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Mapping Seurune 3 Rabu, 14 September2016
Mapping Seurune 3 Rabu, 14 September2016
Mapping Seurune 3 Rabu, 14 September2016
NO
Kamar
Nama
CM
1a/Gyn
Irdawati/31th/H3
0978479
1b/ gyn
Asmawati/63 th/H3
1100749
2a/Gyn
Nurmina/45th/H14
2b/Obs
Ramadhani/28th/
H8
3a/Obs
Darlini Ramadhani
Harahap/32th/H2
3b/Obs
Nur Malahayati/
33 thn/H3
Diagnosa
Susp. Ca endometrium
Laboratorium
lab 12/09/2016
Hb/Ht/E/L/T :
14,0/43/5,5/15,6/360
Na/K/Cl:141/3,8/104
KGDS: 120, Ur/Cr: 21/0,50
Lab 29/08/2016
Hb/Ht/E/L/T :
10,7/35/4,4/6,1/408
Ca 125: 56,69, alb: 2,21
DPJP
Ket
SIK
SIK
Op hari ini
(14/9/2016)
Lab 7/9/16
Hb/ht/E/L/T
7,4/22/2,9/8,6/495
Ca125 :903,50, Ur/Cr:79/1,53
Lab 11/9/2016
Alb : 1,81
Na/K/Cl : 137/3,3/100
0823829
Lab 13/09/2016
Hb/Ht/E/L/T:
8,0/25/3,5/8,7/155
NAU
1015564
Lab 12/09/2016
Hb/Ht/E/L/T:
10,6/32/3,7/15,1/218
Ur/Cr: 20/0,46, alb: 2,89
NAU
Transfusi
target
>10gr/dl
Lab 11/09/16
Hb/Ht/E/L/T :
10,2/33/4,1/19,3/299
SIK
Rencana PBJ
0816730
SIK
Perbaikan
KU pro
kemoterapi,
Rencana
Punksi
Ascites
4a/Obs
Marlianty/43th/H3
0793183
Lahir bayi laki-laki BBL 2800
gr A/S 8/9
4b/Obs
Yusniar/32 thn/ H2
4c/Obs
Kudria/31 Th/ h4
10
4d/Obs
Untari/22th/H3
11
12
5a/Obs
5b/Obs
Mulhamah/29 th/ H4
1102137
1101954
0928140
SIK
Lab 13/9/2016
Hb/Ht/E/L/T:
11,1/35/4,5/16,2/239
NAU
Rencana PBJ
Lab 10/9/2016
Hb/Ht/E/L/T
12/38/4,8/19,9/283
TPD
Status sudah
di setor ke
rekam
medik, pasien
blm pulang
Lab 12/9/2016
Hb/Ht/E/L/T
10,9/34/4,2/13,0/304
SIK
Rencana PBJ
Lab 13/9/2016
Hb/Ht/E/L/T
9,7/32/4,7/11,6/385
MCV/MCH/MCHC/RDW
67/21/31/19,5
SIK
GV hari ke-3
NAU
Rencana PBJ
SIK
Rencana PBJ
1102172
Lahir bayi perempuan, BBL
3700 gr, A/S:9/10
1102066
Lab 12/09/2016
Hb/Ht/E/L/T:
11,0/34/4,3/17,5/368
Lab 11/09/2016
Hb/Ht/E/L/T:
12,5/39/4,4/9,9/342
13
5c/obs
Falmuriati/26 Th/
H4
0957045
Lab 11/9/16:
Hb/Ht/E/L/T:
11,6/38/5,8/17,7/107
14
15
16
17
5d/ Obs
6a/gyn
6b/obs
6c/obs
Siti Maya
Sari/22th/H2
Nurnawati/49th/H
4
Juriana/30th/H6
Nurul Hayati/ 38
th/ H4
0603061
1102040
1101615
1077373
Lab 13/9/2016
Hb/Ht/E/L/T
11,9/36/4,1/14,9/240
Terapi Pulmo:
Ceftriaxone 1gr/12 jam, Vectrin 3x1
tab
SIK
HSD
Lab 13/9/2016
Hb/Ht/E/L/T
12/35/4,2/16,3/160
Lab 11/09/16
Hb/Ht/E/L/T
9,9/30/3,5/27,8/148
Alb 3,34
Na/K/Cl 140/3,7/109
Ur/Cr 43/0,65
Bilirubin direct/total :
6/4,8
9/9/2016
Pt/aptt : 9,8/36,4
CRP : (+) Prokalsitonin :
6,45
D-dimmer 513,80, Anti
HCV (-), fosfatase alkali :
200
Lab 13/9/2016
Hb/Ht/E/L/T
7,0/22/2,6/4,5/115
MCV/MCH/MCHC/RDW
84/27/32/15,7/10,1
NAU
Terapi GH:
Kalitake sachet stop
Adalat oros 1x30 mg
Usul aff kateter
HSD
USG
konfirmasi
Poli Gyn
pada hari
kerja
Pre op hari
kamis.
Rencana
Punksi
pleura (dari
bagian
pulmo):
14/9/16
Lab 10/09/16
Hb/Ht/E/L/T :
6/19/2,3/7,2/227
PT/APTT : 12,7/67,9
Bilirubin total: 3,89
6d/
18
Lab 13/09/16
Ca: 5,1
19
6e/gyn
Zainab
Li/48th/H10
0969570
Lab 06/09/2016
Urinalisis dalam batas
normal
KGDS 173
SIK
SIK
NAU
Gv 2x/hari
Lab 05/09/2016
Hb/Ht/E/L/T:
9,8/31/4,1/17,2/371
20
21
6f/
7a/Obs
Rika
Layali/19th/H3
1102111
POD 2 P1 post SC ai
distosia PK I aktif, non
reasuring fetal status +
IUD
P5A0 post partum
22
7b/Obs
23
7c/
Rahmiati/36 th/H2
1102166
Lab 12/9/16:
Hb/Ht/E/L/T
10,2/33/4,1/19,3/387
Na/K/Cl: 139/3,7/105
Lab 13/09/16
Hb/Ht/E/L/T
11,7/35/3,9/12,0/209
Na/K/Cl: 141/4,1/106
Rencana
PBJ
24
7d/obs
Evi Juniati/36
th/H3
1102120
25
7e/obs
Sabariah/29 th/H3
0727809
Lahir bayi perempuan,
BBL 3100 gr; A.S: 9/10
26
7f/obs
1101977
27
28
ISO 1/
gyn
ISO 2/
gyn
Nurti Wardani
AMD/41th/H4
Rodiyah/31 thn/
H1
0808022
0980667
Lab 13/09/16
Hb/Ht/E/L/T :
10,2/33/4,7/17,2/328
MCV/MCH/MCHC/RDW
70/22/31/17,6
Eo/Ba/NB/NS/L/M
0/0/0/96/3/1
Ca: 8,1
Ur/Cr: 12/0,35
Lab 13/09/16
Hb/Ht/E/L/T :
13,1/38/4,2/24,8/220
Lab 10/9/16
Hb/Ht/E/L/T
12,9/41/5/17,8/260
Lab 10/9/16
Hb/ht/E/L/T
7,3/24/3,3/20,2/794
Na/K/Cl: 132/3,1/89
Ur/Cr: 31/1,97, alb: 3,11
Lab 13/9/2016
Hb/Ht/E/L/T:
4,00/12/1,1/8,8/175
MZ
Transfusi
PRC target
Hb > 10
g/dL
Terapi lain
sesuai TS
IPD
MZ
Aff kateter
1x24 jam
GV hari Ke3
MZ
Rencana
PBJ
HSD
Obs TTV,
Transfusi
PRC 2 kolf
rencana
PBJ
Gentamicyn 1 amp/12jam,
metronidazol 500mg/8 jam,
vancomicyn 1amp/8jam
SIK
6a,7d, Iso 1
0
1
1
8
4
0
0
1
1
0
7c
4c
1a,2a,3b,4a, 4d,5c,6e,7a
3a,2b,5b,6b
7f
1b
6
13