BST 4 Pneumonia

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Bed Site Teaching ICA TRIANJANI S. BAGIAN ANAK Preceptor dr. Handayani,Msc. Sp.A

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Transcript of BST 4 Pneumonia

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Bed Site TeachingICA TRIANJANI S.

BAGIAN ANAKPreceptor dr. Handayani,Msc. Sp.A

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Identitas Pasien• Nama : An. I • Umur : 5 bln• Jenis kelamin: perempuan• Alamat :

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Problem

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Pemeriksaan fisik Vital sign :t : 38o

HR :RR :BB :

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• KU : pasien tampak sesakKepala: ca -/- SI-/-

cuping hidung (+)Thorak : inspeksi : retraksi

perkusi : palpasi : auskultasi : SDV+/+

wheezing +/+ RBK +/+

Abdomen : BU (+) N, supel, timpani

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Hypotesis Hypotesis

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Mekanisme Mekanisme

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More InfoMore Info• Pemeriksaan fisik Hemoglobin10,8Leukosit 16,6Eosinofil 0,00

LBasofil 0,10Netrofil

42,20LLimfosit

49,70HMonosit 8,00

Hematokrit 34Eritrosit 4,1Trombosit 557HMCV 75MCH 246MCHC 37 HGol Darah B

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Don’t KnowDon’t Know

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Learning IssuesLearning Issues

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Klasifikasi pneumonia

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Klomplikasi pneumonia• Efusi pleura• Empiema• Pneumotoraks• Piopneumonia thoraks• Abses paru• Sepsis• Gagal nafas• Ileus paralitik fungsional

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Penatalaksanaan Kriteria Rawat Inap

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Tatalaksana umum

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Desicion MakingDesicion Making

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DiagnosisDiagnosis

• Pneumonia dd Bronkhiolitis • Status gizi -2SD sampai 2SD (gizi baik)

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ThreatmentThreatment• O2 nasal kanul• Infus kaen 4B 300cc/24 jam• Inj. Cefotaxim 3x250 mg IV• Inj. Dexamethason 3x1/2 amp IV• Nebulizer dgn farbivent 3x/hari• Po pamol drop 4x1ml• Diet asi/pasi melalui NGT• Konsul Sp. KFR

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