klasifikasi tekanan darah
TRANSCRIPT
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8/16/2019 Klasifikasi Tekanan Darah
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KLASIFIKASI TEKANAN DARAH (BHS) ALGORITMA
PENANGANAN (BHS)
KATEGORI TEKANAN
DARAHOptimal < 120 / 55
th) dan
Muda (< 55
th) dan
R"#$t"nt
H$%"&t"n#$
A949D9tama&
a* ,i8"ti/al:a'
STEP -
OBAT PILIHAN AALOat 8*t8 i*,ia+i&8+8+Ga%al 3a*t8*% 5 =44B
Pa+;a MI 5 =,i8"ti7 ARB7 44BP3K 5 = ARB7 A*ti'ADTDM 5 = a*ti'ADTGi*>al K"!*i 5 =,i8"ti7 BBB7 44B7
'
DERA'AT
TDS ? 1.0 ata8 TDD ?100 mmH%B"ia* 5 K!mi*a+i2 !at ( Tia@i, 9A4EI/ARB/BB/44B)
DERA'AT
TDS 1-0'1$ ata8 TDD 0' mmH%B"ia* 5M!*!t"api(,i8"ti Tia@i,)P"tima*%a* 5A4EI/ARB/BB/44B7
DENGAN INDIKASI TANPA INDIKASI
MODIFIKASI GAA HIDP
Ta"%t TD l8m t";apai 1-0/0 mmH% ata8 1#0/0 mmH%
8*t8 pa+i* DM ata8 p*Cait %i*>al
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A*+TE KIDNE, IN'+R, KRITERIA RIFLE
L-G '+MLAH +RIN O+TP+T
Ri+ P*i*%ata* "ati*i*
17$
< 07$ ml/%BB/>am +lama . >am
I*>8"C P*i*%ata* "ati*i* 2
< 07$ ml/%BB/>am +lama 12
>am
Fail8"
P*i*%ata* "ati*i* # ata8 "ati*i* #$$
mm!l/L
< 07$ ml/%BB/>am +lama 2- >am ata8 a*8"ia +lama 12 >am
L!++ GGA p"+i+t*7 "8+aa* t!tal :8*%+i %i*>al +lama ? -
mi*%%8ESRD Ga%al %i*>al t"mi*al ? # 8la*
*HRONI* KIDNE, IN'+R,
STAGE GGK
PEN'ELASAN G-R TATALAKSANA
I K"8+aa* %i*>al ,*%a*
GFR N/P
0 T"api p*Calit ,a+a"
Eal8a+i p"8"8a* :8*%+i
%i*>al
P";il "i+i!
a",i!a+8la"
II K"8+aa* %i*>al ,*%a*GFR "i*%a*
.0'
M*%&amat p"8"8a*:8*%+i %i*>al
III K"8+aa* %i*>al ,*%a*
GFR +,a*%
#0'
$
Eal8a+i ,a* t"api
!mplia+iI K"8+aa* %i*>al ,*%a*
GFR "at
1$'
2
P"+iapa* t"api p*%%a*ti
%i*>al Ga%al %i*>al/ kidney
failure
< 1$ T"api p*%%a*ti %i*>al