LAMERKABEL, VICTOR1, PARNA, DIAN RASEKA2, GUSTI, IRWAN3

General Practitioner 1
Anesthesiologist at Intensive Care Unit 2
Obstetrician and Gynecologist 3
Scholoo General Hospital
South Sorong, West Papua

Patient 1 Patient 2
 In developing countries, the incidence of preeclamsia ranges betwen 4-18%.
 Preeclamsia is a specific syndrome of pregnancy in the form of reduced organ perfusion due
to vasospasm and endothelial activation, the disease is a disease with signs of hypertension,
edema and proteinuria. Figure 3.Pharmacology of diuretic
 Pulmonary edema usually occurs in patients with severe preeclamsia and eclamsia and is the http://fhm-unlimited.blogspot.co.id/2012/02/renal-
leading cause of death. pharmacology.html
 Furosemide is a type of loop diuretic .
 Hypokalemia is a constant threat in patients treated with furosemide.
X-ray after Labor

 Giving diuretics (furosemid) caused Hypokalemia, researched conducted by departement

of Clinical Pharmacy Faculty of Pharmacy Airlangga and Departement of Cardiology and
To report the management of furosemide in eclamsia and severe preeclamsia patients with Vaskular Medicine, dr Wahidin Sudirohusodo Hospital, Makassar. Concluded 37 of heart
pulmonary edema through monitoring of patassium levels failure Patients with furosemide therapy indicate 81,1% or 30 of heart failure patients with
normal potassium levels
Figure 2.a . X-ray Patient 1 Figure 2.b . X-ray Patient 2
 The similiar case we found equal with our report which is eclamsia and severe preeclamsia
Dose furosemide/day 3x 20mg intravenous 3x 20mg intravenous
patients with pulmonary edema treated with furosemide therapy after 3x20 mg intravenous
for 3 days.we founded the potassium is in the normal levels
Fluid balance/3days -1722.5 ml -4165.5 ml
Patient 1 Patient 2
Identity Mrs.W, 37 yo,65kg Mrs.S 36 yo, 106 kg Potassium levels before 3.7mmol 3,5mmol
Diagnose Eclamsia Severe Preeclamsia furosemide
PHYSICAL BP : 186/121 mmhg BP: 189/83mmhg Potassium levels after catridge out of stock 4,2 mmol
EXAMINATION HR: 103 bpm, HR : 100 bpm furosemide CONCLUSION
Axilary temperature : 36,50C, Axilary Temperature : 36,50C, Oxygen support Simple mask Mechanical ventilator
RR: 24 Times per minute, RR : 30 Timer per minute,
Rhonci +/+ Rhonchi +/+  Giving of furosemide in patients eclamsia and severe preeclamsia with pulmonary edema is
SPO2 : 95% 02(Simple mask 8 Lpm ) SPO2 : 98 % (02 Nasal canule 3 Lpm) needed to reduce pulmonary edema
Edema pre tibial +/+ Edema pretibial +/+
 The results showed no significant differences between potassium levels pre and post
potassium levels. In conclusion, the use of furosemide therapy, the risk of hypokalemia not
significant but need to be monitored levels of potassium patient.

72 hours after intensive care

unit treatment

REFERENCE
Figure 1.a. Edema pretibial patient 1 Figure 1.b. Edema pretibial patient 2
1. Robert.K Stoetlting,Simon.C Hiller.Pharmacologyand physiology in anasthetic practice,2006
Albumin levels 2,2 g/dl 2,3 g/dl ;488-491
2. Cunningham FG,Leveno KJ,Bloom ,et al.William obstetrics 24th ed.McGraw-Hill,2012, ;1511-
Proteinuria (+) 4 (+) 3 1981
3. http://fhm-unlimited.blogspot.co.id/2012/02/renal-pharmacology.html
Labor Vaginal delivery Section sesarea delivery