193074081237012
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1290837490174098TRANSCRIPT
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2nd PARTY AUDIT
SMF BEDAH
Tanggal 23 Juni 2012
Waktu Jam : 09.00 sd Jam 10.00 WIB
Yang hadir : ……..
Kasus : Ileus Obstruktif
Identitas Pasien : laki 19 tahun ( Secata Gomb No Ind 378 )
No RM : 23.33.19
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Identitas pasien
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Kronologis• : I• Pas kiriman Sikes Secata dgn Illeus / Peritonitis, telah dirawat
di RS Gombong.• MRS: 22 Mei 2012 Jam 18.06.• Ro RS Gombong : Illeus.• Bab (-) 3 hr, perut sakit.• Dx IGD : Peritonitis Generalisata… Konsul Bedah ( DPJP )• Px Fisik :• KU: Sakit perut sel lap. Keadaan Umum : Kompos mentis.• TV : T 110/70, N 88/mnt, RR 20/mnt, S 38 der C• Abdomen: cembung, lunak < defans m (-) > peristaltic +
meninggi, metalik S (-)
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• Lab: Hb 11,8 Al 7.600. CT 4’10” BT 2’10” LED 29 Na 150 K 4,6 GDS 74
• Penanganan:• Inf RL 50 tts, NGT, DC. Cefotaxim 2X1g, Ketorolax
3X1, • Konsul Anaestesi : Omeprazol 1 X 4 amp, Ptidin 1cc,
Alinamin 1 Amp NaCl 2:1 30 tts.• Ro ulang : Sub Illeus ( letak tinggi ), Belum tampak tanda
peritonitis & pneumo peritoneum.• NGT produktif .. jernih, DC lancer 300cc.• Pasien merasa membaik. Persiapan Ops ditunda, pasien
masuk RI ( C ).
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