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  • Format Buku Log Untuk Usaha Kesehatan Perorangan (Bangsal) Dr. Sugeng EW

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    1) The document is a log book format for individual health care business (ward) that records patient admissions and treatments from September 24, 2012 to October 3, 2012. 2) It includes information such as patient code, diagnosis, age, gender, treatments and medications administered, and signatures of the attending physician. 3) The cases involve conditions related to pregnancy and childbirth such as hyperemesis gravidarum, postpartum hemorrhage, uterine fibroids, and pre-eclampsia. Surgical and medical treatments provided are also summarized.

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    1) The document is a log book format for individual health care business (ward) that records patient admissions and treatments from September 24, 2012 to October 3, 2012. 2) It includes information such as patient code, diagnosis, age, gender, treatments and medications administered, and signatures of the attending physician. 3) The cases involve conditions related to pregnancy and childbirth such as hyperemesis gravidarum, postpartum hemorrhage, uterine fibroids, and pre-eclampsia. Surgical and medical treatments provided are also summarized.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views5 pages

    Format Buku Log Untuk Usaha Kesehatan Perorangan (Bangsal) Dr. Sugeng EW

    Uploaded by

    sugeng
    1) The document is a log book format for individual health care business (ward) that records patient admissions and treatments from September 24, 2012 to October 3, 2012. 2) It includes information such as patient code, diagnosis, age, gender, treatments and medications administered, and signatures of the attending physician. 3) The cases involve conditions related to pregnancy and childbirth such as hyperemesis gravidarum, postpartum hemorrhage, uterine fibroids, and pre-eclampsia. Surgical and medical treatments provided are also summarized.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Format Buku Log untuk Usaha Kesehatan Perorangan (Bangsal)

    dr. Sugeng EW
    Kegiatan
    No

    Tanggal

    Kode
    Kasus

    Diagnosis
    Masuk

    Diagnosis
    Keluar

    Jen
    is
    Kel
    ami
    n

    Us
    ia

    472

    24/09/2012

    Hiperemesis
    gravidarum

    Hiperemes
    is
    gravidaru
    m

    22

    473

    24/09/2012

    Inpartu
    G6P5A0M0
    hamil aterm

    474

    25/09/2012

    Obs
    perdarahan
    pervaginam

    475

    25/09/2012

    Inpartu
    G1P0A0M0
    hamil aterm

    Post
    partus
    spontan

    Mioma
    uteri

    IUFD

    Tatalaksana

    Medikamentosa: IVFD RL 20
    tpm drip neurosanbe,
    ondansetron inj 3 x 1 amp
    iv, onvomer 3 x 1 tab

    Tanda Tangan
    Pendamping

    dr.David Sianipar,
    M.Kes

    36

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    amoxicillin tab 3 x 500 mg,
    asam mefenamat tab 3 x 500
    mg
    dr.David Sianipar,
    M.Kes

    38

    Histerektomi
    Medikamentosa: amoxicillin
    tab 3 x 500 mg, asam
    mefenamat tab 3 x 500 mg

    21

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 5 IU,
    gastrul 1/6 tab intra
    vaginal, amoxicillin tab 3
    x 500 mg, asam mefenamat
    tab 3 x 500 mg

    Keterangan

    dr.David Sianipar,
    M.Kes
    Telah
    dilakukan
    manual
    plasenta
    dr.David Sianipar,
    M.Kes

    476

    477

    25/09/2012

    25/09/2012

    HPP

    Inpartu
    G1P0A0M0
    hamil aterm

    HPP ec
    sisa
    plasenta

    Post SC
    atas
    indikasi
    CPD

    24

    21

    Medikamentosa: IVFD RL 20
    tpm, cefotaxime inj 2 x 1 g
    iv, farpain inj 3 x 1 amp
    iv, metergin inj 2 x 1 amp
    iv, vit c inj 1 x 200 mg iv

    Telah
    dilakukan
    kuretase

    dr.David Sianipar,
    M.Kes

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    cefotaxime inj 2 x 1 g iv,
    ketorolac inj 3 x 1 amp iv,
    vit c inj 1 x 200 mg iv,
    metergin inj 2 x 1 amp iv
    Cek DL post OP, Mobilisasi
    bertahap
    dr.David Sianipar,
    M.Kes

    478

    25/09/2012

    Inpartu
    G2P1A0M0
    hamil aterm

    Post SC
    atas
    indikasi
    partus
    tak maju

    25

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    cefotaxime inj 2 x 1 g iv,
    ketorolac inj 3 x 1 amp iv,
    vit c inj 1 x 200 mg iv,
    metergin inj 2 x 1 amp iv
    Cek DL post OP, Mobilisasi
    bertahap
    dr.David Sianipar,
    M.Kes

    479

    26/09/2012

    Inpartu
    G1P0A0M0
    Hamil aterm

    Post
    partus
    spontan

    21

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    amoxicillin tab 3 x 500 mg,
    asam mefenamat tab 3 x 500
    mg

    dr.David Sianipar,
    M.Kes

    480

    26/09/2012

    Inpartu
    G1P0A0M0
    hamil aterm

    IUFD

    20

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 5 IU,
    gastrul 1/6 tab intra
    vaginal,amoxicillin tab 3 x
    500 mg, asam mefenamat tab
    dr.David Sianipar,
    3 x 500 mg
    M.Kes

    481

    26/09/2012

    Abortus
    imminens

    Missed
    abortion

    26

    Medikamentosa: IVFD RL 20
    tpm drip neurobion,
    cefotaxime inj 2 x 1 g iv,
    farpain inj 3 x 1 amp iv,
    metergin inj 2 x 1 amp iv,
    vit c inj 1 x 200 mg iv

    482

    483

    02/10/2012

    02/10/2012

    Obs
    perdarahan
    pervaginam

    Inpartu
    G1P0A0M0
    hamil aterm

    Mioma
    uteri

    Post SC
    atas
    indikasi
    CPD

    38

    22

    Histerektomi
    Medikamentosa: amoxicillin
    tab 3 x 500 mg, asam
    mefenamat tab 3 x 500 mg

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    cefotaxime inj 2 x 1 g iv,
    ketorolac inj 3 x 1 amp iv,
    vit c inj 1 x 200 mg iv,
    metergin inj 2 x 1 amp iv
    Cek DL post OP, Mobilisasi
    bertahap

    dr.David Sianipar,
    M.Kes

    dr.David Sianipar,
    M.Kes

    dr.David Sianipar,
    M.Kes

    Telah
    dilakukan
    manual
    plasenta

    Os
    mengaku
    hamil
    6
    minggu,
    Telah
    dilakukan
    kuretase

    484

    02/10/2012

    Inpartu
    G1P0A0M0
    hamil aterm

    Post SC
    atas
    indikasi
    CPD

    20

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    cefotaxime inj 2 x 1 g iv,
    ketorolac inj 3 x 1 amp iv,
    vit c inj 1 x 200 mg iv,
    metergin inj 2 x 1 amp iv
    Cek DL post OP, Mobilisasi
    bertahap

    dr.David Sianipar,
    M.Kes

    485

    02/10/2012

    PEB pada
    G4P3A0M0
    hamil aterm

    Impending
    eklamsia

    33

    Medikamentosa: dosis awal


    MgSO4 20% 4 gram (20 cc) di
    drip dalam 100 cc RL habis
    dalam 30 menit kemudian
    dilanjutkan MgSO4 20 % 6
    gram (30 cc) dalam 500 cc
    RL 20 tpm, dopamet tab 3 x
    500 mg
    dr.David Sianipar,
    Rujuk
    M.Kes

    486

    03/10/2012

    Inpartu
    G4P3A0M1

    IUFD,
    rupture
    perineum
    grade 2

    30

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 5 IU,
    gastrul 1/6 tab intra
    vaginal, ampisilin inj 4 x
    1 g iv, farpain inj 3 x 1
    amp iv, vit c inj 1 x 200
    mg iv, metergin inj 2 x 1
    amp iv, oksitosin 10 IU
    drip dalam RL 500 cc 20 tpm
    Hecting

    Protein urin
    (+++),
    Pandangan
    kabur
    (+),
    muntah
    (+),
    nyeri kepala
    (+)

    Telah
    dilakukan
    manual
    plasenta

    dr.David Sianipar,
    M.Kes

    487

    488

    03/10/2012

    03/10/2012

    Abortus
    imminens
    G4P3A0M0

    Inpartu
    G4P3A0M0

    Abortus
    imminens
    G4P3A0M0

    Post SC,
    MOW

    32

    35

    Medikamentosa: bed rest,


    premaston tab 3 x 1,
    ampicillin tab 4 x 500 mg,
    asam mefenamat tab 3 x 500
    mg, prenamin tab 1 x 1

    dr.David Sianipar,
    M.Kes

    Medikamentosa: IVFD RL 20
    tpm drip oksitosin 10 IU,
    cefotaxime inj 2 x 1 g iv,
    ketorolac inj 3 x 1 amp iv,
    vit c inj 1 x 200 mg iv,
    metergin inj 2 x 1 amp iv,
    alinamin drip 1 amp
    Cek DL post OP, Mobilisasi
    dr.David Sianipar,
    bertahap
    M.Kes

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