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    Sedation Eng

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    Zaky Hasan
    This document contains information on three patients requiring sedation for various medical procedures. The first patient, a 54-year-old woman, has a left temporal lobe hemorrhage and is scheduled for embolization. The second is a 7-month-old infant with suspected biliary atresia undergoing an MRCP. The third is a 6-year-old boy with acute lymphoblastic leukemia requiring an intrathecal injection. Each patient's history, exam findings, and lab results are presented along with their ASA physical status classification and recommended level of sedation.

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    Sedation Eng

    Uploaded by

    Zaky Hasan
    6 views17 pages
    This document contains information on three patients requiring sedation for various medical procedures. The first patient, a 54-year-old woman, has a left temporal lobe hemorrhage and is scheduled for embolization. The second is a 7-month-old infant with suspected biliary atresia undergoing an MRCP. The third is a 6-year-old boy with acute lymphoblastic leukemia requiring an intrathecal injection. Each patient's history, exam findings, and lab results are presented along with their ASA physical status classification and recommended level of sedation.

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    sedasi panduan

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    This document contains information on three patients requiring sedation for various medical procedures. The first patient, a 54-year-old woman, has a left temporal lobe hemorrhage and is scheduled for embolization. The second is a 7-month-old infant with suspected biliary atresia undergoing an MRCP. The third is a 6-year-old boy with acute lymphoblastic leukemia requiring an intrathecal injection. Each patient's history, exam findings, and lab results are presented along with their ASA physical status classification and recommended level of sedation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views17 pages

    Sedation Eng

    Uploaded by

    Zaky Hasan
    This document contains information on three patients requiring sedation for various medical procedures. The first patient, a 54-year-old woman, has a left temporal lobe hemorrhage and is scheduled for embolization. The second is a 7-month-old infant with suspected biliary atresia undergoing an MRCP. The third is a 6-year-old boy with acute lymphoblastic leukemia requiring an intrathecal injection. Each patient's history, exam findings, and lab results are presented along with their ASA physical status classification and recommended level of sedation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 17

    SEDATION

    ZH/DD
    Identity
     Nilayani/P/54 th/1037799/ lematang 1.2
     Dx: SOL temporoparietal sinistra
     Embolisation
    Anamnesis
     Headeache last 4 months, seizure -, vommit
    -, pass out –
     Coex deny
     Stroke deny
     Heart attack deny
    Physical exam
     Sens: compos mentis E4M6V5
     Bp 120/80
     HR 82x/m
     RR 20x/m
     SpO2 98%

     Head : konjungtiva anemis -/-, sklera ikterik -/-


     Neck : massa (-)
     Thorax: BJ I/II regular, vesikuler +/+. Wheezing

    -/-, rhonki -/-


     Abdomen: BU + normal
     Ekstremitas : edema (-)
    Supporting exam
     Lab 1/12/18
    ◦ 13,4/39/9000/298.000
    ◦ Ur/cr 28/0,45
    ◦ Na/K 143/4,0
    ◦ GDS 112
     EKG NSR
     Rontgen thorax: normal
     Ct scan : sol temporoparital sin
     Physical status ASA 1
     Moderate sedation
    Identity
     zhireen/7month/ F/1025672/selincah 2
     Dx/ susp. Atresia bilier
     Pro MRCP
    Anamnesis
     Ikterik since 2 months old, vommit -, grey
    feses +, ispa -, fever -
     R/Vactrrel (-)
     R/Operation 1months ago, bile cyst : GETA,

    problem -
     allergic (-) asthma (-)
    Physical exam
     Active
     HR 119x RR 27x
     T36,6 SpO2 99%

     Head: conjunctiva anemic -/-, sclera icteric


    +/+
     neck: mass (-)
     Thorax: BJ I/II regular, vesicular +/+.

    Wheezing -/-, rhonki -/-


     Abdomen: soepel, bowel sound (+) normal
     Extremity: edema (-)
    Laboratorium
    1/12/18:
    13,4/32/6200/268000
    Bss 109
    Ur/Cr 21/0,34
    Na/K: 150/4,5
     ASA II
     Light sedation
    Identity
     Fattan/M/6 th/961734/musi 1.1
     dx ALL
     Pro Intrathecal inj.
    Anamnesis
     History of chemoteraphy
     r/ Injection intrathecal 3 x, last one a month

    ago, ispa -, fever -


     allergic (-) asthma (-)
    Physical exam
     Sens: compos mentis
     N 92x/m
     RR 20x/m
     SpO2 99%

     Head: conjunctiva anemic -/-, sclera icteric -/-


     neck: mass (-)
     Thorax: BJ I/II regular, vesicular +/+. Wheezing
    -/-, rhonki -/-
     Abdomen: soepel, bowel sound (+) normal
     Extremity: edema (-)
    Laboratorium
     Lab 3-12-18
    ◦ 12,5/42/3100/259.000
    ◦ BT/CT: 2/9
    ◦ BSS 167
    ◦ Ur/Cr 28/1,06
    ◦ Na/K/Ca/Cl 145/3,7/9,8/100
     ASA II
     Light sedation

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