Soal Acls Kalbe Academia Jogja
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7/21/2019 Soal Acls Kalbe Academia Jogja
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Soal ACS
KALBE ACADEMICA
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Soal 1
• Seorang laki2 mengeluh seringberdebar-debar bila melakukanaktiftas seerti naik tangga! mandi!dll" #erasaan itu akan hilang biladiistirahatkan"
• $#D% DM disangkal" &' tidak rutin
kontrol" #erokok 1 bungkus er hari"
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D#
• 'D % 1()*+) mm&g
• &$% ,)*menit
• $$ % 2)* menit• I.tus bergeser ke kiri
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EC/ soal 1
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5
Soal 1
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Soal 2
• Seorang laki2 mengeluh dada terasaanas se0ak 2 hari ang lalu" Makinlama makin teras berat" Samai ke
I/D bertahan terus menerus" Disertaikeringat dingin"
• $#D % DM ang tidak ernah
terkontrol"
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D#
• 'D% +)*() mm&g
• &$ % +)*menit
• $$% 2* menit• 'idak ditemukan kelainan dari
emeriksaan fsik! hana a.aral
terasa lembab sa0a"
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EC/soal 2
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Soal 3
• Seorang laki2 berusia 4) tahundatang dengan keluhan mual muntahse0ak 1 0am sebelum datang ke I/D"
#asien baru ertama kali merasakankeluhan seerti ini"
• $#D % DM se0ak 2) tahun ang lalu"
Minum obat gliben.lamid 1 kalisehari" &' barusan diketahui"
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D#
• 'D% 1)*+) mm&g
• &$ % 1))*menit
• $$% 2*menit• I.tus .ordis 2 .m bergeser ke lateral
kiri normal"
• 'idak ditemukan ronki dan 5hee6ing• Bising usus normal
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EC/ soal 3
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Clinical Presentation
•70 years old female
•She feels chest discomfort CCS Fc. IV forapproximately 3 hours prior to callin!merency "edical Ser#ices
•Patient presented #ia am$ulance to
!merency %epartment of rural hospital
Soal
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•7o re8ious stroke or 'IA "
•&erliidemia! diabetes mellitus! andre.ent hositalisation 9or unstableangina e.toris
& Currentl on .loidogrel 4: mg! lo5-dose ASA! oral hogl.emi. andstatin on.e dail
•7on-smoking
•7o re8ious histor o9 MI orre8as.ularisation
#ast Medi.al &istor
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•HR: 100 bpm ,reguler
•RR: 22 rpm
•BP: 100/50 mmHg
•SpO2: 95% on O2
•Rh -/-, Wh -/-
•Edem -/-
Ph!"#$l Em#n&#on
CKMB :7
Cardiac Troponin : 0,24
BUN/SC : 38/ 1,1
Faal Heo!"a!i! :Noral
HB!#$ : Ne$a"i%
#n"iHC& : Ne$a"i%
Laboratory
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EC/ soal
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• 7ame % Mr " A
• Age % :3 ears old
• Date o9 #ro.edure % Setember 12!2)1
• Adrress % Sidoar0o
• $isk ;a.tor % Smoker! DM! &'
Soal :
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• 7eri di daerah ulu hati se0ak hariang lalu" Diberi obat maag! nerihilang timbul" #enderita tidak ernah
merasakan erasaan ang seertisekarang ini"
• 7eri bertambah hebat se0ak 1 0am
sebelum diba5a ke ugd"
• Mual <=>! Muntah <=>
Anamnesa
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• B# % 1()*+) mm&g
• &$ % +)*mnt! reguler
• $$ % 2)*mnt• $h-*-! ?h -*-
• Edema -*-
#hsi.al eamination
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EC/ 1 <soal :>
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EC/ Monitor <soal :>
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•CKMB % :
•Cardia. 'roonin % !,1
•B@7*SC % 2,*)!((•;aal &emostasis % 7ormal
Laborator
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Soal (
• #enderita mengeluh neri dadaseerti tertekan benda berat se0ak 1
0am sebelum M$S" #enderita sudah
berulang mengeluh seerti ini"
• $#D % enderita ernah dilakukantindakan #CI 2 tahun ang lalu"
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#emeriksaan ;isik
• B# % 1()*+) mm&g
• &$ % +)*mnt! reguler
• $$ % 2)*mnt• $h-*-! ?h -*-
• Edema -*-
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EC/ soal (
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• 7ame % Mr " M
• Age % :) ears old
• Date o9 #ro.edure % August 2,!2)1
• Adrress % #erum ?ikarsa
• $isk ;a.tor % Smoker!Dsliidemia
Soal 4
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• #erasaan tidak naman di dada kirimenebar ke unggung disertaikeringat dingin"
• Mual tidak disertai muntah"
• 7eri sudah dirasakan se0ak kemarentai membaik ketika dikeroki dadana"
• 7eri bertambah lama bertambahhebat! sehingga enderita diba5a ke@/D"
A7AM7ESIS
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• B# % 1))*() mm&g
• &$ % ()*mnt
• $$ % 2)*mnt• $h-*-
• ?h -* -
• Edema -*-! teraba lembab
#hsi.al eamination
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EC/ 1 <soal 4>
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•CKMB % :
•Cardia. 'roonin % !,1
•B@7*SC % 3)*)!,
Laborator
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EC/ 2 <soal 4>
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EC/ 3 <soal 4>
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• 7ame % Mr " A
• Age % :3 ears old
• Date o9 #ro.edure % Setember 12!2)1
• Adrress % Sidoar0o
• $isk ;a.tor % Smoker! DM! &'
Soal ,
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Anamnesis
• 7eri di rahang ba5ah tembus keunggung disertai keringat dinginse0ak 2 0am sebelum diba5a ke @/D"
• Berdebar-debar bila beraktiftas! danmenghilang bila diistirahatkan se0ak1 minggu ang lalu"
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• B# % 12)*+) mm&g
• &$ % ,)*mnt
• $$ % 2)*mnt• $h-*-
• Edema etremitas =*=
#hsi.al eamination
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• CKMB % 3!11
• Cardia. 'roonin % )!4
• B@7*SC % 3,*1!1• ;aal &emostasis % 7ormal
• &BsAg % 7egati9
• Anti&C % 7egati9
Laborator
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EC/ 2 <soal ,>
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Soal +
• Seorang 5anita berumur sekitar :2tahun datang ke raktek anda karenasering merasakan dadana kemeng
dan disertai berdebar-debar se0ak 1bulan terakhir"
• $#D % dsliidemia dengan sim8astatin
1) mg" Kakak enderita diasang ringusia :) tahunan" Baak enderitameninggal mendadak usia () thn"
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D#
• 'D% +)*() mm&g
• &$ % ()*menit
• $$% 2* menit• 'idak ditemukan kelainan dari
emeriksaan fsik"
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laborator
K'% 2,2 LDL % 14) '/ % 1() &DL% 3)
B@7% 1, SC% )!,)
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EC/ 1 <soal +>