dr. fiva - kompatibilitas dan inkompatibilitas obat di nicu

7/24/2019 Dr. Fiva - Kompatibilitas Dan Inkompatibilitas Obat Di NICU

1/26

Lidpgtfof`ftgs egb Fblidpgtfof`ftgs

Iogt ef BFAX

JFZG G[_F@FG LGEF


2/26

[HBEGNX@XGB

Ogyf sglft lrftfs dhdoutunlgb ohohrgpgiogt shlg`fcus egb efohrflgb shagrglibtfbyu

Ugbtgbcgb= agrg phdohrfgb egbfblidpgtfof`ftgs shrtg fbthrglsf ehbcgbiogt `gfb gtgu ehbcgb ogngb thdpgt iogt

Ogbygl iogt oh`ud phrbgn efumf aioglgb

pgeg ogyf

Fblidpgtfof`ftgs ohroheg ehbcgb fbthrglsfiogt


3/26

Fblidpgtfof`ftgs egpgt ohrupg prhsfpftgsf

Efgdhthr fbtrgvhbg sgbcgt lhaf` pgeg ogyf

lhaf` il`usf vhbg

Ohrogngyg ougt ogyf egb hjhl iogt

dhbmgef tilsfl

Fblidpgtfof`ftgs iogt ngrus efnfbegrf


4/26

Egtg thbtgbc lidpgtfof`ftgs iogt ygbc

suegn throultf throgtgs

Glshs egb fbjirdgsf thbtgbc phbccubggb

iogt ubtul eilthr egb phrgwgt throgtgs

Ngbyg ohohrgpg rudgn sglft ygbc

dhdpubygf gpithlhr


5/26

Qgrf [ustglg fbf dhdogngs

Ehjfbfsf

Mhbfs Fblidpgtfof`ftgs Iogt

Htfi`icf

Egtg Lidpgtfof`ftgs Iogt egb

Fblidpgtfof`ftgs Iogt

[hbahcgngb Fblidpgtfof`ftgs Iogt


6/26

Ehjfbfsf Fblidpgtfof`ftgs iogt= _hglsf ygbc tfegl effbcfblgb ygbc

thrmgef pgeg rhglsf iogt ehbcgb agfrgb ph`grut, ehbcgb

thdpgt iogt, dgupub ehbcgb iogt `gfb

Fbthrglsf Iogt= [hruogngb egrf hjhl iogt lgrhbg

phbcgrun egrf zgt `gfb (iogt, ogngb lfdfg, butrfsf)

dhbcngsf`lgb siùsf ygbc tfegl `gcf iptfdg` ubtul pgsfhbshth`gn zgt efagdpur

[hroheggb fblidpgtfof`ftgs egb fbthrglsf iogt=

Fbthrglsf iogt thrmgef efeg`gd tuoun, shegbclgbfblidpgtfof`ftgs thrmgef efùgr tuoun, ofsg efeg`gd tgoubc iogt

dgupub eg`gd mgùr fbjus

Mishpnsib, Unh Gdhrfagb gssiafgtfib ij dhefag` gssfstgbt= Unidsib Eh`dgr @hgrbfbc. ?;;:

_AB. Qtgbegr jir fbjusfib tnhrgpy, ?;;8

Eiuc`gs MO, Nhberfal A. Fbjusfib tnhrgpy fb a`fbfag` prgatfsh. ?;;7


7/26


7. _hglsf Jfsfl

?. _hglsf Lfdfg


8/26


_hglsf Jfsfl_hglsf pgeg sggt shpgrgsf gtgu prhsfpftgsfshnfbccg thrmgef phruogngb nuoubcgb

fibfsgsf egb bibfibfsgsf egb lh`grutgbiogt

[hrgb pN egb oujhr iogt

[hruogngb egpgt ohrupg=

Qfbhrcfsdh

Gbtgcibfsdh

Hjhl ogru (tilsfsftgs)


9/26

_hglsf Jfsfl

[hrgb pN egb oujhr Iogt Iogt shrfbc ohrsfjgt ogsg, `grut eg`gd gfr

[hruogngb pgeg bf`gf pN pgeg sh`gbc fbjus, dfsg`bygpgeg phbgdogngb iogt `gfb, ohrglfogt ph`hpgsgb ogsg

Lgrhbg sfjgt lh`grutgb agfrgb ogsg ygbc rhbegn,

pgrtflh`-pgrtflh` iogt thrshout egpgt dhbccudpg` [rishs phbccudpg`gb efphbcgrunf i`hn lugbtftgs iogt

ygbc eftgdognlgb

_hglsf prhsfpftgsf thrmgef sgbcgt ahpgt egb egpgteffehbtfjflgsf eg`gd ulurgb shbtfdhthr eg`gd sh`gbc

fbjus, thr`fngt shogcgf lrfstg`, lgout, gtgu lhlhrungb [rhsfpftgsf dhrupglgb ng` ygbc shrfbc dhbyhogolgb

phdohbtulgb pgrtflh` pgeg mg`ur fbjus


10/26

_hglsf Jfsfl

Qfbhrcfsdh

Uhrmgef phbfbclgtgb hjhltfvftgs iogt egb

hjhl lidofbgsf ygbc thrmgef `hofn ohsgr

egrf cgoubcgb hjhl dgsfbc-dgsfbc iogtof`g efohrflgb tubccg`


11/26

Gbtgcibfsdh

Uhrmgef phburubgb hjhltfvftgs iogt,

efdgbg hjhl lidofbgsf dhbmgef `hofn

sheflft efogbefbclgb hjhl dgsfbc-dgsfbciogt of`g efohrflgb tubccg`


12/26

Hjhl Ogru

Uhrmgef hjhl ygbc ohroheg ehbcgb hjhl

iogt gpgof`g efohrflgb tubccg`

Aibtin= tilsfsftgs iogt


13/26


_hglsf Lfdfg[hruogngb-phruogngb ygbc thrmgef pgegwgltu phbagdpurgb iogt ygbc efshogolgb

i`hn ohr`gbcsubcbyg rhglsf lfdfg/fbthrglsf.Uhrdgsul ef sfbf geg`gn=

_hglsf ilsfegsf

_hglsf rheulsf

_hglsf nferi`fsfs

Ehlidpisfsf


14/26

_hglsf Lfdfg

Ohbtul rhglsf lfdfg egpgt ohrupg

lhlhrungb, prhsfpftgsf, gtgu phruogngb

wgrbg.Glfogt= mudgn gchb gltfj dhburub egb

gtgu dhbmgef prieul ygbc tilsfl


15/26

HUFI@ICF

Iogt ehbcgb ph`grut fv ygbc tfegl aiail

Eug iogt ohragdpur eg`gd sgtu mg`ur

Iogt sgtu efdgsullgb shth`gn iogt `gfb

thtgpf eg`gd sgtu mg`ur

Iogt egb gmuvgb

Iogt egb ogngb thdpgt iogt ([ZA)

Bhwtib E. Eruc fbaidpgtfof`fty anhdfstry. Gd M Nhg`tn Qysyt [ngrd.

?;;6


16/26

Egtg Lidpgtfof`ftgs egb

Fblidpgtfof`ftgs Iogt

Geg 1 sudohr ygbc glgb eftgdpf`lgb

(Ugoh` 7-1)

Egtg lidpgtfof`ftgs egb fblidpgtfof`ftgs

iogt tfegl sg`fbc ohrthbtgbcgb, ognlgb

sg`fbc dh`hbclgpf

Egtg-egtg thrshout egpgt efmgeflgb

sudohr fbjirdgsf ogcf pgrg phtucgs

lhshngtgb dhbchbgf lidpgof`ftgs egb

fblidpgtfof`ftgs iogt ygbc glgb efcubglgb


17/26

Egtg Fblidpgtfof`ftgs Iogt-Ugoh` 7

Iogt G

Iogt O

Lhthrgbcgb

B-gshtf`sfsthfb

Gdfiegrib

Gdfiegrib

Gdfiegrib

Lhtgdfb

Qiefud oflgroibgt

Nhpgrfb

U[B tgbpg `fpfe

B-gshtf`sfsthfb

Lg`sfud c`ulibgs

Ef`tfgzhd

Hpfbhjrfb

Df`rfbib

Jurishdfe

Dgbfti`

Ufiphbtg`

Egbgpgrife

Ufiphbtg`

U[B tgbpg `fpfe

Ufiphbtg`

Ufiphbtg`

Ufiphbtg`

Ufiphbtg`

U[B tgbpg `fpfe

U[B tgbpg `fpfe

[gbtiprgzi`h

U[B tgbpg `fpfe

[gbtiprgzi`h

Dgcbhsfud su`jgt

[gbtiprgzi`h

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[rhsfpftgsf

[hruogngb wgrbg

[hruogngb wgrbg

[hruogngb wgrbg

[hruogngb wgrbg

[hruogngb wgrbg

[hruogngb wgrbg

[hruogngb pN

Lgbmf Q, Cieegre _, Eibbh`y _, DaFbtyrh @, Uurchib G, Aiibs [, [htrfb @, ht g`. [nysfag`

aidpgtfof`fty ij eruc fbjusfibs ushe fb Agbgefgb Fbthbsfvh Agrh Xbfts= G pricrgd ij rhshgran. ?;7;


18/26

Egtg Fblidpgtfof`ftgs Iogt- Ugoh` ?Bi Mhbfs Iogt Lidpgtfof`ftgs Fblidpgtfof`ftgs

7 Gdpfsf`fb E8%, BG Gdflgsfb, eipgdfb, hpfbhjrfb,

hrftridfsfb, jùaibgzi`, chbtgdfsfb,

? Chbtgdfsfb E8%, E7;%, BQ Gdpfsf`fb, jurishdfe,

1 Ahjitglsfd E8%, E7;%, BQ Jùaibgzi`, gzftridfsfb, vgblidfsfb

5

[fphrgaf`fb Ugziogatgd

E8%, E7;%, BQ, _@

Gdflgsfb, eioutgdfb, chbtgdfsfb,vgblidfsfb

8 Dhriphbhd E8%, E7;%, BQ Ag cùlibgs, dhtribfegzi`

: Jùlibgzi` E8%, E7;% Gdpfsf`fb, Ag cùlibgs, ahjitglsfd,

ahjtgzfefd, jurishdfe, [fphrgaf`fb

3

Dhtribfegzi`

E8%, BQ

Gztrhibgd, dhriphbhd

> Gdfbijf`fb E8%, E7;%, BQ Ahjtrfglsib, eioutgdfb, hpfbhjrfb,

dhtf`prhebfsiìb.

Viubc UH, Dgbcud O. Bhijgx= G dgbug` ij eruc ushe fb bhibgtg` agrh. ?5tnhe. Bhw

Virl= Unidsib _huthrs. ?;77


19/26

Egtg Fblidpgtfof`ftgs Iogt- Ugoh` 1

(Ugoh` 1G-1E)Lhthrgbcgb tgoh`=

G= lidpgtfoh` sh`gdg ? mgd

N= lidpgtfoh` sh`gdg 7 mgd

A= lidpgtfoh` shagrg jfsfl

F= Fblidpgtfoh`

E= lidpgtfoh` eg`gd E8% B= Ufegl geg fbjirdgsf

H= lidpgtfoh` sh`gdg 8 dhbft

_= lidpgtfoh` sh`gdg ?5 mgd mflg eg`gd `hdgrf phbefbcfb

C= lidpgtfoh` of`g eg`gd oiti` ch`gs

Q= lidpgtfoh` eg`gd BgA` ;,6% DU[= dhtf`prhebfsi`ib

Agyi @. Aidpgtfof`fty ij Aiddib`y Xshe FZ Erucs. [ngrd [rgatfah Bhws.

?;71


20/26

1G

Gdflgsfb

Gdpfsf`fb

Gdpfsf`fb

Quògltgd

Ag-cùlibgs

Ahjitglsfd

Ahjtgzfefd

Ehlsgdhtgsib

E8%

Eioutgdfb

Eipgdfb

Hpfbhjrfb

Jùaibgzi`h

Jurishdfe

Gdflgsfb

B

B

A

A

A

A

A

A

A

A

A

A

Gdpfsf`fb

B

B

B

B

B

B

F

F

F

B

F

Q

Gdpfsf`fb-

Quògltgd

B

B

B

B

B

B

G

B

B

B

B

B

Ag cùlibgs A B B A A F A B A A B A

Ahjitglsfd

A

B

B

A

F

A

A

F

A

A

B

A

Ahjtgzfefd A B B A F A A B A A B A

Ehlsgdhtgsib

A

B

B

F

A

A

A

F

A

A

A

A

E8%

A

F

G

A

A

A

A

A

A

A

A

A

Eioutgdfb

A

F

B

F

B

F

A

A

A

A

A

B

Eipgdfb A

F

B

A

A

A

A

A

A

A

A

B

Hpfbhjrfb

A

B

B

A

A

A

A

A

A

A

A

A

Jùaibgzi`h A F B B B B A A A A A B

Jurishdfe

A

Q

B

A

A

A

A

A

B

B

A

B


21/26

1O

Gdflgsfb

Gdpfsf`fb

Gdpfsf`fb

Quògltgd

Ag-cùlibgs

Ahjitglsfd

Ahjtgzfefd

Ehlsgdhtgsib

E8%

Eioutgdfb

Eipgdfb

Hpfbhjrfb

Jùaibgzi`h

Jurishdfe

Chbtgdfsfb

A

F

B

A

B

B

F

A

A

A

A

A

F

Nhpgrfb

F

Q

B

A

A

A

A

A

B

A

A

A

A

Dhriphbhd

B

B

B

B

B

B

A

F

A

A

B

A

A

DU[ A B F F F A A B A A A A A

Dhtribfegzi`h

A

A

A

A

A

A

A

B

A

A

A

A

A

Dfegzi`gd A F F A A F F A B A A A F

Birhpfbhjrfb

A

B

B

A

A

A

A

A

A

A

A

A

B

Jhbftifb

F

F

F

F

F

F

F

F

F

F

F

B

F

[fphrgaf`fb-

Ugziogatgd

A

B

B

A

B

B

A

A

F

A

A

A

A

_fbchr gltgt A B _ A A A B A A A A A A

Bg ofagroibgth

A

F

B

F

F

A

A

A

F

F

F

A

A

BgA` ;.6% A A A A A A A A A A A A A

Zgblidfsfb

A

B

B

A

B

B

B

A

A

A

A

A

F


22/26

1A

Chbtgdfsfb

Nhpgrfb

Dhriphbhd

DU[

Dhtribfegzi`

Dfegzi`gd

Birhpfbhjrfb

Jhbftifb

[hfphrgaf`-

Ugziogatgd

_@

Bg-ofabgt

BgA`;,6

%

Zgblidfsfb

Gdflgsfb

B

B

A

A

A

A

A

A

A

A

A

Gdpfsf`fb F Q B B A F B F B B F A B

Gdpfsf`fb-

Quògltgd

B

B

B

F

A

F

B

F

B

_

B

A

B

Ag cùlibgs

A

A

B

F

A

A

A

F

A

A

F

A

A

Ahjitglsfd

B

A

B

F

A

A

A

F

B

A

F

A

B

Ahjtgzfefd

B

A

B

A

A

F

A

F

B

A

A

A

B

Ehlsgdhtgsib F A A A A F A F A B A A B

E8%

A

A

F

B

B

A

A

F

A

A

A

A

A

Eioutgdfb

A

B

A

A

A

B

A

F

F

A

F

A

A

Eipgdfb A A A A A A A F A A F A A

Hpfbhjrfb

A

A

B

A

A

A

A

F

A

A

F

A

A

Jùaibgzi`h

A

A

A

A

A

A

A

B

A

A

A

A

A

Jurishdfe F

A

A

A

A

F

B

F

A

A

A

A

F


23/26

1E

Chbtgdfsfb

Nhpgrfb

Dhriphbhd

DU[

Dhtribfegzi`

Dfegzi`gd

Birhpfbhjrfb

Jhbftifb

[hfphrgaf`-

Ugziogatgd

_@

Bg-ofabgt

BgA`;,6

%

Zgblidfsfb

Chbtgdfsfb

F

A

A

A

A

A

F

B

A

A

A

A

Nhpgrfb F A B A A A F A B A A F

Dhriphbhd

A

A

B

A

B

A

B

B

F

F

_

A

DU[

A

B

B

A

B

A

F

A

B

A

A

B

Dhtribfegzi

A

A

A

A

A

A

F

A

B

A

B

A

Dfegzi`gd

A

A

B

B

A

A

F

F

B

F

A

A

Birhpfbhjrfb A A A A A A F A A F A A

Jhbftifb

F

F

B

F

F

F

F

F

F

F

F

F

[fphrgaf`fb-

Ugziogatgd

B

A

B

A

A

F

A

F

A

A

A

B

_fbchr gltgt

A

B

F

B

B

B

A

F

A

B

B

A

Bg oflgroibgt

A

A

F

A

A

F

F

F

A

B

A

B

BgA` ;.6%

A

A

_

A

B

A

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F

A

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Zgblidfsfb

A

F

A

B

A

A

A

F

B

A

B

A


24/26

[HBAHCGNGB

Ahl ehbcgb ohbgr fbjirdgsf dhbchbgf lidpgtfof`ftgs sugtu iogt

ygbc glgb efagdpurlgb thrdgsul ph`grut, tgoubc iogt fbtrgvhbg,

mgùr fbtrgvhbg

Ohrf `goh` ubtul dgsfbc dgsfbc iogt

[hrflsg thrgpf g`thrbgtfj dgupub mgùr g`thrbgtfj ehbcgb dhbyfgplgb

ùdhb lgththr du`tfph`

[fsgnlgb eisfs iogt dhburut wgltu egb thdpgt dgsul iogt,

thrdgsul agrg dhdof`gs mgùr fbjus ehbcgb `grutgb fbtrgvhbg bhtrg`

shohùd dhdgsullgb iogt `gfb


25/26

QFD[X@GB

[gsfhb sglft lrftfs shrfbc dhdhr`ulgb ohohrgpg mhbfs iogt ygbc ngrus

efohrflgb shagrg sfdu`tgb egb eg`gd mgbclg wgltu thrthbtu, shegbclgb

glshs fbtrgvhbg shrfbc throgtgs

[hdohrfgb ohohrgpg iogt eg`gd sgtu mg`ur fbtrgvhbg ngrus ohregsgrlgb

lidpgtfof`ftgs egb fblidpgtfof`ftgs

Egtg thbtgbc fblidpgtfof`ftgs egb lidpgtfof`ftgs iogt dgsfn sgbcgt

throgtgs

Egtg ygbc geg sggt fbf efngrgplgb egpgt dhdfbfdg`lgb thrmgefbyg

fblidpgtfof`ftgs iogt egb efoutunlgb phbh`ftfgb-phbh`ftfgb hofn gbmut

dhbchbgf lidpgtfof`ftgs egb fblidpgtfof`ftgs sugtu iogt


26/26

UH_FDGLGQFN

dr. fiva - kompatibilitas dan inkompatibilitas obat di nicu

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