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LAPORAN JAGA OK IGD

Selasa Malam, 9 Februari 2021


TEAM JAGA
RIK/JEF-RIK/IGO/DRA/WIL/RUM/AND/NIA

Konsulen Jaga IGD Malam : dr. Ahmad Feza Fadhlurrahman, Sp.An


Pasien 1
Identitas Dendik/LK/25thn/11502575/IGD

Diagnosis Multiple vulnus abrasion face region+Open Frcture R Proximal Shaft tibia
fibula grd 1

Tindakan Debridement + primary Hecting + ORIF

Status fisik ASA 2 E


CKR 456 Tanpa Perdarahan Intrakranial tanpa edema cerebri

Anestesia dengan GA Intubasi

Keterangan Post op R.19


Pasien 2
Identitas Samadi/ L/ 64th/ 11502574

Diagnosis OF neck r 5th metacarpal+ joint effusion l knee susp hemarthosis dt susp
Ligamentum injury+ OF middle sheft R tibia Fibula grade IA+ open
dislocation at level IV joint R great toe

Tindakan Debridement+ Kwire insertion and Debridement+ ORIF

Status fisik ASA 2 E


HT stage 1 on Therapy (TD : 142/83)
DM tipe 2 on Therapy (GDS :100)

Anestesia dengan GA Intubasi

Keterangan Post OP 17
Terima Kasih

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