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DUTY REPORTMonday, May 8th 2016
Supervisor
dr! "etta Sari "intan#, M!$ed %O&', Sp! O&!$!dr! Sarah Dina, M!$ed%O&', Sp!O&!$
Resident 1! dr! Titi ()a*ia
2! dr! +ardi S! Marpaun#
! dr! -a.hrurro/i ! dr! M!san
3! dr! $hairu*
Depart)ent o4 O5stetri.s and &yne.o*o#y
Medi.a* -a.u*ty University o4 7orth Su)atera
(da) Ma*i &enera* 9ospita*
2016
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7e: patient 1 patient
Prior patient ; patient
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1! Ms!", 21 y!o, &2P1(0
DaesareanSe.tion, Born baby boy, BW 1900 gram, BH 39 cm,AS: 0/2, Anus (+)
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Mrs! ", 21 y!o, &2P1(0, @atanese, >hristian, Aunior 9i#hS.hoo*, 4ar)er, )arried to Mr! S, 4ar)er, ad)itted to (da)Ma*i &enera* 9ospita* on Sunday, May 8th 2016 at 02!00 p),:ith
>> Un.ons.iousness %a**oana)nese'
E E
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Previous i**ness ;Previous )edi.a* history M#SO 20C 10 )* % #r' "oadin#
M#SO 0C 0 )* %12 #r' 1#tt
nF! De
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Vita Sign>ons So)no*en.e (ne)i. % ; '
@P 160110 ))9# .teri. % ; 'Pu*se 100 yanosis % ; 'RR 1
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%bst#trica stat#
(5do)en Sy)etri.a**y en*ar#ed
-unda* 9ei#ht 2 ?n#ers upper nave*
"o:est Part 9ead
Uterine .ontra.tion %;'
-eta* )ove)ent %='-eta* 9eart Rate %=' 1J8 5p)
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LABORATORY FINDINGS on May 8th 2016 :
Hb : 12,60 N : 12-14 gr/dl
Leukocyte : 38.410 N : 4000-11000 /mm
Hematocrit : 41,0 N : 36,0 - 42,0
!latelet : 446.000 N :1"0.000-400.000/mm3
#.$. %luco&e : 12'.00 N : ( 200 mg/dL
#lbumi) : 2,' N : 3." - ".0 mg/dL
#!** : 42,"0 + 33,8
!* : 13," + 14,0
*rombi) *ime : 1"." + 1,3
N$ : 0.'
reum : 1',00 N : "0 mg/dl
+reati)i): 0,2 N : 0,6-1,2 mg/dlN : ' N : - 1'
Natrium : 13 N :13"-1""
alium : 3,2 N : 3.6-"."
+loride : 10 N : '6-106
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H : ,230 N : ,3"- ,4"
+52 : 20 N : 38 - 42
52 : 186,0 N : 8" - 100
H+53 : 8,4 N : 22- 26
+52 *otal : ',0 N : 1' 2"
7 : - 1,1 N : -29 29
52 aturatio) : '',0 N : '" - 100
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US& T(S
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&S' AS
i)gle ;etu&, ali
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De4a/o*ine 2 #r sin testA7i4edipin ta5*et < 10 )#
P*an ; >esarean se.tion ))ediate**y; >onsu*t to pediatri., interna, neuoro*o#y and
anesthesiadeparte)ent
>on?r)ed to dr! "etta Sari "intan#, M!$ed%O&', Sp!O&!$ approved
On Sunday, May 8th 2016 at 0!00p), :ith >aesarean
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*S#ction r#ort $/t camsia + -#ta $istr#ss
Born baby boy, BW 1900 gram, BH 39 cm, AS:
0/2, Anus (+)
A Mother :as *aid on operation ta5*e, :ith iv *ine, urine .atheter
and ETT insta**ed :e**A (ntisepti. and asepti. pro.edure :as per4or)ed, :ith 5etadine
and a*.oho* so*ution %J0C', and .overed 5y steri*e 4a5ri. e
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A Mus.*e :as opened 5*unt*y
A Peritoneu) :as .ut 4ro) )idd*e up:ard and do:n:ard
A &ravida uterine :as seen, *o.atin# the *o: servi.a* re#ion
A Iesi.outerine p*i.a .ut .on.ave*y to the *e4t and ri#ht side,set aside
to the vesi.a urinary site!
A Uterine :as .ut .on.ave*y and :iden 5*unt*y
A -ound 4e.u*ent a)nioti. KuidA +ith #ra55in# the head, @orn 5a5y 5oy, @+ 1L00 #ra), @9 L .),
(S 02, (nus %='
A U)5i*i.a* .ord :as :ithered .ut and p*a.enta :as taen out
.o)p*ete*y
A Uterine .avity :as .*eaned :ith steri*e #auss
A Uterine :as he.tin# :ith he)ostati. suture ?#ure o4 ei#ht,
.ontinuous*y inter*o.in#, overhe.tin#n and reperitonea*i/ationA
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D< Post >;Se.tion dt e.*a)psia = 4eta* distress
Th; I-D R" = O
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THANK YOUTHANK YOU