antithyroid, thyroid preparation & iodised salt
TRANSCRIPT
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ANTITHYROID, THYROID
PREPARATION & IODISED SALT
Disediakan Oleh : Nassruto
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ANTI THYROID
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DEFINISI
Ubat ini adalah ubat untuk rawatan hipertiroidisme
yang pengeluaran hormon tiroid yang berlebihan .
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INDIKASI
Rawatan ū hipertiroidisme
(hyperthyroidism ) / tirotoksikosis (thyrotoxicosis)
Persediaan pesakit ū pembedahan “thyroidectomy”
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TINDAKAN UBAT
Ubat ini akan menyekat sintesis / pengeluaran hormon tiroksina dan
triiodotironin .
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CARBIMAZOLE (NEO–MERCAZOLE)
Pemberian : oral. Dos : Dos untuk mengawal
simptom sementara: 30 –60 mg sehari DD. Dos maintenance: 5–20
mg sehari
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Kesan sampingan.
Ruam/gatal kulit gangguan perut usus:
loya, kepala sakit
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IODINE (Aqueous Iodine Solution / Lugol’s
Solution)(5% iodin, 10% kaliun iodida dlm larutan air)
Pemberian : oral Dos : 0.5 ml tds/hari
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Kesan sampingan
Hipersensitiviti mata berair pengeluaran air liur
berlebihan hidung berairsakit tekak
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PROPYLTHIOURACIL
Pemberian : oral Dos : 300 – 450 mg /hari DD
Kesan sampingan.Ruam / gatal kulit, gangguan GI & sakit kepala.
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THYROID PREPARATIONDEFINISI:
Ubat yang merawat kekurangan hormon tiroid
(hypothyroidism) .
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TINDAKAN UBAT.Menggantikan / menambah hormon tiroid jenis sintetik
ke paras yang normal.
KEGUNAANMerawat hipotiroidisme :- kekurangan hormon tiroid
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THYROXINE SODIUM (Thyroxine)
Pemberian : oral Dos : 50– 500 mikrogram/ hari.
Kesan sampingan.• Palpitasi • Cirit • Takikardia • Gelisah
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LIOTHYRONINE SODIUM (Liothyronine)
Pemberian : oral Dos : 5 – 100 mikrogram / hari DD
Kesan sampingan. • Palpitasi • Cirit • Takikardia • Gelisah
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ISODISED SALT
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DEFINISIAgen yg digunakan ū Rx
kekurangan isipadu cecair dlm badan yg isotonik.
Ia itu kehilangan jumlah isipadu air & natrium yg
sama .
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TINDAKAN UBAT
Mengganti cecair / elektrolit dlm badan termasuk air &
natrium yg mana kehilangan isipadu air & natrium dlm kadar isotonik (tekanan
osmosis sama)
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Dengan demikian, gunanya “isotonic salts” ia itu satu jenis “volume
expansion agents”, isipadu cecair dlm badan akan
menambah .
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INDIKASI:
gantian ū kehilangan / kekurangan sodium & air dlm
kadar isotonik (tekanan osmosis yg sama)
menambahkan isipadu cecair dlm badan
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SEBAB2 KEHILANGAN SODIUM / ISIPADU CECAIR
BADAN.
• Perdarahan • Muntah • Cirit • Luka terbakar • Penyakit buah pinggang
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JENIS 2 LARUTAN ISOTONIK NaCl ( natrium klorida)
• 0.9% Normal Saline.• 5% Dextrose + 0.9% NaCl
(Dextrose Saline)• # 0.45% NaCl (hyportonic)• # 3%, 5% NaCl. (hypertonic)
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Pemberia : infusi i/v. Dos : 1.5 L – 3 L / 24 jam. (bergantung kpd keperluan / keadaan pesakit )
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Kesan sampingan
akumulasi natrium & menyebabkan edema