Emergency Report

Monday, May 20th 2023

DPJP: dr. Rahendra, Sp.An-TI, Subsp AR (K)
dr. Prima / dr. Tomo / dr. Wahyu – dr. Ira / dr. Ferdy
ICU : dr. Jevon
HCU : dr. Ganda
IMET : dr. Gloria
ICU IGD : dr. Lamhot
TMRC: dr. Tere
APS : dr. Jewe
PJT : dr. Rian
Kencana : dr. Carol | dr. Clarissa
ICU Kiara: dr. Gaya | dr. Chacha
• Total anesthesia = 2 patients
1. 25 Y / F / 4743913
Diagnosis : G1 39 weeks pregnant (ultrasound TM I), JPKTH, suspected CPD on inpartu, mother with graves disease on therapy
Procedure : SC
Status : ASA 3
• Graves disease, clinical with exophthalmus, no complaints of palpitations/dyspnea/ hoarseness, without complaints
of sweating, able to lie supine, Wayne index +5 (palpable thyroid, exophthalmos) BP: 115/72 mmHg HR 87x/m, FT4
2.0 (2/2/24) and TSH 0.034 (6/9/23), thyroid ultrasound (9/19/23): Diffuse struma, without nodule seen in thyroid
gland, on PTU 150 – 100
• Pregnancy
Anesthesia : Spinal
Post op : Ward
2. 31 Y / F / 4723367
Diagnosis : Placental abruption in G2P0A1 34 weeks pregnant (USG TM I), JPKTH, oligihydramnios, mother with Preeclampsia with
severe features
Procedure : SC
Status : ASA 3
• Preeclampsia with severe features, clinically with dizziness, without headache, without seizures/shortness of
breath/decreased consciousness, with edema of both lower limbs, clinically compos mentis, BP 168/100 mmHg, HR
116x/minute, RR 20x/minute SpO2 99% Room air, UL proteinuria + 3, In therapy Nifedipine 4 x 10 mg PO, MgSO4
40% 4 g IV slow bolus, continue 1 gram/hour for 24 hours
• APTT lengthening 2.4 x, PT 0.3, TR 255.0000, clinical without signs of bleeding
• Anemia Hb 10.8
• Hiponatremia 130
• Grade I obesity, BMI 25.3 BW 80 kg BH 160 cm, STOP Bang Score 1, low risk OSA
• Pregnancy
Anesthesia : Spinal
Post op : Ward
Thank you