TUTORIAL KLINIK

KERACUNAN INSEKTISIDA

Disusunoleh :
Natasha Aurellia (406148023)
Eric Phangestu (406148046)
Novita Iskandar (406148148)
Stevan (406151036)
Ivonna Sonia (406151046)

Pembimbing :

dr. RatnaRelawati, Sp.KF, Msi,Med

dr. Istiqomah, Sp. KF

KEPANITERAAN ILMU FORENSIK

RUMAH SAKIT BHAYANGKARA SEMARANG
PERIODE 31 OKTOBER 2016 3 DESEMBER 2016
FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA
JAKARTA

DAFTAR ISI

Skenario Pemicu ...........................................................................................................01

Unfamiliar Terms ............................................................................................................02
Perumusan Masalah ......................................................................................................02
Curah Pendapat ............................................................................................................03
Mind Mapping ..............................................................................................................04
Learning Objectives........................................................................................................05
Toksikologi....................................................................................................................06

Pendahuluan.......................................................................................................06

Toksikologi Umum........................................................................................................07

Racun...................................................................................................................07
Etiologi................................................................................................................07
Prinsip Pengobatan Keracunan...........................................................................08
Kriteria Diagnosis Keracunan.............................................................................08
Pengambilan Bahan Toksikologi...........................................................................09

Toksikologi Khusus .......................................................................................................10

Intoksikasi Sianida.........................................................................................................10

Patomekanisme...................................................................................................10
Pemeriksaan Fisik ..............................................................................................13
Standar Penggunaan danToksisitas.......................................................................13
Tandadangejalakeracunansianida....................................................................14
Pemeriksaankedokteranforensik........................................................................15
PemeriksaanLaboratorium.................................................................................16
Pengobatan .........................................................................................................17

Keracunan Arsen ..........................................................................................................20

Sumber-sumber Arsen .........................................................................................20

Farmakodinamik dan Farmakokinetik ...............................................................22
Dosis Toksik........................................................................................................23
Gejala Klinis ......................................................................................................24
Penemuan Otopsi ...............................................................................................27
Pemeriksaan Toksikologi ....................................................................................28
Penatalaksanaan .................................................................................................30

Pemeriksaan Forensik

Pemeriksaan Post Mortem ....................................................................................31

Pemeriksaan Luar dan Dalam ....................................................................................32
Peneriksaan Tambahan ......................................................................................34
Aspek Medikolegal

Keperluan Penyidikan ..........................................................................................37

Meracuni sebagai Tindak Penganiayaan 38
Meracuni sebagai Tindak Pembunuhan 38

DAFTAR PUSTAKA
1. Juli Soemirat Slamet. 2005. KesehatanLingkungan. Gajah Mada Univ
Press. Yogyakarta.
2. Yuanita, MG Catur. 2011. Dampak Pestisida Organoklorin Terhadap Kesehatan Manusia
dan Lingkungan serta Penanggulangannya. Semarang: Universitas Dian Nuswantoro
Semarang.
3. Budiyanto A, Wibisana W, et al. Keracunan Insektisida, Jakarta: Ilmu Kedokteran
Forensik.1997. p.121-128
4. Sudarmo S. Pestisida. Kanisius. Yogyakarta. 2007.
5. Budi T. ANALISIS FAKTOR RISIKO KERACUNAN PESTISIDA
ORGANOFOSFAT[Internet], 2009[dikutip 2016 November 13]. Didapatdari :
http://eprints.undip.ac.id/17895/1/TEGUH_BUDI_PRIJANTO.pdf
6. A. Aristantyo. Keracunan Organofosfat[Internet], 2013[dikutip 2016 November 13].
Didapatdari : eprints.undip.ac.id/43717/3/Anangga_Aristantyo_KTI_BAB_II.pdf

7. Idries AM. Pedoman ilmu kedokteran forensik edisi pertama. Jakarta: Bina rupa Aksara,
1997
8. Gonzales TA, Vance M, Helpern M, Umberger CJ. Legal medicine pathology and
toxicology second edition. New york: Appleton-century-crofts, Inc, 1954
9. Darmono. Toksisitas organofosfat[Internet], [dikutip 2016 November 12]. Didapat dari :
www.Geocities.com/kul-farm/farm-forensik/pestisida.doc.hasil pertanian.Toksisitas
10. Santoso J. Forensicpaper. Available from URL: HYPERLINK
http://forpapjs.blogspot.com/2005/06/forensic-paper.html
11. Katzung BG. Toksikologikerja dan lingkungan dalam farmakologi dasar dan klinik, edisi
IV. Jakarta: Penerbit Buku Kedokteran EGC, 1995.
12. Harms J, Wilson C, Everson R. Organophosphate and Carbamate Insecticide Poisoning,
2006[dikutip 2016 November 13]. Didapat
dari :http://www.addl.purdue.edu/newsletters/1998/summer.organos.html
13. Nishijima KD. Excerpt from Toxicity, Organophosphate and
Carbamate,2006 [dikutip 2016 November 12]. Didapat
dari :http://www.emedicine.com/emerg/byname/toxicity-
organophosphate-and-carbamate.htm
14. Peraturan Perundang-undangan Bidang Kedokteran. Jakarta : Bagian Kedokteran
Forensik FKUI; 1994. p.11-12,14
15. Budiyanto A, et al. Ilmu Kedokteran Forensik. Jakarta: Bagian Kedokteran Forensik
FKUI; 1997.p.3-11, 15-16, 26-33, 55-57, 64-70.
16. Fakultas Hukum Unsrat. KITAB UNDANG-UNDANG HUKUM PIDANA (WETBOEK
VAN STRAFRECHT). [cited: 12 Nov 2016]. Available from:
http://hukum.unsrat.ac.id/uu/kuhpidana.htm