First Announcement PROCEDING BOOK & Symposium...Speaker : PPNI 08.30-09.30 Scientific Symposium...

2018

Workshop & Symposium

SEKRETARIAT PANITIADivisi Ginjal dan Hipertensi, SMF/Bagian Ilmu Penyakit DalamFK Unud/RSUP Sanglah Denpasar - BaliEmail : [email protected]

BUN SCSanur Paradise Plaza Hotel

Jumat-Sabtu, 23-24 Maret 2018

Bali Dialisis ForumAula Werkudara

RSUP Sanglah DenpasarMinggu, 25 Maret 2018

First Announcement

BUN SCBali Update in Nephrology Scientific Communication BDFBali Dialisis Forum

PROCEDING BOOK

BUN SC

Bali Update in Nephrology Scientific Communication

Sanur Paradise Plaza Hotel Jumat-Sabtu, 23-24 Maret 2018


BDFBali Dialisis Forum

Bali Update in Nephrology Scientific Communication

PROCEEDING BOOK

BALI UPDATE IN NEPHROLOGY

SCIENTIFIC COMMUNICATION (BUN-SC) 2018

&

BALI DIALYSIS FORUM (BDF) 2018

Sanur Paradise Plaza Hotel, 23 – 24 Maret 2018

Aula Werkudara, RSUP Sanglah Denpasar, 25 Maret 2018

KATA PENGANTAR

Penyakit Ginjal Kronis telah menjadi masalah

kesehatan serius di dunia. Menurut WHO, 2002 dan burden

disease, penyakit ginjal dan saluran kemih telah

menyebabkan kematian sebesar 850.000 orang setiap

tahunnya. Hal ini menunjukkan bahwa penyakit ini telah

menduduki peringkat ke-12 sebagai penyebab kematian.

Jumlah ini diprediksi akan terus meningkat di masa depan

karena meningkatnya penyakit diabetes mellitus, hipertensi

dan penyakit degeneratif lain. Fakta ini mulai terlihat jelas

dengan bertambah panjangnya daftar tunggu pasien dialisis

di berbagai rumah sakit pemerintah maupun swasta, dimana

kapasitas mesin hemodialisa yang tersedia tidak mampu

memenuhi kebutuhan pasien. Untuk itu pencegahan sedari

dini terhadap progresifitas penyakit ini perlu dilakukan,

mengingat perburukan dari ginjal terjadi secara perlahan-

lahan, tersembunyi dan sering kali tidak disadari sebelum

pasien akhirnya jatuh kepada gagal ginjal stadium akhir (end

stage renal disease).

Dalam memperingati Hari Ginjal Sedunia (World

Kidney Day) yang jatuh pada hari kamis, minggu ke-2 setiap

bulan Maret. Pada tahun 2018 jatuh hari Kamis tanggal 8

Maret 2018. Perhimpunan Nefrologi Indonesia (PERNEFRI)

koordinator wilayah Bali, NTB dan NTT bekerjasama dengan

Divisi Ginjal dan Hipertensi RSUP Sanglah Denpasar pada

kesempatan ini akan menyelenggarakan serangkaian

kegiatan, meliputi symposium yaitu; Bali Update Nephrology

Scientific Communication 2018 dan Bali Dialysis Forum

2018. Acara ini bertujuan untuk meningkatkan kualitas

pelayanan di bidang nefrologi, baik kepada tenaga medis

maupun paramedis yang bekerja dan memiliki minat pada

bidang Ginjal dan Hipertensi . selain symposium melalui

kegiatan World Kidney Day tahun 2018 yang mengambil

tema “Kidney and Women's Health – Include, Value,

Empower”, kami juga melaksanakan serangkaian kegiatan

lainnya seperti Virtual Run “World Kidney Day Run”,

Seminar Awam, Takshow kesehatan di televisi nasional dan

swasta yang kesemuanya kami harapkan selanjutnya dapat

menjadi wadah untuk mewujudkan masyarakat yang lebih

sehat pada umumnya, dan kesehatan ginjal terutama pada

wanita yang lebih baik pada khususnya.

Denpasar, 20 Februari 2018

Ketua Panitia

DR. Dr. Yenny Kandarini, SpPD-KGH

EDITOR

Prof. DR.dr. Ketut Suwitra, SpPD-KGH

Prof. DR. dr. I Gde Raka Widiana, SpPD-KGH

DR. dr Wayan Sudhana, SpPD-KGH

DR. dr. Yenny Kandarini, SpPD-KGH

dr. Jodi S. Loekman, SpPD-KGH

SUSUNAN PANITIA BUN SC 2018 dan BDF 2018

Ketua Panitia DR. dr. Yenny Kandarini, SpPD-KGH

Ketua Pelaksana dr. IGN Agung Tresna Erawan, M.Biomed, SpPD

PIC Kegiatan dr. Hery Sikesa

Bendahara dr. Jodi S. Loekman, SpPD-KGH

dr. Wina Dharmesti

Sekretariat dr. Prima Yogi*

Acara DR. Dr. Wayan Sudhana, SpPD-KGH

dr. Nyoman Sutarka, SpPD-KGH

dr. Nyoman Paramita Ayu, SpPD

dr. Adi Suryana*

dr. Sista Widya

Perlengkapan & Pameran dr. Eka Handrean*

Ilmiah Prof. DR.dr. Ketut Suwitra, SpPD-KGH*

Prof. DR.dr. Raka W, SpPD-KGH*

dr. Ida Bagus Mahendra, SpPD

dr. Rama, SpPD

dr. Renny Duarsa, SpPD

dr. Narakusuma*

dr. Wisnu Mataram

dr. Agus Aprianta

dr. Gilang Bhaskara

Transportasi dr. Oka Yudaswara*

Konsumsi dr. Gusde Janardhana

Dokumentasi dr. W. Eko Radityo*

Registrasi dr. Carissa Ayu*

Publikasi dr. Sandra*

Design & Kreatif dr. Aditya Siskara*

dr. Made Arya Winangun

DAFTAR ISI

KATA PENGANTAR

KONTRIBUTOR

DAFTAR ISI

JADWAL ACARA

MATERI

BUN-SC 2018

UPDATE FOR KIDNEY TRANSPLANTATION IN

RS SANGLAH BALI

I Gde Raka Widiana

1

BIOSIMILAR EPO THERAPY OFFER MORE BENEFITS “EFFICACY AND SAFETY” I Gde Raka Widiana

7

KIDNEY TRANSPLANTATION AT A GLANCE

I Gde Raka Widiana

11

WOMEN AND KIDNEY DISEASE

I Gde Raka Widiana

16

THE ROLE OF CERA FOR THE TREATMENT IN

PREDIALYSIS ANEMIA

Yenny Kandarini

22

OPTIMAL PROTECTION FOR POST TRANSPLANT

PATIENT WITH MYCHOPHENOLATE SODIUM

(MYFORTIC)

Yenny Kandarini

30

THE DISTINCT PROFILE OF ENOXAPARIN AS LMWH IN

HEMODIALYSIS

Yenny Kandarini

42

TYPE 2 DIABETES MANAGEMENT : SITAGLIPTIN ON

RENAL IMPAIRED T2DM PATIENTS

Yenny Kandarini

50

HYPERTENSION IN CKD Wayan Sudhana

60

MANAGEMENT OF ANEMIA IN DIALYSIS : ROLE OF EPO Wayan Sudhana

71

ACUTE COMPLICATION IN HEMODIALYSIS Wayan Sudhana

83

TACROLIMUS AS ANTI REJECTION Jodi S. Loekman

90

MANAGEMENT OF ANEMIA IN PREDIALYSIS

Jodi S. Loekman

96

HEMODIALYSIS ADEQUACY

Jodi S. Loekman

107

CASE SHARING MODERATE-HIGH RISK KIDNEY TRANSPLANT PATIENT IN RSCM Maruhum Bonar H. Marbun

114

NEPHROTIC SYNDROME, WHAT NEXT?

I Nyoman Sutarka

116

BIOPSY INTERPRETATION

Reny Setya Pratiwi Duarsa

126

DPP-4 INHIBITORS: FOCUS ON SITAGLIPTIN

Made Ratna Saraswati

137

KIDNEY BIOPSY AT SANGLAH HOSPITAL

IB Mahendra

145

MANAJEMEN DISASTER DI UNIT PELAYANAN DIALISIS Ni Wayan Puspawati

180

KESELAMATAN PASIEN DI RUANG HEMODIALISIS

I Nyoman Suka

197

MANAJEMEN HEMODIALISIS

Ni Wayan Widiasih

218

AKSES VASKULAR UNTUK HEMODIALISIS

Nyoman Paramita Ayu

229

PEMANTAUAN DAN EVALUASI JANGKA PANJANG

PASIEN HEMODIALISIS REGULER

Yenny Kandarini

238

FLUID MANAGEMENT IN DIALYTIC PATIENTS

Nyoman Sutarka

246

MANAJEMEN TRANFUSI INTRADIALITIK

Rama IM

256

BALI DIALYSIS FORUM 2018 PD REFRESHING : UPDATE MANAGEMENT Yenny Kandarini

263

TRANSPLANT PREPARATION I Gde Raka Widiana

279

VASCULAR ACCESS COMPLICATIONS IB Mahendra

287

HOW TO MAINTAIN VASCULAR ACCESS Nym Paramita Ayu

315

VASCULAR ACCESS HEMODIALYSIS : SURGICAL ASPECTS Nyoman Semadi

322

Jadwal Acara Simposium BUN-SC dan BDF 2018

BUN-SC 2018

Jumat, 23 Maret 2018

Time Program

07.00-08.00 Registration

08.30-09.00 Opening Ceremony

09.00-09.30 Plenary Lecture 1 Topic : Professionalism in Medicine

Prof. DR.dr. Ketut Suwitra, SpPD-KGH

09.30-10.00 Coffee Break

10.00-11.00 Symposium 1 Moderator : DR.dr. Yenny Kandarini, SpPD-KGH

Topic : Hypertension

• 1st Topic: Hypertension in CKD Speaker 1: DR. dr Wayan Sudhana, SpPD-KGH

• 2nd Topic: The role of Nebivolol in the management of hypertension in CKD

Speaker 2: Prof. DR.dr. Ketut Suwitra, SpPD-KGH

• Discussion

11.00-12.00

Lunch Symposium 1

Moderator : DR. dr Wayan Sudhana, SpPD-KGH

Topic : Kidney Tranplantation

• 1st Topic: Update for Kidney Transplantation in RS Sanglah Bali Speaker 1: Prof. DR. dr. Raka Widiana, SpPD-KGH

• 2nd Topic : Optimal Protection for Post transplant patient with mychophenolate sodium (Myfortic)

Speaker 2 : DR. dr. Yenny Kandarini, SpPD-KGH

• 3rd Topic : Case sharing moderate-high risk kidney transplant patient in RSCM

Speaker 3: dr. Maruhum Bonar H. Marbun, SpPD-KGH

• Discussion

12.00-13.00 Lunch

13.00-14.30

Scientific Sympo 2

Moderator : Prof. DR.dr. Ketut Suwitra, SpPD-KGH

Topic : Anemia

• 1st Topic : Management of Anemia in Dialysis : Role of Epo Speaker 1: DR. dr. Wayan Sudhana, SpPD-KGH

• 2nd Topic : Biosimilar Epo therapy offer more benefits “efficacy and Safety”

Speaker 2: Prof. DR. dr. I Gde Raka Widiana, SpPD-KGH

• Discussion

14.30-16.00

Scientific Sympo 3

Moderator : DR. dr. Yenny Kandari, SpPD-KGH

Topic : Kidney Transplantation

• 1st Topic : Kidney Transplantation at a Glance Speaker 1:Prof. DR. dr. Raka Widiana, SpPD-KGH

• 2nd Topic : Tacrolimus as Anti Rejection Speaker 2: dr. Jodi S. Loekman, SpPD

• Discussion

16.00-till end Closing 1st day & Door prize

BUN-SC 2018

Sabtu, 24 Maret 2018

Time Program

08.00-08.30 Plenary Lecture 2

Topic : Women and Kidney Disease

Speaker : Prof. DR. dr. Raka Widiana, SpPD-KGH

08.30-10.00 Scientific Sympo 4 Moderator :dr. Jodi S. Loekman, SpPD-KGH

Topic : Glomerular Disease and Renal Biopsy at Sanglah

Hospital

• 1st Topic : Nephrotic Syndrome, What next? Speaker 1: dr. I Nyoman Sutarka, SpPD-KGH

• 2nd Topic : Kidney Biopsy at Sanglah Hospital Speaker 2: dr. IB Mahendra, SpPD

• 3rd Topic : Biopsy Interpretation Speaker 3 : dr. Reny Setya Pratiwi Duarsa, SpPD

• Discussion

10.00-10.30 Symposium 5 Moderator : DR. Wayan Sudhana, SpPD-KGH

Topic : CERA on Predialityc patient

• 1st Topic : Management of anemia in predialysis Speaker 1:dr. Jodi S. Loekman, SpPD-KGH

• 2nd Topic: The role of CERA for the treatment in predialysis anemia

Speaker 2: DR. dr. Yenny Kandarini, SpPD-KGH

• Discussion


11.00-12.30 Symposium 6 Moderator : dr. Jodi S. Loekman, SpPD-KGH

Topic : Diabetes and Chronic Kidney Disease

• 1st Topic : DPP-4 inhibitors: Focus on Sitagliptin Speaker 1: DR. dr. Ratna Saraswati, SpPD-KEMD

• 2nd Topic : Type 2 Diabetes Management : Sitagliptin on Renal impaired T2DM Patients

Speaker 2: DR. dr Yenny Kandarini, SpPD-KGH

• Discussion

12.30-14.00

Lunch Symposium 2

Moderator : Prof. DR. dr. Raka Widiana, SpPD-KGH

Topic : Dialisis

• 1st Topic : Hemodialysis adequacy Speaker 1: dr. Jodi S. Loekman, SpPD-KGH

• 2nd Topic : Acute complication in Hemodialysis Speaker 2:DR. Wayan Sudhana, SpPD-KGH

• Discussion

14.00-15.00 Lunch

15.00-16.00

Symposium 7

Moderator : dr. Jodi S. Loekman, SpPD-KGH

Topic : LMWH as anticoagulant on Hemodialisis

• 1st Topic : Management of complications during and post HD session: focus on anticoagulant

Speaker 1: Prof. DR. dr. Ketut Suwitra, SpPD-KGH

• 2nd Topic : The distinct profile of Enoxaparin as LMWH in Hemodialysis

Speaker 2: DR. dr. Yenny Kandarini, SpPD-KGH

16.00-till

end

Closing 2nd day & Door prize

BUN-SC 2018

Sabtu, 24 Maret 2018

Time Program

08.00-08.30 Plenary Lecture :

Topic : Nurse ethical profession

Speaker : PPNI

08.30-09.30 Scientific Symposium Moderator : Ns. I Ketut Suardana, S.Kep

Topic : Nursing General Topics and Dialysis

• 1st Topic : Management Disaster in Dialysis Unit Speaker 1: Ns. Ni Wayan Puspawati, S.Kep

• 2nd Topic : Patient Safety in Dialysis Unit Speaker 2: Ns. I Nyoman Suka, S. Kep

• Discussion


10.00-11.30 Scientific Symposium Moderator : Ns. Ni Wayan Kartha Supartami, S.Kep

Topic : Dialytic Nursing

• 1st Topic : Assessment of HD patient Speaker 1: Septiary Endang Kusumaningrum

• 2nd Topic : Management of HD patient Speaker 2: Ns. Ni Kadek Indrayanti, S.Kep

• Discussion

11.30-13.00

Lunch Symposium

Moderator : Prof. DR. dr. Ketut Suwitra, SpPD-KGH


• 1st Topic : Vascular Access for hemodialysis Speaker 1: dr. Paramita Ayu, SpPD

• 2nd Topic : Hemodialysis patient monitoring Speaker 2: DR. Yenny Kandarini, SpPD-KGH

• Discussion

13.00-14.00 Lunch

14.00-15.30

Scientific Symposium

Moderator : DR. dr. Wayan Sudhana, SpPDKGH


• 1st Topic : Fluid Management in Dialytic Patient Speaker 1: dr. Nyoman Sutarka, SpPD-KGH

• 2nd Topic : Management of Intradialytic Transfusion Speaker 2: dr. Rama Putra, SpPD

15.30-

selesai

Closing 2nd day & Door prize

Bali Dialysis Forum 2018

Minggu, 25 Maret 2018

Time Program

07.00-08.00 Registration

08.00-08.30 Opening Ceremony BDF

08.30-10.00 Workshop 1 : Renal Replacement Therapy Moderator : DR. dr. Wayan Sudhana, SpPD-KGH

Speaker 1 Hemodialysis Prof.DR.dr.Ketut Suwitra,SpPD-KGH

Speaker 2 PD refreshing : Update management DR. dr. Yenny Kandarini, SpPD-KGH

Speaker 3 Transplant preparation Prof. DR. dr. Raka Widiana, SpPD-KGH


10.15-11.15 Workshop 2 : Vascular Access Moderator : dr. Jodi S. Loekman, SpPD-KGH

Speaker 1 : Vascular Access hemodialysis : Surgical Aspects dr. Nyoman Semadi SpB-BTKV

Speaker 2 : Vascular Access complica_ons dr. IB Mahendra, SpPD

Speaker 3 : How to maintain vascular access dr. Nym Paramita Ayu, SpPD

11.15-13.00 Workshop Hands On PD refreshing, vascular access care and

vascular mapping

13.00-14.00 Lunch

14.00-15.00

Dialysis Unit Reports : Selong, Dharma Yadnya, Klungkung, Sanglah

15.00-16.30 Panel Discussion

16.30-selesai

Closing

PROCEDING BOOK

BUN SCBali Update in Nephrology Scientific Communication

Sanur Paradise Plaza Hotel Jumat-Sabtu, 23-24 Maret 2018


First Announcement PROCEDING BOOK & Symposium...Speaker : PPNI 08.30-09.30 Scientific Symposium...

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Transcript of First Announcement PROCEDING BOOK & Symposium...Speaker : PPNI 08.30-09.30 Scientific Symposium...