MAPPING RUANG GINEKOLOGI ARAFAH 3

Senin, 6 Januari 2020

DPJP JUMLAH PASIEN KAMAR PASIEN

Dr. dr. Hasanuddin, Sp.OG(K) 5 2A,5A,6A,6C, ISO 2
dr. YusraSeptivera, Sp.OG
Dr. dr. Rajuddin, Sp.OG(K)
dr. Tgk. PuspaDewi, Sp.OG
dr. Sarah Ika Nainggolan, Sp.OG(K) 1 4C
dr. NikenAsriUtami, Sp.OG (K)
Dr. dr. Cut MeurahYeni, Sp.OG(K)
dr. Munawar, Sp.OG
dr. Munizar, Sp.OG
Prof. Dr. dr. Mohd. Andalas, Sp.OG, FMAS
dr. Roziana, Sp.OG
dr. Dewi KarlinaRusly, Sp.OG 1 4D
dr. Cut Rika Maharani, Sp.OG 1 1A
dr. Hilwah Nora, Sp.OG (K) 1 6E
dr. Ima Indirayani, Sp.OG 1 4A
TOTAL PASIEN 10

No Kmr Nama CM Diagnosis Terapi Penunjang DPJP Rencana

1 1A Safrina 0940208 P1A2 post kuretase a/i Cefixim 2x100mg Lab 3/1/2019 CRM Obs Ku, TTV, Perdarahan
Surdiman, 31 th, abortus inkomplit Asam Mefenamat 3x500mg Free T4 : 29,84 Terapi sesuai FDO
KUTA RAJA Misoprostol 3x200mg TSH : 0,56
Metergn 3x0,125mg B-HCG : 212,2
Sohobion 2x360mg Lab 2/1/2019
Drip Oksiotcin 20IU Hb/Ht/E/Tr/L
InjTransamin 500g/8jam 11,6/36/4,8/14,2/359
Ct/Bt 2/8
HbsAG non reaktif
GDS 119
Ur/Cr : 16/0,60
Na/K/Cl : 144/4,3/107
2 1B
3 2A Sri Astuti 1231913 POD 3 post laparotomi Amlodipin 1x10mg Lab 2/1/2019 HSD Obs KU,TTV, Nyeri dan tanda sepsis
Sumantri, 42 th, miomektomi , omentektomi, Alparozolam 1x 0,5 mg Hb/Ht/E/Tr/L Terapi sesuai FDO
12,2/38/4,4/33,3/429
 Aceh Besar dan reseksi tumor ai mioma Cefixime 2x100mg Ca/Mg : 8,3/1,7 Mobilisasi bertahap
uteri dengan adenomiosis Omeprazole 2x20mg Ur/Cr ; 9/0,6
Ibu dengan permasalahan Na diklofenak 3x50mg Na/K/Cl : 139/5,3/115
anemia dan leukositosis As Traneksamat 3x500mg Lab 20/12/2019
Sohobion2x360mg Hb/Ht/L/Tr
Sukralfat 3xC1 13,0/40/22,7/462
Paracetamol K/P PT/APTT 12,20/35.70
Kaltropen Supp K/P HbsAG negatif
GDS/GDP 91/135
Na/K/Cl : 143/5,0/106
4 2B
5 3A DPJP BEDAH
6 3B
7 4A Ismawati 1233420 G4P3 hamil 12 mingu - Lab 04/01/2020 IMA Obs KU, TTV, Perdarahan
Zulkifli,36th , Perdarahan pervaginam ec Hb/Ht/E/L/Tr
Aceh Besar abortus inkomplit . 12/35/4,3/10,7/265
Ibu dengan hipertensi stage HbsAg : Non reaktif
II GDS : 131
Na/K/CL :145/4,3/107
8 4B
9 4C Hafidhah Hanafi, 1206549 Abnormal uterine bleeding Amlodipin 1x10mg Lab 04/01/2020 SIK Obs KU, TTV, Perdarahan
40th, ec adenomiosis , NOK Valsartan 1x80mh Hb/Ht/E/Tr/L Terapi sesuai FDO
Inj transamin 500mg/8jam 10,6/33/4/248/6,9
Inj ketorolac amp/8jam CT/BT : 7/3
Inj Omeprazole 20mg/`12jam GDs : 126
Asam mefenamat 3x500mg Ur/Cr : 13/0,7
Na/K/Cl:144/3,8/106
10 4D Ristalia Khaidir, 1232853 POD 2 post laparotomi Inj Ceftriakson amp/12jam Lab 03/01/2020 DK Obs.TTV KU drain
17 th, Ligan salpingooforektomi dekstra Clindamicin 2x1tab Hb/Ht/E/L/Tr Mobilisasi bertahap
a/i susp. TOA post Kaltofren supp II/8jam 10,8/34/4,5/17,7/391 Aff FC
adhesiolisis a/I kista Inj ketorolac / 8jam Diet ekstra putih telur 6 butir/hari
ovarium kanan Inj Omeprazol 20mg/12 jam Lab 30/12/2019
Hb/Ht/L/Tr
10,5/33/9,6/408
Ca 125: 36
PT/APPT :13,7/32,60
11 5A Salma Abdullah, 1232853 POD 3 Post Laparatomy Inj ceftriaxone 2gr/24jam Lab 03/01/2020 HSD Stabilisasi Hemodinamik
53 th, Aceh Besar Debulking Tumor Inj Ketorolac amp/8jam Hb/Ht/E/L/Tr Obs KU, TTV, Perdarahan, drain
adhesiolisis, , repair buli + Kaltopren supp II/8jam 13,9/43/5,2/14,7/211 BC/24 jam
 pemasangan DJ Stent , Inj transamin 1000mg/8jam HbsAg : Non reaktif Saran digest : NGT dekompresi, diet
Primary hecting rectum a/i Inj Omeprazole 1vial/12jam Ur/Cr : 29/1,1 puasa basah bibir
NOK susp malignancy Eritromisin 3x300mg Na/K/CL: 142/4,6/110 Saran Uro: FC dipertahankan 2
laserasi sigmoid. Lab 02/01/2020 minggu, Foto rontgen BNO
Ca 125 : 6 Konsul Gizi Klinik
Lab 30/12/2019
Hb/Ht/L/Tr
10,5/33/9,6/408
Ca 125 36
PT/APPT :
13,70/32,60
12 5B Linda Reani, 35 1233433 POD 1 P4A1 post Kuretase Metergin 3x0.125mg Lab 04/01/2020 IMA Obs. KU TTV Pendarahan
thn a.i Abortus Incomplete As. Mefenamat 3x500mg Hb/Ht/L/Tr Terapi sesuai FDO
Aceh Besar Anemia 7.5/24/3.2/11.1/250 Cek DR post transfusi 2 kolf
CT/BT 8/3 GDS 197
Na/K/Cl: 145/3.1/112
13 5C Winarsih Darjo. 1233443 G1 Hamil 11-12 minggu Misoprostol 3x 200mcg Lab 05/01/2020 IMA Obs. KU TTV Pendarahan
28thn perdarahan pervaginam ec Hb/Ht/L/Tr Terapi Sesuai FDO
Abortus Inkomplete 11.2/34/3.9/8.5/281
CT/BT 7/2 GDS 119
Na/K/Cl: 144/4.1/109
14 5D DPJP SARAF
15 6A Deby Febryana, 1167997 - PTG Stage IV susp. Tirozol 10 mg tab/12 j Lab 01/01/2020 HSD Obs KU, TTV, Perdarahan
31 th, Langsa Metastase brain. Propanolol 10 mg tab/12 j Hb/Ht/L/Tr Terapi sesuai FDO
- Obs seizure ec dd. 1. ICH Metylprednisolon 16 mg 3x1 11/33/4.6/24.4/407 Protab kemo EMACO jika KU stabil
ar occipitalis sinistra Phenitoin 2x100mg Alb/Glo:2.70/2.60 Cek elektrolit(6/1/20)
2.Brain metastase Omeprazole 2x40mg Lab 02/01/2020
- Tiroktosikosis ec PTG Citicolin 2x500mg Ca/Mg: 6,6/1,4
-Imbalance elektroli : Vit B comp 2x1 tab Na/K/Cl : 143/3,1/111
Hipokalsemia Asetil Sistein 2x200mg Lab 01/01/2020
Hipomagnesia Hb/Ht/L/Tr
Hipokalemia 9,7/29/24,9/275
-Leukositosi ec pneumonia Ca/Mg ; 6,2/1,4
SGOT/SGPT : 30/12
Ur/Cr : 15/0,7
Na/K/Cl : 139/2,9/106
16 6B
17 6C Sakdiah Yusuf, 1228996 POD 2 Post laparotomi Inj Ceftriakson 2r/24 jam Lab 03/01/2020 HSD Obs KU, TTV, Perdarahn
68th, Aceh Timur surgical staging ai NOK Inj Ketorolac 1 amp/8jam Hb/Ht/E/L/Tr Aff FC
 susp malignancy Kaltofren suppII/8jam 11,6/36/4,6/16,9/303 Mobilisasi bertahap
Inj transamin 500mg/8jam Ca/Mg : 7,9/1,7 Cek DR, Elektrolit
Inj omeprazol 20mg/12jam Ur/Cr : 14/0,6 Terapi sesuai FDO
Na/K/Cl : 144/3,2/110
6D Idawati, 29thn 1232569 Kista Ovarium Kiri Lab 02/01/2020 DK Obs. KU, TTV
langsa Hb/Ht/L/Tr Puasa 6 jam Sebelum Operasi
11.2/33/3.8/6.4/206
PT/APTT: 15.9/29.3
Ca125 40
SGOT/SGPT 14/9
Na/K/Cl 142/3.9/104
19 6E Suryani Iskandar, 1008899 G3P2 Hamil 11-12 minggu, Inj. Ondansetron/ 12 J Lab 03/01/2020 HN Obs TTV, KU, dan perdarahan
35 th, Aceh Besar perdarahan pervaginam ec Domperidone tab /12 j Hb/Ht/E/L/Tr Bedrest Total
Abortus Imminens As. Folat 400 mcg/24 j 10,8/31/3,5/8,7/245 Diet TKTP
AsamTranexamat tab/8 J Terapi sesuai FDO
SF 2x1 tab
Duphaston 2x1 tab
20 6F Maryati, 45thn 1231750 Susp. Ca Endometrium Dulcolax Supp II Lab 01/01/2020 SIK Obs KU TTV
Aceh Besar Dulcokax Tab II Hb/Ht/L/Tr Puasa 6jam sebelum operasi
9.5/30/4/8.1/354 Post Op HCU

21 7A DPJP ANAK
22 7B
23 7C DPJP ANAK
24 7D DPJP ANAK
25 7E DPJP ANAK
26 7F
27 ISO 1 DPJP IPD
28 ISO 2 Neneng 1231461 POD 3 Post Laparotomi Cefixime 2x100mg Lab 3/1/2020 HSD Obs KU, TTV, Perdarahan
widiastuti, P, 53 surgical staging a/i mioma Omeprazole 2x20mg Hb/Ht/E/L/Tr Terapi sesuai FDO
th, Langsa uteri + susp Ca endometrium Na. Diklofenak 3x50mg 11,7/38/4,5/14,8/337
As. Traneksamat 3x500mg Ca/Mg : 8,7/2,3
Sohobion 2x360mg Ur/Cr : 17/0,80
Na/K/Cl: 144/3,9/108
Lab 17/12/2019
Hb/Ht/E/L/Tr
12,5/39/4,8/9,4/346
HbA1C: 5,80
HbsAG non reaktif
SGOT/SGPT : 20/12
Alb 4,23
Kolesterol total :246
GDS/GDP: 114/121
Ur/Cr : 22/0,79
Na/K/Cl : 146/4.3/106