MORNING REPORT

PROGRAM STUDI ANESTESIOLOGI DAN

TERAPI INTENSIF

10 Maret 2023

PEMBIMBING dr. Fachrul Jamal, SpAn-TI, Subsp. TI(K)

dr. Teuku Yasir, SpAn-TI, Subsp. TI(K)
Dr. dr. Zafrullah Khany Jasa, SpAn-TI, Subsp. NA(K)
dr. Muhammad Iqbal, SpAn-TI
Chief Of Chief Aoelia
Chief Kamar Operasi …….
Chief Critical Care ……..
Chief Poliklinik/Ambulatory …….
Chief Emergency/METS ………
OKA III (Bedah Onkologi)

DPJP: dr. Azwar Risyad, SpAn-TI

1 Rencana Anestesi
 OK III (Bedah Onkologi)
DPJP: dr. Azwar Risyad, SpAn-TI

1 Tatalaksana Anestesi )
PPDS: dr.

No Nama Diagnosa Prosedur ASA Tatalaksana Post Op

Simple mastectomy + Eksisi Luas +

1 Ca mammae residif Rekonstruksi Defect persiapan split
Thickness skin graft General
08.40 R, Pr, 57 Th HER 2 type post ASA II Anestesi Ruangan
chemoteraphy
dr. Fachrul Razi, SpB(K)Onk
 OK III (Bedah Onkologi)
DPJP: dr. Azwar Risyad, SpAn-TI

)
PPDS: dr.
1 Tatalaksana Anestesi
No Nama Diagnosa Prosedur ASA Tatalaksana Post Op

ASA II
- Hipertensi terkontrol TD : 133/77
mmhg, METs 5, klinis nyeri dada-,
Simple mastectomy + sesak -, mudah lelah-, murmur-,
gallop-, EKG : SR QRS rate 97 bpm,
Eksisi Luas + Rekonstruksi
Ca mammae normoaxis CXR: cardiomegali -, CTR :
1 Defect persiapan split
08.40 R, Pr, 57 Th residif HER 2 Thickness skin graft <50% Th/ amlodipin 1x5mg General Ruangan
type post - Riwayat kemoterapi 16 kali ai ca Anestesi
chemoteraphy mammae bilateral, awal terdiagnosa
dr. Fachrul Razi, SpB(K)Onk tahun 2021, terakhir kemoterapi
tanggal 14/2/23, regimen Herzemab
440mg
- Leukositosis 25.890/mm3
- Trombositosis 537.000/mm3
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