meningitis fix 1 ppt
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MENINGITIS TB
FIFIL RIZKI SUITRI
PEMBIMBINGDr. Gustin Sukmarini, Sp.A
Kepanitraan Kinik Imu Pen!akit Anak Fakutas ke"#kteran Uni$ersitas Baiturra%ma%
RSUD S##k
&'()
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ANAT*MIMENINGEN
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MENINGITIS
infamasi dari membranpelindung yang menutupiotak dan medula spinalisyang dikenal sebagaimeningens yang dapatdisebabkan oleh beberapaetiologi dan dapatdiidentikasi oleh
peningkatan kadar leukositdalam likuor cerebrospinal(LCS).
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ET!L!"
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E#$EM!L!"meningitis bakteri
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E#$EM!L!"meningitis tuberkulosis
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E#$EM!L!"meningitis %irus dan &amur
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#atosiologi
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#'T!S!L!"
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Maniestasi *linik"e&ala ineksi akut
"e&ala kenaikan tekananintracranial
"e&ala rangsangan meningeal
#anasmuntah
anoreksia
Muntah proyektil
Sakit kepala*esadaran menurun
*e&ang+ke&ang
Moaning cry ,Tangisanmerintih (pada neonatus)
Bulging fontanel ,ubun+ubun besar yang menon&oldan tegang.
kaku kuduk*ernig-rudinky dan positi
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Mani+estasi kinis pa"aa!i - ne#natus
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Mani+estasi kinis pa"a"easa
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Maniestasi *linis
Demam (+) ,ringan
riteble
'patis Tidurterganggu
N!eri Kepaa Malaise'noreksia
!bstipasi Mual dan
Muntah*el /eurologis
(+)
0. Stadium
#rodormal
1. Stadium
Transisi
Ke/an0Kaku Ku"uk 2
opistonus 3efeks tendon
men&adi lebih
meninggi 4bun 5 ubun
menon&ol Starbismus ,
nistagmus Tuberkel di koroid Suhu 66 Kesa"aran ei%
menurun 1strup#r
De2sitneur##0is +#ka
#aresis /er%us*ranial
"erakan n%olunter
(tremor)
7. Stadium
Terminal
Keumpu%an K#ma ei%
"aam #upil melebar /adi dan naas
tidak teratur ( cepatdan dalam)
8iperpireksia *ematian
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$'"/!SS
'namnesa 9 $itemukan TRIAS meningitis Demam, n!eri kepaa,Kaku ku"uk
#emeriksaanisik
*aku *uduk (:)
*ernig Sign (:)
-rudunski
-rudunski
Lase;ue Sign
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-rudinski
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#EME3*S''/#E/4/<'/"
LE$ meningkat= Leukosit meningkat (0>.>>> 5 1>.>>>sel,mm7)L'-
Lumbal#ungsi
CT + Scan
oto Thora?
4&i#e@arnaan
-T'
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Interpretasi Anaisa3airan Serer#spina
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In"ikasi Punksi Luma•
4ntuk mengetahui tekanan dan mengambilsample untuk pemeriksaan sel= kimia danbakteriologi.• 4ntuk membantu pengobatan melalui spinal=pemberian antibiotika= anti tumor dan spinalanestesi. K#ntrain"ikasi*ontraindikasi mutlak pungsi lumbal 9
• pada syok• ineksi di daerah sekitar tempat pungsi• #eningkatan tekanan intrakranial
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#enatalaksanaan
0) Meningitis tuberkulosa 9
a) soniaid 0> 5 1> mg,kg,hari oral= dosis maksimal 7>>mg ,hari
b) 3iampisin 0> 5 1> mg,kg, hari oral= dosis maksimal A>>mg,hari
c) #irainamid 0B 5 7> mg,kg,hari= dosis maksimal 1>>>mg,hari
d) Etambutol 0B 5 1> mg,kg,hari= dosis maksimal 0>>>
mg,harie) Streptomisin M 1> 5 7> mg,kg,hari dengan dosis maksimal
0 gram,hari
*ortikosteroid 9 #rednison 0 5 1 mg,kg,hr
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1) Meningitis bacterial= umur 7 bulan 9
a) ampisilin 1>> 5 D>> mg,kg,hari = dibagi dalam D dosis :seota?im 1>>+7>> mg,kg--,hari= dibagi dalam D dosisatau
c) Cetriakson 0>> mg,kg--, hari dibagi dalam 1 dosis.
7) Meningitis bacterial= umur 6 7 bulan 9
a) Ceotaksim 1>> 5 7>> mg,kg--,hari dibagi dalam 7 5 Ddosis atau
b) Cetriakson 0>> mg,kg--,hari dibagi 1 dosis= atau
c) 'mpisilin 1>> 5 D>> mg,kg--,hari dibagi dalam D dosis: kloramenikol 0>> mg,kg--,hari dibagi dalam D dosis.
$eksametason >=A mg,kg--,,hari dibagi dalam D dosis selamaD hari.
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b. #engobatan simtomatis 9
0) $iaepam 9 >.1 5 >.B mg,kg,dosis= atau rectal >.D 5>.A,mg,kg,dosis kemudian
1) enitoin B mg,kg,1D &am= 7 kali sehari.7) Turunkan panas 9
a) 'ntipiretika 9 parasetamol atau salisilat 0> mg,kg,dosis.
b) *ompres air #'M atau es.
c. #engobatan suporti 9
0) Cairan intra%ena.
1) Fat asam= usahakan agar konsitrasi !1 berkisar antara 7> 5B>G.
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Pen5e0a%an
Langkah dalam mencegah meningitis antara lain9
• Cuci tangan anda secara benar untuk menghindariterkena penyebab ineksi.
• <aga sistem imun tubuh agar berungsi denganbaik dengan cukup istirahat= olahraga teratur danmakan makanan sehat dan bergii.
• Tutup mulut dan hidung ketika bersin atau batuk.
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K*MPLIKASI
a. cairan subdural.
b. 8idrosealus.c. edema otak
d. 'bses otak
. #neumonia (karena aspirasi)
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PR*GN*SIS
#enderita meningitis dapat sembuh= baik sembuh dengancacat motorik atau mental atau meninggal tergantung 9
a. umur penderita.
b. <enis kuman penyebab
c. -erat ringan ineksi
d. Lama sakit sebelum mendapat pengobatan.
e. *epekaan kuman terhadap antibiotic yang diberikan
. 'danya dan penanganan penyakit.(H)