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LAPORAN KEMATIAN

RES
Dr.fariz
Name
:
Admitted :

Mr.L/41th
2-1-14 2-1-14

DIAGNOSA
JAM
CKD V
+ oedem
Paru
+
hyperkalemia
+ Ht sta I
+
Cardio
vascular
event

12.45

PERJALANAN PENYAKIT
T
N
RR
t
140/70

KET.
GCS

156

34

37.8

111

Tanda distress
nafas masuk
RES, Intubasi.
EKG Tall
Tkoreksi,
Cek lab
Rh +/+

13.20 141/78

161

36

14.00 100/60

79

28

111

14.30 100/40

62

28

111

15.00 90/80

53

28

111

15.30 90/40

40

24

111

Adrenalin 1 mg

15.45 ttu

ttu

apneu

RJPO, tidak
respon.
Meninggal
CM:
cardiovascular
event

Retriksi cairan
PU=50 cc

KUu: sesak nafas,


sejak 1 mgg, memberat
1 hr ini, mual+,
muntah tiap makan +,
sering lemas+, BAK
berkurang 1 mgg ini,
kaki bengkak +, wajah
bengkak.
RPD DM-, HT -, batu
guinjal -

Ku: lemah, GCS: 111 , T: 140/70 N:


156x /m RR: 34x/m tax 37.8
K/L an+/ict-/D+/C-/JVP
Tho:
c/sis2tgl, m-, g-, ict ICS V MCL S
p/rh+/+, wh- v/v, s/s
Abd: Soepl, BU + N, H/ttb, L/ttb, asites+,
Ekst: HKM, oedem +/+

CKD V
+
Oedem Paru
+
Asidosis metabolic
+
Hyperkalemia
+
Anemia
Hb= 8.1 HCT=23.6 WBC=10.9 gran= 83.9 +
PLT= 170 Bun/Sk= 195.4/32 OT/PT=
HT sta 1
45/18 GDA/Alb= 171/3.1 BilT/D= - CRP=
-105 BGA= 7.18/34/43/12.7/-15.7/64
SE=138/8.5/103 =

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