Nama dr .Moh. Zainul Ramadhan / Andi Nur Asrinawaty, S.Si, M.

Kes

Pembuat

Soal

Topik Sistem Integumen; Trauma pada system integumen

15 Poin Kata Kunci

RPS Keluhan Utama: nyeri akibat luka bakar

Location: 1. Lengan kanan atas dan bawah; 2. Dada

Onset: 15 menit SMRS

Quality:

Quantity: Effloresensi: Eritema dan Bulla

Modification Factor:-

Comorbid Complain: -

Chronology: pasien membakar sampah, tiba-tiba terjadi ledakan disertai api

yang membesar kemudian mengenai bagian lengan dan dada

RPD -

RPK -

Sosial & Perokok

Ekonomi

Px Fis Tekanan darah: 120/70mmHg; Nadi: 105x/menit; frekuensi napas;

22x/menit, suhu tubuh: 36,9’C

Px Pjg -

Tx Pemberian cairan dengan metode Parkland

Etio/Pato

Vignette Seorang.pria berusia 35 tahun masuk IGD diantar oleh warga karena

menderita luka bakar sejak 15 menit SMRS, hasil pengkajian luka bakar
 pada daerah lengan kanan dan dada. Luka pada daerah dada tampak merah

sedangkan luka pada lengan tampak terdapat gelembung berisi cairan. Luka

bakar dialami setelah pasien membakar sampah kemudian terjadi ledakan..

Dari pemeriksaan didapatkan TD: 120/70 mmhg, Nadi: 105x/menit,

Frekuensi Pernapasan: 22x/menit, Suhu tubuh:

36,9’C.............................................................................................................i

Regio Thorax: Effloresensi Tampak Erithema

Regio Ekstreimas Superior Dextra: Effloresensi Tampak

Bulla.................................................................................................................

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Lead In .Apa diagnosis yang paling tepat terhadap pasien di atas

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Option a. Luka bakar derajat 1 luas luka bakar 22%

b.Luka bakar derajat 1 luas luka bakar 27%

c.Luka bakar derajat 2 luas luka bakar 22%

d.Luka bakar derajat 2 luas luka bakar 27%

e.Luka bakar derajat 2 luas luka bakar 35%

Reference Guideline and treatment algorithm for burn injuries; Ulus Travma Acil

Cerrahi Derg, March 2015, Vol. 21, No. 2; Page 80