Scribd Logo
Upload

Welcome to Scribd!

  • Bagan Alur Meningioma

    Uploaded by

    Riri Daynuri
    19 views2 pages
    The patient experienced headache for 1.5 years and was diagnosed with sphenoid wing meningioma based on CT scan findings. [1] The patient underwent craniotomy and was monitored in the ICU post-operation.[2] Symptoms improved but the patient still experienced headache and fever.[3] By the last reported date, symptoms further improved with treatment and the patient was being discharged.

    Original Description:

    Original Title

    BAGAN ALUR MENINGIOMA

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The patient experienced headache for 1.5 years and was diagnosed with sphenoid wing meningioma based on CT scan findings. [1] The patient underwent craniotomy and was monitored in the ICU post-operation.[2] Symptoms improved but the patient still experienced headache and fever.[3] By the last reported date, symptoms further improved with treatment and the patient was being discharged.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views2 pages

    Bagan Alur Meningioma

    Uploaded by

    Riri Daynuri
    The patient experienced headache for 1.5 years and was diagnosed with sphenoid wing meningioma based on CT scan findings. [1] The patient underwent craniotomy and was monitored in the ICU post-operation.[2] Symptoms improved but the patient still experienced headache and fever.[3] By the last reported date, symptoms further improved with treatment and the patient was being discharged.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    BAGAN ALUR

    10/10/19 23/10/19 29/10/19 31/10/ 19


    (HP 1) (HP 14, post op H+0, ICU) (HP 20) (HP 22)
    S : kontak (+), demam (-), nyeri
     KU nyeri kepala cekot-cekot kepala (-), kejang (-) KU : Nyeri kepala pada luka operasi (+),  KU :Nyeri kepala luka operasi (+)
    sejak 1.5tahun yang lalu KU: tampak sakit sedang demam (+) berkurang
     GCS : E4M6V5, VAS : 2-3 Kesadaran : Composmentis GCS : E4M6V5, VAS : 2-3 GCS E4 M6V5, VAS :0-1
    Status neurologis : GCS E4 M6V5, Status neurologis : GCS E4 M6V5, St.neurologis : Composmentis
     pupil bulat, isokor ø 3/3 mm, Mata : pupil bulat, isokor ø 4 mm/3 mm,
    refleks cahaya (+/+), proptosis Mata : pupil bulat, anisokor ø 5 mm/3
    refleks cahaya (menurun/+)  TV: TD: 110/70 mmHg, N: 92 x/mnt,
    bulbi dekstra mm, RC (menurun /+) Leher : kaku kuduk (-) RR: 22 x/mnt, t : 36.5°C SaO2 : 98%
     St.neurologis:CM Leher : kaku kuduk (-) Nn. Craniales : disfungsi N.II dekstra, spontan
     Nn. Craniales : dbn Nn. Craniales : disfungsi N.II paresis N.III OD  Mata : pupil bulat, isokor ø 4 mm/3
     Motoric dan sensibilitas : dbn dekstra, paresis N.III OD Assessment : mm, refleks cahaya (turun /+)
     MSCT Scan kepala : SOL Motorik dan sensibilitas dbn Post craniotomy H+6 sphenoid wing Leher : kaku kuduk (-)
    meningioma Nn. Craniales : disfungsi N.II dekstra,
    intracranial, gambaran sphenoid Anemia (7.5)
    wing meningioma Ass : SOL intrakranial dd / sphenoid parese N.III OD
    Hipocalsemi (1.8)
    Ass. SOL intrakranial dd / sphenoid wing meningioma post craniotomy Motorik : dbn
    Hipokalemi (3.2)
    wing meningioma H+0 Hiperglikemi ec induced steroid Sensibilitas : dbn
    Vegetative : dbn
    Tx : O2 8 lpm NRM Tx : Assessment :
    IVFD RL : NaCl 0.9% 100 cc/jam IVFD RL 20 tpm 1.Post craniotomy H+8 sphenoid wing
    IVFD RL 20 tts / mnt Inj. Dexamethason 10 mg/8 jam (iv) Inj. Dexamethason 5 mg/24 jam (iv) (H20 meningioma
    Inj. Dexamethason 10 mg/8 jam (iv) (H14) tapp off H5) 2.Anemia perbaikan (11.4)
    Inj. Omeprazole 40 mg/12jam ( iv) Inj. Omeprazole 40 mg/12jam ( iv) 3.Hipocalsemi (1.8)
    Inj. Ranitidin 50 mg/12jam ( iv) Paracetamol 500mg/ 8 jam (po) Inj. Phenytoin 200 mg/24 jam (iv) 4.Hipokalemi (3.2)
    Paracetamol 500mg/ 8 jam (po) Vit B1B6B12 1 tab/8 jam (po) Inj. Ca gluconas 10mg/12 jam (iv) 5.Hiperglikemi ec induced steroid
    Sulcrafat syr C1/8 jam (po) Paracetamol 500mg/ 8 jam (po)
    Vit B1B6B12 1 tab/8 jam (po) Therapi TS Anestesi : Vit B1B6B12 1 tab/8 jam (po) Tx :
    Inj. Phenytoin 200 mg/24 jam (iv) Sulcrafat syr C1/8 jam (po) Head up 30 derajat
    Inj. Asam traneksamat 500mg/8 jam N. asetil sistein 200mg/8 jam (po) Omeprazole 40 mg/12jam (po)
    MRI Kepala Kontras, EEG, Konsul (iv) Nebul combivent : NaCl 0.9% / 8 jam Glaucon 250 mg/12 jam (po)
    Bedah saraf, Konsul Mata Inj. Ca gluconas 10mg/12 jam (iv) Therapy TS interna sub endokrin : Paracetamol 500mg/ 8 jam (po)
    Inj. Vit.K 10mg/12 jam (iv) Novorapid 6-6-6 unit sc Vit B1B6B12 1 tab/8 jam (po)
    Morfin 1 mg/jam (SP) Sulcrafat syr C1/8 jam (po)
    Montoring N. asetil sistein 200mg/8 jam (po) Px : cek GDS/pagi, GDS : 137 mg/dL N. asetil sistein 200mg/8 jam (po)
    Therapy TS Bedah : Transfuse 2 kantong PRC Metylprednisolon 16 mg/8 jam (po)
    KU, GCS, TTV, defisit neurologis Aff tampon intracranial H+3 Cek DR post transfuse
    Aff dressing mata kanan H+3 Menunggu hasil PA Px : Rawat jalan
    P : tunggu hasil PA Aff jahitan H+10
    Menunggu hasil PA

    You might also like