case study di klinik orthopedik

8/18/2019 case study di klinik orthopedik

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KOLEJ KESIHATAN BERSEKUTU KOTA KINABALU

KRUSUS DIPLOMA PEMBANTU PERUBATAN

MAOR 3112

JABATAN ORTOPEDIK ( KLINIK ORTOPEDIK )

( TUGASAN INDIVIDU 10% )

PENGKAJIAN KES

TAJUK:

‘PLASTER OF PARIS’ (POP)

KUMPULAN: JANUARI 2014

ISI KANDUNGAN

NAMA FARIZ BIN MASIONG

NO.K/P 900726 – 12 - 5827

NO MARIK BPP2014-2217


2/15

BIL

PERKARA MUKA SURAT

PENDAHULUAN 3

1.1 PENGENALAN 3 1.2 TUJUAN PROSEDUR 3

PENYATAAN MASALAH 4

PENCARIAN LITERATUR 4 - 5

PENEMUAN/ RAWATAN/ PENGURUSAN 5 -

PROSEDUR PEMASANGAN POP - 1!

5.1 ALAT KELENGKAPAN DAN KEMUDAHAN YANG PERLU ADA

DALAM BILIK POP

5.2 PROSEDUR PEMASANGAN POP

PERBINCANGAN DAN PENYELESAIAN MASALAH 1! - 12

RUMUSAN 12

RUJUKAN 13

LAMPIRAN 14

PENDAHULUAN

1.1 PENGENALAN

2


3/15

P"#$%&' () P#'*$ +POP, ##"# $&&0*$ #"#% #0 &'#$ # #0 %*#

6&'6# #0 *7&'6#% #'*7## 6##0 6#0 ('#0* *#*% ‘#0'($

8#"8*9 $"7#%&: #%# # *7#0*" ‘7$9:. I#0# 9&'7##0 $#%

#&# '#;#%#0 #0 *0##0 #"#9 6*#0 ('%(7&* 0% 9&'#;#%&$-&$ 6#0 7&96&##0 #0 9&"*6#%#0 %'#9# 9$8"($&"&%#"

&8&&'##0 $#0 #0 9#$#"# (0&0*%#". T&'#7#% # &0*$ #$ POP

*#*% &0*$ ‘8(97($& () 7"#$%&': #0 &0*$ ‘


4/15

NAMA @ ADIK

JANTINA @ MALE

UMUR @ 15 UMUR

BANGSA @DUSUN

AGAMA @ KRISTIAN

RN @ 12 - 1523

A* R %&"# *' & K"*0* O'%(7&*8 HE II &0#0 *'*0#0

P&0("(0 P&#;#* P&'6#%#0 #'* H($7*%#" R#0# &0#0 ##0 $#*%

$&9#$# 9&0&'##0 %#0#0 #0#0. P##' P&'6#%#0 9&0&$##0

6##;# A* R %&"# 9&0#"#9* &7#%##0 %&'%%7 *$%#" 9&%#8#'7#" &-

4 #0 &-5 . B&"*# &9*#0 *%##0 * W# O'%(7&* H($7*%#" &&0

E"*#6&% 0% '#;#%#0 "#0%.

PENCARIAN LITERATUR

K&8&&'##0 9$"($&"&%#" %&'#* &7## "&6* 5 7&'#%$ ('#0

#0 9&0#"#9* &8&&'##0 9"%*7"& %'#9# %&'%#9#0# &8&&'##0 *

%#0#0 R($&0%'# +14 , .

P&08&##0 &8&&'##0 *0* 6("& 9&0&"#9#%#0 0#;# #0

9&0'#0#0 &8#8#%#0. S&9# "#7*$#0 9' 7&'" *6&'*#0

7&0&%##0 %&0%#0 7&08&##0 &8&&'##0. T*0##0 &''#;#%#0

#0 8&7#% #0 %&7#% ##"# 7&0%*0 #"#9 9&08#7#* 7&0&96#0

$&8#'# (7%*99 %#07# 6&'"#0# (97"*#$* #"#9 7&0'$#0

&7#%##0 *0* M#"8("9 +14,.

4


5/15

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9&97&'6&%"#0 #"*09&0% &7#%##0 $&$#% %"#0.

2! %#0 $&"&7#$ *% $&('#0 $#*0%*$ #'* R$*# %&"# 9&08*7%# #"#%

#0 # 0% 9&0*99(6*"*$#$*#0 %"#0 #0 7#%#. T&0* I""*#'(>

%&"# *8*7%# #0 %&"# 9&0&'#0#0 6&'&0##0 &0#0 %&#0#0 #0

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7## 7&00 %"#0. G#>'*" A. I""*#'(> +15!,.

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*0* 6("& *#7"*#$*#0 0% 9&'#;#% &)('9*%* #0 %'#9# 7## %#0#0

9#70 #*.

PENEMUAN/ RAWATAN/ PENGURUSAN

Aduan Utama (C/O) :

• S#*% * 6##*#0 %#0#0 #0#0 F 1/

• P&'&'##0 %#0#0 #0 '#0.

Sejaa! Pen"a#$t %$n$ :

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9&0#'#% * %#0#0 $&6&"# #0#0 .

• P&$#*% 6#00 &0#0 ##0 %#0#0 #0#0 #0 $#*% $&'%#

7&'&'##0 #0 $&**%.

• B#7# 7&$#*% &9*#0 9&96#;# A* R & U0*% K&8&9#$#0

H($7*%#" R#0#.

5


6/15

Tanda&tanda '$ta :

• T&#0#0 D#'# @121/ ! 99H

• K##' N#* @ ?/ 9*0*%

• K##' P&'0#)#$#0 @ 2!/ 9*0*%

• S B##0 @3?. (8

Peme$#aan *$+$#a :

- GCS :

• E&$ @ 4

• &'6#" @ 5

• M(%(' @ ?

-

Pena,aan :N('9#"- S$#ua$ :N('9#"- %e-aa : T*## 7&0#'##0 #0 0('9#"- Le!e : N('9#"- H$dun. te$n.a te#a#: T*## 7&0#'##0 %*## 7&96&$#'#0 #%#

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A0(%# 6##0 #0 "#*0 5 +0('9#",- Neu0m0t0 : T*## &9*7#'&$*$ %*## #'*7"&*# %*## $#;#0.

%A4IAN SEMULA SISTEM&SISTEM TU5UH 5ADAN :

P&$#*% %&"# *' ("& P&#;#* P&'6#%#0 * U0*% T'#9# #0

K&8&9#$#0 & W# O'%(7&* #"#9 ##0 $%#6*" 0% *6&'* '#;#%#0

"#0%.

S$tem %ad$01a#ua@

• N('9#"

• DRNM +D#" R%9 N( M'9',

• A# 60* S1S2 0('9#".

• B0* '*%9# ##"# '&"#'.

• T*## &$#*%#0 ## $&9#$# 7&'0#)#$#0

?


7/15

S$tem Re-$at0$ @

• N('9#"

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S$tem S#eeta @

• T&'#7#% &)('9*% 7## 6##*#0 %#0#0 *'*

• R&&$ 9(%(' ##"# 7($*%*)

• T*## 7($*$

• T*## $8("*($*$

• T#0# B'*0$* ##"# 0&#%*)

S$tem A$menta$ @

• A# 60* 6(;&" / 7&'*$%#"$*$

• N('9#"

S$tem Mu#ua @

• T(0$ #0 '&&$ (%(% 7## %#0#0 *'* ##"# "&9#

• T(0$ #0 '&&$ (%(% 6#* #0(%# 6#;# ##"# 6#* #0 0('9#"

• T*## $%'(7

S$tem End0#$n @

• N('9#"

• T*## %'&9('

• T*## $*0'(9 8$*0

• T*## 9((0)#8&

D$a.n0a Sementaa @ CLOSED =RACTURE RIGHT 4

TH

AND 5

TH

METACARPAL BONE.

D$a.n0a Pe2e+aan @

• H#0 D*$"(8#%*(0

• M&%#8#'7(7#"#0" J(*0% D*$"(8#%*(0

• S*&'$ T96

• B&00&% )'#8%'&

http://emedicine.medscape.com/article/97912-overviewhttp://emedicine.medscape.com/article/98230-overviewhttp://emedicine.medscape.com/article/98460-overviewhttp://emedicine.medscape.com/article/98230-overviewhttp://emedicine.medscape.com/article/98460-overviewhttp://emedicine.medscape.com/article/97912-overview


8/15

• S8#7(* )'#8%'&

Pen"$aatan @• U*#0 '#*('#< S*0#'- *#"#0#0 & #%#$ %#0#0 #0#0 7&$#*%

&0#0 7#0#0#0 A0%&'*(' P($%&'*(' #0 L#%&'#" 0%

9&0#7#%#0 *#0($*$ #0 %&7#%.

Ra3atan/ Pen.uuan %e-ata!an @

• M&9#$#0 "0#' %%&' $"#6 7## %#0#0 #0#0 7&$#*% #0

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#0%0 6#* 9&96#0% 9&0'#0#0 &6&0##0 7## 6##*#

#0 7#%#.• S&"&7#$ 6&0# 6&''#0 CMR + C"($& M#0*7"#%*(0 R&8%*(0 ,

*"##0 6#* 9&0&96#"*#0 &#0 %"#0 7## ##0

#0#%(9* #0 6&%".

• P'($&' 7&96&##0 # *"##0 6#* 9&96#0% #"#9

9&97&'#0 &#0 %"#0 &0#0 9&9#$#0 K W*'&.• A7#6*"# 6&0# %&"# 6&''#0 7&9#$#0#0 POP +7"#$%&' ()

7#'*$, *"##0 $7## 7&'&'##0 7## %"#0 #0 7#%# #7#%

*9*0*99#0.• M&96&'*#0 %&9 #0* ##0 #%#0 *#*% 3/52 $&"&7#$ *&"'##0

#'* ;# 0% 7&9#0%##0 #0 '#;#%#0 "#0% * K"*0* O'%(7&*.

PROSEDUR PEMASANGAN POP

5.1 A"#% K&"&0#7#0 #0 K&9##0 #0 7&'" ## #"#9 B*"* POP

• B*"* (0$*) #0 $&$#* 0% 9&9#$#0 POP

• B#$*0 #%# B#"*

• P"#$%&' T#6"&/ C(8

• A7'(0

• M#8*0%($

• G"(>&$• S'*0


9/15

• S%(8*0&%

• P#*0 O'%(6#0 W(("

• P&96#"%

• T'*#0"#' B#0#&

•

G0%*0 P"#$%&'• P"#$%&' S7'&'

• E"&%'* P"#$%&' S#;

• B##0 K#$ +POP/ =*6&'"#$$,

• A$%#6"& "& '&$%

• P*$# P"#$%&'

• P"#$%&' S'$

• T'("* POP

• T'("*

5.2 P'($&' P&9#$#0#0 POP

1. D#7#%#0 &6&0#'#0 #'*7## 7&$#*%.

2. T&'#0#0 7'($&' &7## 7&$#*% 6&'&0##0.

3. T#0#"#0 7&'*#$#0 #0 #9 7&$#*% *# ##.

4. S&"&$##0 7&$#*% #0 $'*0#0 7&$#*% 0% 9&0## 7'*>#$*

7&$#*%.

5. P($*$*#0 #0(%# #0 %&'"*6#%.

?. S((0 #0(%# #0 &0# *7#$#0 POP.

. C8* #0(%# #0 %&'"*6#% $&6&"9 7&9#$#0#0

. P#$#0#0 7#*0 *#*% ('%(6#0 #0 $%(8*0&% 7## #0(%#

%&'$&6%.

. P#$#0#0 ('%(6#0 #'* #%#$ & 6#;#.

1!. S&*##0 #0 6# 60$#0 POP +9&0*% $#* #0

$&$#*,.

11. R&0#9 POP $&*0# #6*$/%*## 6* $&"#9# 5 $##%.

12. P&'# $&**% &0#0 8&'9#%.

13. H#97#'#0 POP 7## #0(%# #0 *#"#$#0 &0#0

7#*0 6&'9"# #'* #;#$#0 #0(%# #0 7#%# & #%#$.

14. T*0* 7&'9##0 6#"%#0 POP $&6#0# 2/3 #'*7## 6#"%#0

$&6&"90#.

15. J#0#0 %#'* POP $&9#$# 9&9#$#00#.

1?. L*7#% &"#' POP 6*"# 7&'".


10/15

1. J#0#0 9&9#$#0 POP 9&"&6** ('%(6#0 ;((".

1. T*0#"#0 $&'#0-'#00# *08* #'*7## 0

('%(6#0 ;((".

1. P##* "(>&$ $&9#$# 9&96#% #8#0 POP.2!. A8 &0#0 8&7#% #0 &9#$ 0% 9&96&0% POP $&$#*

&0#0 8(0%('.

21. T&'$#0 "0#0 POP $&%&'$0# $#97#* #$ POP %&'6&0%.

22. L*7#% & #%#$ %&7* ('%(6#0 ;((" $&6&"9 ("(0#0 POP

%&'#*' *"##0.

23. T&'$ 9&0#8 #0 9&"*8*0#0 #$ POP $#97#* $*#7.

24. S&"&7#$ 7&9#$#0#0 $&"&$#*7&'*$# #0 7&'#%*#0 ##0

7&$#*% 0% &$#0 $#97*0#0 #$ POP.

PER5INCANGAN DAN PENYELESAIAN MASALAH

D* #"#9 '#;#%#0 6*#0 O'%(7&* ‘P"#$%&' () P#'*$: +POP, #%#

# *&0#"* $&6##* ‘P"#$%&' C#$%$: 9&9#*0#0 7&'#0#0 #0 6&*%

7&0%*0 * #"#9 9&9#$%*#0 &6&'&$#0#0 '#;#%#0 &7#%##0. T&'#7#%

6&6&'#7# 7&'$(#"#0 9&0&0#* POP #0 $&'*0 %*96" #"#9 #"#0#0

9#$#'##% $$0# 7&$#*% *% $&0*'* #0%#'#0# ##"# @

• B##*9#0## 7&0###0 7"#$%&' #$ $&9#$# * '9#

• A7## (97"*#$* 7&9#$#0#0 P"#$%&' () P#'*$

B##*9#0## 7&0###0 7"#$%&' #$ $&9#$# * '9#

K&6*#$##00# 7&$#*% #0 *7#$#0#0 7"#$%&' #$ ##0 *6&'*#0

7&0**#0 &$*#%#0 9&0&0#* 7&0###0 7"#$%&' $&6&"9 *6&0#'#0

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1!


11/15

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12/15

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RUMUSAN

K&$*97"#00# P"#$%&' () P#'*$ +POP, %&'#7#% # &0*$ *#*%

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13/15

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RU4U%AN

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C'8*"" L*>*0$%(0& E*06' L(0(0.

13


14/15

R.K. G7%# +1!, Iutated Ot!0-aed$6 A*%# M&*8#" P6"*$&'$

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LAMPIRAN

U"0#' %%&' $"#6

14

S!"#$%&' (")*


15/15

>("#' ;'*$% $7"*0%

15

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