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F.

U 23/02/19 | 06:30 Ny DS

S Nyeri perut sampai ke punggung dan rasa kencang pada perut


• Mata: KA (-/-), SI (-/-)
• KU : Baik
• Thorax : simetris, vesikuler (+/+), Rhonki (-/-), Wheezing
• Kesadaran : CM
(-/-)
• TD : 110/70
• Cor : S1S2 T/R, m (-), g (-)
O mmHg
• Abdomen : cembung, supel, BU (+)
• N : 94 x/m
• Akral : hangat, CRT<2”
• RR : 20 x/m
• DJJ : 138x/menit
• S : 36,5 C
• HIS (-)

A G2P1A0 42-43 mgg T/H + Obs inpartu + ISK + TBJ 2800gr

• IVFD RL 20 tpm
• Cefotaxim 2x1gr
P • Estrasi dengan Oxytosin Drip
Follow up 23-02-2019

09.00 TD: 110/80mmHg, HR: 88x/m, RR: 20x/m, T: 36,4°C


DJJ : 134x/menit, HIS (-)

10.00 DJJ : 130x/menit, HIS (-)

11.00 DJJ : 132x/menit, HIS (-)

12.00 DJJ : 130x/menit, HIS (-)


VT: Vulva vagina tidak tampak kelainan, portio tebal, lunak, pembukaan
serviks 1 cm, effacement <25 %, bagian terendah janin kepala,
denominator sde, KK (+), H-1

12.45 Mulai OD 8tpm


DJJ: 132x/menit, HIS (-)

13.00 OD 12 tpm
DJJ: 132x/menit, HIS (-)
Follow up 23-02-2019

13.15 OD 16 tpm
DJJ: 131x/menit, HIS (-)

13.30 OD 20 tpm
DJJ: 145x/menit, HIS (-)

13.45 OD 24 tpm
DJJ: 148x/menit, HIS (+) 2x dalam 10’(20’’)

14.00 OD 28 tpm
DJJ: 150x/menit, HIS (+) 2x dalam 10’(20’’)
TERIMAKASIH…

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