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Lampiran II :

DATA STATUS PASIEN DIARE RAWAT INAP USIA 12 - 60 BULAN


BULAN OKTOBER - DESEMBER 2012
DI RSUD NGANJUK

No

Nama

Umur

Jenis

MRS

1.

Adillah

12

Kelamin
Laki-laki

1/10/2012

KRS

Terapi

Resep

2/10/2012 1) Inf. RL

bulan

800cc/24 jam
2) Inj.

2/10/12
R/ Inf. RL

Inj. Cefotaxime no. II

Cefotaxime 3
x 300 mg
3) Inj. Acran 3 x
amp
4) Obat Oral :
L-Bio 2 x 1

Inj. Acran

no. II

Spuit 3cc

no. VI

S i.m.m
R/ L-Bio

An.

60

Annisa

bulan

Perempuan

1/10/2012

3/10/2012

no. VI

S 2dd1
R/ Zincare

2.

no. IV

no. V

S 2dd1
1/10/2012

RL

R/ Spuit 3cc

Amirullo

no. VI

Abocath 22 no. II

Abocath 24

no. I

S i.m.m
R/ RL

no. VI
S i.m.m

R/ Inj. Cefotaxime no.


IV
S i.m.m
R/Inj. Ranitidin no.
IV
S i.m.m

R/ Aquabidest no. IV
S i.m.m
R/ Inj. Ondancentron
no. V
3.

An.

12

Dewi

bulan

Perempuan

2/10/2012

6/10/2012

S i.m.m
3/10/2012

RL

R/ Inkazync syr no. I

Wahyu

S 2dd cth 1
5/10/2012
R/ RL

no. III

Inj. Cefotaxime no. II


4.

An.

60

Irwan

bulan

Laki-laki

2/10/2012

5/10/2012 1) Inf. RL
1000cc/24 jam
2) Inj.

Andi S.

Cefotaxime 3
x 500 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio 2 x 1
Elzazym 2 x 1

S i.m.m
2/10/2012
R/ Spuit 3cc

no. VI

Inf. RL

no. IV

Inj. Cefotaxime no. II


Inj. Ranitidin

no. IV

S i.m.m
R/ Elsazym

no. VI

S 2dd1
3/10/2012
R/ Inf. RL
Spuit 3cc

no. III
no. VI

Aquabidest no. I
S i.m.m
R/ L-Bio
5.

An.

14

Jeslinda

bulan

Angelica

Perempuan

2/10/2012

5/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.

no. VI

S 2dd1
2/10/2012
R/ Spuit 3cc

no. VI

Inf. RL

no. III

Cefotaxime 3
x 250 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio 2 x 1

Inj. Cefotaxime no. II


Inj. Ranitidin

no. I

S i.m.m
R/ L-Bio

no. VI

S 2dd1
3/10/2012
R/ Inj. Ranitidin no. II
Spuit 3cc

no. VI

Aquabidest

no. V

S i.m.m
R/ Zincare

no. X

S 2dd1
4/10/2012
R/ R Lactat

no. II

Cefotaxime inj no. II


Spuit 3cc

no. VI

S i.m.m
R/ Dialac
6.

An.

12

Keandra

bulan

Raka

Laki-laki

2/10/2012

5/10/2012 1) Inf. RL 800


cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
Protaxin 1 x 1

no. VI

S 2dd1
2/10/2012
R/ Spuit 3cc

no. VI

Inf. RL

no. II

Inj. Cefotaxime no. I


Inj. Ranitidin

no. I

S i.m.m
3/10/2012
R/ Inf. RL

no. III

Inj. Cefotaxime no. II

Inj. Ranitidin

no. I

Spuit 3cc

no. VI

S i.m.m
R/ Protaxin
7.

An. M.

20

Zainal

bulan

Laki-laki

2/10/2012

no. V

S 1dd1
3/10/2012

5/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio 2 x 1

R/ Inf. RL

no. III

Inj. Cefotaxime no. II


Inj. Ranitidin
Spuit 3cc

no. I
no. VI

S i.m.m
R/ Interzinc syr

no. I

S 2dd cth 1
R/ L-Bio

no. VI

S 2dd1

8.

Naufal

48

Andana

bulan

Laki-laki

2/10/2012

no. VI

Inj. Ranitidin

no. II

S i.m.m
R/ Inf. RL
no. II

6/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio

R/ Spuit 3cc

Inj. Cefotaxime no. II


Inj. Ranitidin

no. II

Aquabidest

no. II

Spuit 3cc

no. VI

S i.m.m

2x1

Zincare 3 x 1

R/ L-Bio

no. IV

S 2dd1
R/ Zincare
S 2dd1
9.

An.

12

Perempuan

2/10/2012

6/10/2012

RL

no. IV

10.

Syifa

bulan

Qurota
An.

12

Zacky

bulan

Laki-laki

2/10/2012

5/10/2012

RL

Marcello
11.

R/ Inf. RL

no. III

Inj. Ranitidin

no. I

Spuit 3cc

An. M.

60

Al Akbar

bulan

Laki-laki

3/10/2012

4/10/2012

RL

no. VI

S i.m.m
R/ Inf. RL
no. II
Inj. Cefotaxime no. II
Spuit 3cc

no. VI

Inj. Ranitidin

no. I

Aquabidest
12.

An.

24

Vania

bulan

Perempuan

3/10/2012

5/10/2012

RL

no. I

S i.m.m
3/10/2012
R/ R Lactat

Asyifa

no. V

S i.m.m

Latief
5/10/2012
R/ Interlac Drop no. I
S 2dd gtt V
R/ Astin Force
13.

An. M.

24

Yulianto

bulan

Laki-laki

4/10/2012

9/10/2012

RL

no. V

S 1dd1
R/ Abocath 22 no. II
Inf. RL

no. III

Widaset

no. I

Spuit 3cc

no. VI

S i.m.m
R/ R Lactat
Spuit 3cc

no. II
no. VI

Cefotaxime inj. no. II


S i.m.m
R/ R Lactat

no. I

Cefotaxime inj no. I

Spuit 3cc

no. VI

S i.m.m
R/ Ranitidin inj. no. II
14.

An.

12

Qaleisya

bulan

Perempuan

5/10/2012

S i.m.m
5/10/2012

10/10/2012 1) Inf. RL
500cc/24 jam
2) Inj.

Rida

Cefotaxime 3
x 250 mg
3) Obat oral :
Zincare 2 x

R/ Inj. Cefotaxime no.


II
Spuit 3cc

no. VI

Inf. RL

no. II

Inj. Ranitidin no. II


S i.m.m
6/10/2012
R/ Inf. RL

no. V

S i.m.m
R/ Zincare

no. III

S 2dd tab
9/10/2012
R/ Inf. RL

no. III

S i.m.m

15.

An. Zaki

24

Laki-laki

5/10/2012

6/10/2012

RL

bulan

R/ R Lactat
Spuit 3cc

no. IV
no. VI

Cefotaxime inj no. I


16.

An. M.

13

Hafis F.

bulan

Laki-laki

8/10/2012

12/10/2012

RL

S i.m.m
8/10/2012
R/ R Lactat
Spuit 3cc
S i.m.m

no. IV
no. VI

10/10/2012
R/ R Lactat

no. III

Spuit 3cc
17.

An. M.

48

Zulfa

bulan

Laki-laki

8/10/2012

11/10/2012

RL

no. VI

S i.m.m
9/10/2012
R/ R Lactat

no. II

Spuit 3cc

no. VI

S i.m.m
10/10/2012
R/ Protaxime

no. V

S 2dd1
R/ Spuit 3cc

no. VI

S i.m.m
R/ R Lactat
18.

An.

48

Wisnu N.

bulan

Laki-laki

9/10/2012

10/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Obat oral :
L-Bio 2 x 1
Zincare 2 x 1

S i.m.m
R/ Inf. RL
no. III
Widaset

Raditya

14

R.

bulan

Laki-laki

11/10/2012

16/10/2012

RL

no. I

Abocath 24 no. I
S i.m.m
R/ L-Bio

no. VIII

S 2dd1
R/ Zincare

19.

no. III

no. VIII

S 2dd1
12/10/2012
R/ Inf. RL

no. II

Cefotaxime inj no. I


Acran
Spuit 3cc
Aquabidest
S i.m.m

no. I
no. VI
no. I

R/ L-Bio

no. VII

S 2dd1
R/ Interzinc syr no. I
S 2dd cth 1
15/10/2012
R/ Inf. RL
20.

An.

24

Hawa

bulan

Perempuan

12/10/2012

16/10/2012 1) Inf. RL
700cc/24 jam
2) Inj.

Aszari

Cefotaxime 3
x 250 mg
3) Inj. Acran 3 x
amp.
4) Obat oral :
L-Bio 2 x 1

21.

An. Gita

24

Nur

bulan

Fadila

Perempuan

13/10/2012

16/10/2012 1) Inf. RL
700cc/24 jam
2) Inj.

no. I

S i.m.m
R/ Inf. RL
no. I
Cefotaxime inj no. I
S i.m.m
R/ L-Bio

no. VI

S 2dd1
R/ Cefotaxime 10 mg
mf pulv dtd no. X
S 2dd pulv 1

14/12/2012
R/ Inf. RL

no. I

S i.m.m

Cefotaxime 3
x 300 mg
3) Obat oral :
Dialac 2 x 1
Zinc 2 x 1

15/12/2012
R/ Spuit 3cc
Inf. RL

no. VI
no. III

Inj. Cefotaxime no. II


S i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Zincare

no. VI

22.

An.

12

Kristian

bulan

Laki-laki

14/10/2012

19/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.

Dwi

Cefotaxime 3
x 300 mg
3) Obat oral :
Dialac 2 x 1
Zincare 2 x 1

S 2dd1
17/10/2010
R/ Inf. RL

no. II

Spuit 3cc

no. VI

S i.m.m
R/ Zincare

no. III

S 2dd1
R/ L-Bio

Nymico 3 x

no. VI

S 2dd1

ml
18/10/2012
R/ Nymico drop no. I
S 3dd 1 ml
(oral drop)
23.

M.

12

Laki-laki

14/10/2012

15/10/2012

RL

24.

Davin N.
An. Tyas

bulan
48

Perempuan

14/10/2012

Ayu

bulan

18/10/2012 1) Inf. RL
2) Inj.

R/ L-Bio

no. VII

S 2dd1
Cefotaxime
R/ Zinc syr
no. I
3) Obat oral :
L-Bio 2 x 1
S 2dd cth 1
Zincare 2 x 1
R/ Inf. RL
no. II
Inj. Cefotaxime no. II
Inj. Ranitidin no. I
Spuit 3cc

no. VI

S i.m.m
R/ L-Bio

no. VI

S 2dd1
R/ Zinc
25.

An.

12

Aluna

bulan

Eko P.

Perempuan

15/10/2012

19/10/2012

RL

no. X

S 2dd1
16/10/2012
R/ Spuit 3cc

no. VI

Inj. Cefotaxime no. II

Inf. RL

no. III

Inj. Ranitidin no. II


S i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Interzinc syr no. I
S 2dd cth
18/10/2012
R/ Spuit 3cc

no. VI

Inf. RL

no. III

Inj. Cefotaxime no. II


Aquabidest

no. I

S i.m.m
R/ Dialac
26.

An.

24

Estining

bulan

Puspita

Perempuan

15/10/2012

S 2dd1
16/10/2012

20/10/2012 1) Inf. RL
800cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio

no. VI

2x1

Zincare 2 x 1

R/ Spuit 3cc

no. VI

Inf. Asering no. I


Inf. RL

no. III

Inj. Cefotaxime no. I


Inj. Ranitidin

no. I

Inj. Norages

no. I

S i.m.m
R/ Zincare

no. VI

S 2dd1
18/10/2012
R/ Inf. RL

no. II

Inj. Cefotaxime no.I


Inj. Ranitidin no. I

Spuit 3cc

no. VI

S i.m.m
19/10/2012
R/ Inf. RL

no. II

Inj. Cefotaxime no. I


Spuit 3cc

no. VI

S i.m.m
R/ L-Bio

no. VI

S 2dd1
R/ Zincare

no. V

S 2dd
20/10/2012
R/ Zincare

no. VI

S 2dd1
R/ L-Bio
27.

An.

16

Aqila

bulan

Raisya
Difia

Perempuan

16/10/2012

20/10/2012

RL

no. IV

S 2dd1
16/10/2012
R/ Inf. RL

no.III

Inj. Cefotaxime no. II


Inj. Ranitidin

no. I

Spuit 3cc

no. VI

Inj. Norages

no. I

S i.m.m
R/ L-Bio

no. VI

S 2dd1
R/ Interzinc syr no. I
S 3dd cth 1

18/10/2012
R/Cefotaxime inj no. I
Ranitidin inj
Spuit 3cc

no. I
no. VI

S i.m.m
R/ R Lactat
28.

An.

18

Aulia

bulan

Perempuan

16/10/2012

19/10/2012

no. III

S i.m.m
R/ Spuit 3cc no. VI

RL

Hidayatu
l S.

Aquabidest

no. I

Inf. RL

no. II

Inj. Cefotaxime no. II


S i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Zincare
29.

An. Putri

18

Zahira

bulan

Perempuan

16/10/2012

S 2dd1
R/ Spuit 3cc no. VI

20/10/2012 1) Inf. RL
700cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
Dialac 2 x 1
Zinc

30.

Ahmad

12

Zulfigar

bulan

Laki-laki

17/10/2012

19/10/2012

RL

no. VI

2x1

Inf. RL

no. IV

Inj. Cefotaxime no. II


Inj. Ranitidin no. II
Aquabidest

no. I

S i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Zincare

no. VI

S 2dd1
R/ Inf. RL
no. III
Inj. Cefotaxime no. II
Inj. Antrain

no. I

Spuit 3cc

no. VI

S i.m.m

R/ Dialac

no. VI

S 2dd1
R/ Zincare
31.

An.

48

Hafiz

bulan

Laki-laki

19/10/2012

22/10/2012

RL

S 2dd1
20/10/2012
R/ RL inf.

Bagus P.

no. VI

Spuit 3cc

no. III
no. VI

S i.m.m
R/ Dialac

no. VI

S 2dd1
21/10/2012
R/ R Lactat

no. II

Cefotaxime inj no. III


Spuit 3cc
32.

An.

15

Qonita

bulan

Nabila
A.

Perempuan

21/10/2012

25/10/2012

RL

no. VI

S i.m.m
R/ R Lactat
no. III
Cefotaxime inj no. II
S i.m.m
R/ Spuit 3cc

no. III

S i.m.m
22/10/2012
R/ Dialac

no. VI

S 2dd1
R/ Spuit 3cc

no. VI

S i.m.m
R/ R Lactat

no. III

S i.m.m
R/Cefotaxime inj no.II
S i.m.m
R/ Inj. Ranitidin no. II

33.

An.

19

Hanesti

bulan

Perempuan

24/10/2012

27/10/2012

S i.m.m
24/10/2012

RL

R/ Inf. RL

Tian M.

no. VI

Spuit 3cc

no. VI

Cefotaxime inj. no.II


S i.m.m
R/ Trilac
34.

An.

12

Alisita

bulan

Perempuan

25/10/2012

28/10/2012

no. V

S 2dd1
27/10/2012

RL

R/ Inf. RL

Artanti

no. III

S i.m.m
R/Inj. Cefotaxime no.
III
S i.m.m
R/ Interzinc syr

no. I

S 2dd cth1
R/ Dialac
35.

M. Difa

18

Amrulla

bulan

Laki-laki

25/10/2012

27/10/2012

RL

S 2dd1
R/ R Lactat
no. III
Abocath 24

Murfaiz

no. I

S i.m.m
R/ Protexin

36.

no. VI

17
bulan

Laki-laki

25/10/2012

29/10/2012 1) Inf. RL
1000cc/24 jam
2) Inj.
Cefotaxime 3
x 250 mg
3) Obat oral :

no. III

S 1dd1
25/10/2012
R/ R Lactat

no. III

Spuit 3cc

no. VI

Cefotaxime inj. no. II


S i.m.m

Protexin 2 x 1
Zincare 2 x 1

27/10/2012
R/ L-Bio

no. VII

S 2dd1
R/ Zincare

no. V

S 2dd1
R/ Abocath 24

no. I

S i.m.m
29/10/2012
R/ L-Bio

no. V

S 2dd1
R/ Zincare

no. VI

S 2dd1
R/ Curvit cl syr no. I
37.

An.

12

Reihana

bulan

Perempuan

25/10/2012

28/10/2012

S 3dd cth
27/10/2012

RL

R/ L-Bio

Zarohtin

no. VI

S 2dd1
28/10/2012
R/ Inf. RL

38.

An.

36

Anisa

bulan

Dewi K.

Perempuan

26/10/2012

S i.m.m
R/ Elsazym
no. IV

30/10/2012 1) Inf. RL
1000cc/24 jam
2) Inj.
Cefotaxime 3
x 350 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral :
L-Bio

no. III

2x1

S 2dd1
R/ Inf. RL

no. II

Inj. Cefotaxime no. II


Spuit 3cc

no. VI

Inj. Ranitidin no. II


Aquabidest

no. I

S i.m.m

Zincare 2 x 1
R/ L-Bio

no. VI

S 2dd1
R/ Zincare

no. VI

S 2dd1
R/ Elsazym
39.

An.

24

Mirza

bulan

Perempuan

26/10/2012

31/10/2012

RL

S 2dd1
27/10/2012
R/ Inf. RL

Aliana F.

no. VI

no. III

Inj. Cefotaxime no. II


Spuit 3cc

no. VI

Aquabidest no. I
S i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Interzinc syr

no. I

S 3dd cth
31/10/2012
R/ Trilac

no. V

S 2dd1
R/ R Lactat

no. II

Cefotaxime inj. no. I


Abocath 24
40.

An.

12

Rizky

bulan

Arya B.

Laki-laki

26/10/2012

29/10/2012

RL

no. I

S i.m.m
27/10/2012
R/ Inf. RL
Spuit 3cc

no. III
no. VI

Inj. Taxegram no. II


Inj. Acran

no. II

S i.m.m
R/ Dialac

no. VI

S 2dd1
28/10/2012

R/ Dialac
41.

An. Alisa

12

Aulia

bulan

Perempuan

28/10/2012

31/10/2012

RL

no. IV

S 2dd1
R/ Inf. RL
no. III
Abocath 24

no. I

Spuit 3cc

no. VI

S i.m.m
R/ Ricef
42.

Revi

17

Meilano

bulan

Laki-laki

29/10/2012

no. I

S i.m.m
R/ Abocath 24 no. II

30/10/2012

Oralit

no. I

Spuit 3cc

no. VI

S i.m.m
R/ Protexin
43.

An. Amir

17

Mahmud

bulan

Laki-laki

30/10/2012

5/11/12

1) Inf. RL
1000cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin

44.

45.

An. A.

24

Rizan El-

bulan

Harraz
An.

12

Nurfaiz

bulan

Laki-laki

31/10/2012

6/11/2012

Laki-laki

31/10/2012

4/11/2012

no. V

S 2dd1
R/ R Lactat
no. III
Cefotaxime inj. no. II
S i.m.m
R/ Prozine

no. II

S 2dd1

3 x amp
RL

RL

R/ Inf. RL

no. I

Inj. Ranitidin no. I


Inj. Cefotaxime no. I
Spuit 3cc
S i.m.m

no. VI

No.

Nama

Umur

Jenis

MRS

KRS

Terapi

Resep

Kelamin
1.

An.

19

Satria

bulan

Renjiro

Laki-laki

1/11/2012

7/11/2012 1) Inf. RL

2/11/2012

1000cc/24 jam
2) Inj.

R/ RL

Cefotaxime inj no. I

Cefotaxime 3

Spuit 3cc

x 300 mg

R/ L-Bio

2x1

Interzinc syr
2 x cth 1

no. VI

S.i.m.m

3) Obat oral :
L-Bio

no. II

no. V

S 2dd1
R/ Interzinc syr

no. I

S 2dd cth1

3/11/2012
R/ RL

no. IV

Spuit 3cc

no. VI

Cefotaxime inj no. II


S.i.m.m
R/ Dialac

no. VI

S 2dd1

5/11/2012
R/ Inj. Cefotaxime no.
II
Inj. Ranitidin no. I
Spuit 3cc
2.

An.

12

Farida

bulan

Perempuan

2/11/2012

9/11/2012

no. III

S.i.m.m
3/11/2012

RL

R/ R Lactat

no. III

Nurul

Spuit 3cc no. VI

Aisyah

Cefotaxime inj. no. II


S.i.m.m
R/ Dialac

no. VI

S 2dd1

6/11/2012
R/ Dialac
3.

An. Janza

36

Khoirul

bulan

H.

Laki-laki

3/11/2012

S 2dd1
3/11/2012

7/11/2012 1) Inf. RL
1500cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Obat oral :
Protexin 1 x 1

no. VI

R/ RL

no. III

Spuit 3cc

no. VI

Norages inj. no. I


S.i.m.m
R/ Protexin
S 1dd1

no. V

5/11/2012
R/ Inf. RL

no. II

Inj. Norages no. I


Inj. Cefotaxime no. I
Inj. Ranitidin
Spuit 3cc

no. I
no. VI

S.i.m.m

6/11/2012
R/ Inf. RL

no. II

Inj. Cefotaxime no. III


Inj. Acran

no. II

Spuit 3cc

no. VI

S.i.m.m

7/11/2012
R/ Protexin

no. V

S 1dd1
R/ Inf. RL
4.

Amelia

28

Permata

bulan

Perempuan

4/11/2012

6/11/2012 1) Inf. RL
1000cc/24 jam

no. II

S.i.m.m
5/11/2012
R/ Inf. RL

no. II

2) Inj.

Inj. Cefotaxime no. II

Cefotaxime 3
x 350 mg

no. VI

S.i.m.m

3) Obat oral :
L-Bio

Spuit 3cc

2x1

Zincare 2 x 1

R/ L-Bio

no. VI

S 2dd1
R/ Zincare

no. VI

S 2dd1

6/11/2012
R/ Syr. Curvit cl no. I
5.

Azam

24

Maulana

bulan

Laki-laki

5/11/2012

9/11/2012

RL

S 3dd cth
R/ R Lactat
no. I
Spuit 3cc no. VI
Taxegram no. I
S.i.m.m
R/ Interhistin no. VI
S 2dd1

R/ R Lactat

no. II

Taxegram

no. I

Spuit 3cc no. VI


S.i.m.m

R/ Taxegram

no. I

R Lactat

no. I

S.i.m.m
R/ Medicort cr no. I
6.

Dian

24

Puspita

bulan

Sari

Perempuan

5/11/2012

s.u.e
5/11/2012

10/11/2012 1) Inf. RL
700cc/24 jam

R/ Abocath 22 no. I

2) Inj.

Widaset

no. I

Cefotaxime 3

Inf. RL

no. III

x 300 mg

Spuit 3cc

no. VI

3) Obat oral :

Inj. Cefotaxime no. II

Dialac

S.i.m.m

2x1

R/ Dialac

no. VI

S 2dd1

6/11/2012
R/ Cefotaxime inj. no.
II
Abocath 22

no. I

Aqubidest

no. III

S.i.m.m

7/11/2012

R/ Dialac

no. VI

S 2dd1

R/ Zincare

no. V

S 2dd

8/11/2012
R/ Dialac
7.

An.

60

Dicky

bulan

Aprilia

Laki-laki

5/11/2012

S 2dd1
5/11/2012

6/11/2012 1) Inf. RL
1000cc/24 jam
2) Inj.

R/ Inf. RL

no. III

Spuit 3cc

Cefotaxime 3
x 500 mg

2x1

Zincare 2 x 1

no. VI

Inj. Cefotaxime no. II


Aqubidest

3) Obat oral :
Dialac

no. VI

no. I

S.i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Zincare

no. VI

S 2dd1

6/11/2012
R/ Dialac

no. VI

S 2dd1
R/ Zincare
8.

Intan

48

Aulia

bulan

Perempuan

5/11/2012

no. VI

S 2dd1
R/ Cefixime 20 mg

7/11/2012 1) Inf. RL
1000cc/24 jam
2) Inj.

mf. pulv. dtd no. X


S 2dd pulv I

Cefotaxime 3

R/ Inf. RL

x 300 mg

Inj. Cefotaxime no. I

3) Obat oral :
Dialac

2x1

Zincare 2 x 1

no. II

S.i.m.m
R/ Spuit 3cc

no. VI

Inf. RL

no. I

Inj. Cefotaxime no. I


S.i.m.m
R/ Dialac

no. VI

S 2dd1
R/ Zincare
9.

An.

24

Abhayasa

bulan

Billit

Laki-laki

6/11/2012

8/11/2012

RL

no. VI

S 2dd1
R/ Taxegram no. II
Acran inj.

no. II

Spuit 3cc

no. VI

S.i.m.m
R/ L-Bio

no. V

S 2dd1
R/ Elakana syr no. I

10.

An. R.

17

Haikal

bulan

Laki-laki

6/11/2012

8/11/2012 1) Inf. RL
800cc/24 jam

Alim A.

2) Inj.

S 3dd cth
7/11/2012
R/ R Lactat

no. V

S.i.m.m

Cefotaxime 3

R/ Cefotaxime no. I

x 300 mg

S.i.m.m

3) Inj. Acran 3 x

R/ Ranitidin inj. no.IV

amp
4) Obat oral :
Interzinc syr
2 x cth 1

S.i.m.m
R/ Spuit 3cc

no. VI

S.i.m.m
R/ Aquabidest no. III
S.i.m.m
R/ Interzinc syr no. I

11.

Basithu

12

Maulana

bulan

R.

Laki-laki

6/11/2012

8/11/2012

RL

S 2dd cth1
7/11/2012
R/ Spuit 3cc

no. IV

Inf. RL

no. II

Inj. Cefotaxime no. II


Aquabidest

no. I

S.i.m.m
R/Paracetamol 100mg
Dilantin

15mg

mf. pulv. dtd no. X


S 3dd pulv1

R/ L-Bio
12.

Asrul

36

Bima A.

bulan

Laki-laki

8/11/2012

9/11/2012

no. VI

S 2dd1
8/11/2012

RL

R/ Protexin

no. III

S 1dd1
R/ R Lactat

no. III

Spuit 3cc

no. VI

Ranitidin

no. I

Acran inj.

no. I

S.i.m.m

9/11/2012
R/ Protexin

no. III

S 1dd1
R/ Tepaxin
Dialac

75 mg
100 mg

mf. pulv. dtd no. X


S 3dd1
13.

Wafia M.

17

Perempuan

8/11/2012

12/11/2012

RL

R/ Dialac

bulan

no. VI

S 2dd1
R/ Abocath 22 no. I
RL

no. V

Widaset

no. I

S.i.m.m
R/ Widaset

no. I

Abocath 24 no. II
S.i.m.m

R/ Protexin

no. III

S 1dd1
R/ RL

no. IV

Spuit 3cc

no. V

S.i.m.m
R/ Dialac
14.

An. M.

38

Aldo

bulan

Saputra

Laki-laki

9/11/2012

12/11/2012

no. VI

S 2dd1
9/11/2012

RL
R/ RL

no. II

Spuit 3cc

no. VI

Ranitidin

no. V

S.i.m.m

10/11/2012
R/ Inf. RL

no. II

Inj. Dexamethasone
no. II
Spuit 3cc
S.i.m.m

no. III

R/ Protexin
15.

An.

48

Moch

bulan

Laki-laki

10/11/2012

12/11/2012

no. V

S 1dd1
11/11/2012

RL

R/ L- Bio

Arya

no. V

S 2dd1

Putra
12/11/2012
R/ Ranitidin inj no. V
RL
16.

An. Ibra

24

Ilham

bulan

Laki-laki

11/11/2012

14/11/2012

RL

no. V
S.i.m.m
12/11/2012

R/ Abocath 24

no. I

S.i.m.m
R/ Spuit 3cc

no. V

Infuset

no. I

S.i.m.m
R/ RL

no. V

Cefotaxime inj. no. V


S.i.m.m
17.

An.

48

Lutfiatul

bulan

Perempuan

12/11/2012

14/11/2012

RL

R/ RL
Spuit 3cc

no. III
no. V

Cefotaxime no. I
18.

An.

24

Jasmita

bulan

Perempuan

13/11/2012

17/11/2012

RL

S.i.m.m
14/11/2012
R/ Interlac

no. V

Bintang

S 2dd1

S.

R/ RL

no. II

Spuit 3cc

no. VI

Cefotaxime no. I
19.

An. Zaky

12

Eka M.

bulan

Laki-laki

13/11/2012

17/11/2012

RL

S.i.m.m
14/11/2012
R/ RL

no. II

Spuit 3cc

no. VI

Cefotaxime no. II
S.i.m.m
R/ Dialac

no. V

S 2dd1

17/11/2012
R/ Dialac

no. VI

S 2dd1
R/ Abocath 22

no. I

S.i.m.m
R/ RL
20.

An.

12

Nabila

bulan

Perempuan

16/11/2012

19/11/2012

RL

no. V

S.i.m.m
R/ R Lactat
no. II
Texagram

no. III

Spuit 3cc
21.

An.

36

Mahmud

bulan

Laki-laki

19/11/2012

21/11/2012

S.i.m.m
20/11/2012

RL

R/ RL

Ahmad

no. II

Cefotaxime inj no. II


Spuit 3cc

22.

Davin

no. VI

48

Laki-laki

19/11/2012

21/11/2012

RL

bulan

no. VI

S.i.m.m
R/ Cefotaxime 1 gr
no. V
Ranitidin amp no. IV
RL

no. II
S.i.m.m

R/ Spuit 3cc

no. VI

S.i.m.m
R/ Abocath 22

no. I

Infus set

no. II

S.i.m.m

R/ RL

no. V

Ranitidin

no. V

S.i.m.m
R/ Cefotaxime no. III
23.

An. M.

12

Fatkul

bulan

Laki-laki

21/11/2012

24/11/2012 1) Inf. RL
700cc/24 jam

S.i.m.m
21/11/2012
R/ RL

no. III

Hidayat

2) Inj.

Spuit 3cc

Cefotaxime 3

no. VI

Cefotaxime inj no. II

x 200 mg

S.i.m.m

3) Obat oral :
L-Bio

2x1

Zincare 2 x

22/11/2012
R/ L- Bio

no. VIII

S 2dd1
R/ Zincare

no. V

S 2dd

23/11/2012
R/ L- Bio

no. V

S 2dd1
R/ Spuit 3cc
RL

no. V
no. III

Cefotaxime inj no. II


Abocath 24
24.

Naima

36

Mutia

bulan

Perempuan

22/11/2012

24/11/2012 1) Inf. Kaen 3b


2) Inj.
Ceftriaxone 2
x 400 mg

no. II

S.i.m.m
R/ Venflon 24 no. II
Spuit 3cc

no. II

Infus set

no. I

S.i.m.m

R/ Kaen 3b

no. VI

Ceftriaxone inj. no. VI


Aquabidest no. IV
25.

An.

17

Kurnia

bulan

Perempuan

25/11/2012

27/11/2012

RL

S.i.m.m
26/11/2012
R/ Interlac

Ayu Putri

no. V

S 2dd1
R/ RL

no. III

Spuit 3cc

no. VI

Cefotaxime inj no. I


26.

Isma

48

Putri

bulan

Lestari

Perempuan

26/11/2012

30/11/2012 1) Inf. RL
1000cc/24 jam
2) Inj.
Cefotaxime 3

S.i.m.m
26/11/2012
R/ Ranitidin inj no. III
Spuit 3cc

no. VI

Cefotaxime inj no. I

x 300 mg

S.i.m.m

3) Inj. Ranitidin
3 x amp

27/11/2012
R/ RL

no. III

Ranitidin inj no. III


Cefotaxime inj no. III
S.i.m.m
R/ Curvit cl
S 2dd1

no. I

30/11/2012
R/ Cefotaxime

no. II

Ranitidin

no. I

RL

no. I
S.i.m.m

No.

Nama

Umur

Jenis

MRS

KRS

Terapi

1.

An. Candar

60

Kelamin
Perempuan

03/12/2012

06/12/2012

RL

Rochmadun

bulan

Resep
R/ Spuit 3cc

no. VI

R Lactat

no. III

S.i.m.m
R/ Protexin
2.

An. Khafid

17

Solaqul

bulan

Laki-laki

03/12/2012

07/12/2012

RL

no. V

S 1dd1
R/ Abocath 24 no. II
RL

no. II

Cefotaxime no. II
Norages inj no. II
Spuit 3cc no. VI
S.i.m.m
R/ L-Bio
S 2dd1

no. VI

R/ Zincare

no. VI

S 2dd1
R/ RL

no. V

Spuit 3cc no. VI


Cefotaxime no. II
S.i.m.m

R/ L-Bio
3.

An. M.

24

Dhilal

bulan

Laki-laki

03/12/2012

05/12/2012

RL

no. V

S 1-0-0
04/12/2012
R/ RL

Aufaq A.

no. V

Cefotaxime no. II
S.i.m.m
R/ Spuit 3cc

no. V

S.i.m.m
R/ Protexin

no. V

S 2dd1
4.

An. Nanda

12
bulan

Laki-laki

03/12/2012

06/12/2012 1) Inf. RL
1000cc/24
jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Obat oral

R/ RL

no. V
S.i.m.m

R/ Cefotaxime no.III
S.i.m.m
R/ Abocath 24 no. V
Widaset
S.i.m.m

no. I

Zincare 2 x 1
5.

An. Elfaro

12

Fafieza

bulan

Laki-laki

04/12/2012

07/12/2012

RL

R/ Zincare

no. V

S 2dd1
05/12/2012
R/ RL

no. III

Ricef

no. I

Acran inj.

no. I

Spuit 3cc no. VI


S.i.m.m
R/ L-Bio

no. VI

S 2dd1
R/ Zincare

no. VI

S 2dd

06/12/2012
R/ RL

no. II

Lapexin

no. II

Spuit 3cc no. VI


6.

An. Marsa

24

Mirasda

bulan

Perempuan

04/12/2012

06/12/2012

RL

S.i.m.m
05/12/2012
R/ RL

no. III

Taxegram inj. no. I


Acran inj.

no. I

Spuit 3cc no. VI


S.i.m.m

06/12/2012
R/ RL

no. I
S.i.m.m

R/ Protexin
7.

An. Kaka

24

Fardierza

bulan

Laki-laki

05/12/2012

07/12/2012

RL

no. V

S 1dd1
06/12/2012
R/ RL

no. II

Spuit 3cc no. VI


Cefotaxime no. II
S.i.m.m

07/12/2012
R/ Dialac
8.

An. M. Afif

12

Al Hafiz

bulan

Laki-laki

06/12/2012

10/12/2012

RL

no. V

S 2dd1
06/12/2012
R/ RL

no. V

Spuit 3cc no. VI


Cefotaxime no. II
S.i.m.m
R/ Dialac
S 2dd1

no. V

06/12/2012
R/ Cefotaxime no. II
Spuit 3cc no. VI
Aquabidest no. III
Abocath 24 no. V
S.i.m.m
R/ L-Bio

no. VI

S 2dd1

10/12/2012
R/ L-Bio
9.

An.

12

Mahendra

bulan

Laki-laki

06/12/2012

12/12/2012

RL

no. VI

S 2dd1
06/12/2012
R/ RL

no. III

Agung

Spuit 3cc no. VI

Sadewa

Clafexime

no. II

S.i.m.m

R/ Piroxen

no. V

S 1dd1

08/12/2012
R/ Ricef

no. I

RL

no. I

Spuit 3cc no. VI


S.i.m.m

R/ Interzinc syr no. I


S 2dd cth

10/12/2012
R/ RL

no. II

Spuit 3cc no. VI


S.i.m.m
R/ Piroxen
10

Aldiano

12

Wahyu

bulan

Laki-laki

08/12/2012

no. IV

S 2dd1
9/11/2012

13/12/2012 1) Inf. RL

700cc/24 jam R/ RL
2) Inj.

Spuit 3cc no. VI

cefotaxime 3

Abocath 24 no. V

x 250 mg
3) Obat oral
Protexin

no. II

S.i.m.m
R/ Protexin

1x1

no. III

S 2dd1

11/12/2012
R/ RL

no. II
S.i.m.m

R/ Protexin

no. II

S 2dd1

12/12/2012
R/ Interzinc syr no. I
S 2dd cth
R/ RL

no. II

Abocath 24 no. I
S.i.m.m
R/ Elkana cl syr no. I
11.

An. M. Abi

53

Kuntoro

bulan

Laki-laki

08/12/2012

S 2dd cth
10/12/2012

13/12/2012

R/ R Lactat

no. III

Spuit 3cc no. VI


Tranec inj. no. II
S.i.m.m
R/ Paracetamol no.
III
S 1dd1

11/12/2012
R/ R Lactat

no. III

Lapistan inj no. II


Spuit 3cc no. VI
S.i.m.m

13/12/2012
R/ Paracetamol no.V
12.

An. Mirza

24

Nur Asyifa

bulan

Perempuan

08/12/2012

11/12/2012

S 1dd1
09/12/2012

RL

R/ R Lactat

no. VI

Spuit 3cc no. VI


Cefotaxime no. II
S.i.m.m
R/ Dialac

no. V

S 2dd1

11/12/2012
R/ Dialac
13.

An. Rita

18

Cahyani

bulan

Putri

Perempuan

09/12/2012

no. V

S 2dd1
11/12/2012

13/12/2012 1) Inf. RL

700cc/24 jam R/ R Lactat


2) Inj.

no. III

Spuit 3cc no. VI

cefotaxime 3
x 250 mg

Cefotaxime no. II
S.i.m.m

3) Obat oral
L-Bio

2x1

Zincare 2 x 1

13/12/2012
R/ L-Bio
S 2dd1

no. VI

R/ Zincare
14.

Elqi Putra

Laki-laki

10/12/2012

11/12/2012

RL

bulan

no. X

S 2dd1
10/12/2012
R/ RL

no. III

Cefotaxime no. II
Spuit 3cc

no. III

Abocath 21 no. I
Widaset

no. I

S.i.m.m
.15.

An. Dina

17

Putri

bulan

Perempuan

10/12/2012

12/12/2012 1) Inf. RL 800


cc/24 jam
2) Inj.
Cefotaxime 3
x 300 mg
3) Inj. Ranitidin

16.

An. Irfan

12

Eka S.

bulan

Laki-laki

10/12/2012

3 x amp
13/12/2012 1) Inf. RL

R/ RL

no. III

Cefotaxime no. II
Ranitidin

no. II

Spuit 3cc

no. III

S.i.m.m
R/ Protexin

S 2dd1
11/12/2012

700cc/24 jam R/ R Lactat


2) Inj.
cefotaxime 3
x 250 mg
3) Obat oral

no. III

no. III

Spuit 3cc no. VI


Cefotaxime no. II
S.i.m.m
R/Paracetamol no. V

Dialac 2 x 1

S 3dd1

Orazinc 1 x 1

13/12/2012
R/ L-Bio

no. VI

S 2dd1
R/ Orezinc

no. V

S 1dd1
R/ Elkana cl syr no. I
17.

Dinda

36

Amelia S.

bulan

Perempuan

12/12/2012

15/12/2012

RL

S 2dd cth1
12/12/2012
R/ RL

no. V

Cefotaxime no. II
Ranitidin

no. II

Norages inj no. II


Spuit 3cc no. VI
Aquabidest no. V
S.i.m.m
R/ L-Bio

no. VI

S 2dd1

13/12/2012
R/ L-Bio

no. IV

S 2dd1

15/12/2012
R/ L-Bio
S 2dd1

no. VI

18.

Fajar

60

Rohmad

bulan

Laki-laki

12/12/2012

15/12/2012

RL

R/ RL

no. V

Cefotaxime no. III


Norages inj no. II
Spuit 3cc no. VI
S.i.m.m
R/ L-Bio

19.

Alfian

12

Kevin

bulan

Laki-laki

13/12/2012

17/12/2012

RL

no. VII

S 2dd1
R/ Abocath 24 no. II
Widaset

no. I

S.i.m.m
R/ Spirolacton 25 no.
X
S 2dd1

R/ RL

no. VI

Cefotaxime no. V
Spuit 3cc no. VI
S.i.m.m

20.

An. Lila

24

Aulia Putri

bulan

Perempuan

13/12/2012

15/12/2012

RL

13/12/2012
R/ R Lactat

no. III

S.i.m.m
R/ L-Bio

no. VIII

S 2dd1

14/12/2012
R/ Orezinc
21.

Enggar

24

Aditya K.

bulan

Laki-laki

14/12/2012

17/12/2012

RL

no. VI

S 2dd1
15/12/2012
R/ R Lactat

no. III

S.i.m.m

R/ Lacto B

no. VI

S 2dd1

17/12/2012
R/ Piroxen

no. V

S 2dd1
R/ Elkana cl syr no. I
S 2dd cth1

22.

An.

30

Ramdan

bulan

Putra

Laki-laki

14/12/2012

17/12/2012

RL

15/12/2012
R/ R Lactat

no. III

Ranitidin

no. I

Spuit 3cc no. VI


S.i.m.m

R/ Norages inj no. II


S.i.m.m
R/ Taxegram no. II
S.i.m.m

17/12/2012
R/ Interlac

no. V

S 2dd1
R/ Elkana cl syr no. I
23.

Aldanco

12

Wahyu

bulan

Laki-laki

15/12/2012

17/12/2012

RL

S 2dd cth1
R/ RL
no. I
S.i.m.m
R/ Interlac

no. V

S 2dd1
R/ Orezinc

no. V

S 1dd1

24.

An. Rafif

12

Afham

bulan

Laki-laki

15/12/2012

19/12/2012

RL

17/12/2012
R/ RL

no. V

Cefotaxime no. III


Spuit 3cc no. VI
25.

Mei Andini

12

Z.

bulan

Perempuan

16/12/2012

19/12/2012

RL

S.i.m.m
17/12/2012
R/ RL

no. III

Cefotaxime no. II
Spuit 3cc no. VI
S.i.m.m
R/ Lacto B

no. V

S2dd1

18/12/2012
R/ RL

no. II
S.i.m.m

19/12/2012
R/ Orezinc

no. V

S 2dd1
R/ Elkana cl syr no. I
S 2dd cth1
26.

An. Ahmad

12

Wardan

bulan

Laki-laki

18/12/2012

23/12/2012 1) Inf. RL

R/ RL

700cc/24 jam
2) Inj.

no. IV

Cefotaxime no. III


Spuit 3cc no. VI

cefotaxime 3

S.i.m.m

x 250 mg
3) Obat oral
L-Bio

2x1

R/ L-Bio

no. VIII

S 2dd1

Orezinc syr 2x R/ Orezinc syr no. I

27.

An. M.

53

Sadid

bulan

Laki-laki

19/12/2012

21/12/2012

RL

S 2dd cth
R/ RL
no. III
Cefotaxime no. II

Musafak

Spuit 3cc no. VI


S.i.m.m
R/ Dexanta syr fl I
S 3dd cth1

R/ Spuit 3cc no. VI


Ranitidin

no. I

Ceftriaxon

no. II

S.i.m.m

R/ Spuit 3cc no. VI


Cefotaxime no. II
28.

An. M.

12

Reihan Ali

bulan

Laki-laki

22/12/2012

29/12/2012 1) Inf. RL

S.i.m.m
22/12/2012

700cc/24 jam R/ RL
2) Inj.

no. III

Spuit 3cc no. VI

cefotaxime 3

Cefotaxime no. II

x 150 mg

Aquabidest no. III

3) Inj. Glubatic

S.i.m.m

2 x 300 mg
4) Obat oral

28/12/2012

L-Bio

1 x 1 R/ RL

Orezinc syr 2x

no. III

Cefotaxime no. I
Glybotic inj no. I
Spuit 3cc no. VI
Aquabidest no. II
S.i.m.m
R/ L-Bio

no. III

S 1dd1

29/12/2012
R/ L-Bio
29.

An. M.

24

Sahal Al

bulan

Laki-laki

22/12/2012

26/12/2012

RL

no. V

S 2dd1
26/12/2012
R/ RL

Rufi

no. II

Cefotaxime no. I
S.i.m.m
R/ L-Bio

no. V

S 1dd1
30.

Vina

24

Nadirotul

bulan

Perempuan

22/12/2012

26/12/2012

RL

R/ RL
Widaset

no. II
no. I

Abocath 24 no. II
Cefotaxime no. I
Acran

no. I

Spuit 3cc no. VI


S.i.m.m
R/ L-Bio
31.

An. Alif

12

Nur Bayu

bulan

Laki-laki

24/12/2012

26/12/2012

RL

no. VII

S 2dd1
26/12/2012
R/Paracetamol no. V
S 2dd1
R/ RL

no. II

Cefotaxime no. I
Spuit 3cc no. II
S.i.m.m
32.

33.

An. Arif

12

Dwi

bulan

Prasetyo
An. Balqis

12

Ahmad

bulan

Laki-laki

24/12/2012

28/12/2012

RL

Laki-laki

24/12/2012

27/12/2012 1) Inf. RL

26/12/2012

700cc/24 jam R/ R Lactat


2) Inj.
cefotaxime 3
x 250 mg
3) Obat oral
Curcuma syr

no. II

Spuit 3cc no. VIII


Cefotaxime no. II
S.i.m.m
R/ Ziprolac

no. V

S 2dd1

1x1
27/12/2012
Orezinc syr 2
x

R/ L-Bio

no. VII

S 2dd1

R/ Curcuma syr
34.

An. M.

19

Marvel

bulan

Laki-laki

24/12/2012

S 3dd cth1
26/12/2012

28/12/2012 1) Inf. RL
1000cc/24

Subekti

jam

R/ R Lactat

no. V

Spuit 3cc no. VI

2) Inj.

Ranitidin

cefotaxime 3

no. II

S.i.m.m

x 300 mg

R/ Cefotaxime no. II

3) Inj. Ranitidin

S.i.m.m

3 x amp

R/ L-Bio

no. VI

4) Obat oral

S 2dd1

L-Bio

27/12/2012

2x1

Zincare 2 x 1

R/ Zincare

no. VI

S 2dd1

28/12/2012
R/ L-Bio

no. VIII

S 2dd1
R/ Zincare

no. X

S 2dd1
35.

An. A. Bisri

17

Mustofa

bulan

Laki-laki

26/12/2012

28/12/2012 1) Inf. RL

R/ RL

no. II

1000cc/24

Spuit 3cc no. VI

jam

Cefotaxime no. II

2) Inj.

Aquabidest no. II

cefotaxime 3
x 300 mg
3) Inj. Ranitidin
3 x amp
4) Obat oral
L-Bio
36.

An. Adiesta

48

S.

bulan

Perempuan

26/12/2012

S.i.m.m
R/ L-Bio

S 2dd1
R/ Zincare

1500cc/24
jam
2) Inj.

no. X

S 2dd1

2 x 1 R/ L-Bio

Zincare 2 x 1
31/12/2012 1) Inf. RL

no. VII

no. VII

S 2dd1
26/12/2012
R/ R Lactat

no. V

Ranitidin

no. V

Cefotaxime no. II

cefotaxime 3

Spuit 3cc no. VI

x 300 mg

Abocath 24 no. II

3) Inj. Ranitidin
3 x amp

Widaset

no. I

S.i.m.m

4) Obat oral
L-Bio

2x1

28/12/2012
R/ Aquabidest no.VI
Cefotaxime no. III
Ranitidin

no. III

S.i.m.m
R/ Spuit 3cc

no. VI

Abocath 24 no. II
S.i.m.m

29/12/2012
R/ RL

no. III
S.i.m.m

R/ Spuit 3cc

no. VI

S.i.m.m
R/ L-Bio

no. VIII

S 2dd1

R/ Zincare
37.

An. Erlan

21

Yana P.

bulan

Laki-laki

26/12/2012

31/12/2012 1) Inf. RL

no. X

S 2dd1
27/12/2012

700cc/24 jam R/ R Lactat


2) Inj.
cefotaxime 3

no. II

Spuit 3cc no. VI


S.i.m.m

x 250 mg

R/Paracetamol no. V

3) Inj. Ranitidin

S 2dd1

3 x amp
4) Obat oral
Zincare 2 x 1

28/12/2012
R/ R Lactat

no. III

S.i.m.m
R/ Cefotaxime no. I
S.i.m.m

29/12/2012
R/ R Lactat

no. V

S.i.m.m
R/ Cefotaxime no.III
S.i.m.m
R/ Ranitidin

no. VI

S.i.m.m

R/ Aquabidest no. II
S.i.m.m
R/ Spuit 3cc

no. V

Spuit 5cc no. V


S.i.m.m

R/ Zincare

no. X

S 2dd1
38.

An. Faris

24

Wahyu

bulan

Laki-laki

26/12/2012

26/12/2012 1) Inf. RL

R/ RL

no. V

1000cc/24

Spuit 3cc

jam

Cefotaxime no. V

2) Inj.

Ranitidin

cefotaxime 3
x 300 mg
3) Obat oral
L-Bio

no. V

no. III

S.i.m.m
R/ Aquabidest no.VI
S.i.m.m

2 x 1 R/ L-Bio

no. VII

Zincare 2 x 1

S 2dd1
R/ Zincare

39.

An.

12

Kharisna

bulan

Laki-laki

26/12/2012

27/12/2012

no. X

S 2dd1
26/12/2012

RL

R/ L-Bio

no. VI

S 2dd1
R/ RL

no. V

Spuit 3cc

no.VI

Cefotaxime no. II
S.i.m.m
40.

M. Hafif

21

Habibi

bulan

Laki-laki

28/12/2012

01/01/2013 1) Inf. RL

R/ RL

1000cc/24

Cefotaxime no. II

jam

Ranitidin

2) Inj.

x 300 mg

S.i.m.m
R/ L-Bio

3) Inj. Ranitidin
3 x amp

Aira Putri

12

A.

bulan

Perempuan

30/12/2012

02/01/2013

no. VII

S 2dd1
R/ Zincare

4) Obat oral
L-Bio

no. III

Aquabidest no. II

cefotaxime 3

41.

no. VI

no. X

S 2dd1

2x1

Zincare 2 x 1
RL

02/01/2013
R/ Cefotaxime no. II
RL

no. II

Abocath 24 no. I

Spuit 3cc

no.VI

S.i.m.m
42.

43.

An. Jeriko

17

Prengki P.

bulan

An. M.

12

Abdul

bulan

Chalim

Laki-laki

31/12/2012

02/01/2013

RL

Laki-laki

31/12/2012

04/01/2013 1) Inf. RL

R/ RL

700cc/24 jam
2) Inj.

x 250 mg
3) Obat oral
2x1

Zincare 2 x

Spuit 3cc

no. V

Cefotaxime no. IV

cefotaxime 3

L-Bio

no. V

S.i.m.m
R/ L-Bio
S 2dd1

no. V

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