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  • RR Aisyah Senin TGL 26-5

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    Andi Seda
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    1. The document reports on 4 obstetric patients at the hospital. It provides details on each patient such as their age, medical history, current pregnancy details, vital signs, obstetric exam findings, and treatment. 2. Two patients had forceps deliveries and were in their first postpartum day. The other two had spontaneous vaginal births and were also in their first postpartum day. 3. All patients were stable with normal vital signs and progressing well in their recoveries from childbirth.

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    Rr Aisyah Senin Tgl 26-5

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    1. The document reports on 4 obstetric patients at the hospital. It provides details on each patient such as their age, medical history, current pregnancy details, vital signs, obstetric exam findings, and treatment. 2. Two patients had forceps deliveries and were in their first postpartum day. The other two had spontaneous vaginal births and were also in their first postpartum day. 3. All patients were stable with normal vital signs and progressing well in their recoveries from childbirth.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    8 views3 pages

    RR Aisyah Senin TGL 26-5

    Uploaded by

    Andi Seda
    1. The document reports on 4 obstetric patients at the hospital. It provides details on each patient such as their age, medical history, current pregnancy details, vital signs, obstetric exam findings, and treatment. 2. Two patients had forceps deliveries and were in their first postpartum day. The other two had spontaneous vaginal births and were also in their first postpartum day. 3. All patients were stable with normal vital signs and progressing well in their recoveries from childbirth.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 3

    Obstetri

    Senin, 26 Mei 2014

    Fisiologi
    Patologi

    Ginekologi
    Jumlah

    11
    2
    15

    Obstetrik
    No. Identitas Pasien
    1. Ny. TAR(34) / Aisyah
    No. RM: 365364
    Datang : 25/05/2014
    DM/ G1P0A0 hamil aterm
    inpartu kala II dengan R/ pecah
    ketuban 1 hari JTH preskep +
    gawat janin
    D/ P1A0 post partum dengan
    ekstraksi forceps
    neonatus hidup perempuan BB:
    3100gr PB: 50cm A/S: 5/7
    FTAGA

    Keadaan di Bangsal & RR


    26-05-2014
    bangsal
    06.30
    S/ Keluhan : O/ St.Present :
    TD : 130/80 N : 100 x / mnt
    RR : 20 x/ mnt T : 36,4
    St.Obstetri :
    PL : FUT 1 jbpst, perdarahan
    aktif (-), lokia (+) rubra,
    kontraksi baik, luka episiotomi
    tenang
    A/ P1A0 post partum dengan
    ekstraksi forceps hari ke 1
    27-05-2014
    S/ Keluhan : BAK lancar
    A/ P4A0 post partum dengan
    ekstraksi forceps hari ke 2

    Tindakan
    Th/
    IVFD RL gtt xx/mnt
    PCT tab 3x 500mg
    B complex 2x1 tab
    Cefadroksil 3x500 mg
    D/c menetap

    Th/ teruskan
    up kateter
    R/ Pasien Pulang

    Ny. SUW(32) / Aisyah


    No. RM: 365324
    Datang : 25/05/2014
    DM/ G2P0A1 hamil aterm
    inpartu kala I fase aktif dengan
    hipertensi kronik JTH preskep.
    D/ P1A1 post partum dengan
    ekstraksi forceps
    Neonatus hidup laki-laki
    BB:3000gr PB:50cm A/S : 7/8
    FTAGA

    25-05-2014
    bangsal
    Pukul 16.00 wib
    Kel : nyeri di luka episiotomi
    St.Present
    TD : 140/90 mmHg N:96x/mnt
    RR : 24x/mnt
    T : 36.3
    PL : FUT 2 jbpst, perdarahan
    aktif (-), lokia (+) rubra,
    kontraksi baik, luka episiotomi
    tenang
    A/ P1A1 post partum dengan
    ekstraksi forceps
    26-05-2014
    bangsal
    Pukul 06.15 wib
    A/ P1A1 post partum dengan
    ekstraksi forceps hari ke-1

    Th/
    Amoxicillin 3x1
    PCT 3x1
    B complex 3x1
    Methyl Dopa 3x 10mg
    Kateter menetap

    Th/ teruskan
    Aff kateter

    Pasien pulang atas permintaan


    sendiri pada jam 13.00 wib
    3

    4.

    Ny. YUS( 30 ) / Aisyah


    No. RM: 365322
    Datang : 25/05/2014
    DM/ G2P1A0 hamil aterm
    inpartu kala I fase aktif dengan R/
    asma JTH preskep
    D/ P2A0 Post partum spontan
    Neonates hidup perempuan
    BB:3400gr PB:50cm A/S : 8/9
    FTAGA

    26-05-2014
    bangsal
    S/ Keluhan : (-)
    O/ St Present :
    TD : 140/90 N : 100 x / mnt
    RR : 20 x/ mnt T : 36,3

    Ny. ZUB (38) / Aisyah


    No. RM: 365362
    Datang : 25/05/2014
    DM/ G7P6A0 hamil aterm
    inpartu kala 1 fase laten dengan
    bekas SC 1x JTH preskep
    D/ P7A0 post partum spontan
    neonatus lahir hidup perempuan
    BB: 2800 gr PB: 48cm A/S : 8/9

    26-05-2014
    Pukul 06.00 wib
    Kel: kepala kadang terasa pusing
    St.Present :
    TD : 100/60
    N : 72x / mnt
    RR : 20x/mnt
    T : 36,3
    St.Obstetri :
    PL : FUT 2 jbpst, perdarahan
    aktif (-) lokia lubra (+), kontraksi

    Th/
    Amoksisilin 3 x 1
    PCT 3 x 1
    B Complex 3 x 1

    St Obstetri :
    R/ Pasien pulang
    PL : Tifut 1 jbpst, lokia (+) rubra,
    kontraksi baik
    A/ P2A0 Post partum spontan
    hari ke-1

    Th/
    Amoksisilin 3 x 1
    PCT 3 x 1
    B Complex 3 x 1

    R/ Pasien pulang

    FTAGA anus (+)

    baik.
    D/ P7A0 Post partum spontan
    hari ke 1.

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