LIST PASIEN DIVISI DIGESTIVE (SABTU, 23 MEI 2015)

A BAWAH: 5 PASIEN

No. IRINA A Identitas Diagnosis Lab Terapi

BAWAH
1. B7 Marthen Kaeng Tumor 18/5/2015 - IVFD NaCl 0,9% :
Bed 1 L/61 tahun/ intraabdomen Leu 17070 Albumin aminofluid: ivelip clinimix
44.12.90 Eri 3,23 1,49 14 gtt
KPJ: Hb 9,5 Ur 31 - KCL 25 meq + NaCl 0,9%
T: MRS 5/5/2015 Ht 27,7 Cr 0,8 14 gtt
N: Perawatan H-17 Tr 264 Glo 3,94 - Vip albumin 3 x 4 caps
R: MCH 29 Na 136 - Albumin 20% drips 100cc
S: Dr.W.Sumanti, SpB- MCHC 34 Cl 101,4 IV
KBD MCV 86 K 2,19 - Asupan TKTP
- Takar urine balance cairan
- Transfusi PRC 230/hari
Hb 10
2. B7 Rambitan Ade Post laparatomi 20/5/2015 - IVFD NaCl 0,9% :
Bed 8 L/56 tahun/ ec Leu 5569 SGOT 35 aminofluid 18gtt
44.65.54 Eri 3,70 SGPT 24 - Ceftriaxone 2 x 1 gr IV
KPJ: Hb 9,0 Ur 29 - Ranitidine 2 x 1 amp IV
T: MRS 18/5/2015 Ht 28,5% Cr 0,8 - Rawat luka
N: Perawatan H-4 Tro 53000 GDS 95
R: MCH 24 Albumin
S: Dr. Billy Salem, SpB MCHC 32 2,99
(K)-KBD MCV 77 Cl 115
K 4,1
Na 140

3. B8 Ramisah Billy Post laparatomi 20/5/2015 - IVFD NaCl 0,9% +

Bed 1 L/22 tahun/ eksplorasi ec Leu 15340 MCH 33 aminofluid 18gtt
44.67.83 v.ictum Eri 4,1 MCHC 36 - Ceftroaxone 2 x 1 gr IV
KPJ: abdomen Hb 13,6 MCV 92 - Metronidazole 3x500 mg
T: MRS 20/5/2015 penetrasi + Ht 37,7% Ur 38 IV
N: Perawatan H-2 ekspose Tr 260 Cr 1 - Ranitidine 3 x 1 amp IV
R: omentum - Rawat luka
S: Dr. Heber Sapan,
SpB-KBD
4. B8 Gerry Walangitan Post laparatomi 19/5/2015 - IVFD Nacl 0,9% :
Bed 2 L/23 tahun/ eksplorasi + Leu 5724 SGOT 17 Aminofluid 2:1
44.65.71 repair usus Eri 4,12 SGPT 10 - Ceftriaxone 2 x 1 IV
KPJ: halus Hb 12,4 Ur 31 - Ranitidine 2 x 1 mg IV
T: MRS H 36,4% Cr 0,9 - Antasida sr 3 x 1 C
N: Perawatan Tr 171 GDS 136 - Rawat luka
R: MCH 30 Na 136
S: Dr. Billy Salem, SpB MCHC 34 Cl 101,5
(K)-KBD MCV 88 K 3,36

5. B 10 Dewangga Itje Trauma tumpul 20/5/2015 - Aff infuse

Bed 5 P/68 tahun/ + Leu 8362 MCH 30 - Aff kateter
44.66.29 Eri 3,45 MCV 89 - Cefadroxil 2x1
KPJ: Hb 10,5 MCHC 34 - Sucralfat Syr 3x2 C
T: MRS 18/5/2015 Ht 30,5 - As.Tranexamat 3x1
N: Perawatan H-4 Tr 160
R:
S: Dr.W.Sumanti, SpB-
KBD
A ATAS: 8 Pasien

No. IRINA A Identitas Diagnosis Lab Terapi

ATAS
1. A2 Selvie Parera Post laparatomi 20/5/2015 - IVFD RL 14 gtt/m
Bed 2 P/55 tahun/ + Stoma doble Leu 9309 Ur 62 - Aminofluid
41.31.56 berelec Eri 2,94 Cr 1,4 - Ceftriaxone inj 2x1 gr
KPJ: Hb 7,9 Cl 108 - Ranitidine 2x1 amp
T: MRS Ht 24,1 Na 3,60 - As.Tranexamat 3x500 mg
N: Tr 254 K 3,60 iv
R: Dr.W.Sumanti, MCH 27 - Vit C 3x1 amp
S: SpB-KBD MCHC 33 - Vit K 3x1 amp
MCV 82 - Ketorolac 3x1 amp
- Rawat luka
2. A3 Dewi Mulia Tumor 22/5/2015 - IVFD RL:Aminofluid
Bed P/42 Tahun/ intraabdomen Leu 8127 Ur 35 - VIP Albumin 3x2 caps
39.77.07 Eri 2,96 Cr 0,5 - Omeprazole 2x1 iv
KPJ: Hb 9,0 GDS 122 - Tranfusi PRC sampai HB
T: MRS 5/5/2015 Ht 26,7 Cl 93,0 10
N: Perawatan H-17 Tr 178 K 1,90
R: MCH 31 Na 129
S: Dr. Heber Sapan, MCHC 34
SpB-KBD MCV 90

3. A7 Kawaea Viktor Hepatoma dd 12/5/2015 - IVFD RL 14 gtt

Bed 8 Jhon Abses Hepar Gamma GT - Ceftriaxone 2x1 gr iv
L/ 30 Tahun/ 165 - Duragesik patch
KPJ: 44.43.37 Alkaline - Curcuma 3x1 tab
T: fost. 192 - Periksa
N: MRS 5/5/2015 DL,Na,K,Cl,Ur,Cr,GDS,SGOT
R: Perawatan H-23 ,SGPT,Billirubin
S: total/Direct/Indirect
Dr.W.Sumanti, - Aff NGT
SpB-KBD

4. A7 Kuntag Ridel Post laparatomi 18/5/2015 - IVFD RL:Aminofluid 14 gtt

Bed 2 L/23 tahun/ ec rupture Leu 5480 Na 140 - Cefixime tab 2x1
44.53.74 pancreas es Erit 3,34 K 4,22 - Ranitidine 2x1 tab
KPJ: trauma tumpul Hb 9,5 Cl 101,3 - Vip 3x2 caps
T: MRS 30/4/2015 adomen + ILO Ht 28,9 MCH 28 - Rawat luka
N: Perawatan H-21 Tr 342 MCHC 33 - Menunggu hasil CT-Scan
R: Ur 22 MCV 87
S: Dr. Billy Salem, SpB Cr 0,8 Al 2,82
(K)-KBD
5. A8 Ramli Makkah Hernia Inguinalis 21/5/2015 - Rencana elektiv
Bed 1 L/65 tahun/ lateralis dextra Leu 5135 PT Pasien - Cek DL,PT,APTT
20.43.50 reponibilis Eri 5,50 12,0 detik - x-foto thorax
KPJ: Hb 14,8 PT control -ekg
T: MRS 19/5/2015 Ht 47,8 13,9 detik - IVFD RL 28 gtt/m
N: Perawatan H-4 Tr 139 INR pasien -Ranitidin 2x1
R: MCH 27 1,00 detik Ketorolac 3x1
S: Dr. Heber Sapan, MCHC 31 INR
SpB-KBD MCV 87 kontrol
 1,16 detik
APPT
pasien
38,5 detik
APTT
control
32,0 detik
6. A8 Alex Kawengian 21/5/2015 - RL: Nacl: D5% = 2:2:1
Bed 5 L/53tahun/ Leu 6090 Eosinofil 1 - Ceftriaxone 2 x 1 gr IV
44.51.94 Eri 1,69 % - Vit K 1 x 1
KPJ: Hb 5,3 Basofil 0% - Rawat luka
T: MRS: 28/4/2015 Ht 15,9% Netrofil - As. Ranexamat 3 x 500 mg
N: Perawatan H-14 T r 63000 btng 16% - Ketorolac 3% 3 x 1 amp
R: MCH 31 Netrofil - Metronidazole 3 x 500 mg
S: Dr.W.Sumanti, MCHC 33 segmen drips
SpB-KBD MCV 94 50%
Limfosit
28 %
Monosit
6%

7. A 10 Sumeba Arius Appendisitis 20/5/2015 - IVFD RL 14gtt

Bed 4 L/52 tahun/ infiltrat Leu 7404 GDS 82 - Cefixime tab 2 x1
44.56.74 Eri 4,89 Na 138 - Metronidazole 3 x 1 tab
KPJ: Hb 13,0 K 4,11 - Ranitidine 2 x 1 tab
T: MRS: 18/5/2015 Ht 39,9% Cl 102,1
N: Perawatan H-4 Tr 287
R: MCH 27
S: Dr. Heber Sapan, MCHC 33
SpB-KBD MCV 82

8. A 11 Delvie Rimbing Post 21/5/2015 - IVFD RL 14 gtt

Bed L/35 tahun/ appendectomy Leu 12990 Ur 35 - Ceftriaxone 2x1 gr IV
44.69.84 ec app akut. Eri 4,79 Cr 0,5 - Ketorolac inj 3 x 1
KPJ: Hb 14,2 GDS 115 - Ranitidine Inj 2 x 1
T: MRS: Ht 42,1% Na 137
N: Perawatan: Tr 332 K 3,6
R: MCH 30 Cl 109,0
S Dr. MCHC 34
MCV 88

IRDB : 1 PASIEN

No. Identitas Diagnosis Lab Terapi

1 IRDB Impal Katrina Appendisitis akut 23/5/2015 - IVFD RL 20gtt
P/56tahun/ Leu 17800 Ur 18 - Ceftriaxone 2 x 1 gr IV
44.71.12 Eri 5,06 Cr 0,6 - Ranitidine 2 x 1 amp
Hb 13,6 GDS 122 - Ketorolac 3 x 1 amp (k/p)
MRS:22/5/2015 Ht 42,0% Na 139 - Konsul interna untuk
Perawatan H-1 Tr 220 K 4,00 hipertensi gr II
MCH 27 Cl 106,0 - Pro appendectomy CITO
Dr. Billy Salem, SpB MCHC 32
(K)-KBD MCV 83