contoh kasus
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CONTOH KASUS
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KASUS 1
• Tn A, 45 thn mrs dgn keluhan nyeri dada sejak 4 jam lalu, saat sedang duduk2 nonton tv, nyeri terasa seperti ditekan oleh benda berat, durasi 5-10mnt, disertai dgn leher terasa seperti tercekik, sesak (-), palpitasi (-), keringat dingin (+), lemas (+), mual/muntah (-)
• Os lalu dibawa ke PJNHK karena nyeri dada masih terasa, diberi ISDN 5mg SL, nyeri berkurang
• RPS : Asthma (-), Stroke (-), Gastritis (-)• FR : HT (+), DM (-), FH (+), Dislipidemia (-), Ex
smoker (+)
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• TD : 160/110mmHg, HR : 96x/mnt, RR : 16x/mnt• EKG : SR, QRS rate 94x/mnt, Axis N, P wave N,
PR int 0,12”, QRS dur 0,08”, T inverted II,III,aVF, LVH (-), VES (-)
• CXR : CTR 55%, Ao N, Po N, pinggang jantung (+), apex downward, infiltrat (-), kongesti (-)
• Lab : Hb 14, L 11000, CKMB 14, Trop T 6,72, GDS 112, Ur 27, Cr 0,6
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• D/ : Acute NSTEMI TIMI 4/7
HT stg II
• Aspilet 160mg kunyah2
Plavix loading 300mg
Farsorbid 5 mg SL
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• Aspilet 1x80mg Plavix 1x75mg Farsorbid 3x5mg Maintate 1x2,5mg atau Blorec 2x25mg Simvastatin 1x20mg Laxadin 1x1C Diazepam 1x5mg Heparinisasi dgn Fluxum 2x0,6cc sc untuk 5 hari Cek Lipid profile, As urat DJ II RG 1800 kkal/24jam Total cairan 1600cc/24jam Rawat CVC
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KASUS 2
• Ny C 56 thn mrs dgn keluhan nyeri dada khas infark, 8 jam smrs
RPS : Stroke 1 thn lalu, Asthma (-)
FR : HT (-), DM (+), Dislipidemia (+), FH (+), Menopause (+)
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• EKG : ST elevasi V1-V6• Lab : CKMB 97, Trop T 2,8, GDS 288• D/ Acute Anterior STEMI Onset 8 jam Killip I
Timi 3/14, DM tipe2• Diberikan pilihan Trombolitik atau Primary PCI• Aspilet 160mg kunyah2
Plavix loading 300mg
Farsorbid 5 mg SL
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• Aspilet 1x80mg Plavix 1x75mg Farsorbid 3x5mg Maintate 1x2,5mg atau Blorec 2x25mg Simvastatin 1x20mg Laxadin 1x1C Diazepam 1x5mg Sleeding Scale Heparinisasi dgn Fluxum 2x0,6cc sc untuk 5 hari Cek Lipid profile, As urat, GDP, GD2PP, HbA1C DJ II DM 1800 kkal/24jam Total cairan 1600cc/24jam Rawat CVC
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KASUS 3
• Tn M 65 thn mrs dengan keluhan nyeri dada sejak 3 hari lalu, terasa seperti tertusuk2 tembus ke belakang, palppitasi (-), sesak (-), keringat dingin (-), durasi 15 mnt dan membaik dgn istirahat. Nyeri dada timbul lagi hari 2 kali dan dirasakan semakin memberat
• Os pasien lama PJNHK dgn CAD, HHD, terapi Aspilet 1x80mg, Plavix 1x75mg, Farsorbid 3x5mg, Maintate 1x5mg, Xanax 1x0,5mg
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• EKG : normal• Lab : normal• D/ UAP DD/ Acute NSTEMI CAD HHD• Aspilet 160mg kunyah2 Plavix loading 300mg Farsorbid 5 mg SL
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• Aspilet 1x80mg Plavix 1x75mg Farsorbid 3x5mg Maintate 1x5mg Simvastatin 1x20mg Laxadin 1x1C Xanax 1x0,5mg Heparinisasi dgn Fluxum 2x0,6cc sc untuk 5 hari Cek Lipid profile, As urat DJ II RG 1800 kkal/24jam Total cairan 1600cc/24jam Rawat CVC