MAPPING UNIT KARDIOLOGI

SABTU, 03 DESEMBER 2022

KAMAR NAMA DIAGNOSIS PENUNJANG TERAPI PLANNING DPJP

ARAFAH 1
ISO 2 Riski Aulia Putri, - SBE Lab 18/11/2022 - Mometasone App/8 jam (ue) DPJP : Nefro
perempuan, 15 Tahun - Nefritis lupus - Nacl 3 % 3 cc / 8 jam (Nebul) Raber : Alim
10 Bulan, 1321921 - Ensefalopati (perbaikan) ec DD Hb: 10,2 - V
1. Sepsis - Furosemid 40 mg premed (Iv)
Ht: 30
2. Hipertensi - Myfortic 360 mg/12 jam PO
- Hipertensi stage II (perbaikan)
Erit: 3,6 - Meropenem 1 gr/ 12 jam IV
- Pneumonia Tromb: 138 - Ambroxol 5+Alerfed 5 +
- Sepsis Leukosit : 20,95 Cetirizin 5 (X) Pulvis 1 pilvis /8
MCV/MCH: 83/28 jam
E/B/NB/NS/L/M : 0/0/089/7/4 - Paracetamol 500 mg k/p
- Omeprazole 40mg/12 jam IV
Lab 20/11/2022 - Dexamethasone 10mg k/p IV
- Diphenhidramine 10mg k/p IV
- Piracetame 1 gr/12 jam IV
Hb: 7,8
- Ampiciline Sulbactam 1gr / 8 jam
Ht: 23 IV
Erit: 2,9 - Amlodipine 10 mg/24 jam PO
Tromb: 123 - Prednisone 5 mg 5 tab senin,
Leukosit : 19,95 rabu, jum’at
MCV/MCH/RDW/MPV/PDW/ - Nivedipine 10mg kp PO
LED: - Uldatazim 250mg/12 jam PO
79/27/34/19,8/11,6/18,3/50 - Cefotaxime 1 gr/ 8jam IV
E/B/NB/NS/L/M : 0/0/1/86/6/7

Procalcitonin: 25,17

Albumin: 2,81

ELEKTROLIT

Kalsium (Ca): 5,6

GINJAL - HIPERTENSI
 Ureum: 34

Creatinin: 0,79

ELEKTROLIT – Serum

Natrium (Na): 131

Kalium (K): 1,90

Klorida (Cl): 92

K4B4 Rabiah Al-Adawiyah, -Sangkaan kardiomiopati
perempuan, 16 tahun 4 -Sangkaan efusi pleura sinistra
bulan, Cm: 1209043 -Thalassemia beta mayor
-Pneumonia
-Gizi Buruk
Lab 28-11-2022 - Ampicilin 1gr/6 jam IV DPJP: HOP
Hb: 9,0 - Nebul Nacl 4 cc/8 jam Nebule Raber
Ht: 26 - Paracetamol 250mg k/p IV
- Ambroxol 5 tab+Alerfed 5 tab +
Erit: 3,3
cetirizine 5 tab + vit c 5 tab
Tromb: 292 pulv /8 jam IV
Leukosit : 5,84 - Cefotaxime 1gr/8 jam iv
MCV/MCH/MCHC/RDW/ - Metamizole 250mg k/p iv
MPV/ - Omeprazole 20 mg/12 jam IV
PDW/:79/27/35/16,4/12,4/23,8 - Kaltropen 100mg supp
E/B/NB/NS/L/M : 1/0/0/67/27/5 - Sucralfat syr cth 1/8 jam po
- Furosemid 10mg premed iv
PT - Transimin 250mg/8 jam
- Pasien (PT):17,60
- Kontrol: 14,0
- INR: 1,25
APTT
- Pasien (APTT): 42,40
- KONTROL: 29,7
ARAFAH 2
[

K7F Muhammad rasyiqul, Diagnosis : Lab 30/11/2022 - Ampicillin Sulbactam 200 mg/8 DPJP :
laki-laki, 4 BULAN 13 Pt : 14,2 jam IV
HARI Aptt : 34,20 - Furosemid 5 mg/24 jam PO
CM : 1323536 - Spironolacton 6,25 mg/24 jam
Imuniserologi :
PO
Tanggal Masuk
Tiroid - Ramipril 0,5 mg/24 jam PO
/ Free 4 : 10,87
TSHS : 2,950
BB : Kg Reumatik :
CRP kualitatif ; -
 Protein Total : 5,85

albumin 4,09
Ureun ginjal 13
Kretinin 0,32

Lab 30-11-2022

Hb: 10,9
Ht: 32
Erit: 4,1
Tromb: 358
Leukosit : 18,55
MCV/MCH/MCHC/RDW/
MPV/PDW:
79/27/34/14,5/9,0/9,8
E/B/NB/NS/L/M :
24/0/0/21/48/7

Lab 01-12-2022
D- dimer: 410.00

RAUDAH 2

K6B1 Muhammad Diagnosis : Lab 30-11-2022 - Ampicilin Sulbactam 200mg/8 -Rencana cek darah DPJP Nutrisi
Almubarak, laki-laki, 4 - VSD moderate jam iv lengkap Raber
bulan 8 hari, - ASD Hb: 10,9 - Furosemid 5mg/24 jam po -DR,Ur, cr,APTT.
CM : 1322703 - Pneumonia - Spironolactone 6,25 mg/24 jam SGOT, D dimer,
Ht: 32
- Gizi buruk po Albumin, Elektrolit +
Tanggal Masuk
Erit: 4,1 - Ramipril 0,5 mg/24 jam po Ca
/ Tromb: 358 - Rencana pemberian
Leukosit : 18,55 Dogoxin
BB : Kg MCV/MCH/MCHC/RDW/ - Rencana Echo ulang
MPV/PDW:
79/27/34/14,5/9,0/9,8
E/B/NB/NS/L/M :
24/0/0/21/48/7
BED 2 Khalid Fahmi Lutfi, Diagnosis : Lab 27/11/2022 - KSR 1X600 Mg (PO) Monitoring : Diuresis DPJP kardio
laki laki, - Kardiomiopati dilatasi per 6 jam Raber
6 tahun 8 bulan, - Syok Kardiogenik Hb: 11
 CM : 1323626 - Asidosis Metabolik (perbaikan) Ht: 32
Erit: 4,5
Tromb: 11,3
Tanggal masuk : Leukosit : 13,39
MCV/MCH: 71/24
E/B/NB/NS/L/M : 0/0/072/25/13
BB : Kg
02-11-2022
SGOT : 40
SGPT :183
Protein Total :6,14
Albumin :3,47
Globulin :2,67
Kalsium (Ca) :9,1
Ureum :25
Creatinin :0,35
Natrium (Na) :138
Kalium (K) :2,70
Klorida (Cl) :93

IGD
Airborne Maisarah Mahirah, - Probable difteri tonsil faring Lab 26/11/2022 - Metamizole 150 mg K/P IV DPJP IPT
perempuan, 6 tahun, ……………………………….. - Erysanbe 5 ml/ 6 jam PO Raber
CM : 1324287 Hb: 10,4
Ht: 31
Tanggal Masuk
26/11/2022
Erit: 4,3
Tromb: 211
Leukosit : 12,38
BB : 15 Kg MCV/MCH: 72/24
E/B/NB/NS/L/M : 2/0/0/66/23/9
SGOT/SGPT : 30/15
Albumin : 4,10
Ca : 9,5
Ur/Cr : 23/0,40
Na/K/Cl : 139/4,00/112

Airborne Aisyah Hafizah, - Probable difteri tonsil faring Lab 26/11/2022 - Metamizole 300 mg K/P IV DPJP IPT
perempuan, 10 th 1 - ……………………… - Erysante 10 ml / 6 jam PO Raber
bulan, Hb: 14,4 - Cetirizin 5 mg / 24 jam PO
CM : 0938374 - Iliadin 0,025 1 gtt/ 12 jam NasaL
Ht: 41
Erit: 5,4 drop
Tanggal Masuk :
26/11/2022 Tromb: 221
Leukosit : 11,08
BB : 28 Kg MCV/MCH: 76/27
 E/B/NB/NS/L/M : 1/1/0/69/22/7
SGOT/SGPT : 33/27
Albumin : 4,90
Ca : 9,9
Ur/Cr : 27/0,60
Na/K/Cl : 141/4,30/105

RICU

ISO 2 Yusrizal bin M. Yunus, -Suspect tumor mediastinum - DPJP: Pinere

laki-laki, 13 tahun, Cm: -Kardiomegali Raber
1324403 -Covid 19 gejala sedang

NICU level 2B

Bed 2 By Ny Rona Johan, -Sangkaan Acyanitic CHD - Echo hari ini DPJP:
Laki- lakilaki-laki,5 -Respiratory Distress of newborn Neonatologi
hari, Cm: 132499 -Asfixia Ringan Sedang
-Neonatus kurang bulan sesuai masa
kehamilan post sectio cesaria
By Ny Hamzi bin -Sangkaan Acyanotic CHD - Echo hari ini DPJP:
alamuddin, laki-laki, 7 -Respiratory disttress of newborn ec Neonatologi
hari Cm: 1324339 dd 1. Pneumonia 2. Sepsis
Neonatorum
- Neonatus cukup bulan kurang
masa kehamilan post sectio cesaria