Laporan Pasien Rawat Inap Divisi Endokrin

Periode 15 Agustus-24 Oktober 2022

Residen : dr. Fauzan Azhari

DPJP : dr. Yulianto Kusnadi, SpPD KEMD FINASIM

No Nama No. RM Usia Ruangan Diagnosa Terapi

- DM tipe 2 nw terkontrol Kurva GDS/6 jam
Usman bin
1 0001284077 57 GICU - Post op ec abses submandibula meluas Novorapid 3x6 iu SC
Dahlan
ke Levemir 1x10 iu SC
- DMT2 NW terkontrol Novorapid 3x12 iu SC
Suyatno bin
2 0001283767 65 Stroke Unit - ICH Levemir 1x12 iu SC
Parto
- ISK Asetilsistein 3x200 mg
Suwarni - DMT2 OW UC Inj Novorapid 3x10 iu SC
3 bin 0001285225 58 NHCU - Perdarahan Intrakranial + Inj Levemir 1x16 iu SC
Tamijan Intraventrikular pro VP Kurva GDS per 6 jam
Drip Insulin Continous
2 cc/ jam bila dpjp acc
Waidah bt - SOL intracranial
4 0001284009 64 NHCU GDS
Nangcik - DM tipe 2 OW terkontrol
Novorapid 5 unit SC bila GDS> 200
mg/dL
Diet bubur saring
- DMT2 NW terkontrol
Suyatno bin Lematang Novorapid 3x12 iu SC
5 0001283767 65 - ICH
Parto 1.2 Levemir 1x12 iu SC
- ISK
Asetilsistein 3x200 mg
- Hipoglikemia
Herni
6 0001257725 47 Enim 1 - AKI stage III Pantau Gula darah
Rahmawati
- Ca serviks
- Post paratiroidektomi
7 Yeni Aprita 0001158287 31 Lematang 2 Calos 3x500 mg
- CKD MBD
8 Rumsinah 0000586933 53 Rawas 1.1 - DM T2 UcNw Rhyzodex 0-8-0
 - Stroke ec infark
Zamjuni
- Anemia penyakit kronis
Hayuya bt Rambang - Cholelithiasis post explore Novorapid 6-6-6
9 0001272825 48
Ismail 2.1 - DMT2 Levemir 0-0-6
- KAD perbaikan
Novorapid 14-14-14
- DMT2 OW UC
Amrullah Levemir 0-0-20
10 0001285967 60 Lakitan 1.1 - Pneumonia bilateral
bin Majri Heparin 2x5000 sc
- AKI stage III
Meropenem 2x500 H1
- Hiperkoagulasi
Fachruddin - Cerebral infarction Novorapid 10-10-10
11 0001287072 65 Lakitan 1.2
bin Syafei - DM T2 Levemir 0-0-10
- DMT2 nw uc
- AKI Stage III dd acute on CKD
12 April Yanti 0001286667 48 Kelingi 1.1 Novorapid 8-8-8 iu sc
- Selulitis pedis dekstra
- Susp TB
ovorapid 8-8-8
- Efusi pleura massif dextra ec susp TB Levemir 0-0-10
paru Amlodipin 10 mg
Usman bin
13 0001287228 59 Kelingi 1.1 - DMT2 Candesartan 16 mg
Bahwang
- DFU pedis dekstra wagner II Atorvastatin 20 mg
- HT stage II Ceftriaxon 2x1 gr
Calos 3x500 mg
- DM T2 UcNw
Rumsinah Rhyzodex 0-10-0
14 0000586933 53 Rawas 1.1 - Stroke ec infark
Zamjuni Novorapid 10-0-10
- Anemia penyakit kronis
- PTU 3X100 mg
- Propanolol 3x10 mg
Fitriani
- Hipertiroid dd THD (pertimbankan turunkan dosis bila
15 binti 0001291084 23 GICU
- Post partum ACC DPJP)
Bayumi
- Lugolisasi Hari ke 2
- Furosemide 2x20 mg IV
16 dr. Boby 0001287228 40 ICU - Pneumonia - Levofloxaxin 1x500 mg iv H8
 - Meropenem 2x500 mg iv H7
- Mikamin 2x50 mg iv H7
- Resfar 1x5 gr iv
- Lansoprazole 1x30 mg iv
- Lyoven 1x1 vial iv
- Novorapid 3x5 u sc
- DM Tipe 2 NW UC
- Vit C 1x1 gr iv
- Hipertensi Stage I on terapi
Valend - Vit D 1x10000 u po
- AKI stage 3 on HD
Ardiansyah - Candesartan 1x16 mg po
- Hipoalbumin
- Albumin 20% H2
- Hipokalsemia
- Ventolin 3x1 nebulisasi
- Insulin drip critical 1 cc/jam,
semalam di stop sampe pagi ini
- Drip furosemide 60mg/24 jam
- Pasien makan nasi biasa
- Genexpert : Not Detected
- DM tipe 2 dengan hipoglikemia ec
OHO
- IVFD D10 gtt xx/m
- DVT tungkai kanan
- Inj. Furosemide 2x20 mg
- Retensio urine ec ca prostate residif
Herman - NRF 2x5 mg
17 0001134141 71 Musi 2.1 - Hidronefrosis
Musral - Omeprazole 1x40 mg iv
- AKI stage III ec post renal dd akut
- Inj Ca gluconas 1 gr 1xorder
on CKD
- Nebu ventolin flumicord
- HipoAlb
- HipoCa
- DM Tipe II overweight controlled Selesai operasi
Yudha Lematang - Hipertensu st I Bisoprolol 1x5 mg
18 0000840020 36
Restiadi 1.2 - Batu ureter Sinistra Candesartan 1x8 mg
- Hidronefrosis Sinistra Novorapid 3x6 IU

Komering - DM t2 nw uc - Novorapid 3x10 unit SC

19 Tholib AB 0001292447 63
1.1 - Gastropati diabetikum - Levemir 1x10
 - Efusi pleura massif dextra ec susp - Novorapid 12-12-12 IU
TB paru - Levemir 0-0-14 IU
Usman bin Komering
20 0001287228 59 - DMT2 - Amlodipin 10 mg
Bahwang 1.1
- DFU pedis dekstra wagner II - Candesartan 16 mg
- HT stage II - Atorvastatin 20 mg
- DFU pedis dextra - Ceftri Metro
M Ali bin Komering - AKI stage I - Apidra 3x8 unit
21 0001291709 63
A Karim 1.1 - DMT2 UC NW - Lantus 1x8 unit
- Hipertensi stage I - Atorvastatin 1x20 mg
- DMT2 UC
- Novorapid 3x12 unit
Efriani - Diare krinik ec susp ca colon dd
22 0001269463 41 Musi 2.1 - Levemir 1x20 unit
Amelia chron disease
- Drip KCl
- Hipokalemia
Lanzimah - DM tipe 2 nw uc - Novorapid 3x6 unit
23 0000519946 79 Musi 2.2
bt Darwis - Cerebral infraction - Levemir 1x8 unit
- DMT2 ow terkontrol
Masitoh bt Lematang - CHF ec HHD - Novorapid 10 unit sc
24 1254012 60
M. Toyib 1.2 - AKI stage III - GDS pagi sore
- Dislipidemia
- DM Tipe II NW UC
Muayana - Novorapid 3x10 unit
25 0001293662 38 Rawas 1.1 - TB paru on OAT fase intensif
binti Sail - Sansulin 1x12 unit
- Massa paru sinistra
A Roni bin
Ulkus DM
26 Muhamma 0001214613 66 Ogan Novorapid 8-8-8
AKI Stage III
d Yusuf
- DM tipe II UW UC
Onariah
- Massa paru kanan - Novorapid 3x12 unit
binti Rambang
27 0001293267 66 - HipoK - Levemir 1x12 unit
Hasyim 2.1
- HipoAlb - Konsul gizi belum datang
60 tahun
- HHD Kompensata
28 Yusup bin 0001292166 70 Lakitan 1.1 - DM tipe II nw uc - Apidra 3x8 iu sc
M Yusuo - Polisitemia vera - Lantus 1x10 iu sc
 - CVD
- AKI stage I
- FU hasil kultur pus
- NPWT terpasang
- Novorapid 3x12 IU SC
- DMT2 NW UC dengan DFU Grade
Muhamma - Levemir 1x20 IU SC
29 0000890191 59 Lakitan 2.1 II
d Mustari - Acetyl sistein 3x200 mg
- AKI stage I
- Paracetamol 3x500 mg po
- Lansoprazole 1x30mg po
- Sucralfat 3x15cc po
- Hiperglikemia induced steroid
- Dislipidemia - Novorapid 3x16
Ahmad bin - Hipertensi on therapy - Levemir 1x24 IU
30 0001288274 50 Lakitan 2.1
Cek Mad - SOL metastase intracranial - Simvastatin 1x20 mg malam
dd/primer intracranial - Dexamethasone 2x5 mg
- Hiperkoagulasi
- Rencana debridement KP
amputatum dari bedah vaskular
- Ulkus diabetikum Gr. IV - Heparin stop 6 jam sebelum
- DM Tipe II uncontroled operasi
- CHF ec HHD - Inj. Furosemid 1 amp IV
- Hiperkoagulasi - Inj. Albumin 1x1 flash IV
Eddy Komering - Hipoalbumin Perbaikan (2.5 --> 2.6) - Inj. Ceftriaxone 2x1gr H11
30 0001291147l6 61
Sunarto 1.1 - Hiponatremia  Perbaikan (107 --> - Inj. Metronizole 3x500mg H11
121) Candesartan 1x16mg
- AKI stage 1 levemir 1x16 unit
- Hipokalsemia  Perbaikan (7.6 --> Novorapid 3x14unit
9.2) Heparin 2x7500unit SC
Vip albumin 1x1
Spironolacton 1x12,5 mg
Residen : dr. Fauzan Azhari
DPJP : dr. RM Dewi SpPD KEMD FINASIM
No Nama No. RM Usia Ruangan Diagnosa Terapi
- Menolak injeksi lantus 1x8 unit SC
- DMT2 OW UC
- Novorapid 3x18 unit SC
Christine - CHF ec CAD/HHD
1 0001136917 69 Lakitan 2.2 - Tramadol+Ondan Drip
Lemen - Anemia normokrom normositer ec
- Domperidon 3x10
penyakit kronik
- Gabapentin 1x300 mg
- Asam folat 3x1
- Gabapentin 2x100 mg
- KSR 1X600 mg
Herdiana
Komering - DMT2 OW UC - Fe 3x200 mg
2 binti 0001217798 47
1.2 - DFU pedis dekstra - Novorapid 3x10 unit SC
Hayan
- Levemir 1x8 unit SC
- Tigecylin 2x 50 mg drip habis dalam
30 menit
- Metformin 2x500 mg
- Covid 19 terkonfirmasi - Asam folat Neurodex
Syaiful - DMT2 - Paracetamol 3x500 mg
3 0000004060 66 Ogan
Akbar - AKI stage 1 - Inj Ca gluconas 3x1
- Hipokalsemi (Riwayat minum aptor 1x100, Asam
folat Neurodex, atorvastatin 1x10 mg)
Nuraini - Paracetamol 3x500 mg
binti - DMT2 tidak terkontrol - Ceftriaxon 2x1 gr H
4 0001282444 54 Rawas 2.2
Abdul - Cerebral infraction - Novorapid 16-16-16 unit SC
Majid - Levemir 0-0-20 unit
- Amlodipin 1x5 mg
- Post Tracheostomy
Nopita - Candesartan 1x8 mg
5 0001127437 45 Kelingi 2 - DM Tipe II Normoweight
Wati - Novorapid 3x8 IU
- Hipertensi st II
- Levemir 1x8 IU
6 Rini 0001257344 26 Komering - ALL Levemir 1x12 IU
Aprita 1.2 - Hiperglikemia Reaktif dd/ DM Tipe 2 Novorapid 3x10 IU
Sari - Pasien On Kemoterapi ALL Fase Prednison 4-4-4
 induksi 1 kali
Apidra 3x8 iu sc
Lantus 1x16 iu sc
Tigecycline 2x50 mg IV
lanso 1x30 mg iv
Satimah - CHF ec Susp Kardiomiopati DM sukralfat syrup 3x10 cc
Komering
7 binti 0000984272 50 - Hipertensi st II domperidone 3x10 mg
1.2
Suparman - DM Tipe II Uncontrolled CPG 1x75
Miniaspi 1x80
Uperio 2x50
NRF 2x5 mg
Furosemide 4x20 mg
- DMT2 dengan DFU wegner 3
Sumirah - HHD NYHA II
Komering Novorapid 12-12-12
8 binti 0001284361 59 - Neuropati diabetikum
1.2 Levemir di tunda
Rasiman - Acute on CKD
- Susp PAD
Ceftriaxon 2x1 gram iv (22/8)
Asam folat 3x1 mg po
Novorapid 16-16-16
- DM T2 Candersartan 1x 16mg
Siti Komering - PAD Furosemide 2x1 ampul
9 0001284946 56
Masita 1.2 - HHD, CAD Spironolaxtone 1x 25mg
- AKI Stage III dd acute on CKD Kidmin 1x1 selama 3 hari
Digoxin 1x0,125
Albumin 1x1 flsh (23/8)
Novorapid 18-18-18
- Acute on CKD menolak HD
Sugiati - DMT2 tidak terkontrol
10 0001237647 53 Kelingi 2 Novorapid 12-12-12
binti Paijo - Hipokalemia
- Hipoalbumin
11 Suhendro 0000629633 62 CVCU Post CABG Novorapid 10-10-10 IU
 Prasodjo DM Tipe 2 Lantus 0-0-10 IU
Mariyam
12 bt M 0000667316 32 Enim 2 Hipertiroid subklinis Kontrol ulang
Parek
- DMT2 NW C
- ISK
Siti Lematang Novorapid 10-10-10 IU
13 0001281826 77 - Anemia normo normo
Hadisah 1.2 Levemir 0-0-12 IU
- AKI stage I
- Hipoalbumin
Zakiyatun - Stemi late onsite
Lematang Edukasi
14 binti 0001286709 67 - Dm type 2 un nw
1.2 Kurva GDS
Sahid - CkD stage V on HD
Amlodipin 1x10
Pronalgest supp
Omeprazole 1x40
Maisaroh DM Tipe 2 UC OW
Lematang 2 Sucralfat 4x10 C
15 binti 0001287812 74 HHD
THT Ceftriaxone 2x1 gr (7/9/2022)
Majis Hipertensi st II
Novorapid 3x10 IU
Azithromycin 1x500 mg (7/9/2022)
N-ACe 200 mg
- DFU kanan - Ceftriaxon 2x1 gr (14/9)
- Hiperkoagulasi - Metro 3x500 mg (14/9)
Rosmala Lematang
16 0001288601 71 - DMT2 nw uc - Heparin 2x5.000 sc
Dewi 1.1
- Hipoalbumin - Cilostazol 2x100 mg
- HipoNa HipoK - Asam folat 3x1 tab
- Post vp shunt a.i ivh
Yulita
17 0001287251 48 Rawas 2.2 - SAH+ HT+ Kurva GDS
Muchtar
- DM+dislipidemia
- Multiple Sclerosis
Nurma Rambang - Novorapid 3x14 IU
16 0001287234 49 - DM Type 2 Overweight
binti Idris 2.1 - Levemir 1x14 IU
Uncontrolled
17 Siti 0001135989 66 Rambang Ca tiroid Rencana operasi
 Rohana 2.1
Novorapid 3x6 iu
Kristia Rambang - SCC Regio Lidah
18 0000883893 45 Levemir 1x10
Ningsih 2.1 - DM tipe II uncontrolled
KCl 3x1 fls
Surmini
Rambang - Ca endometriosis Apidra 3x8 IU
19 binti 0001287234 42
2.2 - DM tipe II Levemir 1x10 IU
Bandi
- Candesartan 1x8 mg
- Hipoglikemia ec penggunaan insulin
- Miniaspi 1x80 mg
Yusniati - DMt2
- Omz 1x20 mg PO
20 binti 0001048918 64 Lakitan 1.1 - Hipertensi stage I
- Atorvastatin 1x20 mg
Yusuf - AKI stage I
- Laxadyn 3xC1
- Sequele CVD NH
- Nasi bubur
- Ulkus diabetikum regio thorax posterior - Novorapid 3x14 IU SC
- DM T2 ow uc - Levemir 1x12 IU SC
Harmoni
- Hipertensi stage I - Candesartan 1x16 mg
21 binti Cik 0001287514 55 Lakitan 1.2
- Anemia Hipo Mikro - Herbesser 1x200 mg
Mit
- Dislipidemia - Ceftriaxon 2x1 gr
- HipoAlb - Metronidazole 3x500 mg
- Hiperglikemia ec DM
- Novorapid 3x8 IU
- DM T2
Kanah - Levemir 1x16 IU
22 0001288587 58 Lakitan 1.2 - Polineuropati DM
binti Abu - Calos 3x500 mg
- AKI Stage III
- Echo dan USG TUG senin ini
- HipoNa perbaikan
- PRC 400 dari 600 cc
Maserah - Gangren pedis dekstra - Novorapid 3x8 IU
23 binti 0001286605 63 Lakitan 1.2 - DM T2 UcNw - Levemir 1x10 IU
Musir - Anemia penyakit kronis - Ceftriaxon 2x1 gr
- Metro 3x500 mg
24 Slamet 0001204853 33 Lakitan 2.1 - Post laparotomi ec burst abdomen - Ceftriaxon 2x1 gr
Riyadi - HipoNatremia berat - Omz 40 mg
- Hipoglikemi ec low intake - Na Diclo 2x50 mg PO
 - B Fluid/24 jam udah tidak di
- Malnutrisi masih
- Cabiven /24 jam
Jamroni 0001289955 54 Rawas 1.1 - Noncardiac chest pain
- Lanso 1x30 IV
25 bin - AKI Stage I
- sucralfat/PCT/Fenofibrat 1x300
Ponamin - Hipergliserida
Nurfalah 0000790165 25 Rawas 1.2 - G3P0A2 post SC
- Novorapid 3x6
26 binti - DMt2
- Levemir 1x6
Habin - Covid 19 terkonfirmasi
- GDS/6 jam
- Novorapid 3x8 IU / 3x12 IU
- Levemir 1x10 IU/1x16 IU
- DMt2 un nW
Romuna Rambang - Prednisone 3x20 mg sudah stop
27 0001289881 60 - Hipertensi stage I
binti Dang 2.2 - Acyclovir 5x400 mg
- Sequele CVD
- Gabapentin/Domperidon
- Amlodipin 1x10 mg
- Candesartan 1x8 mg
- Xarelto 1x20 mg
- APS
- Vid D 1x1000
- Hiperkoagulasi
- metylprednisolon 2x4 mg
Ardina - Thalassemia beta minor
28 0001263466 33 Lakitan 1.2 - Candesartan 1x8 mg
Ariani - Cervical Spondilosis
- Asam folat Neurodex
- HNP L4-5
- Cek kortisol kamis pagi
- Hipertensi
- konsul mata dan dr Nova
- Paracetamol 3x500 mg PO
- Lansoprazole 1x30 mg IV
- DFU wagner I
- Ceftriaxone 2x1 g IV
Erni Komering - Anemia normo normi
29 0001253146 45 - Metronidazole 3x500 mg IV
Kalsum 1.2 - DMT2 nw uc
- Novorapid 3x8 IU SC
- HipoCa
- Levemir 1x8 IU SC
- CaCO3 3x500 mg PO
30 Siti 0001177488 46 Komering - Ulkus DM regio cruris sinistra - Novorapid 3x12
 wegner I - Levemir 1x10
Robiyah 1.2 - DMT2 OW UC - Metronidazole 3x500 mg
- Anemia hipo mikro - Ceftriaxon 2x1 gr
- Novorapid 12-12-12
- DM tipe 2 overweight uncontrolled - Levemir 0-0-14
Msy. Devi
- Hipertensi stage 1 - Metyldopa 3x500 mg
31 Citra 0001280859 39 Rupit 1.1
- Susp SLE aktifitas berat manifestasi - Aspilet 1x80 mg
Pratama
mukokutan - Calos 3x500 mg
- Diet tinggi protein
- Metylprednisolon 3x16 mg
- Candesartan 1x8 mg
- Sindroma Nefrotik
- Furosemid 1x20 mg
- CKD st V
- Ramipril 1x2,5 mg
- DM Tipe lain ec Steroid Induce
M. Rafki - Atorvastatin 1x20 mg
32 0001050852 21 Rupit 1.1 - Susp Cushing syndrome
Fahreza - Ceftriaxon 2x1 gr H4
- Hipertensi st I on terapi
- Terdrip critical ill
- Hipoalbumin
- Rencana kultur PUS, BMD
- Hipertrigliserida
- Rencana USG TUG
- Rontgen lumbosacral
Rouya
33 binti H 0001289834 74 Rupit 1.1 Nodul tiroid FNAC
Yusuf
0001117839 73 Rupit 1.1 - IVFD Nacl 0.9% gtt 20 x/m
- Stroke ec infark - Novorapid 16-12-6 IU
Mayning
34 - DM ttpe 2 uw Uc - Aspilet 1x80mg
binti Disin
- Dislipidemia - Amlodipine 1x 10 mg po
- Meropenem 2x1 gr (23/09/2022)