konseling 3d

8/17/2019 KONSELING 3D

1/23

LAPORAN FARMASI KLINIK

RENAL COLIK

Disusun oleh :

MUH. ASRI, S.Farm.

PRAKTEK KERJA PROFESI APOTEKER

INSTALASI FARMASI RS BETHESDA YOGYAKARTAPERIODE FEBRUARI-MARET !"#


2/23

A. PENDAHULUAN

Renal colic $e%u&'('n n)e%i &in**'n* '(u+ ,'n &'%'h )'n* ,ise ' ('n

oleh ','n)' '+u ,i u%e+e% '+'u ,i pelviureteric junction .u%oli+i'sis/ .N'+ion'l

Ins+i+u+e 0o% He'l+h 'n, 1'%e E23ellen3e4 !!5/6 Renal colic i's' ,i+'n,'i

,en*'n +i$ uln)' +i '-+i ' n)e%i ,i &in**'n* (oli(6 Tin*('+ (e&'%'h'n %'s' s'(i+

+e%*'n+un* &',' ,e%'7'+ o s+%u(si ,'n u(u%'n '+u .K'lli,onis4 P64 Liou%,i4 D64

Li'+si(os4 E64 !""/6

B. GAMBARAN KLINISKeluh'n n)e%i ini e%si0'+ '(u+ sehin**' h'%us ,i,i'*nosis ,en*'n 3e&'+

,'n &en'+'l'(s'n''n )'n* +e&'+6 Pe%'s''n n)e%i e%$ul' ,i ,'e%'h &in**'n* ,'n

,'&'+ $en7'l'% (e selu%uh &e%u+4 (e ,'e%'h in*uin'l4 +es+is '+'u l' iu$ ,ise%+'i

,en*'n '+'u +'n&' (eluh'n $u'l4 $un+'h4 ,isu%i' '+'u he$'+u%i'6 N)e%i ini

i's'n)' ,ise ' ('n oleh o s+%u(si s'lu%'n (e$ih '(i '+ u%oli+i'sis4 e(u'n

,'%'h4 in0'%( %en'l4 &ielone0%i+is '(u+ .K'lli,onis4 P64 Liou%,i4 D64 Li'+si(os4 E64

!""/6

Renal colic )'n* ,ise ' ('n ('%en' ','n)' '+u4 ','l'h &en)e ' u$u$

$o% i,i+'s6 Posisi '+u ini +i,'( h'n)' e%('i+'n ,en*'n lo('si4 +e+'&i 7u*'

e%('i+'n ,en*'n %',i'si %'s' s'(i+ .K'lli,onis4 P64 Liou%,i4 D64 Li'+si(os4 E64

!""/6 B'+u +e% en+u( ,i +u ulus *in7'l ,'n sis+e$ &en*u$&ul'n (e+i(' '$ 'n*

7enuh +e%3'&'i un+u( (ons+i+uen )'n* e%s'n*(u+'n6 H'l ini +e%*'n+un* &','

se7u$l'h 0'(+o%4 +e%$'su( (onsen+%'si u%in4 )'n* &H u%in ,'n (onsen+%'si si+%'+6

P',' u$u$n)'4 renal colic se%in* ,i('i+('n ,en*'n $u'l ,'n $un+'h )'n*

,ise ' ('n &e%s'%'0'n splanchnic ,'%i renal capsul ,'n usus4 sel'in i+u &'sien

+'$&'( *elis'h4 n)e%i &in**'n*4 sel'lu in*in e%*'n+i &osisi ,'%i ,u,u(4 +i,u%4

(e$u,i'n e%,i%i *un' $e$&e%oleh &osisi )'n* ,i'n**'& +i,'( n)e%i6

.K'lli,onis4 P64 Liou%,i4 D64 Li'+si(os4 E64 !""/6


3/23

C. FAKTOR RESIKO

"6 P'sien ,en*'n 8olu$e u%ine )'n* %en,'h4 hi&e%('lsiu%i'4 hi&osi+%'+u%i'4hi&e%o2'lu%i'4 u%in &H %en,'h4 sis+inu%i'

6 Pen)'(i+ )'n* e%('i+'n ,en*'n &e$ en+u('n '+u4 se&e%+i hi&e%&'%'+i%oi,4

*ou+4 hi&e%+ensi4 %en'l +u ul'% '3i,osis4 ,ll696 Pen*o '+'n )'n* e%('i+'n ,en*'n &e$ en+u('n '+u se&e%+i ('lsiu$ '+'u

su&le$en 8i+'$in D4 &%o+e'se inhi i+o%4 ,iu%e+i( .N'+ion'l Ins+i+u+e 0o% He'l+h 'n, 1'%e E23ellen3e4 !!5/

D. DIAGNOSISUn+u( $e$'s+i('n ,i'*nosis renal colic 4 ,'&'+ ,i(e+'hu $el'lui :

"6 Ge7'l' u+'$'4 )'i+u %'s' n)e%i he '+ ,i &in**'n* )'n* +e%7',i sel'$'

e e%'&' $eni+ '+'u 7'$6 R's' n)e%i ini i's' ,ise%+'i $u'l4 $un+'h4

$enin*('+n)' 0%e(uensi u'n* 'i% (e3il4 oli*u%i'4 he$'+u%i'6 Mel'(u('n +es u%in4 ','n)' e%i+%osi+ ,i ,'l'$ u%in .he$'+u%i'/4 ','n)'

ni+%i+4 leu(osi+ es+e%'se ,i ,'l'$ u%in696 i$'*in*4 ,i'n+'%'n)' non-3on+%'s+ 1T s3'n .N11T/4 USG6 I$'*in* ini

$e$ili(i sensi+i8i+'s +in**i )'n* ,'&'+ $en*e+'hui (e e%',''n '+u6

.N'+ion'l Ins+i+u+e 0o% He'l+h 'n, 1'%e E23ellen3e4 !!5/

E. PENATALAKSANAAN

Tu7u'n ,'s'% &en'+'l'(s'n''n &'sien renal colic ','l'h :"6 Men*u%'n*i %'s' n)e%i

6 Un+u( $en3e*'h (o$&li('si96 Un+u( $enin*('+('n (u'li+'s hi,u& &'sien

'6 Non F'%$'(olo*iMen*'n7u%('n 'su&'n 3'i%'n )'i+u 'i% &u+ih seh'%i $ini$'l li+e%

un+u( $e$&e%+'h'n('n '%n' u%in4 )'i+u (unin* enin*6 Pen*'+u%'n

$'('n'n ,'n $inu$'n )'n* $en*'n,un* +in**i ('lsiu$4 o(s'l'+6 P'sien

&un 7u*' ,ie,u('si un+u( $e$oni+o% *e7'l'4 (e&'+uh'n $inu$ o '+4

$en7'*' (on,isi +u uh ,en*'n e%ol'h%'*' %in*'n se3'%' +e%'+u%4$en*u%'n*i 0'(+o% %esi(o6

6 F'%$'(olo*i"6 An'l*esi( &'%en+e%'l un+u( (e%7' 3e&'+ &',' n)e%i '(u+

- Di(lo0en'( ;< $* i6$4 &e$ e%i'n (e,u' ','l'h 9! $eni+ se+el'h


4/23

&e$ e%i'n &e%+'$'- Pe$ e%i'n o&ioi,4 '&' il' ,i(lo0en'( +i,'( ,'&'+ $en*on+%ol n)e%i4

$is'ln)' Di'$o%&hineDi'$o%&hine : < $* i6$ '+'u s63 '+'u "4 < = 4< $* i68

6 An+ie$e+i( un+u( $u'l $un+'h- Me+o(lo&%'$i,

"! $* i6$6 &en*u%'n*'n ,osis hin**'

*'n**u'n *in7'l se,'n* '+'u &'%'h- 1)3li?ine : &','

&en,e%i+' *'n**u'n *in7'l &'%'h96 Pe$ e%i'n 'n'l*esi( ,'n 'n+ie$e+i( '&' il' *e7'l' su,'h e%(u%'n* :

- Un+u( n)e%i : NSAID se&e%+i ,i(lo0en'(4 )'n* ,'&'+ ,i e%i('n se3'%' o%'l '+'u %e3+'lA&' il' NSAID +i,'( ,'&'+ $en*on+%ol n)e%i4 $'(' ,i e%i('n

&'%'se+'$ol o&ioi, .se&e%+i +%'$',ol4 (o,ein/- Un+u( $u'l $un+'h

Me+o3lo&%'$i,e ."!$* 92seh'%i sel'$' < h'%i/4 Do$&e%i,one ."!-

!$*4 9-@ ('li seh'%i/4 P%o3hlo%&e%'?ine .'(u+ : ,osis ' 'l !$*

(e$u,i'n "! $* se+el'h 7'$4 un+u( &en3e*'h'n :


5/23

Di'*nos' Se$en+'%': Ren'l 3oli3

Di'*nosis (e%7' : U%oli+i'sis

Kon,isi Klinis A 'l

KU

G1S

Te('n'n D'%'h .$$H*/

N',i .2 $eni+/

Res&i%'si .2 Meni+/

N)e%i

Psio(olo*is

Risi(o J'+u$

Fun*sion'l

Se,'n*

<

@

#

" ! "!!

"!!

!

Y'

Ten'n*

Ti,'(

M'n,i%i

Ri ')'+ Pen)'(i+ Se('%'n* n)e%i &in**'n* se el'h (i%i se7'( +',i so%e

$un+'h. /

Ri ')'+ Pen)'(i+ ,'hulu N)e%i &',' &e%u+

Ri ')'+ (elu'%*' : Ti,'( ','

Ri ')'+ &en*o '+'n : Lu&'

Ale%*i o '+ $'('n'n E0e( s'$&in* O '+: Ti,'( ','Pe(e%7''n I u %u$'h +'n**'Ke*i'+'n Seh'%i-h'%i Me$ 'n+u su'$i Ju'l''n 7us ,'n $inu$'n

,i%u$'h ,'n $e$ u'+ se%' u+'n

E N

S('l' n)e%i :


6/23

Kon,isi Lin*(u'n Sosi'l P'sien +in**'l ,i*on,ol')u4 )o*)'('%+'

lin*(un*'n )'n* &',' &en,u,u(6 &'sien se+i'&

h'%in)' $e$ 'n+u su'$in)' e%7u'l'n 7us ,'n

$e$ u'+ +e$&u%'6 P'sien &e%n'h $en*'l'$in)e%i &un**un* e e%'&' +'hun l'lu6

Kon,isi Lin*(un*'n Kelu'%*' P'sien $en*'+'('n (on,isi (elu'%*'n)' 'i(-

'i( s'7' ,'n e%7'l'n se3'%' h'%$onis6 An'(-

'n'( &'sien se$u'n)' &e,uli s'$' &'sien6Tin**'l Be%s'$' si'&' P'sien +in**'l e%s'$' su'$i ,'n 9 'n'(n)'

se%+' @ 3u3un)'6Pol' hi,u& se elu$ $e%'s'('n s'(i+4 &'sien se%in*

$inu$ (o&i ,'n $e%o(o(6 D'n i's'n)'

&'sien $en*h' is('n " un*(us %o(o( ,'l'$seh'%i '+'u "# '+'n*4 &'sien 7u*'

$en*'+'('n se%in* $en'h'n (en3in* ,'n 7u*'

se%in* 'n)'( ,u,u(4 7'%'n* e%ol'h%'*'6

P'sien su(' $en*(onsu$si 'i% $inu$ )'n*

,i$'s'( sen,i%i6Pol' $'('n Pol' $'('n &'sien +i,'( +e%'+u% ,'n se%in*

$'('n-$'('n %in*'n6Pol' is+i%'h'+ P'sien is+i%'h'+ +i,'( $enen+u +e%*'n+un*

(e*i'+'n seh'%i-h'%i4 7i(' 'n)'( &e(e%7''n

i's'n)' &'sien +i,'( e%is+i%'h'+ ,'n e*i+u

se 'li(n)'6

B. SURAT PENGANTAR DIRAWAT

IGD Klini( IGD+'n**'l "9 $'%e+ !"#Pe$e%i(s''n L' He$o*lo in4 u%eu$ 1%e'+inin4 GDSPe$e%i(s''n USG

In0us RL T%'$',ol in7 IIO '+-o '+ )'n* ,i e%i('n N'$' o '+ Dosis Ru+e Pe$ e%i'n

Re$o&'inP%i$&e%'nU%is&'s

2 9!$* $l 2 "!$* $l

9 2 " !! $*

IIO%'l


7/23


8/23

C. PEMERIKSAAN LABORATORIUM

No6 Jenis Pe$e%i(s''n No%$'l H'sil +*l

"< 9 !"#

Pe$e%i(s''n ,'%'h Len*('&" He$o*lo in .""4;-"9 Eosino0il = @ > !6;>@ B'so0il !4!-"4!> !69>< Li$0osi+ " 4! = ;!4! > "96< ># Ne+%o0il !6# >; Monosi+ 4! - 4! > @65 >

He$'+o(%i+ 9 @96">5 E%i+%osi+ @4 -

$el'(u('n &e$e%i(s''n BNO-I P6


9/23

D. TANDA VITAL PASIEN

TandaVita

Ni aiN!rma

Tan""a P#n"amatan K#t#ran"an

$%&' $(&' $)&' $*&' $+&' $ &'

T#-anan

Dara

/mmH"0

5! #!-

"@! 5!

"9!

!"#! 5!

"9!

!""! ;!

" !

!""! ! Pa"i

" !

!""! 5! - " ! ;! ""! ;! - Sian"

- - - - - - S!r#

"@! 5! "#! "!! "@! 5! " ! ! " ! ! - ma am

S1 1 / ! C09#4

!4;

9#4@ 9#4< 9#4< 9#4" 9#45 9#4< Pa"i

9# 9#4< 9; 9#49 9#4; 9#4" Sian"

9#4< 9#49 9#4; 9#4; 9;4 - S!r#

9#4 9#4@ - 9#45 9; - Ma am

D#n21t

nadi

/3&m#nit0

#!-"!!

@ @ ! ! @ Pa"i

! @ ; # @ # Sian"

@ ! ! @ - S!r#

- ;# - Ma am

P#rna4a5a

n /3&m#nit0"#- @

! ! ! ! " Pa"i

! "5 ! ! ! Sian"

! ! " ! ! - S!r#

! ! - ! ! - Ma am


10/23

E. CATATAN PER6ALANAN PEN7AKIT /Ra8at Ina40

Tan""a K!ndi5i K ini5 O9at 2an"

di9#ri-an"9 9

Pe%' '+

Pu(ul !6!< M'su( IGD ,en*'n (eluh'n n)e%i &in**'n*

(i%i4 $u'l ,'n $un+'h

Mel'(u('n +es USG .',' '+u (e3il ,i *in7'l/

- In0u

s

T%'

$',

ol

in7

II- In76

Re

$o&

'in

2

9!

$*

$l-

K'l+

%o&e

n

"!!

$*- U%is

&'s

!!$*

"@ 9

Pe%' '+

S n)e%i &in**'n* e%(u%'n* +'&i $'sih n)e%i

O KU se,'n*4 S('l' n)e%i 94 (es','%'n 1M

A n)e%i '(u+

P in+e%8ensi l'n7u+

In0use RL

U%is&'s 9 2 !! $*

1i&%o&lo2'3in 2

$*


11/23

Ke+o&%o0en 2"!!$*

O$e&%'sole "29!$*

"< 9Do(+e%

S n)e%i e%(u%'n*O KU 'i(

A U%oli+i'sis Sini+%'

P +in,'( l'n7u+

1i&%o&lo2'3in 2

Ke+o&%o0en 2"!!$*

A$lo,i&in "2"!$*"# 9

Pe%' '+

S n)e%i se+el'h o&e%'si

O Pos+ URS4 KU se,'n*4 (es','%'n 1M

A n)e%i '(u+

P Tin,'( l'n7u+

1e0+%i'2one 2"G

1i&%o&lo2'3in 2

$*

As'$ T%'ne(s'$'+

in7 2" I .IBS/

Ke+e%ol'3

29!$* $l

Ke+o&%o0en 2"!!$*

A$lo,i&in "2"!$*

"; 9 S n)e%i lu(' &os+ o&e%'si

O KU se,'n*4 &osisi h'+i-h'+i

A n)e%i '(u+

P in+e%8ensi l'n7u+

1i&%o&lo2'3in 2

$*

A$lo,i&in "2"!$*

" 9 S n)e%i e%(u%'n*

O KU se,'n*

A n)e%i '(u+

P In+e%8ensi l'n7u+

In0us RL

1i&%o&lo2'3in 2

$*

A$lo,i&in "2"!$*

Melo2i3'$ "2"


12/23


13/23

G. PENGOBATAN DAN PROFIL OBAT PASIEN

'6 Par#nt#ra

No N'$' O '+A+u%'n

&'('i

T'n**'l Pe$ e%i'n O '+"9 9 !"# "# 9 !"# "; 9 !"# " 9 !"#

P Si So M P Si So M P SI SO M P SI SO M

"

In7e(si

Re$o&'in

9!$* $l

2 " '$&

I

G

D

STOP

6P%i$&e%'n

"!$* $l2" '$&

I

G

D

STOP

961e0+%i'2one

" *%'$

2" *%'$

I

I

B

S

STOP

@6

As'$

T%'ne(s'$'+

2" '$&

I

I

BS

STOP


14/23

6N!n Par#nt#ra

No N'$' O '+A+u%'n

&'('i

T'n**'l Pe$ e%i'n O '+"9 9 !"# "@ 9 !"# "< 9 !"# "# 9 !"# "; 9 !"

P si so $ & si so $ P si so $ & si so $ & si so $

" U%is&'s 92 !! $* STOP

6 1i&%o&lo2'3in 2

96 Ke+o&%o0en 2"!! $*! ! ! "! ";

@6 O$e&%'sole "29! $*" "

STOP


15/23

E:#- 5am4in" :

;$ 415in"

G's+%oin+es+in'l : n)e%i4 ,)s&e&si'4 n'use'

"> +o "!> :

1'%,io8's3ul'% : e,e$'4 hi&e%+ensi

1NS : *elis'h

G's+%oin+es+in'l : ,i'%e4 (ons+i&'si4 8o$i+in*

Int#ra-5i !9at : '%0'%in4 $e+o+%e(s'+4 A1E inhi i+o%4 o '+

'n+ie&ile&si4 o '+ &si(o'(+i06

D!5i5 : 9! $* se '*'i ,osis +un**'l '+'u 9! $* +i'& # 7'$

.$'(si$'l un+u( ,osis h'%i'n ','l'h " ! $*/6 +i,'( oleh

,i*un'('n le ih ,'%i < h'%i

In76 R'n+in Indi-a5i : +u('( l'$ un*4 $en*u%'n*i *e7'l' %e0lu( eso0'*i+is4


16/23

.R'ni+i,in H3l/ hi&e%se(%esi &'+olo*is

M#-ani5m# a-5i : $en*h'$ '+ (e%7' his+'$ine se3'%' (o$&e+i+i0 &','

%ese&+o% H ,'n $en*u%'n*i se(%esi 's'$ l'$ un*

K!ntraindi-a5i : &en,e%i+' )'n* hi&e%sensi+i0 +e%h','& %'ni+i,in

E:#- 5am4in" :

S'(i+ (e&'l'4 ,i'%e4 $u'l4 $un+'h4 +'(i('%,i'4 %',i('%,i'

Int#ra-5i !9at : &e$ e%i'n e%s'$' '%0'%in ,'&'+ $enin*('+('n

'+'u $enu%un('n '(+u &%o+%o$ in

D!5i5 : I6 6: in+e%$i++en olus :

Le8o0lo2'3in Indi-a5i : Sinusi+is $'(sil'%is '(u+4 %on(i+is (%oni( ,* e(s'se% 'si '(u+

,% %on(i+is (%onis4 &neu$oni' )* ,i,'&'+ ,% lin*(un*'n4 in0e(si (uli+

s+%u(+u% (uli+ +'n&' (o$&li('si4 ISK4 &ielne0%i+is6

K!ntraindi-a5i : E&ile&si4 %i ')'+ **n +en,on4 'n'( %e$'7'4h'$il l'(+'si

E:#- 5am4in" : Di'%e4 $u'l4 (e$ un*4 &%u%i+us4 %u'$ (uli+4 n)e%i

' ,o$en4 &usin*4 ,is&e&si'4 inso$ni'4 $un+'h4 'no%e(si'4

'nsie+'s4 (ons+i&'si4 e,e$'4 lel'h4 s'(i+ (e&'l'4 (e%in*'+


17/23

e%le ih'n4 *elis'h

Int#ra-5i !9at : Teo0ilin4 '%0'%in4 si(los&o%in4 ,i*o(sin4 AINS4

o '+ 'n+i,i' e+i( o%'l6

D!5i5 :


18/23

H. ASESMEN dan PEMBAHASAN

P'sien I u P e%usi'


19/23

Be+hes,' (e$u,i'n ,is'%'n('n un+u( %' '+ in'& ,'n &',' s''+ i+u 7u*' +'n**'l "@

M'%e+ !"# &in,'h (e Ru'n* 16 P',' h'%i &e%+'$' ,i&in,'h (e Ru'n* 14 i u P su,'h

$e%'s' $e$ 'i( ('%en' +el'h $en,'&'+ o '+ un+u( $en*hil'n*('n %'s' n)e%in)'

&',' s''+ ,i IGD6

Di IGD &'sien $en,'&'+('n o '+ %e$o&'in 9!$* $l ,i e%i('n 2"4

P%i$&e%'n "!$* $l "2" se3'%' in+%'8en' ,'n u%us&'s !! $* se3'%' o%'l

P',' +'n**'l "@ $'%e+ !"# +e&'+n)' ,i %u'n* 14 &'sien $en,'&'+('n

&en*o '+'n U%is&'s !! $*6 P'sien $en*'+'('n su,'h $e%'s' $e$ 'i( ,'n n)e%i

,i '*i'n &in**'n* su,'h e%(u%'n*6 P'sien $en*'+'('n 'h ' +',i &'*i +el'h

,il'(u('n &e$e%i(s''n USG ' ,o$en h'%i6 P',' $'l'$ h'%i TD &'sien "@! 5!$$H* ,'n o '+ )'n* ,i e%i('n 3i&%o&lo2'3in

e%,'s'%('n h'sil l' o%'+o%iu$ (e$'%in ,o(+e% $en*'+'('n ',' in0e(si ,is'lu%'n

&en3e%n''n6 D'n se7'( +',i $'l'$ +el'h $en,'&'+('n 3i&%o&lo2'3in

(e+o&%o0en "!! $*4 o$e&%'sole 9! $* ,'n h'%i ini +e+'& ,il'n7u+('n6 P'sien 7u*'

$en*'+'('n ,o(+e% '('n $el'(u('n &e$e%i(s''n l'n7u+ BNO-I P ,'n h'%i ini &'sien

,isu%uh un+u( &u's'6 Be%,'s'%('n Suhu4 %es&i%'si ,'n n',in)' no%$'l se,'n*('n

+e('n'n ,'%'hn)' se$'(in $enin*('+ $en7',i "#! 5!4 ,'n +u%un l'*i ""! 5! ,'n

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P',' +'n**'l "# $'%e+ !"#4 &'sien $e%'s'('n &e*'l-&e*'l ,i '*i'n

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20/23

+i,u% h'%us +e%len+'n* ,'n u'n* BAK $e$'lui ('+e+e%6 Sel'in i+u4 ,o(+e%

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6. CARE PLAN PROCESS

Klinis Te%'&i DTP .DRPs/ Pl'nRen'l 3oli3 R 1i&%o&lo2'3in

R Ke+o&%o0en

• se&si :(e+o&%o0en ,'n

3i&%o0lo3'3in ',' in+e%'si

)'n* si*ni0i('n )'n* ,'&'+$enin*('+('n %isi(o

s+i$ul'si SSP ,'n (e7'n-

(e7'n sehin**' h'%us

,i$oni+o%in* se3'%' (e+'+6

Se 'i(n)' (e+o&%o0en

,'n 3i&%o&lo2'3in

,i e%i('n &',' '(+u

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e%in+e%'(si6

R A$lo,i&in • '&&%o&%i'+eness: &'sien $e$ili(i +e('n'n

,'%'h )'n* +in**i ,'%i

+'n**'l "@-"< $'%e+ +e+'&i

+i,'( $en,'&'+('n +e%'&i

o '+ un+u( $enu%un('n TD

Men'n)'('n (e&','

&e%' '+ 'h ' &'sien

$e$ili(i TD +in**i4

+olon* hu un*i ,o(+e%

un+u( $e$ e%i('n

o '+ )'n* +e&'+6R U%is&'s !! $* • e0e(+i8i+'s:

&'sien $en,'&'+('n o '+

se3'%' o%'l &',' h'l &'sien

Mel'&o%('n (e&','

,o(+e% un+u(

$en*hen+i('n ,'n


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DAFTAR PUSTAKA

A$e%i3'n Ph'%$'3is+ Asso3i'+ion4 !" 4 Drug Information Handbook 4 Le2i-1o$& s

Re0e%en3e H'n, oo(4 USA6

N'+ion'l Ins+i+u+e 0o% He'l+h 'n, 1'%e E23ellen3e4 !!54 Ren'l 1oli3 A3u+e4

h++&: 3(s6ni3e6o%*6u( %en'l-3oli3-'3u+e4 ,i'(ses +'n**'l ! Fe %u'%i !"@

K'lli,onis4 P64 Liou%,i4 D64 Li'+si(os4 E64 !""4 Medical Treatment For Renal Colic

and Stone !pulsion 4 Eu%o&e'n U%olo*) Su&&le$en+4 G%ee3e
http://cks.nice.org.uk/renal-colic-acutehttp://cks.nice.org.uk/renal-colic-acute

konseling 3d

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