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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