GOOD AFTERNOON
“Welcome to Our Presentation”
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
SURYA DEWI

ARI WIDIASTINI

DARMA YUDA


OKTA WARDANI
WITATRISNASARI
RISKA DITA

MITA DEWI

SAINUR RAHMAN

RISNA DYAH


PRADYA DEWI

ARY MUDIARTA

SINTYA DEWI

WIRA ADNYANA

EKA PRANATA
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.
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
Identity
Name
Age
Gender
Civil State
Occupation
Education
Patient
:
:
:
:
:
:
Next Of Kin
KR
MM
65 years old
46years old
Female
Male
Married
Married
Farmer
Teacher
Elementary
Bachelor
School
Religion
: Hindu
Hindu
Nationality
: Indonesia
Indonesia
Address
: Br. Batan Buah Kaja Ds.
Braban Kediri, Tabanan
Register Number : 246453
Hospitalitation Date: 19 June 2009
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
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
1. 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 dicrease when 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
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• Objective data :
• The patient looks cry
• The patient looks pale
• Found wound
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Conclusion…
• The patient suffer pain.
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Thank’s For Your Attention
GOOD BYE….!!!
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