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Coass in charge
Hasan
Muhammad Firas Balafif
Monica Sari Devy
Amelia Fitra
Sari Mufliha
Ilham Choiriyah
Conclusion : Cardiomegaly
ECG
ECG (28 May 2017)
BP : 180/80 mmHg y
hypertens
ion
CUE AND CLUE Problem Initial Planning Planning Therapy Pmo &
List Diagnosis Diagnosis Pedu
Male/69 YO 4. 4.1 SI, TIBC, PRC transfussion P. Mo:
History Anemia Relativ Ferritin 250cc durante HD Hb after
Fatigue and hipocro e to life (Has already done) transfuss
weakness me & span Plan to EPO (waiting ion
microsite RBC for lab result)
PE: r 4.2 chronic P.Edu:
Anemia conjungtiva disease Disease
4.3 and
Lab Deficie treatme
Hb 6.70 g/dL ncy Fe nt
MCV 72.1 fL 4.4
MCH 23.3 pg Deficie
ncy
EPO
CUE AND CLUE Problem Initial Planning Planning Therapy Pmo &
List Diagnosis Diagnosis Pedu
Male/69 YO 5. 5.1 Endoscopy Correction P.Mo:
History Hiperkale Decrea hyperkalemia Kalium
Newly Diagnosed with mia se of - Inj Ca gluconas post
CKD 1 day ago renal correctio
1 Gram
Nausea and without excreti n
- Short acting
vomiting since 1 on
month ago 5.2 insulin 10 IU P.Edu:
Acidosi - D40% 2 flasg
Physical Examination s (3 cycle)
GCS 224 metab Per NGT
Conjunctiva anemis (+) olic -kalitake 3x 5gram
Dry skin
Leg and arm edema
(+/+)
Lab :
Ur 431 mg/dL
Cr 13,78 mg/dL
eGFR 3.8
mL/min/1,73m2
BUN/Cr 14.61
CUE AND CLUE Problem Initial Planning Planning Therapy Pmo &
List Diagnosis Diagnosis Pedu
Male/69 YO 6. 6.1 Uremic Injection P.Mo:
History Dyspepsi gastrop omeprazole 1 x 40 nausea
Newly Diagnosed with a athy mg Intravena
CKD 1 day ago syndrom 7.2 PUD P.Edu:-
Nausea and without e
vomiting since 1
month ago
Physical Examination
GCS 224
Conjunctiva anemis (+)
Dry skin
Leg and arm edema
(+/+)
Lab :
Ur 431 mg/dL
Cr 13,78 mg/dL
eGFR 3.8
mL/min/1,73m2
BUN/Cr 14.61
CUE AND CLUE Problem Initial Planning Planning Therapy Pmo &
List Diagnosis Diagnosis Pedu
Male/69 YO 7. UTI Injection P.Mo:
History asympto Ciprofloxacin nausea
Newly Diagnosed with matic 2x200mg intravena
CKD 1 day ago P.Edu:-
Lab :
Urinalisa :
Leucosite : 25.1/hpf
Condition This Morning
GCS : 111
BP : 110/75 mmHg
PR : 82 bpm
RR : 22 tpm
Tax: 36.5 0C