Ppt Ebm Annisa Eka Nova

7/26/2019 Ppt Ebm Annisa Eka Nova

1/23

ANNISA EKA NOVA WULANDARI

1102011032

LAPORAN EBM

(TERAPI)

COMPARISON OF TERBUTALINE ANDSALBUTAMOL INHALATION IN

CHILDREN WITH MILD OR MODARETE

ACUT EXACERBATION OF ASTHMA


2/23

Skenario

N! S "a#an$ ke k%inik &er'aa anak %aki%aki &ernaa A*an$ &er+'ia , #a-+n "en$an ke%+-an 'e'ak na.a'! Ke%+-an ini"ira'akan anankna 'e/ak kearin 'ian$ 'e#e%a- .+%an$ 'eko%a-'e&e%+ na anak #er'e&+# 'e"an$ en$ik+#i .e%a/aran o%a-ra$a"i%a.an$an!

Saa# anane'i' i&+ .a'ien ena#akan .a'ien ei%iki

.enaki# a'a 'e/ak kei%! Se#e%a- "i %ak+kan .eerik'aan 'ik

.a"a anak "i"a.a#kan na.a' 304eni# 5R 1164eni# kea"aananak %ea' "an 'aa# a+'k+%#a'i en$ik #er"en$ar 'aa# ek'.ira'i!

Dok#er en"ia$no'i' .a'ien en$a%ai keka&+-ana'a "an akan e&erikan o&a# #er&+#a%ine in-a%a'i! Ta.i i&+.a'ien en$a#akan "ok#er 'e&e%+ na 'erin$ e&erikan o&a#'a%&+#ao% "an 'e#e%a- eakai o&a# #er'e&+# anak na 'erin$en$e%+- #an$an "an kaki na $ee#ar! I&+ .a'ien enanakana.aka- o&a# #er&+#a%ine #i"ak e&erikan e7ek 'a.in$$ee#ar /+$a8


3/23

9ore$ro+n" :+e'#ion

A.aka- o&a# #er&+#a%ine in-a%a'i e&erikan ke+n$kinane7ek 'a.in$ #reor an$ %e&i- kei% "i&an"in$kan'a%&+#ao% in-a%a'i8


4/23

PI;O

o.+%a#ion < Anak %aki%aki , #a-+n "en$an 'eran$ana'a ak+#

n#er=en#ion< Ter&+#a%ine

o.ari'on < Sa%&+#ao%

+#oe < Ee7ek 'a.in$ #reor .a"a #er&+#a%ine %e&i-ren"a- "i &an"in$ .a"a 'a%&+#ao%


5/23

5a'i% B+k#i Penarian

e&'i#e < -##.e&!&!e&'o-o'#!o4e-o'#4'ear-

Ke>or" i#- Mi%" or Mo"era#e A+#e Eaer&a#ion o7 A'#-a
http://web.b.ebscohost.com/ehost/searchhttp://web.b.ebscohost.com/ehost/searchhttp://web.b.ebscohost.com/ehost/searchhttp://web.b.ebscohost.com/ehost/searchhttp://web.b.ebscohost.com/ehost/searchhttp://web.b.ebscohost.com/ehost/search


6/23

REVIEW @OURNAL


7/23

In#ro"+#ion

Be#aa$oni'# '+- a' 'a%&+#ao% an" #er&+#a%ine are>i"e% +'e" in #rea#en# o7 a'#-a .ar#i+%ar% in a+#eeaer&a#ion'! In %inia% .ra#ie 'a%&+#ao% i' .re'ri&eore 7reC+en#% #-an #er&+#a%ine! S#+"ie' o.arin$ #-e

%inia% ea an" 'i"e ee# o7 #-e #>o &2a$oni'# ina+#e eaer&a#ion' are %ii#e" an" #-o'e .re'en# $i=eonFi#in$ =ie>'!


8/23

Me#-o"'

T-e '#+" >a' on"+#e" in #-e .e"ia#ri -e'# %ini o7 a #er#iarare -o'.i#a% in nor#- In"ia! T-e '#+" '+&/e#' >ere -i%"ren in#-e a$e $ro+. o7 616 ear' o%" >-o .re'en#e" >i#- a i%" oro"era#e a+#e eaer&a#ion o7 a'#-a! Mi%" eaer&a#ion >a'

"ene" & .re'ene o7 o+$- an" >-eeGin$ >i#-o+# an 7orn o7"i'#re'' ano'i' inrea'e" re'.ira#or ra#e or i.airen# o7a#i=i# a&i%i# #o '.eak in &e#>een &rea#-'!

Ba'e%ine %inia% a''e''en# o7 #-e -i%" >a' "one & one o7 #-ea+#-or' a7#er oainin$ on'en# 7ro #-e .aren#'! T-i' a+#-or>a' +na>are o7 #-e "r+$ #-a# i' $oin$ #o &e a"ini'#ere"! T-e-i%"ren >ere #-en ran"oiGe" & +'in$ a ran"o n+&er #a&%e#o reei=e 'a%&+#ao% or #er&+#a%ine!


9/23

Re'+%#

A7#er "r+$ a"ini'#ra#ion a%% #-e '#+"ie" =aria&%e'-o>e" 'i$nian# i.ro=een# >i#-in ea- $ro+.!5o>e=er #-ere >ere no '#a#i'#ia%% 'i$nian# "ierene>-en #-e #>o $ro+.' >ere o.are" >i#- ea- o#-er (#a&%e

2)! 5o>e=er #-i' "ierene >a' no# '#a#i'#ia%% 'i$nian#!


10/23

Di'+''ion

T-e a+#-or' re.or#e" eC+a% ea in #rea#en# o7 a+#e&ron-o'.a'! T-e a+#-or' a%'o re.or#e" 'ii%ar on'e# o7 a#ion7or a%% #-e "r+$! Un%ike #-e .re'en# '#+" #-e +'e" ne&+%iGa#ion7or a"ini'#ra#ion o7 #-e "r+$! I# -a' &een "eon'#ra#e" #-a# #-e"e%i=er o7 #-e "r+$ & e#ere" "o'e in-a%er >i#- '.aer i' a'ee#i=e a' #-a# a-ie=e" & ne&+%iGa#ion!

T-e o#-er onern -a' &een #-e 'i"e ee#'! Sa%&+#ao%a -a=e a %e''er ri'k o7 'i"e ee#' o.are" >i#- #er&+#a%ine&ea+'e o7 i#' $rea#er ani# 7or B2ree.#or' #-an 7or B1ree.#or'! 5o>e=er #-e .re'en# '#+" an" #-e o#-er '#+"ie' "i"

no# "eon'#ra#e" an 'i$nian# "ierene &e#>een #>o $ro+.'!

We on%+"e #-a# #er&+#a%ine an" 'a%&+#ao% >-ena"ini'#ere" & MDI >i#- '.aer are eC+a%% eaio+' in-i%"ren >i#- i%" or o"era#e a+#e eaer&a#ion o7 a'#-a!


11/23

VALIDITY


12/23

1.) A. Was the assi!"e!t #$%atie!t t# t&eat"e!ts &a!'#"i(e'

Ha .a"a .ene%i#ian ini "i%ak+kan ran"oi'a'i


13/23

1.) B. We&e the *% si"i+a& at thesta&t #$ the t&ia+

Ha ke"+a $ro+. ei%iki karak#eri'#ik an$ 'aa! Bi'a"i%i-a# .a"a #a&%e 1 karak#eri'#ik anak an$ "i o&a#i .a"ake"+a $ro+. 'e%+r+- karak#eri'#ik na ni%ai P =a%+e na#i"ak a"a an$ %e&i- kei% "ari 0!06 an$ &erar#i #i"ak a"a.r&e"aan &erakna


14/23

. .t&eat"e!ts /e&e the *% t&eate'

e0*a++

i"ak a"a ke#eran$an en$enai .er%ak+an "i%+ar #rea#en#an$ "i &erikan!


15/23

,.) B. We&e a++ %atie!ts /h# e!te&e' the t&ia+a--#*!te' $#& 2 a!' /e&e the a!a+se' i! the

*%s t# /hi-h the /e&e &a!'#"i(e'

Ha 'e+a .a'ien an$ e$ik+#i .ene%i#ian ini "i.er-i#+n$kan karena /+%a- an$ en$ik+#i .a"a a>a%.ene%i#ian "an #o#a% /+%a- .a'ien .a"a #a&e% outcome(#a&e% 2) 'aa


16/23

3.) We&e "eas*&es #45e-ti6e #& /e&e the%atie!ts a!' -+i!i-ia!s 7e%t 84+i!'9 t# /hi-h

t&eat"e!t /as 4ei! &e-ei6e'

Ha "i%ak+kan "en$an ara double blindkarena .a'ien #i"aken$e#a-+i o&a# a.a an$ "i "a.a#kan "an .ene%i#i /+$a#i"ak en$e#a-+i /eni' o&a# ana an$ "i "a.a# .a"aa'in$ a'in$ $ro+.!


17/23

RESULT


18/23

Be&a%a7ah 4esa& e$e7 te&a%i:CEREERARRARINNT)


19/23

E.erien#a% e=en# ra#e (EER) a4 (aJ&) 3431 ;.;< =

;on#ro%e=en# ra#e (;ER) 4 (J") 42 ;.13 = 13>

Re%a#i=eRi'k (RR) EER 4 ;ER 0!040!13 ;.?< = ?

OR a"4& 64112 ;.?? = ??>

Re%a#i=e ri'kre"+#ion (RRR) ;EREER;ER or 1RR ;.31 = 31>

A&'o%+#eri'k re"+#ion (ARR) ;EREER 0!13 0!0 ;.;@ = @>

N+&ernee"e" #o #rea# (NNT) 14ARR ,


20/23

Be&a%a7ah %&esisi esti"asie$e7 te&a%i

on"ene in#er=a% (;I) .a"a #a&%e 2 a#a+ #a&%e o+#oe#er#+%i' 6


21/23

%e!e&a%a! %a'a %asie! :s%e7t&*"

%asie! 'a! setti!)

enera.an .a"a .a'ien anak A* /ika "i%i-a# "ari +'ia na 'e'+aikarena .a"a .ene%i#ian 'a.e% na &er+'ia 616 #a-+n "an.a'ien ini &er+'ia , #a-+n

era.i #er&+#a%in /+$a #er'e"ia "i In"one'ia

e#a.i "ari 'e$i -ar$a +k+. &er&e"a "i In"one'ia 5ar$a Sa%&+#ao% In-a%a'i (on#o- < VENT5OLIN In-a%er Q R.! 2!000)

5ar$a Ter&+#a%ine In-a%a'i (on#o- < Bria'a In-a%er Q R.! 11!000)


22/23

A%a %#te!si 7e*!t*!a! 'a!7e&*ia! 4ai %asie!

Ba$i .a'ien a"a ke+n$kinan #i&+% na e7ek 'a.in$an$ %e&i- 'e"iki#

Te#a.i "ari 'e$i &iaa an$ "ike%+arkan %e&i- &e'ar


23/23

THAN YOU

Ppt Ebm Annisa Eka Nova

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