PEDOMAN PENYAKIT PARU

dr.Oki Harisandi
Syarat Pemberian Aminofilin
1. TDS > 100 mmHg
2. Nadi < 100 x/menit, reguler
3. RR < 24x/menit
4. EKG normal tidak ada aritmia
5. Penyakit Paru Murni
6. Tidak ada penyakit jantung katup
 EFEK SAMPING AMINOFILIN
ADVERSE REACTIONS:
The following adverse reactions have been observed, but there has not been
enough systematic collection of data to support an estimate of their frequency.
The most consistent adverse reactions are usually due to overdosage.

1. Gastrointestinal: Nausea, vomiting, epigastric pain, hematemesis, diarrhea.

2. Central Nervous System: Headaches, irritability, restlessness, insomnia,
reflex hyperexcitability, muscle twitching, clonic and tonic generalized
convulsions.
3. Cardiovascular: Palpitation, tachycardia, extrasystoles, flushing,
hypotension, circulatory failure, ventricular arrhythmias.
4. Respiratory: Tachypnea.
5. Renal: Potentiation of diuresis.
6. Others: Alopecia, hyperglycemia and inappropriate ADH syndrome, rash
(consider ethylenediamine).
PPOK STABIL
PPOK STABIL
TERAPI PPOK STABIL
PPOK EKSASERBASI AKUT
 Sediaan Obat IV
No Obat Sediaan Obat Isi Dosis
. IV
Anak Dewasa

1. Epinephrine Amp 1 mg/ml 1 ml 0,01 ml/kgBB/x 0,3 ml SC

(adrenalin) beri, max.0,3 ml/x
beri SC
2. Aminofilin Amp 24 mg/ml 10 ml Bolus 5-6 Bolus 5-6 mg/kgBB/x
mg/kgBB/x beri,campurkan dgn
beri,campurkan NaCL 0,9% atau
dgn NaCL 0,9% Dex.5%, lanjutkan
atau Dex.5%, dengan drip 0,5-0,9
lanjutkan dengan mg/KgBB/jam dlm
drip 0,5-0,9 NaCl 0.9% atau
mg/KgBB/jam dlm Dex.5%
NaCl 0.9% atau
Dex.5%
Tab 200 mg - 3 x 1, kombinasikan
dengan Salbutamol
1 mg
3. Dexamethasone Amp 5 mg/ml 1 ml 1 mg/kgBB/hari 1 amp/12 jam
(per 6-8 jam)
4. Methylprednisolo Vial 125 mg/2 2 ml 1 mg/kgBB/hari 1 amp/8 jam
ne ml (per 6-8 jam)
(@62,5 mg/ml)
5. Terbutalin Amp 0,5 mg/ml 1 ml 0,075 mg/kgBB/x 0,5 ml SC, dpt
NOTE PEMBERIAN OBAT
RASIONAL