DIAN KARTIKA RAHAYU, 051411131031 (2018) STUDI PENGGUNAAN ANALGESIK PADA PASIEN PENYAKIT DALAM (Penelitian Dilakukan Di Unit Rawat Inap Rumah Sakit Universitas Airlangga Surabaya). Skripsi thesis, Universitas Airlangga.

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Abstract

Background : Pain mostly because of damage on cells or tissues in inner body which activated some pain mediators. Pain in internal medicine departement consist of visceral and somatic pain. Visceral pain is pain which located in abdominal such as intestinal obstruction, appendicitis, peritoneal irritation, cholecystitis. Somatic pain is pain which located in muscle, joints, bones, and tissue damage which able localized. Objective : To indentify the pattern of analgesic used such as types, routes, doses, frequencies, durations of therapies and Drug Related Problems (DRP) that may occur. Method : Data was obtained retrospectively using time limited sampling method within period December 1st 2017 until January 31st 2018 at Hospitalization Unit of Airlangga University Hospital Surabaya. Inclusion criteria : all internal medicine patient ward who received analgesic for relieving their pain. Patient’s pain intensity was evaluated with VAS scale during hospitalized and before discharge from Airlangga University Hospital. Result : Metamizole IV was the most analgesic used (75,00%), paracetamol oral (43,18%), mefenamic acid (4,54%), codein oral (2,27%). Commonly used route of administration was Intravenous. Analgesic combination widely used were metamizol + paracetamol (20,45%) and metamizol + phentanyl patch (2,27%). 70,45% patients were upward with no pain and 29,54% patients experienced mild pain before discharged from hospital. Conclusion : Metamizole 3x1 g was the most analgesic used with the route of administration intravena. Two types DRP were identified in this study : drug interactions and dosage too low. No patients experienced severe pain before discharge from hospital

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