DAFTAR TINDAKAN ERIA (PICU)

Nama : Tiwi Qira Amalia

Waktu : 1 April 2022-30 April 2022
Stase/Tahap : ERIA / Madya

NO TANGGAL NAMA NO. RM DIAGNOSTIK KASUS TINDAKAN MORTALITAS MORBIDITAS

1. 1 April 2021 An. Nathan 01571685 1. Gagal napas ec pneumonia viral Monitoring - -
2. Syok sepsis (perbaikan) tanda vital,
3. Status epileptikus (teratasi) balance
4. Discarded covid-19 cairan
5. Gizi baik
2. 1 April 2021 An Lusiana / 01557556 1. Mati Batang Otak Monitoring  -
6th/ 17kg 2. Malfungsi VP Shunt tanda vital,
3. Syok Neurogenik balance
4. Hidrocefalus Komunikan, Ventrikulitis, cairan,
5. CP tipe spastik, IVC, RJP
6. Epilepsi Umum Simtomatik
3. 1 April 2021 An. Nouva/ 5 01342018 1. Pneumonia ec Chryseabacterium indologens dengan gagal Monitoring - -
tahun/ 14 kg napas tanda vital,
2. Efusi pleura kanan balance
3. CP spastik tetraplegi cairan
4. Epilepsi simptomatis
5. Ulkus decubitus
6. Ulkus excoriatim ec equipment used
7. Discarded Covid-19
8. Gizi kurang
4. 1 April 2021 An. Leonell / 01562869 1. Post op nefrektomi ai nefroblastoma sinistra, Monitoring - -
2 tahun / 9.6 2. Asidosis metabolik ec efek unmeasured anion murni tanda vital,
kg 3. Hiponatremia balance
4. Hiperoksemia cairan,
5. gizi baik
5. 1 April 2021 An. Lisa 01432678 1. Penurunan kesadaran ec tersangka peningkatan TIK ec Monitoring - -
Oktavia / 13 butterfly glioma tanda vital,
 tahun / 29 kg 2. Epilepsi umum simptomatik balance
3. Post op kraniotomi + osteoplasty ec butterfly glioma cairan
4. Gizi baik
6. 1 April 2021 An. Akmal 01523779 1. Gagal napas ec pneumonia viral dd bakterial dd edema Monitoring - -
Lathif/ 6 pulmo (teratasi) tanda vital,
tahun/ 20 kg 2. Anemia ec tersangka defisiensi besi dd penyakit kronis balance
3. DE : riwayat PJB sianotik cairan
DA : riwayat TGA post Rastelli prosedure
DF : NYHA I
4. Discarded Covid 19
5. Gizi baik
7. 2 April 2021 An. 01557544 1. Gagal nafas klinis ec pneumonia viral dd bakterial Monitoring - -
Bhagawanta 2. Status epileptikus tanda vital,
3. Epilepsi Intraktable balance
4. Meningitis TB dalam pengobatan fase rumatan bulan 1 cairan,
5. CP tipe spastik
6. Discarded covid 19
7. Gizi Kurang
8. 2 April 2021 An. Jenieka 01571585 1 MBO, Monitoring  -
2 syok neurogenik, tanda vital,
3 penurunan kesadaran ec perdarahan intrakranial ec ruptur balance
AVM post DSA, cairan
4 gagal napas tipe II ec proses sentral,
5 AVM grade V class C post DSA,
6 Asidosis respiratorik mixed alkalosis metabolik,
7 Gizi baik
9. 2 April 2021 An. Sobri 01492735 1. Penurunan Kesadaran ec Malfungsi VP shunt ec Cystic Monitoring - -
Thalamic Glioma, tanda vital,
2. Paraparese inferior ec Cystic Thalamic Glioma, balance
3. Diabetes Insipidius, Hidrocefalus post VP shunt, cairan,
4. Gizi Baik koreksi
hipernatremia
10. 6 April 2021 An Almira 01572880 1 penurunan kesadaran ec tsk ensefalopati hipertensi dd Monitoring - -
perdarahan intrakranial, tanda vital,
2 seizure ec krisis hipertensi, balance
3 tsk Sindrom nefritis dd nefrotik, cairan
4 krisis hipertensi,
5 DE: tsk PJ didapat, DA: tsk RVH, DF: Nyha I,
 6 AKI type Injuri ec tsk renal disease (perbaikan),
7 Gizi baik
11. 7 April 2021 An. Natalia 01572722 1. Pneumonia viral dd bakterial dengan gawat nafas, Monitoring - -
2. Discarded covid tanda vital,
3. Gizi baik balance
cairan,
12. 7 April 2021 By. Ny 01572730 1 Gagal napas ec pneumonia bakterial, Monitoring - -
Kasmini 2 DE: PJB asianotik , DA: ASD, PDA, DF: Ross II , tanda vital,
3 Down syndrome, balance
4 Discarded Covid-19, cairan,
5 Gizi Kurang pemasangan
HFNC
13. 7 April 2021 An. Amin 01572564 1 gagal nafas tipe II ec spinal cord injury, Monitoring - -
2 pneumonia bakterial , tanda vital,
3 cedera otak sedang perbaikan, balance
4 tetraplegia ec fracture VC 4-6, Allen ferguson, compressive cairan
flexion stage II,
5 edema cerebri perbaikan,
6 hiponatremia hipervolumia ec AKI dd SIADH,
7 gizi baik
14. 8 April 2021 An. Vina 01239003 1 Syok refrakter katekolamin, Monitoring  -
2 syok hipovolemik ec perdarahan, tanda vital,
3 Gagal napas ec prolonged shock dd proses sentral, balance
4 Perdarahan luka post OP ec koagulopati, cairan, IVC,
5 AKI tipe injury ec syok hipovolemia , RJP
6 Post op kraniotomi insisi drainase ai abses serebri,
7 DE: PJB sianotik, DA: Absent tricuspid valve, DF: NYHA
II,
8 Gizi kurang.
15. 8 April 2021 An. Dian 01571207 1. Hidropneumothorax sinistra ec abses paru, Monitoring - -
2. Loculated empiema tanda vital,
3. Gizi kurang balance
cairan
16. 9 April 2021 An. Ilham 01573259 1 post op kraniotomi ec EDH R. Frontal, Monitoring - -
2 cedera otak ringan, tanda vital,
3 fraktur os frontal, balance
4 gizi baik. cairan
17. 9 April 2021 An. Andru 01573300 1 perdarahan saluran cerna ec hipoksia dd stres ulcer, Monitoring - -
 2 gagal napas klinis e.c pneumonia unilateral kanan ec tanda vital,
Pseudomonas aeroginosa (perbaikan), balance
3 ISK kompleks ec Candida tropicalis, cairan,
4 AKI Tipe Failure on HD, Hipertensi stage 2, pemasangan
5 Tsk DM tipe 2 dd DM tipe 1, HFNC, RJP,
6 KAD derajat berat dengan dehidrasi sedang (perbaikan), setting
7 riwayat asidosis metabolik mixed respiratorik, ventilator
8 Riwayat Syok sepsis refrakter cairan,
9 Riwayat Krisis hipertensi,
10 Obesitas
18. 9 April 2021 An. Abizard 01572495 1 Meningoensefalitis TB, Monitoring - -
2 Subdural hygroma, tanda vital,
3 Syok sepsis refrakter cairan (teratasi), balance
4 Pneumonia bakterial ec pseudomonas aeruginosa dengan cairan,
gagal napas (perbaikan), intubasi, RJP,
5 Riwayat Perdarahan saluran cerna ec hipoksia dd stress pemasangan
ulcer, NIV,
6 Riwayat Cystitis, reintubasi,
7 Post ROSC, setting
8 Gizi baik ventilator
19. 9 April 2021 An. Dian 01573304 1 fraktur impresi Regio temporoparietalis sinistra, Monitoring - -
Renuko 2 SDH Regio temporoparietalis Dextra, tanda vital,
3 Edema serebri, balance
4 Gizi baik cairan,
setting awal
ventilator,

20. 10 April 2021 An. Azkia 01554315 1 Pneumonia viral dd bakterial dengan gagal napas, Monitoring  -
2 Sirosis hepatis, tanda vital,
3 hyponatremia ec malnutrisi dd low intake, balance
4 Ascites permagna ec sirosis hepatis, cairan
5 Kolestasis ekstrahepatal ec stenosis biller dd atresia billier,
6 Asidosis respiratorik mixed alkalosis metabolik efek Na dan
Cl,
7 Gizi buruk tipe marasmik
21. 10 April 2021 An. Haryanto 01303463 1. Post op labioplasty + palatoplasty (potong flab) ai Monitoring - -
labiopalatoskizis tanda vital,
2. Gizi kurang balance
 cairan,
ekstubasi
22. 10 April 2021 An. Reyner 01573554 1. Penyakit kawasaki dd scarlet fever Monitoring - -
2. Gizi baik tanda vital,
balance
cairan
23. 10 April 2021 An Raka 01573322 1 post op laparotomi eksplorasi ai ileus obstruktif letak tinggi, Monitoring - -
2 invaginasi, tanda vital,
3 riwayat syok hipovolemik, balance
4 gizi baik cairan
24. 11 April 2021 An Ahmad 01572719 1. DE: pjb asianotik, DA: TOF post sadap, DF: nyha 1 Monitoring - -
2. Gizi kurang tanda vital,
balance
cairan,
pemasangan
HFNC
25. 13 April 2021 An Sabian 01562594 1 Post Op Eksisi tumor ai Neurofibroma R. Colli dextra Monitoring - -
2 Gizi Kurang. tanda vital,
balance
cairan,
26. 13 April 2021 An Natalia 01564414 1. Pneumonia viral dd bacterial dengan gawat napas Monitoring - -
2. Discarded covid tanda vital,
3. Gizi baik balance
cairan,
pemasangan
HFNC
27. 13 April 2021 An Fiddatu 01560235 1 syok sepsis refrakter cairan Monitoring 
2 sepsis ec peritonitis, tanda vital,
3 depresi nafas ec obat sedasi,   balance
4 post Op Laparotomi ec ileus letak tinggi (adhesi sisterna cairan, IVC,
usus), RJP
5 riwayat anemia mikrositik hipokromik ec defisiensi besi dd
penyakit kronis,
6 riwayat Tutup Stoma + adhesiolisis ai MAR (post PSARP)
7 gizi baik
28. 14 April 2021 An Qa’riah 01573808 1. Penurunan kesadaran ec ensefalopati metabolik dd tsk Monitoring - -
meningitis tanda vital,
2. Syok septik teratasi balance
 3. Gizi baik cairan,
29. 14 April 2021 An Mikaela 01072549 1 post laparotomi eksplorasi ai peritonitis generalisata ec Monitoring - -
appendicitis perforasi, tanda vital,
2 Epilepsi intractabel, balance
3 CP tipe spastik, cairan,
4 DE PJB asianotik, DA ASD II PS mild (pg 30.02) tr mild setting
(pg 18.06), DF NYHA 1, ventilator,
5 Gizi kurang ekstubasi
30. 15 April 2021 By. Ny Eni 01573276 1 Gagal Nafas Tipe Campuran, Monitoring  -
2 Asidosis Respiratorik Mix Asidosis Metabolik, tanda vital,
3 Trombositopenia dan Hipoalbuminemia ec Sepsis, balance
4 Hiponatremia berat ec GIT Loss Syok hipovolemik ec cairan, RJP
perdarahan,
5 Hiperglikemia ec stress respon,
6 Post laparotomi eksplorasi + jejunostomi ec peritonitis
generalisata,
7 Peritonitis generalisata ec perforasi gaster,
8 Megacolon congenital tipe short segmen,
9 Sepsis ec staphylococcus hemoliticus,
10 Gizi buruk tipe marasmus
31. 15 April 2021 An Rafeyfa 01568102 1 pneumonia ec Stenotrophomonas maltophilia dd PCP Monitoring  -
dengan  gagal napas klinis, tanda vital,
2 subdural higroma, balance
3 tsk CMV kongenital, cairan,
4 CP hipotonik, intubasi,
5 Diare akut tanpa dehidrasi ec allergi susu dd infeksi bakterial setting
dd viral, ventilator,
6 peningkatan enzim transaminase ec DILI (Meropenem) dd RJP
infeksi,
7 riwayat kandidiasis oral,
8 DE : PJB asianotik, DA : PFO, TR Mild, DF : Ross I,
9 riwayat covid 19 teronfirmasi sedang
10 gizi kurang
32. 16 April 2021 An Robiul 01570655 1 Gagal napas klinis ec SVKS dd  pulmonal metastase, Monitoring  -
2 Low grade tymoma dengan brain metastase post kemo CPA , tanda vital,
3 Riwayat Tb klinis dalam pengobatan fase intensif minggu ke balance
27 (mulai pengobatan 20/2/22), cairan,
4 Hidrocephalus communicans, intubasi, RJP
 5 masa cerebri ec tsk metastasis,
6 Bisitopenia ec tsk proses infeksi dd keganasan,
7 Gizi buruk tipe marasmik fase rehabilitasi
33. - 19 April 2021 An M Septyan 01573881 1. Prolong Syok Sepsis Refrakter Cairan Monitoring  -
2. Gagal Nafas Tipe 1 tanda vital,
3. Alkalosis Metabolik Mix Alkalosis Respiratorik ( Kompensasi balance
PCO2 42,9) cairan, IVC
4. moderate head injury ec SAH regio frontalis dextra,
5. Syok sepsis refrakter cairan,
6. Melena ec stress ulcer dd sepsis,
7. AKI tipe risk ec prerenal dd renal,
8. Kontusio pulmonum,
9. Edema cerebri,
10. Close fracture femur (D) dan Gizi baik
34. 19 April 2021 An Abrisam 01566612 1 post Op Kraniotomi biopsi ai massa intrakranial tsk glioma Monitoring - -
pontin, tanda vital,
2 Hemiparesis dextra ec massa intrakranial tsk glioma pontin, balance
3 Paresis Nervus III,IV,VI, VII, XI, XII, cairan
4 Brain edema,
5 Riwayat covid terkonfirmasi derajat sedang
6 Gizi kurang
35. 19 April 2021 An Affian 01574348 1. Severe dengue Monitoring - -
2. Distress napas ec efusi pleura tanda vital,
3. Alkalosis Respiratorik Mix Alkalosis Metabolik balance
4. Hiponatremia Berat hipovolemik asimtomatik extra renal cairan
5. Hipovolemik ec plasma leaked ec dengue fever
6. Gizi Baik
36. 20 April 2021 An Yoga 01549318 1 ewing Sarcoma Proximal tibia (S) post radioterapi post wide Monitoring - -
Excision + Fibula Excision + Biological Reconntruksi of tanda vital,
Tibia + Gastroecnemius Flap + ORIF recontruktion, balance
2 gizi kurang cairan
37. 22 April 2021 An Kinanti 01552490 1 Syok sepsis, Monitoring - -
2 anemia normositik normokromik ec perdarahan akut, tanda vital,
3 Alkalosis respiratorik mixed asidosis metabolik,  balance
4 Post op non-excisional debridement ai Combustio api grade cairan, IVC,
II 18%, setting
5 Riwayat Hipotermia sedang ec radiasi et konveksi, ventilator
6 Gizi baik
38. 22 April 2021 An. Bhaskara 01573805 1 Syok sepsis refrakter cairan, Monitoring - -
2 Combustio grade II AB 25% post debridement, tanda vital,
3 Sepsis, balance
4 Gizi baik cairan, IVC
39. 23 April 2021 An M Azzam 01574511 1 pneumonia dengan gagal nafas, Monitoring - -
2 DE : Tsk PJB asianotik, DA : Tsk VSD dd ASD, DF : Ross tanda vital,
II-III, balance
3 Tsk meningitis viral dd bakterial, cairan,
4 riw status epileptikus, pemasangan
5 discarded covid 19, HFNC
6 gizi baik

Mengetahui,
Supervisor Subdivisi

dr. Sri Martuti, Sp. A (K), M. Kes