Portofolio Aldi Fraktur

8/19/2019 Portofolio Aldi Fraktur

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PORTOFOLIO

Kasus III

Topik : FRAKTUR TERTUTUP 1/3 FEMUR DEXTRA TIPE KOMPLIT DISPLACED

Tanggal (kasus) : 27 Nov 2015 Presenter : dr. Ri!"di Adi#$! A%ri&!"

Tanggal presentasi : - Pendamping : dr. R!#' F!(!ri!

Tempat presentasi : RSUD D!di T(o)rodi*o

Obyektif presentasi :

Keilmuan Keterampilan Penyegaran Tinauan Pustaka

!iagnostik "anaemen "asala# Istime$a

%eonatus &ay

i

'nak Remaa !e$asa Lansia &umil

!eskripsi :

Tuuan :&a#an ba#asan :

Tinauan

Pusaka

Riset Kasus 'udit

ara memba#as : !iskusi Presentasi

dan diskusi

mail Pos

!ata pasien : %ama : N. N.A / 17 #+ %o* registrasi :

%ama klinik : Telp : - Terdaftar seak : -

!ata utama untuk ba#an diskusi :

+* !iagnosis,ambaran Klinis : Fr!)#'r / P!#!+ #'"!, *!+! )!r-! KLL " SMRS

.* Ri$ayat Pengobatan : -

/* Ri$ayat Kese#atan, Penyakit :

0* Ri$ayat Keluarga, "asyarakat :

1* Ri$ayat Pekeraan :

2* Lain-lain :

!aftar Pustaka :

1. Tucker Susan Martin, 2007, Standar Perawatan Pasien: Perencanaan kolaboratif

dan intervensi keperawatan, Jakarta: !".

2. Price S#lvia $nderson, 200%, Patofisiolo&i: 'onsep 'linis Proses(proses Pen#akit,

Jakarta: !".

). *ikipedia ba+asa indonesia, 1 Juni 2010

. S-elter,suanne "., 2001, 'eperawatan Medikal /eda+, Jakarta: !".

5. P'r!di!#o A,'% d)). 42000. K-d!r'r!#! M-di). 6!)!r#! !r!#. i!r'*!

A)%!r!.


2/14

. T+o8!% M!r) A.42011. T-r!*i d! r-+!i"i#!%i Fr!)#'r. 6!)!r#!. E9C. M'##!:i

Ari;. 4200


3/14

Obyektif

P!d! *-8-ri)%!! ;i%i) did!*!#

Pemeriksaan Fisik

• K-!d!! '8'8 ? #!8*!) %!)i# %-d!,

• K-%!d!r! ? CM

• T-)!! D!r!+ ? 100/


4/14

A'%)'"#!%i ? M'r8'r 4 9!""o* 4

Ado8-

I%*-)%i ? D!#!r

P!"*!%i ? D!#!r @-*!r d! "i- #id!) #-r!! N$-ri #-)! di #i#i)

-*i,!%#ri'8 4 d-;!% 8'%)'"-r 4 Tid!) #-r!! 8!%%!

P-r)'%i ? Ti8*!i

A'%)'"#!%i ? i%i, '%'% 4 or8!"

E)%#r-8i#!% ? CRT or8!". O-d-8 -#r-8i#!% %'*-rior /

O-d-8 -#r-8i#!% i;-rior /

4tatus Lokalis (Regio Pedis , Femur !e5tra) :

Inspeksi:

Tr!)%i #-r*!%!, d-,! -! 7 K,

D-;or8i#!% 4

O-d-8 4 P-rd!r!+! 4 L')! 4

P-8-d-) )! 4

Palpasi:

Ar#-ri r!di!"i% #-r!! 4

N$-ri #-)! 4

S'+' d! !r! %!8! d-,! )'"i# %-)i#!r 4

S-%ii"i#!% 4

9-r!) 4 )!r-! #-r*!%!, Tr!)%i

Pemeriksaan Penunang:

Laboratorium

@ ? 12 ,r/d"

L-')o%i# ? .300/883

Tro8o%i# ? 1.000/883

@-8!#o)ri# ? 1

9DS ?


5/14

Radiologi

S--"'8 *-8!%!,! Tr!)%i S-#-"!+ *-8!%!,! Tr!)%i

'ssessment (Penalaran klinis)

P!%i- 17 #!+' d!#!, d-,! )-"'+! *!#!+ #'"!, *!+! %-(!) '"! $!, "!"'

)!r-! KLL. S!!# !!" )-(!di! *!%i- 8-o"!) '#') di*!%!, *-.

S!!# dir'8!+ *!%i- %-ri, 8-,'r'# )!)i $!.R/ K-"'!r =!ir! d!ri d!ri +id', d! #-"i,! 4

R/ M'#!+ *ro$-)#i" 4

R/ Pi,%! "!8! 4

R/ D-8!8 4

4tatus Lokalis (Regio Pedis , Femur !e5tra) :

Inspeksi:

Tr!)%i #-r*!%!, d-,! -! 7 K,

D-;or8i#!% 4

O-d-8 4 P-rd!r!+! 4 L')! 4

P-8-d-) )! 4

Palpasi:

Ar#-ri r!di!"i% #-r!! 4

N$-ri #-)! 4

S'+' d! !r! %!8! d-,! )'"i# %-)i#!r 4

S-%ii"i#!% 4

9-r!) 4 )!r-! #-r*!%!, Tr!)%i

L!or!#ori'8 4T-r"!8*ir

R!dio"o,i 4T-r"!8*ir

Di!,o%! di#-,!))! -rd!%!r)! A!8-%! K"ii% *!%i- d! PP


6/14

!efinisi

Fr!)#'r !#!' *!#!+ #'"!, !d!"!+ #-r*'#'%$! )o#i'i#!% (!ri,! #'"!, #'"!, r!!

%-di #'"!, r!! -*i;i%i% !i) $!, -r%i;!# #o#!" 8!'*' $!, *!r%i!". Tr!'8! $!,

8-$-!)! #'"!, *!#!+ d!*!# -r'*! #r!'8! "!,%', #-)!! "!,%', *!d! #'"!, d!

#-r(!di ;r!)#'r *!d! d!-r!+ #-)!! d! #r!'8! #id!) "!,%', #r!'8! di+!#!r)! )- d!-r!+

$!, "-i+ (!'+ d!ri d!-r!+ ;r!)#'r. A)i!# #r!'8! -r,!#', *!d! (-i% #r!'8! )-)'!#!

!r!+$! d! '8'r *-d-ri#!.

KLASIFIKASI FRAKTUR

K"!%i;i)!%i ;r!)#'r di!,i 8-(!di?

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Fr!)#'r #-r#'#'* di!,i 8-(!di?

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9r!d- I? Fr!)#'r d-,! !r!%i d!,)!" !#!' 8-8!r )'"i# d! (!ri,! %')'#!.

9r!d- II? Fr!)#'r $!, "-i+ -r!# d-,! )o#'%io (!ri,! "'!) !,i! d!"!8 d! *-8-,)!)!.


7/14

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%idro8)o8*!r#-8-

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d! (!ri,! "'!).Fr!)#'r #-rr')! di!,i 8-(!di?

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2. M-'r'# -#io"o,i%

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T-r(!di )!r-! #r!'8! $!, #i!#i!

Fr!)#'r *!#o"o,i%

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#'"!, 8!'*' di "'!r #'"!, 8i%!"$! #'8or i;-)%i !#!' o%#-o*oro%i%.

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!#!' o"!+r!,!! $!, %-ri, -r"!ri !#!' !ri%-r!ri%.

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Fr!)#' )o8*"i#

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Fr!)#'r #id!) )o8*"i#

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Fr!)#'r 'di%*"!=-d

9!ri% *!#!+ )o8*"i# #-#!*i )-d'! ;r!,8- #id!) -r,-%-r


8/14

Fr!)#'r di%*"!=-d

T-r(!di *-r,-%-r! ;r!,8-;r!,8- ;r!)#'r

Patogenesis

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d! "-')o%i# d! i;i"#r!%i %-" d!r!+ *'#i+. K-(!di! ii"!+ $!, 8-r'*!)! d!%!r d!ri *ro%-%

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9/14

Pemeriksaan Penunang

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=-d-r!+ +!#i.

F. L!or!#ori'8 "!i $!, -r+'',! d-,! %#!d!r *-r%i!*! *ro%-d'r o*-r!%i

Proses Penyembu#an Tulang

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#''+ '#') 8-$-8'+)! #'"!, $!, *!#!+ d-,! (!"! 8-8-#') #'"!, !r' di!#!r!

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10/14

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8-$!#'.

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Komplikasi

1 Ko8*"i)!%i A!"

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#id!)! r-d')%i d! *-8-d!+!.

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#!=+$*-! d-8!8.

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11/14

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2 Ko8*"i)!%i D!"!8 !)#' L!8!

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%!8',! $!, "-,)!* )'!# d! %#!i" %-#-"!+ '"!. No'io di#!d!i d-,!

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*%-'do!r#+ro%i%. Ii (',! di%-!)! )!r-! !"ir! d!r!+ $!, )'r!,.

=. M!"'io M!"'io 8-r'*!)! *-$-8'+! #'"!, di#!d!i d-,! 8-i,)!#$!

#i,)!# )-)'!#! d! *-r'!+! -#') 4d-;or8i#!%. M!"'io di"!)')! d-,!

*-8-d!+! d! r-i8oi"i%!%i $!, !i).


12/14


13/14

di*-r%i!*)! '#') 8-(!"!i *ro%-d'r +!r'% di*-ro"-+ i&i '#') 8-"!)')! *ro%-d'r d!

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dir-d')%i. A"!# ;i)%!%i i#-r! d!"!8 -#') *i )!!# %-)r'* *"!# *!)' !#!' !#!,!

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%!8*!i #-r(!di *-$!#'!. I8oi"i%!%i d!*!# di"!)')! d-,! ;i)%!%i -)%#-r! !#!' i#-r!.

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*!d! *-$-8'+! #'"!, d! (!ri,! "'!). R-d')%i d! i8oi"i%!%i +!r'% di*-r#!+!)!

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14/14

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d! 8-i,)!#)! *-r-d!r! d!r!+. P!r#i%i*!%i d!"!8 !)#ivi#!% +id'* %-+!ri+!ri di'%!+!)!

'#') 8-8*-r!i)i )-8!diri! ;',%i d! +!r,!diri. P-,-8!"i! -r#!+!* *!d! !)#ivi#!%

%-8'"! di'%!+!)! %-%'!i !#!%! #-r!*-'#i)!. i!%!$! ;i)%!%i i#-r! 8-8',)i)!

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"'!%$! ,-r!)! d! %#r-% *!d! -)%#r-r8i#!% $!, di*-ro"-+)! d! 8--#')! #i,)!#

!)#ivi#!% d! -! -r!# !d!.

Plan

!iagnosis :

Pr- O* ? Fr!)#'r #-r#'#'* 1/3 8-di!" ;-8'r D-#r! #i*- Ko8*"i# Di%*"!=-d

Po%# O*? Po%# O* *-8!%!,! Tr!)%i !i. Fr.F-8'r D-#r! N-,"-#-d ;r!)#'r J M!"'io

Pengobatan :

T-r!*i *o%# *-8!%!,! Tr!)%i !#!% !dvi=- dr.S*oT

IBFD RL 20 #*8 48!)ro

I(. C-;#ri!o- / 12 (!8 4%-!,!i !#iio#i)! !d-)'!# "-')o%i#o%i%

I(. R!i#idi/ 12 (!8 48-,'r!,i ,-(!"! $, -r+'',! d-,! )-"-i+! !%!8 "!8',

i(. K-#oro"o!= 30 8, / 12 (!8 4%-!,!i !#i $-ri $!, !d-)'!#

Pendidikan : Ed')!%i *!%i- #-#!, *-#i, $! 8oi"i"!%i -r#!+!* d! 8-(!,! )--r%i+! #r!)%i

Konsultasi : Di(-"!%)! %-=!r! r!%io!" #-#!, #!#!"!)%!! $!, di-ri)!

Ruukan : R'(')! )-*!d! do)#-r %*-%i!"i% or#o*-di

Kontrol : Ko#ro" '"!, 8ii8!" 1 8i,,' %-#-"!+ *-r!!#! *o%# o*-r!%i

Portofolio Aldi Fraktur

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