PASIEN IGD BEDAH Senin, 28 Agustus 2017 dr.

Jaga: AMS/ WIS/ KBN/ DK/ UDA

No. CM Nama Umur/JK Diagnosa Utama Tindakan Sub Bag. Ket.

1. C651912 An. Bagus Kuncoro 16 th/L Vulnus laserasi regio cruris dextra Pencucian luka + penjahitan B. Plastik Pulang
Adi luka + Amoxycillin + Asam
mefenamat
2. B141287 Tn. Sudarman 55 th/L Vulnus laserasi regio dorsum pedis Pencucian luka + penjahitan B. Plastik Pulang
sinistra luka + Amoxycillin + Asam
mefenamat
3. C651876 Ny. Ratnawati 50 th/P Vulnus laserasi regio genu sinistra Pencucian luka + penjahitan B. Plastik Pulang
luka + Amoxycillin + Asam
mefenamat
4. C651822 Nn. Rizkia Nasunario 17 th/P CKR GCS E4M6V5: 15 Oksigenasi + head up 300 + B. Saraf PLPS
Putri observasi
5. C651918 Ny. Sri Ulitaqwiyatul 23th/P ICH lobus frontal dextra & occipital Oksigenasi + head up 300 + B. Saraf R2A
sinistra, SAH, SDH regio occipital, observasi + inf. Manitol + inj.
fraktur linier segmental os frontal Phenytoin
GCS E2M5V4: 11
6. C651708 Ny. Saripah 48 th/P Hidrosephalus non komunikans ec Pro VP shunt B. Saraf R6A
SOL regio CPA
7. C651930 Tn. Suryo Pramono 46 th/L SAH regio temporalis dextra, GCS Oksigenasi + head up 300 + B. Saraf R1A
E3M6V4: 13, fraktur clavicula observasi + inj. Phenytoin + + B. Orthopedi
sinistra 1/3 tengah transverse inj. Ketorolac + pasang arm
undisplaced ttp nk sling + pro ORIF elektif
8. C651919 Tn. Sahroni 56 th/l ICH regio frontal dextra, EDH regio Oksigenasi + head up 300 + B. Saraf R1A
frontal (20 cc) GCS E2M5V2: 9, observasi + pasang pelvic sling B. Orthopedi
fraktur os ilium dextra, fraktur + pasang spalk + inj. Ketorolac
subtrochanter femur dextra ttp nk
9. C651929 Tn. Samsudin B. Dakidi 49 th/L Fraktur patologis subtrochanter Pasang skin traksi + inj. B. Saraf R2B
femur dextra, dd/ metastasis tulang, Dexamethasone + inj. Ketorolac B. Orthopedi
SOL regio parietal sinistra dd/ + pro biopsi
metastasis otak
10. C512073 Tn. Soejadi 59 th/L Fraktur clavicula sinistra 1/3 lateral Inj. Ketorolac + pasang arm B. Orthopedi MRK 1
komminutif ttp nk, CKD on HD sling + pro ORIF elektif + raber
interna
11. C651925 Tn. Harjanto 52 th/L Fistel enterokutan low output post Rawat luka + inj. Ceftriaxone + B. Digestif KTL D
laparotomi cholesistektomi 1 inf. Metronidazole + puasa +
minggu yll TPN
12. C651922 Tn. Sudasno 27th/L Peritonitis generalisata ec c/ Inf. Ciprofloxacin + inf B. Digestive R2B
perforasi appendicitis, APACHE 2 Metronidazole + inj. Ketorolac
score 2 + laparotomi appendectomy
13. C651895 Tn. Faisal Nawawi Arif 68 th/L Ruptur aneurisma aorta Tranfusi PRC + inj. Morfin + B. Thorvask ICU
abdominalis, anemia inj. Midazolem + inj. Diltiazem
+ observasi
14. C651407 Ny. Watinah 59 th/P PAOD regio pedis sinistra, gangren Rawat luka + pro PTA & B. Thorvask KTL 1
digiti III pedis sinistra, DM tipe II debridement elektif + raber
interna
15. C520363 Ny. Darsi 47 th/L Wound dehiscence regio flank Pro debridement B. Urologi KTL 1
dextra post nefrolithotomi 2 bulan
yll
16. C641755 Tn. Sukiman 57 th/L Retensio urin ec prostate Kateterisasi uretra B. Urologi Pulang
enlargement