MAPPING RUANG OBSTETRI ARAFAH 2

05/08/2022 JAM 22.00 Malam

DPJP
JUMLAH PASIEN Kamar

Dr. dr. Hasanuddin, Sp.OG(K)-Onk 3 2A,3A, 5A

dr. Yusra Septivera, Sp.OG

Prof. Dr. dr. Rajuddin, Sp.OG(K)-FER 1 1A

dr. Tgk. Puspa Dewi, Sp.OG(K)-Obginsos 1 4C

dr. Sarah Ika Nainggolan, Sp.OG(K)-Onk

dr. Niken Asri Utami, Sp.OG(K)-KFM

Dr. dr. Cut Meurah Yeni, Sp.OG(K)-KFM

dr. Munawar, Sp.OG(K)-Obginsos

dr. Munizar, Sp.OG(K)-Onk

dr. Roziana, Sp.OG(K)-Urogin

dr. Dewi Karlina Rusly, Sp.OG

dr. Cut Rika Maharani, Sp.OG

dr. Hilwah Nora, M.Med.Sci, ART, Sp.OG(K)-FER

dr. Ima Indirayani, Dr.Obgyn, Sp.OG 2 4D, 5D

dr. Rusnaidi, Sp.OG(K)-FER

dr. Rizka Aditya, Sp.OG 1 4A

TOTAL PASIEN 8

1A Maida Fitri, 38 tahun 1-19-11-81 POD 2 Post laparotomi reseksi Lab 04/8/2022 Ceftriaxone 2gr/24 jam IV RJD Observasi KU, TTV, perdarahan
denomyosis a/I denomyosis, Hb/HT/E/L/T Klindamicin 300 mg/12 jam IV Mobilisasi bertahap
kistektomi a/i kista ovarium bilateral 10,0/31/4,3/19,24/276 Transamin 400 mg/8 jam IV
dengan permasalah 1. leukositosis MCV/MCH/MCHC Ketorolac 30 mg/8 jam IV
72/24/33 Omeprazole 40 mg/12 jam IV
Diftel 0/0/0/88/5/7 Metronidazole 500 mg/8 jam iv
Pct 1 g / 8 jam iv
Lab 01/08/22
Hb/HT/E/L/T
11,2/36/34,9/8,04/311

1
 MCV/MCH/MCHC
74/23/31
Diftel
1/1/0/52/36/10
BT/CT
2/7
Albumin 4,31
2A Listianti Binti Idris, 37 1313592 G4P3A0 Hamil 36 Minggu 2 Hari Lab 05/08/2022 - HSD Observasi KU, TTV, His, DJJ
th G4P3A0 JPKTH, BSC 3x (IDT 5 thn) Belum Hb/HT/E/L/T CTG Kategori I
Inpartu 8,9/27/3,6/11,11/375 Cek MDT, Ferritin, Si/TiBC sebelum
MCV/MCH/MCHC Transfusi
73/25/33 Transfusi PRC sampai dengan Hb >10 mg/dL
Diftel (2 kolf)
4/0/0/76/13/5
BT/CT 3/8
HbsAg : Non Reaktif
SGOT/SGPT 15/5
GDS 88
Ur/Cr 10/0,7
Na/K/Cl 138/3,2/115

3A Hasmiati Binti Isamil, 0-80-07-91 POD 1 Post laparotomi histerektomi Lab 04/8/2022 Amlodipin 10 mg/24 jam PO HSD Obs ku, ttv , perdarahan
51 tahun a/I Mioma uteri multipel Hb/HT/E/L/T Valsartan 160 mg 1x1 PO
11,1/33/4,0/18,33/299 Ceftriaxone 2gr/24 jam IV Mobilisasi bertahap
MCV/MCH/MCHC Transamin 500 mg/ 8 jam iv
83/28/34 Omeprazole 40 mg/12 jam iv
Diftel Ketorolac 30 mg/8 jam iv
0/0/0/90/5/5 Kaltropen II /8 jam supp
Ondansetron 8 mg/8 jam IV
Lab 21/7/2022 Sulralfat syr 15 dm/8 jam PO
Hb/HT/E/L/T
12,5/38/4,5/8,10/297
MCV/MCH/MCHC
84/28/33
Diftel
7/1/0/53/31/8
BT/CT 2/7
HbsAg : Non Reaktif
SGOT/SGPT 16/15
GDS 88
Ur/Cr 15/0,90
Na/K/Cl 143/4,90/111
4A Nova Rahmi Maulidar, 1-09-37-25 P2 Post SC a/i Perburukan PEB Lab 04/07/2022 Oksitosin 20 IU dlm 500 cc RL 20 RA Obs. KU, TTV, Kontraksi, Perdarahan
28 Tahun akseptor IUD Post Adhesiolisis Hb/HT/E/L/T tpm/12 jam Cek DR 2 Jam Post OP
Perlekatan organ interna 12,1/37/5,4/11,72/408 MgSO4 1 gr/jam (maintenance) Aff DC 1 x 24 jam
MCV/MCH/MCHC Ketorolac 1 amp/6 jam IV
69/22/32 PCT tab 1000 mg/8jam
Diftel Metoklopramide 1 amp/12 jam
2/0/0/73/21/8 Amlodipine 1x10 mg
BT/CT : 2/7 Ceftriaxone 2 gr/24 jam IV
Fibrinogen 32,6
d-dimer 1190
HbsAg : Non Reaktif

2
 SGOT/SGPT 15/6
LDH 154
Mg 2,00
GDS 89
Ur/Cr 12/0,5
Na/K/Cl 138/4,2/116

4C Rizki Ferdiana, 40 1-01-26-85 POD 5 P4 (AH5) Post SC a/i BSC 4x, Lab 05/08/2022 Metronidazol 1,5 gr/24 jam Drip TPD Obs. KU, TTV, Kejang
Tahun KPD, Ibu dengan PEB, Janin IUGR Ca/Mg : 7,1/2,7 Ceftriaxone 2 gr/24 jam Drip
post Tubektomi dengan permasalahan Na/K/CL : 138/3,4/110 Tramadol 100 mg/8 jam Drip
eklampsia post partum Omeprazole 40 mg/12 jam IV
Lab 04/08/2022
Hb/HT/E/L/T
12,1/38/4,8/16,25/207
MCV/MCH/MCHC
79/25/32
Diftel
0/0/0/78/12/9
PT/APTT : 14,20/28,50
Fibrinogen 463
d-dimer >4000
HbsAg : Non Reaktif
Bilirubin T/D/I : 0,41/0,17/024
SGOT/SGPT 25/7
Albumin 2,9
Ca/Mg 8,3/3,5
GDS 199
Ur/Cr 28/0,6
Na/K/Cl 140/3,6/108

Lab 02/08/2022
Procalcitonin 0,36

Urinalisis 02/08/22
Makroskopik
Warna : Kuning
Kejernihan: Keruh
BJ: 1,010
Ph: 6,5
Lekosit: -
Protein: -
Glukosa: -
Keton: -
Nitrit: -
Urobilinogen : +
Bilirubin : -
Darah: +

4D Dahlia Binti M. Husen, 1-05-99-41 POD 1 P1 Post SC a/i ICPD 2 jam Lab 4/8/2022 Vastral 360 mg PO IMA Obs KU, TTV, kontraksi, perdarahan
36 tahun (ICA 3,4 cm ) Ibu dengan PEB Hb/HT/E/L/T SF 1X1 PO Motivasi inisiasi menyusui dini
14,1/40/5,1/7,47/192 Adalat oros 30 mg/24 jam PO Protap mgso4
MCV/MCH/MCHC Mgso4 40% 1 gr/24 jam IV (ROOM IN)
79/28/35 Omeprazole 40 mg/12 jam IV

3
 Diftel Oksitosin 20 IU, IV
3/1/0/42/46/8 Ketorolac 30mg/8 jam, IV
PT/APTT : 12,1/31,2 Paracetamol 1g/8jam, IV
Fibrinogen 463
d-dimer 3240
HbsAg : Non Reaktif
SGOT/SGPT 28/14
GDS 199
Ur/Cr 13/0,8
Na/K/Cl 138/4/113

Urinalisis 04/08/22
Makroskopik
Warna : Kuning
Kejernihan: Keruh
BJ: 1,020
Ph: 5,0
Lekosit: -
Protein: +1
Glukosa: -
Keton: -
Nitrit: -
Urobilinogen : -
Bilirubin : -
Darah: +

5A Hayati Binti Zainun, 58 1-31-20-37 POD 1 Post laparotomi total Lab 04/8/2022 Ceftriaxone 2 g/24 jam iv HSD Obs KU, TTV, Perdarahan
tahun abdominal histerectomi post Hb/HT/E/L/T Ketorolac 30 mg/8 j iv Mobilisasi bertahap
salfingooferektomi bil a/I Mioma 13,4/37/4,6/15,14/227 Transamin 500 mg/8 jam iv Evaluasi drain 1x24 jam
Uteri Multiple MCV/MCH/MCHC Omeprazole 40 mg/8 jam iv Aff drain jika <100cc
80/29/36 Kaltropen supp 200 mg/8 jam sup
Diftel Vastral 360 mg 2x1, PO
0/0/0/93/3/4

Lab 19/7/2022
Hb/HT/E/L/T
13,2/38/4,6/9,92/243
MCV/MCH/MCHC
82/29/35
Diftel
8/0/0/64/22/6
BT/CT 2/7
HbsAg : Non Reaktif
SGOT/SGPT 14/12
Albumin 3,85
GDS 89
Ur/Cr 13/0,81
Na/K/Cl 144/3,60/102f
5D Roslina, 29 tahun 1-31-34-36 POD 2 Post SC a/I PEB dengan fetal Lab 04/08/2022 10.54 IMA Obs KU, TTV, Perdarahan
distress Hb/HT/E/L/T - Mgso4 40 % 1 g/jam dalam 24 jam Aff Foley Catether
8,1/25/3,8/17,37/79 drip Obs tanda Impending AEB
MCV/MCH/MCHC - Ketorolac 1 Amp/8 jam iv Trf PRC 1 kolf
64/21/33 - Tramadol 1 amp/8 jam iv Motivasi ASI

4
LED 1 - Kaltropen supp 200 mg/8 jam
Diftel - Omeprazol 1 gr/12 jam iv
0/0/0/80/12/8 - Adalat oros 30 mg/24 jam po
Ldh 591 - Dexametason 10 mg/12 jam iv
- Moloco tab/12jam, PO
Lab 04/08/2022
Hb/HT/E/L/T
11,9/36/5,8/16,05/144
MCV/MCH/MCHC
63/21/33
Diftel
0/0/1/84/10/5
na/k/cl
137/3,7/123
Ur/Cr 32/1,1
SGOT/SGPT
304/183
GDS:113