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31/07:
GDP: 274, GDS: 353, GDS: 451 - Ambroxol STOP tanggal 28/7/21
- Menolak Rujuk 25/07/21
- Menolak IVFD 25/07/21
01/08:
GDP: 238, GDS: 285 - Menolak Px Enzim Jantung 25/07/21
- Azitromisin 1x500mg 5hari stop tgl 26/07/21
- CPG 1x1 sto 28/07/21
- Konsul Gizi 27/07
- O2 aff
- Metilprednisolone 3x8mg stop tgl 02/08
2. Ny. Lydia - Covid 19 21 Juli 22/07/21 + 23/07/2021 21/07/21 + - Ambroxol 3x1 tab
Keintjem/P/34th L : 3900 Neu : 59,7 Lym : 33,6, HB : 12,1, - Sivit Zinc 1x1
Ht : 35,9 - Paracetamol 3x500mg k/p
Tr : 205.000
3. Ny. Ansye - Pneumonia ec susp 25/07/21 26/07/21 + 27/07/21 - 23/7/21 + - O2 via NL 2-4 lpm k/p
Poluakan/P/61 thn Covid 19 Leu : 5800, Lym : 28,0, Gra : 66,3 - Ranitidine 2x1 tab
- HPT Hb : 11,4, HCT : 31,0, Tro : 153.000 - Ambroxol 3x1
- DM Tipe II - Cetirizin 10 mg 0-0-1
- Dispepsia GDP : 107, Kolesterol : 217, Alb : 4,3
MRS 24/07/21 - Sucralfat syr 3x1 k/p
TD : AU : 3,5, Ur : 25,2 - Domperidon 3x1 k/p
N: - Valsartan160 mg 1x1
R: 24/7/21 - Amlodipin 10 mg 1x1
Sb : CXR : Cardiomegali, bilateral pneumonia - Glikuidon 1x30mg
SpO2 :
01/08: - Ramipril 5mg 1x1 > Lisinopril 5mg 1x1
GDP: 119 - HCT 25mg ½-0-0
- Cek GD/24jam
4. Ny. Grace - Susp Covid 19 26/07/21 27/01/21 26/07/21 + - Sivit Zinc 1x1
Tumengkol/P/38 thn - Hipertiroid Leu : 11.100, Lym : 21,0, Gra : 73,1 - Ambroxol 3x30mg
Hb : 14,5, HCT : 41,5, Tro : 251.000 - Cetirizin 10mg 0-0-1
- PTU 10mg 1x1
MRS 26/07/21 CXR : Infiltrat Paracardial Kanan - Propanolol 10mg 1x1
TD : Kes : Observasi Pneumonia
N:
R: 27/07/21
Sb : GDP 106, Koles tot 193, AU 3,31
SpO2 : Ur 16,1
5. Ny. Deity Soent - Susp Covid 19 22/07/21 27/07/21 28/07/21 26/07/21 + - O2 2-4lpm via NK
Piet/P/67 thn - Hipertensi Leu : 8140, Lym : 9,0, Gra : 76,0 - Amlodipin 10mg 1-0-0
- DM tipe II Hb : 7,4, HCT : 21%, Tro : 344.000 - Valsartan 160mg 0-0-1
- CKD LED : 104 TGA : 60, LDL : 102, - Bisoprolol 2,5mg ½-0-0
- Anemia Renal Ur : 145,5, Cr : 4,34, eGFR : 11, As Urat : 8,1,
MRS 26/07/21 - Furosemid 40mg 1-0-0
- HipoNa GDP : 151
TD : - HiperUA Na : 128 K : 5,6 Cl : 97 Calsium : 8,4 - Alopurinol 100mg 0-0-1
N: UL : Normal - Atorvastatin 20mg 0-0-1
R: - Aminefron 3x2tab
Sb : - Profero 2x1
SpO2 : 22/07/21
CXR : Atherosclerosis Aortae - Nerva Plus 1x1
- Inj Novorapid 3x14iu > 10-10-14
27/07/21 - Vit C 1x500mg
Na 121 K 4,8 Cl 105 - Kapsul garam 3x1
- GD 3 porsi
01/08: - Konsul Gizi
GDP: 164 GDS: 227 GDS (18.00): 125
- Kateter Aff tgl 30/07/21
- IVFD NaCl 0,9% 20tpm stop tgl 03/07/21
7. Tn. Frans Pojoh /L/70 - Covid 19 + 28/07/21 28/07/21 27/07/21 - Ambroxol 3x1
thn Pneumonia Leu 6.8, lym, 37.4, gran 55.1, hgb 15.4, RBC - Cetirizine 10mg 0-0-1
- Hipertensi 5.53, Hct 43.2, PLT 112 - Parasetamol 3x1
MRS 27/07/21 - Sivit zink 1x1
TD : 27/07/21 - Amlodipine 10mg 1-0-0
N: CXR : Iinfiltrate paracardial dextra - Cek GDP dan GD2PP tgl 04/08/21
R:
Sb : 29/07/21
SpO2 : Leu : 8100, Lym : 30,9, Gra : 60,9, Azithromycin 1x500 mg --> stop 02/08-2021
Hb : 14,8, Hct : 41,4, Tro : 117.000 O2 2-4lpm stop tgl 01/08/21
03/08/21
GDP : 127, Kolesterol : 209, Au : 5,6, Ur : 33
8. Tn. Joubert Warouw/ L/ - Covid 19 28/07/21 29/07/21 26/07/21 + - 02 4-6 lpm via NK
69 thn - CAD post PCI Leu 4300, Lym 40.9, Gra 50.8, - Aspilet 80mg 1x1
- Post Diare akut Hb 17.3, PLT 136000 - CPG 75 mg 1x1
MRS 28/07/21 - Lanzoprazole 1x1 caps > Ranitidin 2x1tab
TD : CXR : Dalam Batas Normal - Sucralfate syr 3x2 cth
N: - Nitrokaf 2x2.5 mg
R: EKG 01/08 : T inverted I, Avf, v2-v6 - Bisoprolol 2.5 mg 1-0-0
Sb :
SpO2 : - Ramipril 5mg 1x1 TAP > Lisinopril 5mg 1x1
01/08/21 - Atorvastatin 20mg 0-0-1
Ur: 28, Cr: 1,1 SGOT: 39 SGPT: 34 - Sivit Zinc 1x1 tab
Na: 135 K: 4,7 Cl: 107 - PCT 3x1tab k/p
03/08/21
GDP : 83, Kolesterol : 270, AU : 11,8, Ur :
109
9. Ny Ribka Sembor/P/ - Susp Covid 19 30/07/21 02/08 03/08 30/08/21 -- 01/08/21 -- - O2 2lpm K/p
- Dispepsia Leu : 7100, Lym : 13,2, Gra : 82,7 - Ambroxol 3x30mg
MRS 30/07/21 Hb : 14,4, HCT : 42,1%, - Cetirizine 10mg 0-0-1
TD : Tro : 114.000 - Domperidon 3x10mg
N: - Antasida syr 3xIIC
R: CXR : Pneumonia Bilateral - Levofloxacin tab 1x750mg (H3)
Sb :
SpO2 :
- IVFD NaCl 0,9% 18tpm stop tgl 31/08/21
02/08/21 - Venflon stop tgl 03/08/21
AU : 4,44, Ur : 22,6
- Inj Ranitidin 2x1 amo iv stop tgl 03/08/21
- Inj Ondancentron 1amp k/p stop tgl 03/08/21
No. Identitas Diagnosa Hasil Lab Swab PCR Swab Antigen Terapi
(ANYELIR)
I Hasil II Hasil I Hasil II Hasil
1. Ny. Merlyn - ISPA ec Covid 19 27/07/21 27/07/21 27/07/21 + - Sivit zink 1x1
lasut/♀/38thn - Dislipidemia Leu 4,9 lym 34,1 Gran 58 Hb 13,8 - Ambroxol 3x1
MRS : 26/07/21 HCT 38,8 Trom 197 - Cetirizin 10 mg 0-0-1
TD GDP 107 kolestot 220 AU 2,57 - Paracetamol 3x1 k/p
N - Diet rendah lemak
R CXR : Cor dan pulmo kesan
Sb normal - Metilprednisolon 3x4mg (H4) stop tgl 02/08
SpO2
2. Ny.Riva Timbuleng - ISPA ec Covid 19 26/07/21 27/07/21 + 26/07/21 + - Sivit zink 1x1
/♀/39thn Leu 7,5 Lym 11,1 Gran 85,3 - Paracetmol 3x1 k/p nyeri
MRS 27/07/21 Hb 13,0 HCT 37,5 TRO 245.000 - Cetirizine 1x1
TD - Ambroxol 3x1 tab
N CXR : Bronchitis - Azitromisin 1x500mg (H5)
R
Sb
Spo2
3. Samuel Wahani/♂/8 - Pneumonia ec Covid 26/07/21 27/07/21 26/07/21 + - O2 2-6 lpm k/p
thn 19 Leu 7,6 Lym 15,4 Gran 80,2 - Paracetamol 3x500 mg
MRS 27/07/2021 - VSD Hb 15,5 HCT 45,2 Trom 208 - Imunpect sirup 2x 5 ml
TD - Amoxan 3x500 mg tab
N CxR - Vit D 1000 iu 2x1
R
Sb Obat kronis:
SpO2 Cor: CTR normal, apex grounded,
pinggang jantung melurus, tak - Spironolakton 2x ½ tab
tampak double contur/splaying - Captopril 2x 12,5 mg
carina (-) - Slidenafil 2x 25 mg
- Furosemid 3x20 mgh
- KSR 3x1 pulv
Pulmo: tampakm perselubungan - Observasi SpO2
dengan air bronchogram di
paracardial kanan
Kesan :
Pneumonia
Jantung kesan normal
5. Ny. Farida Wakidin/ - Covid 19 + Pneumonia 19Jul 19/07/21 + - 02 8 lpm via NRM
♀/57 thn - Synd, dispep Leu: 5200 lym: 1,1 mid: 0,2 Gran: - Ranitidin 2x1tab
- HPT 3,9 HB: 13,2 HCT: 37,2 PLT:112 - Moxifloxacin 1x500mg (H4)
MRS - Inj Diviti 2,5mg SC/24jam (H8)
20/7/2021 UL: Blood -, leu +, uro + - Paracetamol 3x1 k/p
- Candesartan 8 mg 0-0-1 > 4mg 0-0-1
- Novorapid 3x14
TD : CXR: Infiltrat paracardial kanan:, - Levemir 0-0-6
N: KES : Obs Pneumonia - Lactulosa Syr 3x1 / Dulcolax Syr 3x1
R: - Gd 3 porsi
Sb : 26/07/21 - Dulcolaax supp extra
SpO2 CXR Kontrol : Pneumonia Bilateral - R/ DL Kontrol 02/08/21
Kesan : Memburuk
- IVFD Nacl 0,9% 20 tpm stop tgl 31/07/21
GDS : 31/07/21 - Inj Ranitidin/12 jam 31/07/21
- Inj Resfar/24jam habis dalam 3-4jam 31/07/21
CXR Kontrol : Pneumonia Bilateral - Inj Dexamethason 1x1amp 31/07/21
Kesan : Membaik - Inj Levofloxacin 1x750mg 31/07/21
- Azitromicin 1x500 mg Stop tgl 21/07/21
GDP : - Favipiravir dosis :
02 Agst
L : 21.800 Lym : 23,0 Gra : 69,2 - H1 2x 1600 mg, dan H2-H5 2x 600 mg stop tgl
Hb : 13,2 Ht : 36,8 Tr : 399.000 26/07/21
- Sucralfate 3x2cth stop tgl 26/07/21
- Konsul gizi
-
6. Tn. Eduard - ISPA ec Covid 19 30/07/21 29-7-21 + - Paracetamol 3x1
Worotikan/♂/43 thn Leu : 9000, Lym : 27,5, Gra : 64,3 - Ambroxol 3x1
Hb 16,1, HCT : 46,5 Tro : 180.000 - Sivit zinc1x1
MRS 29/07/21 - Ranitidin 2x1 tab
TD 29/07/21
N CXR : Normal - Metilprednisolon 3x4mg stop tgl 02/08
R - Azitromisin 1x500 (H5)
S 02 Agst
SpO2 GDP : 87, Kol Tot : 216, TRG : 115
Cr : 39,7 Au: 5,36
11. Tn. Nelson Tendean/♂/ - Covid 19 + Pneumonia 31/07/21 30/7/21 + - O2 2-3 lpm NK
44 tahun Leu : 6700, Lym : 19,6 , Gra : 75,7 - Sivit zinc 1x1
MRS 30/7/2021 Hb 13,2, HCT : 36,6 Tro : 180.000 - GG 3x1
TD - Cetirizine 0-0-1
N GDP: 136, Kolestrol: 209 TG:168 - Pct 3x1
R Asam urat:5,75 ureum:31,7 - Azitromisin 1x500mg (H4)
S - Ranitidin 2x1 tab
SpO2
30/07/21
CXR: infiltrate paracardial kanan, - R/ PCR 02/08/21??????
obs pneumoni
13. Tn. Maxi - Covid 19 01/08/21 (rsgm) 01/08/21 + 01/08/21 - 02 2-3 lpm via nk
Tumbelaka/♂/69th - Hipertensi Leu 4.72, lym 16.1, rbc 4.02, hgb 12, Rsgm - Ivfd nacl 0.9% 14 tpm
- Dmt2 hct 33.3, plt 224 - Ivfd NaCl 3% 8-10tpm 250 cc
Mrs: 01/08/21 - Ckd Gds 187, hba1c 6.7, - Inj ranitidin 2x1 iv > Lanzoprazole 1x1
Td: - Ansietas Na 115 - Novorapid 16-0-14 sc
N: K 3.9 - Candesartan 16mg 0-0-1
R: Cl 97 - Diltiazem 200mg tiap 2 hari Tunda USW
S: - Kapsul garam 3x1
Spo2: 28/07/21 (prodia) - Bivnat 3x2
Cr: 2.31, ur 36, LFG 28, sgot 55, - Aminefron 3x2
sgpt 54, koles total 152, tga 120, au - Dogmatil 3x1 Tunda USW
6.3 - Alprazolam 0.25 0-0-1 kp
- Qtencom 100mg 1x1
- Levofloxacin drips 1x750mg (P1) selang Sehari
02/08
L : 7.300 Lym : 11,5 Gra : 84,2 Hb :
12,2 Ht : 32,9 Tr : 219.000
Kol Tot : 173 TRG : 140 Au: 6,54
Ur : 54,3
14. Tn. Mario - Covid 19 + ISPA 03/08/21 02/08/21 + - Paracetamol 3x500mg
Rumbani/♂/69th - Ambroxol 3x1 tab
- Cetirizine 10mg 1x1
Mrs: 02/08/21 - Sivit Zinc 1x1 tab
Td:
N:
R:
S:
Spo2:
No. Identitas Diagnosa Hasil Lab Swab PCR Swab Antigen Terapi
(KRISAN)
I Hasil II Hasil I Hasil II Hasil
1. Yosephin Yauri/♀/71 th - Covid 19 27/07/21 28/07/21 27/07/21 + - IVFD Nacl 0,9% 20 tpm
- Diare akut RS Bethesda - O2 2-4 Lpm via nasal kanul
MRS 27/07/21 Wbc 4.91, lym 33, rbc 5.24, hgb - inj. omeprazole 2x1
Td: 15.5, hct 43.7, plt 201 - inj. ondancentron 3x1 k/p
N: Ur 21, Cr 0.6, Sgot 30, sgpt 25 - Avigan 2x600 mg (H5)
R: - Ambroxol 3x1
S: Cxr di RS Bethesda 27/07/21 : - Cetirizine 10mg 0-01
Spo2: tidak tampak kelainan radiologis - Parasetamol 3x1
pada jantung dan paru - Plantacid syrup 3x1
aorta kalsifikasi - Neurosanbe 1x1
- Zinc 20mg 1x1
- Oseltamivir 2x75mg H2 stop 28/07/21
- Betahistine Mesilat stop tgl 31/07/21
- Sivit Zinc 1x1 stop tgl 02/08
2. Cynthia Leho/♀/40th - Covid 19 27/07/21 28/07/21 27/07/21 + - Ambroxol 3x1
Rs Bethesda Antigen RS - Cetirizine 10mg 0-01
MRS 27/07/21 Wbc : 5.16, Lym 40.3, RBC 4.07, bethesda - Parasetamol 3x1
Td : HGB 12.9, hct 37.3, PLT 231 - Sivit zinc 1x1
N: Gds 116, sgot 16, sgpt 17 - Rencana periksa Kimia 02/08
R:
S:
Spo2: CXR RS Bethesda 27/07/21 - Oseltamivir 2x75 mg stop tgl 31/07/21
Tidak tampak kelainan radiologis
pada jantung dan paru
No. Identitas Diagnosa Hasil Lab Swab PCR Swab Antigen Terapi
(ICU)
I Hasil II Hasil I Hasil II Hasil
1. Tn. Refly Pua/50 thn/L - Pneumonia ec covid 24/0721 25/07/21 24/07/21 + - 02 8 lpm via NRM + 4 LPM via NK
- HipoNa+ Leu: 10000 lym: 9,9 Gra: 86,6 HB: - IVFD NS ER
MRS 24/07/2021 - DM tipe II 15,3 hct: 42,4 plt: 195 - Acetil sistein 3x1
- Sivit zinc 1x1
25/07/21 - Inj ranitidine 50mg/8jam
TD :
N: Na : 124 K : 4,1 Cl : 109 - Heparin sodium 750 unit SC/8 jam
R: - Vit c 500 mg/IV/24 jam
Sb : 24/07/21 - Novorapid Sliding scale 2 IU (DPJP ICU)
SpO2 : CXR : Pneumonia Bilateral tipical - Novorapid 3x8iu (DPJP Interna)
viral - GD 3 porsi
03/08/21
L : 10.100, Lym : 6,5 Gra: 91,0 - Inj Azitromicin 1x 500mg stop 28/07/21
Hb : 14,6 hct: 41,0, Tro : 337.00 - Inj remdesivir 200mg iv stop tgl 31/07/21
- Inj Dexamethason 1x6mg stop tgl 03/08/21
03/08/21 - Aspilet 80mg 1x1 stop 26/07/21
Na : 128 - PCT 3x1 stop 01/08
K : 3,9 - Cetirizine 0-0-1 stop 01/08
Cl : 107
2. Tn. Freddy - Pneumonia ec Covid 19 02/08/21 02/08/21 + - O2 10 lpm via NRM > O2 4lpm via NK > O2
Tambengi/♂/75 th - Post Hipo K L: 5.900 lym: 17,9 Gra: 76,4 13 lpm via NRM
- DM tipe II Hb: 14,6, Hct : 41,1 Tro : 221 - IVFD NS 20 tpm
MRS 02/08/2021 - HipoNa+ - Nicardipin drips titrasi target MAP 95-110 >
- Hipertensi 03/08/21 TUNDA USW
L : 7100, Lym : 13,0 Gra : 84,5 - Ambroxol 3x1 tab
TD : - Sivit Zinc 1x1 tab
N: Hb: 13,4, Hct : 37,0, Tro : 220.000
- Avigan 2x600 mg (H3)
R: - Inj Dexamethasone 6mg/24 jam (H3)
Sb : GDP : 241, Kolesterol : 213, - Novomix 2x15iu
SpO2 : AU : 4,00, Ur : 38,0 - Captopril 1x25mg
- Cek GD 2 porsi
CXR : Pneumonia + Kardiomegali
03/08/21
Na : 128
K : 3,1
Cl : 107