Laproan Kasus STEMI Inferior

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Laproan Kasus ( STEMI Inferior) by Nyoman Martha C Nama Jenis Kelamin mur Tan##al : ER :L : !

" th : $ No%ember &'($

: )asien *atan# *en#an +eluhan nyeri ulu hati se,a+ $,am SMRS- )asien merasa ulu hatinya terasa panas (.)/ perih (.)/ *an terasa nyeri (.)- )0 ,u#a men#eluh+an mun1ul +erin#at *in#in (.)- Mual (.)/ muntah (2) ri3ayat ma#h sebelumnya (.)- Telat ma+an (2)/ minum +opi/ ma+an pe*an atau +e1ut *isan#+al- Sesa+ (2) R3 )enya+it 4ahulu: 4M (2)/ 5ipertensi (2)/ R3 4ispepsia (.)/ r3 Sa+it ,antun# (.)/ r3 stro+e (2)/ r3 operasi (2)/ r3 676 hitam (2)-

: Kes CM : T4 :(""9(': mm5# : 5R : ;; 09mnt : RR : && 09mnt : Ta0 : $</: : J=) *bn : Th0 =es .9./ rh 292/ 3h 292 Retra+si (2) Cor S(S&t#lre#M(2 : 7b* *ist (2)/ 6u *bn/ NT (2) : e0t e*ema 2929292 han#at .9.9.9.

7SS a3al : 7typi1al Chest pain ** 4ispepsia Th0 :*o+ter umum I>4

: 8& :lpm : EK> STEMI Inferior (lampiran) : IS4N !m# SL : 7spilet :tab (+unyah) : C)> :tab (telan) : I=?4 RL (&tpm : 1e+ 4L/ Kimia/ CKM6/ Trop I/ Thora0 )7 )ro Lapor *r 6asu+i Sp-J) (%isite I>4 5K) 7SS : STEMI Inferior 7*%i1e: )ro ICC : )ro Tromboliti+ : )osisi Semi fo3ler : & I= line (ma+ro . mi+ro) : ?asorbi* (m#9,am (isosorbi*e *initrat) Instru+si (,am )ost tromboliti+ : EK> (& lea* : Ce+ )T 7)TT/ CKM6 Troponin I Instru+si < ,am )ost tromboliti+/ bila )T *an 7)TT N :in, Lo%eno0 '/<11 : >4S 567(1

)asien masu+ ICC 4ila+u+an Tromboliti+

Streptase (/! ,t I *ien1er+an *alam !'11 habis *alam :! menit men##una+an Syrin# )ump- Ke1epatan <</"119,am Saat tromboliti+ pasien *ipasan#+an monitor yan# terhubun# *en#an 4C sho1+/ *ila+u+an pen#u+uran tensi setiap !menit- )emantauan tan*a& per*arahan?asorbi* *osis (m#9,am/ ( 7mpul fasorbi* men#an*un#('m#/ en1er+an !'11)en#en1eran ('m#9!'11 @ '/& m#911- Ke1epatan syrin# pump (m#9,am 9 '/& m#911 @ !119,amTh0 )ost tromboliti+ 8& &lpm RL (!tpm ma+s (;''119hr 4iet Jantun# I )osisi Semi fo3ler In, Lo%eno0 &0 '/<11 (eno0saparin) 7S7 (0(<'m# (malam) )la%i0 (0"! m# (pa#i) (C)>) Maintate (/&!m# (pa#i) (bisoprolol) 6lopress (0;m# (sore) (Can*esartan) Lipitor (0:'m# (malam) (sim%astatin) Aana0 '/!m# (malam) (alprasolam) La0sa*ine &0CII (pen1ahar)

?olo3 p (:9((9&'($) Nyeri *a*a (2)/ sesa+ (2) EK> Ino%ulusi ST Ele%asi infar+ Th0 : : Maintate &/! m#9hr

: 71tos (0( (pio#litason) : >lumin (0;!' m# (metformin) : 7maruyl ( m# (>limipiri*e) : ?asorbi* (m#9,am habis ST8) : terapi lain Lan,ut

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EK> ICC RS5K ( J7M )8ST TR8M68LITIK

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