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Non-Insulin-Dependent Diabetes Mellitus With Peripheral Circulatory Complications-Cppt
Non-Insulin-Dependent Diabetes Mellitus With Peripheral Circulatory Complications-Cppt
No RM : 574166
Nama Pasien : SRI MURTI,
Tgl Lahir / Umur : 15 June 1955 / 66
Jenis Kelamin : Perempuan
SUBJECTIVE
Pasien mengatakan nyeri luka di kaki kiri ,luka jelek,sesak nafas,lemes
OBJECTIVE
Tensi : 125/72 Nadi : 57 Suhu : 36.6 SpO2 : 87 GCS : 4 5 6. RR : 20. GDP : 187 gdp 2jam
pp 156
ASSESSMENT
Intoleransi aktivitas teratasi sebagian
PLAN
Monitoring : TTV dan ku pasien Edukasi : Menganjurkan mobilisasi bertahap Kolaborasi :
Advis dr. Suprayitno, Sp. PD infus Asering 15 tpm inj pantoprazole 1x1 inj ceftriaxon 2 x 1
Inj levofloxacin 1 x 500 inj Sansulin log g 1x12 unit inj humalog 3x6 unit Inj ketorolac 3 x
1 infus albumin 25 % PO : Vip albumin 3 x 1 Loratadone 1 x 1 TX dr.Onny - ASP 1X80MG -
CPG 1X75MG - ATORVAS 1X40MG - NATTO 1X1 - BISOPROLOL 1X5MG - ANGITRINS 2X1 -
DIGOXIN 1X 0.5 TAB - nitrokaf 2x2,5 - lisinopril 1x5 Tx dr jimmy Rawat luka / hari TX
dr.Iqbal SpS inj citicolin 2x500mg inj mecobalamin 2x1amp inj piracetam 3x3gr