Download - Presentasi Kasus Maternal
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Kelompok II
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Nama: Ny Siti Aminasih Umur : 39 th Alamat : Jati Luhur
Ngasrep,Banyumanik,Semarang Pekerjaan : Swasta Alasan datang : Rujukan dr bidan dg G 7
P 5 A 1,UK 36 mgg,janin tunggal,hidup,intra uterin,letak kepala,DJJ+,dg PEB
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• Rwyt perkawinan : nikah 2x• Rwyt persalinan :– Anak 1: 15 th,BBL 3000gr,aterm spontan,nakes– Anak 2 : 13th,BBL 2900gr,aterm,spontan,nakes– Anak 3 : 10 th,BBL 3000gr,aterm,sponta, nakes– Anak 4 : 9th,BBL 2900gr,aterm spontan,nakes– Anak 5 : 6th,BBL 3500gr,aterm,spontan,nakes– Anak 6 : AB 2 bln,tdk di curretage– Hamil ini
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• Rwyt pnykt : Hipertensi dari keluarga• Rwyt pnykt ibu : Ibu menderita
hipertensi sejak 5 th yll• Rwyt KB : Pernah KB suntik 3
bulanan,berhenti krn hipertensi• Rwyt ANC : ANC 2X diPuskesmas,1x di
bidan• Rwyt sekarang : PX Tgl 26-11-2012 jam
20.30 wib : TD 200/120mmHg,S 37⁰c,N 80X/Mnt,RR 20x/mnt,k/u baik,kesadaran CM.edema tdk ada,lain2 DBN
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TFU 27cm,L 1 Janin tunggal,let kep HIS jarang,DJJ 12.12.12 VT pembukaan 1 jari,KK+,medium
medial,CTT 10%,bag.bawah turun H1,UUK sulit dinilai.
Masalah : G7 P5 A1,39 th,UK 33 + 6 mgg,partus prematurus iminen,superimpossed preeklamsia.
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Tgl 26-11-2012 Inj MgSO4 20% 4 gr bolus pelan Inj Mg SO4 20% 1gr/jam Cek darah lengkap + urin rutin EKG konsul internal Psg DC ---balance cairan Metildopa 2x500mg oral
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Darah
HB: 9,6 gr% HT 30,4% Eritrosit 4,32 jt Leukosit 9,20 rb GDS 84 Ureum 24 Kreatinin 0,71 SGOT 33 SGPT 37
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Natrium 139 Kalium 3,8 Clorida 106 Calsium 2,15
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K/u baik,kesadaran CM TD 147/82 mmHg,N 106x/mnt,RR
20X/mnt,S 37⁰C. Program Therapie sama
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K/U baik,kesadaran CM TD 130/90 mmHg, N 80x/mnt,RR
20x/mnt,S 37⁰C Jam 17.00 wib Priming misoprostol 1/8
tab pervagina,nifedipin 3x10mg tab
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Jam 06.45 wib K/U baik,kesadaran CM TD 170/100 mmHg,N 82X/mnt,S 37⁰C VT : 1 jari longgar,KK + Karena tidak respon terhadap
antihipertensi maka dilakukan terminasi kehamilan.
Induksi persalinan dg RL + 0xytocin drip 5 IU,program 8-30 tpm
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VT Jam 10. 00 wib Pemb.2 jari longgar KK + DJJ 138X/mnt Induksi dilanjutkan 12 tpm Jam 10.25 wib Ada dorongan meneran,KK pecah
spontan. VT pemb lengkap,kepala H 3+
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Dipimpin persalinan Jam 10.35 wib bayi lahir spontan
menangis keras, A S 8-9-10 Lakukan IMD Oxytocin 10 IU masuk IM,placenta lahir
spontan lengkap jam 10.40 wib Misoprostol 4 tab/rektal masuk Perdarahan ± 150cc,kontraksi keras
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JK laki-laki,BB 2300 gr,PB 45cm. Konsul Dokter Anak
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MATUrNUWUN