Mapping Pasien Bedah Plastik

Jumat/ 30September 2016

Dokter Muda
1. Zaki rusmana (082277082001)
2. Husna (081320107867)
3. Naylil (08116801294)
JEUMPA 1
N
o
1

Kamar
K5B3

Identitas
Pasien
Agus
susanto,l
k 42thn/
1103017

DPJP
B.
Plasti
k

Diagnosa
Fr. Segmental
Mandibula

Laboratorium
(21/9/16)
Hb/Ht/E/L/T
16,6/50/5,8/8,0
452

Planning
Op hari ini

Na/K/Cl/Ca
147/4,0/103

KB

Marwan
yusuf,lk
33
thn/1103
661

b.Plast Debridement
ik
antebrachii D

(21/9/16)
Hb/Ht/E/L/T
11,5/37/5,2/14,
7

Rawat luka

Na/K/Cl/Ca
147/3,4/105

K6B2

Furkhan /
Lk/ 16 th

B.
Plasti
k

1101697

Defect ar Pedis
dextra
Post op tutup defect
Flap a.i defect ar
calcaneus

(20/9/16)
Hb/Ht/E/L/T
11,1/32/3,6/13,
6/267

-Op hari ini

Na/K/Cl/Ca
144/3,8/110/8,
8
4

K6b6

Zulkarali
Lk ,
110747

b.orth
o

Defect antebrachi
sinistra

(19 /9/16)
Hb/Ht/E/L/T
9,7/29/3,4/11,3
/331

Rawat luka

6B4

Mukhtar
umar

K7b5

Ryan
maulana

Defect ar Cruris

()
Hb/Ht/E/L/T
10,2/32/3,7/6,6
/341

rawat luka
-bila luka basah GV

b.plast Vulnus laceratum ar (14/9/16)

ik
fronto temporo +fr Hb/Ht/E/L/T
temporo parietal
9,1/28/3,2/15,3
/215
Na/K/Cl/
141/3,8/106/
Ur/cr
17/0,46

ISO1

Sutardi/
35 thn
1098976

B.Plas
tik

Dislokasi temporo
mandibular join
sinistra

( 20 /9/16)
Hb/Ht/E/L/T
13,6/39/4,2/19,
1/249

- gudle pertahankan
3minggu
Latihan mengunyah
Oral hygiene
Diet lunak
POD2

JEUMPA 2
No Kamar
`2

K5b2

K6b1

Identitas
Pasien
Martunis, lk
14 th/ 1101759

b.
plastik

Riki wali, lk
14 th/ 1101834

b.
plastik

DPJP

Diagnosa
Scar ar.
Labialis
superior

Laboratorium
07/09/2016
Hb/Ht/E/L/T
15,2/46/5.5/15,7/31
5
Ur/cr/GDS
19/0,63/119

(15/9/16)
Hb/Ht/E/L/T
11,7/35/4,2/11,2/342

Planning
Op hari ini

K6b2

Badriah/ Pr/
71 th

Penurunan
kesadaran e.c
stroke iskemik
+ ulcus
decubitus a.r
sacrum

1101024

(14/09/16)
12,7/38/4,5/9,7/296
Na/k/cl
135/2,5/86
Ur/cr
25/0,46

Rawat luka/hari
-Perbaikan KU
-Konsul
anastesi (+)
Op hari ini

18/9/16)
Hb/Ht/E/L/T
12,4/38/4,3/10,5/28
7
Alb : 2,75
Na/K/Cl
132/2,6/89

K7B3

Nuraini abd
55, pr,1102587

b.
plastik

Post
debdridemmen
t ai luka bakar
grade IIa-IIb

17/9/16)
Hb/Ht/E/L/T
8,9/26/3,7/8,4/618
ALBUMIN : 2,10
Na/k/cl
134/4,4/96
18/9/16)
Hb/Ht/E/L/T
10,3/31/4,2/6,4/514
ALBUMIN : 2,82

KB

Mardhiah,pr
24 thn

B.Plasti
k

Luka bakar
grade IIa-IIb

Hb/Ht/E/L/T

-Lanjut albumin
Cek ulang
albumin / 3 hr
Cek ulang
(DR,ur,cr
elektrolit,
alnumin)

K7B5

Nuridam, Pr
50thn/1103758

Fr. Maksila
27/9/16)
dekstra + Close Hb/Ht/E/L/T
mandibula
10/38/4,3/1,8/320
segmental
Na/K/Cl
142/3,4/100

Rencana ORIF
elektif

JEUMPA 3
No
1

Kamar
K3b1

Identitas Pasien

DPJP

Diagnosa

Laboratorium

Planning

Yasir barqah, lk
19 th/ 1100413

b.Plast
ik

Release naso
central+rekontr
uksi

(29/8/16)
Hb/Ht/E/L/T
15,8/51/6,5/8,7/261

POD 2 terapi
oral

B.
Post
Plastik debridement +
eksisi
tangensial +
skin graft ai
Ulkus dicubitus
ar. Cruris (S) +
DM tipe 2 +
gangre ar.
Femur (S)

(29/8/16)
Hb/Ht/E/L/T
13,0/39/4,7/20,7/57
1

-Rawat luka/hari
menggunakan
kassa madu
-OP hari ini

Chairul huda

K4B2

Ngadirin/ Lk/
46 th
1097837

(7/9/16)
Hb/Ht/E/L/T
12,4/38/4,6/9,5/471
(20/9/16)
Hb/Ht/E/L/T
6,2/18/2,2/20,4/282
(26/9/16)
GDP/GD2PP
166/295

K5B3

KhaliLul/13
th/lk

B.
Hypospadias
Plastik type peroscrotal

-pertahankan
posisi kateter
-POD 3

1100420

K6B2

Fitriani, pr
66thn/1102995

B.plas
tik

K7B1

Zulmaisar/ Lk/
23 th

B.
Defect
Plastik arantebrachiisin
istra post
electrical burn
injury

1101837
6

K7B5

Daniel Ernanda/ B.
Lk/ 32 th
Ortho
1101153

Ulkus
diabetikum ar
sacrum

Post
debridment +
ORIF
+rekonstruksi
mandibular dan
maksila ai
fraktur koinutif
mandibula,
maksila dan
nasal

(26/9/16)
Hb/Ht/E/L/T
10,8/35/3,8/8,7/261

Luka oleskan
burnazin

(8/9/16)
Hb/Ht/E/L/T
10,2/32/3,6/12/348

-POD3
- gv

Na/K/Cl
143/4,4/112
(9 /9/16)
Hb/Ht/E/L/T
10,7/32/3,9/22,2/39
1
(17 /9/16)
Hb/Ht/E/L/T
9,3/31/3,4/11/821

-Rawat luka

Multiple trauma
+ open fr
humerus (D)
+close fr cruris
(S)+ close fr
patella (D)
7

ISO 2

Muhardian
B. Plastik
arief/18th
Lk/ 1102801

Post
debridement
a.i luka
bakar gr
IIA-IIB 30%

(25/9/16)
Hb/Ht/E/L/
T
12,2/37/4,8/
12,3/251
Na/k/cl
137/4,2/98
Ur/cr
40/0,60

Rawat luka

K2b1

M.zaki , 7 th
1102964

Luka bakar
gradeIIA-IIB
35%
Post op
deridement

K6B6

Rina Herlina pr
37 thn/1027509

10

K7B2

Fanzinaldi Lk
18thn/1103662

BP+B.
Onko

(20/9/16)
Hb/Ht/E/L/T
10,5/31/4,2/15,9/510
Alb : 2,64
Ur/cr
10/0,41

Cek
DR,Elektrolit ,
albumin .

Ca mamae
dekstra+MRM+
STSG

(20/9/16)
Hb/Ht/E/L/T
Alb :
Ur/cr

Close fr.
Maxilla dekstra

(26/9/16)
Hb/Ht/E/L/T
15/48/5,1/8,9/250
Ur/cr
21/0,76

Orif Elektif

DPJP

Diagnosa

Laboratorium

Planning

B.plasti
k

Fr.zygoma dex

(14/9/16)
Hb/Ht/E/L/T
12,2/38/4,4/12,0/23
3
Ur/cr
23/0,73
20/9/2016
Hb/Ht/E/L/T
Ur/cr

-ORIF elektif
OP hari ini

-Rawat luka
dengan madu
-Rencana tutuo
defect dengan
graft

JEUMPA 4
No

Kamar Identitas Pasien

K2B1

Habibullah/
Lk/ 20 th

K4B3

M.thahir,Lk
71thn/1102976

Abses ar Flank
dekstra

K7B6

Muzzakir,Lk
41
tahun/1103505

Defect ar
cruris dekstra
post OREF

20/9/2016
Hb/Ht/E/L/T
13,4/40/4,7/30,3/28
2
Ur/cr
31/1,24

Diagnosa

Laboratorium

No

Kamar

KB

PJT

Identitas
Pasien
Rusnaida/ pr/
37 th

DPJP
B.Saraf

CKS+SD
Hb/Ht/E/L/T
hygroma+Vulnus
laceratum ar.
facial

Planning

Serune 2
No

Kamar

K4B3

Identitas
Pasien
Farhan

DPJP

Diagnosa

Laboratorium

Planning

B.
Plastik

Post Op
hipospadia

26/9/16)
Hb/Ht/E/L/T
Ur/cr

Rawat luka

Fatahillah,22
thn/

B.Plasti
k

Fraktur
Mandibula
segmental

Hb/Ht/E/L/T

-Rencana ct
scan 3d
-Orif elektif

Rio
Novenda,lk 26
thn/1061908

B.
Plastik

Inf. Wound post

ligasi tendon
achilest

26/9/16)
Hb/Ht/E/L/T
12,6/39/4,8/18,9/49
2
Ur/cr
16/0,87

Diagnosa

Laboratorium

K6B2

K7B6

PICU
No

Kamar

BED 1

Identitas
Pasien
Ahmad
Bustomi

DPJP

Planning

CKB+EDH+post (26/9/16)
Laparotomi ec
Hb/Ht/E/L/T
perforasi ileusm 7,4/22/2,7/11/167
Alb : 2,5
Na/K/Cl
134/5,2/117

MAMPLAM I1
No

Kamar

Identitas Pasien

DPJP

1.

K5B2

Hendan/ Pr/ 57
th
1101140

IPD

Diagnosa
Ulkus
decubitus ar
gluteus + ulkus
decubitus ar
femur dextra +
DM Tipe 2

Laboratorium
(5/9/16)
Hb/Ht/E/L/T
9,6/29/3,5/11,3
(7/9/16)
Hb/Ht/E/L/T

Planning
-Rawat
Luka/hari di kaki
gunakan madu,
di sacrum
gunakan salep
mupirosin

8,8/26/3,2/8,9/115
Alb : 2,5
Na/K/Cl
134/3,6/101

-Perbaikan KU
-persiapan
operasi, konsul
anestesi (-)
- KGDS /HARI

(10/09/16)
11,9/36/4,3/9,4/125
KGDS 15/09/16 :
Rencana pindah
182
jp 2

K7B1

Loritasari pr
49thn/110285

IPD

Ulkus
diabetikum
pedis sinistra

PTT
No

Kamar Identitas Pasien

KB

Kadri Jallin/
Lk/ 56 th

DPJP

Diagnosa

B.Ortho

Spondilitis TB
VT XI Frankel
C+Ulcus
decubitus

Laboratorium
Hb/Ht/E/L/T

Planning