Cue and Clue

Cue & Clue PL Idx

1.1. Uremic encephal opathy 1.1.1. d.t. CKD st V

PDx

PTx
O2 2-4 Lpm (NC) Bed rest Semifowler position HD cito Low protein diet 0,6-0,8 g/kg BW/day NaCl 3% 10 dpm Furosemide 40mg40mg-0 (iv) Metoclopramide 3x10mg (iv) Ranitidine 2x50mg (iv) Nifedipine 2x10mg (po)

Pmo
Subject ive BP HR Ur/Cr SE

Male/27 y.o 1. Seizure Seizu History of re hypertension and for 10 years uncontrolled Nausea and vomiting BP: 180/90 Rhonki at lower lung Ur: 409.5 Cr: 31.2 Na/K/Cl : 133/7.2/86

Cue & Clue Male/ 27 y.o -Blurred vision for 1 yr -Nausea & vomiting -Family history of hypertension + -Smoking -TD : 180/90 -Nadi : 109x/min -RR : 28x/min -Pitting edema

PL

IDx

PDx

PTx

Pmo
Subjecti ve BP

Hypertens 2.1 ion Stage Second 2 ary HT 2.2 Essenti al HT

-Fundus Clonidine 3x0,15mg (po) copy Consult to ophthal mologist

Male/ 27 y.o CKD st V Seizure History of hypertension and for 10 years uncontrolled Nausea and vomiting BP: 180/90 Rhonki at lower lung Ur: 409.5 Cr: 31.2 Na/K/Cl : 133/7.2/86

O2 2-4 Lpm (NC) HD cito Low protein diet 0,60,8 g/kg BW/day Furosemide 40mg40mg-0 (iv) Metoclopramide 3x10mg (iv) Ranitidine 2x50mg (iv) Nifedipine 2x10mg (po)

Subject ive BP HR Ur/Cr SE

Cue & Clue

Male/27 yo Shortness of breath for 2 months with and without exertion Orthopneu Hypertension since 1 year ago Took medication but not regularly BP:180/90 PR:109 Cardiomegaly JVP r+5cm H20 30 ECG: sinus tachycardia, tendency RVH Female/27 yo Pucat Konjunctiva anemia Hb:6.1 Hematokrit : 17.8%

PL
3.Heart Failure stage C fc IV

Idx

PDx

PTx
O2 2-4 Lpm via NC Drip Furosemide 10mg/hour Clonidine 3x0,15mg (po)

Pmo
Subje ctive BP HR

3.1.HHD Echocardi 3.2.CAD ography 3.3.Uremi c cardiomy opathy

4.Anemia normochr omic normocyt er

5.1. due to no.3 5.2. due to blood loss

Blood smear SI/TIBC Ferritin serum Reticulocy te count

Plan to give erythropietin

Hb