Cito 28 Januari 2022

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OKA CITO

28 Januari 2021

DPJP : dr.Rahmi, SpAn


5 Tatalaksana Anestesi
OKA CITO
DPJP : dr.Rahmi, SpAn
PPDS : dr.Ryan/Huzaival/Faddlan/Khairuddin/Fahmi/Al-Muqsith/Noera/Rio/Emil/Rinda/
Reza/Febri/Yamin
5 Tatalaksana Anestesi
No Nama Diagnosa Prosedur ASA Tatalaksana Post Op
G7P2A4 hamil 36-37 minggu+ JPKTH belum
1 Da, Pr, 44 th inpartu+ PEB + DM tipe 2 Sectio Cesarea ASA III Spinal Anestesi Ruangan

2 Na, Pr, 61 th Glaukoma akut Triple prosedur ASA III General Anestesi- LMA Ruangan

Sistoskopi +
Transurethral Resection ASA II
3 IA, Lk, 49 th Retensi urine + Hematuria ec Tumor buli
of a Bladder Tumor
Spinal Anesthesia Ruangan
(TURBT)
Abses Flank dextra (post op bivalve
4 D, Pr, 42 th
nefrolitotomy)
Insisi drainase abses ASA II General Anestesi Ruangan

Skin avulsi ar fasialis + multiple v. Laceratum ar Reconstruction


5 Sa, Lk, 42 th fasialis emergency ASA III General Anestesi HCU
OKA CITO
DPJP : dr.Rahmi, SpAn
PPDS : dr.Ryan/Huzaival/Faddlan/Khairuddin/Fahmi/Al-Muqsith/Noera/Rio/Emil/Rinda/
Reza/Febri/Yamin
5 Tatalaksana Anestesi
No Nama Diagnosa Prosedur Status Fisik Tatalaksana Post Op
ASA III
- PEB TD 187/89 mmhg, klinis nyeri kepala +, nyeri ulu
hati -, pandangan kabur -, kejang -, th/ metildopa
G7P2A4 hamil 36- Sectio Cesarea 2x250 mg, adalat oros 1x30 mg, MgSO4 1 gr/jam
37 minggu+ JPKTH - DM tipe 2,KGDS 80 mg/dl, th/ novomix 26-0-26 unit Spinal Anestesi
1 Da, Pr, 44 th
belum inpartu+ PEB dr.Hasanuddin, - Kehamilan dengan Hb 11.9gr/dl, leukosit 9010/mm3,
Ruangan
+ DM tipe 2 SpOG trombosit 248.000/mm3
- Obese gr II BMI 39.1 kg/m2, Stop bang score 3,
intermediate risk of OSA
- Kemungkinan sulit intubasi leher pendek
ASA III
- Riwayat operasi tiroid 5 thn yll, klinis mudah lelah -,
berat badan menurun -, Tremor -, keringat
Triple prosedur
berlebihan +, Wayne index score +3, TsHs 0.067, FT3 General
2 Na, Pr, 61 th Glaukoma akut
2.8, FT4 13.91, Kesan hipertiroid subklinis (toleransi Anestesi- LMA
Ruangan
dr. Yulia, SpM sedang dari EMD) Th/ eutyrax 1x100mg, osteocal 1x1
- Leukositosis 11.800/mm3
- Geriatri usia 61 thn

Sistoskopi +
Transurethral
Resection of a
Retensi urine +
Bladder Tumor ASA II Spinal
3 IA, Lk, 49 th Hematuria ec Tumor
(TURBT) - Anemia Hb 11,0 g/dl Anesthesia
Ruangan
buli
dr. M. Puteh
Mauny, SpU
OKA CITO
DPJP : dr.Rahmi, SpAn
PPDS : dr.Ryan/Huzaival/Faddlan/Khairuddin/Fahmi/Al-Muqsith/Noera/Rio/Emil/Rinda/
Reza/Febri/Yamin
5 Tatalaksana Anestesi
No Nama Diagnosa Prosedur Status Fisik Tatalaksana Post Op

Insisi drainase ASA II


Abses Flank dextra abses - HT gr 1 TD 147/91 mmhg, MET 5, klinis nyeri dada General
4 D, Pr, 42 th (post op bivalve -,sesak -, Murmur-, gallop-, EKG: SR qrs rate 84 bpm, Anestesi Ruangan
nefrolitotomy) dr.Puteh Mauny, RBBB komplit, CXR: cardiomegali -,Th/ -
SpU - Trombositosis 553.000/mm3

ASA III
- Riw. Penurunan kesadaran ec peningkatan TIK akut,
Reconstruction GCS saat ini E4V5M6, klinis nyeri kepala (+), riw
Skin avulsi ar fasialis emergency muntah (+), kejang (-), pupil isokor 2/2 mm, refleks
General
5 Sa, Lk, 42 th + multiple v. cahaya (+/+), motorik, sensorik dan otonom dbn. CT
Anestesi
HCU
Laceratum ar fasialis dr. Mirnasari scan: ICH kontusional
SpBPRE - Anemia Hb 10,7 gr/dL
- Leukositosis 16.790/mm³
- Kemungkinan ventilasi dan intubasi ec trauma fasialis

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