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8/18/2019 Morpot 14042016
1/20
LAPORAN JAGA IGD
KAMIS, 14/04/2016SUPERVISOR JAGA:dr. Lenny Sihotn!, S"PD
TIM JAGA:
dr. #rdi, dr. $ithri, dr. Ihd, dr. #ryndi, dr. $%&i
8/18/2019 Morpot 14042016
2/20
Daftar Pasien MasukNo Nama/ JK/
Umur
Dianosis Ruanan DPJP
1 #r"n'i((%r
Li)er *'e' dd he"to( +hi"o*%(ine(i
RA2II.-.1
Dr. rn'i'%',S"PD
2 M%i* eendi PSM e )rie' *eedin! R-II.-.2
Dr. Leonrdo. Diri,
S"PDKG3#
- John#%t&%%
PSMA e er *eedin! +#i"o*%(ine(i + Go%t Artriti'
RA- II.2 Dr. Leonrdo. Diri,S"PDKG3#
4 A*di(n
'i(!%n!'on!
Pne%(oni 5#AP +D( ti"e 2 1.2.1 Dr. A7in'yh,
S"PD
8 9ern! *rtri!n
:KD 't!e ; e #N RA1III.2.4
Dr. &o'i!intin!, S"PD
8/18/2019 Morpot 14042016
3/20
No Nama/ JK/Umur
Dianosis Ruanan DPJP
6 In!nt *r"%r*
%' "e"ti%( + "o't dehidr'i*ert
RA1III.2.6
Dr. &o'i,S"PD
8/18/2019 Morpot 14042016
4/20
!AKTU /JAM KEGIATAN URAIAN
P'ien diteri( diIGD
Di"akukan Primar# sur$e#
Air7y 5A < e*'rethin! 5 < '"ontn 24=/(enit:ir%tion 5: < ndi 100=/(enit re!%r
i'i %%" 9D >0/?0((#!Di'*ity < G:S 18534;8M6
3="o'%re < -6,2 :
(e(*%t "er(intn *ortori%( dn @ry 9or' PA, 3KG
8/18/2019 Morpot 14042016
5/20
ID3N9I9AS PASI3N
N( < 9n.
(%r < -6 th%n
No. RM < 6?.26.24
A(t < &n. A'hn
K( I;
Stt%' < *e%(
Menih
Pe(*yrn < JKN
8/18/2019 Morpot 14042016
6/20
ANAMN3SIS
Ke"u%an Utama: men&ret
9eh<
# ini di(i o' 'e& - *%n ini, (enret *er'it hIn! ti(*%,
tet"i d( 1 *%n ini (enret (en&di ter%' (ener%' den!n
re%en'i 48=/hri, ir B ("'. Lendir 5, drh 5
M% 5+, (%nth 5, nyeri "er%t 5, "en%r%nn n'% (n 5+.
*t% 5+, *erdh 5+, dh *er7rn "%tih, h ini di(i o' 2
*%n ini, ri7yt *t% drh 5, 'e' n"' 5, ri7yt "e(in
OA9 5+ d( 1 (in!!% ini, n(%n o*t dihentin d( 2 hri ini
ri7yt de(( 5+, di(i o' 2 *%n ini, de(( *er'it hin!
ti(*% dn t%r%n den!n o*t "en%r%n "n', ri7yt erin!t
(( 5+
"en%r%nn di&%("i e*ih %rn! 20 ! d( - *%n ini.
ri7yt A hit( 5+, di(i o' 2 *%n yn! %, tet"i 't ini
'%dh tid !i.
ri7yt 'e' *e*' di'n!, ttoo tid di&%("i, ri7yt
"e(in nro* &eni' '%nti di'n!.
ri7yt DM di'n!, #9 di'n!, AK 5+ N,
8/18/2019 Morpot 14042016
7/20
ANAMN3SIS
RP9 <
RPO < OA9
8/18/2019 Morpot 14042016
8/20
!AKTU/JAM
KEGIATAN URAIAN
Se&on'ar# Sur$e#Pe(eri'n $i'i:M, Ndi 100=/(enit, re!%er, %t t/) %%", RR24=/(enit, 9D 110/?0((#!, te(" -6,80:
K%it < d( *t' nor(, t%r!or *i
Ke" < tid d deor(it'R(*%t < hit(, tid (%dh di*%tMt < on&%n!ti) ""e*r "%t 5/, 'eriteri 5/, e%n! 59ein! < d( *t' nor(#id%n! < d( *t' nor(M%%t < or %er 5, idh erin! 5Leher < J;P R2 ( #2O, tid ter* KG
8/18/2019 Morpot 14042016
9/20
!AKTU KEGIATAN URAIAN
Da'a < 'i(etri', 'tti', din(i'.Jantun < In'"e'i < it%' ordi' tid teriht
P"'i < it%' ordi' ter* di I:S ; LM:S Per%'i < *t' &nt%n! iri 1 ( ter LM:S I:S;;I A%'%t'i < *%nyi &nt%n! 1 dn 2 re!%er, (%r(%r dn!o" tid dParu<in'"e'i < 'i(etri' nn dn iri
""'i < 'te( re(it%' nn '( den!n iri, e'n (en!er' "er%'i < 'onor (en!er' "d ed% "n!n "r% %'%t'i < SP< *roni 'e%r%h "n!n "r% S9< roni *'h di 'e%r%h "n!n "r%A('omen< in'"e'i < 'i(etri'
""'i < 'oe"e, he"r, ien C ren tid ter*"er%'i < 'hitin! d%ne'' 5, ti("ni %'%t'i< "eri'tti (enin!tEkstremitas <S%"erior < ede( /Inerior< ede( /
8/18/2019 Morpot 14042016
10/20
$O9O9ORAKS
)oto t%ora* PA Ere&t
9re di (edi
Ked% '%d%t o'to
"hreni%' ni",
tert%t%" &rin!n *re't
9id t(" initrt di
ed% "n!n "r%.
:9R r'io 80 E
Ke'n< 9 "r%
8/18/2019 Morpot 14042016
11/20
SG ADOM3N
8/18/2019 Morpot 14042016
12/20
SG ADOM3N
Kesan : %ati +
a""("a''er+ in,a"+
s-"een 'a"am (atas
norma"
8/18/2019 Morpot 14042016
13/20
3KG
Ir( < Sin%' rit(e
FRS rte 100=/(enit
Ge. P 5+
PR int. 0,16 'e
Nor(o=i'
FRS d%r. 0,06 'e
S99 hn!e' 5, 9 t 5
Ke'n < 'in%' tirdi
!AKTU/JAM KEGIATAN URAIAN
8/18/2019 Morpot 14042016
14/20
!AKTU/JAM KEGIATAN URAIAN
.A RSUP0AM#*/L/9r < 11+2 / 11+334 / 5678444M:;/M:#/M:#:< 34 / 99+ / -2,8Dite< ENe%/Li(/Mon/3o'/' < 6,-/,?/4,4/0,10/0,80
N < 18re%( < -2:retinin < 1,2
Ntri%( < 195 O'(orit' < 2--Ki%( < 2,-Korid < 100
KGD d rndo( < 6 (!/d A*%(in < 1+5R'io P9/P99/99 < 8,>0 / 1,?0 / 1,-1
AGDA < "# ?,4- / ":O2 28 / "O2 1-- / #:O- 16,6 /9:O2 1?,4 / 3 6,1 / St.O2 >>E
Anti #I; < non reti
8/18/2019 Morpot 14042016
15/20
NO MASA.A0 PENGKAJIAN INSTRUKSI TARGET DANMONITORING
1 Dire roniDehidr'i
rin!n'edn!
An(ne'eMenret 'e& -
*%n ini, re%en'i 48=/hri, ir B ("'.M% 5+, "en%r%nnn'% (n5+."en%r%nn *ert*dn 5+,ri7yt 9"r% 5+,
9D >0/?0 ((h! A*do(en < "eri'tti(enin!t
D"t di"iirn<:oiti' 9:oiti' %erti
: oon
Renndi!no'ti<
ee' r%tin Drh '(r Koono'o"i
Renn ter"i < 9irh *rin!
I;$D N 0,> Eor 1 ''en&%tny -0 !tt/ine7 dit* t* 2t* "ert('en%tny 1t*/(enret
Kini'*ortori%(
8/18/2019 Morpot 14042016
16/20
NO MASA.A0 PENGKAJIAN INSTRUKSI TARGET DANMONITORING
2 9 "r%den!n
'e%nderine'i
*t% 5+, *erdh5+, dh *er7rn
"%tih, - *%n"e(in OA9 5+
Pen%r%nn *ert*dn 5+ erin!t(( 5+ de((di(i e*ih %rn!
2 *%n ini tidter% tin!!i. O''e*e%(ny '%dh(n OA9 'e(1 (in!!% n(%ndihentin d( 2
(in!!% ini.'e*e%(ny o' '%dh(end"t in&etri=one di RS%r
.
Renndi!no'ti<
K%t%r '"%t%(/'t,9A DS -=
Renn ther"i <in&. :eot=i(e 1!r(/&(OA9 din&%tn.
A(*ro=o -= :I
Kini'L*ortori%(
8/18/2019 Morpot 14042016
17/20
NO MASA.A0 PENGKAJIAN INSTRUKSI TARGETDANMONITORING
- "o'tPSMA
Pe(er'n i'i
8/18/2019 Morpot 14042016
18/20
NO MASA.A0 PENGKAJIAN INSTRUKSI TARGET DANMONITORING
4 #i"o*%(in M% 5+ (%nth 5+'e& 1 (in!!% ini.
Pen%r%nn n'%(n 5+
L* < A*%(in < 1,8
Renn ter"i <Diet tin!!i "rotein
'%*tit%'i *%(in1 '/hriRenndi!no'ti<:e *%(in "o't'%*tit%'i
L*ortori%(
8/18/2019 Morpot 14042016
19/20
NO MASA.A0 PENGKAJIAN INSTRUKSI TARGET DANMONITORING
8 #i"ontre(i#i"oo'(or
M% 5+,Menret 5+,re 48=/hri
9id 'eer (n5+Sen'< :ML* <N < 128
D"t di"iirn#i"ontre(i
hi"oo'(orhi"o)oe(i
Renn ter"i < I;$D N: 0,>E
20 !tt/IK"'% !r( -=1Renndi!no'ti<3etroit %n!
L*ortori%(
8/18/2019 Morpot 14042016
20/20
TERIMA
KASIH