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NO RUANGAN NAMA NO.

REKAM MEDIK UMUR JK LAMA RAWATAN


1 RBW Nurhayati Muhammad 171645 39 thn PR 16 hari
2 RBW Mahmudiah 136585 47 thn PR 10 hari
3 RBW Dahriah A. Malek 179532 47 thn PR 5 hari
4 RBW Cut Husnah 161605 57 thn PR 3 hari
5 RBW Khaira Najila 179569 19 thn PR 2 hari
6 RBW Ida Wahyuni 178842 33 Tahun PR 1 hari
7 RBW Istiana 179273 35 thn PR 2 hari
8 RBW Rabiah 179007 57 thn PR 2 hari
9 HCU Arafah Junaida 153349 44 thn PR 3 hari
10 RBP Syahrul Ramadhan 131596 21 thn LK 8 hari
11 RBP Rasyidin 171775 45 thn LK 3 hari
12 RBP Herman Pelani 179541 39 thn LK 4 hari
13 RBP Hendra Gunawan 172954 31 thn LK 1 hari
14 RBP M. Ikhsan 172954 18 thn LK 1 hari
15 RBP M. Rayyan 402185 4 thn LK 1 hari
16 RBP Husnaini 402205 19 thn LK 1 hari
17 ARHAM Maryani 402182 36 thn PR 1 hari
18 ICU Iwan Januar Nur 179305 53 thn LK 8 hari
19 MARWAH Mariana 167660 42 thn PR 4 hari
20 MULTAZAM Zakaria 503952 59 thn LK 6 hari
21 MULTAZAM Marzuki 402140 31 thn LK 2 hari
22 SHAFA Syahrial 137223 61 thn LK 4 hari
23 MUZDALIFAH Junidar 125686 52 thn PR 4 hari
24 MUZDALIFAH Nurda Prilasmi 150102 51 thn PR 2 hari
25 MUZDALIFAH Suratmi 425607 59 thn PR 6 hari
26 MUZDALIFAH Nurdin 179267 51 thn LK 2 hari
Pre operasi
Konservatif
Post operasi
PASIEN BEDAH RSU CUT MEUTIA LHOKSEUMAWE
Mapping Kamis, 9 Desember 2021

DIAGNOSA
Repair Laparostomi a/I Asites + ILO post laparatomy POD 0
Ca mammae dextra T4bN1M1 (metastasis vertebra)
Post WSD a/i efusi pleura dextra POD III + Ca mammae dextra grade II metastasis vertebrae
Post mastektomi ec Ca mammae sinistra post kemoterapi POD II
Post eksisi Fibroadenoma Mammae (FAM) sinistra POD 0
Ca Mammae Sinistra
Post Open BiopsiTumor mammae dextra (klinis ganas) POD 0
Post Wide EksisiTumor mammae sinistra POD 0
Post WSD ec efusi pleura sinistra POD III + post radikal mastektomi ai Ca mammae sinistra
MALT Lymphoma caecum on chemotherapy
Post laparatomy eksplorasi ec app perforasi
Post hernioraphy ec Hernia inguinalis sinistra inkarserata POD III
Appendicitis kronik eksaserbasi akut
Trauma tumpul adomen dengan hemodinamik stabil
VL ar capitis + CKR E4M6V5
Anemia ec rectal bleeding ec susp hemoroid internal grade II
Multiple trauma+ VL ar capitis + VE ar humerus sinistra + VE ar antebrachii + VE thorax posterior + VE flanks
Post laparotomy a/i peritonitis ec leakage anastomosis jejenum + sepsis + adhesi berat POD I
Post debridement ec abses ar ankle dextra POD I + DM tipe 2
Selulitis ar cruris et pedis sinistra
Post debridement vulnus sclopetorum ar manus sinistra POD I
Post debridement ec ulcus diabeticum ar genu sinistra POD II+ DM tipe 2 + COPD
Post mastektomi radikal ec CA Mammae sinistra POD III
Post mastektomi CA mammae sinistra
Post irigasi chest tube a/i efusi pleura dextra ec susp Ca paru metastasis Ca mamae + CHF + DM Tipe 2, Asites POD VI
Post eksisi ec SCC scalp POD II
PLANNING DPJP
Awasi Produksi Laparostomi ADI
Transfusi 2 bag, kemoterapi MUF
Kosongkan drain, pantau vital sign dan saturasi, evaluasi produksi WSD, GV/H HND
Vacum drain ulang MUF
Observasi KU ADI
GV/H MUF
GV/H, Observasi KU MUF
GV/H, Observasi KU ADI
GV, Rotgen Thorax Ulang Post WSD AND
Susul hasil CT scan kepala, rencana kemoterapi HND
Evaluasi KU, dan susul hasil rontgen, diet bebas HND
Aff kateter dan NGT, diet susu 4x50 cc, diet ubur, GV, rencana PBJ besok HND
Appendectomy Jum'at, 10/12/21 AND
USG FAST AND
Scan kepala, USG abdomen AND
Colonoscopy Jum'at, 10/12/210. transfusi PRC, diet MB SYT
Rontgen thorax, tutup luka dengan kassa lembab, GV/2H AND
GV drain, cek darah rutin SYT
GV/H, Rencana PBJ besok MUF
Debridement Jum'at, 10/12/21 MUF
PBJ besok MUF
GV/H, rencana PBJ besok MUF
GV/H, rencana PBJ besok MUF
Transfusi PRC 3 kolf MUF
Susul hasil rontgen thorax, rencana PBJ setelah hasil rontgen keluar MUF
GV/H, rencana PBJ besok ADI

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