REKAP PASIEN BEDAH DIGESTIVE 24 JUNI 2015

Jempa 2
Kamar
K3b2

Identitas
Asiana/ 53th/
1056189

Diagnosa
Post reLE tumor
rectosigmoid adhesi
metastase hepar
appndektomy + stoma

K4B2

RAHMAWATI/20
THN/1056573

Peritonitis umum +
Trauma tumpul abdomen
dengan hemodinamik
stabil + close fraktur
femur
Post LE + reseksi

Iso 1

Nurma/ 37 thn/
1056531

Paralitic ileus & hernia

obstraction without hernia
Post LE a/I perforasi
ileum

Tgl Masuk/ Tgl

Operasi
Masuk:
19-06-2015
Pod5

POD10

POD11

Lab terbaru
30-06-2015
Hb: 11.3
Ht : 34
Erit : 4,1
Leu : 21,9
Tromb : 419
Na/k/cl 141/3,6/0,74
Alb/glo1,90/2,10
26/06/2015
Hb:10,2
Ht:31
Erit:3,5
Leu:11,1
Tromb:243
Alb/glo 3,69/2,31
Na/k/cl 140/3,0/101
30/6/2015
Hb:9,3
Ht: 28
Erit:3,4
Leu:6,5
Tromb:203
Na/k/cl 137/3,4/58

Antibiotik
Futrolit 20 gr/h
Meropenem
Metronidazol
Omz
Metocropamid
Ketorolax

Futrolit
Meropenem
Metronidazol
Omz
Novalgin
Metocopramid
alinamin

Diet

Planning

cair

Konsul kardio
Aff.drain Kanan

Lunak

6x200 TIM
saring

Konsul tkv (+)

Ft thorak (+)
Chest fisio theraphy

Jempa 3
Kamar

Identitas

Diagnosa

K4b3

Zubaidah/ thn Massa perut kanan

/1056865
atasTumor intra abdomen
susp kista hepar

K7b1

Nasruddin/LK/ PostLE + TACD

29thn/ 1044227

K7b3

M. yunus / LK

TglMasuk/Tg
l Operasi
24/06/2015

POD 3 bulan

Lab terbaru

Antibiotik

01/07/2015
Hb:13
Ht:37
Erit:4,5
Leu:7,1
Tromb:285
Ct/bt 9/3
19/06/2015
Hb: 9,0
Ht: 27
Eri: 3,2
Tromb: 427
Leu: 13,0

Ondansentron
ranitidin

Diet

cefixime

Planning

Gv 2x1

Nefrolitiasis bilateral
Massa extra abdomen

Susul hasil CT scan 3D

(+)

1056211

Jempa 4
Kama Identitas
r
K3b2 Suwandi/ 57
th/1049280

Diagnosa
Tumor flex hepatica
Post LE +reseksi kolon
+ hemicolectomy dext
+ anastomosis end-toend

Tgl Masuk/
Tgl Operasi
POD2

Lab terbaru
02/07/2015
Hb 10,3 ht 32 eri 4,1
leum9,9 trom 391
Protot 5,1 alb/glo
2,79/2,31
na/k/cl 4,3/103/8,9
gds 123
ur/cr 17/0,92

Antibiotik

Diet

Planning
CT scan kontras/ non
kontras
Konsul kardio (+)

K4b1

Nasruddin/67
thn/1056209

Nefrolitiasis (s)
bilateral + luts e.c susp
BPH +HIL (D)

01/07/2015
Hb 8,8
Ht 26
Eri 3,4
Leu 18,5
Trom 647

K4b4

Sanusi Abdullah
0862118

Perforasi gaster +
general peritonitis ec
susp perforasi gaster
hollow organ

K5b1

Nurhabibah/
39th/1055013

02/06/2015
Hb 8,3
Ht:26
Erit:3,1
Leu: 25,4
Tromb 228
Ur/cr 183/3,43
02/07-2015
Hb: 11,5 Ht: 36 Erit: 4,4
Tromb: 554 Leu: 7,1
Alb/glo 3,23/4,17
Na/k/cl 137/4,1/98
Gds 80

K5b3

K5B4

Post laparoscopy
konversi open
laparotomy +
adhesiliosis
+sekostomy tube a/I
apendical infiltrate +
adhesive + perforasi
caecum
th
Salamah/45 /1047803 Hemangioma colon
tranversum
Ckd on HD reguler

Tglmasuk :
14-06-2015

Arufah/ 65 thn/
1051351

25/6/2015

Colocodhetiasis
Post cholesistomy

21/06/2015

03/07/2015
Hb:9,3
Ht:26
Erit:3,4
Leu 5,5
Trom:96
Ct/bt:7/3
Na/k/cl:132/2,6/100
gds:77
Ur/cr:56/4,73
Protot 5,1
alb/glob 2,52/2,58
2/7/2015
Hb 11 ht 34 eri 4,3
leu 6,0 trom 111
bil tot 0,45 dir 0,32 indir
0,13
protot 7,1
alb/glo 3,04/406

Dulcolax
HumanAlbumi
n
Aminovel
lipofundin

Fomycin
Ketorolac
Ranitidin
Furtolit

na/k/cl 140/3,7/99
gds 108 ur/cr 15/0,48
K6b6

Ramlah/ 56th/

Susp Ca colon

Masuk :
18-06-2015

02/06/2015
Hb : 10,3
Ht: 32
Erit: 4,2
Leu : 9,6
Tromb : 422

Tglmasuk:
08/06/2015

09/06/2015
Hb: 12,2
Ht: 36
Eri: 4,3
Tromb: 583
Leu: 31,3
Alb/glob: 1,87/2,83
Ur/cr: 29/0,64

1056019

K7b3

Ismadi/ 24thn/
1054761

Post Re LE a/iperforasi
app

K7b4

Ridwan/59 thn/
1056671

Total MBO e.c HIL

insecerata

K7b6

Alamsyah
45 thn
1056695

Peritonitis diffuse ec
perforasi gaster

PBJ

24/06/2015
Hb: 17,4
Ht:50
Leu:10,1
Tromb:367
29/6
Hb 8,4 ht 26 eri 3,5 leu
7,4
Trom 485

Konsul IPD
kolonoskopi
Konsul kardio
Konsul anestesi
Informed consent

Alinamin
Novalgin/kaltropen
sup
Fosfomicyn
Futrolit
Ranitidine
sohobion

Diel ML

Rencana fisioterapi (+)

mobilisasi

Air gula

Fosen/hari

Rencana Op 1 juli
2015

Seurune 3
Kama identitas
r
K4b4 Rusni

diagnosa
post laparotomi ex
adhesiliosis ai ca ovary
residif

Tgl masuk/
tglOperasi
2/7/2015

Lab terbaru

Antibiotik

Diet

Planning

Mamplam 1
K9b2

Amrun
alimin
1055003
57 thn

Mamplam 2
Kamar Identitas
K6b3

Fauziah
1055980
54thn

Coledocolitiasis

Diagnosa

Fosmicyn

Airgula

Minggu depan
colangiography

Tgl Masuk/
Tgl Operasi

Lab terbaru

Antibiotik

Diet

Planning

Tgl Masuk/
Tgl Operasi

Lab terbaru

Ca recto sigmoid susp

metastase

Icu dewasa
Kamar Identitas

Diagnosa

B2

Post op hernioraphi e.c HIL

Assalam/

29/06/2015
Hb 10,0 ht 30 eri 3,4 leu 15,2
trom 483
Pro. Tot 6,7 albu/glo 2,98/3,72
Na/k/cl 143/4,0/103

Antibiotik

Diet

Planning

Fosen 1x1

Konsul uro striktur uretra

Jeumpa 1
Kamar
K1b2

Identitas
Hasbi jakfar 40th

Diagnosa

Tgl Masuk/ Tgl

Operasi

HIL (D)

Dr ferry

Dr ferry

M maulidin 21 th
1057322

Susp massa intra

abdomen

Antibiotik

Diet

Fosfomicin

Timsaring
6x200

24/6/2015
Hb14,9 ht 44 eri 5,5
Trom 307
Leu 10,7
Hbsag (-)
Gds 100
Ur cr 35/1,21

0694306

K5b1

Lab terbaru

01/7

Hb 9,2
Leu 17,6
bil tot 1,6 dir 0,86
na/k/cl 129/4,0/92
gds 88
ur/cr 88/0,83

Planning

Geurutee
Kamar

Identitas
Kamaruddin

Diagnosa

Tgl Masuk/ Tgl

Operasi

Lab terbaru

Absesintra abdomen pro

LE

Antibiotik

Diet

Futrolit
Ceftri
Drip pct k/p

17

Planning
Konsul endo
Kardio
anestesi

IW
Kamar

Identitas

Diagnosa

Tgl Masuk/ Tgl

Operasi

Lab terbaru

Antibiotik

Diet

Planning