KAMISAN P1AO POST SC AI SOLUSIO PLASENTA FIX
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Transcript of KAMISAN P1AO POST SC AI SOLUSIO PLASENTA FIX
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P1A0 28 Tahun Post SC 14/06/2015 a/i
Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
14 JUNI 2015 – 17 JUNI 2015
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Identitas Nama : Ny. IP
Umur : 28 Tahun
Jenis Kelamin : Perempuan
Alamat : Desa Sidamulya RT 04 RW 01, Warureja
Status : Menikah
Pekerjaan : IRT
Agama : Islam
Ruang Perawatan : PONEK, ICU
Masa Perawatan : 14 Juni 2015 – 17 Juni 2015
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AnamnesisAnamnesis dilakukan secara autoanamnesis di
PONEK pada tanggal 14 Juni 2015 pukul 11.00 WIB.
Pasien datang dikirim oleh Puskesmas Warureja dengan G1P0A0 28 Tahun H34 minggu dengan kelainan katup jantung.
Pasien memiliki riwayat pengobatan jantung di RS Kardinah Tegal sebanyak 4x dan kontrol terakhir tahun 2008.
Pasien datang dengan keluhan perut kencang dan badan terasa lemas.
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Pemeriksaan Fisik Keadaan Umum : Tampak lemah
Kesadaran : Compos Mentis
Tanda Vital Tekanan Darah : 150/100 mmHg Frekuensi Nadi : 88 x/menit, isi kuat, ekual Frekuensi Nafas : 22 x/menit, regular, simetris Suhu : 36,6 0C
Status Generalis Kepala : dbn Mata : CA - / - Thoraks : SNV, Rh – Wh - ; BJ I – II regular, murmur + Abdomen : TFU 28 cm, DJJ – VT 1 cm Ekstremitas : Odema - / -
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Pemeriksaan Laboratorium14 – 06 – 2015
Pemeriksaan Hasil Satuan Nilai Rujukan
Hemoglobin 10,9 g/dL 11,7 – 15,5
Hematokrit 30 % 35 – 47
Eritrosit 3,4 106/uL 3,80 – 5,20
Leukosit 19,6 103/uL 3,6 – 11
Trombosit 269 103/uL 150 – 400
DIFF COUNT
Basofil 0,10 % 0 - 1
Eosinofil 0,30 % 2 - 4
Netrofil 85,10 % 50 - 70
Limfosit 10,60 % 25 - 40
Monosit 3,90 % 2 - 8
Golongan Darah
A+
Protein Urin Negatif Negatif
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Pemeriksaan Hasil Satuan Nilai Rujukan
GDS 103 mg/dL 75 - 140
Ureum 8,4 mg/dL 17,1 – 42,8
Creatinine 0,50 mg/dL 0,40 – 1,00
Asam Urat 4,5 mg/dL 2,0 – 7,0
Kolesterol Total 201 mg/dL 150 – 200
Trigliserida 229 mg/dL 35 – 150
Bilirubin Total 0,98 mg/dL 0,20 – 1,30
Bilirubin Direk 0,61 mg/dL 0,1 – 0,3
Bilirubin Indirek 0,37 mg/dL 0 – 0,75
Total Protein 6,70 g/dL 6,7 – 8,2
Albumin 3,60 g/dL 3,8 – 5,2
Globulin 3,10 mg/dL 1,3 – 3,1
SGOT 14 U/L 13 - 33
SGPT 9 U/L 6,0 - 30
HBsAg Non Reaktif Non Reaktif
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EKG
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DiagnosisG1P0A0 28 Tahun H34 Minggu
Dengan Kelainan Katup Jantung.
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TatalaksanaO2
DC
RL 10 tpm
Furosemid 1 amp
Pro Konsul UPD
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Follow Up
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S O A P
Minggu, 14 Juni 2015
11.00 Masuk PONEKLemasPerut Kencang
CM/TSSTD : 150/100HR : 88x/mRR : 22x/mS : 36,60C
G1P0A0 28 tahun H34 minggu dengan kelainan katup jantung
Lapor dokter jaga. Advis dokter jaga :• O2• DC• RL 10 tpm• Furosemid 1 amp• Pro Konsul UPD
12.00
12.30 Lab Hb 10,9
Lapor residen Advis :• Cek EKG• Cek Lab Lengkap• Konsul UPD
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15.00 Perut kencang terus menerusDC +Infus +
CM/TSSTD : 164/97HR : 88x/mRR : 22x/mS : 36,60CPPV +
G1P0A0 28 tahun H34 minggu dengan PPV dan kelainan katup jantung
Observasi KU, PPV
17.30 Lab Hb 8,6% Lapor residenAdvis :• SC Cito• Konsul Jantung• Konsul UPD
Lapor dokter bangsalAdvis :• Transfusi PRC 2 kolf
19.30 CM/TSSTD : 151/94HR : 113x/mRR : 22x/mSpO2 : 100%PPV +
Masuk transfusi 1 kolfLapor dr. GunturAdvis :• Tunggu konsul jantung
dan UPD• Transfusi 1 kolf
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21.10 G1P0A0 28 tahun H34 minggu dengan PPV dan kelainan katup jantung
Lapor dr GunturAdvis :• Post SC Rawat ICU
21.15 PPV + CM/TSSTD : 150/90HR : -RR : -S : -
22.00
22.50
Masuk OK PONEK
Lahir Bayi Meninggal, Laki – laki 1600 gr, 40 cm.
P1A0 28 Tahun Post SC 14/06/2015 a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
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23.30 Pasien keluar OK PONEK 02 +
CM/TSSTD : 150/90HR : 92x/mRR : 24x/mS : -
P1A0 28 Tahun Post SC 14/06/2015 a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
Observasi
00.00 CM/TSSTD : 110/70HR : -RR : -S : -
Lapor dr JaenudinACC RAWAT ICU
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S O A P
Senin, 15 Juni 2015P1A0 28 Tahun Post SC 14/06/2015 (H+1) a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
01.00 Masuk ICUNyeri post op +Mual
CM/TSS GCS E4M6V5 TD : 118/61HR : 132x/mRR : -S : -SpO2 : 99%
P1A0 28 Tahun Post SC 14/06/2015 a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
IVFD RL + Oxytocin 10 IU 20 tpmIVFD NaCl diklemO2 KanulKonsul dr Guntur Belum dijawab
02.00 CM/TSS GCS E4M6V5 TD : 111/62HR : 121x/mRR : -S : -SpO2 : -
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03.00 CM/TSS GCS E4M6V5 TD : 112/64HR : 143x/m RR : -S : - SpO2 : -
04.00 CM/TSS GCS E4M6V5 TD : 102/64HR : 137x/m RR : -S : - SpO2 : -
05.00 CM/TSS GCS E4M6V5 TD : 99/45HR : 196x/m RR : -S : - SpO2 : -
06.00 CM/TSS GCS E4M6V5 TD : 103/60HR : 135x/m RR : -S : - SpO2 : -
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07.00 Sesak Nafas +Mual +
CM/TSS GCS E4M6V5 TD : 100/57HR : 91x/m RR : -S : - SpO2 : 100%
O2IVFD +Injeksi • Ceftriakson 1 x 2 gr• Kalnex 3 x 500 mg• Ketorolac 3 x 1
08.00 CM/TSS GCS E4M6V5 TD : 97/61HR : 125x/m RR : -S : - SpO2 : 100%
Dr Guntur VisitAdvis :• Fentanyl 20 Meq• Ketorolac 1 amp• Kalnex 500 mg
09.00 CM/TSS GCS E4M6V5 TD : 120/67HR : 114x/m RR : -S : - SpO2 : -
Laboratorium Leukosit 25,1 > Hb 6,7 <Eritrosit 2,2 < Ht 19% <Trombosit 138 <Klorida 107 > SGOT 21Kalsium 8,7 < SGPT 10
Lasix 1 x 1 ampKesan Laboratorium :• Leukositosis• Anemia• Trombositopenia• Hipokalsemia• Hiperkloridemia
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EKG
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10.00 CM/TSS GCS E4M6V5 TD : 107/67HR : 111x/m RR : -S : - SpO2 : 100%
Foto Thoraks AP• Suspek
pankardiomegali dd/ pericardinal efusi
• Pulmo tidak tampak kelainan
11.00 CM/TSS GCS E4M6V5 TD : 87/48HR : 102x/m RR : -S : - SpO2 : 100%
Mengambil darah vena
12.00 CM/TSS GCS E4M6V5 TD : 68/50HR : 99x/m RR : -S : - SpO2 : 100%
Diit +Obat Oral +Injeksi Ceftriakson 1 grLapor dr GunturAdvis :• IVFD HES 30 tpm• Injeksi
Ondansentron 4 mg• Dobutamin 10 meq• Omativ 1 ampul
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13.00 CM/TSS GCS E4M6V5 TD : 66/42HR : 99x/m RR : -S : - SpO2 : 100%
Konsul dr Guntur Advis :• IVFD HES 30 tpm• Oxdan 4 mg• Sp Dobutamin 10
mcg
14.00 Nyeri post op CM/TSS, Tampak lemah, anemisGCS E4M6V5 TD : 61/41HR : 113x/m RR : -S : - SpO2 : 100%
Transfusi PRC 1 kolfIVFD HES 30 tpm
15.00 CM/TSS GCS E4M6V5 TD : 84/60HR : 150x/m RR : -S : - SpO2 : 100%
Konsul dr JantungAdvis :• Transfusi PRC 2 – 3
kolf/hari• IVFD cairan 1500
cc/hari• Digoxin 2 x ½• Dobutamin max 10
mg
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16.00 CM/TSS GCS E4M6V5 TD : 62/42HR : 128x/m RR : -S : - SpO2 : 100%
Injeksi Kalnex 500 mgMinum obat oral
17.00 CM/TSS GCS E4M6V5 TD : 62/38HR : 146x/m RR : -S : - SpO2 : 100%
18.00 CM/TSS GCS E4M6V5 TD : 85/53HR : 13§x/m RR : -S : - SpO2 : 100%
Transfusi PRC Kolf ke 2 selesai ganti NaCl 0,9%
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19.00 CM/TSS GCS E4M6V5 TD : 69/31HR : 128x/m RR : -S : - SpO2 : 100%
20.00 CM/TSS GCS E4M6V5 TD : 62/46HR : 130x/m RR : -S : - SpO2 : 100%
21.00 Badan lemasNyeri post op
CM/TSS, Tampak lemah, anemis, tenang.GCS E4M6V5 TD : 73/53HR : 115x/m RR : -S : - SpO2 : -
Transfusi PRC lanjutIVFD RL + Oxytoxin 20 tpmOksigen canul +
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22.00 CM/TSS GCS E4M6V5 TD : 66/52HR : 116x/m RR : -S : - SpO2 : 100%
23.00 CM/TSS GCS E4M6V5 TD : 69/56HR : 91x/m RR : -S : - SpO2 : 100%
00.00 CM/TSS GCS E4M6V5 TD : 74/49HR : 103x/m RR : -S : - SpO2 : 100%
Injeksi Ceftriaxon 1 grKalnex 500 mg
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S O A P
Selasa, 16 Juni 2015P1A0 28 Tahun Post SC 14/06/2015 (H+2) a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
01.00 CM/TSS GCS E4M6V5 TD : 74/52HR : 106RR : -S : -SpO2 : 100%
02.00 CM/TSS GCS E4M6V5 TD : 78/51HR : 106RR : -S : -SpO2 : 100%
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03.00 CM/TSS GCS E4M6V5 TD : 79/50HR : 101x/m RR : -S : - SpO2 : 100%
04.00 CM/TSS GCS E4M6V5 TD : 81/55HR : 97x/m RR : -S : - SpO2 : 100%
05.00 CM/TSS GCS E4M6V5 TD : 68/50HR : 91x/m RR : -S : - SpO2 : -
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06.00 CM/TSS GCS E4M6V5 TD : 88/58HR : 75x/m RR : -S : - SpO2 : -%
07.00 Nyeri post op CM/TSS GCS E4M6V5 TD : 95/69HR : 82x/m RR : -S : - SpO2 : -%
08.00 CM/TSS GCS E4M6V5 TD : 87/56HR : 83x/m RR : -S : - SpO2 : -
- Inj. Kalnex- Inj. Oxdan
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09.00 CM/TSS GCS E4M6V5 TD : 91/63HR : 77x/m RR : -S : - SpO2 : -%
10.00 CM/TSS GCS E4M6V5 TD : 97/65HR : 106x/m RR : -S : - SpO2 : -%
11.00 CM/TSS GCS E4M6V5 TD : 82/54HR : 73x/m RR : -S : - SpO2 : -
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EKG
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12.00 CM/TSS GCS E4M6V5 TD : 84/52HR : 104x/m RR : -S : - SpO2 : -%
- TRF ke IV kolf
13.00 CM/TSS GCS E4M6V5 TD : 93/61HR : 112x/m RR : -S : - SpO2 : -%
14.00 CM/TSS GCS E4M6V5 TD : 89/61HR : 97x/m RR : -S : - SpO2 : -
- Dobutamin 10 mcg- Fentanyl 10 mcg
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15.00 CM/TSS GCS E4M6V5 TD : 89/66HR : 78x/m RR : -S : - SpO2 : -%
16.00 CM/TSS GCS E4M6V5 TD : 95/63HR : 85x/m RR : -S : - SpO2 : 100%
17.00 CM/TSS GCS E4M6V5 TD : 89/64HR : 72x/m RR : -S : - SpO2 : -%
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18.00 CM/TSS GCS E4M6V5 TD : 102/72HR : 67x/m RR : -S : - SpO2 : -%
19.00 CM/TSS GCS E4M6V5 TD : 97/64HR : 70x/m RR : -S : - SpO2 : -%
20.00 CM/TSS GCS E4M6V5 TD : 92/65HR : 71x/m RR : -S : - SpO2 : -%
- Inj. Ceftriaxone
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21.00 Nyeri post opSesak nafas
CM/TSS GCS E4M6V5 TD : 109/68HR : 60x/m RR : -S : - SpO2 : -%
- Dobutamin 10 mcg
22.00 CM/TSS GCS E4M6V5 TD : 102/53HR : 72x/m RR : -S : - SpO2 : -%
23.00 CM/TSS GCS E4M6V5 TD : 120/76HR : 83x/m RR : -S : - SpO2 : -%
24.00 CM/TSS GCS E4M6V5 TD : 120/76HR : 61x/m RR : -S : - SpO2 : -%
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S O A P
Rabu, 17 Juni 2015P1A0 28 Tahun Post SC 14/06/2015 (H+3) a/i Solusio Plasenta dengan IUFD dan Kelainan Katup Jantung
01.00 CM/TSS GCS E4M6V5 TD : 133/90HR : 67RR : -S : -SpO2 : -
02.00 CM/TSS GCS E4M6V5 TD : 126/77HR : 64RR : -S : -SpO2 : -
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03.00 CM/TSS GCS E4M6V5 TD : 127/85HR : 60x/m RR : -S : - SpO2 : -
04.00 CM/TSS GCS E4M6V5 TD : 123/75HR : 62x/m RR : -S : - SpO2 : -
05.00 CM/TSS GCS E4M6V5 TD : 126/79HR : 66x/m RR : -S : - SpO2 : -
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06.00 CM/TSS GCS E4M6V5 TD : 135/86HR : 66x/m RR : -S : - SpO2 : 100%
07.00 CM/TSS GCS E4M6V5 TD : 124/77HR : 75x/m RR : 17x/mS : - SpO2 : 100%
08.00 Os meras lemaes dan mual
CM/TSS GCS E4M6V5 TD : 108/75HR : 61x/m RR : 21x/mS : - SpO2 : 100%
- Inj Ceftriaxone- Inj Ketorolak- Inj Lasix- Dobutamin 5 mcg
09.00 CM/TSS GCS E4M6V5 TD : 114/75HR : 64x/m RR : 21x/mS : - SpO2 : 100%
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EKG
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10.00 CM/TSS GCS E4M6V5 TD : 122/83HR : 81x/m RR : 17x/mS : - SpO2 : 100%
11.00 CM/TSS GCS E4M6V5 TD : 149/108HR : 64x/m RR : 23x/mS : - SpO2 : 100%
12.00 CM/TSS GCS E4M6V5 TD : 124/79HR : 74x/m RR : 34x/mS : - SpO2 : 100%
13.00 Os mendadak apnoe -> bagging 2x -> nafas spontan.Cek GDS: 108
CM/TSS GCS E4M6V5 TD : 125/79HR : 74x/m RR : 25x/mS : - SpO2 : 100%
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14.00 Os mual- mual, badan terasa lemes
CM/TSS GCS E4M6V5 TD : 110/74HR : 71x/m RR : 29x/mS : - SpO2 : 100%
- Ekstra ondan 1 amp- O2 mask 8 lpm- Dobutamin 5 mcg
15.00 CM/TSS GCS E4M6V5 TD : 114/75HR : 85x/m RR : 20x/mS : - SpO2 : 100%
16.00 CM/TSS GCS E4M6V5 TD : 109/71HR : 88x/m RR : 15x/mS : - SpO2 : 100%
- Inj ketorolax 1 amp- Inj ondan 1 amp
17.00 CM/TSS GCS E4M6V5 TD : 102/67HR : 77x/m RR : -S : - SpO2 : 100%
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18.00 CM/TSS GCS E4M6V5 TD : 116/75HR : 98x/m RR : 17x/mS : - SpO2 : 100%
19.00 CM/TSS GCS E4M6V5 TD : 113/73HR : 64x/m RR : -S : - SpO2 : 100%
Pasien tiba – tiba apnoe RJP 5 siklus TD 120/76 pemberian adrenalin lapor dokter anestesi.
20.00 Apnoe kembali pupil midirasis maksimal EKG Flat pasien meninggal didepan keluarga dan perawat.