Kamis, 16 November 2017

Pasien yang datang & dikelola di IGD bedah sebanyak 14 pasien,

terdiri dari :
No Diagnosis Tindakan
1. Vulnus laserasi regio Pencucian luka
occipital (T14.1) Penjahitan luka
: 1 Pasien Amoxicicillin 500 mg/ 8jam per oral
Asam mefenamat 500 mg/8jam per oral
pulang

2. Traumatik amputasi digiti Pencucian luka +pro V – Y flap

III manus sinistra level 5 APS
(S62.509B)
: 1 Pasien

3. Hidrocephalus communican VP Shunt elektif

(G91.0)  C1LD
: 1 Pasien
No Diagnosis Tindakan
4. Fraktur radius sinistra 1/3 Pemasangan spalk
proximal kominutif displaced Ketorolac 30 mg/8 jam intra vena
ttp nk (S52.322S) Pro ORIF elektif
APS
Fraktur ulna 1/3 tengah oblique
displaced ttp nk (S52.232A)
: 1 Pasien
5. Paraparese inferior (G82.2) Oksigenasi
c/ fraktur vertebra lumbosacral Pencucian luka
(S32.0), Penjahitan luka
c/ fraktur terbuka cruris dextra ATS 1500 UI intra muscular
(S82.91XB), TT 0,5 cc intra vena
Cefriaxone 2gr/24 jam intra vena
c/ fraktur pelvis HD stabil
Ketorolac 30 mg/8 jam intra vena
(S32.82XA) Ranitidine 50 mg/12 jam intra vena
: 1 Pasien R1B
No Diagnosis Tindakan
6. Fraktur femur dextra 1/3 tengah Pertahankan spalk
transverse displaced tertutup non Asam Mefenamat 500mg/8jam per oral
komplikata (S72.321D) pro ORIF elektif
: 1 Pasien  R2B

7. Fraktur epifisial plate tibia sinistra Pertahankan spalk

tertutup non komplikata (S82.102) Asam Mefenamat 500mg/8jam per oral
Fraktur fibula sin istra 1/3 distal pro ORIF elektif
transverse displaced tertutup non  GRD II Lt. 3
komplikata (S82.402)
: 1 Pasien
8. Fraktur ulna dextra 1/3 proximal Pertahankan spalk
(S52.2) dgn dislokasi radioulnar joint Asam Mefenamat 500mg/8jam per oral
dextra (S63.014S) pro ORIF elektif
: 1 Pasien KTL 1
No Diagnosis Tindakan
9. CKD obstruksi uropati (N13.9) e.c Informed concent
batu multiple saluran kemih kiri RIRS Laser Ren dextra elektif
(batu staghorn) ren sinistra (N20.0), R1B
DJ Stent sinistra membatu,
Non visualized ren dextra (N28.9)
: 1 Pasien
10. Abses hepar (K75.0), Raber TS Interna
DM tipe II (E11), GER D
Cholesistolithiasis (K80.00)
: 1 Pasien

11. IDO pasca cholesistektomi 2 bln yll Rawat luka,

(T81.4XXA) Raber TS mirobiologi klinik
: 1 Pasien KTL1
No Diagnosis Tindakan
12. Ileus obstruksi (K56.7) ec. ASBO Ciprofloxacin 400mg/12jam intra vena
(K56.6), c/ metastasis ca. cervix ke Metronidazole 500mg/8jam intra vena
colon (C53.9), Omeprazole 50mg/12jam intra vena
Sepsis (A41) †
: 1 Pasien
13. Sepsis post laparatomi reseksi Ciprofloxacin 400mg/12jam intra vena
anastomosis (A41.9) a/i tumor colon Metronidazole 500mg/8jam intra vena
(C18.9) transversomy re-anastomosis Omeprazole 50mg/12jam intra vena
on stoma Diet cair
: 1 Pasien GER D

14. Invasive ductal carcinoma mamae dextra Ondancentron 8 mg/8 jam intra vena
grade III T4cN3cM1(paru, mammae Ranitidine 50 mg/12 jam intra vena
kontralateral) post KT I (cysplatin, R4A
Paclitaxel) (C50.91)
: 1 Pasien
Rabu, 11 oktober 2017