S/ BY.

ANIK O/ A/ P/ LAB

BBL : 1050 gram RDS sedang KC : 284 cc/24 jam 08/05/21 Hb 18,8 Ht 55 AE 4,54 AL
BBK : 1575 gram Asfiksia sedang IVFD (D10% 500 cc + NaCl 3% 20 8100(L) AT 211.000(L) MCV 120,7
BBS : gram Sepsis (II) ml) 5 tpm mikro --> stop MCH 41,4(H) MCHC 34,3 GDS 74
PB : 36 cm Hiperbilirubinemia (membaik) Inf. Aminofuhsin ped 6% 40 cc/hari 09/05/21 TcB 9,7 mg/dl
Hiponatremia --> menghabiskan. --> stop 10/05/21 TcB 15,5 mg/dl
Hipokalsemia (teratasi) Lacto B 1x1 scht --> stop 10/05/21 Bil dir 0,75(H) Bil ind
Hiperkalemia (teratasi) Sangobion drop 1x0,2 ml 13,51(H) Bil tot 14,26(HH) K 5,6(HH)
Neonatal preterm, BBLSR, Urdafalk 2x15 mg (puyer) --> Ca 8,2(L) Cl 97 Na 127(L)
KMK, SC menghabiskan 13/05/21 TcB 8.6 mg/dl
Conjungtivitis (membaik) Diet : Minum 10x 30 cc ASI + HMF 14/05/21 Kultur darah : Enterococcus sp.
Anemia (teratasi) Rawat di inkubator sensitif dg vancomisin.
Trombositopenia Latihan menetek ibu 17/05/21 Hb 18,4 ht 49 AE 4,662 AL
Neonatal pneumonia 11860 AT 264000 MCV 106,7 MCH 39,8
Obs meteorismus (membaik) (H) MCHC 37,3 (H) Na 132 (L) K 5,1
Kolestasis (membaik) (H) Cl 107 Ca 10,0
27/05/21 Hb 13.9, Ht 37, AE 3.66, AL
12.470, AT 9.000
29/05/21 Hb 10.8 AL 11.690 AT 9.000.
Na 128 K 4.1 Ca 9.3 Cl 102
01/06/21 Hb 9.6 (LL), AL 24.440 (H),
AT 14.000 (LL), RDW 20.5 (H)
Bas 0.5, Eos 0.3 (L), Bat 2.3, Mon 28.0
Foto toraks : Neonatal pneumonia
Acinobacter Boumani complex, Sensitif
dgn Amikasin
08/06/2021: AE 4.22, Ht 35, Hb 12.3,
AL 16.260, AT 18.000 (LL)
Lab darah 14/6/2021: Hb 11.5, Ht 34, leu
8270, tromb 34000, K 5.8, Ca 8.1, Cl
104, Na 127
15/06/2021 : TcB 10.2
Lab 15/06/2021 : Bil direk 5.82, Bil ind
2.30, bil total 8.12, Hb 13.6, Ht 39, leu
9360, tromb 38000
S/BY.ANNISA O/ A/ P/ LAB
 BBL : 1550 gram Neonatus Preterm, BBLR, KC : 344 ml/hari
BBK : gram SMK, Spontan IVFD Kaen 1B 5 ml/jam + NaCl 3%
BBS :    gram Asfiksia sedang 22 ml (2 MEQ) (H
PB: 36 cm N Jaundice Inj. Amikasin 2x14 mg (H
Pneumonia congenital INJ Flukonazol 1x20 mh (H
hiperkalemia Inj. Ca glukonas 2x1 ml aa aqua iv
hiponatremia pelan (H
hipokalsemia Kp. demam Po Paracetamol drop
trombositopenia 3x0,2 ml
Neonatal sepsis e.c Klebsiella diet : 10x25 ml ASIP+HMF 1 Sachet
pneumonia
Anemia of prematurity Hasil Konsul Mata: ODS. ROP STG
Hipoalbuminemia 1, Kontrol 1 bulan pro evaluasi
funduskopi--> tanggal 9 juli 2021
kmc dan belajar menyusu
transfusi albumin 10 ml dalam 6 jam
(selesai 18/6/2021 pukul 03.00)
transfusi prc 15 ml/kg dalam 3 jam
jarak 12 jam dr trasfusi albumin
(selesai 19/6/2021 pukul 22.00)
post transfusi albumin inj furosemid
1 mg
selasa cek ulang dl, elektrolit, crp,
gds, albumin
16/05/2021 Na 133, K 4.4, Cl 106, Ca
9.8
19/05/2021 HB 16.5, AL 12.680 , AT
474.000 , Seg 42.1 , Na 133 , K 4.3 , Cl
102 , Ca 10.0 , CRP <5
19/05/2021 Jawaban Konsul Mata :
KONTROL 1 BULAN PRO EVALUASI
AVASCULAR ZONE
22/05/2021 K 7.3, Na 132, Cl 101, Ca
9.2
30/05/2021 Na 131, K 5.1, Cl 106, Ca
9.1, GDS 105
02/06/2021 Hb 12.4, Ht 36, AE 4.49, AL
10780, AT 30000 (LL), Na 131(L), K 5.6
(HH), Ca 8.5 (L), CRP <5
05/06/2021 Kultur darah Klebsiella
pneumonia (Ampicilin sulbactam,
Amikasin, Ertapenem, Meropenem)
07/06/2021 Hb 9.1 L, Ht 26 L, AE 3.42,
AL 10810, AT 7000 (LL), Na 128 (L), K
4.7 (H), Ca 7.8 (L), Cl 102, CRP > 120
08/06/2021 GDS 65
12/06/2021 Hb 13.0, Ht 39, leu 14330,
trombosit 62000, K 5.7, Ca 8.3, Cl 106,
Na 133
17/06/2021 Na 131 (L), K 5.4 (H), Ca
8.1 (L), Cl 106, Hb 10.4, Ht 30, AL
12970, AE 3.85, AT 103000 (L),
Albumin 2.30 (L), CRP 87 (HH), GDS
71

S/BY. HARYATI O/ A/ P/ LAB

 BBL: 1425 gram Neonatus preterm, BBLSR, KC: 285 cc/24 jam 18/05/21 Kultur Darah : Enterococcus
BBK: gram SMK, SC O2 NK 0,5 lpm Cloaceae, sensitif terhadap Meropenem
BBS:   gram Sepsis neonatorum IVFD D10% + NaCl 3% 30cc 10 tpm dan Amikasin
PB: 39 cm (Enterobacter cloacae, Proteus mikro RO Thorax 19/5/2021 :
mirabilis) Inj. AA 40 ml/hari Gambaran Neonatal Pneumonia
RDS Sedang Inj. Amikasin 1x20 mg (H Subtle Pneumothoraks kanan
Inj Aminofilin 2x2,5 mg
Hiperbilirubinemia Cor tak membesar
Inj Ca glukonas 2x1 ml
Hiperkalemia Lab RSMS 20/5/2021 : Hb 19.8 (H) ,
Hipokalsemia AL 12.320, AT 312000, Albumin 3.94
Diet : 10 x 17 cc asip via OGT
Hiponatremia Na 131 (L), K 6.6 (HH), Cl 100, Ca 9.5
Latihan minum pakai dot
Trombositopenia Lab RSMS 28/5/21 : Hb 13.7, AL
Transfusi PRC 25cc dalam 4jam (2x
Anemia of prematurity interval 12 jam) 14070, AE 3.98, AT 10.000 (LL)
Bayi dari ibu terkonfirmasi Transfusi TC 25 cc dalam 30 menit Na 131 (L), K 3.5, Ca 9.5
covid-19 Lab RSMS 01/05/2021
Kultur urin : Tidak ada kuman
Lab RSMS 02/06/2021
Kultur darah : Proteus Mirabilis,
sensitif terhadap amikasin, ciprofloxacin,
ertapenem, meropenem
Lab RSMS 06/06/2021
12:45: GDS 279 HH
19:56: GDS 111 N
Lab RSMS 07/06/2021
Hb 11.3, Leu 22560, Trom 40.000 LL,
Na 128 L, K 3.4, Cl 94 L, Ca 8.8, CRP >
120
Lab 14/06/2021 : Hb 12.4, leu 14210,
trom 8000, Na 126, K 5.3, Ca 8.1, CRP
>120
Lab 18/08/2021 : Hb 8.4 LL, Ht 25 L,
Eri 3.07 L, Leu 8340, Trombo 29000 L,
Na 132 L, K 3.6, Ca 8.2 L, CRP <120

S/BY. NURUL O/ A/ P/ LAB

 BBL : 1750 gram Asfiksia sedang KC : 348 cc/24 jam
BBK : gram BBLR-Neonatus aterm - CPAP PEEP 8  FIO2 70%
BBS :    gram KMK IVFD D10% + NaCl 3% 62 ml (4
Bayi lahir dengan Vacum MEQ) 5 ml/jam
Extraksi Inj ca gluconas 2x1 ml (H
Bronkopneumonia congenital Inj amikasin 2x14 mg (H
Hiperkalemia
inj flukonazol 1x18 mg (H
Hipokloridemia (perbaikan)
inj cibitam 2x4,5 mg
N Jaundice
drip dopamin 3 mcg/kg/menit
Hiponatremia
Anemia of Prematurity jika kejang inj  cibital 18 mg
Trombositopenia Kp. demam Paracetamol Drop 3x0,2
N sepsis (Klebsiella ml   AT 74.000 (LL), Na 127 (L), K 7.5 (HH),
pneumoniae) Nebuliser dengan ventolin 1
Hidrocephalus communicans respul+Nacl 0,9% 2ml/8jam (tubak)
curiga disertai ventrikulitis, cek gds jika baik bolus nacl 0,9% 10
peningkatan tekanan ml/kg dalam 20 menit
intrakranial
ROP GR 1
Diet : 10x10 ml
Hasil Konsul Bedah Saraf: Recana
evaluasi ulang kondisi bayi pasca
terapi antibiotika selesai, perbaiki
trombositopenia
Hasil Konsul Mata: ODS. ROP STG
1, Kontrol 1 bulan pro evaluasi
funduskopi (usia 2 bulan) -->konsul
ulang mata  9 juli 2021
cek ulang dl dan elektrolit, crp besok
Hasil Kultur darah 28/5/21
Tidak ada pertumbuhan kuman
Hasil Kultur darah 04/06/21
Klebsiella pneumoniae, sensitif terhadap
amikacin, co-trimoxasol
Hasil CT Scan kepala 04/06/2021
Hidrocephalus communicanscuriga
disertai ventrikulitis, peningkatan
tekanan intrakranial
Hasil Lab 08/06/2021
Hb 11.7, AL 21490 (H), Ht 32, Eri 4.18,
Cl 102, Ca 8.4 (L), Bil tot 2.26 (H), Bil
dir 1.28 (H), Bil ind 0.98, CRP 82 (HH),
GDS 61
Hasil Lab 11/06/2021
Hb 12, AL 16460, Ht 34, AT 11200 (L),
Na 142, K 3 (L), Cl 110 (H), Ca 9, CRP
>120.
Hasil lab 15/6/2021
Hb 16.1 , Ht 46, AT 74000 (LL), AL
24230 (H), AE 6.12 (H), Na 127 (L) K
8.0 (HH), Ca 7.9 (L), Cl 102, CRP 61.0
(H)
Hasil lab 16/6/2021
GDS 68
Hasil lab 17/6/2021
GDS 76

S/BY. SUJI O/ A/ P/ LAB

 BBL: 1700 gram Neonatus preterm, BBLR, KC = 200x1.7 = 340 cc/24 jam Hasil Lab 3/6/21 Hb 13.3 L, Al 16790,
BBK: gram SMK, SC O2 NK 0,5 lpm Ht 39 L, Eri 3.16, At 21800 L, GDS 109
BBS:   gram RDS sedang IVFD  D10% 7 tpm (+ Nacl 3% 40 Lab RSMS 05/06/21 : Hb 15.3, Ht 43,
Asfiksia Sedang cc) AE 4.32, AL 13.580, AT 155.000, Bil tot
Trombositopenia Infus aminosteril infant 40 cc/24jam 16.74, Bil dir 0.54, Bil Indir 16.20, K
Anemia Inj vancomisin 2x35 mg (H 5.6, Ca 6.6, Cl 100, Na 134
Neonatal jaundice Inj gentamisin 8 mg/36 jam (H Lab RSMS 05/06/21 Kultur darah (+)
Sepsis Neonatorum Inj calsium glukonas 2x1 mlaa aqua Staphylococcus lentus
(Staphylococcus lentus) iv pelan (H 10/06/21 TCB 10.8
Hiponatremia Diet : 10 x 30 cc asip Lab 14/06/2021: Hb 11.8, Ht 33, leu
Hipokalsemia Pantau tanda distres respirasi 18330, trom 21000, K 5.2, Ca 7.9, Na
Jaga kehangatan 128, CRP >120

S/BY. NIA K O/ A/ P/ LAB

 BBL : 5000 gram BBLB, aterm, BMK, SC KC : 1052 cc/24 jam 2/6/2021 Hb 15,3 Leu: 6350, Tr:314.000,
BBK : gram Makroglosia IVFD D10% 10 tpm GDS:49
BBS :  gram Hematuria Inj. Vancomysin 2x100 mg (H14) 3/6/2021 Tcb : 15.3
Hidronefrosis dupleks stop 4/6/2021 Bil.total: 14.41 HH, Bil.direk:
RDS Injeksi dexa 1x2 mg stop 1.53, Bil.indirek: 12.88, Ureum: 16.36,
Susp beckwith wiedemann Injeksi calsium glukonas 2x2,5 ml aa Cr: 0.49, Na:135,K:4,9 H, Cl: 104,
Hiperbilirubinemia aqua iv pelan Ca:9.1, Ft4 1.16, TSHs:1.030
Hipokalsemia PO Tabas syr 3x1 ml (H 7/6/2021: Kultur darah: Staphylococcus
Hiperkalemia PO zamel drop 1x0,3 ml epidermidis (sensitif pada Vancomysin)
Hiponatremia PO Azitromisin 1x50 mg 7/6/2021: Ro thorax (Gambaran
Anemia PO Furosemid 2x2,5 mg, kaptopril Pneumonia, Cor tak membesar)
Neonatal pneumonia 2x2,5 14/6/2021: CRP >120, Hb 11.2, Ht 32,
Ssupek PJB asianotik dd VSD, Drip NaCl 3% 1cc/jam selama 48 leu 6410, trom 203000, K 6.1 , Na 131
ASD jam 18/6/2021: CRP 100 HH, Hb 14.5, Ht
Sepsis neonatorum Konsul Jantung pro ekokardiografi 41, Leu 20040 H, Trom 177000 L, Na
(Staphylococcus epidermidis) 126 L, K 6.0 HH, Ca 8.9

S/BY. NURLAELI O/ A/ P/ LAB

 BBL : 1400 gram Neonatus Preterm KC : 347 ml/24 jam Lab 23/5/21  Hb 12.1, Ht 31, AL19230,
BBK : gram BBLSR KAEN 1B 6 tpm AT 629000, K 6.5, Ca 9.3
BBS :   gram SMK Spontan Inj meropenem 3x70 mg (H Lab 25/5/21 Hb 13.1, Ht 35, AL 11260,
Asfiksia sedang po paracetamol Drop 3x0,2 ml jika AT 400000, Na 112, K 3.4, Cl 106, Ca
Pneumonia Congenital demam 9.5
Neonatal Jaundice Krim Miconazol Nitrat 2% Lab 29/5/21 Hb 11.3, Ht 31, AL 11520,
Inj Ca Gluconas 2X0.9 ml (H
Hiponatremia AT 385000, Na 127, K 4,2, Cl 102, Ca
Diet 10X25 cc
anemia of prematurity 10.1 GDS 95, CRP < 5
Apnea Of Prematurity Lab 3/06/21 Hb 14.1, Ht 40, AL 7270,
Kmc Dan Belajar Menyusu
Pneumothorax AT 396000, Na 133, K 5.0, Cl 104, Ca 97
Konsul Ulang Mata Tanggal 26 Juni
Hiperkalemia Lab 8/6/21 kultur darah tidak ditemukan
2021
Hipokalsemia Senin Cek Ulang Dl, Elektrolit, Crp, kuman
Sepsis Ec Klebsiella Gds Lab 08/06/2021: K 6.1 (HH), Ca 9.1, Cl
Pneumonia 107, Na 133 (L)
Lab 11/06/2021 : Hb 12.7, Ht 36, AL
9830, AT 231000, Na 131 (L), Cl 104, K
6 (HH), Ca 8.3 (L)
Lab 15/06/2021 : ditemukan Klebsiella
pneumonia
Lab 16/06/2021 : CRP 7.0 (H), K 6.8
(HH), Ca 9.7, Cl 107, Na 134

S/ BY. NOVI U O/ A/ P/ LAB

 BBL : 1200 gram Neonatus preterm, BBLSR, KC: 200 cc/kgbb/hari : 252 cc/24 jam Lab RSMS 28/5/21 : GDS 110--->
BBK : gram SC, Gemelli II 71mg/dl
BBS : gram RDS Lab RSMS 30/5/21 : Bil tot 19.14 H, Bil
Hiperbilirubinemia O2 NK 1 lpm dir 0.66 H, Bil ind 18.48 H
NI IVFD (D10% +NaCl 3% 10 ml) 7 Lab RSMS 2/6/21 : Hb 21.2, Al 6960,
Feeding problem Tpm   Ht 59, Eri 4.99, At 66000 L, Na 136, K
Trombositopenia Infus AA 6% 30 cc/hari 7,4 H, Cl 108, Ca 9.9
Inj. Gentamicin 1x6 mg/36 jam iv (H Lab RSMS 05/06/2021 K 4.7, Ca 9.5, Cl
Inj. Cefotaxim 2x60 mg iv (H 95, Na 128
Inj. Aminofilin 3x1,2 mg iv 07/06/2021 : Kultur darah --> tidak
ditemukan kuman, DL : Hb 17.8 Ht 47,
PO : AE 4.22, AL 6140, AT 183000, Na 126
Eritromisin 3x3,5 mg (L), K 3.9, Cl 100, Ca 9.1
Lab 12/6/2021 : K 4.9, CA 9.0, Cl 105,
Diet TF/ ASIP 10 x 20-25 ml Na 133
Lab 14/6/2021: GDS 73
Program : Lab 18/6/2021 : Hb 14.9, AL 8600, Ht
Awasi TTV
40, AE 3.76, AT 160000 L
Latih keluarga merawat di rumah

S/ BY. RIZKI O O/ A/ P/ LAB

 BBL: 1700 gram Neonatus preterm, BBLR, KC = 348 cc/24 jam Hasil Lab RSMS 03/06/21 : Hb 18.5, Ht
BBK : gram KMK, SC PO : Zamel drop 1x0,3 ml 58, Al 22430, Eri 4.58, At 157000 L.
BBS : gram RDS sedang         Sangobion 1x0.3 ml GDS 391 --> 50
PBL : 41 Asfiksia Berat Diet : 10 x 25-30 cc ASIP via OGT Hasil Lab RSMS 04/06/21 : GDS 153
Trombositopenia Fisioterapi menghisap dan menelan (H)
Neonatal infeksi KMC dan latih minum Hasil Lab RSMS 05/06/21 : Bil total
Obs Kejang 0.77, Bil dir 0.35 (H), Bil indir 0.42. Na
HIE 134, K 5.3 (H), Cl 107, Ca 6.9 (L). GDS
Feeding problem (gangguan 61
reflek hisap dan menelan) Hasil Lab RSMS 09/06/21 : Kultur
darah tak ditemukan kuman
Lab 15/6/2021 : Hb 19.9, Ht 54, leu
13090, tromb 475000, K 7.0, Ca 10.1, Na
141
Konsul fisioterapi (terapi oromotor) -->
Jawaban: positioning, ome, stimulasi
menghisap & menelan, be, vibrasi
postural drainage

S/ BY. RIZKI O O/ A/ P/ LAB

 BBL: 1750 gram Neonatus preterm KC : 190cc/kgbb/hari = 335 cc / 24 Lab RSMS 08/06/2021 : Hb 16.1, Ht 49,
BBK : gram BBLR, KMK, SC jam AE 4.79, AL 27.210, AT 352.000, GDS
BBS : gram Obs N Infeksi IVFD D10% 6 tpm 59
Hiperbilirubinemia Infus aminosteril 50 cc perhari 10/06/21 TCB 13.1 mg/dl
RDS sedang (membaik) Inj Ceftriakson 2x75 mg (H Lab RSMS 10/06/2021 Bil total 13.33
Asfiksia sedang (membaik) Minum 10x30 cc ASI (H), Bil direk 0.71 (H), Bil indirek 12.62
Latihan menetek ibu
(H)
Rawat di boks cuvis
TCB 7,9 mg/dl
13/06/21 TcB 11,1 (sblm FT)
14/06/21 TCB 8,4 mg/dl
16/06/21  TCB 11,6 mg/dl  --> 2,6 mg/dl
(N)
19/06/2021 TcB 6.3 mg/dl (N)

S/ BY. ROCHYATI O/ A/ P/ LAB

 BBL : 2000 gram BBLR, preterm KC : 100cc/kgbb/hari = 200cc/ hari 16/6/2021 Lab darah : GDS 48 mg/dl.
BBK : gram Hipoglikemia (teratasi) O2 nasal 1 Lpm GDS ulang : 73 mg/dl, Hb 20.7 AL
BBS : gram Feeding intolerance Infus D10%+NaCl3% 20 ml : 6 tpm 9.630 AT 297.000
Hiperkalemia Infus Aminosteril 6% : 80 ml /hr 18/6/2021 Lab elektrolit : K 8.2 HH, Ca
Hipokalsemia Inj Ampisilin 2x100 mg (5)--> Cefo 7.9 L, Cl 104, Na 135
Hiperbilirubin inj 2x75 mg (2) 19/6/2021 TcB: 18.9 mg/dl
Inj Gentamisin 1x8 mg (3)
PO Eritromisin 3x5 mg (3)
Ca Gluconas 2x1,5 ml (3 hari) (H3)
NS --> ev residu , smntr TF / ASI
Px Lab Bil --> FT 24 jam
Px Kultur darah -> menunggu hasil
(H+3)

S/ BY. Rusianti O/ A/ P/ LAB

 BBL :1940 gram RDS KC : 120cc/kgbb/hari = 240 cc/24 16/6/2021 92 mg/dL
BBK : gram ikterus neonaotorum jam + 10% = 264 ml 17/06/21 Hb 22.8, Ht 65, AL 11150, AE
BBS: gram BBLR, Preterm, SMK, O2 NK 1 lpm 6.25, AT 256000
spontan Infus D10% 7 tpm 18/6/2021 TcB : 12.5
IV AA 24 ml / hari
ASIP 10 x 5-10 ml
Fototerapi 18 jam
Pasca fototerapi cek DL CRP
bilirubin, golongan darah, dan
elektrolit
Irigasi saluran cerna dengan NaCl
0.9% hangat 20 ml

S/ BY. KUSWATI O/ A/ P/ LAB

 BBL : 2200 gram BBLR, preterm, SMK, SC KC : 80cc/kgbb/hari = 180cc/ hari 18/6/2021 Lab DL : Hb 17.4, AL 6470 L,
BBS : gram RDS ringan O2 nasal 1 Lpm Ht 50, AE 4.56, AT 351000
IVFD D10% 5 tpm 18/6/2021 GDS : 67 L
Inj. Ampicilin 2x100 mg
Minum 10 x 7-10 ml (naik bertahap)

S/ BY. ISTIATUN O/ A/ P/ LAB

BBL : 3450 gram N aterm, BBLC, SMK, SC KC : 100 cc/kgbb/hari = 345 cc/24 19/06/21 TCB 11.0 mg/dl
BBK : gram Ikterus Neonatorum jam
BBS : gram ASI ad libitum
PB: 50 cm Jaga kehangatan
Perawatan tali pusar
Cek DL, goldar, Bilirubin