7/26/2019 MornRep OK 3 Rabu 27 Agst 14

1/13

Morning report

OK III

Rabu, 27 Agustus 2014

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

2/13

1 Hari/ tgl : Rabu, 27 Agustus 2014 Nama : p Rasim !sia: "# t$n

No RM: 00%&7104 Ruang : Kenanga 'iagnosis : !reterolit$iasis (e)tra *ro : !reterolite+tomi

: ti(a- a(a -elu$an pa(a pasien iniRi. asma , 'M , pen 3antung , H ,ri.aat operasi pa(a -a-i -iri

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

3/13

A : +lear, gipong 5 atas (an molarba.a$, giang , gisu 5 (epan,M* 2

: spontan, RR 20 )/m, ' 6es 5/5,R$ /, $ /

8 : ' 110/%0, N "# )/m, teg 9 isi

+u-up, s1s2, m , g ' : #% -g, &" 8

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

4/13

Hb 1&," 14;0 < 1%;0=eu>#40 4000 < 10%00Ht &> 42 < #2?ri 4 jt 4;7 3t < ";1 3tromb 24>rb 1#0rb < 4#0rb!reum 44,> 14;>% < &%;#2Krea 2,2& 0;%0 < 1;&0

@' 101B 200

Kesimpulan :

Na 1&" < 14#K &;# < #;1* 11;# < 1#;#A* 2";0 &";08l >% < 1078a %;4 < 10;2

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

5/13

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

6/13

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

7/13

2 Hari/ tgl : Rabu, 27 Agustus 2014 Nama : An; Ri($o Agung !sia : 1,# t$n

No RM : 00>201>0 Ruang : eruni 'iagnosis : Atresia ani (engan +olostomi *ro : utup +olostomi

: ti(a- a(a -elu$am pa(a pasienRi. asma , 'M , pen 3antung , H

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

8/13

A : +lear, gipong ba.a$, giang , gisu, M*

: spontan, RR )/m, ' 6es /, R$ /, $ /

8 : ' /, N )/m, teg 9 isi +u-up, s1 s2, m, g

' : >,# -g, ,> 8

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

9/13

Hb 11,7 14;0 < 1%;0=eu12"%0 4000 < 10%00Ht 42 < #2?ri #,1 4;7 3t < ";1 3tromb &2>rb 1#0rb < 4#0rb!reum 14;>% < &%;#2Krea 0;%0 < 1;&0@' B 200

Kesimpulan : AA 2

Na 140 1&" < 14#K &,7 &;# < #;1* 1&," 11;# < 1#;#A* &0,2 2";0 &";08l >2 >% < 1078a 10,2 %;4 < 10;2

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

10/13

& Hari/ tgl : Rabu, 27 Agustus 2014 Nama : Ibu aa(a$ !sia :&" t$n

No RM : 00%%%2#1 Ruang : ?(el.eis 'iagnosis : Nep$roli$iasis (uple) *ro : *lolite+tomi sinistra

: neri (ibagian -iri gin3al, sa-it -epalaRi. asma , 'M , pen 3antung , H ,ti(a- a(a ri.aat operasi

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

11/13

A : +lear, gipong , giang , gisu , M*2

: spontan, RR 20 )/m, ' 6es 5/5, R$ /,

$ / 8 : ' 110/70, N %2 )/m, teg 9 isi +u-up,

s1s2, m , g ' : 4# -g, &" 8

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

12/13

=ab 2&/0%/14

Hb 11,2 14;0 < 1%;0=eu%"#0 4000 < 10%00Ht &4 42 < #2?ri 4,1 4;7 3t < ";1 3tromb &7%rb 1#0rb < 4#0 rb!reum 4> 14;>% < &%;#2Krea 1,#00;%0 < 1;&0@' B 200

Kesimpulan :

=ab 24/0%/14

Na 1&" < 14#K &;# < #;1* 1% 11;# < 1#;#A* 4" 2";0 &";08l >% < 1078a %;4 < 10;2Asam urat ",1

7/26/2019 MornRep OK 3 Rabu 27 Agst 14

13/13