Pemeriksaan UGD Nama Umur : Ny.

M : 25 tahun

Riwayat Singkat: Nyeri ulu hati (+), mual (+) , Muntah (+), pusing (+) Diagnosa Tindakan : Sindrom dispepsia : IVFD RL : D5 = 1:1 = 20tpm Ranitidine injeksi 2x1 Cendantron injeksi 3x1 Antasida syrup 3x1 Asam mefenamat 2x5000 mg

Tanggal 23 April 2011

Perjalanan Penyakit Mual (+) muntah (+) nyeri tekan epigastrium (+) , pusing (+)

Perintah Pengobatan/Tindakan IVFD RL:D5%: 1:1 = 20 tpm Ranitidine inj 2x1 Inj cendantron 3x1 amp Antasida syrup 2xC1 Asam mefenamat 2x500 mg Cek elektrolit, DL IVFD RL:D5%: 1:1 = 20 tpm Ranitidine inj 2x1 Inj cendantron 3x1 amp Antasida syrup 3xC1 Asam mefenamat 2x500 mg IVFD RL:D5%: 1:1 = 20 tpm Omeprazole tab 2x1 Inpepsa syrup 3xC1 Asam mefenamat 2x500 mg

Diagnosa Syndrom dyspepsia

24 April 2011

Mual (+) muntah (+) nyeri tekan epigastrium (+) , pusing (+)

Syndrom dyspepsia

25 April 2011

Nyeri epigastrium, mual (+) muntah (+) , pusing (+) berkurang,

Syndrom dyspepsia

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