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Diagnosis Kerja:
Syok Anafilaktik
Hipoglikemia
Tatalaksana
IVFD RL loading 500cc
O2 sungkup 6-8 lpm
Inj. Dextrose 40% 2 flakon/iv
inj.dexametason 1 amp/iv
Psg kateter
Advis dr.SpPD
Inj.epinefrin 0.3ml/SC diulang max.2x
Inj.metilprednisolon 62.5mg/iv
Loading NaCl 0.9% 1000ml
Norepinefrin mulai 0.2mcg/kgbb/jam
Konsul rawat ICU
Informed consent keluarga
GDS post koreksi: 122
Jam 03.00 : konsul rawat ICU ke dr.SpAn
Acc Rawat ICU
+ Dobutamin 5mcg/kgBB/jam
Bila NE/Dobutamin blm smpt masuk: inj.efedrin (1amp
encerkan hgg 10ml) 4ml/iv
03.30: TD 115/51 HR 128 RR 28 SpO2 75%
Laboratorium 26/10/2017
WBC: 11.400 SGOT: 200,5
Hb: 15.3 SGPT 143
Hct: 44.2% Na/K/Cl: 138/4,6/ 103
Plt: 23.000
GDS : 50
Ureum: 60.5
Creatinin: 0.2
ICU
tgl/jam
26/10/201
Profesi S.O.A.P
Perawat Tiba d ICU
Instruksi
7 KU gelisah
j.05.40 Trpsang O2 7 lpm
Psng monitor:
TD - HR 95x RR 40x
OS kejang: Ins. Dr.jaga
Diazepam 1
amp/iv perlahan
05.45 Dokter S;Kejang 5mnit, Inj.diazepam saat
jaga kejang 1 amp/iv
O: ku:berat GCS: E1M1V1 perlahan
TD 90/pp HR: 95x,lemah SpO2 (-) O2 NRM 10lpm
Akral dingin Advis dr.SpPD
A: penurunan kesadaran NE titrasi naik
syok anafilaktik max 2mcg/kgBB
Dobutamin
10mcg/kgbb/jam
Advis dr.SpAn:
Informed consent
kluarga :
-kondisi pasien
- tindakan intubasi
(kluarga msh
berunding)