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All Journal Gema Wiralodra Cerdika: Jurnal Ilmiah Indonesia
Andrew, Johanes
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Humanities Economics, Econometrics & Finance Education Health Professions Public Health Social Sciences Other

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The effectiveness of using uterine tampons in treating uterine atony Selvilla, Paulina; Siregar, Rayhan Al-ghifari Iridansyah; Jap, Claudia Agnes; Andrew, Johanes; Eric, Eric
Gema Wiralodra Vol. 14 No. 3 (2023): Gema Wiralodra
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/gw.v14i3.419

Abstract

Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.
Case Report: Chronic Embolic Stroke With Bronchopneumonia In Geriatric Patients Andrew, Johanes; Sampurno, Dana Profit; Iridansyah Siregar, Rayhan Al-ghifari; Eric, Eric
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 3 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i3.2457

Abstract

Stroke is a neurological deficit of the central nervous system caused by vascular issues, affecting around 800,000 individuals annually. According to Riskesdas 2018, the prevalence of stroke is approximately 10.9%, with the highest rates in East Kalimantan and the lowest in Papua. In this study, we present a case of a 79-year-old male diagnosed with embolic stroke at Royal Taruma Hospital. The patient was admitted with a fever that persisted for four days prior to hospitalization. Comprehensive anamnesis, physical examination, and diagnostic tests confirmed a diagnosis of febris e.c. bronchopneumonia and hemiparesis duplex e.c. chronic CVDNH. Embolic strokes occur when a cerebral artery is occluded by a clot originating from the heart, aortic arch, or a major cerebral artery, often leading to maximal neurological deficits at the onset. This case underscores several risk factors for embolic stroke, including hypertension, dyslipidemia, and advanced age. The patient was treated with rivaroxaban (10 mg once daily) for anticoagulation and meropenem (1 g three times daily) to manage the infection. Post-treatment, a comprehensive geriatric assessment revealed no signs of urinary or fecal incontinence, and the patient did not exhibit polypharmacy. Following intervention, there was a notable improvement in neurological function and resolution of infectious symptoms. This case highlights effective management strategies for a 79-year-old male with complex medical conditions and emphasizes the necessity of timely interventions in elderly patients for better prognostic outcomes.
Co-Authors Eric, Eric Iridansyah Siregar, Rayhan Al-ghifari Jap, Claudia Agnes Sampurno, Dana Profit Selvilla, Paulina Siregar, Rayhan Al-ghifari Iridansyah