1. Mr.

Agus Kartiwa, 25 yo,13022791

Admission : 20th April 2013
Consultant : dr. Lisa, Sp.BP

WD/ Post repair stump ec post guilotine

amputation a/r below elbow a/i gangren a/r
manus sinistra POD 14+ post 4th necrotomy
debridement due to electric burn injury a/r
femur, manus bilateral, abdomen, brachii and
pedis bilateral gr IIa 15%, gr IIb 4%, grIII 3% POD
10

27-5-2013

21st April 2013

21st April 2013

21st April 2013

21st April 2013

26/4/13

28th April 2013

28th April 2013

28th April 2013

28th April 2013

30/04/2013

30/04/2013

30/04/2013

30/04/2013

30/04/2013

30/04/2013

13/5/13

13/5/13

Lab

20/4

21/0
4

24/
4

25/4

Hb

14.6

14.5

12.
3

10.9

Ht

43

42

WBC

26900

Plt

202.0
00

1/5

3/5

4/5

5/5

5/5

8.7
8.2 Finding
9.5
10.2
Laboratory

9.3

6.9

6.7

8.1

36

32

26

25

28

31

28

20

20

23

2810
0

272
00

3120
0

6050
0

3520
0

2410
0

1610
0

280
00

431
00

492
00

34100

208.
000

245
000

2590
00

5390
00

4740
00

4380
00

4000
00

269
000

339
000

256
000

22100
0

13.9
/1.0
6/45
.1

15.7
/1.2
4/46
.9

11.6/0.
92/31.
5

PT/INR
/aPTT

13.1
/0.8
9/35
.8

Ur/Cr

21/0
.79

Albumi
n/prot.
total

2.8/
5.2

SGOT/S
GPT

203/
98

Na/

128/

2.6/
5.1

126

26/4

27/04

28/0
4

18/0.
68

15/0.
65

2.1/4.
1

2.2/4
.3

2.5

211/
187

87/1
04

124/

126/

131/3

1.9/
4.5

1.9

64/4
0
126/

117/

123/

128/3.

Laboratory Finding
Lab

7/5/13

9/5/13

12/5/13

20/5/13

23/5/13

Hb

9,7
29

11,5
34

12.0
36

10.8
34

12.0
37

21.700

12.800

7.800

8.200

11.900

245.000

330.000

305.000

303.000

346.000

Ur/Cr

16/0,58

14/0,46

3.0/6.0

Albumin/prot.tot
al

2,4/4,8

2,7/5.5

3.0/6.0

Ht
WBC
Plt
PT/INR/aPTT

3.3/5.9

Microbiology
15/2/2013
Sample : blood
Found: Staph.
haemolyticus

Antibiotik
Cefepime

Cefixime

Cefoperazone

Cefoxitine

Ceftazidine

Ceftriaxone

Cefuroxim

Ciprofloxacine

Cotrimoxazole

Erythromicine

Gentamicine

Imipenem

Levofloxacine

linezolide

vancomicine

Tigecycline

Treatment

Diet 3000 kkal/day

Wound care + mebo once daily
IVFD NaCl 0.9% 30gtt/m
Th/ - ciprofloxacine 2x500mg PO
- tramadol 2x1 amp iv
- ranitidine 2x1 amp iv
- Vip Albumin 3x2 tab