Mapping Neonatologi 28 Februari 2023

MAPPING UNIT NEONATOLOGI
SENIN, 28 FEBRUARI 2023

KAMAR NAMA DIAGNOSIS PENUNJANG TERAPI PLANNING DPJP
Level IIA
Bed 1 By. Ny Ranti Astuti -Infection of newborn Laboratorium (23 /02/2023) - - PMK per hari
Perempuan, lahir, -hipoglikemia Hb: 12,8mg/dl
08/01/2011 -Hipoalbuminemia HT: 38%
CM : 1322298 -Hipokalsemia Eritrosit: 4,0x106 mm ³
-Hiponatremia
-Bayi Berat Lahir rendah Leukosit: 7,94 x106 mm³
-Neonatus kurang bulan kecil masa
Trombosit: 427x103 mm³
kehamilan post section cesaria
MCV/MCH/MCHC/RDW/MPV/PDW:
94/32/34/24,2/10,4/13,4
E/B/NB/NS/L/M: 5/1/0/44/36/14
Albumin: 2,90
Ca: 10,3
GDS: 27
Ur/Cr: 3/0,40
Na/K/Cl: 139/4,50113
Bed 2 By. Ny. Uswatul Munira, -Infection of newborn Laboratorium (25/02/2023) - - Pantau Muntah
laki laki, 3 hari, 1-33-27- -Neonatus cukup bulan sesuai masa Hb: 17,1mg/dl - Feeding 5cc/3 jam
37 kehamilan post SC HT: 47%
Eritrosit: 4,9x106 mm ³
Leukosit: 18,59x106 mm³
97/35/36/15,7/8,8/9,8
E/B/NB/NS/L/M: 2/0/0/72/16/10
Bed 3 By. Ny. Nurul Melisa, -Caput Succadenum Laboratorium (26/02/2023) - - Diet ASI 7cc/3 jam
Laki-Laki, 1-33-28-15 -Berat Badan Lahir Rendah Hb: 16,1mg/dl
-Neonatus kurang bulan sesuai masa HT: 44%
kehamilan post pervaginam Eritrosit: 4,3x106 mm ³
38/37/15,7/8,910,2
E/B/NB/NS/L/M: 1/1/0/58/25/15
Bed 4 Sri Wahyuni binti -Bayi berat lahir rendah Laboratorium (27/02/2023) - - Transfusi PRC 2x40cc
Syamsuddin, Perempuan, 1 -Neonatus kurang bulan sesuai masa Hb: 7,6mg/dl HT: 21% - Cek DR, PT/APTT
Hari, 1-33-28-11 kehamilan post sectio caesaria Eritrosit: 2,1x106 mm ³ - Rawat tali pusat
- Cegah hipotermia
Leukosit: 12,45x106 mm³ - Cegah hipoglikemia
100/36/36/15,9/10,3/10,3
E/B/NB/NS/L/M: 5/0/0/43/38/14
Eritrosit: Normokrom anisositosis,
Polikromasi (+)
Lekosit: Jumlah cukup, bentuk normal
Trombosit: Jumlah cukup, bentuk normal,
tersebar (+)
Kesimpulan: Anemia normokrom
normositer
PT/APTT: 14,30/29,20
Bed 5 Elvi Yanti, perempuan, -Sangkaan Infection of Newborn Laboratorium (22/02/2023) - - Feeding adlibitum
lahir 20/2/2023 CM -Neonatal seizure Hb: 13,6mg/dl
1329526 -Hidrosefalus congenital HT: 39%
BBL 2900 gram -Neonatus cukup bulan sesuai masa Eritrosit: 4,1x106 mm ³
kehamilan post sectio caesaria
MCV/MCH/MCHC/RDW//MPV/PDW:
95/33/35/18,9/10,0/10,1
E/B/NB/NS/L/M: 6/0/0/36/51/7
HBsAg: Non Reaktif
Ca: 10,2
Ur/Cr: 21/0,80
Na/K/Cl: 139/4,90/131
Bed 6 By. Ny. Sri Wahyuni, -Respiratory distress of newborn Laboratorium (25/02/2023) - -
Laki-laki, 7 hari, lahir -Infection of newborn Hb: 12,9mg/dl
12/2/2023, cm 1331410 -Neonatus kurang bulan sesuai masa HT: 36%
BBL 1400 gram kehamilan post sectio caesarea Eritrosit: 4,0x106 mm ³
89/32/36/18,9/12,5/17,0
E/B/NB/NS/L/M: 14/0/0/26/49/11
Bed 7 By Ny. Khairuzzani, laki -Respiratory distress of newborn Laboratorium (26/02/2023) - - Puasa
laki, 2 hari, 1-33-27-99 -Caput Succadeneum Hb: mg/dl - Pantau Muntah
-Infection of newborn HT: %
-Neonatus cukup bulan sesuai masa Eritrosit: x106 mm ³
kehamilan post sectio Caesaria
-Ibu dengan HbSAg positif Leukosit: x106 mm³
Trombosit: x103 mm³
E/B/NB/NS/L/M:
Bed 8 By. Ny. Giti Lusi, 1 Hari, - Laboratorium (26/02/2023) - -
1-33-28-23 Hb: 13,0mg/dl
HT: 38%
Eritrosit: 3,7x106 mm ³
104/36/34/18,4/9,7/9,6
E/B/NB/NS/L/M: 0/0/0/56/32/12
Level II B
Bed 1 Muhammad Ilham -Hipoksik iskemik Ensepalopati Laboratorium (25/02/2023) - -
Alshidiq, laki laki, 10 hari, -Asfiksia berat Hb: 15,4mg/dl
1-33-27-85 -Sepsis Neonatorum HT: 43%
Diagnosa -Neonatus cukup bulan sesuai masa Eritrosit: 4,4x106 mm ³
kehamilan post sectio Caesaria
97/35/36/14,5/10,1/10,1
E/B/NB/NS/L/M: 3/1/0/59/22/15
PT/APTT: 13,70/38,00
pH: 7,423
pCO2: 46,10
pO2: 142
Bikarbonat (HCO3): 30,4
Total CO2: 31,8
Kelebihan Basa (BE): 5,8
Saturasi O2: 97,5
Bed 2 By. Ny. Helda sari, -Respiratory distress sindrom Laboratorium (24/02/2023) - -
perempuan, lahir -Bayi berat lahir rendah Hb: 17,7mg/dl
23/2/2023 CM 1332538 -Neonatus kurang bulan sesuai masa HT: 47%
kehamilan post sectio caesaria Eritrosit: 4,3x106 mm ³
110/41/37/17,3/8,7/8,9
E/B/NB/NS/L/M: 0/0/0/60/28/12
Bed 3 Muhammad Al-Ghazali -Infection Of Newborn Laboratorium (24/02/2023) - -
Putra, Laki-laki, 4 hari -ASD ll Hb: 15,3mg/dl
-PDA HT: 42%
-PFO Eritrosit: 4,5x106 mm ³
-Hiperbilirubinemia
-Neonatus Cukup Bulan Sesuai Masa Leukosit: 17,08x106 mm³
Kehamilan Post Pervaginam
95/34/36/15,3/8,7/9,5
E/B/NB/NS/L/M: 0/1/0/62/15/22
Billirubin Total: 14,19
Billirubin Direct: 0,61
Billirubin Indirect: 13,58
SGOT/SGPT: 102/60
Albumin: 3,80
Ca: 8,7
GDS: 116
Ur/Cr: 53/0,40
Bed 4 By. Ny. Rasyidah, laki- -Respiratory distress syndrome Laboratorium (24/02/2023) - -
laki, lahir 18/2/2023, usia 1 -Infection of newborn Hb: 16,5mg/dl
hari, cm 1332100 -Neonatus kurang bulan sesuai masa HT: 46%
BBL 1500 gram kehamilan post sectio caesarea Eritrosit: 4,5x106 mm ³
Trombosit: 276 x103 mm³
104/37/36/21,1/12,4/10,3
E/B/NB/NS/L/M: 6/0/0/34/44/16
Billirubin Total: 11,75
Billirubin Direct: 0,57
Billirubin Indirect: 11,18
Bed 5 By.Asmaul Husna, -Respiratory Distress Laboratorium (16/02/2023) - -
perempuan, lahir -Syndrome SGOT/SGPT: 116/13
12/2/2023, 7 hari,cm -Infection of newborn Albumin: 2,80
1331397 -Caput Succedaneum Ca: 7,8
BBL 1700 gram -Ibu dengan Hepatitis B GDS: 58
-Neonatus kurang bulan sesuai masa Ur/Cr: 38/1,00
kehamilan post pervaginam Na/K/Cl: 125/7,60/108
Laboratorium (16/02/2023)
Ca: 12,0
Ur/Cr: 27/0,90
Na/K/Cl: 134/7,50/117
Laboratorium (23/02/2023)
pH: 7,381
pCO2: 43,50
pO2: 98
Total CO2: 27,4
Saturasi O2: 93,4
Bed 6 Nafil khairi hanif, laki laki, -Respiratory distress syndrome Laboratorium (25/02/2023) - -
7 hari, 1-33-27-56 -ASD Billirubin Total: 16,54
Diagnosa -PDA Billirubin Direct: 0,30
-Sepsis Neonatorum Billirubin Indirect: 16,24
-Neonatus cukup bulan sesuai masa SGOT/SGPT: 44/11
kehamilan post sectio Caesaria Albumin: 3,00
Ca: 6,0
GDS: 291
Ur/Cr: 142/0,50
Na/K/Cl: 144/4,80/114
Level III
Bed 1 By Aja Aulia Rahman, -Gagal nafas Laboratorium (21/02/2023) - -
Laki-laki, lahir 19/2/2023, -Respiratory Distress of newborn Hb: 14,5mg/dl
CM 13321128 -Transient Tachypnea of newborn HT: 40%
Dx -Infection of newborn Eritrosit: 4,2x106 mm ³
-Neonatus cukup bulan sesuaiasa
kehamilan post pervaginam Leukosit: 16,17x106 mm³
96/35/36/15,7/10,2/10,5
E/B/NB/NS/L/M: 0/0/1/83/7/9
Albumin: 3,82
Ca: 9,5
GDS: 88
Ur/Cr: 41/0,62
Na/K/Cl: 128/4,70/106
pH: 7,459
pCO2: 34,10
pO2: 209
Total CO2: 25,5
Kelebihan Basa (BE): -1,7
Saturasi O2: 98,2
Bed 2 By.Ny.Della Melina 1, -Gagal Napas Laboratorium (26/02/2023) - -
perempuan, 11 hari, -Respiratory Distress syndrome Hb: 13,9mg/dl
08/02/2023,1330989 -Asfiksia berat HT: 37%
BBL 1700 gram -Sepsis neonatorum Eritrosit: 4,6x106 mm ³
-Asfiksia Berat
-Gemeli 1 Leukosit: 13,18x106 mm³
-Bayi Berat lahir sangat rendah
-Neonatus kurang bulan sesuai masa
kehamilan post sectio caesaria MCV/MCH/MCHC/RDW/MPV/PDW:
57/80/30/38/19,7
E/B/NB/NS/L/M: 1/0/0/68/28/3
pH: 7,459
pCO2: 19,10
pO2: 166
Total CO2: 14,3
Saturasi O2: 99,0
Albumin: 3,10
Ca: 12,0
Ur/Cr: 44/0,40
Na/K/Cl: 138/4,00/114
Bed 3 By Siti Hasanah, Laki -Gagal Napas. Laboratorium (20/02/2023) - -
Laki, 6 hari, 1-33-22-95 -Respiratory distress of newborn Hb: 10,9mg/dl
-Sepsis of newborn HT: 31%
-Sangkaan acyanotik CHD Eritrosit: 3,1x106 mm ³
-Neonatus cukup bulan sesuai masa
kehamilan post sectio Caesaria Leukosit: 14,93x106 mm³
102/36/35/15,7/10,3/12,0
E/B/NB/NS/L/M: 3/1/0/41/51/4
pH: 7,264
pCO2: 54,50
pO2: 132
Total CO2: 26,6
Saturasi O2: 96,6
Bed 4 Bayi Desi NurFarida 2 -Gagal nafas Laboratorium (22/02/2023) - -
laki-laki, lahir 12/02/2023, -Respiratory Distress Syndrome Hb: 16,7mg/dl
usia 1 hari, cm 1332429 -Gameli 2 HT: 47%
BBL 1400 gram -Infection of newborn Eritrosit: 4,3x106 mm ³
Diagnosa -Bblsr
-Neonatus kurang bulan kecil masa Leukosit: 10,15x106 mm³
kehamilan post section Caesaria
110/39/36/17,1/9,610,4
E/B/NB/NS/L/M: 1/1/0/67/20/11
pH: 7,426
pCO2: 35,70
pO2: 40
Total CO2: 24,8
Saturasi O2: 78,2

Mapping Neonatologi 28 Februari 2023

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Mapping Neonatologi 28 Februari 2023

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MAPPING UNIT NEONATOLOGI

SENIN, 28 FEBRUARI 2023

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