LIST PASIEN BEDAH PLASTIK

20 Oktober 2017

A ATAS

1 A4 Djenny Wuisang/L/ Post nekrotomi, wahing, Lab 13/10/2017 Lab 10/10/2017 Rawat Luka
Bed 53thn/22-07-1964 and brushing ec. Luka Leu 11500 Leu 10900 Terapi lanjut
1 bakar listrik Eri 1.78 Eri 3.20 Analgetik
RM: 51.22.22 Anemia Hb 5.4 Hb 9.8 Antibiotik
MRS: 23-09-2017 Ht 15,9% Ht 28.3 Rencana MRI
Tromb 385 Tromb 406
DPJP: dr. Mendy H. Oley, MCH 30.3 MCH 30.6 EKG 26/9/17
Sp.BP MCHC 34.0 MCHC 34.6 Sinus Takikardia,
MCV 89.3 MCV 88.4 HR : 120x/menit

2 A4 Budi Saputra Luka bakar grade II, III , Lab 07/10/2017 Lab 13/10/2017 Analgetik
bed 2 Nainggolan/L/20th/29-04- 6% ec Api. Leu 18500 Leu 9.080 Antibiotik
1997 Eri 4.82 Eri 4.44 Rawat luka
Hb 14.3 Hb 12.7
RM: 51.35.50 Ht 41.9 Ht 38.6
MRS: 07-10-2017 Trom 211 Trom 279
MCH 29.7 MCH 28.6
DPJP: dr. Mendy H. Oley, MCHC 34.1 MCHC 32.9
Sp.BP MCV 86.9 MCV 86.9
SGOT 13 Eosinophil 25%
SGPT 10 Basofil 0%
Ur 14 Neutrofil batang
Cr 1 0%
GDS 108 Neutrofil segmen
Cl 98 50%
K 3.5 Limfosit 15%
Na 134 Monosit 10%
SGOT 21
 SGPT 24
Ur 14
Cr 0.8
GDS 115
Cl 100.9
K 3.86
Na 139
Pt: 19.0
Imr:1.73
APPT: 58.9

3 A4 Pantas Olans/L/ 56thn/10- Post nekrotomi, washing, Lab 5/10/2017 EKG 26/9/17 Analgetik
bed 3 10-1960 brushing ec luka bakar Leu 10500 Normosinus rytem Antibiotik
listrik. Eri 4,87 HR 108x/m Rawat Luka
RM: 51.23.63 Hb 15,7 normoaxis (sinus
MRS: 25-09-2017 Ht 45,6 takikardi)
Trom 282
DPJP: dr. Mendy H. Oley, Mch 32,2 27/9/17
Sp.BP MCHC 34.4 Normosinus rytem
MCV 93,6 HR 75x/m
SGOT 45 normoaxis
SGPT 32
Ur 19
Cr 0.6
Gds 87
Cl 93,7
K 4,28
Na 131
4 A4 Mangalape Daramel/L/44 Luka bakar ec listrik post Lab 14/10/2017 Lab 15/10/2017 Antibiotik
bed 4 thn/19-05-1973 nekrotomi, washing, Leu 8890 Leu 7700 Analgetik
brushing Eri 3.73 Eri 2.67 Rawat luka
RM : 51.25.86 Hb 11,1 Hb 8.7 Transfusi prc sampai
MRS : 27-09-2017 Ht 33,5 Ht 24.1 Hb > 10
Trom 360 Trom 510
DPJP : dr. Mendy H. Oley, MCH 29,8 MCH 32,6
SpBP MCHC 33,1 MCHC 36.1 EKG:27/9/2017
MCV 89,8 MCV 90,3 Dalam batas normal
 SGOT 63 SGOT 61
SGPT 65 SGPT 61
Ur 30 Ur 31
Cr 0.6 Cr 0.5
GDS 95 Gds 96
Alb 2.69 Cl 93,7
Cl 91.6 K 4,28
K 3,76 Na 131
Na 127
Lab 16/10/2017
Leu 13720
Erit 2,28
Hb 7.0
Ht 20,5
Tr 417
MCH 30,7
MCHC 34,1
MCV 89,9
SGOT 26
SGPT 39
Ur 23
Cr 0,5
Gds 175
Alb 2,13
Chl 104,0
K 3,60
Na 131

5 A8 Tampi Brando Combutio e.c. listrik Lab (13/10/2017) Urinalisa NaCl 0.9% 23 gtt
Aquino/L/20th/02-04-1997 Leu 17.400 14/10/17 Rawat luka
Eri 4.90 Makroskopis Ceftriaxone 2x1
RM: 51.41.21 Hb 14.6 Warna: kuning Ranitidine 2x1
MRS: 14-10-2017 Ht 41.5 Kekeruhan : jernih Ketorolac 3x1
Tromb 300 Eri 25-35/ LPB Terapi sesuai TS
DPJP: dr Mendy H Oley, MCH 29.8 Leu 1-3/ LPB Rehab Medik
SpBP MCHC 35.2 epitel 0-1 LPK
 MCV 84.7 Bakteri EKG:13/10/2017
SGOT 33 Jamur Dalam batas normal
SGPT 14 Amoeba
Ur 24 KIMIA
Cr 1.0 Berat jenis 1015
GDS 97 PH 6
Cl 107.0 Leukosit +1
K 3.5 Eri +3
Na 141

ICU
6 ICU Yudith Paguli/P/41th/21- Luka bakar ec api gr.I, II, Lab (12/10/2017) Lab (15/10/2017) Clinimix Clinolec
BED 06-1976 III, luas 30% Leu 41500 Leu 14100 Asering : RL 36
16 Hipoalbumin Eri 5.70 Eri 4.23 gtt/mnt
RM: 51.40.44 Hb 16.4 Hb 12.6 Ceftriaxone 2x2
MRS: 13-10-2017 Ht 48.5 Ht 36.4 Omeprazole 2x1
Tromb 392 Tromb 189 Human albumin
DPJP: Dr. dr Jan T. MCH 28.8 MCH 29.8 NGT 200c
Ngantung, SpB, SpBP (K) MCHC 33.8 MCHC 34.6 Furosemide 1x1 k/p
RE MCV 85.1 MCV 86.1 Rawat luka dengan
SGOT 46 burnasin
SGPT 28 Lab (14 Balance cairan
Ur 34 /10/2017) Terapi sesuai TS
Cr 0.6 Alb 1.75 anestesi, terutama
GDS 134 SGOT 22 masalah nyeri
Cl 104.0 SGPT 32
K 3.8 Ur 38
Na 134 Cr 0.7
Pt 16.8 GDS 146
INR 1.47 Na 131
APPT 49.2 K 4.25
Cl 101.4

Lab
(16/10/2017)
Eos 1
Bas 0
Netrofil 0
Limfosit 13
Monosit 6
Na 139
Kal 3,60
Cl 104,6
Leu 15080
Eri 4,75
Hb 11,9
Ht 35,2
Trombo 197
MCH 28,5
MCHC 33,8
MCV 84,4
SGOT 16
SGPT 21
Bil Total 0,42
Bil direct 0,25
Ur 15
Cr 0,5
GDS 83
Ca 7,61
Fosfor 2,9
Mg 1,74
Alb 1,84
INR 1,56
PT 17,6
APTT 28,0