LAPORAN DOKTER SUSILO SP.

PD TANGGAL 07 JUNI 2022

NO NAMA DIAGNOSA THERAPY OBAT TTV ADVIS LAB KETERANGAN

1. Tn. Aip GEA IUFD NS 20 tpm Td : 6-6-22

saripudin/25thn/ New diatab 3x2 N:
6-6-22/205 Ceftriaxone 2x1 H2 Rr “ Hb 15,3
Pantoprazole 1x40mg S: Ht 43,5
Ondan 3x4mg Sp02: Eritrosit 5.01
Sucralfat 3x10cc Kel : Lekosit 23
Nac 3x200 Trombosit 246
Zinc 1x1 tab
Sanmol 1 gr >38 Mcv 86.9
Sanmol 3x500 Mch 30,6
Mchc 35.2

Gds 112

Natrium 132.1
Kalium 4.77
Klorida 103.6
2. Tn. Sandi Gea dehidrasi Rl 30 tpm Td : 3-6-22 Antigen negatif 3-6-22
nurdiana/ 35thn/ sedang Pantoprazole 1x40 mg N:
3-6-22/ 216 Sanmol 3x500mg Rr : Hb 14,4
New diatab 4x1 k/p S: Ht 42
Nac 3x200mg Sp02 : Eritrosit 4.8
Cipro 2x500mg H3 Kel : Lekosit 15.5
Loperamide 3x2mg Trombosit 294

Mcv 87.6
Mch 30.1
 Mchc 34.3

3. Tn. Ardi Dhf Rl 20 tpm Td : 6-6-22 Antigen negatif 6-6-22

santoso/32thn / Pct 4x500mg N:
6-6-22/102 Pantprazole 1x40mg Rr : Hb 14.8
Sanmol iv 1 gr >38 S: Ht 45
Sp02: Eritrosit 5.3
Kel : Lekosit 7
Trombosit 139

Mcv 83.6
Mch 27.7
Mchc 33.2
4. Ny. Nurjanah/ Of h3, gastropati Rl 20 tpm Td : 3-6-22 Antigen negatif 3-6-22
55thn/ 3-6-22/ Pantoprazole 1x40mg N: Ekg di MR 3-6-22
120 New diatab 4x1 Rr : Hb 12.9 Ro thorax H+ exp – 6-
Sanmol 4x500mg S: Ht 38 6-22
Ondansentron 2x4mg Sp02 : Eritrosit 4,4
Sanmol 1 gr iv jika suhu Kel : Lekosit 3.2
>38 Trombosit 84
Cipro 2x500mg H3
Nac 3x200mg Mcv 87.0
Ketorolac 2x1 Mch 29.4
Urinax 1x40mg Mchc 33.8

Gds 110

6-6-22

Hb 14.0
Ht 41,3
Eritrosit 4.75
 Lekosit 7
Trombosit 30

Mcv 86,9
Mch 29.4
Mchc 33.9

5. Ny. Euis Gastropsati low Sucralfat 3x10cc Td : 3-6-22 Ekg di MR 3-6-22

amanah/ 52 thn/ intake Amlodipin 1x10mg N: Ro thorax 3-6-22
3-6-22/ 3B2 Nac 3x200 mg Rr : Hb 11.2 Kesan : kardiomegali
Redacid 2x1 S: Ht 34 tanpa bendungan paru,
Candesartan 1x8 mg Spo2 : Eritrosit 3,65 tak tampak pneumonia
Allopurinol 0-0-100mg Kel : Lekosit 9.3
Lansoprazole 1x30mg Trombosit 185

Mcv 94.6
Mch 30.6
Mchc 32.4

Gds 139

Asam urat 8,2

Antigen negatif
6. Ny. Rohanah /76 Asma Bronchial Rl 10 tpm Td : 3-6-22 Antigen negatif 3-6-22
thn / 3-6-22/3B.3 Pantoprazole 1x40mg N: Ekg di MR 3-6-22
Sucralfat 3x10cc Rr : Hb 12.1 Ro thorax 3-6-22
Sanmol 3x500 S: Ht 36.7 Kesan : pneumonia
Nac 3x200mg Sp02 : Eritrosit 3.89 kanan kiri bawah
Cpg 1x75mg Kel : Lekosit 5 disertai fibrotic band
Laxadin 3x15cc Trombosit 297 di paru kiri bawah dan
Keterolac 2x1 efusi pleura kiri
Bioplacenton zalf 3x1 Mcv 94.3 minimal
 Inh ventolin + pulmicort/ Mch 31.2
8jam Mchc 33.1

Gds 110

5-6-22

Ot 42
Pt 15

7. Tn. Agus /63 Asma bronchial, Rl /24 jam Td ; 3-6-22 Antigen negatif 3-6-22
thn/ 3-6-22/ 3A.5 ht, hhd Nebu combivent N: Ekg di MR 3-6-22
+pulmicort /8 jam Rr : Hb 13,5 Ro thorax 3-6-22
Sanmol 3x500mg S: Ht 43 Kesan : kardiomegali
Ceftri 2x1 H6 Sp02 : Eritrosit 5.07 dengan edema paru
Lasal expetoran Kel : Lekosit 15 dd/bronchopneumonia
Nac 3x200mg Trombosit 189 bilateral disertai efusi
Sucralfat 3x10 cc pleura kiri minimal
Amlodipin 1x10 mg Mcv 84.5
Lasix 2x40 mg Mch 26.6
Pantoprazole 1x40mg Mchc 31,5

Gds 89

Kreatinin 1.2

8. Tn. Herman /46 Dhf Rl 30 tpm Td : 5-6-22 Antigen negatif 5-6-22

thn/ 5-6-22/3A.5 Pantoprazole 1x40mg N:
Sucralfat 3x10cc Rr : Hb 15.2
Pct f 3x650mg S: Ht 42
Pct 1gr jika suhu >38 Sp02 : Eritrosit 4.4
Kel : Lekosit 9.3
Trombosit 146

Mcv 93,9
Mch 34,3
Mchc 36,5

Gds 103

6-6-22

Hb 15.0
Ht 41,6
Eritrosit 4.41
Lekosit 7
Trombosit 117

Mcv 94,3
Mch 34,0
Mchc 36.1