Case Report: Analysis of Drug Related Problems (DRPs) in Patients with Hypertension, Diabetes Mellitus, and Hyperuricemia with Nephrolithiasis: Laporan Kasus: Analisis Drug Related Problems (DRPs) Pada Pasien Hipertensi, Diabetes Mellitus, dan Hiperurisemia dengan Nefrolitiasis

Onny Ziasti; Andi Nur Syafariyanti; Annisa Tri Permatasari; Citra Ayu Ariani; Gusti Youfina Adinda Wijaya; Naufal Aqil Afira; Putri Diah Wulandari; Rizkha Dhilla Dwi Pangesti; Michelle Thiovinsky; Masmudah Masmudah; Santika Santika

doi:10.53342/pharmasci.vi.401

Authors

Onny Ziasti Program Studi Farmasi Klinis, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Andi Nur Syafariyanti Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Annisa Tri Permatasari Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Citra Ayu Ariani Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Gusti Youfina Adinda Wijaya Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Naufal Aqil Afira Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Putri Diah Wulandari Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Rizkha Dhilla Dwi Pangesti Program Studi Profesi Apoteker, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Michelle Thiovinsky Program Studi Farmasi, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Masmudah Masmudah Program Studi Farmasi Klinis, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia
Santika Santika Program Studi DIII Farmasi, Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

DOI:

https://doi.org/10.53342/pharmasci.vi.401

Keywords:

Nephrolithiasis, Hypertension, Diabetes Mellitus, Hyperuricemia, DRPs

Abstract

Hypertension (HT), diabetes mellitus (DM), hyperuricemia are degenerative diseases that can play a role in the development of nephrolithiasis. Uric acid nephrolithiasis is a form of kidney stone disease that occurs due to waves of uric acid crystals in the kidneys. Furthermore, uncontrolled blood glucose levels can affect circulation, which makes it more difficult for blood to deliver nutrients to the wound. As a result, the wound will heal slowly and may even develop into diabetic ulcers. This study used a case report method with primary data analysis from interviews and retrospective data documentation. Results: Mrs. EG is 82 years old with a history of HT (Â±15 years), DM (9 months), hyperuricemia (4 years) and recently diagnosed with nephrolithiasis. The patient also complained that her right leg appeared reddish from the inside after scratching. The patient's blood pressure was 135/90 mmHg, GDP 6.5 mmol/L, Uric Acid 9.2 mg/dL. Medication therapy included candesartan, Jardiance, Fusidasol cream. Non-medication therapy in the form of a high animal protein and high sodium diet. Based on evaluation using the SOAP method, several DRPs were found that could be overcome with additional therapy.