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GOOD AFTERNOON. “Welcome to Our Presentation”. OUR’S GROUP NAME :. SURYA DEWI DARMA YUDA OKTA WARDANI MITA DEWI RISNA DYAH PRADYA DEWI SINTYA DEWI. ARI WIDIASTINI WITATRISNASARI RISKA DITA SAINUR RAHMAN ARY MUDIARTA WIRA ADNYANA EKA PRANATA. Definition.

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Good afternoon

GOOD AFTERNOON

“Welcome to Our Presentation”


Our s group name
OUR’S GROUP NAME :

  • SURYA DEWI

  • DARMA YUDA

  • OKTA WARDANI

  • MITA DEWI

  • RISNA DYAH

  • PRADYA DEWI

  • SINTYA DEWI

  • ARI WIDIASTINI

  • WITATRISNASARI

  • RISKA DITA

  • SAINUR RAHMAN

  • ARY MUDIARTA

  • WIRA ADNYANA

  • EKA PRANATA


Definition
Definition

Fracture is a break of continuity of bone tissue and or cartilage which is generally caused by involuntary. Trauma causing broken bones can be direct trauma, such as impact on the forearm that caused the fracture radius and ulna, and may be an indirect trauma, such as falling resting on the hand causing the clavicle bone or distal radius fracture. As a result of trauma to the bone depends on the type of trauma, strength, and direction.


Patient data assessment
PATIENT DATA ASSESSMENT

  • Identity Patient Next Of Kin

    Name: KR MM

    Age : 65 years old 46years old

    Gender : Female Male

    Civil State: Married Married

    Occupation : Farmer Teacher

    Education : Elementary Bachelor

    School

    Religion: Hindu Hindu

    Nationality : Indonesia Indonesia

    Address: Br. Batan Buah KajaDs.BrabanKediri,Tabanan

    Register Number : 246453

    Hospitalitation Date: 19June 2009


Disease medical history
Disease Medical History

Patients said on June 19, 2009 at 10:00 pm fell in his yard since stumbling stone, then by the family, the patient was taken to Tabanan Hospital and accepted in the ER (Accident and Emergency). Then the examination of vital signs with the results of blood presure: 140/90 mmHg, Temperature: 36 º C, Pulse: 88x/mnt, Respiration Rate: 20x/mnt, installation IVFD RL 28 drop/ minute, giving therapy mexparin 1 ml, cefotaxime 1 g, and the view of the results of the examination GDS 266 mg / dl and a complete blood count. From the results of radiological examinations of patients diagnosed Close Fractures Femur 1/3 Middle dextra. By doctors advised patients hospitalized in the Bougenville ward for further treatment prior approval by a physician orthopedic surgery.


On June 23, 2009, the patient was scheduled for surgery, but from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.


Investigations
Investigations from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

Laboratory:In laboratory tests fracture to know: Hb, hematocrit is often low due to hemorrhage, erythrocyte sedimentation rate (ESR) increases when the soft tissue damage is extensive. During the healing Ca and P binding in the blood.Radiology:X-Ray image can be seen fractures, deformities and metalikment. Venogram / ​​anterogram describe vascularisasi flow. CT scan to detect the structure of complex fractures.


Patient assessment
Patient Assessment from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

  • Observation

    Subjective data :

  • The patient said feel pain like slice by a knife

  • The patient said the scale of pain is 5 from 10 scale that given.

  • Patient said the pain will increase when move the body and dicreasewhen the patient immobilate.

  • The patient said the location of the pain on the right femur.

  • The patient said the pain caused by post operation fractures


  • Objective data : from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

  • The patient looks cry

  • The patient looks pale

  • Found wound


Conclusion
Conclusion… from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

  • The patient suffer pain.


Thank s for your attention

Thank’s For Your Attention from the doctor visit and inspection the result GDS dated June 22, 2009 at 21:30 pm with the results of 221 ​​mg / dl, the operation was canceled by GDS stable results. By physicians, patients are given therapy B1 1900 cal diet, 3x8 actrapid ui (1-1-1). On June 25, 2009, from the results of the GDS with the results of 190 mg / dl, and by looking at the patient's general condition is good and normal vital signs are blood presure: 120/70 mmHg, pulse: 82 times/ minute, Respiration Rate: 20 x/min, Temperature: 36 º C patients approved by physicians surgery. Then do the preparation for surgery in these patients signing informed consent, patients were fasted, pubic shaving and giving Rapim 2 gr. Patients go to the operating room at 12:00 pm.

GOOD BYE….!!!


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