Please enable JavaScript.
Coggle requires JavaScript to display documents.
DYSENTRY, DINDA INDRIANI 2108260266 SGD 14 - Coggle Diagram
DYSENTRY
GOVERNANCE
Farmacology
Amoebic dysentery Asymptomatic or carrier: lodoquinol (diidohydroxiquine) 650 mg three times per day for 20 days.
Mild or moderate intestinal amebiasis: tetracycline 500 mg four times for 5 days.
Severe intestinal amebiasis, taking 3 drugs: metronidazole 750 mg three times a day for 5-10 days, tetracycline 500 mg four times for 5 days, and emetine 1 mg/KgBW/day/IM for 10 days.
Extraintestinal amebiasis, using 3 drugs Metronidazole 750 mg three times a day for 5-10 days, chloroquine phosphate 1 gram per day for 2 days followed by 500 mg/day for 4 weeks, and emethine 1 mg/kgBW/day/IM for 10 days.
Non farmacology
rehydrate fluids to prevent dehydration
maintain electrolyte balance
first line antibiotics
if resistance to the first antibiotic is considered to give a second line of antibiotics
DEFECATION
Mixing and breaking down of food by the stomach and producing a bolusthen channeled to the duodenum for mixing between bolus
And water which produces cimus, and also absorption of nutrients both proteins, carbohydrates, lipids with segmentation movements
The migrating motility complex cleans the remaining mixed cimus and also pushes the undigested and liquid cimus towards the ileocecal valve to enter the caecum
After the cecum is filled and distended, haustral stirring occurs along the large intestine to mix the cimus and help absorb water, salt, and vitamins.
After it reaches the end of the large intestine, there is a strong mass peristaltic movement that pushes feces into the rectum
After the rectum is filled with feces, the abdominal muscles contract, causing relaxation in the external sphincter and defecation
Normal defekate : frequency 3 times a day - 3 times a week, stool consistency is not hard and not liquid
PATOFISIOLOGI
Dysentry Amoeba
Pathogen ( Caused ideopatik)
penetreste to intestinal mucose
cused ulkus
Dysentry Basilier
Toxicity damaget intestinal mucous
decrease surface intestinal area
decrease intestinal capacity
decrease absorb fuction of water end electrolit
nutrional disorde< body needs
fluid balance and electrolyte disorder
DEFENITION & CLASIFICATION
Dysentery is an inflammation of the large intestine characterized by abdominal pain and continuous watery bowel movements (diarrhea) mixed with mucus and blood.
Clasification :
Based on Cause:
Bacillary dysentery by sigella sp. - Amoebic dysentery by entamoeba hisstolica: carrier, mild, moderate, severe, chronic.
Diarrhea is an abnormal bowel movement with a frequency of more than 3 times a day and with a liquid consistency
Clasification :
Based on length of time: acute (<14 days), chronic (>14 days) non-infectious, persistent (>14 days) infection.
Based on the cause: osmotic diarrhea (absorption disorders), secretory diarrhea (disorders of secretion), infectious diarrhea (viruses, parasites, bacteria, protozoa), non-infectious diarrhea (food, allergies, immunodeficiency)
ETIOLOGY
Protozoa : Bacillary dysentery by sigella sp. Amoebic dysentery by entamoeba hisstolica
SYMTOM
Defecate with bloody stools
Watery diarrhea with a small volume
nauseous vomit
Fever and chills
defecate with stools mixed with mucus (mucus)
pain during bowel movements (tenesmus)
DIAGNOSIS
Anamnesis,hysical examination, supporting examination (Leb, Feces)
COMPLICATIONS
Severe dehydration: life-threatening if not treated quickly
potassium deficiency
perforated intestine (intestinal perforation)
infection of the lining of the abdominal cavity (peritonitis),
abscesses in the liver and brain
DIAGNOSIS DIFERENTIAL
Appendicitis, diabetic ketoacidosis, inflammatory bowel disease, hepatitis, external substance poisoning, malabsorption disorders, lactose intolerance, corn, meningitis, pneumonia, and appendicitis in children.
PREVENTION
live clean and healthy
wash hands with soap after using the toilet or before and after eating, both for yourself and for others/children
when traveling, do not drink local water unless it has been boiled for at least 10 minutes. Or use bottled water or soft drinks from cans or bottles that are still sealed
Do not drink from public fountains or clean your teeth with tap water.
Don't eat fresh fruit that can't be peeled before eating or vegetables that aren't cooked
do not eat or drink dairy products, cheese or milk that may not have been pasteurized.
do not eat or drink anything sold by street vendors (except drinks from properly sealed cans or bottles)
DINDA INDRIANI
2108260266
SGD 14