kasus jumat fu rika

8/16/2019 Kasus Jumat Fu Rika

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N y. Rika M arlina W ati,24 tahun

No CM : 01665069Alam at : Krapyak

Pendidikan : SM UPekerjaan : Ib !m a" #an$$aSk : %a& aA$am a : I'lam(ira& at di : )o$en*ille +Indika'i ra& at inap: (ia$no'i' dan #erapi



RESUME

Wanita, 24 tahun, keluhan utama demam

Pasien telah kami rawat selama 7 hari dengandiagnosis sepsis membaik, febril neutropenimembaik, non hodgkin limfoma diuse large B Cells,chemoterapi induced nausea membaik, diare akut etcausa susp chemoterapi induced, paraparese

keempat ekstremitas et causa Chemoterapi inducedpoli neuropati, hipokalemi et causa gastrointestinalloss membaik

Terapi Terakhir !n" #entam$cin 24% mg&24 "am, in"'Cefta(idime ) gr&* "am, in" lansopra(ole ) amp&24 "am, in" mecobalamin +%% mg&)2 "am, sistenol - +%%mg, ."ika demam/,aspar k -), ambro-ol -% mg,



0 1 P

Lemas, demam(+) , mual (+),muntah (-), batukberdahak (+),bab cair 3x

T : 100 /60 mmH!r : "0 x/#$ : 10% x/#

suhu : 3&

'eala :'n*untia ucat(+/+)

Leher :

Luka bekas erasidi clli sinistra (+)

kstremitas :

araarese keemat ekstremitas(+)

LabratriumHb &,1.L 1,"3Hmt "3,6.T 13$ : %,3L : 3,3 : ",%.$2 : 1160

rcalcitnin : "1'alium : ",3

- esis-4ebril neutreniaHih !isk-5iuse lare 7 2ell$n Hdkinl8mhma-$ausea mitus ecchem induced-.nemia nrmsitik

nrmkrmik etcausa 9 chrnicdisease-5iare akut ec suschem induced -araarese ke %ekstremitas et 2$

-Hikalemi et causaastrintestinal lss

- !nten Thrax-k/s darah,-;rine rutin-4eses lenka- Trans9usi !2

Terai :

n* ce9ta<idime 1 r/ & *amn* entam8cin "%0

m/"% *amaracetaml 3 x 00mn* =24 1 am/"% *amn* ndancentrn 1am/1" *amn* i 1 am/"% *am!2 1 'l9/"% *am s/d H7

> 10$e? diatab 3x1n* mecbalamin 00m/& *am.sar ' 3 @ 1 Tab.mbrxl 3 x 30 m

,- ..-/ UP 12016



0 1 P

Lemas, demam(-) , mual (-),muntah (-), batuk

berdahak (+),bab cair (-)

T : 100 /60 mmH!r : "0 x/#$ : & x/#

suhu : 3A,

'eala :'n*untia ucat(+/+)

Leher :


kstremitas :


LabratriumHb &,1 11,3.L 1,"3 ",6"Hmt "3,6 3"B&.T13 "1& 3&, "A,3'alium : ",3 ",60

- esis-4ebril neutreniahih risk membaik

-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic

disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lss

n* ce9ta<idime 1 r/ & *amn* entam8cin "%0

m/"% *amaracetaml 3 x 00m (*ika demam)n* ndancentrn 1am/1" *amn* i 1 am/"% *am

n* mecbalamin 00m/& *am.sar ' 3 @ 1 Tabremix '2L " meC.mbrxl 3 x 30 m

,- ..-/ UP +2016



0 1 P

Lemas (D),demam (-) , mual(-), muntah (-),batuk berdahak(D), bab cair (-)

T : 100 /0 mmH!r : 1& x/#$ : & x/#

suhu : 3A,

'eala :'n*untia ucat(-/-)

Leher :


kstremitas :


LabratriumHb 11,3 1",%.L ",6" %,13Hmt 3",& 36,.T "1& 3&1'alium : ",60 ",60

- esis membaik-4ebril neutreniahih risk membaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic


aluasi 7;$/2raluasi rcalcitninulann* ce9ta<idime 1 r/ &

*am (h )n* entam8cin "%0m/"% *am (h)aracetaml 3 x 00m (*ika demam)

n* ndancentrn 1am/1" *amn* i 1 am/"% *amn* mecbalamin 00m/& *am.sar ' 3 @ 1 Tabremix '2L " meC

.mbrxl 3 x 30 m

,- ..-/ UP 52016



0 1 P

Lemas (D),demam (-) , mual(-), muntah (-),batuk berdahak(-), bab cair (-)

T : 100 /0 mmH!r : 1& x/#$ : & x/#

suhu : 3A,


Leher :


kstremitas :


Labratrium

7un : 112r :0,&%rcalcitnin :",A&

- esis membaik-4ebril neutreniamembaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic


aluasi elektrlitn* ce9ta<idime 1 r/ &

*am (h 6)n* entam8cin "%0m/"% *am (h6)aracetaml 3 x 00m (*ika demam)n* i 1 am/"% *amn* mecbalamin 00

m/& *am.sar ' 3 @ 1 Tab

,- ..-/ UP 62016



0 1 P

Lemas (-),demam (-) , mual(-), muntah (-),batuk (-), babcair (-)

T : 110 /60 mmH!r : "0 x/#$ : 3 x/#

suhu : 36,&


Leher :


kstremitas :


Labratrium$a : 136' :3,32l : 100

- esis membaik-4ebril neutreniahih risk membaik-5iuse lare 7 2ell$n Hdkinl8mhma-.nemia nrmsitiknrmkrmik etcausa 9 chrnic

disease membaik-araarese ke %ekstremitas et causa2$-Hikalemi et causaastrintestinal lssmembaik

!encana blehulan

,- ..-/ UP 32016



Follow up pemeriksaan penunjang

)&4

2&4 &4 +&4)&4

4&4 +&4 3&4 7&4

5.!.H !;T$ 4;$= =$E.L

Hb &,1 &,6 11,3 1",% 7;$ 13 11

.L

.$21,"3116

0,3,

",6""1&A

%,131&"

2reat

1,13 0,%

.T 13 1% %1A 3&1 rcalcitnin "1 ",A&

. ",A ",3% %,0 %,3 L'T!FLT

HT "3,6 ",3 31,3 36, $a 130 1%0 13A 136

2G &1,6 &6," A&,3 &%,3 ' ",3 ",60 ",60 3,3

2H "&,3 "6, "6,0 ",0 2l " 103 A 100

1,3 "A,3 &3, %& 4;$= H.T

L 3,& "%," 10," " FT 30 6

",% %,0 ," 1% T "0

0,0 0,0 0,0 0,0 .lb 3,6 ","



Follow up pemeriksaan penunjang

)&4&2%)3

;!$ !;T$H AB0

7E 1010

rtein (-)

=luksa (-)

7ilirubin (-)urbilinen

nrmal

'etn neati9

$itrit (-)

7ld neati9

Leuksitesterase

+/-

edimen

7acteri "","

east like

cell

1,A

ritrsit "

Hasil 4eses !utin

1/%/"016 :

isa tumbuhan (+),tidak terdaat telurcacin, sel, arasitB



!o #"ora4 01016

xertise:

ulm tak tamakkelainan besar crnrmal



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