CHF, Dyspneu

1. CHF NYHA III

1. Assessment 4. Initial Plan of Monitoring

• Etiology : IHD, HHD, VHD
• Functional : NYHA IV Vital sign, congestive sign ,ECG, chest x ray
• Anatomy : LVH + LA 5. Initial Plan of Education :
2. Initial Plan of Diagnosis :
- • Bed Rest/Restriction of physical activity

3. Initial Plan of Therapy • Reducing Emotional stress

Pharmacology • Routine consumption drugs
• Inj.Furosemid 20mg/ml 2 Amp x 1 • Fluid restriction (1,5 L-2L/day)
• Captopril 3x6,5 mg • Monitoring weight loss independen >2kg for 3 days
• Bisoprolol 1x2,5 mg increase dose diuretik
• If congestion sign is no longer present :
spironolacton 25 mg 1x1
PEMERIKSAAN HASIL NILAI RUJUKAN INTERPRETASI
Cholesterol 271 <200 mg/dl H
Trigliserid 120 <160 mg/dl
HDL Cholesterol Direct 11 34-88 mg/dl L
LDL Cholesterol Direct 233 60-130 mg/dl H
Uric Acid 9.9 2.6-5.7 mg/dl H
Ureum 84 10-50 mg/dl H
Creatinin Darah 1.05 0.6-1.1 mg/dl
Total protein 5.92 6.0-8.0 g/dl L
Albumin 3.07 3.4-4.8 g/dl L
Globulin 2.85
Natrium 144.0 135-147 mmol/L
Kalium 4.25 3.5-5 mmol/L