Word 2

Tanggal
Kode
Kegiatan
Topik Kegiatan
Catatan
Pendamping
Tanda
Tangan
Pendamping
Keterangan
Tambahan
No
Diagnosis Penatalaksanaan
(1) (2) (3) (4) (5) (6) (7) (8)
07/09/2013 A
Ny. S, 33 tahun, G2P1A0
uk 38 minggu, JTHIU
prekep puki in partu kala I
fase laten
- Rawat Inap Kebidanan
- Observasi kemajuan
persalinan, awasi tanda-tanda
persalinan Kala II
dr. Layali
Musafiroh

1
07/09/2013 A
Ny. A, 22 th, G1P0A0 uk
12 minggu dengan HEG
- Rawat Inap
- IVFD D5% 20 tpm
- Inj. Ranitidin 3x1A
- Inj. Ondansetron 3x1A
- po Antacyd syr 3x2 cth
dr. Layali
Musafiroh

2
07/09/2013 C
Ny. T, 40 th, Dispneu ec
susp CHF
- Rawat Inap
- O2 2-4 l/m
- IVFD D5% 15 tpm
- Inj. Furosemide 2x1 A (iv)
- pasang DC
- Plan: EKG, Ro Thorax PA
dr. Layali
Musafiroh

3
07/09/2013 A
Ny. P, 20 th, G1P0A0 uk 39
minggu, JTHIU, preskep,
puka, belum in partu dengan
hipertensi gestasional susp
PER dd PEB
- Rawat inap
- IVFD RL 20 tpm
- Nifedipin 2x10 mg
- Plan: Darah Lengkap, Protein
urin
dr. Layali
Musafiroh

4
09/09/2013 A
Tn. S, 51 th, susp TB paru
kasus putus obat
- Rawat Jalan
- Ambroxol 3x1 tab
- Neurodex 3x1 tab
dr. Layali
Musafiroh

5

- Plan: Ro Thorax PA, sputum
BTA SPS
09/09/2013 A
Ny. M, 24 th, Artralgia susp
CTS
- Rawat jalan
- Na diclofenac 3x25 mg
- Neurodex 1x1 tab
- Ranitidin 3x1 tab
- Plan: Fisioterapi
- Edukasi: hindari aktifitas
tangan berlebih
dr. Layali
Musafiroh

6
09/09/2013 A
An. S, perempuan, 2 th, 15
kg, DATD+ISPA
- Rawat jalan
- Lacto-B 2x1 sach
- Zinc tab 1x1 tab
- Coparcetin syr 3x1 cth
dr. Layali
Musafiroh

7
09/09/2013 B
Tn. S, 55 th, kontrol post
Closed Fraktur os Clavicula
Dextra + VL digiti IV
manus dextra
- Rawat jalan
- Clindamycin 300 mg 3x1 cap
- Asam mefenamat 3x500 mg
- Ranitidin 3x150 mg
- Edukasi : jaga luka tetap
kering, diet tinggi protein
karena luka lama kering
dr. Layali
Musafiroh

8
09/09/2013 A
Tn. S, 40 th, Hipertensi
Stage I, ISPA. TD: 150/90
mmHg
- Rawat Jalan
- Captopril tab 2x12,5 mg
- Ambroxol 3x1 tab
- Bufantacyd 3x2 cth
- Edukasi: diet rendah garam
dr. Layali
Musafiroh

9
09/09/2013 B
Tn. S, 40 th, kontrol VL
plantar pedis sinistra
- Rawat Jalan
- Ciprofloxacin 2x500 mg
- Dexamethason 3x0,5mg
dr. Layali
Musafiroh

10

- Asam Mefenamat 3500 mg
- Edukasi : kontrol 3 hari, jaga
luka tetap kering, diet tinggi
protein
09/09/2013 B
Tn. D, 32 th, kontrol VL
cruris dextra
- Rawat jalan
- Amoxicillin 3x500 mg
-Edukasi : antibiotik
dihabiskan, jaga luka tetap
kering
dr. Layali
Musafiroh

11
09/09/2013 B
Ny. K, 41 th, LBP post
trauma susp. Fraktur
Kompresi Vertebra Lumbal
- Rawat Jalan
- Plan: Ro Vertebra
Lumbosacral AP, Konsultasi
Dokter Spesialis Bedah
dr. Layali
Musafiroh

12
09/09/2013 B
Tn. M, 34 th, Appendiksitis
kronik
- Rawat Jalan
- Spasminal 3x1 tab
- Konsultasi Sp.B
dr. Layali
Musafiroh

13
09/09/2013 B
Tn. I, 31 th, kontrol VL
palpebra superior sinistra
- Rawat jalan
- Aff hecting 2
- Neurodex 1x1 tab
- Vitalong C 1x1 tab
dr. Layali
Musafiroh

14
09/09/2013 A
Ny. R, 40 th, Hipertensi
Urgensi, TD: 200/100 mHg
- Rawat jalan (pasien menolak
rawat inap)
dr. Layali
Musafiroh

15

- Amlodipin 1x10 mg
- Captopril 3x25 mg
- Neurodex 1x1 tab
09/09/2013 A
Ny. M, 45 th, Mialgia - Rawat jalan
- Meloxicam 3x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

16
09/09/2013 A
Ny. M, 31 th, Obs febris
susp Chikungunya BBPV
- Rawat jalan (menolak rawat
inap)
- Betahistine mesylate 2x1ab
- Paracetamol 4x500 mg kp
- Stimuno 2x1 tab
dr. Layali
Musafiroh

17
10/09/2013 A
An.P, Perempuan, 9 bl, 7,2
kg. DADRS dan
Rhinofaringitis akut
- Rawat inap
- IVFD RL 36 tpm (mikro)
- Inj. Ranitidin 3x1/3A
- Inj. Ondansetron 3x1/3a
- Lacto-B 2x1 sachet
- Zinc 20 mg 1x1/2 tab
- Erlamol syr 3x1 cth
dr. Layali
Musafiroh

18
10/09/2013 B
Ny. K, 55 th, kontrol post
Close fraktur humerus
sinistra 1/3 proximal
- Rawat Jalan

dr. Layali
Musafiroh

19
10/09/2013 A
Ny. P, 25 th, G3P0A2 uk 13
minggu dengan HEG derajat
II
- Rawat inap
- IVFD RL loading 500 cc -->
30 tpm
- RL:D5%:NaCl 0,9% 1:1:1 30
tpm
dr. Layali
Musafiroh

20

- Neurosanbe drip 1A/24 jam
10/09/2013 A
An. R, 7 th, 20 kg, DADRS,
obs febris susp Thyfoid
fever
- Rawat Inap - IVFD RL
loading 200 cc--> 30 tpm -->15
tpm
- Inj. Chlorampheniol 4x250
mg (iv)
- Inj Ondansetron 3x1/2A
- Sanmol syr 3x2 cth
- L-Bio 3x1 sachet
- Plan: DL, widal
dr. Layali
Musafiroh

21
10/09/2013 A
An. E, 7 th, 23 kg, Ob
Vomitus suspek intoksikasi
makanan
Rawat Jalan
- Antasida doen syr 3x1 cth
- Ranitidin III, Papaverin III,
Vit BC III, Vit C II ,mf No.X
3x1
dr. Layali
Musafiroh

22
11/09/2013 A
Perempuan, 25 th, P1A0
post partum fisiologis Hari
ke-2 dengan PEB. TD:
130/90 mmHg
- BLPL
- Clindamicyn 3x300 mg
- Nifedipn 1x10mg
- Asam Mefenamat 3x500 mg
dr. Layali
Musafiroh

23
11/09/2013 A
Perempuan, 35 th, P2A0
post partum SC atas indikasi
riwayat SC
- IVFD RL 20 tpm
- Inj. Cefriaxon 2x1 gr (iv)
- Inj. Ketorolac 3x1A
- po. Gastrul tab 2x1
dr. Layali
Musafiroh

24
11/09/2013 A
Perempuan, 28 tahun,
G2P1A0 uk 37 minggu
JTHIU peskep puka in partu
- Rawat Inap obervasi vk
- IVFD RL 20 tpm
- Nifedipin 2x10 mg sl
dr. Layali
Musafiroh

25

kala I fase aktif dengan PER
12/09/2013 A
Tn. T, 31 th, Ob Febris susp
Thyfoid Fever
- Rawat Inap
- IVFD RL 2 tpm
- Chloramphenicol 4x500 mg
- Paracetamol 4x500 mg
- Rantidin 3x150 mg
- Plan : DL, Widal
dr. Layali
Musafiroh

26
12/09/2013 A
Tn. S, 30 th, DADRS - Rawat inap
- IVFD RL 20 tpm
- Loperamid 2-1-1
- L-Bio x1 sach
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

27
13/09/2013 A
Ny . E, 29 th, G1P0A0 uk
13 minggu dengn heg
derajat II
- Rawat inap
30 tpm - RL:D5%:NaCl ,9%
1:1:1 30 tpm
- Neosanbe drip 1A/24 jam
dr. Layali
Musafiroh

28
13/09/2013 A
An. M, 10 th, 27 kg,
DADRS
- Rawat Inap
- IVFD RL 16 tpm
- Inj. Ranitidin 3x1/2 A
- L-Bio 3x1 sachet
- Zinc 1x1 tab
dr. Layali
Musafiroh

29
14/09/2013 B
Tn.T, 60 th, Kontrol multpel
VL
- Rawat Jalan
- Asam mefnama 3x500 mg
- Neurodex 1x1 tab
dr. Layali
Musafiroh

30

14/09/2013 A
An. B, 7 th, 18 kg, GEA
tanpa dehidrasi
- Rawat jalan
- Ranitidin 2x75 mg
- Antacida doen syr 3x1/2 cth
- L-Bio sach 2x1
- Zinc tab 1x1
dr. Layali
Musafiroh

31
14/09/2013 A
An. K, 4 th, 15 kg, GEADS
susp intoksikasi makanan
- Rawat inap
- IVFD RL 14 tpm (ma)
- po Norit tab 3x5 tab
- Plan: DL
dr. Layali
Musafiroh

32
14/09/20134 A
Tn. S, 54 th, Obs febris susp
Chikungunya dd DHF
- Rawat inap
- IVFD RL 20 tpm
- Neurobion 1x1
- Stimuno 1x1 tab
dr. Layali
Musafiroh

33
14/09/2013 B
Tn. S, 54 th , Abdominaal
pain ec GERD, dd gastritis
Rawat inap
- IVFD RL 20 tpm + Ketorolac
1A drip (extra)
- Inj Ranitidin 2x1 A
- po Ciprofloxacin 2x500 mg
- Buscopan 3x1 tab
- Plan: DL, EKG
dr. Layali
Musafiroh

34
14/09/2013 A
An. G, 3 th, 8,5 kg, DADRS - Rawat inap
- IVFD RL 36 tpm (mikro)
- Inj. Ondansetron 3x1/3 A
- L-Bio 3x1 sachet
- Zinc 1x1/2 tab
- Plan: DL
dr. Layali
Musafiroh

35

15/09/2013 A
Tn. W, 45 th, GEADS - Rawat inap
- IVFD RL LOADNG 500 CC
20 tpm
- Mecodiar 2 tab tiap kali BAB
- L-Bio 2x1 sach
- Zinc 1x1 tab - Plan: DL
dr. Layali
Musafiroh

36
15/09/2013 A
Ny. U, 21 th, G2P1A0 uk 8
minggu dengan HEG
- Rawat inap
30 tpm
- Rl:D5%:NaCl 0,9% 1:1:1 30
tpm
- Neurosanbe drip 1A/24 jam
- Inj Ranitidin 3x1A
- Inj. Metocloperamid 3x1A
- Plan: DL, GDS
dr. Layali
Musafiroh

37
15/09/2013 B
Tn. S, 56 th, susp Closed
fraktur antbrachii dextra,
hematom palpebra sinistra,
multipel VE
- Rawat inap
- Wound toilet
- Immobilisasi spalk+elastic
band antebrachii sinistra
- IVFD RL 20 tpm
- Inj. Ceftriaxon 2x1 gr (iv,
skintest)
- Inj. Ketorolac 2x1A kp
- Plan: Ro antebrachi sinistra
AP&lateral, Konsultasi dr
sp.OT

dr. Layali
Musafiroh

38
16/09/2013 A Ny. R, 22 th, G2P0A1 uk 36 - Rawat jalan - Microlac supp
dr. Layali
39

minggu dengan konstipasi 1 tube Musafiroh
16/09/203 A
An. P, perempuan, 3, th, 18
kg, GEADS
- Rawat inap
- IVFD RL 56 tpm (mi)
- Inj Ranitidin2x1/2 A
- Myrasic syr 3x 1 1/2 cth
- Plan: DL
dr. Layali
Musafiroh

40
16/09/203 A
Nn. I, 19 th, GEADR Rawat jalan
- Cotrimoxazol forte 2x1
- Loperamid 2-1-1 tab
- Paracetamol 3x1 tab
- Vitazym 3x1 tab
dr. Layali
Musafiroh

41
16/09/2013 A
Ny. K, 25 th, G1P0A0 uk
39 minggu JTHIU presbo in
partu kala I fase aktif
Rawat inap
- IVFD RL 16 tpm
persalinan
dr. Layali
Musafiroh

42
17/9/2013 C
Ny. D, 60 tahun, Hipertensi
Emergensi. TD: 200/110
mmHg
Rawat inap
- IVFD RL 20 tpm
- Amlodipin 2x10 mg
- Captopril 3x25 mg
- Plan: DL, GDS, Ureum,
Kreatinin, Ro thorax PA, EKG
dr. Layali
Musafiroh

43
21/09/2013 A
Ny. A, 56 th, GEADS - Rawat inap
- IVFD RL 20 tpm
dr. Layali
Musafiroh

44

- Scopma 3x1 tab
21/09/2013 A
Ny. R, 55 th, Hipertensi
stage II, Gastritis. TD:
170/100 mmHg.
- Rawat inap
- IVFD D5% 20 tpm
- Inj. Ranitidn 3x1A
- Inj. Ondansetron 3x1 A
- Catopril 3x 25 mg
- Nifedipin 2x5 mg
dr. Layali
Musafiroh

45
21/09/2013 A
Tn. S, 58 th Obs febris susp
thyfoid fever
- Rawat inap
- IVFD RL 20 tpm
- Antacida 3x1 tab
- Plan : DL, Widal
dr. Layali
Musafiroh

46
21/09/2013 A
Ny. S, 38 th, Hipertensi
stage I, GEADS
- Rawat inap
- IVFD RL 20 tpm
- Inj. Ranitidin 3x1 A
- Captopril 3x12,5 mg
dr. Layali
Musafiroh

47
21/09/2013 B
Tn. P, 30 th, Muliple VL - Rawat Jalan
- Wound toilet, hecting luar 3
- Inj. ATS 1.500 IU (im, skin
test)
- Clindamycin 3x300 mg
- Asam mefenamat 350 mg
- Dexamethason 3x0,5 mg
- Ranitidin 3x1tab
- Edukasi: jaga luka tetap
kering, kontrol poliklinik
dr. Layali
Musafiroh

48
21/09/2013 A Tn. E, 23 th, GEADS - Rawat inap
dr. Layali
49

- IVFD RL 30 tpm
- L-Bio 3x1 sach
- Zinc 1x1 tab
- Plan: DL
Musafiroh
22/09/20103 A
Ny. T, 35 th,
BPPV+Gastritis akut
- Rawat inap
- IVFD D5%:RL 2:1 20 tpm
- Inj. Ranitidn 3x1 A
- Inj. Difenhidamin 3x1A
- Neurobion drip 1A (extra)
- Omeprazlol 2x1 tab
- Antacida Doen syr 3x2cth
dr. Layali
Musafiroh

50
22/09/2013 A
Nn. I, 13 th, 24 kg, Obs
febris 5 hari susp Thyfoid
fever dd DHF
- Rawat inap
- IVFD RL 20 tpm
- Paracetamol tab 3x500 mg
- Plan: DL, widal
dr. Layali
Musafiroh

51
22/09/2013 C
Ny. T, 60 th, Asma attack
pada asma persistten sedang,
hipertensi stage II, susp TB
paru kasus putus obat. TD:
160/90 mmHg
Rawat inap
- O2 2-4 l/m
- Nebulisasi Ventolin 2,5 mcg
- IVFD RL 20 tpm
- Ambroxol 3x1 tab
- Captopril 3x25 mg
- Plan: Ro thorax PA, GDS,
dr. Layali
Musafiroh

52

DL, sputum BTA SPS, EKG
22/09/2013 A
An. R, perempuan, 7 bln,
6,5kg, GEADS,
Rinobronkhitis akut
Rawat inap
30 tpm (mi)
- L-Bio 3x1 sach
- Zinc x1/2 tab
- GG II, CTM II, PCT II, vit C
II mf X 3x1
- Plan: DL
dr. Layali
Musafiroh

53
22/09/2013 A
Tn. E, 33 th, Gasroenteritis
kronik, Candidiais oral,
suspek AIDS
- Rawat inap
- IVFD D5% 30 tpm
- Antacida Doen syr 3x2 cth
- L-Bio 3x1 sachet
- Zinc 1x1 tab
- Kandstatin drop 4x100.000
IU
- Plan: DL, GDS
dr. Layali
Musafiroh

54
23/09/2013 A
Tn. S., 39 th, obs. Febris
susp TF
Rawat jalan
- Neurodex 1x1 tab - Plan:
DL, widal
dr. Layali
Musafiroh

55
23/09/2013 C
Ny. M, 61 th,Obs dyspnea
ec anemia gravis
- Rawat inap
- O2 3 l/m
- IVFD NaCl 0,9% 20 tpm
(ma)
dr. Layali
Musafiroh

56

- Inj. Ranitidin 3x1A(iv)
Plan: DL, golongan darah,
EKG, Ro thorax
23/09/2013 B
Tn. P, 30 th, VE
dorsumpedis dextra et
sinistra
Rawat jalan
- Amoxicillin 3x 500 mg
-Neurodex1x1tab
dr. Layali
Musafiroh

57
23/09/2013 B
Tn.W, 75 th,Obs dyspnea
susp PPOK dd TB paru
Rawat inap
- O2 3l/m
- IVFD RL 20 tpm
dr. Layali
Musafiroh

58
24/09/2013 A
Ny. R, 50 th, GEADS Rawat inap
- IVFD RL loading 300cc
30 tpm
- Inj.Ranitidin 2x1A
- Cotrimoxazol 2x1tab
- Scopamin plis 2x1 tab
- Zinc tab 1x2
- New diatab 3x1
dr. Layali
Musafiroh

59
24/09/2013 C
Ny.M, 45 th,Multple VE,
VL capitis
- Rawat inap
- O2 2l/m
- IVFD RL 30 tpm
- Inj.Ondansetron 3x1A
- Ketorolac drip 3x 1 A
- Inj.Neurotam 3x1A
- Inj.Citicholin 3x 1 A
dr. Layali
Musafiroh

60

- Inj. Ceftriaxon 2x1 gr (iv,
skin test)
24/09/2013 C
Ny. R,23 th, VE cruris
dextra
Rawat jalan
dr. Layali
Musafiroh

61
24/09/2013 A
An.Aditya,6
th,15kg,Tonsilitiskronik
eksaserbasi akut
Rawat inap
- IVFD RL15 tpm
- Inj.Ceftriaxon 2x250 mg
- Inj.Gentamicin 2x20 mg
- Inj.MP 2x1/2cc
- Luminal II, PCT III,
Domperidon II, Vit. C III mf
X,3x1
dr. Layali
Musafiroh

62
24/09/2013 A
Ny.S,28 th, obs.febris susp
DHF dd TF
rawat jalan
- Neurodex 1x1 tab
- Vitalong C1x1 tab
dr. Layali
Musafiroh

63
24/09/2013 A
Tn. A, 25 th, TTH Rawat jalan
- Neurodex 1x1 tab
- Vitalong c 1x1 tab
dr. Layali
Musafiroh

64
24/09/2013 A
Tn.S, 75 th,Obs febris susp
Chikungunya
rawat inap
- IVFD RL loading 1000 cc
20 tpm
- Inj. Cefotaxim 2x1 gr
- Inj.Dexamethason 3x1A
dr. Layali
Musafiroh

65

- Luminal 2x1 tab
24/09/2013 A
An.S, 7 th,Obs febris susp
DHF grade II
Rawat inap
- IVFD RL 40 tpm 4jam 20
tpm
- Paracetamol syr 3x1 cth
- DEHAF 2x1
- Curcuma 2x1cth
dr. Layali
Musafiroh

66
24/09/2013 A
Tn.S, 38 th,GEADS Rawat inap
- IVFD RL loading 300 tpm
30 tpm
- Inj.Ranitidin3x1A
- New diatab 3x1
- Cotrimoxazol 2x1
- Scopamin plus 2x1
- L-Bio 3x1sach
dr. Layali
Musafiroh

67
24/09/2013 A
Ny.D,20 th, G1P0A0 uk
39+4 minggu
JTHIU,preskep,inpartu kala
II lama
rawat inap
-Vakum ekstraksi

dr. Layali
Musafiroh

68
25/09/2013 A
Ny.K,60th, gastritis rawat inap
- IVFD RL 16 tpm
- Inj.Ranitidin 3x1 A
- Omeprazol 2x1 tab
- Curcuma 3x1 tab
dr. Layali
Musafiroh

69

25/09/2013 A
An.E,5th,15 kg, Kejang
Demam Sederhana
rawat inap
- IVFD D5%15 tpm
- Inj.Dexamethason 3x2cc
- Luminal 5 mg II, Vit. C 25mg
II,PCT 70mg III, mf X,3x1
dr. Layali
Musafiroh

70
25/09/2013 A
An.H,2 th,9 kg,GEA
dehidrasi sedang,
rawat inap
- IVFD RL 300 cc loading-->
36 tpm
- Fuzide syr 3x1 cth
- Sanmol syr 3x3/4 cth
- L-bio 3x1/2sach
- Zinc 1x1/2tab
dr. Layali
Musafiroh

71
25/09/2013 B
An.I, 1 th,8,5 kg,
KDS,Rhinofaringitis akut
rawat inap
- IVFD RL loading 200cc -->
30tpm (mi)
- Sanmol syr 3x 3/4cth
- CTM II, GG II,Luminal II,
VitCII,m.f X,3x1
dr. Layali
Musafiroh

72
25/09/2013 A
ny. R,50 th,DM tipe 2 degan
GEADS
rawat inap
- IVFD RL loading 500cc --
>24tpm
-Inj.Ranitidin 3x1A
- Inj. Ondansetron1 A (extra)
- Glibenclamide1x5mg (1-0-0)
- New diatab 3x1 tab
- Scopamin plus3x1tab
- PCT 3x500mg
dr. Layali
Musafiroh

73
25/09/2013 A An.M,2 th, 9 kg,GEADS rawat inap
dr. Layali
74

-IVFD RL loading 150 cc --
>36tpm (mi)
-L-Bio 3x 1/2sach
- Zinc 1x1/2tab
Musafiroh
25/09/2013 B
An. M,12 th, 20 kg,Obs
febris susp DHFderajat II dd
TF
rawat inap
- IVFD RL loading 400 cc-->
30 tpm
- Inj.Ranitidin 3x1/2A
- sanmol syr4x2 cth
- Stimuno tab 1x1
- DEHAF2x 1/2sach
- Plan: DL, widal
dr. Layali
Musafiroh

75
25/09/2013 A
An.M, 9 bln,8,5
kg,GEADS,Rhinofaringitis
akut
rawat inap
- IVFD D5% loading 100 cc-->
40 tpm(mi)
- Sanmol syr 4x1 cth
- Lacto B 3x1/2sach
- Zinc 1x1/2tab
- GG II,CTM II,Vit C III,mf X
3x1
dr. Layali
Musafiroh

76
25/09/2013 A
Tn. S,40 th,Vl dorsum pedis
dextra,VE olecranon sinistra
rawat jalan
- wound toilet,hecting luar
- Inj ATS1.500 IU
(im,skintest)
- Amoxicillin 3x500 mg -
Asam mefenamat 3x500 mg -
Ranitidin 3x150 mg
dr. Layali
Musafiroh

77
28/09/2013 A An. F,14 th, susp Miopia Rujuk Sp.M
dr. Layali
78

ODS, Musafiroh
28/09/2013 C
Tn.M, 23th,VE genu dan
olecranon sinistra
rawat jalan
- Asam Mefenamat 3x 500mg
- ranitidin 3x 150mg
- Amlodipin 1x5 mg
dr. Layali
Musafiroh

79
28/09/2013 B
Ny. T,30 th, G3P2A0 uk 38
minggu JTHIU preskep in
partudgn febris hari ketiga
dan Hipertensi gestasional
susp PER
Rawat inap
- IVFD RL 16tpm
- Nifedipin1x 10 mg
- Plan: DL,protein urin
dr. Layali
Musafiroh

80
28/09/2013 C
An.S,12th, 36kg, Combustio
derajat II-III luas 18%
rawat inap
-IVFD RL16 loading 300 cc-->
30tpm
- Bioplasenton saelp 3dd ue
-kompres luka/8 jam dengan
NaCl
dr. Layali
Musafiroh

81
28/09/2013 B
Tn.Y,58 th,Asma attack rawat inap
- O2 4-5 lpm
- Nebulisasi Ventolin 1A
-IVFD D5% 16tpm
- Methylprednisolon tab
2x4mg
- Salbutamol 3x2 mg
- Ambroxol3x30 mg
dr. Layali
Musafiroh

82
29/09/2013 A
tn. M,59 th, Dm tipe 2
dengan motion sickness
rawat jalan
- Dimenhidrinat 3x1 tab
dr. Layali
Musafiroh

83

- Domperidon 2x1 tab
- Ranitidin 3x150mg
- PCT 3x500 mg
- Glibenclamid 1x5 mg
- Metformin 3x500 mg
29/09/2013 B
Ny. S, 60th,obs dyspnea ec
susp CPC decompensata dd
Bronkopneumonia
rawat inap
- O2 4-5lpm
- Inj.Ceftriaxon 2x 1gr (iv)
- Inj.Furosemid 2x1A
- Nifedipin1x10 mg
- Digoxin 1x0,125mg
- Plan: DL, Ur, Cr, GDS, ro
thorax PA, EKG
dr. Layali
Musafiroh

84
29/09/2013 B
Ny.S, 25th, G1P0A0 uk 39
minggu dengan inersia uteri
rawat inap
-Konsul Sp.OG
dr. Layali
Musafiroh

85
01/10/2013 A
An.L, 13 bulan, 7,5kg,
GEADS, Rhinofaringitis
akut
Rawat inap
30 tpm (mi)
- Lacto b 3x1/2sach
- Zinc 1x1/2tab
- GG II,CTM II,sacharin adlib
mf X 3x1
dr. Layali
Musafiroh

86
01/10/2013 B
Ny.N, 65 th,VL capitis rawat jalan
- wound toilet,hecting luar7
- Asam mefenamat 3x500mg
dr. Layali
Musafiroh

87

01/10/2013 B
Nn.A,25th,Vulnus punctum
rawat jalan
Inj. ATS1500 IU
- Clindamycin3x300 mg
- Asam mefenamat 3x500mg
dr. Layali
Musafiroh

88
01/10/2013 B
Ny.T, 21 1th, Vulnus
Punctum plantar pedis
sinistra
Rawat jalan
- Inj. ATS 1.500 IU
- Rantidin 3x150 mg
dr. Layali
Musafiroh

89
02/10/2013 A
Ny. T, 50 th, GEADS Rawat inap
30 tpm
- Scopamin plus 3x1 tab
Plan: DL
dr. Layali
Musafiroh

90
02/10/2013 A
An. J, 10 th, 25 kg, GEADS rawat inap
16 tpm
- Inj. Rantidin 3x1/2 A
- Lacto B 3x1 sach
- Zinc tab 1x20 mg
dr. Layali
Musafiroh

91
05/10/2013 C
Tn. D, 60 th, Obs. dyspnea
susp TB paru kasus baru,
hipertensi stage I , TD:
- Rawat inap
- O2 3-4 l/m, nasal canul
- IVFD D5% 20 tpm
dr. Layali
Musafiroh

92

140/90 mmHg - Inj. Ranitidin 3x1 A
- Amboxol tab 3x30mg
- Amlodipin 1x10mg
- Curcuma 3x1 tab
- Plan: DL, EKG, Ur, Cr, GDS,
Ro thorax PA, BTA SPS
05/10/2013 A
Ny. S, 34 th, Gastritis kronik - Rawat inap
- IVFD D5% 20 tpm --> D5%:
RL 1:1
- Inj Ondansetron 3x1 A
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

93
05/10/2013 A
Nn. S, 19 th, Obs febris susp
TF dd DHF, Gastritis akut
- Rawat inap
- IVFD D5% 20 tpm 2 flab --
> RL 20 tpm
- Inj. Ondansetron 1A (extra)
- PCT 4x500 mg
- Curcuma 1x1 tab
- Plan: Dl, Widal, GDS: 77
mg/dl
dr. Layali
Musafiroh

94
05/10/2013 A
Ny. S, 55 th, Obs febris susp
TF dd DHF
- Rawat inap
maintenance 20 tpm
- Inj Ondanasetron x1 A
dr. Layali
Musafiroh

95

- Neurodex 1x1 tab
- Plan: DL, widal
05/10/2013 A
Ny. N, 44 th, BPPV - Rawat inap
- IVFD RL 20 tpm
- Betahstin mesylate 3x1 tab
- Antasida Doen 3x2 cth
dr. Layali
Musafiroh

96
05/10/2013 A
Ny. K., 50 th, GEADS,
Hipertensi stage II, susp DM
tipe II. TD: 170/100, GDS:
359 mg/dl
- Rawat inap
maintenance 20 tpm
- Cotrimoxaol 3x1 tab
- Captopril 3x25 mg
- Plan: DL, GDP. G2PP, Ro
thorax PA
dr. Layali
Musafiroh

97
05/10/2013 B
An. G, 6 th, 20 kg, VE reg
capitis
- Rawat jalan
- Amoxicillin yr 3x1 cth
- Erlamol syr 2x cth
dr. Layali
Musafiroh

98
05/10/2013 A
Ny. K, 57 th, GERD - Rawat inap (APS)
- IVFD RL16 tpm
- Ranitidin 3x 150mg
- Omeprazol 2x1 tab
- Antasida doen syr 3x 2 cth
dr. Layali
Musafiroh

99

- Neurodex 1x1 tab
05/10/2013 A
Ny. E, 6 th, DM tipe II,
Hipertensi stage II. TD:
180/100 mmHg, GDS: 143
mg/dl
- Rawat jalan
- Glimepirid 1x1 mg
- Captopril 3x 25 mg
- Amlodipin 1x10 mg
- Neurodex 1x1 tab
dr. Layali
Musafiroh

100
05/10/2013 A
An. E, 9 bln, 9,2 kg,
GEADS
- Rawat inap
- IVFD D5%-1/4 NS loading
100 cc--> maintenance 36 tpm
(mi)
- Lacto-B 2x1/2 sach
- Zinc 1x10 mg
- Paracetamol drop 3x0.9 cc
- Plan: DL
dr. Layali
Musafiroh

101
07/10/2013 C
Ny. A, 20 th, obs. vomitus
ec intoksikasi larutan
pemutih pakaian; Tentament
suicide
Rawat inap Bilas lambung
500 cc NaCl --> jernih--
>puasakan 6 jam
30 tpm --> 20 tpm
- Norit 3x6 tab
- Alprazolam 1x0,5 mg (0-0-1)
- Plan: DL
dr. Layali
Musafiroh

102
07/10/2013 B
Tn. A, 27 th, Multiple VE - Rawat jalan
- Wound toilet
- Ranitidin 2x10 mg
dr. Layali
Musafiroh

103

- Neurodex 1x1 tab
07/10/2013 B
An. B, 8 th, 20 kg,VL reg
Fontal dextra
- Rawat jalan
- Hecting luar 2
- Amoxicillin syr 3x1 cth
dr. Layali
Musafiroh

104
07/10/2013 C
An. L, 5 th, 8,5 kg, KDS,
obs febris h1. t: 42 C
- Rawat inap
- IVFD RL 12 tpm (ma)
- Diazepam 5mg III, Vit C III,
Vit BC III --> No. X, 3x1
- Plan: DL
dr. Layali
Musafiroh

105
07/10/2013 A
Tn. S, 80 th, Hipertensi
stage I, Retensio urine susp
BPH. TD: 150/90 mmHg
- Rawat jalan
- Ganti kateter urin
- Ranitidin 2x150 mg -
Captopril 1x12,5 mg
dr. Layali
Musafiroh

106
07/10/2013 A
Ny. T,2 th, Gastritis akut - Rawat jalan
- Ranitidin 3150 mg
- Omepraol 2x1 tab
dr. Layali
Musafiroh

107
07/10/2013 A
An. S, 12 th, 27 kg , Obs
febris susp TF, gastritis
Rawat inap
- IVFD RL 20 tpm
- Inj Ranitidin 2x50 mg
- Inj. Ondansettron 2x4 mg
- Paracetamol 3x3 cth
- Antasida syr 3x2 cth
- Plan: DL, Widal
dr. Layali
Musafiroh

108
07/10/2013 A Tn. N, 28 th, Vomitus ec - Rawat jalan
dr. Layali
109

intoksikasi obat kuat - Domperidon 3x1 tab
- Ranitidin 2x1 tab
- Diazepam 1x2mg
Musafiroh
07/10/2013 C
Tn. S, 18 th, CKR, VL
labium superior, Multiple
VE . GCS: E4M6V3.
- Rujuk
20 tpm
- Inj. cefotaxim 2x 1 gr (iv),
skin test
- Inj. Ranitidin 250 mg
dr. Layali
Musafiroh

110
07/10/2013 B
Ny. S, 40 th, Multiple VE - Rawat jalan
- Wound toilet
- Neurodex 1x1 tab
dr. Layali
Musafiroh

111
07/10/2013 B
An. A, 4 th, 12kg, VE reg
facial
- Rawat jalan
- Amoxicillin syr 3x1cth
- PCT syr 3x1 cth
dr. Layali
Musafiroh

112
08/10/2013 A
An. L, 5 thh, 8,5 kg, KDS,
obs febris H3 susp thypoid
fever. t: 39,3 C
-Rawat inap - IVFD D5%-
1/4NS loading 100 cc --> 36
tpm (mi)
- PCT syr 4x1 cth
- Diazepam 5 mg III, Vit C III,
Vit BC III --> No. X, 3x1 -
Plan: Widal
dr. Layali
Musafiroh

113
08/10/2013 A
An. E, 1 th, 9 kg, GEADS,
Rhinofaringitis akut
Rawat inap
- IVFD RL Loading 100 cc-->
dr. Layali
Musafiroh

114

36tpm (mi)
- Paracetamol drop 4x0,9 cc
- L-bio 2x1/2 sach
- Zinc syr 1x1/2 cth
- GG II, CTM III,
Dexamethason 0,5 mg II
sacharin lib --> No.X, 3x1
- Plan: DL
10/10/2013 A
Ny. V, G1P0A0 usia 19
tahun uk 40 minggu JTHIU
preskep puki belum in partu
dengan ketuban pecah awal.
- Rawat inap kebidanan -
IVFD RL 16 tpm

dr. Layali
Musafiroh

115
10/10/2013 A
An. L, 8 bln, 8,5 kg, Obs
febris suspek DHF dd TF
- Rawat inap
- IVFD RL Loading 100 cc-->
32 tpm (mi)
- Plan: DL (trombosit
36.000/mm3, Widal S.thypii
O:1/80
dr. Layali
Musafiroh

116
10/10/2013 A
An. Q, 9 bln, 6,8 kg,
GEADS, Rhinofaringitis
akut
Rawat inap
28 tpm (mi)
- Lacto B 3x1/2 sach
- Zinc 1x1/2 tab
- GG II, CTM II,
dr. Layali
Musafiroh

117

Dexamethason II, mf No. X,
3x1
10/10/2013 B
Tn. S, 37 th, Open fraktur
tibia et fibula dextra 1/3
medial displaced neglected
- Rawat jalan
- Ro Cruris dextra AP&lateral
- pro Konsultasi Sp.OT, pasien
menolak.
dr. Layali
Musafiroh

118
10/10/2013 A
Tn. K., 60 th, Obs febris
susp Thyfoid fever dd DHF
- Rawat inap
- IVFD RL 20 tpm
- Paracetamol 3x500mg
- Curcuma 3x1 tab
- Antasida 3x2 cth
dr. Layali
Musafiroh

119
10/10/2013 C
Tn. M, 3 th, Obs
heematemesis-melena up
hepatiis, dd cholelithiasis,
gastritis erosive, ulkus
peptikum
- Rawat inap
- IVFD D5% 20 tpm
- Inj. Metoclopramid 3x1A
- Inj. Asam tranamat 3x500 mg
- Curcuma 3x1 tab
- Plan: DL, GDS (87 mg/dl),
HBsAg, Bilirubin
dr. Layali
Musafiroh

120
10/10/2013 A
An. P, 14 bln, 8 kg, KDK.
s: 38C, kejang 2x
- Rawat inap
- IVFD RL loaoding 100 cc--
>aintenance 32 tpm (mi)
- Luminal 30 mg IV, VIt C III,
Vit BC III, No. X, 3x1 -
Plan: DL
dr. Layali
Musafiroh

121

10/10/2013 B
Tn. H, 18 th, Vulnus
laseratum digiti II manus
sinistra
- Rawat jalan
- Wound toilet, Hecting luar 1
- Neurodex 1x1 tab
dr. Layali
Musafiroh

122
10/10/2013 A
Ny. K, 50 th, Hipertensi
grade II, gastritis.
TD:152/120 mmHg
- Rawat inap
- IVFD RL 20 tpm
- Captopril 3x25 mg
- Amlodipin 1x10 mg
- Neuroex 2x1 tab
- Plan: DL, GDS, Ur, Cr, Ro
thorax PA
dr. Layali
Musafiroh

123
10/10/2013 A
Nn. R, 16 th urtikartia Rawat jalan
- Dexamethason 3x1 tab
- Loratadin 1x1 tab
dr. Layali
Musafiroh

124
10/10/2013 A
Ny. S, 19 th, G1P0A0 40
minggu JTHIU,prekep, in
partu dengan kala II lama
- Rawat inap
- IVFD RL 20 tpm
- Pimpin persalinan
- Konsultasi dr. Arif, Sp.OG
dr. Layali
Musafiroh

125
12/10/2013 A
An. K, 14 bln, 13 kg kontrol
post diare dan faringitis akut
- Rawat jalan
- Cefadroxil 2x1 cth
- Cetirizine II, Dexamethason
II, Vit C III, mf No.X, 3x1
dr. Layali
Musafiroh

126
12/10/2013 A, B
Tn. W, 80 th, kontrol VL
palmar sinistra, hipertensi
- Rawat jalan
- Aff hecting
dr. Layali
Musafiroh

127

stage I. TD: 140/90 mmHg - Captopril 1x12,5 mg
- Neurodex 1x1 tab
12/10/2013 A
An. M, 2,5 th, 11 kg,
GEADS
- Rawat inap
10tm (ma)
- Inj Ranitidin 2x1/2A
- Inj Metoclopramid 2x1/2A
- Lacto-B 2x1 sach
- Zinc 1x20 mg
- Plan: DL
dr. Layali
Musafiroh

128
12/10/2013 A
Ny. A, 20 th, kontrol post
intoksikasi bayclin, gastritis
- Rawat jalan
- Omeprazol 2x1 tab
- Vitazym 2x1
- Curcuma 3x1
dr. Layali
Musafiroh

129
12/10/2013 A
An. S, 2 th, 12 kg, Febris
usp TF, Rhinofaringitis
akut.
- Rawat jalan
- Cefadroxil 2x1 cth
- Paracetamol syrup 4x1 cth
- Dexamethason II, GG II, Vit
C III, mf no.X, 3x1
dr. Layali
Musafiroh

130
12/10/2013 A
Ny. T, 33 th, Hipertensi
stage II. TD: 180/90 mmHg.
- Rawat jalan
- Captopril 3x 25 mg
- Neurox 1x1 tab
- SF 1x1 tab
dr. Layali
Musafiroh

131
12/10/2013 B
Tn. W, 16 th, kontrol VE
reg capitis
- Rawat jalan
dr. Layali
Musafiroh

132
12/10/2013 A
Tn. A, 62 th, gastritis - Rawat jalan
- Lagesyl syr 3x1 cth
dr. Layali
Musafiroh

133

- Laproton 2x30 mg
- Neurobion 1x1 tab
12/10/2013 A
Ny. S, 25 th, intoksikasi
alkohol, gastritis
- Rawat inap
- IVFD D5% 16 tpm
- Omeprazol 1x1 tab
dr. Layali
Musafiroh

134
12/10/2013 C
Tn. R, 65 th, obs dyspnea
susp PPOK, dd TB paru,
pneumothorax.
- Rawat inap
- IVFD RL 16 tpm
- Aminofilin 3x1 tab
- Captopril 1x25 mg
- Plan: EKG, Ro thorax PA
dr. Layali
Musafiroh

135
12/10/2013 A
An.A, 3 th, 16 kg, observasi
febris susp Thyfoid fever dd
DHF
- Rawat inap
- Plan: DL, widal
- IVFD RL 12 tpm
- Paracetmol syr 3x 1 1/2 cth
- GG III, CTM II, Vit C III
dr. Layali
Musafiroh

136
15/10/2013 A
Tn. M, 53 th, hipertensi
stage II, susp DM tipe II.
TD: 190/100 mmHg, gds;
258 mg/dl.
- Rawat inap
- IFVD RL 20 tpm
- Captopril 3x25 mg
- HCT 1x1 tab (1-0-0)
- Plan: DL, GDP, GD2PP,
EKG: LVH
dr. Layali
Musafiroh

137
15/10/2013 A, B
Tn. T, 80 th, multiple VE,
hipertensi stage II. TD:
- Rawat jalan
dr. Layali
Musafiroh

138

160/100mmHg - Captopril 3x12,5 mg
- Neurodex 2x1 tab
15/10/2013 A
Ny. N, G1P0A0 usia 31
tahun uk 37 minggu preskep
dengan hipertensi dalam
kehamilan sup PER dd PEB,
susp panggul sempit. TB:
138 cm, TD: 136/90 mmHg
- Rawat inap
- IVFD RL 16 tpm
- Plan: DL, proten urin

dr. Layali
Musafiroh

139
15/10/2013 A
Ny. N, 55 th,Hipertensi
stage II dengan epistaksis.
TD: 180/100 mmHg.
- Rawat jalan
- Captopril 3x25 mg
- Propanolol 1x40 mg
- Kalnex tb 2x500 mg
dr. Layali
Musafiroh

140
15/10/2013 B
Tn. R, 60 th, VL dorsum
pedis sinistra
- Rawat jalan
- Wound toilet, hecting
- Inj. ATS 1500 IU, im, skin
test
dr. Layali
Musafiroh

141
15/10/2013 A
Nn. A 29 th, gastritis akut,
susp ISK
- Rawat jalan
- Ranitidin 2x150mg
- Antasida doen syr 3x2cth
dr. Layali
Musafiroh

142
15/10/2013 A Ny. K, 65 th, GEADS Rawat inap
dr. Layali
143

- IVFD RL loading 500 cc--
>20 tpm
- Miratrim 2x2 tab
- Mecodiar 3x1 tab
- Omegdiar 3x1 tab
-Vosea 3x1 tab
Musafiroh
15/10/2013 A
Ny. A, 29 th, G2P1A0 uk 39
minggu dengan hipertensi
dalam kehamilan suspek
PEB. TD: 169/114 mmHg.
- Rawat inap
- IVFD RL 16 tpm
- Nifedipin 4x10 mg
- Plan: DL, protein urin
dr. Layali
Musafiroh

144
17/10/2013 A
Ny. R, 39 th, G3P2A0 uk 41
minggu JTHIU preskep
kehamilan susp PER dd
PEB. TD: 140/90 mmHg
- Rawat inap observasi
kemajuan persalinan
- IVFD RL 16 tpm
- Nifedipin 2x10 mg
- Gastrul per vag 1/8 tab tiap 6
jam
dr. Layali
Musafiroh

145
17/10/2013 A
An. A, 8 bln, 8 kg, GEADS,
obs febris susp demam
tifoid.
- Rawat inap
- Plan: DL, widal
12 tpm
- Inj. Ondansetron 2x1/2A
- Lacto B 2x1 sach
dr. Layali
Musafiroh

146
17/10/2013 B Tn, D, 53 th, vulnus Rawat jalan
dr. Layali
147

laseratum plantar pedis
dextra.
- Wound toilet, hecting
- Inj. ATS 1500 IU, im
- Neurodex 2x1 tab
Musafiroh
17/10/2013 B
Ny. I, 4 th, VE digiti I pedis
dextra
Rawat jalan
- Amoxicilin 3x500 mg
- Vitalog C 1x1 tab
dr. Layali
Musafiroh

148
17/10/2013 B
Tn. D, 55 th, VE reg cruris
dextra
Rawat jalan
- Amoxicilin 3x500mg
dr. Layali
Musafiroh

149
18/10/2013 A
Ny. K, 60 th, hipetensi stage
II, gastritis. TD: 180/100
mmHg
- Rawat inap
- IVFD RL 20 tpm
- Inj. Metoclopramid 2x1A
- Captopril 3x25 mg
- HCT 1x25 mg (1-0-0)
- Curcuma 3x1 tab
- Plan: DL
dr. Layali
Musafiroh

150
18/10/2013 A An. K, 1,5 th, 8 kg. - Rawat inap
dr. Layali
151

Vomitus, TB paru dalam
pengobatan fase intensif
- Domperidon syr 3x1 cth
- Terapi TB dilanjutkan
Musafiroh
18/10/2013 A
Ny. M, 22 th, G2P1A0 uk
38 minggu JTHIU preskep
puka in partu dengan
hipertensi gestasional
suspek PER. TD 150/90
mmHg.
Rawat inap
- IVFD RL 20 tpm
- Nifedipin 3x10 mg
- Plan: DL, Protein urin
persalinan
dr. Layali
Musafiroh

152
18/10/2013 A
Nn. L, 22 th, GERD dd
gastritis
Rawat jalan
- Lansoprazol 2x1 tab
- Antasid 3x2 cth
- Neurodex 1x1 tab
dr. Layali
Musafiroh

153
18/10/2013 A
An. R, 7 bln, Diare Cair
Akut tanpa Dehidrasi, 8,5
kg
Rawat jalan
- L-Bio 3x1/2 sach
- Zinc 1x1/2 tab
dr. Layali
Musafiroh

154
20/10/2013 B
plantar pedis dextra
Rawat jalan
- Ganti balut
dr. Layali
Musafiroh

155
20/10/2013 B
Ny. K, 45 th, VE manus
sinistra
Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

156

- Vitalong C1x1 tab
20/10/2013 B
Tn. R, 59 th, VE genu
sinistra
Rawat jalan
- Ibuprofen 2x400 mg
- Neurodex 1x1 tab
dr. Layali
Musafiroh

157
20/10/2013 A
Ny. Y, 25 th, Vomitus ec
susp hepatitis akut dd
Cholesistitis, Thyfoid fever
Rawat jalan (menolak rawat
inap)
- Curcuma 3x1 tab
- Metoclopramid 3x1 tab
- Ranitidin 2x150mg
- Livron B plex 2x1 tab
dr. Layali
Musafiroh

158
20/10/2013 A
An. R, perempuan, 5 bln,
5,5 kg, GEADS, febris susp
Thyfoid fever
Rawat inap
- IVFD D5%-1/4NS loading
100 cc --> 22 tpm (mi)
- Lacto-B 2x1/2 sach
- PCT drop 3x0,6 cc
- Plan: DL, Widal
dr. Layali
Musafiroh

159
23/10/2013 B
Rawat jalan
- Ganti balut
- Metronidazol 3x500 mg
dr. Layali
Musafiroh

160
23/10/2013 A Ny. S, 50 th, Rawat jalan
dr. Layali
161

Laringitis+gastritis akut - Dexamethason 3x0,5 mg
- Ranitidin 3x1 tab
Musafiroh
23/10/2013 A
Ny. K, 53 th, DM tipe II.
GDS: 285 mg/dl
Rawat jalan
- Glimepirid 1x1 mg
- Neurodex 2x1 tab
dr. Layali
Musafiroh

162
23/10/2013 A
Ny. E, 26 th, Febris susp
Thyfoid fever. S:38,5C
Plan: DL, Widal. Hasil:
Leukosit 6.300/mm3, Widal S.
Typhii O dan H: +1/320
-Rawat jalan
- Neurodex 1x1 tab
- Edukasi: tirah baring, diet
lunak.
dr. Layali
Musafiroh

163
23/10/2013 A
Ny. S, 61 th, Osteoarthritis
Genu sinistra
Rawat jalan
-Fisioterapi
dr. Layali
Musafiroh

164
23/10/2013 A
Nn. F, 18 th, BPPV Rawat jalan
- Betahistin mesylate 2x1 tab
- Ranitidin 2x1 tab
- Neurodex 1x1 tab
- Saran konsultasi dr. Sp.S
dr. Layali
Musafiroh

165

23/10/2013 A
Tn. T, 43 th, Gasritis,
kontrol post GEADS
Rawat jalan
- Ranitidin 2x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

166
23/10/2013 B
Tn. N, kontrol post op
Tumor supraorbita dextra
Rawat jalan
- Aff hecting 2
- Neurodex 1x1 tab
dr. Layali
Musafiroh

167
23/10/2013 A
Ny. D, 60 th, DM tipe II,
dispepsia. GDS: ##high.
TD: 130/90 mmHg
rawat jalan (menolak rawat
inap)
- Glibenclamid 2x5 mg
- Lansoprazol 1x30 mg
- Neurodex 1x1 tab
dr. Layali
Musafiroh

168
23/10/2013 A
An. B, 5 th, Febris suspek
thyfoid fever. S:39C, BB 20
kg.
rawat jalan
- Cefadroxil syr 2x1 cth
- PCT syr 3x1 1/2 cth
- Curcuma 3x1 cth
- Plan: DL, widal
dr. Layali
Musafiroh

169
24/10/2013 A
Ny. S, 44 th, ODS
Konjungtivitis kronik
Rawat jalan
- Alletrol tetes mata 6x1 tetes
ODS
dr. Layali
Musafiroh

170
24/10/2013 A
An. D, perempuan, 5 th, 15
kg, Observasi febris hari ke-
4 susp Thyfoid fever dd
DHF
Plan: DL (Trombosit
178.00.mm3, leukosit
4300/mm3), Widal S. Thyphii
O dan H: +1/320
- Rawat inap
dr. Layali
Musafiroh

171

15 tpm (ma)
- Thiamphenicol syr 3x1 cth
- PCT syr 3x1 1/2 cth
- Curcuma syr 3x1 cth
24/10/2013 A
Ny. C, 30 th, G3P2A0 uk
39+6 minggu JTHIU
preskep puka dengan
hipertensi gestasional susp
Plan: DL, protein urin
- Rawat inap
- IVFD RL 16 tpm
- Nifedipin 4x10 mg
persalinan
dr. Layali
Musafiroh

172
24/10/2013 A
Tn. S, 25 th, Observasi
febris suspek malaria dd
thyfoid fever. S:39C
Plan: DL, Widal, Apusan darah
tepi Plasmodium
- Rawat inap
- IVFD RL 20 tpm
- Pct 3x500 mg
- Neurodex 2x1 tab
dr. Layali
Musafiroh

173
24/10/2013 A
Tn. H, 72 tahun, hipertensi
stage II, Diare akut tanpa
dehidrasi. TD: 165/100
mmHg.
Rawat jalan
- Captopril 3x25 mg
- HCT 1x5 mg (1-0-0)
- Antasida 3x2cth
- Lacto-B 3x2 sach
dr. Layali
Musafiroh

174
25/10/2013 B
Tn. T, 37 th, Multple VE Rawat jalan
- Wound toilet
dr. Layali
Musafiroh

175

- Vit. C 1x1 tab
25/10/2013 B
Ny. K, 36 th, VL dorsum
pedis dextra, VE pedis
sinistra
Rawat jalan
- Vit. C 1x1 tab
dr. Layali
Musafiroh

176
25/10/2013 A
Tn. A, 27 th, myalgia post
trauma
Rawat jalan
- Neurodex 2x1 tab
dr. Layali
Musafiroh

177
25/10/2013 A
Ny. T, 50 th, Observasi
febris susp Thyfoid fever dd
DHF. S: 39C
Plan: DL (Leukosit
14.000/mm3, trombosit
258.000/mm3), Widal -
(S.typhii O dan H: +1/160),
GDS: 97mg/dl. EKG: sinus
takikardi
- Rawat inap
30 tpm --> RL:D5% 1:1 30
tpm
dr. Layali
Musafiroh

178
25/10/2013 A
An. J, 5 th, 15 kg, GEADS Rawat inap
- IVFD RL loading 150 cc --
>12 tpm
- Cotrimoxazol syr 2x1 cth
dr. Layali
Musafiroh

179

- L.Bio 2x1 sach
- Zinc syr 1x1 cth
- Plan: DL
25/10/2013 A, B
Tn. M, 45 th, Hernia
scrotalis dextra+dispepsia
Rawat jalan (pro konsultasi
Sp.B, pasien menolak rawat
inap)
- Scopma plus 3x1 tab
- Antasida doen 3x2cth
- Curcuma 3x1 cth
dr. Layali
Musafiroh

180
26/10/2013 A
Tn.S, 80 th, Bronkhitis akut,
hipertensi terkontrol. TD:
130/90 mmHg
Rawat jalan
- Ambroxol 3x30 mg
- Erlamol 3x1 cth
- Bufantasid 3x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

181
26/10/2013 B
Tn.D, 53 th, kontrol VL
Rawat jalan
- Aff hecting 3
dr. Layali
Musafiroh

182
26/10/2013 A
An. R, 12 th, 23 kg, Obs.
Febris susp thyfoid fever dd
DHF
Rawat inap
200 cc--> 16 tpm
- Paracetamol 3x1/2tab
- L-Bio 2x1 sach
dr. Layali
Musafiroh

183

- Curcuma 3x1 cth
- Plan: DL, Widal
26/10/2013 A
Tn. M, 40 th, LBP Rawat jalan
- Neurodex 2x1 tab
dr. Layali
Musafiroh

184
26/10/2013 A
Ny. P, 45 th, Gastritis akut Rawat inap
- IVFD RL 20 tpm
- Bufantasid tab 2x1
- Curvit 3x1 tab
dr. Layali
Musafiroh

185
26/10/2013 B
Tn. K, 50 th, susp
ureterolithiasis sinistra
Rawat jalan
- Nefrolit 3x1 tab
- Spasminal 3x1 tab
- Analtram 3x1 tab
dr. Layali
Musafiroh

186
02/11/2013 A
Ny. D, 60 th, Gastritis, susp
ISK
Rawat inap
- IVFD RL 20 tpm
- Inj. Metoclopramid 3x1 A
- Omeprazol tab 1x1
- Curvit 3x1 tab
- Plan: DL, UL
dr. Layali
Musafiroh

187
02/11/2013 A
An. A, 10 th, 20 kg, Obs.
Febris 4 hari susp DHF dd
Thyfoid fever
Rawat inap
15 tpm
- Inj. Metoclopramid 2x1/2 A
dr. Layali
Musafiroh

188

- Curvit 3x1 tab
- DEHAF 2x1 sch
02/11/2013 A
Ny. M, 33 th, P2A1 susp
abortus komplet dd abortus
inkomplet
Rawat jalan (APS)
dr. Layali
Musafiroh

189
02/11/2013 A
Ny. R, 29 th, G4P1A2 uk 39
minggu presbo puka in partu
kala I fase aktif dengan
KPD
Rawat inap
- IVFD RL 16 tpm
- Inj. Amoxicillin 3x1 gr (iv)
Observasi kemajuan persalinan
dr. Layali
Musafiroh

190
02/11/2013 A
Ny. T, 23 th, G1P0A0 uk 40
mgg presbo puka in partu
kala I fase aktif
Rawat inap
- IVFD RL 20 tpm
persalinan
dr. Layali
Musafiroh

191
02/11/2013 C
Ny. S, 60 th, Obs dyspnea
susp BrPn dd CHF, TB paru
Rawat inap
- O2 2-3 l/m, nasal canul
- IVFD RL 20 tpm
- Inj. Cefotaxim 2x1 gr (iv,
skin test)
- Inj. Furosemid 1A (extra)
- Ambroxol 3x30 mg
Plan: DL, Ur, Cr, Ro thorax
PA
dr. Layali
Musafiroh

192
06/11/2013 A
An. Z, 3 th, 16 kg, GEADR Rawat jalan
- Zinc 1x1 tab
- L-Bio 3x1 sach
dr. Layali
Musafiroh

193

- Norvom syr 3x1/2 cth
06/11/2013 A
Tn. K, 31 th, DADR,
170/110 mmHg
Rawat jalan
- Mecodiar 3x1 tab
dr. Layali
Musafiroh

194
06/11/2013 A
An. A, 2 th, 10 kg, DADRS Rawat inap
10 tpm
- Kaotin syr 3x1 cth
- L-Bio 3x1 sach
- Zinc 2x1/2 tab
- Plan: DR, widal
dr. Layali
Musafiroh

195
06/11/2013 A
Ny. R, obs febris, post
partum 2 minggu
Rawat inap
- IVFD RL 20 tpm
- Inj. Scopamin 2x1A
- Erlamol 3x1 tab
- Plan: DR, Urin rutin, widal
dr. Layali
Musafiroh

196
06/11/2013 A
Tn. W, 60 th, GEADS Rawat inap
- IVFD RL 30 tpm
- Diastop 3x1 tab
- L-Bio 3x1 sach
- Plan: DL
dr. Layali
Musafiroh

197
06/11/2013 A
Ny. T, 27 th, G2P1A0 uk
39+5 minggu JTHIU
presentasi kaki, puki, in
Rawat inap
- IVFD RL 16 tpm
dr. Layali
Musafiroh

198

partu kala I fase aktif persalinan
06/11/2013 A
An. Q, 9 bln, 6,5 kg,
GEADS, obs febris susp
Thyfoid fever
Rawat inap
28 tpm (mi) --> RL:D5-1/4NS
1:1 28 tpm (mi)
- Paracetamol drops 4x0,7 cc
- Zinc 1x1/2 tab
- L-Bio 2x1/2 sach
dr. Layali
Musafiroh

199
06/11/2013 B
Ny. N, 24 th, susp tumor
mammae dextra
Rawat jalan
- Amoxiciin 3x500 mg
- Kontrol ke poli bedah
dr. Layali
Musafiroh

200
07/11/2013 B
Ny. S, 39 th, kontrol VL
capitis+supraorbita sinistra
Rawat jalan
- Ganti balut
- Neurodex 1x1 tab
dr. Layali
Musafiroh

201
07/11/2013 A
Tn. A, 17 th, Bronkhitis
kronis
Rawat jalan
- Cefadroxil 2x500 mg
- Fludane plus 3x1 tab
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

202
07/11/2013 B
An. M, 4 th, 15 kg, kontrol
vulnus amputatum digiti V
pedis sinistra
Rawat jalan
- Aff hecting
dr. Layali
Musafiroh

203

07/11/2013 B
An. A, 13 th, 31 kg, kontrol
VE plantar pedis dextra
Rawat jalan
- Wound toilet, ganti balut
- Gentamisin salep 1xoles
- Bioplasenton salep 1xoles
dr. Layali
Musafiroh

204
07/11/2013 A
Ny. S, 59 th, Dispepsia, PV Rawat jalan
- Ranitidin 3x1 tab
- Omeprazol 1x1 tab
- Neurodex 1x1 tab
- Ketokonazol salep 2xoles
dr. Layali
Musafiroh

205
07/11/2013 A
Ny. R, 44 th, Dispepsia,
susp anemia
Rawat jalan
- DL: pasien menolak
- SF 2x1 tab
- Curvit 3x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

206
07/11/2013 A
Ny. I, 45 th, konrol post
thyfoid fever
Rawat jalan
- Curvit 3x1 tab
dr. Layali
Musafiroh

207
07/11/2013 A
Ny. R, 60 th, Fatigue,
hipertensi terkontrol. TD:
110/90 mmHg
Rawat jalan
- Neurodex 2x1 tab
- Curvit 3x1 tab
dr. Layali
Musafiroh

208
07/11/2013 A
Ny. J, 70 th, DADRS,
Rawat jalan
- Captopril 3x25 mg
dr. Layali
Musafiroh

209

161/95 mmHg - New diatab 3x1 tab
- L-Bio 3x2 sach
- Ranitidin 2x1 tab
08/11/2013 A
Tn.S, 53 th, hipertensi stage
I, gastritis. TD: 147/80
mmHG
Rawat jalan
- Ranitidin 3150 mg
- Neurodex 2x1 tab
dr. Layali
Musafiroh

210
08/11/2013 A
Ny R, 38 th, myalgia Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

211
08/11/2013 A
Ny. N, 31 th, obs dyspnea ec
alergi makanan
Rawat inap
- O2 2-3 l/m
- IVFD D5% 20 tpm
- Inj. Dexamethason 3x1A
- Loratadin 1x1 tab
dr. Layali
Musafiroh

212
09/11/2013 B
An. Z, 13 th, 50 kg, CKR,
hematom reg. Capitis, VE
reg cruris sinistra
Rawat jalan
- Piracetam 3x400 mg
- Neurodex 2x1 tab
dr. Layali
Musafiroh

213
09/11/2013 A
Tn. H, 52 th, GEADS Rawat inap
30tpm
dr. Layali
Musafiroh

214

- New diatabs 3x1 tab
- Scopma 3x1 tab
Plan: DL
09/11/2013 A
Tn. K, 41 th, GEADS Rawat inap
30 tpm
- Kaotin 3x1
- Scopma 3x1 tab
dr. Layali
Musafiroh

215
09/11/2013 B
An. M, 4 1/2 th, 13 kg,
Multipel VE
Rawat jalan
- Wound toilet
- Bioplasenton gel 2xoles
dr. Layali
Musafiroh

216
09/11/2013 B
Ny. S, 45 th, Dislokasi
anterior articulatio
glenohumerale dextra+
fraktur caput humeri dextra
Rawat jalan (menolak konsul
Sp.OT)
- Tramadol 2x50 mg
- Neurodex 2x1 tab
- Plan: Ro shoulder joint dextra
dr. Layali
Musafiroh

217
09/11/2013 A
An. M, 2 th, 14 kg, GEADS Rawat inap
15 tpm
- L-Bio 2x1 sach
- Zinc 1x1 tab
dr. Layali
Musafiroh

218

- Plan: DL
09/11/2013 A
Tn. W, 30 th, Obs febris,
konstipasi, candidiasis oral,
susp HIV/AIDS
Rawat jalan (menolak rawat
inap)
- Bisacodyl 2x1 tab
- DMP 3x1 tab
- Curvit 3x1 tab
- Candistatin drops 4x100.000
IU
dr. Layali
Musafiroh

219
13/11/2013 A
Tn. S, 70 th, GERD Rawat inap
- IVFD RL 20 tpm
- Lansoprazol tab 2x1
dr. Layali
Musafiroh

220
13/11/2013 A
Ny. E, 41 th, serangan asma
ringan pada asma
intermitten
Rawat jalan
- Nebulisasi Ventolin 1amp
- Ambroxol 3x30 mg
dr. Layali
Musafiroh

221
14/11/2013 A
Tn. S, 72 th, hipertensi stage
II, obs vomitus. TD: 177/89
mmHg. GDS: 101 mg/dl
Rawat inap
- IVFD D5% 20 tpm -->
D5%:RL 1:1 20 tpm
- Inj Ondansetron 3x1A
- Inj. Spashi 1A
- Captopril 3x25 mg
- HCT 1x25 mg (1-0-0)
dr. Layali
Musafiroh

222
14/11/2013 B
Tn. S, 57 th, kontrol Vulnus
Punctum digiti IV manus
Rawat jalan
- Aff hecting 1
dr. Layali
Musafiroh

223

dextra - Amoxicillin 3x500 mg
- Neurodex 2x1 tab
14/11/2013 C
Nn. L, 21 th, Multipel VE Rawat jalan
- Neurodex 2x1 tab
dr. Layali
Musafiroh

224
14/11/2013 D
Nn. R, 17 th, anxietas Rawat jalan
- Alprazolam 1x0,25 mg
- Neurobion 1x1 tab
dr. Layali
Musafiroh

225
14/11/2013 B
An. A, 10 th, 29 kg, VL
labium superior sinistra
Rawat jalan
dr. Layali
Musafiroh

226
15/11/2013 A
Ny. N, 20 th, G1P0A0 uk 40
partu kala I Iama
Rawat inap
- IVFD RL 16 tpm
- Konsultasi dr. Arif, Sp.OG :
induksi persalinan dengan
Misoprostol 1/8 tab fp tiap 8
jam.
dr. Layali
Musafiroh

227
15/11/2013 A
Tn. N, 48 th, DADS,
hipertensi stage I. TD:
140/90 mmHg
Rawat inap
30 tpm
- Loperamid tab 2-1-1
- Scopma 3x1 tab
- L-Bio 3x2 sachet
dr. Layali
Musafiroh

228

- Plan: DL
15/11/2013 A
Ny. S, 27 th, G4P2A1 uk 40
partu kala II, dengan riwayat
TB
Rawat inap
- Pimpin persalinan

dr. Layali
Musafiroh

229
15/11/2013 A
Ny. L, 40 th, Gastritis akut Rawat inap (APS)
- IVFD RL 20 tpm
- Bufantasid syr x2 cth
- Omeprazol 2x1 tab
- Curvit 3x1 tab
dr. Layali
Musafiroh

230
18/11/2013 B
Sdr. S, 16 th, VL dan
dislokasi digiti V pedis
dextra, Multiple VE
Rawat inap
- Konsultasi dr. Yuli, Sp.OT :
motivasi operasi
reposisi+pasang wire
- IVFD RL 16 tpm
- Plan : Ro pedis dextra, DL
dr. Layali
Musafiroh

231
18/11/2013 A
Ny. S, 72 th, suspek
hepatitis akut, aritmia. EKG:
Ventricular couplet
Rawat inap
- Plan: DL. HBsAg, bilirubin
total, bilirubin direk
D5% 24 tpm
- Curvit 3x1 tab
dr. Layali
Musafiroh

232

- Konsultasi dr. Luqman,
Sp.PD: Dx susp
Cholangiocarcinoma, VES.
Terapi: bisoprolol 1x2,5 mg.
Cek laborat SGOT dan SGPT,
pro USG abdomen di
dr.Alip,Sp.Rad.
20/11/2013 A
Ny. R, 19 th, G2P0A1 uk
42+2 minggu JTHIU
preskep in partu kala I fase
laten
Rawat inap
- IVFD RL 16 tpm
persalinan
dr. Layali
Musafiroh

233
20/11/2013 B
Tn. R, 27 th,VL reg labium
superior, VE genu dextra et
sinistra
Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

234
21/11/2013 C
An. N, 2,5 th, 10,5 kg, KDS.
S:38C.
Rawat inap
- O2 2l/m, nasal canul
- IVFD D5%1/4 NS loading
100 cc --> 12 tpm (ma)
- Stesolid supp 1 (extra)
- PCT syr 4x1 cth
- Diazepam 2mg VI, mfla pulv
dtd X, 3x1
dr. Layali
Musafiroh

235
21/11/2013 A
Tn. M, 52 th, hipertensi
stage I, ISPA. TD: 140/90
Rawat jalan
dr. Layali
Musafiroh

236

mmHg - Captopril 3x12,5 mg
- Ambroxol 3x30 mg
- Neurodex 1x1 tab
24/11/2013 B
An. D, laki-laki, 12 th,
multiple VE.
Rawat jalan
- PCT syr 3x1 cth
dr. Layali
Musafiroh

237
24/11/2013 B
Nn. L, 21 th, VL capitis Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

238
24/11/2013 A
An. M, 8 bln, 4,6 kg.
GEADS, obs febris susp
thyfoid fever
Rawat inap
- IVFD D5% 1/4 NS loading
100 cc --> 24 tpm (mi)
- PCT drops 4x0.6 cc
- L-Bio 2x1/2 sach
- Zinc 1x10 mg
- Plan: DL, Widal
dr. Layali
Musafiroh

239
24/11/2013 A
An. N, 5,5 th, 16 kg, KDS Rawat jalan (menolak rawat
inap)
- Amoxicillin 3x1 cth
- PCT 3x 1 1/2 cth
- Diazepam 2mg VIII, Vit C
IV, sacharin ad lib mfla pulv
X, 3x1
dr. Layali
Musafiroh

240
24/11/2013 A Ny. K, 38 th, G5P2A2 uk Rawat inap
dr. Layali
241

41+2 minggu JTHIU
preskep belum in partu
- IVFD RL 16 tpm
- Konsultasi dr. Arif, Sp.OG:
induksi Misoprostol 1/8 tab fp
tiap 8 jam
Musafiroh
24/11/2013 C
Tn. T, 70 th, Observasi
dyspnea susp PPOK dd TB
paru
Rawat inap
- Plan: GDS (104 mg/dl), EKG
(sinus takikardi, P pulmonal
pada lead II, III, aVF), DL, Ur,
Cr, Ro thorax PA.
- O2 3 l/m, nasal canul
- IVFD D5%+Aminofilin 1A
20 tpm
- Ambroxol 3x30 mg
- PCT 3x500 mg
- Curvit 3x1 tab
dr. Layali
Musafiroh

242
24/11/2013 B
Tn. A, 41 th, chest pain post
trauma 2 hari SMRS, VE
manus dextra.
Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

243
25/11/2013 B
Tn I, 26 th, tumor perianal Rawat jalan
- pro konsul Sp.B
dr. Layali
Musafiroh

244

25/11/2013 A
Ny.S, 63 th, hipertensi stage
II. TD: 180/100 mmHg
Rawat jalan
- Captopril 3x25 mg
- Amlodipin 1x10 mg
- Neurodex 1x1 tab
dr. Layali
Musafiroh

245
25/11/2013 A
Sdr. T, 19 th, Scabies Rawat jalan
- Scabisid 1xoles malam hari
- Loratadin 1x1 tab
- Edukasi : rendam pakaian
dengan air panas sebelum
dicuci, gunakan pakaian yang
tidak ketat, yang menyerap
keringat, pisahkan pakaian
pasien dengan anggota
keluarga lain saat dicuci,
hindari berbagi menggunakan
pakaian.
dr. Layali
Musafiroh

246
25/11/2013 B
An. D, 12 th, kontrol
multiple VE
Rawat jalan
- Bioplasenton 3xoles
dr. Layali
Musafiroh

247
25/11/2013 A
Ny. R, 60 th, kontrol post
GEADS, hipertensi stage I.
TD: 140/90 mmHg.
Rawat jalan
- Amlodipin 1x5 mg
dr. Layali
Musafiroh

248
25/11/2013 A
Ny. S, 17 th, kontrol post
SC h-13
Rawat jalan
- Ganti balut
dr. Layali
Musafiroh

249
25/11/2013 B
An. A, 13 th, kontrol post
ORIF a/i closed fraktur
antebrachii sinistra
Rawat jalan
- Ganti balut
dr. Layali
Musafiroh

250

25/11/2013 A
Tn. S, 28 th, susp
limfadenitis colli
Rawat jalan
- kontrol 3 hari kemudian
dr. Layali
Musafiroh

251
25/11/2013 A
Ny. S, 28 th, mialgia Rawat jalan
- Sohobion 1x1 tab
dr. Layali
Musafiroh

252
25/11/2013 A
An. A, 12 th, 20 kg, ISPA Rawat jalan
- Plan: DL (leukosit
17.500/mm3)
- PCT syr 3x1.5 cth
- Ambroxol 3x15 mg
dr. Layali
Musafiroh

253
25/11/2013 A
Tn. J, 32 th, Febris 6 hari
susp thyfoid fever. S:36,2C.
Rawat jalan
- Plan: DL, widal (+1/320)
- PCT 3x500 mg kp
- Sohobion 1x1 tab
dr. Layali
Musafiroh

254
26/11/2013 B
Ny. S, 35 th, VL labium
superior externa, labium
inferior interna et mentalis
Rawat jalan
- Wound toilet, hecting luar 2,
dalam 6
dr. Layali
Musafiroh

255

- Betadine kumur 3x/hari
26/11/2013 A
An. A, 8 bln, 8 kg, GEADS Rawat inap
- IVFD Rl loading 150 cc -->
32 tpm (mi)
- Cotrimoxazol syr 2x1 cth
- PCT syr 3x1 cth
- L-Bio 2x1/2 sach
- Zinc 1x10 mg
- Plan: DL
dr. Layali
Musafiroh

256
26/11/2013 B
Ny.J, 70 th, fraktur tertutup
linier os ulna 1/3 distal
dextra
Rawat jalan (menolak konsul
Sp.OT)
- Tramadol 2x50 mg
- Thrombophob gel 2xoles
- Plan: Ro wrist joint dextra
dr. Layali
Musafiroh

257
26/11/2013 A
Ny. R, 40 th, G3P2A0 uk 40
PEB. TD: 153/78 mmHg,
s:38C
Rawat inap
- IVFD RL 20 tpm
- Nifedipin 3x10 mg
- Plan: DL, protein urin.

dr. Layali
Musafiroh

258
26/11/2013 A
Ny. T, 45 th, GEADS. Rawat inap
30 tpm
- Inj. Ondansetron 2x1a
- Inj. Spashi 1A (extra)
dr. Layali
Musafiroh

259

- Lacto-B 3x2 sach
- Plan: DL
27/11/2013 A
Ny. F, 25 th, G3P2A0 uk
9+3 minggu susp Abortus
imminens dd hemoroid
interna grade I
Rawat inap
- IVFD RL 20 tpm
- Hystolan 3x1 tab
dr. Layali
Musafiroh

260
27/11/2013 A
Ny. S, 26 th, G1P0A0 uk 37
minggu JTHIU presbo in
Rawat inap
- IVFD RL 20 tpm
persalinan
dr. Layali
Musafiroh

261
27/11/2013 C
Tn. C, 64 th, Obs
hematemesis susp gastritis
erosiva dd ulkus peptikum.
KU/Kes: lemas,
pucat/E3M6V5. TD: 79/49
mmHg. CA +/+
Rujuk
- Pasang NGT, bilas lambung
500 cc
40 tpm
- Inj. Pantoprazol 80 mg
- Inj. Asam Tranexamat 1A
- Inj. Vit K 1 A
dr. Layali
Musafiroh

262
27/11/2013 B
Ny. S, 37 th, Multiple VE Rawat jalan
- Wound toilet
- Mertigo 2x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

263
29/11/2013 B
Tn. D, 45 th, VL supraorbita
dextra
Rawat jalan
dr. Layali
Musafiroh

264

- Neurodex 1x1 tab
29/11/2013 A
Ny. S, 37 th, G5P2A2 uk 36
partu kala I lama
Rawat inap
- Konsul dr.Arif, Sp.OG: Inj.
Dexamethason 15 mg
persalinan
dr. Layali
Musafiroh

265
29/11/2013 B
Sdr. N, 20 th, hematom
antebrachii dextra post
dipukuli
Rawat jalan

dr. Layali
Musafiroh

266
29/11/2013 A
Ny. I, 25 th, GEADS. TD:
79/56 mm/Hg.
Rawat inap
- Plan: DL, GDS (109 mg/dl)
RL:D5% 1:1 30 tpm
- Scopamin 3x1 tab
dr. Layali
Musafiroh

267
01/12/2013 C
Ny. K, 50 th, obs dyspnea
susp CHF dd TB paru kasus
kambuh
Rawat inap
- O2 4l/m
- IVFD D5% 500 cc/24 jam
- Curvit 3x1 tab
- Konsul dr. Luqman, Sp.PD :
Ro thorax
dr. Layali
Musafiroh

268
01/12/2013 B
Tn. A, 30 th, VE manus
dextra et genu sinistra
Rawat jalan
- Wound toilet
dr. Layali
Musafiroh

269

- Neurodex 1x1 tab
01/12/2013 A
Nn. K, 19 th, GEADS Rawat inap
30 tpm
- Scopamin 3x1 tab
- Lacto-B 3x2 sachet
- Plan: DL
dr. Layali
Musafiroh

270
02/12/2013 B
Tn. M, 47 th, tumor penis Rawat inap
- IVFD RL+Adona 1A, 20 tpm
- Inj. Cefotaxime 2x1 gr
- Inj. Ketorolac 2x1 A
- Inj. Vit.K 1x1 A
- Motivasi rujuk RSU DR.
Karyadi Semarang
dr. Layali
Musafiroh

271
02/12/2013 B
Sdr. K, 14 th, Multiple VE,
hematom retroauricula
dextra, antebrachii sinistra
Rawat jalan
- Neurodex 1x1 tab
Visum et repertum
dr. Layali
Musafiroh

272
02/12/2013 B
Ny. K, 45 th, tumor
nasofaring susp ganas
Rujuk
- IVFD D5% 20 tpm
dr. Layali
Musafiroh

273
02/12/2013 A
Ny. S, 45 th, hipertensi stage
I, gastritis
Rawat jalan
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

274

- Ranitidin 2x1 tab
- Scopamin 3x1 tab
- Vitazym 2x1 tab
02/12/2013 A
Ny. J, 21 th, G1P0A0 uk 41
puka in partu kala I lama
Rawat inap
- IVFD Rl 20 tpm
- Konsultasi dr. Arif, Sp.OG :
induksi misoprostol 1/8 tab pv
tiap 8 jam
dr. Layali
Musafiroh

275
03/12/2013 A
Ny. S, 27 th, G3P2A0 uk 12
minggu susp Abortus
insipien
Rawat inap
- IVFD RL 20 tpm

dr. Layali
Musafiroh

276
03/12/2013 B
Tn. A, 37 th, colic abdomen
susp ureterolithiasis sinistra,
hipertensi stage II
Rawat inap
- Pasang DC
- IVFD RL 20 tpm
- Inj. Spashi 3x1A
- Captopril 3x25 mg
- Plan: DL, UL, BNO abdomen
dr. Layali
Musafiroh

277
03/12/2013 C
Ny. A, 45 th, angina pectoris
susp ACS.
Rawat inap
- EKG : ST elevasi di lead
V4,5,6
- IVFD RL 20 tpm
- Aspilet 2 tab 80 mg,
selanjutnya 3x80 mg
- Clopidogrel 4 tab 75 mg,
selanjutnya 1x75 mg
- Amlodipin 1x10 mg
dr. Layali
Musafiroh

278

06/12/2013 A
Ny. D, 32 th, G2P0A1 uk
37+5 minggu JTHIU
laten dengan hipertensi
dalam kehamilan susp PEB.
TD: 160/100 mmHg.
Rawat inap
- IVFD RL 20 tpm
- Nifedipin 10 mg

dr. Layali
Musafiroh

279
06/12/2013 B
Tn. S, 49 th, V. Amputatum
digiti II manus sinistra
Wound toilet, hecting
situasional
- Rujuk
- Ciprofloxacin tab 500 mg
- Asam mefenamat tab 500 mg
dr. Layali
Musafiroh

280
06/12/2013 C
An. R, 2 th, 13 kg, KDS.
S:39C
Rawat inap
- IVFD D5%-1/4 NS 12 tpm
(ma)
- Diazepam 2 mg III, sacharin
ad libitum mfla pulv dtd X,
3x1
dr. Layali
Musafiroh

281
06/12/2013 B
Ny. T, 32 th, VE supraorbita
sinistra
Rawat jalan
- Neurodex 1x1 tab
- Thrombophob gel 3x oles
dr. Layali
Musafiroh

282
06/12/2013 B
Ny. I, 28 th, VE supraorbita
dextra
Rawat jalan
- Neurodex 1x1 tab
dr. Layali
Musafiroh

283
06/12/2013 A
Ny. S, 52 th, Hipertensi
stage II. TD: 180/90 mmHg.
Rawat inap
- EKG: LVH
dr. Layali
Musafiroh

284

- IVFD D5% 20 tpm
- Captopril 3x25 mg
- Amlodipin 1x10 mg
06/12/2013 A
Tn. W, 59 th, gastritis Rawat inap (APS)
- IVFD D5% 20 tpm
- Inj. Spashi 1A (extra)
- Omeprazol 2x1 tab
- Ranitidin 3x1 tab
- Antasida 3x2cth
dr. Layali
Musafiroh

285
06/12/2013 A
Ny. M, 40 th, G4P3A0 uk
36 minggu JTHIU preskep
in partu kala I fase laten
dengan KPD
Rawat inap
- IVFD RL 20 tpm
- Inj. Amoxicillin 3x1gr (iv)
skintest
- Plan:DL
dr. Layali
Musafiroh

286
08/12/2013 B
Ny. R, 32 th, VL pedis
sinistra
Rawat jalan
- Wound toilet, hecting dalam
2, luar 7
- Inj. ATS 1500 IU (im, skin
test)
- Ranitidin 2x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

287
08/12/2013 B
An. N, 8 th, 26 kg, VE pedis
sinistra
Rawat jalan
- Wound toilet
dr. Layali
Musafiroh

288

08/12/2013 B
Sdr W, 19 th, VL plantar
pedis sinistra
Rawat jalana
3, luar 9
- Inj. ATS 1500 IU (im,
skintest)
- Ranitidin 2x1 tab
- Neurodex 2x1 tab
dr. Layali
Musafiroh

289
08/12/2013 A
Ny. R, 50 th, GEADS,
150/90 mmHg
Rawat inap
30 tpm
- Loperamid 2-1-1
- Lacto-b 3x2 sach
- Plan: DL
dr. Layali
Musafiroh

290
08/12/2013 A
Ny.I, 32 th, faringitis akut Rawat jalan
- Ciprofloxacin 2x 500 mg
- Curcumex 3x1tab
dr. Layali
Musafiroh

291
08/12/2013 A
Sdr. A, 24 th, susp thyfoid.
S: 36,2C, GDS: 79 mg/dl
Rawat inap (APS)
- IVFD D5% 20 tpm --> RL 20
tpm
dr. Layali
Musafiroh

292

08/12/2013 A
Nn. I, 28 th, gastriti post
intoksikasi alkohol. GDS:
69 mg/dl.
Rawat jalan (menolak RI)
- Omeprazol 2x1 tab
- Ranitidin 3x1 tab
- Curvit 3x1 tab
dr. Layali
Musafiroh

293
09/12/2013 A
Ny.D, 41 th, gastritis akut Rawat jalan
- Omeprazol 2x1 tab
- Ranitidin 3x1 tab
- Antasid tab 3x1
- Neurodex 1x1 tab
dr. Layali
Musafiroh

294
09/12/2013 A
An. S, 8 th, 19 kg, obs febris
susp thyfoid fever dd DHF.
S:38C
Rawat inap
- IVFD D5%-1/4NS 15 tpm
(ma)
- Inj. Ondansetron 2x1/2 tab
- PCT syr 3x2 cth
- Plan: DL, widal
dr. Layali
Musafiroh

295
09/12/2013 A
An. L, 14 th, gastritis akut
dd dismenorea
Rawat inap
- IVFD RL 20 tpm
- Inj. Spashi 3x1A
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

296
09/12/2013 B
Tn.L, 24 th, VL&VE reg
mentalis, susp closed fraktur
antebrachii sinistra distal
Wound toilet, hecting luar 3
- Immobilisasi wrist joint
sinistra
- Ro wrist joint dextra
dr. Layali
Musafiroh

297

- Neurodex 1x1 tab
09/12/2013 A
An. F, 6 bln, 8 kg. GEADS Rawat inap
36 tpm (mi)
- L-Bio 2x1 sach
- Zinc 1x1/2 tab
- PCT drops 3x0,8 cc
dr. Layali
Musafiroh

298
12/12/2013 B
Ny. R, 60 th, V. Punctm
manus dextra, hipertensi
stage II. TD: 180/100
mmHg
Rawat jalan
- Captopril 3x25 mg
dr. Layali
Musafiroh

299
12/12/2013 C
Ny. D, 26 th, G2P1A0
dengan retensio plasenta.
TD: 100/80 mmHg
Rawat inap
RL 500 cc+ Oxytosin 1 amp
drip 20 tpm
- Manual plasenta
- Inj. Methergin 1A (im)
- Inj. Amoxicillin 3x1 gr (iv,
skintest)
- SF 2x1 tab
- Plan: DL (Hb 9,4 g/dl,
dr. Layali
Musafiroh

300

leukosit 11.970/mm3,
Trombosit 156.000/mm3)
13/12/2013 A
Ny. B, 24 th, G1P0A0 uk
16+1 minggu dengan
hiperemesis gravidarum dan
febris
Rawat inap
RL:D5:NaCl:Aminofluid
1:1:1:1 30 tpm
- Drip Neurosanbe 1A/24 jam
- Plan: DL, widal
dr. Layali
Musafiroh

301
13/12/2013 A
AN. M, 5 th, 17 kg,
Hydradenitis supurativa,
rhinofaringitis
Rawat jalan
- Coparcetin kid cough 3x1 cth
- Loratadin III, sacharin ad lib
pulv No.VI,1x1
dr. Layali
Musafiroh

302
14/12/2013 B
Sdr. W, 19 th, kontrol VL
Rawat jalan
- Wound toilet, ganti balut
- Huferalgin 3x1 tab
dr. Layali
Musafiroh

303
14/12/2013 A
Ny. M, 57th, Dm tipe II
terkontrol. GDP: 92 mg/dl.
TD: 100/70 mmHg
Rawat jalan
- Glimepirid 1x1 mg
dr. Layali
Musafiroh

304
14/12/2013 A
Ny. M, 51 th,
CHF&cardiomiopati
Rawat jalan
- Furosemid 1x20 mg
dr. Layali
Musafiroh

305

dilatasi. TD: 130/80 mmHg - Digoxin 2x1/2 tab
- Aspilet 1x1 tab
- Letonal 1x25 mg
- Curcuma 1x1 tab
14/12/2013 A
Ny. K, 65 th, low back
pain&gastritis
Rawat jalan
- Calc os 1x1 tab
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

306
14/12/2013 A
Ny.L, 54 th, hipertensi stage
II+gastritis. TD: 160/90
mmHg
Rawat jalan
- Amlodipin 1x10 mg
- Curvit 3x1 tab
dr. Layali
Musafiroh

307
14/12/2013 A
Ny. K, 42 th,
gastritis&migrain
Rawat jalan
- Omeprazol 2x1 tab
- Ranitidin 3x1tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

308
15/12/2013 B
Nn. R, 18 th, tumor
mammae dextra pro operasi
Rawat inap
- Puasakan mulai pukul 06.00
dr. Layali
Musafiroh

309
18/12/2013 B
Sdr. W, 19 th, kontrol VL
Rawat jalan
- Aff hecting selang-seling
- Clindamisin 3x300 mg
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

310
18/12/2013 A
Ny. M, 45 th, gastritis
kronik
Rawat jalan
dr. Layali
Musafiroh

311

- Ranitidin 2x1 tab
- Curvit 2x1 tab
18/12/2013 A
Ny. F, 41 th, gastriris akut Rawat jalan
- Omeprazol 1x1 tab
- Ranitidin 2x1 tab
- Diazepam 2 mg 1x1 (malam)
dr. Layali
Musafiroh

312
18/12/2013 A
Tn. A, 24 th, thyfoid fever.
S:38C, S.thyphii O: +1/160
Rawat jalan
- Ciprofloxacin2x500 mg
- Paracetamol 3x500 mh
- Ranitidin 2x1tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

313
18/12/2013 A
Tn. I, 32 th, hipertensi
terkontrol, cephalgia. TD:
110/80 mmHg.
Rawat jalan
- Amlodipin 1x5 mg
- Histigo 3x1 tab
- Neurodex 1x1 tab
- Diazepam 2mg 1x1 (malam)
dr. Layali
Musafiroh

314
18/12/2013 A
Tn. S, 39 th, Insomnia Rawat jalan
- Alprazolam 0,5 mg 1x1
(malam)
- Diazepam 2mg 1x1 (malam)
dr. Layali
Musafiroh

315
19/12/2013 B
Sdr. F, 20 th, V. Amputatum
digiti V manus sinistra.
Rawat jalan
2, luar 7
- Inj. ATS 1500 IU (im, skin
test)
dr. Layali
Musafiroh

316

- Ranitidin 2x1 tab
19/12/2013 B
Tn. D, 38 th, VL capitis Rawat jalan
- Tramadol 2x50 mg
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

317
20/12/2013 A
Ny. R, 50 th, observasi
febris h-7 susp thyfoid fever
dd DHF. S:39C
Rawat inap
- IVFD RL 20 tpm
- Paracetamol 4x500 mg k.p
- Curcuma 3x1 tab
- Plan: DL, widal.
dr. Layali
Musafiroh

318
20/12/2013 A
Tn. K, 31 th, Obs febris susp
thyfoid dd DHF. S: 37,9C.
TD: 96/60 mmHg.
Rawat inap
- IVFD RL lading 500 cc--> 30
tpm
- Neurodex 1x1 tab
- Plan: DL, Widal.
dr. Layali
Musafiroh

319
20/12/2013 A
Ny. W, 27 th, G1P0A0 uk
9+3 minggu dengan
hiperemesis gravidarum.
TD: 110/70 mmHg, GDS:
76 mgl/dl.
Rawat inap
- IVFD
RL:D5%:NaCl:Aminofluid
1:1:1:1 30 tpm
dr. Layali
Musafiroh

320

21/12/2013 A
Tn. W, 48 th, gastritis,
mialgia
Rawat jalan
- Omeprazol 1x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

321
21/12/2013 B
Tn. A, 60 th, Abdominal
pain susp ileus, hipertensi
stage II. TD: 160.90 mmHg
Rawat inap
- Plan: DL, Ro abdomen
- IVFD RL 20 tpm
- Amlodipin 1x5 mg
dr. Layali
Musafiroh

322
21/12/2013 A
An. S, 10 bln, 8,5kg, kontrol
post KDS+bronchiolitis
Rawat jalan
- Cefadroxyl syrup 2x1/2 cth
dr. Layali
Musafiroh

323
21/12/2013 A
Tn. T, 36 th, varicella Rawat jalan
- Acyclovir 5x400 mg
- Imunos 3x1 tab
- Loratadin 2x1 tab
- Vitazym 2x1 tab
- Acyclovir salep 2xoles
dr. Layali
Musafiroh

324
21/12/2013 A
Ny. K, 47 th, hipertensi
stage I, karies dentis.
TD:130/90 mmHg
Rawat jalan
dr. Layali
Musafiroh

325
21/12/2013 B
Sdr W, 19 th, VL plantar
pedis sinistra
Rawat jalan
- aff hecting 2
dr. Layali
Musafiroh

326

21/12/2013 A
An. N, 9 bln, 9 kg. Febris
dan vomitus susp Tifoid
fever. S: 37C
Rawat jalan
- Plan: DL (Hb 13,1; Leukosit
5.200; trombosit 142.000),
widal (+1/80)
- Thiamphenicol syr 4x1 cth
- PCT syr 3x1 cth
- Vosea syr 3x1/2 cth
dr. Layali
Musafiroh

327
21/12/2013 A
Tn. D, 34 th, bronchitis Rawat jalan
- Ambroxol 3x30 mg
dr. Layali
Musafiroh

328
21/12/2013 B
Tn. K, 45 th, suspek
dislokasi elbow joint sinistra
Rawat jalan
- Plan: Ro elbow joint sinistra:
Closed fraktur os humeri 1/3
distal oblique displaced
- Kontrol ke Poli Bedah
Orthopaedi
- Tramadol 2x50 mg
dr. Layali
Musafiroh

329
21/12/2013 A
Ny. M, 59 th, hipertensi
stage II, hiperglikemia susp
DM tipe II, obs febris susp.
Thyfoid fever dd DHF.
GDS: 225 mg/dl, TD:
170/100 mmHg, N: 104x/m,
Rawat inap
- EKG: sinus takikardi
- Plan: DL, widal, GDP,
GD2PP
30 tpm
dr. Layali
Musafiroh

330

s: 39,9C - Inj. Ranitidin 2x1 A
- Captopril 3x25 mg
- Amlodipin 1x10 mg
21/12/2013 A
Tn. T, 45 th, herpes zoster
reg thoracalis
Rawat jalan
- Acyclovir tab 5x400 mg
- Tramadol 2x50 mg
- Stimuno 1x1 tab
- Acyclovir salep 2xoles
dr. Layali
Musafiroh

331
27/12/2013 B
An. F, 6 th, 20 kg, multiple
VE+hematom periauricula
dextra
Rawat jalan
- Wound toilet
dr. Layali
Musafiroh

332
27/12/2013 C
Ny. K, retensio urine
rekuren ec susp ISK
Rawat jalan
- Pasang DC--> urine keluar
700 cc kuning jernih
- Scopamin 2x1 tab
- Ranitidin 2x1tab
dr. Layali
Musafiroh

333
27/12/2013 A
Tn. S, 50 th, selulitis femur
sinistra, DM tipe Iim
112/96 mmHg, GDS: 224
mg/dl
Rawat inap
- Plan: DL, Ur, Cr
- IVFD RL 20 tpm
- Inf. Metronidazol 3x500 mg
- Inj. Cefotaxim 2x1 gr (iv)
dr. Layali
Musafiroh

334

- Glimepirid 1x1 mg
- Amlodipin 1x10 mg
30/12/2013 A
Ny. G, G1P0A0 23 th, uk
42+2 minggu JTHIU
laten
Rawat inap
- Induksi gastrul 1/8 tab/vag/6
jam
persalinan
dr. Layali
Musafiroh

335
30/12/2013 A
Ny. S, G3P1A1 27 th, uk 41
minggu in partu kala I fase
aktif
Rawat inap
- Drip Oksitosin 5 IU dalam
RL 500 cc 12 tpm
- Inj. Amoxicillin 3x1 gr (iv)
persalinan
dr. Layali
Musafiroh

336
30/12/2013 A
Ny. W, G1P0A0 usia 22 th,,
uk 17 minggu suspek
Abortus imminens dd
abortus insipiens
Rawat inap
- IVFD RL 20 tpm
- Premaston 3x1 tab
- Paracetamol 2x500 mg kp
dr. Layali
Musafiroh

337
31/12/2013 A
Tn. S, 53 th, TB paru dalam
pengobatan fase intensif
Rawat jalan
- FDC 1x3 tab
- Curcuma 3x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

338
31/12/2013 A
Sdr. M, 21 th left sided
hipertensi porta dd sirosis
hepatis
Rawat jalan
- Furosemid 1x20 mg
- Spironolakton 1x100 mg
- Curcuma 3x1 tab
dr. Layali
Musafiroh

339
31/12/2013 A Ny I, 65 th, angina pectoris Rawat jalan
dr. Layali
340

stabil, gastritis. - ISDN 1x5 mg sl
- Aspilet 1x80 mg
- Alprazolam 0.5 mg 0-0-1
- Omeprazol 2x1 tab
- Curcuma 3x1 tab
Musafiroh
31/12/2013 A
An. R, 2 th, 10 kg, febris
susp thyfoid dd DHF. S:
37,7C
Rawat jalan
- Plan: DL (Hb 8,8; leukosit
13.300; trombosit 315.000; Hct
28,5), widal (+1/80)
- Thiamphenicol 4x1 cth
- Paracetamol 3x1 cth kp
dr. Layali
Musafiroh

341
31/12/2013 A
Tn. W, 34 th, low back pain
susp coxitis
Rawat jalan
- Piroxicam 1x1 tab
- Ranitidin 2x1 tab
- Dolo Scanneuron 1x1 tab
dr. Layali
Musafiroh

342
31/12/2013 A
Ny. T, 45 th, gastritis
kronik, hematom femur
sinistra post trauma.
Rawat jalan
- Omeprazol 2x1 tab
- Ranitidin 2x1 tab
- Tramadol 2x1 cap
dr. Layali
Musafiroh

343
31/12/2013 B
Nn. D, 17 th, susp mastitis
mammae sinistra
Rawat jalan
- Loratadin 1x1 tab
- Gentamisin salep 2xoles
dr. Layali
Musafiroh

344
01/01/2014 A An. G, 10 th, 39 kg, vomitus Rawat jalan
dr. Layali
345

ec motion sickness, gastritis
akut
- Norvom syr 3x1 cth
- Ranitidin 2x1/2 tab
Musafiroh
01/01/2014 B
An. N, 6th, 20 kg, VL reg
capitis
Rawat jalan
dr. Layali
Musafiroh

346
01/01/2014 A
Ny. S, 45 th, BPPV Rawat inap
- GDS: 89 mg/dl
- IVFD RL:D5% 1:1 20 tpm
- Betahistin mesylate 3x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

347
02/01/2014 A
Ny. W, 47 th, Asma
bronchiale intermitten
Rawat jalan
- Aminofilin 2x1 tab
- Loratadin 1x1 tab
- GG 3x1 tab
- Stimuno 1x1 tab
dr. Layali
Musafiroh

348
02/01/2014 A
Tn. W, 45 th, post tifoid
fever, urtikaria
Rawat jalan
- Cefixim 2x1 tab
- Antasid 3x1 tab
dr. Layali
Musafiroh

349
02/01/2014 A
Tn. M, 34 th, susp TB paru Rawat jalan
- Cefadroxil 3x1 tab
- Ambroxol 3x1 tab
- Stimuno 1x1 tab
dr. Layali
Musafiroh

350

02/01/2014 B
An. W, 5 th, 16 kg, kontrol
VL digiti I manus sinistra
Rawat jalan
- Amoxicillin syrup 3x 1 1/2
cth
- Paracetamol syr 3x 1 1/2 cth
- Bioplasenton 2xoles,
Betadine 2xoles, ganti balut
2x/hari
dr. Layali
Musafiroh

351
02/01/2014 B
Ny. S, 51 th, V. Punctum
plantar pedis sinistra.
Rawat jalan
- Ganti balut
- Ranitidin 2x1 tab
- Curvit 3x1 tab
dr. Layali
Musafiroh

352
02/01/2014 B
Tn. I, 30 th, VL&VE
multiple
Rawat jalan
- Ganti balut
- Ciprofloxacin 2x500 mh
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

353
02/01/2014 A
Tn. W, 53 th, tifoid fever Rawat jalan
- Thiamphenicol 4x1 tab
- Ranitidin 2x1 tab
- Dolo scanneuron 2x1 tab
dr. Layali
Musafiroh

354
02/01/2014 B
Ny. M, 33 th, Abdominal
pain susp appendisitis
Rujuk Sp.B
- Ketoprofen 2x1 tab
- Scopamin 3x1 tab
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

355

02/01/2014 A
Ny L, 41 th, Mialgia post
trauma genu Sinistra
Rujuk RS Mitra Siaga untuk
Ro Genu sinistra
dr. Layali
Musafiroh

356
02/01/2014 B
Nn. D, 18 th, pro Remove
plate femur sinistra
Rawat inap
- IVFD RL 20 tpm
- Puasa 6 jam pre OP
- Plan: DL, CT, BT, EKG
dr. Layali
Musafiroh

357
02/01/2014 A
Ny. K, 30 th, retensio urine
susp ureterolithiasis
Rawat jalan
- Aff DC
- Nephrolit 2x1 tab
- Scopamin 2x1 tab
dr. Layali
Musafiroh

358
02/01/2014 A
Ny.H, 41 th, mialgia Rawat jalan
- Ranitidin 2x150 mg.
- Plan: kolesterol total (130,9
mg/dl), asam urat (2,9 mg/dl)
dr. Layali
Musafiroh

359
02/01/2014 A
Tn. S, 53 th, gastritis akut,
150/90 mmHg.
Rawat jalan
- Omeprazol 2x1tab
- Antasida 3x1 tab
- Curvit 3x1 tab
dr. Layali
Musafiroh

360
03/01/2014 B
Tn. D, 53 th, Multiple
VL&VE
Rawat jalan
2, hecting luar 6
dr. Layali
Musafiroh

361

03/01/2014 B
Tn. I, 30 th, susp
nefrolithiasis sinistra
Rujuk untuk BNO-IVP
- Inj. Ketorolac 1A (im)
- Furosemid 1x1 tab
- Neurosanbe 3x1 tab
dr. Layali
Musafiroh

362
03/01/2014 A
Sdr. N, 22 th, Obs febris
suspek tifoid fever, muscle
spasme ekstremitas superior.
Rawat inap
- O2 2l/m
- IVFD RL 500cc+Phenytoin
1A (extra) 20 tpm
- Inj. Ondansetron 2x1A(iv)
- Diazepam tab 5mg 0-0-1
-Plan: DL, Widal (+1/320)
- Inj. Ceftriaxon 2x1 gr (iv),
skintest
dr. Layali
Musafiroh

363
03/01/2014 A
Tn. K, 40 th, GEADS Rawat inap
>30 tpm
- Inj. Ondansetron 2x1A(iv)
- Inj. Scopamin 1A(extra)
dr. Layali
Musafiroh

364
03/01/2014 A
Tn.T, 25 th, Obs Vomitus ec
gastritis akut. TD: 90/50
Rawat inap - IVFD RL
loading 500 cc--> TD 100/70
dr. Layali
Musafiroh

365

mmHg. mmHg --> RL 30 tpm
- Inj. Ranitidin 3x1A (iv)
- Inj. Ondansetron 3x1A (iv)
- Inj. Difenhidramin 1A (extra)
- Omeprazol 2x1 tab
06/01/2014 A
An. H, 7 bln, 7 kg, GEADS Rawat inap
150 cc-->30 tpm (mikro)
- Inj. Ranitidin 2x1/4A (iv)
- Inj. Ondansetron 2x1/4A (iv)
- Lacto-B 2x1 sach
- Zinc 1x10 mg
- Plan: DL
dr. Layali
Musafiroh

366
06/01/2014 A
Ny. R, 50 th, GEADS Rawat inap
- IVFD RL 30 tpm
- Inj.Ranitidin 2x1A (iv)
- Inj. Scopamin 1A(extra)
- Cotrimoxazol 2x1 tab
- Plan: DL, Widal
dr. Layali
Musafiroh

367
10/01/2014 A
Ny.I, 27 th, Hipertensi stage
II dan GERD. TD: 180/100
mmHg.
Rawat jalan
- Amlodipin 1x10 mg
- Omeprazol 2x1 tab
- Ranitidin 2x1 tab
- Antasid syr 3x2cth
dr. Layali
Musafiroh

368
10/01/2014 A Ny. W, 23 th, urtikaria. Rawat jalan
dr. Layali
369

- Loratadin 2x1tab
- Dolo Scanneuron 1x1 tab
- Betamethason cream 2xoles
Musafiroh
10/01/2014 A
Ny.L. 30 th, G4P2A1 uk 32
minggu JTHIU belum in
partu, dengan DADS.
TD:87/53mmHg
Rawat inap
- IVFD RL loading 500cc-->30
tpm
- Inj Ranitidin 3x1A (iv)
- Inj.Scopamin 1A (extra)
- Lacto-B 3x2 sach
dr. Layali
Musafiroh

370
10/01/2014 A
Sdr.K, 24 th, obs febris
suspek tifoid fever dd DHf.
TD:108/70 MmHg. S:38,5C.
Rawat inap
- IVFD RL 20 tpm
- Neurodex 2x1 tab
- Plan: DL, widal
dr. Layali
Musafiroh

371
12/01/2014 A
An.R, 12 th, 30 kg, obs
febris suspek DHF dd
Tifoid. S:37,8C.
Rawat inap
>18 tpm (ma)
- Inj.Ondansetron 2x1/2A
- Imulan syr 3x1 cth
-Plan:DL, widal
dr. Layali
Musafiroh

372
12/01/2014 A
Ny.S, 80 th, gastritis akut dd
GERD
Rawat inap
- IVFD RL 20 tpm
dr. Layali
Musafiroh

373

- Inj.Ondansetron 2x1A(iv)
- Inj. Scopamin 2x1A (iv)
12/01/2014 B
Ny. A, 22 th, VE+edema
ankle joint sinistra
Rawat jalan
- Thrombohob gel 3xoles
dr. Layali
Musafiroh

374
12/01/2014 B
Ny.W, 88 th, suspek
dislokasi genu sinistra.
Rujuk
- IVFD RL 500cc+Ketorolac
1A 20 tpm
- Elastic band
dr. Layali
Musafiroh

375
12/01/2014 A
Tn. S, 52 th, susp hepatitis,
gastritis akut.
Rawat jalan
- Omeprazol 2x1 tab
- Antasida 3x2cth
- Curcuma 3x1tab
dr. Layali
Musafiroh

376
13/01/2014 A
Ny. M, 80 th, gastritis akut,
anemia berat. TD: 94/44
mmHg, Hb: 5,2 g/dl.
Rawat inap
>30 tpm
- Transfusi PRC 3 kolf,
premedikasi Inj. Difenhidramin
1A
- Post transfusi IVFD NaCl
0,9% 20 tpm
dalam RL 500 cc
- Inj. Ranitidin 2x1A (Iv)
- Omeprazol 2x1tab
dr. Layali
Musafiroh

377

13/01/2014 A
Tn. S, 50 th, BPPV Rawat inap
- IVFD RL 20 tpm
- Mertigo SR 2x1 tab
dr. Layali
Musafiroh

378
13/01/2014 B
Tn. A, 25 th, kontrol VL
digiti II dan III manus
dextra post ekstraksi kuku
Rawat jalan
- Ganti balut
- Ciprofloacin 2x500 mg
- Paracetamol 3x500 mh
- Neurodex 1x1 tab
dr. Layali
Musafiroh

379
13/01/2014 A
Sdr.A, 17 th, obs febris susp
tifoid fever dd DHF.
S:39,3C.
Rawat inap
- Plan: DL (Hb 16,2; leukosit
4.600, trombosit 85.000),
Widal (S.thyphii O dan H
+1/320)
- Rawat inap
>30 tpm
- Inj. Ceftriaxon 2x1gr (iv),
skin test
- Inj. Ranitidin 3x1A (iv)
- DEHAF 3x1 sach
dr. Layali
Musafiroh

380
13/01/2014 A
Tn. S, 52 th, susp hepatitis
akut dd gastritis
Rawat jalan (menolak RI)
- Inj. Scopamin 1A (iv)
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

381

- Scopma tab 3x1
13/01/2014 B
Tn. W, 47 th, kontrol VL
reg nasal et capitis
Rawat jalan
- Ganti balut
- Ciprofloxacinn2x500 mg
- Ranitidin 2x1 tab
-Vitalong C 1x1 tab
dr. Layali
Musafiroh

382
13/01/2014 B,E
Tn. J, 30 th, multiple VE reg
antebrachii dextra&sinistra,
dispepsia
Rawat jalan
- Visum et repertum
- Omeprazol 2x1 tab
- Famotidin 2x1 tab
- Neurodex 1x1 tab
dr. Layali
Musafiroh

383
13/01/2014 A
Ny. D, 50 th, susp anemia,
gastritis akut
Rawat inap
- Plan: DL (Hb 3,8 mg/dl,
leukosit 3.300/mm3, trombosit
428.000/ m3)
- Transfusi PRC 4 kolf
- Premedikasi Dexamethason
1A
- Post transfusi IVFD NaCl
0,9% 20 tpm
- IVFD RL 20 tpm
- Inj. Ramitidin 3x1A
- Omeprazol 2x1 tab
- Antasida 3x2 cth
dr. Layali
Musafiroh

384

- Curcuma 3x1 tab
14/01/2014 A
Tn. S, 50 th, susp bronkhitis,
LBP
Rawat jalan
- Ambroxol 3x1 tab
- Ranitidin 2x1 tab
dr. Layali
Musafiroh

385
14/01/2014 A
Sdr. H, 22 th, thyfoid
fever+motion sickness
Rawat jalan
- Inj. Ranitidin 1A (iv)
- Inj. Ondansetron 1A(iv)
- Antasida 3x1 tab
dr. Layali
Musafiroh

386
14/01/2014 A
Ny. A, 27 th, gastritis akut Rawat jalan
- Ranitidin 3x1 tab
- Omeprazol 2x1 tab
dr. Layali
Musafiroh

387
14/01/2014 B
Tn.A, 23 th, multiple VE Rawat jalan
-Wound toilet
-Ranitidin 3x1 tab
- Biolasenton gel 2xoles.
dr. Layali
Musafiroh

388
14/01/2014 B
Ny. N, 20 th, multiple VE Rawat jalan
- Wound toilet
dr. Layali
Musafiroh

389

- Ranitidin 3x1 tab
14/01/2014 A
An. D, 11 ln, 9 kg,
KDS+rhinobronkhitis
Rawat inap
100 cc-->34 tpm
- stesolid supp 5 mg (bila
kejang lagi)
- Cefadroxyl syrup 2x1 cth
- Diazepam 4 tablet 2 mg, Vit
BC No III, vit C III mfla pulv
dtd X, 3x1
dr. Layali
Musafiroh

390
14/01/2014 D
Tn.s, 50 th, reaksi stress
akut
Rawat jalan
- Alprazolam 0,5 mg 1x1
- Diazepam 5mg 1x1
-Ranitidin 2x150 mg
dr. Layali
Musafiroh

391
14/01/2014 A, D
Ny. A, 27 th, obs febris susp
tifoid fever, histeria
konversi
Rawat inap
- IVFD D5% 20 tpm
- Inj. Diazepam 5 mg (ekstra)
- Alprazolam 1x0,5 mg
dr. Layali
Musafiroh

392
14/01/2014 A, C
Ny.A, 60 th, serangan asma
sedang pada asma persisten
sedang, hipertensi stage II
(180/100 mmHg)
Rawat inap
- IVFD D5%+Aminofilin 1A
12 tpm
- Nebulisasi Ventolin 2x1A
- Inj. Dexamethason 3x1A
dr. Layali
Musafiroh

393

- Ambroxol 3x30 mg
- Amlodipin 1x5 mg
16/01/2014 A
An. J, 7 bln, 8 kg,
Rhinobronkhitis+GEADR
Rawat inap
- IVFD D5%-1/4NS 30 tpm
(mi)
- Inj, Ceftriaxon 2x200 mg
- Coparcetin 4x1 cth
- L-Bio 2x1/2 sach
- Zinc 1x10 mg
dr. Layali
Musafiroh

394
16/01/2014 A
An. M, 1 th, 10 kg, demam
tifoid, anemia sedang.
Hb:7,4g/dl.
Rawat inap
- Lacto-B 2x1 sach
- PCT 4x1 cth
- Zinc 1x10 mg
- SF 100 mg III, vit BC I, pulv
X, 3x1
dr. Layali
Musafiroh

395
16/01/2014 A
An.V, 3,5th, 24 kg, serangan
asma sedang pada asma
persisten ringan
Rawat inap
- O2 3l/m
- Nebulisasi ventolin 2x1/2A
- IVFD D5% 15 tpm
- Inj. Dexamethason 3x1/2 A
- Ambroxol syr 3x2cth
- Salbutamol 3x1/2 tab
dr. Layali
Musafiroh

396
17/01/2014 A
Tn. Z, 52 th, abdominal pain
ec susp. ISK dd BPH, BSK,
Rawat inap
- IVFD RL+Ketorolac 1A, 20
dr. Layali
Musafiroh

397

orchitis sinistra. TD 140/90
mmHg, s:38C.
tpm
- Scopma tab 3x1
- Konsultasi dr.Luqman,
Sp.PD: Dx: ISK komplikata dd
BSK, BPH
-Tx: Inj Ceftriaxon 2x1 gr (iv),
Ciprofloxacin 2x500 mg , Inj,
Ranitidin 3x1A,
Inj.Ondansetron 3x1A,
Paracetamol 4x500mg. Pro
BNO dan USG abdomen
17/01/2014 A,C
Ny. D, 65 th, hipertensi
emergensi, GEADS. GCS:
E3M6V4. TD: 230/110
mmHg.
Rujuk
30 tpm--> IVFD RL+Catapress
1A 20 tpm
- Pasang DC
- Captopril 25 mg
- Amlodipin 10 mg
dr. Layali
Musafiroh

398
18/01/2014 B
NY. S, 39 th, VL reg capitis Rawat jalan
-Wound toilet, hecting luar 2
- Ranitidin 3x1 tab
dr. Layali
Musafiroh

399

18/01/2014 B
Sdr.A, 15 th, VL plantar
pedis sinistra
Rawat jalan
- Wound toilet
- Ranitidin 3x1 tab
dr. Layali
Musafiroh

400
19/01/2014 A
Ny. T, 39 th, G4P3A0 uk 39
puka in partu kala I fase
aktif dengan hipertensi
dalam kehamilan susp PEB.
TD: 160/100 mmHg.
Rawat inap
- Plan: protein urin: +1
- IVFD RL 20 tpm
- Konsul dr.Arif, Sp.OG:
MgSO4 4 gr bolus, 6gr drip
dalam RL 500 cc dalam 6 jam
- Nifedipin 3x10 mg
- Pasang DC, pantau urine
output
- Observasi tekanan darah dan
kemajuan persalinan
dr. Layali
Musafiroh

401
19/01/2014 B
Tn.S, 49 th, VE plantar
pedis sinistra
Rawat jalan
- cross incission--> pus+,
darah+
- Ranitidin 3x1 tab
dr. Layali
Musafiroh

402
19/01/2014 A
Nn.P, 22 th, obs vomitus
susp intoksikasi jamur.
TD:100/70 mmHg
Rawat inap
- IVFD D5% loading 250 cc--
>30 tpm
dr. Layali
Musafiroh

403

- Norit 2x5 tab
-Plan:DL
19/01/2014 A
Ny.T, 52 th, obs vomitus
susp intoksikasi jamur.
Rawat inap
- IVFD D5% 20 tpm
- Norit 2x5 tab
- Plan: DL
dr. Layali
Musafiroh

404
19/01/2014 B
An. M, 2,5th, 10 kg, obs
febris susp DHF, dd tifoid
Rawat inap
- Plan: DL (Hb 12,3 g/dl,
leukosit 9.000, trombosit
350.000), Widal (S.thyphii O
+1/80, H +1/160)
12 tpm --> D5%-1/4 NS 12
tpm
- Inj. Ceftriaxon 2x250 gr (iv)
skintest
- PCT 4x1 cth
- DEHAF 2x1 sach
- Imulan 2x1 sach
dr. Layali
Musafiroh

405
19/01/2014 A
An. H, 2,5 bln, 4,9 kg,
GEADS.
Rawat inap
75 cc --> 20 tpm (mi)
- L-Bio 2x1/2 sach
- Zinc 1x10 mg
- Plan: DL
dr. Layali
Musafiroh

406
19/01/2014 A Nn. H, 15 th, VL reg frontal, Rawat jalan
dr. Layali
407

VE facial - Wound toilet, hecting dalam
4, hecting luar 6
- Ranitidin 3x1 tab
Musafiroh
19/01/2014 A
Sdr. A, 15 th, obs febris
susp tifoid, histeria konversi
Rawat inap
- Plan: DL, widal
- IVFD RL 20 tpm
- PCT 4x500 mg
- Diazepam tab 1x5 mg (extra)
dr. Layali
Musafiroh

408
31/01/2014 A
Tn. T, 80 th, malaiase, OA
genu bilateral
Rawat jalan
- Neurodex 2x1 tab
- Stimuno 1x1 tab
dr. Layali
Musafiroh

409
31/01/2014 B
Tn. M, 34 th, VL infraorbita
dextra
Rawat jalan
dr. Layali
Musafiroh

410
31/01/2014 A
Ny. R, 62 th, suspek ISK dd
BSK, hipertensi stage II.
TD: 190/100 mmHg
Rawat jalan
- Ofloxacin 2x400 mg
- Amlodipin 1x10 mg
dr. Layali
Musafiroh

411

- Captopril 3x25 mg
31/01/2014 A
Ny. S, 45 th, gastritis kronik
dd GERD
Rawat jalan
- Omeprazol 2x1 tab
- Ranitidin 2x1 tab
- Curcuma 2x1 tab
dr. Layali
Musafiroh

412

dr. Layali
Musafiroh

413

dr. Layali
Musafiroh

414

dr. Layali
Musafiroh

415

dr. Layali
Musafiroh

416

dr. Layali
Musafiroh

417

dr. Layali
Musafiroh

418

dr. Layali
Musafiroh

419

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