Nama Umur Diagnosa Diet Gcs + TTV Respirasi Terapi Problem Balance

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Nama

Bed 1

Umur

Diagnosa

33

bed 2

DIET

Post op re laparotomi ec
peritonitis generalisata dph 3

Tn. Slamet

penurunan kesadaran + ileus


obstruktif + DM tipe 2 + post
cardiac arrest dph 7

Ny. Sugiyanti

GCS + TTV
GCS E4VxM6 td
77/33 hr 142

puasa

64

GCS E1VxM1 td
154/74 hr 98

sonde

Respirasi

azotemia

on mv simv f 12 Vc 365 ps Ciprofloxacin 400mg/8jam


15 fio2 40% peep 5 RR Gentamisin 160mg/8jam
31 spo2 100%
Metronidazole 500mg/8jam
Omeprazol 40 mg/12jam
Lasix 1amp/8jam

penurunan kesadaran
azotemia
dm tipe 2
sepsis

berotec Nacl
scale
Bed 3

Post closed dislocation posterior


hip (s) + post rekonstruksi
acetabulum repair vasculer vena
femoralis dph 2

Tn.Putut Dwi

32

GCS E4VxM6 td
123/84 hr 92

puasa

Problem

Terapi

on mv simv f 12 vt 350 ps Metronidazole 500mg/8jam


10 fio2 60% peep 5 rr 21 Ciprofloxacin 400 mg/8jam
spo2 100%
Paracetamol 1 gr/8jam
Omeprazol 40mg/24 jam
Asam tranexamat 500mg/8 jam
vit K 1 amp/12 jam
N-epi 0.2 mcg/kgbb/menit
dobutamin 5 mg/kgbb/meni

1250

510

Nebulizer
Novorapid sliding

on mv simv f 8 Vc 360 ps Cefazolin 1gr/12 jam


6 fio2 40% peep 5 spo2
omeprazole 40 mg/ 8 jam
100% rr 15
Paracetamol 1 g/8jam
kalnex 500mg/8 jam
vit K 1 amp/ 24 jam
vit c 1amp/ 8 jam
dcnon 1 amp/ 8 jam

Balance

sepsis

azotemia

anemia

-700

Bed 4

Bed 5

Post Thoracotomi Anterior +


Biopsi e.c tumor paru (S) Dph 1

An.Luthfia Chairunnisa

17

GCS E4V5M6 TD
118/68 HR 122

spontan NRM 8 lpm RR 35 Paracetamol 1gr/8jam


SpO2 99%
Dexamethason 5mg/8jam
nebulizer B:A 1:1

MSS

sesak nafas

630

Bed 6

Bed 7

Post craniotomi eksisi tumor dph


30

Ny Jemirah
45

bed 8

Ny. Ratinah

Bed 9

ny eni

bed 10

Ny. Sartini

bed 11

Ny.Yetri Sulastri

Bed 12

Ny. Murniyati

GCS E3 VxM4 TD
180/108 Hr 136

tracheostomi tpiece 6 lpm Meropenem 1g/8jam


RR 14 SpO2 98%
100mg/12jam
50mg/12jam
100ml/12jam
Novorapid 4-4-4Lactus 0-0-12

GCS E4M6Vx TD
192/127, HR 127

ET 7,0 Lv 20 on MV mode Paracetamol 1gr/8 mg/12 j


SIMV f 14 vc 365 PEEp 5
FiO2 60%
RR 20
Ranitidine 50 mg/ 12 jam
Spo2 97%
Meropenem 1gr/8jam
Lantus 0-0-0-24
Nicardipin 0,5 mcg/kgbb/jam

GCS E4VxM6 td
73/45 hr 90

tracheostomi, on mv mode mestinon 4x1


spontan VS 365, Fio2 21% vit B kompleks 3x1
PEEP 5 Spo2 100%
vit E 200mg/24j

GCS E4V5M6 TD:


140/90 HR 90

Spontan NC 2 Lpm rr 16
x/i Spo2 100%

sonde

Post laparatomi e.c Tumor


abdomen Ca recti dph 9
44

puasa

myastenia gravis dph 1414


25

sonde
Post op craniotomi tumor cerebri
dph 3

42

Fenitoin
Ranitidin
Manitol

DM tipe II
360

sepsis
asidosis metabolik
DM tipe II

-250

ceftriaxon 2gr/24j
Paracetamol 1gr/8j
ranitidin 50mg/8j

tidak ada

diet lunak2

Post Craniotomy Decompresi


Laminectomi Dph 1
38 th

puasa

craniotomy, laminectomy, eksisi


tumor dph 9
38

-3750

dependent ventilator

600

GCS DPo Td 100/65 Ett 7,0 lv 21 MV mode


ceftriaxon 2gr/24j
Hr 81
SIMV f12 VT 300 PEEP 5
Paracetamol 1gr/8j
FiO2 40% Spo2 100% rr 16
ranitidin 50mg/8j
Morphin 10 mcgr/kgbb/jam
E4VxM6 TD 158/98
HR 110

diet sonde

-870

ET 7.0 level 20 mv mode Levofloxacin 750mg/ 24 jam


spont f 8 PC 20 Ps 10 fio2
Paracetamol 1 g/ 8 jam
40% peep 6 RR 30 spo2
99%
Ranitidin 50 mg/ 12 jam
N-asetil sistein
200mg peroral
Nebulizer
berotec/atrovent 20/20tts /12 jam

pneumonia

470

Bed 13
Bed 14

Post amputasi Regio Humeri


Dextra

Tn.Agus Maryonto
40

diet lunak

GCS E4V5M6 Nrs 2 Spontan NRM 8 Lpm Rr 14 Paracetamol 1 gr/8 j


Td 123/85
x/I Spo2 100%
Ranitidin 50 mg/12 j
Hr 64
As.Tranexamat 500 mg/8 j
Vit K `0 mg/ 8 j
Ciprofloxacin 400 mg/8 j
Morphine 10 mcg /kgbb/jam

420

Bed 15

Bed 16

COB, edem cerebri, SAH + SDH


dph 11

Tn. Juremi

34

Bed 17

Post craniotomi evakuasi ICH hr


ke 7 (RS luar)
sepsis dph 4

Ny.Juminah

54

Bed B ICU
melati

Tn. Sumardi

post cranioplasti + HAP DPH 26

Tn. Suparno

ET 6.5 LV 20 On MV Mode Ceftriaxon 2gr/24jam


SIMV F12 Vt 360 Ps 8 Fio2 1g/8jam
50% Peep 3.0 Spo2 98 % 40mg/12jam
Ranitidin 50 mg/12 j
Levofloxacin 750 mg/24 j
Insulin sliding scale
Amlodipin 10 mg PO

GCS E3VxM3 Td
109/70 Hr 88

Terpasang ET 7.0 LV 20 on Cefepin 1 gr/12 j


mv simv f 23 vt 360 ps 8 Manitol 100ml/8j
fio2 40 peep 2 spo2 100%
dexmetason 5mg/8j
ceftazidim 1gr/12j
fluconazol 200mg/24j
omeprazole 40mg/12j
paracetamol 1gr/8j
sucralfat 15cc/8j
P.O
ETT 7,0 lv 21 MV mode
Ceftriaxon 2gr/24jam
Levofloxacin
SIMV f14 VT 356 PEEP 6 750mg/24jam
FiO2 25% Spo2 100%
Omeprazol 40mg/12jam
metilprednisolon 200mg/8jam
Clinimix 1 flsh/24 j
N-epi 0,05-0,5 mcg/kgBB/menit
Dobutamin 3-6 cc/ jam

Sonde

GCS E1VxM1 Td
108/88 Hr 84

DSS gagal nafastipe II DPH 6

41

sonde

ET 7.5 level 21 on MV
Ciprofloxacin 400 mg/12 jam
spontan Vc 360 Ps 8 rr 24
Paracetamol 1 g/ 8 jam
Fi02 40 Peep 5.0 SpO2
fenitoin
100%
100mg/8j
Manitol 100
ml/8j
Omeprazole 5 m/ jam
Ranitidin 100 mg/12 j
Santogeil 1 amp

GCS E3VxM2 TD
149/86 HR 106
sonde

48

Bed D ICU
melati

GCS E2VxM3 TD:


127/73 HR: 94

sonde

penurunan kesadaran
peningkatan TIK,
demam
prolong ventilator

90

Paracetamol
Omeprazol
sepsis

demam

380

pneumonia

1988

MBO

1476

Bed E ICU
Melati

Tn.Wiro Diyono

CAP Sepsis

78

Bed F ICU
melati

sonde

penurunan kesadaran ec massa


intracranial, sepsis dph 6

Tn Mursidi

66

GCS dpo Td 127/51 ET 7.5 LV 20 On MV mode Inj.Levofloxacin 750 mg/24 j


Hr 85
SIMV Vt 330 Fio2 60%
Inj.Ceftriaxone 2 gr/24 j
Peep 12 Spo2 100%
Dexamethasone 5 mg18 j
Omeprazole 40 mg/ 12 j

GCS E3V1M4 Td
154/74 Hr 83
sonde

spontan NRM 8 lpm RR 20 Ceftriaxon 2g/24jam


SpO2 99%
Parasetamol 1g/8jam
Ranitidin 50mg/12jam
Levofloxacin 750mg/24jam
SNMC 1amp/12jam
Omeprazol sp 8mg/jam
Norepinephrin sp 0,05 mg/jam

gagal nafas

871

sepsis

125

Nn. Eni
wahyunin
gsih

22

Myasteni tktp
a gravis
dph 791

GCS
E4VxM6
TD 90/70
HR 81
spo2
98%

MV mode Mestinon
simv fio2 4x60 mg
30%
p.o
peep 3
VIT B
complex
3x 1 p.o

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