NASKAH JURNAL

“PEMANTAUAN TERAPI OBAT PADA PASIEN KOLIK ABDOMENT”

DI RUMAH SAKIT BHAYANGKARA BRIMOB DEPOK
PERIODE 06 OKTOBER – 31 OKTOBER 2017

Disusun Oleh:

YONATHAN D.
PATUNDE, S.FARM
1643700183

PROGRAM STUDI PROFESI APOTEKER ANGKATAN XXXVIII

FAKULTAS FARMASI
UNIVERSITAS 17 AGUSTUS 1945 JAKARTA
2017
 “PEMANTAUAN TERAPI OBAT PADA PASIEN KOLIK ABDOMENT”
DI RUMAH SAKIT BHAYANGKARA BRIMOB DEPOK
PERIODE 06 OKTOBER – 31 OKTOBER 2017

MONITORING OF DRUG THERAPY ON ABDOMENT CATHIBUS PATIENTS

IN BHAYANGKARA HOSPITAL BRIMOB DEPOK

PERIOD 06 OCTOBER – 31 OCTOBER 2017

Yonathan David Patunde, S.Farm1

Program Study Pendidikan Profesi Apoteker

Universitas 17 Agustus 1945 Jakarta

Abstrak

Kolik abdomen adalah rasa nyeri pada perut yang sifatnya hilang timbul dan bersumber dari
organ yang terdapat dalam abdomen (perut). Hal yang mendasari hal ini adalah infeksi pada
organ di dalam perut (mencret, radang kandung empedu, radang kandung kemih), sumbatan
dari organ perut (batu empedu, batu ginjal). Ditjen Bina Yanmedik Depkes RI, penyakit saluran
pencernaan menempati urutan ke tiga dari 10 penyakit utama penyebab kematian di rumah sakit
di Indonesia dengan jumlah kematian 6.590 dari 225.212 kasus dengan Case Fatality Rate
(CFR) 2,93% tahun 2007 dan 6.825 dari 234.536 kasus dengan CFR 2,91% tahun 2008. Tujuan
pmantauan trapi obat pada pasien kolik abdomen di ruang rawat inap Cempaka RS.
BHAYANGKARA BRIMOB DEPOK yaitu untuk Meningkatkan efektifitas terapi dan
Meminimalkan risiko reaksi obat yang tidak dikehendaki (ROTD). Metode pengamatan yang
dilakukan menggunakan rekam medis pasien selama perawatan di Rumah Sakit
BHAYANGKARA BRIMOB DEPOK. Hasil pemantauan diperoleh selama perawatanditeumkan
DRP yaitu adanya interaksi penggunaan obat secara bersamaan.

Kata Kunci : Kolik Abdomen, Etiologi kolik abdomen, Drug Related Problem (DRP)
 Abstract

Abdominal colic is a pain in the abdomen that is lost and arising from the organ contained in the
abdomen (stomach). The underlying thing is the infection of the organs in the stomach (diarrhea,
gallbladder inflammation, bladder inflammation), obstruction of the abdominal organs
(gallstones, kidney stones). DG of Medical Care MOHRI, gastrointestinal diseases ranks third of
10 major cause diseases in hospital in Indonesia with the number of deaths 6,590 from 225,212
cases with Case Fatality Rate (CFR) of 2.93% in 2007 and 6,825 of 234,536 cases with CFR
2.91% in 2008. Purpose of drug trapi monitoring in patients with colon abdomen in Cempaka
RS inpatient. BHAYANGKARA BRIMOB DEPOK is to improve the effectiveness of therapy and
Minimize the risk of unwanted drug reactions (ROTD). Methods of observation made using the
patient's medical records during treatment at BHAYANGKARA BRIMOB DEPOK Hospital. The
results of monitoring were obtained during the care of the DRP that is the interaction of
concurrent drug use.

Keyword : Abdominal colic, Aetiology of abdominal colic, Drug Related Problem (DRP)

PENDAHULUAN

World Health Organization population.

(WHO) Global Infobase 2002, Cause The results of Household Health Survey
Specific Death Rate (CSDR) (SKRT), Proportional Mortality Ratio
gastrointestinal diseases in some (PMR) of gastrointestinal diseases in
countries, Germany 51 per 100,000 Indonesia increased by 5.1% in 1992 to
population, UK 47 per 100,000 6.6% in 1995 and 7% according to the
population, France 42 per 100,000 2001 National Health Survey
population, Finland 39 per 100,000 (SUKESNAS) .
population, Switzerland 34 per 100,000 DG of Medical Care MOHRI,
population, 33 Sweden per 100,000 gastrointestinal diseases ranks third of 10 major
inhabitants, 33 Australians per 100,000 cause diseases in hospital in Indonesia with the

inhabitants, Argentina 31 per 100,000 death of 6,590 from 225,212 cases with Case

population, United States 30 per Fatality Rate (CFR) of 2.93%

100,000 population, University of North in 2007 and 6,825 out of 234,536 cases with CFR

Sumatra Bangladesh 26 per 100,000 2.91% in 2008.

population, Zimbabwe 20 per 100,000 One of the diseases of the

population, and Albania 16 per 100,000 gastrointestinal tract is an infection of the

appendix called appe ndicitis. 8 Appendicitis
causes an acute abdomen and requires surgical
action. 9 Asif research (2008) at Kharian
Islamabad Hospital in 220 patients with acute
abdominal symptoms was obtained by acute
appendicitis proportion 21.4%, non-specific
abdominal pain 15.4%, acute cholecystysis
12.7%, 14.5% small bowel obstruction, ulcer
pepticum 11.8%, renal colic 9%,
pancreatic 4%, 4% gynecological disease, 1.3%
meckel diverticulitis, gastrointestinal 1.3%,
aleocaecal1,3% tuberculosis, 0.9% mesenteric
ischemia, liver cancer 0 , 9%,
inflammation 0.5%, and typhlitis 0.5%.
DISKUSI
Patient Mrs S is 62 years old, patient is
admitted to Bayangkara Hospital Jakarta on 28-
10-2017 with patient complaints coming with
heartburn and vomiting every meal since 2
days. Patients diagnosed with colon abdomen.
Based on physical examination of the patient,
TD at baseline enter 120/100 mmHg, pulse: 80,
Respiration: 20, Temperature 36.
DISKUSI
Investigations performed on 28-10-
2017 ie haematological laboratory results:
High leukocytes: 12,900 u / l, and
Hematocrit: 32%. Patients treated for 3 days
and out in conditions that have not improved
with the provision of therapy that is not
rational because of the inappropriate drug
therapy / drug interactions are very risky.
Abdominal colic medications
ranitidine, ondasentron, ceftriaxone, folic
acid, levofloxacin, and lanzoprazole. After
analyzed the use of drugs during therapy
with the method found Cipolle Drug Related
Problem (DRP) is the interaction. There are
drug interactions on the provision of
treatment therapies Levofloxacin and
acute ondansetron both increase QTc intervals.
Avoid or Use Alternative Drugs. Avoid with
congenital long QT syndrome; EKG
monitoring is recommended with concurrent
kidney
drugs that prolong the QT interval,
electrolyte abnormalities, CHF, or
bradyarrhythmias, therefore it is advisable to
monitor the heart irma and should be
replaced the use of more appropriate drug
therapy as with other class medications.
Therefore, this problem should be discussed
with the responsible pharmacist with the
prescribing author to suggest to monitor the
Drug Related Problem (DRP) so as to
minimize the errors and reduce the loss in
patient treatment
KESIMPULAN
Based on the monitoring of patient drug
therapy on behalf of Mrs. S. age 62 years
with diagnosis by doctors that is colon
abdomen concluded that:
1. The effectiveness of the therapy of the
patient shows good results where the
patient has not experienced stomach
given
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Mahadevan, SV. 2005.
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