Aortic stenosis
9
7/21/2019 Aortic stenosis http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 1/9 7 FOLLOW UP PASIEN TGL S O A P 27/10/2015 Sesak nafas (+) Sens: CM TD:90/70 mmHg H: 107 !/" : 2# !/" Tem$: %&' C Peme*"ksaan f"s"k: ,e$a-a Ma.a: anem"s (/)' "k.e*"k (/) Lee*: T +2 mH 2 O T*aks C*: S1(3)'S2(3)' eg4-e*' SM g*a6e %/& 6" S8 ga--$ ()' P4-m: SP: es"k4-e*' ST: *nk" ;asa ;asa- (+/+)< A;6men: se$e-' 8(+) 3' H/L ."6ak .e*a;a ks.*em".as: ak*a- anga.' e6em $*e.";"a- (/) Gam;a*an ,G ALO e AS see*e' A m6e*a.e' M m6e*a.e' T m6e*a.e< As"6s"s me.a;-" A,= 66 C,D 8e6*es. O 2 10 L/" "a nasa- kan4- =>D 3aC- 0'2? 10 g../" (m"k*) =n@< >4*sem"6e 20mg/& @am D*"$s De;4.am"n 5 mg/,g88/" D*"$s -es- 0'02 mg/,g88/" ,*e-as" As"6s"s Me.a;-"k : 1/%!&0!20 00 mB (;e*"kan ke;4.4an) 200 mB =>D 100 mB 6a-am 200 m- 3a- 0'9? a;"s 6a-am @am<
description
Aorta stenosis case
Transcript of Aortic stenosis
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 1/9
7
FOLLOW UP PASIEN
TGL S O A P
27/10/2015
Sesak
nafas (+)
Sens: CM
TD:90/70 mmHg
H: 107 !/"
: 2# !/"
Tem$: %&' C
Peme*"ksaan f"s"k:
,e$a-a
Ma.a: anem"s (/)'
"k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)'
eg4-e*' SM
g*a6e %/& 6"
S8 ga--$ ()'
P4-m: SP:
es"k4-e*' ST:
*nk" ;asa ;asa-
(+/+)<
A;6men: se$e-'
8(+) 3' H/L
."6ak .e*a;a
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (/)
Gam;a*an ,G
ALO e AS
see*e' A
m6e*a.e'
M
m6e*a.e' T
m6e*a.e< As"6s"s
me.a;-"
A,= 66
C,D
8e6*es.
O2 10 L/" "a
nasa- kan4-
=>D 3aC- 0'2?
10 g../" (m"k*)
=n@< >4*sem"6e20mg/& @am
D*"$s De;4.am"n
5 mg/,g88/"
D*"$s -es-
0'02 mg/,g88/"
,*e-as" As"6s"s
Me.a;-"k :
1/%!&0!20 00
mB (;e*"kan
ke;4.4an) 200
mB
=>D 100 mB
6a-am 200 m-
3a- 0'9? a;"s
6a-am @am<
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 2/9
8
mn".*:
2#/10/2015
sesak
nafas (+)
Sens: CM
TD:100/#0 mmHg
H: 102 !/"
: 2# !/"
Peme*"ksaan f"s"k:
,e$a-a
Ma.a: anem"s (/)'
"k.e*"k (/)
Lee*: T +2mH20
T*aks
C*: S1(3)'S2(3)'
eg4-e*' ' SM
g*a6e %/& 6" LLS8
P4-m: SP:
es"k4-e*' ST:
*nk" ;asa ;asa-
(+/+)<
A;6men: se$e-'
8(+) 3' H/L
."6ak .e*a;a
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (/)
Gam;a*an ,G
ALO e AS
see*e' A
m6e*a.e'
M
m6e*a.e' T
m6e*a.e<
As"6s"s
me.a;-"
A,= 66
C,D
8e6*es.
O2 2 L/" "a
nasa- kan4-
=>D 3a- 0'5?
10 g../" (m"k*)
=n@< >4*sem"6e
20mg/& @am
D*"$s De;4.am"n
5 mg/,g88/"
D*"$s -es-
0'05 mg/,g88/"
/
Cek ,GD 2 @am PP'
H;A1' 4*"na-"sa' -"$"6
$*f"-e
Cek AGDA
29/10/2015 Sesak
nafas ()'
.e.a$"
s46a
;e*k4*ang
Sens: CM
TD:90/&0mmHg
H: 102 !/"
: 20 !/"
Tem$ : %&'% C
Sa. O2 : 99?
CH> f ===
e A See*e
Ps. ALO
e AS see*e'
A m6e.a.e'
M
m6e*a.e' T
8e6*es.
O2 2 L/" "a
nasa- kan4-
=n@< >4*sem"6e
20 mg/ &@am
D*"$s
3*e$"ne$*"n
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 3/9
9
Peme*"ksaan f"s"k:
,e$a-a
Ma.a: anem"s (/)'
"k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)'
SM g*a6e %/& 6"
LS8LLS8<
P4-m: SP:
es"k4-e*' ST:
*nk" ;asa ;asa-
(+/+)
A;6men:
se$e-' 8(+)3'
H/L ."6ak .e*a;a
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (+/+)
m6e*a.e
A4.e n
C,D
As"6s"s
me.a;-"k
($s. k*eks")
0'05 mg/,g88/"
D*"$s 6;4.am"n
5 mg/,g88/"
Has"- La;:
,GD 2 @am $$ :
1&mg/6L
,GD $4asa : 122
mg/6L
H;A1 : 7<2?
$H : 7<52
$CO2 : %0 mmHg
$O2 : 19% mmHg
8"ka*;na. : 2<5
mm-/L
T.a- CO2 : 25<
mm-/L
Sa.4*as" O2 :
100?
,-es.e*- T.a- :
10% mg/6L
TG : 77 mg/6L
HDL : 27 mg/6L
LDL : 57 mg/6L%0/10/2015 Sesak
nafas ()
Sens: CM
TD:100/&0mmHg
H: 90 !/"
: 20 !/"
Tem$ : %&'9 C
Peme*"ksaan f"s"k:
,e$a-a
Ma.a: anem"s (/)'
CH> f === E
= e AS
see*e' A
m6e*a.e'
M
m6e*a.e' T
m6e*a.e
8e6*es.
O2 2 L/" "a
nasa- kan4-
=>D 3aC- 0'5?
10 g../" (m"k*)
=n@< >4*sem"6e
20 mg/ &@am
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 4/9
10
"k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)'
m4*m4* (+) SM
%/& 6" LS8
LLS8
P4-m: SP:
es"k4-e*' ST:
*nk" ;asa ;asa-
(+/+)
A;6men: se$e-'
8(+) 3'
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (+/+) m"n
A4.e n
C,D
HF$ka-em"a
A> 3
D*"$s 6;4.am"n
& mg/kg;;/"
He$a*"n ;-4s
%&00 ='
=/@am
S"ma* 1!20 mg
(ma-am)
D"g!"n 1! 0'25
mg
,S 1!&00 mg
/
Cek 4-ang f4ngs" g"n@a-'
e-ek.*-".' HST
%1/10/2015 Sesak
nafas ()
Sens: CM
TD:100&0 mmHg
H: #2 !/"
: 22 !/"
Tem$ : %&'0 C
Sa. O2: 97?
Peme*"ksaan f"s"k:
,e$a-aMa.a: anem"s (/)'
"k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)'
SM %/& 6" S8'
PSM %/& LLS8
P4-m: SP:
CH> f ===
E = e AS
see*e' A
m6e*a.e'
M
m6e*a.e' T
m6e*a.e
A> 3
A,=
8e6*es.
O2 2 L/" "a
nasa- kan4-
=>D 3aC- 0'5?
10 g../" (m"k*)
=n@< >4*sem"6e
20 mg/ #@am
D*"$s He$a*"n
720 =/@am (H2)
D*"$s 6;4.am"n
5mg/kg88/"
D*"$s
3*e$"nef*"n E ff
S"ma* 1! 0'25
mg
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 5/9
11
es"k4-e*' ST:
*nk" ;asa ;asa-
(+/+)
A;6men: se$e-'
8(+)3
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (/)
,S 1!&00 mg
/
Cek e-ek.*-".
$s. k*eks"
Has"- La;:
*e4m : &&<90
mg/6L
,*ea."n"n : 0<7
mg/6L
3a.*"4m: 12
mB/L
,a-"4m : 2<5
mB/L
,a-s"4m : #<1
mB/L
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 6/9
12
1/11/2015 Sesak
nafas ()
Sens: CM
TD:90/&0 mmHg
H: #1 !/"
: 20 !/"
Tem$ : %&'0 C
Peme*"ksaan f"s"k:
,e$a-a
Ma.a: anem"s (/)'
"k.e*"k (/)Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)'
SM %/& S8'
PSM %/& a$e!<
P4-m: SP:
es"k4-e*' ST:
*nk" ;asa ;
asa- (+/+)
A;6men: se$e-'
8(+)3'
ks.*em".as: ak*a-
anga.' e6em
$*e.";"a- (/)
CH> f ===
E = e AS
see*e' A
m6e*a.e'
M m"-6' T
m6e*a.e
A> 3
A,=
8e6*es.
O2 2 L/" "a
nasa- kan4-
=>D 3aC- 0'9?
10 g../" (m"k*)
=n@< >4*sem"6e
20 mg/ #@am
He$a*"n 900
=/@am (H%)
D*"$s D;4.am"n
5 mg/,g88/"
D"g!"n 1 ! 0'25
mg
,S 2 ! &00 mg
S"ma* 1 ! 2 mg
/
Cek APTT/ a*"'
=3/%a*"<
Has"- La;:
3a.*"4m : 19
mB/L
,a-"4m : %<2
mB/L
,-*"6a : 100
mB/L
APTT : %& 6e."k
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 7/9
13
2/11/2015 Sesak nafas
()
8A8 () 7
a*"
Sens: CM
TD:90/&0 mmHg
H: 90 !/"
: 20 !/"
Tem$ : %&'% C
Peme*"ksaan
f"s"k:
,e$a-a
Ma.a: anem"s(/)' "k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)
*eg4--e*' SM %/&
S8' PSM %/&
LLS8a$e!<
P4-m: SP:
es"k4-e*' ST: ()
A;6men:
se$e-' 8(+)3'
ks.*em".as:
ak*a- anga.'
e6em $*e.";"a-
(/)
CH> f ===
E = e AS
see*e' A
m6e*a.e'
M m"-6' T
m6e*a.e
A>
$a*!"ma-
A,=
8e6*es.
O2 2 L/" "a nasa-
kan4-
=>D 3aC- 0'9?
10 g../" (m"k*)
=n@< >4*sem"6e 20
mg/ #@am
He$a*"n aff
D*"$s D;4.am"n 5
mg/,g88/"
D"g!"n 1 ! 0'25
mg
,S 2 ! &00 mg
S"ma* 1 ! 2 mg
La!a6Fne sF* 1!C=
/
%/11/2015 Sesak nafas
()
Sens: CM
TD:90/50 mmHg
H: 9& !/"
: 20 !/"
Tem$ : %&'% C
Peme*"ksaan
f"s"k:
,e$a-a
CH> > ===
= e AS
see*e' A
m6e*a.e'
M m"-6' T
m6e*a.e
A>
$a*!"ma-
8e6*es.
O2 2 L/" (k/$)
=>D 3aC- 0'9?
10 g../" (m"k*)
=n@< >4*sem"6e 20
mg/ 12@am
He$a*"n aff
D*"$s D;4.am"n 5
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 8/9
14
Ma.a: anem"s
(/)' "k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)
*eg4--e*' SM %/&
S8' PSM %/&
LLS8a$e!<
P4-m: SP:
es"k4-e*' ST: ()A;6men:
se$e-' 8(+)3'
ks.*em".as:
ak*a- anga.'
e6em $*e.";"a-
(/)
A,= mg/,g88/"
D"g!"n 1 ! 0'25
mg
,S 2 ! &00 mg
S"ma* 1 ! 2 mg
La!a6Fne sF* 1!C=
/
SG g"n@a- 6an sa-4*an
kem"
/11/2015 Sesak nafas
()
Sens: CM
TD:100/&0
mmHg
H: 92 !/"
: 22 !/"
Tem$ : %&'1 C
Peme*"ksaan
f"s"k:
,e$a-a
Ma.a: anem"s
(/)' "k.e*"k (/)
Lee*: T +2
mH2O
T*aks
C*: S1(3)'S2(3)
*eg4--e*' SM %/&
S8' PSM %/&
LLS8a$e!<
CH> > ===
= e AS
see*e' A
m6e*a.e'
M m"-6' T
m6e*a.e
A>
$a*!"ma-
A,=
8e6*es.
O2 2 L/" "a nasa-
kan4-
=>D 3aC- 0'9?
10 g../" (m"k*)
=n@< >4*sem"6e 20
mg/ 12@am
D*"$s D;4.am"n 5
mg/,g88/"
D"g!"n 1 ! 0'25
mg
,S 2 ! &00 mg
S"ma* 1 ! 2 mg
La!a6Fne sF* 1!C=
/
7/21/2019 Aortic stenosis
http://slidepdf.com/reader/full/aortic-stenosis-56d9ec6aba06a 9/9
15
P4-m: SP:
es"k4-e*' ST: ()
A;6men:
se$e-' 8(+)3'
ks.*em".as:
ak*a- anga.'
e6em $*e.";"a-
(/)
Cek >T' e-ek.*-".
