MAPPING RUANG GINEKOLOGI ARAFAH 3

Sabtu, 10 juni 2023 Pukul 05.00 WIB

DPJP JUMLAH PASIEN KAMAR

Dr. dr. Hasanuddin, Sp.OG(K)-Onk 5 2A, 3A,3B,4B ,7A,7D

dr. Yusra Septivera, Sp.OG

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

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

dr. Sarah Ika Nainggolan, Sp.OG(K)-Onk 2 5A ,6E

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

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

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

dr. Munizar, Sp.OG(K)-Onk 2 6F,7B

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

dr. Rusnaidi, Sp.OG(K)-FER 2 5B,7C

dr. Rizka Aditya, Sp.OG

TOTAL PASIEN 11
2A Nuriyah binti Hari Susp ca ovarium+anemia Lab 09/06/2023 -SC levemir 0- HSD Obs KU, TTV,
umar rawatan MH+ DM tipe II + efusi Hb/Ht/E/L/T: 0-16 perdarahan
Pr,56th, ke-3 pleura minimal 12,6/39/5,2/12,30/271 -PO codein
1334363 MCV/MCH/MCHC: 30mg 3x1
76/24/32 -SC novorapid
Diftel: 1/1/0/82/10/6

Lab 06/06/2023
Hb/Ht/E/L/T:
8,2/27/3,7/10,36/297
MCV/MCH/MCHC:
72/22/31
Diftel: 1/1/0/78/14/6
PT/APTT : 12,40/22,50
CA 125: 546,8
SGOT/SGPT : 31/15
Albumin 3,00
Na/K/Cl : 139/4,10/113
ur/cr 25/0,61
GDS 490

3A Hafira Hanum, Hari Kista ovarium sinistra Foto thorax 6/6/2023 -IV omeprazole HSD Obs. KU,TTV
Pr, 26 th, rawatan kesan normal 40mg/12 jam Rencana
1340515 ke-5 -IV ketorolac 1 laaratomy
Lab 06/06/23 amp/8 jam salfingooforektomi
CA 125 : 71,8 -IV sinistra+
Lab 05/06/2023 traneksamat kromatubasi
HB/HT/E/L/T 500 mg/8 jam
12,4/38/4,4/14,56/649 -kaltopren supp
MCV/MCH/MCHC 2 /8 jam
85/28/33 -
Diftel : 0/0/0/72/21/7
Na/K/CL : 145/4,10/109
Ur/Cr : 14/0,70
GDS : 86
3B Siti Absah,pr,55th, Hari Susp ca endometrium + Lab 9/6/2023 - PO HSD Obs
1340133 rawatan anemia + DM Tipe2 + Hb/Ht/L/T : Atorvastatin -KU/TTV
ke-3 hipoalbuminemia 11,4/35/5,42/343 4mg 1x1 -Perbaikan KU
MCV/MCH/MCHC: - PO -Persiapan operasi
79/26/33 Amlodipin -Daftar
Diftel: 0/0/0/82/16/2 5mg 1x1 echocardiografi
- PO concor -USG hari ini
Lab 31/05/2023 2,5mg 1x1 (9/3/2023)
HB/HT/E/L/T -Nitrat k/p
8,4/26/3,4/5,66/342 dexamethasone
MCV/MCH/MCHC 1 amp extra
78/25/32 - levemir 0-0-
Diftel : 2/0/0/58/28/12 0-10
Pt/aptt:1,01/0,85 -IV
HbA1c:8,30 dexamethasone
CA 125:30,3 1 amp extra
Hbsag: non reaktif
Sgot/sgpt:19/7
Albumin:2,94
GDP:154
GD 2 jam PP:209
Na/K/CL : 141/4,20/114
Ur/Cr : 44/1,23

4B Yusra binti tgk Hari A/ Ca Ovarium post Lab 08/06/2023 - Dulcolax II HSD -Obs KU, TN,
harun,pr,47 th Rawatan kemoterapi siklus I + HB/HT/E/L/T supp extra saturasi
1119647 ke-3 Anemia NN dengan 9,1/27/3,1/8,43/358 -Drip -Pro kemoterapi
permasalahan: MCV/MCH/MCHC Tramadol/8 siklus ke Ii jika
1. Konstipasi 87/29/34 jam KU baik
2. Hipokalemia Diftel : 1/0/0/68/20/11 -Drip -Transfusi PRC 1
3. Low intake Hbsag: non reaktif Paracetamol kolf
Sgot/sgpt:27/22 1000mg/8 jam
Albumin:3,50 -IV
GDS:130 Lansoprazole
 Na/K/CL : 143/2,80/103 30mg/12 jam
Ur/Cr : 15/0,80 -IV
Ondansetron 1
Lab 09/06/2023 amp/8 jam
Ca -PO Antasida 1
8,4 tablet
Ur/Cr -PO Lactulac
22/0,70 syr II cth/8 jam
Na/K/Cl
142/3,20/107

5A Nurul Faddah, pr, Hari POD 4 post laparotomy Lab 09/06/2023 SIK - obs KU, TTV,
29th, 1198058 rawatan debulking tumor a/I ca Hb/Ht/E/L/T: - IV perdarahan
ke-7 ovarium stadium IIIc 7,3*/23*/2,6*/4,40*/248 ceftriaxone - mobilitas
MCV/MCH/MCHC: 2g/24jam bertahap
87/28/32 - IV ketorolac - Dulcolax Supp II
Diftel: 1/0/1*/66/23/9* 30mg/8jam Extra
Albumin: 3,00 -IV transamin - Terapi
500mg/8jam dilanjutkan sesuai
Lab 07/06/2023 -IV omeprazole FDO
Hb/Ht/E/L/T: 40mg/8jam
8,3/25/2,9/6,72/166 -Kaltropen
MCV/MCH/MCHC: supp II extra
84/28/34 -Drip Albumin
Diftel: 0/0/0/80/13/7 1 fls/24 jam
Ca/Mg 8,4/1,9 -Dulcolax II
Ur/Cr 16/0,50 extra supp
Na/K/Cl 137/4,40/111

5B Wardah binti Hari Prndarahan pervagina ec Lab 09/06/2023 -Transamin RUS - obs KU, TTV
abdul kadir,pr,37th rawatan susp PSTS Hb/Ht/E/L/T: 500mg/8jam -Persiapan
1340446 ke-4 11,3/33/4,4/8,48/359 -ceftriaxone histeroskopi
MCV/MCH/MCHC: 2gr/24jam - susul hasil foto
76/26/34 -Lantus 0-0-10 thorax
Diftel: 0/0/0/90/8/2 IU - konsultasi anestesi
-Drip senin
Paracetamol
Lab 08/06/2023 1000mg
Hb/Ht/E/L/T: -Drip
9,7*/29*/3,8*/14,40*/267 Dexamethason
MCV/MCH/MCHC: 1 amp
77*/26*/34
Diftel: 0/0/0*/93*/5*/2

Lab 08/05/2023
Hb-A1c: 7,10
Kolesterol total: 126
Kolesterol HDL: 24
Kolesterol LDL: 64
Trigliserida: 288
GDP: 270
GD2PP: 376

Urinalisis
Glukosa: positif (+2)
Keton: positif
Leukosit: 2-5

Lab 07/05/2023
Hb/Ht/E/L/T :
8,3/24/3,0/12,18/114
MCV/MCH/MCHC:
80/28/34
Diftel : 2/0/1/77/16/4
PT/APTT: 0,90/0,96
SGOT/SGPT: 20/13
6E Hafni M Nur, Pr, Hari POD 1 post laparotomi Ceftriaxone 2 SIK
56 thn, 1339898 rawatan debulking tumor ai NOK gr
susp Malignancy Ketorolac
1amp
Transamin
 500mg/8 jam
Lansoprazole 1
vial / 8 jam
-Kaltropen II/8
jam
6F Kartini binti A Hari Papillary adenocarcinoma Lab 07/06/2023 MZ - Obs KU, TTV
Wahab, Pr 57 thn, rawatan ovary +anemia Ca 125: 9,5 - Transfusi 3 kolf
1283614 ke 2 PRC
Lab 09/06/2023
- Cek Albumin
Hb/Ht/E/L/T:
8,9/27/2,8/6,36/154 setelah
MCV/MCH/MCHC: transfusi
96/31/33
Diftel: 1/0/0/63/26/10
SGOT/SGPT : 30/18
Na/K/Cl : 142/4,40/110
ur/cr 33/0.8
GDS 89
Na/K/Cl : 144/4,7/110
7A Amni Ariani Hari NOK bilateral susp Lab 08/06/2023 -Kaltropen HSD -Transfusi 2 PRC
Hasibuan rawatan Malignancy + Anemia MH Hb/Ht/E/L/T: supp II/8 jam s/d Hb >10
ke-2 (Hb 8,9) Hipoalbumin 8,9/26/3,5/13,08/414 -IV -Persiapan OP
(2,85) + ISK MCV/MCH/MCHC: Omeprazole -Konsul pulmo
73/25/35 40mg/ 12 jam Obs KU
Diftel:0/0/0/78/13/9 -PO inbumin
GDS: 87 1x1
PT/APTT : 1,24/0.93 -PO novoril
Albumin : 2,85 extra
SGOT/SGPT : 15/8
Ur/cr : 13/0.8
Na/K/Cl : 137/4,00/108
CA 125 : 77,6
HBsAg : Non reaktif

Urinalisis
Protein : +1
Leukosit 10-25
Bakteri +
7B Mardiah binti Hari Abdominal pain VAS 4-5 Lab 09/06/2023 Ketorolac MZ -Obs KU, TTV
Ismail, pr, 39 th, rawatan ec NOK susp malignancy + Hb/Ht/E/L/T: 30mg/8 jam -pasang kateter
1340803 ke-2 hipoalbumin + lekositosis + 10,9/31/3,7/23,43/548 Omeprazole -subtitusi albumin
AKI MCV/MCH/MCHC: 40mg/ 12 jam
83/30/36 Albumin 1
Diftel:0/0/0/91/5/4 fls/24jam
GDS: 104 Cefotaxime
PT/APTT : 0,95/1,01 1gr/ 12 jam
Albumin : 2,30 Furosemid
SGOT/SGPT : 24/15
Ur/cr : 69/1,10
Na/K/Cl : 118/4,40/81

Raimah binti Hari Abdominal pain VAS 4-5 Lab 08/06/2023 -iv ketorolac 1 RUS - Obs KU, TTV,
7C mahmud,pr,60 th rawatan ec NOK susp Hb/Ht/E/L/T: amp/8jam - Substitusi
1340704 ke 3 malignancy+asites 9,6/30/3,8/8,61/338 -iv omeprazole albumin
masif+anemia+hipoalbumi MCV/MCH/MCHC: 1 vial/12jam - Cek Ca 125
n 77/25/33 - Drip albumin - Transfusi PRC 1
Diftel:2/1/0/67/20/10 1 fls/24 jam kolf
GDS: 120 -
PT/APTT : 15,60/28,90 Dexamethason
Albumin : 2,80 1 amp/extra
SGOT/SGPT : 39/17 -
Ur/cr : 20/0,80 Dipenhidramin
Na/K/Cl : 140/3,00/109 10mg extra

7D Aslinawati binti Hari Neoplasma ovarium kistik Lab 09/06/2023 -Ketorolac HSD - Obs KU, TTV,
abdul muthalib, rawatan susp malignancy Hb/Ht/E/L/T: 3mg/8jam perdarahan
PR, 47 TH, ke 5 11,5/33/3,9/10, 28/284 -Lansoprazole
1305561 MCV/MCH/MCHC: 1vial/12jam
83/29/35 -Lactulac sirup
Diftel: 0/0/0/85/8/7 2x1
PT/APTT : 15,70/28,00 -Ceftriaxone
Albumin 3,0 2g/24jam
Na/K/Cl : 141/4,00/111 -Transamin
ur/cr 21/0,60 1amp/8jam
D-dimer : 990,00 -Kaltropen
Ca/Mg : 3,4/1, 6 supp II/8jam