Download - MornRep OK 4 Kamis 28 Agst 14-
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
1/22
Morning report
OK IV
Kamis, 28 Agustus2014
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
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1 Hari/ tgl : Kamis, 28 Agustus 2014 Nama : Ny !iti Amina" #sia: $% t"n
No &M: 0024'(%' &uang : Kenanga )iagnosis : #l*us +eis !inistra +ro : )e-riement
! : tia* aa *elu"an paa pasien ini&i. )M , H , penya*it lain 3, ri. Opa Kulit
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
3/22
A : 5lear, gipong molar -a.a",giyang 3 , gisu 3, M+ 2
6 : spontan, && 20 7/m, !) es /,&" 3/3, 9" 3/3
: ) 140/80, N 80 7/m, teg isi5u*up, s1;s2, m 3, g3
) : 66 '4 *g, ! ($,2
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
4/22
H- 11,1 140 < 180=eu128$0 4000 < 10800Ht (2 42 < '2>ri 4 ,1?t 4% ?t < $1 ?trom- 4$4r- 1'0r- < 4'0r-#reum (%' 14@8 < (8'2Krea 1($ 080 < 1(0
Kesimpulan :
Na 3 1($ < 14'K 3 (' < '1+ 1(2 11' < 1''A+ 282 2$03 ($0l 3 @8 < 10%a 3 84 < 102
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
5/22
2 Hari/ tgl : Kamis, 28 Agustus 2014 Nama : Ny Nunu* !ri 9 #sia : 42 t"n
No &M : 008(4(04 &uang : eratai )iagnosis : m oli !inistra +ro : >*sisi
! : tia* aa *elu"am paa pasien saat ini&i. asma 3, )M 3, peny ?antung 3, H 3,ri. op se-elumnya 3
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
6/22
A : 5lear, gipong , giyang 3, gisu 3,M+2
6 : spontan, && 207/m, !) es /, &" 3/3, 9"
3/3 : ) 120/80 mm"g, N 8$7/m, teg isi
5u*up, s1 s2, m 3, g3 ) : 66 $( *g, ! ($,'
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
7/22
H- 1(( 140 < 180=eu$4%0 4000 < 10800Ht (@ 42 < '2>ri 4' 4% ?t < $1 ?trom- (1'r- 1'0r- < 4'0r-#reum 3 14@8 < (8'2Krea 3 080 < 1(0)! 3 BC 200
Kesimpulan :
Na 3 1($ < 14'K 3 (' < '1+ 3 11' < 1''A+ 3 2$03 ($0l 3 @8 < 10%a 3 84 < 102
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
8/22
( Hari/ tgl : Kamis, 28 Agustus 2014 Nama : Ny !umira" #sia :$2 t"n
No &M : 0088@$%( &uang : 6ougenille )iagnosis : m Mammae e7tra +ro : Insisi 6iopsy
! : pusing, lemas&i. asma 3, )M 3, peny ?antung 3, H 3,tia* aa ri.ayat operasi
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
9/22
A : 5lear, gipong , giyang 3, gisu 3,M+ (
6 : spontan, && 20 7/m, !) es /, &" 3/3,
9" 3/3 : ) 110/%0, N 80 7/m, teg isi 5u*up,
s1;s2, m 3, g3 ) : 66 $0 *g, ! ($
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
10/22
H- @% 140 < 180=eu4'@(0 4000 < 10800Ht 28 42 < '2
>ri (2?t 4% ?t < $1 ?trom- 2$2r- 1'0r- < 4'0 r-#reum 4@ 14@8 < (8'2Krea 1,'0080 < 1(0)! 3 BC 200
Kesimpulan :
Na 140 1($ < 14'K 3 (' < '1+ 1% 11' < 1''
A+ ((( 2$03 ($0l @% @8 < 10%a 3 84 < 102
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
11/22
4 Hari/ tgl : Kamis, 28 Agustus 2014 Nama : I-u !aem #sia: 41 t"n
No &M: 0088880@ &uang : 6ougenille )iagnosis : M yroi +ro : &N)
! : tia* aa *elu"an paa pasien ini&i. asma 3, )M 3, peny ?antung 3, H 3,alergi
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
12/22
A : 5lear, gipong , giyang 3 , gisu3 epan, M+ 1
6 : spontan, && 20 7/m, !) es /,&" 3/3, 9" 3/3
: ) 110/%0, N %$ 7/m, teg isi5u*up, s1;s2, m 3, g3
) : 66 40 *g, ! ($(
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
13/22
H- %@ 140 < 180=eu4'(0 4000 < 10800Ht 2$ 42 < '2>ri (4?t 4% ?t < $1 ?trom- 1%%r- 1'0r- < 4'0r-#reum 2'' 14@8 < (8'2Krea 0%% 080 < 1(0
)! @0 BC 200
Kesimpulan :
Na 3 1($ < 14'K 3 (' < '1+ 3 11' < 1''A+ 3 2$03 ($0l 3 @8 < 10%a 3 84 < 102
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
14/22
' Hari/ tgl : Kamis, 28 Agustus 2014 Nama : 6p !u"ai #sia : '@ t"n
No &M : 00%4022$ &uang : +!& =1 )iagnosis : #l5us peis e7tra +ro : e-riemen
! : pasien merasa*an nyeri *a*i&i. asma 3, )M , peny ?antung 3, H 3
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
15/22
A : 5lear, gipong , giyang 3, gisu 3,M+ 2
6 : spontan, && 207/m, !) es /, &" 3/3, 9"
3/3 : ) 1(0/80, N @$7/m, teg isi 5u*up, s1
s2, m 3, g3 ) : 66 '0*g, ! ($1
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7/26/2019 MornRep OK 4 Kamis 28 Agst 14-
16/22
H- %@ 140 < 180=eu1@280 4000 < 10800Ht 2( 42 < '2>ri 28 4% ?t < $1 ?trom- '(@00@ 1'0r- ri 4,8 4% ?t < $1 ?trom- 28@r- 1'0r- < 4'0 r-#reum 11$ 14@8 ri 2$ 4% ?t < $1 ?trom- 2%$r- 1'0r- < 4'0 r-#reum 3 14@8 < (8'2Krea 3 080 < 1(0)! 3 BC 200
Kesimpulan :
Na 3 1($ < 14'K 3 (' < '1+ 3 11' < 1''A+ 3 2$03 ($0l 3 @8 < 10%a 3 84 < 102