panik fm ward 15 desember.ppt
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7/25/2019 panik fm ward 15 desember.ppt
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Ward Residents : 1. dr. Novi Rindi2. dr. Widya Nelvi P
Obstetric and Gynecology Department
Medical Faculty University of Sumatera Utara
dr. Pirngadi General Hospital
2!"
F#$OM%$#&'%( )%&D PO&$
$*uesday+ December !"t*2!"
SUP#&,-SO&dr. Fadrir+ M./ed0OG1+ SpOG
dr. enius (umban $obing+ M./ed0OG1+ SpOGdr. &i3a H. 'asution+ SpOG
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Reported:
1. Post Laparatomy d/t Advanced Abdominal Pregnancy + PD6 +
Anemia
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'o -ncome Outcome
1 Mrs. M, 36 yo, P3A0
Diagnose:Post Laparatomy d/t Advanced
Abdominal Pregnancy + PD6 +Anemia
ecent condition:!"lly alert, #P: $%0/&0 mm'g,': (6 )/*, : %0 )/*, : 36,(
14/12/2015'b/Le"/rom:-.-/%6.600/3%.000
' at $%.30 pm : 36$0,6m*1/mL
Therapy :2/ *!D L%0 gtt/i
4*n5. etria)on $ g/$% 2r4*n5. entamycine (0 mg/( 2o"rs
4Drip Metronida7ole 00 mg/( 2r4*n5. anitidine 0 mg/$% 2r4*n5. 8etorolac 30 mg/( 2r4ab P 00 mg/ ( 2r
Planning :
9tabili7ation general condition9Metotre)ate regimen
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P%$-#'$!
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Mrs. M, 36 years old, P3A1, Muslim, Javanese, Junior Hig !"ool,#armer, married to Mr. J, 3$ years old, Muslim, %ata&, Junior Hig!"ool, #armer, "ame to Pringadi 'eneral Hos(ital )it:
*ie+ *om(lain: Adominal Pain
-: t as een e/(erien"ed y te (atient sin"e 3 days ago (ost *0se"tion. nitially, +elt in t )ole adomen. History o+ vaginalleeding 0. Patient ad +ever sin"e 2 days ago, te +ever rise and+all. Patient )as reered +rom oter os(ital )it 4/ : (ostla(arat(my d5t Advan"ed Adominal Pregnan"y P43. Patient gottrans+usion 2 ags o+ PR* in oter os(ital. Mi"turition andde+e"ation in normal limit.
9 History of -llness 4 %st*ma 051+ DM 051+ Hypertension051
9 History of pregnancy:
9 'irl, aterm, 3777 gram, 8!4, mid)i+e, ome, 12 years, ealty
9 %oy, aterm, 9277 gram, 8!4, mid)i+e, ome, 9 years, ealty
9 'irl, aterm, 3777 gram, *0se"tion, !(', os(ital d5t advan"ed
adominal (regnan"y, 3 days, ealty
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tat"s Presens
ens : M Anemic : ;+7 mg5 > ours
04ri( Metronida;ole =77 mg5 > ours
0n. Ranitidin =7 mg5 12 ours
0n. Getorola" 37 mg5 > ours
0-a P*- =77 3/1
Plan:
0m(rove general "ondition
0-rans+usion PR* 9 ag
Re(ort to su(v dr. Ri;a H. Nasution, M.Ged', !(' I A""e(ted
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S %bdominal pain
Presens state!ens : *om(os Mentis
-4 : 1175$7 mmHg
HR : >6 /5iRR : 27 /5i- : 36,=K*
Obstetrical stateAdomen :soe(el, (eristalti" in normal limit#H : diL"utl to assess
8aginal leeding 0, lo"ia rura (eration )ound : "overed y gau;e, surgi"al )ound moistMi"turation : via "ateter, uo( =7 "" ours4e+e"ation : 0, atus
A Post Laparatomy d/t Advanced Abdominal Pregnancy + PD4
P $*erapyIVFD RL20 gtt/i
- Inj. Ceftriaxon 1 g/12 hr- Inj. Gentamycin 80 mg/8 hr- Dri. !etroni"a#o$e %00 mg/8 hr- Inj. Raniti"ine %0 mg/12 hr- Inj. &etoro$ac '0 mg/8 hr- (a) *C( %00 'x1
(ran+f,+ion )ag *RC CG ,antitatie
FOLLOW UP D! 1"th2015
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S %bdominal pain
Presens state!ens : *om(os Mentis
-4 : 1975@7 mmHg
HR : >> /5iRR : 29/5i- : 36,$K*
Obstetrical stateAdomen :soe(el, (eristalti" in normal limit#H : diL"utl to assess
8aginal leeding 0, lo"ia rura (eration )ound : "overed y gau;e, surgi"al )ound moistMi"turation : via "ateter, uo( 67 "" ours4e+e"ation : 0, atus
A Post Laparatomy d/t Advanced Abdominal Pregnancy + PD5 + Anemia
P $*erapyIVFD RL20 gtt/i
- Inj. Ceftriaxon 1 g/12 hr- Inj. Gentamycin 80 mg/8 hr- Dri. !etroni"a#o$e %00 mg/8 hr- Inj. Raniti"ine %0 mg/12 hr- Inj. &etoro$ac '0 mg/8 hr- (a) *C( %00 'x1
- CG ,antitatie re+,$t 3 9 H:G 4 ;8!"+81-*o+t tra+nf,+ion ) 84% g/"L 5 Reort to +. Dr. Ri#a . 6+t 7Gtran+f,+ion 2 )ag *RC
FOLLOW UP D! 14th2015
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Hasil ? N: 36,7092,75?
-romo"yte : 32=.777 5mm3 N: 1=7.7770977.7775l
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S %bdominal pain
Presens state!ens : *om(os Mentis
-4 : 1175$7 mmHg
HR : >6 /5iRR : 27 /5i- : 3$,=K*
Obstetrical stateAdomen :soe(el, (eristalti" in normal limit#H : diL"utl to assess
8aginal leeding 0, lo"ia rura (eration )ound : "overed y gau;e, surgi"al )ound moistMi"turation : via "ateter, uo( 67 "" ours4e+e"ation : 0, atus
A Post Laparatomy d/t Advanced Abdominal Pregnancy + PD6 + Anemia
P $*erapyIVFD RL20 gtt/i
- Inj. Ceftriaxon 1 g/12 hr- Inj. Gentamycin 80 mg/8 hr- Dri. !etroni"a#o$e %00 mg/8 hr- Inj. Raniti"ine %0 mg/12 hr- Inj. &etoro$ac '0 mg/8 hr- (a) *C( %00 'x1
FOLLOW UP D! 15th2015
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