MAPPING RUANG GINEKOLOGI (ARAFAH 2)

Kamis, 09 Agustus 2018

No Bed Nama CM Diagnosis Laboratorium Terapi DPJP Rencana

1 1A
2 1B

3 2A - -

4 2B -

5 3A
6 3B
7 4A Pasien Bedah
Urologi
8 4B Murniyati, 35 thn 1181029 G2P1 hamil 18-19 minggu Lab 07/08/2018 Inj ceftriaxone 2gr/24 jam RZ Gen expert
Hb/Ht/E/L/Tr Inj novalgin amp/8jam
JPKTH, oligohidramnion 8,9/26/3,0/10,1/285 Mantoux test
berat ICA 0,39, abortus CT/BT 7/3 Vectin 3x1 tab Foto thoraks dan
Ur/Cr
imminent ibu dengan 7/0,39
lumbosakral
permasalahan -susp. TB Na/K/Cl
-Ascites dengan penyakit 132//3,7/102
GDS: 123
kronik
-Anemia normositik
normokromik
9 4C Mardiah,47 thn 1060717 Susp. Ca Endometrium Lab 07 /08/2018 HSD Persiapan operasi
Hb/Ht/E/L/Tr
7,1/24/3,6/9,9/364 Transfusi PRC
CT/BT 7/2
GDp: 95
Ur/Cr: 33/0,65
Na/K/Cl 150/5,4/106
SGOT/SGPT : 12/8
Albumin : 4,64
Kol tot/HD/LDL/tgs: 243/55/162/82
10 4D

11 5A Sakdiyah, 37th 1030294 Abdominal pain vas 5, Lab 07/08/2018 Inj ketorolac amp/ 8 jam MA Obs ku ttv nyeri
kista ovariumsusp. Hb/Ht/E/L/Tr
12,4/36/4,5/8,5/231 Inj ranitidin amp/ 12 jam Operasi hari ini
terpluntir BT/CT
3/9
GDS : 97
Ur/Cr : 15/0,65
Na/K/Cl : 150/4,5/108
12 5B Pasien Anak
13 5C Ernawati, 33 thn 1179523 Choriocarcinoma dg Lab 05/08/2018 - Inj. Fosfomisin 2 gr/24 j SIK - Rencana
Hb/Ht/E/L/Tr kemoterapi
permasalahan: 11,4/34/4,3/24,3/146 - Inj. Ranitidin amp/8 j
1. Hipertiroid induced - Inj. Vit K/8 jam siklus 1
- Cegah stress
choriocarcinoma - Sucralfat syr 3xC1 ulcer
2. Hemamtoe a/i - Inj. OMZ/24 j - Atasi perdarahan
metastase paru - Drip Oktalbin 1 fls/hari
3. Leukositosis - Tirozol 1x20 mg
4. Hipoalbumin (2,48) - Propanolol 2x10 mg
- Cholestrain 4x1 sach
- CPG 1x45 mg
- Atenolol 1 x500 mg
- Digoxin 2x1,5 tab
- Nebul combivent/8 jam
- Nebul pulmicort/12 jam
- Metyl prednisolon 3x40 mg
- Flumucyl syr 3xC2
14 5D Mardiani, 30 thn 0866750 G2P1 hamil 15-16 minggu, Lab 23/07/2018 Laminaria misoprostol 400 mcg TPD Perbaikan KU
Hb/Ht/E/L/Tr
kematian mudigah + ibu 10,7/34/4,0/10,7/488 (pv) 200 mcg (po)
dengan permasalahan obs CT/BT 8/2
Ur/Cr
febris ec dd 1. DHF 26/1,15
2. tifoid Na/K/Cl
146//4,6/98
3.ISPA
15 6A Selfi ariani, 42th 1092233 POD 1 post laparotomi Lab 31/07/2018 Inj ceftriaxone 2gr/24 jam MA Fc 1x24 jam
eksplorasi, miomektomi Hb/Ht/E/L/Tr
10,1/32/4,4/8,3/441
Inj ketorolac amp/ 8 jam
multipel a.i multipel CT/BT 7/2 Inj ranitidin amp/ 12 jam
mioma uteri,intramural Ur/Cr Inj transamin 500mg/ 8jam
subserous 15/055
Na/K/Cl
149//4,8/105
16 6B Pasien IPD

17 6C Basrah, 38th 1178830 P5A4 (AH4) Post kuratase Lab 31/7/18 Drip KCL 50 meq dalam 500 RZN Mobilisasi
Hb/Ht/E/L/Tr
a/i late PPH ec Plasental 9,9/30/3,5/9.6/420 Nacl/24jam bertahap
Rest CT/BT 8/2 Inbion 2x1
GDS 92
Ur/cr 10/0.78
Cefixime 2x1
Na/K/Cl 148/2,4/100 Paracetamol 2x1
Lab 08/8/18 Transamin 3x1
Hb/Ht/E/L/Tr
8,9/27/3,2/9.2/337 KSR 2x1
Na/K/Cl : 148/2,6/103 Misoprostol 3x1
18 6D Halimah,43 thn 1181184 Kista Ovarium kiri Lab 08/8/18 Drip Tramadol amp dalam 500 MA Observasi
terpluntir, nyeri VAS 8 Hb/Ht/E/L/Tr nyeri
14,2/42/5,2/10,3/288 cc RL
Na/K/Cl : 155/4,3/105 Duragesic patch
GDS : 134
UrCr: 33/0,62
Pantoprazole vial/12 jam
BT/CT : 2/7 Ondansetron /12jam

19 6E Pasien IPD
20 6F Ita, 68 th 1103103 NOK susp. Malignancy Lab 08/8/18 - Inj ketorolac 1amp/8 j SIK - Obs KU, TTV
Hb/Ht/E/L/Tr
dengan permasalahan 9,4/35/3,9/3,8/2011 - Duragesic pacth 12,5 mg - Transfusi PRC
trombositopenia dan Lab 5/8/18 - Curcuma 2x1 sampai HB >
anemia Hb/Ht/E/L/Tr - Imbumin 2x1 10
9,4/31/4,3/4,0/83
Lab 5/8/18 - Sohobion 2x1 - Cek darah post
Hb/Ht/E/L/Tr - Inj ranitidine 1 amp/12jam transfusi
10,2/33/4,6/7,2/67
Lab 04/08/2018 - Inj. Metylprednisolon 1 - Persiapan op
Hb/Ht/E/L/Tr amp/12 jam
10,2/32/4,5/1,5/225
MCV/MCH/MCHC/RDW
70/23/32/26,3

Imunoserologi 03/08/2018
Ca 125 38,47

Lab 01/08/2018
Hb/Ht/E/L/Tr
6,9/24/3,6/3,8/339
MCV/MCH/MCHC
66/19/29
Ca 125 29,56
Alb 3,50

21 7A Pasien IPD
22 7B Lusiana Sari, 21 1180730 Kista dermoid dd Lab 06/8/18 TPD Operasi hari ini
Hb/Ht/E/L/Tr
thn Neoplasma Ovarium Padat 12,0/37/4,3/8,8/321
Na/K/Cl : 150/4,1/104
BT/CT : 2/7
Penanda tumor
AFP : <0,50
CEA: <0,50
CA 125: 25,68
B HCG darah: <2,00
SGOT/SGPT/Alb: 16/9/4,52
GDS: 96
Ur/Cr: 15/0,90
23 7C Kartiah,41 thn 112184 Kanker Ovarium Lab 07/08/2018 HSD Transfusi PRC 3
Hb/Ht/E/L/Tr
8,1/25/3,3/8,4/527 kolf
MCV/MCH/MCHC
75/25/33
 Persiapan
kemoterapi
24 7D Cek Mah, 49 thn 1174877 POD 2 post laparotomi Lab 07/8/18 Inj. Fosfomicin 2 gr/24 jam HSD Mobilisasi
Hb/Ht/E/L/Tr Inj. Ketorolac amp? 8jam
debulking tumor, 12,9/38/4,7/22,9/327 bertahap
Kaltropen supp /8jam
adhesiolisis a.i NOP susp Na/K/Cl : 138/4,2/109
Inj. Ranitidin amp /12 jam Aff drain
PT/APTT : 11,3/29,6
Malignancy D dimer : 166,36 Asam traneksamat 500mg /12jam
HBSag : negatif
Bil tot/bil dir/bil
ind/SGOT/SGPT:0,54/0,26/0,27/28/9
Prot,tot/alb/globulin : 6,00/3,01/2,99
Ur/Cr: 35/0,62
GDS :278
CaMg: 8,8/1.0
25 7E Pasien Anak
26 7F Sarianti, 15 thn 1180428 POD 2 post laparotomy Lab 02/8/18 Inj. Fosfomicin 2 gr/24 jam SIK Obs KU TTV
Hb/Ht/E/L/Tr Inj. Ketorolac amp? 8jam
debulking tumor, 13,2/38/4,5/6,6/318 perdarahan
Kaltropen supp /8jam
salfingooforektomi dextra, Na/K/Cl : 143/4,5/110
Inj. Ranitidin amp /12 jam Mobilisasi
BT/CT: 2/7
sitologi cairan peritoneum GDS : 95 Inj. Transamin amp /8jam bertahap
a.i NOK susp. malignancy Ur/Cr: 13/0,83 Diet MB TKTP
GV POD 3
27 ISO 1
28 ISO 2

DPJP JUMLAH PASIEN KAMAR PASIEN

Dr. dr. Hasanuddin,Sp.OG (K) 3 4C,7C,7D
dr. Yusra Septivera,Sp.OG - -
dr. Rajuddin,Sp.OG - -
dr. Tgk. Puspa Dewi, Sp.OG 2 5D,7B
dr. Sarah Ika N, Sp.OG(K) 3 5C, 6F, 7F
dr. Niken Astri Utami, Sp.OG - -
Dr. dr. Cut MeurahYeni, Sp.OG (K) - -
dr. Munawar, Sp.OG - -
dr. Munizar, Sp.OG - -
Prof. Dr. dr. Mohd. Andalas, Sp.OG 3 5A,6A,6D
dr. Roziana, Sp.OG 2 4B,6C
dr. Dewi Karlina R, Sp.OG - -
dr. Cut Rika Maharani, Sp. OG - -
TOTAL PASIEN 13