BEDAH PLASTIK

Selasa , 8 Januari 2019 SOE/IYA/PBP/AGA/NSA/ERA

RUANG BED PJ DPJP NAMA U MRS DIAGNOSIS STATUS PLAN BIAYA LAB

9 IYA DE Sudartik 56 12/12 -Post medikasi dan evaluasi STSG ai non excisional Post op Perawatan post op BPJS II 2/1 Hb 10.4 Ht 31 Al 13.0 At 523 AE 3.63 OT 45 PT 35 Alb 2.5 Cr 0.7 Ur 12
014423397 debridement ai open wound R. femur-cruris (S) 17/12 Rabu skin graft Na 131 K 3.6 Cl 97
-Post non excisional debridement 21/12 Hasil kultur : Cipro & amikacin :S 31/12 Hb 10.4 Ht 34 Al 10.9 At 530 Ae 4.06 PT 15.7 APTT 23.3GDS 115
CENDAN 26/12 OT 63 PT 46 Alb 2.3 Cr 0.7 Ur 18 Na 126 K 3.6 Cl 104 HbsAg NR
2/1 26/12 NA 124 K 4.2 CL 92
A2 21/12 HB 12.7 HT 38 AL 18.0 AT 426 AE 4.39 ALB 3.2
17/12 HB 12,1 HT 36 AL 11,9 AT 309 AE 4.09 ALB 2,8UR/CR 28/0,7 NA
127 K 4,4 CL 94
12/12 HB 9.2 HT 27 LEU 16 TRO 359 PT 12.5 APTT 21 GDS 178 UR 19
5A IYA DE Adhi Julfrida 18 31/12 Post op debridement dan repair vulnus Post op Terapi post op VIP 30/12 Hb 14,2 Ht 41 Al 9.8 At 308 Ae 4.22 Goldar O Pt 12.2 APTT 28.5
01444369 31/12 GDS 108 Cr 0.9 Ur 26 Na 134 K 4.0 Cl 97 HbsAg NR
ASTER 5
Post skingraft Post op
3/1
A PBP DE Aditya Saputro 12 31/12 Fr. Parasimfisis (S) mandibular Pre op Pro urgent ORIF Reconstruction BPJS III 6/1 Hb 11.8 Ht 35 Al 10.3 At 437 Ae 4.28
01444380 4/1 Hb 8.5 Ht 25 Al 12 At 428 Ae 3.11 GDS 91 Na 127 K 3.7 Cl 90
Bedah saraf: Bedah saraf: 31/12 Hb 11.6 Ht 34 Al 21.4 At 610 Ae 4.26 Goldar A GDS 137 Cr 1.1 Ur
ROI COS GCS E2V3M5, oedem cerebri, mannitol 80cc/8jam manitol 80cc/8jam 41 Na 131 K 3.5 Cl 94 HbsAg NR
Pediatri: therapy harian Pediatri: hitung diet, hitung balans cairan

D PBP DE Antonius Aji 36 7/1 Maloklusi, Fr maxilla (D), multiple vulnus Ekskoriasi Pre op Pro ORIF elektif, Oral Higiene, diet cair, BPJS III 7/1 Hb 13.4 Ht 40 Al 11.9 At 313 Ae 4.01 Goldar B PT 11.7 APTT 24.3 INR
01445272 Rawat luka dengan moist, Reconstructur of 0.870 GDS 206 HBsAg NR
other facial bone

Beadah Saraf: COR GCS E4V5M6, oedema cerebri, obs. Bedah Saraf: O2 3lpm, Head up 300,MRS
konvulsi HCU, konservatif, metamizol, Ranitidin,
awasi Ku/VS/GCS
E PBP AM Triyano 32 2/1 Fr. Maxilla (D), Fr. Arch Zygoma (D) Pre op Oral hygiene, diet cair, ORIF elektif, rawat BPJS III 2/1 Hb 13.6 Ht 39 Al 18.6 At 311 Ae 4.58 Goldar O PT 12.5 APTT 28.1 INR
01444603 luka ekskoriasi dengan moist 0.950 Cr 1.0 Ur 34 Na 141 K 3.1 Cl 1.15 HbsAg NR
Bedah saraf: Bedah saraf:
COR GCS E3V5M6, edem cerebri MRS HCU, konservatif, awasi KU/VS/GCS
lateralisasi
HCU D AGA DE Gino 41 31/12 Post op ORIF recontruktion ai Fr.maxilla d/s + fr.arc Post op Perawatan post op BPJS III 1/1 Hb 14.5 ht 42 Al 6.6 At 284 Ae 4.71 Goldar A PT 12.2 APTT 31.6 GDS
01442134 zygoma + fr.linier of front 7/1 75 Alb 4.5 Cr 0.8 Ur 17 Na 137 K 4.4 Cl 1.20 HbsAg NR
bedah
602B ERA DE Suprihatin 30 3/1 Fr. Rima orbita lateral, inferior (D/S) + Fr arch zygoma Op Pro ORIF + Rekonstruction + repair vulnus BPJS III 4/1 Hb 10.9 Ht 32 Al 7.8 At 362 Ae 3.83 Goldar A PT 13.3 APTT 26.3 INR
01444837 segmental (D/S)+FR ZMC (S)+FR parasimfisis (S) 1.050 GDS 116 OT 18 PT 6 Alb 4.1 Cr 0.7 Ur 26 Na 147 K 3.2 Cl 100 HBsAg
mandibula + V.terhecting R parasifisis (S) mandibula NR
608A NSA AM Tukijat 63 28/12 Post debridement ai raw surface + bone expose regio Post op Perawatan post op BPJS II 1/1 HbsAg NR
01392361 calcaneus (S) 2/1 29/12 HB 10,6 ht 32 leu 5,9 trom 422 erit 3,63 golda O PT 12,5 APTT 28,9
FLB 6 INR 0,950 GDS 100 alb 3,8 cre 1,1 ure 44 nat 135 kal 4,1 chlo 98
609B NSA AM Ratimah 66 26/12 Post debridement + STSG thicck a.i vulnus granulosum Post op Perawatan post op BPJS I 27/12 HB 11,7 ht 38 leu 9,9 trom 531 erit 4,49 gol.da AB PT 13,2 APTT
01439939 + bone expose + necrotik r.cruris (D) 31/12 27,0 INR 1,040 GDS 94 ure 3,6 cre 0,7 nat 130 kal 4,2 HBSAg NR
612B NSA DE Nur hidayat 35 31/12 Post Pro recontruktion of maxilla and mandibulla ai Post op Perawatan post op umum 31/12 HB 12,1 ht 37 leu 10,9 trom 273 erit 4,90 golda O PT 14,4 APTT
0144484 malokclusi + fr. of mallar and maxilla bone + fr.of 27,4 INR 1,140 GDS 105 cre 0,8 ure 22 na 135 cal 3,8 chlo 100 HBSAg NR
mandibulla
904C NSA DE Wahyuni 42 2/1 Rupture peritoneum + Riwayat STSG+post BPJS III 1/1 Hb 12.1 Ht 37 Al 4.1 At 489 Ae 4.09 Goldar O PT 12.2 APTT 28.0 INR
01405039 konsula sigmoidostomy 0.930 GDS 88 Alb 4.0 Cr 0.7 Ur 24 Na 134 K 4.8 Cl 99
n
digest B. Digest: pro tutup stoma
907B NSA DE Sutiyem 69 6/1 BPJS III
FLB 9 01445203 konsula
n ortho Ortho: OREF tibia, fibula leave it
909A NSA DE M. Nafid 1 2/1 Post op labioplasty a.i labiognatopalatoschizis Post Op Perawatan post op BPJS III 2/1 Hb 11.8 Ht 35 Al 9.6 At 263 Ae 4.88 PT 12.3 APTT 30.7 INR 0.950 GDS
01381510 7/1 78 Cr 0.3 Ur 21 Na 131 K 4.2 Cl 108 HbsAg NR

909E ERA AM Grodo A 10 2/1 Post STSG ai raw surface R Ante brachi (D) Pre op MRS, pro FTSG BPJS III 24/10 Hb 10.8 ht 33 Al 9.4 At 372 Ae 4.02
01434283
 910A ERA DE M. Rehan 8 4/1 Kontraktur genu (D) post combutio air panas Pre op Release kontraktur genu (D) BPJS III 6/1 Hb 9.1 Ht 31 Al 6.5 At 297 Ae 4.68 goldar A PT 12.2 APTT 23.7 INR
01442986 0.930 Cr 0.4 Ur 20 Na 134 K 3.9 Cl 98

911B AGA DE Rahma Nur H 6 3/1 Nevus R hemithorax posterior (D) + R colli (D) Pre op Pro eksisi nevus BPJS III
01433157
911C ERA DE M. Nasir 4 4/1 -Post release kontraktur digiti II, II, IV, V + pining Pre op Pro aff pining dengan GA + release BPJS III 6/10 Hb 12 Ht 37 Al 6.3 At 317 Ae 4.50 PT 12.7 APTT 31.6 INR 0.970 Cr
01413455 -Kontraktur digiti IV-V manus (S) kontraktur 0.3 Ur 18 Na 134 K 4.1 Cl 100 HBsAg NR

1010A PBP DE Endaryati 37 4/1 Maloklusi, Fr lefort II, Fr NOE (D/S), Fr rima orbita Pre op Pro reconstruction of other facial bone UMUM 3/1 Hb 12.5 Ht 37 Al 9.6 At 280 Ae 4.08 Goldar B Pt 12.7 APTT 27.6
inferior (D/S), Fr maksila (D/S) HbsAg NR
01444969 B. saraf: B. Saraf:
FLB 10 COR GCS E3V5M6 O2 3LPM, head up 30 ,inf Nacl 0.9 %, inj
Oedem cerebri metamizol, inj ranitidine, MRS HCU, awasi
KU/GCS/Lateralisasi
1010B PBP DE Suwanto Wibisono 38 4/1 Maloklusi, opnbite, VL palatum 2cm, hematoma Pre op Pro reconstruction of other facial bone UMUM Hb 11,9 Ht 35 Al 9.9 At 191 Ae 3.80 goldar O PT 13.3 APTT 30.1 INR 1.020
(D/S),pendataran mallar, telecantus 4,5 cm HBsAg NR
01444930