HIPERURISEMIA No. Dokumen :
UP!D
SOP 01.SOP/BP/429.114...../2017 No. Revii :0 !"n##"$ !e%&i' : ( )"nu"%i 2017 H"$"m"n : 1/2 '',
PUS*ESMAS )A)A+ 1. Pen# Pen#e% e%'i" 'i"n n
,%#. H. S$"me' NIP19-402 199402 1 002
Hie Hie%u% %u%i iem emi" i" ","$" ","$" kon,i kon,iii k","% k","% ""m ""m u%"' u%"' ,"$"m ,"$"m ,"%" ,"%" me$e& me$e&ii ii no%m"$3 "i'u $e&i ,"%i 750 m#/,$. Hie%u%iemi" ,""' 'e%6",i "ki&"' menin menin#k" #k"'n 'n" " %o,uk %o,uki i "'"uu "'"uun n menu% menu%unn unn" " em&u" em&u"n#" n#"n n ""m ""m
2. !u6u"n
u%"'5 "'"u kom&in"i ,"%i ke,u"n". Se&"#"i "u"n ene%""n $"n#k"$"n#k"
en"n#"n"n
Hie%u%iemi" (. *e&i6 *e&i6"k "k"n "n 4. Re8e Re8e%e %en nii
. P%oe,u%
Su%" Su%"'' *e *eu' u'u u"n "n *e" *e"$" $" UP! UP!D D Pu Puke kem m" " 'en' 'en'"n "n# # *e&i *e&i6" 6"k" k"n n Pe$""n"n *$ini 1. Pe%m Pe%men enke ke nomo nomo%% 7 '"u '"un n 2009 2009 'en' 'en'"n "n# # uk uke em" m". . 2. Pe%menke Pe%menke nomo% nomo% (- '"un 2009 'en'"n# 'en'"n# kee"'" kee"'"n n 3. Pe%menke Pe%menke nomo% nomo% 4 '"un 2014 'en'"n# 'en'"n# P"n,u"n P"n,u"n P%"k'ik P%"k'ik
*$ini
B"#i Dok'e% ,i "i$ii'" *ee"'"n P%ime%. 1. Pe'u#" me me$"kuk"n "n "n"mne" P"ie P"ien n ,"'"n# ,"'"n# ke ,ok'e% ,ok'e% ,en#"n ,en#"n ke$u" ke$u"n n &en#k" &en#k"k k ,"n ne%i ne%i en, en,ii "n# "n# men, men,", ","k "k55 &i" &i""n "n" " 'im& 'im&u$ u$ "," "," m"$" m"$"m m "%i "%i.. Ben#k"k ,ie%'"i %"" "n" ,"n keme%""n. *e$u"n 6u#" ,""' ,ie%'"i ,em"m5 men##i#i$5 ,"n ne%i &","n. A"&i$" e%"n#"n e%'"m"5 90 ke6",i"n "n" "," 1 en,i ,"n ke$u e$u"n "n ,"" ,""''
men#i$ #i$"n "n# #
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en#o&"'"n. 2. Pe'u# Pe'u#" " me$"k me$"kuk" uk"n n eme%ik eme%ik"" ""n n 8iik *e",""n umum: !"m"k !"m"k e"' "'"u ke"ki'"n "ki&"' ne%i en,i. A%'%i'i mono"%'iku$e% ,""' ,i'emuk"n5 &i""n" me$i&"'k"n en,i en,i M!P1 M!P1 "'"u "'"u en,i en,i '"%"$ '"%"$ $"inn" $"inn".. Sen,i Sen,i "n# "n# men#" men#"$"m $"mii in8$"m"i '"m"k keme%""n ,"n &en#k"k. (. Pe'u#" Pe'u#" me$"kuk" me$"kuk"n n eme%ik eme%ik""n ""n enun6"n# enun6"n# !"m "m"k
em em&en &en#k"k #k"k"n "n
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en en,i
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u&ko%'ik"$ '"n" e%oi "," eme%ik""n %",io$o#i. *","% ""m u%"' ,"$"m ,"%" < 7 m#/,$.
4. Pe'u# Pe'u#" " men mene#" e#"kk" kk"n n ,i"#no ,i"#no" " Di"#noi ,i'e#"kk"n &e%,""%k"n "n"mnei5 eme%ik""n 8iik
,"n un'uk ,i"#noi ,e8ini'ive +ou' "%'%i'i ","$" ,i'emuk"nn" k%i'"$ u%"' =MSU> ,i "i%"n en,i "'"u 'o8u. . Pe'u#" mem&e%ik"n 'e%"i a. Men#"'"i e%"n#"n "ku' ,en#"n e#e%"
Obat : analgetik, colcichine, kortikosteroid 1. An"$#eik
=NSAID
&i$"
'i,"k
'e%,""'
kon'%"in,ik"i
'e%&"n"k ,i#un"k"n: in,ome'"in 10200 m#/"%i e$"m" 2( "%i>. 2. Colchicine =E8ek'i8 "," 24 6"m e%'"m" e'e$" e%"n#"n
ne%i en,i 'im&u$. Doi o%"$ 0.0.- m# e% "%i ,en#"n ,oi m"kim"$ - m#. 3. *o%'iko'e%oi, i'emik =&i$" NSAID ,"n Colchicine 'i,"k
&e%eon &"ik> b. P%o#%"m en#o&"'"n un'uk mene#" e%"n#"n &e%u$"n#
Obat: analgetik, colcichine dosis rendah c. Men#e$o$" ie%u%iemi" =menu%unk"n k","% ""m u%"'> ?
mene#" kom$ik"i $"in 1. Obat-obat penurun asam urat
A#en enu%un ""m u%"' ='i,"k ,i#un"k"n e$"m" e%"n#"n Anamnesa : "ku'>.Pem&e%i"n bengkak dan nyeri sendi 'e%en,"5
100m#5
A$$uu%ino$ ,imu$"i ,"%i ,oi
kemu,i"n
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,in"ikk"n
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,ie%$uk"n5 ,en#"n ,oi m"kim"$ @00m#/"%i. !"%#e' 'e%"i ","$" k","% ""m u%"' -m#/,$.
emeriksaan fisik
2. Mo,i8ik"i lifestyle / #"" i,u
Minum uku =@10 #e$"/"%i>. emeriksaan penunjang
Men#e$o$" o&ei'" ,"nmen6"#" Be%"' B","n I,e"$. *u%"n#i konumi "$koo$.
iagn!sa Po$" ,ie'
e"' =%en," u%in>.
-. Pe'u#" me$"kuk"n kone$in# ,"n e,uk"i Terapi : "k'o% Riiko : Obat: analgetik, colcichine, kortikosteroid a.Analgesik a. Ui" ? jam )eni ke$"min b. Colchicine (Efektif pada 24 pertama setelah serangan nyeri sendi timbul. !sis !ral ".#$".% mg per hari dengan b. O&ei'" d!sis maksimal % mg. &!rtik!ster!id sistemik (bila 'A) dan Colchicine tidak c. A$koo$ beresp!n baik* +engel!la hiperurisemia (menurunkan kadar asam urat* , mencegah d. Hie%'eni k!mplikasi lain Obat-obat penurun asam urat e. +"n##u"n un#i +in6"$ Allupurin!l dimulai dari d!sis terendah- 1""mg- kemudian f. Pen"ki'en"ki' me'"&o$ik bertahap dinaikkan bila diperlukandengan d!sis maksimal ""mg/hari. Target terapi adalah kadar asam urat 0 %mg/dl. +!difikasilifestyle/ gaya hidup g. Po$" ,ie'
h. O&"' : Ai%in ,oi %en,"5 Diu%e'ik5 o&"'o&"' !B
-. B"#"n A$i% =&i$"
&!nseling dan Edukasi
SOP HIPERURISEMIA 2.
emua pr!ses ditulis dalam rekam medis
,ie%$uk"n>
7. Uni' !e%k"i' Po$i Umum @. Dokumen Rek"m Me,i !e%k"i' 9. Rek"m Hi'o%i
NO.
Pe%u&""n
SOP HIPERURISEMIA 2.
C"n# ,iu&"
Ii Pe%u&""n
!#$ mu$"i ,i&e%$"kuk"n
