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CVCU Case

The weekly report details the case of a 57-year-old patient, Sujarwo, admitted with multiple diagnoses including cardiogenic shock and heart failure. Management included various interventions such as fluid administration, medication adjustments, and monitoring of electrolyte levels. The patient's condition showed improvement in acute kidney injury and hyperkalemia, with ongoing treatment for heart disease and other health issues.

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Dharmawan Hutomo
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19 views2 pages

CVCU Case

The weekly report details the case of a 57-year-old patient, Sujarwo, admitted with multiple diagnoses including cardiogenic shock and heart failure. Management included various interventions such as fluid administration, medication adjustments, and monitoring of electrolyte levels. The patient's condition showed improvement in acute kidney injury and hyperkalemia, with ongoing treatment for heart disease and other health issues.

Uploaded by

Dharmawan Hutomo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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WEEKLY REPORT 12 - 16 August 2024

CVCU
No Date Patient Identity Diagnose Management Keteranga
Admission

1 14/10/24 Sujarwo/57 1. Near syncope dt susp SND dd PDx:


Th/11542461 electrolyte imbalance dd drug induced ECG/ 24 jam atau jika didapatkan acute
2. Shock Condition dt Cardiogenic Shock cardiac event
3. HFrEF Stg C FC III dt CAD (ef 34%) Evaluasi SE post koreksi
4. Hyperkalemia moderate resolved (6 ->
5.03-> 4.8 -> 5.6 -> 5.7) PTx:
5. CAD3VD LM Disease (post staging PCI O2 NC 3 lpm
09/2022) Total cairan 1500 cc/24 jam
6. Sirosis hepatis IVFD NaCl 0.9% 1000 cc/24 jam
7. AKI stage I (Improved) (cr: 4.05 -> 1.77- Oral intake 500 cc/24 jam
> 1.24 -> 1.15 ) BC seimbang
8. History of CVA (2022) DJ III 1500 kkal/ hari diet rendah kalium
9. History of smoker & alcoholism Drip Dopamin 5-20 mcg/kgbb/min
Koreksi hiperkalemia 3 siklus :
Inj. Ca Gluconase 10 ml Actrapid 10 iu
D40 2 flacon

PO:
ASA 0-0-80 mg
Atorvastatin 0-0- 20 mg
Uperio 2x25 mg
Bisoprolol tunda
Spironilactone STOP
Lanzoprazole 1x30 mg
Laxadyn syrup 0-0-C1
Nebul ventolin 3x2 resp

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