laporan jaga selasa15 feb 2016

8/17/2019 Laporan Jaga Selasa15 Feb 2016

1/30

LAPORAN JAGA MALAM DOKTER MUDA15 Febuari 2016


2/30

DAFTAR PASIEN MASUK


3/30

No Idenia! Dia"no!i! P#an$Tera%i

1 Ny. WG3P2A0, 41 th01332909

UK: 35+2 mg

KPD 2 H!" #$m%&t"g!'"$ h.#!(t(!m$# )& * F( )t"

-%t/m(: y"#(!(m#% 2200 g!,AS 9

- &%t #(!&"#(!'g"m

- - 10

- *. 6""&" 1g!7 m- 8'&%" 2 m- () & &(g)#

2 Ny. DW

G1P0A0, 19 th0132043

UK: 31 mgg

KPD 22 m #$#!"m"g!'"$ h.#!(t(!m$&m #(!&" )& *( )t" , #/t#(mg#(!m(t #(m!)(! 7* t/t& A6;&/),m!,TR M"&$ $g

(m"


4/30

Nm : Ny. W Tgg& >h"! : 1070@7195A&mt : Gt), S%)/h!/P()(! : *RT

Tgg& M%) : 15 F( 201@

Tgg& D"#(!") : 15 F( 201@N/. RM : 01332909

Idenia! Pa!ien


5/30

R%%) $!" RSUD S%)/h!/ $(g

)(t(!g m%&t"g!'"$ hm"& #!(t(!m$(g KPD 2 H!" $ #% gg&.

Ke#u&an ua'a


6/30

S(/!g G3P2A0, 41 th, UK 35+2 m"gg% ,!%%) $!" RSUD S%)/h!/ $tg$(g )(t(!g m%&t"g!'"$ h.#!(t(!m$(g KPD 2 h!" $ #% gg&.P"( m(! hm"& %&. G(!) "m"h $"!), )((g)((g t(!t%!%$h $"!). A"! )h %$h $"!))(&%! 2 h!", &($"! $!h +

Ri(a)a Pen)a*i+e*aran"


7/30

R"yt H"#(!t(" : D"g)&

R"yt DM : D"g)&

R"yt Am : D"g)&

R"yt A&(!g" : D"g)&

R"yt t%g : D"g)&

Ri(a)a Pen)a*i Da&u#u


8/30

R"yt H"#(!t(" : D"g)&

R"yt DM :D"g)&R"yt Am :D"g)&

R"yt A&(!g" : D"g)&

R"yt t%g :D"g)&

Ri(a)a Pen)a*i Ke#uar"a


9/30

M(")h 1?, 19 th%, K; P"& )"&)" 15 th, &h"! #/t, 200 g!

2. >)"&)" 13 th, &h"! #/t, 3000 g!

3. Hm"& ()!g

Ri(a)a Ob!eri


10/30

KU : ;"), /m#/ M(t"

6"t& S"g : TD : 12070 mmHg

HR : 2 ?7m("t

RR : 2@ ?7m("t

S%h% : 3@,5/

Pe'eri*!aan Fi!i*


11/30

Maa: A


12/30

UPD-

P!/m/t/!"%m t"$) t(!

>"( t(!m"&" t(! 173 g"

S#" "h"$" t"$) t(!

A!% #%" I90/

K(: #gg%& gy(/"$


13/30

U+G- Tm#) " t%gg& *U, #%), #!()(#, D @,52 m,8F;W 249@ g!J

P&(t "(!" $" /!#% g!$( 2, "!

)(t% )( %)%#J

T) tm#) )(&" )/g("t& my/!,)( " t "" $&m )($ ").

Pe'eri*!aan Penun.an"


14/30

H(m/g&/" : 11/o g7$& Ht :35 A> :2/!"%7%& AT : 25 !"%7%& A8 : 4,0 t7%&

Pe'eri*!aan Lab

• GDS : 9mg7$&

• HAg : N/!(t"'(


15/30

S(/!g G3P2A0 41 th% UK 35+2m"gg%, t(! " t%gg&, "t!%t(!",

m(mg, #%), #!()(#, )(#& m%)#gg%& I 173 g", h"


16/30

KPD 2 h!" #$ m%&t"g!'"$ hm"&

#!(t(!m $# )& 1 ( )t"

Dia"no!i!


17/30

1. >%t #(!&" #(! 'g"m2. -(!'" 103. 8'&%" 2 m &g"4. *()" '""&&" 1 g!7 m


18/30

>h"! y" #(!(m#% #(!'g"m,h"$%#, ;;> 2200 g!, AS 9, %h"! #&(t, &(g)#, (t%))!m, %)%! 20?20?1,5 m,PTPB49 m

Ouo'e


19/30

Tin.auan Pu!a*a


20/30

Keuban Pea&Dini


21/30

◦

P(hy )(t% ((&%m )t%#(!&" $"m%&"

#!(t(!m 3 m"gg%


22/30

◦ W)t% t #(hy m(m! m#"

$"m%&"y #(!&"◦ S(m)" m%$ %" )(hm"& (m)"

&m #(!"/$( &t(

◦ P$ )(hm"& t(!m 90 ) m(m%&"

#(!&" $&m 24 m◦ P$ )(hm"& 234 m"gg%

50 (!&" $&m )t% 24 m

090 (!&" $&m )t% 1 m"gg%

Periode laten


23/30

◦ *$"/#t")

◦ *()"


24/30

◦ R"yt ((&%my

◦ P(m(!") $(g #()%&%m t(!"&


25/30

◦ *()" (t%7(/t%

◦ *()" "%

◦

K/m#!(" t% #!/&# t&" #%t◦ Gg& "$%)" $ $"")%t" /&(h S

omplikasi Ketuban Pecah Dini

Pada kehamilan preterm infeksi fetus dan neonatus

infeksi ibu

prolaps dan kompresi tali pusat

gagal induksi dan diikuti oleh SC

hipoplasia paru (oligohidramnion berat )

deformitas pada fetus


26/30

◦ N"&" )((ht(! "% $ y"

◦

Pt") $"g/"◦ N"&" )($ (!'") $(g #(m(!") #()%&%m


27/30

◦ H"$!" #(m(!") $&m

◦ N"&" $y "()"

◦ P(!t"mg) #(m(!" t""/t")

"& t(!$" )(t% #(h $"" yg

t(&h &m◦ M(m( )t" t% m(m(

()#()tt" t(!gt%g #$ )($$ )("g" #"(

%ada *e&a'i#an aer' 34'in""u


28/30

◦ H"$!" #(m(!") $&m

◦ P(!t"mg) t(!/"$ t(t&◦ P!/L&)" t""/t") "t!#!t%m

◦ Pt% t$t$ "()" (! )&""


29/30

◦ H"$!" #(m(!") $&m

◦

St(!/"$◦ P(m(!" t""/t") t(#!t%m $ "t!#!t%m

◦ Pt% t$t$ "()" (! )&""


30/30

*% hm"& $(g )/!"/m"/"t" m(m%t%h) t""/t")

#()t!%m &%

Anibioi* )an" dian.ur*an-

Penicillin G 5 juta units q 4-6 h IVatau

Ampiullin 2g IV dilanjutkan 1 g q 4h

atau

Clindamyin 600 ng q hIV

laporan jaga selasa15 feb 2016

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