mr 30 desember yuey
TRANSCRIPT
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8/18/2019 Mr 30 Desember Yuey
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Supervisor :
dr. Maimun Syukri Sp.PD-KGHTim Jaga PPDS:
dr. Laura
dr. Azuz
Tim Jaga DM:
Mauidanur
!u" #ara$
#i"ri #a"ima$
%n"an Pu"ri
LAPORAN JAGA PDW
RAbU MALAM Tgl 30 DESEMBER 2015
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8/18/2019 Mr 30 Desember Yuey
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Identit!
N" # N$% S
U"&' # () t*&n
Al"t # Bnd A+e*
N, -M # 0./0./0.5
Tnggl M!& RS# 30.12.2015
Tnggl Pe"e'i!n # 30.12.2015
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8/18/2019 Mr 30 Desember Yuey
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An"ne!i!
el&*n Ut" #
L& di &ngg&ng 4 2 b&ln SMRS
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8/18/2019 Mr 30 Desember Yuey
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Ri$t Pen$it Se'ng
6 t*&n SMRS
Ri$t DM !e7 6 t*&n $ng ll&
P!ien "eng& "engg&nn ,bt te'i in!&lin $ngtid diet*&i n"n$
Pengg&nn ,bt tid te',nt',l
5 t*&n SMRS
P!ien 7t&* te'ele!et
P!ien tid bi! be'7ln lgi8 *n$ bi! d&d&8 ti9it!
di &'!i ',d Tid e'n* "eng,n!&"!i ,bt DM lgi
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8/18/2019 Mr 30 Desember Yuey
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Ri$t Pen$it Se'ng
2 b&ln SMRS
P!ien di't di RS Me&': 'en le"!8 de"" dnen&'&nn e!d'n
P!ien *n$ bi! be'b'ing8 tid bi! d&d&
P!ien dengn l& di &ngg&ng
St it& di't !el" 20 *'i di '&"* !it Me&':'en le"!8 de""8 dn en&'&nn e!d'n
Aln$ l& e+il dn "in l" "in "e"be!' dnbe'nn*%
L& tid e'n* !e"b&* !e"&'n8
Sel" di 't !ien "engg&nn in!&lin8 !etel*&lng tid te't&'
L& di!ebbn ,le* i"",bili!!i l"
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8/18/2019 Mr 30 Desember Yuey
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Ri$t Pen$it Se'ng
2 "ingg& SMRS P!ien di't di RS Me&':
dengn el&*n de""8 de""tid te'll& tinggi8 t&'&n dengn,bt en&'&n de""
De"" tid di!e'ti "enggigil Bt& ;.
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Ri$t
Ri$t Pen$it D*&l& #
. TB '& di!ngl
. ?ie'ten!i8 !"8 dn le'gi di!ngl%
. Ri$t !it &ning tid d8 t'n!=&!i tid d%
Ri$t Pen$it el&'g #
?ie'ten!i8 !"8 le'gi8 TB '&8 !it 7nt&ngdi!ngl%
DM tie 2 # ib& !ien
Ri$t S,!il E,n,"i dn ebi!n #
P!ien !e,'ng ib& '&"* tngg
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8/18/2019 Mr 30 Desember Yuey
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Pe"e'i!n i!i
Ati!
TD &''()' mmHg* #+ &') ,(meni"* reguer8 i!i +&&8 &tngt
' ,(meni" S&*& 3(8/-
BB# 55 g TB# 150 +" %MT: /*/ kg(m
• &lit # !, "tng8 t&'g,' +&&
• el # de=,'"it! ;.<
•
R"b&t # *it"8 tid "&d* di+b&t• Mt # ,n7&ngti9 tid &+t8 !le' tid ite'i
• T?T # tid d !e'et dn d'*
• M&l&t # "&,! bibi' dn lid* b!*8 tid d !e'et dnd'*
• Le*e' # J0P - 1mH28 e"be!'n GB tid te'b
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8/18/2019 Mr 30 Desember Yuey
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Pe"e'i!n i!i
Jnt&ng#
In # it&! ,'di! tid te'li*t
P# it&! ,'di! te'b di !el ig 5 lte'l line "idl9i&l'i! !ini!t'
Pe# # bt! 7nt&ng nn d line '!te'nli! de:t'
i # bt! 7nt&ng i'i d 3ari a"era line "idl9i&l'i!!ini!t'
A# 4unyi 3an"ung &'/ kai(meni" reguer* gll,8 bi!ing tid d
P'&.'In # ge'n dd nn !i"et'i! d !tti! dn din"i!
P# !te" ='e"it&! '& nn dn i'i !"
Pe# S,n,' d !el&'&* lngn '&8 bt! '& *ti d !el ig (8bt! '& l"b&ng d !el ig 6
A # !&' n! 9e!i&le'8 r$onki dan *eeCing tid d
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Pe"e'i!n i!i
Abd,"en#
In # !i"et'i!
P # le"!8 *e' tid te'b8 li" tid te'b8 n$e'i
tentid d
Pe# ti"ni
A # bi!ing &!&! n,'"l
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Pe"e'i!n i!i
E!t'e"it!#
&+t tid di 7&"i
GB# +,lli8 !il8 ing&inl tid te'b
Pd &ngg&ng bdn # t" bebe'l& dengn &&'n 45:/ +"8 &! ;>
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8/18/2019 Mr 30 Desember Yuey
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,t, lini!
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8/18/2019 Mr 30 Desember Yuey
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,t, lini!
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8/18/2019 Mr 30 Desember Yuey
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Pe"e'i!n Pen&n7ng
Lb,'t,'i&" RSUA 30122015#
?b # 1085 "gdl
?t # 2 F
E'i # 38%10(""3
Le&, # 1380%103""3
T',"b, # 32%103""3
N # 122 "",lL
# 285 "",lL
-l # 1 "",lL
GDS # 13/ "gdL
U'e&" # 1/ "gdL
'etinin # 082/ "gdL
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Ring!n
P!ien e'e"&n (5 t*&n8 !ien "e'&n !ieni'i"n d'i S%PD RS Me&': dengn dign,! ,!ten&'&nn e!d'n e+% Se!i! be't > &l&!de&bit&!% e!d'n "en&'&n !e7 2 b&ln SMRS8
!ien !&lit be',"&ni!i dn bn$ "engnt&8'i$t de"" ;>
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D=t' M!l* #
1% Se!i! e+ dd
1% ne&",ni ;?AP<
2% &l&! de&bit&!
2% Ul&! de&bit&! g'de III3% DM tie 2 ,9e'eig*t
)% ?i,nt'e"i *i,,!",l' n,'",9,le"i
5% ?i,le"i !edng
(% Ge'it'i ',ble" ;in=e!i8 i",bili!!i<
Masaa$ Pengka3ian en1ana en1ana
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Masaa$ Pengka3ian en1anaDiagnosis
en1anaTa"aaksana
Se!i! e+ dd1%Pne&",ni;?AP<
2%Ul&!dibeti&"
.L& di &ngg&ng 2b&ln SMRS.L& ln$ e+il
e"&din !e"in"e"be!'.L& &&'n 5: / +".S Ndi # Ti'di810(:i RR # 20 :"enit
T # 3(8/ -
<&' P&! HSTAB
.Bed Re!t
.ID N-l 08F20 gttI
.ID N-l 3F6gtti.I ',!,gn 1g'6 7".I Bi!,l9,n 1 g' 6 7"
.S- l,9en,: 08("g2) 7". SR 1:(00"g
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8/18/2019 Mr 30 Desember Yuey
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Masaa$ Pengka3ian en1anaDiagnosis
en1anaTa"aaksana
2. Dibete!Melit&! tie 2
- Menderita DM sejak 25tahun- Kontrol tidak teratur -Riw KGD tertinggi 200mg/dl- RPO : oat talet !"#diminum $%$& 'agi&glienklamid( )nsulin saatdirawat * ulan +ang lalu-Riwa+at keluarga denganDM !"#& iu 'asien-Penurunan erat adan 5 kgdalam 2 ulan
- KGD,: $5 mg/dl- )M. 2$& !normoweight#
Di'ikirkan suatu DM ti'e 2normoweight
&nd&!+,i
.Diet 100 l
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8/18/2019 Mr 30 Desember Yuey
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TERIMA ASI?