Yunnie Trisnawati
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Pengaturan cairan pada acute lung injury Monalisa Elizabeth; Munar Lubis; Yunnie Trisnawati
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 1 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Mechanical ventilation is a life-saving technology for patients who develop acute lung injury (ALI) and investigators have conducted numerous investigations to determine the optimal support method and has been used for several decades. The incidence of ALI is quoted to be between 17 and 34 per 100,000 patients for year. Mechanical ventilation is indicated in patients with severe hypoxemia despite oxygen therapy, severe hypercapnia, or excessive work of breathing. Fluid management with the goal to obtain zero fluid balance in ARDS patients without shock or renal failure significantly increases the number of days without mechanical ventilation. Liberal and conservative fluid strategies are therefore complementary and should ideally follow each other in time in the same patient whose hemodynamic state progressively stabilizes.Key words : constipation; functional; children; medical therapy
Gangguan ginjal akut pada keadaan kritis Putri Amelia; Munar Lubis; Yunnie Trisnawati
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Acute kidney injury is characterized by a reversibe increase in the blood concentration of creatinine an nitrogenous waste products and by the inability of the kidney to regulate fluid and electrolyte homeostasis approprietly. Acute kidney injury is increasingly recognized as a cause of increased morbidity in critically ill children and adults, and affects patient survival. Acute kidney injury is known to be an independent risk factor for mortality, and research pursues optimization of diagnosis, management, and outcome.Key words : acute kidney injury; critical ilness
Peningkatan kadar troponin I sebagai prognostik mortalitas pada anak dengan syok septik Emil Salim; Munar Lubis; Yunnie Trisnawati; Gema N. Yanni; Rina A.C. Saragih; Aridamuriany D. Lubis
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Septic shock remains a major cause of morbidity and mortality in children admitted to pediatric intensive care unit. The incidence of septic shock increased in 30-40 years, with estimate 7% of total deaths in children due to severe sepsis and septic shock. The cardiovascular system is one of the most commonly affected organ in a state of severe sepsis and septic shock. Troponin I is a good marker for assessing the extent of heart muscle damage and elevated levels of troponin I in sepsis patients reflects the severity of the disease, myocardial dysfunction, and poor prognosis. Septic shock patients with impaired cardiac function have an increased risk of mortality 70% to 90% when compared to patients with or without cardiac dysfunction.Keywords : septic shock; troponin I; mortality
Peran Antitrombin III sebagai Penanda Sepsis pada Anak Indah Nur Lestari; Chairul Yoel; Munar Lubis; Rina Amalia C Saragih; Gema Nazri Yanni; Yunnie Trisnawati; Aridamuriany D Lubis; Badai Buana Nasution
Cermin Dunia Kedokteran Vol 50 No 11 (2023): Pediatri
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i11.914

Abstract

Sepsis is a life-threatening organ dysfunction caused by dysregulation of the immune response to infection. Antithrombin III is a single plasma bound glycoprotein and include a class of serine protease (serpine) inhibitors; its synthesis in the liver decreases during sepsis.