UMUM

Anemia Defisiensi Besi Falciparum:

R/ Tab Sulfas Ferosus 325mg No. XXX R/ Tab. FDC (dihidroartemisinin, Piperaquin) No. IX
s.3.d.d. tab I ac s.1.d.d. Tab III
R/ Tab Vitamin C No XXX dosis <60kg 3 tab, >60kg 4 tab
s.1.d.d. tab I ac R/ Tab. Primaquin 15mg No. II
s.1.d.d. Tab.II
Anemia Defisiensi Folat & B12 dosis <60kg 2 tab, >60kg 3 tab
R/ Tab. Asam Folat 400mcg No XXX
S.2.d.d. tab I ac Vivax dan Ovale
R/ Tab. Vit B12 No XXX R/ Tab. FDC (dihidroartemisinin, Piperaquin) No. IX
S.1.d.d. Tab I ac s.1.d.d. Tab III
dosis <60kg 3 tab, >60kg 4 tab
Campak R/ Tab. Primaquin 15mg No. XIV
Demam, ruam makulpapuler descending, 3C s.1.d.d. Tab.I
conjunctivitis coryza cough
DD: rubella, scarlett fever, coxsackie virus Malariae
R/ Tab. FDC (dihidroartemisinin, Piperaquin) No. IX
R/ Syr. Paracetamol 120 mg/5ml lag I s.1.d.d. Tab III
S.3.d.d. cth I prn
R/ Cap. Vitamin A 100.000IU No.II Ibu Hamil Trimester I
s.1.d.d. cap I pc R/ Tab. Kina 300mg No. XXI
s.3.d.d. Tab. ... pc
DHF dosis 10mg/kgBB
Demam, ruam merah, mimisan R/ Tab. Clindamycin 300mg No VII
Hipotensi, tachycardia, Rumple Leed, efusi pleura, s.1.d.d. Tab ... pc
ascites, dosis 10mg/kgBB
Darah rutin, NS1, IgG, IgM, CXR RLD
R/ Tab. Paracetamol 500mg No. XII Profilaksis
s.3.d.d. Tab. I R/ Tab. Doxyciclin 100mg Tab XXX
s.1.d.d. tab I pc
Filariasis Diminum 2 hari sebelum hingga 4 minggu setelah
R/ Tab Dietilcarbamazin Sitrat 100mg No.
s.3.d.d. tab ... pc Disentri Basiler
dosis 6mg/kgBB Dosis anak cotri: 5 TMP/kgBB/dose
R/ Syr. Cotrimoxazole (40mg /200mg)/5ml Lag II
Leptospira S2dd. Cth.I
R/Tab. Doxycycline 100mg No. XIV R/ Tab. Ciprofloxacin 500 mg No. XIV
s.2.d.d. Tab I pc S2dd Tab.I
R/Tab. PCT 500mg No. XV R/ Tab. Zinc 20 mg
s.3.d.d. tab I pc s. lact. qs
m.f.pulv. dtd. No. X
Malaria s1dd pulv 1 p.c.
Demam menggigil keringat
Komplikasi: penkes, blackwater, perdarahan, hipotensi
Penunjang: apusan darah tebal tipis,
Disentri Amuba R/ tab. Acyclovir 800 mg
R/ Tab. Metronidazole 500 mg No. XV s.lact q.s.
S3dd tab I m.f. pulv. dtd. No. XXXV
R/ Syr. Metronidazole 125mg/5ml Lag II s5dd pulv I pc
S3dd cth I R/ Syr. Cetirizine 5 mg/5ml Lag I
R/ Tab. Zinc 20 mg S1dd cth1. prn
s. lact. qs R/ Syr. Paracetamol 120mg/5ml lag I
m.f.pulv. dtd. No. X S3dd cth1. prn
s1dd pulv 1 p.c. Mandi 3x sehari, dengan dettol, jangan digaruk

Gizi Buruk
Kwarshiorkor : edema, rambut jagung, crazy pavement MATA
Marasmik: kurus, baggypants, muka tua Blefaritis
Riwayat tumbang, sosioekonomi, infeksi R/ ED Gentamisin 0,3% fl.No. I
DD: TB, HIV S.o.2.h gtt 1 ods
Hipoglikemia, Hipotermia, Dehidrasi
Glaukoma
Tetanus R/ Tab Acetazolamide 250mg No II
Trismus, riwayat imunisasi TT s.1.d.d Tab II
DD: PTA, meningitis, tetani (hipokalsemi), rabies R/ ED. Timolol 0.5% fl.No. I
R/ Inj. Tetagam 250 IU s.2.d.d. gtt. II ods
s.i.m.m. R/ Tab. Domperidone 10mg No. X
R/ Tab. Metronidazole 500mg No. XXX s.p.r.n. 3.d.d. Tab. I
s.4.d.d. Tab I Rujuk!

Tifoid Hordeolum
R/ Tab. Chloramfenicol 500mg No XL R/ EO. Chloramphenicol 1% Tube I
s.4.d.d. Tab I s.3.d.d. ue ods
R/ Tab. Ciprofloxacin 500mg No. XIV Kompres hangat 15 menit, jaga kebersihan
s.2.d.d. Tab.I p.c.
R/ Syr. Chloramphenicol 125 mg/5 ml lag II Keratitis Sicca
s.o.6.h. cth I R/ ED Artificial tears fl. No.I
R/ Tab. Paracetamol 500mg No. XII s.o.4.h gtt I ods
s.3.d.d. Tab. I p.c.
Konjunctivitis/keratitis Bakteri
Varicella R/ ED. Chloramphenicol 1% fl.No.I
Demam mendahului lesi kulit, Tzank Test S.o.4.h.gtt. II.ODS.
DD: campak, ricketsia, scarlett fever
R/ Tab. Acyclovir 800mg No. XXXV Konjunctivitis Viral
s.5.d.d. Tab I p.c R/ EO. Acyclovir3% Tube I
R/ Tab. Cetirizine 10mg No. X s.o.8.h. gtt. IIods
s.1.d.d. Tab 1 p.c prn R/ ED. Cendo Liteers fl.No. I
R/ Tab. Paracetamol 500 mg No. XV s.o.8.h. gtt II ods
s.3.d.d tab 1 prn
Konjunctivitis Alergika
anak (dosis acyclovir 4x20mg/kgBB) R/ ED. Fluorometholone 0.1% Lag I
 s.o.12.h. gtt. I ods
Konjunctivitis Fungal
R/ EO. Amfoterisin 3% Tube.I
s.o.8.h ods
Retinopathy/ DM
R/ Tab. Metformin 500mg No.X
s.3.d.d. Tab I. p.c.
R/ Tab. Glibenklamid 5 mg No X
s.1.d.d. Tab. I a.c.
Retinopathy/ Hipertensi
R/ Tab. Captopril 12.5mg
s.3.d.d. Tab. I p.c.
R/ Tab. HCT 12.5mg
s.1.d.d. o.m. Tab. I
THT
Faringitis
R/ Tab. Amoxicillin 500mg Tab. XV
s.o.8.h. Tab. I p.c.
R/ Tab. PCT 500mg Tab. X
s.3.d.d. Tab. I p.c. prn (demam)
R/ Tab. Dexamethasone 0,5 mg No. IX
s.3.d.d. tab I
Meniere Disease/BPPV
R/ Tab. Dimenhydrinate 50mg No. XV
s.3.d.d. Tab. I p.c.
R/ Tab. Betahistin Mesylat 6 mg No.XV
s.3.d.d Tab. I p.c.
OED
R/ ed. Polimiksin B fl. No.I
S3dd gtt IV AD (dengan tampon)
OE Sirkumskripta
R/ eo. Polimiksin B Tube. No. I
S3dd ue AD/AS
OMA
R/ ND. Efedrin HCL 0,5% Lag I
s.3.d.d. gtt. I. nds
R/ Tab. PCT 500mg No.XV
S.p.r.n. Tab. I
R/ Tab. Amoxicillin 500mg No. XV
s.o.8.h. Tab. I p.c.
OMA Perforasi
R/ ed. hidrogen peroxide 3% Lag. No. I
s.2.dd.gtt.2. ad
R/ ed. Ofloxacin fl. No. I.
s.2.dd. gtt. VI. ad
rujuk jika tdak menutup dalam 3 bulan.
Otomikosis
R/ Cr. Miconazol Tube. I
s.2.d.d. ue ad/s
R/ Sol. Asam Asetat 2% Lag. No. I
S1dd gtt II ad/as
Parotitis
Demam, bengkak area pipi, diperparah mengunyah
DD:sjorgen syndrome, lymphadenopathy, sialoadenoma
R/ Tab. Paracetamol 500mg No. XX
s.3.d.d.prn. tab I pc
Edukasi: Masker, jaga kebersihan gilut,
Rhinitis Allergica
R/ Tab. Loratadine 10mg No. X
s.1.d.d. o.m. Tab. I p.c. prn
R/ Budesonide 200mcg Lag. I
s.2.d.d. puff I
R/ Tab. Pseudoefedrin 30 mg No. X
S3dd tab I
Rhinitis Bacteria
R/ Tab. Amoxicillin 500mg No. XV
s.o.8.h. Tab. I p.c.
Serumen Prop
R/ ED. Carbogliserin 10% fl.I
s.3.d.d. gtt II ADS
NEUROLOGY
Bell’s Palsy
Dosis 1mg/kgbb/hari (60mg/hari)
R/ Tab. Prednisone 5mg No. LX
s.3.d.d. Tab IV pc
 Stroke Ischemic
Cluster Headache R/ Tab. Aspirin 80mg No. IV
O2 100%, 8 L/menit s.1.d.d. Tab. IV
R/ Inj. Sumatriptan 6 mg/0,5 ccAmp. I
s.i.m.m (subkutan) TTH
R/ Tab. Verapamil 120 mg No. X R/ Tab. Natrium Diclofenac 50mg No.
S.2.dd tab I s.p.r.n. 3.d.d. Tab. I p.c.
rujuk! R/ Tab. Diazepam 2mg No.V (lima)
s.p.r.n. 4.d.d. Tab. 1 p.c.
HNP
R/ Tab. Diazepam 5mg No.X DERMATOVENEREOLOGI
s.2.d.d. tab I pc Chancroid
R/ Tab. Paracetamol 750mg No.XX R/ Tab. Azythromycin 1g Tab. VII
s.4.d.d. tab I pc s. minum di depan dokter
R/ Tab Methylprednisolone 8mg Tab XX
s.3.d.d. Tab I pc Candidiasis Vulvovaginal
R/ Tab. Fluconazole 150mg No. I
Kejang Demam s.1.d.d. Tab I
DD: meningitis, epilepsi R/Vag Supp Nystatin 100.000 IU
PP: Darah rutin, GDS, elektrolit, LP<12bln S.3.d.d.
R/ Rectal Sup. Stesolid 10mg No.II
s.i.m.m. Cutaneous Larva Migran
R/ Syr PCT 120mg/5ml Lag I R/ Tab. Albendazole 400mg No. III
s.3.d.d. cth I pc s.1.d.d. Tab I
R/ Diazepam 1mg
s.lact qs Dermatitis
mfla dtd da in pulv VI R/ Cr. Hydrocortione 2,5% Tube I
s.3.d.d. pulv I pc s.2.d.d. ue
R/ Tab Cetirizine 10mg Tab No.X
Migraine s.1.d.d. tab I
R/ Tab. Natrium Diclofenac 50mg No.XV .
s.p.r.n. 3.d.d. Tab. I p.c. Herpes Genitalis
R/ Tab. Domperidone 10mg No. X R/ Tab. Acyclovir 200mg Tab. XXV
s.p.r.n. 3.d.d. Tab. I s.5.d.d. Tab. I
R/Tab. Amitriptilin 10mg No.XV
S1dd. Tab. I (malam) Impetigo
R/ Cr. Mupirocin 2% Tube I
Meningitis s.3.d.d. ue
Rawat inap R/ Tab Dicloxacillin 250mg No. XXVIII
R/ Inj. Ceftriaxone 1gr/50 cc Amp. II s.4.d.d. Tab I pc
s.i.m.m
Lepra Paucibaciller
Seizure R/ Tab. Rifampicin 600mg Tab. I
R/ Supp Diazepam 10mg No.I s. 1 dd tab I (minum di depan dokter)
s.1.d.d. supp R/ Tab. Dapsone 100mg Tab. XXX
s.1.d.d. Tab. I p.c.
Lepra Multibaciller R/ Tab. Metilprednisolone No X
R/Tab. Rifampicin 600mg Tab. I s.2.d.d. Tab I
s. 1dd tab I (diminum di depan dokter) Tinea
R/ Tab. Clofazimin 100mg No. III R/ Cr. Ketoconazole 2% Tube I
s.1dd tab I (diminum di depan dokter) s.2.d.d. ue
R/ Tab. Clofazimin 50mg XXX R/ Tab Ketoconazole 200mg No.XV
s.i.d.d. Tab. I p.c. s.1.d.d. Tab I pc
R/ Tab. Dapsone 100mg Tab. XXX Vaginitis Bakterial
s.1.d.d. Tab. I p.c R/ Tab. Metronidazole 500mg No. IV
s.1.d.d. Tab IV (single dose)
Pediculosis Capitis
R/ Cr. Rinse. Permethrin 1% Lag.II Respirology
S.2.d.d. ue Asthma
Sesak nafas, batuk, rekuren, trigger, wheezing
Pyoderma Riwayat atopi
R/ Tab. Erythromicin /Dikloksasillin 250 mg No. XXVIII DD: bronkitis, pneumonia
s.4.d.d. Tab. I p.c. PP: spirometri,
R/ Cr. Mupirocin 2% Tube I Attack
s.2.d.d. ue R/ Nebul. Salbutamol 2,5mg/2ml Res II
s.i.m.m.
Scabies R/ Nebul. Ipratropium Bromide 0,5mcg/2ml Res II
R/Cr. Permethrin 5% Tube II s.i.m.m.
s.i.d.d. ue. hs. (seluruh tubuh selama 10 jam) R/ Tab. Methylprednisolone 8mg No.X
s.3.d.d. Tab I pc
Sifilis Primer
R/ Benzatin Penisilin G 2.4jt IU Intermiten: <2 day/wk or <2night/mo
s.i.m.m R/ Inhaler. Salbutamol 100 mcg Lag.I
S.p.r.n. 3.d.d. puff.I
Trichomoniasis Mild Persistent: >2day/wk or >2night/mo
R/ Tab Metronidazole 500mg No. IV R/ MDI Budesonide 200mcg Lag. I
s.1.d.d. Tab IV (single dose) s.2.d.d. puff.II
Moderate Persistent: Daily or >1night/wk
Urethritis Gonorrhea R/ MDI Budesonide 200mcg Lag. I
R/ Tab. Cefixime 400 mg No. I s.2.d.d. puff.II
s.1.d.d. tab I (single dose) R/ Inhaler Salmeterol 100mcg Lag. I
R/ Tab. Azythromcin 500mg No. II s.1.d.d. puff.I
s.1.d.d. tab II (single dose) Severe Persistent: Frequent
R/ MDI Budesonide 400mcg Lag. I
Urethritis Non Gonorrhea s.2.d.d. puff.II
R/ Tab. Azythromycin 500mg Tab. II R/ Tubulin Inhaler Salmeterol 100mcg Lag. I
s.1.d.d. Tab II (single dose) s.1.d.d. puff.I

Urtikaria TB
R/ Tab. Cetirizine 10mg No V R/ Tab. 4KDT No.XXVIII
s.1.d.d. prn. Tab I s.1.d.d. Tab.IV (kontrol seminggu)
+ angioedema R/ Tab. Ambroxol 30mg Tab.XV
 s.p.r.n. 3.d.d. Tab.I R/ Tab Albendazole 400mg No. I
R/ Tab. Vit B6 10mg No. VII s.1.d.d. tab I (single dose)
s.1.d.d. Tab. I R/ Tab. Sulfas Ferrous325 mg No. XXX
S1dd tab I
COPD
R/ Tab. Salbutamol 4mg Gastritis
S.p.r.n. 3.d.d. Tab.I R/ Tab. Omeprazole 20mg No XX
II: FEV1 50-80%: +LABA s.2.d.d. tab I ac
R/ Tubulin Inhaler Salmeterol 100mcg Lag. I R/ Tab. Ranitidine 150mg No.XX
s.1.d.d. puff.I s.2.d.d. tab I ac
R/ Tab. Antasida No.XX
III: FEV1 30-50%: + Corticosteroid s.3.d.d. tab I ac
R/ MDI Budesonide 200mcg Lag. I
s.2.d.d. puff.II GERD
IV: FEV1 <30%: + O2 R/ Tab. Omeprazole 20mg No XX
s.2.d.d. tab I ac
Bronchitis
R/ Tab Ambroxol 30mg No. XV Taeniasis
s.3.d.d. Tab I pc R/ Tab. Albendazole 400mg No. III
R/ Tab DMP 15mg No. XV s.1.d.d. Tab I
s.3.d.d. Tab I pc Masak daging sampai matang
R/ Tab. Cefuroxime 500mg No XX
s.2.d.d. Tab I pc Metabolic Syndrome
Wheezing Hipoglikemia
R/ Syr. Salbutamol 2mg/5ml Lag.I Lemas, tremor, penkes, hipotensi, diaforesis
s.2.d.d. cth. I R/ Inf. Dextrose 40% Flac. II
s.i.m.m
Pertusis R/ Inf. Dextrose 10% Phlab. I
R/ Tab. Erithromycin 250mg No. LVI s.i.m.m.
s.4.d.d. Tab I pc
R/ Syr. Salbutamol 2mg/5ml Lag. I ACS
s.3.d.d. cth I pc Nyeri dada kiri menjalar, RPK, RPD
R/ Syr. DMP 5mg/5ml Lag. I DD: STEMI, NSTEMI, UAP, Prinzmetal Angina, gastritis
s.3.d.d. cth.. pc PP: EKG, Enzim jantung, profil lipid
dosis anak 5-10mg, dewasa 15 mg R/ Tab. Aspirin 80mg No.IV
s.1.d.d. Tab IV
Pneumonia R/ Tab. ISDN 5mg No. III
CAP: R/ Tab. Azythromicin 500mg No.III s.p.r.n. 3dd tab I
s.1.d.d. Tab.I R/ Inf. Morphne 10 mg Lag.I
R/ Tab. Amoxicillin 1gr No.IX s.i.m.m.
s.o.8.h. Tab.I R/ Tab. Clopidogrel 75mg No. IV
HAP: R/ Tab. Ceftriaxone 2gr IV/IM s.1.d.d. Tab IV
s.i.m.m.
Preventif
Gastroenterology R/ Tab. Simvastatin 10 mg No. X
Ascariasis S1dd Tab I (malam)
CHF R/ Tab. Carbamazepine 200 mg No. X
Dyspneu d’effort, Orthopneu, PND (+), edema s.2.dd. tab I
ekstremitas, tidur bantal 3 R/ Tab. Haloperidol 1,5 mg No. X
Riwayat HT, DM, dislipidemia, stroke, obese s.2.dd. tab. I
Sedentary, pola makan, stress Profilaksis:
Riwayat keluarga R/ Tab. Lithium Carbonat 200 mg No. XIV
VS: HT RR HR naik s.1.dd. tab. I
Cardiomegali, Murmur, Cek pulmo edema, cek
ekstremitas, Cek JVP OCD/PANIC DISORDER/PHOBIA
EKG, CXR, Echocardiogram Behavior/exposure terapi
Diagnosis gagal jantung, causa, NYHA I II III IV Kasih alprazolam atau fluoxetin jika perlu
Terapi cek Grading AHA
R/ Tab. Captopril 12,5mg No.XX SKIZOFREN / GANGGUAN PSIKOTIK AKUT
s.2.d.d. Tab.I p.c. R/ Inj. Haloperidol HCl 5 mg/ml Amp. I
R/ Tab. Furosemide 40mg No.XX s.i.m.m
s.2.d.d. Tab.I
R/ Tab. Digoxin 0.25mg No. X (grade C dan D) kasus gejala negatif
s.1.d.d. Tab. I R/ tab. Risperidone 2 mg No. XIV
R/ Tab. Atenolol 50mg No.XVIII (post MI) S1dd tab I
s.o.12.h. Tab I
Edu: kurangi Na, perbaiki lifestyle.

Nephrotic Syndrome
R/ Tab. Prednisone 40mg No. IV (akut)
s.o.12.h. Tab.I
R/ Tab. Prednisone 40mg No. X (maintenance)
s.1.d.d. Tab.I
R/ Tab. Furosemide 40mg No. XX
s.2.d.d. Tab.I
Edukasi: restriksi Na, konsul gizi

JIWA
Gangguan Cemas
R/ Tab. Diazepam 2 mg No. X (sepuluh)
s.2.dd. tab. I
*(max 3 bulan)

Depresi
Farmakoterapi bila gejala selama 2-4 minggu, rawat
inap jika ada keinginan bunuh diri

R/ Tab. Fluoxetin 10 mg No. XIV(empat belas)

s.2.dd. tab I

Bipolar tipe Manik