Kasus Tentang Hipertiroid

Oja Karnila
1608109010011
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OUTLINE
01 Penggalian Kasus

02 Identifikasi DRP

03 Follow up Penyelesaiaan DRP

04 Item Obat, Regimen Dosis dan Kekuatan Obat

05 PICO
 DATA PASIEN
Nama : Diana Maressa Kebiasaan:
Umur : 18 tahun - Makan-makanan instan, contohnya
Pekerjaan : siswa mie instan
Alamat : Kuta Baro - Minum-minuman kedai
Riwayat : Hipertiroid - Air dingin
- Garam biasa

Diana maressa adalah salah atu pasien rawat jalan yang didiagnosa penyakit hipertiroid selama 4 tahun.
Obat yang dikonsumsi adalah propanolol dan thyrozol. Berikut uraian dosis dari obat tersebut pada 6 bul
an pertama berobat:
a. Propanolol 15 mg 2X sehari diminum 1 tablet dan setengah tablet pagi hari dan malam hari diminum
1 tablet.
b. Thyrozol 10 mg 2X sehari 1 tablet dan setengah tablet pagi hari dan malam setengah tablet.
Dosis propanolol dan throzol selanjutnya sampai sekarang:
a. Propanolol 10 mg 2X sehari, pagi satu tablet, dan malam hari setengah tablet
b. Throzol 10 mg 2X sehari pagi 1 tablet dan malam hari setengah tablet
DATA PASIEN
Organ Gejala dan Tanda
Susunan saraf Emosional(cepat marah), sulit tidur, sulit konsentrasi, dan tremor
Mata Mata membesar sebelah kiri, pandangan ganda, mata berair
Leher Pembengkakan pada leher
Jantung dan paru-paru Jantung berdebar-debar, sesak napas
Saluran cerna Sering lapar, banyak makan, sering haus
Sistem reproduksi Tingkat kesuburan menurun, menstruasi berkurang, dan kadang-ka
dang tidak haid
Otot Tangan gemetar
Kulit Berkeringat tidak wajar
Acuan: pusat data dan informasi kementerian kesehatan RI
Keluhan pasien pada malam hari

01 Denyut jantung meningkat pada malam hari

Susah tidur karena ketakutan

02

Berkeringat sangat banyak seluruh tubuh

03 dibandingkan dengan siang hari

Gatal-gatal seluruh tubuh pada malam hari

04 dan siang.
 DATA PASIEN
Hasil pemeriksaan laboratorium
tangal 15-09-2014 dirumah sakit
Harapan Bunda
Pada hasil FT3 ialah 16,03 dan FT4 3,59 ini diatas
normal. Kemudian kadar TSHs <0,005 ulU/mL
kurang dari 0,001 mU/L ini dinyatakan mengalami
hipertiroid berdasarkan data lab.
DATA PASIEN
 DATA PASIEN
Hasil pemeriksaan laboratorium
tangal 23-01-2019 dirumah sakit
Zainoel Abidin
Pada hasil FT4 18,74 pmol/L ini diatas normal.
Kemudian kadar TSHs <0,005 ulU/mL kurang dari
0,001 mU/L ini dinyatakan mengalami hipertiroid
berdasarkan data lab.
 DATA PASIEN
Obat yang diberikan ialah

Thyrosol 10 mg 1X sehari 1 tablet

Propanolol 10 m 2x sehari 1 tablet
 Thyrozol
01 03 Tepat dosiss

Tepat Obat
Obat yang diberikan tepat
terhadap pasien ini

http://www.mims.com/
02 Tepat indikasi
Obat yang diberikan tepat
indikasi nya berdasarkan
management of indonesian
clinical practice guideline for
hyperthyroidsm yang mana obat
yang diberikan ialah
penghambatan hormon tiroid.
 Identifikasi DRP
Thyrozol
04 ADR
Dapat menyebabkan pakreatitis akut berdasarkan laporan dari Health Sciences
Authority (HSA). Dan menurut mims dapat dilihat dibawah ini.

http://www.mims.com/

Keadaan pasien setelah mengkonsumsi obat thyrozol ini pasien mengalami gatal-gatal
pada seluruh bagian tubuh.
Identifikasi DRP
Propanolol Tepat indikasi Tepat dosis
Obat yang diberikan tepat
Tepat obat
indikasi nya karena
Obat yang diberikan berdasarkan management
tepat untuk pasien penyakit hypertiroid ada
ini. diberikan obat-obat beta blocker.
Dan untuk mengurangi gejala
dari hipertiroid itu sendiri.

http://www.mims.com/
 http://www.mims.com/

Mood change yang mana pasien cepat marah kemudian gangguan tidur (susah tidur,
ADR tekanan darah menurun sehingga jantung berdebar-debar setelah minum obat.
Penyelesaian DRP
Obat thyrosol yang menyebabkan gatal-gatal pada
pasien dapat diberikan obat anti alergi pada
pasien ini.
Pasien masih meneluhkan susah tidur oleh karena
itu dapat diberikan obat tidur.
 Penyelesaiaan DRP

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