Lapjag Bangsal 09-01-2015

Embed Size (px)

Citation preview

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    1/27

    LAPORAN JAGA

    Sabtu, 09 Januari 2016

    ANA AULIYA ALHAQ

    YUDO PRABOWO

    P!BI!BING"

    DR# SU!ARDI S# $#, SP# A

    DR# S%&I ADI S#, SP#A

    DR# DIANA B#, SP#A

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    2/27

    Ju'(a) *a+in ban-+a( ana." *a+in

    Pa+in baru" / *a+in

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    3/27

    Pa+in 1 An# Sa Pr'*uan t) 2 bu(an

    BB " 1 .-

    %B " 10 3'BBU " 42 5 5 0

    %BU " 0 5 52

    BB%B " 42 5 5 41

    Statu+ -i7i " bai.

    Su+*# %ubr3u(8+i+ Paru Pnu'8nia

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    4/27

    Laboratorium:

    Hb : 10,8 g/dl

    Leukosit : 5.200 /l Trombosit : 207.000 / l

    Hematokrit : 29,5

    !ritrosit : ",71 # 10$

    L!% : "2 / &am

    'idal :

    H : (/)egati* + : (/)egati*

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    5/27

    Medikamentosa Non medikamentosa

    I&$D D : NS 10 t*' 'a.r8

    Para3ta'8( +;r / < 10 '-

    %ira) barin-

    !a.an 'a.anan tin--i .a(8ritin--i *r8tin

    =I

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    6/27

    Hsil pemeriksaan penunjang

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    7/27

    Pa+in 2 An# Nu Pr'*uan 6 t) 9 bu(an

    BB " 16 .-

    %B " 11 3'BBU " >/ ?

    %BU " 96 ?

    BB%B " @0 ?

    Statu+ -i7i " bai.

    GA )ira+i rin-an +an-

    %B Paru a(a' *n-8batan

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    8/27

    Laboratorium:

    Hb : 11,9 g/dl

    Leukosit : 5.700 /l Trombosit : 2$.000/ l

    Hematokrit : "","

    !ritrosit : ,"9 # 10-$

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    9/27

    Medikamentosa Non medikamentosa

    I&$D RL 60 t*' 'a.r8 @ Ca'

    *rta'a I&$D RL /0 t*' 'a.r8 16 Ca'

    +(anCutn;a

    InC Ranitiin /0 '-12 Ca'

    InC# Onan3tr8n 1 '- @ Ca'

    in. 1 < 20 '- Ria'*i+in 1 < 20 '-

    Pira7ina'i 1 < 60 '-

    I+8nia7i 1 < 160 '-

    &ita'in B .8'*(. 1 < 10 '-

    Para3ta'8( / < 200 '- tab

    %ira) barin-

    !(anCut.an 'a.an ++uai'a.anan ru'a)

    P'brian 8ra(it tia* BAB

    =I

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    10/27

    Pa+in /

    Na'a "An#N

    %'*attan--a( (a)ir "+in-.aEan-214104201

    U'ur "2 bu(an

    Jni+ .(a'in "*r'*uan A(a'at "Ca(an *ra'u.a

    Intita+ A;a) Ibu

    Na'a %n#Hn N;#NF

    U'ur 2> ta)un 26 ta)un

    Pnii.an S!A

    P.rCaan IR%

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    11/27

    %an--a( 'a+u. ru'a) +a.it" 09 Canuari 2016

    =(u)an Uta'a" Batu.

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    12/27

    Riwayat Penyakit Sekarang

    Pa+in atan- . RS n-an .(u)an batu. .uran- (bi)

    9 )ari# Batu. tru+ 'nru+, batu. br(nir brEarna

    Crni), Ci.a batu. .uat *a+in 'unta), 'unta) 3airan

    ;an- br3a'*ur (nir, *a+in tr(i)at +u(it brnaa+#

    D'a' 4, .rin-at 'a(a' 4, .8nta. n-an 8ran-

    ;an- ''i(i.i batu. (a'a 4# Ibu *a+in 'n-ata.an

    Ci.a *a+in 'a+i) .uat 'n;u+u# Bab ba. N#

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    13/27

    RiEa;at *n;a.it a)u(u"

    Pa+in tia. *rna) 'n-a(a'i .(u)an +ru*a +b(u'n;a

    A+'a 4 A(r-i 4

    RiEa;at *n;a.it .(uar-a"

    %ia. aa .(uar-a ;an- ''i(i.i .(u)an ;an- +ru*an-an *a+in

    =(uara-a tia. aa ;an- ''i(i.i .(u)an batu. (a'a

    =(uar-a tia. aa ;an- ''i(i.i riEa;at a(r-i

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    14/27

    RiEa;at antnata(

    Ibu *a+in ''ri.+a.an .)a'i(an (bi) ari < +(a'a )a'i( .

    bian, +(a'a )a'i( ibu *a+in tia. *rna) +a.it# =8n+u'+i 8bat48batan, a(.8)8(, r8.8., Ca'u i+an-.a(#

    RiEa;at nata(

    Pa+in (a)ir 3u.u* bu(an, BB (a)ir 2900 -r, ibu *a+in (u*a a.an

    *anCan- baan ana.n;a +aat (a)ir ,(a)ir +*8ntan, *r+a(inan i(a.u.an

    i ru'a) +a.it +3ara +*8ntan# Saat (a)ir, *a+in (an-+un- 'nan-i+,

    biru +aat (a)ir 4# St(a) (a)ir i'uni+a+i Hb0 an *8(i8

    esimula): riaat keamila) da) ersali)a) baik.

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    15/27

    Riwayat pemberian makan

    0(2 bula) : 34

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    16/27

    RiEa;at i'uni+a+i

    !nurut *n-a.uan ibu, *a+in baru i i'uni+a+i +aat(a)ir#

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    17/27

    Riwayat tumbuh kembang 6e)urut ibu asie), asie) tidak er)a me)galami keterlambata)

    ertumbua) erkemba)ga))a da) erkemba)ga))a seertiaba)g)a da) a)ak(a)ak lai) di sekitar)a.

    esimula): riaat tumbu kemba)g terkesa) baik

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    18/27

    Riwayat sosioekonomi dan lingkungan

    Pa+in br8bat n-an +tatu+ Ja'.+a#

    Di .(uar-a tia. aa ;an- 'nrita .(u)an +ru*a, b-itu

    Cu-a ttan--a i +.itar# Su'br air 'inu' .(uar-a bra+a( ari air )uCan ;an-

    ita'*un-# Sb(u' i.8n+u'+i, air i'a+a. tr(bi) a)u(u#

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    19/27

    P'ri.+aan $i+i.

    =+an u'u' " %a'*a. ++a., .+aaran 38'*8+ 'nti+,

    BB" , .- %B" 3'

    BBU" 0 5 5 2 SD

    %BU" 0 5 5 2 SDBB%B " 7 2 SD

    =+an -i7i " bai.

    %ana Fita( " HR " 160

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    20/27

    =u(it " Sian8+i+ 4, Pu3at 4,

    =*a(a " N8r'83*)a(, +i'tri+, n;ri t.an 4, Ubun4ubuntia. 'n8nC8(

    !ata " =8nC# an'i+ 44, +.(ra i.tri. 44

    %(in-a " +.rt 4, n;ri t.an 4

    Hiun- " +.rt 4 Fia+i +*tu' 4

    %n--8r8.an" (ia) .8t8r 4 $arin- )i*r'i+ 4 %8n+i( %1%1

    L)r " *'b+aran .(nCar -ta) bnin- 4

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    21/27

    %)8ra

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    22/27

    Ab8'n "

    I " Datar, i+tn+i 4, 'a++a 4

    A " BU 1>

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    23/27

    Laboratorium

    Hb : 12," g/dl

    Leukosit : 27.800 /g

    Trombosit : 5"7.000 /g

    Hematokrit: ",1

    !ritrosit : ,27 # 10$ /g

    Leukositosis

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    24/27

    Dia-n8+i+

    Dia-n8+i+ =rCa "

    +u+*# Prtu++i+

    Dia-n8+i+ Banin- " *ara*rtu++i+

    Br8n.i8(iti+

    A+t)'a

    %B

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    25/27

    U+u(an *'ri.+aan *nunCan- P'ri.+aan 8t8 t)8ra< AP

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    26/27

    %ra*i

    !i.a'nt8+a"

    D : NS 1@ t*' 'i.r8

    ritr8';3in +;r* < 60 '- 1, 33Para3ta'8( +;r* 60 '- 2, 33

    Ci.a *r(u

    N8n 'i.a'nt8+a"

    O2 na++a( .anu( 1 (*'

    %ira) barin- =I .(uar-a an *a+in

    'n-nai 3ara *'brian

    'inu', *n;a.it, tra*i

    ;an- ibri.an an*r8-n8+i+

  • 7/25/2019 Lapjag Bangsal 09-01-2015

    27/27

    Terima Kasih