Scribd
Upload
40 views3 pages

Laporan Kondisi Pasien Medis

The document provides a medical report on the conditions of 7 patients, including their diagnoses, symptoms, vital signs and treatment plans. It describes each patient's current status and prescribed medications.

Uploaded by

Fuyumi Ria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
40 views3 pages

Laporan Kondisi Pasien Medis

The document provides a medical report on the conditions of 7 patients, including their diagnoses, symptoms, vital signs and treatment plans. It describes each patient's current status and prescribed medications.

Uploaded by

Fuyumi Ria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Assalamualaikum kak, mohon izin lapor kondisi pasien (07-10-2018) dan TJ nya :

*1. Siemeh / 199096 / 51 th - Nadia*


Dx/ Myoma Geburt + Anemia Berat
S/ PPV (-)

O/

ku: sdg
kes: CMC
TD: 120/70
nd: 80
nf: 20
T: 37
Konj.anemis -/-
Abd: NT (-) NL (-) DM (-), nyeri luka post op (-)
Gen: Massa (+)
P/

Kontrol KU,VS
IVFD RL 20 tpm
As.Traneksamat 3x1
Vit. K 3x1
Diabion 2x1

2. yeni aswinda / 144081 / 32 th - Eby


Dx: Post Salpingektomi ai KET
S/ Nyeri (-) Demam (-)
O/
Ku: sedang
Kes: CMC
Td: 110/80
Nd: 80
Nf: 20
T: 36
Luka bekas operasi tertutup perban (+)
P/ kontrol KU,VS, PPV
IVFD RL 20 tpm
Inj. Cefotaxim 2x1 gr
As.Mefenamat 3x500
Diabion 1x180

3.Ira syahroni / 149202 / 39 th - Mau


Dx: P3A2H2 post partus spontan NH1

S/ Demam (-) ASI (-)


O/

ku: sdg
kes: CMC
TD: 130/70
nd: 84
nf: 19
T: Af
Abd: NT (+) NL (-) DM (-)
Gin: V/U tenang, PPV (-)
P/ Kontrol KU, VS
Inj cefotaxim 2x1 gr
As mefenamat 3x500
Diabion 1x180 mg

4. Martini / 081679 / 38 th - Aran


Dx: P4A1H4 post VT ai hipotiroid + NH1, anak dan ibu dalam rawatan
S/ ASI (-) Demam (-)

O/

ku: sdg
kes: CMC
TD: 140/80
nd: 98
nf: 19
T: Af
Abd: NT (-) NL (-) DM (-)
Gin: V/U tenang, PPV (-)
P/ Kontrol KU, VS, PPV
IVFD RL + Drip oxytocin 20 tpm
Cefixim 2x 200
As.Mefenemat 3x500
Diabion 1x180

5. Tuty Sardy / 979541 / 44 - Frinska

Dx: PUA ec Myoma Uteri


S/ pusing (-)
PPV (+) sedikit
ku: sdg
kes: CMC
TD: 130/70
nd: 85
nf: 22
T: Af
Abd: NT (-) NL (-) DM (-)
Gin: V/U tenang, PPV (+)
P/ Kontrol KU, VS, PPV
IVFD RL 20 tpm
6. Elsi Sumiati /149203 / - Betty

Dx:P1A0H1 post partus prematus spontan post manual plasenta NH1, anak dan ibu dalam
rawatan
S/ Nyeri (+) Demam (-) ASI (-)
O/ ku: sdg
kes: CMC
TD: 120/80
nd: 80
nf: 20
T: 36.7
Konj.anemi -/-
Abd: FUT 3 jari bawah umbilikus NT (-) NL (-) DM (-)
Gin: V/U tenang, PPV (-)
P/ Kontrol KU, VS, PPV
Cefixim 2x200
AS.Traneksamat 3x500
Diabion 1x180

7. Suriati / 147486/ 50 - aldian


Dx: Adenimiosis
S/ perut bengkak (+)
Pusing (-), mual (-), muntah (-)
BAB BAK lancar
O/
ku: sdg
kes: CMC
TD: 110/70
nd: 82
nf: 18
T: af
Abd: teraba masa padat terfiksir di perut kanan, NT (-) NL (-) DM (-)
Gen: V/U tenang, PPV (-)
P/ Kontrol KU, VS, PPV
Pro laparotony 8-10-2018

You might also like