LAPORAN TUTORIAL KELOMPOK A 7 SKENARIO I BLOK KEDARURATAN MEDIK SYOK ANAFILAKSIS
Disusun Oleh: G0009001
ENSAN GALUH PERTIWI
G0009039
BOBBI JUNI SAPUTRA
G0009065
DWI RACHMAWATI H
G0009073
EMA NUR FITRIANA
G0009077
FARIDA NUR K
G0009117
KRISTIANA MA MARGARETA
G0009149
NIMAS AYU SURI P
G0009157
NUR AHRATUL JANNAH
G0009175
PUTRI DINI AIKA
G0009177
RADEN ARTHESWARA S!
G0009"13
WISNU YUDHO HUTOMO
FAKULTAS KEDOKTERAN
UNIVERSITAS SEBELAS MARET BAB I PENDAHULUAN
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
2
BAB II DISKUSI DAN PEMBAHASAN
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Jum% II
3
Menen'u!n*men$e+inisi!n Menen'u!n*men$e+inisi!n %e"mslhn) %e"mslhn)
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5.
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Sis'em %e"n+sn
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b.
Sis'em si"!ulsi
B+&&' B+&&'&& (&'(((&'((-&' &' +%*-)& +%*-)&+ + .#%-2& .#%-2&*&' *&' #?#* #*-' #*-'#% #% &%+ &%+ (&'(((&'((-&' &' %#2+%& %#2+%&+ + /&2+ /&2+ +& +& -(& -(& #%+% #%+%++ #'+% #'+%+ + &%/+'& &%/+'& /#%& /#%&++ (&'(((&'((-&' &' +%*-)& +%*-)&+ + /&'2& +&-)-+ $)# (&'((-&' %#2+%&+! G#&)& +2$/#'+ .#%-2&*&' (#&)& &'( .#'$'$) 2&& $* &'&?+)&*+! H+2$/#'+ /#%&+ #&(&+ &*+&/ &%+ 9
-& ?&*/$% 2#%/&.& &*+&/ /#%&+'& &$+)&/&+ 2#.-)- &%& 2#%+?#% &' *#-& &*+&/ .#'+'(*&/' .#'+'(*&/'& & 2#%.#&+)+/& 2#%.#&+)+/& +'+'( *&2+)#% #+'((& #+'((& #)&+' %#+/#'+ 2#.-)- &%& .#'-%-' -(& &'&* 8&+%&' +'/%&&*-)#% &'( *#)-&% *#%-&'( +'/#%/+/+#) =/#%&+ +2$$)-.# %#)&/+?>! G#&)& +2$/#'+ +'+ &2&/ /#%&+ #'(&' %&/+ #+'((& /&'2& 2#%/$)$'(&' &'( 8#2&/ #(#%& &2&/ #%*#.&'( .#'&+ (&(&) +%*-)&+ &/&- #'/+ &'/-'(! c.
4n&&un !uli'
M#%M#%-2& 2&*& *&' ' (#& (#&)& )& *)+' *)+'+* +* &'( &'( 2&)+ 2&)+'( '( #%+' #%+'( ( +/# +/#..-*& *&' ' 2&& 2&& %#&* %#&*+ + &'&?+) &'&?+)&*/+ &*/+*! *! W&)&-2 W&)&-2-' -' (#&)& (#&)& +'+ /+&* /+&* .#.&/+* .#.&/+*&' &' '&.-' '&.-' (#&)& (#&)& +'+ &.&/ &.&/ 2#'/+'( -'/-* +2#%&/+*&' #& +'+ .-'(*+' .#%-2&*&' (#&)& 2%$%$.&) -'/-* /+.-)'& (#&)& &'( )#+ #%&/ #%-2& (&'((-&' '&?& &' (&'((-&' +%*-)&+! O)# *&%#'& +/- #/+&2 (&'((-&' *-)+/ #%-2& -%/+*&%+& #%+/#.& &/& 2%-%+/- &%- +&2&&+ -'/-* *#.-'(*+'&' /+.-)'& (#&)& &'( )#+ #%&/! D#'(&' *&/& )&+' #/+&2 *#)-&' *#8+) &'( /+.-) #&&/ #-& 2#'-'/+*&' $&/&%- +&'/++2&+ -'/-* &2&/ #%*#.&'( *#&%& &'( )#+ #%&/! d.
4n&&un &s'"#in'es'inl &s'"#in'es'inl
P#%P#%-// *%&. *%&.. .-& -&) )..-'/ '/& & &.2& &.2&++ +&% +&%## .#%.#%-2& 2&*& *&' ' .&'+ .&'+?# ?#/& /&++ &%+ &%+ (&'((-&' (&/%$+'/#/+'&) &'( -(& &2&/ .#%-2&*&' (#&)& 2%$%$.&) -'/-* /+.-)'& (#&)& (&'((-&' '&?& &' +%*-)&+!
10
S!em %e"u(hn mnii+es'si !linis %$ s,#! n+il!sis
5) Penn Penn&n &nn n s,#! s,#! n+ n+il il!si !siss
) Te"%i me$i!men'#s
P%$('$+ -&/- $* &'&?+)&*+ &.&/ /#%(&'/-'( &%+ *#8#2&/&' +&('$# &' 2#'(#)$)&&''&;
1> A%#' A%#'&) &)+' +' .#%.#%-2& 2&*& *&' ' drug drug of choi choice ce &%+ &%+ $* $* &'&?+ &'&?+)& )&* *+! +! H&) H&) +'+ +'+ +#&*&' 3 ?&*/$% &+/11
&>
A%#'&)+' .#%-2&*&' %$'*$+)&/$% &'( *-&/ #+'((& 2#'#%+/& #'(&' 8#2&/ /#%+'&% &%+ +2$*+& &'( .#%-2&*&' 2#.-'- -/&.&!
>
A%#'&)+' .#%-2&*&' &$*$'/%+*/$% 2#.-)- &%& &' +'$/%$2+* &'( *-&/ #+'((& /#*&'&' &%& #'(&' 8#2&/ '&+* *#.&)+!
8>
A%#'&)+' .#%-2&*&' +/&.+' )$*#% .#)&)-+ 2#'+'(*&/&' 2%$-*+ 88)+8 AMP #+'((& #+'((& 2%$-*+ &' 2#)#2&&' chemical mediator &2&/ #%*-%&'( &/&- #%#'/+!
Dosis dan cara cara pemberiannya. pemberiannya.
03 05 .) &%#'&)+' &%+ )&%-/&' 1 ; 1000 +#%+*&' #8&%& +'/%&.-*-)#% &'( &2&/ +-)&'(+ 5 10 .#'+/! D$+ -)&'(&' -.-.'& +2#%)-*&' .#'(+'(&/ )&.& *#%& &%#'&)+' 8-*-2 +'(*&/! J+*& %#2$' 2#.#%+&' #8&%& +'/%&.-*-)#% *-%&'( #?#*/+? &2&/ +#%+ #8&%& +'/%&#'$- #/#)& 01 0" .) &%#'&)+' +)&%-/*&' &)&. 2$+/ 10 .) #'(&' N&C) ?++$)$(+ +#%+*&' 2#%)&&',)&&'! P#.#%+&' -*-/&' #&+*'& ++'&%+ 2&& $* &'&?+)&*+ *&%#'& #?#*'& )&.&/ &*&' .-'(*+' /+&* && && &*+&/ &$*$'/%+*+ 2&& *-)+/ #+'((& &$%+ $&/ /+&* /#%&+!
"> A.+'$?+)+' D&2&/ +#%+*&' #'(&' &'(&/ &/+,&/+ &2&+)& %$'*$2&.# #)-. +)&'( #'(&' 2#.#%+&' &%#'&)+'! "50 .( &.+'$?+)+' +#%+*&' 2#%)&&',)&&' #)&.& 10 .#'+ .#'+// +'/% +'/%& &#' #'&! &! D&2& D&2&// +)& +)&' '-/ -/*& *&' ' "50 "50 .( )&(+ )&(+ .#)& .#)&))-++ %+2 %+2 +'?+'?- +)& +)& +&'((&2 2#%)-!
3> A'/++/&.+' &' *$%/+*$/#%$+! M#%-2&*&' 2+)+&' *#-& #/#)& &%#'&)+'! K#-& $&/ /#%#-/ *-%&'( .&'? .&'?&&/ &&/' '&& 2&& 2&& /+'( /+'(*& *&// $* $* &'&?+ &'&?+)& )&* *+ + #& #& *#*#-&' &'& & &' &'&& .&.2 .&.2.#'#/%&)*&' 8#.+8&) .#+&/$% &'( )#2& &' /+&* .#'(#'/+*&' 2%$-*+'&! D&2&/ +#%+*&' #/#)& (#&)& *)+'+* .-)&+ .#.&+* (-'& .#'8#(& *$.2)+*&+ 12
#)&'-/'& #%-2& #%-. +8*'# &/&- 2%$)$'(# #??#8/! A'/++/&.+' &'( +&& +(+(-'& '&*& *&' ' &&) &&)& & +?# +?#' '+ +%& %&.+ .+' ' HC) HC) 5 "0 .( I &' &' -'/-'/-* * ($)$ ($)$'( '(&' &' *$%/+*$/#%$+ &2&/ +(-'&*&' #*&.#/&$' 5 10 .( I &/&- +%$8$%/+$' 100 "50 .( I!
() Te"%i su%%#"'i+
T#%&2+ &/&- /+'&*&' -22$%/+? &.& 2#'/+'('& #'(&' /#%&2+ .#+*&.#'/$& &' #&+*'& +)&*-*&' #8&%& #%&.&&'!
1> P#.#%+&' O*+(#' J+*& )&%+'( &/&- %$'*$2&.# .#'#&*&' +2$*+ 2#.#%+&' O*+(#' 3 5 )/% : .#'+/ &%- +)&*-*&'! P&& *#&&&' &'( &.&/ #*/%+. /+'&*&' /%&*#$/$.+ &/&- *%+*$/+%$+#*/$.+ 2#%)- +2#%/+.&'(*&'!
"> P$++ T%#'#)#'-%( P$+ P$++ + /%#' /%#'#) #)# #-% -%( ( &/&&/&- #% #%&% &%+' +'( ( #'( #'(&' &' *#*#-&& /-'( /-'(*& *&++ +&' +&'(* (*&/ &/ =+(&' =+(&'&) &) #'(&' #'(&' *-%+ *-%+ > &*&' &*&' .#.&' .#.&'//- .#'&+* .#'&+*&' &' #'$- #'$- %#/-%' %#/-%' #+'( #+'((& (& /#*&'&' &%& +*-/ .#'+'(*&/!
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
4> R#-+/&+ K&%+$ P-).$'#% =RKP> S#&'& S#&'&+' +'&& /#%& /#%&++ #'/+ #'/+ &'/-' &'/-'( ( =8&%+& =8&%+&88 &%%#/> &%%#/> .&*& .&*& 2%$# 2%$#-% -% %#-+/& %#-+/&+ + *&% *&%+$ +$22-). ).$' $'#% #% #(#%& #(#%& &%&%- +)& +)&**-*& *&' ' #-& #-&++ #'( #'(&' &' ?&)& ?&)&?& ?& ABC ABC &' &' #/#%-'&! #/#%-'&! M#'(+'(&/ *#.-'(*+'&' *#.-'(*+'&' /#%&+'& /#%&+'& #'/+ &'/-'( &'/-'( 2&& -&/- $* 13
&'&?+) &'&?+)&* &*+ + #)&)#)&)- && && .&*& .&*& #&& #&&%' %'&& +/+&2 +/+&2 %-&'( %-&'( 2%&*/# 2%&*/#* * #$%&' #$%&'( ( $*/#% $*/#% /#%#+& #)&+' $&/,$&/ #.#%(#'8 2#%&'(*&/ +'?- &' 8&+%&''& -(& 2#%&'(*&/ %#-+/&+= Resucitation Resucitation kit > > -'/-* .#.-&*&' /+'&*&' #8#2&/'&!
7)Pen1e&hn
&! K#&2&&&' T+&2 T+&2 2#' 2#'-' -'/+ /+*& *&' ' &2&2 &2&2-' -' #'/ #'/-* -*' '&& /#%/#%-/& /&.& .& $&/, $&/,$ $&/ &/ &'( &'( /#)& /#)& +)&2$%*&' #%+?&/ &'/+(#' =#%-. 2#'++))+' &'#/#+ )$*&) )) > &%- #)&)&2&& -'/-* /+.-)'& %#&*+ &'?+)&*/+*!P#'#%+/& &'( /#%($)$'( %#+*$ /+'((+ =&& %+&&/ &.& %+'+/+ #*+. &/&- 2#'&*+/,2#'&*+/ &)#%(+ )&+''&> &%- )#+ )#+ +& +&2 2& &&+ &+ )&(+ )&(+!! J&'( J&'(&' &' .#'8 .#'8$ $&& .#' .#'-' -'/+ /+*& *&' ' $&/ $&/ &'( &'( &.& &.& +)& +)& ##)-.'& 2#%'& && %+&&/ &)#%(+ #/&2&2-' *#8+)'&! S#&+*'& .#'((&'/+ #'(&' 2%#2&%&/ )&+' &'( )#+ &.&'!
! T#/ *-)+/ T#/ *-)+/.#.&'( #&+*'& +)&*-*&' #8&%& %-/+' ##)-. 2#.#%+&' $&/ $&/ &(+ &(+ 2#'#% 2#'#%+/& +/& &'( &'( +8-%+ +8-%+(&+ (&+!! T+'&* T+'&*&' &' +'+ /&* &2&/ &2&/ +&'& +&'&)&* )&*&' &' &' -*&''& /&'2& %#+*$ /&2+ .+'+.&) *+/& &2&/ /#%)+'-'( &%+ &'*+ -*-.! P&& 2#'#%+/& #'(&' %#+*$ &.&/ /+'((+ &2&/ +8$& #'(&' /%&8/ /#/ #'(&' *#&2&&&' &' 2#%+&2&' &'( 2%+.&!
8! P#.#%+&' &'/++/&.+' &' *$%/+*$/#%$+ ! S#&(&+ 2#'8#(&&' ##)-. 2#'-'/+*&' $&/ -(& .#%-2&*&' /+'&*&' &'( &.&' #)&+' +/- &+)'&2-' &2&/ +&'&)*&' =T&'%& "01">!
! P#'(#/&-&' *#/#%&.2+)&' &' 2#%&)&/&'! E&%) +&('$+ &' #&%) /%#&/.#'/ #8&%& )#(#,&%/+ #%/& /#%#+&'& $&/, $&/ $&/&' &' ##% ##%/& /& 2#%&' 2#%&'(* (*&/ &/ %#%#-+/ +/&+ &+ )&+' )&+'' '&& .#%.#%-2& 2&*& *&' ' .$& .$&)) -/&. -/&.&& (-'& (-'& .#'(#)$)& $* &'&?+)&*+ &'( .-'(*+' /+&* &2&/ ++'&%+ &)&. 2%&*/#* -'+& *$$*/#%&' =T&'%& "01">! 14
B) Penisi Penisilin lin
P#'++)+' =PCN *&&'(,*&&'( ++'(*&/ &/&- 2#'&> &&)& #*#)$.2$* &'/++ &'/++$/+ $/+* * #%&&) #%&&) &%+ &%+ &.-% &.-% P#'+8+) P#'+8+))+)+-.! .! A'/++ A'/++$/+ $/+* * 2#'++) 2#'++)+' +' #8&%& #8&%& +/$% +/$%+ + 2#'/+'( *&%#'& .#%#*& &&)& $&/ 2#%/&.& &'( #?#*/+? .#)&&' 2#'&*+/ &'( ##)##)-.' .'&& #%+- #%+- #2#%/+ #2#%/+ +?+)+ +?+)+ &' +'?#* +'?#*++ S/&2 S/&2)$8 )$8$88 $88-! -! P#'++) P#'++)+' +' .&+ .&+ &'&* +(-'&*&' &&/ +'+ .#*+2-' &'&* #'+ &*/#%+ %#+/#' #*&%&'(! S#.-& 2#'++)+' &&)& B#/&,)&*/&. B#/&,)&*/&. &'/++$/+* &' +(-'&*&' +(-'&*&' &)&. 2#'($&/&' 2#'($&/&' +'?#* +'?#*++ &*/#%+ &*/#%+ &'( &'( +#& +#&*& *&' ' $)# $)# %#'/&' %#'/&' +&&' +&&'&& #%#' #%#'+ + G%&.,2 G%&.,2$+ $+/+? /+? $%(&'+.#! $%(&'+.#! I/+)& 2#'++)+' 2#'++)+' -(& &2&/ .#%--* 2&& 8&.2-%&' 8&.2-%&' &/ &'( #8&%& &)&.+ &' $%(&'+* +2%$-*+! I/+)& 2#'&. +(-'&*&' -'/-* .#'((&.&%*&' *#%&'(*& *#%&'(*& +'/+ &%+ &'(($/& &'(($/& #-& &'/++$/+* &'/++$/+* 2#'++)+'! 2#'++)+'! K#%&'(*& +'+ .#.+)+*+ .#.+)+*+ %-.- %-.- .$)#*-) .$)#*-) RC
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O 4 S +.&'& R &&)& %&'(*& &.2+'( &'(
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enicillium notatum notatum -'/-* 2#'((-'&&' +/#.+*! K#.-+&' +(-'&*&' P chrysogenum chrysogenum &'( .#'(&+)*&' P#'++)+' )#+ &'&*! P#'++)+' &'( +(-'&*&' &)&. 2#'($&/&' /#%&(+ &)&. P#'++)+' &)&. &' P#'++)+' #.++'/#/+*! P#'++)+' #.++'/#/+* +2#%$)# #'(&' 8&%& .#'(-& /%-*/-% *+.+& P#'++)+' &)&. &/&- #'(&' 8&%& +'/#+ &%+ +'/+ P#'++)+'! B##%&2& P#'++)+' &*&' #%*-%&'( &*/++/& .+*%$&'& &)&. -&&'& &&. #+'((& P#'++)+' *#)$.2$* +'+ &%- +#%+*&' #8&%& 2&%#'/#%&)! P#'++)+' )&+' +)&'( &*/++/&'& +)& +2#'(&%-+ #'+. B#/&)&*/&.&# =P#'++)+'&#> &'( .#.#8& 8+'8+' B#/&)&*/&.! = T&'- "009>
15
1! A!'i6i's $n Me!nisme Ke" Penisilin P#'++)+' .#'(&.&/ 2#.#'/-*&' M-*$2#2/+& &'( +2#%)-*&' -'/-* -'/-* +'/#+ +'/#+ +'+' +'+'( ( #) .+*%$ .+*%$&! &! T#%& T#%&&2 &2 .+*%$ .+*%$&& &'( &'( #'+/+ #'+/+? ? P#'++) P#'++)+' +' &*&' &*&' .#'(& .#'(&+) +)*&' *&' #?#* #?#* &*/#%+ &*/#%++ + =.#.=.#.-'- '- *-.&' *-.&'>> 2&& 2&& .+*%$& &'( #&'( &*/+? .#.#)&! M+*%$& &)&. *#&&&' .#/&$)+* /+&* /+&* &*/+? &*/+? =/+&* =/+&* .#.#) .#.#)&> &> 2%&*/+ 2%&*/+ /+&* /+&* +2#'( +2#'(&%&%-+ + $)# $)# P#'++) P#'++)+' +' *&)&&)&-22-' '
&& &&
2#'( #'(&%&%-'& '&
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=.#' =.#'( (&. &.&/ &/
2#%*#.&'(&'>! O)# *&%#'&'& 2#'/+'( -'/-* .#'(&+*&' &'/++$/+*& &'( +%##2*&' $*/#% &'&! .) E+e! E+e! Sm% Sm%in in& & Peni Penisi sili lin n
&! R#&* R#&*+ + +2#% +2#%#' #'+ +/+? /+? .-)&+ .-)&+ %-&. %-&. &' (&/& (&/&)) &.2&+ &.2&+ serum sickness &' %#&*+ &)#%(+ +/#.+* &'( #%+-! ! N#%+ /#'(($%$*&' &/&- )+& )+& /#%&& #%-)- )#.-/ .-'/& +&%#! 8! M-& M-& .&%& .&%& &)-+ &)-+'&+ '&+ *#&'( *#&'( 3! Se$in $"i Penisilin A'/++$/+*& ($)$'(&' 2#'++)+' &'( #%#&% + 2&&%&' -'/-* 2#'((-'&&' $%&) &&)& ; &! Am#!sisilin $n 1m%u"nn, -sm !l6ulm'/ 1> B#'/-* /&)#/ &/&- *&2-) #'(&' *&'-'(&' A.$*++)+' "50.( 500 500 .( &' &' 75 75 .(! .(! A(&% A(&% A.$* A.$*+ ++) +)+' +' /+& /+&* * %-&* %-&* $)# $)# &&. &&. )&. )&.-' -'( (
A.$* A.$*+ ++ +)+ )+' '
&& &&
&'( &'(
+*$ +*$. .+' +'& &++
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&&. &&.
K)&-)&.&/ 1"5 .(! U'/-* #+&&' +'+ /+&* $)# +&(+:+%&8+* *&%#'& *&'-'(&' $2/+.-. A&. K)&-)&.&/ -'/-* #'/-* #+&&' /&)#/ 1"5 .(!
16
"> B#'/-* B#'/-* #+&& #+&&' ' +%-2 #'( #'(&' &' *&'-' *&'-'(&' (&' A.$* A.$*++ ++)+' )+' 1"5 1"5 &' "50 .( : 5 .)! B+)& +*$.+'&+ #'(&' A&. K&-)&.&/ 31"5 .( A&. K)&-)&.&/ &' 1"5 .( A.$*++)+' &/&- 6"5 .( A&. K)&-)&.&/ &' "50 .( A.$*++)+'! 3> U'/U'/-* * #+ #+&& &&' ' +'#* +'#*+ + +&& +&& &)& &)&. . #'/ #'/-* -* +&) +&) 1!00 1!000 0 .( .( #'( #'(&' &' *$.+'&+ A&. K)&-)&.&/ "00 .(! () Am%isilin
1> B#'/-* #+&&' *&2-) &/&- /&)#/ #'(&' *&'-'(&' "50 .( 500 .( &/&- 1000 .(! ">B#'/-* #+&&' +%-2 #'(&' *&'-'(&' 1"5 .( &/&- "50 .(:5 .) +%-2! 3> U'/-* #+&&' +'#*+ +&& &)&. #'/-* +&) #'(&' *&'-'(&' "00 .( 500 .( &' 1!000 .( A.2++)+'! D&' && *$.+'&+ 1!000 .( A.2++)+' &' 500 .( S-)&8/&. &/&- 500 .( A.2++)+' &' "50 .( S-)&8/&. 1)Flu1l#81ilin
D+ 2&&%&' /#%&2&/ &)&. #'/-* *&2-) #'(&' *&'-'(&' "50 .( &' 500 .( &/ &*/+? -(& &)&. #'/-* +%-2 #'(&' *&'-'(&' &/ &*/+? 1"5 .( : 5 .)! $)9l#81ilin
D+ 2&&%&' /#%&2&/ &)&. #'/-* *&2-) #'(&' *&'-'(&' "50 .( &' 500 .( &/ &*/+? -(& &)&. #'/-* +&) #'(&' *&'-'(&' &/ &*/+? "50 .( 500 .( &' 1!000 .( :+&)!
17
3) Pen& Pen&&u &un nn n Kli Klini ni! !
&!In+e!si !umn &"m %#si'i+ K-.& K-.&' ' &)& &)&. . #'/ #'/-* -* *$**$*- #2#%/ #2#%/++ P'#P'#-.$ .$'+ '+& & M#'+ M#'+'( '(+/ +/+ + E'$ E'$*& *&% %+/ +/+ +
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24
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25
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26
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28
DAFTAR PUSTAKA
A.#%+8&' A8&#. $? A))#%( A/.& I..-'$)$( ="009>! Treatment of Anaphyla%is& Preparedness and Prevention! Prevention! //2;::!&&&&+!$%(:2%$?#+$'&):/%#&/.#'/&'&2)&+!2?! =06 M#+ "01"> A2+)+/&&/+ A'&/&+& ="009>! Penggunaan ="009>! Penggunaan Adrenalin Adrenalin dalam Pengobatan Pengobatan Anafilaksis
//2;::$#?!$%2%#!8$.:"009:03:19:2#'((-'&&',
&%#'&)+',&)&.,2#'($&/&',&'&?+)&*+:! =06 &%#'&)+',&)&.,2#'($&/&',&'&?+)&*+:! =06 M#+ "01"> C#' ="000>! 'an ="000>! 'anual ual (f Comm Common on )edside )edside !urgical !urgical Procedur Procedures es *nd Edition L+22+'8$/ W+))+&. W+)*+' B&)/+.$%# P#%+.2-'&' D$*/#% S2#+&)+ P#'&*+/ D&)&. I'$'#+& ="007>! )uku ="007>! )uku A+ar Ilmu Penyakit ,alam -ilid I ! J&*&%/&; P-&/ 2#'#%+/&' I).- P#'&*+/ D&)&. F&*-)/& K#$*/#%&' U'+#%+/& I'$'#+&! S8&%/ SI =195>! "emostasis& =195>! "emostasis& !urgical )leeding And Transfusion! Transfusion! I'; S8&%/ S =#>; P%+'8+2)# $? S-%(#% 5 #+/+$'! N# Y$%*! M8G%& H+))!
S$8* =1997>! Advanced =1997>! Advanced Trauma .ife !upport !upport !tudent Course 'anual / th Edition! Edition! C+8&($ ; A.#%+8&' C$))#(# $? S-%(#$'!
T&'%& H-'+ ="01">! Patofisiologi ="01">! Patofisiologi dan Penatalaksanaan Penatalaksanaan !yok Anafilaksik U'+#%+/& H&&'-+',M&*&&% T&'- I ="009>! 0armakologi ="009>! 0armakologi dan Terapi Terapi Edisi 1 J&*&%/& ; F&*-)/& K#$*/#%&' U'+#%+/& I'$'#+&! 29
T$.&#*+ CA ="001>! Anaphyla%is ="001>! Anaphyla%is and Acute Allergic Reaction D&)&. Reaction D&)&. ; C)+'# D!M! #/ &)! E.#%(#'8 M#+8+'# ; A 8$.2%##'+# S/- G-+# C$.2&'+$' &'$$*! E-%$2# ; M8G%&,+)) #-8&/+$'! W$%*+'( G%$-2 $? /# R#-8+/&/+$' C$-'8+) =UK> ="00>! Emergency ="00>! Emergency Treatment of Anaphylactic Reactions! Reactions ! //2;::!%#-!$%(!-*:2&(#:%#&8/+$'!2?! =06 M#+ "01">
30
