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  • Maping Pinere 1, Jum'at 24 September 2021: TH TH

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    Rina Syafrita
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    19 views2 pages

    Maping Pinere 1, Jum'at 24 September 2021: TH TH

    Uploaded by

    Rina Syafrita
    mapping

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Maping Pinere 1, Jum’at 24 September 2021

    Pinere 1 K3A Pinere 1 4A Pinere 1 K4B Pinere 1 K6A


    Dpjp: dr Sarah Firdausa SpPD DPJP : dr. Suheir Muzakkir, SpPD DPJP : dr. Cut Mela Yunita Dpjp: dr M. Fuad, SpPD,KHOM
    COW : Dr. dr. Muhsin Cow : DR.dr. Muhsin, SpPD Sp.PD KGH COW : Dr. dr. Muhsin
    Dr ruangan : Imam Ruangan : dr. Imam COW : dr. Perdana Dr ruangan : Imam
    Ruangan : dr. Imam

    Nama : Rusni Nama : Rahmah Nama : Asnawiyah Nama: Abdul Hadi Oebit
    CM :1278262 CM : 1286383 CM : 1-28-62-32 NRM: 1-19-24-31
    TL : 07-04-1960 TTL : 01/07/1933 (88th) TTL : 6-10-1991 (29th) TL: 21-05-1953 (68 tahun)
    TM: 23/9/21 TM : 21/9/21 MRS: 15/9/2021

    Ass/ Ass/ Ass/ Ass/


    1. COVID 19 Confirmed case 1. Covid 19 confirmed case gejala 1. COVID 19 confirmed case gejala 1. Covid 19 confirmed case gejala
    gejala sedang sedang sedang sedang
    2. CHF fc NYHA III-IV ec Dd 2. Ulcus decubitus grade II ar sacrum 2. CHF FC NYHA III ec dd 2. Dispepsia tipe mixed
       -HHD -IHD 3. Geriatri problem 1. Penyakit jantung katup 3. Mikrotrombosis sistemik
    3. CKD Stage V ec dd (inanisi,imobilisasi, impairment of 2. Peny. Jantung tiroid
       - PNC -HN hearing and vision) 3. Grave disease Th/
    4. Anemia berat nomokrom 4. High risk thrombosis BW Skor 20 - Bedrest
    normositer ec dd TH/ 4. Bisitopeni ec dd - Diet MB 1700 kkal/hari
    - CKD - Perdarahaan - Bedrest 1. Evan syndrome - Threeway
    - Diet cair 6x200cc 2. Anemia hemolitic - SC heparin 5000 U/12jam
    Lab 23/09/2021 - IVFD Clinimix+evelid 1 flas/hari 5. Obs. Jaundice ec dd - PO Levofloxacin 500/24 jam
    Hb/L/Tr: 7,3/6,1/145 - Ceftriaxone 1g/12 jam 1. Cholesisititis dengan - IV Omeprazole 40 mg/12 jam
    Diftel: 2/0/0/58/30/10 - Remdesivir 100mg/24jam H-4 cholelithiasis - Recolfar 2 x 1 tab
    PT/APTT: 1,03/1,09 - IV omeprazol 40mg/12jam 2. Anemia hemolitik -Codein 3x10mg
    HbA1c: 5,40 - IV vit C 1ampul/12jam 3. Sirosis cardiac - PO Metilprednisolon 16 mg/24
    - curcuma 3x1 6. Hipoalbumin ec dd jam
    Lab 22/09/2021 - zinc 1x20mg 1. Renal los - drips glutiven 100cc dalam RL
    Ur/Cr: 113/12,50 - ostriol 2x 0,25mg 2. Low intake 400cc
    Na/K/Cl/Ca: 141/4,2/111/9,1 -IV Transamin 1amp/8jam 7. Hipokalemi - Ostriol 2 x 0,25 mg
    - Curcuma 3 x 1 tab
    Lab 21/09/2021 Lab 23/09/21 Th/ - Zinc 1 x 20 mg
    Hb/L/Tr: 8,7/5,5/144 Hb/L/T : 9,5/9,8/321 Threeway - Vitamin C 2 x 500 mg
    Diftel: 13/0/0/38/36/13 Diftel : 5/1/0/57/27/10 Diet jantung 1700kalori/hari
    Na/K/Cl/Ca: 143/4,0/111/8,4 SGOT/SGPT : 17/6 IV. Furosemid 20mg/12j P/ Swab PCR Sabtu 15/9/2021
    D-Dimer: 2120 PT/APTT: 1,15/1,09 IV. Omeprazole 40mg/12j
    PT/APTT: 1,03/1,09 Fibrinogen 519 Drip KCL 1 falcon Lab 21/9/2021
    Fibrinogen: 303 Sucralfat syr 3xCII Asam Urat: : 4,2 HDL: 57 LDL: 62
    Lab 22/09/21 KSR 2x600mg Cholesterol:126 Trigliserida: 51
    Lab 19/09/2021 Hb/L/T : 9,4/10,4/318 UDCA 2x250mg
    Hb/L/Tr: 9,2/4,6/159 MCV/MCH/MCHC : 84/28/33 Favipiravir 2x600mg h-2 Lab 18/9/2021
    Diftel: 1/0/0/77/16/6 Diftel : 7/1/0/45/36/11 Curcuma 3x1 tab Hb/L/T 13/9,1/207
    Ur/Cr: 149/16,90 Albumin : 3,2 Ostriol 2x0,25mcg Diftel : 0/0/0/73/14/13
    Na/K/Cl/Ca: 141/5,9/111 GDS : 111 Zinc 1x20mg D-dimer : 470
    Ur/Cr : 36/1,2 Vit C 2x500mg PT/APTT : 0,91 /0,93
    Lab 18/09/2021 Na/K/Cl/Ca : 143/4,2/107/9,1 Tyrozol 1x20mg (pagi) Fibrinogen : 414
    Ur/Cr: 179/20,30 Tyrozol 1x10mg (malam)
    Na/K/Cl/Ca: 139/5,5/111 Propanolol 2x10mg Lab 15/9/2021
    Hb/L/T : 13,7/5,7/182
    Lab 17/09/2021 Lab 22/09/2021 Diftel : 0/1/0/68/16/15
    D-Dimer: 6600 Na/K/Cl/Ca: 144/2,70/108/6,6 GDS : 193
    PT/APTT: 1,03/1,09 Na/K/Cl : 133/4,40/102
    Fibrinogen: 303 Lab 21/9/21 Ca : 8,7
    FT4: 54,64 Ur/Cr : 18/0,90
    Lab 16/09/2021 TSHS: 0,005 SGOT/SGPT : 50/42
    Hb/L/Tr: 5,7/ 5,8/131
    Diftel: 8/1/0/45/38/8 Lab 20/9/21
    Ur/Cr: 90/20,39 Hb/L/Tr : 8,1/5,3/49
    Na/K/Cl/Ca: 139/5,90/112/8,2 Diftel : 0/0/0/46/46/8
    Albumin: 3,60 MDT :
    Anti HCV: Negatif PT/APTT : 1,28/1,0
    HnIV: non reaktif D-dimer : 410
    HBsAg: Non reaktif Anti HCV : neg
    HbsAg : neg
    Terapi Biltot/dir : 7,69/4,93
    Bedrest SGOT/SGPT : 38/17
    Drip Levofloxacin 750/48jam Albumin : 2,6
    IV lansoprazole 30mg/12jam Ca : 7,2
    IV ondancentron 4mg/12jam Ur/Cr : 18/0,3
    IV furosenide 20mg/24jm Na/K/Cl : 146/2,5/119
    IV Transamin 1 amp/8jam GDS : 109
    Lenal ace 2x1
    Fluimucyl 3x200mg
    Remdesivir 100mg/24jam (h-2)
    Ostriol 2x0,25mcg
    Vit C 2x500mg
    Curcuma 3x1 tab
    Zinc 1x20 mg
    Diovan 1x160mg
    Amlodipin 1x10mg

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