Profil Kompatibilitas Sediaan Intravena dan Kejadian Interaksi Obat Potensial pada Pasien Geriatri
Abstract
Compatibility is a condition of the mixture between the drug ingredients and other medicinal substances or with solvents that affect the success of patient therapy. Geriatrics are elderly patients over 60 years in the treatment process usually get the drug more than 5 kinds of polypharmacy so that can potentially occur drug interactions. Objective: The aim of the study to determine the profile of intravenous preparations and potential interactions with the drug in geriatric patients. Methods: This study is an observational that is prospective with sampling techniques in Purposive Sampling. Results: Results of the research showed that the profile of compatibility of intravenous preparations in geriatrics patients is a mixture of NI or not information (54,90%) Compatible (32.4%), incompatibilities (11.3%) and not applicable or NA (1.4%). For the potential occurrence of drug interactions in geriatric patients in research has a severity of major 19%, moderate severity of 51%, and minor severity as much as 30%. The potential occurrence of inaccuracies based on the Beers Criteria 2019 analysis in geriatric patients is the use of drug proton pump inhibitor. Conclusion: The most common compactibility profile in geriatric patients is a mixture of not information and potential of drug interaction has a severity of moderat.References
American Geriatrics Society 2019 Beers
Criteria Update Expert Panel, American
Geriatrics Society 2015 updated Beers
criteria for potentially inappropriate
medication use in older adults. J Am
Geriatr Soc. 63,11 (2015):2227– 2246.
Baxter, K., 2008, Stockley ’ s Drug
Interactions 8th ed. K. Baxter, ed.,
London: Pharmaceutical Press.
BPOM. 2015. Peraturan Kepala Badan
Pengawas Obat Dan Makanan
Republik Indonesia. Jakarta
BPOM. 2015. Pusat Informasi Obat Nasional
Badan Pengawasan Obat dan
Makanan.http://pionas.pom.go.id/ioni/b
ab-5infeksi/51-antibakteri/512-
sefalosporindanantibiotik-beta-laktam
Drugs.com, 2020, Prescription Drug
Information, Interactions & Side
Effects, Terdapat di:
https://www.drugs.com/drug_interactio
ns.html [Diakses pada Juli , 2020]
Dwijayanti, S., Irawati, S. and Setiawan, E.
(2016) ‘Profil Kompatibilitas Sediaan
Obat Intravena dengan Pelarut pada
Pasien Intensive Care Unit Profile of
Intravenous Admixture Compatibility in
the Intensive Care Unit ( ICU )
Patients’, 5(2).
Falter F,. 2012.Bedside Prosedures in the
ICU. Springer;
Feinstein J, Dai D, Zhong W, Freedman J,
Feudtner C.Potential drug-drug
interactions in infant, child, and
adolescent patients in children’s
hospitals. Pediatrics 2015;135:e99-
e108.
Horn, J. R., Hansten, P. D. dan Chan, L.
(2007) “Proposal for a New Tool to
Evaluate Drug Interaction Cases,” 41.
doi: 10.1345/aph.1H423.
Ilmawati Eldesi M.2015. Evaluasi Ketepatan
Penggunaan Antibiotik Pada Geriatri Di
RSUP Dr. Soeradji Tirtonegoro Klaten
Jawa Tengah Periode JanuariDesember 2014. Jawa Tengah
[SKRIPSI]
Kanji, S. dkk. (2010) ‘Systematic review of
physical and chemical compatibility of
commonly used medications
administered by continuous infusion in
intensive care units’, 38(9).
Kemenkes RI. (2014). Profil Kesehatan
Indonesia. Jakarta: Kementrian
Kesehatan Republik Indonesia.
Laksono, B. T. dkk. (2016) “Dampak anemia
pada fungsi kognitif pasien geriatri
yang dirawat di Rumah Sakit Umum
Pusat Sanglah Denpasar,”
(September), hal. 6–9.
Langerova P, Prokes M, Konvalinka M,
Furstova J, Urbanek K. Incidence of
potential drug interactions in
medication prescriptions for children
and adolescents in the University
Hospital Olomouc, Czech Republic.
Europe J Pediatric 2013;172:631-8
Medscape., 2020, Medscape Reference.
Aplikasi Medscape. (Diakses 2020)
Nasution. A.2015.Evaluasi penggunaan
antiemetik pada pasien rawat inap
geriatri di RSCM.Universitas Indonesia
[SKRIPSI]
Niu Q.,dkk., 2016, Combination Use of
Clopidogrel and Proton Pump Inhibitors
Increases Major Adverse
Cardiovascular Events in Patients With
Coronary Artery Disease: A MetaAnalysis, Jorunal of Cardiovaskuler
Pharmacology and Therapeutics, 22
(2), 142–152.
Purwaingsih A Dan Cahyo. 2018. Studi
Inkompatibilitas Parenteral Dan
Penggunaan Antibiotika Pada Pasien
Rawat Inap Di Rumah Sakit Surakarta
Universitas Setia Budi, Surakarta
Sodikin.2012.Prinsip Perawatan Demam
Pada Anak.Yogyakarta:Pustaka Pelajar
Trissel, Lawrence A. 2009. Handbook On
Injectable Drugs ed 15th. American
Society Of Health System Pharmacists.
Ussai S, Petelin R, Giordano A, Malinconico
M, Cirillo D, Pentimalli F. A pilot study
on the impact of known drug-drug
interactions in cancer patients. J
Experimental & Clinical Cancer
Research 2015;34:1-6.
Zou D. and Goh K.-L., 2017, East Asian
perspective on the interaction between
proton pump inhibitors and clopidogrel,
Jorunal Gastroenterology and
Hepatology, 32 (6), 1152–115