[3/9, 06:05] Ririn A.

Ibrahim: IGD

1. Yohanis Fredli Pallo/laki2/451793/BPJS/MRS 8-3-2019/Dx SDH kronik Regio frontotemporoparietal

sinistra/rencana pro Burr hole drainase/hasil lab Hb 13,5; hct 42,8; leukosit 8,39; trombosit 321; eritrosit
6,11; basofil 0,7; eosinofil 9,1; neutrofil 51; limfosit 32,3; monosit 6,9; DDR negatif; PT 10,5; APTT 25,9;
GDS 116; SGOT 55,1; SGPT 124,2; BUN 9,7; Cr 0,44; Kalium 4,79; natrium 139,10; cl 105,3; calcium 0,98;
hbs non reaktif /

Tindakan/terapi

Ivfd RL 20 tpm, inj ranitidin 2x1 amp, inj ondan 3x1 amp, manitol 4x125 cc; inj tramadol 3x1; inj
ketorolac 3x1 amp; drop ketorolac 1amp/24 jam

[3/9, 06:05] Ririn A. Ibrahim: IGD

2. Tn La Ute/laki2/29 thn/035718/jaminan blm pasti kt.a swasta/IGD/MRS 08-03-2019/dx vulnus ictum r.

Colli sinistra, susp open for. Corpus vet cer VII dgn LCS (+)/ pengobatan ivfd NaCL 0,9% 1500cc/24jam

Inj ranitidin 1 amp/12 jam

Inj antrain 1 amp/8jam

Inj ceftriaxon 2gr/24 jam

Ro cervical ap Lat thorax

Lab blm ada

Rencana ok Cito bsk

[3/9, 06:05] Ririn A. Ibrahim: IGD

3. Ny. Manggi/perempuan/54 thn/340251/BPJS/IGD/MRS 9-3-2019/Dx Hemiparesis dextra ec susp

stroke perdarahan dd sol/ pengobatan ivfd NaCL 0,9%, antrain 1 amp , ranitidin 1 amp, citicolon 1amp,
drop phenytoin 4amp dlm NaCL, 02 nasal 2-4 lpm