SENSUS ICVCU

29.06.2022

Bed Nama DPJP Diagnosis Tgl masuk DPH PPDS

A NGAIMAH Dr. Yasa. Sp.JP Ax : Mild Diasese Mid LAD, RA-RV Dilatasi susp CTEPH dd PE dd IPAH, TR Severe, AR moderate ec kalsifikasi LCC, MR PR mild 22/06/2022 7 SY/EG
00801205 Fx : NYHA sde, AF RVR --> AFNVR EHRA sde, EF 52-57%, TAPSE 1.6 cm
Ex : Degeneratif
FR : Wanita >55th, Riw sakit jantung (+), menopause
P:
1. ensefalopati hipoksia, Stroke infark trombotik lewat fase akut
2. Anemia (Hb 9.3 --> 9.6 --> 9.9)
3. Azotemia (Cr 1.4 --> 0.8)
4. Overshoot INR perbaikan (23.230 --> 1.4)
5. DM tipe II (A1c 6.6)
6. Hipoalbuminemia (Alb 2.8)
7. Hiperurisemia (Au 7.5)
8. Gingival Bleeding
9. Melena
10. VAP
11. Efusi Pleura

B SAMIANTO Dr. Heru. Sp.JP Ax : NSTEMI very high risk pada OMI inferior 27/06/2022 2 SY/EG
01583114 Fx : Killip IV, new AF RVR, EF 22%
Ex : PJK,
FR : HT, merokok,
P:
- CKD stage V (Cr 7.1, Ur 188, eGFR 13)
- trombositopenia (AT 13.000 --> 18.000)
- HIV reaktif

D HERI SUSANTO Dr. Indah. AX : STEMI Anterior onset 3.5 jam post failed fibrinolitik 28/06/2022 1 SY/EG
01583317 Sp.JP FX : Killip I
Ex : PJK
FR : dyslipidemia
Penyerta:
1. Hipertensi
2. Riwayat nefrektomi total ren sinistra (2019) ai Ca renal

E SUTARMAN Dr. Pramadya. Ax: CAD 1VD post PCI 1 DES prox-mid RCA STEMI inferior RV onset 7 jam post succesfull fibrinolitik 27/06/2022 2 SY/EG
01583134 Sp.JP Fx: Killip 1, EF 57%
Ex :PJK
FR : Laki2 >45th, Smoker, DM
Penyerta :
DM tipe 2
Lekositosis (AL 11.7)

F KAWIT W Dr. Indah. Ax : NSTEMI Very high risk --> NSTEMI high risk pada OMI anteroseptal 28/06/2022 1 SY/EG
01583325 Sp.JP Fx : Killip II --> Killip I, EF 37-43% (bedside)
Ex : PJK
 P:
Susp Bronkopneumonia
Observasi Febris

G PARYANTO Dr. Yasa. Sp.JP  Ax: STEMI Anteroseptal Onset 4 jam (RS Perujuk) Post Failed fibrinolitik, CRBBB, Dilated all chamber, MR moderate, AR mild, TR severe ec 25/06/2022 4 SY/EG
01582648 uncoaptation TV
Fx: Killip II, ongoing chest pain, EF 30-32%
Ex :PJK
FR : Laki2 >45th, DM tipe 2
P
DM tipe 2 (HbA1c 8.4, GDP 173, GD2PP 170)
DKD stage V (Cr 4.2 --> Cr 4.2 --> 4.8)
Hiperkalemia (K 5.8 --> 6 --> 3.8 --> 5.0) perbaikan
Hiperurisemia (AU 11.5)

H NARSO Dr. Adi. Sp.JP Ax : NSTEMI very high risk 27/06/2022 2 SY/EG
01583127 Fx: Killip IV, EF 22-25%
E: PJK
FR :
P:
SEC (+) di LV

I WARSI Dr. Pramadya. Ax : UAP High Risk (Angina Pasca Infark) pada CAD 3 VD, MR TR mild 26/06/2022 3 SY/EG
01278526 Sp.JP Fx : Killip I, EF 32-35%, on going chest pain
Ex: PJK
P:
Hipertensi

J BEJO Dr. Adi. Sp.JP Ax : CAD 1VD PCI 1 DES prox-mid LAD pada STEMI anterior onset 17 jam tanpa fibrinolitik, MR TR mild 25/06/2022 4 SY/EG
01582744 Fx : Killip I, EF 35-39%
Ex : PJK; FR : laki-laki > 45 tahun, smoker
penyerta
1. lekositosis (AL 13.600) ec reaktif dd infeksi