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MAPPING RUANG OBSTETRI (ARAFAH 3)

Minggu, 19 November 2017


No Room Name MedRec Diagnosis Laboratorium Treatment DPJP Laporan Bayi PPlanning KET

1
1A - -

2 1B - -

3 2A

- Inj. Ceftriaxone 2 gr/24 jam


- Dripmetronidazole 500gr/8
Lab 18/11/2017
jam
P2 POD0 Post SC ai BSC 2x HB/Ht/E/L/T: 11,8/36/4,1/14,6/218 - Mobilisasi bertahap
- Inj. Ketorolac I amp/8 jam
(AH1) hamil 38-39 mg, BSC CT/BT: 7/2 - Diet TKTP
Cut Fitri Annur /33 - Kaltropen sup 3x200gram
4 2B 0963303 2x Adhesive Peritoneum ke SGOT/SGPT: 15/13 YS - Cek DR post OP
th - Drip pct
Corpus Anterior dan Plika GDS:97 - Aff kateter 1x24 jam
- Neurobion
Resikouterina Ur/cr: 14/0,45 - Gv hari ke 3
- Vit. C 2x1
Na/K/Cl: 135/4/108
- Inj ranitidine
- Inj. As. traneksamat
5 3A

6 3B

7 4A -

8 4B
-
-
9 4C

10 4D - -

Lab 16-11-2017
G5P4A0 Hamil BSC 4x +
Susiana,37thn 1150651 Hb/Ht/E/L/Tr HS
11 5A Anemia
9,0/28/3,2/9,6/248

- Cefadroxil 2x500 mg - Obs KU, TTV


POD 2 P7 post SC a/i Lab (17/11/2017)
- Na.diklofenak 3x50 mg By, LK, 2800 gr, AS: - Diet TKTP
Nurlela, 43 th 0793660 Presenetasi bokong, KPD 6 jam, Hb/Ht/E/L/T: 13,4/38/4,8/17,6/186 SIK
12 5B - Lansoprazole 2x1 8/9 - Motivasi ASI
belum inpartu, akseptor MOW Eo/B/NB/NS/L/M: 0/0/0/90/8/2
- Sohobion 1x1 - Mobilisasi bertahap
13 5C

Lab 19-11-2017 -inj ceftriaxone - Mobilisasi Bertahap


Ainun Mardhiah/44 P4 POD 0 Post Sc ai distosia PK Hb/Ht/E/L?Tr -dripmetronidazole - Diet TKTP
14 5D 11507894
thn II, akseptor MOW 10,2/230/3,3/17,8/265 Inj ketorolac - Aff FC 1x24 jam
- - GV hari ke 3

Lab 19-11-2017 - Inj. Ceftrixone 2gr/24 jam


Hb/Ht/E/L/TR - Inj. Ketorolac 1 amp/ 8 jam - Mobilisasi bertahap
9,8/30/3,7/12,2/188 - Inj. Ranitidine 1amp/12 jam - Diet tktp
P2A0 POD 0 Post SC ai Fetal
Qadrunnida, 27 thn 1116408 Ur/Cr - Katropeen sup 3x200mg MZ BY: PR,BB:3000gr - Cek DR post OP
6A Distress
11/0,44 - Paracetamol drip - FC aff 1x24 jam
15 Na/K?Cl - Neurobion 2x1 - Gv hari ke-3
135/3,8/112 - Vit. C 2x1

P1 post partus spontan , post - As. Mefenamat 3x 500 mg


Bayi Lk, 2500 gr (PV - Pantau tanda perdarahan
Mutia Aulita, 23 th 1150886 manual plasenta a/i retensi - Cefadroxil 3x500 mg RZ
16 6B dibidan)
plasenta - Sohobion 1x360 mg

Asam mefenamat 3x1


P3 post partus spontan + Lab 18/11/2017
Cefadroxil 2x1 Bayi, PR, 3700 gr A/S Pantau hemodinamik
17 6C Rubama/ 42 th 1150892 post plasenta manual ai Hb/Ht/E/L/T: 10,9/33/3,7/19/270 RZ
Sohobion 1x1 9/10 Pantau perdarahan
retensio plasenta MCV/MCH/MCHC: 90/29/33

6D
18
19 6E

Lab (18/11/2017)
Inj.ceftriakson 2gr/24jam
Hb/Ht/E/L/T: 11,1/33/3,7/12,4/190
Inj. Ketorolak 1amp/8 jam
POD 2 P1A1 post SC ai
Kaltrofen supp 2/8 jam Mobilisasi bertahap
oligohidramnion infertilitas Lab (17/11/2017) Bayi, LK 3100gr,
6F Rusnidar/38th 0975806 Drip oksitosin 40 iu dlm 500 cc SIK Motivasi ASI
20 primer 4 th gagal induksi, low 14,1/41/4,6/9,0/209 A/S : 9/10
RL selama 12 jam Diet TKTP
pelvic score CT/BT: 9/3
Sohobion 1x1
GDS: 86
Na/KCl: 137/3,9/107

7A
-
21

22 7B -

7B
22
23 7C

24 7D

25 7E

26 7F
ISO1
27

- Inj. Ceftriaxone 2gr/24


jam
- Drip. Metronidazole
500mg/24 jam
Lab 19-11-2017 - Mobilisasi Bertahap
ISO2 - Inj. Ketorolac 1amp/8
Hb/Ht/E/L/Tr - Diet TKTP
P4A0 POD0 post SC ai Fetal jam
Erlina, 34 thn 1150929 10,6/32/3,8/9,5/268 DK BY: PR, BB: 330gram - GV hari ke 3
28 Distress - Drip PCT 1000gr
Na/K/Cl - Cek DR post Op
- Katropen Supp
137/4,0/107 - Aff kateter 1x 24 jam
- Inj. Ranitidine 1amp/12
jam
- Neurobion 2x1
- Vit. C 2x1

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