RUMAH SAKIT

HARAPAN BUNDA
J l n . T . U m a r N o . 1 8 1 – 2 1 1 Te l p. ( 0 6 5 1 ) 4 8 1 1 4 – 4 1 2 7 8 – 4 1 8 91
F a x . ( 0 6 5 1 ) 4 0 8 5 6 E -m a il : r s_ h a r a pa n bu n da @ y a h o o .c o .i d
B A N D A A C E H

KEP UT US AN DI RE KT UR RUM AH S AK IT H AR AP AN B UN D A
NOM O R : 0 1 0 / SK / R SH B /I I I/2 0 1 7

T ENT AN G

H ASI L K RI T I S D AN NI LAI AMB ANG K RIT IS P EME RIK S AAN LAB O R AT O RI UM

P AD A R UM AH S AKIT H AR AP AN B UN D A

DI REKT U R R UM AH S AKIT H AR AP AN B UN D A

MENI MB ANG : a. b a h wa d al a m u p a ya me n i n g ka t ka n mu t u p e la ya n a n R u ma h Sa k it H arap a n

B u nd a, ma ka d ip erl u k an d a ft ar ha s il k ri ti s d a n ni la i a mb a n g kr iti s
p e mer i k sa a n l ab o ra to ri u m ;
b . b ah wa u nt u k ma k s ud ter seb u t p ad a h ur u f a p er l u me ne tap ka n d a la m s u at u
kep u t u sa n.
MEN GIN G AT : 1 . U nd a n g - u nd a n g No mo r 4 4 T ah u n 2 0 0 9 T e nta n g R u ma h S a ki t ;
2 . U nd a n g - u nd a n g No mo r 2 9 T ah u n 2 0 0 4 T e nta n g P rak ti k Ked o k tera n ;
3 . Kep ut u sa n Me n ter i Ke se ha ta n RI No 4 4 5 .1 / B P 2 T /3 2 1 7 /2 0 1 1 T enta n g
P e mb e r ia n I zi n Op e ra sio na l R u ma h S a ki t K ep ad a Ya ya sa n Ha rap a n B u nd a
Uta ma U nt u k Me n ye le n g gar a ka n R u ma h Sa ki t H a rap a n B u nd a ;
4 . Kep u t us a n K et u a Y a y asa n Ha rap a n B u nd a U ta ma No mo r
0 0 2 /Y HB U/ I /2 0 1 5 T e nt a n g Str u k t ur Or ga n is as i Da n T ata Kerj a R u ma h
Sa k it Har ap a n B u nd a ;
5 . Kep u t us a n K et u a Y a y asa n Ha rap a n B u nd a No mo r 0 0 1 /Y HB U /II /2 0 1 6
T enta n g P e n ga n g ka ta n Dire k t ur R u ma h S a ki t H arap a n B u nd a ;

MEM UT US K AN

MENET AP K AN :

KES AT U : Da f tar h a si l k r i ti s d an n il ai a mb a n g kri ti s P e me ri k saa n Lab o ra to r i u m p ad a

R u ma h S a ki t H ar ap a n B u nd a
KED U A : Da ft ar h a si l kr it is d a n ni lai a mb a n g kri ti s P e mer i ks aa n Lab o r at o ri u m
seb a g ai ma n a d i ma k s ud d ala m D i kt u m Ke sat u te rca nt u m d a la m La mp ira n S ur at
Kep ut u sa n i n i.
KET IG A : Kep ut u s a n i ni mu l a i b erla k u p ad a ta n g g al d i te tap ka n d e n g a n k et e nt ua n b a h wa
ap ab i la d i ke mu d ia n har i t er n ya ta terd ap at ke k elir u a n d a la m p e n etap a n i ni
ak a n d ip er b a i ki k e mb a li seb a gai ma na me st i n ya

DIT ET AP K AN : B a nd a Ac e h
P AD A T ANG G AL : 0 6 M aret 2 0 1 7

DI REKT U R R S H AR AP AN B UN D A

Dr. O r ma ia Nj a’ Oe mar M.K es

 RUMAH SAKIT
HARAPAN BUNDA
J l n . T . U m a r N o . 1 8 1 – 2 1 1 Te l p. ( 0 6 5 1 ) 4 8 1 1 4 – 4 1 2 7 8 – 4 1 8 91
F a x . ( 0 6 5 1 ) 4 0 8 5 6 E -m a il : r s_ h a r a pa n bu n da @ y a h o o .c o .i d
B A N D A A C E H

La mp ir a n : Kep u t u sa n Dire k t ur R S
Harap a n B u nd a
No mo r : 0 1 0 / S K/ R SHB /I I I/2 0 1 7
T an g gal : 0 6 Mar et 2 0 1 7

D AFT AR H ASI L K RIT I S D AN NI LAI AMB AN G K RIT IS

P EME RIK S AAN LAB O R AT O RI UM
P AD A R UM AH S AKIT H AR AP AN B UN D A

a. N ila i no r ma l
No Tes Nilai Normal Nilai Normal Satuan
Pria Wanita
1. Haemoglobin 13,2 – 17,3 11,7 - g/dl
2. Hematokrit 40 - 52 35 – 47 %
3. MCV 80 -100 80 -100 fl
4. MCH 26 - 34 26 – 34 pg
5. MCHC 32 - 36 32 – 36 g/dl
6. RBC 4,4 – 5,9 3,8 – 5,2 10^6/ul
7. RDW 11,5 – 14,5 11,5 – 14,5 %
8. Jumlah lekosit 3,8 – 10,6 3,6 – 11 10^3/ul
9. Hitung jenis 5 diff
- Limfosit 25 - 40 25 – 40 %
- Monosit 2-8 2–8 %
- Granulosit 50 - 70 50 – 70 %
- Eosinofil 2–4 2–4 %
- Basofil 0–1 0–1 %
10. Trombosit 150 – 440 150 – 440 10^3/ul
11. MPV 6,8 – 10 6,8 – 10 fl
12. LED 0 – 10 0 – 20 mm/jam
13. PPT 12,3 12,3 detik
14. APTT 24,4 24,4 detik
15. Waktu perdarahan 1–8 1–8 menit
16. Waktu pembekuan 8 – 18 8 – 18 menit
17. Retikulosit
18. Cooms test Negative Negative
19. Malaria Negative Negative
20. Retraksi bekuan − −
21. Gula darah puasa 74 – 106 74 – 106 mg/dl
22. Gula darh 2 j PP < 120 < 120 mg/dl
23. Gula darah sesaat < 200 < 200 mg/dl
24. HbAiC <= 6,5 <= 6,5 %
25. Kolesterol Total 100 – 200 100 – 200 mg/dl
26. HDL kolesterol >45 >45 mg/dl
27. LDL kolesterol <100 <100 mg/dl
28. Trigliserid <150 <150 mg/dl
29. SGOT 8 – 33 8 – 33 U/L
30 SGPT 4 – 36 4 – 36 U/L
31. Gamma GT 0 – 30 0 – 30 U/L
 RUMAH SAKIT
HARAPAN BUNDA
J l n . T . U m a r N o . 1 8 1 – 2 1 1 Te l p. ( 0 6 5 1 ) 4 8 1 1 4 – 4 1 2 7 8 – 4 1 8 91
F a x . ( 0 6 5 1 ) 4 0 8 5 6 E -m a il : r s_ h a r a pa n bu n da @ y a h o o .c o .i d
B A N D A A C E H

32. Alkaline phosphatase 30 – 120 30 – 120 U/L

33. Bilirubin Total 0,1 – 1,0 0,1 – 1,0 mg/dl
34. Bilirubin direct 0 – 0,2 0 – 0,2 mg/dl
35. Bilirubin indirect
36. Total protein 6–8 6–8 g/dl
37. Albumin 3,4 – 4,8 3,4 – 4,8 g/dl
38. Globulin g/dl
39. Ureum 24 – 50 24 – 50 mg/dl
40. BUN
41. Kreatinin 0,8 – 1,3 0,6 – 1,0 mg/dl
42. Asam Urat 4,3 – 7,6 2,9 – 6,5 mg/dl
43. CKMB Mass <4 <4 ng/ml
44. Kreatinin klearens
45. Natrium 135 - 147 135 - 147 mmol/L
46. Kalium 3,5 – 5 3,5 – 5 mmol/L
47. Chlorida 95 – 105 95 – 105 mmol/L
48. Calsium ion 1,16 – 1,32 1,16 – 1,32 mmol/L
49. Calsium total 8,8 – 10,0 8,8 – 10,0 mg/dl
50. Fosfor
51. Pemeriksaan BGA:
- PH 7,350- 7,450 7,350- 7,450 −
- PO2 83,0 – 108,0 83,0 – 108,0 mmHg
- PCO2 35,0 – 48,0 35,0 – 48,0 mmHg
- O2 saturasi 94 - 98 94 - 98 %
- BE (-)2 – (+)3 (-)2 – (+)3 mmol
- HCO3 23 – 27 23 – 27 mmol/L
52. Widal :
- Typhi O Negative Negative -
- Typhi H Negative Negative -
- Paratyphi A Negative Negative -
- Paratyphi B Negative Negative -
53. IgM Salmonella Negative Negative -
54. Anti dengue IgG IgM Negative Negative -
55. HbsAg Negative Negative -
56. Anti Hbs Negative Negative mlU/ml
(<10,0) (<10,0)
57. Troponin T <50 <50 ng/L
58. TB/ICT Negative Negative −
59. Dengue NS1 Negative Negative −
60. Urine lengkap :
- Warna − − −
- Kekeruhan − − −
- PH − − −
- Berat jenis − − −
- Protein Negative Negative mg/dl
- Glukosa Negative Negative mg/dl
 RUMAH SAKIT
HARAPAN BUNDA
J l n . T . U m a r N o . 1 8 1 – 2 1 1 Te l p. ( 0 6 5 1 ) 4 8 1 1 4 – 4 1 2 7 8 – 4 1 8 91
F a x . ( 0 6 5 1 ) 4 0 8 5 6 E -m a il : r s_ h a r a pa n bu n da @ y a h o o .c o .i d
B A N D A A C E H

- Keton Negative Negative mg/dl

- Bilirubin Negative Negative -
- Urobilinogen <=0,2 <=0,2 E.U/dl
- Eritrosit Negative Negative −
- Lekosit Negative Negative −
- Nitrit Negative Negative −
Sedimen urine :
- WBC 0–5 0–5 /lpb
- RBC 0–1 0–1 /lpb
- Silinder Negative Negative −
- Epitel − − −
- Kristal Negative Negative −
- Bakteri Negative Negative −
61. Esbach
62. Pemeriksaan Feses :
- Warna − − −
- Konsistensi − − −
- Bau − − −
- Lender Negative Negative
- Darah Negative Negative
- Parasit Negative Negative
- Sel Epitel Negative Negative
- WBC feses 0–1 0-1 /lpb
- RBC feses 0–1 0–1 /lpb
- Telur Negative Negative
- Kista Negative Negative
- Benzidine Negative Negative
- Karbohidrat Negative Negative
- Lemak Negative Negative
- Sisa makanan - - -
- Darah samar - -

b . Ni la i kri ti s

No Tes Nilai kritis Satuan

1. Darah lengkap
- Hematocrit <20 atau >60 %
- Hb <7 atau >20 g/dl
- Tombosit dewasa <50.000 atau >1.000.000 /ul
- Trombosit anak <20.000 atau >1.000.000 /ul
- Lekosit <2000 atau >30.000 /ul
- APTT >100 detik
- PT >30 atau 3x nilai kontrol detik
- Penemuan sel “blast”
dihapusan darah tepi
- Penemuan “sel
asing”disumsum
tulang
 RUMAH SAKIT
HARAPAN BUNDA
J l n . T . U m a r N o . 1 8 1 – 2 1 1 Te l p. ( 0 6 5 1 ) 4 8 1 1 4 – 4 1 2 7 8 – 4 1 8 91
F a x . ( 0 6 5 1 ) 4 0 8 5 6 E -m a il : r s_ h a r a pa n bu n da @ y a h o o .c o .i d
B A N D A A C E H

2. Kimia Klinik
- Troponin (I) >30 ng/l ng/l
- CKMB
- Glucosa <40 atau >400 mg/dl
- Glukosa neonatus <30 atau >300 mg/dl
- Kreatinin >5 (kecuali pasien dialis) mg/dl
3. Elektrolit dan Analisa Gas
Darah
- PH <7,10 atau >7,59
- PCO2 <20 atau >75 mmHg
- PO2 (dewasa) <40 mmHg
- PO2 (neonatus) <37 mmHg
- HCO3/bicarbonat <10 atau >40 mEg/L
- Natrium <120 atau >160 mEg/L
- Kalium <2,8 atau >6,2 mEg/L
- Kalium neonatus <2,5 atau 8,0 mEg/L
4. Cairan tubuh (pleura,
serebrospinal,asites)
- Glukosa <80 kadar glukosa %
darahnya
- Total protein >45 mg/dl
- Lekosit >10 /ul
- Pengecatan bakteri (+)
- Ditemukan sel asing
5. Urinalisa
- Glukosuria >2+
- Keton >2+
- Ditemukan Kristal As.urat,sistein,leusin,tirosin
patologis
- Albuminuria >2+
- Eritrosit >2+
- Lekosit >2+

DIT ET AP K AN : B a nd a Ac e h
P AD A T ANG G AL : 0 6 M aret 2 0 1 7

DI REKT U R R S H AR AP AN B UN D A

Dr. O r ma ia Nj a’ Oe mar M.K es