List Pasien Divisi Digestive 27 JUNI 2013: Irina A Atas

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List Pasien Divisi Digestive 27 JUNI 2013

Irina A Atas

No Identitas Diagnosis Lab Terapi


1 A10 – Bed 4 Tumor 25/6/13
Samuel Paendong/L/77thn Anorektal Leu: 3500 IVFD NaCL : Aminofel : D5 2:1:2
CM 37.05.88 Eri: 3,15 Laxadinesirup 3xic
MRS 8/6/2013 Hb: 9,4 Ranitidin 2x1 amp iv
Umum Hct: 27,1 VIP albumin 3x2 tab
Dr. Heber SapanSp.B-KBD Trombo: Diazepam 1 amp 10mg (K/P)
137 Sanmol drips (K/P)
Koas tisia Prot tot 4,5 Vit c 5 amp + b com 1cc dlm nacl 500cc 1x1
Cr 1,4 EKG Poor R VI-VIII susp OMI anteroseptal
Ur 62 x-fotothoraks : cor/pulmodbn
Alb 2,2 CT-Scan Abdomen
Glob 2,3 KonsulKulit
Na 142 RencanInsisBiopsi
K 4,07
Cl 113,2
2 A 10 bed 1 Tumpor IVFD RL: aminofusin= 2:1 21gtt
Yohanis rektosigmoid Neuro bion in RL
mangubndap/L/48thn dgn infilyrasi ke
366286 buli
Umum T4NxM1

3 A1 bed 2 Hemoroid 25/6/13 Rencana transfuse hingg HB 10g/dl


Karlo Mamengko/L/40thn interna gradeIII Leu 9500 Ardium 2x2 tab
370505 + anemia Eri 4,23 Foto thorax: cor pulmo normal
MRS 23/6/13 Hb 10,4 EKG dbn
Hct 31,1
Koas tisia Trombo 324

4 A8 – Bed 1 Post 24/6/2013 GDS 75 IVFD RL:D5:Aminofel = 1:1:1


Sangi Victor Corneles/ L/ LaparatomiEksp Leuko Cr 0,7 Kcl 50 Meq dalam RL 500cc 12 gtt
46 tahun lorasi 10800 Ur 14 Ceftriaxone 2x1 gr IV
369425 Eri 3,55 Alb 2,6 Ranitidin 2x1 amp iv
MRS 6/6/2013 Tanggal Op : 17 Hb 10,6 Glob 3,3 Aspar K 3x1 tab
Jamkesmas Juni 2013 HCT 30,8 SGOT 39 InpepsaSyr 4xCI
Dr. Heber Sapan, Sp.B- Trombo 288 SGPT 46 VIP albumin 3x4
KBD Prot tot 5,9 Na 130 Ambroxol tab 3x1
K 2,45 Rawat Luka
Koas tisia Cl 91,4 Diet TKTP

5 Maya najoan/P/28thn Post laparatomi 25/6/13 Na 145


369836 ec obstruksi Leuko K 3,37
Dr.Billy Salem SpB KBD usus mekanik 10300 Cl 114,7
Jamkesmas total ec susp Eri 4,58 Gds 79
MRS 26/6/13 adhesi Hb 10,2 Cr 0,5
HCT 31,3 Ur 43
Operasi 23/6/13 Trombo 317 Alb 2,5
Glob 1,6
SGOT/SGPT 21/14

6 A8 bed 8 Post 24/6/13 Na 138 IVFD RL: aminofusin: tutofusin 2:1:1


Brian rottie/L/18 thn Laparatomieksp Leu 11.700 K 9,94 Ceftriaxone 2x1 gr
MRS 24/6/13 lorasi + Eri 4,74 Cl 101,6 Metronidazole 3x0,5gram iv
372442 Apendektomie.c Hb 14,2 Ranitidin 2x1amp iv
App perforasi Ht 40,65 Ketorolac 3x1 amp
Koas tisia Trom 351 Bolehminum air putih, teh manis
Mobilisasi nyeri
Rawatluka

1
List Pasien Divisi Digestive 27 JUNI 2013
7 A7- Bed 5 Absesperistomal 21/6/2013 IVFD RL 20 gtt/mnt
Tn. Bisasulatif/L/52thn + ILO+ General Leu7300 Human albumin drips 1x1
CM36.17.21 weakness + Eri3,86 Ranitidin 2x1 amp
MRS 23/5/2013 ulkusdekubitus Hb9,9 Vit C 5 amp = bcom 1 cc dalam RL 500 cc 1x1
Jamkesmas HCT 29,7 Rawat luka
Dr. Billy Ch Salem SpB- Trom:209
KBD
Koas acel

8 A7-bed 7 Post Herniotomi 25/6/13 Cr 0,7 DMP 3x1


RustamBuang Solar/L/ (hari 2) Leu 10500 Ur TAP Cefadroxil 2xq1
CM 08.05.00 Eri 4,49 Na 139 Antalgin 3x1
MRS 25/06/2013 Hb 14,0 K 4,1
Dr. W. Sumanti SpB KBD Ht 40,8 Cl 95
Trombo 270
GDS 138

9 A6 – B1 Hemoroid 24/06/2013 Leu : 6600 x-photo thorax cor/pulmo normal


Nontje Sambuaga Interna grade III PT 6,6 Eri : 4,30 EKG : dbn
P/52 GDS 105 Hb : 10,4 Rencana HALRAR 27/6/2013
CM : 37-03-27 Cr 0,5 Ht : 29,2
MRS 14/6/2013 Ur 10 Tr : 345
Jamkesmas Alb 3,1 Na 142
Glob 3,5 K 3,45
Koas acel SGOP 27 Cl 101,9
SGPT 10
10 A3-Bed 1 Tumor 25/6/2013 Cr 0,4 Menunggu rencana operasi
Ny Santi Kolompoy/ intraabdomen Leu-6600 Ur 16 X-Foto thorax : Cardio/pulmo normal
P/25 tahun Eri-3,81 Alb 4,2 EKG sinus takikardi T suspect LVH
CM : 36 17 05 Hb 9.6 SGOT 77
MRS : 30/5/2013 Hct 28,6 SGPT 135
Jamkesmas Trom-212 Na 143
Dr heber Sapan,spB-KBD K 4,61
Cl 104,4
koas acel
11 A3 bed 2 cholelithiasis 24/6/13 Cl 104,5 Rencana operasi laparatomi cholesistoktomi
Yuliana Leu 7600 Bil tot 0,43 Menunggu jadwal
paputungan/P/55thn Eri 4,91 Bil indirect 0,43
314218 Hb 12,6 Alb 4,0
MRS 22/6/13 Ht 36,7 SGOT/PT: 30/23
Trom 220 CT 8
Koas acel Na 143 BT 2
K 4,14
12 A2 Hemorroid 18/6/13 Pro operasi HALRAR kasmis 27/6/13
Marlon pattipawae/L/31thn grade iv Leu 3900 Ekg dbn
300220 Eri 5,55 Foto thorax Cor pulmo tak
MRS 25/6/13 Hb 12,4
umum
Ht 39,7
Trom 201
Gds 102
Cr 1
Ur 21

2
List Pasien Divisi Digestive 27 JUNI 2013
13 Elvira keaban/p/38thn Hemorroid 26/6/13 Prot tot 7,7 Operasi HALRAR 27/6/13
372964 grade iv Leu 6500 Gds 91 Thorax tak
MRS 26/6/13 Eri 4,4 Cr 0,8
Jamkesda Hb 12,2 Ur 17
Ht 35,1 Alb 4,6
Trom 292 Glob 3,1
Sgot/sgpt 18/11
Na 141
K 3,79
Cl 105,2

Irina A Bawah

No Identitas Diagnosa Lab Terapi

1 B11-Bed 1 Post apendektomi 24/6/13 IVFD RL


Enteng Saerang/L/55thn Ec periappendikular Leuko 9700 Ceftriaxone 2x1
MRS 20/6/13 infiltrat Eri 4,26 Metronidazole 3x500
340716 Hb 12,4 Ketorolac 3x1
Op: 24/6/13
Dr. Billy Salem, SpB-KBD Ht 36,9 Ranitidin 2x1 amp
Tr 250 Diet clear waterbubursaring
Koas Wulan Mobilisasi

2 B2-bed 2 Post eksplorasi CBD + 24/6/13 Cr 0,4 IVFD RL : clinimix/ivelip :aminofusin


Asrab Ali Aisah/P/64thn choleidokojejunostomi Leuko 4800 Ur 18 2:1:1
CM 370444 + brown anastomose ec Eri 4,05 Uric acid 1,7 Ceftriaxone 2x1
Irina A 12/6/13 ikterus obstruktif ec HB 12,2 SGOT 28 Ketorolac 3x1 amp k/p
Dr.Billy Salem SpB KBD tumor kaput pankreas + Ht 35,6 SGPT 22 Vip albumin 3x4
hipoalbumin + asites + Trombo 177 Na 143 Ranitidin 3x2 tab
Koas Wulan cyrosis hepatis Bilirubin tot1,51 K 3,92 Diet susu
Bilirubin direct Cl 110,1 Mobilisasi
1,04
GDS 93
3 B-10-bed 2 Post Hernioktomy + 25/06-13 IVFD RL : D5 2:1 20gtt
Jopiterok/L/57thn mshe.c HIL Leuko 10.800 Ceftriaxone 2x1gr iv
CM: 37.27.62 sinistrastrangulate Eri 3,93 Ketorolac 3x 1 amp iv
Irina A 25/6-2013 Hb 11,8 Ranitidin 2x1
Ht 34,4
Dr. W. Sumanti, SpB-KBD Tgl OP 25/06-13 Mobilisasi
Tr 154
KoasWulan Konsul mata (katarak senilis)

4 B10 -6 Post Laparatomi + 24/6/2013 Alb 2,5 IVFD RL:clinimix/ivelip : aminofusin


StenlyKoloay/L/32 thn reseksi anastomose Leu : 8600 Sgot 32 2:1:1
CM 27.21.06 usus halus ec v.ictum Eri3,55 Sgpt 35 Ciprofloxacin 2x2 botol
MRS 17 Juni 2013 Hb 9,7 Na : 136 Ketorolac 3x1amp

3
List Pasien Divisi Digestive 27 JUNI 2013
Jamkesda panetrans abd Hct 27,5 K : 3,94 Ranitidin 2x1 amp
Dr. Hebert Sapan, SpB- Trom523 Cl : 113,3 Diet Lemak + susu on demand
KBD OP : 16/6/2013 Cr : 0,6 Mobilisasi
Ur : 21 Rawat luka
Koas Wulan Diet tinggi kalori, tinggi protein
5 B9 – bed 8 Post 24/06/13 GDS: 59 Pro eksplorasi CBD
MouwManase/L/55th colesistostomieccholest Leu : 8100 Cr: 1,0 Menunggu jadwal
CM 36 99 10 asis ec susp tumor Eri: 4,31 Ur: 22
MRS 4/6/13 caput pankreas Hb: 12,6 Alb: 3,1
Jamkesmas Tgl Op : 4 Juni 2013 Hct: 36,4 SGOT: 132
Dr. Billy Salem, SpB-KB Trombo:365 SGPT: 83
Bil tot : 19,87 Na: 139
Koas Albert Bil direct: 17,81 K : 2,88
Cl: 100,3
6 B8- Bed Post herniotomy + 22/06/13 IVFD RL
Reban /L/ 49 thn MESH ec HIL dextra Leu 12500 Na 1390 Ceftriaxone 2x1
CM: 37 24 98 strangulata Eri 5,63 K 3,7 Ranitidin 2x1
Irina A: 23/6/2013 Hb 13,3 Cl 105 Diet lunak
Dr. Heber Sapan, SpB-KBD Hct 44,7
OP: 16/6/2013 Trombo 208
Koas Albert Cr 1,0
Ur TAP

7 B8 Bed 3 Post cholecystostomy 18/6/ 2013 SGOT 30 MenggujadwalEksplorasi CBD


Yaner Lolowang/L/51 thn ec cholestasis ec s Leu 3400 SGPT26 Curcuma 2x 1
CM 36.84.05 tumor caput pankreas Eri 3,3 Al 2,6 Vit c 3x1
MRS 23/05/2013 Hb 10,3 Bil.total 8,41 Vit B-com 3x1
Jamkesmas Tanggal op : Hct 29,7 Bil.direct 7,67
Dr. Heber Sapan, SpB-KBD 28/5/2013 Tromb 219 BT 2’
Cr 0,7 CT 8’
Koas Albert Ur 9 Na 143
K 3,48
Cl 111,3
8 B7-1 Post Miles ec 24/6/13 Xeloda 3-0-2
Ny. Marlyn Mulalinda/P/60 Adenoma ca rekti Leu 8900 Ketorolac tab 3x1 amp k/p
thn paraplegi Eri 3,07 PA : (18/04/2013)
CM 07.43.36 Tgl op 23/ 5/ 2013 Hb 9,1 -Adenokarsinomadifferensiasisedang
MRS 04-03-2013 Hct 25,6 CT Abd: (03/04/2013)
Irina A 5/5/2013 Tromb 524 -tumor rectum dgn gambaran noduler
Jamkesmasda Prot tot 5,9 metastatic multiple hepar.
Dr.Heber Sapan, SpB-KBD GDS 94 USG : (25/01/2013)
Cr 0,8 -haemoroid interna
Koas ongan Ur 34 Foto thorax (22/4/13): c/p : dbn
Alb 3,1 EKG: (22/05/13): dbn
Glob 3,8
Sgot 43
Sgpt 17
9 B7-4 Tumor anorektal 26/6/2013 ureum 10 Inpepsa 3xsdm
Agnes Boham/ P/ 65 tahun Leukosit 8000 Crea 0,7 - hasil PA : adenokarsinoma
CM 359333 Eritrosit 3,58 Alb 2,9 r/operasi
MRS 07/06/2013 HB 10 OT/PT: 15/9
Dr. Heber Sapan, SpB-KBD HCt 29,6 Na 139
Trombo 373 K 2,20
Koas ongan Cl 93,0

4
List Pasien Divisi Digestive 27 JUNI 2013
10 B7 bed 6 Post 20/6/2012 Cr 0,6 Pro eksplorasi CBD
Nanonodorciana/P/36thn colesistostomieccoleliti CT : 8” Ur 20 Vit C 3x1
CM 369817 asis empedu ec. Batu BT : 2” Alb 4,1 Vit Bcom 3x1
Glo 3,3
Irina A 6/6/13 CBD 19/6/2013 Curcuma 2x1Ekspertisi foto
OT/PT : 36/83
Jamkesmas Leu 2300 Na 141 thorax(19/06/13) : cor dan pulmo
Op 1 : 6/6/2013 Eri 4,17 K 4,36 normal
Dr. Billy Salem, SpB-KBD Hb 12,9 Cl 103,4
Hct 37,0 Bil total 2,62
Koas ongan Trombo 279 Bildirek : 2,01
Prot tot: 7,4
11 B6-bed 1 disfagia 22/6/2013 GDS 135 Neurobion 2x1
Ferry Koluod/L/55thn Leu 13700 Cr 0.,7
36.96.16 Eri 5,32 Ur 41
Irina A 30/5/13 Hb 13,8 Na 144
Jamkesmas Hct 42,1 K 2,62
Dr. Heber Sapan, SpB-KBD Tromb 421 Cl 90,9

Koas ongan
12 B6 –bed 2 Tetanus berat 25/6/13 Gds 128
LakariasLahate/L/44 thn Leuko 13100 Na 141
CM372883 Eri 4,78 K 3,4
Irina A 25/06/2013 Hb 14 Cl 104
Jamkesmas Hct 40,1
Trombo 225
KoassOngan

13. Hana hustari/P/69thn Tetanus sedang 26/6/13 Gds 117


37 28 98 leuko10700 Na 143
MRS 26/613 Eri 4,73 K 4,4
JAMKESDA Hb 13,5 Cl 10,8
Hct 40,1
Trombo 264

Anggrek 2

1 101 Kolelitiasis + 25/602013 Raber Interna


Jetje Pantouw / P / 42 kolesistisis + (Terapi sesuai interna )
CM : 26.59.11 susp. TB paru Leu 7000 Ur 57 Rencana kolesistektomi
MRS : 5/6/2013 Eri 4,21 Cr 3,1
Digestiv : 11/6/2013 Hb 12,7 Na 132
Askes Hct 36,7 K 2,71
Dr. Heber Sapan SpB-KBD Trom 190 Cl 104,9
Pro tot 5,4 Al 3,1
Gl 2,3
SGOT/PT: 22/22

2 119 Ileus Paralitik + 20/6/13 21/06-13 IVFD stop


Mokat Godfried/L/71 thn Hipertensi Leu 9600 Ur 26 Neurobion 2x1 tab
CM 29.40.86 Eri 3,34 Cr 0,7 Curcuma 2x1 tab
Mrs 4/6/13 Hb 8,8 Vip albumin 3x4 tab
Askes Hct 257
Diet TKTP
Dr.BillySalem,SpB-KBD Trom 200
Pro tot 5,9 USG abdomen : t.a.k
Alb 2,2
Gl 3,7
Na 131
K 3,38
Cl97,5

5
List Pasien Divisi Digestive 27 JUNI 2013
3 214 Ca colon + 19/6/13 Cr 0,5 Raberinterna
Aslahkartini/P metastase Leu 7600 Ur 15 Ct-scan abdomen
CM 35.29.56 hepatr(kemoterapi Eri 4,66 Alb 3,3 Terapi lain sesuai TS interna
MRS 13/5/13 siklus IV) Hb 11,5 Glo 3,3 Evaluasi kemoterapi
Askes Hct 36,5 OT/PT 88/24
Dr. Heber Sapan, SpB-KBD Trom 189 Col tot 281
HDL: 23
LDL 238

4. 104 HILD Reponible 25/6/13 IVFD RL:D5%= 2;2 28


Ricky Pangkey/L/20 thn Leu 16000 gtt/mnt
CM 371440 Eri 4,94 Ceftriaxone 2x1 gr iv
MRS 20/062013 Tgl Op. 25/06-13 Hb 14,4 Ketorolac 3x1 amp iv
Askes Hct 42,2 Ranitidin 2x1
Dr.HeberSapan, SpB-KBD Trom 182 Mobilisasi

Bolehmakan/minumbila BU
(+)

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