KLAIM COVID dr.

LIA

PENJAMIN : KEMENKES

Tanggal Hasil Swab Pemeriksaan Fisik Tindakan Terapi

6 November Positif (CT 22,9 TD 160/100 DR Infus RL 1500/24jam

N 40 Diff count O2 5 lt NC
R 28 OT/PT Azitromicin 1x500
S 38,4 UR/CR Oseltamivir 2x75mg
Saturasi 89 AGD Cavit D 1x1000
Thorax foto NAC 3x500
GDS Sarcorbin 3x400mg/iv
EKG OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Lantus 0-0-10
Atorvastatin 1x20mg

7 November TD 150/100 GDP Infus RL 1500/24jam

N 55 GD2JPP O2 10 lt NRM
R 28 Profil lipid Azitromicin 1x500
S 37,7 Oseltamivir 2x75mg
Saturasi 89 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Lantus 0-0-10
Dexametason 1x5mg iv

8 November TD 150/90 AGD Infus RL 1500/24jam

N 55 EKG O2 10 lt NRM
R 28 Azitromicin 1x500
S 38,1 Oseltamivir 2x75mg
Saturasi 89 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
 Novorapid 3-3-3
Atorvastatin 1x20mg
Lantus 0-0-10
Dexametason 1x5mg iv

9 November TD 160/100 AGD Infus RL 1500/24jam

N 58 GDP O2 10 lt NRM
R 28 GD2JPP Azitromicin 1x500
S 37,8 Swab Oseltamivir 2x75mg
Saturasi 89 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Atorvastatin 1x20mg
Lantus 0-0-10
Dexametason 1x5mg iv

10 November TD 150/100 AGD Infus RL 1500/24jam

N 58 EKG O2 10 lt NRM
R 28 Azitromicin 1x500
S 37,4 Oseltamivir 2x75mg
Saturasi 89 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Lantus 0-0-10
Novorapid 6-6-6
Atorvastatin 1x20mg
Dexametason 1x5mg iv

11 November TD 160/100 AGD Infus RL 1500/24jam

N 55 EKG O2 10 lt NRM
R 26 Azitromicin 1x500
S 37,5 Oseltamivir 2x75mg
Saturasi 89 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
 Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv

12 November Positif TD 160/100 AGD Infus RL 1500/24jam

RdRp 15,65 N 40 GDP O2 10 lt NRM
N gene 15,74 R 28 GD2JPP Azitromicin 1x500
S 38,4 Oseltamivir 2x75mg
Saturasi 85 Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Pindah ruangan ICU COVID
KLAIM COVID dr.LIA

PENJAMIN : ASURANSI PRUDENTIAL

12 November Positif TD 160/100 AGD

RdRp 15,65 N 40 GDP
N gene 15,74 R 28 GD2JPP
S 38,4 Elektrolit
Saturasi 85

13 November TD 160/100 AGD

N 40 Px SWAB PCR
R 28 Thorax foto
S 38,4
Saturasi 85

14 November TD 160/100
N 40
 R 28
S 38,4
Saturasi 85

15 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85

16 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85
17 November NEGATIF TD 160/100
N 40
R 28
S 38,4
Saturasi 85

18 November TD 160/100 GDS

N 40 px SWAB
R 28
S 38,4
Saturasi 85
19 November NEGATIF TD 160/100 GDP
N 40 GD2PP
R 28 AGD
S 38,4
Saturasi 85

20 November TD 160/100 D-DIMER

N 40
R 28
S 38,4
Saturasi 85

21 November TD 160/100 CT Scan Paru

 N 40 AGD
R 28 GDP
S 38,4 GD2PP
Saturasi 85

22 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85

23 November TD 160/100 INR

N 40 D-DIMER
R 28 CRP KUANTITATIF
S 38,4 Interleukin-6
Saturasi 85
24 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85

25 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85
26 November TD 160/100 GDS
N 40 INR
R 28
S 38,4
Saturasi 85

27 November TD 160/100 GDP

N 40 GD2PP
R 28
S 38,4
Saturasi 85

28 November TD 160/100 AGD

N 40
 R 28
S 38,4
Saturasi 85

29 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85

30 November TD 160/100
N 40
R 28
S 38,4
Saturasi 85
1-Dec TD 160/100
N 40
R 28
S 38,4
Saturasi 85

2-Dec TD 160/100 INR

N 40 AGD
R 28
S 38,4
Saturasi 95
3-Dec TD 160/100
N 40
R 28
S 38,4
Saturasi 95

4-Dec TD 160/100
N 40
R 28
S 38,4
Saturasi 95

5-Dec TD 160/100
N 40
R 28
S 38,4
Saturasi 95
6-Dec TD 160/100
N 40
R 28
S 37,4
Saturasi 95

7-Dec TD 150/90
N 40
R 20
S 37,4
Saturasi 95
8-Dec TD 150/90
N 40
R 20
S 37,4
Saturasi 95

9-Dec TD 150/90
N 40
R 20
S 37,4
Saturasi 97

10-Dec TD 150/90
N 40
R 20
S 37,4
Saturasi 97
11-Dec TD 150/90 INR
N 40
R 20
S 37,4
Saturasi 97
Infus RL 1500/24jam
O2 10 lt NRM
Azitromicin 1x500
Oseltamivir 2x75mg
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv

ICU ISOLASI TEK NEGATIF

Pasang Kateter Urine
Avigan 2x600 mg

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU

Infus RL 1500/24jam
HFNC 40 LPM 45%
Gamaras iv ig 28 mg
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU
Cerini 1x1 tab po
Otede 1x1 tab
Infus NS selama 30 menit
MP 1x62,5 mg/iv
Lasix 1 ampul iv

Infus RL 1500/24jam
HFNC 40 LPM 45%
Gamaras iv ig 28 mg
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU

Infus RL 1500/24jam
HFNC 40 LPM 45%
Gamaras iv ig 28 mg
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
OMZ 1x40mg
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU

Infus RL 1500/24jam
HFNC 40 LPM 45%
Gamaras iv ig 28 mg
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU
Levofloxacin 1x750mg iv

Infus RL 1500/24jam
HFNC 30 LPM 45%
Gamaras iv ig 28 mg
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU
Levofloxacin 1x750mg iv

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1,5 TAB

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 2x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 30 LPM 45%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1,5 TAB

Infus RL 1500/24jam
HFNC 30 LPM 40%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 30 LPM 40%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 30 LPM 40%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X1 TAB

Infus RL 1500/24jam
HFNC 20 LPM 30%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
Levofloxacin 1x750mg iv
SIMARC 1X2 TAB

Infus RL 1500/24jam
HFNC 20 LPM 30%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
SIMARC 1X1 MG
Infus RL 1500/24jam
HFNC 20 LPM 30%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
HFNC 20 LPM 30%
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 3-3-3
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
HFNC WEANING, NRM 10 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Avigan 2x600 mg
Lovenox 1x4000 IU
SIMARC 1X1 MG

Non isolasi
Infus RL 1500/24jam
O2 NRM 10 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
O2 SIMPLE 6 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Lovenox 1x4000 IU
SIMARC 1X1 MG
Infus RL 1500/24jam
O2 SIMPLE 6 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
O2 Nc 5 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Atorvastatin 1x20mg
Meropenem 3x1 gr /iv
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
O2 NC 5 LT
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Lantus 0-0-10
Atorvastatin 1x20mg
Dexametason 1x5mg iv
Meropenem 3x1 gr /iv
Lovenox 1x4000 IU
SIMARC 1X1 MG

Infus RL 1500/24jam
O2 2 LT NC
Cavit D 1x1000
NAC 3x500
Sarcorbin 3x400mg/iv
Esola 2x20 mg/ iv
Sucralfat 3x1 C
Sanmol Forte 3x1
Tensinop 1x10mg
Novorapid 6-6-6
Atorvastatin 1x20mg
SIMARC 1X1 MG

Obat pulang :

Cavit D 1x1000
Zegavit
Tensinop 1x10mg
Novorapid 6-6-6
Atorvastatin 1x20mg
SIMARC 1X1 MG