru

A

sindrom Horner

24
Q

Penunjang Ca Paru

A

awal: foto
gold standard: biopsi

25
gejala efusi pleura
sesak nafas dipengaruhi posisi
26
penunjang efusi pleura
1. pungsi pleura 2. tes rivalta - transudat / eksudat 3. foto - meniscus sign
27
tatalaksana efusi
awal: resusitasi ABCDE, posisi semifowler tepat: rujuk RS, WSD / chest tube
28
Open Pneumothorax tanda dan tx?
tanda: luka terbuka, sucking chest wound tx awal: plester 3 sisi tx definit: WSD / chest tube di ICS V linea midaxillaris
29
Pneumothorax Tension / Ventil tanda dan tx?
tanda: gg. hemodinamik, JVP meningkat tx awal: needle decompression / thoracosintesis tx definit: WSD / chest tube di ICS V linea midaxillaris
30
klasifikasi edema paru
kardiogenik: peningkatan tekanan hidrostatik non-kardiogenik: peningkatan permeabilitas vaskular
31
penunjang edema paru
foto: batwing app. / kerley B line
32
tatalaksana edema paru
1. O2 2. Furosemid 0.5-1mg/kg bolus 3: Morfin 4. Nitrogliserin SL
33
pneumokoniasis penunjang awal, gold, tx
awal: foto gold: HRCT tx: rujuk
34
asbestosis etio, hasil biopsi dan foto?
asbes, tambang apapun, kabel listrik biopsi: asbestos body foto: pleural plaque
35
silikosis etio, hasil foto?
silika / debu, kaca / keramik, tambang logam foto: egg shell app.
36
antrakosis etio, hasil foto?
tambang batu bara foto: focal & interstitial fibrosis
37
bisinosis etio, keyword?
pekerja kapas, tekstil monday fever