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Kasus

Hiperlipidemia

Annisa Florensia 1112102000040

Rifa Arifah Rahmah 1112102000052

Khoiriyatus Sholihah 1112102000103

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Hiperlipidemia

Kasus

Ibu BY (5! tahunmemeri"sa"an #irinya "e

RS #en$an "eluhan sa"it"e%ala #an ba#an mu#ahlelah&

Ri'ayat %enya"it #ahuluhi%ertensi) hi%er$li"emiase*a" 10 thn lalu #an $out(asam urat! se*a" 5 thn

yan$ lalu&

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Penatalaksanaan

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Subjektif

Keluhan %asien sa"it "e%ala #an ba#anmu#ah lelah

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ObjektifBB +0 "$ #an ,B 15

-m

Ri'ayat %enya"it .i%ertensi) .i%er$li"emia)#an /out

, 1400 mm.$

enyut *antun$ 5 "alimenit

/S 20m$#l

,ri$liseri#a 250 m$#l

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Kolesterol 10m$#l

Objektif (cont)

6 120 m$#l

.6 +0 m$#l

Asam 7rat m$#l

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Objektif (cont)

Ri'ayat

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Assesment

BB +0 "$ #an ,B 15-m

Ri'ayat %enya"it .i%ertensi) .i%er$li"emia)#an /out

, 1400 mm.$

enyut *antun$ 5 "alimenit

/S 20m$#l

,ri$liseri#a 250 m$#l

.i%ertensi tin$"at 1

8ormal (0100"alimenit!

,in$$i (8ormal 9200m$#l!

,in$$i (normal 9150m$#l!

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Assesment (cont)

Kolesterol 10m$#l

6 120 m$#l

.6 +0 m$#l

Asam 7rat m$#l

8ormal (9200m$#l!

iatas 8ormal( norma" 9100 m$#l!

8ormal (:5m$#l!

,in$$i (normal 3)5)5m$#l!

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;ema"aian .6, #a%at men$in#u"si $out) "arena%asien mem%unyai ri'ayat $out ma"a %ema"aianobat ini men*a#i "uran$ te%at&

;ema"aian allo%urinol #en$an #osis 100 m$ %&ose"ali sehari su#ah te%at untu" men$obati %enya"it$out yan$ #i#erita %asien&

;ema"aian metformin #en$an #osis 500 m$ %&oti$a "ali sehari su#ah te%at untu" men$obati%enya"it #iabetes melitus yan$ #i#erita %asien&

Assesment (cont)

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Plan

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Plan

Re"omen#asi ARB yan$ #i$una"an

losartan #en$an #osis a'al 50 m$%erhari sebelum atau sesu#ah ma"an%a#a %a$i hari&

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Plan (cont)

Ber#asar"an #ata lab #an I>,) %asienmemili"i "e-en#erun$an men#eritahi%erli%i#emia& 7ntu" itu) %erlu

#ire"omen#asi"an %enambahan tera%i obatantihi%erli%i#emia& /-oAre#u"tase -ontohnya atro=astatin #en$an

#osis a'al 10 m$ tablet se"ali sehari saat%erut "oson$ "arena absor%sinya menurun#en$an a#anya ma"anan& Atro=astatin#a%at menurun"an "a#ar %asien 31

35?&

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Plan (cont)

Ber#asar"an British .eart Foun#ation obat$olon$an statin %alin$ bai" #iminum

sebelum ti#ur& Kolesterol #isintesis #i hati%alin$ tin$$i setelah ten$ah malam #an%alin$ ren#ah %a#a %a$i #an sian$ hari)sehin$$a statin %alin$ efe"tif #iberi"an

%a#a malam hari sebelum ti#ur&

htt%'''&aar%&or$health#ru$ssu%%lementsinfo

122013timin$of#ailyme#i-ations"ey&h

http://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.htmlhttp://www.aarp.org/health/drugs-supplements/info-12-2013/timing-of-daily-medications-key.html

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,era%i non farma"olo$i

>enurun"an asu%an 8a

iet ren#ah "olesterol

>ela"u"an a"ti@tas @si" 30 menitsehari

>enurun"anberat ba#an 10"$ a$ar men-a%aiI>, normal #ante"anan #arahmenurun 520

mm.$

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KSI>;7A8

,era%i farma"olo$i

1& osartan 50 m$ 1 C sehari %a#a %a$i hari2& Allo%urinol 100 m$ 1 C sehari3& >etformin 500 m$ 3 C sehari4& Atro=astatin 10 m$ 1 C sehari %a#a

malam hari