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  • Follow Up Tgl/Jam S O A P

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    Gabriella
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    This medical document details the follow up of a patient experiencing postpartum bleeding. Over three days: 1) The patient's vital signs and symptoms like weakness and dizziness were monitored, and she received intravenous fluids, antibiotics, uterotonic drugs, and blood transfusions to treat her heavy postpartum bleeding and anemia. 2) By the third day, her bleeding had decreased and her condition had stabilized, so she was discharged from the hospital with instructions to continue oral medications. 3) The summary outlines the patient's treatment for heavy postpartum bleeding and subinvolution of the uterus, including monitoring, intravenous medications and fluids, blood transfusions, and antibiotics over three days until her discharge

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    This medical document details the follow up of a patient experiencing postpartum bleeding. Over three days: 1) The patient's vital signs and symptoms like weakness and dizziness were monitored, and she received intravenous fluids, antibiotics, uterotonic drugs, and blood transfusions to treat her heavy postpartum bleeding and anemia. 2) By the third day, her bleeding had decreased and her condition had stabilized, so she was discharged from the hospital with instructions to continue oral medications. 3) The summary outlines the patient's treatment for heavy postpartum bleeding and subinvolution of the uterus, including monitoring, intravenous medications and fluids, blood transfusions, and antibiotics over three days until her discharge

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    14 views2 pages

    Follow Up Tgl/Jam S O A P

    Uploaded by

    Gabriella
    This medical document details the follow up of a patient experiencing postpartum bleeding. Over three days: 1) The patient's vital signs and symptoms like weakness and dizziness were monitored, and she received intravenous fluids, antibiotics, uterotonic drugs, and blood transfusions to treat her heavy postpartum bleeding and anemia. 2) By the third day, her bleeding had decreased and her condition had stabilized, so she was discharged from the hospital with instructions to continue oral medications. 3) The summary outlines the patient's treatment for heavy postpartum bleeding and subinvolution of the uterus, including monitoring, intravenous medications and fluids, blood transfusions, and antibiotics over three days until her discharge

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Follow up

    Tgl/Jam S O A P
    Follow up Perdarahan TD = 110/70 HPP e.c. sub involusio - Bed rest
    06/09/2018 (+) mmHg uteri + Anemia - O2 2-4 lpm
    lemas (+) RR = 20 - IVFD RL dua jalur
    pusing (+) kali/menit o Hes 20 tpm
    N = 82 kali/menit o RL 20 tpm
    T = 36,5oC - Inj Asam Tranexamat 3x500 mg
    - Inj Ranitidin 2x1 amp
    - Inj Ceftriaxon 2x1 gr
    - Pasang kateter
    - Konsul dr Firmasnsyah Sp.OG :
    o Inj. Methergin 1 amp im
    o IVFD : - 2 amp Oksitosin + RL 40
    tpm
    RL 2 kolf  Selanjutnya HES 20
    tpm
    o Transfusi PRC 1 kolf
    Monitor TV/ keluhan/kontraksi uterus/ fluksus
    Follow up Perdarahan TD = 110/70 HPP e.c. sub involusio Bed rest
    07/09/2018 (+) mmHg uteri + Anemia IVFD RL + 1 amp oksitosin 20 tpm

    23
    lemas (+) RR = 20 Transfusi PRC 2 kolf
    pusing (-) kali/menit Inj. Ceftriaxon 2x1 amp
    N = 84 kali/menit Metronidazole 3x500 mg
    T = 36,5oC Asam Tranexamat 3x500 mg
    PO : Metergin 3x1
    Monitor TV/ keluhan/kontraksi uterus/ fluksus
    Follow Up Perdarahan TD = 110/70 HPP e.c. sub involusio Bed Rest
    08/09/2018 (<) mmHg uteri + Anemia IVFD RL + 1 amp oksitosin 20 tpm
    RR = 20 Inj. Ceftriaxon 2x1 amp
    kali/menit Metronidazole 3x500 mg
    N = 86 kali/menit Asam Tranexamat 3x500 mg
    T = 36,5oC PO : Metergin 3x1
    Monitor TV/ keluhan/kontraksi uterus/ fluksus
    Follow Up Perdarahan HPP e.c. sub involusio Pasien boleh pulang
    09/09/2018 (-) uteri + Anemia

    24

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