MAPPING RUANG GINEKOLOGI (ARAFAH 2)

Minggu, 12 Agustus 2018

No Ruang Nama CM Diagnosis Penunjang Terapi DPJP Rencana

1 1A Ida 1-18-11- Tumor Ovarium Lab 09/08/18 HSN Transfusi TC
Wahyuni, 23 dengan Hb/Ht/E/L/T Persiapan op
35th permasalahan 11,5*/37*/4,7/9,4/51*
trombositopenia
1B Norawiranda 1181434 POD 1 post Lab 10/08/18 Cefadroxil 2x500 mg TPD Vaginal higiene
US, 38 thn kuretase a.i Hb/Ht/E/L/T Sohobion 2x360mg Mobilisasi
Blighted Ovum 10,9/34*/4,3/12,5/477 Metergin 3x0,125 bertahap

2A
2B
3A
3B
4A Urologi
4B Ortho
2 4C
3 4D
4 5A
5B
5 5C Ernawati, 1-17-95- Chorio Ca dengan Lab 09/08/18 IV fosfomycin 2gr/24 jam SIK Obs KU,TTV
33th 23 permasalahan Hb/Ht/E/L/T IV transamin 1000mg/24 Rencana
1.hipretiroid 11,5*/34*/4,3/18,3*/151 jam kemoterapi
induced chorio ca O2 8-10 L
Neb combivent 1resp/8
2.hemoptosis ec Lab 08/08/18
jam
dd.1pneumonia Albumin 2,45* Neb fulmicort 1resp/12
2metastasis Lab 10/08/18 jam
3.leukositosis Protein total: 5,47 Flumucyl syr 3xC I
4.hipoalbumin Albumin :2,64 Metil prednisolon 3x4 mg
Globulin : 2,83 Tirozol 1x20 mg
Propanolol 2x10 mg
Atenolol 1x5 mg
CPG 1x75 mg
Digoksin 2x1 tab
Sucralfatt syr 3xC I
6 5D
 6A
6B
7 6C
8 6D Endang 1153130 Ca Ovarium post Lab 11/08/18 Inj ceftriaxone 1gr/12jam HSN Echo hari senin
Astuti, 41 laparotomi Hb/Ht/E/L/T Drip neurobion 1 amp/hari Pro kemoterapi
thn eksplorasi 9,1/27/3,7/21,9/487 Omeprazole 2x200mg
debulking tumor Kaltropen supp II
Drip paracetamol
dengan adhesiolisis
500mg/8jam
DM tipe 2 Mecobalamin 2x500mg
terkontrol dengan Drip ondansetron/8jam
permasalahan:
1. Vomitus
2.low intake
3. leukositosis
4. anemia mikrositik
hipokrom
6E
9 6F Ita, 68th 1-10-31- NOK susp.malignancy Lab 08/08/18 IV ketorolac 1 amp/8 jam SIK Obs KU,TTV
03 Hb/Ht/E/L/T IV metil prednisolon 1 Transfusi PRC
10,1*/33*/4,5/2,4*/183 amp/12 jam sampai Hb>10
PT/APTT 23,3**/32 Curcuma 2x1 Persiapan op hari
Sohobion 2x1
Lab 11/08/18 senin
Hb/Ht/E/L/T
10,1/32/4,4/13,0/158
7A
10 7B Lusiana Sari, 1-18-07- POD 3 post Lab 06/08/18 Cefixime 2x100mg TPD Obs
21th 30 laparatomi, Hb/Ht/E/L/T Na. diklofenak 3x50mg KU,TTV,perdarahan
kistektomi sinistra, 12/37*/4,3/8,8/321 Sohobion 1x360mg
salfingo Ur/Cr 15/0,90 Vit C 2x1
Ranitidin 2x1
ooforektomi dextra Na/K/Cl 150*/4,1/104
a/i kista dermoid
bilateral
11 7C
12 7D
7E Anak
7F Anak
ISO 1
ISO 2