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MCI
Meisa Putri Maharani
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IDENTITAS PASIEN
• Nama : Ny. F 50 th
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– A : patensi jalan nafas baik, gargling (-),
snoring (-)
– B : pernafasan spontan,
– C : Perfusi Hangat Basah Merah
– : alert
Primary survey
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Management
• Nasal canul 0 !l"menit sat 0#$%&00%
•Pasang iv line• E'(
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Nyeri )a)a se*elah +anan &0 ,am smrs-se)ang ti)ur- +eringat )ingin.. i/ayatenya+it aru )isang+al. Pernah sa+it)a)a se*elumnya. i/ayat enya+it
,antung a)a +eluarga 123-men4ause123- mer4+4+ 13- ema+aian'6 h4rm4n 13.
S
Sec4n)arysurvey
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• Patensi ,alan naas*ai+- gargling 13-sn4ring 13
• 78 #09"menit
• TD 8 &5";
• S+in c4l4ur 8 merah
• Caillary re )eti+
• (DS : &>5
• 8 !9"menit-S0 &00%- rh 13-/h 13
• A= Alert
• ?8 ?er*al res4nse
• P8 Pain@ull res4nse
• 8 nres4nsive
A 6
C D
Sec4n)arysurvey
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Pemeri+saan Fisi+
MataPuil *ulat is4+4r- reBe+s cahaya 12"23-
c4n,ungtiva ucat 1"3 - s+lera i+teri+
1"3Mulut
6i*ir : ti)a+ +ering
Leher Te+anan ?ena ugularis 1?P3 : ti)a+
mening+at'a+u +u)u+ 13
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Paru – ParuPergera+an naas simetris- aru +iri Sn
vesi+ular- aru +anan suara na@as *r4n+ial. rh
1"3- /heeing 1"3
JantungAus+ultasi : 6unyi ,antung II I- (all4 13-
Murmur 13.
Abdomen
Datar-suel- nyeri te+an eigastrium 13- 7ati
)an lien ti)a+ ter)aat em*esaran- *isingusus 123 n4rmal
Ekstremitas : e)ema "- +eringat 2"2 -
merah- CT = > )eti+- neur4l4gical )e
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Pemeri+saan Penun,ang
• E'(- 4ntgen th4ra9
• DG-S(HT
• Pemeri+saan yang )ian,ur+an :ce+car)iac enym-
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E'(E'(
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4 th4ra+s4n gen
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7asil Ga* :
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Tatala+sana
– 0 l"menit
– I?FD NS 0 tm
– Asilet 0 mg ! ta*let
– Cl4i)4grel $5mg ! ta*let
– ISDN 5mg ta*let su* lingual – Simvastatin 0 mg
– F4n)aarinu9 s.c.
– In, raniti)ine
– In, 4n)ansentr4n
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DIA(NHSA 'EA DAN DASA DIA(NHSIS
&. A+ut my4+ar) in@ar+ anteri4r
Ateleta+sis hemith4ra9 )e9tra