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LAPORAN KASUS
HIPERTENSI KRONIK
SITI HARDIYANTI. A
1102100117
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IDENTITAS PASIEN
Nama : Ny.k
Usia : 39 tah!
A"amat : #i!asa$i %"&k S P'k'$(aa! : IRT
A)ama : Is"am
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ANAMNESA
Perempuan ny. K G1P0A0, HPHT 18/7/2015, TP: 25/4/2016, UK: 15 minggu 2 hari. a!ang"e pu#"e#ma# mina#a upa un!u" "$n!r$%"ehami%an &an 'uga !er"a&ang menge%uh
nyeri "epa%a.. Ke%uhan nyeri peru! !em(u# "e(e%a"ang )*+ penge%uaran %en&ir )*+, &arah )*+.riaya! A- 1 "a%i &i Pu#"e#ma#, iaya!in'e"#i TT )*+, riaya! $pera#i !i&a" a&a. i
HT)*+, )*+, A%ergi )*+,A#ma )*+. Ke%uhan#a"i! "epa%a a&a, pan&angan "a(ur !i&a"a&a, nyeri u%u ha!i !i&a" a&a.
iaya! (#!e!ri :
: 2015/ Kehami%an #e"arang
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PEMERIKSAAN FISIK
KU : 3ai", #a&ar T : 160/110 mmHg - : 88 /meni!
P : 20 /meni! # : 6,833 : 57"g
Pemeri"#aan uar :
TU : 'ari &i a!a# #impi#i# e9e"# Pa!e%%a : )*+
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PEMERIKSAAN PENUNJANG
*a+&$at&$im
H+ : 11 )$,-"
P$&t'i!$ia:
Dia)!&sisHi/'$t'!si K$&!ik Da"am K'hami"a!
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PENATALAKSANAAN
Ni'-i/i! 30120 m),ha$i Isti$ahat ya!) k/
*akka! /'ma!taa! /'$tm+ha! -a! k&!-isi
(a!i! (ika ti-ak t'$-a/at k&m/"ikasi t!))sam/ai at'$m.
*akka! k!(!)a! "a!) (ika t'$-a/at k'"ha!
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PE#%AHASAN
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DEFENISI
Hiper!en#i "r$ni" &a%am "ehami%ana&a%ah hiper!en#i !anpa pr$!einuriayang !im(u% #e(e%um "ehami%an 20
minggu.
iagn$#i# hiper!en#i &i(ua! 'i"a !e"anan&arah &ia#!$%i" ;0 mmHg pa&a
pengu"uran (er'ara" 1 'am a!au %e(ih.
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ETIOLOGI
Eti&"&)i hi/'$t'!si k$&!ik -a/at -i+a)i
m'!(a-i
P$im'$ i-i&/atik4 : 90 5 S'k!-'$ : 105 ya!) +'$h+!)a! -'!)a!
/'!yakit )i!(a" /'!yakit '!-&k$i! -ia+'t's
m'"its4 6as"a$ -"".
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DIAGNOSIS
T'ka!a! -a$ah 180,90 mmH)
S-ah a-a $iayat hi/'$t'!si s'+'"m hami"
ata -ik'tahi a-a!ya hi/'$t'!si /a-a sia
k'hami"a! 20 mi!)) Ti-ak a-a /$&t'i!$ia
Da/at -is'$tai k't'$"i+ata! &$)a! "ai!
s'/'$ti (a!t!) /'m+"h -a$ah -a! )i!(a"
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TATALAKSANA UMUM
A!($ka! isti$ahat "'+ih +a!yak
;ika /asi'! s'+'"m hami" s-ah
m'!-a/atka! /'!)&+ata! -'!)a! &+at a!ti
hi/'$t'!si -a! t'$/a!ta -'!)a! +aik"a!(tka! /'!)&+ata! t'$s'+t
%i"a s'+'"m!ya i+ s-ah m'!)k&!smsi
a!tihi/'$t'!si +'$ika! /'!('"asa! +aha
a!tihi/'$t'!si )&"&!)a! A<EI mis.Ka/t&/$i"4 AR% mis. =a"sa$ta!4 -a!
k"&$tia>i-. K&!t$ai!-ikasi +a)i i+ hami"
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LANJUTAN
Pa!ta t'ka!a! -a$ah /$&t'i!$ia -a!
k&!-isis (a!i!
;ika t'$-a/at k&m/"ikasi /'$tim+a!)ka!
t'$mi!asi k'hami"a! (ika ti-ak t!))sam/ai at'$m.
;ika t'$-a/at /$&t'i!$ia ata ta!-ata!-a
)'(a"a "ai! /iki$ka! s/'$im/&s'-
/$''k"am/sia #a!aat as/i$i! ka"sim -"" !tk m'!')ah
hi/'$t'!si /- k'hami"a! +'"m s'/'!h!ya
t'$+kti
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O+at a!ti hi/'$t'!si ya!) k/ ama!
-i)!aka! +a)i i+ hami" sam/ai saat i!i ya!)
t'"ah -it'"iti a-a"ah m'thy"-&/a k'm-ia!
-a/at ()a -i)!aka! k"&!i-i! "a+'ta"&"
!i'-i/i! -a! hi-$a"a>i!'
O+at "ai! s'/'$ti !at$im !it$&/si- -a!
is&s&$+i- -i!it$at t'"ah -it'"iti -a"am (m"ah
k'i" t'$ha-a/ ''k!ya !tk hi/'$t'!si /a-a
i+ hami" t'ta/i +'"m -it'"iti s'a$a /asti
+'$+a)ai ''k sam/i!)!ya y) "ai! s'hi!))a -i
s'(m"ah !')a$a ha!ya -i)!aka! /a-a saat
'm'$)'!y
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KOMPLIKASI
P'$tm+ha! (a!i! m'!(a-i t'$ham+at
?aat (a!i!
K'matia! (a!i!
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TERIMA KASIH
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