IGD 1

Question 1

diagnosis AKI

Answer 1

fx ginjal meningkat (tanpa anemia)

Question 2

diagnosis CKD

Answer 2

anemia + fx ginjal meningkat

Question 3

indikasi hemodialisis

Answer 3

AIUEO
Asidosis metabolik berat
Intoksikasi
Uremikum
Electrolyte imbalance
Overload cairan(?)

Question 4

poin terapi KAD

Answer 4

Terapi cairan - IVFD Nacl 1L/jam

Bikarbonat

Insulin - 0.15 IU/BB bolus rapid action

Koreksi kalium - KCl 20-30 / jam

Question 5

diagnosis hipoglikemia?

Answer 5

GDS <70

Question 6

Klasifikasi (derajat) hipoglikemia

Answer 6

hipoglikemia ringan: pasien sadar
hipoglikemia berat: pasien penkes (butuh iv)

Question 7

penanganan hipoglikemia ringan

Answer 7

-makan gula 2-3 sdm
-ulangi 15min kemudian

Question 8

penanganan hipoglikemia berat

Answer 8

1. bolus D10% 150ml atau D40% 25ml (1 flacon)
2. observasi 15-30 menit, target GDS >70, ulangin no.1 sampe 3x
3. jika sudah >70, maintanance D10% 100ml/jam
4. jika GDS sudah stabil dalam 6 jam, gantil Nacl atau RL

Question 9

diagnosis hipoglikemia pada anak?

Answer 9

anak GD <45
aterm <72 jam GD <35
preterm <1 minggu GD <25

Question 10

penanganan hipoglikemia anak jika anak sadar?

Answer 10

D10% 50ml oral

Question 11

penanganan hipoglikemia anak dengan penkes, gizi baik?

Answer 11

1. Bolus dextrose 2ml/kgbb
   < 2th pakai D10%
   2-12 th pakai D25%
   >12 th pakai D50%
2. jika tidak respon, infus D10% 10-12mg/kgbb/min

Question 12

penanganan hipoglikemia anak dengan penkes, gizi buruk?

Answer 12

infus D10% 5cc/bb

Question 13

triage ATS

Answer 13

kategori 1: life threatening
kategori 2: emergency but non life threatening
kategori 3: need medical attention, but not urgent, and non life threatening (organ damage or limb threatening)
kategori 4: non life threatening
kategori 5: not urgent (medical check up)

Question 14

prinsip Triage (menurut aing)

Answer 14

merah: HD tidak stabil DAN Life threatening. (+ penkes)

Kuning: HD stabil DAN gejala/resiko mengarah ke life threatening atau organ(limb) threatening

Hijau: HD stabil, non life threatening, not urgent. (CM, RR n, HR n, Temp n)

Hitam: no response AND no pulse

Question 15

diagnosa krisis hipertensi

Answer 15

TDS >180 atau TDD >120

urgency: tanpa organ damage

emergency: dengan organ damage

Question 16

target penanganan urgency hypertension

Answer 16

menurunkan TD 25% MAP dalam 24 jam

tx: captopril SL

Question 17

target penanganan emergncy hypertension

Answer 17

menurunkan TD 25% MAP dalam 2 jam

tx: nicardipin iv 5mg/jam
dinaikan bertahap 2.5mg/jam, max dose 15mg/jam