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Kesesuaian Dosis Vankomisin pada Pasien Penyakit Ginjal Kronik Stadium 3 dan 4 di Bangsal Penyakit Dalam RSUP Dr. M. Djamil Padang Muslim Suardi; Marissa Sofjan; Raveinal Raveinal
Jurnal Sains Farmasi & Klinis Vol 3, No 1 (2016): J Sains Farm Klin 3(1), November 2016
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.877 KB) | DOI: 10.29208/jsfk.2016.3.1.101

Abstract

Vancomycin is a glycopeptide antibiotic which almost completely eliminated by renal unchanged in the urine (> 90%). Elimination of vancomycin is delayed in patients with renal insufficiency. The purposes of the research were to examine dosing adjustment and quantity individualized dose of vancomycin in patients with chronic kidney disease in Internal Ward of Dr. M. Djamil Padang Hospital based on pharmacokinetics dosing method. The study was designed by observational retrospective method conducted on patient’s medical record during January 2015 – March 2016. A number of 21 patients were treated using vancomycin with chronic kidney disease stage 3 and 4. Results showed that 19.05% patients received exceed dose based on pharmacokinetic dosing method calculation. Clearance of vancomycin in patients with chronic kidney disease on stage of 3 and 4 were 1.88 ± 0.28 and 0.88 ± 0.21L/h, respectively. The elimination half-life prolonged to patients with chronic kidney disease stage 3 and 4 were 14.11 ± 2.89 and 24.48 ± 5.44, respectively. While accumulation factor in patients with chronic kidney disease on stage of 3 and 4 were 0.50 ± 0.1 and 0.67 ± 0.09, respectively.
ARTIKEL DITARIK: [Pengaruh Konseling Farmasis Terhadap Pengetahuan dan Kepatuhan Pasien HIV/AIDS di Poliklinik VCT RSUP Dr. M. Djamil Padang] Jelly Permatasari; Dedy Almasdy; Raveinal Raveinal
Jurnal Sains Farmasi & Klinis Vol 3, No 2 (2017): J Sains Farm Klin 3(2), Mei 2017
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jsfk.3.2.178-185.2017

Abstract

Adherence to antiretroviral therapy is key to sustained HIV suppression, reduced risk of drug resistance, improved quality of life, and survival of HIV/AIDS patients. A pharmacist is in charge in optimizing the result of the therapy by providing counseling to increase the patients’ knowledge which finally increases the quality of life. The objective of this study was to explore the impact of pharmacist counseling toward knowledge and adherence of patients with HIV/AIDS. The study was conducted in quasi-experiment with a design of one group pretest-posttest. The setting of this study was conducted in VCT RSUP DR. M. Djamil Padang. Data were collected through questionnaires and medical records. Patients’ knowledge and adherence were scored by using knowledge aspect questionnaire and MMAS-8 questionnaire. All questionnaires had been tested for validity and reliability. The data were analyzed by Wilcoxon test and paired t-test. A number of 124 patients completed all follow-ups of study. The result of this study showed that there was a significant increase of patients’ knowledge (p=0,00) and adherence (p=0,00) after the counseling. The study concluded that pharmacist counseling could increase patients’ knowledge and adherence to the therapy.
Kajian Penggunaan Antibiotik pada Pasien Sepsis dengan Gangguan Ginjal Hidayati Hidayati; Helmi Arifin; Raveinal Raveinal
Jurnal Sains Farmasi & Klinis Vol 2, No 2 (2016): J Sains Farm Klin 2(2), Mei 2016
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.402 KB) | DOI: 10.29208/jsfk.2016.2.2.75

Abstract

Prospective observational study was conducted to investigate antibiotic using, by evaluating clinical pharmacokinetic and antibiotic quality on septic patient with kidney disorder in Interne Department at Hospital X. Septic patients with kidney disorder treated with antibiotic for 4 months. The evaluated antibiotic are excreted by kidney mainly. The clinical aspects of evaluation are kinds of antibiotic, dosage, frequency, period of treatment, and clinical drug interaction. The evaluation of antibiotic quality used Gyssens method. Total respondens were 40 patients, treated with 8 kinds of antibiotic. Among 8 of them, there were 5 antibiotic which were excreted mainly by kidney. From five antibiotics, it was found that the accurate dosage adjustment on 29 patients (74,3%), and unproperly adjustment in 10 patients (10,25%) that adjust upper individual dosage that calculate pharmacokinetically. There were five interactions that clinically significant. The evaluation of antibiotic using qualitatively by Gyssens method found that 4 patients (10%) as incomplete therapy/VI category, two patients (5%) were ineffective category IVa, 1 patient (2,5%) as unsafe category IVb, 9 patients (22,5%) as inappropriate dosage adjustment, and 23 patients (57,5%) as appropriate antibiotic category 0. Conclusion: Using antibiotic that mainly excreted by kidney in septic patients with kidney disorder, generally doesn’t show bad impact in kidney of patient.
Terapi Antiretroviral pada Pasien HIV/AIDS di RSUP. Dr. M. Djamil Padang: Kajian Sosiodemografi dan Evaluasi Obat Yori Yuliandra; Ulfa Syafli Nosa; Raveinal Raveinal; Dedy Almasdy
Jurnal Sains Farmasi & Klinis Vol 4, No 1 (2017): J Sains Farm Klin 4(1), November 2017
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.549 KB) | DOI: 10.29208/jsfk.2017.4.1.173

Abstract

Tujuan dari penelitian ini adalah untuk mengkaji karakteristik sosiodemografi pasien HIV/AIDS dan mengevaluasi penggunaan obat antiretroviral pada pasien tersebut. Penelitian ini bersifat deskriptif-evaluatif dengan metode kuantitatif dan kualitatif dengan menggunakan data retrospektif pada tahun 2015 di RSUP Dr. M. Djamil Padang. Data diperoleh dari rekam medik dengan kriteria: pasien HIV/AIDS laki-laki dan perempuan; berusia 18-65 tahun; dan menggunakan obat antiretroviral. Profil sosiodemografi dianalisis sercara deskriptif, sementara kesesuaian penggunaan obat dievaluasi dan dibandingkan dengan standar pengobatan. Dari 136 rekam medik pasien yang diambil, 89 diantaranya memenuhi kriteria, dimana 76,40% merupakan pasien laki-laki. Pasien kebanyakan berusia antara 26-35 tahun (41,57%), didominasi oleh pasien yang menikah (58,43%) dan mereka yang berpendidikan SMA (56,18%). Pegawai swasta dan ibu rumah tangga merupakan jenis pekerjaan  dengan persentase tertinggi (masing-masing 19,10%). Penyakit ini sebagian besar diperoleh melalui hubungan seksual (61,80%) dengan PSK (Pekerja Seks Komersial) sebagai partner seks yang paling dominan (38,33%). Evaluasi penggunaan obat menunjukkan bahwa obat antiretroviral digunakan dengan 100% kesesuaian indikasi dan dosis, sementara hanya 97,76% pasien yang menerima pemberian obat yang sesuai. Studi tersebut juga mengungkapkan bahwa 10,11% pasien memiliki potensi terjadinya interaksi obat. Pengobatan antiretroviral memerlukan pemilihan obat yang tepat untuk meningkatkan efikasi. Apoteker dianjurkan untuk ikut berpartisipasi dalam pengobatan pasien HIV/AIDS.
EDUKASI COVID-19 DAN VAKSINASI BAGI MASYARAKAT DI KAMPUNG BATU BUSUAK KECAMATAN PAUH KOTA PADANG Saptino Miro; Roza Kurniati; Dwitya Elvira; Arina Widya Murni; Raveinal Raveinal; Alexander Kam
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 5 No. 1 (2022)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i1.398

Abstract

Infectious diseases are still a major health issue that requires serious treatment. The covid-19 is now one of the significant infectious diseases worldwide marked by rapid contagion and global spread. The world health organization (who) has defined covid-19 as a global pandemic and the government has set public health emergencies in Indonesia, obliging countermeasures. The covid-19 countermeasures should continue massively with several strategies. In addition to promotive strategies and the application of health protocols, another effective strategy is needed to break off the chain of disease transmission through vaccination efforts. The purpose of the activity is to do the education about covid-19 and the covid-19 vaccination of the people in Kampung Batu Busuak, Kelurahan Limau Manis, Kecamatan Pauh, Padang. The implementation of this activity includes the counseling of covid-19 and the covid-19 vaccination on Saturday, November 13th, 2021. Before counseling, the Questionnaire was issued to assess a public knowledge level on covid-19 and a covid-19 vaccination. From a questionnaire on covid-19 and covid-19 vaccination, the total of people who have already been vaccinated twice is 22 people and 4 with the covid-19 vaccine once. Therefore, still needed counseling about covid-19 and covid-19 vaccination to enhance awareness of the society towards the importance of covid-19 vaccination.