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MAPPING : dr. Farida, Sp.

S (K)
Zamzam 3
NO SUBJEKTIF
KAMAR IDENTITAS DIAGNOSIS LABORATORIUM TERAPI PLANING
Keluhan GCS TD
K10 1. Deni Penurunan E4M6V5 Dx: 17/11/2021 LP dari divisi
Setiabudi, kesadaran - Penurunan kesadaran Hb : 15,7 Iv oaracetamol 1 gr/8 jam infeksi
Lk, 36 tahun perbaikan+ observasi Ht 45 Iv citicolin 500 mg/12 jam
DPJP febris ec infeksi Iv ceftriaxone 2g/ 12 jam
Leu :15,1 Iv dexametason 5mg/8 jam
dr.FA intrakranial
Trom : 334 Iv omeprazole 40 mg/12 jam
Raber : KGDS :115 Fluimucyl 3x200 mg
neuro Ur/Cr :25/1,20
infeksi Na/K/Cl
147/3,50/104
Icu 1

NO SUBJEKTIF
KAMAR IDENTITAS DIAGNOSIS LABORATORIUM TERAPI PLANING
Keluhan GCS TD
B4 Septrian Penurunan EMV 130/80 Dx: Penurunan kesadaran 17/11/2021 Iv citicolin 500 mg/12 jam
Sihotang, kesadaran. ec CKB (SDH a/r temporal Hb : 14.7 Drip nimodipin 2.1 cc/ jam
Lk, 20 tahun gelisah dextra + SAH traumatik) Iv omeprazole 40 mg / 12 jam
DPJP dr. Ht 41 Kaltropen supp 1 / 8 jam
Farida Leu :14,1 Haloperidol 1 amp extra
Trom :178 Diazepam 1 amp
Paracetamol 1 gr/ 8 jam
Manitol 100/ 8 jam
MINA 2

NO SUBJEKTIF
KAMAR IDENTITAS DIAGNOSIS LABORATORIUM TERAPI PLANING
Keluhan GCS TD
Maryam, pr, EMV DX Hemiparesis sinistra ec 19/11/2021 Iv citicolim 500 mg / 12 jam
k5b2 56 th acute stroke Hb : 10.3 Iv paracetamol 1 gr/8jam
dpjp pulmo -obs.dyspneu ec CHF Iv mecobalamin 500 mg /12 jam
- efusi pleura dextra Ht 30 Iv metilprednisolon 125 mg /12 jM
- AF SVR Leu :6,9 Resfar 8-8-9
Trom :180 Iv ceftriaxone 1 gr/ 12 jam
raber: dr Omeprazole 40 mg / 12 jam
Farida KGDS :136
Ramipril 1x2,5
Ur/Cr :68/1,06 Spironolakton 1x25 mg
Na/K/Cl Furosemid 2 amp extra
144/4,7/108 Ventolun 1 respo/12 jam
Clopidogrel75 mg tunda
Combiven 1 respp /6jam
Pulmicort 1 respp /12 jam
MINA 2

NO SUBJEKTIF
KAMAR IDENTITAS DIAGNOSIS LABORATORIUM TERAPI PLANING
Keluhan GCS TD
Irhamna, pr, E 4M6 DX low back pain dengan 17/11/2021 Iv mecobalamin 500 mg/12 jam Fisioterapi (+)
iso 2 38 th V5 radikular pain Hb : 12,1 Iv omeprazole 40 mg/12 jam Rencana PBJ
Metilprednisolon iv 125 mg /12 jam
Ht 35 Kaltropen supp /8 jam
Leu :8,8 Gabapentin 300-300-400
Trom :303
DPJP : KGDS :130
dr,Farida
Ur/Cr :17/0.60
Na/K/Cl
141/3,50/106

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