MR IPD 20 FEB SEPSIS.pptx
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Transcript of MR IPD 20 FEB SEPSIS.pptx
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7/26/2019 MR IPD 20 FEB SEPSIS.pptx
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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
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%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
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A$a&$e'i' Alla$a&$e'i'7
8elu!a$ *ta&a
Pe$uru$a$ -e'adara$
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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
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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 /&
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8ulit ( Sa
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7/26/2019 MR IPD 20 FEB SEPSIS.pptx
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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
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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
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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
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*ri$ali'a
Prtei$ *ri$ ( ;1
Redu-'i *ri$ (Negati#
*r$ili$ge$ (Negati#
ilirubi$ ( Negati#
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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$i'i7
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Ri$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
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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
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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
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*-MA
+AS/