LIST PASIEN DIVISI THOVASK

kamis, 18 Agustus 2016

IRINA A Atas :
No

Kamar

Identitas

Diagnosis

Lab
15/8/2016
Leu
12720
Eri
3,48
Hb
10.0
Ht
31.7
Trom 361
MCH 28.8
MCHC 31.6
MCV 91.1
Cl
82.5
K
3.63
Na
129
SGOT 18
SGPT 10
Ur 12
Cr 0.7
Protein total 5.6
GDS 147
Alb 2.76
Globulin 2.84

1/8/2016
PT
Pasien
detik
Kontrol
detik
INR
Pasien
detik
Kontrol
APPT
Pasien
Kontrol

12/8/2016
Leu 5638
Eri 4.33
Hb
10,7
Ht
33.9
Trom 385
MCH 24,6
MCHC 31,5
MCV 78,2

SGOT 20
SGPT 19
Ur
16
Cr
0,7
GDS 106
Cl
99.5
K
4,28
Na
135
Alb 2.98

-Sol RL 20 gtt/m
-Ceftriaxone 21
-Ketorolac 31
-Ranitidine 21
- rawat Luka
- Terapi lain sesuai TS ortho

Trauma tumpul thorax

susp bronkhiestasis
susp Tb paru

08/08/16
Leu 13980
Eri 4,70
Hb 13,7
Ht 40,8
Trom 318^
ur 18
cr 0,8
GDS 116

15/8/16
Foto thorax:
- susp infected
bronchiectasis +
kista paru
- fr. costa kanan
depan

Efusi pleura sinistra ec

susp pneumonia
dd malignancy

12/08/2016
Leu
9405
Eri
4,10
Hb
12,3
Ht
37,4%
Trom 811^
MCH 30
MCHC 32.9
MCV 91.2
SGOT 118
SGPT 156
Ur
15
Cr
0,8

Pneumothorax dextra +
v.ictum thoracoabdominal

14/08/2016
Leu
18200
Eri
4.15
Hb
12,5
Ht
35.5%
Trom 290^
MCH 30.1
MCHC 35.2
MCV 85.5

Abrina Adrian
P/65th/47.51.18
A6
1

MRS
7/7/206

Bed 2
DPJP:
dr. Adrian Tangkilisan, SpBTKV

Post thoracotomi
dekortikasi + malignancy
biopsy ec tumor
mediastinum

Michael Lilipali
L/27th/47.74.91
2

A7
Bed 6

MRS
1/8/2015
DPJP:
dr. Adrian Tangkilisan, SpBTKV

-fr. tibia fibula 1/3

dista; terbuka
- rupture a tibialis
anterior posterior

Ronald Tumilantouw
L/47th/41.31.94
3

A8
Bed 4

MRS
04/8/2016
DPJP
dr. Adrian Tangkilisan, SpBTKV

Jackson kawengian
L/ 36th/ 48.02.91
4

A8
bed 3

MRS
7/8/16
DPJP
dr. Adrian Tangkilisan, SpBTKV

Manorek Andrano/L/ 22 th/

48.08.12

A7 bed 2

MRS:
14/8/2016

Terapi

DPJP:
dr. Adrian Tangkilisan, SpBTKV

12,5
13,0
0,99
1,04 detik
27,0 detik
29,9 detik

11/7/2016
Pemeriksaan Cairan
Pleura: EKSUDAT

-Sol NaCl 21 gtt/mnt

-Ciprofloxacin drips
-Ranitidine 21
-Ketorolac 31
- vit c 3x1
- duragesic patch
-Nebu Combivent 31
-Vip Albumin 3 x 2 po
- tunggu hasil PA
- tunggu hasil foto thorax
- Terapi lain sesuai TS interna

Sitologi
(12/7/2016)
Tidak ditemukan
sel ganas

Uric Acid 3.9

Cl
96.8
K
5.11
Na 134
15/8/16
foto thorax: massive
pleural efusion
sinistra + suspek TB
paru

Ur
15
Cr
0,7
GDS 128
Cl
110
K
3.6
Na 138

Venflon
Ceftriaxone 2x1 iv
Ranitidin 2x1 iv
Ketorolac 3x1 iv
Duragesic patch
Nebulizer combivent 3x1
Tunggu hasil sputum BTA, lab
Terapi lain sesuai TS interna

-IVFD NaCl 0,9% 14 gtt/m

- nebulizer combivent 3x1
-Ceftriaxone 2x1
- Ranitidine 2x1
- Ketorolac 3x1
-PCT drips k/p
- tunggu hasil CT scan thorax, BTA
- tunggu hasil LED

- ceftriaxone 2x1
- Ranitidine 2x1
- Ketorolac 3x1
- Nebu combivent 3x1
- NaCl 0.9% 500 cc/12 jam
- rawat WSD
- R/ foto rontgen hari ini

15/08/2016
Leu
5430
Eri
3.85
Hb
10.7
Ht
33.1%
Trom 247
MCH 27.8
MCHC 32.3
MCV 86.0
OT/PT 25/14
Gamma GT 42
Bil tot 0.54
Bil Dir 0.33

Madjisat Mangawingi/L/ 58
th/ 47.61.79

A10

MRS:

DVT tungkai kiri

DPJP:
dr. Djony E Tjandra, SpB
(K) V

Ur
40
Cr
0.9
Prot tot 4.51
Alb 2.09
Glob 2.42
Alk fosft 71
Cl
100
K
3.75
Na 136
PT
@detik 14.1
@INR 1.16
APPT 35.8

- Ekstrenal fiksasi
- Cek PT/APTT target 2-2.5
- Heparinisasi:
Bolus heparin 5000 UI (1cc)
Maintanace 15000 UI (3cc) dalam
Nacl dalam 24 jam selama 5 hari.

Ruauw Durin/P/ 81 th/

37.86.89

A6

MRS:
16/8-16
DPJP:

IRINA A Bawah
No

Kamar

Identitas

Tumelap Herry/
/47.88.07/12-191950/L/malalayang
1

B7
bed 1

MRS
19-07-16
DPJP
Dr. Adrian T, SpB-TKV

Diagnosis

Lab
8/8/2016
Leu
12580
Eri
4,29
Hb
12,7
Ht
38,8
Trom 450
GDP 163
SGOT 20
SGPT 24
Ur
28
Cr
0,5

as urat 4,5
chol 155
HDL 25
LDL 103
Tri 135
Mg 2,2
Alb 3,52
Ca 9.68
Na 135
K 4,72
Cl 94,9

15/08/16
Leu 5100
Eri 3,28
Hb 9.2
Ht 27.6
Trom 250
MCH 28.0
MCHC 33.3
MCV 84.1
SGOT 30

Ur 20
Cr 0.8
Protein total 6.19
GDS 99
Alb 3.63
Globulin 2.56
Cl 99.8
K 3.36
Na 136

15/08/2016
Leu 9700
Eri 4.74
Hb 14.7
Ht 43.4
Trom 465
MCH 31
MCHC 33.9
MCV 91.6
SGOT 54
SGPT 40

Ur 20
CR 0.9
GDS 93
Alb 4.05
Uric Acid 6.9
Na 139
K 3,98
Cl 102.1

Trauma tumpul thoraks

Fraktur tibia fibula 1/3
tengah terbuka grade I

12/08/2016
Leu 9282
Eri 3.27
Hb 9.8
Ht 29.4
Trom 308

MCH 30.1
MCHC 33.4
MCV 90
HbA1c 8.7
15/8/16
Alb 2.50

Empiema sinistra

10/08/2016
Leu 5036
Eri 6.03
Hb 16.4
Ht 48.7
Trom 267
MCH 27.2
MCHC 33.7
MCV 80.8

SGOT 14
SGPT 9
ur 18
Cr 0,8
GDS 99
Alb 4.5
Cl 98
K 3,27
Na 141

Fr. clavicula dextra et

sinistra
fr femur sinistra 1/3
tengah tertutup
Contusio paru
Post pemasangan WSD
ec hematothorax sinistra

Muhamad Angga/
L/21/48.06.02
2

B8 Bed 6

MRS
11/08/2016
DPJP
dr. Djony Tjandra,
SpB(K)V

Ridwan Makahontong/
L/42thn/07.12.50
3

B11 bed 2

MRS
11/08/2016
DPJP
Dr. Adrian T, SpB-TKV

Vulnus schizum region

antebrachii sinistra ec
pecahan kaca
Ruptur Arteri

Fraktur costae III

posterior sinistra +
Old fracture costa III-IV
posterior dextra
LEPAS RAWAT(?)

Manuel Sangian/L/81
th/48.60.10
4

B9
bed 8

MRS:
3/8/16
DPJP:
Dr. Adrian T, SpB-TKV
Lendeng Hizkia/L/24
th/47.25.77

B8 bed 4

MRS:
12/8/2016
DPJP:
Dr. Adrian T, SpB-TKV

Terapi

- RL 20 gtt/m
-Bisolvon 3 x1
- Nebulizer combivent 3x1
- Ketorolac 3x1 k/p
- ceftriaxone 2x1 -> H7
- rawt WSD
- foto thorax AP tegak

Ceftriaxone inj 2 x1
Ranitidine 2 x 1
Ketorolac amp 3 x 1
Heparin 3cc dal am NaCl
0.9% 500cc/24 jam
Warfarin tab 2 mg > po
20.00
Rawat luka
transfusi PRC 1bag

NaCl 0.9% 14 gtt/m

Ceftriaxone 2x1
Ketorolac 3x1
Ranitidine 2x1
Konservatif

Konservatif
Terrapi lain sesuai TS
orthopedi dan interna
Nebulizer combivent 3x1
sudah ada jawaban konsul
RM

R/ Thoracotomy

- fr costa II - VII
sinistra post
- fr. clavicula 1/3 tajam
tertutup

15/08/2016
Leu 19800
Eri 5.89
Hb 16.9
Ht 48.2
Trom 309
MCH 28.7
MCHC 35.1
MCV 81.8

SGOT 23
SGPT 21
ur 23
Cr 0.7
GDS 280
Cl 104
K 4.10
Na 135

Hematopneumothorax
sinistra + syok
hipovolemik
teresusitasi + vulnus
laceratum region
manus sinistra +
faraktur terbuka digiti
IV, V manus sinistra

17/08/2016
Leu 18600
Eri 3.37
Hb 10.6
Ht 29.3
Trom 152
MCH 31.5
MCHC 36.2
MCV 86.9

SGOT 373
SGPT 298
ur 27
Cr 1.2
GDS 102
Cl 110
K 3.5
Na 138

Karimang Rio/ L/ 29 th/

48.09.14
6

B8

MRS:
15/8/2016
DPJP:
Dr. Adrian T, SpB-TKV

Runtu Yesias/ L/ 27 th/

48.10.41
7

B9 bed 3

MRS:
17/8/2016
DPJP:
Dr. Adrian T, SpB-TKV

- duragesic patch
- bisolvon 3x1
- R/ AGD
- CPPT belum ditulis

PobelaYusdianto/ L/18 th/

48.10.35
7

B9 bed 6

MRS:
17/8/2016

-. Line 1 : IVFD NaCl 0.9%

-. Line 2: RL
-. WSD (+)
-. O2 3 lpm

Hematothorks sinistra
+ SCI+post wsd

DPJP:

LUAR IRINA A
No

Kamar

Identitas

Diagnosis

Irina B
Kamar 3

Karindra Hendrik
L/65th/45.48.68

- Stenosis Vena Central

- Post AVF BrachioChepalica
- Ulkus Brachialis Dextra

MRS

Lab

DPJP:
dr. Djonny Thandra SpB
(K)V

Boarding
A1

Rani Kawengian

Irina B
Kamar 3

MRS

Tumor regio hemithorax

sinistra

DPJP:
dr. Adrian T, SpB-TKV

Ansyela Pohayouw
P/54th/24.36.08
4

Anggrek 2
Kamar
110

32150
3,62
9,5
29,3
439
26,1
32,3
80,0

10/8/16
Leu
Eri
Hb
Ht
Trombo
MCH
MCHC
MCV

6900
2,65
8,0
25,5
149
30,2
31,4
96,2

11/8/16
Leu
Eri
Hb
Ht
Trombo
MCH
MCHC
MCV

8625
2,00
6,5
18,9
243
32,5
34,5
94,3

Ur
Cr
Protein Total
Fosfor
Mg
Albumin
Globulin
Cl
K
Na
Ca

104
8,6
6,20
5,2
2,87
2,95
3,25
88,3
4,36
127
8,42

-Rawat Luka
-As. Tranexamat 3x1 iv
-Vit K 1x1 im
-Elevasi Tangan 15

Stenosis vena sentral

Sumual Susye
P/66th/23.35.43
3

25/7/16
Leu
Eri
Hb
Ht
Trombo
MCH
MCHC
MCV

Terapi

MRS : 11/8/2016
DPJP:
dr. Adrian T, SpB-TKV

Ur
Cr
SGOT
SGPT
GDS
Albumin
Cl
K
Na

Ur
Cr
Asam urat
GDS

19
1,5
26
10
86
2,85
101
3,6
140

96
6,6
7,0
107

IVFD NaCl 0.9% 20 gtt/mnt

Tramadol 3xa amp IV