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    Morep Gia 15 April 2014 Ok7

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    KhozatinZuniFitmawati
    The morning report summarizes information for two patients on Tuesday, April 15, 2014. The first patient is 35-year-old Mrs. Wahidah who is 38 weeks pregnant with her second child. Her medical history includes asthma, preeclampsia, and a C-section in 2006. Her vital signs and lab results from April 13th are reported. She is concluded to be ASA class 2. The second patient is 21-year-old Mrs. Septiana who is 39 weeks pregnant with her first child. Her medical history is unremarkable. Her vital signs and limited lab results from April 12th are presented. She is also concluded to be ASA class 2.

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    Morep Gia 15 April 2014 Ok7

    Uploaded by

    KhozatinZuniFitmawati
    4 views6 pages
    The morning report summarizes information for two patients on Tuesday, April 15, 2014. The first patient is 35-year-old Mrs. Wahidah who is 38 weeks pregnant with her second child. Her medical history includes asthma, preeclampsia, and a C-section in 2006. Her vital signs and lab results from April 13th are reported. She is concluded to be ASA class 2. The second patient is 21-year-old Mrs. Septiana who is 39 weeks pregnant with her first child. Her medical history is unremarkable. Her vital signs and limited lab results from April 12th are presented. She is also concluded to be ASA class 2.

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    The morning report summarizes information for two patients on Tuesday, April 15, 2014. The first patient is 35-year-old Mrs. Wahidah who is 38 weeks pregnant with her second child. Her medical history includes asthma, preeclampsia, and a C-section in 2006. Her vital signs and lab results from April 13th are reported. She is concluded to be ASA class 2. The second patient is 21-year-old Mrs. Septiana who is 39 weeks pregnant with her first child. Her medical history is unremarkable. Her vital signs and limited lab results from April 12th are presented. She is also concluded to be ASA class 2.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    4 views6 pages

    Morep Gia 15 April 2014 Ok7

    Uploaded by

    KhozatinZuniFitmawati
    The morning report summarizes information for two patients on Tuesday, April 15, 2014. The first patient is 35-year-old Mrs. Wahidah who is 38 weeks pregnant with her second child. Her medical history includes asthma, preeclampsia, and a C-section in 2006. Her vital signs and lab results from April 13th are reported. She is concluded to be ASA class 2. The second patient is 21-year-old Mrs. Septiana who is 39 weeks pregnant with her first child. Her medical history is unremarkable. Her vital signs and limited lab results from April 12th are presented. She is also concluded to be ASA class 2.

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    of 6

    MORNING REPORT

    OK VII
    Selasa, 15 April 2014

    1.
    Hari/ tanggal : Selasa, 15 April 2014
    Nama

    : Ny. Wahidah/ 35 tahun/ Falmboyan

    Diagnosis

    : G2P1A0 h 38 MG RIW SC

    Pro

    : SCTP

    RPD
    : Asma (-), DM (-), HT (-), Alergi (Penisilin), Jantung (-), OP (+ SC TAHUN 2006),
    PREEKLAMSI (+),Obat (-), Jatuh (-),

    KU/Kes

    : Sedang/ CM

    : Clear, gipong (+), gisu (-), giyang (+), MP (1)

    : Spontan (+), RR (24), SD Ves (+/+), Wh (-/-), Rbk/Rbh (-/-)

    : TD (130/90), N (100), Tegangan dan isi lemah, S1>S2 reguler, G (-), M (-)

    : BB (67 KG), S: 37,6 C

    Lab Tanggal

    : 13/04/2014

    Hb (11,3), Leu (9800), Ht (36), Erit (5,2), Trombo (337.000), PT (13,5), APTT (29,8), GDS
    (65), Na (137), K (4,6), Ca (9,3), SGPT
    17), SGOT (15), Ureum (17,2), Kreatinin (0,92)

    Kesimpulan : ASA 2

    2.
    Hari/ tanggal : Selasa, 15 April 2014
    Nama

    : Ny. SEPTIANA/ 21 tahun/ Falmboyan

    Diagnosis

    : G1P0A0 h 39 MG DG B24

    Pro

    : SCTP + IUD

    RPD

    : Asma (-), DM (-), HT (-), Alergi (Penisilin), Jantung (-), OP (-), Obat (-), Jatuh (-),

    KU/Kes

    : Sedang/ CM

    : Clear, gipong (-), gisu (-), giyang (-), MP (1)

    : Spontan (+), RR (20), SD Ves (+/+), Wh (-/-), Rbk/Rbh (-/-)

    : TD (100/70), N (104), Tegangan dan isi lemah, S1>S2 reguler, G (-), M (-)

    : BB (63 KG), S: 36,3 C

    Lab Tanggal

    : 12/04/2014

    Hb (9,6), Leu (6920), Ht (29), Erit (3,3), Trombo (231.000), PT (12,9), APTT (26,9)

    Kesimpulan : ASA 2

    TERIMAKASIH

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