MORNING REPORT

Rabu, 30 Oktober 2019

Coass Jaga IGD Coass Jaga Ruangan
1. Marest
2. Ranu 1. Ida
3. Stephanus 2. Wahyu
4. Dewi
NO IDENTITAS DIAGNOSIS TINDAKAN COASS
PEMERIKSA

1. Nama : Tn. Fardin - Abdominal pain -IVFD RL 20 tpm Ranu

Usia : 25 thn- ec susp. (makro) Dewi
JK : Laki-laki appendisitis -Inj ceftriakson Marest
Alamat : Dok VII 1x2 gr (IV) Stephanus
Jaminan : KPS -Inj
Ondansentron
2x4mg
- Omeprazole
2x40mg (IV)
-Inj Paracetamol
drip 3x1gr
-inj. Ketorolac
2x1 gr (IV)
-Pro

2. Nama : Darius Ulkus gangren -IVFD NS 0,9 % Ranu

Usia : 47 thn 20 tpm Dewi
JK : Laki laki - Metronidazol Marest
Alamat : Sarmi 3x500 mg Stephanus
Jaminan : KPS -omeprazole
 Tn. Fardin Fakdawer
• 1. Migration of pain = 0
• 2. Anorexia = +1
• 3. Nausea = +1
• 4. Tenderness in right lower quadrant= +2
• 5. Rebound pain = +1
• 6. Elevated Temperature = 0
• 7.Leucositosis = +1
• 8. Shift of White blood cell count to the left = 0
• TOTAL = 6 Compatible( kemungkinan appendisitis)
tn. Darius Warsemetawa
Terima Kasih