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Kasus Kegawatdaruratan obste • Batasan: Sign up to vote on this title

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  kasus obstetri yang apabila tidak sege ditangani akan berakibat kematian ibu Useful

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Penyebab utama kematian i • Pendarahan • Infeksi dan sepsis

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Kegawatdaruratan Kegawatdaruratan Obstetr • Dapat terjadi tiba-tiba

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• Dapat disertai kejang-kejang dan atau koma

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Manifestasi klinik kegawatdarurata Obstetri berbeda-beda dalam renta yang luas Sign up to vote on this title

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profu • Pendarahan: bercak, merembes,   sampai syok Useful

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Manifestasi klinik kegawatdarurat Obstetri berbeda-beda dalam renta yang luas 

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Tujuan Penilaian awal

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Penilaian awal

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Penilaian awal • Periksa raba:

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- nadi: lemah/kuat, cepat/kecil / normal

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Penilaian klinik lengkap

pasien/keluarganya •  Anamnesis: pasien/keluarganya  - keluhan utama Sign up to vote on this title  Useful  Not useful - riwayat penyakit sehubungan keluhan utam - HPHT

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Penilaian klinik lengkap • Pemeriksaan fisik umum:  - Peni Penila laia ian n kea keada daan an umum umumda dan nupkes ktoesad adar Sign vote on thisaran title an  Useful  Not useful penderita Peni Penila laia ian n tand tanda a vita vitall (T,N (T,N,S ,S,P ,P))

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Penilaian klinik lengkap • Pemeriksaan obstetri: Sign up to vote on this title

- pemeriksaan vulva dan perineum  Useful  Not useful - pemeriksaan vagina

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Penilaian klinik lengkap • Pemeriksaan janin:

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Penilaian klinik lengkap - posisi janin, moulage, dan kaput suksedaneum  

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- bagian kecil janin disamping presentas

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Penilaian klinik lengkap • Pemeriksaan panggul: Sign up to vote on this title

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- promontorium teraba atau tidak

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Penilaian klinik lengkap • Penilaian ruang tengah panggul

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Penilaian klinik lengkap • Penilaian adanya tumor jalan lahir  Sign up to vote on this title

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Penangangan kegawatdarurata obstetri memerlukan: • Pengetahuan

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Reaksi terhadap suatu kegawatdaruratan obstetri

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Fasilitas

• Kemampuan suatu fasilitas untuk menangani suatu kegawatdaruratan h   dinilai dan dipekuat dengan latihan-lat Sign up to vote on this title Useful

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Penanganan awal kegawatdaruratan obstetri

• Tetap tenang pusatkan perhatian pada kebutuh  Sign up to vote on this title ada yang menj • Jangan biarkan ibu sendirian tanpa  Useful  Not useful tanggung jawab •  Ambil tanggung

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Penanganan awal kegawatdaruratan obstetri

• Letakkan ibu dalam posisi berbaring miring  dengan sisi kirinya dibawahSigndan kaki dinaikk up to vote on this title  Useful  Not useful Longgarkan baju yang ketat. Bicara dengan ibu dan bantu agar tetap ten

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Syok perdarahan • Masase uterus, oksitosin, siapkan tindakan pembedahan   Sign up to vote on this title Useful

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• Transfusi untuk ganti darah yang hilan

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Syok septik

•  Ambil sampel sampel darah, urine,pus untuk k mikroba sebelum terapi antibiotik  Sign up to vote on this title Useful

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• Terapi antibiotik berspektrum luas

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Menghindari Kegawatdarurata Obstetri

• Sebagian besar kegawatdaruratan dap dihindarkan dengan cara:   Sign up to vote on this title Useful

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- perencanaan dengan saksama

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Prinsip umum dalam merujuk kasus gawat darurat •

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Lanjutan…. • Stabilisasi penderita dengan :  Sign up to vote on this title oksigen  Useful  Not useful cairan infus intravena/transfusi darah

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Terima kasih Sign up to vote on this title

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