PANDUAN PRAKTIK KLINIS (PPK) TATA LAKSANA KASUS RSUD KOTA BEKASI JAWA BARAT 2013 – 2015 ATONIA UTERI (ICD 10: O72.2) 1. Pengert!n (De"n#)
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2. An!$ne##
Le$!%n&! t'n#*'ntr!*# t'n#*'ntr!*# r!%$ &!ng $en&e+!+*!n ter# t,!* $!$- $engen,!*!n -er,!r!%!n TANDA TANDA// ter# ter# t,!* t,!* +er*'n +er*'ntr! tr!*# *# ,!!$ ,!!$ 15 ,et* ,et* #ete! #ete!% % ,!**!n -e$!t!n "n,# ter.
1. Per,!r!%!n Per,!r!%!n &!ng &!ng ter!, ter!, #eger! #eger! #ete!% #ete!% -er#!n!n -er#!n!n ,!n ,!n +er!ng#ng ter# $ener# 2. !*t' !*t'rr -re, -re,# #-' -'# ## #// Ge$e (ID 10/ O30.0) J!nn +e#!r ($!*r'#'$!) (ID 10/ P08.0) K!! I $e$!n!ng (ID104/ O3.0) K!! II $e$!n!ng (ID104/ O3.1) Per#!n!n 6e-!t (-!rt# -re#-t!t#) Per#!n!n &!ng ,n,*# ,eng!n '*#t'#n ( ID 7 4 / 83.1) In"e*# ntr!-!rt$ (ID 10/ O85.3) 4t-!rt!# (ID 10/ Z37.5)
3. Pe$er*#!!n #*
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5. D!gn'## Ker! . D!gn'## B!n,ng
1. Pen'n' Pen'n'!n !n r!% r!%$ $ , #-r! #-r! #$ #$"# "## # () () 2. Uter# Uter# t,!* t,!* +er*'nt +er*'ntr!* r!*# #99 +e#!r ,!n ,!n e$+e*. e$+e*. 3. Per,!r!%!n Per,!r!%!n #eger! #eger! #ete!% #ete!% !n!* !%r9 !%r9 ter# $ener# $ener# ( Per,!r!%!n P!#*!-er#!n!n Dn) :. P6!t ,!n ter,!-! ter,!-!tt t!n,!t!n t!n,!t!n,! ,! #&'* #&'* !t! !t! -re#&'* -re#&'* (ten# (ten# ren,!%9 n!, 6e-!t e$!%9 !*r! ,ngn9 'g'r!) 5. K!,!ng K!,!ng ,#e ,#ert rt! ! -!# -!#ent ent!! !,%e# !,%e#;! ;! 1. Se#! *rter! !n!$ne## 2. Se#! *rter! -e$er*#!!n "#* •
At'n! ter (ID 10/ O82.2 )
1. Retent' -!#ent! (ID 10/ O83) 2. R'+e*!n !!n !%r (ID 10/ O80)
8. Pe$er*#!!n Penn!ng
1. !*t (ID 7 4/ 70.57) . r'## $!t6%
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7. E,*!# (Hospital Health Promotion)
10. Pr'gn'##
1. Re##t!# 6!r!n 2. O2 1015 L9 *!teter 3. 4!#!#e n,# Uter #eger! #ete!% !%rn&! -!#ent! ($!*#$! 15 ,et*) ,!n ,*t -e$+er!n '*#t'#n ,!n $et erg'$etrn ; :. Bila ada perbaikan dan perdarahan berheni: '*#t'#n !t! -r'#t!g!n,n !nt*!n !. Bila idak ada perbaikan dan perdarahan idak berheni: K'ntr' -er,!r!%!n ,eng!n *'$-re# +$!n! ntern! 5 $ent J*! ter# t,!* +er*'ntr!*# ,!!$ 5 $ent9 !!r*!n *e!rg! *'$-re# +$!n e*#tern! . K'$-re# !'rt! !+,'$n! 8. Ber*!n erg'$etrn 092 $g I4 !t! $#'-r'#t' 00 1000 $6g -er re6t!. KI erg'$etrn/ + ,eng!n %-erten# @ te*!n!n ,!r!%. ?. Ber*!n n"#e RL 50066 20 nt '*#t'#n9 g&r ,!!$ >!*t 10 $ent (:0t-$). D'## $!. O*#t'#n / ?0 IU9 erg'$etrn / 1925$g. 7. P!*! #!rng t!ng!n #ter ,!n !ng KBI. 10. J*! ter# +e$ g! +er*'ntr!*# -er,!r!%!n $!% +!n&!* #!-*!n tr!n#"# ,!r!% ,!n !-!r't'$. 11. !r et''g -er,!r!%!n
1. E,*!# tent!ng -en&!*t &!ng ,,ert! ,!n *'$-*!# &!ng $ng*n !*!n ,%!,!-. 2. E,*!# ,!n -er#et!n tn,!*!n &!ng !*!n ,!**!n. A, ;t!$ A, #!n!t'n!$ A, "ng#'n!$
/ ,+! !, +'n!$ / ,+! !, +'n!$ / ,+! !, +'n!$
11. Tng*!t E;,en#
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12. Tng*!t Re*'$en,!# 13. Pene!!% Krt#
1:. In,*!t'r 4e,#
1. ,r. %r#t'"e P!ngg!+e!n9 S-.O= (K) 4 2. ,r. De!n W!%,& S!t&!-tr!9 S-.O= (K) 3. ,r. <n,!r J!&!9 S-.O= :. ,r. Ir!>!n S$r!%9 S-.O= 5. ,r. P!n, Set!>!n9 S-.O= . ,r. B!&9 S-.O=
!t #e!$! 8 %!r +! t!n-! *'$-*!#. T!rget/ K'$-*!# $n$! 4!#! -e$%!n / n'n '-er!t" / n"!# (:0 %!r) O-er!t" / 3 +!n
15. Ke-#t!*!!n
'#,!r$' R9 Pr!,!t$' <9 et AL. St!n,!r Pe!&!n!n 4e,# B,!ng I$ O+#tetr ,!n
=ne*''g. 'g&!*!rt! P#t!*! en,!*! Pre##/ 2011 <$-n!n Ke,'*ter!n et'$!tern! Per*$-!n O+#tetr =ne*''g In,'ne#!. P!n,!n Pen!t!!*#!n!!n K!## O+#tetr. J!*!rt! Per6et!*!n P!!>! S!r/ 2012
Berg%e! C. 4!tern!"et! E;,en6e B!#e =,ne#. USA In"'r$! tF9 Err' R. O+#tetr6 n6! Ag'rt%$# / 4!n!ge$ent !n, E;,en6e. USA We&B!6*>e 2012 De-!rte$en Ke#e%!t!n Re-+* In,'ne#!9 Pe!&!n!n O+#tetr Ne'nt! E$ergen# K'$-er%en#". J!*!rt!/ De-*e# 2008
