mr ipd 20 feb sepsis.pptx

7/26/2019 MR IPD 20 FEB SEPSIS.pptx

1/15

LAPORAN JAGA PDWSabtu Pagi, Tgl 20 Februari 2016

Supervisor : dr. Vera Abdullah,Sp.PD

DM Jaga : PPDS Jaga :

Farizal dr. Nadira

u!a"ir dr. A#rizalS!ella

Fitria$i %r!a&$a


2/15

%de$tita'

Na&a ( N). F

*&ur ( + ta!u$

Pe-er"aa$ ( %RT

Ala&at ( a$da A/e!

N ( 10134

Ta$ggal a'u- RS ( 2050252016

Ta$ggal Pe&eri-'aa$ ( 2050252016


3/15

A$a&$e'i' Alla$a&$e'i'7

8elu!a$ *ta&a

Pe$uru$a$ -e'adara$


4/15

1. Pe$uru$a$ -e'adara$ 'e"a- 1 !ari '&r'

2. e$urut -eluarga 9a'ie$ &e$gala&i de&a& 'e"a- 2 !ari '&r'

3. De&a& di'ertai &e$ggigil

4.Pa'ie$ &e$gala&i 'e'a- $a#a' 'e"a- 2 !ari '&r'.Se'a- tida- di9e$garu!i a-ti:ita' &au9u$ /ua/a

6. Pe$uru$a$ $a#'u &a-a$ ;7

+. Pe$uru$a$ erat bada$ ;7

6. Ri


5/15

Pe&eri-'aa$ Fi'i-

8e'adara$ ( GS ?1@113 -&a

TD ( 0B0 &&>g,

Nadi ( 120 CB&e$it

RR ( 2 CB&e$itT ( 3,

( 40 -g T( 1 /&


6/15

8ulit ( Sa


7/15

Pe&eri-'aa$ Fi'i-

Ja$tu$g

% ( i-tu' -rdi' tida- terli!at

P( i-tu' -rdi' teraba di 2 "ari lateral %S 6 li$ea &id /la:i/ula

P( bata' ata' "a$tu$g ( %S %%% Li$ea id/la:i-ula 'i$i'tra

bata' -iri "a$tu$g ( %S @ li$ea a$terir aCila 'i$i'tra

bata' -a$a$ "a$tu$g ( %S @ li$ea 9ara'ter$al de-'tra

A( u$)i "a$tu$g % E u$)i "a$tu$g %% reguler, gall9 57, bi'i$g'i'tli- 57

Paru59aru(

% ( Gera-a$ dada -a$a$ 'i&etri' 9ada 'tati' da$ di$a&i'

P( Si&etri', SF -a$a$ SF -iri

P( S$rB '$r 'eluru! la9a$ga$ 9a$da$g


8/15

Pe&eri-'aa$ Fi'i-

Abd&e$(

% ( Si&etri', &e&be'ar, di'te$'i 57, /a9ut&edu'a 57

P ( N)eri te-a$ 57, >e9ar Tida- TerabaBLie$tida- terabaB Re$al tida- teraba

P ( ti&9a$i 57 '!i#ti$g dull$e' 57

A ( Peri'talti- u'u' ;7 4CB &e$it

?-'ter&ita'( Pu/at 57, ede&a 57, i-teri- 57


9/15

Pe&eri-'aa$ Pe$u$"a$g

Laboratorium (24!"2!"#$

>b ( 14, gBdl

>t ( 42

?ritr'it ( 4,= C 10 4B&&3

Leu-'it ( 20,1C 10 3B&&3

Tr&b'it ( =0C 10 3B&&3

Albu&i$ ( 3,20 gBdl

TBT ( B3 e$it

Di#tel ( 0B0B0B=0B6B4

Na ( 144 &&lBL

8 ( 3,= &&lBL

l ( 111 &&lBL

8GDS ( 4= &gBdL

*reu& (100 &gBdLreati$i$ ( ,0 &gBdL


10/15

*ri$ali'a

Prtei$ *ri$ ( ;1

Redu-'i *ri$ (Negati#

*r$ili$ge$ (Negati#

ilirubi$ ( Negati#


11/15

Da#tar a'ala! (

1.Pe$uru$a$ -e'adara$ e/ dd

1. Se9'i' berat

2. >i9gli-e&ia

2. Se9'i' berat e/ dd1. *r'e9'i'

2. P$e&$ia

2. Geriatri 9rble& i$#e-'i, i&&bilita', i$a$i'i7


12/15

Ri$g-a'a$

Pa'ie$ N).A + ta!u$ dibab ( 14, gBdl NaB8BL ( 144B3,=B111

>t ( 42 *rBr ( 21B0,4 &gBdl

?ritr'it ( 4,= C 10 4B&&3 8GDS ( 4= &gBdl

Leu-'it ( 20,1 C 10 3B&&3 *rBr ( 100B,0

Tr&b'it ( =0 C 10 3B&&3

M l h P & 'i


13/15

Masalah Pe%g&a'ia% e%)a%aDiag%osis

e%)a%a*atala&sa%a

".Pe%uru%a%

+esadara%

- De&a&- Se'a-

Pe& 'i-TD( 0B0N( 120CBi

RR( 2CBiT( 3,/Gd'( 4=Pe$uru$a$8e'adara$

e/1. Se9'i'2. >i9gli-e

&ia

5 e- DR,GDS,

AGDA

*erapi:5O2 65LBi

5%$".er9e$e&1gB "a&.-%:#d DeC 10

20 gttBi-%: deC 40 3H/-Dri9 PT 1H'B"a&

M l h P & 'i


14/15

Masalah Pe%g&a'ia% e%)a%aDiag%osis

e%)a%a*atala&sa%a

eriatriProblem

- Pe$uru$a$$a#'u

&a-a$- Pe$uru$a$

beratbada$

- ala'u$tu-bergera-

5 DR, %T

*erapi:5&elaluai NGT

diet '$de6C200-?du-a'i


15/15

*-MA

+AS/

mr ipd 20 feb sepsis.pptx

Documents