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Anemia in pregnancy
PUPUT PUJIAMA
2013730085
Introduction
In pregnancy the need for higher oxygen leads to
increased production of erythropoietin. As a result,
plasma volume increases and red blood cells
(erythrocytes) increase. However, an increase in plasma
volume occurs in larger proportions when compared with
an increase in erythrocytes resulting in a decrease in
hemoglobin (Hb) concentration due to hemodilution.
Identity
Name : Mrs. R
Name : Tn.A
Age : 19 years old
Age : 25 years old
Occupation : Housewife
Occupation : driver
Address : jl. Baros RH
Address : jl. Baros RH
didi sukardi
didi sukardi
Education : Senior high school
Education : Senior high school
Marital Status : Married
Marital Status : Married
Religion : Moslem
Religion : Moslem
Date of Admission: June, 15th
2017
Chief Complaint
The patient complained of dizziness and weakness
History of Present Illness
Patients come on 15 June 2017 with dizziness and
weakness since 1 week ago, and often feel the same
before. During pregnancy the patient complained of no
appetite. The patient claimed to be pregnant 9 months a
second pregnancy And the patient had a miscarriage a
year ago in the first pregnancy. no heartburn or There is
no sign of water output, fetal movement is still felt.
History of Past Illness
HEMATOLOGY
Hematocrit 18 % 3747
Erytrocytes Index
MCV 56 fL 80100
MCH 15 pg 2634
Morphology of peripheral blood Hypochromic microscopy, mild poicylocytosis, Sufficient leukocyte population, negative Sufficient platelet population, positive
normoblast cells neutrophils, negative blast cells platelet giant, negative blast cells
Imunoserologi
June 16th 2016 dizziness and BP: 120/70 G1P0A0 19 years old - Observe the vital signs
10am weakness HR: 90 bpm gravida 35-36 weeks - Observe his and
RR: 20 times/min with anemia vaginal output
Temp: 35,00C - Biofanbe 2x1
Hb: 4,7 gr/dl - blood transfusion
High fundus Uteri = 29cm
His (-)
Fetal Heart Rate = 143bpm
June 17th dizziness and HR : 92 G1P0A0 19 years old - Biosanbe 2x1 p.o
weakness Td: 110/70 MmHg gravida 35-36 weeks - Dexametason 2x1 IM
RR : 22 times/mins with anemia - Ca glukonas IV
RR : 22 times/min -Check Hb after transfusion.
Temp : 36,3 C -further transfusion to hb> 8
Hight fundus uteri = 29 cm
His : (-)
Fetal heart rate : 145 bpm
June 18th Clients complain limp HR : 80 G1P0A0 19 years old -Observation of the main
and fetal movement is TD: 110/70 MmHg gravida 35-36 weeks complaint
still in the feel RR : 21 times/mins with anemia - Transfusion PCR to Hb> 8 g /
S : 36,6C dl
His : - - check Hb after transfusion.
Hight fundus uteri : 29cm
Fetal heart rate : 145 bpm
Case Analysis
Theory Case
History . These symptoms appear in each case of anemia Patient complaint about The patient confessed
after a decrease of hemoglobin to a certain level weak and lethargic. On physical examination in
(Hb <7 g / dl). Anemia syndrome consists of obtaining conjunctival anemis. Pasein claimed
weakness, lethargy, fatigue, ears ringing (tinnitus), to have long complained of similar things. On
blindfolded eyes, cold feet, shortness of breath and laboratory examination at get Hb 4 gr / dl
dyspepsia, on examination of pale patients, which
is easily seen in the conjunctiva, oral mucosa,
palms And tissues under the nail.
Risk factors - Excessive blood loss - The patient complained of a lot of
- Poor nutrition intake blood during menstruation
- Pregnancy - In the patient's anamnesis claimed
- Age not to eat meat and vegetables, in a
day the patient only ate once
- Current patient is 8 months pregnant
- Currently the patient is pregnant for
the second time at the age of 19
years
Physical examinations weakness, lethargy, fatigue, ears ringing (tinnitus), Patients come in 8 months pregnancy with complaints
blindfolded eyes, cold feet, shortness of breath and lethargy and lethargy, on the previous labolatorium
dyspepsia, on examination of pale patients, which is easily examination in get Hb 4 gr / dl. On physical
seen in the conjunctiva, oral mucosa, palms And tissues examination of conjunctival anemis
under the nail.