2-4-15 9:30S: -O: CNS: DPOCVS: TD 107/66 mmHg HR 161 tanpa support RR 20x dengan gambaran nafas spontan 10 L/menit SpO2 100 %CVT: urine 50 ccA: Crush Injury dextra + crush injury femur sinistra + skin degloving + post shock hemoragik grd IV/P: pre debridementLab : 1,7/ 7.300/ 5 / 84.000PT 24,1(13,5) INR 2,2 APTT 50,1 (31,9) FIB 82(281) D DIMER 4,8 BSS 34 Ca/mg/na/cl : 1,0/ 0,63/ 147/ 149

3-4-15 S:-O: Sen : DPO TD 100/60 HR : 110 RR: 18A: Post debridementP: Instruksi post operasi sesuai TS ICULAB Hb 9Rbc 3.21Leu 6.2Ht 26PLT 48Analisa gas darahF1O2 60Temp 36Ph 7.403PCO2 47,8Po2 40Saturasi O2 57,3 %Hct 31Hb 9,9HatiProtein total 3.7Albumin 2,2 globulin 1,5GDS 110ELEKTROLIT Ca 3,8Na 135K 4.1Cl 114

4-4-15S:-O: A: ERR + O2 (sinus)B: 102AC: TD 120/60 D: Ges 15A: Crush injury + pneumothorax + post debridementP: GU Diet cairHb 8,9Rbc 3.25Leu 5,6Ht 26PLT 115Diff 0/1/84/9/6Analisa gas darahF1O2 40Temp 36,6Ph 7.403PCO2 46,8Po2 196SO2 97,4Saturasi O2 57,3 %Hct 31Hb 9,9HatiProtein total 3.7Albumin 2,2 globulin 1,5GDS 110ELEKTROLIT Ca 3,8Na 135K 4.1Cl 1145-4-15S: -O:E4M6VTA: post debridement crush injury+ post shock hemoragicP ; PCT 4 X 500 Diet cair 6 x 250 kalCa glukonas 2 g

Hb 8,9Rbc 3.17Leu 3,5Ht 25PLT 109Diff 0/4/69/15/12Analisa gas darahF1O2 50Temp 37,2Ph 7.453PCO2 38,7Po2 215,9SO2 97,6Saturasi O2 57,3 %

Hct 31Hb 10,4HatiProtein total 3.7Albumin 2,5 globulin 1,5GDS 110ELEKTROLIT Ca 8.0Na 134K 3,8Cl 114