PICU RS Dr. Sardjito 23 - 12 - 2018 Pkl. 07.00

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PICU RS Dr.

Sardjito
P3 23 – 12 – 2018 pkl. 07.00

• Subjective :
Nadi teraba lemah, saturasi turun, akral dingin
• Objective :
KU : Lemas
CNS :Tersedasi midazolam 1mcg/kg/menit dan fentanyl 1mcg/kg/mnt. Pupil
isokor 2mm/2mm refleks cahaya -/-, comfort scale 17 18
CVS :HR 190 x/m TD 93/77
Respi : on ventilator mode PC Fio2 100% PEEP 7 PC 40, RR tercapai 62 VTE 5-6
Spo2 28% suara dasar paru vesikuler +/+, wheezing -/- ronkhi +/+
GIT : Abdomen supel, hepar teraba 3 cm BAC
GUT : Diuresis : 1,75 cc/kg/Jam, BC -46
Integumen: sianosis +, pucat +, edema palpebra +/+
PICU RS Dr. Sardjito
P3 23 – 12 – 2018 pkl. 07.00

• Assesment : Edema pulmo


Sepsis Anemia normositik normokromik
AKI fase risk Gizi buruk marasmik
Hipokalemia teratasi Hipotiroid
Hiponatremia teratasi Down sindrom
 Hipoalbuminemia teratasi GDD
 Hipokalsinemia
Ateletaksis pulmo sinistra • Planning : DNR. Tidak dilakukan RKP
Community acquired pneumonia

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