7/17/2019 Skenario Pbl Blok 25 2013

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SKENARIO PBL blok 25 2013

1. Banjir kiriman

Ny. BCL G2P1A0 mr 2! "a#n $%n&an k%#amilan ' blan( $a"an& k% )G* $%n&an k%l#an k%lar

+airan banyak $ari ,a&ina -%jak ' jam yan& lal $i-%r"ai ny%ri %r" $an in&&an& ba/a# -%jak 2 jam

yan& lal. Pa$a %m%rik-aan $i$aa" K%a$aan mm baik( 130'5 mm &( N !4 m( P 20m( 6n$-

"%ri 7 -a" 8 ro+. y#oi$%-( kon-i-"%n-i "%r- lnak k%nyal( l%"ak anak m%manjan&( k%ala$iba/a#( b%lm ma-k an&&l.

2. Bkan &oyan& $an&$"

Ny. SP 1' "a#n( rimi&ra,i$a $iba/a -%+ara "%r&%-a9&%-a ol%# -aminya k% )G* kar%na k%jan&9k%jan&.

ai$ "%rak#ir "& 25 S%"%mb%r 200'. S%lama #amil "i$ak %rna# m%m%rik-akan $iri k% bi$an man

$ok"%r. Pa-i%n "i$ak -a$ar. 1'0120 mm &. N !2m%ni". B%n&kak $ikaki( "an&an( %r" $an mka.

:n$- "%ri -%"in&&i 3 jari $iba/a# ro+. y#oi$%-( anak l%"ak k%ala( ki. *%ny" jan"n& anak

132m "%ra"r

Pa$a %m%rik-aan rin% $i$aa" ro"%in ;;;.

3. Bkan banjir kiriman.

<am 15.30 Ny. * m%la#irkan -%oran& bayi laki2 yai" anaknya yan& k%"i&a. P%r-alinannya b%rjalan

lan+ar. <am 14.10 k%"ika %ra/a" m%m%rik-anya( a-i%n b%ra$a $alam k%a$aan kran& -a$ar $an +a". =0!0 mm &( N 100m%ni"( P 20m%ni"( S 3! >C. :n$- "%ri -%"in&&i -a"( kon-i-"%n-i k%nyal. *ari

,a&ina "amak m%n&alir $ara#.

?. Srri-% yan& a$#.

Ny. B $an -aminya a$ala# a-an&an yan& bar m%nika# 4 blan lal. Sa" #ari k%"ika -aminya

-%$an& b%k%rja( %r" Ny. B "%ra-a ml%- $an k%lar $ara# $ari k%malannya. S%b%narnya ia -$a#

"%rlamba" blan "%"ai b%lm m%mb%ri"a# -aminya kar%na akan m%mb%ri @-rri-%@ a$a -ami

"%r+in"a. ai$ "%rak#ir "&l 1 Aril 2013. CG ;. Pa$a %m%rik-aan $i$aa" 110!0. N !2m( P 22m.

*ari ,a&ina "amak m%n&alir $ara#. an&&al %m%rik-aan 2? D%i 2013.

5. Sala# l%"ak

Ny. CL $a"an& k%rma# -aki" kar%na #amil +k blan $an -$a# ml%-2 -%%r"i ma m%la#irkan.

Pa$a %m%rik-aan $i$aa"kan #amil %r"ama( %rna# m%m%rik-akan kan$n&annya k%"ika -iakan$n&an 3 blan( k%a$aan mm baik( 110!0. N !2m( P 22m( kon"rak-i +k ka"( l%"ak

-n&-an& n&&n& $ikiri.

4. G%mk bkan b%rar"i -%#a"

Ib D yan& b%rba$an &%mk b%rmr ?5 "a#n( $a"an& b%roba" k%rma# -aki" kar%na -%jak 4 blan

yan& lal #ai$ nya -an&a" banyak $an bar b%r#%n"i -%"%la# ' #ari. Ib D m%mnyai anak -%ma"a

/ayan& b%rmr 1' "a#n. i$ak %rna# m%makai kon"ra-%-i. K%a$aan mm baik( 130'5 mm &(

N !4 m( P 20m. Pa$a %m%rik-aan $i$aa"kan a$anya "mor $ia"a- -ym#y-i-. -%b%-ar kaala bayi(

kon-i-"%n-i k%nyal( m$a# $i&%rakkan.

!. P%lr ko-on&

S%"%la# b%rkali9kali m%n&ajak -aminya k%$ok"%r( ak#irnya Ny. I b%r#a-il m%mba/a -aminya( n A

b%roba" k%$ok"%r. Ny I m%n$&a -aminya m%n&alami k%man$lan kar%na a-an&an ini -$a# m%nika#-%lama ' "a#n "%"ai b%lm $ikarniai anak a$a#al Ny I -$a# -%rin& b%roba" k%$ok"%r. %rnya"a

-%b%lm m%nika# "n A %rna# m%n&alami -aki" &on$on&anF %mb%n&kakan a$a ra#an& $an ii

-%b%la# kanan $an k%m$ian $iik"i %mb%n&kakan a$a ba# akarnya.

'. P"i# i" +an"ik 

Ny. K mr 25 "a#n $a"an& k% $ok"%r n"k m%m%rik-akan k%#amilannya yan& k%$a. Pa-i%n -$a#

$ik%"a#i #amil %ma" blan. K%l#annya a$ala# -aki" k%ala $an l%-. Pa$a %m%rik-aan 6i-ik

$i$aa"kan -%ma $alam k%a$aan normal k%+ali +onjn+"i,a +a". Pa$a %m%rik-aan labora"orim

$i$aa"kan ka$ar b = &$l.

=. D%ra# $ara#k.

Ny. D -%$an& #amil ' blan( -a" malam k%"ika -%$an& "i$r( "iba2 Ny D "%rban&n kar%na -%r%inya

"%ra-a ba-a#( ia ka&%" kar%na $ili#a"nya -%r%inya %n# $an&an $ara#( Ol%# -aminya Ny D -%&%ra$iba/a k%rma# -aki".

7/17/2019 Skenario Pbl Blok 25 2013

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10. km karma

Nn. O -%#ari9#ari b%k%rja $i an"i ija"( -a" #ari k%"ika -%$an& b%k%rja m%n$a$ak m%ra-a %r"nya

-an&a" ny%ri $an m%ra-a -%%r"i ma in&-an. Ol%# "%man2 -%k%rjanya ia $iba/a k% rma# -aki"

"%r$%ka". Pa$a %m%rik-aan $i$aa"kan '050 mm&( na$i k%+il. Ia m%n&a"akan ba#/a -$a# 2 blan

"i$ak m%n$aa" #ai$( "%"ai "i$ak %rna# b%r#bn&an -%.

11. An&&r "ana biji

Ny. D mr 24 "a#n $a"an& k%rma# -aki" kar%na -$a# 3 blan "i$ak $a"an& #ai$( -%jak 2 #ari yan&

lal k%lar $ara# -%$iki"2 $ari ,a&ina "ana mla-. Ba&i Ny. D ini a$ala# k%#amilan yan& %r"ama.ari

%r"ama #ai$ "%rak#irnya a$ala# "an&&al 25 Dar%" 2013. Pa$a %m%rik-aan $i$aa" 6n$- "%ri 3 jari

$ia"a- -ym#y-i-( kon-i-"%n-i "%r- lnak k%nyal( $ari ,a&ina k%lar $ara# k%#i"aman

12. D-im "ak m%n%n"

Ny. H 50 "#( -$a# m%mnyai %ma" oran& anak( -%lama ini "i$ak a$a k%l#an m%n&%nai ala"

kan$n&annya. %"ai -%jak 2 blan yan& lal #ai$nya "i$ak "%ra"r( %r$ara#an bar b%r#%n"i b%b%raa

#ari lal k%lar $ara# la&i( P%r$ara#annya ka$an&2 banyak ka$an&2 -%$iki"( %r" "i$ak -aki". K%a$aan

mm baik( +omo- m%n"i-( 110!0 mm &. N !2m%ni". R 20m. Pa$a %m%rik-aan in-%+lo "amak

+%r,i normal( k%lar $ara# $ari o-"im "%ri. #CG 9. )SG )"%r- an"%6l%i( kran normal. O,arim

normal.

13. Bayi 3= min&& &%-"a-i la#ir -on"an %r ,a&inam $%n&an b%ra" 3200 &r( anjan& ba$an ?0+m( lin&kar

k%ala 33+m( lin&kar $a$a 30+m( lin&kar %r" 30+m( $an +airan k%"ban j%rni#. Bayi m%nan&i- -on"an(

ak"i6( $%ny" jan"n& 1?0m%ni"( ; r%6l% b%r-in $%n&an ba$an k%m%ra#an $an %k-"r%mi"a- -%$iki"

bir. S%"%la# la#ir $an $ilakkan %ra/a"an bayi bar la#ir( k%lar&a a-i%n m%nanyakan

ba&aimanaka# kon$i-i bayinya -%r"a aaka# $aa" $ira/a" b%r-ama $%n&an Ibnya.

1?. S%oran& Ib #amil 33 min&& G1P0A0 b%r-ia 30 "a#n $a"an& $%n&an k%l#an %r$ara#an %r

,a&inam. Ib "%la# $ik%"a#i m%n$%ri"a la-%n"a r%,ia "o"ali-. Bayi $ila#irkan ,ia SC $%n&an b%ra"

1200& $an k%"ban j%rni#. Bayi m%rin&i- $%n&an %k-"r%mi"a- -%$iki" 6l%i $an "amak bir( $%ny"

 jan"n& 130m%ni" $%n&an na6a- irr%&lar. S%"%la# $i -"imla-i( bayi m%nan&i- ka" $an ak"i6. Sa" jam

-%"%la# la#ir( bayi m%nan&i- l%ma# $%n&an ba$an "amak k%biran( ; m%n$%n&kr $%n&an -%$iki"

r%"rak-i $a$a -%#in&&a bayi #ar- $ira/a".

15. Bayi b%r-ia 3? min&& &%-"a-i la#ir -on"an %r,a&inam $%n&an b%ra" 2000 &r $an k%"ban -%$iki"

k%r#. Bayi m%nan&i- ka"( ak"i6( $%ny" jan"n& 1?0m%ni"( ; r%6l% b%r-in $%n&an %k-"r%mi"a- -%$iki"

bir. S%"%la# ?' jam $ira/a" &abn& $%n&an ibnya( bayi "amak knin& $ari k%ala #in&&a $a$a(

namn ka" m%ny- $an ak"i6.

14. Bayi ?0 min&& la#ir ,ia ,a+m $ari -%oran& Ib yan& m%n$%ri"a *D &%-"a-ional $%n&an b%ra"

?000&r. S%"%la# la#ir( bayi m%nan&i- -on"an $an ak"i6 $%n&an b%n"k k%ala "i$ak -im%"ri- $an

$i"%mkan b%njolan lnak $%n&an $iam%"%r !+m yan& "i$ak m%l%/a"i -"ra kraniali-. K%lar&a

k#a/a"ir $%n&an kon$i-i "%r-%b" $an m%min"a %nj%la-an $ok"%r.

NODOR KAS)S KELODPOK 

1( 2( 13( 1? A1( A!( B5( C3( *1( *!( E5( :33( ?( 15( 14 A2( A'( B4( C?( *2( *'( E4( :?

5( 4( 13( 1? A3( B1( B!( C5( *3( E1( E!( :5

!( '( 15( 14 A?( B2( B'( C4( *?( E2( E'( :4

=( 10( 13( 1? A5( B3( C1( C!( *5( E3( :1( :!

11( 12( 15( 14 A4( B?( C2( C'( *4( E?( :2( :'