KORAN BEDAH PLASTIK Minggu, 24Februari 2013

IDENTITAS
PASIEN

NO.

1.

2.

3.

Ny. Ida
P/49thn
590450
MRS 23/01/2012
JKM
Kmr ISO/Bed 2

Herlinda
P/15 thn
556307
MRS 26/06/2012
JKD
Kmr 11/Bed 6

Faisal/L/17thn/JK
M
MRS 15/02/2013

DIAGNOSIS

TERAPI

HASIL PEMERIKSAAN

PALEM BAWAH
(Siti Fatmawati)
PALEM ATAS
LONTARA 1 ATAS DEPAN
LONTARA 1 ATAS BELAKANG
LONTARA 1 BAWAH DEPAN
LONTARA 1 BAWAH BELAKANG
Skin defect
Cek lab lengkap
Lab 18/02/2013
pedis cruris S ec ulcus Amoxicilin 3x500mg
Prot. Total 7,0 Alb 2,9
diabetik
GV + rawat luka
RBC 3,74 HGB 8,9 HCT 29 PLT 768 GDS 74
Rencana skin graft jika
Lab 13/02/2013
keluarga setuju
WBC 9,6 RBC 3,76 HGB 10,3 HCT 33,2 PLT 558
PCT 0,5 Ur/Cr 40/0,4 Na 135 K 5,1 Cl 99

UlkusDekubitus ,
wound healing

POH 3 ORIF Maxilla

LONTARA 2 ONKOLOGI
LONTARA 2 UROLOGI
(Deni Syamsuddin)
- Rawat luka dan GV

LONTARA 2 ORTHO
(Dara + Indah Tj + Ain)
IVFD RL 16 tpm
Ceftriaxone1 gr/12j/iv
Ranitidin 1amp/8j/iv
Ketorolac1amp/8j/iv
Betadine kumur 4x1

Kmr 5 bed 1

Lab 29/1/2013
RBC 3,82 HB 10,6 HCT 33,9 PLT 350 GDS 109
Lab 19/1/2013
RBC 3,74 HGB 8,9 HCT 29 PLT 768 GDS 74
Lab 19/12/2012
Alb 2,9 Ur/Cr 19/0,5 GOT/GPT 48/27 WBC 13,61 RBC
3,24 HGB 7,6 HCT 25,6 PLT 454
Lab 28/11/2012
Alb 2,7 Protein total 6,2 Ur/Cr 12/0,4 GOT/GPT 106/104
Kol total 193 HDL 31 LDL 31 Tg 252
Lab 26/11/2012
WBC 9,76 RBC 3,60 HB 8,9 PLT 533
Hasil lab 9/11/2012
WBC 7,91 RBC 3,50 HB 9,1 HCT 29,3PLT 469
Lab 4/2/2013
Na/K/Cl 133/3,7/105 GDS 85 Ur/Cr 14/0,3 GOT/GPT
21/14 Alb 2,1 WBC 10,49 RBC 3,74 Hb 8,3 HCT 29,3
PLT 685
Lab 17/02/2013
WBC : 146 RBC: 3,72 HB 8,6 HCT 29,9 PLT 784
GDS:146 Ur:15 Cr:0,4 GOT:23 GPT:16 Alb:2,2

Lab 28/01/2013
WBC 10,19 RBC 5,6 HGB 14,9 HCT 42,9 PLT 319
Lab 28/01/2013
WBC 5,9 RBC 5,81 HGB 14,8 HCT 43,7 PLT 317 GDS
80 Ur 17 Cr 0,8 GOT 20 GPT 10 CT 800 BT 300 PT
11,6 INR 0,97 APTT 28,4 HbsAg (-) Anti HCV (-)
Foto kepala 29/01/2013
Tampak Shermans plate terpasang baik sepanjang 1/3
media maxilla tidak tampak fraktur maupun kallus
forming. Tidak tampak tanda-tanda osteomyelitis
Lab 17/02/2013
WBC:6,6 RBC:5,38 HGB:15,0 HCT:46,0 PLT:324 CT: 9
BT:230 PT: 11,5 APTT:27,3 GDS:101 Ur:22 Cr:0,7
SGOT:16 SGPT:9 Prot total:6,7 Alb: 4,5 Globulin:2,2
Na:145 K:4,0 Cl:106

4.

Sabara/L/9thn/
59189/ JKM
MRS 1/2/2013
K2B6

POH 22 debridement
e.c skin degloving
femur (S)

LONTARA 3 KULIT
(Goodwin + Fitrah yahya)
Terapi lanjut
Mobilisasi duduk
GV

Hasil Lab 1/2/2013

CT/BT 800/200, PT/APTT 12,8/24,2, GDS 118, Ur/Cr
23/0,4, GOT/GPT 77/43, Na/K/Cl 140/4,9/108, WBC 15,2,
HGB 9,9, RBC 3,75, HCT 31,5, PLT 278
Urinrutin 1/2/2013
Warnakuningkeruh, pH 5, Bj 1,02, keton 5/+, Blood
250/+++++, lekosit 25/+, sedimenlekosit 5-10,
sedimeneritrosit 20-25, sedimenepitelsel 1-2
USG Abdomen 1/2/2013
Tidaktampakkelainanpada USG abdomen saatini

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

5.

Nyalla/L/ 46
THN/594075/U
MRS 16/2/13
Kmr 2 Bed 3

Constricted bend of left

foot

POH 3 Z plasty

Lab 18/2/2013
WBC 8,8 RBC 4,38 HB 13,5 HCT 41,4 PLT 254 CT 8.00
BT 2.00 PT 10,7 APTT 24,1 GDS 123 UR/KR 27/1,2
SGOT 19 SGPT 11 Na 147 K 3,7 Cl 111 Anti HCV (-)

FotoPedisSinistra 18/2/2013
Soft tissue swelling pedissinistra
Tulang-tulangintak
FotoCrurisSinistra AP/Lat 18/2/2013
Deformitasdan soft tissue swelling cruriskiri
Tulang-tulangIntak
6.

Nanoe/P/69thn/
594740/JKM/
MRS 20/02/2013

Basalioma

Terapi lanjut
Tunggu jadwal operasi

7.

Muh. Riski Nur

Wahyu/L/5bln/
595092/JKM

Labiognatopalatoshysis

Tunggu jadwal operasi

Gnatoschysis Post Op
Repair Defect Alveolar
Post Op Palatoplasty

Tunggu jadwal operasi

Kontraktur Genu (D)

Post Traumatik Pro
Repair

Cefadroxil 2x250mg
GV

Lab 18/2/2013
WBC 16,34 RBC 3,81 HB 9,9 HCT 31,8 PLT 595 Na 138
K 4,0 Cl 107 GDS 189 Ur/Cr 27/0,8 GOT 46 GPT 34 CT
800 BT 200 PT 11 INR 0,92
Foto Thorax 19/2/2013
Pneumonia dextra, DD: multiple nodul paru (metastase?)
Cardiomegaly disertai dilataio, elongatio, et atherosclerosis
aortae

Kamar 1 Bed 2
MRS 22/02/2013
8.

Jusmunandar/L/
6thn/308090/JKM
MRS 22/02/2013

9.

Ahmad
Dani/L/6thn/59523
5/JKM

Lab 21/02/2013
WBC 9,38 RBC 5,43 HB 8 HCT 29,9 PLT 536
Fe 9 TIBC 467 Fernitine 2,88

MRS 22/02/2013

10.

11.

Lily/P/43thn/2518
36/Askes
MRS 15/2/13
Kamar 1 bed 3

Irwansyah
L/28 thn
563404
MRS 09/08/2012
JKM
Kamar 4 Bed 3

POH 2 ORIF e.c

Fraktur zygoma
maxilla (D)

Ulkus dekubitus region

lumbal + Caisson
disease

LONTARA 3 MATA
(Dara + Indah Tj + Ain)
Inj. Ceftriaxone 1gr/12j/iv
Inj. Ketorolac 1amp/8j/iv
Inj. Ranitidin 1amp/8j/iv
Diet lunak
LONTARA 3 SARAF
(Dara + Indah Tj + Ain)
GV hari ini
Diet TKTP
Mobilisasi miring kanan
miring kiri

Hasil lab 15/2/2013

RBC 3,89 HB 12,1 HCT 37 PLT 221 WBC 7,7 GDS 80 Ur
13 Cr 0,6 SGOT 32 SGPT 22 Na 144 K 3,8 Cl 109 HbsAg
(-) Anti HCV (-) CT 600 BT 300 PT 12,2 APTT 25,2

Hasil Lab 7/2/2013

HbsAg (reactive) AntiHCV (-) PT/APTT 11,4/27,3 GDS
88 Ur/Cr 19/0,4 GOT/GPT 14/13 Prot.total 7,8 Alb 3,6
Globulin 4,2 Na/K/Cl 139/4,4/101 WBC 9,78 RBC 5,93
Hb 10,5 HCT 33,9 PLT 475
Hasil Lab 28/1/2013
WBC 17,07 RBC 5,09 HGB 9,3 HCT 29,1 PLT 354
Hasil Lab 25/01/13
GDS 80 URIN RUTIN : WARNA KUNING pH 8 BJ
1.015 PROTEIN 25 GLUKOSE NORMAL BILIRUBIN () UROBILINOGEN NORMAL KETON 50 NITRIT (+)
BLOOD 150 LEUKOSIT 500 VIT C (-) SED. LEUKOSIT
25 SED. ERITROSIT 8 SED. TORAKS (-) SED.
KRISTAL (-) SED EPITEL SEL 4 SED. LAIN2
BAKTERI +++ WBC 12.15 RBC 4.32 HGB 7.0 HCT 22.1
PLT 274
Hasil Lab 16/12/2012
WBC 9,09 RBC 5,33 HB 9,5 HCT 31,1 PLT 469 GDS
115 Alb 2,9 Na 134 K 3,89 Cl 103 Ur/Cr 26/3 GOT/GPT
15/17 Alb 2,90
Hasil Lab 20/11/12
WBC 9,35 RBC 4,65 HB 9,5 HCT 31,0 PLT 447 GDS 91
Alb 2,4 Na 134 K 3,5 Cl 102 Ur/Cr 7/0,3 GOT/GPT 21/22

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

12.

Ulcus decubitus Regio

Occipitalis +
Lumbosacral

GV tiap hari
Terapi lain sesuaiTS B. Saraf
Rencana skin graft
tunggujadwal

M.Solihin/L/59417
4/JKM/16thn/

TCS GCS 11
denganperbaikan

Rencana CT scan 3D
wajahhariini

MRS 14/2/2013

Frakturparasimphisism
andibula (D)
angulusmandibula (S)

Terapilanjutdati TS. Saraf

Rusdi/L/30thn/583
548/JKM
MRS 13/02/2013
HCU bed 3

13.

Kmr 5 bed 5

L3 BEDAH SARAF
14

Jamaluddin/16thn
/JKM/MRS
18/02/2013

Maxilolabialis injury

02 sungkup -10 tpm

IVFD RL 20 tpm

LAB 17/2/2013
WBC
20,5 RBC 2,62 Hb 7,8 HCT 24,1 PLT 200 GDS 196 Ur 45
Cr 0,9 GOT 22,4 GPT 148 CT 800 BT 200 PT 14,5
APTT 25,1 HbsAg (-) AntiHCV

Ceftriaxone 1gr/12j/IV
ketorolac 1gr/8j/iv

L3 THT
(Goodwin + Fitrah yahya)
LONTARA 4 ANAK
15.

Ridwan/L/15th/
389434/
Jamkesmas

Hemofilia A

Sirkumsisi

Lab 20/02/2013
WBC: 7,72 RBC: 4,69 HB: 11,2 HCT: 35,1 PLT: 555
GDS: 82 Ur:12 Kr: 0,4 SGOT: 7 Alb: 3,8 Na: 146 K:
3,72 Cl: 110

LONTARA 4 OBGYN
16.

NOVITA/P/26TH
/ 595136/ UMUM

G1A0P0 Gravid
Aterm + Laserasi
Lidah

Lab 22/02/2013
WBC: 11,74 RBC: 3,35 HB: 7,9 HCT: 25,4 PLT: 231
GDS: 111 Ur:35 Cr:0,6 SGOT:28 SGPT: 19 Alb:2,2
CT: 800 BT:300 APTT:11,4 PT:25,4
ICU
(Yasni + KNona)
UNIT LUKA BAKAR
(Iin + Dr. Devina)

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

16.

17.

Aldi (Nurfadli)
L/9 thn/JKM
582239(593615)
MRS 05/12/2012

Electrical burn injury

35%-37% gr IIA-IIB
Post debridement hari
24

Bed 5

Skin Defect perawatan

hari 12

Udin / L/ 25
tahun/ Umum/
585973/ MRS
27/12/2012

POH 21 Electric Burn

injury
Revisi Stream
Post graft hari 5

Bed 2

Instruksi Post Op:

IVFD tutofusin:RL=1:2
20 tpm
Ceftriaxone 0,5 gr/12j/iv
Ranitidine amp/8j/iv
Ketorolac 30 1/3amp/8j/iv
(encerkan)
Cermevit 1 vial/24j
Pertahankan verband 4-5
hari
Diet bebas

Hasil Lab 22/2/2013

WBC 38,03 RBC 3,46 HB 9,4 HCT 30,2 PLT 490
Hasil Lab 21/2/2013
WBC 16,26 RBC 4,33 HB 11,9 HCT 37,0 PLT 607 Ur/Cr
18/0,4 GOT 23 GPT 16 Na 143 K 3,9 Cl 106 CT 800 BT
300 PT 11,1 INR 0,9 APTT 2,77 GDS 123
Lab 11/2/2013
WBC 12,05 RBC 4,24 HB 11,5 HCT 37,0 PLT 543 GDS
110 Ur/Cr: 24/0,4 SGOT/SGPT: 27/36 Prot.total 616 alb
3,4 globulin 2,76 Na/K/Cl: 142/3,28/103 pt 11 INR 0,904
aptt 25,5

Rencana buka graft 27/2/13

Hasil Lab 30/1/2013

RBC 3.36, HGB 9.4, HCT 30.0, PLT 400, WBC 12.3
Hasil Lab 28/1/2013
Na 140, K 3,9 Cl 103 WBC 15,18 RBC 3,56 HB 9,6 PLT
598 HCT 30,9
Hasil Lab 12/1/2013
WBC 6.30, RBC 3.11, HGB 8.3, PLT 340 Alb 2.7
Hasil Lab 10/1/2013
WBC 12.24, RBC 3.85, HGB 10.4, PLT 574, Alb 3.0,
Globulin 6.3, GOT/GPT 21/15, Ur/Cr 33/0.7, PT/APTT
11.5/19.7, GDS 119, Na/K/Cl 144/ 5.2/ 108,
Kultur 10/1/13:
Aerob: enterobacteragglonerons
Gram: basil gram negative
Antibiotic: meropenem
Analisa Gas Darah 16/1/2013 Kesan : Alkalosis
respiratorik terkompensasi sempurna
Hasil Lab 10/1/2013
WBC 8,48 RBC 4,6 HB 13,1 HCT 38,3 PLT 260 Ur/Cr
24/0,9 GOT 13 GPT 12 Albumin 3,9 Na 144 K 3,9 Cl 106
GDS 111 CT 800 BT 300 PT 11,4 INR 0,9 APTT 28,0
Lab 3/2/2013
WBC 9,06 RBC 3,64 HGB 10,5 HCT 32,0 PLT 267 PT
PROT.TOTAL 5,33 ALBUMIN 3,10 AS.URAT 6,2
Lab 29/1/2013
WBC 7,9 RBC 4,46 HCT 40,1 HB 12,9 PLT 359CT/BT
8/3 PT/APTT 13,1/24,3 GDS 108 Ur/Cr 25/0,7 GOT/GPT
21/34 Alb 3,6 Na/K/Cl 144/4,2/106

Ciprofloxacin 500mg/8j/iv
Ranitidine 1 amp/8j/iv
Ketorolac 30 1 amp/8j/iv
VIP Albumin 3x1
Pertahankan verband
Graft buka Rabu, 27/2/2013
Mobilisasi jalan/duduk

Hasil Kultur 23/1/13

Biakan aerob
-Enterobacter cloacae : Basil Gram (-)
-Providentia stuartii : Basil Gram (-)
Lab 17/1/13
CT/BT 8/3, PT/APTT 11,3/26,1, GDS 77, Ur/Cr 30/0,7,
SGOT/SGPT 28/43, Alb 3,0, RBC 4,08, WBC 7,0, HGB
12,0, HCT 36,9
Pus Kultur 11/1/2013
Aerob: proteusmorgani
Gram: basil gram negatif
Lab 6/1/2013
WBC 17.53, RBC 3.84, HGB 10.8, PLT 608, Protein tot
5.4, Alb 2.5, Globulin 2.9
Lab 29/12/2012
WBC 13.21; HB 6.9; RBC 3.08; PLT 220; Na 132; k 4,2;
Cl 101; HBSAG NEGATIF; ANTI HCV NEGATIF; CT
630; BT 300; PT 10,3; APTT 25,0; INR 0,9; GDS 106;
Ur/Cr 23/0,7;GOT/GPT 800/288; Albumin 2,5;
Lab 27/12/2012
WBC 15,2; HB 12,7; RBC 4,25; PLT 153; Ur/Cr 24/0,8;
GOT/GPT 248/166; Albumin 2,2.
URIN RUTIN : 29/12/2012
BLOOD 250 (+++++)
LEUKOSIT 25 (+)
PROTEIN 25 (+)
SED. LEUKO 10; ERIT 1; EPITEL LAIN 10
Lab 02/01/2013
WBC 14,; HB 12,7; RBC 4,25; PLT 153; Ur/Cr 24/0,8;
GOT/GPT 248/166; Albumin 2,2.

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

18.

M.Hidayatullah
L/19 thn/JD
MRS 18/10/12
574577

Electric burn injury

POH 15 + post skin
graft

Besok evaluasi flap abdomen

Dermabrasi/GV

Bed 3

19.

20.

Ciprofloxacin 2 x 500 mg
Ranitidine 2 x 1
As. Mefenamat 3 x 500
MST 3 x 1 tab (KP)

Bed 6

Electrical Burn Injury

35%
Combutio gr. II AB,
luas 30%
Inkontinensia Alvi +
Post Colostomy H8

Cefdraoxil 3 x 500
As. Mefenamat 3 x 500
Vip. Albumin 3 x 2 tab
Diet bebas
Rawat colostomy
Rawat luka bakar

Mawar /P/12
thn/594037/JKM
MRS 23/1/13

POH 7 amputasi below

elbow (D) + amputasi
digiti I pedis (S)

Cefixime 100 2x1

Tramadol 50 2x1
Ranitidin 2x1
VIP Albumin 3x2
Rawat luka / hari
Mobilisasi duduk
Diet TKTP + Putih telur

Saharullah
L/ 16 thn/JKM
583395
MRS 13/12/2012

Bed 1

Lab 18/02/2013
Kultur pus
biakananaerob a. Providenciaalkalifaciens
gram a. Basil gram negatif
Lab 06/02/2013
RBC 4.26 HB 10.6 HCT 34.1 PLT 723 WBC 8.0 Na/K/Cl
145/4.3/105 HbsAg (-) AntiHCV (-) GDS 142 Ur/Cr
11/0.5 GOT/GPT 17/11
Hasil lab 31/1/13
ALBUMIN 4,2
Hasil lab 6/2/13
WBC 8,0 RBC 4,28 HGB 10,6 HCT 34,1 PLT 723 GDS
142 UR/CR 11/0,6 SGOT/SGPT 17/11
Hasil lab 29/1/13
Alb 4,4
Hasil Lab 28/1/2013
GDS 103 Na 144 K 4,1 Cl 105 WBC 12,96 RBC 4,37
HCT 35,2 HB 11,0 PLT 884
Hasil lab 16/01/13
CT/BT 830/300 PT/APTT 11,1/21,6 Ur/Cr 17/0,5 GDS
100 HBsAg (-) RBC 5,17 HGB 13,7 PLT 488 WBC 20,3
GOT/GPT 14/11 albumin 4,0
Lab 18/2/2013
Kultur pus :
Biakananaerob : a. enterobacter cloacae
Gram : a. basil gram negatif
Hasil Lab 9/2/2013
WBC 13,76 RBC 4,08 HGB 10,8 HCT 33,5 PLT 410
CT/BT 200/200 PT/APTT 12.4/29..7 Na/K/Cl
134/4.5/101 Prot.tot 5.5 Alb 3.6 Glob 1.9
Hasil Lab 7/2/2013
WBC 17,8 RBC 3,78 HGB 10,0 HCT 31,2 PLT 31,2 CT
700 BT 200 PT 12,4 APTT 29,7 NA/K/KL 134/4,5/101
PROT.TOTAL 5,5 ALBUMIN 3,6 GLOBULIN 1,9 GDS
132 Ur/Cr 18/0.4 GOT/GPT 51/40
Hasil Lab 31/1/2013
RBC 3.45, HGB 9.1, HCT 28.9, PLT 362, WBC 12.1, ALB
2.1, Na 2.1, K 3.4, Cl 104
Hasil Lab 28/1/2013
GDS 111 Ur 10 Cr 0,3 GOT 21 GPT 16 Alb 22 WBC
18,24 RBC 3,00 HB 7,6 HCT 24,0 PLT 191
Lab 26/1/2013
CT/BT 7/2, PT/APTT 14,4/23,7, GDS 93, Ur/Cr 11/0,5,
SGOT/SGPT 24/20, Alb 2,1, Na 131, K 3,53, Cl 101,
WBC 17,58, RBC 3,37, HGB 8,5, HCT 27,2, PLT 148
Lab 5/1/2013
WBC 10.86, RBC 3.28, HGB 9.0, PLT 364, Na/K/Cl
134/4.1/106, GOT/GPT 31/34, Prot total 3.6, Alb 2.0,
Globulin 1.6, CT/BT 800/300, PT/APTT 12.3/22.7, GDS
92, Ur/Cr 18/0,4
Lab 28/12/12
RBC 3,57 WBC 13,4 HGB 10,1 HCT 31,4
Hasil Kultur 23/1/13
Biakan aerob
-Enterobacter cloacae : Basil Gram (-)
-Providentia stuartii : Basil Gram (-)
Lab 16/02/2013
RBC 3,64 Hb 10 HCT 31,3 PLT 388 WBC 11,2 Alb 2,8
Lab 14/02/2013
CT 800 BT 300 PT 12,1 cont 12,5 INR 1,00 APTT
28,3 cont 29,5
Hasil Lab 13/2/13
GDS 108 Ur 20 Cr 0.4 SGOT/SGPt 26/45 Pro.T 7,2 Hb
3.2 Na/K/Cl 139/4.2/104 RBC 3.6 HB 9.8 HCT 30.3 PLT
452 WBC 9.0
Hasil Lab 1/2/13
GDS 108 Ur 20 Cr 0,4 GOT/GPT 26/45 prot tot 7,2
alb 3,2 Na/K/Cl 134/4,2/104 WBC 9,0 RBC 3,60 Hb
9,8 HCT 0,3 PLT 452
Hasil Lab 9/2/2013
WBC 11,6 RBC 3,64 HGB 10,0 HCT 30,6 PLT 5,12 GDS
91 UR/CR 32/0,4 PROT.TOTAL 4,1 ALBUMIN 3,0
NA/K/KL 144/4,6/106
Hasil Lab 7/2/2013
WBC 14,01 RBC 3,22 HGB 8,2 HCT 25,9 PLT 698 GDS
136 UR/CR 29/0,5 GOT/GPT 66/92 PROT.TOTAL 6,9

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

21.

Arafah /L/ 34
Thn/ 589296/JKD
MRS 16/1/2013

Electric burn injury

35%

Bed 4

Cefadroxil 3x500mg
As. Mef 3x500 mg
Ranitidine 2x150 mg
GV dan rawat luka
Mobilisasi jalan
Diet sesuai gizi
VIP Albumin 3x2
Dermabrasi
Rencana Skin Graft

22.

Rudianto/L/41Th
MRS 1/2/2013
592008/JKD

Combusio gr IIA-B
40%
Perawatan hari 23

Bed 7

22.

BasirKadir
L/44th
572815
Kamar 323
MRS 08-10-12

-infarkcerebri
-ulkus decubitus reg.
lumbal

Cefadroxil 3 x 500
As. Mefenamat 3 x 500
Vip albumin 3 x 2 tab
Diet bebas
Diet putih telur
Rawat luka + MEBO

PCC
(Azhary + Sitti Aisyah)
GV
Tampon Adrenalin
Adona drips/24jam
Th/ lain sesuai TS neurodan
THT
GV & rawat luka per 2 hari

ALBUMIN 2,9 NA/K/KL 142/4,5/105

Hasil Lab 30/1/2013
GDS 128 GOT 102 GPT 148 ALBUMIN 2,5
Hasil Lab 28/1/2013
WBC 7,56 RBC 3,43 HB 8,9 HCT 26,9 PLT 145
Hasil Lab 24/1/13
CT/BT 8/2, PT/APTT 12,3/28,0, Ur/Cr 24/0,6,
SGOT/SGPT 544/199, Alb 4,1, Na 13 , K 4,6, Cl 105,
WBC 21,54, RBC 5,34, HGB 14,9, HCT 42,5, PLT 326
Hasilurinrutin (24/1/13)
Wrn : kuningkeruh, pH 7,0, BJ 1.015, Prot 150/+++,
Glukose 50/+, Bil (-), Urobilinogen nor, Keton (-), Nitrit(), blood (-), lekosit 250/+++++, vit C(-), Sed.lekosit 1-3,
sed. Eritrosit 25, sed. Kristal Amorfurat, sed. Epitelsel 0-2
Hasil Lab 2/2/2013
WBC 8,84 RBC 4,47 HGB 13,1 HCT 39,4 PLT 590
ALBUMIN 2,9
Hasil Lab 26/13
GDS 133 UR/CR 28/0.6 SGOT/SGPT 103/112 PROT
TOTAL 5.1 ALB 2.2 WBC 15.11 HGB 11.8 HCT 35.8
PLT 518
Hasil Lab 17/1/2013
RBC 5,8 WBC 22,4 HGB 17,6 HCT 53,6 PLT 271 CT/BT
3,0/8,0 GDS 119 UR/CR 22/0,5 GOT/GPT 220/176 ALB
2,5
Hasil Lab 16/1/2013
RBC 4.85, HGB 14.1, HCT 44.8, PLT 319, WBC 20.2,
PT/APTT 10.8/24.1, INR 0.9, GDS 148, SGOT/SGPT
252/124, Albumin 3.5, as.urat 6.2, HBsAg (-)
Hasil Lab 2/2/2013
ALBUMIN 2,6 WBC 13,56 RBC 6,23 HGB 18,4 HCT
54,7 PLT 192
Hasil Lab 7/2/2013
WBC 8,3 RBC 4,40 HGB 13,4 RDW 9,6 HCT 41,3 PLT
223 UR/CR 18/03 SGOT/SGPT 47/03 PROT.TOTAL 4,7
ALBUMIN 2,3 GLOBULIN 2,4 GDS 187
Hasil Lab 1/2/2013
GDS186, UR/CR 13/0.7, GOT/GPT 34/20, Na/K/Cl
142/3.6/106 RBC 4.65 HGB 14.0 HCT 44.1 PLT 282
WBC 11.7

Lab 16/02/2013
WBC 10,9 RBC 2,95 Hb 8,8 HCT 27,2 PLT 403 GDS 100
D Dimer (+) 1,2 Na 140 K 2,9 Cl 102
Lab 06/02/2013
Ur 12 Cr 0,6
Lab 01/2/2013
HBA1c 6,0 GDP 164
Lab 30/1/2013
GDP 163 NA 132 CL 100 K 2,7
Lab 26/01/13
Na 139 K 2,7 Cl 104
Lab 23/01/13
Na 137 K 2,4 Cl 98 Pro tot 5,8 Alb 3,0 Glo 2,8
Lab 21/1/2013
CRP (+) 112
Lab 20/1/2013
RBC 3,26 WBC 10,3 HGB 9,8 HCT 29,4 PLT 455
Lab 31/12/2012
WBC 10,2 RBC 3,15 HGB 9,5 HCT 29,2 PLT 220
Lab 30/12/2012
GOT/GPT 15/16 Na 130 K 2,9 Cl 98 Hbsag (-) antihcv (-)
Lab 24/12/2012
WBC 13,75 RBC 3,77 HB 10,7 HCT 32,8 PLT 331 GDS
124 Alb 2,4 Na 139 K 3,3 Cl 98 Ur/Cr 9/0,3 GOT/GPT
26/11 Alb 2,4
Lab AGD 17/11/12
Ph 7,52 p02 37,4 pCO2 38 SO2 49,4 HC03 28
Lab 30/1/2013
Na/K/Cl 132/2,7/100, GDP 163
Lab 1/2/2013
HbA1C 6, GDP 164,
FotoToraks 4/12/2012
Cord an pulmo normal
Elevasidiafragmakanan ( suspek proses intrahepatik)

KORAN BEDAH PLASTIK Minggu, 24Februari 2013

23.

24.

Fahmi/L/20th/008
433/Umum/

Arifuddin Abd
Azis/L/44th/59573
1/Jamkesda

POH 3 Skin Graft ec

Skin loss regio D I-II
Pedis sinistra

Maxillofacialis Injury

RSUH
(Azhary + Sitti Aisyah)
GV + folle
Cefadroxil 2x500
Ranitidin 2x1
As. Mefenamat 3x1

PICU
(Yasni + KNona)
PINANG
UGD
(Azhary + Sitti Aisyah)
IVFD RL 28tpm
Inj Ceftriaxone 1gr/12j/IV
Inj. Ranitidin 1amp/8jIV

Lab 11/2/13
WBC 5,47 Hb 11,5 HCT 34 PLT 194 Na/K/Cl
141/3,7/109 CT/BT 8/3 PT 14,5 APTT 31,1 HBSAg
(-) GOT/GPT 17/8,9 Alb 3,72 GDS 76 Ur/Cr 17/8,9
Foto Thorax 11/2/13
Kesan : tidak ada kelainan

Lab 22/02/13
CT:8, BT:2, PT:12,1 APTT: 12,1 GDS: 101 Ur: 29
Kr: 10 SGOT: 33 SGPT:50 Na: 145 K:4,0 Cl:109
WBC:11,33 RBC:5,01 HB:41,8 PLT: 200 HbsAg(+)
AntiHCV (-)

Inj ketorolac 1amp/8j/IV

25.

Haerullah/L/30th/
595714/ Umum

Electric Burn Injury 42%

IVFD RL

Lab 22/02/2013

02 4lpm

WBC:42,25 RBC:5,56 HB:17,9 HCT:48,3 PLT:367

Alb:5,3 Ur:31 Kr:1,1

Inj Ketorolac 1amp/8j/IV

Inj Ranitidin 1amp/8j/IV
Inj Ceftriaxone 1gr/12j/IV
Pasang Kateter
Rawat Luka

26.

Iwan/ L/ 35th/
570300/

Maxillofacialis Injury
Fraktur Mandibula

IVFD RL 20tpm

Lab 22/02/2013

Inj Ceftriaxone 1gr/12j/IV

RBC:4,73 HB:15 HCT:47,4 PLT:318 PT:12,2 APTT:27,5

GDS:89 Ur:23 Kr:0.9 SGOT:49 SGPT:72 Na:146 K:39
Cl:111 HbsAg(-) AntiHCV(-)

Inj Ranitidin 1amp/8J/IV

Inj Ketorolac 1amp/8J/IV
(rencana pindah
ruangan ke
Lontara2 Orto
kamar 7)