LAPORAN KASUS DIETETIK ”HIPOTIROID”
Nama : Elsa Prastika L. 111131007
SEKOLAH TINGGI ILU KESEHATAN SURA!A"A PRODI S#I ILUGI$I SURA!A"A %013
!A! I GA!ARAN UU PASIEN
a. I&'(titas )asi'( *a(+ &ik'ta,-i Nama
: T-a( !'('&it
Um-r
: /0 t,
T!
: 1 m
!!
: 7% k+
P'k'r2aa( : G-r- SD Dia+(s' : Hi)tiri&
4. K'a&aa( -m-m )asi'( T-a( !'('&it &ata(+ &'(+a( k'l-,a( )'(am4a,a( 4'rat 4a&a( &ari 5 k+ m'(2a&i 7% k+ &alam 3 4-la( t'rak,ir6 m'rasa &i(+i(6 l'la, s')a(2a(+ ,ari6 ram4-t &a( k-lit(*a sa(+at k'ri(+. Pasi'( m'(+alami k(sti)asi6 m'(+alami (*'ri &a( s's'kali m'rasaka( k's'm-ta( )a&a ta(+a( &a( kaki(*a.
. Data isik &a( kli(is #
Ti&ak m'(+alami )'m4'sara( tiri&
Ta4'l 1 Hasil Pemeriksaan Klinis Pemeriksaan T'ka(a( Dara,
Na&i R's)irasi S-,-
Nilai Normal Sistl' 8 1%0 mmH+ Diastl' 8 90 mmH+ 0#100 kalim'(it %0#30 kalim'(it 3#37; <
Nilai Pemeriksaan
Kategori
17070 mmH+
Ti&ak Nrmal
/0 kalim'(it
Ti&ak Nrmal
19 kalim'(it 3/6/; <
Ti&ak Nrmal Ti&ak Nrmal
&. Data la4ratri-m Ta4'l % Hasil Pemeriksaan Laboratorium Pemeriksaan
T's T3 T's T5 TSH H4 Kl'st'rl
Nilai Lab. Normal // m+&l 36/ m+&l -L 13#1 +r&l = %00 m+&l
Nilai Lab. Pasien // m+&l 36/ m+&l -&l 10 +r&l 300 m+&l
Kategori
Nrmal Nrmal Nrmal R'(&a, R'sik Ti(++i
'. N-triti(
3.5 K'l'4i,a( 4'rat 4a&a( *a(+ ti&ak &i,ara)ka( NI > //.1 K'k-ra(+a( i(tak' mi('ral
. Data a(tr)m'tri &a( stat-s +i?i A(tr)m'tri : T! @ 1 m !! @ 7% k+ U @ /0 ta,-( P'r,it(+a( !!I : !!I @ 06 BT!#100C @ 06 B1#100C @ 06 @ %61 k+
P'r,it-(+a( stat-s +i?i : BB
IT @
TB
%
72
@
1,69
%
72
@
2,85
@ %/67 k+m % Stat-s +i?i T-a( !'('&it t'rmas-k kat'+ri k'l'4i,a( 4'rat 4a&a( ti(+kat ri(+a(.
!A! II INTERENSI
a. '(is Di't 1. Di't r'(&a, kalri %. E @ %16/ kkal6 P @ 9%6/ +r6 L @ 5 +r6 KH @ 3/765 +r6 S'rat @ %96 +r. 3. R'(&a, +aram II 5. Di't s'rat ti(++i /. !'(t-k maka(a( : maka(a( 4iasa
4. T-2-a( Di't #
Di't r'(&a, kalri &i4'rika( kar'(a a&a(*a )'(-r-(a( k'4-t-,a(
#
m'ta4lisma &a( 4'rma(aat &alam )rs's )'(-r-(a( 4'rat 4a&a(. Di't s'rat ti(++i &i4'rika( a+ar &a)at m'ra(+sa(+ )'ristaltik -s-s a+ar
# # # #
&''kasi 4'r2ala( (rmal s',i(++a k(sti)asi &a)at t'ratasi '(-r-(ka( t'ka(a( &ara, ,i(++a m'(a)ai (rmal '(-r-(ka( ka&ar kl'strl &a( TSH ,i(++a 4atas (rmal '(aika( ka&ar T36T56 &a( H4 ,i(++a 4atas (rmal '(a)ai stat-s +i?i (rmal.
. Pri(si) Di't 1. %. 3. 5. /. . 7.
R'(&a, kalri <-k-) )rt'i( <-k-) K, L'mak &i4'rika( &alam 2-mla, -k-) <-k-) Fitami( &a( mi('ral P'm4'ria( Na &i4atasi R'(&a, Kl'st'rl
&. S*arat Di't 1. E('r+i r'(&a, -(t-k m'(-r-(ka( 4'rat 4a&a(. P'(+-ra(+a( as-)a( '('r+i s',ari &ik-ra(+i s'ara 4'rta,a) s'4a(*ak /00#100 kkal &ari k'4-t-,a( '('r+i ttal s's-ai k'mam)-a( )asi'( *ait- %16/ kal
%. L'mak s'&a(+ &'(+a( %0 &ari kalri ttal *ait- 5 +r 3. Di4'rika( -k-) Prt'i( *ait- 9%6/ +r 5. Di4'rika( -k-) K, *ait- 3/765 +r6 +-(aka( l'4i, 4a(*ak kar4,i&rat km)l'ks -(t-k m'm4'r rasa k'(*a(+ /. Di4'rika( ti(++i s'rat *ait- %96 +r . itami( A B00 REC it !1 B16% m+C it /0 +r,ari 13. Natri-m &i4atasi6 &a( &i't &i4-t-,ka( 900 m+ B R'(&a, Garam II C a(tara 00#900 m+.
'. P'r,it-(+a( E('r+i &a( $at Gi?i P'r,it-(+a( '('r+i m'(-r-t r-m-s Haris !'('&it !EE @ J B1367 !!C J B/ T!C > B69 UC @ J B1367 %61C J B/ 1C > B69 /0C @ J 9/0677 J 95/ > 350 @ 15%1677 kal TEE @ !EE A S @ 15%1677 163 165 @ %/976 kkal P'(+-ra(+a( k'4-t-,a( kalri s'4'sar 1/ kar'(a )asi'( &alam k'a&aa( ,i)tiri& *a(+ m'm'rl-ka( )'(-r-(a( k'4-t-,a( kalri -(t-k m'm)'rta,a(ka( 4'rat 4a&a( (rmal maka k'4-t-,a( )asi'( m'(2a&i : 1/ %/976 @ 399615 %/976 > 399615 @ %16/ kal
P'r,it-(+a( k'4-t-,a( : K'4-t-,a( )rt'i(
@ 1/ TEE @ 1/ %16/ @ 3%6% Kkal @ 9%6/ +r
K'4-t-,a( l'mak
@ %0 TEE @ %0 %16/ @ 536 Kkal @ 5 +r
K'4-t-,a( kar4,i&rat @ ttal k'4-t-,a( > k'4. Prt'i( > k'4. L'mak @ %16/ > 3%6% > 536 @ 15%69 kal @ 3/765 +r 13
K'4-t-,a( s'rat
@
1000
%16/
@ %96/ @ %96 +r
f. Distribusi Harian aktaka( )a+i S(ak )a+i aka( sia(+ S(ak sia(+ aka( malam
%/ 10 3/ 10 %0
E //0 %%0 770 %%0 550
P %1 963 % 963 16/
L 1%63 / 176% / 10
K, 963 3 1%/ 3 716/
S 76% 3 10 3
wakt u
menu Nasi
beras giling
opor a!am
pagi
bahan makan
tempe goreng sa!ur sup
porsi 100 gr
pu#ing mai&ena
50 gr 3 gr
28,0 2,5
tempe min!ak kentang wortel bun%is kembang kol
25 gr 5 gr 25 gr 10 gr 20 gr 20 gr
13,8 0,0 20," ",0 17," 18,3 122, 3
mai&ena gula pasir susu kental manis
30 gr 5 gr
,2 0,3
10 gr
2,5
sub total nasi telur %eplok 'ian g
sna% k
pepes tempe sa!ur bening
beras giling telur a!am min!ak wi(en tempe ba!am )ula pasir
sub total (us (ambu bi(i (ambu bi(i gula pasir
150 gr 20 gr 5 gr 50 gr 100 gr 5 gr
100 gr 20 gr
protei n
",1 0,0
12,5 0,0
0,0 0,
7,0 0,2
50,3 3,5 15,5 3,$ $,8 5,0 $32, 7 103, 2 1",7
5,2 0,1 0,5 0,1 0,5 0,5
2,2 ," 0,1 0,1 0,1 0,0
3, 0,0 3, 0,8 1, 1,0
38,8 0,0 15,8 ,5 20,2 ,
2,
21,5
87,5
"1,0
0,0 0,0
0,0 0,0
25,8 ,7
$,0 0,3
0,8
1,0
5,5
27,5
2
0,8
1,0 2,$ 2,8 5,0
33,8 220, 5 13,$ 0,0
3 1
13,0 2,2 0,0
3$,0 115, 7 0,2 0,0
8,
KH
Ca
1,7
77,1
0,2 1
27,7 ",5 0,3 155, 1
1$,0 1",7 $"7, 5
8$,0 1,1 87,1
",0 72,8 121, 8
$,3
18,0 1,$ 0,1
lem ak
1
3,3 157, 2 52$, 0 3,8 0,5 100, 5
7,0
sub total
mala m
12,0
a!am kelapa mu#a
sub total sna% k
air
ener gi 357, 0 1", 0 2,0
8 1
1 3
5 1
10,
,
$,8
0," 0,0
0, 0,0
77,5 1$$, 0 0,3 77, "
2$,5
15,2
2," ,7 130, 2
0," 0,0
0,3 0,0
12,2 18,8
1,0 1,0
2
0,"
0,3
31,0
15,0
2
1,3
57,8
110, 3
nasi ikan tongkol #i%in%ang
beras giling
75 gr
",0
2$7, 8
ikan tongkol
50 gr
37,
50,0
$,"
0,8
,0
lo#eh tahu
tahu
50 gr
1,1
0,0
5,5
2,
0,
$,0 111, 5
7
$ 3
"
ka%ang pan(ang terong wortel
kebutuhan
17," 7,0 3,$ 122, 0 72,8 581, 0 21"0 ,2 21"" ,5
selisih
*",3
susu
susu sapi gula pasir sub total total
5 gr 25 gr 10 gr 200 gr 20 gr
0,$ 23,2 ",0 17$, $ 1,1 2"7, " $$",
0," 0,3 0,1 $, 0,0 2$,2
0,1 0,1 0,1 7,0 0,0 11,$
3, 1, 0,8 8,$ 18,8
78,8
",5
82,5
"
"5,2 37", " 357,
*3,7
0,5
22,5
8,2 3,8 ,5 28$, 0 1,0 571, 2 1188 ,8
2
1
$ 1
