LIST DIVISI PLASTIK

Minggu, 11 Januari 2015

NO
1.

Irina A Atas 3 Pasien

KAMAR
IDENTITAS
A2
Ny. Jetty
Bed 1
Mawikere/P/
37thn/
43.38.87
Dr. dr. Jan
Ngantung, SpB,
SpBP-RE

2.

3.

A4
Bed 1
dr. Jan
Ngantung,SpBP
-RE
A7
Bed 3
Dr. dr. Jan
Ngantung, SpB,
SpBP-RE

NO
1.

DIAGNOSIS
Fr. Zygoma S + fr. Maxilla
isolated S + fr. Angulus
mandibula S

MRS:
4/1/2015

Nelly
Kindangen/P/63
thn/43.44.04

LAB
04/01/2015
Leu 13300
Eri 4,37
Hb 13
Ht 37
Trombo 299
GDS 87
Cr 0,8
Ur 47
Na 137
K 3,1
Cl 105
05/01/2015
BT 1
CT 7

Combusio gr I-II region

femur sinistra e.c minyak
panas

-IVFD RL
- Ketorolac 3x1 amp
- Ranitidin 2x1 amp

Comotio cerebri = susp.

Fr.cervikal + Hematom
region frontal + hematom
region oculus dextra

- 02 2-4 l/m
- IVFD Asering 5
- Elevasi kepala 30
- Ceftriaxone 2x1 gr iv
- Antrain 3x1 iv
- Raitidin 2x1 amp
- gentamisin mata
- Rawat luka, Konsul mata

MRS: 8/1/2015
Bongkitang
Daud/L/35
thn/43.39.07
MRS: 8/1/2015

Irina A Bawah 5 Pasien

KAMAR
IDENTITAS
B2
Aisya M Suratno
Bed 1
P/22thn/42.99.34

DIAGNOSIS
Ulkus dekubitus
lumbosakral gluteus

LAB
07/1/15
Leu 15400
Eri 3
Hb 9
Ht 27
Trombo 751
Albumin 2,5
01/01/2015
Leu 15.700
Eri 3.63
Hb 11.4
Ht 11.4
Tr 298
Na 134
K 3.2 Cl 104
04/1/2015
Leu 15.200
Eri 4.71
Hb 14.6
Ht. 39.5
Trombo 310

dr. Mendy H. Oley

SpBP

MRS: 9/12/14

2.

B3 bed 1

Efendi Chairul/L/

ICH multiple frontal

sinistra + fr. OS frontal
sinistra + fr. Zygoma
sinistra + proptosis

3.

B3 Bed 2

Golu Ruzky
Setiawan/ L/ 21
tahun/43 36 33

Post rekonstruksi fr.

Komunitif mandibular + fr.
Maxilla sin + post
trepanasi A VII

Dr. Mendy H. Oley

Sp.BP

TERAPI
-IVFD NaCl 0,9% : aminofusin
-ceftriaxone 2x1 IV
-Ranitidin 2x1 IV
-Ketorolac 3x1 IV
-Rawat luka dgn gentamicin salep mata

TERAPI
- IVFD Nacl : aminofusin
- Ceftriaxone 2x1
- Doxyciclin 1x 200
- Vipalbumin 3x2 tab
- SF 1x1 tab
- Asam folat 3x1 tab
- Transfusi PRC 1 bag hari ini
- Uji skin graft
- Rawat luka dengan madu
(pengobatan sesuai NS)
- O2 4 l/m
- Head up 30
- IVFD Nacl 0,9 % + 3 amp
ketorolac + 1 amp sohobion
- Ceftriaxone 2x1 gr inj
- Ranitidin 2x1 amp
- Neurobion 2x1 amp inj
- IVFD NaCl 0.9%
- Ceftriaxone 2x1gr iv
- Kumur dengan betadin kumur
- Gentamisin salep mata u/ oles di
bibir
- Terapi lain sesuai Ts NS

4.

B9
Bed 2

Christian
Walukow/L/32
thn/43.42.07

Fr. Zygoma + fr OS frontal

MRS: 7/1/2015
dr. Mendy H. Oley
SpBP

5.

B8
Bed 5

Sinaulan Rano
L/28thn/43.25.20

Post debridement + post

amputasi digiti II manus D
ec crush injury H-IX

MRS: 22/12/14
dr. Mendy H. Oley
SpBP

07/1/15
Leu 17800
Eri 5,12
Hb 17,2
Ht 46,7
Trombo 222
GDS 97
Cr 1,0
Ur 25
Na 139
K 3,5
Cl 107
07/1/15
Leu 7900
Eri 5
Hb 15
Ht 41
Trombo 354
GDS 79
Cr 0,8
Ur 18
Albumin 4,8
SGOT 17
Na/K/Cl
137/4,74/104,3

- IVFD NaCl 0,9% + 3 amp ketorolac

+ 1 amp sohobion
- ceftriaxone 2x1 IV
- Ranitidin 2x1 IV
- Gentamycin salep
- EKG, X-foto thorax

Cefixime 2 x 1 tab
Elevasii 300
Rawat luka
Asam mefenamat k/nyeri

Irina B
No
1

Kamar
Kamar 8

Nama
Ishak Sandala/L/27
thn

Diagnosa
Post revisi scar

Lab
31/12/2014
MCH 30
MCHC 36
MCV 84
Leu 7500
Eri 5
Hb 16
Ht 44
Trombo 284
BT 2
CT 7

Terapi
- IVFD Nacl 0,9 %
- Ceftriaxone 2x1 gr iv
- Ranitidin 2x1 ampiv
- Ketorolac 3x1 amp iv
- Elevasi lengan 40
- Flexi sendi panggul &lutut