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  • Morning Report OK4 Senin, 23 April 2018: Dr. Zafrullah Khani, SP - An, KNA

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    fitri akmalia
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    This morning report discusses two patients undergoing laparoscopic cholecystectomy surgery. Patient 1 is a 70 year old male with cholelithiasis who is ASA class II and has stage 1 hypertension. Patient 2 is a 51 year old female with cholelithiasis who is also ASA class II, has stage 1 hypertension, and hypokalemia. Both patients' pre-op exams and labs are documented and the plan is for general anesthesia with post-op recovery in the room.

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    This morning report discusses two patients undergoing laparoscopic cholecystectomy surgery. Patient 1 is a 70 year old male with cholelithiasis who is ASA class II and has stage 1 hypertension. Patient 2 is a 51 year old female with cholelithiasis who is also ASA class II, has stage 1 hypertension, and hypokalemia. Both patients' pre-op exams and labs are documented and the plan is for general anesthesia with post-op recovery in the room.

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    3 Ansichten5 Seiten

    Morning Report OK4 Senin, 23 April 2018: Dr. Zafrullah Khani, SP - An, KNA

    Hochgeladen von

    fitri akmalia
    This morning report discusses two patients undergoing laparoscopic cholecystectomy surgery. Patient 1 is a 70 year old male with cholelithiasis who is ASA class II and has stage 1 hypertension. Patient 2 is a 51 year old female with cholelithiasis who is also ASA class II, has stage 1 hypertension, and hypokalemia. Both patients' pre-op exams and labs are documented and the plan is for general anesthesia with post-op recovery in the room.

    Copyright:

    © All Rights Reserved
    Als PPTX, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 5

    MORNING REPORT

    OK 4
    Senin, 23 April 2018

    dr. Zafrullah Khani, Sp.An, KNA


    Pasien 1

    Data Pasien : Yusbar, lk, 70 thn


    Diagnosa : Cholelithiasis
    Tindakan : Cholesistektomi perlaparoskopi

    Pemeriksaan Fisik
    • Airway : Clear
    • Breathing : RR 18x/I, Ves(+/+),Rh(-/-),Wh(-/-)
    • Circulation : HR 92x/I TD 140/90 mmHg BJ I> BJ II
    • Brain : GCS 15
    Laboratorium: 11/4/18
    Hb/Ht/Er/Le/Tr: 13,5/40/4,6/6,2/299
    Ct/Bt: 7/2
    Ur/Cr: 32/1,48

    Kesimpulan: ASA II
    -hipertensi stage I
    Rencana : General anestesi
    Post Op : Ruangan
    Pasien 2
    Pasien : Marlina, pr, 51 th
    Diagnosa : Cholelithiasis
    Tindakan : Cholesistektomi perlaparoskopi

    Pemeriksaan Fisik
    • Airway : Clear
    • Breathing : RR 14x/I, Ves(+/+),Rh(-/-),Wh(-/-)
    • Circulation : HR 74x/menit TD 150/80 mmhg
    BJ I> BJ II
    • Brain : GCS 15
    Laboratorium: 27/3/18
    Hb/Ht/Er/Le/Tr: 13,1/39/4,8/7,1/244
    Ur/Cr:29/0,52

    Kesimpulan : ASA II dg HT stage 1,


    hipokalemi 3,1
    Rencana : General Anestesi
    Post Op :Ruangan

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