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MAPPING RUANG OBSTETRI

(ARAFAH 3, Kamis, 6 September 2018)

N Ruang Nama CM Diagnosis Penunjang Terapi Bayi DPJP Rencana


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1 1A Mainizar 0786687 POD 2 P3A2 (AH0) post SC a/i non Lab 4/09/2018 IV ketorolac 3%/8j Bayi laki-laki CMY Obs
Usman, 36 th reassuring fetal status, ibu dg Hb/Ht/E/L/T Kaltropen supp II BBL 1800 gram KU,TTV,
permasalahan : 10,1/27/3,4/11,3/183 Inj ranitidin 1 amp/12j PB 40 cm His,
1. PEB Sohobion 2x1 Bayi di NICU perdarahan
2. DM tipe II Lab 2/09/2018 Kaltropen supp level2b Mobilisasi
PT/APTT: 10,3/25,5* /8jam(k/p) bertahap
SGOT/SGPT : 21/13 Adalat Oros 1x30mg Balance
GDS:153 MetilDopa 2x250mg cairan
Na/K/Cl: 141/3,9/104 Sc humulin 10-10-8iu
Ur/Cr: 20/0,71 Sc lantus 0-0-15iu
Drip MgSO4 1gr/jam
Lab 3/09/2018 selama 24 jam
Protein +1 Keton (-)
2 1B Aswina Murni, 1045611 G6P3A2 hamil 38-39 minggu Lab 05/09/18 Inj. Dexamethason 1 RZ Transfusi
35th JPKTH BSC 1x (IDT 2thn) PPT Hb/Ht/E/L/T amp (extra) PRC 2 kolf
9,5/29/4,4/15,5/239 SC elektif
ibu dengan anemia mikrositik MCV/MCH/MCHC
hipokrom hari ini
66/22/33
CT/BT : 2/8
HBsAg : negative
GDS : 99
Na/K/Cl
145/4,8/107

3 2A Nisrina 1162352 G1 hamil 34-35 minggu, janin letak Lab 5/9/2018 Lameson 2x80mg CMY Obs
Basri,29th lintang, kepala di kiri, dorsosuperior. Ibu Hb/Ht/E/L/T (ditritasikan) KU,TTV,
dengan permasalahan 9,6/34/5,1/14,6/14* Malofer 1x1tab perdarahan,
1. ITP (Tr 18000) MCV/MCH/MCHC Inj. Dexamethasone
2. Anemia mikrositik hipokrom e.c def 66/19/29 6mg/12j
FE
Lab 3/09/2018
Ferritin 8,23
Fe/Iron 30
SGOT/SGPT : 16/8
Albumin 3,87
GDS: 98
Ur/Cr: 10/0,41
Na/K/Cl: 141/4,6/113

4 2B Riska Afriyanti, 1183566 G3P2 hamil 34-35 minggu JPKTH Lab 3/09/2018 Clindamicyn 1x150mg RZ Obs
29th ancaman partus prematurus (ST3) bebas Hb/Ht/E/L/T Inj. Dexamethason KU,TTV,
kontraksi 1 hari ec fluor albus Susp. BV 12,0/35/4,3/13,1*/262 6mg/12jam selama 2 His, DJJ
PT/APTT: 10,7*/47,6* hari Hitung fetal
Na/K/Cl: 143/3,9/109 Inj. Omeprazolvial/12 kick count
Ur/Kr: 16/0,48 jam Diet TKTP
Sucralfat Syr 3xCI
Sohobion 1x1
5 3A Nadia Hunnisak, 1183720 P1 post partus spontan, post Lab 5/09/2018 Cefadroxil 2x500mg Bayi LK RZ Obs
20 perineoraphy a/I rupture perineum grade Hb/Ht/E/L/T Na Diklofenak BB : 2630 KU,TTV,Per
2 11,8/35/4,1/15,9/322 3x50mg PB : 48cm darahan,jaga
CT/BT : 3/7 Sohobion 2x360mg A/S : 8/9 hygene vulva
HbsAg : Negatif dan perineum
SGOT/SGPT : 16/9
GDS : 97
Na/K/Cl: 146/4,8/108
Kr: 0,55
6 3B

7 4A
8 4B

9 4C

10 4D
11 4E

12 5A Diana Adnan Ali , 0800278 POD2 Post SC a/I fetal distress, gagal Lab 5/9/18 Inj Cefazolin 1 gr IV Bayi LK, BB RZ Obs KU,
33th induksi, IUGR inseptor IUD Hb/Ht/E/L/T Kaltrofen supp II/8 2100gr, PB TTV dan
11,6/35/4,1/18,1/216 jam 43cm kontraksi
Sohobion 2x360gr A/S 8/9
Lab 3/9/18
PT/APTT: 8,7/ 31,2
HbsAg : negative
SGOT/SGPT : 31/11
GDS 78
Ur/kr 15/0,59
Na/K/Cl :147/4,3/108
13 5B
14 5C
15 5D Nurlaili Sulaiman, 1183214 POD 5 P3 Post SC a/i CHF NYHA Lab 1/9/18 Nebul fentolin 1risp Bayi LK, BB MA Motivasi
32 tahun IV,riw. Lung edema, akseptor MOW Hb/Ht/E/L/T (K/P) 2400 gr, A/S 6/9 ASI, balance
dengan permasalahan Anemia normositik 9,3/28/3,1/9,6/186 Inj. Furosemid 1 cairan
normokrom dan hipoalbunemia PT/APTT: 8,7/ 31,2 amp/8jam Diet jantung
HbsAg : negative Spironolakton 1x50mg II 1500kkl
D-Dimer : 6160,61 Adalat oros 1x30mg
SGOT/SGPT : 22/5 Diovan 1x160mg
Alb : 2,64 Digoqin 1x0,25mg
Ur/Cr: 69/1,01 Aspilet 1x80mg
Na/K/Cl: 145/3,6/103 Cefixime 2x200mg
Kalsium : 7,3 caps
Magnesium : 1,8 Fluimucyl syr 3xCI

16 6A Rosmita 1182932 NH7 P3A1 post partus spontan janin Lab 5-09-2018 Inj. Ranitidin RZ Obs TTV,
syamsudin,32 IUFD, super imposed PEB Hb/Ht/E/L/T 50mg/12jam KU,
tahun 8,9/27/3,4/14,5/173 Adalat oros 1x30mg perdarahan
MCV/MCH/MCHC Metildopa 3x250mg Diet TKTP
80/26/33 Inj. Ranitidine Transfusi
Lab 3-09-2018 1amp/12j PRC sampai
PT/APTT HB
8,9/31,2 >10mg/dl,
D-Dimer : 2348,59 balance
SGOT/SGPT cairan,
65/117 Bebat
Protein total : 5,90 payudara
Alb : 2,67
Glo: 3,23
LDH : 392
LDL : 70
Kolesterol total : 159
Kalsium : 8,6
GDS : 78
UR/CR : 159/5,71
Na/K/Cl : 139/4,2/112
17 6B
18 6C Ervina,37th 1183731 P4 Post partus spontan Lab 5-09-2018 Lahir Bayi perempuan Cefadroxyl CRM Obs,KU,TTV
Hb/Ht/E/L/T BBL : 3125 2x500mg ,Kontraksi,pe
11,2/33/4,2/10,2/301 PBL : 47 Na Diklofenak rdarahan
MCV/MCH/MCHC A/S : 8/9 3x1
80/27/34 Sohobion 3x1
PT/APTT
8,6/33,0
HbsAg : Negatif
GDS : 89
UR/CR : 15/0,51
Na/K/Cl : 149/4,0/111
19 6D Kasmita,31th 1179017 P4 Post partus spontan ,post Lab 5-09-2018 Lahir Bayi perempuan Cefadroxyl CRM Obs.
perrineoraphy a/I rupture perineum grade Hb/Ht/E/L/T BBL : 3445 gr 2x500mg KU,TTV,Per
I 11,6/36/4,5/9,7/248 PBL : 49cm Na Diklofenak darahan
MCV/MCH/MCHC A/S : 8/9 3x1
87/26/32 Sohobion 2x1
CT/BT : 2/7
HbsAg : Negatif
GDS : 95
UR/CR : 17/0,54
Na/K/Cl : 146/4,5/108
20 6E Anidar, 35th 0606174 G8P4A3 hamil 31-32 minggu , JPBOTH Lab 4/09/2018 Adalat oros 1x30mg DK Obs. KU,
Bsc 1x (IDT 17th) riw. Perdarahan Hb/Ht/E/L/T Inj. Dexamethasone TTV, DJJ
pervaginam e.c PPT bebas kontraksi 10j 11,4/34/4,4/11,8/307 6mg/12j
PT/APTT: 8,8/ 27,1 As. Folat 1x1
HbsAg : negaive
GDS :81
Na/K/Cl: 146/4,0/108
Ure/krea 15/0,52

21 6F
22 7A
23 7B
24 7C
25 7D
26 7E
27 7F
28 ISO 1

29 ISO 2 Surayya, 33 th 0990219 POD 2 P1 post SC a/I KPD, presentasi Lab 5/09/2018 IV Cefazolin 2gr/24 Bayi laki-laki RZ Mobilisasi
bokong, HbsAg + Hb/Ht/E/L/T jam 3900gram bertahap
10,5/29/3,6/11,8/237 A/S 8/9 Diet TKTP
MCV/MCH/MCHC Kaltropen sup II/8 jam Aff FC
80/28/35 (k/p) Aff Infus
Lab 4/09/2018 Ganti oral hari ini
PT/APTT: 8,7/ 32,5 Curcuma 2x1
HbsAg : positive Na.Diklofenak 3x1
Albumin: 3,27 Sohobion 2x1
Na/K/Cl: 147/4,8/110

DPJP JUMLAH PASIEN KAMAR PASIEN


Dr. dr. Hasanuddin,Sp.OG (K) - -
dr. Yusra Septivera,Sp.OG - -
dr. Rajudddin,Sp.OG - -
dr. Tgk. Puspa Dewi, Sp.OG - -
dr. Sarah Ika N, Sp.OG(K) - -
dr. NikenAstriUtami, Sp.OG - -
Dr. dr. Cut MeurahYeni, Sp.OG (K) 2 1A, 2A
dr. Munawar, Sp.OG - -
dr. Munizar, Sp.OG - -
Prof. Dr. dr. Mohd. Andalas, Sp.OG 1 5D
dr. Roziana, Sp.OG 6 1B, 2B, 3A, 5A, 6A, ISO2
dr. Dewi Karlina R, Sp.OG 1 6E
dr. Cut Rika Maharani, Sp. OG - 6C,6D
TOTAL PASIEN 12 1A, 1B, 2A, 2B, 3A, 5A, 5D, 6A, 6E, ISO 2 ,6C,6D