DM + CVD EMBOLI

ANTI THROMBOTIK TERAPHY

BEKUAN ARTERI STROKE 69% /MORBIDITAS HANYA 55% AF PENCEGAHAN STROKE CIRKULASI VENA ( RED TROMBOSIS ) - FIBROSIS - ERITROSIT - PLATELET

TROMBUS VENA TROMBUS MERAH ARTERI WHITE TROMBUS O/K ERITROSIT SEDIKIT

MENGAKTIFKAN AKTIFITAS PLATELET ANTI COAGULAN CEGAH BEKUAN/EKSTENSI TROMBOLITIK HANCURKAN FIBRIN FIBRINOLITIK STREPTOKENASE TYPE ANTI PLATELET

ANTI PLATELET -ORAL ASA TXN DIPIRIDAMOL (CAMP ) CLAPIDOGREL ADP CILOSTAZOL (CAMP) PROSTACIKLIN ABEMUX ANTI III G/III M -PARENTERAL
CATATAN: ASA + TICLOPIDIN GOOD

 ANTICOAGULAN
- ORAL - PARENTRAL

- HEPARIN - LMWH - WARPARIN - DABIGATRON - ANTI TROMBOLITIC AGEN

ASPIRIN
1.ANTITROMBOLITIK 2.ANTIOKSIDAN 3.ANTI IMPLAMASI

VIT K 1.HYPOCOAGULAN -FAKTOR IX, VII, X,II

HEPARIN - FAKTOR XIa, IXa,VII,IIa -LANGSUNG MENGHAMBAT FAKTOR Xa,MENGHAMBAT Xa

 SEHAT EMBOLI PARU

MICHAEL PORTES - < 40 TAHUN - FAKTOR INPEKSI

MANAGAMEN DEEP. TROMBOSIS

VTEP 1.SUSPC TROMBOPLEBITIS 2.DVT - LOWER LIMB - UPPER LIMB 3.PERIPERAL TROMBOPLEBITIS 4.POST TROMBOLITIK SYNDROM

VASCULO TROMBOSIS

VENOUS STENOSIS

HYPERCOAG ULIBILITY

CHRONIC VENOUS STENOSIS

PULMONARI THROMBOEMBOLISM

- SIPATNYA CHRONIC - GEJALA MIRIP VENTIL/ PNEUMOTORAX - PEMERIKSAAN - SPINAL SCAN - ANGIOGRAFI - PULMONER ANGIOGRAFI

SYMPTOMP OF PULMONARI EMBOLISME

- DYSPNOE - PLEURAL PAIN - COUGH - LEG SWELLING - LEG PAIN

VENOUS THROMBO EMBOLISME AFTER ACUTE ISHEMIC STROKE - 75 % STROKE HEMIPLEGIK - 20 % PULMONARY EMBOLISME PROPILAKSIS PULMONARI EMBOLISME - MEKANICAL - COMPRESSION STOCKING - COMPRESSION DEVICES - PHARMAKOLOGI - UNFRACTIONAL HEPARINE - LMWH

EMBOLI PARU + CARDIAC ARREST FAKTOR RESIKO PTE STASIS HYPERCOAGULOBILITY ENDOTELIAL DAMAGE

PEMERIKSAAN PULMONARI EMBOLISME

1. FOTO THORAKS
2. EKG

- SINUS TAHICARDIA

- SEGMEN ST T WAVE 3. ANGIOGRAFI ( SCANNING ) 4. D - DIMER 5. ULTRA SONOGRAFI THERAPI : THROMBOLITIK

PRINSIP PENANGANAN PULMONARI EMBOLISME SECEPATNYA DIBERI - HEPARINE - TROMBOLITIK