{"id":775,"date":"2022-01-05T15:53:16","date_gmt":"2022-01-05T08:53:16","guid":{"rendered":"https:\/\/koas2doctor.com\/?p=775"},"modified":"2022-01-05T15:53:18","modified_gmt":"2022-01-05T08:53:18","slug":"contoh-checklist-osce-pecah-varises-oesophagus-pvo","status":"publish","type":"post","link":"https:\/\/koas2doctor.com\/id\/contoh-checklist-osce-pecah-varises-oesophagus-pvo\/","title":{"rendered":"Contoh Checklist OSCE Pecah Varises Oesophagus (PVO)"},"content":{"rendered":"

Halo semua, kembali lagi dengan contoh checklist OSCE, kali ini kita akan membahas contoh checklist OSCE Pecah Varises Oesophagus (PVO). <\/p>\n\n\n\n

Baca Juga: Contoh Checklist OSCE Gizi Buruk<\/a><\/p>\n\n\n\n

Pemeriksaan Fisik (Dapat melakukan seluruh pemeriksaan fisik dengan benar)<\/td>1) Mengukur tekanan darah, nadi, suhu, dan respirasi
2) Memerika konjungitva dan sklera (Hasil anemis dan ikterik)
3) Inspeksi thorax (Hasil terdapat spider naevi)
4) Inspeksi abdomen (Hasil terdapat perut cembung dan caput medusa)
5) Palpasi hepar dan limpa
6) Perkusi abdomen (Hasil terdapat pekak samping dan pekak pindah, pemeriksaan ruang Traube)
7) Pemeriksaan ekstremitas untuk palmar eritema dan liver nail, dan edema tungkai<\/td><\/tr>
Melakukan tes\/prosedur klinis atau interpretasi data untuk menunjang diagnosis\/diagnosis banding (Dapat meminta SEMUA<\/strong> pemeriksaan secara lengkap dan menjelaskan kepada pasien<\/strong> dengan benar SEMUA<\/strong> hasil interpretasi)<\/td>Hb : 4.9 mg\/dL (N: 12-13)
Ht: 22% (N: 36-40%)
WBC: 3510 (N: 4.000-10.000)
Trombosit: 99000 (N: 150.000-400.000)
ALT: 143 (N: <35)
AST: 255 (N: <50)
Total bilirubin: 5.9 (N: 0.1-1.2)
Bilirubin direk: 4.2 (N: 0-0.3)
Albumin: 2.2 (N: 3.5-5)
Globulin: 3.4 (N: 2.3-3.5)
HbsAg: (-)
Anti-HCV: (+)
INR 2.5 (0.8-1.1)<\/td><\/tr>
Menentukan Diagnosis dan Diagnosis Banding<\/td>Diagnosis<\/span>:
Sirosis hepatis ec HCV
Hematemesis melena ec PVO
Diagnosis banding<\/span>:
Hematemesis melena ec gastropati hipertensi portal
Hematemesis melena ec ulkus peptikum berdarah<\/td><\/tr>
Tatalaksana Non-Farmakologi<\/td>1) Puasa (NPO)
2) Pasang NGT, dialirkan, dan bilas lambung
3) Pasang 2 IV line besar, bolus dengan kristaloid
4) Rencanakan untuk dirujuk ke fasilitas yang ada endoskopi<\/td><\/tr>
Tatalaksana Farmakologi<\/td>1) Vit K 3×1 IV
2) PPI: Omeprazole 2×40 mg IV
3) Antibiotik: Ceftriaxone 1×2 gram IV ATAU Cefotaxime 3×1 gram IV
4) Lactulose 4×10 ml per NGT
5) Transfusi PRC cross-matched 500 ml, target Hb >8 g\/dL
6) Somatostatin 250 mcg per jam atau octeotride 50 mg per jam<\/td><\/tr>
Perilaku Profesional<\/td>1) Informed consent
2) Melakukan setiap tindakan dengan hati-hati agar tidak membahayakan pasien
3) Memperhatikan kenyamanan pasien
4) Melakukan tindakan sesuai prioritas
5) Menunjukkan rasa hormat kepada pasien yang memiliki keterbatasan<\/td><\/tr><\/tbody><\/table>
Tabel 1. Contoh Checklist OSCE Pecah Varises Oesofagus (PVO)<\/figcaption><\/figure>\n\n\n\n

Pro Tip:<\/p>\n\n\n\n

  1. Jangan lupa untuk memeriksa pasien di sebelah kanan dan kaki ditekuk sebelum melakukan PF abdomen<\/li>
  2. Perkusi ruang Traube dilakukan dari batas kardiak kiri (ICS 6) ke arah lateral menuju anterior axillary line. Positif bila terdapat bunyi dull.<\/li>
  3. Pilihan PPI lainnya terdapat juga: Pantoprazole 1×40 mg IV; Esomeprazole 1×40 mg IV; dan Lansoprazole 1×30 mg IV<\/li>
  4. Jangan lupa tanyakan riwayat mendapatkan Hep B or Hep C dari mana (obat-obatan terlarang, pekerja kesehatan, atau seks bebas)<\/li>
  5. Pasien dapat pura-pura hematemesis pada saat anamnesis. Jangan panik. Apabila pasien masih perlu dianamnesis, laporkan pada penguji bahwa kalian akan menstabilkan pasien terlebih dahulu dengan prinsip ABCDE (supaya ga aspirasi) dan memasang 2 IV line untuk resusitasi. Apabila pasien sudah stabil baru lanjut anamnesis (tapi secara singkat dan cepat).<\/li><\/ol>\n\n\n\n
    \"Perkusi
    Perkusi Ruang Traube<\/figcaption><\/figure>\n\n\n\n

    Sekian untuk checklist pada kali ini. Bila ada topik yang kalian butuhkan checklistnya, tinggal komentar dibawah ya!<\/p>\n\n\n\n

    Otherwise, sekian dulu contoh checklist OSCE pecah varises oesofagus (PVO) kali ini, jangan lupa untuk mengikuti instagram kami di @koas2doctor<\/a> and we will see you guys soon!<\/p>","protected":false},"excerpt":{"rendered":"

    Halo semua, kembali lagi dengan contoh checklist OSCE, kali ini kita akan membahas contoh checklist OSCE Pecah Varises Oesophagus (PVO). Baca Juga: Contoh Checklist OSCE Gizi Buruk Pemeriksaan Fisik (Dapat melakukan seluruh pemeriksaan fisik dengan […]<\/p>\n","protected":false},"author":1,"featured_media":777,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[189],"tags":[231,60],"yoast_head":"\nContoh Checklist OSCE Pecah Varises Oesophagus (PVO) - Koas2Doctor<\/title>\n<meta name=\"description\" content=\"Kembali lagi dengan contoh checklist OSCE dan kali ini kita memberikan contoh checklist OSCE pecah varises oesofagus (PVO)!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/koas2doctor.com\/id\/contoh-checklist-osce-pecah-varises-oesophagus-pvo\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contoh Checklist OSCE Pecah Varises Oesophagus (PVO) - 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