Download - Presus Neonatal
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PRESENTASI KASUS
KELOMPOK 2PBRT
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IDENTITAS NAMA: By Ny S UMUR : 21 hari ALAMAT : Jomblang Barat No 2, Semarang TGL MASUK : 27-11-2012, jam 21.10
WIB
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RIWAYAT Riwayat ANC : > 4x di Bidan Riwayat Persalinan :
Anak 1 : lahir prematur, BBL 2700gr, penolong : Bidan
Anak 2 : lahir spontan, menangis tgl 6 Nopember 2012 di RB, BBL : 2400 gr, UK: 30mg, dengan KPD 10jam
Dari RB diberikan PASI.Karena alasan belum keluar ASI, ibu memberikan PASI bergantian dengan ASI
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ALASAN DATANG Biru pada seluruh tubuh, terutama pada bibir
dan tangan, hilang timbul. Biru muncul 5 menit kmd hilang sendiri Sejak 1 hari anak terlihat kuning, malas
minum, tampak lemes. Menyusu terputus putus
Anak pilek sejak 2 hari yang lalu
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HASIL PEMERIKSAAN Di IGD tgl 27-11-2012 jam 21.15 WIB : Pasien sadar, nafas spontan, ikterik kremer I-
II TTV : N: 140x/mnt, RR: 46x/mnt, S: 37,2⁰ c Mata tidak cekung, tdk anemis Nafas hidung normal Mulut : DBN Cor : Gallop (-), Bising (-), B-J: I-II Pulmo : DBN
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THERAPI DI IGD O2 nasal 2 ltr/mnt Infus Mikro D10% : 192cc dalam 24 jam 8
cc/jam, 8 tts/mnt Inj Ampi 3x65 mg Pamol oral 3x ¼ cth bila suhu >38⁰c Diit : ASI ad libitum
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PROGRAM Pengawasan KU, TTV, Preparat Darah, HB,
Darah Tepi, Diit Cair, CRP, Kultur darah Hasil lab ( 27-11-2012)
HB : 12,6 gr% HT : 39,2 % Eritrosit : 4 jt/mmk Leukosit : 9.200 Trombosit : 297, 4 rb/mmk Bilirubin Total : 9,20 Billirubin direct : 0,53 Na : 141 mmol/L Ka : 4,4 mmol / L Cl : 102 mmol / L
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DIAGNOSIS DX : Neonatus Infeksi (>7hr)
DD Faktor Resiko lingkungan Faktor resiko ibu
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HASIL PX TGL 28 NOP 2012 JAM 09.00 KU : sadar, nafas spontan, ikterik + ( wajah s.d.
Batas umbilikal ) kremer II N : 142x/mnt reguler, S: 36,9⁰c, RR: 36x/mnt,
Saturasi O2 : 92% Therapi : Infus D10% 120/5/5 tpm
NaCl 3% 2 MEq 38 cc dalam 500 cc D10%
Maintenance: Kcl 2MEq 19 ccInj Ampi 2x120 mg IVInj gentamicin 1x12mg IVKebutuhan cairan sesuai BB, hari 1 full infus
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TERIMAKASIH