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    Preeklampsia Berat: Kompetensi 3B

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    Ananda Asmara
    1. A 28-year-old woman, G1P0A0, presented with abdominal pain radiating to the back accompanied by discharge of mucus, blood, and water since last night. Her blood pressure was 170/100 mmHg. Laboratory tests found protein in her urine. She was diagnosed with preeclampsia at 39 weeks and 5 days of gestation. 2. A 34-year-old woman, G5P4A4, presented with headache and blurred vision accompanied by epigastric pain. Her blood pressure was 180/120 mmHg. Laboratory tests found significant protein in her urine. She was diagnosed with preeclampsia at 34 weeks of gestation, impending ecl

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    Preeklampsia Berat: Kompetensi 3B

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    Ananda Asmara
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    1. A 28-year-old woman, G1P0A0, presented with abdominal pain radiating to the back accompanied by discharge of mucus, blood, and water since last night. Her blood pressure was 170/100 mmHg. Laboratory tests found protein in her urine. She was diagnosed with preeclampsia at 39 weeks and 5 days of gestation. 2. A 34-year-old woman, G5P4A4, presented with headache and blurred vision accompanied by epigastric pain. Her blood pressure was 180/120 mmHg. Laboratory tests found significant protein in her urine. She was diagnosed with preeclampsia at 34 weeks of gestation, impending ecl

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    Preeklampsia berat

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    1. A 28-year-old woman, G1P0A0, presented with abdominal pain radiating to the back accompanied by discharge of mucus, blood, and water since last night. Her blood pressure was 170/100 mmHg. Laboratory tests found protein in her urine. She was diagnosed with preeclampsia at 39 weeks and 5 days of gestation. 2. A 34-year-old woman, G5P4A4, presented with headache and blurred vision accompanied by epigastric pain. Her blood pressure was 180/120 mmHg. Laboratory tests found significant protein in her urine. She was diagnosed with preeclampsia at 34 weeks of gestation, impending ecl

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    20 views3 pages

    Preeklampsia Berat: Kompetensi 3B

    Uploaded by

    Ananda Asmara
    1. A 28-year-old woman, G1P0A0, presented with abdominal pain radiating to the back accompanied by discharge of mucus, blood, and water since last night. Her blood pressure was 170/100 mmHg. Laboratory tests found protein in her urine. She was diagnosed with preeclampsia at 39 weeks and 5 days of gestation. 2. A 34-year-old woman, G5P4A4, presented with headache and blurred vision accompanied by epigastric pain. Her blood pressure was 180/120 mmHg. Laboratory tests found significant protein in her urine. She was diagnosed with preeclampsia at 34 weeks of gestation, impending ecl

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    Preeklampsia berat

    KOMPETENSI 3B
    Ny M 28 tahun, G1P0A0 pasien datang dengan keluhan nyeri perut tembus ke
    HPHT 21/6/2015 belakang yang disertai pelepasan lendir, darah, dan air sejak tadi malam. Nyeri kepala
    TP 28/3/2016HT : (+). Riwayat ANC >3x dengan tekanan darah normal, riwayat injeksi TT (-), Riwayat HT(-
    ?/6/2015 ), DM (-), Asma (-), Alergi(-)
    TP : ?/3/2016
    RIWAYAT OBSTETRI : Perlimaan : 5/5 LABORATORIUM :
    1. 2016, kehamilan sekarang Bagian terendah kepala Protein urin : +2
    PEMERIKSAAN FISIS : PEMERIKSAAN DALAM DIAGNOSIS :
    KU : baik, sadar VAGINA: G1P0A0 gravid 39 minggu 5 hari inpartu kala I fase laten
    TD : 170/100 mmhg Vulv/vagina: tak/tak + PEB
    N : 90 x/menit Portio : lunak, tebal TERAPI :
    P : 20 x/menit Pembukaan : 1 cm Penanganan suportif:
    S : 36,5 C Ketuban : (+) 1. MgSO4 4gr + 100 cc NaCl  70 tpm
    PEMERIKSAAN LUAR : UUK : sdn 2. Lanjut MgSO4 6gr + 500 cc RL  28 tpm
    TFU : 35 cm Penurunan: Hodge 1 3. Nifedipin 3 x 10 mg
    LP : 98 cm 4. Pasang kateter
    TBJ : 3430 gram 5. Rencana terminasi kehamilan
    Situs memanjang
    Punggung kanan
    His : (-)
    DJJ : 152x/i
    Ny. M 34 tahun G5P4A0 dengan keluhan nyeri kepala yang disertai dengan pandangan kabur. Pasien juga
    mengeluh nyeri ulu hati. Keluhan dialami sejak 1 hari yang lalu. Nyeri perut tembus ke belakang (-), pelepasan
    HPHT: 17/10/2015 lendir (-), darah (-), air (-). Sejak kehamilan 22 minggu waktu kontrol ANC di praktek dokter Sp.OG tekanan darah
    TP: 24/07/2016 150/100 mmHg, pasien diberi terapi nifedipine 3x1 tetapi pasien tidak teratur mengkonsumsi. Riwayat ANC 2 kali,
    UK: 34 minggu riwayat injeksi TT (-). Riwayat penggunaan KB (+) suntik 12 minggu, riwayat operasi (-). Riwayat Hipertensi pada
    kehamilan sebelumnya (-), setelah melahirkan (-), DM (-), asma (-), alergi (-).

    Riwayat Obstetri :
    1. 2003/laki-laki/2500 gr/aterm/PPN/RSB Timika/hidup Pemeriksaan Dalam Vagina :
    2. 2008/laki-laki/2300 gr/aterm/RSB Timika/hidup v/v : tak/tak
    3. 2012/ KJDR (7bulan) bagian terdepan : kepala
    4. 2013/laki-laki/2300 gr/ RSB Timika/hidup Portio : lunak tebal
    5. 2016/ kehamilan sekarang •UUK : sdn
    Pemeriksaan Fisis : Ø :-
    KU : Baik/Gizi cukup/Compos Mentis penurunan :-
    TD : 180/120 mmHg Ketuban : (+)
    N : Panggul dalam kesan cukup
    96kali/menit Pelepasan lendir (+), darah(+), air(-)
    Pemeriksaan Penunjang (Laboratorium):
    P : 20 kali/menit Urine : kuning muda, jernih
    S :36,50C Protein : (+++)
    Diagnosis :
    Pemeriksaan Luar : G5P4A0 gravid 34 minggu belum inpartu + PEB + tanda impending eklampsia + calon
    TFU : 28 cm , LP : 85 cm akseptor kontap.
    Situs : Memanjang Terapi :
    Punggung: kanan • MgSo4 40% 4g dalam 100cc Nacl, 73 tpm habis dalam 30 menit
    Bagian Terendah : Kepala • MgSO4 40% 6g dalam 500 cc RL, 28 tpm habis dalam 6 jam
    Perlimaan : 5/5 • Nifedipine 3x10 mg
    HIS :- • Inj. Dexametasone 1amp/iv
    DJJ : 142 kali/menit • Injeksi Cefotaksim 1gr/iv
    Gerakan anak (+) dirasakan ibu Anak kesan tunggal • Rencana SSTP

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