peb dan eklamsi

7/24/2019 PEB Dan Eklamsi

1/31

PREEKLAMPSIBERAT (PEB)

&EKLAMPSIdr. Arief Solehudin,SpOG.M.ke


2/31

TERLAMBAT

ME!GE!AL

TA!"ABA#A$A

TERLAMBAT

ME!GAMBI

LKEP%T%SA!

TERLAMBAT

ME!APAI

'ASILITASKESE#ATA!

TERLAMBT

ME!"APAKA!

PERTOLO

GA! "I'ASILITAKESE#AT

!

PERMASALA#A! OBGI!PA"A ERA BPS


3/31

ABORTUS DISTOSIA EKLAMSIA KET

PERDARAHANANTE PARTUM

PERDARAHANPOST PARTUM

INVERSIO UTERI FEBRIS

HEG DENGANDEHIDRASI

PERSALINANKEHAMILAN RISIKOTINGGI DAN ATAU

PERSALINANDENGAN PENYAKIT

KRITERIA GA*AT "AR%RATKEBI"A!A!

P+ndu+n


4/31

PE!$EBAB KEMATIA!

IB% "I I!"O!ESIA

PERDARAHAN

EKLAMSI INFEKSI PARTUSLAMA

ABORT


5/31

PEB

(8) 36%

Eklam!

(6)"#%

PERDARAHAN

($) ""%

EMBOLI

() &%

REKAPIT%LASI PE!$EBAB KEMATIA! KOTA S%KAB%MI "I RS%" S$AMS%"I!,S# TA#


6/31

A!ALISA KAS%S


7/31

Nama * N+, M ' GP-A-

U!a * .a/01

P21!ka/a1 * 4 521a1 0am! !1! " .a/01

HPHT * "& 70l! "-& ( 38 m!10 )

K2l0/a1 0.ama * .2ka1a1 5aa/ .!1! R!a+a. S2kaa1 * 9a!21 5a.a1 521a1 .2ka1a1

5aa/ .!1! 2:ak & /a! SMRS

P2m2!kaa1 F!!k* 6-"- mmH

KAS%S /


8/31

A9a 92m2!kaa1 +a1 A15

aa1ka1; 5a1 .!15aka1 a9a+a1 A15a lak0ka1 a.>;G0a5!; P>? Lam!aa M; T>m @; R2!1al5 F, P22klam9!aEklam9!a * PaO.2.! 5a1 N2>1a.al Em221! K>m92/21!? (PONEK), 7NPKKR;POGI;USAIDC "--8

"IAG!OSIS

Pre1ekl+2piRin3+n

Pre1ekl+2piBer+4

Ekl

T" 5 /0622#3

Si4olik 7 /8 22#3+4+u di+4olik 7 //

22#3

Ke9+n34+nke

neu

Pro4einuri+ 5 /; Pro4einuri+ 5 -; +4+upro4ein 4o4+l -3-0

9+2

Pro4ein To4+l 5i2 h+4i 2enin3k+4


10/31

PATO'ISIOLOGI


11/31

, D!?01! 215>.2l 252ma; 9>.2!10!;

/2m>k>121.a!", Va>9am2 /!92.21!; >l!0!a; !k2m

>l0!> 9la21.a; k2:a1

3, Ak.!a! k>a0la! .>m>!.>921!a;

921001a1 92?0! 0.2>9la21.a&, P2l29aa1 m>l2k0l a>ak.!? (9>.ala1

215>.2l!1)m21001ka1 92?0!

3, =!k1:>a.>;G0a5!; P>? Lam!aa M; T>m @; R2!1al5 F, P22klam9!aEklam9!a * PaO.2.! 5a1 N2>1a.al Em221! K>m92/21!? (PONEK), 7NPKKR;POGI;USAIDC "--8


12/31

", @011!1/am FG; L221> K7; Bl>>m SL; 25,A>.!>1, I1 * =!ll!am O.2.!, "&1525,


13/31

", @011!1/am FG; L221> K7; Bl>>m SL; 25,A>.!>1, I1 * =!ll!am O.2.!, "&1525,


14/31

,P25aa/a1 5a1 12k>!",E15>.2l!al ka9!l2 l>m23,T!5ak a5a1+a 5!la.a! a

9!al!

P+4olo3i d+n

P+4o3enei

3, =!k1:>a.>;G0a5!; P>? Lam!aa M; T>m @; R2!1al5 F, P22klam

P2la.!/a1 P2la+a1a1 O.2.! 5a1 N2>1a.al Em221! K>m92/KR;POGI;USAIDC "--8


15/31

", @011!1/am FG; L221> K7; Bl>>m SL; 25,AO.2.!, "&1525, N2 Y>k* MGaH!llC"--$


16/31

Per++4+n Koner:+4if

@


17/31

PERA*ATA! KO!SER

, P25>ma1 D!a1>.!k 5a1 T2a9! O.2.

INDIKASI

TU7UAN PERA=ATAN

PENGOBATAN MEDISINAL 5a1

" 4 "& :am .!5ak a5a 92a.2m!1a!


18/31

PERA*ATA! AKTI'

, P25>ma1 D!a1>.!k 5a1 T2a9! O.2.

INDIKASI

PENGOBATAN MEDISINAL, I1?0 RL", MSO&3, D!02.!k0m

&, A1.!/!92.21!

5>9am2. $, Ka5!>.>1!ka6, La!1la!1 ( A1.!9!2.!k;

A1.!!>.!ka;A1.!1+2!)

. PENGELOLAHAN OBSTETRI


19/31

A9a a.! 5a!L!5>ka!1 "% ma1 D!a1>.!k 5a1 T2a9! O.2.!k 5a1 G!12k>l>! RS DR, HASAN SADIKIN


21/31

LOADING DOSE & (- MSO&

&-%)

-- RL

$"- m21!.

MAINT- ("$

&

$--

"-3An4ido4 K+liu2 Glukon+ /, P25>ma1 D!a1>.!k 5a1 T2a9! O.2.!k 5a1 G!12k>l>! RS DR, HASAN SADIKIN

ARA PEMBERIA! M3SO


22/31

L+9u !+p+ 7 /8F2eni4

%rin Ou4pu4 7/ 2l 0 9+2

Reek Hiolo3i ?+ik d+n 4id+k+d+ reek p+4olo3i

Teredi+ +n4ido4u2 +Glukon+ /D

S=+r+4 Pe2?eri+nM3SO0


23/31

AB

A

Berihk+n d+n l+n+rk+n 9+n+p+

B P++n3 2+ker oki3en

kon4rol 4ek+n+n d+r+h 4in3infu

An4ikon:ul+n M3SO0

An4ihiper4eni dop+2e4 nife

R%%K JJJ

PE!A!GA!A! EKLAMPSI

3, =!k1:>a.>;G0a5!; P>? Lam!aa M; T>m @; R2!1al5 F, P22klam9!aEklam9!a * PaO.2.! 5a1 N2>1a.al Em221! K>m92/21!? (PONEK), 7NPKKR;POGI;USAIDC "--8


24/31

KENALI KAPAN BERIKAN OBATHIPERTENSI

KONTROL SETIAP " MINGGU

KENALI TANDA BAHAYA IMPEKLAMSI

BERANI MEMBERIKAN MGSO&

RU7UK

#IPERTE!SI "ALAM KE#AMILA!

TAKE #OMEMESSAGES


25/31

A!ALISA KAS%S


26/31

!=. M, G/PA, , /6 4+hun, 3r+:id


27/31

P+ien !=. M, G/PA, /6

4+hun, 3r+:id


28/31

A9a .!15aka1 +a1 A15lak0ka1 K7; Bl>>m SL;25,A>.!>1, I1 * =!ll!am O.2.!, "&1525, N2 Y>k* MGaH!llC"--$

3, =!k1:>a.>;G0a5!; P>? Lam!aa M; T>m@; R2!1al5 F, P22klam9!aEklam9!a *Pak2. P2la.!/a1 P2la+a1a1 O.2.! 5a1N2>1a.al Em221! K>m92/21!?(PONEK), 7NPKKR;POGI;USAIDC "--8


31/31

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