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    AB: Cefotaxim (2) : Monitoring Hemodinamik R/koreksi Albumin 20% 100cc 2x Transfuse Alb Ke - 1 (+)

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    yuni hunaini
    1. There were 2 patients being treated overnight in the ward. One patient was post-operation for craniotomy and on a ventilator. The other was post-operation for SC+IUD and in unstable condition requiring oxygen support. 2. The treatment plans for both patients involved monitoring their vital signs, administering antibiotics and intravenous fluids, and stabilizing their conditions. 3. No new patients were admitted overnight and none were discharged or passed away. The total number of patients remained at 2 by the end of the night shift.

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    AB: Cefotaxim (2) : Monitoring Hemodinamik R/koreksi Albumin 20% 100cc 2x Transfuse Alb Ke - 1 (+)

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    yuni hunaini
    7 views4 pages
    1. There were 2 patients being treated overnight in the ward. One patient was post-operation for craniotomy and on a ventilator. The other was post-operation for SC+IUD and in unstable condition requiring oxygen support. 2. The treatment plans for both patients involved monitoring their vital signs, administering antibiotics and intravenous fluids, and stabilizing their conditions. 3. No new patients were admitted overnight and none were discharged or passed away. The total number of patients remained at 2 by the end of the night shift.

    Original Description:

    Komlikasi post op

    Original Title

    LAPORAN DINAS MALAM-10

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    1. There were 2 patients being treated overnight in the ward. One patient was post-operation for craniotomy and on a ventilator. The other was post-operation for SC+IUD and in unstable condition requiring oxygen support. 2. The treatment plans for both patients involved monitoring their vital signs, administering antibiotics and intravenous fluids, and stabilizing their conditions. 3. No new patients were admitted overnight and none were discharged or passed away. The total number of patients remained at 2 by the end of the night shift.

    Copyright:

    © All Rights Reserved
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    7 views4 pages

    AB: Cefotaxim (2) : Monitoring Hemodinamik R/koreksi Albumin 20% 100cc 2x Transfuse Alb Ke - 1 (+)

    Uploaded by

    yuni hunaini
    1. There were 2 patients being treated overnight in the ward. One patient was post-operation for craniotomy and on a ventilator. The other was post-operation for SC+IUD and in unstable condition requiring oxygen support. 2. The treatment plans for both patients involved monitoring their vital signs, administering antibiotics and intravenous fluids, and stabilizing their conditions. 3. No new patients were admitted overnight and none were discharged or passed away. The total number of patients remained at 2 by the end of the night shift.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 4

    LAPORAN DINAS MALAM

    MINGGU, 08 NOVEMBER 2021

    N BED Nama Pasien SBAR Rencana Antibiotik


    O

    1 KMR 1 Ny.Tiara S: Perawatan hr 1 Infus: AB:


    BED 2 20.80.53 K/U Sakit berat,kes cm,hemodinamik 1.RL/ 8 jam Cefotaxim (2)
    19.06.1995 unstabil,O2 NK 3 lpm 2.Ketorolac 3 amp/24 jam
    DC(+) 3.Perdipin Drip 3mg/jam

    DPJP: Obgyn B: Post Op SC+IUD a/i eklamsia


    Rencana:
    A:  Monitoring hemodinamik
    PJ:Zr.Roslin TD:138/67 mmhg  R/koreksi albumin 20% 100cc 2x
    HR:96 x/mnt  Transfuse Alb ke -1 (+)
    RR:16 x/mnt
    S:36
    SatO2: 100% Dr.Obgyine visite :
    - Whening perdhipine s/ d Stop jika
    stabil boleh pindah
    R:
    F:BBRG
    A:Ketorolac
    S:-
    T:-
    H:30
    U:-
    G:GDS/hr
    BC:-170 cc
    BD: 1,9cc/kgBB/jam
    BK: +437,2cc

    2 KMR 1 Ny. Rati S: Perawatan hr 1 IVFD : AB :


    BED 4 00286117 K/U tsb,kes DPO on ventilator PS 10, RR 1. D5 / 12 jam Ceftriaxone (2)
    01 Juli 1940 12 Peep 5 Fio2 40 %. NGT terpasang ,D/C 2. ICUNES 3 cc / jam
    (+) Urine (+) , EVD (+) IVFD (+) 3. Propofol 20 mg /jam Stop
    DPJP : 4. Ferdipine 3 mg / jam
    B.Syaraf B : PO Craniotomie Ecc SH
    Raber :
    IPD A:
    Kardio TD :160/83 mmhg RENCANA :
    RR : 70x/mnt  Obs Vital sign
    PJ : Br.Bagus HR :16 x / mnt  EVD sejajar dengan kepala
    SH : 36  EVD jangan smp tercabut
    Sat : 100 %  Weaning venti

    R:
    F : MC 6x100
    A : ICUNES
    S : Propofol
    T :-
    H : 30
    U : OMZ
    G : GDS / Hr

    BC :-103 cc
    BD : 1.9 cc/kgbb/jam
    BK : +137cc

    Pasien Awal :2
    Ventilator : 1
    T’piece :-
    NK :1
    NRM :-
    CVC :-
    S.Mask :-
    Pasien Pindah :-
    Pasien PAPS :-
    Pasien baru :-
    Pasien Pulang :
    Pasien meninggal: -
    Pesanan: -
    Total Pasien : 2
    Dinas Malam
    Evi,dkk

    Dokter jaga : dr.Nurbaiti

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