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MAPPING RUANG GINEKOLOGI ARAFAH 2

MINGGU, 24 Februari 2019

No Ruang Nama CM Diagnosis Penunjang Terapi DPJP Rencana


1. 1A Yanti suryani, 1193240 Abdominal pain vas 5 post miomektomi Lab (22/02/2019) Inj ranitidin /12j YS Observasi KU, TTV, Nyeri
49th reseksi adenomiosis 2 bulan yang lalu. Hb/Ht/E/L/T Inj ketorolac /8jam
Sabang 12,3/36/4,5/12,2/278 Kaltropen supp 3x2
GDS: 89
Ur/Cr: 20/0,74
Na/K/Cl:
145/3,5/101
CT/Bt : 2/7
2 1B Mawar diah, 1199211 POD 3 post miomektomi ai Mioma uteri Lab (22/02/2019) Cefixime 2x100mg HSN Observasi KU, TTV, Nyeri
48th multipel Hb/Ht/E/L/T Paracetamol 3x500mg Diet TKTP
Langsa 12,3/36/4,5/12,2/278 Omeprazole 2x1 Mobilisasi bertahap
GDS: 89 Sohobion 2x1
Ur/Cr: 20/0,74
Na/K/Cl:
145/3,5/101
CT/Bt : 2/7
3 2A DPJP ANAK

4 2B DPJP ANAK
5 3A Mariani Razali, 1008569 POD 3 Post laparatomi eksplorasi debulking Lab (21/2/2019) IVCeftriaxone 2gr/24jam HSN Observasi KU,TTV
50thn. Aceh tumor, kuretase bertingkat ai susp ca Hb/Ht/E/L/T : IV Ketorolac /8jam Mobilisasi Bertahap
Besar endometrium dengan tumor ovarium kiri 12,5/34/4,2/139/246 Klatrofen supp II/8jam
IV Transamin /8jam
IV Lansoprazole 30mg/12jam

6 3B Sri Wahyuni, 0818916 G6P5 (AH0) Hamil 18-19 minggu JTHIU Lab 20/02/19 Ceftriaxone 2gr/24jam YS Observasi KU,TTV
36thn, Pidie Ibu dengan Hb/L/T Inj. Dexamethason Threeway
1.SLE 11,5/11,5/112 10mg/12jam
2. PEB Superimposed GDS 126 Inj. Dexamethason
3.HELLP syndrome Ur/Cr 44/1,57 50mg/12jam
4.Asimptomatik ISK LDH 279 Adalat oros 1x30mg
SGOT/SGPT: 58/91 Provastatin 1x20mg
Aspilet 1x1
Metilprednisolon 1x12mg
Asam folat 2x400mg
Metildopa 2x250mg
PCT (K/P)
7 4A Rika Khainur, 1201462 Perdarahan pervaginam ec dd/1.abortus Lab (23/2/2019) Sohobion 2x360mg SIK Obs KU ,TTV,perdarahan
20 thn, Aceh inkomplete Hb/Ht/E/L/T :
Selatan 2.molahidatidosa 11,8/31/3,7/23/265
Gds 132
Na/k/cl:144/4,1/103
8 4B
9. 4C Nuraini, 46 thn, 1199630 POD 4 post op laparotomy+ histerektomi Lab (22/2/2019) Cefixime 2x100mg TPD Observasi KU, TTV
aceh timur subtotal+ salpingooforektomi ai Hb/Ht/E/L/T : Parasetamol 500mg/8jam Cegah infeksi
Adenomitosis+kista endometriosis+CHF 11,3/35/4,6/18,9/237 Inj omeprazole 40mg/12jam Mobilisasi bertahap
Ca:8,1 Furosemide 1x40mg
Na/K/Cl: 139/3,3/94 Digoksin 1x0,25mg
Spironolakton 1x25mg
Sildenafil 3x12,5mg
KSR 2X1
10. 4D
11 5A
12 5B
13 5C Mariani M 11009948 POD2 Post debulking tumor, adheliolisis, Lab ( 21/02/19) Inj. Cefazoline 2g/24j HSN Observasi KU, TTV
Daud , 36th pasang drain ai tumor ovarium kanan ashesi Hb/Ht/E/L/T : Drip metronidazole 1amp/8j Cegah infeksi
Pidie hebat 11,1/33/4,7/16,7/334 Inj. Ketorolac 1amp/8j Diet MB TKTP
Inj. Ranitidin 1amp/12j Mobilisasi bertahap
Lab ( 21/02/19)
Inj. Transamin 1 amp/12 j
Hb/Ht/E/L/T : KaltrofenSupp II/8j
11,4/36/4,9/20,0/367

14 5D Samsiah 1197552 Ca cerviks std IIIb dengan permasalahan Lab 22/2/2019 IV Omeprazole 40mg/12jam SIK Diet MB TKTP
ibrahim, 48th - Cancer pain vas 6 Hb/Ht/E/L/T: IV As Tranexamat/12jam Mobilisasi bertahap
01/07/1970 - Retensi urin 8,8/26/3,3/10,7/460 Duragesic patch /3hari
- Anemia MH Gds 106
- AKI stg II Ur/Cr : 27/1,66
Na/K/Cl: 137/4,8/93

15 6A Nurjannah 1193092 POD 6 Post Laparotomi Eksplorasi a/i NOP Lab 20/2/2019 Cefixime 2x100 mg HSN Observasi KU, TTV
Abdul S, 57 th, dengan perlengketan hebat ke kolon, Post Hb/Ht/E/L/T: Kaltrofen supp 2x2 Cegah infeksi
Pidie Biopsi Mesenterium a/i Tumor 10.0/30/3.6/16.8/368 Asam mefenamat 3x500mg
Mesenterium, dengan: Protein total: 5.49 Ranitidine 2x1
1. DM tipe 2 Albumin: 3.31
2. DVT Globulin: 2.18
Ca/Mg: 8.1/1.7
Ur/Cr : 58/1.09
Na/K/Cl: 132/5.5/90

Lab 18/2/2019
Hb/Ht/E/L/T:
11,2/34/4,1/10,3/432
PT/APTT: 11,0/39,1
D-Dimer : 1343,64
Albumin: 2,66
Ca/Mg: 8,1 / 1,5
Ur/Cr : 34/0,43
Na/K/Cl :
130/4,9/90
16 6B Rasyidah M 1188133 Kanker ovarium pro kemoterapi siklus 5 + Lab (22/02/2019) Inj OMZ /12jam HSN Observasi KU, TTV
jamil, 53th anemia,imbalance elektrolit Hb/Ht/E/L/T: Inbumin 1x1 Transfusi PRC
Aceh tengah 8,2/23/2,8/9,0/59 Curcuma 2x1
Ur/Cr 20/0,79
Na/K/Cl: 139/3,4/92
Albumin 3,29
17 6C Feni Yuliana, 29 1199420 POD2 post ai laparotomi eksplorasi, Lab (22/02/2019) Inj cefazolin 2gr/24j MA Observasi KU, TTV
thn, Banda Aceh miomektomi, kistektomi, adhesiolisis ai Hb/Ht/E/L/T Inj ketorolac 30mg/8j Mobilisasi
Mioma Uteri dengan kista endometriosis 8,5/27/4,8/21,6/377 Kaltropen supp II Observasi Perdarahan
bilateral Lab (06/02/2019) Inj asam traneksamat 500/8j Cek LAB post OP
Hb/Ht/E/L/T Inj ranitidin 50mg/12jam
10,6/36/6,2/8,8/424
CA 125 : 70,22
SGOT/SGPT 16/13
GDS 94
GDS Darah 2 Jam
PP 121
Ur/Cr 17/0,63
Na/K/Cl 140/50/113
18 6D Saniah Yahya, 0941820 POD2 post laparatomi histerektomi total, Lab (20/2/2019) Inj Cefazoline 2g/12j YS Observasi KU, TTV
50 thn, Aceh salfingooforektomi dektra, ai mioma uteri Hb/Ht/E/L/T : Inj Ketorolac 1 amp /8j Mobilisasi
Besar kista ovarium kanan 10/32/4,6/18,8/263 Inj transamin 500mg/8j Observasi Perdarahan
1. DM tipe 2 Lab (21/2/2019) Inj ranitidin 1amp/12jam Cek LAB post OP
PT/APTT: 13.5/29.1
2. Hipertensi stage 2 Kaltrofen supp 3x2
Lab (20/2/2019)
Hb/Ht/E/L/T :
9.6/31/4.5/10.1/310
CT/BT : 7/2 Terapi IPD:
GDS: 176
Diovan tab 1x80 mg
SGOT/SGPT : 23/23
Ur/Cr: 23/0,98 Adalat oros tab 1x30 mg
Na/ K/ Cl : 145/4,4/100
19 6E Sri Wahyuni, 37 1199771 Pod 3 post laparotomi eksplorasi + Lab (21/2/2019) Cefixime 2x100mg SIK Mobilisasi bertahap
th, Langsa debulking tumor ai Neoplasma Ovarium Hb/Ht/E/L/T : As.Mefenamat 3x500mg Aff FC
Kistik susp malignancy 11.7/36/4.3/18.8/304 Sohobion 2x360mg
Omeprazole 2x1
Lab (08/2/2019)
Hb/Ht/E/L/T :
13,3/41/5,0/10,2/352
CT/BT : 7/2
SGOT/SGPT : 21/20
Albumin : 4,61
Ur/Cr: 22/0,69
Na/ K/ Cl :
140/4,8/109
20 6F DPJP BEDAH
21 7A DPJP ANAK

22 7B DPJP ANAK

23 7C Salamah 1198889 POD 3 Post laparatomi debulking Tumor A/i Lab (21/02/19) Cefixime 2x100mg HSN Mobilisasi bertahap
Hasyem, 51 th, Tumor Serviks, Tumor Vagina Hb/Ht/E/L/T Na.Diclofenak 3x500mg Hygiene Vulva Vagina
Bireun 12,1/36/4,6/6,8/216 Sohobion 1 x 360 mg

Lab (06/2/2019)
Hb/Ht/E/L/T :
13,1/40/5,1/8,2/245
CT/BT : 7/2
SGOT/SGPT : 24/28
Ur/Cr: 25/0,85
Na/ K/ Cl :
146/4,1/108
24 7D Mariani Banta, 1201099 Prolaps Uteri Grade III, Sistokel Grade II, Lab (21/02/19) Drip . Omeprazole Vial/12j HSN Evaluasi Elektrolit
27 th, Aceh Rektokel Grade II dengan permasalahan: Na/K/Cl KSR tab 2x600mg Diet tinggi kalium
Utara 1. Hipokalemia 148/4,0/101 Drip KCL 1 fls / 24 jam
Lab (21/02/19)
Na/K/Cl 148/3,3/101
Ca: 8,2
Lab (21/02/19)
Na/K/Cl
147/3,1/97
Lab (19/2/2019)
Hb/Ht/E/L/T :
12,6/37/4,5/5,2/369
GDS: 169
CT/BT: 9/3
Ur/Cr: 44/1,1
Na/ K/ Cl : 144/2,8/89
25 7E

26 7F
27 ISO 1 DPJP ANAK
28 ISO2 Mardiana 1166279 Perdarahan Pervaginam ec Adenocarsinoma Lab 21/2/2019 Inj Vit K 1amp 1x1 SIK Perbaikan KU
Ismail, 43 thn, Ca cerviks stad IIb Hb/Ht/E/L/T : Inj transamin 500 mg/8j Evaluasi perdarahan
Aceh Selatan 8,5/27/3,5/13,2/512 Kaltrofen supp 200mg/5jam TF sampai Hb >10
Albumin : 3,46 Oxyneo 10mg 2x1 tab Persiapan operasi
SGOT/SGPT: 17/9
HbsAg: negatif
Ur./Cr : 18/0,92
Na/K/Cl :
136/4,4/112

PA (27/3/18)
Kesimpulan: Poorly-
differentiated
adenocarcinoma

DPJP JUMLAH PASIEN KAMAR PASIEN


Dr. dr. Hasanuddin, Sp.OG (K) 7 1B,3A,5C,6A,6B,7C,7D
dr. Yusra Septivera, Sp.OG 3 1A,3B,6D
Dr. dr. Rajudddin, Sp.OG (K)
dr. Tgk. Puspa Dewi, Sp.OG 1 4C
dr. Sarah Ika Nainggolan, Sp.OG(K) 4 4A, 5D,6E,ISO 2
dr. Niken Asri Utami, Sp.OG
Dr. dr. Cut Meurah Yeni, Sp.OG (K)
dr. Munawar, Sp.OG
dr. Munizar, Sp.OG
Prof. Dr. dr. Mohd. Andalas, Sp.OG, FMAS 1 6C
dr. Roziana, Sp.OG
dr. Dewi Karlina R, Sp.OG
dr. Cut Rika Maharani, Sp. OG
dr. Hilwah Nora, Sp.OG (K)
1A,1B,3A,3B,4A,4C,5C, 5D,6A,6B,6C,6D,
TOTAL PASIEN 16
6E,7C,7D, ISO2

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