MAPPING PASIEN RUANGAN OBSTETRl

Kamis, 6 FEBRUARI 2020

Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Aisyah
19 th Dr. Johny Marpaung,
RB 1 Post Histerostomi a/I KJDK + Aff kateter
03/02/2020 G1P0A0 M.Ked(OG),SpOG(K)
3.1.6 Mioma uteri + H1 mobilisasi
80.13.90

Hotmeli
RB1 34 th Dr. dr. Letta Sari Lintang, Post SC a/I HIV + post sterilisasi Aff infus
04/02/2020
3.1.1 G3P2A0 M.Ked(OG, Sp. OG (K) pomeroy + NH2 Terapi oral
75.03.07

Stevani siregar
Dr.dr. Hotma Partogi Aff infus
RB 1 28 th
03/02/2020 Pasaribu M.Ked(OG), Post SC a/i KPD + NH2 Terapi oral
1.1.1 G2P1A1
SpOG
79.21.66
Auliya Dysneu ec Efusi pleura moderate +
RA 6
22 th dr. Melvin N G Barus, TB milier + susp TB paru dd CAP + Terapi sesuai TS paru
30/01/2020 2.1.2
G2P1A0 M.Ked(OG), SpOG(K) SG + KDR (20-21) mgg + AH + Awasi VS, His, DJJ
80.35.77 Anhidramnion

Lasma Butar Prev SC 1x + MG + KDR (34-35)mgg

RB 1 Dr. dr. Letta Sari Lintang, Pematangan Paru
05/02/2020 32 th + PK + AH + Oligohidramnion +
3.1.1 M.ked(OG, Sp. OG (K) Monitoring DJJ, vital sign
G3P2A0 multicystic kidney bilateral
 80.40.27
Luria Monitoring vital sign,
RB 1 26 th dr. Melvin N G Barus, Post SC a/I PASD (PAS 0) + Prev SC kontraksi uterus dan
05/02/2020
2.1.1 G2P1A0 M.Ked(OG), SpOG(K) 1x + NHO perdarahan pervaginam
80.34.01 Susul hasil lab post op

Irawani Hasni
RB 1 30 th dr. Melvin N G Barus, Post Manual Aid a/i Presentasi Transfusi PRC 2 bag
05/02/2020
2.1.3 P1A1 M.Ked(OG), SpOG(K) Bokong + SLE + Anemia (6,8) + NH2 mobilisasi
80.40.11

MAPPING PASIEN PBJ RUANGAN OBSTETRl

Kamis, 6 FEBRUARI 2020
Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS

MAPPING PASIEN RUANGAN GINEKOLOGI

Kamis, 6 FEBRUARI 2020
 Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Mardiana
RB 1 36 th dr. Khairani Sukatendel, Post TAH a/i Mioma Uteri Monitoring vital sign
5/2/2020
3.2.1 P3A1 M.Ked(OG), Sp.OG.K submukosum + H0 Terapi lanjut
80.24.58
Supiati
RB1 50 th dr. Hanudse Hartono, Kista Ovarium Billateral dd
5/2/2020 BSO elektif besok (07/02/2020)
3.2.6 P5A0 M.Kes, Sp.OG.K TOA
80.25.67

MAPPING PASIEN PBJ RUANGAN GINEKOLOGI

Kamis, 6 FEBRUARI 2020
Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
 MAPPING PASIEN RUANGAN ONKOLOGI
Kamis, 6 FEBRUARI 2020

Tgl Identitas
Bed DPJP Diagnosis Planning
MRS Pasien

Suharni Ca Ovarium IIIC + Post Kemo

Transfusi PRC 2 bag
RB 1 P2A2 dr. M Rizky Yaznil, M.Ked(OG), Carbopacli 3x + anemia (7,8)
6/02/2020 Koreksi Elektrolit
3.2.6 47 th Sp.OG.K + Hiponatremia (124) +
Subtitusi albumin
79.23.85 Hipoalbumin (2,1)
Post sekunder hecting a/I
Yenni wound dehiscence+ H3+Post
RB 1 Virgo Prof.dr. M Fauzie Sahil TAH + BSO a/I Ovarian Terapi lanjut
12/01/2020
3.3.2 15 th SpOG(K) Tumor Susp Malignancy + Cek elektrolit
80.14.98 H7 + hidronefrosis bilateral +
AKI std failure
Penurunan kesadaran ec
Sumarni
RB 1 dr. Deri Edianto susp metaste otak+ CA
02/02/2020 55 th Konsul neurologi
3.3.3 M.Ked(OG),Sp.OG K ovarium inadequate staging
80.37.09
+ AKI + CHF Fc I d/t HHD
Saida
Simbolon
dr. M. RIzki Yaznil, M.Ked(OG), Cek albumin
05/02/2020 3.3.4 50 th Susp Ca ovarium
Sp.OG(K) Konsul interna-nefrologi
80.39.93

Wasneti Ca cervix std III + CKD on HD

RB 1 dr. Sarah Dina,
15/01/2020 57 th regular+ Post insersi dj stent Terapi lanjut
3.3.6 M.Ked(OG), Sp.OG(K)
80.15.75 unilateral a/I hidronefrosis
 bilateral+ spondylosis
lumbalis
Habibah
RB 1 Damanik dr. Sarah Dina, M.Ked(OG), Post biopsy endometrium ec Terapi lanjut
05/02/2020
3.4.1 55thn Sp.OG(K) susp ca endometrium
80.31.70
Leli Teti Hipoalbumin (2.0) + Ca
RB 1 dr. Sarah Dina,
02/02/2020 39 th ovarium reccurent + Ascites Cek albumin post taping
3.4.2 M.Ked(OG), Sp.OG(K)
80.30.75 massif
Muliana
Tumor adneksa susp
RB1 Halawa dr. M. RIzki Yaznil, M.Ked(OG), Subtitusi albumin 1fls
05/02/2020 malignancy +anemia (8,8)+
3.4.4 37 th Sp.OG(K) Transfusi PRC 2 Bag
Hipoalbuminemia (2,3)
80.17.63
Hipoalbumin (1,9)+ Ca Vulva
Mahrani
RB 1 dr. Cut Adeya Adella, Inoperable + Post Chemo Substitusi albumin 2 fls
30/01/2020 62th
3.4.6 Sp.OG(K) NAC Ifosfamide-Cisplatin
79.86.57
Siklus 1
Hiponatremia (115) + Ca
ovarium III C
Salama (dysgerminoma) + post Substitusi Natrium
RB 1 dr. Dwi Faradina, M.Ked(OG),
16 th kemo TIP (2nd line) 6 siklus Konsul pain management
22/01/2020 2.2.3 Sp.OG(K)
71.88.42 ( Juli 2019) + susp meta ERCP besok (7/2/2020)
hepar + Jaundice ec
obstruksi duktus koledokus

Siti Aminah
RB 1 dr. Sarah Dina, M.Ked(OG), Post LSS a/i Tumor Ovarium Monitoring VS
05/02/2020 40thn
2.2.1 Sp.OG(K) Susp Malignansi Cek DR 2 jam post op
80.26.24
 Lismayati
05/02/2020 RB1 dr. M. RIzki Yaznil, M.Ked(OG), Ca Ovarium reccurent + Transfusi PRC 2 bag (1/2)
61 th
1.4.1 Sp.OG(K) anemia (8,9) Cek lab 6 jam post transfusi
78.37.50

Suwarni
RA 4 dr. Sarah Dina, Anemia (7,1) + CKD dd AKI
30/01/2020 55 th Biopsi serviks
2.2.1 M.Ked(OG), Sp.OG(K) std III + ISK + Susp.Ca Cervix
77.69.39

Ria mendana Hematuria+fistula vesiko

dr. Sarah Dina,
03/02/2020 HCU 57 th uterus+pelvic mass susp Terapi sesuai ts urologi
M.Ked(OG), Sp.OG(K)
80.16.97 malignancy

Ayu Lestari
Ovarian Cancer IIB + Post
21 th dr. Dwi Faradina, M.Ked(OG), Kemoterapi paliatif (3/6)
03/02/2020 Kemoterapi Kemoterapi carbo pacli 3
P2A0 Sp.OG(K)
siklus
80.26.06

Santi Ca vulva rekuren + post

dr. Dwi Faradina, M.Ked(OG), Kemoterapi ifosfamid cisplatin
04/02/2020 Kemoterapi 40 thn Kemoterapi paliatif
Sp.OG(K) siklus 5 (3/6)
76.80.55 ifosfamid cisplatin siklus IV
 MAPPING PASIEN PBJ RUANGAN ONKOLOGI
RABU, 5 FEBRUARI 2020

Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Nurhayani
kemoter dr.Sarah Dina, Ca. Vulva +post kemoifosfamid-
30/1/2020 40th PBJ
api M.Ked(OG),Sp.OG.(K) cisplatin 2 siklus
79.79.21
Yuliana
kemoter dr.Sarah Dina, Ca. Vulva +post kemopaliatif
30/1/2020 40th PBJ
api M.Ked(OG),Sp.OG.(K) ifosfamid-cisplatin 3 siklus
77.85.53
Jamilah
RB 1 dr. Sarah Dina,
03/02/2020 67 th Ca cervix IIIB + Post Re 6x PBJ
3.4.5 M.Ked(OG), Sp.OG(K)
79.94.86
Lismawati
RB 1 dr. M. RIzki Yaznil, Post LSS Ca ovarium solid std IIB
02/02/2020 50 th PBJ
3.3.1. M.Ked(OG), Sp.OG(K) + H3
80.24.53
Suryati
RB 1
04/02/2020 48 th dr. Riza Rivany, Sp.OG(K) Ca Cervix IIB + Post RE 6x PBJ
3.3.5
80.15.75