PASIEN IGD BEDAH Jumat, 22 September 2017 dr.

Jaga:NSR/REN/FIK/MAD/VAN/NUG

No. CM Nama Umur/JK DiagnosaUtama Tindakan Sub Bag. Ket.

1. C655967 An. Jill Alexa 7 bln/ P Vulnus laserasi regio digiti IV Informed concent + pencucianluka + B. Plastik Pulang
manus dextra Penjahitanluka + amoxicilin +
paracetamol
2. C655974 Nn.Alifa Fitra 14 th/ P Vulnus.laserasi regio frontal, Informed concent + pencucian luka + B. Plastik Pulang
Secondania regio mentale Penjahitan luka + amoxicilin +
paracetamol
3. C655930 Ny. Ratna 26 th/ P Avulsi kuku digiti I pedis dextra Ekstraksi kuku + rawat luka + B. Plastik Pulang
Pangestika amoxicilin + asam mefenamat
4. C655973 Tn. Suranto 54 th/ L CKR E4M6V5= 15, EDH min Oksigenasi + Head Up 30 + inf. B.Saraf IGD
occipital dex, SDH Mannitol + inj. Ranitidine + inj.
temporoparietalis dex, SAH Phenytoin + paracetamol
temporoparietalis dex, edema
serebri
5. C655972 An. Oceano 19 th/ L CKR GCS E4M6V5= 15 SDH Head Up 30 + Oksigenasi+ Observasi B.Saraf PLPS
Zazidul Kafi Regio Occipital (3 cc), +Paracetamol
Cephalgia menetap pasca KLL 5
hari yg lalu
6. C655980 Nn. Niken Sekti K 16 th/ P CKR GCS E4M6V5= 15, SAH, Head Up 30 + Oksigenasi + Observasi B.Saraf IGD
fr. diastasis os. Occipital dex, + inf manitol + inj phenitoin + inj.
pneumoencephal (min) region Ranitidine + Paracetamol
occipital dex
7. C655988 An. Nina Agustina 11th/P CKR GCS E4M6V5 = 15, ICH Head Up 30 + Oksigenasi + Observasi B.Saraf IGD
Sikhah frontal sin, SDH, SAH, midline + inf. Mannitol +inj. Phenytoin + inj.
shift <0.5 mm Ranitidine + paracetamol
8. C653904 Tn. Nahrowi 52 th/ L Tumor intra abdomen c/ Rehidrasi + koreksi Natrium + B. Digestif R3B
Limfoma, vomitus, dehidrasi transfusi PRC + inj. metoclopramid
sedang, hiponatremia, anemia
9. C655916 Ny. Asti wulanjani 76 th/ P Choledocolithiasis dgn Inj. ciprofloxacin + inj. metronidazole B. Digestif GRT D
cholangitis akut, hiperglikemia, + inj. ranitidine + raber TS. Interna
cardiomegali, hipertensi
10. C650227 Ny. Rukiyah 52 th/ P Ileus obstruksi parsial Tumor Rehidrasi + pasang DC + pasang NGT B. Digestif R5B
colon sigmoid c/ ganas + Fleet enema + Inj. ciprofloxacin +
T4N1bM1b (hepar, paru), pasca inj. Metronidazole + Inj ranitidine
biopsi tumor, dehidrasi sedang
11. C615585 Tn. Syaiful Rizal 28 th/ L Ileus obstruksi parsial ec tumor Rehidrasi +Pasang NGT + Pasang DC B.Digestif R1B
anorectosigmoid T4N1M1b + Inj ciprofloxacin + inj metronidazole
pasca colostomy biopsy, + inj ranitidine + inj metocloperamid
Kemoterapi, dehidrasi sedang
12. C655971 Tn. Taryono 42 th/ L Fistelenterocutan moderate- Rawat luka + inj. Ceftriaxone + B. Digestif R1B
output pasca laparatomi Loperamid + diet low residu
explorasi reseksi anastomosis
colon ec. peritonitis ec. perforasi
colon (4/7/17), pasca
relaparatomi ec Burst abdomen
(29/8/17)
13. C655938 Tn. Sahadi 48 th/ L Efusi pericardium massif ec. TB Pericardial window + OAT + Raber B. Thorvask IGD
paru dalam OAT TS Interna