KASBES ANAK BAB IV.docx - BAB IV RINGKASAN Seorang anak...

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BAB IV RINGKASAN Seorang anak perempuan usia 3 tahun 7 bulan dengan Demam Berdarah Dengue derajat II datang dengan keluhan utama demam tinggi selama 4 hari terus- menerus disertai nyeri kepala, lemas, edema palpebra, nyeri perut, muntah, nyeri otot, ptekie pada ekstremitas inferior. Pasien sempat berobat di klinik pratama selama 2 hari namun belum ada perbaikan, dirujuk ke RSI Sultan Agung dilakukan pemeriksaan darah dikatakan terkena demam berdarah. Karena ruang perawatan penuh pasien dirujuk ke RSUP Dr. Kariadi. Di IGD dilakuakn pemeriksaan darah rutin dengan hemoglobin 12 g/dl, Hematokrit 37,7%, Leukosit 11.400/ul, Trombosit 30.000/ul yang menunjukkan adanya trombositopeni. Pemeriksaan serologi pada hari ke-5 sakit didapatkan IgM (-), dan IgG (-). Pasien didiagnosis mengalami DBD derajat II dengan efusi pleura kemudian mendapat infus RL 0,9 % 7 ml/kgBB/jam (2 jam) dilanjutkan dengan mendapat infus RL 0,9 % 5 ml/kgBB/jam (4 jam). Setelah kondisi pasien membaik dan lebih stabil, pasien dirawat di bangsal C1L1. Keadaan umum anak sadar, tampak lemas, perawakan tampak normal, dan
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Christopher Reinemann
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