LAPORAN JAGA JASMIN

Rabu, 27 Oktober 2022 Pukul 16.00 – Kamis 28 Oktober 2022 Pukul 07.00 WIB.
dr. Alven Edra, dr. Syarlidina Syaf, dr. Pofi Risanti Yarsi, dr. Rizki Romadani, dr. Salmiyah, dr. Anggi Rizki Utami, dr. Riki Liswanto, dr. Ikhsan Tri Kurnia, dr. Agus
Subhan, dr. Lananovia Ade Putri
Total Pasien Jasmin : 23 orang, Pasien Lama : 22orang, pasien baru dari IGD : 1 orang, pasien baru dari poli : - orang, pasien pulang : 1 orang, PAPS: - orang, alih
rawat RICU: - orang, pindahan dari Pinere : - orang , pindahan dari RICU : - orang, pindahan dari ICU : - orang, pindahan dari Kenanga: - orang, pindahan dari
edelweis : - orang, meninggal : orang. Pindah Bougenvile: orang , pindah ke Mawar : - orang, pindah ICU : - orang. Pindah HCU : - orang, Pindah ke krisan : - orang.
Pasien dirujuk : - orang Pindah dari ruangan : - orang Pasien pengawasan : 3 orang

1
No Kamar
Nama Pasien Diagnosis/ Masalah Pemeriksaan Penunjang Rencana DPJP Keterangan

1 Jasmin Tn. Juhansyah A: 18/10/22 Hb/Leu/Ht/Trom R: dr. Zarfiardy dr. Khairani

1.1.2 23/01/1967 Kanker paru kanan jenis 13,8/10,72/42,3/374 - Perbaikan KU SpP(K)
01104194 (?) T4N2M1a (pleura) B/E/N/L/M - Post core biopsy
stage IVA PS 2 0,7/7,3/59,7/25,8/6,5 - Hasil PA  8/11/22
MRS 19/10/22 NLR/ALC
M: 2,31/2,77
Rawatan Hari ke – - Diagnostik Foto Toraks 22/08/22
10
Dusun Denosari PT/INR/APTT
Rengat Indragiri 14.0/0,99/29,7
Hulu
Alb/AST/ALT/GDS/
081277100125 LDH
4,1/17/18/96/166
Ur/cr
19/0,75

Na/k/cl
144/4,2/112 Foto Toraks 18/10/22

HIV/HBSAg
NR/NR

26/10/22 Hb/Leu/Ht/Trom
13,3/7,85/40,5/259
B/E/N/L/M
0,6/15,2/38,7/38,1/7,4
NLR/ALC CT Scan Toraks 14/09/22

2
 1,02/2,99

PT/INR/APTT
13,8/0,97/30,3

CRP/Alb/Bil.tot/dir/
ind/AST/ALT/GDS/
LDH
3,6/3/7/0,28/0,14/0,14/2
0/34/105/104
Ur/cr
21,0/0,70

Na/k/cl
141/4,1/112
Procal
0,029
27/10/22
Ferritin
270,0

3
 Ekspertise

4
 Echo 19/10/22

5
 EKG 19/10/22

2 Jasmin Tn. Muhammad A: 21/10/22 Hb/Leu/Ht/Trom R: dr. Sri Melati dr. Elvando
1.1.3 Musafiie - Adenokarsinoma paru 12,7/14,35/40,1/435 - Kemoterapi Lini 1 Siklus 1 SpP(K)
10/10/1978 kananT4N3M1b (coli) B/E/N/L/M (Permetreksed + Cisplatin)
01107799 stage IVA PS 1 0,1/1,2/79,0/12,9/6,8 selesai
NLR/ALC
MRS 21/10/22 via M: 6,12/1,85
Poli - SVKS Grade 1 Foto Toraks 04/05/22
PT/INR/APTT/Ddimer
Hari Rawatan ke - - Nyeri Kanker VAS 7-8 12,8/0,90/27,3/0,99
8 Alb/AST/ALT/LDH/
GDS
Rengat Indragiri 3,7/31/150/218/145
Hulu Na/k/cl
142/4,2/106
082277418913 Ur/cr
32,0/0,80
6
 HBSAg/HIV Foto Toraks 03/07/22
NR/NR

Sitologi 13/10/22

Foto Toraks 03/10/22

Bilasan Bronkus
17/10/22

CT Scan Toraks 03/10/22

pH/pCO2/pO2/HCO3
23/10/22 7.41/36/132/23
TCO2/BE/SO2C
24/-2/99
Na/K/Ca/Lac
132/4,4/1.13/3,2

7
 CCT/ur/kr
90,5/36/0,75
26/10/22
Hb/Leu/Ht/Trom
12,6/17,26/38,2/401
27/10/22
B/E/N/L/M
0,1/0,0/93,9/4,0/2,0
NLR/ALC
23,48/0,69

PT/INR/APTT
13,2/0,93/25,0
EKG 07/10/22
CRP/Alb/AST/ALT/
GDS/LDH
3,9/3,7/19/88/155
Ur/cr
45,0/0,65

Procal Echo 07/10/22

0,084

8
 Bronkoskopi 12/10/22

Foto toraks 27/10/22

3 Jasmin Tn. Osmar A: 18/10/22 Hb/Leu/Ht/Trom - Observasi Post BC dr. Zarfiardy dr. Khairani
9
1.1.4 Sitompul - Kanker paru kanan jenis 13,2/9,0/38,5/323 SpP(K)
04/03/1962 (?) T4N3M1b (pleura, B/E/N/L/M - Sitologi CP  menunggu Punksi pleura
01108362 colli) stage IVA PS 2 0,6/2,2/60,5/29,6/7,1 hasil 28/10/22 USG Guided
NLR/ALC 22/10/22
MRS 18/10/22 via - PPOK Stabil group D - FNAB  menunggu hasil serohemorage
2.14/2.66
Poli 800 cc
M: PT/INR/APTT
Hari Rawatan ke - - Diagnostik 14,2/1/30,3
10 - Nyeri kanker VAS 5-6 LDH/Alb/AST/ALT
- Hipokalemi (2,9) 287/4/34/35 Foto Toraks 09/09/22
Jl. Dusun GDS/Ur/Cr
Nanggala Kandis 92/21/0,98
Siak HbSAg
NR
081371266908 HIV : NR

Na/k/cl
143/3,5/103

19/10/22
Total protein/LDH/GDS
5,5/262/127
Foto Toraks 29/09/22
Analisa CP

10
 22/10/22 Hb/Leu/Ht/Trom
12/7,52/34,5/273
B/E/N/L/M
0,5/3,5/64,3/24,9/6,8
NLR/ALC
2.58/1,87
PT/INR/APTT/D-dimer
15,4/1.09/31,6/0,46
Alb/AST/ALT
3,1/22/23
GDS/Ur/Cr
90/15/0,84 Foto Toraks 18/10/22

pH/pCO2/pO2/HCO3
7.50/39/137/30
TCO2/BE/SO2C
32/7/99
Na/K/Ca/Lac
135/2,9/1.00/0,90

Foto Toraks 19/10/22

26/10/22 Hb/Leu/Ht/Trom
12,8/8,08/37,1/304
B/E/N/L/M
0,5/1,7/66,4/23,9/7,5
11
 NLR/ALC
2,78/1,93
Alb/3,3
Na/K/ch
140/4,3/106

12
 CT Scan Toraks 19/10/22

13
14
 Ekspertise

Foto Toraks 20/10/22

Foto toraks post punksi

15
 22/10/22

16
4 Jasmi Tn. Bogiman A: 12/10/2 Hb/Leu/Ht/Trom R: dr. Sri Indah dr. Tami
n 04/01/1965 - HAP 2 8/19,27/24,3/200 - Alirkan WSD 200cc / SpP(K)
1.1.5 01085237 - KSS Paru Kiri B/E/N/L/M 2 jam
T4N2M1B (pleura, 0,4/1,5/83,0/8,2/6,9 - Post kemoterapi lini 2 Terpasang
MRS 13/10/22 otak ) stage IV A PS WSD
NLR/ALC siklus 1 (dosetaksel)
Via poli 2 - Undulas
10,12/1,58 - Kultur sputum dan mo
PT/INR/APTT i
Rawatan Hari M: gram ulang  (+)
ke - 16 - Efusi pleura kiri 12,5/0,88/26,0 menunggu hasil - Bubble
- Nyeri kanker VAS
Batang Peranap Alb/AST/ALT/GDS (-)
7-8
Indragiri Hulu 2,6/11/21/105 Foto Toraks 12/10/22 - Produksi
- Hipoalbumin (2,5)
Ur/Cr klem 
082287071464 - Hiperkoagulopati 13/0,51 200 cc /
(1,20)
2 jam
Na/k/cl
130/3,4/99

Hb/Leu/Ht/Trom
14/10/2 7.3/21,71/22,8/243
2 B/E/N/L/M
0,3/0,9/83,6/8,3/6,9
NLR/ALC
10,07/1,80

Alb : 2,5
Total bilirubin :
0,26
bilirubin direk : 0,09
bilirubin indirek :
0,17

17
 LDH : 169
GDS : 134
PCT : 0,403
Ur/Cr
13/0,51

Na/k/cl
130/3,4/99

15/10/2 CCT/Ur/Cr
2 106,07/17,0/0,54 EKG 13/10/22

Hb/Leu/Ht/Trom
18/10/2 10,7/23,34/33,1/269
2 B/E/N/L/M
0,4/0,6/88,6/5,1/5,3
NLR/ALC/PCT
17,37/1,19/0.205

PT/INR/APTT/
Foto Toraks Post WSD
Ddimer
18/10/22
19/10/2 16.3/1.16/32,3/1.2
2 CRP/Alb/AST/
ALT/GDS
80.6/2,4/13/22
Na/K/Cl
135/4,6/106
PCT : 0,376

USG Abdomen 19/10/22

18
 Sitologi 09/09/22

Hb/Leu/Ht/Trom
8,2/27,98/26,2/297
23/10/2 B/E/N/L/M
2 0,1/0,0/95,9/2,8/1,2
NLR/ALC
34,25/0,77
PT/INR/APTT Ekspertise
14,2/1,00/29,6

Alb/AST/ALT/
GDS/CRP
2,5/46/94/147/21,5
Ur/Cr
30/0,62
Na/K/Cl
19
 134/4,2/103
PCT
0,136
Hb/Leu/Ht/Trom
11,4/26,97/34,2/240
B/E/N/L/M
26/10/2 1,5/0,0/94,9/3,2/0,4
2 NLR/ALC
29,66/0,85

Kultur sputum 19/10/22

Foto Toraks 25-10-2022

20
5 Jasmi Tn. Zulkarnain A: 24/10/2 Hb/Leu/Ht/Trom R: Dr. Adrianison Dr. Rezki
n 14/12/1950 - Adenokarsinoma 2 11,3/7,43/33,6/396 - Rencana Kemoterapi Sp.P(K) PS
1.1.6 01096848 Paru Kanan B/E/N/L/M Lini 1 Siklus 2
T4N2M1a (Pleura) 0,7/0,1/67,6/20,7/10 (pemetreksed,
MRS via Poli
Stage IV A PS 2 ,9 cisplatin)
24/10/2022
NLR 28/10/22
Rawatan Hari M: 3,27
ke - 5 - Nyeri kanker VAS PT/INR/APTT/ Foto Toraks 01/10/22
4-5 Ddimer
Jl.Parit 6 no - Efusi Pleura Dextra 15,5/1,10/27,2
118 Marpoyan - Hiponatremia (132) Alb/AST/ALT/GDS
Damai - Hipokalemia (3,0) 3,6/31/34/132
Ur/cr
083809348300 79/0,88
PCT
0,110

pH/pCO2/pO2/ Foto Toraks 24/10/22

HCO3
7.53/42/148/35
TCO2/BE/SO2C
36/11/99
Na/K/Ca/Lac
27/10/2 132/3.0/1.06/1.60
21
 2

CCT/Ur/Cr
70,57/28,0/0,67

CT Toraks 14/09/2022

22
23
24
25
 Foto Toraks 25-10-2022

6 Jasmi Ny. Wendi A: 21/10/2 Hb/Leu/Ht/Trom - Cek kultur sputum, Dr. Sri Melati Dr. Elvando
n Sulasmi - CAP SP 56 2 11,6/13,65/36,5/501 MO gram, kultur Sp.P (K)
1.2.1 Rustam - Efusi pleura Dextra B/E/N/L/M sputum jamur 
18/09/1976 ec Malignancy dd 0,8/1,8/71,2/19,2/7,
01076776 menunggu hasil
Non Malignancy 0

26
 Pindah dari NLR/ALC Foto toraks 19/10/22
RICU M: 3,71/2,62
23/10/22 - Diagnostik PT/INR/APTT/D-
- Hipoalbuminemia Dimer
Rawatan (2,9) 14,7/1,04/30,5/12,7
Jasmin Hari
- Hiperkoagulopati 6
ke- 6
(12,56) CRP/Alb
Jl. Kartini - Peningkatan enzim 45,9/2.9
Pekanbaru transaminase AST/ALT/GDS/
LDH
081371838175 24/67/117/121
Ur/Cr
17/0.59
Procalcitonin :
0.090 Ct Scan toraks 19/10/22
Ferritin : 328,5
HIV/HbsAg
NR/NR

PH/pCO2/pO2/
HCO3
7,48/43/82/32
TCO2/BE/SO2C
22/10/2 33/8/97
2 Na/k/ca/lac
135/3.2/1,09/1,10

23/10/2
2 Bil Tot/Bil ind/Bil
Dir

27
 0,49/0,22/0,27

PH/pCO2/pO2/
HCO3
7,46/45/168/32
TCO2/BE/SO2C
33/7/100

Na/k/ca/lac
136/3.5/1,10/0.80

Hasil TTNA
27/10/22

26/10/2
2

Hb/Leu/Ht/Trom
11,5/21,37/35,2/654
B/E/N/L/M
04/0,2/81,5/12,1/5,8
NLR/ALC
6,74/2,58
CRP/Alb/AST/ALT
28
 13,3/3,1/13/29
26/10/2 GDS/Ur/Cr
2 187/21,0/0,60
Procal
0,040

PH/pCO2/pO2/
HCO3
7,45/41/76/29
TCO2/BE/SO2C
30/5/96

Na/k/ca/lac
133/3,2/1,10/2,70

Sitopatologi TTNA
27/10/22
Expertise

29
 Foto toraks 21/10/22

30
31
 Ekg 21/10/22

Foto Toraks 25-10-2022

Hasil bronkoskopi
27/10/22

32
7 Jasmi Ny. Rosmawita A: 18/10/2 Hb/Leu/Ht/Trom - Spooling / shift dr. Indra Yovi dr. Rezki
n 10/08/1970 - TB paru 2 12,5/11,47/37,3/591 - GV / hari SpP(K)
1.2.2 01109917 bakteriologis kasus B/E/N/L/M - Evaluasi WSD / hari Terpasang
baru status HIV(-) 0,4/3,9/65,9/21,8/8 WSD
MRS 19/10/22 - Rencana pasang - Undulas
OAT TMT NLR/ALC Pneumostat
3,02/2,49 i
Rawatan Hari 21/10/22
PT/INR/APTT (+)
ke - 10 - Mikosis Paru
14,3/1,03/29,1 - Bubble
probable
Jl. Raya (-)
Pekanbaru - M: AST/ALT/GDS - Produksi
Duri - Pyopneumotoraks 11/10/139 (-) cc
kiri ec TB dd non Ur/Cr - OAT
093892248770 17/0,62
TB Foto Toraks 18/10/22 4FDC
HIV/Hbsag
- Hipokalemia (3,1) 1x2 tab
NR/NR
TMT

33
 Total protein/ 21/10/22
19/10/2 LDH/GDS/Trigliser - Infus
2 ida Flukona
7,30/286/132/73 zol
1x200
Analisa CP mg (H1)
19/10/22
Terpasang
Foto Toraks Post WSD redax (H3)
19/10/22

Na/K/Ca/Lac
137/3,1/1,11/1,60
EKG 18/10/22
Kultur Sputum
19/10/2
21/10/22
2

Mikrobiologi
34
 21/10/22 EKG 19/10/22

23/10/2 TotProtein/LDH/
2 GDS
6/135/227 Foto toraks 24 Oktober
Trigiserida 2022
53

Analisa cairan
Pleura 23/10/22

35
 Hb/Leu/Ht/Trom
13,2/10,51/40,2/620
B/E/N/L/M
0,2/3,6/64,2/24,4/7,
6
NLR/ALC
24/10/2 2,63/2,56
2 PT/INR/APTT/
Ddimer
18,1/1.29/30,3/1,48
CRP/Alb
9,5/3.0
AST/ALT/GDS
12/9/76
Ur/Cr
11,0/0,56
PCT
0,079
36
8 Jasmi Ny. Titin A: 26/10/2 Hb/Leu/Ht/Trom R: Dr. Indra yovi Dr. Riki
n 07/08/1958 - CAP SP 134 2 13,5/7,51/40,2/323 - CTscan Sp.P
1.2.3 01110500 - Efusi pleura sinistra B/E/N/L/M toraks+kontras8/11/ Inj. Levo 1 x
ec malignancy dd 0,1/0,0/79,1/10,9/9, 22 Raber 750 mg (H2)
MRS 26/10/22 Dr. Asrizal,
nonmalignancy 9 - Bronkoskopi jadwal
Dari igd Sp.PD
- DM tipe 2 NLR/ALC (-)
Rawatan hari - Hipertensi stage 2 7,26/0,82 - Nebu /6 jam
ke 3 PT/INR/APTT/
M: 12,3/0,86/26,8/
Nusantara 1 - Hiponatremia (131) CRP/Alb/ast/alt CT Scan Toraks 24/10/22
gang bonai no - Hipokalemia (3,4) 2,3/4,3/26/35 (RS Mandau)
252, mandau Bil Tot/Bil Dir/Bil
ind
085356354373 0,26/0,15/0,11
Ur/kr
51/0,82

LDH/GDS
279/193

HBSAg/HIV
NR/NR

pH/pCO2/pO2/
37
 HCO3
7.39/41/69/34
TCO2/BE/SO2C
36/11/95
Na/K/Ca/Lac
131/3,4/1.10/1,40
PCT
27/10/2 0,060
2
Analisa Cairan
pleura

Expertise

38
 Foto toraks 26/10/22

Foto toraks 27/10/22 post

abram

9 Jasmi Ny. Nuraini A: 26/10/2 Hb/Leu/Ht/Trom R: Dr. Sri Indah I Dr. Rezki
n Dalimunthe - BE terinfeksi 2 13,4/13,68/41,4/320 - Cek kultur sputum, Sp.P (K)
1.2.4 10/10/1966 - CAP SP 96 B/E/N/L/M mo gram, BTA, kultur
00600889 - Bekas TB dd TB 0,4/1,3/75,5/11,7/11 sputum jamur Raber
dr. Irwan,
paru kasus kambuh ,1 menunggu hasil
MRS 26/10/22 Sp.JP
dd TB MDR NLR/ALC - Nebu/ 6 jam
Dari igd
- CHF ec HHD dd 6,45/1,60
Rawatan hari PT/INR/APTT/
Hipertensi
ke 3 14,2/1,00/29,5 Foto toraks 26/10/22
pulmonal
/Alb/ast/alt

39
 Jl Rambai sari M: /4,1/17/19
Pekanbaru - Hipoxemia Ringan Ur/kr
- Hiponatremia (127) 30/0,65
081261407235 - Hipokalemia (2,5)
- Luluh paru kiri HBSAg/HIV
NR/NR

pH/pCO2/pO2/
HCO3
7.44/62/75/42
TCO2/BE/SO2C
44/15/95
Na/K/Ca/Lac
127/2,5/0,99/1,20

10 Jasmi Ny. Kurnia A: 23/10/2 Hb/Leu/Ht/Trom R: Dr. Ananda Dr. Riki

n Safitri - BE terinfeksi 2 12/27,76/41,6/642 - KI/6 jam Febriani Sp.P Liswanto
1.2.5 12/11/2004 - TB paru B/E/N/L/M - Nebulizer/6 jam
01110282 bakteriologis kasus 0,1/0,1/93,2/4,2/2,4 - Konsul Sp.JP
putus obat status NLR/ALC - Kultur sputum, Mo
MRS 23/10/22
HIV (-) on OAT 22,19/ Gram, BTA,
Dari IGD
40
 TMT 5/10/22 PT/INR/APTT/ GEmenunggu
Hari rawatan Ddimer hasil
ke-6 M: 12,2/0,86/25,9/1,65
- Multiple giant bulla CRP
Alamat: - Hiperkapnia (72) 95,4
Bil Tot/Bil Dir/Bil
082256885433 Hiperkoagulopati (1,63)
ind
0,26/0,15/0,11

LDH/GDS
341/122
Foto toraks 23/10/22
HBSAg/HIV
NR/NR

pH/pCO2/pO2/
HCO3
7.39/72/86/44
TCO2/BE/SO2C
46/15/96
Na/K/Ca/Lac
138/3,7/1.11/2,80
PCT
0,089
25-10-
22 pH/pCO2/pO2/
HCO3 EKG 23/10/22
7.36/78/131/44
TCO2/BE/SO2C

41
 47/15/99
Na/K/Ca/Lac
135/3,9/1.10/2,70
26/10/2
2 pH/pCO2/pO2/
HCO3
7.35/85/103/47
TCO2/BE/SO2C
50/18/98
Na/K/Ca/Lac
135/3,9/1.16/1,90

Rhematoid factor
27/10/2 NR < 12
2
pH/pCO2/pO2/
HCO3
7.39/83/149/50
TCO2/BE/SO2C
53/20/99
Na/K/Ca/Lac
135/4,4/1,08/2,20

11 Jasmi Ny. Dena A: 25/10/2 Hb/Leu/Ht/Trom R: dr. Indra Dr. rezki

n 03-03-1987 - Limfadenopati TB on 022 Yovi, Sp. P(K)
42
 1.2.6 01110456 OAT 5.8/32,59/19,6/133 - Perbaikan KU Inj.
- TB Paru Kilini Kasus B/E/N/L/M - Rencana tranfusi PRC Raber dr. Ciprofloxaci
MRS Jasmin baru status HIV (-) 0,3/0,5/75.8/16,4/7, 5 labu  masuk 1 labu Ligat, Sp.PD n 2 x 500
25/10/2022 - ISK 0 - plasbumin rencana 2 mg (2)
NLR/ALC  masuk 1
Rawatan Hari M:
4,62/4,65
ke 4 - Anemia (5,8)
- Hipoalbumin (1,8)
Jln. Damai/ - Peningkatan enzim Alb/AST/ALT/
Tampan transaminase GDS/Ur/Cr
Pekanbaru - Alkalosis Metabolik 1,8/47/44/92/21/0,3
01371921281 Hipokalemia (2,0) 9

pH/pCO2/pO2/ Foto Toraks 25-10-2022

HCO3
7.35/42/122/35
TCO2/BE/SO2C
36/11/99
Na/K/Ca/Lac
135/2,0/1.02/1,20

Bil tot/Bil Ind/ Bil

dir
26/10/2 1,41/0,39/1,02
2
LDH/ CRP/ Pct
835/98,5/0,152

Hasil Urinalisa

43
12 Jasmi Tn. Bernadi A: 26/10/2 Hb/Leu/Ht/Trom R: Dr. Adrianison Dr. Rezki
n manalu - Terduga tumor paru 2 14,0/22,51/41,1/218 - CT Scan toraks + Sp.P (K)
1.3.1 10/05/1963 kiri B/E/N/L/M kontras 3/11/22
01109364 0,2/0,1/86,4/7,6/5,7 - Bronkoskopi
NLR/ALC jadwal (-)
MRS jasmin M:
26/10/22 dari
11,37/1,71 - Kultur sputum
Nyeri VAS 2-3
Poli PT/INR/APTT/D menunggu hasil
Dimer -
Rawatan hari 16,1/1,14/28,8/2,81 Foto toraks 26/10/22
ke-3 Alb/LDH/GDS
3,6/231/138
Desa semunai Ur/kr
bengkalis 13/0,75
082390258383 HBSAg/HIV
NR/NR

44
 Na/K/Cl
138/3,7/103

pH/pCO2/pO2/
27/10/2 HCO3
2
7.50/40/100/31
TCO2/BE/SO2C
32/7/98
Na/K/Ca/Lac
132/2,5/1,0/1,70
CRP/PCT
279,2/0,569
Alt/Ast
15/24

13 Jasmi Tn. Kasmir A: 27/10/2 Hb/Leu/Ht/Trom R: Dr. Indra Dr. Elvando

n Firman Edi - TB Paru 2 12,4/13,81/38,9/116 - Evaluasi WSD/ hari Yovi, Sp.P (K)
1.3.4 06/04/1995 Bakteriologis B/E/N/L/M - GV/ hari
01108189 Kasus Baru Status 0,8/9,4/71,3/68/11,7 - Cek labor evaluasi
HIV (-) on OAT NLR/ALC - Foto toraks evaluasi
MRS 27/10/22
TMT 01/10/22 10,49/1,03 - Konsul RM
Rawatan Hari PT/INR/APTT
Ke-2 M: 13,7/0,96,28,8
- Pneumotoraks Ur/kr
Jl.Teluk Leok spontan sekunder 15,0/0,56
Desa
45
 Limbungan e.c Tb Na/K/Cl/lac
Rumbai - Hiponatremia (131) 130/3,6/1,14/1,50 Foto toraks 5/10/22
Pekanbaru - Multiple bullae
- Sindrom dispepsia HBSAg/HIV
085376988072 NR/NR

pH/pCO2/pO2/
HCO3
7.44/37/79/25
TCO2/BE/SO2C
26/1/96

Foto Toraks 05/10/22

(Post WSD)

46
 CT Scan Toraks 05/10/22

Foto toraks 27/10/22

47
 Foto toraks 27/10/22
post wsd

14 Jasmi Tn. Sihar A: 18/10/2 Hb/Leu/Ht/Trom - KI / 8 jam dr. Indra Yovi dr. Riki
n Simatupang - CAP SP 114 2 10.4/5,02/31,5/251 - Nebu / 8 jam SpP(K)
1.3.3 26/06/1957 - TB paru B/E/N/L/M - Evaluasi WSD / hari
01108607 bakteriologis kasus 0,2/3,2/73.3/16,3/7, Inj
- Kultur sputum , Mo ceftazidime
baru status HIV(-) 0 gram  menunggu
MRS Jasmin 3x2gr (H6)
NLR/ALC hasil
19/10/22
(Pindahan M: 4,50/0,82 Terpasang
- Sepsis dengan - Klem wsd 2 x 24 jam
Pinere) CRP/Alb/AST/ALT WSD H16
perbaikan 19,2/2,5/24/32 - Undulas
Rawatan Hari - Hidropneumotoraks LDH/GDS/Ur/Cr Foto Toraks 16/10/22 i
ke - 10 dekstra 208/86/9/0,41 (+)
Ferritin : 1231
48
 Jalan Baja - Anemia (10.3) Procalcitonin : - Bubble
Pasir Putih - Hipoalbuminemia 0,414 (-)
Siak Hulu (2.4) HIV/HbSAg - Produksi
- Hiperkoagulopati NR/NR -cc
081268731260
(2.53) PT/INR/APTT - Mulai
- Hiponatremia (128)
14,3/1,01/34,9 OAT
Na/k/cl Foto Toraks 18/10/22
- Hiperkarbia 26/10/22
134/4,4/102
- Retensi sputum Oktober
21/10/2
2 Hb/Leu/Ht/Trom 2022
10.3/7.55/30.8/276
B/E/N/L/M
0.1/1.6/86.2/8.1/4.0 EKG 16/10/22
NLR/ALC
10.64/0.61
PT/INR/APTT
17.5/1.25/33.3
CRP/Alb
105.2/2.4
BilTot/BilInd/BilDir EKG 18/10/22
1.87/0.69/1.18
AST/ALT/LDH
21/20/287
Procalcitonin :
0.336
Foto Toraks 25-10-2022
pH/pCO2/pO2/
HCO3
7.48/47/180/35

49
 TCO2/BE/SO2C
36/10/100
Na/K/Ca/Lac
129/3.2/1.04/1.30
22/10/2
pH/pCO2/pO2/
2
HCO3
7.53/46/184/38
TCO2/BE/SO2C
40/14/100
Na/K/Ca/Lac
128/3.8/1.05/1.90

24/10/2 pH/pCO2/pO2/
2 HCO3
7.51/47/85/38
TCO2/BE/SO2C
39/13/97
Na/K/Ca/Lac
25-10- 134/2,9/1.10/2,10
22
pH/pCO2/pO2/
HCO3
7.47/49/154/36
TCO2/BE/SO2C
37/11/99
Na/K/Ca/Lac
132/2.9/1.09/3.90

50
15 Jasmi Tn. Mareti A: 25/09/2 Hb/Leu/Ht/Trom R: dr. Ananda dr. Elvando
n Harefa - CAP SP 92 2 12,6/7,74/41,0/334 - Perbaikan KU dan Febriani Aulia
1.4.3 03/03/2000 - TB Paru B/E/N/L/M Gizi SpP OAT 4 FDC
(KI) 01107930 Bakteriologis kasus 0,3/0,3/86,8/4.1/8.5 - RM/hari 1x3 tab
Raber : TMT
putus obat status NLR/ ALC - AGD evaluasi
MRS 26/09/22 dr. Daril SpS 06/09/22
HIV (-) on OAT 21,17/0,32 - FU Hasil Kultur
Hari Rawatan TMT 06/09/22 CRP/Alb Sputum Itrakonazole
Ke -33 13,7/3,6 1x200 mg
- Mikosis Paru
AST/ALT/GDS (H24)
Probable
Sei. Kuning 25/29/117 Foto Toraks 25/09/22
Rokan Hulu - Epilepsi Mioklonik Ur/Cr Tigecycline
32,0/0,40 100 mg
082134678766 M: loading
- Hiperkarbia (78) PT/INR/APTT
12,5/0,88/27.7 dose(H2)
- Hipoalbumin (2.9) Dilanjutkan
HIV/HbSAg
- Hiponatremi (130) 50 mg / 12
NR/NR
- Hipokalemia (3,3) jam (H6)
Procalcitonin :
- Underweight STOP
0,491
Ph/PCO2/PO2/HCO3
7,30/78/53/38
TCO2/BE/SO2C Foto Toraks Post Punksi
41/9/83 WSD
Na/K/Ca/Lactat 26/09/22
136/4,1/1,16/2.20

pH/pCO2/pO2/
26/09/2 HCO3
2 7,40/65/239/40
TCO2/BE/SO2C
42/13/100
Na/K/Cal/Lac
51
 135/3,6/1,13/1,20

Hb/Leu/Ht/Trom
10,3/6,89/33,4/265
28/09/2 B/E/N/L/M
2
0,6/5,5/79,2/5,7/9,0
NLR/ ALC
13,89/0,39
PT/INR/APTT
12,5/0,88/26,6
CRP/Alb Foto Toraks Post Reposisi
22,3/3,0 26/09/2022
AST/ALT/GDS
17/16/138
Ur/Cr
28,0/0,48
Na/K/Cl
140/3,3/101
Procalcitonin :
0,167

Foto Toraks 03/10/22

Sputum BTA,
Kultur sputum
30/09/22

52
 Mo gram 30/09/22
EKG 04/10/22

02/10/2

53
 2 Hb/Leu/Ht/Trom CT Scan Toraks 10/10/22
11,0/8,50/35,5/226
B/E/N/L/M
0,2/5,6/81,9/5.6/6.7
NLR/ ALC
14,63/0,48
PT/INR/Aptt/
DDimer
13,7/0,96/31,3/0,38
CRP/Alb/Glo/
ProteinTotal/
BilTot/BilIndirek/
BilDirek
48,6/2,7/3,2/5,91/0,
53/0,21/0,32
AST/ALT/LDH/
GDS
03/10/2 20/17/211/98
2 Ur/Cr/PCT
19/0,53/0,092

PH/pCO2/pO2/
HCO3
7,46/58/206/41
TCO2/BE/SO2C
43/15/100
Na/K/Cal/Lac
135/3,6/1,03/1,20
04/10/2
2
PH/pCO2/pO2/

54
 HCO3
7,49/57/161/43
TCO2/BE/SO2C
45/17/100
Na/K/Cal/Lac
04/10/2
130/3,8/1,04/1,30
2
13.53 Hb/Leu/Ht/Trom
10,2/7,38/33,1/187
B/E/N/L/M
0,1/6,1/81,6/4,7/7,5
NLR/ ALC
17,36/0,35
PT/INR/Aptt/
DDimer
15,2/1,07/35,3/0,41
CRP/Alb
35,1/2,6
AST/ALT/LDH/
GDS
16/13/168/111
Ur/Cr
19/0,44

04/10/2 Na/k/cl
2 140/3,2/108
20.48
PCT : 0,083
PH/pCO2/pO2/
HCO3
7,35/59/63/33

55
 TCO2/BE/SO2C Ekspertise
35/7/90
05/10/2 Na/K/Cal/Lac
2 132/3,9/1,08
06.08
PH/pCO2/pO2/
HCO3
7,41/69/146/44
TCO2/BE/SO2C
06/10/2 46/16/99
2 Na/K/Cal/Lac
132/3,4/1,02/1,50

PH/pCO2/pO2/
HCO3
7,44/70/261/48
TCO2/BE/SO2C Foto toraks 22/10/22
07/10/2
2 50/19/100
Na/K/Cal/Lac
131/3,2/1,05/1,90

Hb/Leu/Ht/Trom
11,8/6,40/37,5/310
B/E/N/L/M
0,2/2,8/77,8/9,4/9,8
NLR/ALC
8,28/0,60
Alb/AST/ALT/GDS
3,2/21/15/129
Ur/Cr

56
 32/0,41 Foto Toraks 25-10-2022
08/10/2 Na/K/Cl
2 138/3,9/96

PH/pCO2/pO2/
HCO3
7,46/61/36/43
TCO2/BE/SO2C
45/17/73
10/10/2 Na/K/Cal/Lac Foto Toraks 27/10/22
2 131/3,4/1,04/1,80

PH/pCO2/pO2/
HCO3
7,41/67/170/43
TCO2/BE/SO2C
45/15/100
11/10/2 Na/K/Cal/Lac
2 130/3,8/1,06/0,60
21.00
PH/pCO2/pO2/
HCO3
7,37/82/178/47
TCO2/BE/SO2C
50/18/100
Na/K/Cal/Lac
134/3,8/1,02/1,00
12/10/2
2
06.00 Hb/Leu/Ht/Trom
11,8/8,89/39,7/75

57
 B/E/N/L/M
0,2/81,2/81,2/5,2/10
,3
NLR/ALC
15,62/0,46
PT/INR/APTT
12/10/2
2 11,7/0,82/22,9
19.00
PH/pCO2/pO2/
HCO3
7,37/111/97/60
TCO2/BE/SO2C
68/31/98
13/10/2 Na/K/Cal/Lac
2 136/3,4/1,00/1,90

PCT
0,301

PH/pCO2/pO2/
13/10/2 HCO3
2 19.20 7,49/107/192/4760
TCO2/BE/SO2C
85/58/100
Na/K/Cal/Lac
135/2,7/0,94/0,90

PH/pCO2/pO2/
HCO3
7,58/82/51/77

58
 14/10/2 TCO2/BE/SO2
2 79/45/86
Na/K/Cal/Lac
136/2,9/1,00/1,50

PH/pCO2/pO2/
15/10/2 HCO3
2 7,52/92/134/75
TCO2/BE/SO2C
78/45/99
Na/K/Cal/Lact
136/2,7/1,01,0,90

PH/pCO2/pO2/
HCO3
7,50/111/111/87
TCO2/BE/SO2C
90/51/98
Na/K/Cal/Lact
134/2,6/0,98/1,10

16/10/2 PH/pCO2/pO2/
2 HCO3
7,55/92/148/81
TCO2/BE/SO2C
83/46/99
Na/K/Cal/Lact
129/2,5/0,91/1,30

59
 Hb/Leu/Ht/Trom
11,3/8.05/36,4/386
B/E/N/L/M
0,4/8,7/77/6,2/7,7
NLR/ALC
12,42/0,50
Alb/AST/ALT/GDS
17/10/2 3,4/23/16/80
2
Ur/Cr
28/0,42
PCT : 0,308

PH/pCO2/pO2/
HCO3
18/10/2
7,67/75/112/60
2
TCO2/BE/SO2C
62/39/98
Na/K/Cal/Lact
129/2,5/0.92/1,10

PH/pCO2/pO2/
19/10/2 HCO3
2 7,48/78/125/56
TCO2/BE/SO2C
60/30/99
Na/K/Cal/Lact
131/3,2/0.99/0,90

60
 20/10/2 PH/pCO2/pO2/
2 HCO3
7,49/70/88/53
TCO2/BE/SO2C
55/26/97
Na/K/Cal/Lact
133/4,0/1,04/1,10

PH/pCO2/pO2/
HCO3
7,42/61/201/40
TCO2/BE/SO2C
42/13/100
Na/K/Cal/Lact
132/4,0/1,08/1,20

Kultur Sputum
18/10/22

21/10/2
2

61
 Hb/Leu/Ht/Trom
11.3/7.06/35,8/245
B/E/N/L/M
22/10/2 0,4/9,8/72.7/6,1/11
2 NLR/ ALC
11.92/0,43
CRP/Alb
55.8/2,9
AST/ALT/GDS
18/16/157
Ur/Cr
23/10/2 26/0,53
2 LDH 199

PH/pCO2/pO2/
HCO3
7,40/74/115/46
TCO2/BE/SO2C
48/18/99
Na/K/Cal/Lact
132/4,0/1,09/1,20
25/10/2
2 PH/pCO2/pO2/
HCO3
7,48/54/71/40

62
 TCO2/BE/SO2C
42/15/95
Na/K/Cal/Lact
132/3,7/1,08/1,30

Hb/Leu/Ht/Trom
11,8/7.48/37,1/327
B/E/N/L/M
0,7/6,1/69,2/12/12
NLR/ALC
5,77/0,90
CRP/Alb/AST/
ALT/PCT/GDS
97,4/2,8/16/11/0.36
3/104
Ur/cr
24/0,46

PH/pCO2/pO2/
HCO3
7,48/53/87/40
TCO2/BE/SO2C
41/14/97
Na/K/Cal/Lact
132/3,5/1,08/1,10

pH/pCO2/pO2/
HCO3

63
 7.34/76/188/41
TCO2/BE/SO2C
43/12/100
Na/K/Ca/Lac
134/3.5/1.08/1.20

pH/pCO2/pO2/
HCO3
7,43/70/117/47
27/10/2 TCO2/BE/SO2C
2 49/19/99
Na/K/Cal/Lac
129/3,4/1,11/1,10

Hb/Leu/Ht/Trom
12,9/5,84/40,4/307
B/E/N/L/M
0,5/3,1/89,0/4,3/3,1
NLR/ALT
20,70/0,25
PT/INR/APTT
13,5/0,94/27,9
CRP/Alb/AST/
ALT/PCT/GDS
49,4/2,9/9/0,396/11
8
Ur/cr
15,0/0,43

pH/pCO2/pO2/

64
 HCO3
7,39/78/227/47
TCO2/BE/SO2C
50/19/100
Na/K/Cal/LaC
130/3,3/1,05/1,20

16 Jasmi Nn. Diva A: 17/10/2 Hb/Leu/Ht/Trom - KI/4 jam dr. Indra Yovi dr. Elvando
n 01109732 - BE Terinfeksi 2 12/9,35/40,4/367 - AGD evaluasi  SpP(K)
1.5.1 14/08/2002 - TB Paru B/E/N/L/M weaning device OAT 4FDC
Bakteriologis 0,6/0,5/89/4,9 1x3 tab
MRS Tanggal - Follow up hasil klutur TMT
Kasus Baru Status NLR/ALC urin
19/10/22 19/10/22
HIV (-) on OAT 18.16/0,46 - FU kultur sputum,
Rawatan Hari TMT 19/10/22 /Alb/AST/ALT Inj
kultur sputum jamur
ke-10 3,6/20/10 Meropenem
- Sistitis dan MOK gram
GDS/Ur/Cr 3x1gr (H8)
Perumahan 101/26/0,57
Foto Toraks 17/10/22
Sakinah asri M: Na/K/Cl Azitromicin
gang 8 - Sepsis perbaikan 141/4,1/103 1x500 mg
pangkalan (H5)
- Hiperkarbia (42)
kerinci PT/INR/APTT
15,8/1,12/28,7
085265344102
CRP/LDH
214/297

Feritin 188.6

HIV/HBSAg
NR/NR

65
 pH/pCO2/pO2/
HCO3
7,44/50/102/34
TCO2/BE/SO2C
EKG 17/10/22
36/8/98
Na/K/Cal/Lac
136/3,6/1,04/1,2

20/10/2
2 Hb/Leu/Ht/Trom
10,5/5,02/35,6/362
B/E/N/L/M
0,8/12,7/62,8/10,6/1
3,1 Foto Toraks 21/10/22
NLR/ALC
5,92/0,53
AST/ALT
24/13
Ur/Cr
17.0/0,54
Na/K/Cl
144/4,8/112
Foto Toraks
PT/INR/APTT/D 27/10/22
Dimer
14,5/1,02/23,5/0,88

CRP/PCT
33,1/0,167
21/10/2 Bil tot/bil in/ bil dir

66
 2 0,34/0,16/0,18
pH/pCO2/pO2/
HCO3
7.44/48/82/33
TCO2/BE/SO2C
34/7/96
Na/K/Ca/Lac
141/3.7/1.11/1.20

Urinalisa 21/10/22

22/10/2
2
pH/pCO2/pO2/
HCO3
7,45/51/118/35
TCO2/BE/SO2C
37/10/99
Na/K/Cal/Lac
138/3,4/1,10/0.9
23/10/2
2
pH/pCO2/pO2/
HCO3
7.45/51/118/35
TCO2/BE/SO2C
37/10/99
67
 Na/K/Ca/Lac
138/3.4/1.10/0,90
Hb/Leu/Ht/Trom
11,9/7,75/40/490
B/E/N/L/M
0,4/1,7/80/9,5/8,4
NLR
80
PT/INR/APTT/D-
dimer
13.9/0.98/30.5/30,5/
0,66
Alb/AST/ALT/GDS
4,0/39/30/101
Ur/Cr
19/0,52
Na/K/Cl
24/10/2 142/4,8/107
2 Pct
0.096
pH/pCO2/pO2/
HCO3
7,44/47/113/32
TCO2/BE/SO2C
33/7/99
Na/K/Cal/Lac
26/10/2 136/4,2/1,13/1,30
2
pH/pCO2/pO2/
HCO3

68
 7.46/44/81/31
TCO2/BE/SO2C
27/10/2 33/7/96
2 Na/K/Ca/Lac
134/4,1/1.11/2,00

pH/pCO2/pO2/
HCO3
7.45/42/105/29
TCO2/BE/SO2C
31/5/98
Na/K/Ca/Lac
132/3,9/1,12/1,90

CEA/Ca 125
5,9/40,52

17 Jasmi Ny. Erika A: 13/10/2 Hb/Leu/Ht/Trom R: dr. Arlina dr. Khairani

n 20/10/1973 - HAP 2 13,1/18,62/40,1/373 - KI / 4 jam Gusti SpP
1.5.2 01109361 - Mesothelioma B/E/N/L/M - Insentif spirometri Terpasang
pleura kanan dd 0,5/5,8/75,5/10,7/7, - Konsul Sp.B (Onk) WSD
MRS tanggal - Undulas
tumor paru kanan 3 pro insisi biopsi 
17/10/22 i
jenis (?) T4N1M1a NLR/ALC jadwal (-)
7,07/2 (+)
Rawatan hari (pleura) stage IVA - IHK histopatologi,
ke – 12 PT/INR/APTT - Bubble
PS 2 abram, sitopatologi 
16,6/1,18/28,6/3,50 (-)
- Limfadenopati colli menunggu hasil
- Produksi
Semberjo Alb/AST/ALT/GDS - CT scan toraks +
M 800 cc /
3,2/28/33/102 kontras  31 Oktober
- Diagnostik 24 jam
081272122314 Ur/Cr 2022
- Hidropneumotoraks ( pastika
69
 kanan 26/0,61 - FNAB 24 Oktober n berapa
- Hipoalbumin (2,6) Na/K/Cl 2022keluar hasil 27 produksi
- Hiperkoagulopati 133/4,4/99 Oktober 2022 )
(14.84) HIV/HbSAg - Fluroskopi  jadwal
- Anemia (9,7) NR/NR (-) Levofloxaci
n 1x750 mg
- Rencana transfusi 2 (H5)
Histopatologi/
labu
Sitopatologi
05/09/22 - Cek Ddimer ulang
26/10/22 Reagen
kosong

Foto Toraks 26/08/22

GE 27/08/22

Foto Toraks 13/10/22

CT Scan Toraks 02/09/22

70
 Sputum 27/08/22

Histopatologi/
Sitopatologi
27/08/22 Ekspertise

Analisa CP
18/10/22
71
 EKG 17/10/22

Foto Toraks Post Abram

18/10/2 18/10/22
2

19/10/2 PH/PCO2/PO2/
2 HCO3
7,43/42/166/28
TCO2/BE/SP2C
29/3/100

Na/k/cl/PCT
136/3,5/1.10/2,10

AFP/CEA
1.03/5,35
22/10/2
Hb/Leu/Ht/Trom
72
 2 9,7/17,27/29,7/224 Foto Toraks 19/10/22
B/E/N/L/M
0,2/8,3/75,5/9,2/6,8
NLR/ALC
8,21/1,59
PT/INR/APTT/D-
dimer
16/1,14/23,6/14,84

CRP/Alb/AST/
ALT/GDS
45,8/2,6/20/35/174 Foto toraks 24 Oktober 22
Ur/Cr
15/0,57

Na/K/Cl
134/2,8/107

24/10/2 PH/PCO2/PO2/
2 HCO3
7,53/36/83/30
TCO2/BE/S02C
31/7/97
Na/K/Ca/Lactat
131/2,9/1,03/0,90

Hb/Leu/Ht/Trom
26/10/2 11,7/20,73/36,9/348
2 B/E/N/L/M

73
 0,2/0,0/92,2/5,0/2,6
NLR/AL
18,44/1,03
/D-dimer
3,66

Na/K/Cl
143/4,0/109

18 Jasmi Ny. Anita A: 14/10/2 Hb/Leu/Ht/Trom R: dr. Zarfiardy dr. Riki

n 17/7/1982 - CAP SP 70 2 7,4/26,50/24,1/478 - Perbaikan KU SpP(K)
1.5.3 01107322 (Klebsiella B/E/N/L/M - Nebu/4 jam
pneumonia, ESBL 0,3/0,6/86,2/7,5/5,4 - Post core biopsy CT Inj
MRS tanggal meropenem
+) NLR/ALC Guided menunggu
14/10/22 3x1gr (H5)
- Kanker paru kiri 11.49/1.99 hasil 30/10/22
Rawatan Hari jenis (?) T4N2M1c PT/INR/APTT - Bronkoskopi 
ke – 15 19,2/1,37/30,2
(pleura, hepar, lien) jadwal (-)
Jalan Lintas stage IVA PS 2
74
 Riau Sumut Alb/AST/ALT/GDS - KI blood streak
Kec 26 M: 3.0/19/73/85 - Sitologi cell block 
- Hipoalbumin (3.0) menunggu hasil
081372377251 - Peningkatan enzim Ur/Cr
transaminase 30/0,77
- Hipokalemia (2.4)
- Hiperkoagulopati CRP : 228,6 Foto Toraks 16/09/22
(1,70)
PH/PCO2/PO2/
HCO3
7,52/29/121/24
TCO2/BE/SP2C
25/1/99

Na/k/cl/PCT
132/3,1/1.08/1,20

Analisa CP
14/10/22 Foto Toraks 14/10/22

Ekspertise Foto Toraks

75
 14/10/22

17/10/2 Hb/Leu/Ht/Trom
2
9,9/19,78/32/375
B/E/N/L/M
0,4/0,6/80,3/11,8/6,
9
Foto Toraks Post Pungsi
NLR/ALC
18/10/2022
6,81/2,34

CEA : 0,94
Ca 125 : 47,47

Ekspertise Foto Toraks

18/10/22
Analisa CP
18/10/22

76
 19/10/2
2

Hb/Leu/Ht/Trom
7/14,65/19.6/298
B/E/N/L/M
20/10/2 0,1/0,0/91.7/4,7/3,5
2
NLR/ALC
19.51/0,69
USG Toraks 25-10-2022
Sputum BTA

Kultur Sputum
77
 Mo Gram

21/10/2
2 Hb/Leu/Ht/Trom
11.6/36.04/35.7/359
B/E/N/L/M
0.4/0.0/95.1/3.1/1.4
NLR/ALC
30.68/1.10

pH/pCO2/pO2/
HCO3
78
 7.51/37/92/30
TCO2/BE/SO2C
31/6/98
Na/K/Ca/Lac
137/2.4/1.05/1.80

GDT 21/10/22

22/10/2
2 PT/INR/APTT /d-
dimer
19,3/1,38/28,1/1.70

HIV/Hbsag
NR/NR
23/10/2 PT/INR/APTT/D-
2 Dimer
19,3/1,38/28,1/1,70
HIV/HBSAG
NR/NR
Na/K/Cl

79
 138/3,0/109

19 Jasmi Tn. Mulia A: 10/10/2 Hb/Leu/Ht/Trom R: dr. Arlina SpP dr. Elvando
n Siregar - HAP 2 10,9/9,07/30,4/210 - KI/ 2 jam
1.6.1 00754783 - Adenokarsinoma B/E/N/L/M - Perbaikan KU dr. Gatot
31/01/1958 paru kiri T4N2M1c 0,3/0,9/69,7/19,6/9, - Fu Hasil kultur Sp.BS Inf
Levofloxaci
( hepar, coli, otak ) 5 sputum
MRS 17/10/22 ne 1x750 mg
stage IVb PS 2 NLR/ALC - Radioterapi Paliatif  (H12)
Rawatan Hari RECIST 3,56/1,78 Ditunda
ke – 12 PT/INR/APTT
Progressive Disease - RM/hari
12,5/0,88/26,0
- Transfusi TC 10
Jl Fajar Gang M: CCT/Alb/AST/
Puyuh ALT/ GDS bagmenuggu stok
- Retensi sputum
pekanbaru 68,50/4,2/27/43/117 - Leukogen 1 amp
- Trombositopenia
(79) Ur/Cr/PCT
082172168956 PA Limfadenopati colli
15/0,72/0,103
- Leukopenia (2,79) sinistra
HIV/Hbsag
- Hipoalbumia (3,3)
NR/NR (14/06/22)
- Hipokalemia (2,6)

Na/k/cl
130/2,2/100

Hb/Leu/Ht/Trom
13/10/2 9,8/7,25/25,6/198
2 B/E/N/L/M
0,1/0,6/87/10,2/2,1
NLR/ALC Foto Toraks 28/06/22
8,53/0,74

80
 PT/INR/APTT
12,3/0,86/22,2

Alb/AST/ALT/GDS
3.6/29/27/101
Ur/Cr
15/10/2 19/0,55
2 Na/K/Cl
130/3,1/101 CT Scan Kepala 30/04/22
Procalcitonin :
0,139

Hb/Leu/Ht/Trom
8/6,44/22,2/152
B/E/N/L/M
0,3/0,2/92,7/6,2/0,6
16/10/2
NLR/ALC
2
14,95/0,40
PT/INR/APTT
13,5/0,95/27,5

Hb/Leu/Ht/Trom
11,4/3,53/30,3/110 Ekspertise CT Scan kepala
B/E/N/L/M
0,/0,8/82,7/14,2/2,3
18/10/2 NLR/ALC
2 5,82/0,50
D-dimer
/CRP/PCT/Alb
3,75/9.1/0,177/3,3

81
 Na/k/cl
133/2,6/101

Hb/Leu/Ht/Trom
12/3.18/32.8/79
B/E/N/L/M
21/10/2 0.0/0.0/82.4/11.3/6.
2 3
NLR/ALC
7.29/0.36
CRP/Alb
3.5/3.9
AST/ALT
23/36
Ur/Cr/AsUr Foto Toraks 12/09/2022
39/0.73/2.6
Na/K/Cl
137/2.7/110
Procalcitonin :
0.071

pH/pCO2/pO2/
HCO3 Foto Toraks 10/10/22
7.51/21/103/17
23/10/2 TCO2/BE/SO2C
2
17/-5/98
Na/K/Ca/Lac
128/3.4/1.06/1.20

82
 Hb/Leu/Ht/Trom
11,5/2,64/30,8/79
25-10- B/E/N/L/M
2022 0,0/0,0/74,6/13,3/12
,1
NLR/ALC
5,61/0,35 EKG 18/10/22
Ur/Cr/PCT
15/0,72/0,103

Foto Toraks 21/10/22

83
20 Jasmi Tn. Hotma A: 26-10- pH/pCO2/pO2/ R: dr. Indra Yovi, Dr. Riki
n Harahap - Pneumotoraks sinister 22 HCO3 - klem WSD Sp.P (K)
1.6.2 21-04-1955 sekunder sinistra e.c tb 7.46/43/83/31
00799006 dd non tb TCO2/BE/SO2C Foto Toraks 26-10-2022
32/6/97
MRS 26-10- M;
Na/K/Ca/Lac
2022 - Sindrom dispepsia
135/3.5/1.11/1.20
Rawatan Hari
ke -3 PT/INR/Aptt
15/1,06/29,9
Kayu Aro Siak
CRP/Alb/GDS
085278110675 70,3/ 3,9/142

Ur/cr Foto toraks 27/10/22 post

21/0,73 wsd

HIV/HBSag
NR/NR

HASIL LABOR
TERBARU???

21 Jasmi Tn. Zajuli A: 21/10/2 Hb/Leu/Ht/Trom R: d. Sri Melati dr.. Elvando

n 03/04/1961 - Kanker paru kanan 2 12,5/10,54/38,9/528 - KIE bloodstreak SpP(K)
1.6.3 01110150 jenis (?) T3N1M1a B/E/N/L/M - FU hasil kultur Novorapid
(pleura) stg IVA PS 0,7/0,9/74,9/18,6/4, sputum, mo gram 3x8 IU
MRS
9 dan kultur sputum
84
 21/10/2022 1 NLR/ALC jamur
- DM tipe 2 4,03/1,96 - Bronkoskopi
Rawatan Hari PT/INR/APTT/ 27/10/22
ke - 8 M: Ddimer
- Diagnostik 13,1/0,92/27,8/1,83
Pangkalan - Bloodstreak Alb/AST/ALT/ Foto Toraks 18/10/22
Kerinci
Pelalawan - Hipokalemia (3,0) LDH/GDS
3,6/12/15/204/211
081277731740 Na/k/cl
142/3,8/107
Ur/cr
26,0/3,8
HBSAg/HIV
NR/NR
Swab antigen (-)
23/10/2 Foto Toraks 21/10/22
pH/pCO2/pO2/
2
HCO3
7.43/36/87/24
TCO2/BE/SO2C
25/0/97
Na/K/Ca/Lac
139/3.0/1.04/1.70
24/10/2
2 HbA1C
7,9

26/10/2
2 Hb/Leu/Ht/Trom CT scan toraks 26/10/22
13,2/11,46/40,6/529

85
 B/E/N/L/M
0,3/0,3/75,2/17,2/7,
0
NLR/ALC
4,37/1,97
CRP/Alb/AST/
ALT/GDS
119,0/3,6/13/16/131
Na/k/cl
139/4,5/107
Ur/cr
15,0/1,11

86
87
 Expertise

88
 Foto toraks 27/10/22

22 Jasmi Tn. Maksum A: 20/10/2 Hb/Leu/Ht/Trom - BronkoskopiJadw dr. Arlina dr. Riki
n 11/12/1960 Kanker Paru Kanan 2 10,5/10,80/32,8/550 al (-) Gusti, Sp.P
1.6.4 01110064 Jenis (?) B/E/N/L/M - Konsul Sp.JP (+),
T4N3M1a (pleura) 0,4/1,6/75,2/18,6/4, Konsul Sp.PD (+),
MRS via Poli stage IV A PS 2
2 Konsul Sp.An(-)
24/10/2022
NLR/ALC - USG guided punksi
4,04/2,01 pleura  26/10/22
89
 Rawatan Hari M: PT/INR/APTT/ - Hasil Sitologi dan
ke - 5 - Diagnostik Ddimer histopatologi
- Efusi Pleura 13,3/0,93/28,0/2,60 1/11/22
Solok, Kampar - Nyeri kanker VAS
7-8 Alb/AST/ALT/ Foto toraks 20 Oktober
085355010630
LDH/GDS 2022
3,8/23/16/402/127
Ur/Cr
24/0,92
Na/K/Cl
139/4,2/102
HbsAg/HIV
NR/NR
25-10- Hb/Leu/Ht/Trom
22 10,3/8,72/33/543 CT Scan 08/10/22
B/E/N/L/M
0,6/3,4/73,7/17,5/4,
8
NLR/ALC
4,21/1,53
PT/INR/APTT/
Ddimer
13,4/0,94/27,3/2,78

CRP/Alb/Ast/Alt/
GDS/ Ur/Cr/ Pct
21,5/3,6/26/23/134/
30/0,97/0,206

90
 26/10/2
2 Hasil Analisa CP

91
92
93
23 Jasmi Ny. Yelviani A: 26/10/2 Hb/Leu/Ht/Trom R: Dr. Sri Indah dr. Riki
n Sofita - TB MDR 2 9,5/8,78/29/446 - Perbaikan KU Sp.P(K)
MDR 28/06/1994 - Dispepsia B/E/N/L/M - Menunggu hasil
01110574 Sindrome 0,5/2,1/66,4/17,9/13 LPA
,1 - Cek SITB
MRS dari IGD M: NLR/ALC
27/1022 - Hiponatremia 3,71/1,57
Rawatan hari PT/INR/APTT
ke 2 16,7/1,18/32,1
CRP/Alb/AST/
Jl. Gelatik ALT/ GDS
Tampan, PKU 63,9/3,8/18/28/85
Ur/Cr
085831138339 28/0,77
HIV/Hbsag
NR/NR
Na/K/Ca/Lactat Foto Toraks 26/10/22
130/3,4/1,08/1,2

94
24 Titip Lamhot A: 24/10/2 Hb/Leu/Ht/Trom R: dr. dr. Elvando
Krisan Simbolon - Kanker Paru 2 7,6/33,76/24,3/832 - Bronkoskopi Adrianison,Sp.
23/02/1975 Kanan B/E/N/L/M 28/10/2022 P (K)
01106705 T4N3M1a 0,0/0,0/90,0/2,7/7,3
(pleura) stage NLR Foto toraks 25 Oktober
MRS tgl 2022
IV A PS 1 33,33
24/10/22
- CAP SP 77 PT/INR/APTT/D-
Rawatan hari Dimer
ke 5 M: 14,7/1,04/32,1/1,96
- Efusi Pelura Alb/AST/ALT/GDS
PT Eluan Dextra Minimal 2,7/149/146/265/18
mahkota, - Anemia (10,4) 1
Pekanbaru Ur/Cr
- Hiperkoagulop
24,0/0,50 CT scan tanggal 19
08168084658 ati (1,96) Oktober 2022
HIV/HBsAg
- Hipoalbumine
NR/NR
mia (2,7)
- Hiponaemia(12 pH/pCO2/pO2/
5) HCO3
- Peningkatan 7.50/32/77/25
enzim TCO2/BE/SO2C
transaminase 26/2/96
Na/K/Ca/Lac
125/3,8/1,10/2,00

95
96
 EKG 24/10/2022

Echo 26/10/2022

97
25 Titip Tn. Tukimun A: 24/10/2 Hb/Leu/Ht/Trom R: Dr. Arlina Dr. Elvando
Krisan 08/05/1955 - KSS Paru 2 10,0/3,86/31,9/328 - Cek elektrolit evaluasi Sp.P
01097068 kananT4N2M0 B/E/N/L/M
Stage IV A PS 2 0,5/0,3/69,7/19,9/9, Foto toraks
MRS tgl - Obs Vomitus 6 23/08/2022
24/10/22 NLR
3,50
Rawatan hari
98
 ke 5 PT/INR/APTT
13,0/0,91/28,5
Indragiri hulu
CCT/CRP/Alb/
082283397172 AST/ALT/ GDS
65,53/3,2/3,7/21/23/
194
Ur/Cr/PCT
17,0/0,054

Na/k/clo/cl
CT scan 27/09/222
140/3,8/109/1,19

99
100
101
 Foto toraks 28/09/22

26 Titip Tn. Tumijan A: 26/10/2 Hb/Leu/Ht/Trom R: dr. Arlina, dr. Rezki

Krisan Katimun - Kanker Paru Kanan 2 8,5/9,48/26,0/429 - Bronkoskopijadwal Sp.P
31/12/1950 Jenis (?) T4N2M1c B/E/N/L/M (?)
01106734 (Hepar, skeletal) 0,4/0,8/79,4/12,4/7, - Konsul bedah
stage IV B PS 1
0 - Cek labor evaluasi
MRS 25/10/22 - Soft Tissue Tumor
e/r Femoralis
NLR/ALC
Sinistra DD Giant 6,40/1,18
Rawatan hari Cutaneous Abscess PT/INR/APTT Foto toraks 13/09/22
ke-4 - AKI DD acute on 13,3/0,94/31,9
CKD
Bukit Raya, M: Alb/AST/ALT/GDS
Pekanbaru - Hipoalbuminemia 2,0/8/7/78
- Anemia (8,5) Ur/Cr
081275634446 77,0/1,85
Nyeri Kanker VAS 3-4

Na/k/cl Foto toraks 21/10/22

135/3,9/110

102
 EKG 24/10/22

Echo 25/10/22

15/10/2
2

103
104
 CT scan 20/10/22

105
106
27 Titip Tn. Muara A: 24-10- Hb/Leu/Ht/Trom - Kemoterapi lini I dr. Arlina, Dr. Riki
krisan Gindo - KSS Paru kiri 22 9,9/10,96/27,6/255 siklus III Sp.P
10/10/1959 T4N3M1c (pleura, B/E/N/L/M (Karboplatin+Gemciti
01103283 colli, ginjal, nodul 0,5/0,2/66,7/18,5/14
kontra lateral) Std bin)
,1 - Menunggu hasil CCT
MRS 24/10/22 IV B PS2
Via poli
NLR urin
3,61
Rawatan hari M: EKG 24/10/22
ke-5 - Nyeri Kanker VAS PT/INR/APTT/D-
3-4 Dimer
Minas, Siak - Konstipasi 14,0/0,99/28,1/1,79
Alb/AST/ALT/GDS
085217026559 3,8/16/20/139
Ur/cr
24,0/0,99
Na/K/Cal/Lactat
107
 137/3,7/105

26/10/2 Hb/Leu/Ht/Trom
2 11,9/10,92/28,0/311
B/E/N/L/M
0,3/0,0/86,1/11,4/2,
2
NLR/ALC
7,55/1,25

27/10/2 Foto Toraks 13/09/22

2 CCT/Ur/Cr
92,18/49,0/0,86

Foto toraks tanggal

20/09/22

108
28 Titip Tn. Murhayan A: 27/10/2 Hb/Leu/Ht/Trom R: dr. Indra Yovi, dr. Elvando
krisan Gultom - HAP 2 10,8/18,85/34,2/249 - Perbaikan KU Sp.P(K)
07/05/1953 - Stroke Infark B/E/N/L/M - AGD Evaluasi
01061039 - AKI dd akut on ckd 0,1/0,3/90,9/6,2/2,5 raber
dr. Sucipto,
NLR/ALC
MRS 12/10/22 M: Sp.S
14,66/1,16
Pasien
pindahan HCU pH/pCO2/pO2/
Gardenia HCO3
Rawatan hari 7,53/32/126/27 Foto toraks 11/10/22
ke-16 TCO2/BE/SO2C
28/4/99
Na/K/Ca/Lac
142/3,8/1,20/1,30

109