bedah digestive

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REKAP PASIEN BEDAH DIGESTIVE 5 JULI 2015 Jeumpa 1 Kamar Identitas Diagnosa Tgl Masuk/ Tgl Operasi Lab terbaru Antibiotik Diet Planning K5b1 Dr ferry M maulidin 21 th 1057322 Susp massa intra abdomen 01/7 Fosfomicin Timsarin g 6x200 CT Scan abd. kontras (8/7/2015) Rencana Op. Senin Konsul kardio ( ) Konsul anastesi ( ) Jempa 2 Kamar Identitas Diagnosa Tgl Masuk/ Tgl Operasi Lab terbaru Antibiotik Diet Planning K3b2 Asiana/ 53th/ 1056189 Post reLE tumor rectosigmoid adhesi metastase hepar appndektomy + stoma Masuk: 19-06-2015 30-06-2015 Hb: 11.3 Ht : 34 Erit : 4,1 Leu : 21,9 Tromb : 419 Na/k/cl 141/3,6/0,74 Futrolit 20 gr/h Meropenem Metronidazol Omz Metocropamid Ketorolax Lasix tab 1x1 cair Aff.drain Kanan

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REKAP PASIEN BEDAH DIGESTIVE 5 JULI 2015

Jeumpa 1

KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

K5b1

Dr ferryM maulidin 21 th1057322Susp massa intra abdomen01/7FosfomicinTimsaring 6x200CT Scan abd. kontras (8/7/2015)Rencana Op. Senin Konsul kardio ( )Konsul anastesi ( )

Jempa 2KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

K3b2

Asiana/ 53th/ 1056189

Post reLE tumor rectosigmoid adhesi metastase hepar appndektomy + stomaMasuk: 19-06-2015

30-06-2015Hb: 11.3Ht : 34Erit : 4,1Leu : 21,9Tromb : 419Na/k/cl 141/3,6/0,74Alb/glo1,90/2,10

Futrolit 20 gr/hMeropenemMetronidazolOmzMetocropamidKetorolaxLasix tab 1x1 cairAff.drain Kanan

K4B2

RAHMAWATI/20 THN/1056573Peritonitis umum + Trauma tumpul abdomen dengan hemodinamik stabil + close fraktur femurPost LE + reseksi26/06/2015Hb:10,2Ht:31Erit:3,5Leu:11,1Tromb:243Alb/glo 3,69/2,31Na/k/cl 140/3,0/101Lunak.

Iso 1Nurma/ 37 thn/ 1056531Paralitic ileus & hernia obstraction without hernia

Post LE a/I perforasi ileum30/6/2015Hb:9,3Ht: 28Erit:3,4Leu:6,5Tromb:203Na/k/cl 137/3,4/58FutrolitMeropenemMetronidazolOmzNovalginMetocopramidalinamin

Makanan biasaFt thorak cito (6/7/15)Chest fisio theraphy

Jempa 3KamarIdentitasDiagnosaTglMasuk/Tgl OperasiLab terbaruAntibiotikDietPlanning

K7b1 Nasruddin/LK/ 29thn/ 1044227

PostLE + TACD

POD 3 bulan19/06/2015Hb: 9,0Ht: 27Eri: 3,2Tromb: 427Leu: 13,0cefiximeGv 2x1

Jempa 4KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

K3b2Suwandi/ 57 th/1049280Tumor flex hepaticaPost LE +reseksi kolon + hemicolectomy dext + anastomosis end-to-endPOD202/07/2015Hb 10,3 ht 32 eri 4,1 leum9,9 trom 391Protot 5,1 alb/glo 2,79/2,31na/k/cl 4,3/103/8,9gds 123ur/cr 17/0,92CT scan kontras/ non kontrasRelaparotomi cito (+)

K4b1Nasruddin/67 thn/1056209Nefrolitiasis (s) bilateral + luts e.c susp BPH +HIL (D)01/07/2015Hb 8,8Ht 26Eri 3,4Leu 18,5Trom 647

DulcolaxHumanAlbuminAminovellipofundin

Rencana op. Dari poli.

K4b4

Sanusi Abdullah0862118Perforasi gaster + general peritonitis ec susp perforasi gaster hollow organ02/06/2015Hb 8,3Ht:26Erit:3,1Leu: 25,4Tromb 228Ur/cr 183/3,43Chest fisioterapi ( )Aff CVC Aff drain

Raber : pulmo

K5b4Salamah/45th/1047803Hemangioma colon tranversumCkd on HD reguler21/06/201503/07/2015Hb:9,3Ht:26Erit:3,4Leu 5,5Trom:96Ct/bt:7/3Na/k/cl:132/2,6/100gds:77Ur/cr:56/4,73Protot 5,1 alb/glob 2,52/2,58Rencana op. Cito HD Rabu SabtuKonsul kardio (+)Konsul anastesi ( )

Raber : TKV, PD Div Ginjal

K6b1DarniCa Rect 1/3 proksimalRencana operasi

K7b2Baizar amad

K7b3Ismadi/ 24thn/ 1054761Post Re LE a/iperforasi appTglmasuk: 08/06/2015

09/06/2015Hb: 12,2Ht: 36Eri: 4,3Tromb: 583Leu: 31,3Alb/glob: 1,87/2,83Ur/cr: 29/0,64

Diel MLRencana fisioterapi (+)mobilisasi

K7b6

Amirul APost LE + a.i choledocolitiasisHb:8,6Ht:26Erit:2,9Trombo:489Bil.total:6,96Bil dir : 5,3Bil. Indi :1,66Alb:3K:3,2FutrolitFosmycinMetronidazoleKetorolacRanitidin

Diet MBRencana cholangiografi (10/7)

ISO 1BahagiaJahit post op. a/r abdomen

Icu dewasaKamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

B2Assalam/Post op hernioraphi e.c HIL

Fosen 1x1Konsul uro striktur uretra

B3Ramlah/ 56th/ 1056019Susp Ca colon

Masuk :18-06-201502/06/2015Hb : 10,3Ht: 32Erit: 4,2Leu : 9,6Tromb : 422

B1Zubaidah/ thn /1056865Massa perut kanan atasTumor intra abdomen susp kista hepar24/06/201501/07/2015Hb:13Ht:37Erit:4,5Leu:7,1Tromb:285Ct/bt 9/3Ondansentronranitidin

B5Khairul Huda Post laparotomi eksplorasi e.ruptur spleen e.c trauma tumpul abdoen 4/6/2015Raber : TKV

Syufri Post laparotomi eksplorasi e.c 7/7/2015

Geurutee

KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

17kamaruddinPost laparotomi eksplorasi e.c Abses sinistra abdomen FutrolitCeftriaxone PCT Drip

IW

KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

A5BHamidinCT Scan (Rabu, 8/7/2015)

Seurune 2KamarIdentitasDiagnosaTgl Masuk/ Tgl OperasiLab terbaruAntibiotikDietPlanning

K6b5Nurul AkmalKonsul obgyn join operasi ( )Konsul anastesi (+)Konsul kardio (+)Rencana op. 8/7/15Persiapan transfusi darah

K7b6Jauhari ali Ca Recti Rencana op. 8/7/15Konsul kardio dan anastesi (+) dari poli