LIST PASIEN

DIVISI BEDAH DIGESTIVE

Minggu, 06 Maret 2016
Total Pasien
IRINA A BAWAH :

PASIEN

No

Kamar

Identitas

Diagnosis

1.

B5
Bed 3
(Pasbar)

Solang Temmy Djonaidi/L/50thn/

46.60.46

Tumor Intraabdomen Susp

Tumor
Mesenterium/Mesocolon
dd/ Tumor Kolon Kanan

05/03/2016
Leu 5500
Eri 4,4
Hb 13,0
Ht 41,2
Tromb 215
SGOT 245
SGPT 22

Ur 25
Cr 0,7
GDS 58 (IRDB)
Cl 103,0
K 4,3
Na 133

IVFD RL:D5:aminofusin
1:1:1= 28gtt/m
Neurobion 1x1 tab
Tramadol 3x1 tab k/p

General weakness +
Tumor Colon Post Colotomi

3/3/2016
Leu 15000
Eri 4,24
Hb 9,7
Ht 30,2
Tromb 536
MCH 22,9
MCHC 32,1
MCV 71,3

SGOT 27
SGPT 7
Ureum 35
Kreatinin 1,1
GDS 113
Na 126
K 4,20
Cl 97,0

Nacl + Aminofluid 20 gtt

Ceftriaxone 2x1g iv
Ranitidin 2x1 amp iv

Appendisitis Infiltrat dd/ TB

Intestinal dd/ Tumor Kolon
Kanan

05/3/2016
Leu 5900
Eri 3,67
Hb 9,9
Ht 30,5
Tromb 349
MCH 27,0
MCHC 32,5
MCV 83,1

SGOT 20
SGPT 6
Ur 15
Cr 0,6
Na 132
K 3,4
Cl 105,0

IVFD RL:D5 2:1=20gtt/m

Ranitidin 2x1 amp iv
Ceftriaxone 2x1g iv
Paracetamol 3x1 btl
Metronidazole 3x500mg drips iv
CT-Scan abdomen dengan kontras

ILO + Abses Flanu Dextra

26/2/2016
Leu 12800
Eri 3,86
Hb 11,8
Ht 37,2
Tromb 520
MCH 30,6
MCHC 31,7
MCV 96,4

Ur 33
Cr 0,7
Protein tot 6,79
GDS 121
HBA 1C 5,4
Albumin 3,10
Globulin 3,69
Cl 89,9
Na 129
K 4,49

Rawat Luka
IVFD RL : Aminofluid : D5% = 1:1:1 = 21 tpm
Metrodinazole (H4)
Ranitidin 2x1 IV
Ketorolak 3x1 IV

Post Hepar explore

Kista hepar H2

5/3/2016
Leu 8600
Eri 3,69
Hb 10,2
Ht 32,4
Tromb 556
MCH 27,6
MCHC 31,5
MCV 87,8

MRS 05/03/2016
DPJP
dr. W. Sumanti, SpB-KBD

2.

B5
Bed 4

Jalaludin Mooduto/ L/ 43 thn/

04.43.28
MRS 3/3/2016
DPJP
dr. W. Sumanti, SpB-KBD

3.

B9
Bed 1
(Pasbar)

Muharam Yusuf/L/26thn/
08.35.37
MRS 05/03/2016
DPJP
dr. W. Sumanti, SpB-KBD

4.

B9
Bed 4

Armanto Mokodongan/43
thn/46.71.29
MRS
25/2/2016
DPJP
dr. W. Sumanti, SpB-KBD

5.

B 10
Bed 3

Halim Sumarni/P/ 57 thn/

46.53.30
MRS
01/02/2016
DPJP
dr. Heber Sapan, SpB

Lab

Terapi

Diet bebas
IVFD NaCl 0,9% 20gtt/m
Ceftriaxone 2x1 iv
Metronidazole 3x1 iv
Cek albumin, SGOT/SGPT,Ur, Cr

6.

B 10
Bed 5

Elvi Kawengian/P/73
thn/46.48.48

Post Miles Procedur e.c. Ca

Recti + Nekrosis Stoma +
Ancaman Sepsis

02/3/2016
Leu 13300
Eri 3,9
Hb 11,1
Ht 32,9
Trom 145
Cl 113
K 2,8
Na 140

04/3/2016
Leu 6500
Eri 3,37
Hb 9,4
Ht 28,8
Trom 153
MCH 27,9
MCHC 32,6
MCV 85,5

IVFD NaCl : Aminofluid = 2:1 = 20gtt/m

Ceftriaxone 2x1g iv
Metronidazole 3x500mg iv
Ranitidin 2x1 amp iv
Ketorolac 3x1 amp iv

Appendisitis Infiltrat dd
Tumor Colon Dextra

22/2/2016
GDS 99
Na 138
K 3,80
Cl 106,0
Leu 11400
Hb 9,8
Eri 4,35
Ht 33,7
Tromb 549

27/2/2016
Leu 5300
Eri 3,31
Hb 8,9
Ht 27,8
Tromb 430
MCH 26,9
MCHC 32,0
MCV 83,9

IVFD NaCl : Aminofluid = 21 tpm

Ceftriaxone 2x1g iv
Metronidazole 3x500mg iv
Ranitidin 2x1 amp iv
Tramadol 2x1 amp iv
CT Scan Abdomen + Kontras
Konsul Obsgyn

Susp ISK dd/ Appendisitis

05/03/2016
Leu 7100
Eri 5,38
Hb 15,2
Ht 46,6
Trombo 150
Ur 17
Cr 0,9
GDS 94
Cl 106
K 3,5
Na 135

06/03/2016
Leu 4900
Eri 5,19
Hb 14,6
Ht 44,8
Trombo 150
MCH 28,1
MCHC 32,6
MCV 86,4

As. Mefenamat 3x500mg po

Ranitidin 150mg 3x1 tab po

Appendisitis Akut

05/03/2016
Leu 16400
Eri 4,52
Hb 13,6
Ht 41,8
Trombo 206
Ur 29
Cr 1,0
Cl 104
K4
Na 138

MRS
DPJP
Dr. Heber Sapan, SpB

7.

B 10
Bed 6

Rati Mokoagow/P/33
thn/46.68.81
MRS 22/2/2016
DPJP
dr. W. Sumanti, SpB-KBD

8.

B7
Bed 8

Revandi Tuyu/L/20
Thn/467792

(Pasbar)

MRS 05/03/2016
DPJP
dr. P.A.V Wowoling, SpB

9.

B5
Bed 2

Otniel Nayoan/L/48thn/ 46.77.68

MRS 05/03/2016

(Pasbar)

IRINA A ATAS : 11 PASIEN

No

Kam
ar

Identitas

Diagnosi
s

1.
Lab

Terapi

IVFD RL 20gtt/m
Ketorolac 3x1 amp iv
Ranitidin 2x1 amp iv
Cefobactam Single Shot iv

A1
Bed 1

Charles
Tatang/L/63
Thn/467203
MRS
26/02/2016
DPJP
dr. Billy Salem,
SpB-KBD

Post
colesistom
i e.c.
tumor
caput
pankreas
Abses
perianal
HT gr II

3/04/201
6
Leu 23110
Eri 4,62
Hb 14,1
Ht 42,4
Tromb 482
MCH 30,5
MCHC
33,3
MCV 91,8
GDP 117

Bil tot 14,14

Bil dir 12,17
Ur 34
Cr 1
Urid Acid
3,2
Cl 88,7
K 4,61
Na 126
HBsAg Elisa
non reaktif
0,522

IVFD NaCl 0,9% 14

tpm
Meropenem inj
2x1gr (ST)
Metronidazole
3x500mg IV
Ranitidin 2x1 amp IV
Ketorolac 3x1 amp
IV
USG urologi
Konsul interna

SGOT 50
SGPT 26

Jadwal
cholangiografi

4.

A6
Bed 6

Deice
Tuhatelu/ P/ 42
thn/ 45.92.39
MRS
27/02/2016
DPJP
dr. Billy Salem,
SpB-KBD

2.

A5
Bed

Eden
Dagasina/L/38
thn/467657

Susp
Hepatoma

MRS
03/03/2016
DPJP
dr. W.
Sumanti, SpBKBD
3.

A6
Bed 4

Tewuh
Leonora/P/71
thn/464286
MRS
25/02/2016
H-11

DPJP
dr. W.
Sumanti, SpBKBD

Tumor
Colon
Dekstra

3/03/201
6
Leu 7600
Eri 4,47
Hb 13,5
Ht 43,1
Tromb 198
MCH 30,2
MCHC
31,3
MCV 96,5

SGOT 395
SGPT 73
Ur 18
Cr 0,6
GDS 84
Cl 99
K 4,40
Na 129

01/3/201
6
Leu 4600
Eri 3,88
Hb 9,9
Ht 30,5
Tromb 267
MCH 25,5
MCHC
32,5

3/06/2016
Leu 5300
Eri 4,69
Hb 12,4
Ht 37,8
Tromb 206
MCH 26,4
MCHC 32,8
MCV 80,7
SGOT 18
SGPT 7
Alb 2,97

05/3/201
6
Leu 4500
Eri 4,71
Hb 12,4
Ht 38%
Tromb 212
MCH 26,3
MCHC
32,6
MCV 80,7
Ur 18
Cr 0,5
Na 137
K 3,1
Cl 107
MCV 78,7

General
weakness
e.c colitis
on spesifik
+ Susp.
Malignanc
y ec.
Tumor
Primer ?

Pro CT-Scan
abdomen dengan
kontras

5.

A7
Bed 1

Tommy
Enes/L/50
thn/467453

HIL (S)

MRS
01/03/2016
DPJP
dr. W.
Sumanti, SpBKBD

R/ Hemikolektomi
Dekstra
(jumat,11/3/16)
Lab albumin,
SGOT/SGPT
Konsul anestesi
kamis, jumat op
iVFD
RL:Aminofusin:D5
2:1:1=20 gtt/m
6.

A7
Bed
2

Malumperas
Herman/ L/ 33
thn/ 32.95.33
MRS
03/03/2016
DPJP
Dr. Ishak L,
Sp.B

7.

A8
Bed 1

Nusa
Neltji/P/43
thn/464430
MRS
29/02/2016
DPJD
dr. W.
Sumanti, SpB-

27/2/201
6
Leu 7100
Eri 4,19
Hb 11,3
Ht 35,5%
Tromb 253
MCH 27,0
MCHC
31,8
MCV 84,7
SGOT 81
SGPT 85
Ur 14
Cr 0,4
Cl 108
K 3,3
Na 134
3/01/201
6
Leu ada
bekuan
Eri ada
bekuan
Hb ada
bekuan
Ht ada
bekuan
Tromb ada
bekuan
MCH ada
bekuan
MCHC ada
bekuan
MCV ada
bekuan

3/05/2016 CT-Scan Abdomen

leu 7100
dengan kontras
eri 4,19
Tx. Lain sesuai TS
Hb 11,3
Interna
Hem 35,5
Trm 253
MCH 27
MCHC 31,8
MCV 84,7
SGPT 81
SGOT 85
Ur 14
Cr 0,4
Cl 108
K 3,30
Na 134
SGOT 38
SGPT 13
Ur 39
Cr 1,7
GDS 91
Cl 105
K 4,30
Na 134

Pro Herniorafi
(kamis,10/3/2016
)
Konsul anestesi
selasa, kamis op
Crossmatch
DL, Ur, Cr, Na, K, Cl,
GDS, SGOT,
SGPT, PTA, PTT
Cek ekspertisi thorax

Post
Herniotom
i + Mesh
ec. Hernia
Inguinalis
Lateralis
dextra
strangulat
aI

04/3/201
6
Leu 17000
Eri 5,65
Hb 16,4
Ht 48,9
Tromb 241
MCH 29,0
MCHC
33,5
MCV 86,6

AFF infus
Cefixime 2x100mg
As. Mefenamat
3x500mg
Ranitidine 2x1 tab
Rawat jalan (senin)

Ikterus
obstruktif
e.c.
choledocol
ithiasis
Post
explorasi
CBD H-3

3/04/201
6
Leu 17600
Eri 4,52
Hb 14,7
Ht 44,1
Tromb 308
MCH 32,5
MCHC
33,3

IVFD NaCl 0,9% :

Clinimix :
Aminofusin =
1:1:1 = 20gtt/m
Ceftriaxone 2x1g iv
Metronidazone
3x500mg drips
Tramadol 3x1 amp iv
Ranitidin 2x1 amp iv

KBD

MCV 97,5

Bladder training
Rawat luka

8.

A8
Bed 5

Nolvy
Saroinsong/L/5
0
thn/440328
MRS
DPJP
dr. W.
Sumanti, SpBKBD

Post
sigmoidec
tomy
e.c. Ca
recti
Retensi
urin
Anemia

7/23/201
5
Leu 9720
Eri 3,18
Hb 9,8
Ht 29,3
Tromb 378
MCH 31
MCHC 33
MCV 92
SGOT 26
SGPT 13
Ur 10
Cr 0,5
Prot tot
5,09
GDS 123

Album 2,58 IVFD NaCl 0,9% :

Globul 2,51
D5% : aminofluid
Cl 96,1
1:1:1=
K 3,29
20 gtt/m
Na 133
Ceftriaxone 2x1 IV
Sulbactam 2x1 IV
4/3/2016
PCT drips k/p
GDS 101
Ondansetron 3x1
Ur 146
amp IV
Cr 3,3
SGOT 5
SGPT 16
Na 126
K 2,1
Cl 102

9.

A 11
Bed 1

Jong
Kimlim/L/78
thn/467140
MRS
25/02/2016
H-11
DPJP
dr. W.
Sumanti, SpBKBD

10.

A6
Bed 1

Kartini
Pangumpia/P/
60 thn/465978

Post
laparatomi
+
colostomi
colon
transversu
m e.c.
tumor
sigmoid

3/02/201
6
Leu 9000
Eri 3,02
Hb 9,2
Ht 28,6
Tromb 423
MCH 30,5
MCHC
32,2
MCV 94,8

AFF infus
Cefixime 2x100mg
tab
Ranitidine 2x150mg
tab
As. Mefenamat 3x1
tab
Hipoalbumin 3x1
amp
Metronidazol
3x500mg iv
Ranitidin 2x1 amp iv
Ketorolac 3x1 amp iv
Pro Kolostomi Biopsi
Rawat Stoma

Ca rectie

2.

Meggie
Supit/P/51 thn/

Post
appendek
tomi (H2)

MRS
DPJP

AFF kateter
IVFD RL 29 gtt/m
Ceftriaxone 2x1gr IV
Ranitidine 2x1 IV
Ketorolac 3x1 IV
Rawat luka
Menunggu hasil lab

IRINA B : 2 PASIEN
No
1.

K116

Kam
ar
K7

Identitas
Aneke
Saniyah/P/73
Thn/46.54.68

MRS
06/03/2016

MRS
02/02/2016

DPJP

DPJP
dr. Heber
Sapan, SpN
2.

K3

Gimon
Anita/P/38thn
/43.52.16

Diagnosi
s
Post
Kolesistot
omi 8 hari
yll ec
Ikterus
Obstruksi
ec. Susp
Ca Caput
Pancreas
Susp.
Abses
Hepar

MRS
25/02/2016
H-11
DPJP
dr. W.
Sumanti, SpBKBD

Lab

Terapi

01/03/20
16
Leu 5000
Eri 3,27
Hb 9,6
Ht 29,4
Tromb 178
SGOT 50

SGPT 35
Bil Tot
26,39
Bil Direk
21,12
Cl 94,3
K 3,3
Na 135

27/02/20
16
Leu 14400
Eri 4,26
Hb 12,0
Ht 37
Tromb 601
SGOT 23
SGPT 11
Gamma
GT 10
Bil Tot 1,4
Bil Direk
0,47

Ur 32
Tunggu hasil CT-Scan
Cr 0,4
abdomen
As. Urat 3, Vip albumin 3x2 caps
5
po
Prot Tot
5,77
GDS 88
Alb 2,38
Glb 3,39
Al.Fosfat 58
Cl 96
K 3,02
Na 137

R/ Cholangiography
(senin)
Terapi lain sesuai
interna
Ceftriaxone 2x1gr IV

Anggrek 2 : 1 PASIEN
No
1.

Kam
ar
K117

Identitas
Poerwanti
Retnodiah/P/5
5
Thn/441635
MRS
28/02/2016
H-8
DPJP
dr. Billy
Salem, SpBKBD

Diagnosi
s
Post
Laparoto
mi
Eksplorasi
ec. Biloma
+
Ancaman
Sepsis

Lab
05/3/201
6
Leu 20900
Eri 3,43
Hb 10,2
Ht 31,8
Tromb 222
MCH 29,7
MCHC
32,1
MCV 92,6

Terapi
IVFD Tutofusin : NaCl
0,9% = 20gtt/m
Meropenem 3x1g iv
Ketorolac 3x1 amp iv
Omeprazole 2x1 vial
iv
Diet Lunak
Rawat luka

IRDB : 2 PASIEN
No

Kamar

Identitas

1.

(Pasbar
)

Yakob
Tapada/L/65
Thn/467815
MRS
05/03/2016
DPJP

Diagnosi
s
Tumor
intra
abdomen

Lab
05/03/20
16
Leu 6200
Eri 3,18
Hb 9,6
Ht 29,7
Tr 245
MCH 30,2
MCHC
32,3
MCV 93,4

SGOT 74
SGPT 36
Ur 100
Cr 3,5
GDS 101
Cl 99
K 4,6
Na 127

Terapi
IVFD NaCl:Aminofusin:
Elinimix 1:1:1=21
gtt/m
Ketorolac 3x1 amp IV
Ranitidin 2x1 amp IV