kat hospital tu ada hanya seorang doktor (kamu la doktornya) dan seorang staff nurse yg mahir bidang O&G. kami didatangi dgn 4 pesakit. yg mana satu kamu bagi keutamaan???? dan ape kamu perlu buat sbb kene rawat kesemuanya
1. A JM (bidan terlatih) who has breech presentation not in labour
2. A 19 years old primigravida (mengandung anak pertama) at 39 weeks has fitting (eclampsia)
3. A 23 years old primigravida 37weeks, coming with cord prolapse and os 7cm
4. A multipara, 38 weeks, os full (10cm) with fetal bradycardia
how to manage these patients????
aku menanti2kan jawapan lagi..
3 comments:
ooo..kirenye, ade dr, nurse-dah dua kan..
pastu campur yg JM tu dah tiga..
so bile manage JM dulu, nanti, ade dr,nurse,jm..n sorang satu manage satu patient?(baki yg 3 tadi)
amacam boleh ka macam ni kak kimot?
sbb kalo breech, kite just tgk fetal HR pastu try ECV..(hoho..memandai saja..)
salah...hhaahha
Kalau ikut saya la kan..( y belum grad ni),
1.JM tu saya biar dulu, sbb xde pun nak labor.
2.eclampsia case ni..apa sbb smpi 39 minggu klu dah ada PET sblm ni..hmm.. (patut induce labor kat 37-38wks, ye ke kak).Control BP die dulu kot.prepare for c/s gak klu x dilate.
3.cord prolapse,ctg,keep cord warm, prepare for emergent c/s
4.fetal brady, fully dilate, saya buat forceps@vacuum..
so chronologically nye..kes 4-3-2-1
sy rasa soalan ni tricky. mesti ada jawapan tertentu.. cpt jawab kak.
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