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Sianipar, Nicholas Benedictus
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Health Professions Medicine & Pharmacology Public Health

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Trombositopenia dan Berbagai Penyebabnya Sianipar, Nicholas Benedictus
Cermin Dunia Kedokteran Vol 41, No 6 (2014): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.358 KB) | DOI: 10.55175/cdk.v41i6.1128

Abstract

Jumlah trombosit darah normal dalam populasi umum adalah 150.000-450.000/μL; 5% populasi normal akan memiliki hitung trombosit di luar rentang nilai normal. Anamnesis dan pemeriksaan fisik, hasil pemeriksaan darah rutin/lengkap, dan penilaian ulang apusan darah tepi merupakan komponen penting dalam evaluasi awal pasien trombositopenia. Tinjauan pustaka ini membahas beberapa diagnosis diferensial penyebab trombositopenia. Pemberian transfusi trombosit pada trombositopenia harus dipertimbangkan dengan matang.Normal platelet count in general population is 150.000-450.000/μL; 5% of normal population will have a platelet count outside the normal range. Anamnesis and physical examination, complete blood count, and reassessment of peripheral blood smear are important components in the initial evaluation of thrombocytopenia. Differential diagnoses of thrombocytopenia are discussed. Platelet transfusion in thrombocytopenia should be considered carefully.
Konstipasi pada Pasien Geriatri Sianipar, Nicholas Benedictus
Cermin Dunia Kedokteran Vol 42, No 8 (2015): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (590.742 KB) | DOI: 10.55175/cdk.v42i8.976

Abstract

Dua mekanisme terpenting konstipasi pada pasien geriatri adalah dismotilitas dan disfungsi dasar pelvis. Strategi penatalaksaan utama gangguan defekasi fungsional dan transit lambat adalah perubahan gaya hidup, diet tinggi serat, dan laksatif osmotik serta stimulan. Sedangkan untuk dissinergi pelvis, biofeedback harus dipertimbangkan lebih dahulu.The two most important mechanisms of constipation in geriatric patients are dysmotility and pelvic floor dysfunction. For functional defecation disorders and slow transit, changes in lifestyle, diet high in fiber, osmotic and stimulant laxatives are the main strategies. As for the pelvis dissynergy, biofeedback should be considered first.
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