You are on page 1of 4

Nama :H ASA PS :2

Usia/JK : 50 / P Diagnosa : Closed fracture middle left clavicle


RM : 704721 Tindakan : ORIF Plate and Screw Clavicule (S)
BB/TB : 59 / 155 VAS Pre-op : 3/10
BMI : 24.6 Opioid Pre-op : tidak ada
Jam mulai anestesi : 07:50 Jam selesai anestesi : 09.40
Jam mulai operasi : 08.:00 Jam selesai operasi : 09.30

Contoh pengisian
Fentanyl Keterangan
Jam Menit HR TD MAP BIS PPI Isofluran
(Rescue) Insisi Kulit
10 10 72 130/72 86 46 5 1.2 ×
15 101 152/89 95 50 8 30
20 78 90/60 70 32 4 1

TD Alat bantu monitor


Jam Menit HR MAP Isofluran Fentanyl
Sistole Diastole BIS PPI
7:00 50 76 120 72 88 43 1 1.2
55 76 121 74 89.6667 42
8:00 0 76 118 72 87.3333 48
5 75 118 76 90 52
10 76 121 72 88.3333 63 2 1.5
15 103 144 92 109.333 43 2 30
20 79 121 71 87.6667 48 1
25 74 121 70 87 50
30 73 120 72 88 52
35 71 112 70 84 52
40 74 112 68 82.6667 52
45 73 110 74 86 50
50 73 110 72 84.6667 44
55 74 110 71 84 49
9:00 0 78 111 72 85 44
5 72 112 73 86 44
10 70 109 71 83.6667 43
15 72 110 68 82 36 1 1.2
20 70 109 67 81 45 1
25 68 112 69 83.3333 44
30 69 114 72 86 42 1
middle left clavicle
crew Clavicule (S)

Keterangan
Periosteum

Keterangan Jam NRS Rescue Fentanyl


Insisi Kulit Periosteum Diam Gerak
2 2/10 3/10
4 2/10 3/10
× 6 2/10 2/10
12 2/10 2/10
24 2/10 2/10
Jumlah 0
×

You might also like