BAB II HIE
Transcript of BAB II HIE
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BAB II
LAPORAN KASUS
2.1. IDENTITAS BAYI
Nama : By. Ny.S
Jenis Kelamin : Laki-laki
Usia : 0 hari
Nama Ayah : Tn. A Nama Ibu : Ny.S
Usia : ! "ahun Usia : 0 "ahun
Peker#aan : S$as"a Peker#aan : Ibu rumah "an%%a
Pen&i&ikan : S'A Pen&i&ikan : S'P
Alama" : Jl. Tembus 'an"uil
2.2. DATA BAYI
TL ( JL( )L( JK : *0 Juni +0*+ ( 0,.0 ITA ( SPT BK ( Laki-laki
BBL ( PBL : +00 %ram ( /
'RS : *0 Juni +0*+
KU : Bayi Baru lahir
RPS : Bayi lahir "an%%al *0 Juni +0*+ &i RSU1 Ulin
Ban#armasin . Bayi lahir "i&ak lan%sun% menan%is.
Ri$aya" 2enyaki" keluar%a: Asma 3-45 1' 3-45 6i2er"ensi 3-4
2.2.1. Nilai APGAR
Sk7re AP8AR +--
2.2.2. Skor Downe
Tabel 2.1. Penilaian bayi dengan skor Downe segera setela lair.
Tanda ! 1 2 Skor
9rekuensi
naas;!0 !0-
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T"TA# S$"R D"%NE
Pa&a 2asien ini &i"emukan sk7r &7$ne yan% menan&akan bah$a bayi men%alami %a$a"naas 36ai&er &an Bhu""a. Bir"h as2hy>ia in &e?el72in% @7un"ries: @urren" s"a"us an& 2ubli@ heal"h im2li@a"i7ns. +00!4.
2.2.&.Pe'eriksaan (isik
*. Kea&aan umum( Kesa&aran : Tam2ak saki" bera"( s7mn7len
+. Tan&a i"al : 1enyu" #an"un% : * > ( meni"
Tem2era"ur : !5 0)
Res2irasi : !+ > ( meni"
)RT : + &e"ik
. Kuli" : kemerahan 345 ik"erik 3-45 sian7sis 2erier 345 lanu%7
"i2is 3-45 ?erniks kase7sa 3-4
/. Ke2ala : UUB C UUK &a"ar5 mes7seali5 m7n%7l7i& a@e 3-45
@eal hema"7m 3-45 @a2u" suksa&aneum 3-45
. 'a"a : e&ema 2al2ebrae 3-45 k7n#un%"i?a anemis 3-45 sklera
ik"erik 3-4
!. 6i&un% : sime"ris5 &e?iasi se2"um 3-45 2ernaasan @u2in% hi&un%
34
,. Telin%a : sime"ris5 re@7il @e2a" kembali5 li2a"an 2inna #elas5 sekre"
3-4
+ 4 G ,-< min%%u
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,
Usia Kehamilan G ,-< min%%u
2.&. Pe'eriksaan Pen)n*ang
2.&.1. +asil #aboratori)' Dara
Tabel 2.2 6asil 2emeriksaan lab7ra"7rium &arah 3 "an%%al *0 Juni +0*+4
PE,ERI$SAAN +ASI# SAT-AN
6em7%l7bin *!5 %(&L
Lek7si" +!5+ ribu(uLFri"r7si" /5, #u"a(uL
6ema"7kri" 05< ?7lH
Tr7mb7si" +/ ribu(uL
') *0!5+ 9l
')6 /5/ 2%
')6) +5/ H
8ranul7si" *5< H
Lim7si" ,5< H
81S *,< %(&L Na"rium * AP 3"%l **-0!-+0*+4
!
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8ambar +.* 97"7 "h7raks "an%%al **-0!-+0*+ yan% menun#ukan 6i2erarea"e& 2aru kanan
2. Diagnosis Se'entara
Bayi @uku2 bulan sesui masa kehamilan bera" ba&an lahir @uku2 &en%an
Sus2. Fnseal72a"i iskemik hi27ksik
2./ Penatalaksanaan
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 34
III. )airan• I91 1*0H )a %luk7nas: !5! @@(#am
I0. Oba"-7ba"an
• In"ramuskular : -
• In"ra?ena :
Am2i@ilin +>*!0 m%
8en"ami@in ! m%(! #am
B7lus sibi"al !/ m%
Sibi"al +> m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : )ek &arah ru"in5 )RP5 elek"r7li"5 7"7 r7n"%en "h7raks
("##"% -P
11 )ni 2!12
S4 'enan%is kua" 3;4
8erak ak"i 3;4
Ke#an% 34
,
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O4 6RG *>(meni"
RRG /0 >(meni"
TG ,5* )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 34 )PAP PFFP !@m 6+O 9iO+ +
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• In"ra?ena :
Am2i@ilin +>*!0 m%
8en"ami@in *! m%(! #amSibi"al 'ain"enan@e +>/ m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : 'in"a eks2er"ase ba@aan "h7ra> 7"7
$ons)l ke bagian ne)rologi Anak
6asil K7nsul: bayi yan% &ira$a" &en%an B)B S'K BBL) &en%an asiksia bera"
&an ke#an%.
Saran: sibi"al - m%(k%BB(hr
US8 Ke2ala 3bila memun%kinkan4
12 )ni 2!12
S4 'enan%is kua" 3;4
8erak ak"i 3;4
Ke#an% 3-4
O4 6RG **,>(meni"
RRG < >(meni"
TG , )
)RTG + &e"ik
SaO+: *00H
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
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Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia
ne7na"al ineksi sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 34 )PAP PFFP !@m 6+O 9iO+ +! m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Ambil hasil ba@aan "h7ra> 7"7
1& )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
*0
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Ke#an% 3-4
O4 6RG *(meni"
RRG * >(meni"
TG ,5/ )
)RTG + &e"ik
SaO+: *00H
SaO+ 6ea&b7> *00H
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia
ne7na"al ineksi sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 34 hea& b7> l2m
**
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III. )airan
• I91 1*0H )a 8luk7nas G< @@(#am
• Amin7usin * %ramG +5!! @@(#amI.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
Am2i@ilin +>*!0 m%
8en"ami@in *! m%(! #am
Sibi"al 'ain"enan@e +>! m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi0I. Pr7%ram : )ek resi&u
1 )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
Ke#an% 3-4
O4 6RG *+0>(meni"
RRG + >(meni"
TG !5< )
)RTG + &e"ik
SaO+: 0H "an2a hea& b7>
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
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'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia
ne7na"al ineksi sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 34 hea& b7> / l2m
0,.00 6ea& b7> 7
III. )airan
• I91 1*0H: Na@lK)l)a 8luk7nas G< @@(#am
•
Amin7usin + %ramG 5 @@(#amI.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
Am2i@ilin +>*!0 m%
8en"ami@in *! m%(! #am
Sibi"al 'ain"enan@e +>! m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Tun%%u 6asil Kul"ur
1/ )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
Ke#an% 3-4
O4 6RG */,>(meni"
*
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RRG /+ >(meni"
TG !5 )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia
ne7na"al ineksi sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 3-4
III. )airan
• I91 1*0H: Na@lK)l)a 8luk7nas G< @@(#am
• Amin7usin %ramG < @@(#am
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
Am2i@ilin +>*!0 m%
8en"ami@in *! m%(! #am
*/
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Sibi"al 'ain"enan@e +>! m%
• T72ikal : -
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Tun%%u 6asil Kul"ur
97"7 "h7ra> ulan%
Tabel 2.& 6asil 2emeriksaan lab7ra"7rium &arah 3"an%%al * Juni +0*+4
PE,ERI$SAAN +ASI#
6em7%l7bin */5+ %(&l
Lek7si" */50 (ul
Fri"r7si" /5/! #u"a(ul
6ema"7kri" //5+ ?7lH
Tr7mb7si"
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8erak ak"i 3;4
Ke#an% 3-4
O4 6RG **+>(meni"
RRG + >(meni"
TG ,5+ )
)RTG + &e"ik
S2O+ : *00H
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia sus2.
Fnseal72a"i iskemik hi27ksik
P4
*!
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I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ )PAP PFFP ! @m6+O
9iO+ +(meni"
TG ,50 )
)RTG + &e"ik
S2O+ : *00H
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
*,
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Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia sus2.
Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ )PAP PFFP ! @m6+O
9iO+ + * ""s
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Tun%%u 6asil Kul"ur
1ie" *0@@(k%BB
15 )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
O4 6RG *!0>(meni"
*
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RRG , >(meni"
TG ,5+ )
)RTG + &e"ik
S2O+ : *00H
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia sus2.
Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ 6ea& b7> l2m
III. )airan
• I91 1*0H: Na@l 3/:*4K)l)a 8luk7nas G*+ @@(#am
• Amin7usin %ramG < @@(#am
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
*
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)e2"aDi&in +>*!0 m%
• T72ikal : 8en"ami@in &r72 O1(OS /> * ""s
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram :1ie" *0@@(k%BB
Tabel 2. 6asil 2emeriksaan lab7ra"7rium &arah 3"an%%al ** Juni +0*+4
PE,ERI$SAAN +ASI#
KULTUR
Bahan 1ARA66asil Pemeriksaan
3-3-4(ne%a"i
3""%l *
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Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) 8a$a" naas e@ 11 TTN5 Pneum7nia sus2.
Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ -
III. )airan
• I91 1*0H: Na@l 3/:*4K)l)a 8luk7nas G*+ @@(#am
• Amin7usin %ramG < @@(#am
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :)e2"aDi&in +>*!0 m%
• T72ikal :
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Tun%%u 6asil Kul"ur
1ie" +0@@(k%BB
2! )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
O4 6RG */>(meni"
RRG / >(meni"
TG ,5+ )
)RTG + &e"ik
+*
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Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 3;4
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ -
III. )airan
• I91 1*0H: Na@l 3/:*4K)l)a 8luk7nas G*05! @@(#am
• Amin7usin *(+ %ramG 5/ @@(#am
I.Oba"-7ba"an
• In"ramuskular :-• In"ra?ena :
)e2"aDi&in +>*!0 m%
i" K * m%(m%%
• T72ikal :
1r72: su2ralysin 05@@
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : Tun%%u 6asil Kul"ur
1ie" 0@@(k%BB
++
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21 )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
O4 6RG */>(meni"
RRG < >(meni"
TG < )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) hi2er"ermi sus2. Fnseal72a"i iskemik
hi27ksik
P4
I. Ra$a" inkuba"7r 3!5 ,57)4
II. O+ -
+
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III. )airan
• I91 1*0H: Na@l 3/:*4K)l)a 8luk7nas G** @@(#am
• Amin7usin *(+ %ramG 5/ @@(#amI.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
)e2"aDi&in +>*!0 m%
i" K * m%(m%%
• T72ikal : 8en"ami@in O1(OS />*""s
1r72: su2ralysin 05@@
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi0I. Pr7%ram : 1ie" 0@@(k%BB
22 )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
O4 6RG *+>(meni"
RRG + >(meni"
TG 5 )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
+/
-
8/16/2019 BAB II HIE
22/25
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
A4 B)B S'K SPT-BK BBL) hi27"ermi sus2. Fnseal72a"i iskemik
hi27ksik
P4
I. Ra$a" b7>
II. O+ -
III. Ne72lan" 34
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
)e2"aDi&in +>*!0 m%
i" K * m%(m%%
• T72ikal : Su%es"am O1(OS />*""s
1r72: su2ralysin 05@@0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : 1ie" 0@@(k%BB
2& )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
O4 6RG *(meni"
RRG , >(meni"
TG !5* )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
+
-
8/16/2019 BAB II HIE
23/25
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
B4 B)B S'K SPT-BK BBL) hi27"ermi sus2. Fnseal72a"i iskemik
hi27ksik
P4
I. Ra$a" b7>
II. O+ -
III. Ne72lan" 34
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
)e2"aDi&in +>*!0 m%
i" K * m%(m%%
• T72ikal : Su%es"am O1(OS />*""s1r72: su2ralysin 05@@
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi
0I. Pr7%ram : 'enyusui
2 )ni 2!12
S4 'enan%is kua" 34
8erak ak"i 34
+!
-
8/16/2019 BAB II HIE
24/25
O4 6RG *+>(meni"
RRG /0 >(meni"
TG !5< )
)RTG + &e"ik
Pemeriksaan 9isik:
Ke2ala: 'es7seali
Kuli": Kemerahan 34
'a"a: K7n#un%"i?a anemis 3-45 Sklera ik"erik 3-4
6i&un%: Perna2asan @u2in% hi&un% 3-4
Telin%a: li2a"an 2inna 34
'ulu": sian7sis 3-4
Th7rak: Sime"ris5 re"raksi 3-4
Paru: Rh 3-(-45 h3-(-4
)7r: S*=S+ "un%%al5 bisin% 3-4
Ab&7men: 6(L(' "i&ak "eraba5 bisin% 34
Fks"remi"as: Akral han%a"5 e&ema 3-45 2arese 3-4
)4 B)B S'K SPT-BK BBL) sus2. Fnseal72a"i iskemik hi27ksik
P4
I. Ra$a" b7>
II. O+ -
III. Ne72lan" 34
I.Oba"-7ba"an
• In"ramuskular :-
• In"ra?ena :
)e2"aDi&in +>*!0 m%
i" K * m%(m%%
• T72ikal : Su%es"am O1(OS />*""s
1r72: su2ralysin 05@@
+,
-
8/16/2019 BAB II HIE
25/25
0. '7ni"7r : kea&aan umum5 "an&a ?i"al5 "an&a hi27%likemi5 "an&a
hi27"ermi0I. Pr7%ram : 'enyusu