1.
Ayodya 1A Tn Dwi Joko/61thn/rm
607470 (hr ke 11) Pindahan amarta PB
tgl 4/3/21 Pasien kiriman pukesmas
grogol dg dypsnea, febris, covid 19
Kel : batuk, sesak nafas
TD : 132/72 HR : 99 RR : 28 S : 36,5 SpO2
: 90% O2 HFNC 100% + NRM 15L
Natrium 134 = Ns3% 1X (+) SGOT 65.1
Curcuma 2x20mg
D-dimer (5/3) 965 (8/3) 1203 (11/3/21)
2499 (15/3) Inviclot 7500mg/8j
Thorak (5/3) pnemonia Thorax (10/3)
Bawa hasil sars antigen dari RS Indriati
tgl 1 (positif) Swab 1 (5/3) positif Swab
2 (6/3) positif
TPK 2k(+) Actempra 1x (+) levofoxacin
s/d hr 7
V dr. Hendrato adv Terapi dilanjutkan
2. Ayodya 1B. Tn.Suranto/ 607469. (hr
ke 6) Pasien pind Srikandi dg Susp Covid
19, ISPA, Pneumonia PB IGD (9/3)
Kel : Dada ampeg, seseg, batuk kering,
ma/mi berkurang, pipis kecoklatan RPD :
DM (tidak rutin minum obat)
TD 122/62 N 65 S 36.5 R 25 SpO2 96%
Nrm 10lt Terapi paket 2A
Rapid tes (9/3) non reaktif (RSKI) Lab
protab covid (+) Thorax (9/3)
pneumonia dxt (14/3)
D dimer (10/3) 661 => notisil 1x1 D
dimer (12/3) 1889 => notisil stop D
dimer(15/3) Diviti/hr
OT/PT 183.9/172.3 => SNMC/12j (2x) (+)
Cek HBA1C, GDP2JPP (10/3) (+) GDS/AC
J 06 : 154 Lantus 10ui/malam
Swab 1 (10/3) hsl blm (12/3) hsl blm
Advis dr novita TPK 2x ke 2 (+)
Dr hendrato visit tx ljtkn Observasi urine
warna spt the
3.Ayodya 1c.Tn. Joko Darmono /53th
Rm.602417 hr ke 3 Pb igd tgl 12/3/2021
dg covid 19, ca paru Pasien kiriman
RSUD kra
Kesad cm,sesak nafas Rpd: Ca Paru
Kemoterapi 1x
S 36,4 T 130/80 Hr 83 Rr 26 Sat 98% O2
Nrm 8lpm
Thorak (12/3/21) efusi pleura sinistra
Thorax (13/3)
D dimer (12/3) 4408 (15/3) Inviclot
7500/8jam
Swab (10/3) positif RSDM TPK ke 2 sdh
Advis dr.Novita Terapi Paket 1
Lab protokol covid dokter (+) Kal : 2.5
KCL 2x ke 1 terpasangAlb : 2.2
Plasbumin 1x (+) Os. Chana 3 x 1
punksi dengan dr. Farih (13/3/21) Cairan
pleura 1400 cc
4.Ayodya 2A Tn.RB DIDIT PURNOMO SE
MSI/49th/RM 567972 (hr ke 2) P/B dr
ICU lt 1 dg Kejang, DM,SNH pasien dr tri
budi
Ku dtg kes cm kejang(-)extrimitas kiri
lemah Riwayat : kemarin kejang 1x,hr ini
kejang 4x durasi 4mnt, Di IGD (14/3/21)
kejang 3x opname di icu lt 1. Tgl 28/2-
3/3 opname RSKI dg SNH Anak & istri
PCR positif, istri isolasi dilantai 3 RPD :
DM, HT
TD 140/68 S 36,4 HR 67 Sat 99% RR 22
Advis dr tribudi di icu lt 1 Inj.pumpicel
40mg/12j Citicolin 250mg/8j, Phenitoin
100mg/12j, Stesolid k/p Obat dr rumah
lanjut
Co.paru Lapor dr novita advis : Terapi
paket 2B
Laborat protokol covid (+) hsl blm
IGG,IGM reaktif (14/3/21)
Thorak (14/3/21) Swab 1(15/3) blm Ct
scan kepala (14/3/21) SNH
Advis dr. Pangesti : Os. Metformin 3 x 1
dilanjutkan Gds jam 06:109 px
Hba1c,GdP,GDN 2jpp hsl (-)
5.Ayodya 2B Ny Sri Rahayu/53th RM
607746 hr ke 4 P/B kiriman RS jati
husada via IGD dr rio dg penurunan
kesadaran,sepsis, DM,suspect covid 19
Kel : kes apatis,tangan kiri merah2
Riwayat : mulai td pagi j 10 pasien diajak
komunikasi susak,panas. RPD : DM
TD 180/105 HR 118 S 36,5 SAT 95% RR
31 HFNC 100% NRM 15lpm
D dimer (12/3) 6880 D dimer(15/3)
Swab 1 (12/3) hsl blm (13/3) hasil blm
TPK 2kolf selesai
IgG covid reaktif,igM covid reaktif
Thorak (10/3/21) pnemoni bilateral
(13/3) Lab protokol covid (+) hsl (+)
Co.tribudi (+) Alb 3.0 ~> plasbumin 25%
100cc 1x (+)
Co dr. Pangesti GDS/AC 06=395 Px
keton : 0.3 Hba1c : 12.6 Lantus
20iu/mlm Novorapid 3x10iu
TD 200/106 lapor dr Tri budi advis inj
nicardipin 1amp s/p u/ 8ccjam
6. Ayodya 2c tn. Widodo/557964/hr 2
Terima pasien Pindahan dari wirata dg
dyspneu susp covid, DM PB igd 14/3
ku dtg kes cm, sesak, batuk RPD pasien
mengeluh sesak 3HR, batuk, nyeri
punggung dirawat di bisma hari ini.
Dilakukan thorax bacaan brpn bilateral
adv pinfah wirata. Mulai jam 22 pasien
bertambah sesak, lapor dr novita adv
pindah ayodya RPD: DM, Jantung
T 151/100 N 89 P 33 S 36 Sat 92%
Thorax 14/3 Pneumonia bilateral Lab
protokol covid lapor +
Swab 1(15/3) blm
Adv dr. Novita paket 1 pasang hfnc nebu
combivent, pulmicort, bisolvon per8jam
GDS jam 06:112
7.Ayodya 3A. Mochamad samsul/ 40th
RM 607871 hr ke 2 PB IGD tgl 14/3/21
Ps pindahan dr wirata dg Susp covid 19
Kel kesad cm sesak nafas, agak bingung
S 36,2 T 115/68 Hr 121 Rr 35 Sat 97% O2
Hfnc menolak ganti NRM 15lt Menolak
ganti binasal 5lpm
Swab antigen negative Swab 1
(15/3)blm
Thorax 14/3/21 dr rs banyubening
Terapi paket 2b
Lapor dr.Novita hsl lab Lovenox 0,4/hr
Levofloxacin750/hr (7hr) Ext Ns 3% 2x
ke 2 trpsg Ext gluconas calcii 1x (+)
8.Ayodya 3B. Ny. Sri Mulyati/70th RM
43-69-70(hr 4) pind Sinta dg Susp Covid
19 Pb igd via ecall(11/3)
Kel:sesak nafas, batuk, badan lemes,
ma/mi berkurang
Visite dr. Hendrato Terapi dilanjutkan
10.Rosela B Tn. Parmin RM 607336 (Hr
13) pb igd (1/3) kiriman yaksi gemolong
dg dypsnea covid19
ku dtg CM, sedikit seseg rwyt panas
1mgg batuk gembreges RPD, TB
pengobatan selesai Kel : sesak nafas
berkurang ,batuk, lemes,diare -
TD:130/90 HR:96 Rr: 27 Spo2:97%
S:36.4 O2 HFNC 80%
D dimer 2/3/21 1419 D dimer 04/03
>10000 D dimer 8/3/21>10000 D dimer
11/3/21 6723 D dimer(15/3)
12.Rosela D Tn. Marsono /69 th (RM
607857) hr ke 3 Pb igd kiriman dr dhona
dgn penkes dd snh,obs dyspnea,susp
covid 19
Ku kes cm
Td: 110/69 Hr :92 Rr: 26 Spo2:97% S:
36,4 O2 Binasal 5 lpm
IgG reaktif IgM reaktif Lab protocol
covid(+) Thorax tgl 13/3/21(+) Ct scan
kepala 13/3/21
Swab 1(15/3)
Phone dr novita adv: Ganti paket 1 Inj
citicoline 250 mg/8jInj mecobalamin 1
amp/hr Kp paracetamol inf

Td 104/65 N 79 S 36.4 Rr 24 Spo2 95% Swab (26/2) positf dari yaksi gemolong Cek GDN 2 j pp, hba1c (+) GDS jam 06:
HFNC 100% NRM 15L thorax(25/2) dari yaksi gemolong 182

Terapi paket 2B
Lab. Protokol Covid (+) Thorax (11/3)
pnemonia
D dimer (11/3) 750 (15/3) diviti 2,5/hr
OT 57.4 Na 132.2 Cal 0.96 => ca
gluconas 2x (+)
Thorax (1/ 3/ 21) (3/3/21) (8/3/21) S/P N-Epi sp 0,1 mcg
(13/3/21)
Raber dr tribudi visit tx lnjut
advis dokter novita paket 1(+) Px. IL6 (+)
dokter (+) TPK 2x sdh Inj Stemcell 3hr V dr.hendrato adv lanjut
selesai inj actempra (2×) (+) Os Lodia 3 x
Advis dr. Pangesti : Inj Lavemir
2 k/p diare mycamin 100mg/hr(hr1)
10ui/mlm Os. Metformin 3 x 1tab
mycamin 50mg/hr (hr 2-7)

Rapid test(11/3) non reaktif RSKI Swab 1 Dr umar advis px kultur sputum(-)
(12/3) hsl blm Swab 2 (13/3) hsl blm
Visit dr. Farih Kons dr. Sondang untuk FT
Visite dr. Umar : CT- scan thorax(+)hasil
Visite dr. Hendrato lanjut
(+) dokter (+)

V dr.hendrato adv th lanjut

9. Rosela A.Ny. Sri Sumarni/62th RM
607650 ( hr ke 6) Pb igd tgl 9/3/21 Pb dg
Dypsnoe pneumoni covid 19
Ku datang kesad cm,seseg,diare
3x,lemes,cemas Kel : sesak nafas, diare
(-) Terlampir laborat,thorak RPD : HT
11. Rosella C Tn. Marimin/68th RM
607669 hr ke 6 Pasien pindahan dari
srikandi dengan Ispa, Covid 19 PB IGD
tgl 9/3/21
Kel : kes : cm, sesak nafas Riw : batuk
4hr badan lemes, nyeri diatas tukang
ekor 3bulan RPD : HT Rapid antigen
9/3/21 Positif (RSI Amal sehat)

S 36,7 Hr 90 T 163/90 Sat 90% Rr 31 O2 Swab 1 (10/3) : positif (12/3) : hsl blm
NIV 100%
Td 168/100 R 24 S 36.5 N 92 Spo2 95%
D dimer (9/3/21) 2163 D dimer(15/3) O2 HFNC 100%

Thorak 9/3/21 dr sarila Thorax 10/3/21 Terapi paket 1

Swab antigen positif (2/3/21) budi sehat
Swab PCR negatif (6/3/21) Swab ke 1
RSKI (10/3)positif Swab ke 2 RSKI (12/3)
hsl blm
D dimer (9/3) 755 D dimer(15/3)
Thorax (10/3/21)
TPK ke 2 (+) Inj actempra 1x(+)

TPK 2x ke 2 (+) gramaras 2x (+) azitromicyn sd hr 5 levo sd hr 7 fargoxin

1/2amp bila HR >110
Visite dr. Farih : Kons dr. Sondang untuk
FT