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MEDICAL
1. Netralisasi toksin
yang tidak terikat
2. Membuang
Sumber
Tetanospasmin
3. Pengobatan
suportif
• Luka dibersihkan
menyeluruh dan
didebridement
• Antibiotika untuk bentuk
vegetatif Clostridium tetani,
sehingga tidak ada lagi
sumber eksotoksin.
HTIG/ATS ditujukan untuk mencegah
eksotoksin berikatan dengan susunan
saraf pusat (eksotoksin yang berikatan
dengan susunan saraf pusat akan
menyebabkan kejang
Perawatan penunjang (suportif )
berupa antikonvulsan sampai
tetanospasmin yang berikatan
dengan jaringan telah habis
dimetabolisme.
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2 Enter Title
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CONTENTS
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3 Enter Title
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CONTENTS
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4
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CONTENTS
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4
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5
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CONTENTS
PART
01
Title
添加相关标题文字 添加相关标题文字
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C l i c k h e r e t o a d d t e x t .
Enter Title
Enter Title
Click here to add a subtitle
Click here to add the text,
the text is the extraction of
your thought, please try to
explain your point of view as
succinctly as possible.
1. Netralisasi toksin
yang tidak terikat
2. Membuang
Sumber
Tetanospasmin
3. Pengobatan
suportif
• Luka dibersihkan
menyeluruh dan
didebridement
• Antibiotika untuk bentuk
vegetatif Clostridium tetani,
sehingga tidak ada lagi
sumber eksotoksin.
HTIG/ATS ditujukan untuk mencegah
eksotoksin berikatan dengan susunan
saraf pusat (eksotoksin yang berikatan
dengan susunan saraf pusat akan
menyebabkan kejang
Perawatan penunjang (suportif )
berupa antikonvulsan sampai
tetanospasmin yang berikatan
dengan jaringan telah habis
dimetabolisme.
Enter title Enter title
Click here to add the text, the text is the extraction of your thought,
please try to explain the point of view as succinctly as possible.
Click here to add the text, the text is the extraction of your thought,
please try to explain the point of view as succinctly as possible.
C l i c k h e r e t o a d d t e x t .
Enter Title
Enter title
C l i c k h e r e t o a d d t h e t e xt ,
t h e t e xt i s t h e e xt r a c t i o n o f
yo u r t h o u g h t , p l e a s e t r y t o
e xp l a i n yo u r p o i n t o f vi e w
a s s u c c i n c t l y a s p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n o f
y o u r t h o u g h t , p l e a s e t r y t o
e x p l a i n y o u r p o i n t o f v i e w
a s s u c c i n c t l y a s p o s s i b l e .
C l i c k h e r e t o a d d t e x t .
Enter Title
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n o f
y o u r t h o u g h t , p l e a s e t r y t o
e x p l a i n y o u r p o i n t o f v i e w
a s s u c c i n c t l y a s p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n o f
y o u r t h o u g h t , p l e a s e t r y t o
e x p l a i n y o u r p o i n t o f v i e w
a s s u c c i n c t l y a s p o s s i b l e .
E n t e r t i t l e
Click here to add the text,
the text is the extraction of
your thought, please try to
explain your point of view
as succinctly as possible.
C l i c k h e r e t o a d d t e x t .
Enter Title
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e
t r y t o e x p l a i n y o u r p o i n t
o f v i e w a s s u c c i n c t l y a s
p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
C l i c k h e r e t o a d d t e x t .
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C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
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C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
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Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
Enter title
C l i c k h e r e t o a d d t h e t e x t ,
t h e t e x t i s t h e e x t r a c t i o n
o f y o u r t h o u g h t , p l e a s e t r y
t o e x p l a i n y o u r p o i n t o f
v i e w a s s u c c i n c t l y a s
p o s s i b l e .
C l i c k h e r e t o a d d t e x t .
Enter Title
Click here to add the text, the text is the extraction of your
thought, please try to explain your point of view as
succinctly as possible.
Click here to add the text, the text is the extraction of your
thought, please try to explain your point of view as succinctly
as possible.
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t i t l e
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t i t l e
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t i t l e
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C l i c k h e r e t o a d d t e x t .
Enter Title
1. Netralisasi toksin
yang tidak terikat
2. Membuang
Sumber
Tetanospasmin
3. Pengobatan
suportif
• Luka dibersihkan
menyeluruh dan
didebridement
• Antibiotika untuk bentuk
vegetatif Clostridium
tetani, sehingga tidak
ada lagi sumber
eksotoksin.
HTIG/ATS ditujukan untuk
mencegah eksotoksin berikatan
dengan susunan saraf pusat
(eksotoksin yang berikatan dengan
susunan saraf pusat akan
menyebabkan kejang
Perawatan penunjang
(suportif ) berupa
antikonvulsan sampai
tetanospasmin yang
berikatan dengan jaringan
telah habis dimetabolisme.
1. Antitoksin yang diberikan yaitu Human Tetanus Immunoglobulin
(HTIG) IM dengan dosis 3.000- 10.000 unit, dibagi tiga dosis di tiga
tempat berbeda. Bila tidak tersedia HTIG, maka digunakan ATS
dengan dosis 100.000- 200.000 unit diberikan 50.000 unit IM dan IV.
2.
3.
1. Netralisasi toksin
yang tidak terikat
2. Membuang
Sumber
Tetanospasmin
3. Pengobatan
suportif
• Luka dibersihkan
menyeluruh dan
didebridement
• Antibiotika untuk bentuk
vegetatif Clostridium tetani,
sehingga tidak ada lagi
sumber eksotoksin.
HTIG/ATS ditujukan untuk mencegah
eksotoksin berikatan dengan susunan
saraf pusat (eksotoksin yang berikatan
dengan susunan saraf pusat akan
menyebabkan kejang
Perawatan penunjang (suportif )
berupa antikonvulsan sampai
tetanospasmin yang berikatan
dengan jaringan telah habis
dimetabolisme.
Click here to
add text.
Enter title
Click here to
add text.
Enter title
Click here to
add text.
Enter title
Click here to
add text.
Enter title
Click here to
add text.
Enter title
3
Click here to add text.
Enter Title
Antibiotik Dosis Golongan
Lini 1 : Metronidazole IV Inisial 15 mg/kgBB dilanjutkan dosis 30
mg/kgBB/hari setiap 6 jam selama 7-10 hari
Nitromidazole
Lini 2 : Penicillin Procain IM 50.000-100.000 U/kgBB/hari selama 7-10 hari Penicillin
Lini 3 : Tetrasiklin 50 mg/kgBB/hari, max: 2 gram Aminoglikosida
Obat Dosis Golongan
Diazepam IV 0,1-0,3
mg/kgBB/4jam
Antiansietas golongan enzodiazepine untuk mengatasi
kejang dan spasme.
Fenobarbital IV 120-200 mg/hari Antikonvulsan golongan barbiturat untuk mengatasi
kejang dan spasme.
Klorpromazin IV 50-150 mg /4 jam Antipsikotik golongan fenotiazin sebagai terapi tambahan.
THANK YOU
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Blue Medical Work .pptx

  • 1. Click here to add the text. MEDICAL 1. Netralisasi toksin yang tidak terikat 2. Membuang Sumber Tetanospasmin 3. Pengobatan suportif • Luka dibersihkan menyeluruh dan didebridement • Antibiotika untuk bentuk vegetatif Clostridium tetani, sehingga tidak ada lagi sumber eksotoksin. HTIG/ATS ditujukan untuk mencegah eksotoksin berikatan dengan susunan saraf pusat (eksotoksin yang berikatan dengan susunan saraf pusat akan menyebabkan kejang Perawatan penunjang (suportif ) berupa antikonvulsan sampai tetanospasmin yang berikatan dengan jaringan telah habis dimetabolisme.
  • 2. 1 Enter Title Click here to add text. 2 Enter Title Click here to add text. CONTENTS
  • 3. 1 Enter Title Click here to add text. 2 Enter Title Click here to add text. 3 Enter Title Click here to add text. CONTENTS
  • 4. 1 Enter Title Click here to add text. 2 Enter Title Click here to add text. 3 Enter Title Click here to add text. 4 Enter Title Click here to add text. CONTENTS
  • 5. 1 Enter Title Click here to add text. 2 Enter Title Click here to add text. 3 Enter Title Click here to add text. 4 Enter Title Click here to add text. 5 Enter Title Click here to add text. CONTENTS
  • 7. Click here to add text. Enter title Click here to add text. Enter title C l i c k h e r e t o a d d t e x t . Enter Title
  • 8. Enter Title Click here to add a subtitle Click here to add the text, the text is the extraction of your thought, please try to explain your point of view as succinctly as possible. 1. Netralisasi toksin yang tidak terikat 2. Membuang Sumber Tetanospasmin 3. Pengobatan suportif • Luka dibersihkan menyeluruh dan didebridement • Antibiotika untuk bentuk vegetatif Clostridium tetani, sehingga tidak ada lagi sumber eksotoksin. HTIG/ATS ditujukan untuk mencegah eksotoksin berikatan dengan susunan saraf pusat (eksotoksin yang berikatan dengan susunan saraf pusat akan menyebabkan kejang Perawatan penunjang (suportif ) berupa antikonvulsan sampai tetanospasmin yang berikatan dengan jaringan telah habis dimetabolisme.
  • 9. Enter title Enter title Click here to add the text, the text is the extraction of your thought, please try to explain the point of view as succinctly as possible. Click here to add the text, the text is the extraction of your thought, please try to explain the point of view as succinctly as possible. C l i c k h e r e t o a d d t e x t . Enter Title
  • 10. Enter title C l i c k h e r e t o a d d t h e t e xt , t h e t e xt i s t h e e xt r a c t i o n o f yo u r t h o u g h t , p l e a s e t r y t o e xp l a i n yo u r p o i n t o f vi e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . C l i c k h e r e t o a d d t e x t . Enter Title
  • 11. Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . E n t e r t i t l e Click here to add the text, the text is the extraction of your thought, please try to explain your point of view as succinctly as possible. C l i c k h e r e t o a d d t e x t . Enter Title
  • 12. Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . C l i c k h e r e t o a d d t e x t . Enter Title
  • 13. Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . Enter title C l i c k h e r e t o a d d t h e t e x t , t h e t e x t i s t h e e x t r a c t i o n o f y o u r t h o u g h t , p l e a s e t r y t o e x p l a i n y o u r p o i n t o f v i e w a s s u c c i n c t l y a s p o s s i b l e . C l i c k h e r e t o a d d t e x t . Enter Title
  • 14. Click here to add the text, the text is the extraction of your thought, please try to explain your point of view as succinctly as possible. Click here to add the text, the text is the extraction of your thought, please try to explain your point of view as succinctly as possible. Enter Title C l i c k h e r e t o a d d t e x t . Enter Title
  • 15. keyword 3 2 1 4 Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title
  • 16. 3 2 1 4 5 Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title Keyword
  • 17. 3 2 1 6 4 5 Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title Keyword
  • 18. 3 2 1 6 7 4 5 Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title Keyword
  • 19. 3 2 1 6 7 8 4 5 Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title Keyword
  • 20. Keyword 3 2 1 6 7 8 4 5 9 Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here Title Add text here C l i c k h e r e t o a d d t e x t . Enter Title
  • 21. Click here to add to the title Click here to add text. Click here to add text. Click here to add text. Click here to add text.
  • 22. E n t e r t i t l e Add text here E n t e r t i t l e Add text here E n t e r t i t l e Add text here
  • 23. C l i c k h e r e t o a d d t e x t . Enter Title 1. Netralisasi toksin yang tidak terikat 2. Membuang Sumber Tetanospasmin 3. Pengobatan suportif • Luka dibersihkan menyeluruh dan didebridement • Antibiotika untuk bentuk vegetatif Clostridium tetani, sehingga tidak ada lagi sumber eksotoksin. HTIG/ATS ditujukan untuk mencegah eksotoksin berikatan dengan susunan saraf pusat (eksotoksin yang berikatan dengan susunan saraf pusat akan menyebabkan kejang Perawatan penunjang (suportif ) berupa antikonvulsan sampai tetanospasmin yang berikatan dengan jaringan telah habis dimetabolisme. 1. Antitoksin yang diberikan yaitu Human Tetanus Immunoglobulin (HTIG) IM dengan dosis 3.000- 10.000 unit, dibagi tiga dosis di tiga tempat berbeda. Bila tidak tersedia HTIG, maka digunakan ATS dengan dosis 100.000- 200.000 unit diberikan 50.000 unit IM dan IV. 2. 3.
  • 24. 1. Netralisasi toksin yang tidak terikat 2. Membuang Sumber Tetanospasmin 3. Pengobatan suportif • Luka dibersihkan menyeluruh dan didebridement • Antibiotika untuk bentuk vegetatif Clostridium tetani, sehingga tidak ada lagi sumber eksotoksin. HTIG/ATS ditujukan untuk mencegah eksotoksin berikatan dengan susunan saraf pusat (eksotoksin yang berikatan dengan susunan saraf pusat akan menyebabkan kejang Perawatan penunjang (suportif ) berupa antikonvulsan sampai tetanospasmin yang berikatan dengan jaringan telah habis dimetabolisme.
  • 25. Click here to add text. Enter title Click here to add text. Enter title Click here to add text. Enter title Click here to add text. Enter title Click here to add text. Enter title 3 Click here to add text. Enter Title
  • 26. Antibiotik Dosis Golongan Lini 1 : Metronidazole IV Inisial 15 mg/kgBB dilanjutkan dosis 30 mg/kgBB/hari setiap 6 jam selama 7-10 hari Nitromidazole Lini 2 : Penicillin Procain IM 50.000-100.000 U/kgBB/hari selama 7-10 hari Penicillin Lini 3 : Tetrasiklin 50 mg/kgBB/hari, max: 2 gram Aminoglikosida Obat Dosis Golongan Diazepam IV 0,1-0,3 mg/kgBB/4jam Antiansietas golongan enzodiazepine untuk mengatasi kejang dan spasme. Fenobarbital IV 120-200 mg/hari Antikonvulsan golongan barbiturat untuk mengatasi kejang dan spasme. Klorpromazin IV 50-150 mg /4 jam Antipsikotik golongan fenotiazin sebagai terapi tambahan.
  • 27. THANK YOU Click here to add the text.