REKAP PASIEN JAGA

MALAM
Sabtu, 24/04/2021
NO. IDENTITAS DIAGNOSA TERAPI KETERANGAN

1 KCB, Laki-laki, 17 • Post Hipovolemik Syok Grade III IVFD NaCl0,9% MRS
tahun • Cedera Otak Sedang Oksigenasi
RM : 73.97.28 • Fraktur Pelvis tipe A Tiles Elevasi head of bed 30º
Classification Antibiotik
• Fraktur Transversal 1/3 medial Shaft Analgetik
Femur Dextra Displaced Terbuka ATS Profilaksis
Grade IIIA Tranfusi PRC
• Fraktur Oblique 1/3 medial Shaft Imobilisasi
Tibia Dextra Displaced Terbuka Cek DL
Grade III A Ct-Scan Kepala + recon 3D
• Fraktur Comminutive 1/3 distal Shaft X-Foto Cervical AP-Lateral
Tibia Sinistra Tertutup X-Foto Thorax AP tegak
• Fraktur Oblique 1/3 distal Shaft X-Foto Femur Dextra AP-
Fibula Sinistra Displaced Tertutup Lateral
• Ruptur Urethra X-Foto Cruris Dextra et
• Anemia Sinistra
• Vulnus Laceratum Regio Hemithorax AP-Lateral
Dextra X-Foto Pelvis AP
• Multiple Vulnus Eksoriasi USG FAST (-)
• Hepatopathy Screening Covid-19
TERIMA KASIH