MAPPING BEDAH UROLOGI SELASA 05/09/2017

Rhaudah 1

No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD

1 K1B2 Amiruddin T 64th lk 0873215 Gross hematuri POD 4

rencana ec susp
medial kanan +
urosepsis+

Jeumpa 1/Raudhah 4

No Kamar Nama Umur JK No. CM Diagnosa Tindakan Planing Hasil Lab POD

1 Iso 2 Alimuddin 40 th lk 0750725 Post vesicotomy a/1 GV Lab (02-09-2017) POD 3

rupture uretra ec PFUI Hb/Ht/E/L/T
+ raw surface ar 10,3/31/3,7/9.3/423
perinuem + ulcus CT/BT : 3/1
decubitus + Prot tot/ Alb : 6/2,16
hipoalbumin Ur /cr : 27/0,80
Jeumpa 4 / Raudhah 5

No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD

1 ISO 1 Zulkifli 53 th lk 1139898 Post nefrolitotomi sin + Mobilisasi jalan Lab (04-09-17) POD
ureterolistitis a/i HN ec Batu Diet MB Hb/Ht/E/L/T 3
ureter proximal sin + batu Susul hasil BNO 10,4/32/3,8/15/325
stoghorn dextra + CKD PTT/Aptt : 10.7/36,5
Ur/cr : 68/2.87

(25-08-17)
Ur/cr : 73/4.86
2 ISO 2 Abdul Jalil 58 th Lk 1140093 Post URS dex + litotripsi batu Susul hasil BNO, Lab (04-09-17) POD
ureter media + distal de +Dj rencana PBJ Hb/Ht/E/L/T III
stant a/i CKD ec Obs Uropathy 8,8/25/2,9/9,0/436
Ec batu ureter media dan HN

2 K1B2 Shahbuddin 57 th Lk 0938994 Post nefrostomy percutaneuos Cek DR, Ur.Cr, Lab (02-09-17)
sinistra a/i pyohidronefrosis elektrolit post OP Hb/Ht/E/L/T
sinistra ec batu pyelum 14,9/45/5/11.6/324
Ur /cr : 47/1,90

4 K4B3 Abdullah 42th lk Gross Hematuria ec susp Ca Cystoscopy + Operasi hari ini Lab (02-09-17) AD
Hasan Bulli TuR BT Hb/Ht/E/L/T 4
9,7/30/4,1/8.0/173

5 K4B4 M Yunan 48th lk Ureterolithiasis sin + CKD ec Urs + lithotripsi Ssusl hasil torax, Lab (05-09-17) AD
obs uropathy ec batu ureter konsul anestesi Hb/Ht/E/L/T 4
media billateral ( kanan : 16x8 7,6/22/2,8/8/220
mm) (kiri : 14 x 6 mm) + susp Ur / cr : 110/10,37
Ca : 7,9
PNC kanan
Na/K/Cl :133/3,8/104

6 K5B1 Baharuddin 56th lk 1140657 AKI superimposed CKD Oybs Tf 1 kolf, susul hasil 30/8/2017 AD
uropathy ec batu ureter medial USG urologi, Hb/Ht/E/L/T 5
kanan + batu uretee distl + persiapan operasi, 7,5/22/3,4/20,1/524
nefrolithiasis + retensi urin+ foto toraks GDS/Ur/Cr/Na/K/Cl
100/91/2,63/137/40/109
groiss hematuria
Lab (06-09-17)
 Hb/Ht/E/L/T
10,9/32/4,4/9,4/518
Ur / cr : 55/2,0

7 K5B2 Razali 50 th lk 1137658 Post bivalve nefrolithotomi + Dj fikaaa Cek DR, Ur.Cr, Lab (03-09-17)
Stant sin ai batu stoghornsin elektrolit post OP Hb/Ht/E/L/T POD
hidronefrosis , ISK + Ht grade 2 15,7/47/5.8/9,/175 1
Ur/cr : 19/1,17

8 K4B1 Abdullah 56 th lk 1138912 Post bivolve syctoctomy dex + Cek Dr,Ur/Cr, Na, Lab (05-09-17) POD
ahmad Dj stant dex + batu stoghonr Post Op Hb/Ht/E/L/T 1
bilateral + Hn Bilateral + ht 13,3/40/4,8/18,5/260
stage 2 Ur / cr : 51/ 1,56
Na/K/Cl : 137/36/112

AQSA 1

No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD
Jeumpa 2/ Raudhah 2

No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD

1 K 7b3 Kamariah 66 pr 1139257 Post ureterolitotomy GV tiap hari 29/08/2017 8

sinistra a/i Dj stent a/i Cek Dr, Ur/cr, Hb/Ht/E/L/T
ec batu ureter Na/K/Cl besok 11,3/33/3,9/19,4/104
Na/K/Cl131/3,5/110
pagi
3. K7B5 Parianum 52th pr 1140661 Gross hematuri ec susp Rencana 30/8/2017
ca bulli cytosscopy Hb/Ht/E/L/T
burt konsul jasil 8,7/25/3,0/7,3/207
ab Dr, ur /cr, GDS/ur/cr
elektrolit 106/24/1,30
Na/K/Cl
137/3,9/108
K5B1 Rosnawati

5 K6B4 Huzaifah 77 th pr 1139643 Sistokel + vesicolitiasis Operasi hari ini 28/8/2017

Hb/Ht/E/L/T
13,3/41/4,4/6,6/197/
CT/BT : 2/7
Gds : 106
Ur / cr : 38/0,98
6 K2B1 Ida Marlena 39 th pr 1060598 Post CAPD a/i ESRD CAPD 36/9/2017
Hb/Ht/E/L/T
7/22/2,5/108/3,5
Ur/ cr : 144/11,40
HCU Surgical
No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD

2 K2B2 ZakariaPirson 48 th lk 1139943 CKD echidronefrosis Susul CT scan Hb/ht/e/t/l

bilateral grade 3 urologi non 11,4/34/4,3/9,6/352
ecbatu ureter bilateral kontras, Ur/cr/na/k/cl
CT scan urologi 219/9,6/134/4.4/104
kontras
(5/9/2017)
Konsul
kardio(+),
Konsul
anestesi(+)

Aqsa 2
No Kamar Nama Umur JK No.CM Diagnosa Tindakan Planning Hasil lab POD

1 K5b4 Hamdani 59 th lk 1604082 Hidronefrosis bilateral URS bilateral Konsul kardio Hb/Ht/e/L/Tr
ec obsruksi ec btu 7,8/23/2,6/13.3
catetern proxyzmal/ Ur / cr : 76/2.50
ckd bilateral Na?K/Cl : 133? 3.7/
106

IW/IGD 2
No Kamar Nama Umur JK NO.CM Diagnosa Tindakan Planing Hasil Lab POD

1
Pasienbaru

No Kamar Nama Umur JK NO.CM Diagnosa Tindakan Planing Hasil Lab POD

1 IGD