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  • Laporan Kasus Ambulatory

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    ccra 2019
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    1. This medical report summarizes a case involving an 8-year-old child with chronic kidney disease stage V who receives hemodialysis. 2. The child presented with anemia, thrombocytopenia, azotemia, and hypokalemia. Potential problems included general anesthesia risks and American Society of Anesthesiologists physical status classification II. 3. The child was prepared for treatment with pediatric equipment, informed consent, intravenous fluids, and a 5-hour fast.

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    1. This medical report summarizes a case involving an 8-year-old child with chronic kidney disease stage V who receives hemodialysis. 2. The child presented with anemia, thrombocytopenia, azotemia, and hypokalemia. Potential problems included general anesthesia risks and American Society of Anesthesiologists physical status classification II. 3. The child was prepared for treatment with pediatric equipment, informed consent, intravenous fluids, and a 5-hour fast.

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    18 views7 pages

    Laporan Kasus Ambulatory

    Uploaded by

    ccra 2019
    1. This medical report summarizes a case involving an 8-year-old child with chronic kidney disease stage V who receives hemodialysis. 2. The child presented with anemia, thrombocytopenia, azotemia, and hypokalemia. Potential problems included general anesthesia risks and American Society of Anesthesiologists physical status classification II. 3. The child was prepared for treatment with pediatric equipment, informed consent, intravenous fluids, and a 5-hour fast.

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    of 7

    LAPORAN KASUS DIVISI

    ambulatory
    1. An. I/8 thn/anak dasar/II/13.00
    Dx : CKD stage V on HD
    Tx : BMP
    Operator : dr. HER
    Acc : dr. Johan Sp.An KIC

    Pre operatif
    A : allergi (-)
    M : bicnat, omeprazol, ampisilin sulbactam, nifedipin, paracetamol, furosemid,
    sukralfat.
    P :
    r.op(+), pasang double lumen, HD4x (terakhir HD jumat).
    r. Asma/kejang/PJB disangkal
    L : 5 jam preop
    E : batuk – pilek – demam - disangkal
    Pemeriksaan fisik :
    KU : kurang aktif, Compos mentis,
    TV : TD 160/100 HR 90 kali/menit
    RR 20 kali/menit
    BB 25 gr

    Mata : CA (+/+), SI (-/-)


    Mulut : Mallampati II
    Leher : benjolan (-),
    Thorax : Cor : BJ I/II reguler, murmur (-), gallop (-)
    Pulmo : SD Vesikuler (+/+), Rh (-/-), Wh (-/-)
    Abdomen : BU (+) cembung distended,, tympani, Extremitas : Edema
    -/-,
    Pemeriksaan Hasil Nilai Normal
    Hb 8,9 12,0 – 15,0
    HT 25,7 35 – 47
    Leukosit 11,2 5 – 13,5
    Trombosit 149 150 – 400
    Ureum 60 15 – 39
    Creatinin 3,3 0,60 – 1,30
    Na 138 136 – 145
    K 3,4 3,5 – 5,1
    Cl 101 98 – 107
    SGOT 22
    SGPT 20
    Diagnosis : CKD stage V on HD
    Problem Aktual : Anemia, trombositopenia, azotemia,
    hipokalemia
    Problem Potensial : GA, ASA II

    Persiapan :
    – Usaha 1 prc pediatrik
    – Inform consent
    – Inf RL 8 tpm mikrodrip
    – Puasa 5 jam
    Terima Kasih

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