power point hdk

8/15/2019 Power Point Hdk

http://slidepdf.com/reader/full/power-point-hdk 1/40

HIPERTENSI DALAMHIPERTENSI DALAMKEHAMILANKEHAMILAN

Oleh :Oleh :BOX KB/NIFASBOX KB/NIFAS

Pembimbing :Pembimbing :Dr.Dr. Hj.Hj. ERMA ATI! S".O#$K ERMA ATI! S".O#$K



Di %ni&e' S&(&eDi %ni&e' S&(&e "en)(*i& )g menj('i"en)(*i& )g menj('i*+m"li*(,i*+m"li*(,i - $ "er,en ge,&(,i.- $ "er,en ge,&(,i.

&(h n 0111 :&(h n 0111 :Pr+gr(m Pen'i'i*(n N(,i+n(l D(r(hPr+gr(m Pen'i'i*(n N(,i+n(l D(r(h

Tinggi Tinggi

Hi"er&en,i Hi"er&en,

ige,&(,i+n

(l

Pre$e*l(m",i(

Hi"er&en,i *r+ni*

Pre$e*l(m",i('im(, **(n

'(l(m hi"er&en,i

*r+ni*



HIPERTENSIHIPERTENSI

KRONIK KRONIK De2ni,i :De2ni,i :

Te*(n(n '(r(h 3451/61 mm Hg (&( Te*(n(n '(r(h 3451/61 mm Hg (&(lebih7lebih7

8 01 mingg *eh(mil(n (&(8 01 mingg *eh(mil(n (&(mene&(" 9 40 mingg "+,&"(r& m.mene&(" 9 40 mingg "+,&"(r& m.



HIPERTENSIHIPERTENSIKRONIKKRONIK

Peng+b(&(n :Peng+b(&(n :

men;eg(h *er ,(*(n +rg(nmen;eg(h *er ,(*(n +rg(n

$ Me&h)l'+"( ,e'i((n )g ,ering$ Me&h)l'+"( ,e'i((n )g ,ering'ig n(*(n'ig n(*(n$ L(be&(l+l$ L(be&(l+l$ Ni<e'i"ine$ Ni<e'i"ine

$ Angi+&en,in ;+n=er&ing en>im inhibi&+r$ Angi+&en,in ;+n=er&ing en>im inhibi&+r$ Angi+&en,in II re,e"&+r (n&(g+ni,$ Angi+&en,in II re,e"&+r (n&(g+ni,$ Be&( bl+*er (&en+l+l$ Be&( bl+*er (&en+l+l



$$ Angi+&en,in ;+n=er&ing en>im inhibi&+rAngi+&en,in ;+n=er&ing en>im inhibi&+r$ Angi+&en,in II re,e"&+r (n&(g+ni,$ Angi+&en,in II re,e"&+r (n&(g+ni,$ Be&( bl+*er (&en+l+l$ Be&( bl+*er (&en+l+l

&er(&+geni*!&er(&+geni*!in&r( &erine gr+?&h re&(r'(&i+n 3I%#R7in&r( &erine gr+?&h re&(r'(&i+n 3I%#R7g(g(l ginj(l ne+n(& ,g(g(l ginj(l ne+n(& ,

HIPERTENSI KRONIK



Hipertensi GestasionalHipertensi Gestasional

De2ni,i :De2ni,i :?(ni&( )g men'eri&( hi"er&en,i &(n"(?(ni&( )g men'eri&( hi"er&en,i &(n"("r+&ein ri( ,e&el(h 01 mingg m(,( ge,&(,i."r+&ein ri( ,e&el(h 01 mingg m(,( ge,&(,i.

@1 ?(ni&( h(mil 305$ @ mingg 7@1 ?(ni&( h(mil 305$ @ mingg 7 hi"er&en,ihi"er&en,ige,&(&i+n(lge,&(&i+n(l "re$e*l(m,i(."re$e*l(m,i(.



PRE$EKLAMPSIAPRE$EKLAMPSIA

De2ni,i :De2ni,i :, (& "en)(*i& m l&i+rg(n )(ng e&i+l+gin)( &i'(, (& "en)(*i& m l&i+rg(n )(ng e&i+l+gin)( &i'(*'i*e&(h i )(ng 'i&(n'(i 'eng(n hi"er&en,i '(n'i*e&(h i )(ng 'i&(n'(i 'eng(n hi"er&en,i '(n"r+&ein ri( ,e&el(h 01 mingg *eh(mil(n."r+&ein ri( ,e&el(h 01 mingg *eh(mil(n.

F(*&+r re,i*+F(*&+r re,i*+$ hi"er&en,i *r+ni*$ hi"er&en,i *r+ni*

$ "en)(*i& *r+ni* ginj(l$ "en)(*i& *r+ni* ginj(l$ *eh(mil(n 'eng(n ,i( ib lebih '(ri 51 &(h n$ *eh(mil(n 'eng(n ,i( ib lebih '(ri 51 &(h n$ m l&i ge,&(,i$ m l&i ge,&(,i$ n li"(r($ n li"(r(



Pen;eg(h(nPen;eg(h(n

*(l,i m! m(gne,i m! +meg($ =i&(min*(l,i m! m(gne,i m! +meg($ =i&(min(n&i+*,i'(n(n&i+*,i'(n &i'(* e<e*&i<.&i'(* e<e*&i<.

Di(gn+,i,Di(gn+,i,$ Te*(n(n '(r(h 'i * r ,e&i(" * j ng(n$ Te*(n(n '(r(h 'i * r ,e&i(" * j ng(n(n&en(&(l.(n&en(&(l.$ Kri&eri( 'i(gn+,i, :$ Kri&eri( 'i(gn+,i, :

&e*(n(n '(r(h 3451/61 mmHg (&( 97 "'&e*(n(n '(r(h 3451/61 mmHg (&( 97 "'0 *(li0 *(li "eng * r(n j(r(* - j(m"eng * r(n j(r(* - j(m

"r+&ein ri( 9 11 mg/05 j(m"r+&ein ri( 9 11 mg/05 j(m

PRE$EKLAMPSIA



K+m"li*(,iK+m"li*(,i

$$ I%#RI%#R$ Pl(,en&( le"(,$ Pl(,en&( le"(,$ Kem(&i(n j(nin$ Kem(&i(n j(nin

$ HELLP ,)n'r+m 3hem+li,i,! mening*(&n)($ HELLP ,)n'r+m 3hem+li,i,! mening*(&n)(en>imen>im h(&i '(n hi& ng "l(&ele&7h(&i '(n hi& ng "l(&ele&7 01 01

PRE$EKLAMPSIA



Pen(&(l(*,(n((nPen(&(l(*,(n((n

M(gne,i m , l<(&M(gne,i m , l<(& An&i hi"er&en,i 3L(be&(l+l! h)'r(l(>ine!An&i hi"er&en,i 3L(be&(l+l! h)'r(l(>ine!

ni<e'i"ine7 ni<e'i"ine7

Ter("i ;(ir(n Ter("i ;(ir(n Termin(,i *eh(mil(n Termin(,i *eh(mil(n

$ P+,&"(r& ,$ P+,&"(r& , *em ng*in(n e*l(m",i( 35*em ng*in(n e*l(m",i( 35 j(m7 j(m7 m(gne,i m , l<(& 340$05 j(m/m(gne,i m , l<(& 340$05 j(m/

lbh7lbh7 ni<e'i"ineni<e'i"ine

PRE$EKLAMPSIA



Pr+gn+,i, PEB *ri&eri( EDENPr+gn+,i, PEB *ri&eri( EDEN

Kej(ng 9 41 *(liKej(ng 9 41 *(li Te*(n(n '(r(h ,i,&+li* 9 011 Te*(n(n '(r(h ,i,&+li* 9 011mmHgmmHg

N('i 9 451 *(li/meni&N('i 9 451 *(li/meni&N(<(, 9 51 *(li / meni&N(<(, 9 51 *(li / meni&S h 9 6S h 9 6 °° CCE'em( 3 7E'em( 3 7Pr+&ein rin 9 3 57Pr+&ein rin 9 3 57



L("+r(n K(, ,L("+r(n K(, ,

Se+r(ng "(,ien ?(ni&( m r 5@Se+r(ng "(,ien ?(ni&( m r 5@&(h n m(, * KB I#D RS%D A;hm('&(h n m(, * KB I#D RS%D A;hm('M+;h&(r &(ngg(l 4 j(n (ri 0141 j(mM+;h&(r &(ngg(l 4 j(n (ri 0141 j(m4 .51 IB *irim(n '(ri bi'(n 'e,(4 .51 IB *irim(n '(ri bi'(n 'e,('eng(n 'i(gn+,( # P A1H- #r(=i''eng(n 'i(gn+,( # P A1H- #r(=i'

A&erm Hi"er&en,iA&erm Hi"er&en,i



Ri?()(& Pen)(*i& Se*(r(ng

N)eri "ingg(ng menj(l(r *e(ri$(ri,ej(* j(m )(ng l(lKel (r '(r(h '(ri *em(l (n ,ej(*

j(m )(ng l(l ! '(r(h ,e'i*i&

ber?(rn( mer(h &er(ng.Kel (r '(r(h ber;(m" r len'ir ,ej(* j(m )(ng l(l .



Kel (r (ir$(ir )(ng b(n)(* '(ri*em(l (n &i'(* ('(

Kel (r '(r(h )(ng b(n)(* '(ri*em(l (n &i'(* ('(Ri?()(& ,(*i& *e"(l(! n)eri l h(&i!

"(n'(ng(n *(b r 'i,(ng*(l Ti'(* h(i' ,ej(* lebih * r(ng 6 b l(n)(ng l(l .



HPHT : 0@$5$0116 T(*,ir(n P(r& , :14$10$0141

#er(* (n(* 'ir(,(*(n ,ej(* @ b l(n )(ngl(l .Ri?()(& h(mil m '(: m (l 3 7! m n&(h 3 7!"er'(r(h(n 3$7

Pren(&(l C(re &er(& r: &er(& r *e bi'(n.Ri?()(& h(mil & (: m (l 3$7! m n&(h3$7!"er'(r(h(n 3$7



Ri?()(& Men,&r (,i: men(r;he: 4 &(h n!,i*l , &er(& r 4 0 h(ri! l(m(n)( @$ h(ri!

b(n)(*n)( $5 g(n&i ' */h(ri! n)eri 3$7.

Ri?()(& Pen)(*i& D(h l Ti'(* "ern(h men'eri&( "en)(*i& j(n& ng!"en)(*i& "(r ! "en)(*i& ginj(l! "en)(*i&he"(r! hi"er&en,i '(n "en)(*i& 'i(be&e,meli& ,.



Ri?()(& Pen)(*i& Kel (rg( Ti'(* ('( (ngg+&( *el (rg( )(ngmen'eri&( "en)(*i& *e& r n(n!"en)(*i& men l(r '(n "en)(*i&*eji?((n.

Riwayat perkawinan : 1 x tahun1987.



Ri?()(& *eh(mil(n / (b+r& , / "er,(lin(n :/1/

&(h n 46 ! l(*i$l(*i! 0 11 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.&(h n 46 6! l(*i$l(*i! 111 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.

&(h n 4661! l(*i$l(*i! 111 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.



&(h n 4660! "erem" (n! 11 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.&(h n 466-! l(*i$l(*i! 111 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.&(h n 466 ! "erem" (n! 111 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.&(h n 0114! "erem" (n! 111 gr! (&erm! ,"+n&(n"er=(gin(m! bi'(n! l(ng, ng men(ngi, * (&.,e*(r(ng



Ri?()(& "em(*(i(n *+n&r(,e",i : 4., n&i* &(h n 4660! ,e*(li b l(n,el(m( 01 b l(n

0., n&i* &(h n0114! ,e*(li ,eb l(n ,el(m( b l(n.

Ri?()(& Im ni,(,i : 3$7



Pemeri*,((n Fi,i* :Ke('((n m m : Se'(ng Ke('((n gi>i :,e'(ngKe,('(r(n : CMC Dem(m : 3 $ 7

Te*(n(n '(r(h : 011/ 441 mmHg Si(n+,i, : 3 $ 7Fre* en,i n('i : 61 × /meni& Anemi, : 3 $ 7

Fre* en,i n(<(, : 01 × /meni& TB : 4@-;m

S h : C BB : @ *g



Se&el(h ,(m"(i 'i I#D 'il(* *(n "emeri*,((n 2,i* '(n'i'("(&*(n : Pemeri*,((n %m m

Ke('((n m m: ,e'(ngKe,('(r(n : *+m"+,men&i, *++"er(&i<

Te*(n(n '(r(h : 4 1/411 mmHgFre* en,i n('i : 0 / meni&Fre* en,i n(<(,: 01 / meni&S h : 1 C

TB : 456 ;m BB : -1 *g I*&er , : 3$7 Si(n+,i, : 3$7

BGA : 451 Hi, : 3$7 G ml(h %rin : 411 ;;/j(m Pr+&ein : Re e* P(&ell( :



Di(gn+,( :#5P A1H #r(=i' (&erm PEB

An(* hi' " & ngg(l in&r( &erinele&(* *e"(l(Si*(" : Regimen SM '+,i, ini,i(l'(l(m 4@ meni&Ren;(n( : Regimen SM '+,i,M(in&en(n;e



Ri?()(& Pen)(*i& ,e*(r(ng

N)eri "ingg(ng menj(l(r *e(ri$(ri &i'(* ('(Kel (r len'ir ;(m" r '(r(h '(ri *em(l (n

&i'(* ('(.Kel (r (ir$(ir )(ng b(n)(* '(ri *em(l (n&i'(* ('(Kel (r '(r(h$'(r(h )(ng b(n)(* '(ri

*em(l (n &i'(* ('(Ri?()(& ,(*i& *e"(l(! n)eri l h(&i!"(n'(ng(n *(b r 'i,(ng*(l



L(nj &(n................L(nj &(n................ Ti'(* h(i' ,ej(* lebih * r(ng 6 b l(n )(ng Ti'(* h(i' ,ej(* lebih * r(ng 6 b l(n )(ng

l(l .l(l .HPHT : L "( T(*,ir(n P(r& , : S *(rHPHT : L "( T(*,ir(n P(r& , : S *(r'i&en& *(n.'i&en& *(n.

#er(* (n(* 'ir(,(*(n ,ej(* @ b l(n )(ng#er(* (n(* 'ir(,(*(n ,ej(* @ b l(n )(ngl(l .l(l .Ri?()(& h(mil m '(: m (l 3 7! m n&(h 3$7!Ri?()(& h(mil m '(: m (l 3 7! m n&(h 3$7!"er'(r(h(n 3$7"er'(r(h(n 3$7

Ri?()(& men,&r (,i :men(r;he 4 &(h n!Ri?()(& men,&r (,i :men(r;he 4 &(h n!,i*l , &er(& r 4 0 h(ri! l(m( @$ h(ri!,i*l , &er(& r 4 0 h(ri! l(m( @$ h(ri!b(n)(* 0$ g(n&i ' */h(ri! n)eri 3$7b(n)(* 0$ g(n&i ' */h(ri! n)eri 3$7



PNC :*+n&r+PNC :*+n&r+ ll &er(& r *e&er(& r *e" ,*e,m(," ,*e,m(,



Ri?()(& Pen)(*i& D(h lRi?()(& Pen)(*i& D(h l

Ti'(* "ern(h men'eri&( "en)(*i& Ti'(* "ern(h men'eri&( "en)(*i& j(n& ng! "en)(*i& "(r ! "en)(*i& j(n& ng! "en)(*i& "(r ! "en)(*i&

ginj(l! "en)(*i& he"(r! hi"er&en,i '(nginj(l! "en)(*i& he"(r! hi"er&en,i '(n"en)(*i& 'i(be&e, meli& ,."en)(*i& 'i(be&e, meli& ,.



Ri?()(& Pen)(*i& Kel (rg(Ri?()(& Pen)(*i& Kel (rg(

Ti'(* ('( (ngg+&( *el (rg( )(ng Ti'(* ('( (ngg+&( *el (rg( )(ngmen'eri&( "en)(*i& *e& r n(n!men'eri&( "en)(*i& *e& r n(n!men l(r '(n *eji?((n.men l(r '(n *eji?((n.

Ri?()(& Per*(?in(n :Ri?()(& Per*(?in(n : 4 X &(h n 46 -4 X &(h n 46 -

?()(?()(



?()(?()(Keh(mil(n/Ab+r& ,/Per,(lin(Keh(mil(n/Ab+r& ,/Per,(lin(

nn5/1/5/1/ T(h n 46 -! "erem" (n! 011 gr! T(h n 46 -! "erem" (n! 011 gr!(&erm! =(* m e*,&r(*,i (&(, in'i*(,i(&erm! =(* m e*,&r(*,i (&(, in'i*(,i"(r& , l(m(! RSMG! hi' "."(r& , l(m(! RSMG! hi' ".

T(h n 466 T(h n 466 ! !! ! 11 gr! (&erm! ,"+n&(n!11 gr! (&erm! ,"+n&(n!bi'(n! hi' ".bi'(n! hi' ".

T(h n 4666! ! 111 gr! T(h n 4666! ! 111 gr!(&erm!(&erm! ,"+n&(n!bi'(n!hi' ","+n&(n!bi'(n!hi' "Se*(r(ngSe*(r(ng

4 / 1 / 1



Ri?()(& Pem(*(i(n

K+n&r(,e",iS n&i* 4 b l(n '(ri 4666 J 011

Ri?()(& Im ni,(,i :3$7



TB : 456 ;m TB : 456 ;mBBBB :: -1 *g-1 *g



Pemeri*,((n Si,&emi*Pemeri*,((n Si,&emi*

M(&( : *+nj ng&i=( &i'(* (nemi,!M(&( : *+nj ng&i=( &i'(* (nemi,!,*ler( &i'(* i*&eri*,*ler( &i'(* i*&eri*Leher :G P @$0 ;mH0+Leher :G P @$0 ;mH0+

THT : &i'(* ('( *el(in(n THT : &i'(* ('( *el(in(n Th+r(* : C/P 'bn Th+r(* : C/P 'bn



S&(& , Ob,&e&ri* ,S&(& , Ob,&e&ri* ,

T(n'( h(mil :3 7 T(n'( h(mil :3 7Ab'+men : I : memb n;i& ,e, (i ,i(Ab'+men : I : memb n;i& ,e, (i ,i(*eh(mil(n (&erm*eh(mil(n (&erm

P( : L4 :P( : L4 : F%T &er(b( j(riF%T &er(b( j(rib" ! &er(b( m(,,( be,(r! l n(*!b" ! &er(b( m(,,( be,(r! l n(*!

n+' lern+' ler L0 :&(h(n(n &erbe,(rL0 :&(h(n(n &erbe,(r

,ebel(h *iri! b(gi(n *e;il,ebel(h *iri! b(gi(n *e;il j(nin j(nin *(n(n*(n(n



T : "emb *((n 4 j(ri "+r&i+ :&eb(l 4 ;m! me'i(l! l n(* *e& b(n 3 7! &er(b( *e"(l( h+'ge

4%PD :Pr+m+n&+ri m , li& 'inil(i! line(

inn+min(&( &er(b( 4/ J 4/ ! +,.S(;r m ;e* ng! 'in'ing ,(m"ing"(ngg l l r ,! ,"in( i,;hi('i;( &i'(*men+nj+l! +,. C+;)gi, m '(h

'iger(**(n! (r; , " bi,9 61 .%PL :: 'i,&en,i( in&er& ber+, m '("(&'il(l i 4 &inj 'e?(,( 3941!@ ;m7



Pemeri*,((n L(b :Pemeri*,((n L(b : '(r(h : Hb :'(r(h : Hb : 44!- gr44!- gr

le *+,i& :41.-11/mmle *+,i& :41.-11/mm

H& : H& : Tr+mb+,i& :4 1.111/mm Tr+mb+,i& :4 1.111/mm

rine : "r+&ein :rine : "r+&ein :

Di(gn+,i, Kerj( :Di(gn+,i, Kerj( :#5P A1H#5P A1H #r(=i' (&erm PEB#r(=i' (&erm PEB

An(* hi' " & ngg(l in&r( &erinAn(* hi' " & ngg(l in&r( &erin le&(* *e"(l(le&(* *e"(l(



Si*(" : Be're,& Regimen m(gne,i m , l<(& C+n&r+l K%! i&(l ,ign! BGA! HIS Ce* l(b+r '(r(h leng*("! *imi(

'(r(h %S# EK# K+n, l M(&( K+n, l In&erne



Ren;(n(: Termin(,i *eh(mil(n "(r& ,

"er=(gin(m

power point hdk

Documents