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7/24/2019 Studi Kasus SIKER
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Studi Kasus
SENTRA INFORMASI KERACUNAN(SIKER)1. Felisitas
2. Fitri
3. Gabriel
. Gali!
". Gra#e
$. Nia
%. &e'dra
7/24/2019 Studi Kasus SIKER
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Kasus 1
ari data la*ra' +era#u'a' diru,a! sa+it- ba'a+ ter/adi+era#u'a' +are'a di 0i0it ular.
Seba0ai ertu0as SIKER-i'*r,asi aa a'0 disia+a'u'tu+ ,e'a'0a'i +asus tersebut
elas+a' se#ara Ri'#i4
7/24/2019 Studi Kasus SIKER
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Ta!a e'#e0a!a'
Gu'a+a' erle'0+aa' bere'a'0atau ,e'ela, a'0 a,a' bilaberada di dala, air laut (u'tu+
0i0ita' ular laut).Me'0e'a+a' alas +a+i atau
seatu da' #ela'a +ulit sa,ai
sebatas a!a u'tu+ e'dudu+didaera! di,a'a dite,u+a'ba'a+ ular
&i'dari ber/ala' ada daera!5
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Ga,bara' Kli'is
Ge/ala 6*+al
Ede,a- 'eri- 'eri te+a'-e+!i,*sis (dala, 37 ,e'it52
/a,)Ge/ala Siste,i+
&i*te'si- +ele,a!a'-
ber+eri'0at-,e'00i0il- ,ual-,u'ta! da' 'eri +eala
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Ge/ala da' Ta'da5ta'da+era#u'a' u,u,6u+a 0i0ita' berua ta'da 0i0ita' +e#il
a'0 tida+ 'eri. Ra#u''a daat,eebab+a' !e,*lisis- rabd*,i*lisis-albu,i'uria da' 0a0al 0i'/al.
Ta'da5 ta'da +era#u'a' a'0 se0era,u'#ul seerti sa+it +eala- lida! terasatebal- ber+eri'0at da' ,u'ta!
Setela! 37 ,e'it sa,ai beberaa /a,8+a+u da' 'eri- sas,e *t*t ra!a'0-aralisis *t*t- uri' 9ar'a #*+lat 0ela-0a0al 0i'/al.
7/24/2019 Studi Kasus SIKER
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Ede,a- s*+- ,ual- ,idriasis-le,a!- arit,ia- ra!a'0 terasa+a+u da' +e/a'0.
ala, +asus berat8 a'da'0a'+abur- !ierte'si- sia'*sis- da'+e,atia'.
7/24/2019 Studi Kasus SIKER
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Ge/ala K!usus
&e,at*t*+si+ 8 e'dara!a' di te,at 0i0ita'-ul,*- /a'tu'0- 0i'/al- erit*'iu,- *ta+- 0usi-!e,ate,esis ,ele'a- +ulit- !e,*t*e-!e,aturia- IC (Disseminated Intravascular
Coagulation)Neur*t*+si+ 8 !iert*'i+- asi+ulasi-
aresis-aralisis er'aasa'- t*sis-*ta,*le0i- aralisis *t*t lari'0- re:e+ab'*r,al- +e/a'0 da' +*,a
Kardi*t*+si+ 8 !i*te'si- !e'ti /a'tu'0- +*,aSi'dr*,a +*,arte,e' 8 ede,a tu'0+ai
de'0a' ta'da "; (ai'- all*r- arest!esia-aralsis- ulseless'ess)
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3. ;ert*l*'0a' ;erta,a
Tu/ua'Me'0!a,bat abs*rsi bisa ular
Me,erta!a'+a' !idu +*rba'
Me'0!i'dari +*,li+asi sebelu,,e'daat+a' era9ata' ,edis diRS.
e+*'ta,i'asi 8 Cu#i daera! 0i0ita'de'0a' sabu' da' air bersi! ataularuta' a'tiseti+ u'tu+,e,bersi!+a' ra#u'.
7/24/2019 Studi Kasus SIKER
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Met*de ert*l*'0a' a'0 dila+u+a' adala!i,*bilisasi (,e,buat +*rba' tida+ ber0era+)
I,,*bilisasi daat dila+u+a' de'0a' #ara,e'0i+at atau ,e'a'00a ba0ia' tubu!a'0 ter0i0it de'0a' +au a0ar tida+ ter/adi+*'tra+si *t*t +are'a daat ,e'i'0+at+a'e'eraa' bisa +e dala, alira' dara! da'
0eta! be'i'0. ;*sisi daera! a'0 ter0i0it !arus di*sisi+a'
lebi! re'da! dari /a'tu'0.
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;e'a'0a'a' di Ru,a!Sa+itTu/ua'Me'0!ala'0i> ,e,erla,bat
abs*rsi bisa
Me'etral+a' bisa ular a'0suda! ,asu+ +e sir+ulasi
Me'0atasi ee+ l*+al da' siste,i+
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;e'atala+sa'aa'
;e'0*bata' s*+ atau 0a0al 'aas8;aralisis *t*t er'aasa' ,e,erlu+a' i'tubasi da'?e'tilasi ,e+a'i+ !i'00a u'0si er'aasa' '*r,al
+e,bali.
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;ed*,a' Terai SA
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Terai ta,ba!a'
Ga'00ua' +*a0ulasi berat 8 res!r*He' las,a
;e'dara!a' 8 tra'usi
R
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KASUS 2
Se*ra'0 ibu +era#u'a' +are'a ,e'e0a+#aira' e,bersi! la'tai S.O.S- +eluar0a'aa'i+ da' ,e'0!ubu'0i ;etu0as SiKer. Aaa'0 !arus A'da la+u+a' seba0ai ;etu0asSiKer
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Benzalkonium Klorida
;e,bersi! 6a'tai S.O.S ,e'0a'du'0
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*sis t*+si+*sis atal e'ela'a' 8 153 0ra,
K*se'trasi 1 daat ,erusa+
,u+*saK*se'trasi 17 bersiat +*r*si
ter!ada +er*'0+*'0a' da' ,u+*sa
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Ee+ *te'sial ter!ada+ese!ata'
Efekotensial
Jangka endek Jangka anjang
I'!alasi Iritasi iritasi
K*'ta+ ,elalui+ulit da' ,ata
Rea+si aler0i- lu+a ba+ar Rea+si aler0i- lu+aba+ar
Tertela' 6u+a ba+ar- ,u'ta!-su+ar ber'aas- 0e/alaseerti ,abu+- +ulit
+ebirua'- +erusa+a'0i'/al
diare
7/24/2019 Studi Kasus SIKER
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Ga,bara' Kli'is
Mu'ta! da' ada +eadaa' beratdaat ter/adi diare da'!e,ate,esis da' ,ele'a
K*'ta+ ,ata 8 +erusa+a' +*r*siK*'ta+ +ulit 8 erite,a atau rua,
ri'0a'
7/24/2019 Studi Kasus SIKER
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KASUS 2
Ge/ala da' ta'da5ta'da +era#u'a' terba0iatas 2 aitu
a. Kera#u'a' A+ut 8 lu+a ba+ar a'0 eri!ada ,ulut- te'00*r*+a' da' erut
disertai de'0a' sali?asi a'0 ba'a+-,u'ta!- ter/adi ta'da5ta'da sir+ulasis!*#+ (!i*te'si- susa! ber'aas da'ter/adi #a'*sis.
b. Kera#u'a' Kr*'i+ 8 ,e'ebab+a'diare
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;e'atala+sa'aa'
;e'atala+saa' /ala' 'aas da'u'0si 'aas
;e'atala+sa'aa' sir+ulasi 8
asa'0 i'us1.,u'ta! atau diare !ebat-
beri+a' R6 u'tu+ +*re+si
de!idrasi da'+etida+sei,ba'0a' ele+tr*lit
2. /i+a didu0a ter/adi +*r*si-
+*'sultasi de'0a' a!li
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e+*'ta,i'asi Gastr*i'testi'alila+u+a' bila ada du0aa' e'ela'a'
ba!a' +ati*'i+ dala, /u,la! ba'a+