REKAP PASIEN BEDAH DIGESTIVE

Sabtu, 21 November 2016

Nama dokter muda:

Jeumpa 1 : 1 pasien Jeumpa 4 : 13 pasien Mamplam 1 : 2 pasien
1. Ulva Yogia 082368249884 IW 1 : 2 pasien Iso : 1 pasien
2. Zakkiarrahman 082363795582 Mamplam 2 :1 pasien Seurune 2 : 1 pasien
3. Dolly Jazmi 08231160082 Jeumpa 1 : 1 pasien
4. Ainul Riza 085260153463 HCU 2 pasien
5. Rita 082165650708 25 Pasien
IGD : 2 pasien
6. Suci 082366259311
7. Annekke 085276359889
N KAMAR IDENTITAS DIAGNOSA TERAPI LAB PLANNING
O

JEUMPA 4 = 13 Pasien

1. 1B2 Zulkifli Miga Ca recti 1/3 distal IVFD futrolit 20 gtt/i 8/11/2016 Konsul kardio dan Echo persiapan kemoterapi (+)
47 thn/ 1092786 Inj fosmisin 2 gr/ 12jam Hb/ L/ Tromb Konsul nefrologi
AD IV Drip tramadol amp/12 jam 10,2/12,3/393 Susul hasil USG 14//11/16
Diet Ginjal Na/K/CL Konsul anestesi (+)
138/3,4/99
Ur/Cr
55/3,47
14/11/16
Urinalisis (dbn)

2. 1B1 Yusriadi Diet air putih Op senin

1. K2B1 Rita Mutia Ca recti 1/3 distal1postIso 1 IFVD futrolit 20 gtt/i

M. Husein 3/11/2016 Senin op Ct scan tanggal 24
3 38thn/ 0879770 kemoterapi + anemia + Drip PCT 1 gr/ 12 jam Hb/ L/ trom/ ct/ bt (Konsul anestesi (-)
hipoalbumin Drip albumin 20% 100 cc/ 6,3/ 7,5/ 369/ 9/ 3
hari Prot tot/ alb/ glb
5,0/ 2,00/ 3,00
Na/ K/ cl/ ur/ cr
141/ 3,4/ 109/ 160/ 24/ 0,60
2. K2B2 Hasanah Status colostomy ec ca colon IVFD Futrolit 20gtt/i 5/11/2016 Ct Scan Abdomen kontras dan non kontras 15/11/16
52 thn/ 1049254 rectosigmoid + Hepatitis Inj fosmicyn 2 gr/ 12 jam Hb/L/Trom/Ct/Bt
4 Inj ketorolac 3%/ 8 jam 5,2/10,8/472/7/2
Inj ranitidine/ 12 jam Na/K/Cl/GDS IGD : 2 pasien
1. Syafii 142/2,9/108/122 Duragesic Patch
13/11/2016 Kaltropen supp
2. Syamaun Susp Hb/L/trom/Na/K/Cl
polip recti Colonoscopy
9,5/15/418/141/2,5/100 Stabilkan hemodinamik
Prot.Tot/Albumin
5,60/2,27
Tumor marker
200,00
3. K4B2 Hanafiah Ismail Obstruksi jaundice ec tumor IVFD Futrolit 20gtt/i 14/11/16 Laparotomy eksplorasi + bypass billiodigestif+biopsy
pankreas Inj ranitidin 1 amp/12 T3tot/T4tot/TSH (14/11/16)
5 Inj. Vit K 0,40/48,36/7,58
Isolasi 1 pasien
4. K4B4 Banta Mustajab Status ileostomy+ anemia IVFD Futrolit 20gtt/i 5/11/2016 Transfusi PRC III Kolf sampai Hb 10 g/dL
1 K6 Fakhrurrazi Fuadi Persiapan Chemo
6 25 thn/ 1095462 Inj ranitidin 1 amp/12 jam Hb/ L/ Tromb Penjadwalan closure
Sohobion tab 2x1 8,2/17,1/629 Mobilisasi
Diet 6x100 cc Na/K/Cl/Albumin/Ur/Cr AFF NGT
132/3,6/96/3/22/0,40

5. K4b3 Sayid Yusuf Ileus Obstruktif IVFD futrolit 20 gtt/ 3/11/2016 CT senin (21/11/2016)
7 Hb/L/tromb
8,6/7,0/264
Na/K/Cl
131/3,9/96