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Ruangan
Jeumpa 2
Jeumpa 3
Seurune 1
NABAWI 1
NABAWI 2
HCU
PJT
PICU
ICU D
ICUC
JUMLAH
1 Pasien
1 pasien
4 PASIEN
2 pasien
8 PASIEN
TOTAL
3 pasien
2 pasien
1 pasien
3 pasien
3 pasien
2 pasien
1 pasien
2 Pasien
2 pasien
2 pasien
21 PASIEN
IdentitasPasien
Farid assyraf, 8 bulan, Lk
1088671
DPJP : dr.
1.
Bustami, Sp.
BS
K4B4
2.
DPJP : dr.
IMAM
HIDAYAT,
Sp. BS
LAB
Lab 23/1/2017
Hb/Ht/Er/Leu/Tro
8,3/25/3,8/27,5/462
Diftell: 1/0/0/46/47/6
Na/K/Cl
141/5,5/107
Ur/cr
5/0,10
Lab 16/1/2017
Hb/Ht/Er/Leu/Tro
10,5/32/4,2/26,9/562
Diftell : 0/0/1/75/20/4
Ct/bt: 2/8
Ur/Cr: 24/0,50
Diagnosa
Malfungsi shunt ec hidrocefalus non
komunikan
Treatment
-IVFD RL 20 gtt/i
Planning
-
Aff cateter
Pasang NGT
Rawat luka
Observasi
USG Abdomen Senin
Konsul anak
Konsul anestesi (-)
-inj.ceftriaxone 2 gr/hari
-inj.ranitidin 1 amp/12 jam
-diet 6x100cc
Tgl OP 17/1/2017
POD 8
3
K6B2
DPJP; dr.
Imam
Hidayat , Sp.
BS
Lab 24/1/2017
Hb/Ht/Er/Leu/Tro
11,3/34/4,4/11,5/367
Diftell : 0/1/0/76/16/7
Ct/bt: 2/7
Na/Kk/cl; 143/4,3/107
GDS; 109
Ur/Cr: 25/0,50
-
Kamar
IdentitasPasien
K4b2
Nurlina, 38th, Pr
1116135
DPJP : dr.
IMAM
HIDAYAT,
Sp. BS
KB
DPJP : dr.
IMAM
HIDAYAT,
Sp. BS
LAB
Lab 5/1/2017
Hb/Ht/Er/Leu/Tro
13,3/37,8/46,6/11,7/322
Diftell : 1/1/0/80/11/7
Diagnosa
Miningioma ar Frontal
Lab 26/1/2017
Hb/Ht/Er/Leu/Tro
12,9/40/5,2/9,8/203
Diftell: 0/0/0/84/4/12
Ct/bt: 2/7
Na/K/Cl : 145/4,0/107
GDS: 126
Ur/cr: 49/0,90
Treatment
-
GCS
IVFD RL 20 gtt/i
Inj. Ranitidin I amp/8jam
Inj. Ketorolac 1 amp/8jam
Planning
Operasi elektif
Konsul anestesi (+)
Hasil ct scan kepala
(+)
IVFD RL 20 gtt/i
Iv. Ceftriaxone 1gr/12j
Drip PCT 1gr/8j
Iv. Ranitidin 50mg/12j
Kamar
B6
1.
DPJP: dr.
ISKANDAR,
Sp. BS
IdentitasPasien
Ridwan Arifin, lk, 51 tahun
Tgl Masuk: 13/1/2017
AD 2
Tg; Op: 13/1/2017
POD 12
LAB
Lab 13/1/2017
Hb/Ht/Er/Leu/Tro
16,4/48/5,6/15,2/233
Diftell: 0/0/0/93/3/4
Ct/bt: 2/8
Na/K/Cl
144/3,2/105
GDS: 127
Ur/cr: 19/0,90
Na/K/Cl/Ca/Mg
144/3,5/112/7,6/1,5
Diagnosa
Post Craniectomy evakuasi
ICH+Hipertensi
GCS : E4M4Vx
Treatment
-
Planning
-
Observasi GCS
Rawat luka
Rawat
traceostmi
C
2
B7
DPJP: dr.
Imam hidayat
Sp. BS
Lab 24/1/2017
Hb/Ht/Er/Leu/Tro
14,1/44/5,6/17,1/315
Diftell: 0/0/0/80/14/6
Ct/bt; 2/7
Na/K/Cl : 154/3,0/111
Ur/cr : 56/1,60
GDS : 139
K1B5
DPJP: dr.
Bustami, Sp.
BS
IdentitasPasien
Jafar M. Nur, Lk, 41th
1115219
Tgl masuk:9/1/2017
AD 14
LAB
Lab 17/1/2017
Hb/Ht/Er/Leu/Tro
10,4/29/3,5/8,6/404
Diftell: 5/0/0/65/20/10
Na/K/ClCa
138/4,0/112
Diagnosa
SDHg bilateral + post debridement ai fr.
Femur
Treatment
Planning
Observasi
Selasa PBJ
RL 20 gtt/i
Iv. Ceftriaxone 750 mg/8 j
Iv. Novalgin amp/ 8j
Iv. Ranitidine amp/ 12j
Head up 30%
K2B5
DPJP: dr.
Bustami,
Sp.BS
Tgl op : 23/01/2017
POD 2
K2B3
DPJP : dr.
Imam hidayat,
Sp. BS
Lab 22/1/2017
Hb/Ht/Er/Leu/Tro
9,9/30/3,6/15,9/380
Diftell: 0/0/0/81/12/7
Ct/bt : 2/7
Na/K/Cl ; 138/4,8/107
GDS; 64
Kr ; 0,30
Rawat luka
Kamis GV
K3B4
DPJP : dr.
IMAM
IdentitasPasien
Hasyem Rusli, Lk, 38 thn
1114601
Tgl masuk: 04/01/2017
LAB
Lab 4/1/2017
Hb/Ht/Er/Leu/Tro
14,4/42/5,0/13,7/286
Diftell : 0/1/0/75/17/7
Diagnosa
Post removal tumor a.i Cephalgia ec
SOL Intracranial
Treatment
-
Vestigo 2x1
Coditam 3x1
Ranitidin 3x1
Duragesic path 25 mg
Planning
-
Observasi gcs
Rawat luka
GV hari ke 3
Alih rawat neuro
CT angiografi (rabu)
HIDAYAT,
Sp. BS
AD 20
Ct/bt: 2/7
K6B5
2
DPJP: dr.
BUSTAMI,
Sp.BS
K2B1
DPJP: dr.
Bustami, Sp.
BS
Rustam, 24th , Lk
1116403
Tgl masuk: 19/1/2017
AD 6
Lab 19/1/2017
Hb/Ht/Er/Leu/Tro
14,5/41/4,8/10,0/246
Diftell : 2/0/0/73/18/7
Ct/Bt: 2/7
Na/K/Cl
143/3,6/121
Ur/cr: 20/0,80
Lab 13/1/2017
Hb/Ht/Er/Leu/Tro
14,2/42/5,3/4,9/175
Diftell : 1/0/0/66/26/6
Ct/Bt: 2/7
Na/K/Cl : 145/3,2/107
Ur/cr: 14/0,52
GDS: 119
- sesuai TS intensive
-inj.ceftriaxone 2 gr/hari
-inj.ranitidin 1 amp/12 jam
-inj.ketorolac 30mg/8jam
-diet 6x100cc
Rencana craniotomy
elevasi fr.depres
elektif
Konsil anestesi (+)
Op. jumat
Skull defect
Kamar
K7B1
1.
DPJP : dr.
ISKANDAR,
Sp.BS
IdentitasPasien
Marlina abdullah, PR, 43 tahun
Tgl masuk: 17/01/2017
AD 6
Tgl op:
POD
LAB
Lab
Hb/Ht/Er/Leu/Tro
12,3/36/4,2/6,4/226
diftell: 1/0/0/70/24/5
ct/bt: 2/7
albumin: 4,37
Na/K/Cl
147/3,8/109
GDS: 224
Ur/cr: 32/0,80
Diagnosa
Meningioma
Treatment
-
Diet MB
PCT 3x1 tab
Ranitidine 2x1 tab
Planning
Persiapan operasi
Konsul kardio (+)
MRI
SEURUNE 1: 1 pasien
NO
Kamar
IdentitasPasien
LAB
Diagnosa
Treatment
Planning
C
1
K7B5
DPJP; dr.
Bustami, Sp.
BS
Lab 22/1/17
Hb/Ht/Er/Leu/Tro
10,4/33/4,6/27,3/924
diftell: 1/0/0/70/24/5
Na/K/Cl; 138/3.3
IdentitasPasien
Nazariah, 41th, Pr
1077544
DPJP : dr.
ISKANDAR,
Sp. BS
B5
DPJP: dr.
Imam
hidayat Sp.
BS
LAB
Lab 14/1/2017
Hb/Ht/Er/Leu/Tro
14,5/42/5,3/14,9/241
Diftell: 2/1/0/69/16/12
Na/K/Cl
12/4,8/96
Ur/cr
42/0,70
Diagnosa
SOL intracranial + Hidrocefalus non
comunican + post op Vp Shunt
Lab 25/1/2017
Hb/Ht/Er/Leu/Tro
12,5/38/4,5/22,1/236
Diftell: 0/0/0/89/4/7
Ct/bt; 2/8
Na/K/Cl : 141/4,2/106
Ur/cr : 30/0,70
GDS : 184
LAB
Diagnosa
Treatment
-IVFD RL 20 gtt/i
-inj. Ondansetron 1 amp/ 8jam
-inj. Ranitidin 1 amp/ 8jam
-inj. Tramadol 1 amp/ 8jam
-drip PCT 1gr/ 12jam
C
IVFD Nacl 0,9% 20 gtt/i
iv. ceftriaxone 1gr/12j
iv. ketorolac 30mg/8j
iv. ranitidine 50mg/12j
C
Planning
-
Observasi
Konsul kardio (+)
Konsul anestesi (+)
Kamar
IdentitasPasien
Treatment
Planning
1.
Bed 1
DPJP: dr.
Imam
Hidayat, Sp.
BS
Tgl op :26/1/17
POD 1
Bed 4
DPJP: dr.
ISKANDAR
, Sp. BS
Lab 25/1/2017
Hb/Ht/Er/Leu/Tro
10,7/35/4,8/25,1/424
Diftell: 0/0/0/61/32/7
Ct/bt:2/7
Na/K/Cl: 131/4,0/99
Ur/kr; 15/0,30
Lab 20/1/2017
Hb/Ht/Er/Leu/Tro
11,6/38/4,8/10,6/350
Diftell: 4/1/0/40/46/9
Pt/aptt: 9,9/42,7
Observasi
Rawat luka
d-dimer: 739,38
Na/K/ClCa
131/5,2/98/8,9
Kamar
IdentitasPasien
Bed 1
DPJP :
BUSTAMI,
Sp. BS
Tgl OP 22/1/2017
POD 3
Bed 2
Fakhriah, 47th, pr
1116294
DPJP :
BUSTAMI,
Sp. BS
Tgl OP 20/1/2017
POD 5
LAB
Lab 22/1/2017
Hb/Ht/Er/Leu/Tro
15,6/46/5,7/20,9/244
Diftell:0/0/1/80/11/8
Pt/apt : 10,6/35,4
Na/K/Cl ; 146/2,9/113
Ur ; 40
Albumin ; 3,52
Lab 22/1/2017
Hb/Ht/Er/Leu/Tro
8,7/32/3,9/12,2/152/
Diftell:0/0/1/80/11/8
Ct/bt: 2/8
Na/K/Cl
154/4,0/129
Diagnosa
Treatment
Planning
IVFD 20 gtt/i
Inj. Ceftriaxone 2 gr/24 jam
Inj. Novalgin 1 amp/8 jam
Inj. Ranitidine 1 amp/8 jam
Phenitoin 1 amp/8 jam
Diet sonde 6x100 cc
GCS : E1M1Vx
IVFD 20 gtt/i
Inj. Ceftriaxone 100 mg/12
jam
Omeprazole 1 amp /8jam
Sucralfack syr 3xcth 1
Pyracetam 1gr /8jam
Phenitoin amp /8jam
Rawat
luka
GV(+)
Observasi
AFF drain