jaga malam 24-25 september 2013
TRANSCRIPT
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JAGA MALAM24 September 2013
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Pasien VK :Pasien baru : 3Pasien Lama : 2
Persalinan fsiologis : 1Persalinan patologis : 2Pasien Gne!ologis : 1
Jumla" sisa pasien VK : 2
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#ama: # $i%i& 30 t"nM'S 23()(13 p! 10*42 +ib
K,: !iriman poli "amil %engan G2P1-1 41(42 mg proterminasi
K.:-
'PS :
Pasien %atang %ari poli %engan %iantar suami%engan G2P1-1 41(42 mg pro terminasi* Pasienmengelu" !en/eng2 -& %ara"- len%ir - !eluar
/airan -& gera! anin a!ti
Pasien VK 51
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RPD : DM (-);HT(-) ; Alergi (-) ; Asma (-) RPK : DM (-); HT(-); Alergi (-); Asma (-); Gemeli (+) Riw Alergi obat : (-) Riw Pemakaian bat !en"akit Kronik : (-) Riw Haid
# HPHT: $-%&-% TP: %'--&'%$# m*r keamilan ,%,& mingg*# Menarr.e : %/ t# 0ikl*s ai1 : &2 ari3 terat*r# 4ama Hai1 : 5 ari# Dismenorrea : (-)
Riw Persalinan
%6 Hamil 7 : aterm 4aki-laki s!t 8 R0A4 $%'' g / tn&6 Hamil ini
Riw Pernikaan# 0*ami 7 selama 5 ta*n
Riw K8 : setela anak % K8 s*ntik % b*lan3 berenti $ ta*n "ang lal*
Riw A9 :
- 8P0 ,- R0A4 ,< ( m*lai $,' mingg*)- 0G $
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K, : bai!
.6: 17) /m
66: 47(89&7 !g
Kesa%aran( GS : M ( 4-7-8
# . : 110(;0 mm-(-(?-
loasma gra@i%arum - Le"er :Pembesaran KG6 - struma gra@i%arum -
."ora= : Pulmo : Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen: /embung & simetris: supel :
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St Obst :# > : .D, : 3 ari ba+a" p=
teraba bagian besar anin berbentu! bulat& luna!& batas
ti%a! elas& ti%a! melenting !esan: bo!ong# >> : teraba bagian anin !eras memanang sebela" !anan
ibu
!esan : Punggung !anan
# >>> : teraba bagian besar anin& bulat& !eras& berbatas tegas&
ti%a! melenting& terf=ir !san: !epala masu! PAP
# >V: %i@ergen
.D, : 33 /m
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,SG tanggal 21()(13
6P? : )&47 /m: 14&2 /m
.6J: 3222,K : 3; mgguPlasenta %i /orpus gr >> Ket/u!up
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Jam 17*30 23()(2013
# PS 2
Misoprostol 1# Pro e@aluasi 8 am 21*30
Jam 21*30 23()(2013# PS 4Misoprostol 2
# Pro e@aluasi 8 am 03*30
Jam 03*30 24()(2013# PS 4 Misoprostol 3
# Pro e@aluasi 8 am 0)*30
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Assessment :
G>> P1001 41(42 mgg ., Let!ep ta!inpartu post %ate ,P?H# .6J3200 g
Planning :
- Atas pertimbangan : u! 41(42 mggu& ta!inpartumulai rippening misoprostol4=70 m/g(@ag(8 amsampai PS I 7
- 6ila PS I 7 pro ? setela" 12 ammisoprostol tera!"ir*
- 6ila inpartu pro spt 6
-M= VS(!el(?JJ("is
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Dollo+ up tanggal 24-0)-2013pu!ul 08*00
S: !en/eng -& gera! anin bai!
: S., : 6P: 110(90 mm P1001 41(42 mgg ., Let !ep post %ate ,P?H# %alam terminasi misoprostol .6J 3200 g
Planning :
- Pro e@aluasi PS pu!ul 0)*30
-M= VS(!el(?JJ("is
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Jam 09.30 24/9/2013
# PS 7 pro ? p!l* 17*30
Jam 15.30 24/9/2013S: !en/eng -& gera! anin bai!
: S., : 6P: 110(90 mm
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Jam 18.00 24/9/2013
S: Ketuban pecah spontan
?JJ: 12-11-12 P1001 41(42 mgg ., inpartu !ala >ase a!ti o//iput posterior position.6J3200 g
P : e@aluasi 2 am pro e!pe!tati per@aginam
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Jam 20.00 24/9/2013
V. : F 7/m( 70(let !epala(,,K !iribela!ang(/aput (> P1001 41(42 mgg ., inpartu !ala > ase a!tise/on%ararrest e/ PPP tb 3200g
p: K>B pro /ito S
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T! 24-09-2013 p" 21.39
La!i-la!i(3300(4)(AS ;-)
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Kon%isi tera!"ir tgl 27-0)-2013 p! 08*00
S: Kelu"an -
: S.,: Kesa%aran( GS : M ( 4-7-8
. : 110(90 mm
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.erapi post S :
sementara puasa
>@% 'L:?7 2:2 %rip o=ito/in 2 ampul per
!ol s(% 12 am post s/ e! "b post op
ine!si !etorola/ 3=1
ine!si alinamin 3=1 >ne!si @itamin / 3=1
M=(!el(@s
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Pasien VK 52
#ama: #* #ur K"asana" & 27 t"n
M'S 23()(13 p! 22*70+ib
K,: !en/eng-!en/eng
K.: -'PS :
Pasien %atang !e !amar bersalin %iantar suami%engan !elu"an !en/eng-!en/eng* Pasien merasa!en/eng-!en/eng sea! p! 13*00 10 am SM'S*
Ken/eng-!en/eng sema!in sering sea! ta%i sore!ira-!ira 17 menit se!ali* Pasien menga!u !eluar/airan ber+arna mera" %alam umla" angse%i!it sea! 10 am SM'S* Keluar /airanper@aginam -* Gera! anin %irasa!an a!ti*
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'P? : ?M -( selama 10 bulan
'i+ K6 : - 'i+ A# :
- poli "amil 'S
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K, : bai!
.6: 173 /m
66: 4)(84 !g
Kesa%aran( GS : M ( 4-7-8
# . : 110(90 mm-(-(?-
loasma gra@i%arum -
Le"er :Pembesaran KG6 - struma gra@i%arum -
."ora= : Pulmo : Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen: /embung & simetris: supel :
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St Obst :# > : .D, : antara p= pusat& teraba bagian
besar bai luna!& ti%a! melenting& bts t%!
tegas& !esan: 6o!ong# >> : teraba bagian anin !eras memanang
sebela" !anan ibu
!esan : Punggung !anan
# >>> : teraba bagian besar anin& bulat&!eras& btstegas& terf!sir* Kesan: !epala su%a" masu! PAP
# >V: %i@ergen
.D, : 30 /m
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,SG 'SAL tanggal13-0)-2013
6P?& > ( Ket
/u!up
,SG 'SAL tanggal20-0)-2013
6P? : ;&) /m
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Assessment :
G>P000 3;-3) mgg ., Let !ep
obs* >npartu .6J 2;00 g
(!ann$n :
- obser@asi tan%a-tan%a inpartu- bila 1=24 am ti%a! inpartu& pro K'S
!ontrol poli
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Dollo+ up tanggal 24-0)-2013pu!ul 08*00
S: !en/eng & gera! anin bai!
: S., : 6P: 120(;0 mm
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Dollo+ up tanggal 24-0)-2013pu!ul 17*00
S: !en/eng & gera! anin bai!
: S., : 6P: 120(;0 mmnpartu .6J 2;00 g
Planning :
- obser@asi tan%a-tan%a inpartu- bila 1=24 am ti%a! inpartu& pro K'S !ontrol poli "amilsesuai a%+al
- bila inpartu pro spt 6
- Monitoring !ell ( VS ( ?JJ (
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Dollo+ up tanggal 27-0)-2013pu!ul 08*00
S: !en/eng arang gera! anin bai!
: S., : 6P: 120(;0 mm
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#ama: # Vita& 30 t"n
M'S 24()(13 p! 0;*47 +ib
K,: !eluar len%ir %an %ara"
K.: !en/eng-!en/eng
'PS :Pasien %atang %ari ,G? 'SAL& %iantar suami %engan!elu"an !eluar len%ir %an %ara" sea! pu!ul 09*00$>6* Len%irna se%i!it %isertai e!-e!* Pasien ugamengelu" !en/eng-!en/eng& 2= %alam 17 menit&
tiap !ali !en/eng-!en/eng selama 10-20 %eti!*Gera! anin a!ti*
Pasien VK 53
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RPD : DM (-);HT(-) ; Alergi (-) ; Asma (-); PP7 ( saat K $$-$,mgg) RPK : DM (-); HT(-); Alergi (-); Asma (-); Gemeli (-) Riw Alergi obat : (-) Riw Pemakaian bat !en"akit Kronik : (-) Riw Haid
# HPHT: &%-%&-%&
# TP: &2--&'%$# m*r keamilan $-,' mingg*# Menarr.e : 2 t# 0ikl*s ai1 : &2 ari3 terat*r# 4ama Hai1 : 5 ari# Dismenorrea : (-)
Riw Persalinan
%6 abort*s $bln k*ret (-)&6 laki-laki bln s!t8 R0 ma1i*n &2''gr2t
$6 amil ini Riw Pernikaan
# 0*ami 7 selama %% ta*n Riw K8 : kon1om Riw A9 :
- Poli R0A4 = ,- Poli RK> = $0G terakir: ?--&'%$ ( 1ikatakan normal )
K, : bai!
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K, : bai!
.6: 187 /m
66: 83(93 !g
Kesa%aran( GS : M ( 4-7-8
# . : 130(;0 mm-(-(?-
loasma gra@i%arum - Le"er :Pembesaran KG6 - struma gra@i%arum -
."ora= : Pulmo : Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen: /embung & simetris: supel :
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St Obst :# > : .D, : 3 ari ba+a" p=
teraba bagian besar anin berbentu! bulat& luna!& batas
ti%a! elas& ti%a! melenting !esan: bo!ong# >> : teraba bagian anin !eras memanang sebela" !anan
ibu
!esan : Punggung !anan
# >>> : teraba bagian besar anin& bulat& !eras& berbatas tegas&
melenting& ti%a! terf=ir !esan: !epala belum masu! PAP# >V: !on@ergen
.D, : 30 /m
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Assessment :
G>>> P1011 3)(40mgg ., Let!ep obs*inpartu ,P?H# .6J 2;00 g
Planning :
- obser@asi tan%a-tan%a inpartu
- bila 1=24 am ti%a! inpartu& pro K'S!ontrol poli "amil sesuai a%+al
- bila inpartu pro spt 6
- Monitoring !ell ( VS ( ?JJ (
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Dollo+ up tanggal 24-0)-2013pu!ul 17*00
S: !en/eng & gera! anin bai!
: S., : 6P: 110(90 mm> P1011 3)(40mgg ., Let!ep obs*inpartu ,P?H# .6J 2;00 g
Planning :- obser@asi tan%a-tan%a inpartu
- bila 1=24 am ti%a! inpartu& pro K'S !ontrol poli "amilsesuai a%+al
- bila inpartu pro spt 6
- Monitoring !ell ( VS ( ?JJ (
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Dollo+ up tanggal 27-0)-2013pu!ul 08*00
S: !en/eng & gera! anin bai!
: S., : 6P: 110(90 mm P1011 3)(40mgg ., Let!ep obs*inpartu ,P?H#
.6J 2;00 g
Planning :
- obser@asi tan%a-tan%a inpartu
- bila inpartu pro spt 6
- Monitoring !ell ( VS ( ?JJ (
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#ama: # B@eln& 28 t"n
M'S 24()(13 p! 11*20 +ib
K,: !iriman poli "amil %engan G1P0-0 39(3; minggu KPP
K.:-
'PS :
Pasien !iriman poli "amil %engan G1P0-0 39(3;minggu KPP Pasien mengelu" !eluar air %ari!emaluan sea! 4 "ari SM'S* Air berbau amis& %ara"
-& len%ir & !en/eng2 -& gera! anin a!ti
Pasien VK 5 4
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RPD : DM (-);HT(-) ; Alergi (-) ; Asma (-) RPK : DM (-); HT(-); Alergi (-); Asma (-); Gemeli (-) Riw Alergi obat : (-) Riw Pemakaian bat !en"akit Kronik : (-) Riw Haid
# HPHT: &-%-&'%$
# TP: -%'-&'%$# m*r keamilan $5$2 mingg*# Menarr.e : %/ t# 0ikl*s ai1 : &2 ari3 terat*r# 4ama Hai1 : 5 ari# Dismenorrea : (+)
Riw Persalinan%6 Hamil ini
Riw Pernikaan# 0*ami 7 selama % ta*n
Riw K8 : - Riw A9 :
- 8P0 ?0G &
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K, : bai!
.6: 177 /m
66: 40(77 !g
Kesa%aran( GS : M ( 4-7-8
# . : 110(;0 mm-(-(?-
loasma gra@i%arum - Le"er :Pembesaran KG6 - struma gra@i%arum -
."ora= : Pulmo : Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen: /embung & simetris: supel :
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St Obst :
# > : .D, : 3 ari ba+a" p=
teraba bagian besar anin berbentu! bulat& luna!& batas
ti%a! elas& ti%a! melenting !esan: bo!ong# >> : teraba bagian anin !eras memanang sebela" !anan
ibu
!esan : Punggung !anan
#
>>> : teraba bagian besar anin& bulat& !eras& berbatastegas& ti%a! melenting& terf=ir !esan: !epala masu! PAP
# >V: %i@ergen
.D, : 30 /m
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,SG tanggal ;(9(13
6P? : 8&8 /m> Ket/u!up
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Assessment :
G> P0000 39(3; mgg ., Let!ep ,P?H#
KPP 24 am .6J 2;00 gPlanning :
- Atas pertimbangan : KPP 24 am& u! 39(3;mggu& PS C 7 usul rippening misoprostol4=70 m/g(@ag(8 amsampai PS I 7
- 6ila PS I 7 pro ? setela" 12 ammisoprostol tera!"ir* 6ila PS I 7 pro ? 12
am setela" misoprostol tera!"ir- 6ila inpartu pro spt 6
- M= VS(!el(?JJ("is
- >n /eota=ime 3=1
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Jam 17*00 24()(2013# PS 2 Misoprostol 1
# Pro e@aluasi 8 am 21*00
Jam 1)*00 24()(2013-. re/tal E 39&;
- ?JJ E 198 %opler- 'e"i%rasi 'LBVAL,AS> 1 am& pare/etamol
tab 700 g
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Jam 20*00
.emp : 39&;
? : 190 =(menit
V.: F 1 /m( 27 (let !epala(ss melintang( P0000 39(3; mgg ., Let!ep ,P?H# KPP
ebris etal ta!i!ar%ia .6J 2;00 g
P: Atas pertimbangan:
# KPP ebris# Detal ta!i!ar%i
# PS ele!
K>B pro >. S >,?
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.gl 24-0)-2013 JAM 23*33
La"ir bai perempuan & 3100 g& 4) /m* AS:;-)
.ela" %ila!u!an insersi >,?
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Kon%isi tera!"ir tgl 27-0)-2013 p! 08*00
S: Kelu"an -
: S.,: Kesa%aran( GS : M ( 4-7-8
. : 120(;0 mm
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.erapi post S :
sementara puasa
>@% 'L:?7 2:2 %rip o=ito/in 2 ampul per
!ol s(% 12 am post s/ e! "b post op
ine!si !etorola/ 3=1
ine!si alinamin 3=1 >ne!si @itamin / 3=1
M=(!el(@s
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Pasien D1
#ama: %r #* 'in%ang& 2; t"n
M'S 24()(13 p! 1;*30+ib
K,: Pasien ruu!an %r Supriono Sp G %ngn G1P0ele!ti S a*i plasenta pre@ia
K.: -
'PS :
Pasien %atang !e !amar bersalin %iantar suami%engan ruu!an %r Supriono Sp G %ngn G1P0
ele!ti S a*i plasenta pre@ia* Ken/eng2 -& mual- munta" - per%ara"an -& gera! anin%irasa!an a!ti*
'P? : ?M -
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'P? : ?M
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K, : bai!
.6: 177 /m
66: 77(97 !g
Kesa%aran( GS : M ( 4-7-8
# . : 110(90 mm-(-(?-
loasma gra@i%arum -
Le"er :Pembesaran KG6 - struma gra@i%arum - ."ora= : Pulmo : Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen: /embung & simetris: supel :
-
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St Obst :# > : .D, : 3 ari ba+a" p=& teraba bagian besar
bai luna!& ti%a! melenting& bts t%! tegas&
!esan: 6o!ong# >> : teraba bagian anin !eras memanang
sebela" !anan ibu
!esan : Punggung !anan
# >>> : teraba bagian besar anin& bulat&!eras& btstegas& ti%a! terf!sir* Kesan: !epala belummasu! PAP
# >V: !on@ergen
.D, : 37/m
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,SG 'SAL tanggal 10-04-2013
6P? : 3&01 /m ( Ket
/u!up
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Assessment :
G>P000 39 mgg ., Let !ep
plasenta pre@ia totalis .6J 3300 g
(!ann$n :
- Pro primer S 27-0)-2013- Se%ia %ara" $6 1 bag
- Monitoring !ell ( VS ( ?JJ (
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Dollo+ up tanggal 27-0)-2013pu!ul 08*00
S: !en/eng -& per%ara"an -&gera! anin bai!
: S., : 6P: 120(;0 mm
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Pasien Gine!ologi 51
#ama: #* 'a/"ma+ati 3; t"n
M'S 24()(13 p! 21*42+ib
K,: P= !iriman %r* Sp* G 'S* Marinir %engan ?,6 anemia
K.:
'PS:
Pasien %atang P= !iriman %r* Sp* G 'S* Marinir %engan ?,6 anemia * P= mengelu" !eluar %ara" %ari !emaluanna sea!11 "ari SM'S 13()(2013* Per%ara"an se%i!it- se%i!it& "ilangtimbul& neri -& tiap per%ara"an 1 !ali ganti pembalut&
%emam -* .anggal 19()(2013 p= M'S %i 'S Marinirmen%apat!an tranusi 3 bag K'S* .gl 22()(013 !eluar %ari!emaluan terus menerus& gumpalan M'S 'S Marinir &tranusi 7 bag & t= Bstero& as& trane=amat ruu! 'SAL* Lemas*
'P? : ?M -
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'P? : ?M
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K, : nampa! sa!it se%ang
.6: 170 /m
66: 77 !g
Kesa%aran( GS : M ( 4-7-8# . : 100(90 mm-(-(?-
Le"er:Pembesaran KG6 -
."ora=: Pulmo: Vesi!uler(@esi!uler '" -(- $" -(-
or : S1S2 tunggal reg Murmur - Gallop -
Ab%omen:>E at simetris
PE supel& neri te!an - B=termitas:
A< ( B%ema -(- '. 2%t!
( -(-
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Status Gine!ologi :
V(V : u!sus a!ti ( uor -P : tertutup li/in
, : AD& aga! membesar
AP !a(!i: massa -& neri -insp : permu!aan li/in& robe!an
@agina-& robe!an /er@i= -& tampa!
!eluar %ara" le+at ,>*
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Asessement
A,6 Anemia V
M= !elu"an(@s(u=us(tan%a2 so!(pro%u!siurine
6ila u=us a!ti pro >. !uret
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1)*20 24()(2013# S E !epala pusing& per%ara"an per@aginam
# E S.,: /m & GS: 478
A(>((? : (-(-(-( . : )0(80 mm
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20*30 24()(2013
-tela" %ila!u!an !uret ole" %r*
6enson&Sp*G
aringan %i PA* 00*00 27()(2013
S: !elu"an -& per%ara"an a!ti -*
: S., : M& A(>((? : (-(-(-.: 110(90 #: ;0 '': 18 (P %bn
S.G: @(@ u!sus a!ti -
A: 2 am post !uretase aiA,6anemiaso! "ipo@olemi!
P: 'L 20 tpm&transusi $6 s(%
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Dollo+ up tgl 27()(2013 p! 08*00
S: !elu"an -& per%ara"an a!ti -*
: S., : M& A(>((? : (-(-(-
.: 120(;0 #: ;4 '': 20(P %bn
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