AMPREMBER 2019AHAN KARDIOLOGI

SENIN, 23 SEPT

Kmr/ Nama/MR/ HASIL

No DIAGNOSA LABORATORIUM TERAPI LIST TO DO
DPJP BB
1. HCU 1 Alfregy CHF ec MS -O2 nasal kanul 1 lpm Cairan input
MUA Deonara severe + TR -IVFD D5% Nacl maksimal 1200 m
20/9 Purba, Lk, Severe + PR 0,45%
Pasbar 11th 1bl, moderate ec - Dobutamin 300mg Balance cairan da
77.55.46 RHD dlm 56 ml NaCl 0,9%= Dipstik/ 6 jam
BB: 19kg 5 mcg/kg/mnt= 1,6 ml/ Usahakan tidak
TB: jam positif, (-50cc aja
-Inj. furosemide
PASIEN 10mg/12 jam/IV Folket/jam
UJIAN BG -Spironolactone 2x25
WIW mg Susul hasil foto
-Captopril 2x6,25 mg thoraks
(jika TD >90)
-Aspilet 1x80mg Pastikan Diet sam
-Inj Parasetamol org Gizi
250mg/8jam/IV
- laxadine syr 1x10cc
Diet MB 1440
kkal/hari + protein 40
gr/hari
2. HCU 2 Justciel CHF ROSS IV 24/8 - ivfd d5% nacl 21/9
TLT Hamonanga ec Smalll PDA FT4 : 0,96, TSH : 0,69 0.225%  4ccc/jam Koreksi
24/8 n, Lk, 11bln + ASD + mild -Inj. Meropenem Hiponatremia  1
76.58.65 TR + 9/9 180mg/8jam(H9) cc/ jam selama 4
BB: 3775gr Bronkopneumo 11,6/32/23.600/358.000 AFF (mulai jam 18:30 s
nia + 83/30,4/36,8 -Inj Seftriaxon 250 22:30)
Marasmus 0/0,2/80/6,2/12,8 mg/12 jam (21/9)
PCT 0,81 -inj furosemide foto thorax
4mg/12jam/IV bronchopneumonia
11/9 - Spironolakton 1x kultur darahTAP
Urinalisa 6,25mg
Kuning keruh/prot +2/leu - Inj Feniton LD 75 mg Hasil EEG EEG
+/darah + dalam 30cc NaCl abnormal dgn focu
FCM 0,9% selama 20 menit iritatif multifocal
Erit 34,6/leu 64,4/epitel selanjutnya MD 9,5
271,6/cast 36/bak 81,8 mg dalam 10 NaCl -susul jawaban kon
0,9% selama 20 menit mata—katarak
12/9 -neb ventolin
Ca/Na/K/Cl: 1amp/8jam (01.00- - susul jawaban
9,1/121/2,2/70 09.00-17.00) konsul anastesi
-Lactulac Syr 1xCth 1 pendampingan CT
13/9 (malam) scan tidak acc
Ca/Na/K/Cl: Inj paracetamol 60
8,7/120/2,5/59 mg/6jam R/ MRI brain tgl
Konsul nutrisi: 23/9susul kons
-infantrini anestesi
80cc/3jam/ngt pendampingan
-Vit B comp 1x1 tab
-Vit C 1x100 mg Kejang focal 
-As. Folat 1x1mg pastikan fenitoin

1
 masuk

Suction dan nebu

regular
3. 3.4.1 Keysha Complete AV- 21/9 - O2 Nasal Canul 1 Pantau Mencret
MUA Ramadhani VA Canal + PA 15,2/ 48/ 17.410/ LPM
21/9 Rahalim + PDA + 726.000 -IVFD D5% Nacl
PASBA 3 bulan 26 Dextrocardia + 75/23,5/ 31,5 0,225% 15 cc/jam
R hari GE tanpa 0,5/0,5/22,2/ 67,1/9,7 - zinc 1 x 10 mg
79.10.19 dehidrasi Ca / Na / K /Cl - inj. Seftriaxone
BB 5,4 kg KGD 270mg/ 12 jam (22/9)
PB 57 cm
4. 3.4.2 Adam Alwi Hiperleukosito 6/9 - IVFD D5% NaCl Kemoterapi
MUA LK/ 2 tahun siss ec ALL 8,6/ 26/ 47.710/ 9000 0,225% 20 gtt/m -Vinkristin 0,72 mg
/BL 9 bln HR fase 86/28,4/ 33,1 -Daunorubicin 14,4
27/8 78.09.20 induksi minggu 0/ 0/54/ 11/22 -deksamethasone 3x1 mg
BB: 10 kg 5 + PM VSD Ca 8,2/ Na 137/ K 3,9/Cl - Inj asam -Leunase 3600 iu
TB : 86 cm 103 traneksamat 150 mg/ Leunase I 7/9
8 jam Leunase II 9/9
9/9 Leunase III 10/9
8,9/28/43.130/10.000 Jawaban respiro :
88/27.9/31.6 -Inj. Ampicillin 500mg/ Ro thoraks 
0/0/60/9/13 6jam Bronkopneumoni
Ca/Na/K/Cl: -Inj. Gentamisin
8,4/134/3,5/100 50mg/24 jam Fisioterapi sudah
-Nebule ventolin 1 (chest fisioterapi
12/9 resp/8 jam fisioterapi kaki)
9,2/29/51.590/19.000
86/27,3/31,9 Diet: F100 125 cc + Hasil CT scan tho
0/0/54/20/9 minmix 25 cc/3 dengan dengan
Bun/ur/cr: 15/32/0,36 jam/oral kontraskardiom
Ca/Na/K/Cl: Vit B 1x1 tab ali susp udema p
8,4/131/3,6/101 Vit C 1x100 mg dan infiltrate nod
dikedua paru
18/9 DD/focus limpom
7,1/23/94.680/14.000
91/28/31 Susul Kultur darah
0/0/53/8/6 kultur urine
Ca/Na/K/Cl:
8,8/135/3,5/102 Hidrasi 1x
maintenance  4:
20/9 46cc/jam
7,5/25/115.440/16.000 Balance dan dipsti
94/28,3/30,2 jam
0/0/46/6/5 Jika PH urin < 6.5,
Ca/Na/K/Cl: masukkan meylon
8,6/140/4,8/106 fls dalam cairan
Phospor : 4.0 maintenance
LDH 786
Cek DL / 24jam
21/9
6,5/21/119.150/17.000
95/29,4/31,1
0/0/75/6/0

5. 3.4.3 Rudianto Severe Mr + -IVFD D5% Nacl R/ Inj. Benzatin

TLT Sinaga, Lk, Moderate TR 0,45% 4cc/jam Penicillin 1,2juta/ IM
2
 20/9 13th 1 bl, ec RHD -Inj. ranitidine 25 mg/ 28 hari (confirm Mo
Pasbar 78.20.32 12 jam (MAY) lagi, tadi ka
BB: 25kg Inj. Furosemide 20 Modul hari senin 2
TB: mg/ 12 jam
Captopril 2x6,25mg
Domperidone syr
3xcth1 (15 menit
sebelum makan)
6. 3.4.4 Irpan Dilelo, CHF NYHA IV 15/9 -O2 2 lpm Ro thorax
TLT lk, 16th 1bl, ec RHD GDS: 164 -IVFD 2:1 10cc/jam cardiomegaly dgn
15/9 79.03.80 Ca:8,2/ Na:134/K:3,6 -Inj. Dobutamin bendungan paru
BB: 43kg PCT:0.07 710mg dalam Nacl
Pasien TB: 157cm 50cc  1 cc/jam Hasil Echo : RHD
ujian 17/9 -Paracetamol
Bg MHI 11,7/35/9.580/508.000 3x500mg Susul kultur swab
JANGA 70/23/33 - Inj Furosemid 20 Susul kultur darah
N DI 1,4/0,260/28/10 mg/8 jam
PULAN Asto <200 - Lisinopril 1 x5 mg R/ EKG pagi sudah
GKAN CRP 1,4
7. 3.4.6 Githa Elysia CHF ec dd/ 21/9 -ivfd d5% NaCl Pantau demam da
RAH Hutabarat CHD susp Hb 10/Ht 31/ Leu 0,225% 10cc/jam WOB
22/9 Pr,3 th VSD + susp 3700/Plt 317000 - inj ampicillin
Pasbar 79.10.56 pneumonia Na 138/ K4,1/Cl100/ Ca 650mg/6jam/IV
BB=13 kg 8,5 - inj gentamisin
TB=92 cm pH 7,39 / pCO2 23 / pO2 65mg/24jam
192 / HCO 3 13,9 / TCO2 - furosemide 3x10mg
14,6/ Saturasi 100% Spironolakton
2x12,5mg
Paracetamol 4 x7,5cc
-nebule bisolvon
8. RIC Alfred CHF ROSS III 18/9 -IVFD 2:1 -Susul hasil Kuktur
RAH Frederick, lk, ec Large PDA 9,3/29/15.300/358.000 -inj ceftriaxone darah
18/9 8bl, 70/22,3/31,7 250g/12jam - susul ro thorax
77.07.74 2,2/0,1/33,7/52,6/11,4 -inj paracetamol
BB 4,8kg Ca/Na/K/Cl: 60mg/6jam Konsul respirologi:
TB 68cm 9,4/128/3,4/100 -furosemid 2x3mg Nebul Ventolin 1
PCT 0,05 -Spironolakton resp /8jam
2x3,125mg
-lisinopril 1x0,5mg
9. RIC M. Aufa Al Infective Echo : Mass below -IVFD 2:1
TLT Robbi, lk, 5th endocarditis anterior mitral valve -Inj. Ampisillin
19/9 2bl, (subbacterial 500mg/12jam
79.07.37 endocarditis) + Mild MR -INj. Gentamisin
BB: 100mg/24jam
TB: