PANDUAN PRAKTIK KLINIS Perdarahan Pascasalin

July 14, 2022 | Author: Anonymous | Category: N/A
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PANDUAN PRAKTIK KLINIS (PPK) TATA LAKSANA KASUS RSUD R SYAMSUDIN SH KOTA SUKABUMI, JAWA BARAT  2015 PERDARAHAN PASCASALIN  

1.Penger!"n (De#!n!$!)

2.An"-ne$!$

Per%"r"&"n Per%"r"&" '"$"$"!n "%""& 'er%"r"&"n *"ng er+"%! $ee"&  +"n!n "&!r,n *"! *" ! -ee!&! 500 '"%" '"%" 'er$"!n"n ''er/"g!n"er/"g!n""" e!& %"r! 1000 '"%" 'er$"!n"n 'r"%-!n 'r"%-!n". ". D!"g! -en+"%!  Per%"r"&"nn '"$"$"!n %!n! ('r!-er) *"! +!" er+"%! %""- 23 Per%"r"&"  +"- 'er"-" Per%"r"&"nn '"$"$"!n "-" ($en%er) *"! +!" er+"%! Per%"r"&" e!& %"r! 23 +"  Etiologi 4 T : Tonus, Tissue, Trauma, Thrombin Ter%"'" #"r 're%!$'$!$! Ter%"'" Predisposisi antepartum  r!4"*" 'er%"r"&"n '"$"$"!n "" Predisposisi -"n" '"$en", $$! '"$en", '"$en" 're/!", &!'eren$!, IUD, /er%!$en$! er$, g"ngg"n 'e-e"n %"r"& Predisposisi Predisposi si intrapartum   'er$"!n"n $e$! $e$"re" ""n , '"r$ "-", '"r$ 're$!'!"$, !n%$! """" "g-en"$! "g-en" $! 'er$"!n"n, !n#e$! r!n, %!$$!" "&, gr"n%e-! gr"n%e- ! '"r!"$, g"ngg"n "g'"!.

6.Pe-er!$""n !$! 3.Kr!er!" D!"gn$!$

Predisposisi postpartum  "$er"$! +""n "&!r (r'r 'er!ne-, Predisposisi 'er!ne-, e'!$!-! "$, re"n 'r!),reen$! '"$en", $!$" '"$en", !n/er$! er!, r'r er! T"n%"7"n%"" $* &!'/e-! (r!ng"n T"n%"7"n% (r!ng"n $"-'"! er") er") Kn+ng!/" "ne-!$ Per%"r"&"nn '"$" $"!n %!n! %"n "-" Per%"r"&"

5.D!"gn$!$ Ker+"

P8RDARAHAN PAS9ASALIN

:.D!"gn$!$ B"n%!ng

 

;.Pe-er!$""n Penn+"ng

L"r"r!-  r$$-"&, "%"r H, L, Tr, H,BT, 9T ,PT, APTT  US< In#r-e% n$en S"!!$"$! "4"  """$"n" $*  AB9 ('$!$!"n $e-! e$en$!, e"$"n +""n n"#"$, 2 +!" 'er , re$$!"$! "!r"n) Hen!"n $-er 'er%"r"&"n Mn!r "n%"7"n%" /!"

=.Pen"""$"n""n

Pen"""$"n""n $'e$!#! $e$"! e!g! Pen"""$"n""n Atonia Uteri M"$$"$e er$, 'e-er!"n 'e-er!"n $!$!n 10 n! %""- RL 500 ee$"n e'" (%"'" %!er!"n $"-'"! 6 !er %eng"n ee$"n 30 ee$>-en!)%"n erg-er!n I?>IM 0,2-g (%"'" %!"ng 1@ $ee"& 15 -en! %"n !" -"$!& %!'er"n %"'" %!er!"n !"' 273 +"- IM>I? $"-'"! -"$!-" 1 -g "" 5 %$!$)"" -!$'r$ 300 -!rgr"- 'ere" "" 'err" (%"'" %!"ng 300 -!rgr"- !"' 273 +"- $"-'"! -"$!-" 1200 -!rgr"- "" 6 %$!$). B!" $ee"& 'e-er!"n %$!$ "4" "%"

 

'er"!"n %"n 'er%"r"&"n er&en!, $!$!n "" -!$'r$ %!er$"n. L""n -'re$! !-"n" "" 'e-"$"ng"n "-'n "n. J!" nr"$! e"' r ""n &!$ere-!. (""n !g"$! "rer! er!n" "" &!'g"$r!" "" en! B7*n& $re n '"$!en *"ng e- 'n*" "n", +!" !%" -ng!n ""n &!$ere-!) Laserasi jalan lahir Seger" ""n 'en+"&!"n "$er"$! Ruptur uteri S"!!$"$! e"%""n -- %"n $eger" ""n "'"r"-!. Ren"n""n &!$err"#! "" &!$ere-! Inversio uteri Re'$!$! -"n" $ee"& $* er""$!. J!" '"$en" ee'"$ $e"!n*" +"ng"n e'"$"n % $ee- er$ %!re'$!$! "ren" ""n -eng"!""n -eng"!""n 'er%"r"&"n "n*". See"& re'$!$! er&"$! , %!er! %r!' $!$!n. Pe-"$"ng"n "-'n r"&!- %!""n $'"*" !%" er+"%! "g! !n/er$!. J!" re'$!$! -"n" !%" er&"$! %!""n re'$!$! 'er"!# 'er"%-!n" Retensio Plasenta D!""n 'ee'"$"n '"$en" $e"r" -"n". J!" '"$en" $! %!e'"$"n, %!'!!r"n e-ng!n"n '"$en" "re". Ter"'! er"! '"%" '"$en" "re" -'! "%""& &!$ere-! Sisa Plasenta D!""n re"$e %eng"n 'e-er!"n ern!" %"n

.8%"$! (H0$'!" He"& Pr0-0!0n) 

10.Prgn$!$ 11.T!ng" 8/!%en$ 12. T!ng" Re-en%"$! 16. Pene""& Kr!!$

13.In%!"r Keer&"$!"n 15.Ke'$"""n

r"n$#$! %"r"& !" %!'er"n. J!" er+"%! '"%" -"$" n!#"$, er!"n ern!", "n!!! $'re- "$ %"n re"$e. J!" re"$e !%" er&"$!, ""n &!$ere-! angguan !oagulopati R"4" er$"-" %eng"n 'en*"! %""-, re$! #"r 'e-e"n %eng"n r"n$#$! r"n$#$! P, r!'re$!'!", r!'re$!'!", r-$! %"n PR9, nr DI9 %eng"n &e'"r!n 1. Kn$e!ng e"rg" en"ng e-ng!n"n "&"*" %"n -'!"$! '"%" ! 2. Kn$e!ng en"ng "n%"7"n%" !n#e$! 6. Kn$e!ng "n%"7"n%" 'er%"r"&"n

D!" I>II>III>I? A/B/C

1. 2. 6. 3.

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