Roo Nama Diagnosis Terapi

m Pasien
1 Ang I Made UAP Hari ke 7 R IVFD NS sesuai TS
soka Asta -TIMI 3/7, GRACE 78, CRUSADE 41 N interna
103. Wedana/L on CHF FC 2 ec CAD 3VD G Asetosal 1 x 80
2 /55/18033 -Post CABG (DES 2018) Klopidogrel 1 x 75
198 -EF BP 62.5 %, RWMA (+) Simvastatin 1 x 40
V ACKD ec Suspek PNC Bisoprolol 1 x 2.5
CVI Ringan ekstrimitas Inferior D Diazepam 5 mg kp
ISK Komplikata ISDN 5mg kp
Hemorroid grade 3 Warfarin 1 x 1 mg (tunda
Suspek masa intra abdomen ec perdarahan
Suspek Ileus hemorroid)
Hipokalemia Lansoprazol 1 x 30
Pneumonia HAP Late Onset PCT 3 X 750
Sukralfat 3 x 15 ml
warfarin perdarahan
stop, DL Ulang senin, USG
abdomen --> TS interna
2 Ang I Nyoman ADHF Profile C ec GUCH Membaik D IVFD Nacl 8 tpm
soka Nari/L/77 -Suspek ASD sekundum L-R shunt A Bisoprolol 1 x 1.25
108. /2002766 -EF 39% Y Spironolakton 1 x 25
6 5 -MR moderate ec Prolaps PML Asetilsistein 3 x 200
-TR moderate intermediate prob of PH Kandesartan 1 x 8
V -MR Mild Furosemide 40 kp
AF NVR Lansoprazol 1 x 30
-CHA2DS2VASC 3 Digoxin 0.5 mg bolus bila
-HASBLED 3 H > 110
Hipokalemia membaik
Obs transaminitis ec suspek iskemik Konsul Rehab planning
hepatopathy Planning BPL Besok
ACKD ec suspek prerenal on CKD ec Suspek
PNC
-Metabolik asidosis
CAP PSI Class II, high risk MDR
Delirium ec suspek hipoksik dd iskemik
ensefalopati
ISK Komplikata
Anemia H-M ec ADB
Sindrom gagal pulih

3 Ang Ni Putu ADHF Profile B ec HHD Membaik D IVFD Nacl 8 tpm

soka Nilawati/P -MS Severe A Valsartan 2 x 80
308. /53/15016 -MR Moderate Y Spironolakton 1 x 12. 5
1 330 -AR Mild Karvedilol 2 x 3.125
-TR Mild, Intermediate prob of PH Furosemid 40 mg kp
-SEC + trombus di LA sesak
-Ht terkontrol Warfarin 1 x 1 (tunda)
V Prolonged INR (4.42) ec drug Induced
-Koagulopati, Hemoptysis Planning BPL
Atrial Flutter NVR Echo evaluasi trombus di
-Hasbled 1 LA Via Poli
ACKD ec suspek prerenal on CKD ec suspek PNC
-Hiperkalemia membaik
4 Ang I Ketut Suspek CAD A Asetosal 1 x 80 mg
soka Sudarta/L/ -Post UAP (Juni 2020) P Simvastatin 1 x 40 mg
104 68/20024 -EF 66% S Klopidogrel 1 x 75 mg
953 -AR Mild, TR Mild Ramipril 1 x 10 mg
Suspek SND Amlodipin 1 x 10 mg
-Post TAVB Bisoprolol tunda
HHD Warfarin 3 mg & 2 mg
-Ht terkontrol selang-seling
Atrial flutter with varying AV conduction
-CHA2DS2VASC 2
-HASBLED 1
DM Tipe 2
ACKD ec prerenal on CKD
-High risk of CIN
-Hiperurisemia
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6 Cem Ni Wayan Suspek CAD S Asetosal 1 x 80 tunda

paka Warsini/P -Iskemia anteroseptal A Simvastatin 1 x 20
Gyn /47/20018 HT Terkontrol T Bisoprolol 1 x 2.5
303. 535 Kista Ovarium Curiga malignancy Amlodipin 1 x 5
3 -Pro TAH BSO + FZ + Join op TS urologi pro Ramipril 1 x 5 mg, tunda
insersi DJ stent D/S 24 jam pre tindakan
Hidronefrosis sedang bilateral

7 Cem Desak CHF Fc 2 ec suspek HHD S Ramipril 1 x 5 mg 24 jam

paka ketut -Ht terkontrol A post op
Gyn lilit/P/59/ Ca cervix std III B + Tumor solid ovarium T
201. 20036079 Ca Mamae S
3 -Post Masektomi S
-Post Kemoterapi 6 seri
Hemoptoe ec suspek ulkus peptikum dd drug
induced
Anemia sedang NN
Suspek ISK komplikata
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1 Ang Gusti Possible IE R Gentamisin 1 x 135 mg

1 grek Agung -Obs prolonged fever ec suspek endokarditis dd N Levofloxacin 1 x 750 mg
10 Nova bacterial infection dd hematology malignancy G
Arysta/P/1 dd SLE Kultur darah 3 sisi
V 8/200385 Anemia Ringan NN suspek ACD dd Hemolitik tunggu hasil
00 Anemia
Obs hiperglikemia ec suspek stress induced dd USG abdomen sesuai TS
DM induced interna tunggu acc gastro
Obs Ikterus
1 Ang Elisabeth CHF ec Suspek HHD D Lisinopril sesuai TS
2 grek Charmaine -Ht terkontrol A interna
15 /P/49/200 DOC ec suspek hipoglikemia ec suspek drug Y Amlodipin sesuai TS
38736 induced (glimepirid) membaik interna
DM Tipe 2 Karvedilol 2 x 3.125
CKD stage V ec suspek DKD dd NS Furosemide 40 mg kp
-Anemia ringan NN ec ACD sesak atau kongesti
-Asidosis metabolik
Suspek selulitis ekst inferior S Visite KP
Hiponatremia kronis asimptomatik
hipervolemia
1 Ang Ni Putu Sri Alo ec HT emergency D Drip NTG titrasi sesuai
3 grek Wahyu/P/ ACKD ec prerenal on CKD ec suspek GNC A hemodinamik
5 35/20038 -Edema paru Y Drip furosemide 10
707 -Ht stage 2 mg/jam
-Anemia ringan Adalat oros 2 x 30 sesuai
CAP PSI Class IV interna
-Sepsis (membaik) Methyldopa 3 x 50 sesuai
G2POA1 UK 16/17 TH interna
Hypokalemia ec suspek loss (2.81) Monitor, keluhan vs cmck
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