Buku Log untuk Usaha Kesehatan Perorangan (UKP)

dr. Samuel Palawa Saman, S.Ked

Tanggal 14 maret s/d 19 maret 2016
Wahana : RSUD Buleleng stase IRNA dan IRJ

No

(1)
1

Tanggal

(2)
17/3/2016

17/3/2016

Kode
Kegiatan

(3)
B

Kegiatan
Diagnosis

Penatalaksanaan

(4)
NS/P/50th
Myoma Uteri

(5)
USG Gynekology
Rencana
Total
Histerektomi
SF 1x300mg

LPS/P/28th
P3003, Post SC hari V
+B24

17/3/2016

YH/P/69th
Ca Cervix IIIB

17/3/2016

LSG/P/60th
Prolaps Uteri grade III +
Pendarahan

17/3/2016

NMS/P/23th
G2P1001,

30-

Tanda tangan
Pendamping

Keterangan

(6)

(7)

(8)
Rawat
Jalan
Poliklinik Obsgyn

Abdominal

Rawat Luka
SF 2x300mg
Vit C 1x1tab
Asam Mefenamat 3x500mg
ARV
Pasca Brexel Carbaplarin seri
III
Pasca Radioterapi 33x
As. Mefenamat 3x 500mg
Rencana pap smear
Asam Traneksamat 2x500 mg
Asam Mefenamat 3x500 mg
Cefadroxil 2x500 mg
Pasang Tampon buka besok
+ Cuci - Pasang Pesarium
USG
SF 1x300mg

Catatan dan
usulan
pendamping
terhadap kinerja

dr. Ni Made Mardani

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani
dr. Ni Made Mardani

Rawat
Jalan
Poliklinik Obsgyn

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani
Rawat
Jalan
Poliklinik Obsgyn

31minggu,T/H
dr. Ni Made Mardani
6

17/3/2016

FPS/P/30th
G2P1001, 20- 21mg T/H,

SF 1x300mg
Asam Mefenamat 3x500 mg
Sohobion 2x1 tab

17/3/2016

IGAM/P/35th
Akseptor KB IUD

Aff IUD

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani
Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

17/3/2016

ANJ/P/27th
Bakterial Vaginosis

Metronidazole 2 x 500 mg (7
hari)
Kontrol ulang 1 minggu

Rawat
Jalan
Poliklinik Obsgyn

dr. Ni Made Mardani

9

17/3/16

KP/P/30th
G2P1001, 30mg,
kelainan jantung

TH

USG kandungan
SF 1x300 mg
Konsul TS Cardiologi
Control 4 minggu

Rawat
Jalan
Poliklinik Obsgyn

dr. Ni Made Mardani

10

17/3/16

PAS/P/30th
G1P0000,
31-32mg,
Hipertensi Kronis

USG
SF 1x300mg
Nifedipine 1x1tab
Konsul Interna

Rawat
Jalan
Poliklinik Obsgyn

dr. Ni Made Mardani

11

17/3/16

MY/P/32th
Blighted Ovum

USG Obstetri ulang

Rencana Dilatasi n Kuretase
(DnC)

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

12

18/3/16

PAN/P/25th
Toxoplasmosis

Swab Vagina
Metronidazol 2x500 mg
Kontrol ulang 1 minggu

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

13

18/3/16

LSR/P/60th
Suspek Ca Cervix

Pap Smear
Asam mefenamat 3x500mg
SF 2x300mg

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

12

18/3/16

NSA/P/23th
P01001 + post SC

Rawat luka
Cefadroxil 2x500 mg
Asam Mefenamat 3x500mg

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

13

18/3/16

LS/ P/45th
Bakterial Vaginosis

Fluconazole 3x1
Clindamisin 2x1
Flagyl supp 3x1

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

14

18/3/16

NLS/P/61TH
Susp CA cervix

Biopsi
Pasang tampon 2x24 jam
Aff pesarium
Sulfas Ferosus 2 x 300 mg
Asam Mefenamat 3 x 500 mg

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

15

18/3/16

PDA/P/30th
G2P10A0, 36 mg,
T/H+LMR

USG
SF 1x300mg
Kontrol 1minggu lagi

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

16

17

18/3/16

18/3/16

NNC/P/37th
G3P2002, 36 mg 6 hr
T/H letli

KPS/P/30th
G2P1001, 30 mg 3 hr
T/H letsu

Sc elektif
Tgl 08/4/16
Kontrol tgl 23/3/16
u/ cek DL
konsul anstesi

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

SF 1x300 mg
Kontrol 4 minggu lagi

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

18

18/3/16

PAS/P/29th
Bakterial Vaginosis

Metronidazole 2 x 500 mg (7
hari)
Kontrol ulang 1 minggu

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani

19

19

18/3/16

18/3/16

NPD/P/55th
Myoma Uteri

PAW/P/65th
Prolaps Uteri grade III +
Pendarahan

USG Gynekology
Rencana
Total
Histerektomi
SF 1x300mg

Rawat
Jalan
Poliklinik Obsgyn

Abdominal

Asam Traneksamat 2x500 mg

Asam Mefenamat 3x500 mg
Cefadroxil 2x500 mg
Pasang Tampon buka besok
+ Cuci - Pasang Pesarium

dr. Ni Made Mardani

Rawat
Jalan
Poliklinik Obsgyn
dr. Ni Made Mardani