LAPORAN KEMATIAN Identitas Nama Tempat/TanggalLahir m!r #eni$ %elamin Tanggal '(S Tanggal 'eninggal No (e%am'e+i$
: By S.A Nyoman Tri Tri Hermiani : Gianyar, 03/ 10/ 2016 : 1" hari : &eremp!an : 03/10/ 2016 p% 1).10 *ita : 22/10/ 2016 p% 0".20 *ita : -."0."
Anamnesis KeluhanUtama: Bayi lahir ti+a% lang$!ng menangi$ RiwayatPenyakitSekarang RiwayatPenyakitSekarang : Bayi lahir %!rang !lan, ti+a% ernapa$/menangi$, ton!$ otot lemah. &a$ien lahir $eara $etio e$area, e$a rea, +en +engan gan in+ in+i%a i%a$i $i per per+ar +araha ahan n ant antepa epart!m rt!m a%t a%ti i pl pla$en a$enta ta pre preia ia +i+ap +i+apat% at%an an $%o $%or r A&GA( 34464-. 5iagno$i$ i! G)&2012 33 mingg! 1 hari T/H, (B, L'( e%a$ S7 28, &9B, mpen+ing e%lam$ia, &artial H9LL& Syn+rome Syn+rome Riwayat Antenatal 'er!pa%an ana% ; AN7 i! +i SpG +an i+an SG < H&HT 1-/2/2016 T& 2)/11/16 Riwayat Intranatal (i*ayat %et!an peah +ini, nyeri !ang air %eil ma!p!n +emam $elama hamil, %ep!tihan, +i$ang%al. ri*ayat terapi +e8ameta$one +i%ata%an leng%ap. A+anya ri*ayat penya%it i! $eel!m +an $elama %ehamilan +i$ang%al. akt!r Risik! In"eksi 'ayor : ti+a% a+a 'inor : a$i%$ia, = > 3- mingg! mingg! <2
Pemeriksaaan isik Status Present A%ti A%tii ita ta$$ ton ton!$ rel rele% e%$$ Tangi$ 5eny!t#ant!ng (e$pira$i Temperat!ra%$ila Sp2 S%orNyeri N&AT Status #eneral =9&ALA
: lema lemah h : lemah : 120 %ali per menit : )0 %ali per menit : 36 ⁰7 : ?0 @ :0
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Bent!% : normoephali B : ter!%a, +atar = : ter!%a, +atar Sealhematome < 7ap!t S!%$e+ani!m 4 Lain lain 4
'ATA -
&!at 4, %ter!$ 4 &!pil i$o%or
THT -
Napa$ !ping hi+!ng < Siano$i$ < Lain lain 4 'LT '!%o$a iir $iano$i$ <, $iano$i$ <, elah palat!m 4 L9H9( &eme$aran %elenar getah ening regional 4 TH(AC Simetri$, retra%$i intero$tal
: 1-00 gram / )? m : 30 m/30 m :4 :4
L= $e%arang Ne* Ballar+ $ore in$trom Sore 5o*ne$ $ore
D4 :4 : 1) $e$!ai +engan 3343) mingg! :
AP#AR S$ORE
Appearane &!l$e Grimae Atiity (ele% Total
% 1 1 0 0 1 3
& 1 1 1 1 1
%' 1 2 1 1 1 6
%&
(iagn!sis Neonat!$ =!rang B!lan 3343) mingg!< Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia Berat < S!$pe% Sep$i$ Neonatal A*itan 5ini.
Penatalaksanaan (a*at N7 #aga %ehangatan (a*at tali p!$at ne%$i itamin =1 1 mg ' &99& -D lo* ?D i2 )0@ 7&A& &!a$a =e!t!han airan ?0 ml/%g/hari I 136 ml/hari ;5 510@ 6 ml/am 7eota8im 0mg/%g/%ali I "0 mg J ? am intraena
Ren)ana Ker*a 7e% septik work up: 5arah leng%ap oto Thora8 A&
+asil ,emeriksaan ,enun*ang : PARAMETER
+ASIL
B7
%'-%'-.'%/ ?,"
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N9@ LK@ N9 LK
-3,3@ 16,2@ 6,6
NilaiRu*ukan
",?0 3),00 6,"0 6",10 2-,)0 30,?0 6,00 23,0 2,0 10,0
1,) (B7
),02
Satuan
8 10M3/L @ @ 8 10M3/L 8 10M3/L
),00 6,60
8 10M)/L
HGB H7T '7; '7H '7H7 < Bloo+ $!gar $ti%
1),) )1," 10),)0 3,-0 3),)0 23-,00 200
1),0 22,0 ),00 6-,00 "2,00 121,00 31,00 3-,00 2",00 36,00 1)0,0 ))0,00 ) 12
g/5l @ l &g g/+L 8 10M3/L mg/L
Th!ra0 !t! AP
=e$an: H'5 Tanggal/ #am 03/10/16 &% 1).0
S 'enerima ayi +ari =, Tangi$ 4, gera% 4, a/a% 4/4, AS 4, an!$ <, %elainan %ongenital 4
A St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 120 8/menit < Bayi Berat ((: )0 8/menit Lahir (en+ah o S!h!: 36 7 1-00gr < St general A$i%$ia erat < 'ata : p!at 4, S!$pe% Sep$i$ i%ter!$ 4 Neonatal A*itan THT : N7H 4, 5ini $iano$i$ < Leher : peme$aran %elenar 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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(a*at in!ator &!a$a $ementara &a$ang GT +e%ompre$i ;entilator $!pport S'; i2 )0@ ol!me ti+al &99& -, )ml/%g =e!t!han airan ?0ml/%g/hari I 136 ml/hari I 6 tete$ mi%ro/menit ;5 5 10@ 6 tete$ mi%ro/menit (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; ine%$i it = 1 mg intram!$%!la r
0)/10/16 &% 06.00
5emam 4, AS 4, &!at 4, %!lit %!ning 4, $e$a% 4
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 1) 8/menit < Bayi Berat ((: )6 8/menit Lahir (en+ah S!h!: 3-,27 1-00gr < St general A$i%$ia erat < 'ata : p!at 4, S!$pe% Sep$i$ i%ter!$ 4 Neonatal A*itan THT : N7H 4, 5ini $iano$i$ 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat < =!lit : i%ter!$ 4, BS : 116
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(a*at in!ator =e!t!han airan "0 ml/%g/hari I 13 ml/hari Total parentral n!trition : 5 12,@, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in @ 1 gr/%g/hari I 3 hari %eepatan 6 ml/am, G( ,6 Tropi ee+ing )81 ml i%a toleran$i ;entilator $!pport mo+e 7'; i2 )@ ol!me ti+al &99& -, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; eal!a$i 5L 3 hari lagi 'i+aEolam 1 mg/%g/meni t I 0, ml/am ; ol!$ mi+aEolam 0,1 mg/%g I0,2 ml ; =e!t!han
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0/10/16
n$tailita$ $!h!
St pre$ent
Neonat!$
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&% 06.00
4, letargi <, $e$a% <
AT(/TGS : !%!p H(: 1) 8/menit ((: 6 8/menit S!h!: 47 Sp2 : ")@ I entilator $!pport St general 'ata : p!at 4, i%ter!$ 4 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <, 7(T > 3 +eti%
=!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5
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06/10/16 &% 06.00
Letargi <, in$tailita$ $!h! 4, $e$a% <, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 132 8/menit < Bayi Berat ((: 32 8/menit Lahir (en+ah S!h!: 36,67 1-00gr < BS : 11? A$i%$ia erat < St general (e$piratory 'ata : p!at 4, +i$tre$$ et a!$a i%ter!$ 4 $!$pe% H'5 THT : N7H 4 ++/SNA5 Thora8 : or/po +n
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airan 100 ml/%g/hari I 1-0 ml/hari Total parentral n!trition : 5 12,@ 10? ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in @ 1 gr/%g/hari I 3 hari %eepatan 6 ml/am, G( ,6 ;entilator $!pport mo+e 7'; i2 3@ ol!me ti+al &99& 6, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; 5rip mi+aEolam 0,6 ml/am =e!t!han airan 110 ml/%g/hari I 1?- ml/hari Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml,
A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <, 7(T> 3 +eti% %ter!$ =ramer 3 -
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0-/10/16 &% 06.00
Letargi <, in$tailita$ $!h! 4, $e$a% <, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 1)0 8/menit < Bayi Berat ((: )0 8/menit Lahir (en+ah S!h!: 36,)7 1-00gr < BS : 100 ml/+L A$i%$ia erat < St general (e$piratory 'ata : p!at <, +i$tre$$ et a!$a i%ter!$ 4 $!$pe% H'5 THT : N7H 4 ++/SNA5 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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Amino!$in @ 1 gr/%g/hari I 3 hari %eepatan 6 ml/am mi%ro/menit, G( ,) ;entilator $!pport mo+e &7'; i2 30@,&& 1) ol!me ti+al &99& 6, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; 5rip mi+aEolam 0,6 ml/am =e!t!han airan 120 ml/%g/hari I 20) ml/hari Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in @ 1 gr/%g/hari I ?ml %eepatan " ml/am mi%ro/menit, G( ,) ;entilator $!pport mo+e &7'; i2
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0?/10/16 &% 06.00
Letargi <, in$tailita$ $!h! 4, $e$a% <, Ba/a%4/4, tangi$ 4
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 1)0 8/menit < Bayi Berat ((: 66 8/menit Lahir (en+ah S!h!: 36,?7 1-00gr < Sp2 : "@ A$i%$ia erat < BS : (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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30@,&& 1) ol!me ti+al &99& 6, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; 5rip mi+aEolam 0,6 ml/am ototerapi 282) am AS oral are 0,2 ml I? am AS )81 ml Ny$tatin +rop 0,1 ml J 6 am =e!t!han airan 120 ml/%g/hari I 20) ml/hari Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in @ 1 gr/%g/hari I ?ml %eepatan " ml/am mi%ro/menit, G( ,) ;entilator $!pport mo+e &7'; i2 30@,&& 1) ol!me ti+al
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&99& 6, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; 5rip mi+aEolam 0,6 ml/am $top ototerapi 282) am AS oral are 0,2 ml I? am Ny$tatin +rop 0,1 ml J 6 am Gentamyin 1810 mg =e!t!han airan 1)0 ml/%g/hari I 2? ml/hari min!m AS )81 e% re$i+! $eel!m pemerian Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in @ 1 gr/%g/hari I ?ml %eepatan " ml/am mi%ro/menit, G( ,)
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0"/10/16 &% 06.00
Letargi <, in$tailita$ $!h! <, $e$a% <, re$i+! <,a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 1) 8/menit < Bayi Berat ((: )3 8/menit Lahir (en+ah S!h!: 36,27 1-00gr < BS : -A$i%$ia erat < St general (e$piratory 'ata : p!at <, +i$tre$$ et a!$a i%ter!$ 4 $!$pe% H'5 THT : N7H 4 ++/SNA5 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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;entilator $!pport mo+e &7'; i2 2@,&& 13 ol!me ti+al &99& 6, )ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; ototerapi 282) am $top AS oral are 0,2 ml I? am Ny$tatin +rop 0,1 ml J 6 am Gentamyin 1810 mg =e!t!han airan 10 ml/%g/hari I 2 ml/hari Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in pe+ 3@ gr/%g/hari I 100 ml ,G( ,? ;entilator $!pport mo+e &7'; i2 2@,&& 13 ol!me ti+al &99& 6,
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10/10/16 &% 06.00
Letargi 4, in$tailita$ $!h! 4, $e$a% <, re$i+! <,a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 12" 8/menit < Bayi Berat ((: 13 8/menit Lahir (en+ah S!h!: 36,67 1-00gr < BS : -A$i%$ia erat < Sp2 : "0 (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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11/10/16 &% 06.00
Letargi 4, in$tailita$ $!h! 4, $e$a% <, re$i+! <,a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 12? 8/menit < Bayi Berat ((: )0 8/menit Lahir (en+ah S!h!: 36,?7 1-00gr < BS : 66 A$i%$ia erat < Sp2 : "0 (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4 98tremita$ : Hangat <
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)ml/%g (aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; AS oral are 0,2 ml I? am Ny$tatin +rop 0,1 ml J 6 am Gentamyin 1810 mg =e!t!han airan 10 ml/%g/hari I 2 ml/hari T AS 20ml/%g/hari I )mlJ3 am AS e% re$i+! Total parentral n!trition : 5 12,@ 10ml, =7L 2 ml, Nal 3@ ? ml, 7a Gl!%ona$ 2 ml, Amino!$in pe+ 3@ gr/%g/hari I 100 ml ,G( ,? ;entilator $!pport mo+e S'; i2 2@,&& 13 ol!me ti+al &99& 6, )ml/%g renana *earing,e8t! a$i
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(aniti+ine 1 mg/%g/%ali I 1,- mg tiap ? am ; 7eota8ime 0 mg/%g/8 I ? mg tiap 12 am ; AS oral are 0,2 ml I? am Ny$tatin +rop 0,1 ml J 6 am Gentamyin 1810 mg e8t!a$i loa+ing +e8ameta8on e 2 mg ; 2 na$al 1 tpm %e!t!han airan 10 ml/%g/hari I 2 ml/hari T AS 20ml/%g/hari I ) ml J3 am, e% re$i+! $eel!m pemerian A$i ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( ,? %eepatan 11 ml/am 7&A& $!pport, &99& ,
12/10/16 &% 06.00
13/10/16 &% 06.00
Apne! 4, Letargi 4, in$tailita$ $!h! 4, $e$a% <,a/a%
Apne! 4, Letargi 4, in$tailita$ $!h!
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan lemah 3343) mingg! H(: 13- 8/menit < Bayi Berat ((: ) 8/menit Lahir (en+ah S!h!: 3-,67 1-00gr < BS : 66 A$i%$ia erat < Sp2 : "3@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 Apne! o Thora8 : or/po premat!rity +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <
St pre$ent AT(/TGS : !%!p
Neonat!$ =!rang B!lan 3343) mingg!
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<, $e$a% <, re$i+! <, a/a%
1)/10/16 &% 06.00
1/10/16 &% 06.00
Apne! 4, Letargi 4, in$tailita$ $!h! <, $e$a% <, re$i+! <, a/a%
Apne! 4, Letargi 4, in$tailita$ $!h! <, $e$a% <, re$i+! <, a/a%
H(: 1)3 8/menit ((: 1? 8/menit S!h!: 3-,67 BS : 66 Sp2 : 100@ St general 'ata : p!at <, i%ter!$ 4 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat < St pre$ent AT(/TGS : !%!p H(: 1") 8/menit ((: )1 8/menit S!h!: 3-,)7 BS : 66 Sp2 : 100@ St general 'ata : p!at <, i%ter!$ 4 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat < St pre$ent AT(/TGS : !%!p H(: 1") 8/menit ((: )1 8/menit S!h!: 3-,)7 BS : 66 Sp2 : 100@ St general 'ata : p!at <, i%ter!$ 4
< Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < Apne! o premat!rity
Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < Apne! o premat!rity
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Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 <
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i2 )@, lo* ? ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( ,) %eepatan 11 ml/am
7&A& $!pport, &99& , i2 )@, lo* ? ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( ) %eepatan ? ml/am AS )0 ml/%g/hari I ? mlJ3am 7&A& $!pport, &99& , i2 )@, lo* ? =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am
THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <
SNA5 < A&
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16/10/16 &% 06.00
Apne! 4, Letargi 4, in$tailita$ $!h! <, $e$a% <, re$i+! <, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 130 8/menit < Bayi Berat ((: 1 8/menit Lahir (en+ah S!h!: 3-,)7 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 SNA5 < A& Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa
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;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml 7&A& $!pport, &99& , i2 )@, lo* ? =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3
98tremita$ : Hangat <
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1-/10/16 &% 06.00
Tangi$ <, $e$a% 4, iter!$ 4, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 13 8/menit < Bayi Berat ((: 2) 8/menit Lahir (en+ah S!h!: 3-,)7 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 SNA5 < A& Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <
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gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml 2 na$al 1 tpm =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg
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1?/10/16 &% 06.00
Tangi$ <, $e$a% 4, iter!$ 4, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 13 8/menit < Bayi Berat ((: 2) 8/menit Lahir (en+ah S!h!: 3-,)7 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 SNA5 < A& Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <
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J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml 2 na$al 1 tpm =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1-
1"/10/16 &% 06.00
Tangi$ <, $e$a% 4, iter!$ 4, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 130 8/menit < Bayi Berat ((: 20 8/menit Lahir (en+ah S!h!: 36,07 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 SNA5 < A& Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <, 7(T > 2 +eti%
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20/10/16 &% 06.00
Tangi$ <, $e$a% 4, iter!$ 4, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 130 8/menit < Bayi Berat ((: 20 8/menit Lahir (en+ah S!h!: 36,07 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5
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ml 2 na$al 1 tpm =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml 2 na$al 1 tpm =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal
i%ter!$ 4 THT : N7H 4 Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <,
++/SNA5 < SNA5 < A&
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21/10/16 &% 06.00
Tangi$ <, $e$a% 4, iter!$ 4, a/a%
St pre$ent Neonat!$ AT(/TGS : =!rang B!lan !%!p 3343) mingg! H(: 16" 8/menit < Bayi Berat ((: - 8/menit Lahir (en+ah S!h!: 3-,37 1-00gr < BS : 6" A$i%$ia erat < Sp2 : 100@ (e$piratory St general +i$tre$$ et a!$a 'ata : p!at <, $!$pe% H'5 i%ter!$ 4 ++/SNA5 < THT : N7H 4 SNA5 < A& Thora8 : or/po +n A+omen : B <, +i$ten$i 4, hati : !$t pappale, lien : ti+a% teraa 98tremita$ : Hangat <,
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3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am, al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml 2 na$al 1 tpm =e!t!han airan 10 ml/%g/hariI 2 ml/hari T AS 2 J3am ;5 51@ 1)3 ml,Nal 3@ ? ml, =7l 2ml, 7a Gl!%ona$ 2ml, Amino!$in pe+ @ 3 gr/%g/hari 100ml, G( 6,) %eepatan ? ml/am,
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22/10/16 &% 0".00
22/10/16 &% 0".0
22/10/16 &% 0".10
Apne! <, +e$at!ra$i <, letargi <
Letargi
letargi
Stat!$ pre$ent : AT(/TGS : 4 (( 4 H( : "08/menit Sp2 : 60@ Ta8 : 36,37
Stat!$ pre$ent : AT(/TGS : 4 (( : ;T& H( : 608/menit Sp2 : 60@ Ta8 : 36,37
Stat!$ pre$ent : AT(/TGS : 4
Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal < 57 Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal < 57 Neonat!$ =!rang B!lan
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al!in ?, ml/hari 'eropenem )0 mg/%g/hari I -0 mg J?am (aniti+ine 1,mg J?am ; Aminoilin mg J12 m ; Tran$!$i T7 381- Tran$!$i &(7 38 1ml ;T& 2 10 tpm &iat ant!ng monitor tan+a ital =9 orang t!a
;T& 2 10 tpm &iat ant!ng A+renalin 1 : 10.000 0,1 mg/%g 'onitor tan+a ital
;T& 2 10 tpm
(( : ;T& H( : 608/menit Sp2 : ?1@ Ta8 : 36,37
22/10/16 &% 0".1
22/10/16 &% 0".1?
22/10/16 &% 0".20
Letargi
Letargi
Apne!
Stat!$ pre$ent : AT(/TGS : lemah (( : ;T& H( : 08/menit Sp2 : 33@ Ta8 : 36,37
Stat!$ pre$ent : AT(/TGS : lemah (( : ;T& H( : 08/menit Sp2 : 33@ Ta8 : 36,37
Stat!$ pre$ent : AT(/TGS : 4 (( : ;T& H( : 4 Sp2 : 4 Ta8 : 36,37 &!pil mi+ria$i$
3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal < 57 Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal < 57 Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat < (e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal <57 Neonat!$ =!rang B!lan 3343) mingg! < Bayi Berat Lahir (en+ah 1-00gr < A$i%$ia erat <
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&iat ant!ng A+renalin 1 : 10.000 0,1 mg/%g 'onitor tan+a ital
;T& 2 10 tpm &iat ant!ng A+renalin 1 : 10.000 0,1 mg/%g 'onitor tan+a ital
;T& 2 10 tpm &iat ant!ng =9 per!r!%an
=9 pa$ien +inyata%an meninggal +iha+apan orang t!a, i+an, pera*atan orang t!a
(e$piratory +i$tre$$ et a!$a $!$pe% H'5 ++/SNA5 < SNA5 < A& < %ole$ta$i$ intrahepatal <57
ma%l!m
