Pasien 18 tahun , Systemic Lupus Erythromatous

Anamesis:

Kejang selama 3 menit tonik klonik, sakit kepala, demam (-), mual (+), manisfestasi NP
SLE (Neuropsychiatric Systemic Lupus Erythematosus) , hematologi , Nefritis (Nefritis
adalah kerusakan pada bagian glomerulus ginjal akibat infeksi kuman umumnya bakteri
streptococcus), arthritis , mucositis (inflamation or ulceration inthe mucous membrane
of gastrointestinal tract).

Pemeriksaan Fizik

 Kondisi Umum: Compos mentis (sadar sepenuhnya), Lemah

 Td: 150/110 (hypertension stage 2)
 Nadi: 106 x/ menit (60- 100)
 Respirasi: 24 X / menit (12-18)
 Suhu : 37.6 ‘ C
 SpO2 : 97 % RA (peripheral capillary oxygen saturation, an estimate of the
amount of oxygen in the blood) ( normal 95-100%)

Pemeriksaan Penunjang

1. AL : 11,32
2. Creatinine : 2,39 (identify the glomerular filtration rate (GFR), which is an
indicator of overall kidney function) 60 to 110 micromoles per liter (mmol/L)
(0.7 to 1.2 milligrams per deciliter (mg/dL)) for men and 45 to 90 mmol/L (0.5 to
1.0 mg/dL) for women: result of the creatinine blood test to calculate GFR,
which is a more specific measure that can indicate chronic kidney disease.
3. Natrium : 133 (135 and 145 milliequivalents per liter (mEq/L). (signs and
symptoms of hyponatremia, such as nausea and vomiting, confusion,
seizures, or lost consciousness)
4. Osmolar : 277 ( normal : > 800 mOsm/kg)
5. Urinalisa (
 Blood 3+ (normal : ≤3 RBCs)
 Eritrosit 761
 Protein 3 + (proteinuria)

Daftar Permasalahan

1. SLE dengan manisfestasi neuropsikiatridan relal

2. Suspek metabolIk dd vaskuler pada SLE ?
3. Chronic Kidney Disease Stage V
4. Hypertensi stage II
5. Hiponatremia hipoosmolar