idenitas Dpjp Diagnosis lab Penunjang Terapi Keterangan

Srie purna- covid 19 dr. dini Lab 1/4 1/4 ct thorax Deksametason 1x1 iv Nrm 15 lpm
mawaty/ 65 sars cov2 antigen positif Multifokal konsolidasi dengan penebalan azitromicin 1 x 500 mg iv
th (1/4/21) hb 13.8 ht 39.3 leu 6.4 tb 154 neu 81.8 septa intrelobuler pada seluruh lobus paru Resfar 1x5 gr iv fu swab ¼
lim 15.6 led 10 ferritin 1253 goldar O+ bilateral mengarah pada pneumonia typical Vit c1x1 gr iv
pt 11.5 inr 1.06 aptt 36.9 fib 386.7 d covid-19 (severe). Zink 1x1 TPK I 4/4
dimer 0.3 alb 3.7 sgot 57 sgpt 32 gds Tak tampak efusi pleura. Prove d3 1x1 tab
141 ur 25.1 cr 0.97 gfr 57.64 crp 78.81 omeprazole 1 x 1 iv
pct 0.42 Fatty liver. ondancetron 2 x 8 mg iv
Aortosklerosis thorakoabdominalis. sucralfat 3 x 1 c
Spondyloathrosis thorakalis.
fu kultur dan gene expert baru bisa hari dr. dini sore
senin masuk remdesivir
lovenox 1x0,4 sc
2/4 pagi cek aptt, GDS dan HbA1c lapor jika positif, masuk plasma
dr. dini, cek agd 1/4 malam lapor dr.
hendra 2/4
dr. dini
lab 2/4 tgl 3/4 cek d dimer pagi
hb 13.6; tr 171rb; leu 2.7rb; lim 29.5; dr. dini: pakein NIV
aptt 34.3; hba1c 6.9; gds 176 dr. hendra: jika RR > 35, baru pake
NIV cpap
agd 2/4
ph 7.436; po2 83.7; pco2 32.1; chco3 3/4
21.2; be -2.2; na 133.5; k 3.11; ion plasma ready di rsmh 1 kantong
ca1.166 dr. hendra
naikkan flow dan fio2
lab 3/4 kl rrnya diatas 35 atau saturasi
hb 13.1; tr 211rb; leu 5.5rb; lim 15,4; dibawah 95 ganti ke niv, NIV peep 8
led 7
agd 4/4
ph 7.456 po2 174.9 pco2 28.9 hco3 19.9 dr. dini
be -2.8 na 132.5 cl98 k 3.58 ca 1.099 ganti levo 1x750mg iv
sanmol 3x1g iv
lab 4/4
hb 12.8; tr 270rb;leu 9.2; lim 7.5; pt gene expert fu sampel / fu hasil?
11.9; aptt 30.8; d dimer 0.5; gds 133;
dr. dini malam
agd 4/4
ph 7.443; po2 175.1; pco2 32.9; chco3
22; be -1.3; na 138.5; k 3.33; ion ca
1.173
swab tenggorok selesai 4/4: enterobac-
ter cloacae
lab 5/4
hb11.8; tr 267rb; leu 7.5rb; lim 5; gds
101;
agd 5/4
ph 7.416; po2 164.5; pco2 40.4; chco3
25.3; be 0.8; na 137.4; k 3,62; ion ca
1.154
LAB 6.4.2021
HB: 12.6 HT: 37.1 WBC: 8.4 TR: 301 N:
92.2 L: 5.7 N/L: 16.18 LED: 14 GDS; 130
AGD: PH: 7.465 PCO2: 34.4 PO2: 208.6
HCO3: 24.2 BE: 0.8 NA: 139.5 K: 3.65
ION CA: 1.203
LAB 7.4.2021
HB: 13.1 WBC: 10.3 TR: 274 N: 94.9 L:
3.7 LED: 11 GDS; 184 PT 11.9 INR 1.11
D-Dimer 0.4
AGD: PH: 7.472 PCO2: 33.8 PO2: 194.7
HCO3: 24.2 NA: 137.7 K: 4.62 ION CA:
1.162
kultur sputum tgl 4 slsai tgl 7
psudomonas aeruginosa
lab 8.7.2021
AGD
PH: 7.402 PCO2: 45.4 PO2: 141.3 HCO3:
nystatin drop 3x1, extra fg troches
9/4
cek lab urin lengkap dan kultur urin
paracetamol jika nyeri
10/4
nebu combivent 1x
cek ur cr : sudah terlapor
Mycamin 1x1
ceirizin 1x1 malam
fu sample kultur darah (-), sampel
swab (+), sample sputum (+)
konsul dr. adrian untuk d dimer
resfar stop
skrg pakai NIV fio2 100% peep 5 ps 5
extra bricasma 0.3 1x
11/4
neurobion utk 3 hr
dr. dini sore
drip aminophilin 1 ampul/ 12 jam ex-
tra 1x, jika HR < 100
cek d dimer, CRP dan ferritin 12/4
pagi rencana actemra
balans +445, extra furosemid 1 amp
dr. adrian
HR 149, TD 190/110, drip herbesser
15 mg dalam 20cc dalam 2 menit,
lanjut drip 5mg/jam max 15mg/jam,
tiap 15 menit naik 0,5mg titrasi
dr. yusni
simv rr 15-20 fio2 100 peep 7 vt 350-
400 → pasien tidak nyaman
12/4
antibiotik ganti meropenem 3 x 1 gr
27.6 BE: 2.3 NA: 137.3 K: 3.65 ION CA:
1.110
LAB 9.4.2021
HB: 12.6 WBC: 12.3 TR: 309 N: 93.9 L:
3.6 LED: 14 GDS; 142
AGD: PH: 7.396 PCO2: 46 PO2: 120.6
HCO3: 27.6 NA: 139.4 K: 3.95 ION CA:
1.206
LAB 10.4.2021
HB: 12.2 WBC: 13.5 TR: 313 N: 94.7 L: 4
LED: 17 GDS; 121 pt 11.8 inr 1.09 aptt
33.4 d dimer 0.7
AGD: PH: 7.415 PCO2: 43.5 PO2: 110.1
HCO3: 27.3 NA: 137.9 K: 3.92 ION CA:
1.154
lab 11/4
hb 12.9; tr 311rb; leu 19.4; lim 3.8; gds
140
agd sore
ph 7.404 po2 113.7 pco2 42.9 hco3 26.2
be 1.2 na 131.9 cl 92.6 k 4.56 ca 1.066
lab 12/4
hb 14.2; tr 215rb; leu 33.2rb; lim 2.7;
led 20; feritin 835.7; d dimer 0.5; gds
181; ur 42.8; cr 0.9; pct 0.79
agd 12/4
ph 7.427; po2 156; pco2 38.7; chco3
25.6; be 1.2; na 133.8; k 3.98; ion ca
1.095
lab 13.4.2021
HB: 14.6 HT: 44.1 TR: 213 WBC: 31.5 N:
iv
extra glutamin 1 amp iv
extra furosemide 40 mg iv
extra nebu combivent
Lasik rutin ya 1x1
Balance negatuf ya
Deksa naik 2x1 ampul dulu
Meropenem 3x1
combivent nebu 3x1
dr. adrian
candesartan 1x8mg malam
spironolakton 1x12,5mg
target tensi TDS 120-130
13.4.2021
penolakan intubasi untuk kondisi
sadar: klg mau otw kesini atas nama
jannah. No hp 085268123704 :
nomor tidak aktif. Konfirmasi ke ibu
reni hp tidak aktif.
Dr yusni:
agd masih bagus: saran tetap in-
tubasi: klg atas nama ibu reni
mewakilkan klg satu suara menolak
untuk kondisi sadar: alasan tidak
mau kehilangan kesadaran: biar
kalaupun meninggal dalam keadaan
khusnul khotimah bisa menyebut
nama tuhan. (tidak mau dibius)
Dr dini dan dr adrian terinfo
kamiven /24 jam.
Drip vascon 0.1 mcg/kg/mnt
extra nebu heparin 5000 unit
extra bolus heparin 5000 unit
 95.2 L: 3.3 N/L: 28.85 LED: 12 GDS: 231
AGD: PH:7.358 PCO2: 45.8 PO2: 166
HCO3: 25.2 BE: -0.6 NA: 141.3 K: 4.73
ION CA: 1.071
iati
PB 63th covid 19 +
COVID 19 + CKD dr. dini rb
RB dr. Fu lab lengkap
dr. 3/4 pagi CT thorax
Ct scan 11/31/4
thorax SHLL avigan
Masuk h1 2x1600mg
remdisivir TPK 1 14/3
Antibiotik
Bambang dm + ht + cvd adrian rb dr. fu sample kultur 3/4 - Highly suggestive viral pneumonia bilateral Azitromisin iv azitromisin
Gunawan 61 NH anajb - Tak tampak efusi pleura Zegavit 2.4.2021
th lab 3/4 Prove d3 stop 7.4.2021
mrs 2/4 hb 11.4; tr 406rb; leu 8.1 rb; lim 6.8; pt ct torax tgl 5.4 mlm Resfar
keluhan 11; aptt 33.7; fibrinogen 401.6; d dimer Opasitas ground glass di subpleural segmen Deksametaon 1x5 mg iv levofloksasin 1x750
lemas sejak 0.2; na 143; k 4.5; alb 3.3; sgot 21; sgpt anterior dan posterior lobus atas, segmen mg iv 7.4.2021
8 hari yll 35; gds 156; ur 61; cr 1.55; gfr 45.81 superior lobus bawah paru bilateral, seg- tambahan
karena men lateral lobus media paru kanan, lingu- Candesartan 1x 8 mg malam, Vbloc dexa
anaknya LAB 4/4 lar superior dan inferior paru kiri serta kon- 1x6.25 mg pagi CPG 1X75 mg, 2/11.2021
meninggal HB 12; Tr 496rb; leu 14.5rb; lim 8.6; led solidasi di segmen laterobasal dan poster- Spironolactone 25 mg teruskan.
krn covid, 14 obasal lobus bawah paru bilateral dengan di Furosemid sementara tunda dulu
selama 2 segmen anterobasal lobus bawah paru kiri sambil evaluasi klinis overload
hari awal os agd 4/4 disertai parenkimal band sedikit berkurang lovenox 1x0.4
demam, skrg ph 7.411; po2 166; pco2 28.4; chco3 dibandingkan CT toraks Tgl. 01-04-2021. herbeser stop
tidak lagi 17.7; be -5.7; ganti vbloc 1x6.25
r/ dm, ht,
cvd NH sejak lab 5/4 swab tgl 3 negatif
th 2017 hb 11.5; tr 518rb; leu 15,1rb; lim 8; led fu swab tgl 5/4
r/ candesar- 16; gds 140
tan 1x8mg 6.4.2021
pagi PCR II 5/4 positif CT 31.3 dr dini
clopidogrel kidmin 1x1 selama 3 hari
1x75mg pagi LAB 6.4.2021 cek ulang ur cr setelah slsai kidmin
furosemid HB: 11.8 HT: 35.5 WHC: 12.8 TR: 533 N:
1x1/2 tab 85.3 L: 8.9 N/L: 9.58 LED: 15 PT: 11.2 dr adrian
pagi APTT: 31.6 INR: 11.2 FIB: 284.8 GDS teruskan
spironolak- 120 UR: 88 .90 CR: 1.39 GFR: 51.95
ton 1x25mg DDIMER: 0.3 7.4.2021
malam dr dini
herbesser cd LAB 7/4 kultur: citrobacter diversus :
1x100mg HB 12.3; Tr 558rb; leu 11.6rb; lim 11.4; azitromisin stop
malam led 13 ganti levo 1x750 mg iv
metformin
2x500mg ph 7.391; po2 93.6; pco2 36.9; chco3 9/4
sens CM 21.9; na 144 K 3.5 ion ca 1.260 dr. adrian
TD 136/83 extra fleet enema
HR 92 kultur swab tengorok tgl 2 slsai tgl 7 besok dexa 10 hari stop ya
RR 22 aitrobacter diversus
SpO2 95 11/4
room air, 98 LAB 8/4 laxadin syr 2x1c
dgn NK 4lpm HB 11.9; Tr 503rb; leu 13.1rb; lim 12.4;
led 15 GDS 122 13.4.2021
dr adrian : teruskan
ph 7.375; po2 160.5; pco2 36.6; chco3
20.9; na 145.1 K 3.37 ion ca 1.131 hari ini di swab pcr 13.4 fu hasil
room air. obs saturasi bila baik besok
LAB 10/4 mau dipulangkan
HB 12; Tr 486; leu 14.3; lim 9.1; led 18
GDS 140 pt 11.8 inr 1.09 aptt 32 d
dimer 0.5

ph 7.343; po2 150.7; pco2 43; chco3

22.8; na 143.7 K 3.22 ion ca 1.152

lab 11/4
hb 12.4; tr 471rb; leu 14.9rb; lim 10.4;
led 22; gds 96

agd 11/4
ph 7.484; po2 164.7; pco2 27.4; chco3
20.1; be -2.1; na 140.7; k 3.44; ion ca
1.205

lab 12/4
hb 12.7; tr 389rb; leu 16.8rb; lim 7.8;
led 20; gds 89

LAB 13.4.2021
HB: 12.0 HT: 36.3 WBC: 14.5 TR: 366 N:
82.3 L: 8.2 N/L: 10.04 LED: 18 DDIMER:
0.2 GDS: 97
 pcr 13/4 (+) 37,5
Purmayanita Covid 19 + HT dr. dini rb dr. Lab 3/4 Ct thorax 1/4 Masuk remdisivir Antibiotik
60th adrian hb 10.9; tr 392rb; li, 18.7; pt 11.6; aptt - Highly viral pneumonia bilateral Azitromisin iv azitromisin 2.4 stop
mrs 2/4 29.5; fibrinogen 222.5; d dimer 1; na - Tak tampak efusi pleura Zegavit tgl 7.4.2021
keluhan 143; k 4.5; alb 3.7; sgpt 16; sgot 17; gds Prove d3
batuk, sakit 134; ur 22.8; cr 1,54; mg 2..1; crp <5; ct torax tgl 5.4 mlm Resfar levofloksasin 1x750
teng- feritin 423.4; pct 0.02 Deksametaon 1x5 mg iv mg iv 7.4.2021
gorokan, pe-
rut bawah agd 3/4 3/4
terasa ph 7.427; po2 148; pco2 30.1; chco3 dr. adrian
panas, 19.4; be -4.1; na 139.5; k 4.27 Arixtra 1x2.5 sc
telinga
berden- LAB 6.4.2021 swab tgl 3 neg, r./pcr sputum tgl 6.4
gungdemam HB: 11.0 HT: 33.7 WBC: 9.3 Tr: 316 N:
dan batuk 2 68.2 L: 25.5 N/L: 2.67 LED: 23 PT: 11.2 6.4.2021
hari. APTT: 30.1 INR: 1.04 FIBR: 211.5 sampel pcr sputum blm dapat karena
R/ HT (+), DDIMER 1.2 sudah dak batuk dahak lagi jadi
konsumsi batuk kering. Bila dalam 2 3 hari ini
amlodipin lab 9.4.2021 gak ada keluhan dan tidak dapat
1x5mg hb: 10.8 HT: 32.7 WBC: 9.6 TR: 287 N: sample r/.dipulangkan
sens cm td 71.9 L: 20.8 N/L: 3.46 LED;: 26 PT: 12.1
168/89, hr APTT: 30.7 INR: 1.13 FIB : 276.7 dr adrian
108, rr 18, DDIMER: 0.5 teruskan arixtra 1x2.5
spo2 99 AGD: PH: 7.43 PCO2: 31.1 PO2: 141.6
room air HCO3: 20.1 BE: -3.4 NA: 140.8 K: 3.21 7/4
ION CA: 1.179 nystatin drop 3x1
kultur: hafnia alvei:
kultur sputum tgl 4 slsai tgl 7 azitromisin stop
hafnia alvei ganti levo 1x750 mg iv
kultur swab tenggorokan ¾ selesai 9/4
strep. Viridans, alpha-hem 8/4
omeprazol 1x1iv
lab 11/4 Suktralfat syr 3x1
hb 11.6; tr 297rb; leu 10.9; lim 21.8; led
28 9/4
hasil PCR sputum positif, dari dr. dini
lab 12/4 boleh isolasi mandiri, tapi ibu ny blm
hb 11.9; tr 296rb; leu 10.9rb; lim 31.5; mau krn takut ninggalin bapaknya
led 21; d dimer 0.3 sendirian
LAB 13.4.2021 dr. adrian
HB: 11.7 HT: 35.8 WBC: 12 TR: 300 N: ksr 1x1 selama 3 hari, cek kalium
67.4 L: 24.7 N/L: 2.73 LED: 20 NA: 144 ulang setelahnya
K: 3.1 CL 105 RL 60cc/jam

13.4.2021
dr adrian
ksr lanjut. 1X1 jgn lupa cek kalium
setelah selsai
arixtra saya minta stop kemarin

hari ini ada sampling sputum pcr : fu

hasil
tn. muha- Probable covid dr. dini spP 6/4 Fu ct thorax 6/4 Ivfd asering 20 gtt Rom air spo2 99
jirin 57 th 19 hb 17.4 ht 47.5 leu 4.6 tb 233 neu 56.7 Typical moderate pneumonia COVID-19 sta- azitromicin 1 x 500 mg iv
6/4/21 lim 30.8 goldar A+ pt 9.9 inr 0.87 aptt dium acut zegavit 1 x 1 po (10)
28.8 d dimer 0.2 na 139 cl 99 k 3.9 sgpt Tidak tampak efusi pleura, pembesaran ke- prove d3 1 x 1 po (10)
30 sgot 23 gds 173 ur 26.1 cr 0.94 gfr lenjar getah bening maupun SOL (Massa pct drip kp
82.72 Paru-Mediastinum) dexamethason 1 x 1 iv
pcr positif 25.8 Coronary arterial disease omeprazole 1 x 1 iv
Spondyloarthrosis, osteoporosis thoracalis sucralfat syr 3 x 15 cc po
7/4
hb 15.5; tr 221rb; leu 3.4rb; lim 25.3; remdesivir start tgl 7/4
feritin 365 alb 4.8 magnesium 2.6 CRP cohistan syr 3x1
15 PCT 0.02
konsul dr anjab : besok tgl 9 cek
agd 5/4 hba1c dan gds
ph 7,380; po2 128.3; pco3 32.1; chco3
18.6; be -5.4; na 142.5; k 4.8; ion ca
1.163

tgl 8/4
cek IL-6 pagi
hb 16; tr 260rb; leu 8.3rb; lim 25.6; GDS
206

9/4 pagi cek HbA1c

iL-6 4.85
Tn eddy covid 19 + Dr dini spp + Lab 8.4.2021 (DARAH Dari ed) Impression 8.4.2021 Room air
safrullah / pneumonia dr.adrian HB: 12.7 HT: 38.5 WBC: 4.2 TR: 195 N: Typical pneumonia COVID-19 acut on going azitromisin 1x500 iv
66th / spJP 80.6 L: 13.7 N/L: 5.88 LED: 20 PT: 10.8 progressive stage zegavit 1x1 po steroid
8.4.2021 APTT: 38.7 INR: 1.00 DDIMER: 0.8 NA: CAD prove d3 tab 1x1 po dexa 1x5 gr iv
138 K: 3.8 CL: 99 ION CA: 1.10 SGPT: 19 Spondyloarthrosis, osteoporosis thoracalis dexamethasone 1x1 iv 8.4.2021
SGOT: 33 GDS: 127 UR: 23.80 CR : 0.87 resfar 1x5 gr iv
GFR: 87.79 omeprazole 1x1 iv antibiotik
pct 3x1 gr kp demam azitromisin 1x 500
fu lab pagi (agd pct feritin crp golda): iv 8.4..2021
sudah di scan SP nya 8/4 mlm
dr. adrian fu pcr 8.4.2021
kultur sputum dan darah fu sampel;( sp CPG 1X75 mg negatif
+ di tgl 9 pagi) Atorvastatin 1x20 mg 9/4 positif
vbloc 6.25 mg 1x ½
9/4
ferritin 1688 goldar A+ 9/4
agd dr. adrian
ph 7.386 po2 112.4 pco2 39.4 hco3 23.1 v bloc stop ja
be -1.7 na 139.1 cl 98.1 k 3.53 ca 0.746
10/4
10/4 remdesivir
hb 12.4 ht 36.6 leu 5.6 tb 242 neu 83.9
lim 9 led 22 gds 130 12/4
azitro lanjut sampai 7 hari
LAB 13.4.2021: fu kultur swab tenggorok (+) sputum
HB: 12.7 HT: 38 WBC; 7.4 TR: 282 N: (-), baru diambilin joseph 12/4
72.4 L: 17.0 N/L; 4.26 LED: 19 PT: 11.6
APTT: 33.6 INR: 1.07 DDIMER: 1.5 13.4.2021
dr adrian: teruskan
lab 15.4 dr.andry
HB: 12.5 WBC: 7.1 TR: 336 N: 81.8 L: merislon 2 x 12 mg po
10.4 LED: 18 PT: 11.1 APTT: 29.1 INR: dramamin 2 x ½ tab po
1.03 DDIMER: 0.6 SGPT: 25 SGOT: 15
UR: 35.20 CR : 0.74 14.4.2021
agd dr andry: dramamin stop
ph 7.482 po2 124.0 pco2 30.4 hco3 22.2 merislon teruskan
na 140.8 k 3.10 ca 1.125
Nabilah/ Prob covid 19 Dr dini SpP Fu lab pagi 10/4 9/4 ct thorax Azitromisin 1x500 mg iv Room air
21th pr hb 13.5 ht 40 leu 5 tb 281 neu 49.1 lim Tidak tampak opasitas ground glass, crazy Jika sakit kepala bs esktra pct
mrs 9/4 41.1 led 10 goldar B+ pt 10.5 inr 0.97 paving pattern maupun konsolidasi paru bi- Zegavit 1x1
aptt 31.4 fib 296.5 d dimer 0.2 na 141 k lateral yang menunjukkan pneumonia viral Prove d3 1x1
3.7 cl 104 ca 1.24 sgpt 9 sgot 17 ur 23.1 saat ini.
keluhan de-
cr 0.71 gfr 103.92 crp <5 pct 0.02 Tidak tampak efusi pleura, limfadenopati 10/4
mam 3 hari maupun SOL paru / mediastinum. info theyman, swab positif
yll, pusing dr. dini
jika berdiri, masuk avigan
terasa
seperti
ditekan
Febrian- Covid 19 susp Dr dini spp Fu lab pagi 10.4.2021 Fu hasil ct scan tgl 9.4 malam 9.4.2021 Antibiotik
syah /soc/ pneumonia hb 14.6 ht 42.2 leu 4.1 tb 232 neu 59.3 remdisivir hari 1 1x200mg azitromisin
29th mrs lim 28.5 led 14 ferritin 383.6 goldar A+ remdesivir hari 2-5 9.4.2021
9.4.2021 sgpt 56 sgot 40 gds 98 ur 24.5 cr 0.87 1x100mg
gfr 103.74 pt 10,7 aptt 33.3 inr 0.99 fib antivirus
336.5 d dimer 0,2
Azitromisin 1x500mg iv remdesivir
agd Zegavit 1x1 9.4.2021
ph 7.395 po2 141 pco2 43.1 hco3 25.8 Prove d3 1x1
be 0,7 crp 15.25 pct 0.03 Resfar 1x5gr iv steroid
r/ kultur swab tenggorok dan darah Deksametaon 1x5 mg iv dexa 9.4.2021
omeprazole 1x1 iv
ondancetron 2x 4 mg
paracetamol 3x1 gr iv
Derrian covid 19 + dr. dini SpP + Lab 11/4 Multifokal opasitas ground glass di segmen azithromicin 1x500mg iv Room air 99%
26th lk GGO + DM dr.anjab hb 11.6; tr 393rb; leu 6.9; lim 12.7; led superobasal-laterobasal-posterobasal lobus meloxicam 1x15mg po
mrs 10/4 type 1 20; golda b+; na 135; k 3.8; alb 3.7; sgpt inferior paru kanan -- pneumonia viral zegavit 1x1 po infus NS saja
21; sgot 12; hba1c 14.1; gds 336; ur tipikal.
17.7; cr 0.44; crp 26.71; pct 0.1
prove d3 1x1 po
pasien lantus 1x20
datang agd 11/4
novorapid 3x15
dengan ph 7.436; po2 111.4; pco2 34.7; chco3
keluhan 11/4
22.8; be -0.9; a 134.5; k 3.48; ion ca
dada jika avigan
1.185
napas
14.4.2021
terasa be- lab 12/4
dr dini
rat hb 11; tr 382rb; leu 8.5rb; lim 10.4; led
cek lab as urat dan albumin besok
23; gds 226
pagi
sejak 2
lab 13.4.2021
minggu yll dr anjab
HB: 10.4 HT: 29.7 WBC: 7.6 TR: 390 N:
sudah ada novorapid 3x18 iu
75.9 L: 11.3 N/L: 6.7 LED: 20 GDS: 235
gambaran
ct scan lab 14.4.2021
GGO, cuma hb: 10.5 HT: 29.8 WBC: 8.7 TR: 387 N:
waktu itu 76.5 L: 11.0 N/L: 6.95 LED 22 GDS 327
ruangan
penuh jd 15/4
pasien pu- hb: 9.9 HT: 28.5 WBC: 8.2 TR: 360 N: 74
L: 11.8 LED 25 GDS 175 albumin 3.8
lang
asam urat 2.4

rutin in-
sulin novo-
rapid
3x15iu
lantus
1x20iu
Amboni Probable covid dr. dini Lab 12/4 Ct scan 11/4 Azitromicin 1x1 iv sto[ 12/4 Swab positif tgl 11
48th 19 hb 14.8; tr 234rb; leu 3.6; lim 12.7; led - Highly suggestive viral pneumonia bilateral zegavit 1x1
mrs 11/4 10; feritin 1354; golda a+; pt 10; aptt - Tak tampak efusi pleura prove d 3 1x1 antivirus:
32.6; fibrinogen 287.6; d dimer 0.3; alb avigan 13.4.2021
3.7; sgpt 44; sgot 50; hba1c 8.9; gds
paracetamol 3x1g k/p
keluhan, dexametason 1x1 iv
252; ur 23.7; cr 0.94; as urat 3.1; mg antibiotik
demam, 2.4; crp 95.89; pct 0.22 mecobalamin 2x1 po azitromisin stop tgl
tidak nafsu 12
makan, ny- agd 12/4 12/4 azitromisin tab 1x
eri dada ph 7.331; po2 149; pco2 41.1; chco3 dr. dni 500 12.4.2021
terasa ter- 21.2; be -4.4; na 135; k 4.47; ion ca Ceftriaxon 2x1 gr iv ceftriaxone 2x1 gr
bakar, hi- 0.964 12.4.2021
azitromisin 1x500 mg po
lang indra
penciuman LAB 13.4.2021 steroid:
HB: 13.7 HT: 39.9 WBC: 4.1 TR: 267 N: 13.4.2021 dexa 11.4.2021
dan perasa dr dini
75.3 L: 14.2 N/L: 5.30 LED: 10 .
sekitar 1
GDS: 241 start avigan 5 hari
minggu
LAB 14.4.2021 14.4.2021
r/ HB: 14.8 HT: 43.6 WBC: 6.8 TR: 350 N: pindah lt 7
glimepirid 77.2 L: 15.8 N/L: 4.89 LED: 10 GDS: 221
r/ konsul dr anjab : glu-
1x4mg
cophage 1x 750 mg tab po
besok cek hba1c
Alex/ 62th Covid 19 + DM Dr dini Lab 12/4 Ct scan 9/4 remdisivir start 12/4 NK 5lpm spo2 99%
lk + HT dr adrian hb 14.6; tr 158rb; leu 6.1rb; lim 21.3; - Multifokal ground glass opacity di sub- azithromicin 1x500mg iv
mrs 11/4 terkontrol dr anjab feritin 944.1; golda o+; pt 9.5; aptt 40.4; pleura kedua paru-->sugestif pneumonia vi- resfar 1x5gr iv Obat MP
fibrinogen 386.7; d dimer 0.3; ion ca ral tipikal. exforge 5/80 1x1
1.09; alb 3.8; sgpt 44; sgot 37; hba1c 7; - Tidak tampak efusi pleura.
zegavit 1x1tab pagi sebelum
keluhan prove d3 1x1 tab
gds 109; ur 43.8; cr 85.5; as urat 4.5; mg - Organ-organ mediastinum dalam batas makan
saturasi ok- 2; crp 87.9; pct 0.11 normal. inj dexametason 1x5mg iv forxiga 1x10mg
sigen turun - Spondylosis thorakalis. Kompresi ringan paracetamol iv 3x1gr sarapan pagi
jika aktivi- agd 12/4 corpus vertebra Th10, Th11, dan Th12. xarelto 10mg,
tas ph 7.426; po2 107.2; pco2 36; chco3 buatin form plasma kalo 2x1/4 tab setelah
di rumah 23.1; be -0.8; na 137.8; k 3.95; ion ca CT scan ulang 12/4 udah ada golda (+) sarapan pagi dan
sudah 1.119 sebelum tidur
pakai oksi- malam
lab 14.4.2021
14.4.2021 trizedon od
gen terus dr diini
HB: 13.6 HT: 38.3 WBC: 7.5 TR: 214 N: 1x80mg setelah
77.4 L: 13.4 N/L: 5.78 LED 14 PT: 11.6 pindahlt 7 sarapan
demam
APTT: 34.2 FIB: 348 DIDMER: 0.4 GDS: janumet XR
naik turun 212 konsul dr anjab: teruskan 100/1000mg siang
AGD: PH: 7.402 PCO2: 39.3 PO2: 162.9 obat gula rillus 1x1tab kun-
keluhan BE: -0.7 NA: 136.2 K: 3.93 CL: 101.3 ION yah siang
lain CA: 1.211 recansa 1x20mg
disangkal sebelum tidur
malam
riwayat ko- racikan herpes
morbid PJK, 3x1kap sesudah
makan
DM,
lianhua 3x4caps/
hipertensi
hari
transfer factor plus
berobat 3x3caps/hari
rutin den- insulin ryzodeg
gan dr yu- 1x15mg tiap sete-
lianto dan lah makan malam
dr edo spjp
tn. djong dr.dini Probable Fu lab 14/4 dan kultur swab tenggorok Ct thorax : Penebalan septa interlobuler Azitromicin 1 x 500 mg iv Nrm 10 lpm
ten khian covid + chf + (+), sputum (+) 13/4 pada seluruh lobus paru kanan kiri dexamethason 1 x 1 iv
(73) pneumoni terutama pada lobus inferior dan area cen- resfar 1 x 5 gr iv
13/4/21 dd/edem Lab 14.4.2021 tral mengarah pada; DD/1. Interstitial lung
HB: 12.2 HT: 38.9 WBC: 3.5 TR: 313 N: edema 2. Interstitial pneumonia.
zegavit 1 x 1 po
paru prove d 3 1 x 1 po
82.3 L: 16.2 N/L: 5.08 LED: 12 GOLDA B Dilatasi bronchus dengan cystic formation
POST PT: 11.8 APTT: 35.8 INR: 1.10 FIB: pada seluruh lobus paru kanan kiri disertai omeprazole 1 x 1 iv
249.1 DDIMER: 1.0 SGOT: 36 SGPT: 46 multipel fokal luscency pada subpleura
CKMB: 12 TRP T <40 GDS: 175 Ur 36 CR: lobus superior suggestive cystic bronchiec- 14.4.2021
1.27 GFR: 55.59 tasis disertai centrilobuler emohysema. infonya swab pcr pertama
AGD: PH: 7.321 PCO2: 48.9 PO2: 235.2 Tak tampak efusi pleura . neg
HCO3: 24.7 Be: -1.7 NA: 142.2 K: 3.98 Cardiomegali.
fu swab ke 2. 14.4.2021
ION CA: 1.173 CRP: 7.01 Aortosklerosis thorakoabdominalis.
Spondyloarthrosis thorakalis.
dr dini: lapor dr adrian:
FERITIN 214.40 PCT: 0.05
dr adrian:
Lab 15/4 dobutamine start 5 mcg/
HB: 11.7 WBC: 6.8 TR: 304 N: 86.1 L: 8.6 kgbb/menit titrasi sd 10
LED: 15 SGOT: 33 SGPT: 50 Ur 49 CR: mcg/kgbb/menit
1.24 GFR: 57 Captopril.3x6.25 mg,
AGD: PH: 7.325 PCO2: 51.4 PO2: 194.6
inj Furosemid 1x20 mg iv,
HCO3: 26.2 NA: 143.9 K: 3.84 ION CA:
1.194 Spironolactone 1x12.5 mg,
Laxadine 1xC1
cpg 1 x 75
drip vsdc
Simar/ 59 Covid 19 + dr. dini rb dr. LAB 14.4.2021 CT scan thorax 13/4 14/4 NRM 10lpm
th HHD Adrian rb dr. HB: 16.5 HT: 48.2 WBC: 19.8 TR: 229 N: Kesan: dr. adrian swab post tgl 13
mrs 14/4 anjab 91.6 L: 4.2 N/L: 21.81 LED: 25 GOLDA O Perempuan usia 59 tahun, keterangan klinis Kasih inj Fargoxin 0.5 mg gen n 27.2 gen or-
keluhan LED 25 PT: 13.1 APTT: 54.3 INR: 1.22FIB: pneumonia viral, dari CT thoraks didap- f1ab 27.5
498.6 DDIMER: 0.5 ALB: 3.7 SGPT: 42 atkan :
encerkan 10 cc bolus pelan.
sesak, Ulang tiap 8 jam 0.25 mg
SGOT: 34 TG: 94 KOLTOT: 160 LDL: 117 - Multifokal ground glass opacity luas di ke- 14.4.2021
pilek, tidak GDS: 169 UR: 46.80 CR: 1.47 GFR: 36.38 dua paru-->sugestif pneumonia viral tipikal bila HR masih diatas 120. ganti hfnc
nafsu MG: 2.1 CRP: 139.05 PCT: 0.99 severe type. Kalau sudah dibawah 120
makan se- - Kardiomegali. kasih Digoksin tablet 1x0.25
jak 3 hari fu sample kultur 14/4, sample swab - Nodul kedua lobus thyroid. mg
yll tenggorokan (+) 14/4 - Kista segmen 7 hepar diameter 1,3 cm. bisoprolol 1x5mg pagi
sens CM TD - Nodul adrenal bilateral. spironolakton 1x25mg pagi
114/81 rr fu hasil ft4 ft3 dan tsh: - Spondylosis thorakalis.
fulopin1x5mg siang
32 spo2 tsh 0.01
ft3: 3.09 ft4: 28.95
canderin 1x16mg sore
awal 88%, lixiana 1x60mg malam
dgn NRM
agd 14/4
10 lpm 96% ph 7.337; po2 28; pco2 47.6; chco3 14.4.2021
24.9; be -1.4; na 136.9; k 5.49; ionj ca Dr. dini
r/ HT (+) 1.132 Remdesivir
r/ obat: Dexametason
bisoprolol lab 15/4
Resfar
1x5mg pagi HB: 16.2 WBC: 18.9 TR: 264 N: 91.7 L:
5.5 LED: 25 GDS: 192 Vit c
spironolak-
agd 15/4 Zink
ton
ph 7.321; po2 197; pco2 32.6; chco3 Prove d3
1x25mg
16.4; na 128.3; k 6.64; ion ca 1.064 azitromisin 1x 500 po
pagi
fu-
ceftriaxone 2x1 iv
16/4 cek IL 6 dan ur cr ya tambahan (dr. konsul dr anjab buat hiper-
lopin1x5mg dini)
siang tiroid nya
canderin lab 16/4
1x16mg hb 15.0; tr 315rb; leu 16.8; lim 6.3; led dr adrian: teruskan obat.
sore 21; PT 13.6 APTT 55.6 INR 1.27 DDimer Ada lixiana. Dr adrian nanya
lixiana 0.3 na 139 K 4.7 GDS 143 Ur 132 Cr 1.59 sudah positif atau probable.
1x60mg agd 16/4 Aku jawab positif.tapi blm
ph 7.362; po2 186.3; pco2 35.8; chco3 dibalas lagi, kemungkinan
malam
19.8; na 135.8; k 4.3; ion ca 1.214
lab 17/4 mau ganti pengencernya,
hb 13.8; tr 347; leu 15.8; lim 10.2; led tunggu jawaban via wa ya.
25; gds 127
agd 17/4
ph 7.344; po2 78.9; pco2 39; chco3
Dr anjab
20.7; na 138.7; k 3.79; ion ca 1.319 tirosol 1x10 mg pagi
lab 18/4 saran bisoprolol sudah da-
hb 14.4; tr 366; leu 12.3; lim 8.5; led 28; pat dari dr Adrian
gds 76
agd 18/4 15/4
ph 7.348; po2 83; pco2 38.2; chco3 Dr hendra  hiperkalemia
20.5; na 140.8; k 4.17; ion ca 1.296
Infuse NS 80cc/jam
Inj ca gluconas 1amp

Dr Adrian:
Spironolakton tunda dl
Furosemid 1amp extra
Ca gluconas (sudah pagi td)
Besok cek : ddimer pt aptt
ur cr , dan IL 6 (dari dr dini)

jam 8:50 ibunya kepanasan

di hidung, sementara minta
ganti NRM, dengan NRM 15
lpm saturasi 93%. nanti 1-2
jam lepas aja pasang lagi
hfnc. ada BNS spray buat
semprot dimeja.

17/4
Dr. Adrian
digoxin 0,25 turun dosis jadi
1x1/2
Jika HR < 60, lapor dr.
 Adrian, rencana stop salah
satu digoxin ato bisoprolol

18/4
Tpk 2 18/4 (+)
Tn covid 19 + Dr dini dr R/ lab sore R/ ct malam Dr merry sppd Pcr positif hari ju-
heryadi / susp merry sppd r/ kultur darah sputum dan swab tengor meropenem 3x1 gr mat 10.4.2021
55th / mrs pneumonia+H (+) 14/4 prove d3 1x1 tab po
14.4.2021 T Nrm 15 lpm sat
lab 14/4
zegavit 1x1 tab po 100
hb 13.4; tr 231rb; leu 9.9; lim 11.9; led pantoprazole 1x1 iv
td 140/80 18; feritin 1934; golda ab+; pt 11; apt pct fls 3x1 gr kp demam antivir
hr 82 36.8; fib 316.4; d dimer 0.1; sgpt 56; resfar 1x5 mg iv remdesivir
rr 28 sgot 53; gds 109; ur 28.3; cr 1.06; crp blopress 1x1 tab po stop 14.4.2021
sat 100 127,25 pct 0,21 14/4
clobazam tab 1x 10 mg steroid
agd 14/4 dexa 1x5 mg
malam
ph 7.428; po2 163.5; pco2 356.4; chco3 14.4.2021
22.8; be -1; na 136.2; k 3.67; ion ca
1.024 dr dini antibiotik
remdesivir start 14.4.2021 meropenem 3x1gr
lab 15/4 meropenem acc 4.4.2021
hb 13.4; tr 236rb; leu 9.0; lim 8.96; led kultur
15; dexamethasone 1x1 iv
agd 15/4 TPK pertama
ph 7.452; po2 198.5; pco2 30.7; chco3
r/ masuk actemra 80 mg iv tgl 18.4.21 jam
20.9; na 136.8; k 4.03; ion ca 1.117
(farmasi blg bsk tgl 15/4 br 2.30 masuk
lab 16/4 di email biar tdk lupa)
hb 13.2; tr 264rb; leu 9.3; lim 9.5; led
15; dr. merry malam
agd 16/4 blopress stop
ph 7.397; po2 192.8; pco2 38.9; chco3 amlodipin 1x5mg k/p
23.4; na 138.5; k 4.01; ion ca 1.170 cpg 1x75mg
lab 17/4
hb 13.4; tr 289; leu 10.3; lim 8.4; led 6; 15/4 dr merry
pt 11.3 inr 1.0 aptt 29.9 fib 379.6 d Tambahan euphilin retard
dimer 0.4 gds 126 mite 2x1/2tab
agd 17/4 O2 turun 15 > 10
ph 7.408; po2 120.8; pco2 37.6; chco3
23.2; na 142.4; k 3.65; ion ca 1.137
Tgl 17 cek DL AGD dan
DDIMER
16.4.2021
Tensi 80/40 lapor dr merry
Amlodipin tunda
Nac tab 3x1
Resfar stop

17/4
Dr. dini
Siapin plasma
Dr. merry
Fluconazol 1x1 iv
Nac stop ganti flumusil eff
2x600 MP

plasma pertama tgl 18.4.21

jam 2.30 masuk

18/4
Dr. merry
Dexa stop
Medixon 4mg 1-1-0 pagi
dan siang
Amlodipin 1x5mg
Dr. dini
Recolfar 2x1
Cohistan stop
Ro malam ini, sp sudah
dikirim ke radiologi
bustanur- Covid 19 Dr dini spp Lab (15/4) Fu ct thorax (15/4) 15.4.2021 Pcr bayangkara tgl
din 45th terkonfirmasi Hb 15.6; tr 264rb; leu 10.9rb; lim 9.2; Dr dini 8 positif
feritin 740.2; pt 10.4; apt 39; fibrinogen Azitromisin 1x500 mg iv
360; d dimer 0.1; sgot 71; sgpt 53; gds Antibiotic
102; ur 32; cr 0.98; crp 83.25; pct 0.13
Avigan Azitromisin 1x500
Zegavit tab 1x1 po iv 15.4.2021
lab 16/4 Omeprazole 1x1 iv
hb 15.6; tr 268rb; leu 11.5; lim 10.4; led Prove d3 tab 1x1000iu Antivirus
17; GDS 110 Cohistan sirup 3x1 c po Avigan 15.4.2021
agd 16/4 Nac tab 3x2 tab po
ph 7.457; po2 144.3; pco2 31.2; chco3 r/ pcr fu bo
21.6; na 134.1; k 3.14; ion ca 1.074 r/ ct scan fu bo

17/4
hb 16.9 ht 49 tb 280 leu 6.5 neu 83.1
lim 12.7 led 15 gds 142
agd
ph 7.409 po2 121.9 pco2 36.2 hco3 22.4
be -1.6 na 139.8 cl 96.8 k 3.6 ca 1.063

18/4
Hb 15.1 ht 43.6 leu 7.2 tb 345 neu 83.3
lim 12 led 17
Nazeli 58th Confirmed Dr. dini spp .lab 16/4 Ct scan + expertise fu hasil masuk remdisivir NK 3lpm spo2 100
pr covid 19 Dr Adrian Hb 13; tr 239rb; leu 7.6rb; lim Azitromisin 1x500 mg iv
MRS 16/4 spjp 13.3; led 19; golda a+ Deksa 1x5 mg iv
Sesak sejak Fu lab pagi Zegavit 1x1
semalam Prove d3 1x1
Batuk + 17/4 Resfar 1x5 gr
kering Pt 10.4 inr 0.96 aptt 36.4 fib 426.4 d Amlopidin 1x5mg
demam dimer 0.1 na 143 k 4.2 cl 104 alb 4.4
tidak ada sgot 30 sgpt 34 gds 115 ur 28.3 cr 0.58
gfr 106.78 au 3.6 mg 2.6 crp 32.38 fer- 17/4
komorbid Dr. Adrian
ritin 463.2 pct 0.03
hipertensi Agd ca gluconas 1x1g iv
Ph 7.349 po2 125.7 pco2 44.1 hco3 23.7
be -2 na 144.4 cl 106.9 k 3.89 ca 0.88

18/4
Hb 13.1 ht 40 leu 6.1 tb 263 neu 77.7
lim 18.7 led 22 gds 131
Agd
Ph 7.376 po2 95.5 pco2 40.5 hco3 23.2
be -1.8 na 144.6 cl 103.6 k 4.02 ca 1.079
tn sofyan Covid Dr dini spp r/ kultur swab tengorokan, darah, spu- r/ ct torax mlm fu BO 16.4.2021 Hfnc 45lpm fraksi
th
47 / 19+pneumoni Dr Adrian tum, MRSA. Fu sampel Dr dini 94%
16.4.2021 a +r/ht spjp r/ pcr fu BO Remdesivir lanjut sd 7 hari: Saturasi 97%

lab 16/4
sd tgl 18/4/2021 Antibiotic
hb 13.9; tr 334rb; leu 9.6rb; lim 4.3; fer- Dexamethasone 1x1 iv Meropenem 3x1
itin 1346; golda o+; pt 11.7; apt 32.8; fib Resfar 1x5 gr 16.4.21
312.8; d dimer 0.2; sgot 20; sgpt 34; gds Zegavit 1x1
243; ur 47.9; cr 0.75; crp 51.77; pct 0.04 Prove d3 1x1 Antijamur
Omeprazole 1x1 iv Mikamin1x100 iv
agd 16/4 Cohistan sirup 3x1 c po 16.4.2021
ph 7.559; po2 197.6; pco2 30.1; chco3
Mikkamin 1x100 iv
26.3; be 4.8; na 137; k 3.83; ion ca Antivirus
0.883
Meropenem 3x1 gr iv Remdesivir
13.4.2021 sd 18.3
lab 17/4 Dr hendra terinfo. Ganti nrm
hb 14.8; tr 371; leu 17; lim 3.9 neu 89 jadi hfnc. Hfnc 45lpm fraksi 94% Steroid
led 6; gds 139 Saturasi 97% Dexamethasone
16.4.2021
agd 17/4 Dr Adrian
ph 7.439; po2 113.2; pco2 46.1; chco3 Bila ada ddimer lapor. Obat rutin : tensi-
30.6; be 5.5; na 139.1; k 3.6; ion ca vask 1x5 mg , bero-
Inj heparin 2x7500 sc
0.917 bat ked r ketrin di-
diteruskan sampai ada ganti 1x10 mg tab
ddimer  heparin stop ganti
fu lab + agd mau coba diambil lg nanti lovenox 1 x 0.4 sc obat dari pertamini
sore 18/4 remdesivir tgl 16
17/4 sudah dosis ke 5
r/ pungsi dgn dr. dini di ward meropenem 3x2 gr iv
3 sejak tgl 13 (4 hari)
rb dr. Adrian dan dr. anajb, dexamethasone
1x6mg iv sejak tgl 13
masuk actemra 80mg,
(4 hari)
siapin plasma heparin inj 2x7500 sc
r/ hfnc dari dr. Adrian, vit c 3x1 gr iv
tunggu selesai pungsi aja moxifloxsasin 1x400
biar idk susah pindah” sejak tgl 13 (4 hari)
dr. anjab zink tab 2x40
cek hba1c tgl 18/4 furosemid 2x2 amp iv
codipront 3x10 cc po
resfar 1x5gr iv
18/4
Info bank darah, belum ada
plasma ny actemra 17/4
Dr. dini
Recolfar 2x1
Tanyain ke dr. Adrian, perlu
batasin cairan ga? Perlu
spironolakton 1x12,5 dk?
Perlu dobu dak?
dr. Adrian:
Untuk memastikan efusi
perikard harus echo. Cuma
alat echo kita gak boleh
dipindahkan apalagi ke ru-
ang isolasi. Kalau pun ada
efusi.perikard sepertinya
tidak masif dan tidak
menimbulkan tamponade
Spironolactone boleh
dikasih mulai.1x12.5 mg.
Dobutamin kalau ada bukti
gagal jantung atau pump
problem. Coba fluid chal-
lange dulu 150 cc dalam 10
mnt. Kalau tensi naik.dan
HR tidak.naik berarti masih
bisa dikasih cairan lagi 200
cc dalam.10 mnt. Kalau
tensi gak response atau
malah makin turun, pasien
tambah sesak boleh masuk
Dobutamin.
Dr. anjab
Tunggu hasil hba1c
Sample vena baru diambil
lab jam 11, sample agd baru
mau dicoba lagi nanti sore
Paulina 54 Confirmed Dr. dini spP 17/4 Fu ct thorax Oseltamivir 2 x 75 mg po Nrm 10 lpm
th(17/4) covid 19 rb dr. anajb Hb 11.5 ht 32.9 leu 5.3 tb 208 neu 61 Azitromisin 1 x 500 mg iv
lim 24.3 goldar A+ pt 10.2 inr 0.94 aptt Deksamethason 1 x 1 iv
30 fib 375.6 d dimer 0.2sgot 27 sgpt 25
gds 323 ur 23.1 cr 0.68 gfr 90.17
Vit c 1x1
Ferritin 1180 Resfar 1 x 5 gr iv
Pct 0,09 crp 95.07 Prove d3 1 x 1po
Agd
Ph 7.4 po2 156.9 pco2 35.4 hco3 27.5 Bil positif masuk remdesivir
be 2.3 na 130.6 cl 91.3 ca 0.699 k 4.27
17/4
18/4
Dr. dini
Hb 11.8 ht 33.2 tb 258 leu 4.8 neu 72.9
recolfar 2x1
lim 20.6 led 13 hba1c 12 gds 413
remdesivir
rb dr. anjab
tgl 18/4 cek bss dan hba1c

18/4
Dr. anjab
novorapid 3x10
levemir 1x10
dr. dini
cek keton urin, fu sample
cairan jadi nacl 0,9
masuk plasma. Anak os mau
donor, bb 45 kg, mens akhir
maret, negative 14 hari, petugas
bank darah lg keluar, hp ny dk
biso dihubungi
tn. Zailani Obs chest pain Dr. adrian Lab dari ed Ct thorax (17/4) : Dari
HRCT-Thorax Dr adrian Nasal kanul 4 lpm
58 th ec ACS tidak didapatkan groundglass Tromboaspilet 1 x 80 mg po
(17/4/21) Hb 11.9; tr 178rb; leu 5.1rb; na 139; k opacity maupun konsolidasi yang Cpg 1 x 75 mg po  Antivir
3.4; trop t <40; ur 19.5; cr 1.27 Remde 18.4.2021
mengarah pada pneumonia . V block 1 x ½ tab po
pasien Tak tampak efusi pleura. Atrovastatin 1 x 20 mg po Antibiotic
17/4
pakai BPJS Pcr positif Cardiomegali. Ramipril 1 x 2.5 mg po
dititip se- Aortosklerosis . Clobazam 1 x 10 mg po
mentara 18/4 Spondylosis thorakalis. Lansoprazole 1 x 1 iv
klo pcr Hb 11,7 ht 37 tb 154 leu 3.5 neu 59.8
negatif ren- lim 27.5 ferritin 45.6 goldar B + pt 11.8 17/4
cana pin- inr 1.09 aptt 42 fib 232.3 d dimer 0.2 Dr. Adrian
dah ipd sgpt 29 sgot 44 gds 116 ur 20.9 cr 1.32 Infuse RL untuk kalium
gfr 55.71 crp 8.36 pct 0.07 Ca gluconas extra 1g
Agd ISDN sublingual jika nyeri
Ph 7.373 po2 86 pco2 41 hco3 23.3 be - dada
1.8 na 142.7 cl 102.2 k 3.32 ca 0.983
Dr. dini
Masuk remdesivir

18/4
Azitro 1x500 iv resfar 1x5gr
zegavit 1x1 prove d3 1x1
sucralfat syr 3x10cc