MAPPING RUANG OBSTETRI ARAFAH 2

Sabtu, 11 Januari 2020

DPJP JUMLAH PASIEN KAMAR PASIEN
Dr. dr. Hasanuddin, Sp.OG(K)
dr. Yusra Septivera, Sp.OG 3 1B,4D,6F
KETERANGAN
Dr. dr. Rajuddin, Sp.OG(K) HAMIL : 2
dr. Tgk. Puspa Dewi, Sp.OG POST SC:6
dr. Sarah IkaNainggolan, Sp.OG(K) POST PV:1
dr. Niken Asri Utami, Sp.OG (K) POST VAKUM : 0
Dr. dr. Cut Meurah Yeni, Sp.OG(K) 1 3A ILO:0
POST MANUAL PLASENTA:0
dr. Munawar, Sp.OG PASIEN GINEKOLOGI :0
dr. Munizar, Sp.OG POST KURETASER: 0
Prof. Dr. Dr. Mohd. Andalas, Sp.OG, FMAS
dr. Roziana, Sp.OG
dr. No
Dewi Karlina
Kmr Rusly, Sp.OG
Nama CM 1 Diagnosis 4C Terapi Penunjang Bayi DPJP Rencana
dr. Cut
1 Rika Maharani,
1A Sp.OG
Nurhayati T. 2 2A,5A
1233798 P1 post SC ai gagal induksi Drip oxitocin 20 IU dalam 500 Lab 7/1/2020 By. Pr, hilwah Obs KU TTV,
dr. Hilwah Nora, Sp.OG (K) 25 th,
Zulfauzi, 1 1A Hb/Ht/E/L/T
cc RL 16 gtt/menit BBL: kontraksi,
dr. Ima Indirayani, Aceh
Sp.OGTamiang 1 4B 11,4/34/3,9/11,8/243
Inj. Ceftriaxone 2 gr/24 jam 2700 Pendarahan
TOTAL PASIEN 9 CT/BT: 7/3
(alergi) gram Cek DR 2 jam post
HbsAg: non reaktif
Inj. Ketorolac 1 amp/8 jam GDS: 131 A/S: operasi
Inj. Transamin 1 amp/8 jam Ur/Cr:13/0,60 8/9 Mobilisasi bertahap
Inj. Omeprazole 1 vial/12 jam Na/K/Cl: 141/4,0/109 Foley kateter 1x24
Kaltrofen supp (K/P) jam
2 1B Eni Purwani, 28 1234132 P2 post SC ai plasenta previa Drip oxitosin 20 IU dalam 500 Lab 10/1/2020 jam By. Pr, Yusra Obs KU TTV,
Th, Aceh Besar totalis cc RL 16 gtt/menit 19:01 BBL: kontraksi,
Inj. Ceftriaxone 2 gr/24 jam Hb/Ht/E/L/T 2800 Pendarahan
11,5/34/3,8/22,8/263
Inj. Ketorolac 1 amp/8 jam gram Cek DR 2 jam post
Inj. Omeprazol 1 vial/12 jam Lab 10/1/2020 A/S: operasi
Kaltrofen supp 200 mg/8 jam Hb/Ht/E/L/T 8/9 Mobilisasi bertahap
10,8/31/3,6/10,3/2 Foley kateter 1x24
45 jam
CT/BT: 8/3
HbsAg: non reaktif
Na/K/Cl:
144/3,9/111
3 2A Maulizar Dahlan, 0726881 POD 2 P4A1 post SC a.i BSC Transamin 1amp/8jam Lab 9/1/2020 jam By Lk CRM Obs KU TTV
31thn, Aceh Besar 2x, Inpartu, adhesiolisis ai Omeprazole 40mg/12jam 23:40 BBL Pendarahan
perlengketan, akseptor MOW Ketorolac 1amp/8jam Hb/Ht/E/L/T 2950gr Mobilisasi bertahap
9,8/31/4,1/16,0/260
Kaltropen sup II/8jam AS 8/9 Aff DC 1x24jam
Inj. Ceftriaxone 2 gr/24 jam Lab 9/1/2020 jam
 13:19
Hb/Ht/E/L/T
9.4/31/4.0/9.9/239
CT/BT 8/3
Na/K/Cl 141/4.1/111
HbsAg negative
4 2B DPJP ANAK
5 3A Elvira Suryadi, 38 1163413 POD 1 P1 post SC ai fetal Drip oxitosin 20 IU dalam 500 Lab 8/1/2020 By. CMY
th, Syiah Kuala distress cc RL 16 gtt/menit selama 12 GDP: 168 LK, Obs KU TTV,
GD2PP: 227 kontraksi,
jam BBL:
DM gestasional (IPD) Inj. Ketorolac 1 amp/8 jam Lab 7/1/2020 2100 Pendarahan
Inj. Omeprazol 1 vial/12 jam HbA1c: 6,90 gram Cek DR 2 jam post
Kaltrofen supp 200 mg/8 jam A/S: operasi
SC novomix 8-8-8 unit (AC) Lab 7/1/2020 8/9 Mobilisasi bertahap
Urinalisis:
Adalat oros 2x30 mg Foley kateter 1x24
Leukosit: positif
Perdipin titrasi/IV jam
Protein: +1
Methyldopa 3x500 mg Glukosa: +2
Keton: positif
Urobilinogen:
positif
Darah: positif
Sedimen urin
Leukosit: 10-15
Eritrosit: 60-70
Epitel:3-5
Granular cast:
positif
Bakteri: positif

Lab 6/1/2020
Hb/Ht/E/L/T
15,7/43/5,2/12,3/3
39
HbsAg: non reaktif
SGOT/SGPT: 23/24
GDS: 229
Ur/Cr: 25/1,00
Na/K/Cl:
138/4,6/108

Urinalisis:
Protein: +1
Keton: negatif

6 3B -
7 4A
8 4B Nurhanifah 1231772 G3P2 Hamil 32-33 minggu Nifedipine 3x10mg Lab 8/1/2020 IMA Obs. KU TTV
Nurdin, 30thn JPKTH HAP ec PPT. janin Deksametason 12mg/12jam Hb/Ht/E/L/T pendarahan
Aceh Utara susp. IUGR, post pematangan Flagistatin ovula supp I/24 jam 11.4/34/4.2/11.5/238 Terapi sesuai FDO
paru 4x (jam 03.00)
9 4C Rafdinawati, 1232914 NH2 P1 Post partus spontan Cefadroksil 2x500mg Lab 10/1/2020 By LK DK Obs KU TTV
24thn, Banda + post perineorafi ai rupture Na diklofenak 3x50mg Hb/Ht/E/L/T BBL kontraksi, perdarahan
Aceh perineum gr II Sohobion 2x360mg 9,7/32/4,1/14,6/750 2800gr Terapi sesuai FDO
Domperidone 3x10mg AS 8/9 motivasi ASI dan KB
Lab 9/1/2020
Fluimucyl syr 3xcth 2 Hb/Ht/E/L/T
9.4/30/3.9/17.2/671

Lab 8/2/1010
PT/APTT: 0,86/1,2

10 4D Novita Herliana, 1230548 POD 3 P2 post SC ai janin Na diklofenak 3x50 mg Lab 8/1/2020 Bayi Yusra Obs KU TTV
32thn letak lintang, PPT, post by Sohobion 2x360 mg Hb/HT/E/L/T Pr, Kontraksi
Banda aceh lynch tranversal ai perdarahan 9,6/29/3,7/19,5/24 BBL: Pendarahan
plasenta bed 9 3000 Terapi Sesuai FDO
gram, Mobilisasi aktif
Lab 3/1/2020 A/S: Motivasi ASI dan KB
Hb/HT/E/L/T 5/6/7 Rencana PBJ
10.2/32/3.9/8.7/257
CT/BT: 7/2 GDS: 78
HBsAg: nonreaktif
Ur/Cr: 10/0.5
Na/K/Cl: 140/3.8/108

Lab 6/1/2020
HBsAg: non reaktif
11 5A Syamsidar M. 1233692 POD 3, P1A0, post SC ai Cefixime 100 mg/12 jam Lab 7/1/2020 Bayi CRM Obs. Ku TTV,
Amin, 30 th, gagal induksi Natrium diklofenak 3x50 mg Hb/Ht/E/L/T Lk, kontraksi pendarahan
Jeulingke SF 2x360 mg 11,2/34/3,7/13,4/346 BBL: Mobilisasi bertahap
Omeprazole 20 mg/12 jam 2600gr Terapi sesuai FDO
Lab 7/1/2020 A/S:
Hb/Ht/E/L/T 7/8
11.2/34/3.7/13.4/346
Lab 7/1/2020
Hb/Ht/E/L/T
9,8/29/3,2/7,8/326
CT/BT: 7/3
HBsAg: Non Reaktif
GDS: 91
12 5B
13 5C
14 5D
15 6A DPJP ANAK
16 6B -
17 6C
18 6D -

19 6E
20 6F Nur Najmi, 26thn, 1120453 G3P1A1 hamil 9-10 minggu Ondansetron 8mg/8jam Lab 9/1/2020 YUS Obs KU TTV
Aceh Utara JTHIU, hyperemesis Neurobion 1amp/24jam Hb/Ht/E/L/T Terapi sesuai FDO
gravidarum As. Folat 1x400mg 10.5/32/4.3/10.8/295
Na/K/Cl 141/4.0108
Antasida 3xCI
HbsAg negative
Urinalisa
Pro/Glu: -/-
21 7A DPJP ANAK
22 7B -
23 7C -
24 7D -
25 7E -
26 7F -
27 ISO 1
28 ISO 2 DPJP ANAK

ARAFAH 3
1 7A Srimawarni Arbi, 1233994 G3P2 (AH1) hamil 14-15 Inj. Ondancetron 8mg/12jam Lab 9/1/2020 AND Observasi KU, TTV
25 th, Aceh Besar minggu , JTHIU , (BSC 1x Inj omeprazol 1vial/12jam Hb/Ht/E/L/Tr dan Nyeri
IDT 5 bulan) ibu dengan Drip neurobion /24jam 10,6/33/4,6/9,5/307 Terapi sesuai FDO
Asam folat 1x1 tab HbsAg : Non reaktif
hiperemesis gravidarum
Antasida syr 3xCI
GDS : 89
Na/K/CL : 142/4,5/112
Urinalisa
Protein : -
Keton : -
2 7D Jumiati Nuryoto, 0981445 G3P2 hamil 17-18 minggu , Eritromicin 4 x 250mg Urinalisa 10/1/2020 IMA Obs KU TV DJJ HIS
pr, 29th, Banda (BSC 2x IDT 2 th ) Paracetamol 3x500mg Leukosit (+)
Aceh Ibu dengan Obs febris Cetirizine 1 x 10mg Protein (+)
Ambroxol 3x1 tab Glukosa (+)
Keton (+)
Urobilinogen (+)
Lab 9/1/2020
Hb/Ht/E/L/Tr
13/38/4,3/9,3/220