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

DPJP
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)
dr. Munawar, Sp.OG
dr. Munizar, Sp.OG
Prof. Dr. dr. Mohd. Andalas, Sp.OG
dr. Roziana, Sp.OG
dr. Dewi Karlina R, Sp.OG
dr. Cut Rika Maharani, Sp. OG
TOTAL PASIEN
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
JUMLAH PASIEN KAMAR PASIEN
- -
- -
- -
- -
- -
- -
2 1A, 2A
- -
- -
1 5D
6 1B, 2B, 3A, 5A, 6A, ISO2
1 6E
- 6C,6D
12 1A, 1B, 2A, 2B, 3A, 5A, 5D, 6A, 6E, ISO 2 ,6C,6D