MAPPING BANGSAL 4 JULI 2017

R4A BLOK 1
6. 1.
Ny. Siti Sariyah/58th/dr. MZ Ny. Sugiyarti/47 th/dr. EWA
A/ Cystadeno Ca. Ovari inadequate staging A/ Small cell Ca. Cervix std IIB
Riwayat BSO+omentektomi (Sept 2016) Pasca NAC II (7/6/17)
Di RS Temanggung Hb/Leu/Tr: 10,9/4.900/190.000
Pasca paxus carbosin V (2/6/17) Ur/Cr: 28/1,0
Anemia sedang P/ NAC III (3/7/17)
Hb/Leu: 8,9/3.200 ER(27/7/17)
P/ Paxus carbosin VI (3/7/17)
tunda
Usaha transfusi 2 PRC
Dexamethasone 3x2 tab (2 hari)

5. 2.
Ny. Setyo Rini/56 th/dr. EWA
A/ Ca. Epidermoid cervix uteri std IIIB
Pasca ER 23 (3/7/17)
Pasca platosin 3 weekly II (12/6/17)
Hb/Leu/Tr:10,6/2400 ANC 1400/
234.000

P/ Pro platosin 3 weekly III (3/7/17)

Vit BC/C/SF 1 tab/12 jam

4. 3.
 R4A blok 2

9. Ny. Wakiah/50 th/dr. MZ 10. Ny. Khikmatul Jannah/53 th/dr. EN

D/ Adeno Ca Ovarii musinosum stad IIIC D/ P6A0, 53 tahun

Riw. Optimal debulking (14/3/17) -> RSDK Ca cervix uteri IB2
Adeno Ca Recti
Riw. LAR P/ Pro NAC I
Riw. Kemo xeloda 9x
Sudah RKO 5/17 ->Paxus carbo 3x
Alergi paxus carbo

P/ Pro kemo doxorubicin I

8. Ny Sutini/54 th/dr. EN 11. Ny. Senipah/47 th/dr. MZ

D/ Endometrioid Ca Ovarii IIIC D/ P0A0, 47 tahun

Riw CSS (4/1/2017) di RSDK
Pasca paxus carbosin V (7/6/2017)
P/ Pro paxus carbosin VI
Transfusi PRC 1 kolf -> premed Dexa 1amp
High grade serous Ca ovarii IIIC
Riw. Optimal debulking (10/1/2017)
Pasca paxus carbosin IV (5/6/2017)
P/ Pro paxus carbosin V

7. Ny. Kartini/73 th/dr. MZ 12. -

D/ Leiomyosarcoma uteri IB
Riw. TAH+BSO
Pasca paxus carbosin V (13/6/2017)
Pasca ER 18
Leukopenia (3.800)
Anemia (8,7)
Trombositopenia (103.000)

P/ Pro paxus carbosin VI -> Tunda

Transfusi PRC s/d Hb >= 10%
Premed dexametason 1 amp IV
 R4A BLOK 3

15 16
Ny. Mustadliroh/dr.EWA
A/ P2A1, 48 th
High grade serous ca ovarii stadium IIIc
Pasca suboptimal debulking (15/5/2017)
Anemia ringan (Hb 9,2)
P/ Pro paxus carbo II
Usaha obat
Diet biasa
Vit bc/c/sf 1 tab / 12 jam
Vit a 50000 iu / 24 jam
Usaha PRC 2 kolf target Hb 10

14 17

Ny. Sunarti/dr.EN

13 18
Ny. Muharsih/dr.EN
A/Ca epidermoid cervix uteri 3B
Pasca NAC 3
Pasca platosin 3 weekly II (31/5/17)
Pasca ER 16x
S/ Pro ER 17X
Pro platosin 3 weekly III
 R4A BLOK 4

21 22
- Ny Jumrotun / dr Very Great
D/ P2A0 45 tahun
Squamous cell ca cervix uteri std III B
Perdarahan pervaginam
Abdominal Pain
Anemia ringan (9.9)

Hb 9,9L 15,8
Tr 362Ur/Cr 20/1,03

P/ Perbaikan KU
Infus Rl 20 tpm
Transfusi PRC s.d Hb >= 10 gr/dL -> usaha 1
PRC premed dexamethasone 1 ampIV -> cek
DR post transfusi
Inj Ketorolac 30 mg/8 jam IV
Inj Kalnex 500 mg/ 8 jam Kp
ER 22/8/2017
20 23
Ny Kaniti / dr Endy Ny. Yaroh/ dr. MZ
A/ P2 A0 61 tahun A/ P2 A0 25 tahun
Ca Epidermoid cervix uteri 3B Pasca suboptimal debulking ai Ca Ovari Std 3C
Pasca ER 27x + platocin IV klinis H13
Pasca AL I (16-6-2017) Pasca aff packing H11
Anemia ringan (8,4)
P/ Pro AL II (3/7/2017) Trombositiosis (648)
Hipoalbumin (2,5)
Hipokalemia (2,4)

P/ Perbaikan KU
Transfusi 2 PRC, premed inj dexa 1 amp
PO : Cefixime 200 mg/8jam
Asam mefenamat 500 mg/8 jam
KSR 600 mg/8jam
VIT C 1 tab/8jam
Diet tinggi protein
19 24
Ny Siti Khotimah / dr Edy
A/ P2A0 46 tahun
CA Endometrium 3A
Pasca Paxus CArbo I
Pasca ER 25x (5/6/2017)

P/ Pro AL I (3/7/2017)
 R4A BLOK 5

27 28
Ny. RiniSetiyani/ dr. EWA
A/ P2A0 32 tahun
Ca Epidermoid cervix uteri stad IIB
Riw. Platosin NAC II (13/3/2017)
Riw. Platosin 3 weekly (26/4/2017)
PRL (21/6/2017)
Perdarahanpervaginam
Anemiaringan (9)
Observasi vomitus

P/ perbaikan KU
Infus RL 20tpm
Transfusi PRC 2 kolf, premed inj.
Dexamethasone 1 amp
Inj. Kalnex 500 mg/8j iv
Inj. Metoclopramide 10 mg/8j/KP
Vit BC/C/SF 1 tab/12j
Diet biasa
Pengawasan KU, TV, PPV
26 29
-
-

25 30

Ny. Suhartini/ dr. T Mirza Ny. OeiSioeKiok/ dr. T. Mirza

A/ P5A0 67 tahun A/ P0A0 60 tahun
Ca epidermoid cervix uteri stadium IIB Ca ovarii residif
Pasca paxus carbosin NAC I 6/6/17 Riwayat operasi kandungan 4x
Riw. Kemoterapi 6x
P/ Pro paxus carbosin II 3/7/17 Abdominal pain
Usaha obat Moderate HN + HU sinistra
Ijin tindakan Suspek metas hepar
Diet biasa Hipokalemi (3,1) hiponatremi (134)
ER 1/8/17
P/ perbaikan KU
Infus RL 20 tpm
Inj. Ketorolac 30 mg ekstra
KSR tab 3x1
NaCl cap 3x1
 R4A BLOK 6
33 34

Interna

32 35.
Feronica /40 tahun/ dr. MZ
A/ Clear cell ca cervix uteri std IIB
Pasca NAC II (3/6/2017)
Anemia (8,1)
Azotemia

P/ Pro NAC III (24/6/2017)

Pro ER (4/7/2017)

31. 36.
Warsinah / 54 tahun/ dr EWA
Interna A/ Adeno ca cervix uteri std IIIB
Pasca NAC I (7/6/2017)

P/ Pro NAC II
 R4B BLOK 1
3 4

INTERNA Ny. Ngatmini/54tahun/dr.EWA

A/ Ca epidermoid cervix uteri IIIB
PRL (april 2015)
Remisi (September 2015)
Suspek metastasis pulmo
Progressive disease
Pasca paxus carbo II (4/6/17)

P/ Pro paxus carbo III acc

2 5

Ny. Fitri Handayani/28tahun/dr.EN Ny. Danaroh/52 tahun/dr.EN

A/ P1A0 A/ P2A0
TTG resiko rendah Adeno Ca Cervix Uteri IIIB
Riwayat kuretasi 2x Pasca NAC I (1/2 dosis) 10/6/17
Pasca MTX I hari V (17 Juni 2017) Pasca sistoskopi biopsi 7/6/17
Gross hematuria
Moderate HN + HU dextra P/ Pro NAC II
ER 4/8/17
Ur/Cr : 7/0,5

P/ Pengawasan KU, TV
Rencana MTX II (10/07/17)
1 6

Ny. Darwinah/49tahun/dr. EWA Ny. Kumisih/62tahun/dr.EN

A/ Ca epidermoid cervix uteri std IIIB A/ P4A0
Riwayat NAC II Ca epidermoid cervix uteri std IIIB
Riwayat ER 25x + plastosin 3 weekly II Moderate HN kiri
Pasca AL I Mild HN kanan
DM type II Suspek metastasis VU
Riwayat NAC II ( 9/6/2017)
P/ Pro AL II harusnya 20/6/17
4/7/17 P/ Pro Plastosin 3 weekly (3/7/2017)
Pro ER 6/7/2017

 R4B BLOK 2
9.
8.
Ny. Warsini/47 th/dr. VG
A/ Neuroendometrioid Ca. Cervix uteri std
IIB
Moderate HN+HU duplex
Azotemia (Ur: 96/Cr: 4,3)
Ascites
Hipertensi grade III
Anemia ringan (9,4)
Leukopenia (3.400, ARC 2580)
Trombositopenia (139.000)
Hipokalemia (2,6)
P/ Pro ER (21/8/17)
Inf. RaCl 0,9% 20 tpm
Transfusi PRC s.d Hb >= 10 g/dL Po:- NaCl 3x1
usaha 1 PRC
Dexamethason 3x2 tab (2 hari)
Raber TS interna dan gizi
Pengawasan KU, TTV, PPV
10.
Ny. Masrini/35 th/dr. EWA
A/ Cystadeno Ca. Ovari inadequate staging
Pasca histerektomi+ileostomi (RS Mardi
Rahayu, Kudus, 2016)
Riwayat kemoterapi 6x (2017)
Suspek metastase pulmo
Obs. Dyspneu
Hipoalbumin (1,9)
P/ Rawat HND
Infus RL 20 tpm
Inj. Omeprazole 40 mg/12 jam i.v
Po: - Ciprofloxacin 1 tab/ 12jam
- Paracetamol 500 mg/8 jam
- Vit. BC/C/SF 1 tab/12 jam
Raber interna~koreksi albumin
Rencana RKO
Pengawasan KU, TTV, PPV
11.
Ny. Suratmi/62 th/dr. EWA
A/ Ca. Epidermoid cervix uteri std IIIB
Riwayat NAC 3x
Pasca radiasi lengkap (Februari 2016)
Remisis residif pasca platosin adjuvan III
Pasca ER tambahan ke 5 (22/6/17)
Pasca platosin 3 weekly I (12/6/17)
Anemia sedang
Azotemia
Hb/Leu/Tr: 7,9/9.800/313.000
Ur/Cr: 167/6,9
Na/K/Cl: 129/4,6/96
P/ Pro platosin 3 weekly II (3/7/17) tunda
Pro ER tambahan ke 6
- Asam folat 3x1
- Bicnat 3x1
7. 12.
Ny. Siti Munawaroh/48 th/dr. EWA Ny. Sumarni/46 th/dr. MZ
A/ Ca. Epidermoid cervix uteri std IIIB A/ Mixed germ cell tumor ovari std IC3
Pasca platosin NAC 1x Riwayat operasi CSS (2015)
Pasca ER 25x Riwayat paxus carbosin VI
Pasca platosin 3 weekly III Pasca doxo carbosin IV (12/6/17)
Anemia ringan (9,7) DM tipe II
Depresi sedang dengan gejala somatis Anemia ringan
Hb/Leu/Tr: 9/4.000/228.000
P/ Pro AL I (3/7/17) Ur/Cr: 30/0,8
Usul usaha transfusi s.d Hb >= 10 g/dL GDS: 240
usaha 1 PRC
Izin tindakan P/ Pro doxo carbosin V tunda
Konfirmasi TS radioterapi Usaha obat
Diet biasa Diet biasa
Raber TS psikiatri Po:- vit B/BC/SF 1tab/12 jam
Pengawasan KU, TTV, PPV - vit A 50.000/24 jam
Usaha PRC 2 kolf premed
Dexamethasone 1 ampul
Pengawasan KU, TTV, PPV
 R4B BLOK 3

15 16
Ny Lien Susana / dr EWA INTERNA
A/ P1 A0, 45 tahun
Clear cell adeno Ca ovari Std 1
Riw CSS (23-9-2015)
Riw Kemoterapi 6x
Pasca Paxus Carbosin adj I (10-6-2017)

P/ Pro Paxus Carbosin II

14 17
Ny Ngatiyah / dr Endy Ny Siti Khodiyah / dr Endy
A/ P4 A1, 65 tahun A/ P3 A0
Ca epidermoid cervix uteri stad 3B Ca epidermoid cervix stad 3B

P/ pro Kemo NAC I P/ Pro NAC I

ER 22-8-2017 ER 23-8-2017

13
Ny Tariyah / dr Edi W
A/ P2A0 50 tahun
Endometrioid Ca ovarii Std 3C
Riw. Surgical staging 3/7/2017
Riw. Hemicolectomi di RS Pekalongan
Pasca Paxus Carbo I (17/5/2017)
R/ Propaxus Carbo II (3/7/17)
18
Ny Sri Suwarni / dr Endy
A/ P0A0 51 tahun
Ca Endometrium Low grade Std 2B
Riw TAH + BSO 23-2-2017
Pasca doxo carbo II 14-6-2017
P/ Pro doxo carbo III 5-7-2017
ER 28-7-2017
 R4B BLOK 4

21 22
- Ny. Budiyati dr. EndyCahyono
A/ Clear cell Ca ovarii std. IIIC
Riw. Operasikandungan (mei 2017)
Pascapaxuscarbosin I (13/6/17)

P/ pro paxuscarbosin II (4/7/2017)

20 23
Ny. SitiNgaemonah dr. EWA -
A/ Ca cervix uteri std IIB
Ca ovarii inadequate staging
Riw. Laparotomi biopsy (9/1/17)
Pascapaxuscarbosin IV (13/6/17)
Pasca ER X (16/6/17)
Leukopenia (1400)

P/ perbaikanleukositmondok
Cek lab ulang di ruangan

19 24
Ny. Ngasri dr. EWA
A/ P4A0 52 tahun
Ca cervix uteri std III B

P/ pro NAC I
ER 14/8/17
 R4B BLOK 5
27 28
Ny.Paryati/dr.EWA

26 29
Ny. Karti/dr.EN

25 30

Ny. Ruslianah/dr.EN Ny. Marsito/dr.MZ

A/ Ca cervix uteri stadium IIIB A/Ca Epidermoid cervix uteri Stadium
Riwayat NAC III IIIB
Pasca ER 6X Riwayat ER 7X
Pasca platosin 3 weekly 1 Riwayat AL II
S/ Pro ER 7X Hipokalemia (3,7)
Pro platosin 3 weekly 2 S/Pro AL III
Usaha obat Konfirmasi TS Radioterapi
Pengawasan KU, TV, PPV
Tunggu hasil lab
 R4B blok 6

33. 34.

32. 35. -

31. Ny. Rumisih/49 th/dr. EN 36. -

D/ Ca epidermoid cervix uteri IIIB

Riw. NAC II (13/6/2017)
Mild Hidronefrosis kiri
Susp. Metastasis VU
Post sistoskopi biopsi

P/ Pro NAC III

Usaha obat
ER : 21/7/2017
R4B BLOK 7
39 40
Istirofah / 48 tahun/ dr MZ Ny. Solikatun / 40 tahun/ dr EN
A/ P2A0, 48 tahun A/ P4A1, 40 tahun
Ca epidermoid cervix uteri std. 3B Squamous cell ca cervix uteri std. IIB
PRL (Agustus 2015) Riw. Paxus carbo 1x
Partial respon Riw. PLAT 3 weekly III (12/6/2017)
Riw. PLAT Adj.3 Pasca ER ke 7 (22/6/2017)
Pasca radiasi tambahan (ER 25+ AL II Anemia (9,5), Leukositopenia (2700)
Januari 2017)
Partial respon P/ Pro platosin 3 weekly IV
Pasca PLAT 3 weekly adj I (5/6/2017) Pro ER ke 8
Anemia berat (6,8) Usaha transfuse PRC I kolf

P/ Pro PLAT adj 3 weekly II (26/6/2017)

Perbaikan KU

38
Ny. Suharti / 53 tahun/ dr EN
A/P0A3, 53 tahun
Ca epidermoid cervix uteri std. IIIB
Pasca ER ke 10 (22/6/2017)
Pasca platosin 3 weekly 3x (12/6/2017)
Anemia ringan (8,6)
P/ Pro PLAT 3 weekly 4x (3/7/2017)
Pro ER 11x
Usaha transfusi PRC 1 kolf
Perbaikan KU (Hb: 8,6), Leukosit 3,4
Trombosit 149
37
Ny. Purwati / 52 tahun /dr MZ
A/ P2A0, 52 tahun
Ca epidermoid cervix uteri std. 3B
Pasca platosin 3 weekly IV (4/7/2017)
Pasca ER 11x (4/7/2017)
41
Ny. SitiSriningsih/ 62 tahun/ dr MZ
A/ P4A0, 62 tahun
Cystadeno ca ovarii std. 3C
Riw. Kemoterapi 6x
Pasca CSS (4/2016)
Loss of follow up (6 bulan)
Pasca paxus carbo V (30/5/2017)
P/ Pro paxus carbo VI
Usaha obat kemoterapi
42
Ny.Tutik Mulyani / 47 tahun/ dr MZ
A/ P2A0, 47 tahun
Endometrioid ca endometrii std. 1A
Pasca CSS (4/7/2017)

P/ Pro platosin 3 weekly V

Pro ER ke 12
 R5B BLOK 1
3 4
THT INTERNA

2. 5
Ny. Siti Charbiyah/46tahun/dr.EN INTERNA
A/ Cystoadeno ca ovari serosum IIB
Riwayat CSS 13/3/2017
Pasca paxus carbo I (8/6/2017)

P/ Pro paxus carbo II

1 6
INTERNA INTERNA

 R5B BLOK 2
9 10

Ny. Khusnul Khotimah/dr.EN

A/ P0A, 17th
Yolk sac tumor ovarii
Riw SOU+limfadenektomi regio pelvis
bilateral+omentektomi (6/5/17) di
RSDK
S/Pro BEP I
Usaha obat
Ijin tindakan
Tunggu hasil lab
Pengawasan KU,TV,PPV
8 11

7 12

Ny.Unaroh/dr. EN

 R5B BLOK 3

15 16

Ny. Wahyuningtyas/44 tahun/ dr. Endy

A/ P0A0, 44 tahun
Ca cervix uteri std. IIIB
Pasca ER 17X
Riw. platosin 3 weekly III (8/6/17) Interna

P/ pro ER 18x
Pro platosin 3 weekly IV

14 17
Ekik Emawati/ 17 tahun/ dr. HR
A/ P0A0, 17 tahun
NOK

P/ Pro SOU+ FS (tunggu jadwal)

13 18

Interna Interna
 R5B BLOK 4
21 22
Ny Rebi / dr Endy Ny Imroatussadah / dr EWA
A/ P4 A1 52 tahun A/ P0A0
Endometrioid ca endometrium inadequate NOK dengan bagian padat curiga ganas
debulking Anemia sedang (6,7)
Riw. Suboptimal debulking Leukositosis (24.140)
Riw ER (18-7-16) Trombositosis (648.000)
Riw Platocin IV (25-7-2016)
Loss of Follow Up 10 bulan P/ Perbaikan KU
Metastase KGB inguinal kiri Transfusi PRC hingga Hb 10
Anemia berat (4,6) Usaha PRC 4 kolf

P/ Perbaikan KU
Transfusi PRC hingga Hb 10
Usaha PRC 4 kolf
Pro ER paliatif (6-7-2017)
20 23
-

19 24
-
 R5B BLOK 5
27 28
Ny. Bero/59 th/dr. EWA Ny. Siti Kodiah/51 th/dr. EWA
D/ Ca Epidermoid Cervix Uteri Stad IIIB D/ Ca Epidermoid Cervix Uteri Stad IIIB
Pasca ER 12x Riw. NAC I
Pasca platosin 3 weekly I (6/6/17) Pasca ER 20x 93/7/17)
Hb/Leu/Tro: 12,1/3.000 ANC Pasca platosin 3 weekly III (9/6/17)
1760/188.0000 Hb/Leu/Tro: 9,6/4.200/215.000
Ur/Cr: 13/0,91
P/ Pro platosin 3 weekly IV
P/ Pro platosin 3 weekly II (3/7/17) Pro ER ke 21
Pro ER ke 13
Ondansentron 8 mg/12 jam
Dexamethasone 2 tab/8 jam

26 29
Ny. Wasimah/49 th/dr. MZ
A/ Ca. Epidermoid cervix uteri std IIIB
Suspek metastase pulmo
Pasca NAC I (12/6/17)
Hb/Leu/Tr:11/5.800/298.000

P/ Pro NAC II (3/7/17)

Pro ER I (25/7/17)

25 30
Ny. Mapul/46 th/dr. EN
A/ Ca. Epidermoid cervix uteri std IIIB
Anemia sedang
Hb/Leu/Tr: 8,4/8.900/336.000
Ur/Cr: 26/0,9

P/ Pro platosin 3 weekly I (4/7/17)

ER (23/8/17)
Usaha PRC 2 kolf premed
Dexametaron 1 ampul
 R5B blok 6

33. Ny. Juminah/49 th/dr. EWA 34. -

D/ P2A0, 49 tahun
Ca epidermoid cervix uteri IIIB
Susp. Metastasis VU
Pasca platosin 3 weekly III (9/6/2017)
Pasca ER 13

P/ Pro platosin 3 weekly IV

Pro ER 14

32. 35. -

31. - 36. Ny. Diana Puspitawati/47 th/ dr. EN

D/ P2A1, 47 tahun
Squamous cell Ca cervix uteri IIB
Pasca NAC III
Pasca ER 20
Pasca platosin 3 weekly II (8/6/2017)

P/ Pro platosin 3 weekly III

Pro ER 21