Lagoran — jewwt A juin’ eovrramacan pba Tn.b, Bongan. Gaga Gina * Icy Dityun Qu Mapu. Bird eve. 0 Mim_: Y4vo6100034_- Pembimbing bWinie Program Propet’ Wers a copa luyerauaeet Stier Charm Huoda lponcong MuSOAL KASUS ICU 2 Tn G di rawat di ruang ICU dengan leluhan terjadi penurunan kesadaran, 12 jam sebelum masuk rumah sakit pasien mengalami kejang-kejang selama 2 menit kemudian diikuti dengan penurunan kesadaran, Pasicn telah terdiagnosa mengalami gagal ginjal sejak 2 bulan yang lalu. Pasien juga telah dilakukan hemodialisa 2 kali, terakhir 3 minggu yang lalu, setelah itu pasien tak pernah control kembali. Pengkajian didapatkan hasil Thoraks: bentuk simetris, gerakan dada simetris, retraksi supra sternal (-), retraksi inter costa (-), palpasi sonor, slem (+), wheezing (-), ronkhi (+) basal, Terpasang ETT tersambung dengan ventilator mode Volume Controll, PEEP 5, Fi02 45% dan RR 12 x/mnt. Anemia -/-, Odema palpebra -/-, tekanan darah 80/50 mmhg, HR: 112 x /mnt, suhu 37,5°. JVP 5+3 mmH20. Extremitas: odema +/+, akral dingin, CRT > 2 detik. Kesadaran soporus, GCS EIMIVI, pupil _ bulat isokor, © 3 mm, ref +/+. Pemeriksaan Diagnostik a. Pemeriksaan Darah Lengkap em Standar 19/02 20/02 Hb 12-16 94168 60 HT 35-45 238 Leuko 4000-10.00014.000 16.700 Tr 150-450-10" 386.00048.000 Ey 4565 - MCV 80-100PL - = MCH 2634pg = MCHIC3236% = = b. Pemeriksaan Kimia Klinik Perkembangan hasil kimia klinik Item Standar 19/02 Ureum 20-40 383 Kreatini 0,5 -0,914,75 Gps 74-110 149 Albumin 35-5 - Protein tot6,6- 8,7 - Na 135-145 151 Kk 35-5162 a 97-111 124 TonCe 1,09 08 ToulCa 22-20 Perkembangan hasil AGD Tem Standar 19°02 PH 7,34-7H4 7,016 PCO2 35-45 152 PO2 69-116 162,6 11C0322.26 49 TCO2 22.29 - BE -2-+2 26 SatO2 95-90 97,2c. Foto Rontgen : Suspect odema paru d. 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