PASIEN IGD BEDAH Jumat, 01 Desember 2017 dr.

Jaga:NUT/TJ/MIK/BRO/AHM

No. CM Nama Umur/JK Diagnosa Utama Tindakan Sub Bag. Ket.

1. C667511 Nn. Silmi 19 th/P Vulnus ekskoriasi Pencucian luka + asam mefenamat B. Plastik Pulang
Milatinamatum
2. C667491 Nn. Intan Tiara R. 18 th/P Vulnus laserasi regio pedis dextra Pencucian luka + penjahitan luka + B. Plastik Pulang
amoxicillin + asam mefenamat
3. C667470 Ny. Pariyah 71 th/P Vulnus laserasi regio pedis dextra Pencucian luka + penjahitan luka + B. Plastik Pulang
amoxicillin + asam mefenamat
4. C667483 Tn. Nur Cholis 20 th/L Vulnus amputatum digiti II manus Pencucian luka + Repair stump digiti B. Plastik KTL1
dextra, finger tip injury digiti III II + penjahitan luka digiti III +
manus dextra Observasi vitalitas jaringan +
amoxicillin + asam mefenamat
5. C361799 Tn. Wahyu P. 38 th/L CKS GCS E3M6V3 = 12, Oksigenasi + head up 30 +inf. B. Saraf R1A
Kontusio pulmo , ICH regio manitol + inj. Ceftriaxon + inj
temporoparietal sinistra vol + methylprednizolon + inj. Paracetamol
0,22cc , edema cerebri + + inj ranitidine + inj phenitoin +
balance cairan
6. C667510 Tn. Abdur Rachman 54 th/L CKR GCS E4M6V5 = 15, Oksigenasi + observasi + head up 30 B. Saraf R2A
cephalgia + paracetamol
7. C667507 Tn. Bagas Zulham 18 th/L CKR GCS E4M6V5 = 15 Oksigenasi + observasi + head up 30 B. Saraf Pulang
dengan
pesan
8. C571026 Ny. Atik Winarsih 25 th/P ILO post TKR genu sinistra 5 bln Pencucian luka + inj ceftriakson B. Orthopedi R3A
yll ec OA genue sinistra gr IV,
SLE
9. C667495 Ny. Rukdijah 72 th/P Fraktur distal radius sinistra Pasang spalk + asam mefenamat + B. Orthopedi KPDD
transverse displaced ttp nk short arm cast elektif
(frykman tipe I)
10. C667494 Tn. Singgih Tri W. 33 th/L Hemoptoe, edema pulmo ec Oksigenasi +inj ceftriaxon + inj asam B. Thorvask GRD II
drowning 6 jam yll tranexamat + inj Omeprazol + inj. Lt.5
Furosemid + balans cairan
11. C667499 Tn. Harno 55 th/L Peritonitis generalisata ec Oksigenasi + inj. Ciprofloxacin + inj. B. Digestif ICU
perforasi gaster, Asidosis Metronidazole + inj.Omeprazole +
metabolik terkompensasi, inf. Paracetamol + Laparotomi repair
dehidrasi sedang, Apache II score perforasi gaster (omental patch cellan
6 jones)

12. C393205 Ny. Siti Umiyati 61 th/P Invasif ductal carsinoma gr II Oksigenasi + observasi dypsneu + B. Onkologi MRK 1
Mamae Sinistra T4bN2aM1 MST
(paru,tulang) post MRM 2013
post KT, post radiasi 35x, dyspneu
13. C220697 Tn. Djoko Mulyono 43 th/L Retensio urine ec prostat Pasang kateter urethra + ciprofloxacin B. Urologi Pulang
enlargement