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LIST PASIEN DIVISI ONKOLOGI-KL

Sabtu, 30 Januari 2016


IRINA A ATAS : 10 Pasien
No
Kamar
Identitas
1.
A11
Kandou Juan/L/
Bed 2
24 thn/46.25.79
KPJ
Angel

Diagnosis
- Ca Lidah
- Post insisional
biopsi

MRS 14/1/2016
HP ke-16
dr. M. Merung,
SpB-Onk

20/1/2016
Leu 14120
Eri 3,54
Hb 10,0
Ht 30,7
Ur 37
Cr 0,8
GDS 158
Na 133
K 3,8
Cl 104,0

Lab
25/1/2016
Leu 9031
Eri 2,73
Hb 7,9
Ht 24,4
Ur 16
Cr 0,6
GDS 78
Na 136
K 4,5
Cl 105,0

Terapi
IVFD RL 20 gtt/m
Ketorolac 3x1 IV
As traneksamat inj 3x500 mg
Vip Albumin sachet 3x1
Durogesic patch
Kaltrofen sup 1 x 2

Sudah transfusi 3 bag


X-Foto Thoraks dbn
EKG dbn
Konsul THT : referred otalgia

2.

A9
Bed1

Timumu Rifat
Aditya/L/
11thn/46.26.09

KPJ
Rita

MRS 20/1/2016
HP k-10

- Soft tissue tumor


regio femoralis
sinistra
- Anemia berat

29/1/2016
Leu 10580
Eri 3,64
Hb 9,5
Ht 31,2
Tro 841
MCH 26,1
MCHC 30,4
MCV 85,7

28/1/2016
Leu 14130
Eri 2,43
Hb 6,0
Ht 19%
Tro 860
MCH 24,6
MCHC 31,3
MCV 78,4

- Ca mammae
sinistra
- Hipokalemia
- Liposarkoma

15/1/2016
Leu 9872
Eri 3,84
Hb 11,1
Ht 33,3
Tro 544
SGOT 14
SGPT 7
Ur 21
Cr 1,2

GDS 81
Na 139
K 3,2
Cl 109

- Tumor Mandibula
(T4,No,Mx)
- Anemia

25/1/2016
Leu 22130
Eri 3,60
Hb 5,7
Ht 20,9
Tro 804
SGOT 16
SGPT 12
Ur 16
Cr 0,7
GDS 75
Na 138
K 4,96
Cl 100,2
25/1/16
Leu 14220
Eri 3,12
Hb 9,2
Ht 28,5
Tro 280
MCH 29,3
MCHC 32,1
MCV 91,2
Ur 25
Cr 0,6
GDS 109
Na 135
K 2,40
Cl 107,0

dr. M. Merung,
SpB-Onk

3.

A8
Bed 4

Deeitje
Wongkar/P/52
thn/46.14.85

KPJ
Mike

MRS 15/1/2016
HP ke-15
dr. M.Merung,
SpB(K)Onk

4.

A7
Bed 7

Ngabifo
Rusdianto/L/34
th/43.58.61

KPJ
Angel

MRS 27/1/2016
HP ke-3
dr. M. Merung,
spB(K)Onk

5.

A6
Bed 3

Santje
Wowor/P/43
thn/09.01.12

KPJ:
Rita

MRS 17/12/15
HP ke-43
dr. M. Merung,
SpB(K)Onk

- Post simple
mastektomi
mammae dekstra
ec Phylloides
mammae dextra

IVFD NaCl 0,9% 14 gtt


PCT drips jika demam
TRF PRC 1 bag/hr sd Hb> 10 gr/dl
Ceftriaxone 2x1gr iv
Ambroxol syr 3x1 cth
R/ foto thorax
Ganti kasa pakai epinefrin kasa
R/ eksisional biopsi
R/ operasi 29/1/2016
IVFD RL 20 gtt/m
Ceftriaxone 2x1 inj iv
Ketorolac 3x1 inj iv
Ranitidin 2x1 amp iv
MST 0-0-1
Rawat luka
Kemoterapi (25/1/16)
Echo : sudah ada hasil

IVFD Nacl 0,9% 14 gtt/m


Ceftriaxone 2x1gr IV
Transfusi PRC 1 bag/ hari

28/1/16
Leu 12800
Eri 2,69
Hb 7,6
Ht 24,8
Tro 474
MCH 28,3
MCHC 30,7
MCV 92,3
Ur 35
Cr 0,6
Na 141
K 2,87
Cl 102,0

IVFD RL:NaCl 0,9%:D5% =


1:2:1
Ceftriaxone 2x1 gr iv
Ranitidin 2x1 amp iv
Ketorolac 3x1 amp iv
As. Traneksamat inj 3x1 iv
Vit C 3x1 iv
Vit K 2x1 im

6.

A6
Bed 4
KPJ
Mike

Olongsongke
Klartje/P/56th/
45.75.57

- Ca mammae
sinistra on
kemoterapi
- Post MRM

MRS 19/1/2016
HP-11
dr. M. Merung,
SpB(K)Onk

7.

A6
Bed 6

Losung Olga/P/44
th/46.00.71

KPJ
Angel

MRS 21/1/2016
HP ke-9

Ca mammae
sinistra
T4N1Mx

Dr.dr. Victor
Pontoh,
SpB(K)Onk

29/1/16
Leu 10530
Eri4,40
Hb 12,7
Ht 38,1
Tro 386
SGOT 19
SGPT 7
Ur 20
Cr 0,5
GDS 78
AU 5,2
Chol 226
HDL 34
LDL 168
Trig 118
Prot5,86
Alb 3,08
Glo 2,78
Na 138
K 3,30
Cl 96,5
29/1/2016
Leu 13390
Eri 3,54
Hb 10,8
Ht 34,4
Tro 633
SGOT 37
SGPT 9
Ur 18
Cr 0,4
Chol 131
HDL 52
LDL 61
Trig 89
GDS 84
Na 141
K 3,55
Cl 98,4

26/1/16
Leu 17460
Eri4,62
Hb 13,2
Ht40,3
Tro353
Na 137
K 3,80
Cl 105,0
MCH 28,6
MCHC 32,7
MCV 87,3

23/1/2016
ur 20
cr 0,3
GDS 132
25/1/2016
Leu 16770
Eri 2,72
Hb 8,6
Ht 27,0
Tro 771
Ur 26
Cr 0,4
Na 134
K 3,5
Cl 104,0

IVFD NaCl 0,9% 12 gtt/m


Ceftriaxone inj 2x1 gr i.v
Ranitidin 2x1 amp (IV)
Aspar K 3x1

EKG : dalam batas normal

Oksigen 4L/m
IVFD NaCl 0,9% 14 gtt/m
Ceftriaxone 2x1 gr IV
Ranitidin 2x1 amp IV
Ketorolac 3x1 amp IV
R/transfusi PRC 1 bag
R/biopsi
Ambroxol syr 2x1 CI
Hemapo inj1x1 IM
R/ naik hari jumat

PT/APPT
terlampir
8.

A3
Bed 1
KPJ
Mike

Delvya
Agama/P/40 thn/
46.21.47

- Ca mammae
sinistra T4N1Mx

MRS 23/12/2015
HP ke-37
dr. M. Merung,
SpB(K)Onk

9.

A3
Bed 2
KPJ
Angel

Farida
Wonggo/42
thn/P/17.86.33

Post radical nect


dissection ec
tumor colli dextra

MRS 18/1/2016
HP-12
dr. M. Merung,
SpB(K)Onk

10.

A1
Bed 2
KPJ
Rita

Kandou
Delfried/L/18
thn/46.23.64
MRS 26/12/2015

- Ca nasofaring
metastase KGB
supraklavikula
- Anemia

23/1/2016
Leu 8237
Eri 3,11
Hb 9,4
Ht 28,4
Tro 334
MCH 30,2
MCHC 33,0
MCV 91,5

21/1/2016
Leu 12270
Eri 3,64
Hb 10
Ht 30,5
Tro292
MCH 27,4
MCHC 32,6
MCV 83,9

29/1/2016
Leu 6268
Eri 2,55
Hb 6,7
Ht 21,0

28/1/2016
Leu 8017
Eri 2,92
Hb 8,9
Ht 26,3
Tro 351
SGOT 32
SGPT 16
Ur 9
Cr 0,6
GDS 108
Na 128
K 3,5
Cl 105
8/1/2016
PT 11,6
INR 0,9
APPT 20,9

25/1/2016
Leu 5804
Eri 2,83
Hb 7,9
Ht 24,4

IVFD NaCl 0,9% 20 gtt/m


Ranitidin 2x1 amp IV
Ketorolac 3x1 IV
As. Tranexamat 3x500mg tab
Xeloda 3-0-3
Ondansetron 2x1 amp IV
Sulfat Ferosus 2x1 tab
Rawat luka dengan epinefrin
Ca Gluconas 100 mg

Hasil PA :
Papillary Ca mammae (18/12/2015)
IVFD RL : D5% : gelofusin =
1:2:1= 18gtt/m
Ceftriaxone 2x1 inj iv
Ketorolac 3% 3x1 inj iv
Ranitidin 2x1 amp iv
Transamin inj 3x1 i.v
Clinimix
Trf PRC bila Hb <10
Ganti perban
Rawat luka
IVFD NaCl 0,9% 20 gtt/m
Ceftriaxone 2x1 gr IV
Ranitidin 2x1v amp
Paracetamol 3x500 mg drips
Bone dronate 1x1 inj

HP ke-34

Tro 88

dr. M.
Merung,SpB(K)O
nk

Malaria
p.vivax r(++
+) g(+)

Tr 610
Ur 49
Cr 0,5
GDS 89
Na 130
K 2,79
Cl 93,6

MST 1x1 tab


Alprazolam 1x1 tab
Ambroxol syr 3x2 C
Xeloda 4-0-4
Antrain inj 3x1 amp IV
Transfusi PRC s/d Hb>10 gr/dl
Tunggu hasil CT scan leher +
kontras
Tunggu hasil DL
Lactulose syr 3x1 CI

IRINA A BAWAH: 7 Pasien


No
1.

Kamar
B11
Bed 2
KPJ
Tami

Identitas
Wilmar
Wilhelmus/L/47th/4
6.25.94

Diagnosis
Post eksisi tumor intra
oral

MRS 26/1/2016
HP ke- 4
Dr. dr. Victor
Pontoh, SpB (K)
Onk

2.

B10
Bed 5
KPJ
Gaby

Madelu
Martiny/L/49th/45.
62.85

Ca Mammae dextra
Anemia
Leukopenia

MRS 20/1/2015
HP ke-10
Dr. dr. Victor
Pontoh,
SpB(K)Onk

3.
4.

B10
Bed 6

Amina rahman/
P/40thn/46.25.32

KPJ
David

MRS 23/1/2015
HP ke-7

General weakness
Ca Mammae sinistra st
IIIc
Anemia

28/1/2016
Leu 6075
Eri 3,79
Hb 9,0
Ht 29,3
Tro 379
MCH 23,8
MCHC 30,9
MCV 77,2

- SCC Mandibula
Sinistra skuamous cell
carcinoma post eksisi
tumor + segmental
mandibulektomi

29/1/2016
Leu 8379
Eri 3,37
Hb 9,7
Ht 29,8
Tro 249
GDS 150
Ur 34
Cr 0,9
Alb 2,80
Na 142
K 3,4
Cl 99,9
29/1/2016
Leu 31560
Eri 4,01
Hb 10,4
Ht 32,9
Tro 234
MCH 25,9

dr. M. Merung,
SpB(K)Onk

4.
5.

B10
Bed 7
KPJ
Tami

Mu Minah
Sasto/P/66
thn/45.61.02
MRS 18/1/2016
HP ke-12
dr. M. Merung,
SpB(K)Onk

5.
10.

B5
Bed 1

Alimudin LA/L/37
thn/44.43.22

KPJ
David

MRS 05/01/2016
HP ke-25
dr. M. Merung,

8/1/2016
Leu 8200
Eri 5,13
Hb 15
Ht 43,8
MCH 29,2
MCHC 34,2
MCV 85,4
SGOT 16
SGPT 19
Ur 19
Cr 1,2
GDS 107
Na 135
K 4,29
Cl 98,4
24/1/2016
leu 14.790
eri 2,66
hb 8,0
ht 23,8
tro 455
MCH 30,0
MCHC 33,6
MCV 89,3

- Susp
rhasdomiosarcoma
- Electrolyte
imbalanceHipokalemia
- Hiponatremia

Lab
29/1/2016
leu 20350
eri 5,35
hb 15,2
ht 48,8
tro 221
MCH 28,4
MCHC 31,1
MCV 91,3

Terapi
IVFD RL
Ketorolac inj 3x1 i.v
Ondancentron inj 3x1 i.v
Cefazolin 2 x 1 gr
Ranitidin in 2x1 i.v
Kumur dengan NaCl + ceftriaxone
1 gr

26/1/2016
leu 15940
eri 3,34
hb 10,2
ht 30,0
tro 560
MCH 30,4
MCHC 33,8
MCV 89,8

IVFD NaCl 0,9%


Hemapo 1x1
Transfusi PRC 1 bag/hr
Ambroxol 3x1 CI
R/ kemoterapi

23/1/2016
leu 8300
eri 3,41
hb 7,9
ht 25,2
tro 432
MCH 23,2
MCHC 31,3
MCV 74
GDS 99
Na 135
K 3,40
CL 106
25/1/2016
Leu 8370
Eri 3,6
Hb 31,3
Tro 271
MCH 29,8
MCHC 34,3
MCV 87

Ranitidin 2x1 iv
Ketorolac 3x1 iv
Transfusi PRC 1 bag /hari

21/1/2016
Na 125
K 2,50
Cl 102

25/1/2016
Leu 20600

IVFD Rutofusin: NaCl:D5%


20gtt/m
Ceftriaxone 2x1gr IV
Ranitidin 2x1amp IV
Ketorolac 3x1amp IV
Pasang NGT

IVFD NaCl 0,9% 20 gtt/m


Ceftriaxone 2x1gr IV
Ketorolac 3x1 amp IV
Ranitidin 2x1 amp IV
R/Operasi hari ini jika Kalium
normal
CT Scan Femur adanya massa

SpB(K)Onk

6.
9.

B4
Bed 4

Sutirah/P/58thn/37
.36.45

KPJ
Gaby

MRS 15/12/2016
HP ke- 45

MCHC 31,6
MCV 82,1
Alb 2, 04
Na 131
K 3,42
Cl 94,4
- Soft tissue tumor
region antebrachii
dextra
- Post insisional biopsi

dr. M. Merung,
SpB(K)Onk

7.

B2
Bed 1

Yultje Atang/P/58
thn/43.17.83

KPJ
David

MRS 15/12/205
HP ke-45

- Post eksisi
liposarcoma genu
sinistra + infiltrasi
tumor ke Os fibula
sinistra

dr. M. Merung,
SpB(K)Onk

29/1/2016
Leu 15450
Eri 3,36
Hb 5,27
Ht 28,5
Tro 472
Ur 23
Cr 0,9
Prot tot 5,27
Alb 2,34
Glo 2,93
Na 133
K 4,92
Cl 92,4
29/1/2016
Leu 13410
Eri 3,51
Hb 9,8
Ht 29,8
Tro 276
MCH 27,9
MCHC 32,9
MCV 84,9

Eri 3,1
Hb 8,6
Ht 26,5
Tro 271
MCH 27,7
MCHC 32,5
MCV 85,5
Alb 1,97
25/1//2016
Leu 10700
Eri 3,35
Hb 9,3
Ht26,6
Tro 640
Ur 17
Cr 0,8
Na 130
K 5,45
Cl 97,1

dengan area nekrotik di soft tissue


curiga neurosarcoma

IVFDNaCl 0,9% 20 gtt/m


Ranitidin 2x1 amp IV
Ketorolac 3x1 amp IV
Ciprofloxacin drips 2 x 500 mg IV
R/ debulging
Rawat luka
Transfusi PRC 1bag

Hasil PA: Peradangan kronis


supuratifa dengan jaringan nekrose

28/1/2016
Leu 9078
Eri 3,84
Hb 10,6
Ht 31,9
Tro 328
SGOT 17
SGPT 18
Ur 12
Cr 0,9
Protein tot
6,39
GDS 40
Na 132
K 3,57
Cl 91,6

IVFD RL
Ceftriaxone 2 x 1 gr
Ranitidin 2 x 1 IV
Vit K 3x 1 IV
Vit C 1x1 IV
As. Traneksamat 3x1 IV
Ketorolac inj 3x1 amp IV

Tx lain sesuai TS Interna


Hasil PA 20/1/16:Dedifferentiated
liposarcoma
Hasil kultur darah : Tidak ada
pertumbuhan kuman
X-Foto tho : TB paru minimal
lesion

ANGGREK II : 1 Pasien
No
1.

Kamar
203

Identitas
Nursani
Tamahiwu/P/47
thn/44.90.48
MRS 10/9/15
HP-139
dr. Victor Pontoh,
Sp.B(K)Onk

ICU : 3 pasien

Diagnosis

Ca

Mammae
Dextra post
simple
mastektomi on
kemoterapi

8/1/2016
Leu 8600
Eri 2,68
Hb 8,1
Ht 24,4
Tro 328

Lab
25/1/2016
Leu 7804
Eri 2,85
Hb 8,5
Ht 26,9
Tro 417
27/1/2016
Leu 6919
Eri 2,63
Hb 7,6
Ht 24,6
Tro 378

Terapi
B comp 3x1 tab
Vit C 3x1 tab
MST 1x1 tab
Rawatluka

Pro kemoterapi

1.

Bed 3

Kundimang
Robinson/L/36thn/
46.19.02
MRS 20/12/2015
HP ke-38
Dr. Nico Lumintang,
SpB(K)Onk

2.

Bed
4

Hontong
sartje/P/58thn/45.60.49
MRS 23/1/2015
HP ke 7

Post trakeostomi
ec DAI + ICH +
SAH
Ventilator
dependen
(perbaikan)
Pneumonia
Anemia

14/1/2016
Leu 13550
Eri 2,69
Hb 7,7
Ht 25,8
Tro 246
LED 90
Ur :46
Cr :1,0
SGOT : 233
SGPT: 262
Na : 146
K :3,69
Cl:111,8

AntiHCV
non reaktif
HBsAg non
reaktif

Post total
parotidektomi ec
ca parotis

25/1/2016
Leu 8900
Eri 4,31
Hb 13,4
Ht 40,1
Tro 210
SGOT 21
SGPT 24
Ur 24
Cr 0,7
GDS 118
Na 142
K 4,56
Cl 101,2

30/1/2016

18/1/2016
Leu10550
Eri4,56
Hb13,4
Ht 39,0
Tro336
Ur 31
Cr 1,0
AlbTAP
Na 142
K 4,14
Cl 102,5
PT 12,7
INR 1,01
APPT 23,8

26/1/2016
GDS 98

dr. M. Merung,
SpB(K)Onk

3.

bed
1

Yacob Maidangkay/57
thn/L/46.05.35
MRS 18/1/2016
HP ke-12

Post tiroidektomi +
neck dissection ec
Adeno carcinoma
parotis dextra
metastase ke tiroid

Dr. Nico Lumintang,


SpB(K)KL

NYIUR : 1 Pasien
1.

Denny
wurangian/L/47thn/40.06.
37
MRS
18/1/2016
HP-10

Ca lidah + fistul
esofagus

20/1/2016
leu 17130
eri 2,65
hb 7,7
ht 24,8
tro 372
MCH 29,3
MCHC
31,3
MCV 93,6
SGOT 27
SGPT 23
Alb 2,59

12/1/2016
Alb 3,10

Nebu Ventolin/combivent
tiap 8 jam
Suction canul trakeostomi
berkala terutama bia
gargling
Terapi lain sesuai TS
anestesi, NS, neuro,
orthopedi

IVFD NaCl 0,9% 20 gtt


Ceftriaxone 2x1 gr iv
Ranitidin 2x1 amp iv
Ketorolac 3x1 amp iv
As. Traneksamat inj 3x1 iv
Vit C 3x1 iv
Vit K 2x1 im
Cek lab post op
EKG : sinus rhytm
X-foto thorax : DBN
Hasil PA : Susp. Acinni Ca
parotis dd sialadenosis

EKG : LVH

IVFD RL
Ceftriaxone 2x1 gr iv
Ranitidin inj 2x1 iv
Ketorolac inj 3x1 iv

T4 : 115,6

R/echocardiography
R/ transfusi
R/ persiapan kemoterapi