Flame Burn Eka Novi
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PEMERIKSAAN FISIK
Status presensSensorium : compos mentisTD : 100/70 mmHgHR : 92 x/IRR : 26 x/ISuhu : 37,5VAS : 5
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PEMERIKSAAN FISIK
Status presensSensorium : compos mentisTD : 100/70 mmHgHR : 92 x/IRR : 26 x/ISuhu : 37,5VAS : 5
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Status GeneralisataKepala :
Mata : pupil isokor 3mm/3mm, RC +/+, Konj. Palpebra Inferior pucat (-/-), sklera ikterik (-/-)Wajah : luka bakar (-), tidak ada kelainanHidung/ telinga : tidak ada kelainanLeher : luka bakar 1% grade II warna merah muda, bula (-), nyeri positif, kering, pus (-),
TVJ R +2 cmH20
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ThoraksInspeksi : luka bakar 1% grade III warna kecoklatan, bula (-), nyeri (-), lembab, pus (-) di regio infraklavikula sinistraPalpasi: SF kanan = kiriPerkuasi: sonor pada kedua lap paruAuskultasi: SP: vesikuler, ST: (-)
KardiologiBatas jantung:Atas : ICS IIKiri : 1 cm linea midklavikularis sinistraKanan linea parasternalis dekstra
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AbdomenInspeksi : luka bakar 7% grade III warna kecoklatan, bula (-), nyeri (-), lembab, pus (-)Palpasi : soepelPerkusi : timpaniAuskultasi : bising usus (+) normal
EkstremitasSuperior :Dekstra : luka bakar 7% grade III warna kecoklatan, bula (-), myeri (-), lembab, pus (-) di regio deltoides, regio brachii, regio cubiti, regio antebrachiiSinistra : luka bakar 1% grade III warna kecoklatan, bula (-), nyeri (-), lembab, pus (-) di regio aksilaris dan deltoidesInferior :dekstra : luka bakar 9 % grade III warna kecoklatan, bula (-), nyeri (-), lembab, pus (-) di regio femoralisSinistra : luka bakar 2% grade III warna kecoklatan pinggir putih, bula (-), nyeri (-), lembab, pus (-) di regio femoralis
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• Diagnosis : flame burn 28% grade III di regio coli anterior, infra klavikula sinistra, abdomen, deltoides sinistra et dekstra, brachii anterior – posterior dekstra, cubiti anterior – posterior dekstra, antebrachii anterior – posterior dekstra
• PenatalaksaanIVFD RL 30 gtt/I makroInj. Ceftriaxone 1 gr/ 12 jamInj. Ketorolac 30 mg/ 8 jamInj. Ranitidine 50 mg/ 12 jamKateter urine terpasangRencanaCek darah lengkap, ureum, creatinin, elektrolit, KGD, HSTUrinalisaFoto ThoraxDebridementSTSG