Se eR te RN A a ee ee ei TS ars raha! SOIABETES ui Ce el we ee MA Diabetes Malttus WE | = umumeya terfadi pada anal 2 Sel yarg acta Sealya (urea) = Seltota poniereas you diserons di anireas: Sel beta Gnswuun ) Oleh andor Sel delta (spmmatostahn ) wenyedab\ean pedis tneulin Ale ato | depiansi coeresi wnsulty Ceersqert absviut ) G wenetap & Aerjac seumur, ©) Terap: OM APE \ => INSULIN \idup Ceara pieeioyi tutth akan renselres (nsultn dalam, 9 fase Yeuhu = ) Face 1 > Seliren insulin G terjadi cetelah Kida mation? oe (sulin prondtal ¥/ mengontel fon2pe4 Fase 2 3 Setron witultn feaeall L \G terqadti. kehca faasa! Cvaiam han) FUN insulln asa) ¥/ Wengentrol [GDPE i Dincwosa Di HAHEI OWbeAle ——+ FTarger MoA\c @® Gor ~ 7 ©) <65 te O/ pe yor onmumg metpornmin con ® core Wom reauo Wupogikenat v <7 HY remua pe dewasa) Det, Cecvay prrab nowt mucaqyat Wpeghike Nommal » <\4o W9/a\ Ent Dlacetes = >It0 wy/dl ee Warmal + < lo mg/al Diabeies © >i2e g/d) fees Tie ey . ¢ i Wrendiall Cdivenion 3x sehari Chag\, sing. alam )) aa “+ ru Ll & Short actng Cinculty cequier) ‘Batali 8) Rapid acting CUspo, aypart ) Caloonkay alam han ) ® Inerniedied dehng ( (muti Wed) > Long aching (tamil detenur glargin )meee tet Tor cre eis te ook eee ©) Rapa Acti | Insulin Lisgo 3 Humatey > \nculin Acart 4 Noveteg ~ \asuun Guise 3 Apidra ©) Chor Acting! 7 Regier!’ Munir "| gsgmentamenetaimimpensen Novolin R i &> Taterniediate Acting! ~ NP > Bumuliea N 8) org Actirg | ~ lasutn Clargine 9 Nevoln N , Lantus > \asutin Oelemie 3 Levernir SS eee MSAG: -Rumus 3 65 unt /kg be dan 0,5 unt, nya diab 40 7 [dons Insuiin < oa OK BR > 20\g 401 dan Is 0 £ ada © ur Bee aaa Pada watlam hari [ps PM ae \ Kugus | awVVUVUVUUUEUUUUETEEUUoeueuee m DM oeckosional sm o> Tjd pada keramiton o> Kebka ceceoreng amit Keb liad & pokin T Untuk Janinnya Cehingga Kel. Insulin” T qq tak mamy maka +44 9M gestashoenal ©/e-OIM gastas > INSULAR aman Y/ bumil lurn tdk dembous plasenta insufin. Yang digunaan tergontun9 daia ‘alo & Ge = Rascal o>) Gp > Prendhal 3) Saat Meayimeodan: Kalin (PC) LQ) diganh con METEOR MIN oe M Ties Cal Ad yd Vanena OBAT-OBATAN Ww neneetus hyerghier ein) Epek Camping MSULIV = TBP ees \eduanya Jelekk semua A\vombonnsSe tee ere ee teh teeiet letehete ated aie t at OM spe 2 amare fie © pe renskens insuln pity GLUT-2 tdie torbuka ,seringga 6D tdk masuk ke dim col cehingga Wuperguicrt D PX resislen insu - jml sun Ax Leh Gonyalk daripada oc roca ay mencts vondin (MCULINE NM A G pe pests ah Depnencr cekresr insutin (Rotate) G esa Soltren insulin tagr cecil FRCP tine via 2 > METFORMIN Mk = 74 sennnurias Snsulin Untuk pomiinn DUAL TERAPI pada pe OM tipe 2, dilthad penyart Ponyerta pe 6 CED oo po! 7prlug Worner / 66K / ceontas zo 4x > Metomin © a serie 2 /@\ yesepter agon\s SRD ce wes 2 > tok \npogtiliern| eS SULFOMIT UREA Ax 2 DP 4 inhibitor / Trarolidindion / CUT 2 wninrbto : # pd tonsa dot td trkantas , atertor / Lp | resepler agenis 6@hingga tdi boleh dileen SULFONIL UREA HOAD muah = Ulm Uroa & TatolicindicnYUU OU UU UO a a a # Botsh loging gakar Snsulin tonpa OAD, dilinat dans Wh WPAIC riot / 79% (Aba) CRER FEN ) tah dlko PASIERN > ceo, steons HAT, INEEKS fe cal > 1 Dolder tngin member tx u/ px eapererterres INSULIN < 2. Voller dh ben ax MetebRniD fd ox OM dgn tagal entry tx © apa ug didapat 2 SGU 2 inhibitor / GLE resepter agemis Sepaeeaeaeaetee aaah . dtpenisa tap 3 bln cekali piaiaer! Kepler HEAIC Gite acametteae PN fisa ditaiueon hap 6-12 bln & poranwter 4argka ong oD Taget MbA\C 1565 % (CY pe yong konsumsr metyormin & mami nenuo Wupogtikentt b ) 2 <7 2 (yj remva px dowasa) 9 < O71 Cealau px perrah memuiler rusayat lupogh erat ) 4 < b1 (u/ lansa) # Kenia PK ingin memensa guuosa darth pasa Chr puasa & jam) # GD2pp (2 yam seleliah mak) = Parameter Tercapateles? bate tt to a ee or tect of chek eae OBAT DIABETES ORAL feet ore GED (o{founin) : y Mk > F Senatptas tneulin ®) ES 3 Dyspepqa / Intas lamong u/ wenwegth dyspepha 4 METFORMIN diminum Saad makan ©) ES 4+ Depacnsa Bia. Fela corp aremia 4 \wremoten (Neuropat penger ) bye 3 dteen wi Blo. KI 3 px KD, ketiker GER < 30 ml/menu ( stage W oN) G dpt wenyelcat\con jASIDOSSSEACTAT, SRM (gang serng noreoactan {\\POGLIKEM! ) MK 2 7 Seren Tosulin # Sulgonil urea ditcon 1x | Peal kan 20 went cam min # Suuonil paling minum (uegiven) > glimapicid Alleding 9A SU \ain BD Poctita20n , Rosie iiTa2zon oy Me > 7 senndutas (neuln 27 K\ 3 aagal pteng , osteoforoac_ G Wun wenyebabln talcucSP VP Acwtive | EXERATIDE tf rl %} F Loemon Tnlerttin i 8 Kebka makan , malenar alan Yo «al Merangceng Vormen tnecithin LU twerengsong selene Insulin Mormon nuh 7 celeren mnsuty 7 8) Mormon tnuurthn altir / ortalan 1-2 ment OREM AS See See eta ert fi dons jpagh) & a dons salon 3 clagin, deleruir (long) (aa # \nnulin tdi boleh ditnjelenlieon cukerpat yy Samia 2 larwna +d UponistRotl f Sehingga duleon yaa @asrem / #Tempat inqeko Insulin 2 LENGAN, PAHA A Mengiuh /ngka & CEQUT. PANTAT => Pade 0K DNitipe 2. = D Yoos Vnsulin Basal pl OM tire 2 3 ©) unt /9 BB vax osfq >) ex 3 BB EK 409 Mutat Doss 4 0,1 Und x 4o = 4 wnt Coons tuvtal ) Avan dievaluan 3-4 han kedepon » qWa wdah turn , tetap aja donsny # yea tdi Nempan © 2 und hewiuasi lag! fia tak wampon © 2 unt, dct SAMPAL MAX 20 UNIT alta Wanh dle emg A © wwsuuiw SAT: & Vous Insulin Randial diwwlal 4 unit pagi 3 Sing % matam > tvaluan 1 minggu 20 WW 4u Au Au 2) P® 2 unt tani Rewial L 402 (x) aaSPT PP | QD UD UP AD 4 KOMPLIKAS DM Y ; cate \s a He is LO) ACT cone pe tv star) ie Pangan CKadar GO < 70 tr9/dI ) > Auogiien CMeavrut ADA) Berat Chadar GD < 6D mg/dl) 5 GLUKAGON 1 1 D Hpcgilonn (Monn RRKeNL) SINT DEXTROSE 4o % ok don. tom CKAD 4 basa hd pd px Dat tte t CAnak 2) Pomerksacn KAD Sa Fannin \toton dim darth Keaton Aiurin CG) 4) pi dah > 2.95 - 4,95 Jet tomyale keton, PHY 9 TAMDA ASwosiS #) Tx KAD a INSULAND (yg Compr copa) 9) una /\g BB 3 NAM CO 2 (Wat. Puarcorcd) waa “ACALIUM (alae ty! Aipeavenst ) Gn px Pobucia > Aliprommolar Miyergliiorm us) Guiosa nenmgtatkan osmolaritas di extra cel (darah ) HHS ditodal dgn > 7 S00 Wo (dl (Adios Darah) Rentio pr Has 42 DELMDRAC! tx = IMSULING {Yo (dons 0) wnt /g 88) 4 NatQ Cala dchidrasi ) {2 KEONIK + Gluwosa sgt wdh leroksidegs Wentoentule Bos Cradiual leeoas >) anne G iwenyebabio lesen organwar RETINOPAT| tm Li pep HCE Pere ee L Mengereng MATA — Cluner lionel Dd ) WX 4 Lager iN NEvRO bay | aH L tuenyerng CARAT Nawwpth 5 geyala = Kerenutn , Mah rasa pyeerusieT rer) a Ltr a Vuamn & complex Bi (Sianciolaalamn ) (Nyen A ggjaia + Nyen seperb lereatar /myen_Webas (hd \wurneah Walavpun px sedong \hranad +) UW 4 Gdeapenro / Dulovedn / reqaleatlin ih Amin pun mat NEFROPAT| omy \ CIN IA Manyerong § CINJAL ) dr D1 WO! cA Albonuin Ditedar dgn + projeinurea Vpriein erberac Pk NEFRO PATI Hd Alauntnuric: / Proleinuria pee oS Uys Ace / AteDD DD DD De ot =TROIO= io= ia = ta J arty ortitoud (uetatolime Y ) weal U dampninya -) kena ernie Cea tq Wy 714) LEVOUROKSI./ Cat nlangha eat 4 (<@elum sarapan //pagt an ) PIV] WETIMAZOLE F Vv &G (3x1) eee yendal Gx) digunauon 4x douasa 4 Wehwarae Be Dgmauan pt anni ‘umes 2 637 (28-41 mirggp) TRIMES 1 3 (I-13 minggy) / 2 blo as-o bin /(W-29 warggy ) 7hin - 10ln LY ox Awperrroid SRURUS! (Qado kardeteer ) > Mormon Aad T ahuias Saray arnpatik , elica tf sorcy Simpatle eryeeaouien ABEMOR PALRLTAS! (dada berdelear ) G viiwiogkan 4x 4 BB nn sdcleng (ORANOLOL 2) Tha gengevatn dak ofoune + PADI Alctie 1ODIN / RAI Nera ie ay cere the Hee) ~Otepogoas, ““- THeDIDEKTOM| Dihaeak pertarctnon > NEWEOe: /CAIRANINEALIOIWA ODIOAY> Merpalian Symptom / copalo xian poryaluet ©) Falulor Rontetus K Aiskamin Serotonin Oopamin NK I SAX Entetie = Pada Bull & Parca Kenoterapr ©) Y pentegahan ponggucon amb ereble = pala DAME Sy Y/ twa BUM + Kombinas DOKSILAMIN © BG © Dimenhiatinat: / Prometain Vv Paodlerporaame , Klorrowarine , Metculogera nic, Ordansentron ©) Te Y Yatca \ouolerctp G ceoctam ee, dad venti wual { wuuntah saat akan diveworeroyaSPN RP AP AD PR DR IP PL OR I Rae we ULSERATIF COLITIS = © Proves auto un /penyalut auto wun 0) Radang d\ucus Lote s Aca (Gulgasateaity/ Mesa arin ) Vv YW tadang & Ayert 9 Gua = DIPOTOMG , ter dibuat sal W/ PUP CSoMA) ™KONSTIPEG| = 6) Merpaan Sumpter © Terydi \etika gorakan peristaltic ucus pelan seningga carran ditbh dwerap sehingga feres 4A erets- Tk > Bulk Agont (Mery. SELULOS A) (eanteah teres) > Ovmnoti« Lavsatir (LAKTULOSA Q\Ag) Cseuren air ) 7 Sumulan Yerstahk (BISAKODUL ) Upmtalik us ) 3 ena (pocusaTe ) y Coenen ae (mata) Sup Ckagan saya) % Metil Natrexen = kenstipan varena oOpioiD ©) PEG lay eelng ES b danpada LAKTULOSA ©) Buml > 4 oe seat s)- Guartaowa) AW 4 RoncahrarRe ee ee ee ee ioe vr ert amare & Menpakan penyalut DEGENARATIE _. cairn sinoviall G aa Lanjut ) > Kartilago 6) Menyerang sendi2 ug serinrg Aigunakan © Produksr smovial Ib sendi2 bergeseran Wenyelablean cartiago daniage | tusalk Aerjadi proses wnklamast wuencetes nyert fing. 2 PCT © dapat dtqunain NCA. a Non selelute (Menyeeciion dyspepsia ) Sole Cova Cusnydoab kon Kardtovas ) or + econo, dlerocoxte, ik © Aerkad NSAID yy wenyeeavlcn dyspepsra [icitas\ \aveorg warnjadi > 0@ PPL /MISOPROSTOL & Wa px sdh dicen NIAID, lows dyspepsa (+e NSAID diganh Wworjad + CELECOXIB © Dons PCT MeRATOtoKstke + 74 or & Ska pe albert RET C NSAID Masih nyert de AID Sediaan opal CAPSAICIN &) Fa OA Ax herlealnya > GLUCOSA NUN Ww ® cour smnovial CONDROITIN &) & OA dps diver pelumas de War Ug Aunyeler largerg ke send! valu = AS. WIALURONAT &) Twa mash Idk fsa dilawwkon pergarbion vene 0) Tx dlet pertu ¥/ px OAEUR MP RTE UT WP AP) RP IP PL Cet *— RHEMATOID ates. © Penyalut Autorun Ls Bysa Aerjad gd semta umur & wenyereng send ED omer Ge + MIX, Sulpasalatin , Hidto\sil Woroleatyy {St ty 4 MIX letlonauide Cmtnim b balan) 2 dievalwast Lan vous A nd #) pd balan ke . erel QD a © Tevicaican Penggonaanny) DMARD law D) Gant IIx dy ANE bioicgual G ex: tnpixtwab aa yao | MTX ©) GUKOKORTIC OID L A 1s golal a Mehtpred , predmsvion 1 (Aanya 3 olin > Capt wenyevabo\ion mona sagen) Dcegah dgn MIX aioon AS FOLAT =COUT= © Karena pe@) Kedar AS Urok as ural tersedimentan , Sehingga Wee GO! 1. Akut. Cex sedong nyert) * Hi Ops? Olas INDOMETACIA 2. KRONE (eH (pRAK yen) | RagoA aloe KoetikorTepolD (DEXA / NSAID) 16% Agen Uuvorymik #%& kotlunn /dexa/ tndovuetacn Agen URIKOSURIK Dat sarpar © ‘lan y #) Kalasin det Aigunaken say alasi nyer 4 Men@gah yenert ee. Ph et ae el to) LL) LL) Lek he ty LT} Agen UewosvaTiK Lex Atoporinol / PEBLUXOSAT ME 4 nenghamlect As ued don uenghartoct xantin oKidase (XOl INHIB toe ) ah Agen WeKoruri< & ex PROBENECID LOSARTAN FENOFIBRAT. ME 4 7 eesurest (rewwovnas\ AS Ura lok +x wourmepone 3 -AUDIDALNOL (Agen URIKOSTATIC) > Keka ALOPRINOL , vadar as Urat salMlecipeuteerget dapat aA ® UekosuRie \¢ > PROBENECID L tae aps digunakan bila © Todi 05a palkay LOSARTAN (olla (PAICAOMAT , {EVOL IB PAT a pene ©) Ketlka px belum pernah paar ALLDRURIWOL , 19 diven AULO@RINOL ed pr gaat aluut lurh apt Wemper panjong nyert D> Tom td pe sd paar ALLOPURINOL dapat dicen do, KOuK\S\N 4 Uf sgeningal 8) Ex + pe diloon 4x gpot Kron , Pe MGRGHT ALOPOELWOL 44k = FERIXOSATBm re Pe PRP | SU | OP) IL | Pl Sie NG 4 et CRLOPOMO SL hy em eee H OSTEOBLAST OSTEOKLAST Chotnbentuk Auleng ) (penghencur {ulang ) ® Osteo falling eoryak WMANITA Varena ESTEROGEN G umumnya WENOPAL SE teslerogen V © %& Menopause , DMeoblast osteoklast T tn oo tt > Unik cogah density +1 ,)t- score \-(1) 3 _Noenal, =| -(-2¢) 4 OSTEDPE NIA ene tea VW D & Ca ea seeeenge——"= | ‘=> (or: ALENDRONAT., RISEN, \GAN-) > Caa_winun ase (dtvuinunn ppagiinanesenmuenet Slim /mavan’) 6) Dons Alendronat 3 to 1g Ilan, dot dileen feminggu selati dg dons Ae tg /han & Toas \bonarorat | bin cekali Og / cy Agen BIFOSFONAT aka lenkak ol leat /‘ordopomt di Jaringan Wang Calasan Apt digraleon \ vurnggu seal, PIEOSFONAT: /s@oxon ceyati ) MKS Toskeodat | osleollast > px sdh Pakal bpor¢ONat ,telapr T SCORE td capar dargai_, diognh FECIPAPATID /DENOSUMAB U/ uato Meno pauce 4 4 = PALOXLFE N“GOSTRONTESTINAL = 5 Cent lamirg —— Sisiemile 4 HeBA (Ramkicun, sineticin Famotidun ) oval cet = fol toner Peers Antaada (A Lanapprarcle 4 Ss > Araleo pe algerie a) Cove) MMUSOPIO = Soccalat — Alumoniom ee U Yenia been 4g pt asam Ci-2) Aerbontsle Allumunwum lemplelks pehungga \Welaprsy larubing el Me Aas tei Merganutaatseluneny As~ Lavulcona, onstrin #) Sel Rarielad Hate : i Pump Potey. thinvortor (pa) PUA ROT aaah Are ase KUO CA¥- Larue) PP | ~ sano poen une pot vo) #) enrelcguenegiawtiny | = BOMAL 9) GED Voda sph Preavac spmicer > (CED paps v tein /sney tal a Reeeka enn. ) Lanibong Laing SLO i, Diver aoph_ROCINETC ey: domperidon wueeloutoper cic emthrorutsin, )ON AU RS PAUD T A eet) e 2) A pee. tonerg, stress, malean pacers ) AV paling rien P| D% GRO ty = WI (dala woIa tetoavar ) 4x © a Agen prolanch 3) Hop uf pot. (ERB > san Hit => progenies penyalut lama 9 pewotnie folun udera , merour« , & EWASTRBACT (UBIO > Kebiea +44 Bias eis cesnenant, ] TK: SABA Oe SAMA AX. Sistennk Kerkivosteraid (SF kan ) Tha ado Frdikas, dapat diven Anhorotile oe (qua pr dicen SABA sudah yanioalk , tak party SAMA ) Rati berdlarln daha; Vung [lta pe PRowKITs > Anhbictk ‘yng dipavat > MAKROLIDA /FLUOROQUINOLON U awa PRO R x PpOK ( Bronluikis 6) Ix Watntanance PeOK berdasar Crp (A,3C,0) moire > 9 AX [ate] ere ld) A: SABA B LAWA Rua a lim ppo\c oo, mente hots Lama / un erro Adu eas & @Qura Brad (Alc) s px Ad eran wes A 8B Be : D: WAGA / tamPeer sta. Pt tt tt ett bolt th kalo LLL. 1 Los oh ee Asal 9) PA sol wast dercapat onheocti Igt , Kebla Ig& tuengivat dlorgen , tel degransian cel wast © Asya disekablicn arena Alergen %) Mediator (nflarian pd cel wast tel wast (ecaln ~ Bracitanin ~ Rrostalglandin wv ~ Histamn ~ Leiotnen (Vediabr inflawan Agar Anbboti (cotucur 3) Pe ANIA di dtleen Anh Jae, Jia wengikat alergen 6) Oeat (el Mast CIABIUAER ox * Wromolun ee >) Ocal Lavorrin Wwooiner > TERBOUK TI EFEICTIC ey MONTELEUK AST 6) Pd x AEA atben ty AMT NwFLamasy , Ln loengka\e Kortivostorad ce Vnhalan Wortiio ex - Gxterovid ) eeu Nore nero (ee prednisen, precanscen) Cp)/ Cv) ® Diomuvs ala a neseptor p ® Muchas (m) ® 2 , (apaoiia Sees rr ee gostrat yy bertuaton Asehiteotin hash = Bronuodatan ) Vebuia berate gn ruuskarintle = BRONKOKONTRAIKS, #) Rt px dihamoat Arenuccun apr td bortodan eign Yuuskan ne G dgn Anti tuastannie / Ant Kounerg\k Cex: SAMA Cleapropr (romida) LAMA (Repopium bromida’)Be SL Sra SL eet eee aD at a a | ale) | ofsmay” wy Cleghia pe eksacen@asi aut — (u/ wencegah sescu ) / px CESK ) a Aung, 4 Morera seva\k y #) Pk ses ditumaly dicen _SALBurAROL. \NHALAST #) Px cosak Ai \GO/ps , Atkeag ® Borat @Pirgn -Seiong sore aes = RR 2O%/tnenut ~ Ned 21204/ on ~PR < 30% /monet VW a Ithalan Wortiko, LABA LAMA Ant IgE. Ant tls, Anti 14 Levtioinen modinier ~ Nad \00- 200 ¥/ianik - Coun Or ~ Saturasy ©, (a-98 4.) <90 1. = PEF 250 4 + Be fanjutar ~Nee HW cnteower Yd rowah ~ Mulai Step | iY INHALAS eo Shep 2. ( INHALAS) eee G digunauen seb an Step 3 (INHALAS. eoRTIKO aonsey © Ht \& diguaion sehap. + F Van tet Gep 4 CINHALAD oRTIKO dons imedong? @ tagA> ; L Ht Step § Cindaan woeTiKo dons danger © (ABA ) J Uae nacrigen) a OLAMA [Ano \ge / Anti lain #)\CS Ceonbotier pang 'eaqus) Gt px ingin We guneng tngin wenegah ANIA dloen (CS Cinhalan_orbuottermid ) #) Betg agonis = ES. denyot yoning berdtetecur #) Anti olnergik 4 ex naiulut leering 4) \CS 4 Candidians. (es) G Uf Cegalh burr dg aur hongat 4) Reuven Neer (Tonet kerja) dieoaing ORALeS POUUUU UU TUT TTT gamer AKI crate tidnay pry) / GGA Copal qrja) ouo})) eeeteny ASL Berdasar Uri Gutpot > Stage | 3 20) #) Gimal 4 Berrungn dim produks Glage 9 (GO-@o) Gap ranean cha a #) Bx CD 4 HopMoN certopoe tN sy Se 24 | 30-50) ) : Stage 7B ceayeea e209) epoor y Gage & (é\s) 4 * RX werplaur ANEMIA : A) px Ceo dy ANEMIA Hepar Gorgeren dlr procvusr te HEPSIOIN : TX ERITOPCETIN dideunan digiiyjcl 6) HERSIDIN T = TEROPCETIN: terhayuat kenenvo 3 HEPSIDIN + [NORMAL 4 FERORCETIN: atin belera >) & CKD, dininaa HEPSIDIN 1 | sehingga ‘yd penumcouon HEPSIOIN banyak , Selaingga Veja FEROPOENN td beterja Wwenyelrtokay DEFISIENS! DESIe e € c . ee . Ee — = ae ¢€ iste t at Pao 2 ISRO, F - St tye 4 Wcy Ht } RAD <20% 1 px mengalann DEFISIENS\ CES) FRIIN >tco Gd 4 po © Ben ©) MCV normal %O>\0O Mey < 20 4 pe wergalawt anamia MIKROS ITIS Upe DEANEND AAT BES). ) MCV > 1c 4 OK Grenia WIPE ROS TT WE” Ga, 4 AE plat / viIt BIO » Rec (Tras darth Gietiva Ho <7? CwWrto) ©) PK CKO tdi keidh PPC , ttp dilben RO + 2-609 | Ha sdh Alben Arp tdi neorpm / tb td wav nak Yaw Pec % Target Hb. to ©) Px renslen ERO 4 Tx PRC D) RRC det onyeeacyon HIPERSENSIMVITAS Urn bereate darah naka Ceearinya darah veWwarga cendin 6) Saat PPC diben ANTIMISTAMWINY Y/ Cegah H\PerSENNTW TAS 4 tang girjal 3 Mérgalur Veretiucangan Asc Basa Ht dielorunan digtnjed 9) pd pe CO. ginjal Wrale, Sehingga hd penau pun Wt dm “hiner Asiposic LAT AT U Gepla = Seak, Miwa vuuntah U onli, Kewupenscia tiled agar Ht Ad kerbogniuke dyn Wwerouang COser tin nt tate Uitte pele 2) ASvOns + \eloolren ASAI Peat DE {abate je 2) ALKALONS + Wototihen BASA (ath scsme ©) Ketia px Andons tx 3 U dyentay Clarget 23-2@) ©) Pe CKO, Hyperkalenn Gy 4 Anrutin Gv) (Weminan dgn Dextrore 40 > y ah eels = Galeutawe) (Albsterct ) = Nalo3 eet + Katlum sake fet 6) Owat 2 yg met cere ALUM = TuroseMid, felvciroloct coo 4 ©) Old 2 divombinan di &) Ca Gluconas ‘ 9 Eun foRxx\ Hel ch gtnjal =) Sehingga pr CMO , Kedar kerzar leyak (HIPERFOSATEMIA ) GW Caroz, Paelarer WiC (uenghaweat aor foc gt wakoron 4 cant dino m ®) Ginyal wergatur BAAS 4 Tupen porgahin BARS s SAAT MAKAN — 1 Mengalur 70 >. Monupertainonian CFP 8) RK CKO dg LT = ACEL ARB. Cuarena Angiotensin T } U Sag WeFeoreOTEKTOR /tmolndorg\ ginfa) 4) NSAID td Laide diben pd py CED Cum GFR walun Y ) U AS: tuepencwdatBPUUPUU EEUU UU DO MT ©) Ginjal berpungg at ruengauition VD | | cy WA ‘ di bentule any erpera dim ‘wengabseres Calcium C Ca) bY. Aviron Cav G Yrenyebatoan Osteoporons D Fetslesl Vanco aw 4 © Ga furs 1D 3 Co x SUP Et G Custerik Vastuslar Rensten Cardiac Ockpst Clasckoniniks pemb. dacah ) (qm dr ug dipenipa stg) & CUR getrg dovuinan (40%), Sedensven C (90%) , sehingga SUR ai 4 © Stove vol > DIURETIC © Heart rate = BRK CCBnOHe 3) CUR Carcvoniniin) 4 Vaspdlatass (ACEI / ARB, co® ove) Tiare Aorta tco- 40 Y/ SISTOL, CO-90 VI DIASTOL ©) RK HT, AD Wialobin teionan aorta Callous [ZU] gg ) © Target to CANC 2) | guo/g0. (uf px ATA om /ckp uur <¢ot%h ) 2 150/90 (ul pe AT Saga, wr > COth) Tatalaksaa Ht (INC 8) -Kohanilay = labetoiol lsd, Wupectepin , yehldopa ~Ktearl failure + ACEL/ARB © BBO diurenk © sprrondialitey ~ Post WW) 4 ACAL/ARB , BE > CAD > ACEI, BB, Awrehc, CCB - DIM 3 AceI /ARB , CCB, A\vrehk - Che a ACE / ARB > PK ck, Conluk allt vt ~Retunent stoke 4 ACE, diorehk“cr ol AR Chan) 2 BB (\ol) 4 cop Céuan) 5 Alea 1 Agonis- Cem) =| & Dvveh\. le U MK > Waorghauikat Angiotensin ™ ‘Sager. sae Barmgil,, Enalapril Mengendng gogus Lunn rehinggo S leotule Bat ra 40% qa venta paling wvhun A\uorubinay dg walena aot Banupril , ACEI poling Gagus ie L Cara paual -+ Tat part \ereng / \ Jam cebelums Yaken | = ARB G Ge + Candesartan Losartan i Up dignavay v/ Opt Lite paweopien rurgreuin as watBuUvuuUuUubvuibtuvuuuuUuUuoud | aa dition Kanal Ka\sium noe (ci pom darah) , lerya Slog Nagpdiianon G AMopipIN , NIFEDIPIIV , NicaBOIPIN pig senng wengalan pEWMA a\akt COB DHP ox 4 OLTAAEM, VERAPAMIL Ge 4 au L-type Senge WK CCEROHe § RL U berada jong - WY donyut qontung / Lontraks forty ip Tontong 7: hembra iia #) ec = cect Ut ug Kl dgn >) ES 3 Konstipan % I yong , CBA KL 4 bx agi jprkung , hucusnya HERE - BB © Berdasar Selolrras EX ' BISOPROLOL , METOPROLOL, |. Sdekhr 4 MK dibela | 2 RRNOLOL, ACEBUTOLOL 2. Non Selelcye 4 Mie dibeta | 2 (Bx: PROPANOLOL , NADOLOL TiNeLol LABETOLOL , CARVEDILOL © Berdasar \SA « von \SA © Tanpa isa (4 deny jontung) ex : ATENOLOL , BISOPROLOL _METORE @ ASA (Wanh visa wenmgvation donut yaniv) Or: ACEBUTOLOL Ciel: Pe fontung Koroner ) ©) CANEDILOL | LABETOLOL G pga wewelok renepter alta , Sehingya dpt menyeeato\on Varrdilatasy >) QROPANOLOL UG es 4 Varcloninkes 6) LEBIVOLOL. = Up! wenyebrablin vasodilatan lum, chruulasy yeseptor beta 3#) BB dana “Wényecab\en - O9n Yolereng qluosa > Rebound 1 Lc doacoan TepacozN , PRASDEIN — Bis Y/ BEN dy HT TAMSULONIN, 3 Hanya BPH saya © Wf Ax BPH Alya | Antagonis , yy 4 Merelaksasi Jar. prostat ©) Ox tah Palai Aka | +p wamh nye dippsat &£ pipis Adk lancar , 4x 3 5 Alpa Reductase & ex 2s Emasteria ES alm | Antagoms 4 Ut ortortatile Rminuy Malam hari U Velie pe wuengalann HY ortostahl Apt dilbert tLoppowoensON /.nvoR ve u + METILDOPA —-k CLONIDIN & G1 munggu vevati Cental pated) u/ und eur dpt dignalen u/ renctenga AT Kebua pe rth paar 3 ole\ AT, TD Wanh twggI , Alben Ax D s ® SPIRONOLAKTON (Aipaliai retiap lari )VUUUUUUUEUUOUUUU Eee 4 Looe puree Cquenenutd) THIARID Ciict ) Hemar KaliM ( Cprronolalcten ) {. LOOP DIURETIC. (furorennit ) ae = d\lenguung henle ES 4 Hyovatews (Way niomoring Kedar Valium) Hueruncenia (4 \dr as urar ) 2. tHAID CAcr) eM 4 ditubulus dist ES + Ouslipedemia tUpergitweruy Dispangn erekesr {iporalsemna Huperun Fera PACT ES Wperkal rena apt tuenguntunguan pA pk YO 19 OSeOPEIONS (urn kuper Ca) 2. DIURETIC. HEMAT KALUM (Spirmolaicten) L es 4 Gyneuowastia (herborarar RO pA Lalu >) Auperialenng C Monthonng Valium ) #) Gyncwomasba tyadinya ferap fad haws di OP A) Karena Sprmolauuten tuentpunucn Ax andiegen ehingga ‘axa wyd Ay Prawak © juga ponyeboab gyhclicwashaSd eee ee en ee ee ae ee ee eee CAD ¢ cononany Audeny Mroeage ) / yortwrg Korner Atten Comrary alag) jd 3: Jantung Koroner (CAD 8 1, RCA Cjanting (a9. eam ) — STEM, N° STEMI, 2 LEX Chanting tag dengan ) Acs (Aw) Unstable ongina 2 LAD Clanhiny bag Wun) #lovan tuplar Or CCS Cuonie) Stable engina #) Kebtua yontung mengalamy (nyjark , Wala ent pd yentung avan Velwar tponin « Camp H) Pd crus SEW doy NW STEM) yd troponin 4 cumo T 4) Yd Vams unstade agna heponin ¢ CMO norwal \NFARK WioKARD << Seana \ ere ectacn ditihad dr EKG #kondis) KG Normal # \eerdin ST elovan / e Reninguadtan ST ea ee _St O8f \s in aA al. \i 4 \ Bada Unctable agina dan Stale angina § G Myen dimes auuhviders <2 mnt 2 rpg > 2 ua up ea at 2 Eo ctalscaaa onguat bon > Hbnndib > Aviayiatetet t CAlketare, thhoptolunace ) (cee, Argon) Mongrancucion tromeus Y wenegah tereenuunya > Anbwoaguien Aroyubus. CHepann , wage, nda nnox alll) ~ IMangaticerian “yo wusPe sem pe N- STEM ‘du. buh 5 Sumoata coi | Vanek dilation hndekion hence (PA pomous br Rel Cy tak ctto) > dination ) st dey = KK: Troma / y 5 *brinolwhk Tx: Anhucaguian (2 hr) i que sc (upH, LW) > nam td px (32 rua) = STEM) Loh ak => chen WR (pasory v1119) = t Valau 9 dig ve ps = 4du aa toninas oe => diben “rombolink duu =] L me, & = tromlecinle. = “atepiare .) HY wall anhuoagulennya ¢ = (Guu duu , tres 9 ey > 4 = Kk. Arnvcagion VA eh tinies | > 4)Y pumil. preyer HEPARIN: = oopr 4d Kus Pasenta NA Ve eae STABLE ANGINA l Tx: SAer Caingle Ant Platelet ) ASPIRIN diber dLauee| | py aleigh / dysp: ciganti don CPG Heparin data lob APTT ( Vara) 4 1S - 2,5 x pot WaRgarin data lab (NR #) bf yada HEPARIN , anhdotum PROTAMIN CULEAT #) Anhdolu \artartn ad VitAEE ooo oe ® Pe ACS (Aut) bans dttenuen DAPT COval_ant > uy digunaliay Aspirin \Wwruloinast CRG /Arcagrere / Prasgrel ® Loading dove u/ Px hertana val’ paval enhoagoion Aspinn 2co mg, Cee 200 Mg, ® \eeblta py rentio perdarahon hogy! 3 paet divewbinan dgn bei ) Ya px paar CPE 4gn paval Oweprato! im oneprazale LY erkhuttas CPE 2) Gl Weoding , ferdarahen TF aluload CPG /Agarnn diben PPI ©) PK renuo rerdah perararcn tdk peru oribinan dg Pp) 8) Ix DAPT G ‘ale , CPE distop vellah @ bulen pala anann counur Wdup H) Pe SRW N- STEMI UA Stable Angina dpt diben statin um Porbentuan alemsulemas Win Qehuri~puvon LOL 4) Renvo Mm tmepi Vardivastutar /Vey Wigh risk (RK WD Qemah Falk jonturg \oroner > Re perma oke 4 PK Cd Kage 4-S 4 2k DM dgn Wawa orc ———— Target LOL (sc 10k) \o Ahn Aone \eraken omen eer Tarmp| WL (ix 2016) < (00 (ise 2019) < 70.ON TR RDS EP Oe ee ta eet ete et ee eed gt 3 pel pe STEN N-STENN UA, Shetble A gt, PPP Pd G px diben Stahn nigh _tntensty (stahh yg way S07) ev: Romvartahn 70 wo Arrvasitann 40 Wg H) Kaba LOL Aang) = prerper Le statin, J Qua yuan Angg) LDL Ai ® Krohwulloe- ) Votestet nga) + prexer Ve steathin | ne. tush Arrat ADErchmive /koesteranun 16% preper Stan #) Te 28c0 3 od brat #) ksbuucr vdh pear abn, Te 4/200 wala co ut emia hs Gann © Fercereent (Wee Sead ; WARNING 4 STATIN + GEMFIBRORIL Adu Gd diierubinen alven yuenyeeaicion NIOMASIS. hyeri oft paling porch monydsat\can gad OMY, #) px qanturg Warmer gash nyen (Angina) dicouca Leman ® Jaga 2 (wvaraias /sergatercun yon’) doo ISoNt_SL Neae e | nua Rush ayen ® Morro Ay Mmencegah nyen 4 tx BB _rolclne Pisoprtol 1,26 tg , la wanh yen AD a5 mg Ja Wanh nyen Smg , Wann vyen tong CDOne war lotropwio)eet Se eee ee ee er), be tot tot i ai es > Ta px tdh capa dony way tp Wanh nyer dbenien AX |e ISDN cpe) /NITROCUISERIN {tp Apl Wenyokatb\on TOLERANSY NITRAT G dtagah dyn wwersbenvin Miervad / Wuk boas wtral (Ib -\4 yam) ) Tatalaurona pe TORRANSY WETRAT | ISON At ewitch ‘yd \sOW (\v) > PE PIK past diben ACEI /ARB ) PX TAM , N-sTem\ dieon laurahy ) OK fga diben Benroprarerim - agow \shyehat # Angina Nana / Angina Spee fai cca play artemritermns , ttp hd Narouninien Rem carci Ka Be ™& 4 oR / NITRAT Angina Rectoris Clery panyouitcatn arreroruermnr ) C agar jortung— ) a) Mtondar dan 4 CO 4) Kerja ening Lim penyowvaten diab (cag \urt) Menyeoatkon Oagal_jonhing ©) PR gagal yang divena td permed cotron /edowa ceningga Mralu benguak Uenidion hyd fulumay edema ( @irm dying dpt Wwenerubur \e par 2) te Eyala = rexak 9» Kalav dh yd Eau. Px dikon FUROCEMID ® ‘nven Arb rewodeling + 1 Y msngnatulbad sarap niwpaby ( BB) 2 wuehighawbat agiorennn (Ace /ARB) 3.M/ wenghautat miadons aldotteon (prenotalrien ) 4.4/ werdnambak renin ( Sacueahl)BVUUUUUUUIUEVUEUVUUUUU HEART FAIWPE (cerdarar ER) ace Hreer HE at tipper VU W v C401 er ay 4g Bee ) Tx gl jantung berdarar ER ¢ 2. WFineER < HERE tes Nevivelel (atau ajt qntg, Saja) Aha pr oda Mt di © Ace\ wd Neviwaol © ACE\ # Valay een paieu fxpsenid ®) Cleat 2 uy Kl pr gl qenting bron TMatmiaindion - NIAID / CCX 2 Ww | NALD ¥/ agh jenting PCT ~ Oilhareu & Verapawil Cunurus a Heer) GAGAL JANTUNG AKUT ¥ <\8 —Pewp — 718 2) A > a2, Rewer Ik Utd Goema tx 4 FupovE ni / WiTROGLISERINoeuuuouvuvvuovUvvUvvUvUuVvVouvVvvevv?e ss 2c <9,2 , we vis Goda EDEMA Aerject \earellogemik Syole Ste 4 Buveh —, (inotrprve / vanopretor ) WYO aren irra ea erie AD = COX NE DU) ACO ku \notomk (deevlarunn ) DY TNE Bhh Varopesee CNorepmogrin) , Cdopawin ) Ape ol jarhng wuengalaw tyev Vardtagonic (dination CO nye dvo) 4¥: DOBUTAMIN { tua Glu tn di@ _NopePINerRIN HW Syok upvolewlle G Ryl Wn iclunrengan Cauca #) Sy Bepns tx diten Nat) RL Ly 4 Norepmerrin #) Syok Aranplatens Gy 4 Adtenainn / Epaneyninzd soutay Seas EacabARaGais secpa/SUUARAEGS Es} vtbial, Fibsiatie- / eulnstar® Ar \alwiar Ae Nn Naw (ps pamah OP pargantian (x Sheol / gg! sania ) Vatup 4\g nwechanical ) ig i ED oon aes | WAR RARATE Ddwins core: 4 (ABleATRAN spra. 2 - wana = 3 H) Senos 4 Kahup tale erbuea #) Pequroitn 4 Valup tdk wuau terbuluip 4) BUD (Rheumatic Heart Disease ) / telarnay dmalup even Bemahn peninun @ (ruin lo thn) (otha px alerg) pani, gant’ enhowunn 21080 vug ) 4H) dug ya 4\d Waratah gl Velup sae Otreplacerment © Repair pe german AE Ute: warrapin /oorc (2 vulan) & Repour py edlum Ar te AN plaTeveT: ® Paplacervent. cc Butegical — K+ WARFARAN (2 vin) Wacranical ye + WARFARIN (oer hap) Hd BE AE avon Anbliwagin YY cegal thee owikotiST Se a ee eee eee nt | a nh fs mal 3 Ada 2 val yy dpt ruancetur kerboontule Aorybus + = Gqhs (darah te wengalir ) - Vessel Wall injury (Rusa pemb. darth ) ~ Huper coaguleetury Pe Re AE dp thd Stowe enol Larena trovubus uc ote , yd pengoubata & ty AC eee Gate\ Uni Conbol {Rate Control Crumngentol denyot “entra > 2 ox /mour dQ DIGOXIN 2. Roylm Control] Cuorutoalaen wana jontng agar burama ) Boctrical = Prarmalegical ei Cardio Gali} 13 AWMODAPON ( & 4 Miperpposennbyttas Atper eid / LupeleidSVUUUUUUEUEEUUPUUU UU og STROKE Trorubouhk f . DASKEMIK > Hemopaci. Y wt (4am ) Qeiden yonod - 4,5 Jam & > P& Cerarga) fontung MES jam lo Lkon alteplare ) ha RY MRS Jam lYyco + Alkplare. a Doas Alteplare 4 99 ng / Kg Be Seen (Oh = SAW ous: (i ment) Dons + 89X60 - sq < S01 = INFUs (NV ORLP Q yarn) Ha (oleh dan 1 Jam PESIKO PeRDaRa HAN > Alleplare beh diben\eon , MAW <10S/\\o , waka qua TO AAT |\\o dutunnn TD nya Cagen W) ec nicardupm laberolol, Na Wyo prunde 2) Cetelah porubonn allepare 24-48 Jam , Gan waruk tx peniaunarceon 2) PK stoke tromoolink (ah pee. darah ofak ada plak artavske i: z -\orons) feon Aggran / ce dikovubinan stahin 9) Ri Molie witli (pr AE) bien Marea Driven anti uoaghen verdesar ABE >LeMoracic & Qubraraiid Wevmorcige Cada gnovricwa) G vem darah cela yg kovye\ asa Veco fen \a@lwar 4 OOAC Le: Niwodiya CocBAST eT ae eT Pe | ee et te eo ®) Ldal parclaratien KE HEMOPAGIIK Apdual Wwwragie \cy Cubelurcd ermal (Inher ceneorat ) See Vavena HT & eclakan Cravnia’) 5) Darah yp Lear dr pemb darah dole + edemic coreloral Wenyebabicn 4 ta A _Inbrakreni et Fy + lun ¥ teuonn Inhewrantal © RU px Shoe _Wenuoragie tO Vers 4 <\4o/90 (dim & jam haus < \Yyoldo) { Qroen te 4a TW (lakelotol, nicarcdipin Wa ruoprace ) 2) Menutup perdaranon = VT ) Redarana un alleplare diben = (ASactaneusanat =”Oa eT ee ee tee: a AMTIBIOTIK = ® Secara pengquacn diloag\ wenjadi 3 * L.PROFILAKSIS (u/ wuencegah td inpeksr ) > Px rentan wengalayur \nFeka Saak aan oO C@oalum OP U/ Cogah Weel = pe OP At \nsist Ay\eulst | | | PR anhoioh dibenuon ! | U Baluten pig tonya auuten gram © ex: Hapylococut epi dermlis | ~ WK aon OP , diben AB proplans doninen ue gram © | , : ! : SEFAOLIN , SEFUROXIM Coefatos gen) ) (efeitos gen \) Mon 20-Lo Nuontk eloaum OP ~ above OP ebth dan 4 jam /perdacaven > \sco mil dpi dicen Cefarciin \a9\ - Kehlia pe OR Alaag usus ony laaiiten on aaxde Seninggc 4x + SERAtOLIN | SeRUPOKSINN (1) METRONIDATOL D.EMPIRIG (berdasar pergalawm) a ex » Cortnaxon Tmun bordlasar + E U Ag emupins ~ lovan \npeis) th v - kolat pd sion - Depry CAG Gorcdasar \cullur ) | | .PUuUuon reo U eu eae eee -MENINE MS = t f & lawa te 3 10-14 br 1. BAKTER| STREPTOCOcUS PNELIVONIA Tr > PENISIUN / AMox / AMPICILIN / CEFTRIAKON > Kebwa px aorg B lactam Ax 3 KLORAMFENIKOL > \ktua px rensien bepalosporin tx 4 VANKOMICIN. @) RAFAMPIC IN 2 BARTER) NEISSERIA MENING ITs TX = PENISILIN /amox /AMmpciun /Senies gen 3 (ORRTRIAKON ) ®) \eha px alorg) B lactam jtx KLORAM FE NIKOL 3. BAKTERL USTERIA Ts AMox / AMpPICIUN D\ebta pe aergi penntin / @ lactam, 4x 4 KOTRI OX ATOLE 4, DAKTER HAEMOPHILUS INFLUENTA Tx = ANOK / Ampiciun / CERTRIAXON S-BAKTERI STeEPTUCEcUS AUREUS Ax 3 GLUKOSADLIN / OKSANAUN iQue pe rencen pawnun (MBSA) tk 2 VANKOMICIN = \eha voboninn rencten 4x2 UNEZOLIN = MATA = 1. BAIKTERN NEISSERIA : Tr 2 CERTRHIAKON @ AziTROMISIN 2. PATER Q{LANM 01a, Tx ¢ AUTROMISIN 2) wo gonrertea , oral way lahitr diben 7, BAYTER\ STAPHYLococcUS AUREUS Reed Pry EL OSTA GARIN oH oe Bauten | 62 aya pa anak caw lair, \ern | (hanya GONORWEA