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    Waktu Subyektif Obyektif Assesment Planning

    Uploaded by

    Assyifa Anindya
    A pregnant woman at 36 weeks gestation presented with high blood pressure and pre-eclampsia. She was stabilized and monitored. Her cervix dilated and she went into active labor. She delivered a baby boy via vacuum extraction due to fetal distress. She then delivered the placenta. Postpartum, she had heavy bleeding which was managed. Over subsequent days, her condition improved and she was treated with antibiotics and transfusions as needed while recovering.

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    © All Rights Reserved
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    Waktu Subyektif Obyektif Assesment Planning

    Uploaded by

    Assyifa Anindya
    19 views3 pages
    A pregnant woman at 36 weeks gestation presented with high blood pressure and pre-eclampsia. She was stabilized and monitored. Her cervix dilated and she went into active labor. She delivered a baby boy via vacuum extraction due to fetal distress. She then delivered the placenta. Postpartum, she had heavy bleeding which was managed. Over subsequent days, her condition improved and she was treated with antibiotics and transfusions as needed while recovering.

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    Lembar Follow Up.doc

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    A pregnant woman at 36 weeks gestation presented with high blood pressure and pre-eclampsia. She was stabilized and monitored. Her cervix dilated and she went into active labor. She delivered a baby boy via vacuum extraction due to fetal distress. She then delivered the placenta. Postpartum, she had heavy bleeding which was managed. Over subsequent days, her condition improved and she was treated with antibiotics and transfusions as needed while recovering.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    19 views3 pages

    Waktu Subyektif Obyektif Assesment Planning

    Uploaded by

    Assyifa Anindya
    A pregnant woman at 36 weeks gestation presented with high blood pressure and pre-eclampsia. She was stabilized and monitored. Her cervix dilated and she went into active labor. She delivered a baby boy via vacuum extraction due to fetal distress. She then delivered the placenta. Postpartum, she had heavy bleeding which was managed. Over subsequent days, her condition improved and she was treated with antibiotics and transfusions as needed while recovering.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    WAKTU SUBYEKTIF OBYEKTIF ASSESMENT PLANNING

    05-09-2014
    18.30
    Keluhan:
    Hamil kurang
    bulan dengan
    darah tinggi,
    Kesadaran : cm!s mentis
    "#: 180$110mmHg
    %: 8&'$mnt
    (: 24'$mnt
    ": 3)
    0
    *
    "i+ut : 31cm
    #,, : 144'$mnt
    His --.
    (uki-meman/ang-!reske!
    (rti lunak
    (embukaan kuncu!
    0ab :
    Hb :14,1 g$dl
    0euksit:11.&00$mm
    3
    "rmbsit :4&.000$ul
    1reum : 21 mg$dl
    *reatinin :0,8 mg$ dl
    234" : 591$l
    23(" : 30 1$l
    0#H : &09 $u0
    (rteinuria : 250 $u0
    31(050 hamil 3&
    minggu belum in!artu
    dengan im!ending
    eklam!si 6 sindrm
    H700( ,"H !reske!
    2tabilisasi 3-& /am
    4bs. "89, #,,, H92
    4ksigen 3-5lt$menit
    98:# ;0 20 gtt$mnt
    (asang kateter +le<
    =g244 40> sesuai
    !rtkl
    %i+edi!ine 3'10mg
    #e'amethasne
    2'10mg
    123 :
    ,"H, hamil 3& minggu
    ,anin letak meman/ang
    Ketuban cuku!
    3erakan akti+, #,, 6
    ;$"erminasi kehamilan
    7?aluasi -!ematangan
    ser?iks.
    0&-09-2014
    00.00
    Keluhan:
    Hamil kurang
    bulan dengan
    darah tinggi,
    Kesadaran : cm!s mentis
    "#: 140$110mmHg
    %: 88'$mnt
    (: 24'$mnt
    ": 3)
    0
    *
    "i+ut : 31cm
    #,, : 142'$mnt
    His : 2'$10@$30@
    (uki-meman/ang-!reske!
    (rti lunak
    (embukaan 2 cm
    31(050 hamil 3&
    minggu in!artu kala 9
    +ase laten dengan
    im!ending eklam!si 6
    sindrm H700( ,"H
    !reske!
    4bs. "89, #,,, H92
    98:# ;0 20 gtt$mnt 6
    "er!asang kateter
    +le<
    =g244 40> sesuai
    !rtkl
    =is!rstl 25 Ag $
    4/am !er?aginam
    %i+edi!ine 3'10mg
    #e'amethasne
    2'10mg
    ;$"erminasi kehamilan
    7?aluasi -induksi
    !ersalinan.
    0&-09-2014
    03.00
    Keluhan:
    Hamil kurang
    bulan dengan
    darah tinggi,
    Kesadaran : cm!s mentis
    "#: 140$100mmHg
    %: 92'$mnt
    (: 24'$mnt
    ": 3&,8
    0
    *
    "i+ut : 31cm
    #,, : 138'$mnt
    His : 3'$10B$35@
    (uki-meman/ang-!reske!
    (rti lunak
    (embukaan & cm
    31(050 hamil 3&
    minggu in!artu kala 9
    +ase akti+ dengan
    im!ending eklam!si 6
    sindrm H700( ,"H
    !reske!
    4bs. "89, #,,, H92
    98:# ;0 20 gtt$mnt 6
    "er!asang kateter
    +le<
    =g244 40> sesuai
    !rtkl
    =is!rstl 25 Ag $
    4/am !er?aginam
    %i+edi!ine 3'10mg
    #e'amethasne
    2'10mg
    ;$"erminasi kehamilan
    5khiri kala 99 dengan
    tindakan
    0&-09-2014
    0).00
    Keluhan:
    =ules men/alar
    ke !inggang
    semakin kuat
    Kesadaran : cm!s mentis
    "#: 140$110mmHg
    %: 88'$mnt
    (: 24'$mnt
    ": 3&,)
    0
    *
    "i+ut : 31cm
    #,, : 145'$mnt
    His : 4'$10B$45@
    (uki-meman/ang-!reske!
    (rti lunak
    (embukaan lengka!
    31(050 hamil 3&
    minggu in!artu kala 99
    dengan im!ending
    eklam!si 6 sindrm
    H700( ,"H !reske!
    (im!in !ersalinan
    0&-09-2014
    0).10
    Keluhan :
    0ahir dengan
    ekstraksi ?acum
    nenatus hidu!
    laki-laki
    CC : 2000 gram
    (C : 40 cm
    52 : 4$&
    (150 !st !artus
    ekstraksi ?akum a.i
    im!ending eklam!si 6
    sindrm H700(
    4bs. "89, kntraksi
    uterus
    98:# ;0 20 gtt$mnt 6
    "er!asang kateter
    +le<
    =g244 40> sesuai
    !rtkl
    4ksitsin 9= 10 91
    0&-09-2014
    0).15
    Keluhan :
    0ahir s!ntan
    !lasenta lengka!
    C( : 500 gram
    ("( : 50 cm
    #iameter : 1&'18 cm

    (150 !st !artus
    ekstraksi ?akum a.i
    im!ending eklam!si 6
    sindrm H700(
    4bs. "89, kntraksi
    uterus
    98:# ;0 20 gtt$mnt 6
    "er!asang kateter
    +le<
    =g244 40> sesuai
    !rtkl
    0&-09-2014
    0).20
    Keluhan:
    (erdarahan
    !er?aginam
    Kesadaran : cm!s mentis
    "#: 100$80 mmHg
    %: 108'$mnt
    (: 28'$mnt
    ": 3&,&
    0
    *
    "i+ut seumbilikus
    Kntraksi baik
    (erdarahan akti+ -6.
    (erdarahan 500 cc
    (150 !st !artus
    ekstraksi ?akum a.i
    im!ending eklam!si 6
    sindrm H700(
    dengan H(( dini e.c
    laserasi !erineum grade
    999
    4bs. "89, kntraksi
    uterus
    98:# ;0 20 gtt$mnt 6
    "er!asang kateter
    +le<
    =g244 40> sesuai
    !rtkl
    4ksitsin dri! 10 91
    Hecting laserasi
    #e'ametasn 10 mg 98
    tia! 12 /am
    ;$ "rans+usi darah /ika
    HbD10 gr$dl
    "rans+usi trmbsit
    0)-09-2014
    0).00
    Keluhan:
    #emam --.,
    %<eri bekas
    /ahitan -6., 529
    --., C5K -6.
    setelah dile!as
    kateter, C5C --.
    Kesadaran : cm!s mentis
    "#: 110$80 mmHg
    %: 88'$mnt
    (: 22'$mnt
    ": 3&,4
    0
    *
    "i+ut 1 /ari baEah
    umbilikus
    Kntraksi baik
    (erdarahan akti+ --.
    0kia rubra -6.
    0ab :
    Hb :10,8 g$dl
    0euksit:25.900$mm
    3
    "rmbsit :3&.000$ul
    (150 !st !artus
    ekstraksi ?akum a.i
    im!ending eklam!si 6
    sindrm H700(
    dengan H(( dini e.c
    laserasi !erineum grade
    999
    98:# ;0 1 /alur
    9n/.*e+tria'ne 2'1gr
    #e'ametasn 5 mg 98
    tia! 12 /am
    ;$ "rans+usi trmbsit
    08-09-2014
    0).00
    Keluhan:
    #emam --.,
    %<eri bekas
    /ahitan -6., 529
    --., C5K -6.,
    C5C --.
    Kesadaran : cm!s mentis
    "#: 100$80 mmHg
    %: 84'$mnt
    (: 20'$mnt
    ": 3&,5
    0
    *
    "i+ut 2 /ari baEah
    umbilikus
    Kntraksi baik
    (erdarahan akti+ --.
    0kia rubra -6.
    (150 !st !artus
    ekstraksi ?akum a.i
    im!ending eklam!si 6
    s<ndrm H700(
    dengan H(( dini e.c
    laserasi !erineum grade
    999
    *e+adr'il 3'1tab
    (aracetaml 3'1tab
    :e 3'1 tab
    "rans+usi trmbsit -6.
    ;$ *ek lab #;
    (ulang

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