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  • Oemi Chronology

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    wahyu suparno
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    Mrs. OS, a 75-year-old woman with multiple medical conditions including a recent heart attack, developed respiratory distress and hypotension. Her condition deteriorated despite interventions including increased oxygen, fluids, dopamine, and norepinephrine. She suffered multiple rounds of ventricular fibrillation and asystole, and despite repeated resuscitation attempts including defibrillation, she could not be resuscitated and was declared dead at 3:45.

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    Mrs. OS, a 75-year-old woman with multiple medical conditions including a recent heart attack, developed respiratory distress and hypotension. Her condition deteriorated despite interventions including increased oxygen, fluids, dopamine, and norepinephrine. She suffered multiple rounds of ventricular fibrillation and asystole, and despite repeated resuscitation attempts including defibrillation, she could not be resuscitated and was declared dead at 3:45.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views8 pages

    Oemi Chronology

    Uploaded by

    wahyu suparno
    Mrs. OS, a 75-year-old woman with multiple medical conditions including a recent heart attack, developed respiratory distress and hypotension. Her condition deteriorated despite interventions including increased oxygen, fluids, dopamine, and norepinephrine. She suffered multiple rounds of ventricular fibrillation and asystole, and despite repeated resuscitation attempts including defibrillation, she could not be resuscitated and was declared dead at 3:45.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 8

    Chronology

    2 December 2017
    Patient data
    • Mrs. OS, 75 y.o • Vital sign (shift commenced)
    • STEMI Inferoposterior lateral recent • BP 126/49 mmHg on dopamine 7
    onset Killip IV – No revascularization mcg NE 0.3 mcg
    • Post cardiogenic ALO • HR 63 bpm
    • T2DM on insulin • RR on MV VC-AC FiO 70%, Peep 6
    • TAVB dt no 1  1st degree AVB RR 18
    • Septic Condition • SpO2 95%
    • Metabolic acidosis on correction • UOP : 400 cc/ 8 hours
    • Increase transaminase
    • Hyperuricemia
    • Acute Kidney Injury Grade injury
    Time Subject Objective Action Output
    19.30 Desaturation SpO 88-90 % Check BGA BGA (previous setting)
    BP 109/65 mmHg Adjusting FiO 100 % 7,49/24,5/53,1/18,8/-4,7/89.6
    HR 67 bpm Recheck BGA 30 minutes after adjusting
    SpO 97% BGA evaluation after adjusting FiO
    Rh-/-; Wh-/- 7,49/24,6/176,0/19,0/-4,5/99,6
    BP 104/63 mmHg
    HR 62 mmHg
    SpO 98%

    21.30 Hypotension BP 67/32 Fluid loading 100 mg No Response


    HR 61 Dopa 10 mcg/kg/min BP 70/41
    SpO 97% Furosemide stop HR 65 bpm

    21.45 Hypotension BP 73/34 NE 0.5 mcg/kg/min BP 102/52 mmHg


    HR 65 HR 61 bpm
    SpO 96% Inform the family
    03.00 Arrest Asystole Resuscitation No Response
    Inform the family
    Inform the supervisor in-charged of this patient
    Arrest VF Rhythm DC shock 200 joule No Response
    Arrest Asystole Resuscitation No Response
    Arrest VF Rhythm DC shock 200 joule No Response
    Arrest Asystole Resuscitation No Response
    Arrest VF Rhytm DC shock 200 joule No Response
    Arrest Asystole Resuscitation No Response
    Arrest VF Rhythm DC shock 200 joule No Response
    Arrest Asystole Resuscitation No Response
    03.45 Arrest Asystole Declare of death

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