bang azul 2
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Transcript of bang azul 2
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Tim jaga 26 september 2014
Laki-Laki/47 tahun.
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• Ku : Tungkai bawah kiri sulit digerakkan. Telaah : Hal ini dialami pasien sejak 3 jam yang lalu SMRS. Awalnya pasien berjalan kaki ingin menyebrang, kemudian tiba-tiba pasien ditabrak oleh sepeda motor dari samping kiri dan pasien terjatuh ke aspal dengan tertimpa sepeda motor pada tungkai bawah. Mual dan muntah (-) kejang (-) pingsan (-).
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Primari survei
• Airway : clear• Breathing : spontan, Rr : 20x/I• Circulation : akral hangat,
TD : 120/70mmhg, Hr : 90x/i.Disability : GCS 15Exposured : secondary survei.
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Secondary survei
• Kepala :– Mata : Konjunctiva palpebra anemis (-/-), pupil
isokor, reflek cahaya (+/+), mata cekung (-/-). – T/H/M : tidak ada kelainan.– Leher : tidak ada kelainan.
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• Thorax : – I : Simetris, jejas (-)– P : sf ka=ki– P : sonor ke 2 lapangan paru.– A : vesikuler ke 2 lapangan paru.
• Abdomen : – I : simetris, jejas (-)– P : soepel– P : tympani.– A : peristaltik (+) normal.
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• Tungkai bawah kiri :– Look : tampak luka robek pada medial, distal pada
cruris kiri ukuran 0,5cm x 0,5cm, pinggir luka irreguler, deformitas (+), hematom (+).
– Feel : NVD (+), nyeri (+), Dasar tulang.– Move : krepitasi (+), ROM (+), Dof (+).
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Laboratorium
• HB/ Ht : 14,3/ 42• Leukosit/ trombosit : 15.300 / 180.000• Kgd ad random : 145 mg/dl• Na / K / Cl : 135 / 4,5 / 105.
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Radiologi
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Diagnosa : fraktur terbuka pada 1/3 distal tibia kiri grade I
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Therapi di IGD
• Puasa• Resusitasi IVFD RL • Inj antibiotik dan analgetik• Pemasangan kateter urin initial 50cc kuning.• Pemasangan bidai 3 posisi.
• Pasien dipersiapkan untuk debridement, reposisi dan pemasangan Long leg cast.
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Post operasi
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