BANGSAL LUAR (28)

BUG 1 1. Mrs. S, 52yo, P2A0 Lab 27/07/23

27/07/2023 MR 02059418 Hb 8.6
18.00 Hct 26.6
Dx: Suspect stage IVB cervical
JKN NPBI WBC 15.3
cancer (bone, peritoneal, urinary
DIC dr. ADK bladder, left urethra and rectum on PLT 179
stoma and nephrostomy), pleural BUN 15
P2A0, 52yo effusion, CKD st V, hypoalbumin, Cr 2.17
The youngest child P2A0 Uric acid 3.8
18yo Na 137
Tx: GC repairs according to the K3
PULMO leader
BP 101/65 mmHg Cl 103
Albumin transfusion up to >2.5
HR 81 bpm
RR 20 bpm Inj Paracetamol 1 g K/P if it hurts
T 36°C (consult cervical pain if it doesn't get
SPO2 93%--> NK 5 better)
lpm 98% Inj Tranexmic acid 500mg/8h/iv
Keep an eye on GC/VS/ PPV
BW 50 kg
BH 145 cm
BMI 23 kg/m2

CENDANA 1 2. Mrs. P, 64yo, P3A0 Lab

27/07/2023 MR 02066637 RBC 1.24
18.00 Hb 3.5
Dx: Metastatic mucinous carcinoma
JKN NPBI Hct 11.4
in the right axilla, left axila, left
DIC Prof H femur, post excision, hypochromic WBC 13.7
microcytic anemia, ascites, AKI dd PLT 230
P3A0, 64yo AoCRF, ovarian cystoma, P3A0 PPT 11.4/11.00
Menopause 10 years INR 1.04
ago Tx: Check CA-125 APTT 23.2/31.20
The youngest child Alb 3.19
23yo SGOT 30
SGPT 12
BP 111/88 mmHg BUN 60
HR 88 bpm Creat 1.89
RR 20 bpm BG 119
T 36.5 C Na 135
SpO2 98 % NK 3 lpm K 4.0
Cl 100
HBsAg NR
CENDANA 2 3. Ms. YWR, 20yo, P0A0 Lab 22/07/23
27/07/2023 MR 02018027 BG 107
18.00 Na 134
Dx: Post repair vaginal adhesiolysis
JKN NPBI K 4.1
o.i laceration of prox vaginal lateral
DIC dr. FAH wall (D) adhesions gr IV P0A0, D9 Cl 102

P0A0, 20yo Tx: Tx ~ leader ORTHO

LMD 26/06/2023
Not married yet

BP 1118/77 mmHg
HR 72 bpm
RR 20 bpm
T 36.6 C
SpO2 100% NK 3l/m

CENDANA 2 4. Mrs. S, 50yo, P3A0 Lab 26/07/23

27/07/2023 MR 019404102 Hb 12
18.00 Hct 35.4
Dx: ca ovarii recurrent, WBC 7.8
JKN NPBI
hematochezia in tracing, suspected PLT 386
DIC dr. DIN rectal tumor 1/3 distal suspiciously PPT 11.9
malignant, history of INR 1.09
P3A0, 50yo panhysterectomy omentectomy o.i. APTT 35.5
Menopause 4 years ca ovarii IC3 3 years ago, history of Alb 2.76
ago chemotherapy brexel 100 mg + OT 118
Married 29 years carboplatin 500 mg 2 series PT 115
BUN 7
The youngest child
Tx: GC repair as per TS Digestive Cr 0.48
17yo surgery BG 98
Pro chemotherapy after GC repair Na 138
BP 109/73 mmHg There has been no emergency action K 3.7
HR 77 bpm in the field of obstetrics Cl 103
RR 20 bpm
T 36.4 C no acc MSCT Scan Abdomen
Treatment according to TS
SpO2 98%RA
Digestive surgery

CENDANA 3 5. Mrs. EKA, 31yo, P2A0 Lab 27/07/23

27/07/2023 MR 02067110 Hb 12.3
18.00 Hct 41.8
Dx: post exploratory laparotomy, WBC 10.5
JKN NPBI
bilateral salpingoophorectomy, PLT 763
DIC dr. FAH appendectomy, stoma o.i Bilateral PPT 16.1
ovarian solid tumor suspected rectal INR 1.47
P2A0, 31yo tumor dd double tumor, P2A0, APTT 32.7
partial obstructive ileus ec rectal Alb 2.14
BP 100/55 mmHg tumor, D0 OT 10
PT 4
HR 82 bpm
Tx: antibiotics and analgesics BUN 11
RR 20 bpm following digestive surgical TS, Cr 0.67
T 36.4 C primary tumor tracing and cell type BG 237
SpO2: 97% RA OB Na 136
GC/VS/BC/UO/PPB/drain/BGT/sig K 3.6
ns of acute abdomen Cl 102
pH 7.213
pco2 39.7
PO2 156.8
Lac 1.8

CENDANA 3 6. Mrs. M, 60yo, P3A0 Lab (-)

27/07/2023 MR 02054689
18.00
Dx: Cancer Cervix IIA2, P3A0, post
JKN NPBI
NACT 3x
DIC dr. ADK
Tx: Pro preparation for radical
P3A0, 60yo hysterectomy + iliac
Menopause 10 years lymphadenectomy

BP 158/83 mmHg
HR 87 bpm
RR 20 bpm
T 36 C

BW 48 kg
BH 159 cm
BMI 18.99 kg/m2

DAHLIA 2 7. Mrs. I, 64yo Lab 27/07/23

27/07/2023 MR 01933828 Hb 8.3
18.00 Hct 24.1
Dx: Anemia gravis, Residif Cervix WBC 20.9
JKN NPBI
cancer, CKD, History of CCT 2 PLT 248
DIC dr. ADK years ago, On Bilateral BUN 57
Nephrostomy, History of 4 times Cr 3.62
64yo internal light therapy, 25 times Na 138
Menopause 10 years outside light 2 months ago K 2.7
The youngest child Cl 102
37yo Tx: suggestion
Obstetrical joint care
 Currently there is no emergency in
BP 106/53 mmHg the field of obstetrics
HR 90 bpm GC fix according to related TS
RR 20 bpm
T 36°C
SpO2 100% RA

BW 49kg
BH 149cm
BMI 22.07 kg/m2

DAHLIA 4 8. Ms. RYAZ, 19yo, P0A0 Lab 26/07/23

27/07/2023 MR 02043602 (19.58)
18.00 Hb 10.5
Dx:Post relaparotomy biopsy and Hct 31.4
JKN NPBI
omentectomy o.i endometrial cancer WBC 21
DIC dr. FAH st IIIC gr III post nephrostomy PLT 146
bilateral D0 o.i obs uropathy with PPT 15.1
P0A0, 19yo bilateral HN gr II ec endometrial ca INR 1.38
LMD 19/01/2023 endometrial ca endometrial ca APTT 31.8
Not married yet obstruction st II H0 Alb 2.89
BUN 28
Tx: inj. Cefotaxime 1g/12h Cr 2.47
BP 120/80 mmHg
inj. Ketorolac 30mg/8h Na 139
HR 90 bpm Check Hb 6 hours post op K 2.9
RR 20 bpm Obs GC VS BC UO Acute abdomen Cl 102
T 36.5 C Others Tx Urological Anesthesia Hb 11.1
SPO2 98% and Digest Hct 33.3
WBC 27.4
PLT 169
BUN 20
Cr 1.43
Na 140
K 2.6
Cl 102

DAHLIA 4 9. Mrs. S, 70yo, P2A0 Lab 27/07/23

27/07/2023 MR02053211 BG 46
18.00 Prot 4+
Dx: KHS post tace 1 with problems
JKN NPBI pH 8
Acute onset behavioral disorder cum
DIC dr. FAH signs of left UMN lesion ec susp LE 2+
SNH ss sh dd brain metastasis dd RBC +4
P2A0, 70yo metabolic in ca ovarii and CKD st 5 WBC 938.8
Menopause 30 years Cancer pain VAS 7-8 Bact 10840.5
The youngest child Chronic hepatitis B virological
40yo breakthrough
 AKI dd acute dd CRF ec susp
BP 143/56 mmHg hepatorenal syndrome with
HR 75 bpm problems
Hyperkalemia
RR 20 bpm
Hyponatremia hyperosmolar
T 36,4 C hypovolemia
Bilateral hydronephrosis gr III ec
BW 39.7 kg cervical Ca displacement
BH 145 cm
BMI 18.8 kg/m2

Tx: there is no additional therapy

from obgins, management follows
the TS UPD

DAHLIA 4 10. Mrs. N, 54yo, P2A0 Lab 27/07/23

27/07/2023 MR 02013948 Hb 8.3
18.00 Hct 27.9
Dx: residive ovarian ca, history of
JKN NPBI WBC 6.4
laparotomy panhysterectomy,
DIC Prof H omentectomy, appendectomy, PLT 539
adhesiolysis, post SS VI Series I Alb 3.2
P2A0, 54yo OT 32
Menopause 5 years Tx: SS series 2 with CAP (Cisplatin PT 13
The youngest child 100 mg + doxorubicin 50 mg + BUN 13
27yo Cyclophosphamide 600mg) Cr 0.73
BG 122
BP 143/69 mmHg Na 135
HR 113 bpm K 3.6
RR 20 bpm Cl 99
T 36.5 C

BW 54.7 kg
BH 150 cm
BMI 24.31 kg/m2

DAHLIA 4 11. Mrs. EPP, 40yo, P0A1 Lab 3/7/2023 08.05

27/07/2023 MR 00346184 RBC 4.24
18.00 Hb 12.9
Dx: Residif ovarian cancer IIA, post
JKN NPBI Hct 39.4
TAH BSO omentectomy, post SS III
DIC prof H series II PLT 324
SGOT 16
P0A1, 49yo Tx: Pro SS IV Series II Paclitaxel SGPT 14
Menopause 3 years 230mg + Carboplatin 450mg/3 BUN 6
weeks Creat 0.63
BP 153/88 mmHg BG 101
HR 82 bpm Na 142
RR 20 bpm K 4.1
T 36.5 C Cl 106

BW 65 kg
BH 158 cm
BMI 26.04 kg/m3

ANGGREK 2 12. Mrs. PL, 42yo, P2A0 Lab 24/07/23

27/07/2023 MR 02057767 Hb 10.3
18.00 Hct 30.6
Dx: Endometrial Cancer IB, P2A0
JKN NPBI WBC 4.5
DIC Prof H Tx: Cyclophospamide 600mg + PLT 115
Carboplatin 450 mg Na 138
P2A0, 42yo K 3.4
LMD March 2023 Cl 99
The youngest child
14yo

BP 119/77 mmHg
HR 88 bpm
RR 20 bpm
T 36.5 C

BW 44 kg
BH 149 cm
BMI 21.26 kg/m2

IMP/PJT 13. Mrs. IK, 43yo, P1A1 Lab ICC 18/7/2023

27/07/2023 MR 01954612 13.05
18.00 RBC 4.50
Dx: Platinum-resistant recurrent
JKN NPBI Hb 13.8
ovarian cancer, partial sigmoid
DIC dr.DIN colon obstruction, grade 2 Hct 41.0
hydronephrosis, bilateral stent in WBC 8.2
P1A1, 43yo situ DJ, history of SS 3 series, P1A1 PLT 299
Surgical menopause 2 APTT 31.9/31.2
years ago (since Tx: Pro relaparotomy debulking SGOT 21
2020) with digestive and urological SGPT 12
surgery assistance
BUN 7
June 28/7/2023
BP 113/66 mmHg Creat 0.80
HR 87 bpm BG 114
RR 20 bpm Na 138
T 36.3 C K 4.4
SpO2: 98% RA Cl 102
HBsAg NR
BW 50 kg
BH 155 cm
BMI 20.81 kg/m2

IMP PJT 14. Mrs. SRL, 43yo, P2A0 Lab 24/07/2023 09.21
27/07/2023 MR 02061181 RBC 5.51
18.00 Hb 12.1
Dx: bilateral ovarian cysts, P2A0,
JKN NPBI Hct 41.7
adhesions, hydroureter and left
DIC dr. FAH hydronephrosis grade III, history of WBC 5.2
SC 2x PLT 308
P2A), 43yo Blood type O+
LMD 27/05/2023 Tx: Pro laparotomy, left cystectomy PPT 10.6/11.00
Married 15 years salpingectomy, SOD + frozen and INR 0.97
Urology assistance APTT 33.5/31.20
Thursday 27/7/23 Ok 4.04 at 10.00
BP 142/101 mmHg Alb 4.23
inform cobsent to TAH
HR 99 bpm BUN 6
RR 20 bpm Creat 0.64
T 36.6 C BG 87
SpO2 99% RA Na 138
K 3.6
BW 58 kg Cl 102
BH 150 cm HBsAg NR
BMI 27.8 kg/m2

IMP PJT 2 15. Mrs. R, 50yo, P2A0 Lab 27/07/23

27/07/2023 MR 02065439 Hb 11.8
18.00 Hct 36.3
Dx: CRI CR II (low risk), TPO
JKN NPBI WBC 10.5
suspected malignancy, P0A0
DIC Prof f H PLT 676
Tx:pro staging on the ward
P2A0,50yo POA + frozen 28/7/23
LMD 10/07/2023
The youngest chold
19yo

BP 104/63 mmHg
HR 110 bpm
RR 20 bpm
T 36.2 C

BW 49 kg
BH 150 cm
BMI 21.78 kg/m2

IMP PJT 3 16. Mrs. WIW, 25yo, P0A0 Lab 25/07/23

27/07/2023 MR 01550812 Hb 12
18.00 Hct 36.9
Dx: Post laparoscopic
JKN NPBI WBC 7.7
chromotubation adhesiolysis ai PID,
DIC drr. MIA pseudocyst, bilateral non-patent PLT 194
tubal P0A0 D0 PPT 11.4
P0A0, 25yo INR 1.04
LMD 11/07/2023 Tx: inj. Cefotaxime 1g/12h (2x) APTT 41.3
Married 2.5 years inj. Metronidazole 500mg/8h (3x) Alb 4.26
inj. Ketorolac 30mg/8h OT 19
Azithromycin 1g/PO single dose
BP 120/80 mmHg PT 8
Syr sucralfate 10ml/8h/PO
HR 90 bpm Obs GC VS PPV BUN 9
RR 20 bpm Cr 0.71
T 36.5 C Continue : BG 76
SPO2 98% Ciprofloxacin 2x500mg (5 days) Na 139
Metronidazole 500mg/8h/PO (5 K 4.4
BW 44 kg DAYS) Cl 106
Ketoprofen 100mg/8h/PO
BH 165 cm
Syr sucralfate 10ml/8h/pO
BMI 16.16 kg/m2

IMP PJT 17. Mrs. DL, 27yo, G1P1A0 Lab 27/7/23

27/07/2023 MR 02038819 ARBC4.88
18.00 Hb 13.1
Dx:
JKN NPBI Hct 40.9
G1P0A0 GA 39 weeks 5 days,
DIC dr. DIN cystoma ovarii, asthma not in attack, WBC 11.7
obese grade 2 Net# 8.95
G1P1A0, 27yo Lim# 2.06
LMD 22/10/2022 Tx: pro SC elective and cystectomy PLT 313
+ fz surgery together with oncogin Blood type O+
BP 136/82 mmHg (Dr.dr. Addin Trirahmanto, Sp.OG, PPT 10.7/11
SubSp.Onk)
HR 111 bpm INR 0.98
RR 20 bpm APTT 28.8/31.20
T 36 C Alb 3.64
SGOT 16
BW 101 kg SGPT 9
BH 155 cm BUN 7
BMI 34.9 kg/m2 Creat 0.55
 BG 74
Na 133
K 4.8
Cl 100
HBsAg NR
Anti HIV NR

AMARTA 2 18. Mrs. N, 46yo Lab 27/07/23

27/07/2023 MR 02048205 Hb 9.3
18.00 Hct 27.8
Dx: Ca cervix std III B, Post
JKN NPBI WBC 38.6
laparotomy exploratory permanent
DIC dr. DIN stoma post ec pressure ca cervix PLT 147
D20 Post URS, Insertion of DJ right PPT 14
46yo stent D37 o.i DJ stent syndrome, INR 1.28
bilateral hydronephrosis ec APTT 34
BP 154/95 mmHg suspected pressure of ca cervix st OT 15
HR 94 bpm IIIA on DJ stent left insitu, AKI dd PT 8
CKD, UTI
RR 18 bpm BUN 102
T 36.5 C Tx: GC repair according to related Cr 5.3
SPO2 99% TS
Delay chemotherapy, plan
chemotherapy via outpatient
treatment
Other therapy according to related
TS

KESAWAMURTI 19. Mrs. DH, 31yo, P0A0 Lab 27/07/23

27/07/2023 MR 02003753 pH 7.387
18.00 PCO2 30.2
Dx: minimal endometrial cancer st
JKN NPBI PO2 64
IB, P0A0 history of hysteroscopy
DIC Prof H biopsy followed by endometrial Lac 1.8
curettage history of inj. DMPA 6 x,
P0A0, 31yo PDA bidirectional shunt, PR mild
LMD 05/12/2022 TR mild, high probability of PH

BP 110/54 mmHg Tx: suggestion

Joint care obsgyn
HR 69 bpm
Pro MRI via poly (4/8/23)
RR 20 bpm Currently no action from obsgin
T 36.2 C

BW 44 kg
BH 150 cm
BMI 19.56 kg/m2
INDRAPRASTA 3 20. Ms. S, 15yo, P0A0 Lab 22/7/23
27/07/2023 MR 01380879 BG 111
18.00
Dx: post total urogenital
JKN NPBI
mobilization, vaginoplasty o.i
DIC dr. AWI hematometra, hematocolpos, in
distal vaginal agenesis, post-
P0A0, 15yo anoplasty cloaca MAR, rectovaginal
Not menstruating fistula, right endometrioma,
secundum ASD, Mild TR, P0A0, D9
HR 109 bpm
Tx: antibiotics and analgesics
RR 20 bpm
according to pediatric and pediatric
SpO2 99% on RA surgical TS
T 36.9 C -Inj. Cefotaxime 1 gr/8 hours
-Inj. Metronidazole 200 mg/8 hours
BW 27 kg -IV Paracetamol 400 mg
BH 142 cm - inj kalnex 500 mg/8jam/iv
BMI 13.39 kg/m² Maintain intrauterine catheter for up
to 1 month
Monitor drain products and signs of
bleeding

SICU 21. Mrs. SP, 39yo, P1A0 Lab 25/7/2023 09.08

27/07/2023 MR 02053201 RBC 3.74
18.00 Hb 10.7
Dx: Post Laparoscopic radical
JKN PBI Hct 32.0
nephrectomy (oven conversion)
DIC dr. SHI kirin, G1, o.i Left kidney tumor MCV 85.6
T2bN0MO, multiple left parametrial MCH 28.6
P1A0, 39yo cysts P2A0 Hypertension grade 1, MCHC 33.4
LMD 17/07/2023 D3 WBC 16.3
The youngest child 9 Net# 14.97
years 4 months Tx: Tx according to TS urology and Lim# 0.75
TS anesthesia
PLT 167
BP 150/77 mmHg BG 79
HR 98 bpm Na 137
RR 16 bpm K 4.4
T 36.8 C Cl 101
SpO2: 99% RA

DAHLIA 2 22. Mrs. B, 67yo, P7A0 Lab 24/07/23

27/07/2023 MR 02061089 Hb 10.3
18.00 RBC 4.08
Dx: Post laparotomy salpingo
JKN PBI oophorectomy dextra o.i Ovarian Na 137
DIC dr. SHI cyst P7A0, D3, hypovolemic shock k 3.1
improved ec vomitus profus with Cl 101
alkalosis problem, post HD cath
P7A0, 67yo Alb 2.5
installation

BP 99/66 mmHg Tx: Treatment follows TS Digestive

HR 76 bpm Surgery
RR 20 bpm start eating tomorrow
T 37.1 C
SpO2 98 % RA

CW 2 23. Mrs.PR, 50yo, P3A3 Lab 25/07/2023

27/07/2023 MR 02043724 RBC 4.17
18.00 Hb 10.7
Dx:Uterine myoma, P3A3, Post
JKN NPBI Hct 34.2
cystoscopy, TURBT D1 o.i
DIC dr. BAR urothelial bladder tumor, clear cell WBC 7.9
variant cancer with vesicovaginal Net# 6.31
P3A3, 59yo fistula Lim# 1.04
Menopause 8 years PLT 599
The youngest child Tx: Canceled myomectomy Alb 2.80
27yo laparotomy Na 135
K 4.0
BP 133/82mmHg Cl 95
HR 77 bpm
RR 20 bpm
T 36.1 C
SpO2 97%

IMP PJT 24. Ms. Z, 30yo, P0A0 Lab 24/07/23

27/07/2023 MR 02066902 RBC 1.93
18.00 Hb 3.7
Dx: Anemia gravis, AUB L, P0 A0
JKN NPBI Hct 13.1
DIC dr. PYO (private Tx: GC Repair MCV 67.9
patient) Transfuse 1 PRC/12 hours/ premed MCH 19.2
dexamethasone before transfusion MCHC 28.2
P0A0, 30yo inj. Ketorolac 30mg/ 8h/iv (k/p) WBC 13.9
Not married yet inj. Tranexamic acid 1gr/8h/iv PLT 441
Obs GC/VS/BC-UO PPT 11.4/11
Check the DLO post-transfusion lab
BP 90/67 mmHg APTT 28.4/31.2
(22.00) and report back to Dr. PYO
HR 70 bpm Alb 3.86
RR 20 bpm SGOT 13
T 37 C SGPT 6
SpO2 99% on RA Na 136
K 3.6
Cl 98
HbsAg NR
HIV
Blood type A+

WISNUMURTI 25. Ms. IWS, 14yo, P0A0 Lab 24/7/2023 18.54

27/07/2023 MR 02066899 RBC 5.41
18.00 Hb 15.3
Dx: AAUB -I, P0A0, symptomatic
JKN NPBI Hct 46.6
bradycardia (TAVB with ventricular
DIC dr. PYO escape rhythm) ec congenital on WBC 14.1
TPM, UTI, normoweight, good PLT 397
P0A0, 14yo nutrition, post successful PPM CKMB 21
Not married yet VVIR Implantation Na 135
K 4.3
BP 122/69 mmHg Tx: inj Kalnex according to the Cl 100
dosage
HR 91 bpm on PPM Ca 2.37
RR 20 bpm Mg 2.3
T 36.7 C TSH 5.69
SpO2: 99% RA Free T4 1.37

BW 40 kg
BH152 cm
BMI 17.3 kg/m2

ESTELLA 2 26. Ms. FMA, 17yo, P0A0 Lab 23/07/23

27/07/2023 MR 01861116 Hb 4.6
18.00 Hct 13.6
Dx: AUB- I, Post syok anafilaktik,
JKN PBI RBC 1.61
reaksi transfusi, P0A0, Acute
DIC dr. PYO lymphoblastice leukemia, bone MCB 84.5
marrow relapse, modified skion MCH 28.6
P0A0, 17yo protocol week 22, Epilepsi general MCHC 41.4
Not married yet tonik klonik terkontrol, Demam WBC 0.2
neutropenia, Anemia Pada PLT 11
HR 117 bpm keganasan, Trombositopenia
RR 19 bpm
Tx: inj Kalnex according to the
T 36.8 C dosage
SpO2: 99% 3lpm NK
ESTELLA 2 27. Ms. DF, 13yo, P0A0 Lab 26/07/23
27/07/2023 MR 02049278 RBC 2.11
18.00 Hb 5.9
Dx: AUB C, Myelodysplastic
JKN NPBI Hct 17.0
syndrome, unspecified, gum
DIC dr. SHI bleeding ec thrombocytopenia, Mcv 80.6
anemia, P0A0 Mch 28.0
P0A0, 13yo MCHC 34.7
Tx:Dr. SHI, SpOG(K) reports: WBC 0.9
HR 94 bpm advice --> Netrofil# 0.08
RR 20 pbm - tranexamic acid 500 mg/8 hours/iv Limfosit# 0.74
- mefenamic acid 500 mg/8 hours/po
T 36.2 C PLT 1
-GC improvement, PRC transfusion
SpO2 96% 1-2lpm target Hb > 10, AT > 100
NK - Increase the dose of Norethisterone
10mg/8 hours/po
- others according to TS UPA

IGD 28. Mrs. MA, 27yo, G2P1A0, GA 36 Lab 27/7/23

27/07/2023 weeks RBC 2.87*
18.00 MR 02058197 Hb 8.6
JKN NPBI Hct 23.9
Dx: PEB, G2P0A1 GA 36 Weeks
DIC dr. WAN Normochromic Normocytic MCV 83.4
Anemia, Hypoalbuminemia, MCH 30.1
G2P1A0, 27yo Pregestational DM Under Therapy MCHC 36.0
GA 36 weeks WBC 12.5
Tx: Conservative management PLT 598*
BP 145/85 mmHg Inj MgSO4 4gr followed by 1 Net# 10.10*
gr/hour for up to 24 hours
HR 120 bpm Lim# 1.51
Nifedipine 10 mg/8 hours/po
RR 20 bpm Methyldopa 250mg/8jam/po PPT 9.2 / 11.0
T 36.5 ‘C SF 200 mg/12 hours/po INR 0.84
SpO2 99% Calc 2x1 APTT 28.9/31.20
VIP albumin 3x1/po BG 208*
Current BW 64.2 kg Vit D 1 x 2000 IU Alb 2.35
BW before pregnancy Transfuse PRC up to Hb> 10 SGOT 15
Albumin transfusion s.d >2.75
46 kg SGPT 6
Consul of UPD Endocrine, UPD
Weight gain 18.2 kg Nefro -> track the results of the Na 132*
BH 158 cm consul on the ward K 3.6
BMI 25.7 kg/m2 Cardio Consul -> track the results of Cl 101
the consul in the ward HBsAg NR

SISA KAMAR BERSALIN (5)

IM¨E1 1. Mrs. M, 39yo, G4P2A1, GA 35 Lab 25/7/23
27/07/2023 weeks HbA1c 6
18.00 MR 02069912 BG 159
JKN NPBI
Dx: Oligohydramnios, transverse
DIC dr. WAN position, G4P2A1 GA 33 weeks,
severe persistent bronchial asthma
G4P2A1, 39yo without attacks, history of
GA 35 weeks respiratory failure, grade III obesity,
tinea cruris
BP 111/72 mmHg
Tx: conservative management up to
HR 86 bpm
34 weeks
RR 20 bpm OBH syr 3x1 cth
T 36,1 C calc 1x1 tablet
SpO2 96% on NK 2 SF 1x1 tablet
LPM ketoconazole 3x1 ue
BPS per 24 hours

IMP H3 2. Mrs. FA, 36yo, G1P0A0, GA 35 Lab 27/07/23

27/07/2023 weeks 6 days Hb 13.5
18.00 MR 02064233 Hct 39.1
JKN NPBI WBC 8.9
Dx: Fetal Compromised,
DIC dr. WAN Hypertensive Crisis Resolved, PLT 197
Preeclampsia Superimposed, PPT 9.4
G1P0A0, 36yo transverse position, Polyhydramnios INR 0.86
GA 35 weeks 6 days G1P0A0 GA 35 Weeks 6 Days, APTT 39.4
Fetus With Suspected Osteogenesis Alb 3.48
BP 169/90 mmHg Imperfecta, Obese Gr 1, DM Under OT 23
Therapy
HR 88 bpm PT 8
T 36.2 C Tx: Condition Improvement and BUN 14
SpO2 100 Blood Pressure Stabilization Cr 0.57
Inj MgSO4 4 gram continued 1 BG 113
BW before gram/hour for 24 hours Na 136
pregnancy 69 Pro SC Elective After Completed K 3.6
Current BW 84 kg MgSO4 Cl 102
Tab Nifedipine 10mg/8jam/iv Extra
Weight gain15 kg Prot 4+
if blood pressure is more than
BH150 cm 160/110 mmHg pH 6.5
BMI 30.7 kg/m2 If uncontrolled Start Nicardipine LE neg
Titration RBC 6
Intermittent FHR WB 12.4
Closely monitor GC/VS/uterine Bact 30.7
contractions/FHS/Signs of Impendic
eclampsia when there is a pro SC
Emergency from the Ward
IMP PJT L 3. Mrs. A, 36yo, G5P0A4, GA 37 Lab 25/07/23
27/07/2023 weeks 3 days Hb 13.2
18.00 MR 02052830 Hct 40
JKN NPBI WBC 9.9
Dx: G5P0A4 AH0 GA 37 weeks 3
DIC dr. WAN days, not yet in labor, mother with PLT 245
history of recurrent pregnancy loss, Blood type O+
G5P0A4, 36yo suspected antiphospholipid PPT 9.5
GA 37 weeks 3 days syndrome, history of curettage 3x INR 0.87
APTT 27.5
BP 121/87 mmHg Tx: Pro SC Friday 28/7/23 Alb 3.33
DSDNA, anticardiolipin,
HR 82 bpm OT 19
complement c3 c4 after sc
T 36.5 C PT 10
RR 22 bpm BUN 8
SpO2 99% on RA Cr 0.75
BG 87
Current BW 75.2 kg Na 135
BW before pregnancy K 4.7
61 kg Cl 103
Weight gain12.5kg HBsAg NR
BH 156 cm Anti HIV track
BMI 25.06 kg/m2

IMP E3 4. Mrs. SWL, 33yo, G3P2A0, GA 37 Lab 26/07/23 22.53

27/07/2023 weeks 5 days Hb 10.8
18.00 MR 02067218 Hct 36.1
JKN NPBI WBC 5.5
Dx: G3P2A0 GA 37 weeks 5 days,
DIC dr. WAN not yet in labor, history of SC 2x, PLT 66
mother with gestational MDT track
G3P2A0, 33yo thrombocytopenia
GA 37 weeks 5 days
Tx: Pro Re-SC Elective
BP 96/78 mmHg Saturday 28/7/2023
Not yet agreed with the UPD HOM
HR 85 bpm
consul
RR 20 bpm
T 36,2 C Preliminary Anesthesia Consul in
SpO2 98% on RA Ward
Track MDT, catch in TF TA/TC
BW before (pro 2 TC)
pregnancy60 kg Obs. GC/VS/uterine
contractions/FHR
Current BW73 kg
Weight gain 13 kg
BH 158 cm
BMI 24.03 kg/m2

IMP PJT K 5. Mrs. NA, 27yo, G2P1A0, GA 38 Lab 25/07/23

27/07/2023 weeks 1 day RBC 3.79
18.00 MR 02043267 Hb 11.5
JKN NPBI Hct 35.3
Dx: G2P1A0 GA 38 weeks 1 day,
DIC dr. WAN not yet in labor, cancer mamae WBC 12.1
dextra, fetus with mega cisterna Net# 9.74
G2P1A0, 27yo magna Limf#1.79
GA 38 weeks 1 day PLT 297
Tx: Pro SC elective + MOW Blood type B+
BP 110/70 mmHg Friday 28/7/23 PPT 10.0/11.0
HR 60 bpm INR 0.91
T 36.50 C APTT 26.5
RR 20 bpm Albumin 3.96
SpO2 98% SGOT 25
SGPT 12
Current BW 43.6 kg BUN 9
BW before pregnancy Creat 0.70
36 kg BG 135
Weight gain 7.6 kg Na 137
BH 149 cm K 3.8
BMI 16.21 kg/m2 Cl 101
HbsAg NR
HIV NR

PASIEN DIMONDOKKAN (10)

BUG 2 1. Mrs. YH, 31yo, P0A0 Lab 24/07/23

27/07/2023 MR 02065653 RBC 4.42
18.00 Hb 13.1
Dx: Bilateral brown cyst, P0A0
JKN NPBI Hct 38.9
DIC dr. MIA Tx: pro laparoscopy up to MCV 87.9
laparotomy MCH 29.5
P0A0, 31yo Friday 28 July 2023 MCHC 33.6
LMD 25/06/2023 RDW 13.90
Married 3 years NRBC# 0.0
WBC 4.5
BP 123/88 mmHg Net% 57.5
HR 88 bpm Lim% 29.6
RR 20 bpm Mon% 10.1
T 36.5 C Eos% 2.1
Bas% 0.7
 IG% 0.0
Net# 2.58
Lim# 1.33
Mon# 0.45
IG# 0.00
PLT 310
MPV 9.9
PDW 13.20
PCT 0.31
Golda B+
PPT 11.5/11.00
INR 1.05
APTT 34.0/31.20
SGOT 14
SGPT 10
BUN 7
Creat 0.50
BG 89
Na 136
K 3.7
Cl 104
HBsAg NR

BUG 2 2. Mrs. IT, 56yo, P2A2 Lab 30/6/23

27/07/2023 MR 02056864 RBC 3.97
18.00 Hb 11.6
Dx: ovarian ca std ICD, post
JKN PBI Hct 34.5
laparotomy TAH BSO omentectomy
DIC dr. FAH 23 days ago, P2A2, history of SC 28 MCV 87
years ago, history of curettage 2x, MCH 29.3
P2A0, 56yo pro SS 3 MCHC 33.7
WBC 5.01
BP 139/73 mmHg Tx: Pro SS 3 with paclitaxel 230 mg Net# 1.86
HR 94 bpm + carboplatin 450 mg / 3 weeks lim# 2.59
RR 19 bpm PLT 384
T 36 C Alb 4.63
SGOT 18
BW 67 kg SGPT 33
BH 153 cm BUN 13
BMI 28.62 kg/m2 Creat 0.78
BG 100
Na 139
K 4.2
 Cl 106

BUG 2 3. Mrs. S, 61yo, P3A1 Lab 26/6/23

27/07/2023 MR 02048377 RBC 3.39
18.00 Hb 9.6
Dx: endometrial ca stage IIB,
JKN PBI hct 29.3
history of TAH BSO 2 weeks ago,
DIC Prof H mother with isolated VPC, P3A0, WBC 2.31
chemotherapy session PLT 180
P3A1, 61yo Alb 4.19
Menopause 7 years Tx: Pro SS VI (Paclitaxel 230 mg + SGOT 19
The youngest child Carboplatin 450 mg)/3 weeks SGPT 17
31yo BUN 10
Creat 0.92
BP 107/62 mmHg BG 91
HR 90 bpm Na 139
RR 20 bpm K 3.4
T 36 C Cl 102
BW34 kg
BH 145 cm
BMI 16.17 kg/m2

CENDANA 1 4. Mrs. P, 64yo, P3A0 Lab

27/07/2023 MR 02066637 RBC 1.24
18.00 Hb 3.5
Dx: Metastatic mucinous carcinoma
JKN NPBI Hct 11.4
in the right axilla, left axila, left
DIC Prof H femur, post excision, hypochromic WBC 13.7
microcytic anemia, ascites, AKI dd PLT 230
P3A0, 64yo AoCRF, ovarian cystoma, P3A0 PPT 11.4/11.00
Menopause 10 years INR 1.04
ago Tx: Check CA-125 APTT 23.2/31.20
The youngest child Alb 3.19
23yo SGOT 30
SGPT 12
BP 111/88 mmHg BUN 60
HR 88 bpm Creat 1.89
RR 20 bpm BG 119
T 36.5 C Na 135
SpO2 98 % NK 3 lpm K 4.0
Cl 100
HBsAg NR

CENDANA 3 5. Mrs. M, 60yo, P3A0 Lab (-)

27/07/2023 MR 02054689
18.00
JKN NPBI Dx: Cancer Cervix IIA2, P3A0, post
NACT 3x
DIC dr. ADK
Tx: Pro preparation for radical
P3A0, 60yo hysterectomy + iliac
Menopause 10 years lymphadenectomy

BP 158/83 mmHg
HR 87 bpm
RR 20 bpm
T 36 C

BW 48 kg
BH 159 cm
BMI 18.99 kg/m2

DAHLIA 4 6. Mrs. N, 54yo, P2A0 Lab 27/07/23

27/07/2023 MR 02013948 Hb 8.3
18.00 Hct 27.9
Dx: residive ovarian ca, history of
JKN NPBI WBC 6.4
laparotomy panhysterectomy,
DIC Prof H omentectomy, appendectomy, PLT 539
adhesiolysis, post SS VI Series I Alb 3.2
P2A0, 54yo OT 32
Menopause 5 years Tx: SS series 2 with CAP (Cisplatin PT 13
The youngest child 100 mg + doxorubicin 50 mg + BUN 13
27yo Cyclophosphamide 600mg) Cr 0.73
BG 122
BP 143/69 mmHg Na 135
HR 113 bpm K 3.6
RR 20 bpm Cl 99
T 36.5 C

BW 54.7 kg
BH 150 cm
BMI 24.31 kg/m2

DAHLIA 4 7. Mrs. EPP, 40yo, P0A1 Lab 3/7/2023 08.05

27/07/2023 MR 00346184 RBC 4.24
18.00 Hb 12.9
Dx: Residif ovarian cancer IIA, post
JKN NPBI Hct 39.4
TAH BSO omentectomy, post SS III
DIC prof H series II PLT 324
SGOT 16
P0A1, 49yo Tx: Pro SS IV Series II Paclitaxel SGPT 14
230mg + Carboplatin 450mg/3
Menopause 3 years BUN 6
weeks
Creat 0.63
BP 153/88 mmHg BG 101
HR 82 bpm Na 142
RR 20 bpm K 4.1
T 36.5 C Cl 106

BW 65 kg
BH 158 cm
BMI 26.04 kg/m3

IMP PJT 8. Mrs. DL, 27yo, G1P1A0 Lab 27/7/23

27/07/2023 MR 02038819 ARBC4.88
18.00 Hb 13.1
Dx:
JKN NPBI Hct 40.9
G1P0A0 GA 39 weeks 5 days,
DIC dr. DIN cystoma ovarii, asthma not in attack, WBC 11.7
obese grade 2 Net# 8.95
G1P1A0, 27yo Lim# 2.06
LMD 22/10/2022 Tx: pro SC elective and cystectomy PLT 313
+ fz surgery together with oncogin Blood type O+
BP 136/82 mmHg (Dr.dr. Addin Trirahmanto, Sp.OG, PPT 10.7/11
SubSp.Onk)
HR 111 bpm INR 0.98
RR 20 bpm APTT 28.8/31.20
T 36 C Alb 3.64
SGOT 16
BW 101 kg SGPT 9
BH 155 cm BUN 7
BMI 34.9 kg/m2 Creat 0.55
BG 74
Na 133
K 4.8
Cl 100
HBsAg NR
Anti HIV NR

IMP H3 9. Mrs. FA, 36yo, G1P0A0, GA 35 Lab 27/07/23

27/07/2023 weeks 6 days Hb 13.5
18.00 MR 02064233 Hct 39.1
JKN NPBI WBC 8.9
Dx: Fetal Compromised,
DIC dr. WAN Hypertensive Crisis Resolved, PLT 197
Preeclampsia Superimposed, PPT 9.4
G1P0A0, 36yo transverse position, Polyhydramnios INR 0.86
G1P0A0 GA 35 Weeks 6 Days,
GA 35 weeks 6 days APTT 39.4
Fetus With Suspected Osteogenesis
Imperfecta, Obese Gr 1, DM Under Alb 3.48
BP 169/90 mmHg Therapy OT 23
HR 88 bpm PT 8
T 36.2 C Tx: Condition Improvement and BUN 14
SpO2 100 Blood Pressure Stabilization Cr 0.57
Inj MgSO4 4 gram continued 1 BG 113
gram/hour for 24 hours
BW before Na 136
Pro SC Elective After Completed
pregnancy 69 MgSO4 K 3.6
Current BW 84 kg Tab Nifedipine 10mg/8jam/iv Extra Cl 102
Weight gain15 kg if blood pressure is more than Prot 4+
BH150 cm 160/110 mmHg pH 6.5
BMI 30.7 kg/m2 If uncontrolled Start Nicardipine LE neg
Titration RBC 6
Intermittent FHR
WB 12.4
Closely monitor GC/VS/uterine
contractions/FHS/Signs of Impendic Bact 30.7
eclampsia when there is a pro SC
Emergency from the Ward

IGD 10. Mrs. MA, 27yo, G2P1A0, GA 36 Lab 27/7/23

27/07/2023 weeks RBC 2.87*
18.00 MR 02058197 Hb 8.6
JKN NPBI Hct 23.9
Dx: PEB, G2P0A1 GA 36 Weeks
DIC dr. WAN Normochromic Normocytic MCV 83.4
Anemia, Hypoalbuminemia, MCH 30.1
G2P1A0, 27yo Pregestational DM Under Therapy MCHC 36.0
GA 36 weeks WBC 12.5
Tx: Conservative management PLT 598*
BP 145/85 mmHg Inj MgSO4 4gr followed by 1 Net# 10.10*
gr/hour for up to 24 hours
HR 120 bpm Lim# 1.51
Nifedipine 10 mg/8 hours/po
RR 20 bpm Methyldopa 250mg/8jam/po PPT 9.2 / 11.0
T 36.5 ‘C SF 200 mg/12 hours/po INR 0.84
SpO2 99% Calc 2x1 APTT 28.9/31.20
VIP albumin 3x1/po BG 208*
Current BW 64.2 kg Vit D 1 x 2000 IU Alb 2.35
BW before pregnancy Transfuse PRC up to Hb> 10 SGOT 15
Albumin transfusion s.d >2.75
46 kg SGPT 6
Consul of UPD Endocrine, UPD
Weight gain 18.2 kg Nefro -> track the results of the Na 132*
BH 158 cm consul on the ward K 3.6
BMI 25.7 kg/m2 Cardio Consul -> track the results of Cl 101
the consul in the ward HBsAg NR