MAPPING RUANG OBSTETRI ARAFAH 2

Rabu, 22 Januari 2020

DPJP JUMLAH PASIEN KAMAR PASIEN

Dr. dr. Hasanuddin, Sp.OG(K)
dr. Yusra Septivera, Sp.OG 7 1B, 2B, 4C, 4D, 5A, 5D, 6A
Dr. dr. Rajuddin, Sp.OG(K)
dr. Tgk. PuspaDewi, Sp.OG
KETERANGAN
dr. Sarah Ika Nainggolan, Sp.OG(K) 4 2A, 3B, 5C, 6F HAMIL :3
dr. NikenAsriUtami, Sp.OG (K) POST SC:9
Dr. dr. Cut MeurahYeni, Sp.OG(K) POST PV:2
POST VAKUM : 0
dr. Munawar, Sp.OG 2 4A, 4B ILO:0
dr. Munizar, Sp.OG POST MANUAL PLASENTA:0
Prof. Dr. Dr. Mohd. Andalas, Sp.OG, FMAS 2 1A, 3A PASIEN GINEKOLOGI :0
POST KURETASE: 0
dr. Roziana, Sp.OG SEPSIS : 1
dr. DewiKarlinaRusly, Sp.OG
dr. Cut Rika Maharani, Sp.OG
dr. Hilwah Nora, Sp.OG (K)
dr. ImaIndirayani, Sp.OG
TOTAL PASIEN 15
A Kmr Nama CM Diagnosis Terapi Penunjang Bayi DPJP Rencana
1 1A Lia Rizka, 26 th, 1114725 POD 3 P2A1 (AH1) post SC Cefixime 2x100mg Lab 19/1/2020 By. Pr, AND Obs KU, TTV,
banda aceh ai BSC 1 x (IDT 2 th), KPD Na diklofenak 3x50mg Hb/Ht/E/L/T 2800 gr. perdarahan, kontraksi
12 jam belum inpartu + Sohobion 2x360mg 9,2/30/4,1/10,7/308 A/S 8/9 Terapi sesuai FDO
anemia MH (Hb : 9,2) hbsAg: nonreaktif
GDS: 134
Ur/Cr: 12/0,40
Na/K/Cl: 141/4,0/109
CT/BT: 2/7

2 1B Linda Hastuti, 25 0772999 NH 1 P2 post partus spontan, Cefadroxyl 2x500mg Lab 21/1/2020 By. Lk, YSR Obs. KU, TTV,
Th, Jeulingke post perineorafi ai rupture Na diklofenak 3x50mg Hb/Ht/E/L/T 2900gr, perdarahan, kontraksi
perineum gr I Vastral 2x1 11,5/35/4,3/10,1/223 A/S 8/9 Terapi sesuai FDO
hbsAg: nonreaktif Mobilisasi dini
GDS: 119 Diet MB
CT/BT: 8/3 Motivasi ASI-KB
3 2A Sri Wahyuni, 36 1155258 POD 2 P4A1 Post SC ai. Cefixime 2x100mg Lab 20/1/2020 (11.47) By Lk SIK Obs KU, TTV,
th, Aceh Besar HAP ec PPT, Akseptor IUD Na diklofenak 3x50mg Hb/Ht/E/L/T 3050 gr Kontraksi,
Sohobion 2x360mg 8.4/26/3.1/12.5/289 A/S 8/9 perdarahan
Lab 20/1/2020 (01.35) Terapi sesuai fdo
Hb/Ht/E/L/T Mobilisasi bertahap
10/30/3.7/9.0/323
CT/BT: 8/2

4 2B Rahmianti Arifin, 1142623 POD 2 P3A0 Post SC ai IV Ceftriaxone 2 gr/24jam Lab 21/1/2020 Bayi Lk YSR Obs KU, TTV,
33 th, Aceh Besar makrosomia, IV Ketorolac 30mg/ 8jam Hb/Ht/E/L/T 3900 gr Kontraksi,
oligohidramnion , akseptor IV Omeprazole 40mg/12 9,7/31/4.1/11.6/243 50 cm perdarahan
IUD Lab 20/1/2020 A/S 8/9
jam Hb/Ht/E/L/T Terapi sesuai fdo
Kaltropen supp II/8jam 8,3/27/3,5/7,0/282 Mobilisasi bertahap
Methylprednisolone CT/BT: 8/3
6,25mg/8jam GDS: 78
Cetirizine 1x10mg Na/K/Cl: 135/4,0/113

5 3A Rahmaniah M. 1182156 G4P3A0 (AH2) hamil 30-31 Paracetamol 1 gr/8 jam Urinalisis 20/1/2020 AND Obs KU, TTV, DJJ,
Amin, 35 th, aceh minggu, JPKTH, ibu dengan Deksametason 1 amp/ 12 Protein (-) kontraksi, febris
besar permasalahan febris 5 hari ec jam Glukosa (+2) Terapi sesuai fdo
DD/ 1. Demam dengue Antasida syr 3xCI Keton (+)
2. thyfoid fever Lab 20/1/2020
3. ISK Hb/Ht/E/L/T
8,8/27/4,5/8,4/153
Morfologi darah tepi:
Eritrosit: hipokrom
anisositosis, tear drop
(+), eliptosit (+)
Leukosit: jumlah cukup,
neutrofilia
Trombosit: jumlah
cukup, bentuk normal,
tersebar
Kesimpulan: anemia
hipokrom mikrositik
Lab 19/1/2020
Hb/Ht/E/L/T
9,4/29/4,7/11,9/241
CT/BT: 3/8
IgM: negative
IgG: negative
Hbsag: nonreaktif
GDS: 123
Ur/Cr: 11/0,40
 Na/K/Cl: 137/3,6/104

6 3B Lindayani Rusli, 1195026 POD 1 P4 (AH3) post SC ai Lab 21/1/2020 SIK Obs Ku, TTV,
37 th, Banda Aceh impending eklampsia Hb/Ht/E/L/T Kontraksi,
11.4/35/4.5/21,0/286 perdarahan
Lab 21/1/2020
Hb/Ht/E/L/T Motivasi ASI - KB
11.7/36/4.7/13.9/299
CT/BT: 8/2
GDS: 137
Ur/Cr: 15/0.50
Na/K/Cl: 135/4,2/112
SGOT/SGPT : 18/17
Urinalisis
Protein/glukosa/keton :
negatif

7 4A Isnidar Ismail, 37 1235109 POD 2 P3 Post SC a.i KPD, IV Ceftriaxone 2 gr/24jam Lab 20/1/2020 By Lk MNW Obs ku, ttv,
Th, Banda Aceh BSC 1x (IDT : 8 th), belum IV Ketorolac 30mg/ 8jam Hb/Ht/E/L/T 3500gr kontraksi, perdarahan
inpartu IV Omeprazole 40mg/12 8.7/28/4.5/8.9/346 A/S 8/9 Mobilisasi bertahap
Hbsag: neg Terapi sesuai FDO
jam
CT/BT: 9/3
Kaltropen supp II/8jam GDS: 90
Sohobion 2x360mg Ur/Cr: 18/0.60
Ambroxol 3x1 Na/K/Cl: 148/3.6/115
Maloco 1x1
8 4B Siti Aminah, 34 1235027 POD 2 P4 Post SC ai Janin Cefixime 2x100mg Lab 20/1/2020 Bayi Pr MNW Obs Ku ttv kontraksi
th, Aceh Besar presentasi bokong, KPD 8 Na diklofenak 3x50mg Hb/Ht/E/L/T 3720gr perdarahan
jam (ICA 0.5) Belum inpartu, Sohobion 2x360mg 7.6/24/2.7/20.5/235 49 cm Terapi sesuai FDO
Sucralfat syr 3xCI
post tubektomi pomeroy ai. Lab 19/1/2020 A/S 8/9
Anak cukup + anemia NN Hb/Ht/E/L/T
(Hb : 7,6) 10.1/32/3.6/7.6/242
GDS: 77
Hsag: negatif
9 4C Tuti rahmi, 26 th, 1235008 P1 POD 3 post SC ai distosia Na diklofenak 3x50mg Lab 19/1/2020 By Pr 3600 YSR Obs KU, TTV,
Ulee kareng PK II + fetal distress, ibu Sohobion 2x360mg Hb/Ht/E/L/T gr. perdarahan, kontraksi
dengan permasalahan Omeprazole 2x1 9,1/30/4,3/32,0/328 A/S 2/6/9 Terapi sesuai FDO
leukositosis (32,0)
10 4D Mega Safrina, 25 1111385 P2 post partus spontan, ibu Levothyroxin 2x1 tab Lab 19/1/2020 By Lk YSR Obs ku ttv kontraksi
th, Aceh besar dengan riwayat tiroidektomi Cefadroxil 2x 100mg Hb/Ht/E/L/T 3140 gr perdarahan
10 thn lalu, dengan hipotiroid Na diklofenak 3 x 50mg 10.3/32/3.6/8.8/301 A/S 5/9 Motibasi ASI- KB
on therapy Vastral 2x1 tab Hbsag: neg
Calcium laktat 2x1 CT/BT: 7/3
 Gds: 90
Ur/Cr: 15/0.50
Na/K/Cl: 141/4.2/110
Lab 30/12/19
FT4 : 15,07
TSH : 3,44
Ca : 8,0

11 5A Nurul Fitriani, 25 0702549 POD 1 Post SC a/I KPD 36 Cefixime 2x100mg Lab 20/1/2020 By Lk YSR Obs ku, ttv, kontraksi,
th, Banda Aceh jam, fetal distress Na diklofenak 3x50mg Hb/Ht/E/L/T 2720 gr perdarahan
Sohobion 2x360mg 9.0/29/3.7/14.9/363 46 cm Motivasi ASI-KB
Lab 19/1/2020 A/S 9/10 Mobilisasi bertahap
Hb/Ht/E/L/T
9.9/31/4.1/9.0/403
CT/BT: 7/3
Hbsag: nonreaktif

12 5B
13 5C Sulastri Sulaiman, 1235042 Sepsis ec susp. Metritis post IV Ceftriaxone 2gr/24 jam Lab 20/1/2020 SIK Obs Ku, ttv,
28 th, Aceh SC 11 hari lalu ai. Gagal Drip PCT 1gr/8jam Hb/Ht/E/L/T perdarahan
Selatan induksi + anemia MH (Hb : IV As. Tranexamat 8.3/26/3.4/19.2/405 GV/4jam dengan
8,3) Morfologi darah tepi: NaCl
500mg/8jam
Eritrosit: hipokrom Terapi sesuai fdo
Drip metronidazole anisositosis
500mg/8jam Leukosit: jumlah
Misoprostol 3 x 200mcg meningkat, neutrofilia,
bentuk normal
Trombosit: jumlah
cukup
Kesimpulan: anemia
hipokrom mikrositik,
leukositosis

14 5D Hamimah Nurdin, 1234468 POD 2 P7A0 (AH6) post SC Furosemide 1x40 mg YSR Obs perdarahan
47 th, Aceh Timur ai fetal distress, ibu dengan KSR 1x600mg Terapi sesuai FDO
permasalahan : Digoxin 1x1
-CHF NYHA II ec MS severe Drip PCT 3x1000mg
-MR mild Inj OMZ 40mg/8jam
-AF NVR EHRA I Kaltropen sup II
-TR mild
-IUD transcaesarea
15 6A Nurlela 0860333 G1 Hamil 36-37 minggu, IV Dexamethason 6 Lab 20/1/2020 YSR Persiapan sc
Sarifuddin, 32 th, JPKTH, Belum inpartu, ibu mg/12jam Hb/Ht/E/L/T (27/1/2020)
Simeulue dengan permasalahan: Sohobion 2x1 tab 9.7/29/3.1/10.7/267 Konsul anestesi dari
CT/BT: 8/2
-anemia NN Digoxin 1x1 ruangan
Hbsag: neg
-post repair katup Ceftriaxone 2gr/24jam SGOT/SGPT: 21/11 Konsul kardio untuk
- RHD Alb: 3.50 tatalaksana lbh lanjut
- AF GDS: 93 Pematangan paru
- MR Mild Ur/Cr: 10/0.60
Na/K/Cl: 137/4.2/113

16 6B
17 6C DPJP ANAK
18 6D DPJP ANAK
19 6E

20 6F Rosmadah Damli, 1235187 G5P3A1 Hamil 35-36 IV Dexamethasone 6 mg/12 Lab 20/1/2020 SIK Obs KU, TTV,
37 th, Aceh Besar minggu, JPKTH, Plasenta jam selama 2 hari Hb/Ht/E/L/T perdarahan, kontraksi
prebia totalis dengan post Adalat oros 1 x 30 mg 10.4/31/3.4/12.1/299 Terapi sesuai FDO
pematangan paru 5 hari yang CT/BT: 8/3 Rencana terminasi
lalu, akreta (PAI score 69%) Hbsag: neg kehamilan SC elektif
GDS: 122
Ur/Cr: 14/0.40
21 7A
22 7B
23 7C DPJP NEURO
24 7D DPJP NEURO
25 7E DPJP NEURO
26 7F
27 ISO 1 DPJP ANAK
28 ISO 2 DPJP B. Urologi