Upload
adhistihandarie
View
328
Download
1
Embed Size (px)
Citation preview
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
1/23
FRAKTUR TERBUKA PHALANXPROXIMAL DIGITI 1PEDIS
SINISTRA GRADE III BKOMPETENSI : 3B
ICD X : S92.901B
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
2/23
Laki !"#a$a k"%a &"$i% $'i%$( )a!a kaki ki*i
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
3/23
PRIMAR+ SUR,E+
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
4/23
AIR-A+ DAN CER,ICAL CONTROL
O/"ki
Pa$i"% i$a &"%/a#a )"*a%aa% !"%a% aik !a% /"4a$
Ti!ak "*!a)a $5a*a %aa$ a&a'a% 6gurgling, snoring, stridor7
Assessment
K"$a% i!ak a!a $5&aa% )a!a /a4a% %aa$
Airway clear
Action
-
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
5/23
BREATHING
O/"ki
I%$)"k$i : L"$i 687 )"*"*aka% !i%!i% !a!a $i&"*i$ ki*i8ka%a%respiratoryrate 22&"%i
Pa4)a$i : k*")ia$i 687
P"*k5$i : S(%(*
Assessment ,"%i4a$i !a% "k$)a%$i )a*5 aik
Action
-
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
6/23
CIRCULATION
O/"ki
Ak*a4 'a%a CRT ;2 !"ik
Na!i "*aa "*a5* !a% i$ia% &"%i
T"ka%a% !a*a' 1?090&&H
Assessment Si*k54a$i aik
Action
I,FD RL 20 )&
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
7/23
DISABILIT+
O/"ki
Pa$i"% $a!a*
GCS : E? ,@ M>
P5)i4 i$(k(* *""k
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
8/23
E)($5*"
S5'5 ai4a 3>? C
Pakaia% )a$i"% !i5ka !a% !i$"4i&5i Pa$i"% !i)"*ik$a !a*i k")a4a$a&)ai kaki i!ak a!a 45ka )a!a $"45*5' 55' k"
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
9/23
SECONDAR+ SUR,E+
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
10/23
I!"%ia$
Na&a : T%. S
U&5* : @> a'5%
Ma$5k RS : 3 A)*i4 201@
K"45'a% Ua&a
%"*i )a!a 45ka kaki $""4a' ki*i $"/ak $""%a' /a& SMRS akiak"
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
11/23
ANAMNESA
30 &"%i SMRS )a$i"% &"%a4a&i k"
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
12/23
Ri#aa )"%aki !a'545
Ti!ak a!a *i#aa )"%aki a% "*'55%a% !"%ak"45'a% $"ka*a%
Ri#aa )"%aki k"45a*a
Ti!ak a!a *i#aa )"%aki k"45a*a a%"*'55%a% !"%a% k"45'a% $"ka*a%
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
13/23
PEMERIKSAAN FISIK
Sa5$ G"%"*a4i$
K"a!aa% 5&5&: Ta&)ak $aki $"!a%
K"$a!a*a% : C(&)($&"%i$ &"%i RR : 22&"%i
T : 3>? C
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
14/23
PEMERIKSAAN FISIK
K")a4a !a% 4"'"* : DBN
T'(*ak$ : DBN
A!(&"% : DBN
Ek$*"&ia$ : Sa5$ 4(ka4i$
KGB : DBN
G"%i(5*i%a*i5$ : DBN
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
15/23
STATUS LOKALIS DIGITI 1 PEDISKIRI
L((k
M"%a4i* !a*a' !a*i 45ka /"&)(4ki*i
D"(*&ia$ 67
K54i kaki ki*i "*4i'a aak )5
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
16/23
STATUS LOKALIS
F""4
S5'5 !i%i%
L5ka &"4i%a% 4i%ka*a% )a%/a% @
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
17/23
DIAGNOSIS KERA
F*ak5* "*5ka )'a4a% )*(k$i&a4 !iii 1 )"!i$ $i%i$*a
R5)5* "%!(% ""%$(* !iii )"!i$ $i%i$*a
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
18/23
R"% !L
H : 3>
PLT : 13=.000&&3
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
19/23
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
20/23
T"*4i'a a!a%a !i$k(%i%5ia$ )a!a )'a4a% )*(i&a4 1F*ak5* )'a4a% )*(i&a4 !iii 1 )"!i$ $i%i$*a i%k(&)4i5%!i$)4a
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
21/23
DIAGNOSIS AKHIR
F*ak5* "*5ka )'a4a% )*(i&a4 !iii 1 )"!i$ $i%i$*a i%k(&)4i5%!i$)4a
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
22/23
T"*a)i
N(% Fa*&ak(4(i D"*i!"&"% !a% *")ai* "%!(
I&(i4i$a$i !a% i$i*a'aka% )a$i"%
Fa*&ak(4(i
P"&"*ia% T"aa& IM K"(*(4a< 330&
A%ii(ik
7/25/2019 Edit Fraktur Terbuka Phalanx Proximal Digiti 1pedis
23/23
T"*i&a Ka$i'