MAPPING RUANG CEMPAKA RS ULIN

Tgl. 12 Februari 2016

BLOK
A1

BED
1
2

IDENTITAS
Ny. Rosidah/ 24th
Desa penggalaman martapura
120-01-59
MRS: 11-2-2016

DIAGNOSIS
P2011 pp sptB IUFD +
eklampsia + HELLP syndrom

Lab tgl 11/2/2016

Hb:16,5
Leu:25,2
Erit: 5,3
Hct: 49,1
Tc: 135

P1001 pp sptB H2 + PEB

Lab tgl 10-2-2016

Hb: 9,6
Lekosit: 8,8
Erit: 3,94
Hct:31,5
Tc: 251

P2002 PP spt.B + BSC

12-1-16
Hb: 11,8
Lekosit: 20,7
Erit: 4,3
Hct:36,4
Tc: 249

P2A0 post SC a/I arrest of

descent ec. Bayi besar

Hasil lab 10-02-2016

Hb: 14,1
Lekosit: 26,6

Lahir bayi tgl 11/2/2016

L/1500g/40/Maserasi gr1 IUFD

Ny. Norjanah/ 22th

Pekapuran B RT.02 RW.02
119-99-15
MRS: 10-02-2016
Lahir bayi tgl 11-02-2016
L/2550g/47/8-9-10

Ny. Titin / 35th

Jl.beruntung jaya
120-02-11
MRS 12-1-16
12-1-16
Lahir bayi lakilaki
3850g
55cm
AS 8-9-10
Ny dewi murni/ 28 th
kuin utara
119-98-29

PEMERIKSAAN

TERAPI
- Diet TKTP
- Inf. RD5 500cc/24 jam
- Nifedipine 3x10 mg, bila TD>
160/110
- Metyldopa 3x250 mg
- Inj SM 40% lanjutan jadwal
- Minum max. 1000cc/24 jam
- Balance cairan
CM=CK+500cc
- Mx kel/flx/kont ut/tanda
impending
- Diet TKTP
- Mobilisasi
- Inf. RD5 500cc/24 jam
- Nifedipine 3x10 mg, bila TD>
160/110
- Metyldopa 3x250 mg
- As. Mefenamat 3x500mg
- SF 2x1
- Inj SM 40% lanjutan jadwal
- Cefadroxil 2x1 tab
- Minum max. 1000cc/24 jam
- Balance cairan
CM=CK+500cc
- Mx kel/flx/kont ut/tanda
impending
- Mobilisasi
- Cefadroxil 2x1 tab
- As. Mef 3x1 tab
- SF 2x1 tab

- Diet TKTP
- Mobilisasi
- Inf RL:D5= 2:1/24 jam

MRS 9-2-16

Ny. Mardiah/ 26th

Desa lepasan RT.4 Bakumpai
Batola
120-00-22

Erit: 4,74
Hct: 44,4
Tromb: 224

P1A0 pp sptB IUFD H3 + PEB

Lab tgl 12-2-2016

Hb: 6,3
Leu: 15,4
Erit: 2,52
Hct: 20,6
Tc: 256

P1A0 post sc + IUD H3 a/I

asma attack

Lab tgl 10-2-2016

Hb: 8,8
Leukosit: 21,9
Erit: 3,39
Hct: 27,8
Tc: 316

Ny. Rusnah/ 28th

Teluk kelayan
120-02-71
MRS: 12-2-2016

P2002 pp sptB 2 jam +

restensio plansentaf

Ny. Eatna / 36th

Jl.bukit raya no 21 A RT38
1070791

P3003 PP spt.B H2 + PEB

Lab tgl 12-2-2015

Hb:7,2
Leu:17,3
Erit:2,83
Hct:24,7
Tc:257
Lab 11-2-16
Hb: 10,1
Leukosit: 14,2
Erit: 4,96

Lahir bayi tgl 10-2-2016

L/ 4000g/54/maserasi gr1

A2

Ny. Atmah/ 22th

Desa Mantimin kec. Batu
mandi
119-96-40
MRS: 9-2-2016
Lahir bayi tgl 10-2-2016
L/3000g/50/8-9-10

2
3

Inj cefadroxil 2x1

Inj. Ketorolac 3x1
Inj vit C 3x1
Inj.metildopa 3x250
Nifedipin 3x10mg jika TD
>160/110
- Minum max 1000cc/24 jam
- Balance cairan CM=CK+500
- Diet TKTP
- Mobilisasi
- Inf. RD5 500cc/24 jam
- Nifedipine 3x10 mg, bila TD>
160/110
- Metyldopa 3x250 mg
- As. Mefenamat 3x500mg
- SF 2x1
- Minum max. 1000cc/24 jam
- Balance cairan
CM=CK+500cc
- Mx kel/flx/kont ut/tanda
impending
- Diet TKTP
- Mobilisasi
- Inj. Ketorolac 3x1
- Inj. Vit C 3x1
- As mef 3x1 tab
- SF 2x1 tab
- Nebul ventolin + fulmicort k/p
- Mx VS/kel/flx/kont ut
Drip oxy 2 amp
Manual plasenta
Cek DR
Pro trf WB jika HB <8g/dl
Inj. Ceftri 2x1
-

Diet TKTPRG
Mobilisasi
Nifedipin 3x10 mg
Metyldopa 3x250 mg
As. Mef 3x1 tab

11-2-16
lahir bayi laki-laki
2700g
52cm
AS 8-9-10
5
6

Ny. Santi/25 th
Alalak berangas

Hct: 32,5
Tc: 375

- SF 2x1
- Cefadroxil tab 3x1
- Rawat luka 1x sehari dg NaCl
+gentamisin
- Minum max 1000cc/24 jam
Balance cairan CM=CK+500

Lab 10-02-2016
Hb : 13,6
Lekosit : 9,9
Eritrosit 4,6
Hct : 42,2
Trombosit : 325

Lab 29-01-2016
Hb : 11,0
Lekosit : 10,8
Eritrosit 3,53
Hct : 33,9
Trombosit : 237

P2A0 post partum H-2 + PEB

119-99-39
MRS : 10-02-2016
Lahir bayi 11-2-16 laki-laki
4500g 57cm/AS 3-4-6

B1

Ny. Rusmiati / 40th

Jl.pramuka gg.BPK no 56

P3103 POST sc + mow a/I

let.lintang + IUFD

119-75-72
MRS 28-1-16

Ny. Rika /23th

Desa kait-kait

P1001 post SC+IUD H-3 a-I

secondary arrest ec
malpresentasi letak puncak

Lab tgl 10-02-2016

Hb : 9,4
Lekosit : 19,5
Eritrosit: 4,28
Hct : 29,6
Tromb : 234

P1001 Post SC H4 a/I fetal

distress + PER

Lab tgl 8-02-2016

Hb : 11,1
Lekosit : 34,5
Eritrosit: 4,11

- As. Mef 3x1 tab

- SF 2x1 tab
- Rawat luka

119-97-95
MRS: 09-2-2016

Lahir bayi 10-0216,02:00,laki-laki,3400g

48cm/8-9-10
Ny. Angela bakin/ 28th
Gambut Km.14
119-95-48

Diet TKTP
Mobilisasi
Inf RD5 500 cc/24jam
Nifedipin 3x10 mg bila TD
>160/110
Metyldopa 3x250 mg
Inj.asam mefenamat 3x1
Inj SF 2x1
Inj cefadroxil 2x1
Minum max 1000cc/24 jam
Balance cairan CM=CK+500
Diet TKTP
Mobilisasi
Inj.asam mefenamat 3x1
Inj SF 2x1
Inj cefadroxil 2x1
Rawat luka 2x1 hari dengan
NaCl+gentamicin
Minum max 1000cc/24 jam
Balance cairan
CM=CK+500
Diet TKTP
Mobilisasi
Inj ketorolac 3x1
Inj. Vit C 3x1
Cefadroxil tablet

7-2-16
Lahir bayi perempuan
2900g
51cm
AS 5-6-7
Ny. Yunita/25th
P. Sewangi RT.3 Alalak
120-00-76
MRS:10-02-2016

Hct : 34,1
Tromb : 187

P1102 post sc + IUD hr 3 a/I

letli +inpartu

Lab 11-02-2016
Hb: 9,3
Lekosit: 23,2
Erit: 3,31
Hct: 29,1

P1A0 post SC H15 (a/I

eklamsia)

Lab 28-01-2016
Hb: 8,2
Lekosit: 15,2
Erit : 3,18
Hct: 26,4

Lahir bayi 10-02-16, jam

20:30
L/1550/42/AS2-3-4
5

Ny. Sephani/23 th
Jl seramg kapuas
119-77-06
MRS:24-01-2016
25-1-16
Lahir bayi laki-laki
3200g
46cm

Ny. Ade puspita /29 th

Simp 3 sekumpul

P3A0 post SC + IUD H-3 a/I

gemelli + eklamsia

120-00-18
MRS 10-2-16

B2

Ny. Astini/ 33th

Jl. Aluh-aluh
120-02-12
MRS: 12-2-2016

P7A0 Ppp spt B H0 + retensio

plasenta + r/manual plasenta
+ sisa plasenta

Hasil lab 12-02-2016

Hb: 9,6
Lekosit: 12,2
Erit:3,63
Hct: 30,3
Tromb: 164

Lab 12-2-2016
Hb: 7,8
Leu: 14,9
Erit: 2,99

Diet TKTP
Mobilisasi
Inj. Ketorolac 3x1
Inj. Vit 3x1
Cefadroxil 2x1
tab
Aff DC
Mx VS/kel/flx/kont
ut
Diet TKTPRG
Mobilisasi
Cefixime 2x100mg
Nifedipin 3x10 mg
Metyldopa 3x250 mg
As. Mef 3x1 tab
SF 2x1
Cefadroxil tab 3x1
Rawat luka 1x sehari dg NaCl
+gentamisin
Minum max 1000cc/24 jam
Balance cairan CM=CK+500
Diet TKTP
Mobilisasi
Inf RD5 500 cc/24jam
Nifedipin 3x10 mg bila TD
>160/110
Metyldopa 3x250 mg
Inj.ketorolac 3x1
Inj. Vit C 3x1
cefadroxil 2x1
Minum max 1000cc/24 jam
Balance cairan CM=CK+500
Inj. Ceftriaxone 2x1
Drip oxy 1 amp / kolf/ hari
Pro kuretase jika KU baik
TRF s/d Hb >10g/dl

C1

Ny. Selmanety/ 59th

Kapuas seberang, kalteng
119-79-28
MRS: 9-2-2016

AUB e.c. myoma geburt

Ny. Aisyah/ 67th

Tinggiran darat RT.10
mekarsari
120-00-31
MS: 10-2-2016

AUB ec. Myoma uteri +

anemia + HT

Ny. Sri yamti/39th

Jl. Desa barambai
119-93-32
MRS: 5-2-2016

GIIIP1001 12/13 mnggu +

THIU + post laparatomi H3 ec.
Myoma uteri + myoma uteri
intraligamenter

Ny. Masriah/ 56th

Jl. Basirih ulu
113-91-54
MRS: 11-2-2016

Myoma uteri + anemia

Ny. Damayanti/ 26th

Jl. Pnatai atas rt.4 Binuang
Tapin
120-00-33
MRS: 10-2-2016

Post SOS H2 a/i Kehamilan

pars ovarica + anemia

1
2
3
4
5

Hct: 24,9
Tc: 266
Lab tgl 04-02-2016
Hb: 14,1
Lekosit:6,5
Erit: 4,87
Hct: 43
Trombosit:246
Lab 10-01-2016
Hb: 6,1
Lekosit: 5,4
Erit: 2,61
Hct: 20,6
Tromb: 431
Lab tgl 9-02-2016
Hb: 13,8
Lekosit: 12,5
Erit: 4,46
Hct: 41,7
Tromb: 247

Lab tgl 10-02-2016

Hb: 7,6
Lekosit: 10,7
Erit: 4,72
Hct: 27,8
Tromb: 517
Hasil lab 12-02-2016
Hb: 8,4
Lekosit: 12,1
Erit: 2,88
Hct: 26
Tromb: 277

- Pro ekstirpasi di ok hari

selasa

- TRF PRC s/d hb 10g/dl

- Pro op dari poli

Diet TKTP
Mobilisasi
As mef 3x1
Cygestt 400mg tab
As folat 1000mcg
SF 2x1
Pro rawat luka
Pro USG FM besok

- TRF PRC s/d hb 10g/dl

- Cek DL post trf
- R/ op dari poli

Tranfusi PRC s/d HB > 8

Cefadroxil 2x1 tab
As. Mef 3x1 tab
SF 2x1 tab
Lepas tampon
Sudah tranfusi PRC 2 kolf
-

C2

6
1
3
4
5
6

Ny. Sanah/ 22th

Jl.Ujung murung sudimampir
120-02-15
MRS: 12/2/2016

P1A0 post sc a/I CPD + IUFD

Lahir bayi 12-2-2016

D1

1
2
3

Lab 12-2-2016
Hb: 13,7
Leu: 16,6
Erit: 4,47
Hct: 41,4
Tc: 307

Sementara puasa
Mobilisasi
Inf RL:D5 2:1/24jam
Inj.ketorolac 3x1
Inj. Vit C 3x1
Inj alinamin F 3x1
Inj. As traneksamat
3x500mg
Drip oxy 2 amp dalam RL
500cc a/d 12 jam post sc

Ny. Karmasiah/ 53th

Jl. Desa sri raharjo
119-92-78
MRS: 12-2-2016

Tumor padat ovarium susp.

Malignancy + anemia +
hipoalbumin

Ny. Faridah/ 60th

Jl. Antasan kecil timur
118-95-68
MRS: 9-2-2016

Ca cervix IIIB + HN bilateral +

anemia + metastase paru

Ny. Norlina/ 32th

Jl. Desa lindungan, kotabaru
119-99-24
MRS: 10-2-2016

Ca cervix stad IIIB + kistoma

ovarium + nyeri pelvis +
peningkatan RFT

Ny maulida/ 21th
Desa tanipah kec.
Mandastana
114-42-54
MRS: 9-2-2016

Ca ovarium imatur teratoma

residif post kemo 3x + anemia

Lab 10-2-2016
Hb: 8,3
Leu: 13
Erit: 3,37
Hct: 26,7
Tc: 345
Lab 9-2-2016
Hb: 4,7
Leu: 13,3
Erit: 1,76
Hct: 14,9
Tc: 40
Lab 10-2-2016
Hb: 10,5
Leu: 13,2
Erit: 4,41
Hct: 32,9
Tc: 603

TRF WB kolf
TRF albumin

Tranfusi PRC s/d HB > 8

Pro co ulang neuro

Pro biopsi PA di vk (tunda)

Pro co IPD (+)

Trf PRC s/d Hb >11g/dl

Cek DL post trf

D2

2
3
4

5
6

Ny sari wati/ 51th

Jl. Keladan no.66 Kalteng
109-21-98
MRS: 9-2-2016

Ca cervix stad IIIB post kemo

19x + melena + anemia

Lab 11-2-2016
Hb: 9,8
Leu: 13,6
Erit:3,67
Hct: 30,7
Tc: 463

Trf PRC s/d Hb >10g/dl

Duragesic patch 12,5mg
Co/ digest, pro kolonoskopi

Ny.yusnita/ 41th
Jl. Beruntung Jaya
118-39-32
MRS: 9-2-2016

Post SOS ec. Kistoma ovarium

sinistra

Lab 11-2-2016
Hb: 12,3
Leu: 17,8
Erit: 4,73
Hct: 39,6
Tc: 314

Semntara puasa
Inf. RL/D5 2:1 24 jam
Inj Alinamin F 3x1
Inj. Vit C 3x1
Inj. Ketorolac 3x1
Inj. Ceftriaxone 2x1

Ny. Tini/51th
Jl. Sungai ahas Kec. Mentangai
Kapuas
119-97-98
MRS: 9/2/2016

Susp. Ca ovarium stad 4 +

asites + anemia

Lab 9-02-2016
Hb: 9,6
Leu: 4,9
Erit: 3,23
Hct: 30,7
Tc:268

Pro co onkologi