MAPPING PASIEN RUANGAN OBSTETRl

RABU, 5 FEBRUARI 2020

Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Aisyah Cek DR 2 jam post
19 th Dr. Johny Marpaung, operasi
RB 1 Post Histerostomi a/I KJDK +
03/02/2020 G1P0A0 M.Ked(OG),SpOG(K) Monitoring vital sign,
3.1.6 Mioma uteri + H0
80.13.90 kontraksi uterus dan
perdarahan pervaginam
Hotmeli
RB1 34 th Dr. dr. Letta Sari Lintang, Post SC a/I HIV + post sterilisasi Aff Kateter
04/02/2020
3.1.1 G3P2A0 M.Ked(OG, Sp. OG (K) pomeroy + NH1 Mobilisasi
75.03.07

Stevani siregar
RB 1 28 th Dr.dr. Hotma Partogi Aff Kateter
03/02/20 Post SC a/i KPD + NH1
1.1.1 G2P1A1 M.Ked(OG), SpOG Mobilisasi
79.21.66
Auliya Dysneu ec Efusi pleura moderate +
RA 6
22 th dr. Melvin N G Barus, TB milier + susp TB paru dd CAP + Terapi sesuai TS paru
30/01/2020 2.1.2
G2P1A0 M.Ked(OG), SpOG(K) SG + KDR (20-21) mgg + AH + Awasi VS, His, DJJ
80.35.77 Anhidramnion

Lasma Butar Prev SC 1x + MG + KDR (34-35)mgg

RB 1 Dr. dr. Letta Sari Lintang, Pematangan Paru
05/02/2020 32 th + PK + AH + Oligohidramnion +
3.1.1 M.ked(OG, Sp. OG (K) USG konfirmasi besok
G3P2A0 Susp Atresia duodenum
 80.40.27
Luria Pematangan Paru
RB 1 26 th dr. Melvin N G Barus, PASD (PAS 0) + Prev SC 1x + SG + Monitoring vital sign,
05/02/2020
2.1.1 G2P1A0 M.Ked(OG), SpOG(K) KDR (38-39) minggu + PK + AH kontraksi uterus dan
80.34.01 perdarahan pervaginam

Irawani Hasni
RB 1 30 th dr. Melvin N G Barus, Post Manual Aid a/i Presentasi Transfusi PRC 2 bag
05/02/2020
2.1.3 P1A1 M.Ked(OG), SpOG(K) Bokong + SLE + Anemia (6,8) Konsul Penyakit Dalam
80.40.11

MAPPING PASIEN PBJ RUANGAN OBSTETRl

RABU, 5 FEBRUARI 2020
 Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Desprita
Plasenta Previa Totalis susp Akreta
RB 1 35 th dr. Edwin M. Asroel,
02/02/2020 (PAS 0) + Prev SC 2 x + MG + KDR (23- PBJ
3.1.3 G4P3A0 M.Ked(OG), SpOG(K)
24) mgg + PK + AH
80.16.56
Anggi
Prof. Dr.dr. Sarma N.
RB 1 35 th
02/02/2020 Lumbanraja, M.Ked(OG), Post PSP a/I PBK + NH3 PBJ
3.1.4 P3A0
SpOG(K)
80.35.09

MAPPING PASIEN RUANGAN GINEKOLOGI

RABU, 5 FEBRUARI 2020
 Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Mardiana
RB 1 36 th dr. Khairani Sukatendel, Miomektomi pertimbangan
5/2/2020 Mioma Uteri submukosum
3.2.1 P3A1 M.Ked(OG), Sp.OG.K histerektomi besok (6/2/2020)
80.24.58

MAPPING PASIEN PBJ RUANGAN GINEKOLOGI

RABU, 5 FEBRUARI 2020
Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
 MAPPING PASIEN RUANGAN ONKOLOGI
RABU, 5 FEBRUARI 2020

Tgl Identitas
Bed DPJP Diagnosis Planning
MRS Pasien
Post TAH + BSO a/I Ovarian
Yenni
Tumor Susp Malignancy +
RB 1 Virgo Prof.dr. M Fauzie Sahil
12/01/2020 H2 + hidronefrosis bilateral Terapi lanjut
3.3.2 15 th SpOG(K)
+ AKI std failure + Post
80.14.98
Insersi DJ Stent
Wasneti Ca cervix std III + CKD on HD
RB 1 57th dr. Sarah Dina, regular+ Post insersi dj stent
15/01/2020 Rencana HD besok
3.3.6 80.15.75 M.Ked(OG), Sp.OG(K) unilateral a/I hidronefrosis
bilateral
Sumarni CA ovarium inadequate Menunggu hasil koreksi
RB 1 dr. Deri Edianto
55 th staging + AKI + CHF Fc I d/t albumin + CT scan whole
3.3.3 M.Ked(OG),Sp.OG K
80.37.09 HHD abdomen without kontras
Suryati
RB 1 Ca Cervix IIB + Anemia Menunggu hasil DL Post
48 th dr. Riza Rivany, Sp.OG(K)
3.3.5 (Hb8.9) transfusi
80.15.75
Cek Albumin
Mahrani Ca Vulva Inoperable + Post
RB 1 dr. Cut Adeya Adella,
30/01/2020 62th Chemo NAC Ifosfamide-
3.4.6 Sp.OG(K) Chemo NAC Ifosfamide-
79.86.57 Cisplatin Siklus 1
Cisplatin Siklus 2
 Santi Ca vulva rekuren + post
dr. Dwi Faradina, M.Ked(OG), Kemoterapi paliatif ifosfamid
04/02/2020 Kemoterapi 40 thn Kemoterapi paliatif
Sp.OG(K cisplatin siklus V
76.80.55 ifosfamid cisplatin siklus IV

Hiponatremia (115) + Ca
ovarium III C
Salama (dysgerminoma) + post Substitusi Natrium
RB 1 dr. Dwi Faradina, M.Ked(OG),
16 th kemo TIP (2nd line) 6 siklus Periksa darah rutin ulang
22/01/2020 2.2.3 Sp.OG(K)
71.88.42 ( Juli 2019) + susp meta Konsul pain management
hepar + Jaundice ec
obstruksi duktus koledokus

Nurhayani Ca. Vulva +post

dr.Sarah Dina, Kemoterapi ifosfamid-
30/1/2020 kemoterapi 40th kemoifosfamid-cisplatin 2
M.Ked(OG),Sp.OG.(K) Cisplatin siklus ke III H 3
79.79.21 siklus

Yuliana
dr.Sarah Dina, Ca. Vulva +post kemopaliatif Kemoterapi ifosfamid-
30/1/2020 kemoterapi 40th
M.Ked(OG),Sp.OG.(K) ifosfamid-cisplatin 2 siklus Cisplatin siklus ke III H 3
77.85.53

Suwarni
RA 4 dr. Sarah Dina, Anemia (7,1) + CKD dd AKI Biopsi Jaringan Besok
30/01/2020 55 th
2.2.1 M.Ked(OG), Sp.OG(K) std III + ISK + Susp.Ca Cervix (6/2/2020)
77.69.39
 Habibah
RB 1 Damanik dr. Sarah Dina, M.Ked(OG), Biopsi Endometrium
05/02/2020 Susp Ca Endometrium
3.4.1 55thn Sp.OG(K) Tgl 6/2/2020
80.31.70

Jamilah
RB 1 dr. Sarah Dina,
03/02/20 67 th Ca cervix IIIB + Post Re 5x Radiasi Externa ke 6
3.4.5 M.Ked(OG), Sp.OG(K)
79.94.86

Lismawati
RB 1 dr. M. RIzki Yaznil, M.Ked(OG), Post surgical staging Ca Aff Infus
02/02/20 50 th
3.3.1. Sp.OG(K) ovarium solid std IIB + H2 Terapi oral
80.24.53

Leli Teti Hipoalbumin (2.0) + Ca

RB 1 dr. Sarah Dina,
02/02/20 39 th ovarium reccurent + Ascites Tapping Ascites
3.4.2 M.Ked(OG), Sp.OG(K)
80.30.75 massif

Ria mendana Hematuria+fistula vesiko

dr. Sarah Dina, Cystoscopy dan biopsy margin
03/02/20 HCU 57 th uterus+pelvic mass susp
M.Ked(OG), Sp.OG(K) fistula
80.16.97 malignancy

Ayu Lestari
Ovarian Cancer IIB + Post
21 th dr. Dwi Faradina, M.Ked(OG), Kemoterapi BEP SIklus 1
03/02/2020 Kemoterapi Kemoterapi carbo pacli 3
P2A0 Sp.OG(K)
siklus
80.26.06
 Siti Aminah
RB 1 dr. Sarah Dina, M.Ked(OG), Tumor Ovarium Susp
05/02/2020 40thn LSS tgl 6/2/2020
2.2.1 Sp.OG(K) Malignansi
80.26.24
 MAPPING PASIEN PBJ RUANGAN ONKOLOGI
RABU, 5 FEBRUARI 2020

Tgl
Bed IdentitasPasien DPJP Diagnosis Planning
MRS
Nurmaini
RB1 dr. Sarah Dina,
03/02/20 51th Ca cervix IIIB PBJ
2.1 M.Ked(OG), Sp.OG(K)
79.22.10