Management of Asthma Exacerbation PDF
Management of Asthma Exacerbation PDF
2019
MANAGEMENT OF
ASTHMA EXACERBATION
Alfian Nur Rosyid
Pulmonologist, Universitas Airlangga
ALFIAN NUR ROSYID, dr., Sp. P, FAPSR
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Defisini
Epidemiologi
-Patogenesis
MENU
Asma Outline Materi
Eksaserbasi
Diagnosis
Tatalaksana
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PENDAHULUAN
penyakit
airway ±300 Juta Pasien Asma
kronis
Prevalensi
Prevalensi
terus naik
1-18%
Sering bolos
Ringan mematikan
EPIDEMIOLOGI
DUNIA
Riskesdas 2018
Asma : 2.4% 6
ASMA WHO 2008
MEMATIKAN
1,4 juta kematian
karena penyakit
airway kronis
Asma (7,8%)
PPOK (86%)
Paru
Asma bronkial 4A
Status asmatikus 3B
(asma akut berat)
AsBro KELUHAN VARIABEL
BERULANG
Radang Kronis
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Hiper
reaktif
Alergen
Cuaca
Ras /
Etnis Atopi Exercise
Makanan
Jenis
Kelamin
Gene Obat
Envi
Iritan
Polusi
Rokok Emosi
AIRWAY
REMODELING
Diagnosis Asma?
Riwayat gejala khas Asma
Eksaserbasi ≥
Hamil Obese 1x dlm 1 thn FEV1 rendah
lalu
Ringan
FASKES tk.1
START TREATMENT
SABA 4–10 puffs by pMDI + spacer, TRANSFER TO ACUTE
repeat every 20 minutes for 1 hour CARE FACILITY
Prednisolone: adults 1 mg/kg, max. WORSENING
While waiting: give inhaled SABA
50 mg, children 1–2 mg/kg, max. 40 mg and ipratropium bromide, O2,
Controlled oxygen (if available): target systemic corticosteroid
saturation 93–95% (children: 94-98%)
IMPROVING
FOLLOW UP
Reliever: reduce to as-needed
Controller: continue higher dose for short term (1–2 weeks) or long term (3 months), depending
on background to exacerbation
Risk factors: check and correct modifiable risk factors that may have contributed to exacerbation,
including inhaler technique and adherence
Action plan: Is it understood? Was it used appropriately? Does it need modification?
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Terapi di IGD
Steroid
Oksigen SAMA +
SABA inhalasi 1
saturasi 93- SABA
inhalasi jam awal
95% inhalasi
eksaserbasi
Obat penenang
Eksaserbasi
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DISKUSI
Unduh materi gratis:
bit.ly/asbro19
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POST TEST
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