MAPPING RUANG OBSTETRI ARAFAH 2

Kamis 23 Januari 2020

DPJP JUMLAH PASIEN KAMAR PASIEN

Dr. dr. Hasanuddin, Sp.OG(K)
dr. Yusra Septivera, Sp.OG 1 5D
Dr. dr. Rajuddin, Sp.OG(K)
dr. Tgk. PuspaDewi, Sp.OG
KETERANGAN
dr. Sarah Ika Nainggolan, Sp.OG(K) 4 2A, 3B, 5C, 6F HAMIL :2
dr. NikenAsriUtami, Sp.OG (K) POST SC:7
Dr. dr. Cut MeurahYeni, Sp.OG(K) POST PV:1
POST VAKUM : 0
dr. Munawar, Sp.OG 2 4A, 4B ILO:0
dr. Munizar, Sp.OG POST MANUAL PLASENTA:0
Prof. Dr. Dr. Mohd. Andalas, Sp.OG, FMAS 2 1A, 3A PASIEN GINEKOLOGI :0
POST KURETASE: 0
dr. Roziana, Sp.OG SEPSIS : 1
dr. DewiKarlinaRusly, Sp.OG
dr. Cut Rika Maharani, Sp.OG
dr. Hilwah Nora, Sp.OG (K) 2 2B,4C
dr. ImaIndirayani, Sp.OG
TOTAL PASIEN 11
A Kmr Nama CM Diagnosis Terapi Penunjang Bayi DPJP Rencana
1 1A Lia Rizka, 26 th, 1114725 POD 4 P2A1 (AH1) post SC Cefixime 2x100mg Lab 19/1/2020 By. Pr, AND Obs KU, TTV,
banda aceh ai BSC 1 x (IDT 2 th), KPD Na diklofenak 3x50mg Hb/Ht/E/L/T 2800 gr. perdarahan, kontraksi
12 jam belum inpartu + Sohobion 2x360mg 9,2/30/4,1/10,7/308 A/S 8/9 Terapi sesuai FDO
anemia MH (Hb : 9,2) hbsAg: nonreaktif
GDS: 134
Ur/Cr: 12/0,40
Na/K/Cl: 141/4,0/109
CT/BT: 2/7
2 1B -
3 2A Sri Wahyuni, 36 1155258 POD 3 P4A1 Post SC ai. Cefixime 2x100mg Lab 20/1/2020 By Lk SIK Obs KU, TTV,
th, Aceh Besar HAP ec PPT, Akseptor IUD Na diklofenak 3x50mg Hb/Ht/E/L/T 3050 gr Kontraksi,
Sohobion 2x360mg 8.4/26/3.1/12.5/289 A/S 8/9 perdarahan
Moloco 2x1tab Lab 20/1/2020
Hb/Ht/E/L/T Terapi sesuai fdo
10/30/3.7/9.0/323 Mobilisasi bertahap
CT/BT: 8/2
4 2B Fitra Malafeni, 24 1235344 POD 1 P1 post SC a.i HAP Ceftriaxone 2gr/24jam Lab 22/1/2020 BY LK HIL Obs KU TTV
thn, Banda Aceh ec PPT Transamin 500mg/8jam Hb/Ht/E/L/T BBL Pendarahan
Ketorolac 30mg.8jam 11.9/36/4.4/16.7/220 2600gr Mobilisasi bertahap
Kaltrofen Supp/ 8jam AS 8/9
5 3A Rahmaniah M. 1182156 G4P3A0 (AH2) hamil 30-31 Paracetamol 1 gr/8 jam Lab 22/1/2020 AND Obs KU, TTV, DJJ,
Amin, 35 th, aceh minggu, JPKTH, ibu dengan Deksametason 1 amp/ 12 Hb/Ht/E/L/T kontraksi, febris
besar permasalahan febris 5 hari ec jam 9.3/29/4.7/15.3/67 Terapi sesuai fdo
DD/ 1. Demam dengue Antasida syr 3xCI Lab 20/1/2020
2. thyfoid fever Hb/Ht/E/L/T
3. ISK 8,8/27/4,5/8,4/153
Glu (+2) Keton (+)
Morfologi darah tepi:
Kesimpulan: anemia
hipokrom mikrositik
Lab 19/1/2020
Hb/Ht/E/L/T
9,4/29/4,7/11,9/241
CT/BT: 3/8 GDS: 123
IgM/IGM: negative
Hbsag: nonreaktif
Ur/Cr: 11/0,40
Na/K/Cl: 137/3,6/104
6 3B Lindayani Rusli, 1195026 POD 2 P4 (AH3) post SC ai Vicillin 1,5mg.6jam Lab 21/1/2020 BY LK SIK Obs Ku, TTV,
37 th, Banda Aceh impending eklampsia Transamin 500mg/8jam Hb/Ht/E/L/T BBL Kontraksi,
Ketorolac 30mg/8jam 11.4/35/4.5/21,0/286 2100gr perdarahan
Lab 21/1/2020
MgSO4 1gr/24jam Hb/Ht/E/L/T AS 8/9 Motivasi ASI
Metyldopa 2x250mg 11.7/36/4.7/13.9/299
Adalat oros 1x30mg CT/BT: 8/2 GDS: 137
Ur/Cr: 15/0.50
Na/K/Cl: 135/4,2/112
SGOT/SGPT : 18/17
Pro/glu/keton : negatif
7 4A Isnidar Ismail, 37 1235109 POD 3 P3 Post SC a.i KPD, Cefixime 2x100mg Lab 20/1/2020 By Lk MNW Obs ku, ttv,
Th, Banda Aceh BSC 1x (IDT : 8 th), belum Kaltropen supp II/8jam Hb/Ht/E/L/T 3500gr kontraksi, perdarahan
inpartu Sohobion 2x360mg 8.7/28/4.5/8.9/346 A/S 8/9 Mobilisasi bertahap
Hbsag: neg Terapi sesuai FDO
Ambroxol 3x1
CT/BT: 9/3 GDS: 90
Maloco 1x1 Ur/Cr: 18/0.60
Na/K/Cl: 148/3.6/115
8 4B Siti Aminah, 34 1235027 POD 3 P4 Post SC ai Janin Cefixime 2x100mg Lab 20/1/2020 Bayi Pr MNW Obs Ku ttv kontraksi
th, Aceh Besar presentasi bokong, KPD 8 Na diklofenak 3x50mg Hb/Ht/E/L/T 3720gr perdarahan
jam (ICA 0.5) Belum inpartu, Sohobion 2x360mg 7.6/24/2.7/20.5/235 49 cm Terapi sesuai FDO
Sucralfat syr 3xCI Lab 19/1/2020
post tubektomi pomeroy ai. Hb/Ht/E/L/T A/S 8/9
Anak cukup + anemia NN 10.1/32/3.6/7.6/242
(Hb : 7,6) GDS:77 Hbsag: neg
9 4C Sisdar lena, 1235322 P3 post partum spontan, post Oxitocin 5IU dlm 500cc RL Lab 21/1/2020 By PR HIL Pantau KU TTV
32thn, Banda perineoraphy a.i rupture Na diklofenak 3x50mg Hb/Ht/E/L/T BBL Pendarahan kontraksi
 aceh perineum gr I Vastarel 2x1tab 1011.6/35/3.9/11.6/209 3100gr Motivasi ASI
Cefadroksil 2x500mg Hbsag: neg GDS 121 AS 8/9
CT/BT: 7/2
Ur/Cr: 14/0.60
Na/K/Cl: 142/3.8/108
10 4D -
11 5A -
12 5B -
13 5C Sulastri 1235042 Sepsis ec susp. Metritis post IV Ceftriaxone 2gr/24 jam Lab 20/1/2020 SIK Obs Ku, ttv,
Sulaiman, 28 th, SC 12 hari lalu ai. Gagal Drip PCT 1gr/8jam Hb/Ht/E/L/T perdarahan
Aceh Selatan induksi + anemia MH (Hb : IV As. Tranexamat 8.3/26/3.4/19.2/405 GV/4jam dengan
8,3) Morfologi darah tepi: NaCl
500mg/8jam
anemia hipokrom Terapi sesuai fdo
Drip metronidazole mikrositik, leukositosis
500mg/8jam
Misoprostol 3 x 200mcg
14 5D Hamimah 1234468 POD 2 P7A0 (AH6) post SC Furosemide 1x40 mg Lab 20/1/2020 By LK YSR Obs perdarahan
Nurdin, 47 th, ai fetal distress, ibu dengan KSR 1x600mg Hb/Ht/E/L/T BBL Terapi sesuai FDO
Aceh Timur permasalahan : Digoxin 1x1 11.9/36/4/27.3/371 2800gr
PT/APTT: 12.8/27.9
-CHF NYHA II ec MS severe Drip PCT 3x1000mg AS 8/9
Hbsag: neg
-MR mild Inj OMZ 40mg/8jam Ur/Cr: 34/0.7
-AF NVR EHRA I Kaltropen sup II Na/K/Cl: 133/5.4/109
-TR mild
-IUD transcaesarea
15 6A DPJP BEDAH
16 6B -
17 6C DPJP IPD
18 6D DPJP ANAK
19 6E -
20 6F Rosmadah Damli, 1235187 G5P3A1 Hamil 35-36 IV Dexamethasone 6 mg/12 Lab 20/1/2020 SIK Obs KU, TTV,
37 th, Aceh Besar minggu, JPKTH, Plasenta jam selama 2 hari Hb/Ht/E/L/T perdarahan, kontraksi
prebia totalis dengan post Adalat oros 1 x 30 mg 10.4/31/3.4/12.1/299 Terapi sesuai FDO
pematangan paru 5 hari yang CT/BT: 8/3 Rencana terminasi
lalu, akreta (PAI score 69%) Hbsag: neg GDS: 122 kehamilan SC elektif
21 7A DPJP BEDAH
22 7B -
23 7C -
24 7D DPJP NEURO
25 7E -
26 7F -
27 ISO 1 -
28 ISO 2 DPJP B. Urologi