MAPING 4A 26/12/18 BLOK 5

4A 2.3 P/ 4A 2.4 P/
Ny. Ruliyah / dr.EN Perbaikan KU- Usul HND Ny Kustianah/de EN Pro diagnostic DPJP
P1A0 55 tahun Inf RL 20 tpm P0A0 56 tahun Inf RL 20 tpm
Suamous cell ca cervix std IIIB Post tranf 2PRC di HD Adeno squamousa cell ca endometrii std II Inj ketorolac 30 mg/8jam
Susp metas VU Post Koreksi : D40% 2FL +Humulin R 10 Spondylitis lumbalis PO : vit BC/C/SF 1tab/12 jam
CKD stg V unit(SP) – 2 siklus Abdominal pain Diet biasa
Hidronefrosis duplex Inj asam tranexamat 500mg/8 jam iv Pengawasan KU TV PPV
Pasca HD 2X (25/12/18) TS interna (IGD)
Hematoschezia PO: asam folat 1x1 mg
Anemia sedang (7.5) Bicnat 3x500 mg
Azotemia (cct 2,49) CaCO3 3x500mg Lab 22-12-18
hyperkalemia (8.5) Kalitake 1 sachet /8jam Hb/l/tr : 13.9/11.8/399
Cek DR,ur/cr,elektrolit 6 jam post HD- Lab 20-12-18
lab 25-12-18 tunggu hasil Gds/ot/pt : 73/18/28
Na/k/cl : 133/8.5/105 Raber TS Interna subnefro Ur/cr : 26/0.68
ca/mg : 2.20/1.2 Usul konsul TS urologi dan Gizi klinik Na/k/cl : 133/3.7/91
seru fe/TIBC : 64/193 Pengawasan KU TV PPV

Lab 24-12-18
Hb/l/tr : 7.5/10.7/285
Gds/ot/pt : 99/13/22
Ur/cr : 238/16.93
HBsAg :<0.10

4A 2.2 4A 2.5
Ny.Romlah/dr EN P/ Ny Ruminah / dr.EW
Rawat HND P/
Epidermoid ca cervix uteri st P2A0 45 tahun Perbaikan KU
IIIA Perbaikan KU Mucinous ca ovarii st IC
Pro ER only setelah perbaikan KU Pro paxus carbo III setelah perbaikan
CKD stg V Riw CSS (21/9/18) KU
Mild HN+HU duplex proximal Pro diagnostic DPJP Pasca paxus carbo II (27/11/18)
Inf Nacl 0.9% 8tpm Transfusi PRC sd Hb>10g/dl
Susp metas VU Anemia ringan (9,6)  Masuk 1PRC, inj premed
SUSP isk Tranf PRC sd Hb>10 g/dl Trombositopenia (122.000)
Total post 5 PRC 12 TC diphenhiramin 1 amp
Azotemia (cct 21.12) Trans TC sd TC>150.000, inj premed
Pasca pasang double lumen Pos 2 PRC leukodepleted
Post 4 TC diphenhidramin 1 amp
Pasca HD 2X Usul : 4TC
Pasca nefrostomi bilateral Pro transf 1 PRC
Anemia sedang (7.6) PO : asam folat 1 mg/24 jam Lab 24-12-18
Trombositopenia (143.000) Amlodipine 10 mg/24 jam Hb/l/tr :9.6/5.6/122
CaCO3 500mg/8 jam

Inj tranexamat 500mg/8jam

Lab 24-12-18 Inj ketorolac 30mg/8jam
Hb/l/tr :7.6/8.8/143 New diatab 2 tab/diare
Ur/cr :45/2.75 Diet biasa
pengawasan KU TV PPV
4A 2.1 4A 2.6
Ny. Maryatun/ dr. EW Ny. Rumiyati/ dr.EW
P3A0 45 tahun P2A0 44 tahun
Epidermoid ca ovarii std IB adeno ca cervix uteri std II B
Riw optimal debulking aica ovarii std IIIC Klinis(9/11/18) riw kemoterapi dan mastektomi ai ca mamma sn (2015)
CKD on HD
Pasca nefrostomi bilateral P/
Pasca repai nefrostomi sinistra P/ pro ER (26/12/18) + Plat 3 weekly I
Azotemia (cct 11,38) Pro paxus tanpa carbo -> usul acc Konsul TS radioterapi
Raber TS Interna usaha obat
TS THT lepas rawat diet biasa
TS Bedah lepas rawat pengawasan KU TV PPV
Interna(dr.Nur SpPD):
Inj Ampicilin sulbactam 1g/12 jam lab 25-12-18
Interna (dr.Dwi SpPD) Hb/L/Tr : 10.1/6.8/205
Asam folat 1x1 gds/ot/pt : 120/23/25
Bicnat 3x500 ur/cr : 15/0.7
Lab 22-12-18 Inj ciprofloxacin 40mg/24 jam Na/k/cl : 141/3.6/112
Hb/l/tr :11/4.9/262 Inj omeprazole 40mg/12 jam
Ur/cr : 54/3.75 Lactulac 3x2
Inj metoclopramide 10m/8jam

Pengawasan KU TV PPV