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FOLLOW UP PASIEN RUANGAN IRINA F

Hari/Tanggal :Sabtu, 24 Juli 2021

F Bawah
No Nama Hari Diagnosa Swab Radiologi Laboratorium Terapi
Laboratorium
. Perawatan
1 Ny Sri Yatim F bawah Covid 19 Terkonfirmasi Swab antigen 15/7/21 Foto thorax 18/7/21 Nacl 0.9 % 500 cc 20 tpm
55 tahun 16/7/21 Pneumonia RS Budi Hb 15.1 Pneumonia Hb 12,8 Levofloxacin 1x750mg iv H9
H8 DM tipe 2 Mulia positif Leukosit 6200 Leu 6,3 Resfar 5 gr drips / 24 jam
DOB 18/11/65 Hipertensi Plt 127 GDS 16/7/21 Plt 157 Lansoprazole 2x30mg iv
RM 00552101 Dispepsia Swab PCR 1 SGOT 40 18.00 MCV 84,3 Vitamin c 3x1gr iv
Hypokalemia ringan 17/7/21 SGPT 42 22.00 MCH 27 KSR 1x600mg po
Dpjp dr Eko positif Ureum 8 MCHC 32 Novorapid 3x6u sc bila GDS
Surachmanto, Creatinin 0.6 17/7/21 DC >180 menolak Insulin 19/7/21
SpPD-KAI Swab PCR 2 Na 139 06.00 1/1/4/66/17/11 Levemir 1x 10 iu sc
18/7/21 K 3.37 Amlodipin 1x10mg po
PT 15.1 18/7/21 20/7/21 Domperidon 3x10 mg po

3.2
Swab 4 INR 1.12 18.00 214 Leukosit 6700
25/7/21 APTT 32.5 22.00 197 Hb 12.9
Trombosit 228.000
22/7/21 19/7/21 Diff. Count 3/0/0/67/22/8
Leuko 7300 06.00 PT 14.5(12.7)
Eri 4,73 12.00 296 N6 aPTT 28.3 (29.9)
Hb 12,7 18.00 279 N6 INR 1.21 (1.01)
Trombo 257000 22,00 190
UA 1.8
Hba1c 8,6
20/7/21
06.00 175
12.00 233 N6
18.00 267
22.00 197

21/7/21
06.00 201 N6iu
12.00 167
18.00 173
22.00 201 N6iu

22/7/21
06.00 270 N6
12.00 253 N6
18.00 244 N6
22,00 183.

23/7/21
06.00
12.00 181 N4
18.00
22.00 171
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

24/7/21
06.00
2 Ny. Tineke Tiho MRS F bawah Covid 19 terkonfirmasi Swab antigen X foto thorax Lab 4/7/21 : 7/7/21 Venflon
5/7/21 Sup tb paru Positif 4/721 (RS Leu 6600 Eos 0 Ranitidin 2x50 mg IV
52 tahun H16 Hipokalemia Kandou) : Hb 11.4 Baso 0 Bcomp 3x1 PO
Hiponatremia Swab PCR 1 Old tb paru aktif Tro 215.000 N batang 0 Zinc 1x20 mg
00743630 5/7/21 Eo 0 N segmen 63 Nasetilsistein 3x200 mg
Positif Baso 0 Limfosit 27 Paracetamol 3 x500mg po
DOB : 15/3/1969 N batang 1 Monosit 10 Vit d 4000mg 1x1
Swab 2 N segmen 66 Na 127 Pasien ada vitamin C sendiri
DPJP : Dr. dr 6/7/21 Limfo 21 K 3,05
Eko Positif Mono 12 Cl 86,6 Riwayat pengobatan
Surachmanto SGOT 23 Leu 7,9 Nacl 0,9% 100cc + remdesivir
SpPD Swab 3 SGPT 9 Eri 5,24 200mg /24jam H1
15/7/21 Ur 25 Hb 12,4 Remdesivir 100mg/24jam H5
Positif Cr 1.3 Ht 40,1 KSR 3x600mg

3.3
GDS 149 Trombo 208 Kapsul garam 3x1
Swab 4 Na 120 MCH 23,7 NaCl 0,95 14 tpm
22/7/21 K 2.4 MCHC 30,9
Cl 81 MCV 76,5 Plan
PT 14.0 Swab PCR Covid 19 berkala
INR 1.15 13/7/21 Cek gene xpert
APPT 36.4 Na 131 7/7/21
K 3,08 Konsul gizi klinik
Cl 84,8
Leuko 10400
Hb 11,6
Ht 34,5
Tromb 305
MCH 24.2
MCHC 35.6
MCV 72

16/7/21
Na 130
K 3.40
Cl 85.5

23/7/21
Na 138
K 3,82
Cl 101,7
SGOT 23
SGPT 23
Ur 7
Cre 0,6
Choles 172
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

HDL 41
LDL 116
Trigliserida 77
3 Ny. josephine MRS 23/7/21 Probable covid 19 Swab Foto thorax Rsup 22/7/21 GDS 23/7/21 IVFD NaCl 0,9% 500cc/8 jam iv
Beatric Pneumonia Bilateral Antigen rs kandau 22/7/21 Leu 5300 22.00 178 Levofloxacin 1x750mg IV
Amaranto, 84 H2 Dispepsia bhyangkara Pneumonia Hb 12.1 Resfar 1x5gr IV
tahun Hepatitis reaktif 21/7/21 Tromb 83 24/7/21 Metocopramide 3x10mg IV
DM tipe 2 positiF MCH 28.9 06.00 Lansoprazole 1x30mg IV
Perempuan Trombositopenia Pro MCHC 32.4 Novorapid 3x4 iu SC
evaluasi Swab 1 MCV 89.3 Vit C 3x250mg PO
DPJP: 23/7/21 DC 0/1/16/44/29/10
Paracetamol 3x500mg PO
dr. Octavianus Ur/Cr : 51/1.8
Bcomp 3x1 PO
Umboh, SpPD SGOT/SGPT 85/35
Sukrafat 3x10cc PO
Na 136
RM 00452267 K 4.59
DOB 14/4/1937 Chl 97.0 Advice:
Cek TTV/8 jam
DPJP : dr. Swab PCR untuk diagnostik
Octavianus Cek D-Dimmer, Fibrinogen
Umboh SpPD monitoring UO

4
3.4
Tn. Langi Daan/65 MRS F Bawah COVID-19 Terkonfirmasi Swab PCR 1 X Foto Thorax 22/6/21 12/7/21 Terapi:
thn 24/6/21 Diare Kronis susp. ec 24/6/21 22/6/21 Leukosit 14.700 Diff count IVFD KN2 /12 JAM
H-27 tumor kolorektal Positif Tidak ada kelainan Hb 13,2 0/0/3/77/8/12 New Diatab 2 tab tiap BAB cair
DOB : 13/12/1955 Cancer Pain Trombosit 518000 Na 129 Paracetamol 3x1 gr iv
Hemoroid Interna Swab 1 X Foto Thorax Ureum 52 K 3,29 Omeprazole 2x20 mg
RM. 00741926 Nodul Paru Sinistra 3/7/21 5/6/21 Creatinin 1.3 Cl 85,9 Anti Hemoroid supp per 12 jam
Hipokalemia perbaikan Swab 2 Nodul paru SGOT 23 Leuko 13200 Zinc 1x20 mg
Hiponatremia 10/7/21 Eri 3,66
sinistra SGPT 31 Vit. C 2x500 mg tab
KAPTEN Anemia ec s/ malignancy Positif Hb 10,4
Na 136 KSR 3x600mg
INTERNA Trombo 295000
K 4,34 Fentanyl 200 mg dalam Nacl
Raber Poli Nyeri Swab 3 SGOT 21
Cl 95,9 0,9% 500 ml drips IV/24 jam
17/7/21 SGPT 22
1/7/21 Alprazolam 1x0,5mg po
Positif Ur 28
0/0/21/63/12/4 26/6/21 Bicnat 3x500 mg po
Cr 0,3
Na 132 0/0/2/79/7/12 Gentamisin zalf 3x1 app
DPJP : dr. Swab 4
K 2.86 Na 131 K 3.69 Cl 91.5 Pasang catheter
Antonius 24/7/21 15/7/21
Cl 88.9 Leu 11.1 Eri 4.22 Hb 11.9 Na 124
Wirawan, Sp.PD Leu 12.8 Ht 35.1 Tc 323 MCH 28.2 Riwayat Pengobatan
K 2.65
Eri 4.20 MCHC 33.9 MCV 83.2 Cl 79.8 Ranitidine 2x50 mg iv stop tgl
Hb 12.1 Ur 29 Cr 1.1 Ca 7.61 F 3.2 D Dimmer 1.9 28/6/21
Ht 36.6 Mg 1.40 Alb 2.89 Fibrinogen 556 Asam traneksamat 3x 500 mg
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

Tc 318 Fibrinogen 770 IV stop tgl 28/6/21

5.1
MCH 28.9 D-Dimmer 1,76 18/7/21 Loperamide 10mg extra
MCHC 33.2 Feritin 921.7 Na 122 29/6/21
MCV 87.1 K 2,58
SGOT 18 7/7/21 Cl 79,5 Konsul Poli Nyeri :
SGPT 20 Eos 0 DC Fentanyl 200 mg dalam Nacl
Ur 29 Baso 0 0/0/23/57/9/11 0,9% 500 ml drips IV/24 jam
Cr 1.0 N batang 23 Hb 9,9
N segmen 57 Hct 29,5 Cek lab 10/7/21
Limfosit 9 Leu 12,3 Tidak keluar hasil
Monosit 11 Plt 221
Na 133 MCV 85,2 Lab 20/7/2021
K 2,40 MCH 28,5 DL, diff, PT, APTT, INR, D
Cl 87,8 MCHC 33,4 dimer, Fibrinogen
Leu 12,2 Tidak keluar hasil
Eri 3,66 21/7/2021
Hb 10,6 WBC 13,3 Cek 24/7/21
Ht 31,8 Eo 0 Cek d-dimer fibrinogen
Trombo 304 Ba 0 Pt/APPT INR
Mch 29,0 Batang 31
MCHC 33,4 Segmen 52
MCV 86,9 Limf 13
Mono 4
HB 9,7
PLT 298
5 Tn. Muslim MRS F Covid 19 terkonfirmasi Swab antigen Foto Thorax Lab 11/7/21 15/7/21 Terapi bedah
Mokoagow ,57 BAWAH post amputasi below knee RS Walanda Tidak tampak Leu 18.500 Na 138 NS 0.9% /12JAM
thn 13/7/21 ec cruris injury regio Maramis kelainan Hb 10.1 K 3,37 Asering 500cc/24 jam
H12 distal dextra 10/7/21 Ht 29.8 Cl 98,2 Ranitidine 2x50mg IV
Laki-Laki AKI perbaikan Positif Platelet 175.000 Leuko 16.700 Ketelorac 3x30mg IV
Hepatopati reaktif SGOT 292 Eri 2,46 Metronidazole 3x500mg IV H11
RM 00744140 Leukositosis reaktif SGPT 211 Hb 6,6 Vit C 2x200mg IV
Hiponatremia perbaikan Swab 1 Ur 46
Ht 19,5 Paracetamol 3x500mg PO
Kapten BEDAH Anemia 13/7/21 Cr 2.6
Tromb 284 Ceftriaxone 2x1 g iv H5
Hipokalemia perbaikan Positif GDS 177
MCH 28,7 D5% 500cc/12jam iv
DPJP dr. Hipertensi Kalium 3.71
Antonius dian Swab 2 Chlorida 97.6 MCHC 33,8 Terapi Interna
wirawan Sp. PD 14/7/21 Natrium 133 MCV 84,8 Bcom 3x1
Positif Anti HCV non reaktif SGOT 167 Vit D 3x1
Hbsag non reaktif SGPT 97 Riwayat
Swab 3 Anti hiv non reaktif Ur 73 KSR 3x600mg  stop

5.3
23/7/21 Cr 1,7 Amlodipin 1x10 mg po
(Ts bedah ) 13/7/21
Na 137 18/7/21 Tranfusi PRC 230 cc target Hb
K 3,08 Hb 8,2 >10
Cl 97,4 Leu 14,7 Periksa lab post trf, Form (+)
Leuko 15400 Plt 128 - sudah masuk 1 bag
Eri 2,46 Hct 24,3
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

Hb 7,1 MCV 84.1 Lab 20/7/2021


Ht 20,5 MCH 28.4 PT, APTT, INR, D dimer,
Tromb 200 MCHC 33.7 Fibrinogen,
MCH 28,9 SGOT 73
MCHC 34.6 SGPT 75
MCV 83,3 Na 135
SGOT 308 K 3,65
SGPT 125 Cl 96.8
Ur 35 DC
Cre 1,2 2/0/1/66/25/6
PT 14.6-13.5
APPT 20,2-34.5
INR 1,22-1,09

19/7/21
Hb 7,6
Leu 15,7
Plt 537
Alb 2,81
MCH 28,1
MCHC 31,9
MCV 88,1
6 Tn. Mundung MRS 18/7/21 Covid 19 Konfirmasi Swab PCR Foto thorax Rsup Lab: 21/7/2021 IVFD NaCl 0,9% 500cc/8 jam iv
Maxi, 47 tahun H6 pansitopenia pro evaluasi Unsrat kandau 16/7/21 16/7/21 WBC 14,5 Ceftriaxone 1x2gr IV H4
Dispepsia positif Pneumonia Leu 2.0 Eo 0 Azytromycin 1x500mg PO H4
RM 00276316 Hepatitis reaktif Hb 10.3 Ba 0 N Asetilsestein 3x200mg PO
Laki Laki Hepatitis B Swab PCR 1 Tromb 136.000 Batang 11 Vit C 3x250mg PO
DOB 5/12/73 Gum Bleeding 19/7/21 MCH 36.9 Segmen 75 Paracetamol 3x500mg PO
Gangguan Koagulasi positif MCHC 36.9 Limfosit 12 Bcomp 3x1 PO
DPJP: dr. Hiponatremi MCV 101.8
Mono 2 Zinc 1x20mg PO
Octavianus S/ HIPOALBUMIN Swab PCR 2 DC 0/0/0/53/39/8
HB 12,3 Lansoprazole 2x30mg PO
Umboh, SpPD 20/7/21 Ur/Cr : 22/1.1
PLT 215 Domperidone 3x10mg PO
positif SGOT/SGPT 144/69
GDS87 FUROSEMIDE IV 1-1-0

5.4
Na 127 Lovenox 1x0,4 iu sc H4
K 4.64
Chl 98.3
HbsAg reaktif Advice:
PT 26,6/14 Cek TTV/8 jam
EDEMA + INR 2,03/1,06 Swab PCR 19/7
APTT 48,8/34 Bloodsmear 19/7
Cek D-Dimmer, Fibrinogen 19/7

Cek lab 19/7/21


DDIMER FIBRINOGEN
DL BLOODSMEARHASIL
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

TIDAK ADA

CEK LAB 20/7/21


Tidak ada hasil

Cek lab 24/7/21


D-dimer, fibrinogen, albumin

7 Tn Boyke MRS F Bawah Probable Covid 19 dengan SWAB PCR 1 Ro Thorax Lab – Terapi
Languyu/59 21/7/21 gejala ringan 22/7/21 20/7/2021 22/7/21 IVFD NaCl 0,9% 10 tpm
tahun H3 Pneumonia Bilateral Pneumonia Leuko 9000 Furosemid 20 mg 1-1-0 IV
CKD 5 HD ec NSAID Swab 2 Bilateral, Covid 19 Eri 2,84 As. Folat 2 x 400mcg PO
Laki-laki Nefropati 23/7/21 Terkonfirmasi Hb 8,3 B Comp 3 x 1 PO
Anemia Renal Cardiomegali Trombo 173000 Paracetamol 3 x 500 mg PO
RM737112 Syndrome Dyspepsia disertai Anti HIV – Ranitidin 2 x 50g IV
DOB 1962/04/12 atherosklerosis Anti HCV –
Domperidon 3 x 10 mg PO
aorta Hbsag -
N Acetilsistein 3 x 200 mg PO
DPJP DR.dr Eko
Dexamethason 1 x 5 mg IV (H2)
Surachmanto,
SpPD-KAI Ceftriaxon 1 x 2 gr IV (H2)
Azitromicin 1 x 500 mg PO (H2)

5.5 Cek Lab dan swab 1 22/7


Lab cito 22/7/21
Rencana HD hari ini

23/7/21
Lab post HD

8 Tn Muaja MRS F Bawah Terkonfirmasi covid 19 SWAB PCR Gambaran Edema 6/7/21 Kultur Darah 5/7/21 Terapi:
Miccliff Kevin/26 13/7/21 Post 1 Paru SGOT 34 Ditemukan Staphylococcus IVFD NaCl 0,9% 500cc/8 jam
thn 13/7/21 SGPT 60 haemolyticus. Meropenem 3x1 gr iv (H8)
H11 Laparaskopi Postitif Bil tot 1.15 Ketorolac 3x1 amp iv
Laki-laki appendektomi Bil direct 0,89 Kultur Urine 2/7/21 Paracetamol 3x500mg po
SWAB Chlor 93,3 Tidak ada kuman Lanzoprazsole 2x30mg iv
RM 00742760 Leukositosis pro evaluasi 23/7/21 K 4,9 Furosemide iv 1-0-0
DOB 1995/02/14 (ts bedah) Na 133 29/6/21 Vit c 3x1 amp po
Edema Paru Anti Dengue IgG – Vit B com 3x1 tab
DPJP : dr. 10/7/21 Anti Dengue IgM – Metocopramide 3x10mg IV
Octavianus Leu 18.700
Umboh SpPD Hb 12 18/7/21 TS Bedah minta alih kapten
Ht 37,6 Hb 12 internatidak acc alih rawat
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

KAPTEN Trombo 269 Leu 10,8 (dr christofan Lantu SpP)


BEDAH MCH 29.3 Plt 310 Ada cek lab 15/7/21
MCHC 31,8 MCV 91,5 Hasil tidak keluar
MCV 92,2 MCH 29

4.5
CRP <6 MCHC 31,7
Procalcitonin 3.43 PT 15,1/13,5
INR 1,27/1,09
APTT 35,9/34,5
DC
0/1/20/55/12/12

9 Tn Eryanan MRS F COVID 19 Terkonfirmasi SWAB Susp pneumonia 12/7/21 GDS 13/7/21 Terapi:
Alexander / 48 BAWAH Pneumonia ANTIGEN parahilar kiri dd Leu 11.300 22.00 427 Novomix 8 unit IVFD NaCl 0,9% 500cc/8 jam
tahun 11/7/21 Susp tb paru dd massa 9/7/21 mass cavitas paru Hb 11.1 Ranitidine 2x50mg iv
paru POSITIF kanan ec proses Ht 36.3 14/7/21 Bcom 2x1
Laki-laki H12 Dm tipe II infeksi dd Trombo 303.000 06.00 370 Novomix 8 Metoclopramide 3x10mg iv
Hiponatremia Swab 1 malignancy MCH 18.3 12.00 341 Novomix 24-0-24 STOP
DOB 1973-04-05 Post stroke 12/7/21 MCHC 31.4 18.00 268 diganti:
Anemia pro evaluasi Positif 9/7/21 MCV 58.3 22.00 201 Novorapid 3x6 iu sc
RM 00744083 Leu 7100 GDS 223 Levemir 2x16 iu sc
Swab 2 Hb 11.1 15/7/21 Vit c 3x1 amp iv
13/7/21 Ht 36.3 18/7/21 06.00 Paracetamol 3x500mg po
DPJP : Dr. dr Positif Trombo 279000 Na 124 12.00 352 Novomix 8 N- asetilsistein 3x200mg
Eko MCH 18.5 K 5,24 18.00 230 Zinc 1x20mg po
Surachmanto SWAB 3 MCHC 30,6 Cl 87 22.00 367 Bicnat 3x500 mg
SpPD 22/7/21 MCV 60.3
DC 1/0/3/56/32/8 19/7/21 16/7/21 Riwayat pengobatan
SGOT 22 Dc 0/0/0/84/11 06.00 Azitromycin 1x500mg H5
SGPT 10 Leuko 14.2 18.00 509 novomix 14 Ceftriaxone 1x2gr iv H11

4.1
Na 123 Eri 5,51 22.00 366 Dexametazone 1x5mg iv H10
K 4,63 Hb 10
Cl 90.6 Ht 33.5 17/7/21 Advice:
PT 13.9 Trombo 449 06.00 435 novomix 14 Cek TTV/8 jam
INR 1.03 MCH 18,1 12.00- Swab PCR berkala
APPT 34 MCHC 29,9 18.00 365 Novomix 14 Gene expert
MCV 60,8 Urinalisa lengkap, fibrinogen,
18/7/21 d-dimer
22/7/21 06.00 419 Novomix 18 GDS 2 porsi
Leuko 13600 12.00 316
Eri 5,45 18.00 320 Novomix 18 Lab 18/7/2021
Hb 9,8 22.00 291 DL, diff, Na, K, Cl, PT,
Trombo 476000 APTT, INR, D dimer,
Hba1c 12,9 19/7/21 Fibrinogen, HA1C, PL, AU
06.00
12.00 331
18.00 128 20
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

22,00 140

20/7/21
06.00 183 NOVOMIX 20
12.00 338
18.00 522
22.00 518

21/07/21
06.00
12.00 HI novomix 20iu
18.00 547
22.00 338 novomix 20iu

22/7/21
06.00 540 Novomix 20
12.00 HI Novorapid 10 u IV
18.00 438 N6 L16
22.00 286

23/7/21
06.00
12.00 306 N 10
18.00
22.00 145

24/7/21
06.00
10 Tn. Tulinde Uston Pindahan dari Probabel COVID 19 Swab Thorax GENE EXPERT 18/7/21 IVFD NaCl 0.9% 500cc : D5:
43 th C3 MRS Antigen 7/7/21 10/7/21: MTB Not Na/K/Cl: 137/4.54/94.1 Aminofluid 2:1:1/24 jam
7/7/2021 20/7/2021 TB paru lama Detcted Leu: 6.1 N asetilsistein 200 mg /8 jam
RM : 00492313 H13 Positif kemungkinan Lab Eri: 5.03 Paracetamol 500 mg / 8 jam
reaktivasi, suspek 7/7/21 Hb: 14.7 Vit C 250 mg / 8 jam po
DOB: MRS F bawah Swab PCR efusi pleura kiri Na/K/Cl: Ht: 42.2 Vit B com 3xx1 po
28/10/1977 20/7/2021 21/7/21 minimal 137/4.26/95.3 Tro: 252 Zinc 1x20 mg po
H3 Leu: 12.6 MCH: 29.2 Dexamethasone 5 mg / 24 jam
DPJP: dr. Antonius Eri: 5.57 MCHC: 34.7 H2
Wirawan, SpPD Hb: 16.2 MCV: 84
Ht: 44.5 SGOT/SGPT: 18/31 RIWAYAT

4.2
Tro: 353 Ur/Cr: 26/0.5 Ampisilin sulbactam 2 gr/ 24
MCH: 29.1 Protein total: 5.87 jam (H10)
MCHC: 36.4 Ca: 9.66
MCV: 79.9 F: 2.8 Rencana CT thorax 22/7/2021
SGOT: 26 Mg: 4.65 Foto thorax control 21/7/21
SGPT: 38 Alb: 3.69
Ur: 21 Glo: 2.18 ACC ICU PALMA 20/7/2021
Cr: 0.5 (PALMA FULL/ FITN)
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

GDS: 83 19/7/21
CK total: 63 Leu: 9.1
CKMB: 32 Eri: 5.03
Hb: 14.4
10/7/21 Ht: 41.5
Na/K/Cl: Tro: 298
134/4.48/93.8 MCH: 28.6
Leu: 10.6 MCHC: 34.7
Eri: 5.65
Hb: 16
Ht: 48.2
Trom: 244
MCV/MCH:
85.3/28.4
MCHC: 33.3
Protein: 6.56
Ca: 8.71
F: 3
Mg: 1.78
Alb: 3.48
Glo: 3.08

MCV: 82.5
Anti HCV: non reaktif
HBsAg: non reaktif
Anti HIV: non reaktif
11 Tn. Dirk MRS F bawah covid 19 terkonfirmasi Swab Thorax 9/7/21 Gds 14/7/21 IVFD NaCl 0,9% 500cc/8 jam
Marthein 4/7/21 DMT2 on treatment Antigen Mild pneumonia Hb 12.1 5/7/21 06.00 213 N 4 iv
Markus / 59 Riwayat belum Pneumonia 3/7/21 sinistra Leukosit 6100 06.00 12.00 268 Resfar 500mg/24 jam
tahun pernah vaksin Anemia ec susp Chronic Positif Plt 348 18.00 18.00 425 Vit Bcom 3x1 tab
disease 3/7/21 Sgot 17 22.00 270 22.00 72 Vit C 3x250mg po
RM 00743600 H18 Swab 1 Leu 7300 Sgpt 14 ZInc 1x1 tab po
6/7/21 15/7/21
4/7/21 Hb 11,6 Ureum 31 Ranitidin 2x50 mg iv
06.00 202 06.00
Kapten Interna Positif Ht 34 Cr 0.7 12.00 150 12.00 326
Novomix 14-0-14
Trombo 182 Fibrinogen 582 18.00 18.00 221 Lovenox 1x40mg H13
DPJP: dr. Swab 2 MCH 27,7 D dimer 1.04 22.00 22.00 262 Ranitidin 2x50 mg IV
Antonius Dian 5/7/21 MCHC 34,1 PT 12.8
Wirawan, SpPD Positif MCV 81,1 APTT 35.2 7/7/21 16/7/21 Riwayat
DC 0/0/0/77/13/10 Inr 0.94 06.00 06.00 238 Azitromisin 1x500mg po H5
Swab 3 SGOT/PT : 57/22 Na 135 12.00 18.00 307

4.4
14/7/21 Ur/Cr : 43/1,1 K 3.95 18.00 172 22.00 Advice:
Positif GDS113 22.00 198 Cek TTV/8 jam
Chlor 98,3 14/7/21 17/7/21 Swab PCR untuk diagnostik
Swab 4 K 4,24 Hb 12.5 8/7/21 06.00 Cek HbA1C
22/7/21 Na 131 Leuko 7600 06.00 111 12.00 235 GDS 2porsi
PT 11,7-14,0 Plt 540.000 18.00 301 18.00 316 Novomix Bloodsmear
22.00 272 10
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

INR 0,91-1,06 PT 12.8 Cek D-Dimmer, Fibrinogen


APPT 40,7-34 APTT 31.3 9/7/21 18/7/21
06.00 247 06.00 220
INR 0.95 12.00 274 Cek lab 19/7/21
Fibrinogen 371 12.00 18.00 238 Novomix 10 DL DIFF COUNT AS URAT
D dimer 0.40 18.00 265 22.00 144 HBA1C DDIMER
22.00 467 FIBRINOGEN
19/7/21 19/7/21
10/7/21
DC 0/0/77/14/8 06.00 06.00 Lab 22/7/21
Leuko 10,4 12.00 290 12.00 304 HbA1c ?
Eri 4,10 18.00 155 18.00 302
Hb 11.4 22.00 285 Novomix 14
Ht 35 22.00 321
Trombo 335 11/7/21
MCH 32,6 06.00 20/7/21
MCHC 32,6 12.00 180 06.00 93
MCV 85,4 18.00 166 12.00 283
22.00 220 18.00
22/7/21 22.00 267
Leuko 5500 12/7/21 Novomix 14
Eri 4,22 06.00 321
12.00 178
Hb 11,8 21/7/21
18.00 274
Trombo 254000 06.00
22.00 –
12.00 225
13/7/21 18.00 250
06.00 122 Novomix 14
12.00 - 22.00 210
18.00 303
22.00 289 N4 22/7/21
06.00 158
12.00 348
18.00 238
Novomix 14
22.00 190

23/7/21
06.00
12.00 282
18.00
22.00

24/7/21
06.00
12 Tn. Mandolang F ITN Covid 19 terkonfirmasi Swab PCR 1 Rontgen thoraks 14/7/21 Lab 17/7/21 Mandolang Nolli N-Asetilsistein 3x200mg
Nolli / 66 th 15/7/21 CKD 5 HD ec HNS 12/7/21 14/7/21: Leuko 6300 DC 0/0/2/84/8/6 21/7/2021 Ranitidine 2x50mg iv
Hari 5 Pneumonia Positif Cardiomegaly, Hb 8,6 Na 129 WBC 6,8 Vit bcom 1x1
00722603 Hiperkalemia perbaikan dengan edema Ht 24,3 K 5.01 HB 7,7 Adalat oros 30mg 1-0-0
F Bawah Hipertensi Swab 2 paru, DD/ Tromb 76 Ch 86,5 PLT 67 Asam folat 2x0,4mg
1954/11/24 19/7/21 Trombositopenia 21/7/21 pneumonia MCH 28,8 Leuko 19.100 Ur 228 Kalitake 2x1 sachet stop
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

H3 Anemia ec chronic bilateral MCHC 35,4 Cre 19,3 Levofloksasin 750mg Hari 3
DPJP : dr. disease MCV 81,3 Na 126 Levofloksasin 500mg/48 jam
Antonius Hiponatremia DC 1/0/1/74/16/8 K 4,81 Biknat 3x500 mg po
Eri 2,77
Wirawan, Sp.PD HD SENIN Hepatopati reaktif SGOT/PT 57/62 Telmisartan 1x80 mg po
Hb 8,2
19/7/21 – Ur/Cr : 280/24,2 Riwayat Terapi :
Ht 24,3
KAPTEN hanya 1 jam GDS 81 Ca glukonas 3x1amp stop
Trombo 64
INTERNA krn tensi drop Cl 100,4 D10%+ Novorapid 10iu/24jam
MCH / MCHC :
dan menggigil K 6,39 iv - stop

4.3
29.5/33/7
Na 148
SGOT/SGPT
HD Senin-Kamis
283/301
Ur/Cr : 219/21.3
Cek lab post HD besok 20/7/21
Cals 8.34
Tidak keluar hasil
Fosfor 10
Mag 2,42
HD 22/7
Alb 3.32
23/7/21
LAB POST HD
13 Ny. Mangeronda MRS F bawah Konfirmasi covid 19 Swab antigen 7/7/21 16/7/21 Foto thoraks IVFD NaCl 0,9% 500cc
Ruth Anna 8/7/21 Pneumonia bilateral lab kanaka Leu 4.800 Hb 9.6 Bilateral pneumonia /12jam iv
AKI 7/7/2021 Hb 9,8 Leukosit 5900 Paracetamol 3x500mg po
RM: 00493551 H15 Hipertensi Positif Ht 30,3 PLT 246 N asetilsistein 3x200mg po
Anemia renal dd occult Trombo 164.000 Amlodipine 1x10mg po
DOB : 21/5/38 bleeding 8/7/2021 MCH 28,1 17/7/21 Bcomp 2x1 po
Hiponatremia perbaikan Swab 1 MCHC 32,5 Na 130 Bicnat 3x500mg
DPJP : dr. Positif MCV 86,4 K 4.08 Lovenox 1x40mg H5
Octavianus Diff count Ch 92,0 Lactulose 3x10 cc po
Umboh SpPD 9/7/21 0/1/0/59/27/13 Leuko 5.3 Plan:
Swab 2 Ur/Cr : 125/2,6 Eri 3.36 Cek TTV/8 jam
GDS 145 Hb 9,4 Tibc SI, bloodsmear, benzidine

1.1
18/7/21 PT 15,2 Ht 29.4 test
Swab 3 INR 1,13 Trombo 256 Swab PCR berkala
APPT 30,5 MCH 27.9 Cek D-Dimmer, Fibrinogen
SGOT 34 MCHC 31.9 Takar urin /24 jam
SGPT 15 MCV 87,5 USG abdomen
Cl 90,6 Ur/Cr 44/1.5
K 3,53 Konsul hemato
Na 125 Cek ur, cre kontrol. Bila sudah
14/7/21 ada hasil bisa lapor hematologi
Hb 8.1 Transfusi PRC belum ada darah
Leukosit 7200 Riw. Pengobatan:
Plt 288 Azitromisin 1x500mg po. H5
PT 12.9 -STOP
APTT 30.1
INR 0.95 23/7/21
Fibrinogen 550 Dl Na k cl Ur cr
D dimer 2.30
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

14 Ny. Leli A A MRS F Bawah Covid 19 konfirmasi Swab PCR 17/7/21 22/7/21 Foto Thorax IVFD NaCl 0,9% 500cc/8 jam
Mangerongkond 18/7/21 Pneumonia Cov 19 Leu 4.800 PT 12,2/12,7 Pneumonia Bilateral iv
a, 75 tahun 16/7/21 Hb 13 INR 0,96/1,01 Ceftriaxone 1x2gr IV H5
H5 positif Ht 40.8 APPT 25,8/34,7 Azytromycin 1x500mg PO H5
Perempuan Tromb 145.000 -STOP
swab 2 MCH 26.5 N Asetilsestein 3x200mg PO
DOB 12/12/1945 23/7/21 MCHC 31.9 Vit C 3x250mg po
MCV 83.2 N asetilsestein 3x200mg PO
RM 00019826 DC 0/0/0/65/27/8 Paracetamol 3x500mg PO
Ur/Cr : 38/1.2
DPJP: dr. SGOT/SGPT Advice:
Antonius Dian 31/14 Cek TTV/8 jam
Wirawan, SpPD GDS 83 Swab PCR untuk diagnostik
Na 134 Cek D-Dimmer, Fibrinogen
K 3.94

1.2
Chl 95.6 20/7/21 cek lab D-Dimer
Fibrinogen
Tidak keluar hasil

LAB 22/7/21
PT, INR, APTT, Fibrinogen?,
DDImer ?
15 Ny. Dumais Betsy MRS F bawah Konfirmasi Covid 19 Swab Foto thorax 29/6/21 12-7-21 Furosemide 1-1-0 IV
Perempuan, 69 28/6/2021 gejala berat Antigen di 28/6/21 D-dimerr 1.07 Leu 14.600 IVFD nacl 0,9% 20 tpm
tahun ISPA RS Hermana Tak tampak Fibrinogen 403 Eri 3.46 Paracetamol 3x500 mg PO
Hari 23 Hipertensi Lembean kelainan Hb 9.9 N-Acetilsistein 3x200 mg PO
RM. 00245815 Hiponatremia berat 27/6/21 2/7/21 Hct 28,0 Vit C 2x500 mg PO
Hipokalemia perbaikan Positif 28/6/21 0/0/3/66/20/11 Trombo 202 Amlodipin 1x10 mg PO
DOB 22-04-1952 Anemia pro evaluasi Hb 12,6 Leu 6.8 MCH 28,6 KSR 3X600 mg  stop
Leukositosis pro evaluasi Swab PCR 1 Leuko 4.300 Eri 4.30 MCHC 35,4 Lansoprazole 2x30mg iv
DPJP: 29/6/21 Trombo 247 Hb 12.3 DC 0/0/1/82/10/7 As folat 2x0,4 mg po
dr. Antonius Positif Ht 36,1 Ht 35.6 MCV 80,9 Zinc 1x20mg po
Wirawan, Sp.PD MCV 81,9 Tc 174 Chlor 85,5 Vit B 2x1 mg po
Swab 2 MCH 28,6 MCH 28.6 K 3,49 Bicnat 3x500 mg po
KAPTEN 9/7/21 MCHC 34,9 MCHC 34.5 Na 119
INTERNA Positif Diff count MCV 82.7 Riwayat
0/0/053/30/17 15-7-21 Azytromicin 1x500 mg po
Swab 3 Ur 31 7/7/21 Leu 12.300 stop 5/7/21
16/7/21 Cr 0,9 Hb 12.3 Eri 3.24 Ceftriaxone 1x2 gr IV (H10
Positif SGOT 32 Leuko 11.8 Hb 9.4 Kapsul garam 3x1
SGPT 15 Plt 149 Hct 27,0 IVFD Nacl 3% 250 cc/ 24 jam
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

Swab 4 GDS 92 Na 103 Trombo 18 STOP

1.3
23/7/21 Na 122 Kalium 2.22 DC 0/0/1/12/10/8 NS +Kcl 50 meq / 24 jam
K 3,19 12/7/21 Chlor 91.3 STOP
Cl 83,4 Diff count K 41.2
PT 13,1 0/0/1/82/10/7 Na 128 Cek Lab 20/7/2021
APPT 35,7 Na 119 SGOT/SGPT 40/46 D dimer, Fibrinogen
INR 0,97 K 3,49 UR 103 Tidak keluar hasil
Cl 85,5 CR 2.4
Leuko 14,6 Serum iron 57 23/7/21
Eri 3,46 TIBC 171 Dl Na k cl
Hb 9,9 ST 33
Trombo 202000
18/7/21
Hb 10,5
Leu 9,7
Plt 197
MCV 87,7
MCH 28,9
MCHC 33
Na 127
K 3,7
Cl 88,7
PT 14/13,5
INR 1,15/1,09
APTT 25,2/34,5
DC
1/1/1/78/11/8

16 Ny. Paulina MRS F Covid 19 Terkonfirmasi Swab antigen Foto Thorax Lab 12/7/21 17/7/21 Terapi :
Lalao 50 thn BAWAH Pneumonia RS Budi Pneumonia Leu 27.900 DC 1/0/0/70/20 IVFD NaCL 0,9% /8 jam
13/7/21 Dm tipe 2 Setia 10/7/21 bilateral dd Hb 11.6 Na 138 Ceftriaxone 1x2gr IV H9
Perempuan Dispepsia syndrome Positif Probable covid 19 Ht 33.7 K 3.92 Novorapid 12u bila gds >200
DOB 19/12/1970 H11 Hyponatremia perbaikan Platelet 240.000 Cl 93,7 Levemir 1x16 ui jam 22.00
RM 00744185 Anemia pro evaluasi SWAB PCR diffcount 0/0/0/90/8/2 Leuko 9,4 Lansoprazole 2x30mg PO
Hipokalemia 1 SGOT 43 Eri 3,79 B comp 3x1 PO
DPJP : Dr. dr 13/7/21 SGPT 26 Hb 10,6 Zinc 1x20mg PO
Eko positif Ur 38 Trombo 346 Vit C 3x1 PO
Surachmanto Cr 0.7 MCH MCYHC MCV : Paracetamol 3x500mg po
SpPD Swab 2 GDS 361 27.9/32.9/84/4 N asetilsistein 3x200mg po
14/7/21 Kalium 4.17 KSR 1x600 mg po
Chlorida 91.9
SWAB 3 Natrium 128 18/7/21 Konsul palma - perbaikan
22/7/21 Anti HCV non reaktif 06.00 225 N 10
Hbsag non reaktif 12.00 186 N 10 Riwayat :
GDS 13/7/21 Anti hiv non reaktif 18.00 Azytromycin 1x500mg PO H6
12.00 372 N6 22.00 201
18.00 347 N6 AGD 13/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

22.00 62 PH 7,45 19/7/21 Lab HBA1c Tidak keluar

1.4
PCO2 28,4 06.00
14/7/21 PO2 183 12.00 337 N 10 LAB 22/7/21
06.00 286 BEecf -4 18.00 141 N 4 unit HBA1c bekuan
12.00 417 TCO2 2 22.00 137
18.00 sO2 100% Cek HBA1C tanggal 25/7/21
Lac 0,85
14/7/21 FiO2 100 20/7/21
06.00 286 13/7/21 06.00 268 N 12
Novorapid 4 GDS 277 12.00 175
unit 18.00 390 N12
12.00 417 18/7/21 22.00 367 N12
18.00 504 Hb 10,4
22.00 301 Leu 8,5 21/7/21
Plt 393 06.00
15/7/21 MCV 85,5 12.00 247 N12
06.00 MCH 27,9 18.00 408 N12
22.00 338 MCHC 32,7 22.00 198 L16
Na 136
16/7/2021 K 3,38 22/7/21
06.00 230 Cl 97,7 06.00 227 N12
12.00 200 PT 13,2/13,5 12.00 298 N12
18.00 349 INR 1,06/1,09 18.00 377 N12
22.00 314 APTT 30,9/34,5 22.00 107
DC
17/7/21 2/1/1/65/19/12 23/7/21
06.00 06.00
12.00 247 12.00 377 N 12
18.00 424 20/7/21 18.00
Novo 10 Leukosit 5100 22.00 354 L16
22.00 452 Hb 10.2
N10 Trombosit 445.000
PT 14.8(12.7)
aPTT 28.3 (29.9)
INR 1.24 (1.01)
UA 1.8

17 Ny. Susan MRS F ITN Probable Covid 19 Swab antigen Rontgen 16/7/21 : 16/7/21 GDS 21/7/21 O2 NRM 10 lpm
Jokomi/ 69 tahun 21/7/21 Pneumonia bilateral Siloam pneumonia Leu 7500 06.00 188 Saran terapi:
F Bawah severe 15/7/21 bilateral probabel Hb 11.3 12.00 IVFD NaCl 0,9% 500cc/ 8 jam
RM 00744585/ 23//7/21 DM tipe 2 Negative covid 19 Ht 30.4 18.00. 167 iv
DOB 1951-08-10 H3 Hiponatremia Trombo 222 22.00 190 Vit b com 3x1
MCH 31.3 Paracetamol 3x500 mg po
KAPTEN Swab PCR CT thorax : MCHC 37.2 22/7/21 levofloxacin 1x750 mg iv H3
INTERNA 21/7/21 moderate MCV 84.2 06.00 Lansoprazole 2x30 mg po
pneumoni bilateral DC 0/0/1/84/8/7 12.00 195 Vit c 3x250 mg po
DPJP Interna: SGOT/PT : 57/42 18.00 238 N4 Zinc 1x20mg po
Dr. dr. Eko Ur/Cr : 17/ 0.7 22.00 Menolak di cek Novorapid 4 iu bila GDS >200
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

Surachmanto, GDS 150


SpPD-KAI Chlor 79.7
K 3.89 23/7/21 Advice:
Na 123 06.00 393 N 4 Cek TTV/8 jam
PT 12.7/15 12.00 295 N 8 Swab PCR
INR 0.94/1.11 18.00 AGD, UL, Na, K, Cl kontrol
APTT 28/36 22.00 200 N4 Cek HBa1c, GD4P

2.3 24/7/21
06.00
Cek D-Dimmer, Fibrinogen

23/7/21
Dl Na k cl Hba1c
18 Ny. Marlen MRS F Bawah Probable Covid 19 Swab antigen Rontgen 14/7/21 Lab 23/7/2021 IVFD NaCl 0,9%: Aminofusin
Takapotehe/ 33 23//7/21 Susp. Sirosis Hepatis Siloam Pulmo dan Cor Leuko 4,6 Hepar 1:1 per 24 jam
th Dekompensata 23/7/21 kesan normal Eo 0 Lanzoprazol 1 x 30 mg IV
H-2 Susp. Hipoalbumin Positif Ba 0 Furosemid 1-1-0 IV
DOB 9-3-1988 Diare akut Batang 0 New Diatab 3 x 2 tab PO
RM: 741912 Anemia ec Chronic SWAB -1 Segmen 67 Albumin 25% 1 x 100 cc IV
Disease 24/7/21 Limf 22 N acetilsistein 3 x 200 mg PO
DPJP: dr. Hiponatremi Mono 11 KSR 3 x 600 mg PO
Octavianus Hipokalemi Hb 8,6 Zinc 1 x 20 mg PO
Umboh, Sp.PD Trom 102 B Comp 3 x 1 PO
Na 133 Vit C 3 x 1 PO
K 3,11
P 3,8 24/7/21
Mg 1,65 Ada cek lab Dl, diff, PT,

2.5 Ureum 46
Creatinin 1,2
SGOT 51
SGPT 34
APTT, INR, ffibrinogen, D
dimer, Ur, Cr, Alb

PT 17,0
APTT 34,0
INR 1,3

F-ITN
No Nama Hari Diagnosa Swab Radiologi Laboratorium Terapi
. Perawatan Laboratorium
1 Tn Basalama MRS F-ITN covid 19 terkonfirmasi Swab PCR GDS 17/7/21 15/7/21 16/7/21 IVFD NaCl 0,9% 20tpm
Abdullah/63 16/7/21 dengan ancaman gagal 16/7/21 18.00 240 N6 Leuko 6700 Natrium 130 Lansoprazole 2x30mg iv
H8 napas Positif 22.00 312 – Hb 13,7 K 4.73 Resfar 1x5mg iv
00744577 Pneumonia Eo0 Uric acid 5.5 Dexametazone 1x5mg ivH7
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

DM tipe II 18/7/21 Ba 0 Kolesterol 196 Vit 3x1 gr IV


21-2-1958 Hiponatremia 06.00 N batang 0 HDL 27 Levofloxacin 1x750mg iv H7
Dispepsia 12.00 N segmen 86 LDL 126 Novorapid 3x10 iu sc
DPJP: Dr dr Eko Gangguan koagulasi 18.00 338 N6 Limf 15 TG 213 Levemir 1x12 U
Surachmanto 22.00 alat GdS Mono 5 GDS 4 porsi
SpPD Rusak Na 129 22/7/21
Tromb 188 Diff count
19/7/21 GDS 306 0/0/4/80/9/7 Besok 18/7/21

6.1 06.00
12.00 384 N 10
18.00 173 N 10
22,00 288 N 10
Ur 26
Cre 1,1
SGOT 31
SGPT 17
Leuko 11000
Eri 5,19
Hb 13,4
Trombo 316000
Cek Dimmer-Fibrinogen

Cek lab 19/7/21


Ddimer,fibrinogen, tidak
Pt 16,1 Procalcitonin 0,331 keluar hasil
KAPTEN ANESTESI 20/7/21 APPT 40,5
06.00 291 N 10 INR 1,2 Cek lab 20/7/21
12.00 HBsAg non reaktif Fibrinogen , D-Dimer Tidak
18.00 392 Anti HCV non reaktif keluar hasil
22.00 312 N10 Anti HIV non reaktif
22/7/21
21/7/21 Cek lab HBA1c
06.00 226 N10
12.00
18.00 305 N10
22.00 289. N10

22/7/21
06.00
12.00 368 N10
18.00 451 N10
22.00 487 L12

23/7/1`
06.00 555 N 10
12.00 393 N 10
18.00
22.00 584 L12
24/7/21
06.00

2 Tn. Michael MRS C1: COVID 19 Terkonfirmasi Swab Antigen X foto thorax 11/7/21 17/7/21 IVFD NaCl 0.9%: B fluid 2:1
Armendo / 21 12/7/21 Anemia ec susp occult 20/7/21 (11/7): Hb 5.0 Hb 5.7 Lansoprazole 30 mg/ 12 jam IV
tahun H9 bleeding Positif Cor dan pulmo tak Ht 17.1 Ht 18.3 Sucralfat syr 10cc/ 8jam PO
Multiple ulkus tampak kelainan Leuko 49.2 Leuko 12.3 Metoclopramid 10mg/ 8 jam
RM 00744172 Hiponatremia Swab PCR Trombo 182 Trombo 190 IV
MRS F ITN: Hipokalemia 21/7/21 X foto Vertebrae Eritro 2.36 Eritro 2.51 Lactulosa 10cc/ 8 jam PO
DOB : 19/2/2000 20/7/21 Hipoalbuminemia Positif (12/7): Diffcount 0/0/2/93/3/2 Diffcount 0/0/8/71/17/4 Vitamin K 1 amp/ 24 jam IM
H3 Swab PCR
Leukositosis reaktif dd Fraktur kompresi Ureum 59 Ureum 18 Vitamin B comp 1tab/ 24 jam
22/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

KAPTEN ANESTESI bacterial infection dan destruksi Creat 1.0 Creat 0.6 PO
Riw Vaksin perbaikan korpus vertebra GDS 46 GDS 122 Vit C 3x250 mg po
DPJP Interna: Belum pernah Gangguan koagulasi Th3-5 yang tampak Na 132 Na 129 Paracetamol tab 500mg/ 8 jam
Dr. Octavianus Paraparesis UMN ec lesi melibatkan K 3.35 K 3.18 PO
Umboh, SpPD medulas spinalis intervertebralis Cl 104.5 Cl 92.2 Levofloxacin 1x750 mg IV H1
sekitarnya Human Albumin 25% 100 cc /
Raber Neuro Staghorn calculi 15/7/21 19/7/21 24 jam IV
ginjal bilateral Hb 5.8 Leu 8,1 Trf PRC 1 bag / 24 jam
Ht 19.6 Hb 7,5

6.2
X foto pelvis Leuko 15.1 Hct 24,5 Riw. Pengobatan:
(12/7/21): Trombo 99 Plt 277 Ampicilin Sulbactam 3gr/ 6
Subluksasi sendi Eritro 2.64 MCH 24,2 jam IV, (start 12/7)
coxae dextra MCHC 30,6
Dislokasi sendi MCV 79 Plan :
coxae sinistra Ureum 24 F 3,2 - Swab PCR
Fraktur lama di Creat 0.8 Mg 1,79 - Cek FL, BT, UL, Alb.
proximal femur Alb 2,33 Mg, P, Ca
dextra Na 136 Cl 94
Deformitas fraktur K 2.68 K 3,23 Transfusi 1: 15/7/21
lama di caput Cl 100.9 Na 127
femur sinistra Ca 6,7 23/7/21
Disuse Dl na k cl alb
osteoporosis
Vesicolithiasis
multipel
3 Tn. Petrus MRS FITN Covid 19 Terkonfirmasi SWAB PCR FOTO THORAX 17/7/21 GDS Terapi:
Wellong/ 63 tahun 17/7/21 Acute in CKD dd CKD 5 1 BILATERAL Leu 7100 17/7/21 IVFD NaCl 0,9% 500cc:
ND ec HNS dd DKD 17/7/21 PNEUMONIA Hb 10,5 18.00 225 Levemir + Lirag kidmin 200cc / 24 jam iv
RM 00097527 / H6 Dm tipe II Positif (PROBABLE Ht 31,9 22.00 tdk terperiksa N-asetilsistein 3x200mg
DOB 1958-02-03 Hipertensi COVID 19) Trombo 276 Vit bcom 3x1
Nodul Tiroid SWAB PCR MCH 28,7 18/7/21 Ceftriaxone 1x 2gr iv H6
DPJP: dr. 2 MCHC 32,9 06.00 Amlodipine 1x10mg po
Octavianus 18/7/21 MCV 87,2 12.00 Bisoprolol 2,5mg 1-0-0
Umboh, SpPD DC 3/0/7/60/18/12 18.00 98 Nitrokaf 2x2,5mg
SGOT/PT : 30/17 22.00 222 Vit c 3x1 gr iv
Ur/Cr : 166/ 4,4 Zinc 1x20mg po

7.1 GDS 209


Chlor 98,0
K 4,96
Na 130
19/7/21
06.00
12,00 213
18.00 233
Allopurinol 1x100mg po.l
Liraglutide 1,2 iu tiap jam
18.00
Levemir 2x30mg sc (jam 6
22.00 232 pagi dan 6 sore)
KAPTEN
18/7/21 Lansoprazole 2x30mg
INTERNA
PT 16,2-13,5 20/7/21 Paracetamol 3x500mg
INR 1,40-1,09 06.00 179
APPT 24,7-34,5 12.00 155 Advice:
Leu 6600 18.00 153 Cek TTV/8 jam
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

Eri 3,74 22.00 196 Swab PCR berkala


Hb 10,8 Hemodialisa
Ht 33,7 21/7/21 Cek urinalisa lengkap
Trombo 319 06.00 198 Cek D-Dimmer, Fibrinogen
MCH 319 12.00. viral marker, ur, cr
MCHC 32 18.00. 204 Konsul endokrin
MCV 90,1 22.00. 190 Gds 4 porsi
Ur/CR 151/3,3
Anti viral NR 22/7/21 Cek lab 19/7/2120/7/21
06.00 232 L 30 d-dimer,fibrinogen, as urat,
22/7/21 12.00 130 Hba1c,alb,na k cl, ca mg
Ur 70 18.00 132 p,viral marker
Cr 2,2 22.00 132
Trombo 305000 Cek LAB 22/7/21
SGOT 22 23/7/21 HBA1c, UR, Cr (BILA
SGPT 13 06.00 242 TINGGI NAIK HD)sudah
Bil totatl 0,24 12.00 111 lapor hasil lab ke div
Bil Dir 0,14 18.00 GinjalTidak HD
Hb 11,5 22.00 131
Na 140
K 5,46 24/7/21
Leuko 6200 06.00
4 Tn Dalton MRS COVID 19 terkonfirmasi Swab antigen 8-7-21 12/7/21 Foto thoraks 8-7-21 IVFD NaCl 0,9% 500cc/8jam
Maluensang/58 9-7-21 Pneumonia Bilateral 7/7/21 Leu 5800 Fibrinogen 753 Pneumonia bilateral iv
tahun H14 Dispepsia Hb 14,8 Ddimmer 1,76 Ranitidine 2x50mg iv
Hipertensi Ht 43,2 Bcomp 2x1
Positif
00743896 Hiponatremia Tromb 196000 20/7/21 Domperidone 3x10mg
Gangguan faal MCH 28,6 Na 136 Bicnat 3x500mg po
Swab 1(9-7- MCHC 34,3
DOB : 1964-07-10 koagulasi/hypercoagulated 21) POSITIF K 4,74 Vit c 3x250mg
MCV 83,6
state 0/0/0/60/31/9
Cl 97,8 Paraceamol 3x500mg
DPJP: Dr dr Eko ARDS Swab SGOT 45 Leu bekuan Amlodipine 10mg 1-0-0
Surachmanto 2(10/7/21) SGPT 21 SGOT 48 Candesartan 8mg 0-0-1
SpPD Na 130 SGOT 46 N-asetilsistein 3x200mg
Positif
Cl 94 Ur 30 Dexamethason 1 amp / 24 jam
KAPTEN PT 23,1 Cr 0,7 H11
INTERNA Swab 3 Remdesiveir 200 mg dlm nacl
INR 2,24
20/7/21 APPT 32,6 0,9% 250 cc/24 jam H1-14/9
Kamar 4 Positif Remdesivir 100 mg dlm nacl
AGD 0,9% 250 cc/24 jam H2-H5
Ph 7,415

8.1
PCO2 39,3 RIWAYAT
PO2 53 Azitromycin 1x500mg stop
BE 1
Ceftriaxone 1x2gr iv H12
HCO3 25,2
TCO2 26
SO2 88%
Lac 1,51 Konsul hemato
Lovenox 1x40mg sc H3
12/7/21 17/7/21 naik jadi 2x40mg
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

D DIMER 1,76 Lovenox 2x40 mg H6


Fibrinogen 753

14/7/21 Sudah konsul palma,


Hb 12.4 sementara palma full
Leuko 7.100
Plt 329
Weaning O2 – ganti ke NC
Natrium 138
Kalium 3.56
19/7/21
Cek lab lengkap

5 Tn. Nelman MRS PALMA COVID-19 Terkonfirmasi Swab PCR Foto thoraks RS Lab 9/7/21 19/7/21 BEDAH :
Madiha 16/7 dengan gejala berat 11/7/21: Kandou 9/7/21 Leukosit 5.600 PT/APPT 19,2/ 40,6 IVFD Nacl 0,9% 1500 cc/24
Pneumonia bilateral Positif Pneumonia Hb 8,7 INR 1,75 jam
RM : 00741303 MRS F ITN Abses hepar Post bilateral Trombosit 414.000 Leuko 7700 Ceftriaxone 1x2g iv (H11)
DOB : 5/1/1986 / 21/7 Laparatomi cito Swab PCR Efusi pleura kiri Eosinofil 3 HB 7,9 Metronidazole 3x500mg (H11)
35 tahun Hari 4 Efusi pleura kiri 12/7/21: (intermediate) Basofil 0 Trombo Ketorolac 3x1 iv
Hyponatremia Positif Netrofil batang 0 268000 Ranitidine 2x50mg iv
DPJP : dr Anemia hipokrom
Netrofil segmen 60 Dif 1/0/0/65/29/5
Antonius mikrositer Swab PCR Advis Interna :
Limfosit 27 SGOT/SGPT: 14/10
Wirawan, SpPD 19/7/ 21: Transfusi PRC 230cc/24 jam
Monosit 10 Ur/cr: 23/0,6
Positif hingga Hb > 10g/dl
KAPTEN BEDAH SGOT/SGPT 32/22 Na/K: 139/3,48 Kapsul garam 3x1
Ur/Cr 19/0,7 Zinc 1x20mg
Na/K/Cl 128/3,77/99,2 20/7/21 Vitamin C 3x250mg

8.2
PT 19,7 Hb 9
INR 1,81 Tromb 254000 Rencana tranfusi belum ada
APPT 47,8 Ur 25 darah karena Hb 9 tidak di kasi
GDS 94 Cre 0,5 darah
K 4,13
12/7/21 Na 140
Malaria Negatif Diff 0/0/6/56/35/3
Feritin 641,6

16/7/21
1/0/0/80/17/2
Leu 10.700
HB: 11,3
Eri: 4.79
HB 11.3
Tro 409.000
PT: 18,1
APTT 48,8
INR 1.36
OT/ PT: 14/ 10
Ur/ Cr: 12/ 0.6
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

GDS: 37
Fibrinogen: 325
D Dimer 9,53

17/7/21
HB 10,8
Leuko 18900
SGOT 96
SGPT 26
Ur 21
Cre 0,7
Mg 1,4
Alb 2,4
18/7/21.
Leuko 11600
Hb 8,4
Trombo 323000
6 Tn. Doodoh Glory 23/7/21 Probable Covid 19 Swab antigen GDS 23/7/21 IVFD NaCl 0,9 500cc/8 jam iv
RM: 00437611 Hari 2 Ancaman Gagal napas positif 222.00 346 N4 Lansoprazole 2x30mg iv
DM tipe II 19-7-21 Novorapid 4u jika GDS >200
24/4/1995 / 66 Hipertensi Candesartan 1x8mg
tahun Dispepsia Resfar 5gr tiap 24 jam iv
Ceftriaxone 1x2 gr iv (H2)
KAPTEN ANESTESI Azitromycin 1x500mg (H2)
Dexametazone 1x500mg (H2)
DPJP : dr. Vit bcom 3x1
Antonius Vit c 3x500mg
Wirawan, SpPD Zinc 1x20mg
Metoclopramide 3x10mg iv

9.1 Foto thoraks Ap+ ekspertisi


Lab Lengkap
EKG
Swab PCR

7 Tn Aloysius Paul 15/7/21 Covid 19 Terkonfirmasi Swab PCR Foto thoraks 12/7/21 IVFD NacL 0,9% 500cc/8 jam
Fabianus Hari 9 dengan gejala berat 5/7/21 14/7/21 Leukosit 6600 iv
Ancaman gagal napas Pneumonia Hb 17,3 Ceftriaxone 1x2gr iv (H11)
00743691 AKI Swab 2 (Probable Covid Ht 52,2 Resfar 500mg/24 jam
Pneumonia 16/7/21 19) Tromb 163 Vit c 3x1gr iv
1978-07-05 Hiponatremia Positif MCH 28,3 Zinc 1x1 tab
Hepatitis Reaktif MCHC 33.1 Dexamethosone 1x5mg iv
DPJP : dr MCV 86,6 (H5)
Octavianus DC 0/0/3/71/19/7 Remdesivir 200mg+NaCL0,9
Umboh, SpPD SGOT/PT 229/139 250cc – H1> lanjut Remdesivir
Ur/Cr: 38/1,8 100mg
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

GDS 115 Anjut sampai 5 hari


Sudah Vaksin 1x Na 130
Sinovac K 3,72 Riw
Cl 94,3 Azitromycin 1x500mg (H5)

9.2 16/7/21
Natrium 144
K 4.52
Gamma GT 384
Weaning O2 – pindah ke nasal
ncanula, kontrol spO2

23/7/21
Ureum 36 Dl ur cr Got/Gpt , Ggt, Alp,Na
KAPTEN.
Cr 1.1 k cl
INTERNA
ALP 207
23/7/21
Na 138
K 4,12
SGOT 51
SGPT 113
Gamma GT 240
Ur 27
Cre 1,0
Alkaline fosfatase 147

8 Tn. Gerry Begani/ MRS FITN Covid 19 Terkonfirmasi SWAB PCR 1 FOTO THORAX 16/7/21 19/7/21 Terapi:
68 tahun 17/7/21 Pneumonia PNEUMONIA Leu 7300 Na 129 IVFD NaCl 0,9% 500cc/ 8 jam
Hepatitis reaktif 17/7/21 CARDIOMEGALY Hb 11,1 K 4,39 iv
RM 00744586 / H6 + DILATIO ET Ht 31,6 Cl 94,8 Resfar 5gr/24jam iv
DOB 1953-03-28 Positif ATEROSCHELOSI Trombo 134 SGOT /SGPT 56/69 Vit bcom 3x1
S AORTA MCH 32,8 Ur/Cr 67/1,0 Levofloxacin 1x750mg iv H6
Kapten Anestesi SWAB PCR MCHC 35,1 GDS 201 Dexametazone 1x5mg iv H6
MCV 93,5 Calsium 8,34 Vit c 3x1 gr iv
DPJP: dr. 18/7/21 DC 0/0/0/85/12/3 Mg 1,93 Zinc 1x20mg po
Antonius Wirawan SGOT/PT : 68/71 Alb 3.0 Bicnat 3x1 tab po
, SpPD Ur/Cr : 48/ 1,4
GDS 102 22/7/21 Advice:
Chlor 92.2 Hb 11.2 Cek TTV/8 jam

10.2 K 4,57
Na 134
Tromb 141
Leuko 5900
PT 14,2
INR 1,17
Swab PCR berkala
Cek urinalisa lengkap
Cek D-Dimmer, Fibrinogen

APPT 23,2 Cek lab 19/7/21


Procalcitonin 0,269 D dimer,fibrinogen,ur cr, ot/pt,
na k cl ca mg p alb

ALIH KAPTEN ANESTESI


20/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal :Sabtu, 24 Juli 2021

9 Tn. Robot Verry/ MRS FITN Covid 19 Terkonfirmasi SWAB PCR 1 Ro Thorax Lab 21/7/2021 22/7/21 Terapi
52 tahun 21/7/21 gejala berat 16/7/21 21/7/2021 Leuko 10,0 PT 13,6/12,7 IVFD NaCl 0,9% 14
Pneumonia Severe Pneumonia Eo 0 INR 1,11/1,01 tpmRemdesivir 200 mg hari 1
DOB 18/2/1969 H3 ARDS POSITIF Bilateral, Covid 19 Ba 0 APPT 27,7/34,7 (21/7/2021) dilanjutkan 100 mg
RM: 00744834 Hepatitis Hipoksik Terkonfirmasi Batang 1 Anti HIV – hari 2-5
Dyspepsia CT VALUE Segmen 90 Anti HCV – Enoxaparin 1 x 0,4 IU SC
DPJP: Dr. dr. Eko Hipertensi Limf 7 Hbsag - Resfar 5 mg per 24 jam IV
13.88
Surachmanto, Mono 2 Lanzoprazol 2 x 30 mg IV
Sp.PD, KAI Hb 13,2 Amlodipin 1 x 10 mg PO
(Kapten Anastesi) Trom 273 Ceftriaxon 1 x 2 gr IV (H2)
Na 134 Azitromicin 1 x 500 mg PO (H3)
K 4,07 Dexamethason 1 x 6 mg IV (H3)

10.1 GDS 141 Vit C 2 x 1 PO


Ureum 20 B Comp 3 x 1 PO
Creatinin 0,9 Zinc 1 x 20 mg PO
SGOT 122
SGPT 176
PT 13,5
APTT 23,5
INR 1,10

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