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  • Bronkolitis Derajat Sedang + Gizi Baik

    Diunggah oleh

    IWayanSuparthanaya
    18 tayangan2 halaman
    1. A one month old infant presented with shortness of breath, lethargy, and mild fever. On examination, the infant had wheezing, tachycardia, and low oxygen saturation. 2. Chest x-ray showed bronchitis. The infant was treated with nebulized saline, mukolytics, steroids, antibiotics, and fever medication. 3. Later the same day, the infant presented with increased shortness of breath and somnolence. Examination found increased respiratory rate and decreased oxygen saturation. The infant was treated with nebulized bronchodilators and given supplemental oxygen via nasal cannula.

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    1. A one month old infant presented with shortness of breath, lethargy, and mild fever. On examination, the infant had wheezing, tachycardia, and low oxygen saturation. 2. Chest x-ray showed bronchitis. The infant was treated with nebulized saline, mukolytics, steroids, antibiotics, and fever medication. 3. Later the same day, the infant presented with increased shortness of breath and somnolence. Examination found increased respiratory rate and decreased oxygen saturation. The infant was treated with nebulized bronchodilators and given supplemental oxygen via nasal cannula.

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    18 tayangan2 halaman

    Bronkolitis Derajat Sedang + Gizi Baik

    Diunggah oleh

    IWayanSuparthanaya
    1. A one month old infant presented with shortness of breath, lethargy, and mild fever. On examination, the infant had wheezing, tachycardia, and low oxygen saturation. 2. Chest x-ray showed bronchitis. The infant was treated with nebulized saline, mukolytics, steroids, antibiotics, and fever medication. 3. Later the same day, the infant presented with increased shortness of breath and somnolence. Examination found increased respiratory rate and decreased oxygen saturation. The infant was treated with nebulized bronchodilators and given supplemental oxygen via nasal cannula.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    Tanggal S O A P

    24/03/18 1. Sesak (+) 1. KU: sedang Bronkolitis  D51/4NS 26


    07:30 berkurang 2. Kes: CM derajat sedang + tpm micro,
    2. badan lemas (-) 3. Vital sign : gizi baik  nebulasi NS
    3. mual (-)  N:80x/mnt 0,9 %/ 6 jam.
     mukolitik
    4. muntah (-)  P:28x/mnt
    62mg/ 12
    5. asi aktif  S:36,8 C
    jam,
     UT: 350cc
     dexa loading
     SPO2 : 86%
    1 mg /kg BB/
    K/L:normochephal
    12jam
    Sianosis (+)
    lanjutkan
    Paru: BVes +/+, rh -/-, wh -
    0,5/kgbb/hari
    /-
    / 8 jam
    Cor S1S2 tunggal regular
     ampicillin
    M(-)
    620/hari
    Abd:BU (+)
    dalam 4
    Distensi (-)
    dosis
    Eks:hangat -/-/-/-
     antipiretik
    Sianosis -/-
    syr bila suhu
    < 38 dan
    infuse bila
    suhu > 38

    24/03/20 1. Perawat 1. KU: sesak Aspiration fluid  Backblow (-)


    18 melapor 2. Kes: somnolen with respiratory  Nebulasi
    12:00 pasien tiba- 3. Vital sign : syndrom bronkodilator
    tiba sesak dan  N:131x/mnt ½ respull+ 4
    menangis cc NS 0,9%
     P:54 x/mnt 32x/m
    terus, setelah  stabil
     S:36,2C
    di susui lalu  Pasang NGT
     SPO2:90%  98%
    di baringkan dekmpresi
    K/L:
    oleh ibunya (berunding)
    Bebaskan jalan nafas
     Asi perNGT
    normochephali 6 x 40cc
    Anemis -/- ik -/-  Awasi tanda

    Sianosis -/- gawat nafas

    Paru: BVes +/menurun, rh  KIE ibu anak

    ---/+++, wh -/- di puasakan

    Cor S1S2 tunggal regular sementara

    Abd:BU (+)
    Distensi (-) Co Sp.A  awasi

    Eks:hangat -/-/-/- tanda distres dan

    Sianosis -/-/-/- nebulasi /6 jam

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