pasien ferina terbaru

7/21/2019 Pasien Ferina TERBARU

http://slidepdf.com/reader/full/pasien-ferina-terbaru 1/3

Sabtu, 4 April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

1 Salfingektomi dekstra ai.

KET N. T!"5t#!40$212!%erina

04!04!15

1$."0 &'(

D/ Susp. KET

TD 110/!0 mm"g # $% &/ menit

'' (0 &/ menit

"b !"b !

"b )*+

Kul,osintesis -

Th/ Obserasi T

FD ' gtt &&/menit

2ek lab D'* 3rossmat3h

'/ aparatomi 3ito

20."0 &'( D/ KET21.45 &'( apor konsulen 4aga Setu4u laparotomi 3ito

24.00 &'( ntraoperati5 ,i,apatkan

6 'uptur tuba pars ampularis ,ekstra

6 Dilakukan sal5ingektomi ,ekstra

)inggu, 5 April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

Senin, * April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

Selasa, $ April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

5 (lig#ted +um

N. T!2-t#!40$55!%erina

0$!04!2015

15.00 &'(

D/ G7P181 "amil % minggu ,engan abortus imminens

TD 1(0/!0 mm"g

# %0 &/menitTh/ Obserasi K9*TT

2 /artus spontan

N.)!40t#!40$222!%erina

05!04!2015

1."0 &'(

D/ G+P(81 hamil aterm inpartu kala 5ase laten ,engan KPD (+ 4am JT"

preskepTD 100/!0 mm"g

# $) &/ menit

'' (0 &/ menit

T 7)0 2DJJ 17% &/menit

: (3m

Th/ Obserasi T* DJJ

FD ' gtt &&/menit

n4. 8mpi3ilin +&1 gr ;skin test<

8kselerasi ,engan oksitosin ,rip = 9

2ek lab Darah rutin* kimia ,arah

'/Partus peraginam21."0 &'(

: + 3mD/ G+P(81 hamil aterm inpartu kala 5ase akti5 ,engan ri>a?at KPD ()

4am JT" preskep

'/ Partus peraginam

00.50 &'(

: lengkapD/ G+P(81 hamil aterm inpartu kala ,engan ri>a?at KPD (% 4am JT"

preskep

@/ Pimpin persalinan

01.00 &'( ahir spontan neonatus hi,up laki6laki* AA 7000gr* PA =03m 8/S %/$

01.05 &'( ahir plasenta lengkap* AP +$0 gr* PTP +% 3m ᴓ1!&1%3m

K9 ibu ,an ba?i baik* pasien ra>at gabung pin,ah ke bangsal

" /artus spontan

N.S!22t#!40$255!%erina

05!04!2015

0".55 &'(

D/ G1P080 hamil aterm inpartu kala Fase 8kti5 ,engan ri>a?at KPD 1(

4am JT" preskepTD 170/%0 mm"g

# %+ &/ menit

'' (( &/ menit

T 7)0 2

DJJ 1+0 &/menit

: % 3m

Th/Obserasi T* DJJ

FD ' gtt &&/menit



2ek lab Darah rutin* kimia ,arah* urin rutin

'/ Partus peraginam

05.45 &'(

: lengkapD/ G1P080 hamil aterm inpartu kala ,engan ri>a?at KPD 1+ 4am JT"

preskep


05.55 &'( ahir spontan neonatus hi,up laki6laki* AA (=00 gr* PA +!3m 8/S %/$

0*.00 &'( ahir plasenta lengkap* AP +=0 gr* PTP =0 3m ᴓ 1!&1%3m

0-.00 &'( K9 ibu ,an ba?i baik* pasien ra>at gabung pin,ah ke bangsal

4 /artus spontan

N.A!22t#!40$44-!%erina

0*!04!2015

1*.00 &'(

D/ G1P080 hamil aterm belum inpartu kala 5ase laten ,engan KPD1(

4am JT" preskepTD 1(0/%0 mm"g

# %% &/ menit

'' 1% &/ menitT 7)*+0 2

DJJ 1+) &/menit

: 13m

Th/Obserasi T* DJJ

FD ' gtt &&/menit




'/Partus peraginam

21."0 &'(

: +3mD/ G1P080 hamil aterm inpartu kala 5ase akti5 ,engan ri>a?at KPD 1!

4am JT" preskep

'/ Partus peraginam

0$!04!2015

01.00 &'(

: lengkap

D/ G1P

08

0hamil aterm inpartu kala ,engan ri>a?at KPD (1 4am JT"

preskep


Episiotomi me,iolateral

01.20 &'( ahir spontan neonatus hi,up laki6laki* AA 7+00gr* PA =03m 8/S %/$

01.25 &'( ahir plasenta lengkap* AP +=0 gr* PTP =0 3m ᴓ 1%&1$ 3m

05.00 &'( K9 ibu ,an ba?i baik* pasien ra>at gabung pin,ah ke bangsal



'' ((&/ menitT 7)*=0 2 "?stolan ( &

½ tab

Ae, rest

9SG Kon5irmasi

"asil 9SG Kon5irmasi Alighte, oum

Th/ misoprostol 1 tab

'/ D B 2

0-!04!2015

15.00 &'(

Th/ D B 2

Dengan ,arah ,an 4aringan C =0 33

abu, - April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

- /A e. 3iperplasia

endometrium N. A!"t#!40$$"2!%erina

0-!04!2015

1$."0 &'(

D/ Per,arahan 9terus 8bnormal susp. "iperplasia

En,ometrium

TD 100/!0mm"g

# %%&/ menit

'' (( &/ menitT 7! 0 2

"b )*% g/ ,"t ((

Th/ Obserasi K9* TT

FD ' gtt &&/menit


'/ Trans5usi bila "b % g/,

'/ 9SG Kon5irmasi

20.00 &'( Trans5usi A kol5

00.00 &'("b %*) g/ ,

"t ()

Trans5usi A kol5

0!04!2015

10.00 &'(

'/ 9SG Kon5irmasi oleh ,r. @aruHi S. Sp.OG

"asil 9SG Kon5irmasi "iperplasia

En,ometrium - Kista Fungsional

Saran n4. 8ntibiotik

Dilan4utkan Kuretase Aertingkat

1-.00 &'( Dilakukan Kuretase bertingkat

* /artus Spontan

N.K!2"t#!40$*2-!%erina

0$!04!2015

2".00 &'(

D/ G1P080 hamil aterm inpartu kala 5ase 8kti5 ,engan ri>a?at KPD (+

4am JT" preskepTD 1(0/!0 mm"g

# %+ &/ menit'' (( &/ menit

T 7)*=0 2

DJJ 17% &/menit

: $ 3m

Th/Obserasi T* DJJ

FD ' gtt &&/menit




'/ Partus peraginam

00.00 &'(

: lengkapD/ G1P080 hamil aterm inpartu kala ,engan ri>a?at KPD () 4am JT"

preskep


00.05 &'( ahir spontan* neonatus hi,up Perempuan* AA ($00gr* PA +% 3m 8/S

%/$

00.10 &'( ahir plasenta lengkap* AP +=0 gr* PTP =0 3m ᴓ 1!&1% 3m


$ /artus spontan

N.!2*t#!40$*"$!%erina

0-!04!2015

05."0 &'(

D/ G(P180 hamil aterm inpartu kala 5ase 8kti5 ,engan ri>a?at KPD (+

4am JT" preskepTD 110/!0 mm"g

# 11( &/ menit'' (( &/menit

T 7!*=0 2

DJJ 1)0 &/menit

: + 3m

Th/Obserasi T* DJJ

FD ' gtt &&/menit




'/ Partus peraginam

0.00 &'(

: % 3m

D/ G(P180 hamil aterm inpartu kala Fase 8kti5 ,engan ri>a?at KPD (%

4am JT" preskep

'/ Partus peraginam11."0 &'(

: lengkapD/ G(P180 hamil aterm inpartu kala ,engan ri>a?at KPD 70 4am JT"

preskep


11.45 &'( ahir spontan* neonatus hi,up aki6laki* AA (+00gr* PA +% 3m 8/S %/$

11.55 &'( ahir plasenta lengkap* AP +(0 gr* PTP =0 3m ᴓ 1!&1% 3m




Kamis, April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

1

0

Abortus 'mminens

N. A!"$t#!40!%erina

0!04!2015

15."0 &'(

D/ G7P(80 hamil $ minggu ,engan 8bortus

mminens

TD 1(0/%0mm"g # %+&/ menit

'' (( &/ menit

T 7) 0 2

Th/ Obserasi T

FD ' gtt &&/menit

Ae, rest

"?stolan (&½

tab

2ek lab Darah rutin* kimia ,arah* PP test'/ 9SG Kon5irmasi

umat, 10 April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0

Jumlah 0

Sabtu, 11 April 2015 Obstetri Fisiologis 0

Patologis 0

Ginekologi 0Jumlah 0

Ekstraksi parsial

N.S!"5t#!40$$$$!%erina

0!04!2015

0-.00 &'(

D/ G=P+80 hamil aterm inpartu kala 5ase 8kti5 ,engan PEA JT" presbo

TD 1)0/110 mm"g

# %% &/ menit

'' (( &/menit

T 7)*70 2DJJ 1)0 &/menit

: % 3m

Protein 100 mg/,

G !

Th/Obserasi T* DJJ

FD ' gtt &&/menit

Kateter menetap

2ek lab Darah rutin* kimia ,arah* 9rin rutin

2ek input* output

n4. @gSO+ +0

#i5e,ipin 7&10 mg

Ealuasi sesuai satgas gestosis

'/ Partus peraginam

8khiri kala ,engan tin,akan

0.15 &'(

: lengkapD/ G=P+80 hamil aterm inpartu kala ,engan PEA JT" presbo


@/ Per3epat kala ,engan ektraksi parsial

0.25 &'( ahir ,engan ekstraksi parsial* neonatus hi,up aki6laki* AA 7!00 gr*

PA =0 3m 8/S %/$

0."0 &'( ahir plasenta lengkap* AP +%0 gr* PTP =0 3m ᴓ 1!&1% 3m


1 /artus spontan

N.A!24t#!40$05*!%erina

11!04!2015

20.00 &'(

D/ G1P

08

0hamil aterm inpartu kala 5ase laten ,engan KPD 1( 4am JT"

preskepTD 110/!0 mm"g

# %0 &/ menit'' (( &/ menit

T 7!*=0 2

DJJ 1+0 &/menit

: (3m

Th/ Obserasi T* DJJ

FD ' gtt &&/menit




'/Partus peraginam

22.00 &'(

: + 3mD/ G1P080 hamil aterm inpartu kala 5ase akti5 ,engan KPD 1+ 4am JT"

preskep

'/ Partus peraginam

0"."0 &'(

: lengkapD/ G1P080 hamil aterm inpartu kala ,engan ri>a?at KPD 1$ 4am JT"

preskep


0".4 &'( ahir spontan neonatus hi,up laki6laki* AA 7000 gr* PA +$3m 8/S %/$

0".55 &'( ahir plasenta lengkap* AP +$0 gr* PTP +% 3m ᴓ1!&1%3m

K9 ibu ,an ba?i baik pasien ra>at gabung pin,ah ke bangsal

pasien ferina terbaru

Documents