MORNING REPORT

Sabtu, 12 November 2016

Minggu, 13 November 2016

PASIEN PONEK
Pasien Baru

: 16 pasien

Total Partus

: 21 pasien

Partus Spontan

: 18 pasien

VE

: 1 pasien

SC

: 2 pasien

Kuret

: 3 pasien

Daftar Tindakan Obstetri

No

Nama Pasien

Diagnosis awal

Outcome

1.

Ny. Siti Rosdiyanah,

21 th

G2P0A1 21 th H 40 mgg dgn KPD

P1A1 pp spt

Lk, 2000, 9-10-10

2.

Ny. Roswati, 26 th

G2P1A0 26 th H 40 mgg dgn Oligohidramnion

P2A0 pp spt

Lk, 3600, 9-10-10

3.

Ny. Jumiani, 29 th

G2P2A0 29 th H 41 mgg dgn Post Date

P3A0 pp spt

Pr, 3500, 8-9-10

4.

Ny. Lutfi Nihlah, 24

th

G1P0A0 24 th H 40 mgg dgn KPD dan presbo

P1A0 post SC

Lk, 3250, 9-10-10

5.

Ny.
Marifatuzzakiyah,
22 th

G1P0A0 22 th H 38 mgg dgn KPD dan presbo

P1A0 post SC

Lk, 3250, 9-10-10

6.

Ny. Susi yuliati, 20

th

G2P1A0 20 th H 39 mgg dgn anemia

P2A0 pp spt

Lk, 4100, 9-10-10

7.

Ny. Quriatun
Nazilah, 32 th

G3P2A0 32 th H 38 mgg dgn preski

P3A0 pp manual aid

Lk, 2700, 9-10-10

8.

Ny. Siti Maspulah,

18 th

G1P0A0 18 th H 40 mgg dgn KPD

P3A0 pp spt

Pr, 3000, 9-10-10

9.

Ny. Umi Khasanah,

44 th

G3P2A0 44 th H 39 mgg dgn PEB

P3A0 pp spt

Lk, 3800, 9-10-10

Daftar Tindakan Obstetri

No

Nama Pasien

Diagnosis awal

Outcome

10.

Ny. Ajeng Atma, 23

th

G1P0A0 23 th H 35 mgg dgn KPD

P1A0 pp spt

Lk, 3100, 9-10-10

11.

Ny. Fatimatu Nissa,

29 th

G2P1A0 29 th H 31 mgg dgn PPI

P2A0 pp spt

Lk, 2400, 9-10-10

12.

Ny. Khurun Ariska,

22 th

G1P0A0 22 th H 40 mgg dgn inpartu kala I dan

HbsAg +
P1A0 pp spt

Lk, 3000, 9-10-10

13.

Ny. Laely
Muzayanah, 35 th

G3P2A0 35 th H 39 mgg dgn KPD

P3A0 pp spt

Pr, 3500, 9-10-10

14.

Ny. Marhamah, 36
th

G3P2A0 36 th H 38 mgg dgn HT gestasional

P3A0 pp spt

Pr, 3200, 9-10-10

15.

Ny. Kris
Malyanisrum, 30 th

G2P1A0 30 th H 30 mgg dgn KPD, hidrosefalus, dan

PLR
P2A0 pp spt

Lk, 1800, 0-0-0

PLUS

16.

Ny.IisSupriyatin,
23th

G1P0A023thH41mggdgnKPD
P1A0ppspt

Lk,2900,789

17.

Ny.Suswati,34th

G2P1A034thH39mggdgnPEB
P2A0ppVE

Pr,3500,8910

18.

Ny.ErlinAsmara,
26th

G2P1A026thH39mggdgnKPD
P2A0pspt

Lk,3100,9910

19.

Ny.Tupiyatun,37
th

G2P2A037thH39mggdgnKPD
P3A0ppspt

Pr,3000,8910

Daftar Tindakan Obstetri

No

Nama Pasien

Diagnosis awal

Outcome

20.

Ny.SitiNurAeni,
31th

G3P2A031thH38mggdgnInpartukalaIdan
Gemeli
P4A0ppspt

Lk,2500,9910
Lk,2000,9910

21.

Ny.EtiSusilowati,
31th

G2P1A031thH39mggdgninpartukalaI
P2A0ppspt

Lk,2700,91010

Daftar Tindakan Gynekologi

No

Nama Pasien

Diagnosis awal

Diagnosis akhir

1.

Ny. Andjaya W, 41 th

P1A0 41 th dgn myoma uteri

P1A0 post TAH + SOS sinistra +

kistektomi ovari dextra

2.

Ny. Ronimah, 37 th

G3P2A0 37 th H 16 mgg dgn BO

P2A1 post curettage

3.

Ny. Sri Suwarti, 52 th

P2A0 52 th dgn myoma uteri dan

hipertensi

P2A0 post curettage dx

4.

Ny. Siti Umaroh, 33 th

P1A0 33 th pp spt dgn ret sisa

P1A0 post curettage

VK2
N
o

Nama &
usia

2.

Ny.
Homisah,
22 th

Pasien
datang
dari pkm
Danasari
(13/11/201
6 pkl.
20.35) dgn
keluhan
keluar
cairan
ketuban
dari jam
17.35 wib

HP 1
Riw.
Obstetri :
1. Hamil
ini

Pagi ini:
Kenceng
(+), mules
(+),
rembes
(+), lendir
(+), darah
(+),

O
KU CM
TD
: 120/80
HR
: 88 x/menit
RR
:20 x/menit
S
: 36,6 C
TFU
: 30 cm
DJJ
: 153 x/mnt
HIS
: 2x10x35
VT
: 6 cm, kk
(-), portio tebal lunak,
kep H1
Lab (13/11/2016)
Leu: 16.7
Hb: 13.5
Trom: 344
PU : -

G1P0A0 22 th
H 41+2
mgg dgn
inpartu kala I,
KPD dan
serotinus

Adv. Dr residen
:
- Infus D5%
- Inj
Ceftriaxone
1x2 gr

VK2
N
o

Nama &
usia

6.

Ny.
Hilwatun
Aini, 25
th

Pasien
kiriman
dari klinik
Ananda
(13/11/201
6 pkl.
22.00) dgn
keluhan
kencang
(+), mules
(+)

HP 1
Riwayat
obstetri:
1. 2013,
aterm,
spt,
pr,
3200
2. Hamil
ini

Pagi ini:
Kenceng
(+), mules
(+),
rembes
(+), lendir
(+), darah
(-),
gerakan
janin (+)

O
KU CM
TD
: 110/60
HR
: 84 x/menit
RR
:20 x/menit
S
: 36,5C
TFU
: 33 cm
DJJ
: 145
HIS
: 2x10x30
VT
: 3 cm,
kk(+), portio tebal
lunak, kep H1
Lab (menunggu hasil)

G2P1A0 25 th Adv. Dr residen

H 40 mgg
:
- drip oxy 5 iu
dgn inpartu
kala I dan riw.
dalam 500
Fetal distress
cc RL

VK2
N
o
8.

Nama &
usia

Ny.Siti
Pasien
Maesaroh datang
, 24 th
dari Pkm
Lebaksiu
HP 1
(12/11/201
6 pkl.
Riwayat
21.00) dgn
obstetri:
keluhan
1. Hamil
kencang
ini
(+), mules
(+)
Pagi ini:
Kenceng
(+) jarang,
mules (+)
jarang,
rembes
(+), gerak
janin (+)

O
KU CM
TD awal : 130/90
TD
: 110/60
HR
: 84 x/menit
RR
:20 x/menit
S
: 36,7 C
TFU
: 28 cm
DJJ
: 137 x/mnt
HIS
: 3x10x20
VT
: 5 cm, kk(-),
portio tebal lunak,
kep H1
Lab (12/11/2016)
Leu: 14.7
Hb: 9.0
Trom: 437
PU: (-)

G1P0A0 24 th Adv. Dr residen

H 38+5
:
- Inj
mgg dgn HT
gestasional
Ceftriaxone
1x2 gr
- Drip oxy 5 iu
dalam 500
cc RL btl I
(+) jam
06.00

TERIMA KASIH