PASIEN THORVASK ADP 2 SEPTEMBER 2019

N
TINDAKAN/
O stat
IDENTITAS KM MRS DPJP DIAGNOSA RIWAYAT RENCANA PENUNJANG KET.
us
TINDAKAN
R6A

1. Mustaqinah / 62 4.2 Dr. FAR Efusi pleura masif dekstra Post tapping pleura Observasi produksi Initial 500mg / 8
th Dr.Ww hemoraghik dekstra wsd / 24 jam jam
Post chest tube Undulasi +
dekstra 3/9/2019
R6B

2. Suroyo Isolasi Dr. ALI Efusi pleura D + TB Paru WSD (30/8/19) Evaluasi WSD Dibawah 100cc 3
(empyema multiloculated) Usul thorakotomi hari berturut2 aff
wsd
3. Indra Priyono / Dr. AS CKD st v Post pasang DL Usul lepas rawat
62th
4. Tn. Suwito / 67 th Isolasi Dr. ALI Hidropneumotoraks dekstra Post WSD Evaluasi produksi
wsd/ 24 jam
R5A
5. Supriyadi/ 55 th 1.3 Dr. AS Foot diabetic cruris- pedis kontrol GD < 200 Keluarga acc
sinistra pro amputasi cruris
Krisis hiperglikemik distal batas tegas
Rabu 4/9/19
kultur dasar luka
R5B

R4A

6. Siti Amaliyah 2.3 2/8 PBI ALI AVM regio temporooccipital Diseksi aneurisma 2/8 Hb 6,9, L GB dalam GA
43 th TL sinistra (15/7/19) 7,5, Tr 98, Ur berkala
C758545 Debridement 13, Cr 0,8, Na Kamis 5/9/2010
(20/7/19) 142, K 3,7, Cl
Debridement (6/8/19) 111
Arteriografi (14/8/19) 3/8 Hb 4 7/8 Hb
Ligasi a. Subclavia 6,5
sinistra (16/8/19) Hb 9,8
GB (26/8/19) Hb 9,7
7 Upik Nilayanti 3.4 21/8 PBI MZ Efusi pleura dupleks WSD sinistra Pleurodesis WSD minimal
41 th Far CA ovarii std IIIC (28/8/19) Nunggu acc dpjp
C437750 ALI obsgin
 PASIEN THORVASK ADP 2 SEPTEMBER 2019
8 Atmini 5.3 6/8 PBI WW Empyema thoraks dekstra WSD (14/8/19) ICU ISOLASI
50 th Andaya Sepsis Pasca thoracotomy
C769183 Ulkus dekubitus dekortikasi
DM tipe II
(2/9/19)
R4B

9 Sarpi / 66 th 5.3 Tobing Efusi pleura sinistra Pasang WSD 4/9/19

ALI Ca mamae st IV
DM type
R3A

10 Samiatun 4.5 Tjok - Diabetic foot pedis sinistra Amputasi pedis Tunggu hasil x- Keluarga belum
Thn / C773614 ALI - DM tipe 2 sinistra sampai batas ray pedis + acc
sehat doppler
11R3B

R2A

11 Riana Ningsih 5.4 Aria Tumor paru sinistra Torakotomi Besok BLPL 25/08:
37 thn / C768438 WW segmentektomi paru 11.9/35.9/9.5/26
sinistra (23/08/19) 3
R2B

12 Dwi Hariyanto Imam Abses mandibular Trakeostomi + Observasi produksi Wsd 800cc/24 jam
38 thn / C772951 ALI odontektomi WSD
13 Encep syaiful 48 2.1 AS Ruptur av shunt Repair av shunt
th 4/9/19
14 Parwi / ALI Kronik limb iskemik USG Doppler tunggu Hb 7.8 Pasein baru
Anemia trombositopenia hasil Tro 41 na 125
Hiponatremia hipokalemia Koreksi KU k3.2
15 Siswanto / ALI c/ massa mediastinum MSCT thoraks Pasien BARU
dengan kontras
R1A

R1B