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RUMAH SAKIT MH THAMRIN PURWAKARTA

Jl. Raya Bungur Sari No.36 Sadang Purwakarta


Tlp. 0264-8222222 Fax. 0264-8222221
Website : www.rsthamrinpurwakarta.com E-mail : rsmhtppwk@gmail.com
TRAVELING DIALYSIS

Nama Pasien (Name) : Mr. Dwi Agus Bawono


Umur (Age) : 51 years old
Alamat (Address) : Perum Vila Duta Blok A No.10 RT 001/004 Karawang
Diagnosis (Diagnostic) : ESRD ec HRD
Hemodialisis pertama : 17th of December 2016
(Date of dialysis Initialed)
Hemodialisis terakhir : 23th of August 2017
(Date of last Dialysis)
Frekuensi Hemodialisis : Twice a week
(Number of session)
Mesin Hemodialisa (Type of machine) : Fresenius 2008 K
Dializer (Type of dialyzer) : Polyflux Rexeed 15L
Jenis Dialisat (Composition of Dialysis) : Bicarbonate
Kecepatan Aliran Darah (Blood Flow) : 200-250 ml/ minute, QD : 500 ml/ minute
Lama Hemodialisis (Duration) : 5 hours
Ultrafiltrasi (Ultraviltration) : 2000 - 3500 ml
Heparinisasi : Initial Dose 2000 IU, Maintenance Dose 1000 IU/h
(Type of Heparinization used)
Akses Vaskular (Vascullary Access) : AV-Shunt
HbsAg : Negative (17th of December 2016)
Anti HCV : Negative (17th of December 2016)
Anti HIV : Negative (17th of December 2016)
Penyulit selama HD : -
(Complication with dialysis run)
Berat Badan Kering (Dry Weight/DW) : Observation
Tekanan Darah : Systole 130 180 mmHg, Diastole : 70 - 90 mmHg
(Recent Blood Pressure Status)
Obat-obatan (Medicines) : Asam Folat 3x1, Bicnat 3x1, Callos 3x1, Farsix 3x1,
Recombinant Human Erythropoietin (Hemapo
3000 iu) twice a week

Purwakarta, 23th August 2017

Dr.MR.Kurnia Eny Safitri SpPD