ICU Rabu 29.01.

2020
Bed Nama Umur Diagnosa DIET GCS + TTV Resp Terapi Plan Balance
Ampicillin 1gr/8jam
paracetamol 1 gr/8 jam
Post hemikolektomi, herniorepair + reseksi usus ec hernia GCS E3VxM5 Terpasang ET no 7.5 lvl 20 mode Gentamisin 80 mg/24 jam
Bed 1 Tn. Wagiyo 60 th permagna, leukositosis, Sepsis, aki, hipernatremia, diare, Sonde TD 123/77 mmHg SIMV f 15 pi 12, Ps 10, FiO2 30 Omeprazole 40 /12 jam awasi KU, VS, -460
poliuria ec diabetes insipidus nefrogenik, gagal napas dph 8 SGB B HR 128 % peep 8.0 RR 26, SpO2 99% N epineprin 0.05 hemodinamik
mcg/kgbbb/menit
Metronidazol 500mg/8 jam po
Vip Albumin 2 x 5 gr
Bed 2

levofloxacin 750 mg/24 jam

Bed 3 Ny. Jamronah
citicholin 500 mg/12 jam
manitol 100 ml/8 jam
GCS E2VxM4 Terpasang ET no 7.0 lvl 20 mode ranitidin 50 mg/12 jam
66 th gagal napas tipe 1, SNH, DM II, Hipokalemia, penurunan Sonde TD 150/103 simv f8 vt 365 , Ps 10, FiO2 30 % novorapid 8-8-8 IU sc awasi KU, VS, 1220
kesadaran dph 3 SGB B mmHg peep 5.0 RR 24, SpO2 99% Lantus 0-0-0-10 iu sc hemodinamik,
HR 121 Atorvastatin 1 x 40mg
Ramipril 5 mg/24 jam
Concor 2.5 mg/24 jam

Bed 4

inj cefoperazone sulbactam 1 gr/12 jam

inj levofloxacin 750 mg/24 jam
Inj Citicolin 250/12 jam
Nicardipin
Penurunan Kesadaran ec SH ICH , IVH , Peningkatan TIK , Sonde GCS E4V5M6 Terpasang nasal kanul dengan 0.5mcg/kgbb/menit awasi KU, VS,
Bed 5 Tn Joko Prasetyo 61th Hemiparese Dextra, Pneumonia, CAP, Mix Alkalosis, Ht TDD 161/86 O2 3 lpm -800
SGB B N asethylcystein 2x1 tab hemodinamik
urgensi dph 3 mmhg, HR 80 SpO2 100% RR 22x
candesartan 1x16 mg
alprazolam 0.5 mg 0-0-1
amlodipin 10 mg 0-0-1

Meropenem 1gr/8 jam

Cefoprerazone sulbactam 1gr/8 jam
GCS E4VxM6 Terpasang ET no 7.0 lvl 20 mode MP 62.5mg/12 jam iv awasi KU, VS,
Bed 6 Ny. Neneng Fatimah 46 th Gagal nafas type 1 ec susp edema pulmo dd TB Miler, AKI Sonde TD 101/73 mhg, simv f 12vt 360, Ps 10, FiO2 60 % Myfortoc tab 180mg/12 jam hemodinamik,
dd Acute on CKD, SLE, Multiple drug alergi SGB B HR 83 peep 5.0, RR 18,SpO2 98 % Nebu pulmicort/8 jam weaning
Midazolam 3 mg/jam ventilator

Inj Amikasin 1gr/8 jam

Inj Paracetamol 1 gr/8jam
Post ROSC, HAP dengan sepsis, SNH, DM tipe II dengan GCS E3VxM4 (k/p) VIP
Bed 7 Ny. Rusminigsih 65 th Hiperglikemia dan ulkus DM pedis Dextra, HHD, Oedem Sonde DM TD 123/64mhg, Terpasang tracheostomi, T-piece albumin 1caps/8 jam awasi KU, VS, -460
pulmo perbaikan dph 12 SGB B HR 89 6 lpm,RR20x/mnt, Spo2 98% Novorapid 16-16-16 hemodinamik
Lantus 0-0-0-18
N epi 0.05 mcg/kgbb/menit
Warfarin 0-0-5 mg
Aspilet 80mg/24 jam

Bed 8

awasi KU, VS,

Bed 9 Nn. Eni wahyuningsih Sonde GCS E4VxM6 terpasang tracheostomi mode Mestinon 60 mg/12 jam hemodinamik,
27 th Myastenia gravis dph 3042 SGB C TD: 100/54 mmhg Spontan Vt 350 , FiO2 21% PEEP Imuran 50 mg/24 jam Weaning -410
HR 66 bpm 5.0, SpO2 98% ventilator

inj Ampicilin 1 gr/8 jam

GCS E1VxM4 Terpasang ET no 7.0 lvl 20 mode Inj Asam Tranexamat 1 awasi KU, VS,
Sonde hemodinamik,
Bed 10 Ny. Nunik 46 th Post Craniotom Evakuasi SDH + ICH DPH 3 SGB B TD: 192/78 mmhg simv f15 vt 365,Ps 10, FiO2 30 % gr/8jam Inj weaning 960
HR 112 bpm peep 5.0, RR 18,SpO2 97 % Phenitoin 100mg/8jam ventilator
Inj Ranitidin 50mg/12 jam

Terpasang Nasotracheal tube no paracetamol 1 gr/8 jam

Post eksisi dan drainage abses ludwig angina, leukositosis, puasa GCS E4VxM6 6.5 lvl 21 mode Spontan Pi 10 Ps ranitidin 50 mg/12 jam awasi KU, VS,
Bed 11 Tn. Lasiman 54 th TD: 108/96 mmhg 8 FiO2 40% peep 4, rr 19 SpO2 ampicilin sulbactam 1,5gr/8 jam 250
ancaman gagal nafas type II sgb B HR 79 bpm Metronidazol 500mg/8 jam hemodinamik
98%

paracetamol 1 gr/8 jam

GCS E4V5M6 Terpasang nasal kanul dengan ampicilin 1 gr/8 jam awasi KU, VS,
Bed 12 Ny. Soemarti 77 th Post Craniotomy eksisi tumor ai Astrocitoma regio lunak TD: 133/98 mmhg O2 3 lpm Phenitoin 3 x 100mg hemodinamik, -640
frontotemporal dph 1 SGB B HR 99 bpm SpO2 100% RR 16x ranitidin 50 mg/12 jam pindah HCU
Manitol 3 100cc

D51/2NS 19ml/jam
GCS E4V5M6 Terpasang nasal kanul dengan Morfin 0.5mg/jam
Bed 13 An. Galih bramantio 8 th Post ASD closure dph 1 cair TD: 113/58 mmhg O2 2 lpm Cefazoline 250mg/8jam awasi KU, VS, 15
SGB B HR 69 bpm SpO2 100% RR 16x Paracetamol 300mg/8 jam hemodinamik
Ranitidin 20mg/12 jam

Ondancentron 4mg/12 jam

Furosemid 5 mg/jam
GCS E4V5M6 Terpasang NRM dengan O2 11 MgSo4 1gr/jam
Bed 14 Ny. Aisyah 24 th Post SCTP em, edema pulmo susp PPCM, PEB, IUFD, pada lunak TD 155/69 mmhg lpm awasi KU, VS, -1490
multipara hamil preterm dengan obese kelas II + NYHA 3 SGB B HR 65 bpm SpO2 98% RR 13x paracetamol 1 gr/8 jam hemodinamik
Ampicilin 1 gr/8 jam

Bed 15

awasi KU, VS,

Post op laminectomy + PSF ai Fraktur dislokasi VTh 8-9-10 , Sonde GCS E4VxM6 Terpasang ET no 7.5 lvl 21 mode Ampicilin 1 gr/8 jam hemodinamik,
Bed 16 Tn. Haryono 35th TD 112/71 mmhg Spontan Pi 5 Ps 5 FiO2 40% peep Asam tranexamat 500mg/8 jam -1310
cotusio pulmonal, abdominal discomfort dpH 1 sgb B HR 95 bpm 4, rr 19 SpO2 98% Paracetamol 1 gr/8 jam weaning
ventilator

GCS E4V5M6 Terpasang nasal kanul dengan Ampicilin 1 gr/8 jam

Bed 17 Tn. Akmal 17 th Post laparatomi eksplorasi ai TTA, laserasi lien grade III, lunak TD 125/69 mmhg O2 3 lpm Asam tranexamat 500mg/8 jam awasi KU, VS, 370
post splenektomi, syok hemoragik dph 1 SGB B HR 75 bpm SpO2 100% RR 16x Paracetamol 1 gr/8 jam hemodinamik
Ranitidin 50mg/12 jam

ICU MELATI

Sonde GCS E2VxM3 Terpasang ET no 7.0 lvl 20 mode furosemid 5 mg/jam awasi KU, VS,
Bed B Ny. Mamik Utami 32 th gagal napas tipe 1, edema pulmo, SLE dph 3 SGB B TD 168/111 SIMV f 14 PS 12 FiO2 60% peep omeprazol 8 mg/jam hemodinamik, -130
mmhg, HR 130 6.0, rr 22 SpO2 97% midazolam 2 mg/jam

N-epi 0,05 mcg/kgbb/menit

Ciprofloxasin 400mg/12jam
GCS E1VxM1 Terpasang ET no 7.0 lvl 21 mode Omeprazol 5 mg/jam SP awasi KU, VS,
Bed J Ny. Jirah 70 th Penurunan kesadaran ec metabolik (syok sepsis) dd Sonde
TD 119/78 SIMV f10 Pi 12 PS 12 FiO2 60% Ca gluconas 1 amp/24 jam hemodinamik, -831
Neurologis, pneumonia dph 5 SGB B mmhg, HR 100 peep 5.0, rr 20 SpO2 100% edukasi keluarga
KSR 1 tab/8jam
curcuma 3x1

Metronidazol 500 mg/6 jam

Sonde GCS E3VxM6 Terpasang ET no 7.0 lvl 21 mode Tetagam 3000 IU awasi KU, VS,
Bed M Ny. Suyamti 55 th Tetanus gr 4 TD 127/76 SIMV F 10 Ps 12 FiO2 50% peep Ranitidin 50 mg/12 jam hemodinamik, -338
SGB B mmhg, HR 91 5.0, rr 20 SpO2 99% weanig ventilator
Omeprazol 40 mg12 jam
 gagal SP
mntntg 10
62,5mg/1
Ett 7.5
nafas mix GCS level 21, mg
2jam dalam
amiodaro
tipe terpasang 50
n cc
300 nacl
mg
E4VxM6 on mv
terpasang diamox
tetraplegi
CKD V HD GCS trakeosto 0.9%
kec kec
2tab/24ja stabilisasi
ec
dengan E4VxM3 simv
Ett f14
mi, 7onlevel
mv 1.5 hemodin
penuruna GCS
TD PS
21, 10,
onf12
mv 3ml/jam
m stabilisasi
hcu bed b tn sumaji 45 demyelin
oedem sonde E1VxM1 simv cc/jam
insulin amik
n 129/98 FiO2
simv mecobala hemodin
hcu bed c ny tjunawa 62 ating
pulmo sonde TD Pc 10f15PS sp
syrnge
min 1
stabilisasi
cegah
amik
kesadara
poliradik
post HR
130/80105 60%,
PS
10, 10,
FiO2 midazola hemodin
infeksi
TD
bpm peep pump
tab/12ja 8 cegah
hcu bed d tn silo yu 54 n ec
uloneuro
pasang sonde HR 90
131/79 40%, 4.0,
FiO2 m 2cc/
iu/jam
amik
stroke
pathy bpm rr 19x,6.0
70%,
peep m infeksi
cegah
HD cath HR 90 jam
paraceta
KSR
emboli,
dph 16 spo2
peep
spo2 6.0, infeksi
bpm 100% candesart
mol 1
600mg/8j
dm tipe 3 rr 25x,
100% an
gr/8jam
spo2 am
16mg/24
mecobala
ramipril
100% jam
min
5mg/24ja
cpg
500mg/1
m
75mg/24j
2 jam
bisoprolo
am
ranitidin
l
50mg/12
2,5mg/24
jam
225
180
120