KAMAR
IDENTITAS
DIAGNOSA
TERAPI
LAB
PLANNING
JEUMPA 1 = 1 Pasien
1.
K5B2
Diet ML
IVFD futrolit 30 gtt/i
Drip Lipofudin 1 fls/ hari
Drip aminofluid 1 fls/ hari
Drip PCT 1 gr/ 8 jam
Inj metoclopramide 1 amp/ 8 jam
Inj omeprazole 40 mg/ 12 jam
Inj bisolvon 1 amp/ 8 jam
8/11/2016
Hb/ L/ Tromb
10,8/28,6/419
Na/ K/ Cl/ Ur/ Cr
137/4,8/101/21/0,75
SGOT/SGPT/Albumin
49/54/3,36
Rawat luka
Rencana OP Secondary hecting
Senin (14/11/16)
IVFD RL 20 gtt/i
Inj. Cebactam i vial/12 jam
Inj. Ranitidin 1 amp/ 8 jam
Inj. Ondacentron 1 amp/8 jam
Drip PCT 1 gr/8 jam
Diet ML
9/11/2016
SGOT/SGPT
404/309
Na/K/Cl
124/3,4/74
Ur/Cr
24/6,74
8/11/2016
Hb/ L/ Tromb
15/40,2/378
Bil. Tot/bi. Direct
0,48/0,39
SGOT/SGPT
404/309
Ur/cr
204/6,74
MRCP 15/11/2016
Tutup NGT, jika kembung buka
JEUMPA 2 = 1 pasien
1.
K6B6
Ti Hawa
61 thn/1108455
JEUMPA 4 = 14 Pasien
1.
K2B1
Rita Mutia
38thn/ 0879770
2.
K3B1
Dahlia
52thn/ 0879765
POD V
Status Ileostomy
3.
K3B2
4.
K3B4
Syafii D
48thn/ 1108590
Kolesistitis + Kolelitiasis
IVFD RL 20 gtt/i
Drip Tramadol amp/ 12 jam
Inj. Ketorolac 3% amp/ 8 jam
Inj. Ranitidin amp/ 12 jam
Inj. Cabactam 1g/ 12 jam
5.
K4B3
Hanafiah Ismail
6.
K4B4
Banta Mustajab
25 thn/ 1095462
3/11/2016
Hb/ L/ trom/ ct/ bt
6,3/ 7,5/ 369/ 9/ 3
Prot tot/ alb/ glb
5,0/ 2,00/ 3,00
Na/ K/ cl/ ur/ cr
141/ 3,4/ 109/ 160/ 24/ 0,60
28/10/2016
Hb/L/Trom
11,9/8,2/263
SGOT/SGPT
134/88
Na/K/Cl
142/5,0/102
Ur/Cr
23/0,7
3/11/2016
Na/ K/ Cl
131/ 4,4/ 93
29/10/16
Hb/L/Trom/Alb
11,0/ 16,8/ 942/ 3,10
Ur/Cr
14/ 0,20
10/11/2016
Hb/L/Trom
14,5/10,2/180
Na/K/Cl
139/4,1/103
Bil.tot/Bil.direct
0,60/92
SGOT/SGPT
92/71
Cholesystomy electif
5/11/2016
Hb/ L/ Tromb
8,2/17,1/629
Na/K/Cl/Albumin/Ur/Cr
132/3,6/96/3/22/0,40
7.
K5B1
Usman Abdullah
Hernia Bilateral
8.
K6B3
Hasanah
52 thn/ 1049254
9.
K6B4
Kamaliah Bahar
Pr/66 th/ 1105645
NGT dekompresi
Clear water
IVFD futrolit : asering 20 gtt/i
Inj fosmisin 2 gr/ 12 jam
Inj ranitidine 1 amp/ 12 jam
Inj ketorolac 1 amp/ 8 jam
Drip aminofluid 1 fls/ hari
Drip lipofudin 1 fls/ hari
Duragesic patch 12,5 mg
Albumin 20% 200cc/ hari
Diet Susu 10 gtt/
POD XI
Herniotomy+
(14/11/2016)
mess
graft
5/11/2016
Hb/L/Trom/Ct/Bt
5,2/10,8/472/7/2
Na/K/Cl/GDS
142/2,9/108/122
5/11/2016
Hb/ L/ tromb/ Allb
8,1/ 10,6/ 244/ 2,5
Na/ K/ Cl
145/ 3,1/ 106
10.
K6B5
Fitriana
31 thn/1102221
8/11/2016
Hb/ L/ Tromb
10,8/12,5/545
Na/K/Cl
125/3,0/93
11.
K7B4
Zulfan M. Amin
35thn/ 1107796
POD IX
7/11/2016
Na/K/Cl/Ca/Mg
136/3,9/103/7,6/1,2
3/11/2016
Hb/ L/ Tromb/ PT/ APTT/ D-dimer
9,1/ 13,2/ 55/ 13,4/ 45,7/ 2404,60
HBsAg = negative
Bil tot/ bil dir/ SGOT
0,41/ 0,47/ 1169
Na/ K/ Cl/ Ca/ Mg
140/ 3,7/ 106/ 7,8/ 1,6
12.
K7B2
Ponijan
56thn/ 1107329
AD XIV
Adenocarcinoma duodenum
Diet MB TKTP
IVFD futrolit 20 gtt/i
Inj fosmisin 2 gr/ 12jam
Inj ranitidine 1 amp/ 12jam
Drip PCT 1 gr/ 8jam
Vit K/ 8 jam
IVFD lipofudin/ 12 jam
Drip aminofluid 1 fls/ 12jam
Drip albumin 1 fls 25% 100cc/ hari
IVFD futrolit 20 gtt/i
Inj fosmisin 2 gr/ 12jam
Drip tramadol amp/12 jam
Diet Ginjal
8/11/2016
Hb/ L/ Tromb
7/ 15,7/ 262
Prot tot/ alb/ glb
4,42/ 2,62/ 1,6
Na/ K/ Cl
130/ 3,6/ 102
13.
K7B3
Zulkifli Miga
47 thn/ 1092786
AD IV
8/11/2016
Hb/ L/ Tromb
10,2/12,3/393
Na/K/CL
138/3,4/99
Ur/Cr
55/3,47
14.
ISO2
Haslia aida
53 thn
cholelithiasis
Diman
41 thm/1108711
11/11/2016
Hb/ L/ trom/ Alb
11,7/11,8/311
Na/ K/ Cl/ Ur/ Cr
131/3,8/95/42/0,50
Aff NGT(+)
Ct Scan
IR Marzuki
Sesuai TS IPD
Drip PCT 1 gr/ 12 jam
11/11/2016
Hb/ L/ trom/ Alb
9,3/9,7/249
Na/ K/ Cl/ Ur/ Cr
127/3,3/89/9,1
Bil. Tot/ Bil. Direct/ SGOT/SGPT
11,39/10,21/44/36
Said razali
876170
POD VII
Sesuai TS IPD
9/11/2016
Na/K/Cl/Albm
141/5,5/107/2,84
Rawat luka
Cholsistectomy perlaparoskopi
persiapan open (14/11/16)
PJT = 1 pasien
1.
K6B4
ISOLASI = 1 pasien
1.
K7
MAMPLAM 1 = 2 pasien
1.
K3B4
Ur/Cr
84/1,05
7/11/2016
Hb/ L/ trom/ Alb
12,8/12,2/445
Procalsitonin/Ur/Cr
4,10/98/1,50
3/11/2016
Hb/ L/ Tromb
5,9/ 8,1/ 293
Na/ K/ Cl/ GDS/ Ur/ Cr
133/ 4,2/ 102/ 161/ 73/ 1,40
Alb/ kol tot/ HDL/ LDL/ Tri
95/ 15/ 41/ 116
2.
K4B1
Hamka
64 thn/1091580
Sesuai TS IPD
Konsul BTKV
Konsul Kardio
Konsul Anastesi
Rencana By pass
Laila
Sesuai TS IPD
Halimah Insya
65 thn/ 1104530
4/11/2016
Hb/ L/ tromb/ PT/ APTT/ D-dimer
13,3/ 31,1/ 218/ 11,5/ 40,1/ 296,75
SGOT/ SGPT
13/ 7
Na/ K/ Cl/ Ca/ Mg/ Ur/ Cr
135/ 4,5/ 96/ 8,8/ 1,9/ 15/ 0,35
12/11/2016
Hb/ L/ tromb/ PT/ APTT/ D-dimer
10,3/13,7/155/12,1/32,2/10000
Na/ K/ Cl/ Ca/ Mg/ Ur/ Cr
139/4,2/105/7,9/1,5/14/0,38
Mamplam 2 = 1 pasien
1.
K5B5
ISO 2
Seurunee 3= 1 pasien
1.
K6B6b
Mobilisasi
IW 1 = 2 pasien
1.
B4
Nurmi
66 thn/1108718
11/11/2016
Hb/L/Trom
9/13,7/294
SGOT/SGPT/Albm
54/77/3,1
Na/K/Cl
142/3,5/99
2.
ISO1
Salmawati A Majid
48 thn/1108809
Appendisitis akut
Post appendectomy
11/11/2016
Hb/L/Trom
14,5/15,9/284
Na/K/Cl/Ur/Cr
141/3,3/19/0,70
IVFD RL 20gtt/i
Inj ketorolac 3%/ 8 jam
Inj ranitidine/ 12 jam
POD I
IGD = 1 pasien
1.
Murdani
21 thn/108782