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Mapping Pinere Kamis 3 Maret 2022

dr. Desi Salwani, SpPD., KGH

K4B1 K5B1 Pinere 3 K3


DPJP : dr. Desi Salwani DPJP : dr. Desi Salwani DPJP : dr. Desi DPJP : dr. Desi Salwani
Sp.PD-KGH Sp.PD-KGH Salwani Sp.PD-KGH SpPD., KGH
COW : dr. Irwandi / dr. COW : dr. Irwandi / dr. COW : dr. Irwandi / COW : dr. Irwandi / dr.
Ishak Ishak dr. Ishak Ishak
Ruangan : dr. Luthfi / dr. Putri Ruangan : dr. Luthfi / dr. Ruangan : dr. Luthfi / Ruangan : dr. Luthfi /
/ dr. Fachri / dr. Satria Putri / dr. Fachri / dr. dr. Putri / dr. Fachri / dr. Putri / dr. Fachri /
Satria dr. Satria dr. Satria
Nama : Mustajab Nama: Masyitah Binti Nama: Syahrullah
CM : 1-25-57-70 M.Rubi No cm: 1301631
TL : 07/01/1994 (28 th) TL: 10/10/1990 Tl: 31/10/2001
TM : 21/02/2022 CM: 1-29-41-68
TM: 24/02/2022
Ass/ Ass/ Ass/
1. Covid-19 confirmed case 1. Covid 19 Confirmed Case 1. Covid 19 Confirm
gejala sedang dengan Gejala Berat case antigen gejala
2. PSMBB ec dd/ 2. CKD stage V On Capd sedang
(1) Hemoroid interna 3. Anemia sedang ec PGK 2. Syndroma Nefrotik
(2) Polip recti 4. Efusi Pleura Bilateral 3. Hipokalemia
3. CKD stg V on HD regular 4. Hipoalbumin berat
4. HT stg I Th/ 5. Infark anteroseptal
5. Anemia berat NN ec dd/ Bedrest
(1) PGK Diet ginjal 1700kkal/hari Th/
(2) Perdarahan IV Furosemide 20gr/8jam Bedrest
IV Levofloxacin 1x500mg Folley catheter
Th/ (H3) Drip kalium 25 meq
- Bedrest IV Omeprazole 2x40mg dalan 500cc Nacl
- Diet ginjal 1700 kkal/hari, Domperidone 3x10mg 0.9% /12 jam
protein 1-1,2 g/kgBB/hari Kalitake 1 sachet/8jam Iv ca glukonas 1amp/12
- IV Omeprazole 40 mg/12 jam jam
- Lactulax syr 3 x CII Lab 25/02/2022 Iv Methylprednisolon
- Valsartan 1 x 160 mg Hb/Ht/E/L/T: 125mg/24jam
- Asam Folat 2 x 0,4 mg 8,2/24/2,8/8,23/94 Iv omz 40mg/24 jam
- Lenal ace 2 x 169 mg MCV/MCH/MCHC: Iv furosemid 20mg/8
- Drip Remdesivir 100 mg (H2) 84/29/35 jam
Diftel:3/0/1/87/6/3 Drip albuminer 25% 1
P/ Alb: 3,20 fls/24 jam
Ur/Cr: 97/8,70 Drip levofloxacin
Lab 27/2/2022 Na/K/Cl/Ca: 500mg/24jam
Hb/L/T: 7,9/6,93/156 141/6,20/106/8,7 Sc heparin 5000 iu /12
MCV/MCH/MCHC: 86/30/35 jam
Diftel: 7/0/0/72/12/9 Lab 24/02/22 Ostriol 1x1
PT/aPTT: 1,17/1,26 HIV R1 Non-Reaktif Kamyfet 2x500mg
D-dimer: 490 Anti HCV Negatif Ksr 3x1
SGOT/SGPT: 12/14 HBsAg Non-Reaktif Favipiravir (H1)
Alb: 3,4 Albumin:3,40 2x1600mg
Ur/Cr: 169/13,7 Na/K/Cl/Ca: Favipiravir (H2-H5)
Na/K/Cl: 143/6,7/106 138/8,30/104/9,4 2x600mg

Lab 21/02/2022 Lab 22/02/22 Planning:


Hb/L/T : 5,5/3,7/139 Hb/Ht/E/L/T: Ekg/hari
MCV/MCH/MCHC : 91/33/36 8,5/24/2,8/10,49/168 D-
Diftel : 9/0/0/56/25/10 MCV/MCH/MCHC: dimer,fibrinogen,pt,aptt
PT/aPTT : 1,06/1,5 85/30/36 Ckmb,troponin t
D-dimer : 990 Diftel:2/0/0/75/16/7 Urinalisa
Protein total : 6,60 HbsAg: Non reaktif HBsAg,anti HCV,HIV
Ur/Cr : 110/9,0 GDS: 93 R1
Na/K/Ca : 145/4,70/8,9 Ur/Cr: 165/13,61 Ur,cr
Na/K/Cl: 143/7,60/104
Hb/leu/tromb:
P/ 11,6/9.78/457
Pantau urin Mcv/mch/mchc:
79/29/37
Diftell: 2/0/0/56/33/9
Pt/Aptt: 0.8/1.1
Albumin: 1.5
Ur/Cr: 35/3.1
Na/K/Cl/Ca:
137/2.5/118/6.4
Dr. Cut Mela Yunita, Sp.PD-KGH

K6B3 K11B5 K13B2 Pinere 3 K3D


DPJP : dr. Cut Mela yunita, SP.PD- DPJP : dr. Cut Mela yunita, SP.PD- DPJP : dr. Cut Mela yunita, SP.PD-
KGH KGH KGH
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria Fachri / dr. Satria
Nama: T. surya Bakti Nama: Zumery hermisi Nama: Hamidi Bin M yunus
CM: 130-09-14 CM: 130-09-14 CM: 1300389
TL: 01-05-1954 TM: 25-02-2022 TL: 21-1-1965 (67 thn)
TM: 24-02-2022 PCR Diagnostik : 16/2/2022 PCR Diagnostik : 27/2/2022
Ass/ Ass/ Ass/
1. CKD stg V early diagnose dengan 1. Covid 19 confirmed case gejala berat 1. Covid 19 confirmed case dengan
gastropati uremic ec dd 2. Ulkus decubitus ar pedis 3. 3. DM gejala sedang
- HN Tipe 2 2. Obs. Joundice ec dd
-PNC 4. HT stage II 1. Cholesistitis
2. anemia sedang NN 5 Hipoksia perifer ec mikrotrombosis 2. Cholelitiasis
3. hipertensi on terapi sistemik 3. Cholangitis
6. DM Tipe 2 3. Hipoalbumin berat
Th/ 7. Diare Akut 4. Anemia berat ec dd
Bedrest 1. Penyakit kronik
Diet ginjal 1700 kkal/hari + protein 0,6 2. Def. FE
mg/Kgbb/hari Th/ 5. Hipertensi stage II
Iv lansoprazole 40 mg/12 jam Bedrest 6. CAP
Iv ondansentron 4 mg/8 jam IVFD NaCl 0,9% 20 tpm 7. SBP
Lenal ace 2 x 169 mg IV Remdesivir 100mg/24 jam (26/2/22) 8. PSMBA ec dd
Asam folat 2 x 0,4 mg’ IV Meropenem 1 gram/8 jam (21/2/22) 1. Variceal Bleeding
IV Omeprazole 40 mg/12 jam 2. Ulkus peptikum
23/02/22 Drip Novorapid 1 unit/jam
Hb/L/Tr : 6,8/2,96/188 Drip Heparin 300 unit/jam Th/
MCV/MCH/MCHC: 78/28/36 Drip Albumin 1 fls/hari Bedrest, NGT, Cateter
Diftel: 2/0/0/52/36/10 Valsartan 1x160 mg Diet hati 1700 kkal/hari
UR/CR: 256/018,6 Adalat oros 2x30 mg IV comafusin hepar 1 fls/24 jam
Na/K/cl: 141/4,7/110 Hitroz 1x4mg Iv cefotaxime 2 gr/8 jam
Concor 1x2,5 mg Iv lansoprazole 40 mg/12 jam
Morfin 3x10 mg Iv tramadol 1 amp/12 jam
New diatab 3x2tab Domperidone 3 x 10 mg
Zinc 2x1 Spironolactone 3 x 100 mg
Vit D 2x1 Pct 3 x 500 mg
CPG 1x75 mg a.ace 3 x 200 mg
Nebule Flixotide 1 Resp/12 jam drip albumin 100 cc/24 jam
ca gluconas 1 amp/24 jam
Lab 28/2/2022 iv furosemide 20 mg/8 jam
Hb/L/Tr : 8,7/8,91/310 KSR 1 x 600 mg
MCV/MCH/MCHC: 81/27/34 UDCA 2 x 250 mg
Diftel: 3/0/0/75/14/8 Vit k 1 amp/8 jam
PT/APTT : 1,2/0,91 Lactulac syr 3 x cii
D-dimer: 2490 Curcuma 3 x 1
SGOT/SGPT: 7/5
Alb: 2,5 Hasil USG : Cholesistitis, sirosis, asites
UR/CR: 12/0,30
Na/K/cl/ca: 133/3,2/101/7,5 Lab 24/02/2022 
Hb/L/T : 9,8/5,65/392
Lab 24/2/22 MCV/MCH/MCHC: 86/30/35
Hb/L/Tr : 7,7/6,8/254 Diftel : 0/0/0/76/20/4
MCV/MCH/MCHC: 79/28/36 Albumin :2,63
Diftel: 0/0/0/86/11/3 Bil. Dir/Ind/Tot : 11,53/1,11/12,64
PT/APTT : 1,2/1,1 Protein total : 5,18
D-dimer/Fibrinogen : 477/3090 SGOT/SGPT : 144/42
UR/CR: 31/0,39
Na/K/cl: 141/4,7/110
Fereitin : 2017
Biltot/bildir/bilindir : 0,4/0,28/0,12
SGOT/SGPT : 8/3
Albumin : 2,7
Na/K/Cl/mg/Ca : 134/4/111/1/8
Pinere 3 K10B Pinere 3 k7b
DPJP : dr. Cut Mela yunita, SP.PD-KGH DPJP : dr. Cut Mela yunita, SP.PD-KGH
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr. Fachri /
Fachri / dr. Satria dr. Satria
Nama: Marina binti tobe makruf Nama: mahruzar bin yudan
CM: 1201233 CM: 1301296
TL: 1-7-1956 (65 thn) TL: 1-7-1960 (61 thn)
PCR Diagnostik : 27/2/2022
Ass/ Ass/
1. Dispepsia tipe like ulcer dd/ tipe mixed 1. Confirmed case covid 19 (swab antigen)
dengan Alarm symtomp 2. Penurunan kesadaran ec hipoglikemia
2. HF stage C fc NYHA III 3. Hipoglikemia ec dd 1. Drug induced 2. Low
3. Pneumonia dd/ covid 19 intake
4. Hipoalbuminemia berat 4. Hiponatremia hipoosmolar euvolemik
5. Hipokalemia ringan 5. DM tipe 2
6. Hipertensi stage 1
Th/ 7. TB paru on OAT
Bedrest
Threeway Th/
Diet sonde 6 x 200 cc Bedrest
Iv ceftriaxone 2 gr/24 jam O2 simple mask 8 lpm
Iv furosemide 20 m/12 jam Diet DM 1700 kkal/hari
Iv pantoprazole 40 mg/24 jam IVFD NAcl 3 % 10 gtt/i
n.ace 3 x200 mg Drip levofloxacin 500 mg/24 jam
sucralfate syr 3 x cii Iv omeprazole 40 mg/12 jam
valsartan 1 x 80 mg Remsedivir 2 x 1600 mg
iv ondansentron 4 mg/8 jam Remsedivir 2 x 600 mg
albumin drip 100 cc/24 jam Vit b 6 2 x 1
KSR 2 x 600 mg Flumucyl 3 x 200 mg
Curcuma 3 x 1
Lab 27-2-2022 Amlodi[ppin 1 x 10 mg
HB/L/T: 10,8/7,4/408 Ostriol 1 x 1
MCV/MCH/MCHC: 86/30/35 Pct 3 x 500 mg
Diftel: 33/1/0/25/29/12 Vit c 2 x 1
Albumin 1,9
UR/Cr: 9/0,4 Lab 27-2-2022
Na/K/Cl/Ca: 133/3,3/107/7,2 HB/L/T: 13,5/28,68/358
MCV/MCH/MCHC: 78/29/37
Diftel: 0/0/0/90/3/7
Albumin 2,9
UR/Cr: 18/0,5
Na/K/Cl/Ca: 122/3,4/89/7,9
SGOT/SGPT: 35/33
Dr. Mahriani Sylvawani, Sp.PD-KR

K10B1 K13B4 K7B3


DPJP : dr. Mahriani sylvawani, DPJP : dr. Mahriani sylvawani, DPJP : dr. Mahriani sylvawani,
Sp.PD-KR Sp.PD-KR Sp.PD-KR
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria Fachri / dr. Satria
Nama: Ratnawati Nama: Rahmawati Nama : Lela Suhanda
Cm:1-16-54-12 CM: 1271659 TL6/10/1994
Tl: 09/06/1978 TL: 30/08/1964 CM : 1-29-11-56
TM: 18/02/2022 TM: 2/3/2022 TM : 28/02/2022
Ass/ Ass/ Ass/
1. . Covid-19 confirmed case gejala 1. Covid 19 confirmed case dengan 1. Covid 19 Confirmed case dengan
sedang gejala berat gejala berat
2. Ulkus dekubitus a/r gluteus (dextra 2. Penurunan kesadaran ec dd/ 2. Syok kardiogenik
et sinistra) 1. Sepsis 3. Sindrom nefrotik.
3. Paraparise ekstremitas inferior 2. Imbalance elektrolit 4. Susp efusi pericardium
4. Edema pretibia ec (1)related CHF 3. Stroke 5. Sepsis ec dd/ ulkus a/r genu sinistra
(2)hipoalbuminemia 3.Sepsis ec dd pneumonia dd/ urosepsis grade III, 2. Pneumonia
5. Hipertensi stage II 4.CKD stg V on HD reguler dengan 6. Ulkus decubitus grade III
6. Gangguan psikotik dd skizofrenia edema paru akut 7. DM tipe II
7. Hiponatremia hipoosmolar
hipovolemik Th/
8. hipoalbumin sedang ec dd (1)skin Th/ - Bed rest
loss (2)low intake Tirah baring - Drip Levofloxacin 500 mg/24 jam
O2 15lpm NRM - IV. Furosemid 20 mg/12 jam
Th/ NGT dan cateter - Drip dobutamine 2 amp dalam 50 cc
-Bedrest Threeway NaCl 0,9 % kecepatan 5,4 cc/jam
-IVFD NaCl 3 % 20gtt/i Drip NTG 1amp+50cc NaCl 0,9% - IV. Lansoprazole 30 mg/24 jam
-IV Ceftriaxon 2gr/24jam (19/2/22) 1,5cc/jam - IV. Paracetamol 1 fls/12 jam
-Clindamycin 3x300mg Drip furosemid 10mg/jam - PO. Metylprednisolon 16 mg/12 jam
-Valsartan 1x160mg - Clyndamicin 3x300 mg
-Paracetamol 3x500mg P/ - KSR 2x600 mg
-Gabapentin 1x300mg (malam) Jika hasil swab negative maka pindah - Nystatin drop 1x2 cc
-Flumucyl 3x200mg rawat biasa - Calporosis 2x1
-Mecobalamin 1x500mg
- Digoxin 1x1
-Risperidon 1x0,5 mg
N asetil sistein 3x200mg - Atorvastatin 1x20 mg
Zinc 1x20mg - Myfortic 2x2
Vit D 2x1
Favipiravir 2x1600mg (H1) P/Usg thorax
Favipiravir 2x600mg (H2-5) Cek Agda
Curcuma 3x1

Lab 28/2/2022
Hb/L/Tr : 9,3/6,09/389
MCV/MCH/MCHC: 73/24/33
Diftel: 1/0/-2/58/32/11
PT/APTT : 0,89/0,86
D-dimer: 2190
Na/K/cl: 130/4,1/100/7,5

Lab 22/2/2022
Hb/L/T: 27/10,06/645
MCV/MCH: 7,0/25
Diftel: 0/5/0/56/30/9
Albumin : 3,30
RDW : 15,8

Lab 21/2/2022
Hb/L/Tr : 9,3/8,82/613
MCV/MCH/MCHC : 75/25/33
Na/K/Cl/Ca 139/3,4/101/8,5
Retikulosit 1,5
Fe 25
TIBC : 118
MDT 21/2/2022
Kes: anemia hipokrom mikrositer
Urine rutin 21/2/2022
Leukosit/sel ragi +
Thorax PA 18/02/2022
Cor dan pulmo dbn
Lumbosacral ap/lat 18/02/2022
Foto lumbosacral normal
Dr. Suheir Muzakkir, Sp.PD

K10B3 K4B5
DPJP : dr. Suheir Muzakkir, Sp.PD DPJP : dr.Suheir Muzakkir, Sp.PD
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria
Nama: Retno dewi lestari Nama : Muchlis Muhammad
TL: 31/01/1990 CM : 0-86-42-14
CM: 1-00-19-69 TL : 01/05/1956
TM:31/01/2022 TM : 24/02/2022
Ass/ Ass/
1. Covid-19 confirmed case gejala 1. Covid-19 confirmed case gejala
sedang sedang
2. CKD stage V on HD reguler ec 2. Hipertensi stage 1
3. HF stage C FC NYHA II
dd 1. HN, 2. PNC
4. DM tipe II
3. CHF fc nyha 3 ec 1. HHD, 2.
HD Th/
4. HT stage 2 - Bedrest
5. Efusi pleura dextra ec dd 1. - Diet MII 1700 kkal/hari
Pleura pneumonia, 2. Pleuritis - IVFD Glutifen 1 fls/24 jam
TB, 3. Malignancy - IV Lansoprazole 30 mg/12 jam
- IV Ondansentron 4 mg/8 jam
- IV Citicolin 500mg/12 jam
Th/
- Drip Heparin 500 unit/jam
Bedrest
- Zinc 1 x 20 mg
Iv meropenem 1g/8j (h6)
- Curcuma 3 x 1 tab
Iv lansoprazol 20 mg/24 jam
- Vitamin D 1 x 1 tab
Codein 2x10 mg
- Favipiravir 2 x 600 mg
Cetirizine 2x19 mg
- Valsartan 1 x 160 mg
Valsartan 1x160 mg-> malam
- Amlodipin 1 x 10 mg
Herbesser 1x200 mg->pagi
- Bisoprolol 1x2,5 mg
Nitrokaf 2x25 mg
- Metformin 2x500 mg
Atorvastatin 1x20 mg
- Glimepirid 1x3 mg
Asam folat 2x0,4 mg
- CPG 1x75 mg
Concort 1x5 mg
- N-Ace 3x200 mg
HCT 1x25 mg
Spironolakton 1x25 mg
24/2/22
Lanzoprazole 1x30 mg
Ferritin : 257
Amlodipin 1x10 mg
Clonidin 3x0,15
Lab 23/02/2022
N asetil sistein 3x200mg
Hb/L/T : 14,2/9,60/212
Zinc 1x20mg
Diftel : 0/0/1/82/11/6
Vit D 2x1
Na/K/Cl : 135/4,10/100
Favipiravir 2x1600mg (H1)
Ca : 8,3
Favipiravir 2x600mg (H2-5)
Ur/Cr : 36/1,30
D-dimer : 1070
Lab 27/2/2022
Hb/L/Tr : 9,5/7,1/98
PT/APTT: 0,93/1,1
D-dimer/Fibrinogen : >4000/338
SGOT/SGPT: 49/2
UR/CR: 122/9,4
Na/K/cl/ca: 139/5,4/110/6,4

Lab 22/2/2022
Anti HCV/HbsAg : negatif

Lab 15/02/2022
H/L/T: 10,5/35,91/174
MCV/MCH/MCHC: 79/27/34
Diftel: 0/0/0/97/1/2
Ur/cr: 47/6,4
Na/k/cl/ca/mg:138/4,2/105/10,7/3,4

Lab 13/02/2022
H/L/T: 10,3/31/190
MCV/MCH/MCHC: 80/27/34
Diftel: 0/1/0/73/14/10
Ur/cr: 76/8,30
Na/k/cl:143/5,60/107

Lab 12/02/2022
Na/k/cl/ca/ca:143/4,8/108/8,5

Lab 11/02/2022
H/L/T: 9,6/8,83/188
MCV/MCH/MCHC: 81/27/33
Diftel: 4/1/0/70/12/13
Ur/cr: 88/8,4
Na/k/cl:142/4,9/106

Lab 9/02/2022
H/L/T: 10,3/7,21/195
MCV/MCH/MCHC: 81/27/33
Diftel: 4/1/0/72/15/8
Ur/cr: 72/6,46
Na/k/cl:142/5/106

Lab 4/02/2022
H/L/T: 9,1/17,82/112
MCV/MCH/MCHC: 80/27/34
Diftel: 0/0/0/95/1/4
Ur/cr: 66/5,20
Na/k/cl:141/3,9/108
Albumin:3,9

Lab 3/02/2022
H/L/T: 9,1/17,82/112
MCV/MCH/MCHC: 80/27/34
Diftel: 0/0/0/95/1/4
Ur/cr: 66/5,2
Na/k/cl/ca:141/3,9/108/8
Albumin:3,9
Dr. Siti Adewiyah, SpPD

K9B1 K11B3
DPJP : dr. Siti Adewiyah, SP.PD DPJP : dr. Siti Adewiyah, SP.PD
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria
Nama : Aslamiah Binti Ali Asmi Nama : Syukri bin M Tahir
Cm : 1300646 CM: 1-29-91-96
Tl : 10/05/1975 TL: 01/07/1973
Tm : 22/2/22 TM:
ss/ Ass/
1. Covid-19 confirmed case gejala 1. Covid-19 confirmed case gejala
sedang sedang
2. CKD stge V dengan uremic syndrome 2. Massa a.r. fundus gaster ec dd/
ec dd (1) Ca gaster
1. HN (2) Limfoma maligna
2. DN 3. Ascites ec dd/
3. PNC (1) Malignancy
3. Anemia Sedang ec dd (2) Hipoalbuminemia
1. Penyakit kronik 4. Susp. DVT a.r. pedis (S)
2. Perdarahan
4. Hiperkalemia ec CKD (perbaikan) Th/
5. Hipoalbumin berat ec dd - Bedrest
1. Renal loss - O2 4lpm via NK
2. Low intake - Threeway
6. Dm tipe II - Diet MB 1700kkL/hari
7. Hipertensi stage 1 - Drip Heparin 500 U/jam
- IV Lansoprazole 30 mg/12 jam
P/ - Zinc 3 x 1
Transfusi 1 kolf diruangan - Vit d3 2x1
Setelah itu hd pertama dan transfusi on - Vit c 3x1
hd - N asetil sistein 3x200mg

Th/ Lab 25-2-2022


Bedrest Alb: 2,5
Diet ginjal 1700 kkal/hari (protein Na/K/Cl/Ca: 134/5,1/98/7,8
0,6/kgbb/hari)
IVFD Nacl 0,9% 10 tpm Lab 24-2-2022
IV lansoprazole 30 mg/24 jam Hb/L/Tr : 9.9/16,8/734
IV Ondasentron 4mg/8 jam PT/APTT : 1,27/1,2
SC Heparin 5000 unit/12 jam D-dimer/Fibrinogen : >4000/549
Asam folat 2x40 mg UR/CR: 54/0,7
Kalitake 3x1
Zink 1x10 mg Lab 17/02/2022
Ostriol 2x1 Hb/L/T : 7,8/11,65/746
Curcuma 3x1 Diftel : 2/0/0/68/19/11
Vastral 2x1 Ur/Cr : 17/0,9
Amlodipin 1x10 mg Na/K/Cl/Ca : 139/4,3/107/8,3
SGOT/SGPT : 22/19
26/2/22 Protein total/albumin/globulin: 3,1/6,1/3
Hb/L/Tr : 7,2/21,4/135 Gds 146mg/dl
MCV/MCH/MCHC: 72/27/37
Diftel: 3/0/0/88/3/6
PT/APTT: 1,39/1,1
Fibrinogen : 494
SGOT/SGPT: 12/2
Albumin: 2,5
Ur/cr: 194/7,6
Na/K/cl/: 131/5,3/104

Lab 22/02/22
Hb/L/Tr : 5,6/18,07/171
MCV/MCH/MCHC: 77/27/35
Diftel: 1/0/0/88/3/8
PT/APTT: 1,2/1,25
d-dimmer: 1340,00
SGOT/SGPT: 16/3
Albumin: 2,30
GDS: 91
Ur/cr: 256/10,90
Na/K/cl/: 123/7,00
Dr. T. Mamfaluti, Sp.PD

Iso Pinere k11B3 Pinere 3.K4B Pinere 3 K4C


DPJP : dr. T. Mamfaluti, SpPD DPJP : dr. T. Mamfaluti, SpPD DPJP : dr. T. Mamfaluti, SpPD
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria Fachri / dr. Satria
Nama : Radiman Nama : Samsir Nama : Nasli S
CM: 1300444 CM: 1301134 CM: 1160757
TL: 17/08/1944 TL: 10/10/1954 TL: 31/7/1948
TM: 25/02/2022 TM: 25/02/2022 TM: 25/02/2022
Ass/1. Covid 19 confirmed case dengan 1. Covid 19 confirmed case ( antigen) 1. Covid 19 confirmed case ( antigen)
gejala sedang dgn gejala sedang dengan gejala sedang
2. CKD stage V on HD reguler ec dd 2.CKD stage V dgn Uremic Syndrome ec 2. Dyspepsia tipe dismotility dd tipe
- HN dd mixed
-PGOI - PNC 3. HT stage I on terapi
-PNC - HN 4. Susp. BPH
3. Pneumonia CAP dd infeksi paru 3. Hipertensi stg II
spesifik Th/
4. ISK Bedrest
Th/ Diet MB 1700 kkal/hari
Th/ -Bedrest IVFD Nacl 3%  10 tpm
Bedrest -Threeway IV.Lansoprazole 30mg/24 jam
Diet Ginjal 1700 kkal/hari+ protein -Ceftriaxone 2gr/24 jam/IV Domperidone 3 x 10mg
Drip Levofloxacin 500mg/24 jam -N.Acetilcystein 200mg/8jam/po Adalat oros 1 x 30mg
Iv.Furosemide 20mg/12 jam -Bicnat 500mg/8jam/po N Acetilcystein 3 x 20mg
IV.Omeprazole 40mg/12 jam -Amlodipin 10 mg/24 jam/po PCT 3 x 500mg
Po.Asam folat 2 x 1 tab -Pavirpiravir (H- 1) 1600mg/12 jam/po Lanapres 1 x 5mg
Po.Flumucy 200mg 3 x1 tab -Pavipiravir (H 2-5) 600 mg/po Harnal 1 x 0,5 mg
Po. Asam Folat 2 x 1 -Vit C 500mg/8jam/po
Po. Lenal Ace 2 x 169mg -Vit D 1 tab/12 jam/po Lab 28/2/2022
Hb/L/Tr : 12,5/4,67/236
MCV/MCH/MCHC: 79/36/29
Diftel: 0/0/1/63/24/12
PT/APTT : 0,98/0,87
D-dimer: 560
Alb: 3,5
Na/K/cl: 130/3,3/96
dr. M. Reza Febriliant, SpPD

K1B2 Pinere 3 K4A


DPJP : dr. M. Reza Febriliant, SpPD DPJP : dr. M. Reza Febriliant, SpPD
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria
Nama : Cut Yeni Rahmah Nama : Fakhruddin M yunus
CM : 1-11-34-35 CM : 0965737
TL : 08/01/1999 TL : 11/04/1972 (49)
TM : 24/02/2022 PCR + 27-2-2022
Ass/ Ass/
1. Covid-19 confirmed case gejala 1. Covid 19 confirm case gejala sedang
sedang 2. Penurunan kesadaran (perbaikan) ec
2. Acute watery diarrhea dd
3. Nausea and vomiting -HHS
4. Anemia def Fe on therapy - stroke
- uremic ensefalopati
Th/ 3. Krisis hiperglikemia ec dd
- Bedrest - HHS
- O2 2-4 lpm via NC - KAD
- Diet rendah serat 1700 kkal/hari 4. Hipertensi emergency
- IVFD RL 20 tpm 5. CKD stg V on HD reguler
- IV Metoclopramide 10 mg/8 jam 6. DM tipe 2 dgn critical ill
- IV Omeprazole 40 mg/24 jam
- Paracetamol 3 x 500 mg Th/
- Vitamin C 1 x 1000 mg Bedrest
- Vitamin D 1 x 1 tab O2 nasal canul 4lpm
- Attapulgit 2 tab/BAB cair Diet ginjal 6 x 200 cc
Drip nicardipin dosis 0,5 meq dosis
Lab 24/02/2022 titrasi
Hb/L/T : 7,6/4,66/285 IV ceftriaxone 2 gr/24 jam
MCV/MCH/MCHC : 58/18/31 Iv pct 1 gr/12 jam
Diftel : 3/0/1/81/7/8 Iv citicoline 500 mg/12 jam
Na/K/Cl : 138/3,10/106 Favipiravir 2 x 1600 mg (H1)
SGOT/SGPT : 114/91 - Favipiravir 2 x 600 mg (H2-H5)
Ur/Cr : 9/0,80 - Ostriol 2 x 0,25 mg
- Vitamin C 3 x 500 mg
- Zinc 1 x 20 mg
- N-Asetil Sistein 3x200 mg
- Novorapid SC 4-4-4IU
- Levemir 0-0-0-10 IU
- Amlodipin 1x10 mg
- Valsartan 1x80 mg

Lab 26-2-2022
Hb/L/T : 10,2/9,18/226
Diftel : 2/0/0/54/37/7
Na/K/Cl : 139/4,6/100
Ca 9,1
Albumin 3,7
Ur/Cr : 73/9,1
Pinere 3 K5A Isopinere k14-5
DPJP : dr. Sarah Firdausa, Sp.PD DPJP : dr. Sarah Firdausa, Sp.PD Dr. Sarah Firdausa, Sp.PD
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria
Nama : Yusril Bin Jamiludin Nama : Imam bin Nurhajin
CM: 1-00-36-56 CM: 1-29-06-46
TL: 12-06-1962 TL: 26-07-1965
TM : 18/2/22 TM : 27-2-2022
TM Pinere: 27/02/2022
Ass/ Ass/
1. Covid-19 confirmed case gejala 1. Covid-19 confirmed case gejala Berat
Sedang 2. CKD stage V on HD regular dengan
2. Heart failure reduced EF ec CAD edema paru akut
3. Hiperuresemia 3. DM tipe 2
4. DM tipe 2 4. Hipertensi stage 1

Th/ Th/
Bedrest Bedrest,
Diet Jantung 1700 kkal/h Diet ginjal 1700 kkal/hr
Threeway Threeway
IV Ceftriaxone 1 gram/12 jam Iv meropenem 1 g/8 jam
IV Lansoprazole 30mg/12 jam Iv omeprazole 40 mg/12 jam
IV. Furosemid 20 mg/12 jam IV. Furosemid 20 mg/8 jam
SC Arixtra 1x2,5 Drip NTG 5 mcg/kgbb/menit
Favipiravir 2x1600 ng Drip dobutamine 3 mcg/kgbb/menit
Pavipiravir 2 x 600mg H 2-5 Drip remdesivir 200 mg/24 jam (H1)
Vit C 3 x 500mg Drip remdesivir100 mg/24 ham (h2-h5)
VitD 2 X 1 tab Lenal ace 2x169 mg
Curcuma 3 x 1 tab Paracetamol 3x500 mg
N acetil cysteine 3 x 200mg Flumucyl 3x200 mg
CPG 1x75 mg Vit c 3x500 mg
Aspilet 1x80 mg Vit D 2x1 tab
Atorvastatin 1x20 mg
Nitrokaf R 2x2,5 mg
Allopurinol 1x100 mg
Spironolakton 1x25 mg

Lab 18/02/2022
Hb/L/T : 12,1/7,5/346
Diftel : 22/1/0/52/14/11
Troponin T/CKMB : 0,06/12
Ur/Cr : 17/1
Na/K/Cl : 135/3,7/108
Hba1c: 6,5
Koltot/HDL/LDL/TG : 170/18/102/142
KGDS. : 86
AU : 18

P/Cor angiografi 10/3/22


Dr. M. Fuad Sp.PD KHOM

Pinere 3 K1 K2B1 Iso pinere K7B4


DPJP : dr. M. Fuad, Sp.PD KHOM DPJP : dr. M. Fuad, Sp.PD KHOM
COW : dr. Irwandi / dr. Ishak COW : dr. Irwandi / dr. Ishak
Ruangan : dr. Luthfi / dr. Putri / dr. Ruangan : dr. Luthfi / dr. Putri / dr.
Fachri / dr. Satria Fachri / dr. Satria
Nama : M. Riefqi Muna Nama : Rabiah
CM: 1-22-98-57 TTL : 1/7/52 69 tahun
TL: 8/4/2000,Lk, 21th CM : 1301304
TM Pinere: 1/3/22 TM Pinere: 1/3/22
Ass/ Ass/
1. Confirmed covid 19 gejala sedang 1. Penurunan kesadaran ec dd 1. Uremic
2. Limfoma Hodgkin enselopati 2. Imbalance elektrolit
2. CKD stage V dengan uremic
Th/ encelopati
Bedrest 3. PSMBA ec dd 1. Uremic bleeding 2.
Diet MB 1700kkal/hari Stress ulcer 3. Ulcus gaster
Threeway 4. Anemia berat NN ec dd 1. PSMBA 2.
Nebu ventolin 1 respul extra, selanjutnya CKD 3. Penyakit kronis
1respul/8jam 5. Covid 19 confirm case gejala sedang
Drip heparin 2000unit dalam NaCl 0,9% 6. Trombositopenia
100cc 30tpm/8jam 7. Hipocalsemia
Vit D 2x1000mg 8. Hiponatremia berat hipoosmolar
Vit C 2x500mg euvolemik
IV Linezolid 600mg/12jam
Th
P/ lab dan rontgen thorax susul hasil IVFD NaCl 3% 10 tpm
IV. Cefttiaxon 2g/24 j 28/2/22
IV. Ca hlukonas 1g/24j
Drip lansoprazole 5cc/j
IV. Insulin 10unit extra
Kalitake 3x1
Nebul ventolin extra
Sucralfat 3XCII
Lenal ace 2x169mg

28/2/22
Hb/L/Tr : 4,6/9,0/85
Diftel : 0/0/0/91/5/4
PT/APTT : 0 9/0,9
Anti HCV neg
HbsAg neg
HIV neg
Albumin : 2,6
Ca : 6,3
Ur/Cr : 273,13,5
Na/K/Cl : 104/6,3/81
GDS : 104
OT/PT : 33/28
dr. Islamuddin

ISO 3 Kamar 5C

Dpjp dr. Islamuddin SpPD


Cow dr Irwandi/ dr. Ishak
Ruangan dr. Luthfi/dr.satria/dr.
Fahri/dr. Putri
Nama : M Yusuf Hasdy
CM : 0670603
TL : 14/10/1940
TM : 02/03/2022
Ass/
1. Covid 19 confirmed case (antigen)
2. Penurunan kesadaran ec dd/
1. Stroke iskemik
2. SDA
3. Geriatri problem
Th/
- Bed rest
- Diet M II 1700 kkal/hari
- IVFD NaCL 0,9 %
- IV. Lansoprazole 30 mg/24 jam
- Drip paracetamol 1 gr/ 8jam
- Drip resfar 6-6-6 cc

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