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REKAPITULASI PASIEN BEDAH VASKULAR RSUP HAM MEDAN

TANGGAL 8 JANUARI 2018

RB2A
TGL MASUK
DPJP/ TGL OPERASI
NO IDENTITAS DIAGNOSIS (HARI TERAPI/RENCANA HASIL LAB
RUANGAN (KETERANGAN)
RAWATAN)
Tgl 27 Des 2017
Hb: 11,2
Leu: 11.040
Plt: 467.000
pt/aptt/tt/inr :
Dr. Aswadi
18,2(14,5)/31,7(33,8)/25,2
Tanjung, Sariati Harahap 27/12/2017
1 Terapi dilanjutkan (19,5)/1,25
Sp.B (K)V /P/35th/72.96.51 (12 hari)
KGD: 118
(2.1.4)
Na/K/Cl : 133/3.3/101
BUN/Ur/Cr : 6/13/0.57
pH/pC02/pO2/HCO3/TCO2/BE/
SpO2 : 7,410/36/125/22.8/23.9/-
1.4/99
Tgl 31 Des 2017
Hb: 10,6
Leu: 20.410
Plt: 707.000
Tgl 04 Jan 2018
Dr. Aswadi
KGD: 112
Tanjung, Bariah 30/12/2017
2 Terapi dilanjutkan Tgl 05 Jan 2018
Sp.B (K)V P/65th/72.98.29 (9 hari)
pt/aptt/tt/inr :
(2.1.1)
16.5(14.5)/>120(33,8)/>80
(19,5)/1,14
pH/pC02/pO2/HCO3/TCO2/BE/
SpO2 : 7,550/31/183/27.1/28.1/
-5.1/100
RB3
TGL MASUK
DPJP/ TGL OPERASI
NO IDENTITAS DIAGNOSIS (HARI TERAPI/RENCANA HASIL LAB
RUANGAN (KETERANGAN)
RAWATAN)

Lab 03/01/18
 Hb/Ht/Leu/Plt :
4,5/15/14.460/125.000
Lab 24/12/17
Yulima Harahap 04/01/18
1. RB3 – 1.10  Albumin/KGDs :
P/63th/72.67.60 (5 hari)
2,9/84
 Na/K/Cl :
133/4,1/95

Lab 04/01/18
 Hb/Ht/Leu/Plt :
11,1/35/13.460/325.000
 pH/pCO2/pO2/HCO3/
TCO2/BE/Sat O2 :
7,52/24/193/19,6/20,3/ -
Jekson Sitepu 02/01/18 1,8/100
2. RB3 – 3.7.1
L/53th/71.17.95 (7 hari)  Albumin/KGDs :
2,4/81
 BUN/Ur/Cr :
40/86/0,56
 Na/K/Cl :
135/3,5/102
Tgl 03/01/2017
Urinalisis
Urin Lengkap:
Warna/ GLU/ BIL/ KET/ BJ/PH/
PRO/NIT/ LEU/ Darah: Kuning
keruh/ -/ -/ -/ 1.010/ 6.5/ +2/ -/ +/ +
FCM:
ERI/ LEU/ EPITEL/CASTS/
KRISTAL: 80-90/ 40-50/ 0-1/ -/ -
Karo
Tgl 29/12/2017
3. RB3 - Pasaribu/L/71 Terapi dilanjutkan
pt/aptt/tt/inr :
thn/72.98.22
25.2(14.0)/34.5(34.0)/21.5(20.0)/1.7
7
D-dimer: 103
pH/pC02/pO2/HCO3/TCO2/BE/Sp
O2 : 7,410/28/154/17.7//18.6/-
5.7/99
GDS: 104
BUN/ Ur/ Cr: 69/ 148/ 5.96
Na/ K/ Cl: 134/ 4.4/ 105

Tgl 03/01/2017
Hb/ Ht/ Leu/ PLT: 8.8/ 27/ 9880/
301000
pH/pC02/pO2/HCO3/TCO2/BE/Sp
O2 : 7,420/27/177/17.5//18.3/-
5.6/100
SGOT/ SGPT: 29/ 45
GDS: 143
Ali Nafiah/
4. RB3 - Terapi dilanjutkan BUN/ Ur/ Cr: 18/ 34/ 0.86
L/64thn/ 72.85.46
Na/ K/ Cl: 131/ 3.9/ 101

Tgl 18/12/2017
pt/aptt/tt/inr :
16.5(14.3)/35.2(33,5)/22(19,5)/1,18
D-dimer: 987
GDS: 90
Na/ K/ Cl: 134/ 3.5/ 100
Tgl 06/01/2017
Hb/ Eri/Ht/ Leu/ PLT: 13.9/4.96/42/
17,450/ 446000

Juanda Tgl 03/01/2017


30/12/2017
5. RB3- Putra/L/15thn/72. Terapi dilanjutkan Albumin : 2.7
(9 hari)
97.13 GDS: 80
BUN/ Ur/ Cr: 4/9/ 0.52
Na/ K/ Cl: 138/ 3.8/ 104
CRP Kuantitif : 0.7

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