Tanya Dokter

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Senin, 1 April 2024 | 11:07
Saraf

Obat apa yang sesuai untuk kasus dibawah

RP
Info Penanya : RP

Seorang Taruna berusia 21 tahun dengan jabatan Sersan Mayor Taruna, datang Rumah Sakit dr. Hasan Sadikin Bandung dengan keluhan utama nyeri kepala, suhu tubuh 38,7 oC. Kelopak mata sebelah kiri tidak bisa diangkat, disertai penglihatan ganda. Mual, tapi muntah dan kejang tidak menyertai. Berat badan turun 5,6 kg serta sering berkeringat malam. Pasien tetap sadar, terdapat deficit neurologis yaitu tanda rangsangan meningen. Tentukan rencana terapi pada pasien tersebut! Serta obat apa yang sesuai dengan pasien dengan memperhatikan Tepat dosis, Tepat pasien, Tepat waktu pemberian, Tepat cara pemberian dan Waspada efek samping

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Dijawab Oleh
Dijawab Oleh : dr. Giovanni Frans Alvin

Hai, terima kasih telah bertanya di Tanya Dokter AI Care.

Terkait keluhan Anda saat ini, terdapat beberapa kemungkinan yang bisa mencetuskan, antara lain:

  • Meningitis, merupakan peradangan di cairan dan lapisan selubung otak disebabkan oleh bakteri, virus, jamur, atau parasit;
  • Stroke, tersumbat atau pecahnya pembuluh darah di otak diakibatkan tekanan darah tinggi yang tidak terkontrol atau cedera kepala;
  • Tumor otak, tumbuhnya suatu massa atau jaringan yang berasal dari jaringan otak akibat mutasi.

Untuk memastikan diagnosis secara pasti, Anda disarankan untuk segera menemui dokter spesialis saraf supaya dilakukan wawancara medis, pemeriksaan fisik, pemeriksaan lab, serta pemeriksaan lanjutan berupa pencitraan dengan alat yang lebih canggih seperti CT-Scan atau MRI bila diperlukan. Setelah menemukan penyebabnya, dokter akan memberikan pengobatan yang cepat, tepat, dan sesuai dengan kondisi Anda.

Umumnya risiko penyakit meningkat karena beberapa faktor, seperti:

  • Melemahnya imunitas tubuh;
  • Tinggal bersama dengan orang yang mengalami penyakit serupa dalam waktu lama;
  • Gaya hidup sedenter dan tidak aktif berolahragal;
  • Rutin konsumsi alkohol dan merokok.

Anda perlu menerapkan beberapa hal agar terhindar dari penyakit yang telah disebutkan sebelumnya, yaitu;

  • Membiasakan diri untuk mencuci tangan dengan air mengalir dan sabun setiap kali beraktivitas;
  • Memakai masker untuk mencegah Anda atau orang lain terjangkit penyakit;
  • Rutin periksa kesehatan di fasilitas kesehatan terdekat, seperti puskesmas;
  • Melakukan olahraga ringan minimal 5 kali seminggu dengan durasi 30 menit;
  • Mengurangi konsumsi alkohol dan merokok;
  • Cukupi kebutuhan cairan per hari dan konsumsi makanan dengan gizi seimbang, seperti buah dan sayur.

Apabila terdapat keluhan kejang, demam tinggi lebih dari 40 derajat celcius, lemah separuh badan, atau muntah menyemprot, Anda dianjurkan untuk berkonsultasi langsung dengan dokter di IGD.

Semoga jawaban ini membantu Anda. Bila mengalami keluhan kesehatan atau ingin bertanya seputar informasi kesehatan, dapat berkonsultasi langsung dengan dokter di Aplikasi Ai Care. Unduh Aplikasi Ai Care di Appstore dan Playstore Anda!

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Diskusi Terbaru

Request history8.1.29PHP Version712msRequest Duration4MBMemory UsageGET discussions/{slug}Route
    • Booting (277ms)time
    • Application (435ms)time
    • 1 x Application (61.08%)
      435ms
      1 x Booting (38.92%)
      277ms
      4 templates were rendered
      • 1x web.v2.discussion.showshow.blade.php#?blade
      • 1x web.v2.partials.article-populararticle-popular.blade.php#?blade
      • 1x web.v2.partials.related-articlerelated-article.blade.php#?blade
      • 1x layouts.v2.web_layoutweb_layout.blade.php#?blade
      uri
      GET discussions/{slug}
      middleware
      web
      controller
      App\Http\Controllers\DiscussionController@show
      namespace
      App\Http\Controllers
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      where
      as
      web.discussion.show
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      app/Http/Controllers/DiscussionController.php:158-228
      38 statements were executed (4 duplicates)Show only duplicates334ms
      • DiscussionController.php#164aicare_prod_new1.6msselect * from `questions` where `slug` = 'obat-apa-yang-sesuai-untuk-kasus-dibawah' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:164
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      • DiscussionController.php#178aicare_prod_new1.56msselect * from `questions` where `slug` = 'obat-apa-yang-sesuai-untuk-kasus-dibawah' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:178
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      • DiscussionController.php#191aicare_prod_new4.87msselect column_name as `name`, data_type as `type_name`, column_type as `type`, collation_name as `collation`, is_nullable as `nullable`, column_default as `default`, column_comment as `comment`, extra as `extra` from information_schema.columns where table_schema = 'aicare_prod_new' and table_name = 'questions' order by ordinal_position asc
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        • app/Http/Controllers/DiscussionController.php:191
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        • app/Http/Controllers/DiscussionController.php:191
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        • app/Http/Controllers/DiscussionController.php:199
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      • DiscussionController.php#200aicare_prod_new1.33msselect `tags`.*, `answer_tag`.`answer_id` as `pivot_answer_id`, `answer_tag`.`tag_id` as `pivot_tag_id`, `answer_tag`.`created_at` as `pivot_created_at`, `answer_tag`.`updated_at` as `pivot_updated_at` from `tags` inner join `answer_tag` on `tags`.`id` = `answer_tag`.`tag_id` where `answer_tag`.`answer_id` = 269
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        • app/Http/Controllers/DiscussionController.php:200
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        • app/Http/Controllers/DiscussionController.php:209
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • DiscussionController.php#210aicare_prod_new1.54msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-05-10 22:26:59' and `content_type` = 'article' and `posts`.`deleted_at` is null order by `id` desc limit 4
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        • app/Http/Controllers/DiscussionController.php:210
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • DiscussionController.php#213aicare_prod_new19.22msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-05-10 22:26:59' and `content_type` = 'article' and exists (select * from `tags` inner join `post_tag` on `tags`.`id` = `post_tag`.`tag_id` where `posts`.`id` = `post_tag`.`post_id` and `tags`.`id` in (936, 3865, 4562)) and `posts`.`deleted_at` is null order by RAND() limit 5
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        • app/Http/Controllers/DiscussionController.php:213
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        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
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        • app/Http/Controllers/DiscussionController.php:224
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      • show.blade.php#176aicare_prod_new1.18msselect * from `answers` where `answers`.`question_id` = 256 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null order by `id` desc limit 1
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        • view::web.v2.discussion.show:176
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        • view::web.v2.discussion.show:205
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
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      • show.blade.php#257aicare_prod_new6.87msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 5364 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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        • view::web.v2.discussion.show:257
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        • view::web.v2.discussion.show:336
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        • view::web.v2.discussion.show:366
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        • view::web.v2.discussion.show:336
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        • view::web.v2.discussion.show:366
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        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
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      • article-popular.blade.php#8aicare_prod_new7.59msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 18 and `categories`.`deleted_at` is null
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        Hints
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        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new7.67msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 8385 and `categories`.`deleted_at` is null
        Bindings
        • 0: 8385
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new7.82msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7983 and `categories`.`deleted_at` is null
        Bindings
        • 0: 7983
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new8.27msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7842 and `categories`.`deleted_at` is null
        Bindings
        • 0: 7842
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new7.7msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 1928 and `categories`.`deleted_at` is null
        Bindings
        • 0: 1928
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • article-popular.blade.php#8aicare_prod_new7.75msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 6262 and `categories`.`deleted_at` is null
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        Hints
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        Backtrace
        • view::web.v2.partials.article-popular:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • related-article.blade.php#8aicare_prod_new7.71msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10174 and `categories`.`deleted_at` is null
        Bindings
        • 0: 10174
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • related-article.blade.php#8aicare_prod_new7.63msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10173 and `categories`.`deleted_at` is null
        Bindings
        • 0: 10173
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • related-article.blade.php#8aicare_prod_new7.46msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10168 and `categories`.`deleted_at` is null
        Bindings
        • 0: 10168
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • view::web.v2.partials.related-article:8
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
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        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        Hints
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        Backtrace
        • view::layouts.v2.web_layout:547
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
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        Backtrace
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        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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