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Diabetic nephropathy is a microvascular complication of diabetes melitus characterized by chronic <br /> <br /> kidney disease (CKD). The main component in the diabetic nephropathy therapy is the use of <br /> <br /> antidiabetic and antihypertension in controlling blood gluc...
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| Format: | Final Project |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/28854 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | Diabetic nephropathy is a microvascular complication of diabetes melitus characterized by chronic <br />
<br />
kidney disease (CKD). The main component in the diabetic nephropathy therapy is the use of <br />
<br />
antidiabetic and antihypertension in controlling blood glucose levels and blood pressure to slow <br />
<br />
the rate of kidney damage. The purpose of this study was to determine the pattern of treatment <br />
<br />
and drugs usage, as well as evaluate the accuracy of the usage of antidiabetic and antihypertension <br />
<br />
to patients with diabetic nephropathy in one of Bandung Private Hospitals based on based on <br />
<br />
aspects of right indication, right drug, and right dose. This study is a analytic obeservational <br />
<br />
retrospectively study by reviewing data from medical records in the period of January 2016 - <br />
<br />
December 2017. The results showed that the antidiabetic treatment pattern in diabetic <br />
<br />
nephropathy patients was monotherapy glimepirid. The evaluation results for the accuracy of <br />
<br />
antidiabetic usage showed 100% exact indication, 93.93% right medication, and 100% right dose. <br />
<br />
Treatment results during hospitalization showed 66.67% had blood glucose levels when under <br />
<br />
control and 33.33% had blood glucose levels when uncontrolled. While the antihypertension <br />
<br />
treatment pattern in diabetic nephropathy patients was the use of a combination of angiotensin <br />
<br />
receptor blocker (ARB) and calcium channel blocker (CCB), the most widely used antihypertension <br />
<br />
is the CCB group, namely amlodipine. The evaluation results for the accuracy of antihypertension <br />
<br />
usage showed 100% exact indications, 88.89% right medication, and 91.67% right dose. Treatment <br />
<br />
results during hospitalization showed 63.89% had controlled blood pressure and 36.11% had <br />
<br />
uncontrolled blood pressure. <br />
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