Anda di halaman 1dari 40

SURAT KETERANGAN BIMBINGAN

Saya yang bertanda tangan di bawah ini :


Nama : dr. Andy Sukmadja SpJP
Jabatan : Dokter Spesialis Jantung dan Pembuluh Darah RS Grha MM2100/RS EMC
Cibitung
Dengan ini menerangkan bahwa :
Nama : dr. Michael Andhita Wahyu Utomo
Tanggal lahir : 11 November 1994
Jabatan : Dokter Umum
NIK : 13081917
Yang bersangkutan telah mendapat bimbingan dari Dokter Spesialis Jantung dan Pembuluh
Darah serta ikut mengelola pasien rawat inap kardiovaskuler terhitung sejak bulan Mei 2020
sampai Mei 2023 di RS Grha MM2100/RS EMC Cibitung. Demikian surat ini dibuat, untuk
dipergunakan sebagaimana mestinya.

Cibitung, 25 Mei 2023

dr Andy Sukmadja SpJP


LAPORAN PENGELOLAAN PASIEN RAWAT INAP KARDIOVASKULER
Tahun 2020

No Identitas Rekam Usia Diagnosis Tatalaksana Keterangan


Medis
1 PEREMPUA 015569 60Y UAP - Nacl 0.9% 1000cc/24 - raber IPD :
N 9M multifocal PVC jam drip
susp Aortic - Miniaspi 1x80 mg PO levofloxacin
Regurgitation - Clopidogrel 1x75 mg 250 mg/ 24
susp Ca Cervix PO jam
ISK - Concor 1x2,5 mg PO nocid 3x1
- Ramipril 1x2,5 mg PO

- Fondarinux 1x2.5 mg
SC
- Lactulose 1x15cc PO
- Lansoprazole 1x30 mg
IV
- KSR 3x 2 tab PO
2 LAKI-LAKI 020829 39Y ACS dd/ J wave - Aspilet 1x80 mg PO
10M Syndrome - Clopidogrel 1x75 mg
PO
- Nitrokaf Retard 2x2,5
mg PO
- Concor 1x2,5 mg PO
- Simvastatin 1x20 mg
PO
3 LAKI-LAKI 013207 66Y UAP Lansoprazole 1x30mg - raber IPD :
10M HHD iv bicnat 3x 500
ESRD on HD miniaspi 1 x 80 mg po mg
clopidogrel 1 x 75 mg caco3 3 x500
po mg
ramipril 1 x 10 mg po as folat 1x
sucralfat 3 x 10 cc po 1mg
clonidine 2 x 0.15 mg mecobalamin
po 2x 500 mg
4 PEREMPUA 022076 54Y atypical digoxin 0.5mg iv selang - raber paru :
N 4M AVNRT 4 jam bisa diberikan moxifloxacin
bolus ulang 0.25mg bila 1x400mg iv
masih takikardi
rl 1000/24 jam
lansoprazole 1x30mg iv
ondansetron 3x4mg iv
Bisoprolol 1x2,5 mg
5 LAKI-LAKI 026222 48Y STEMI RL 20 tpm
3M anteroseptal aspilet 1 x 1 po
CPG 1 x 1 po
bisoprolol 1 x 2.5 mg
po
Diviti 1 x 2.5 mg SC
lansoprazol 1 x 30mg iv

atorvastatin 1 x 20mg
po
6 PEREMPUA 003937 37Y Hipertensi Nitrat IV drip start 1 - raber IPD :
N 1M emergensi mg/jam dg target MAP Novorapid
edema paru turun 25% dlm 1 jam, sliding scale
pneumonia titrasi naik per 15 menit 3x sehari
AKI on CKD Ceftriaxon 1x2
DMtipe 2 Furosemide 3x60 mg gr IV
CAD post PCI IV ketosteril 3x1
Miniaspi 1 x 80 mg po tab
Clopidogrel 1 x 75 mg - raber paru :
po moxifloxacin
Candesartan 1 x 16mg 1x400 mg iv
po
Concor 1 x 2.5 mg po
Amlodipin 1 x 5 mg po
Lansoprazole 1 x 30 mg
iv
Atorvastatin 1 x 40 mg
po
7 LAKI-LAKI 010896 29Y Angina Pectoris pantoprazol 1 x 40 mg
5M iv
ondansentron 3 x 4 mg
iv
sanmaag 3 x 10cc
8 LAKI-LAKI 002577 42Y STEMI infeior - Diviti 1x2.5mg sc
10M killip 1 - Aspilet 1x80mg po
- CPG 1x75mg po
- Concor 1x2.5mg po
- ISDN k/p nyeri dada
- Atorvastatin 1x20mg
po
9 LAKI-LAKI 032628 47Y STEMI - Aspilet 1x80mg po
3M inferoposterior - CPG 1x75mg po
killip I - Diviti 1x2.5mg sc
- Lansoprazole 1x30mg
iv
- Concor 1x2.5mg po
- Atorvastatin 1x20mg
po
10 PEREMPUA 003937 37Y Edema paru furosemid drip 10mg - raber IPD :
N 1M Aki on CKD ec per jam HD
glomerulopathy isdn drip 1 mg per jam Novorapid
CAD post PCI aspilet 1 x 80mg sliding scale
HHD cpg 1 x 75mg Pantoprazole
DM tipe 2 concor 1 x 1.25mg 1x40 mg iv
Amlodipin 1x10mg po ODR 2x8mg
candesartan 1x 16 mg iv
atorvastatin 1 x 20mg Inbumin 3x1
tab
11 LAKI-LAKI 031722 49Y hipertensi IVFD: RL 500cc/24jam
8M emergensi ISDN drip start
hipokalemia 1mg/jam
Omeprazole 1x40mg iv
amlodipin 1 x 10 mg po
siang
bisoprolol 1 x 2.5 mg
po siang
ramipril 1 x 5 mg po
malam
12 LAKI-LAKI 011486 69Y ADHF furosemide 2x40mg iv - raber IPD :
0M HHD, CAD bisoprolol 1x2,5mg po gliquidon 1x30
DM tipe 2 ramipril 1x5mg po mg
spironolakton 1x50mg nocid 3x1
po
lansoprazole 1x30 mg
iv
metoclopramide 3x10
mg iv
13 PEREMPUA 034831 55y NSTEACS, aspilet 1 x 80 mg po - raber IPD :
N 10m paroxysmal AT cpg 1 x 75 mg po novorapid 3x 8
dm tipe 2 Drip amiodarone 150 IU
pneumonia ec mg dlm 10 menit => levemir 0-0-10
COVID 19 lanjut 1 mg / menit malam
dalam 6 jam . lactulac syr 3x
bisoprolol 1 x 2.5 mg 10 cc
po bila selesai drip - raber paru :
Amiodarone Azitromisin
ramipril 1 x 5 mg po 1x500 mg po
Lansoprazole 1 x 30 mg Hi-D 1000 2x1
iv cap
Dexamethason 1 x 5 mg Hidonac
iv 1x12,5 cc
arixtra 1x 2,5 mg sc Sankorbin 1x1
gr iv
ceftriaxon 1x2
gr iv
14 LAKI-LAKI 035477 41Y Pericarditis ibuprofen 3 x 400 mg - raber paru :
8M GERD po Avigan 2x8
COVID-19 lansoprazole 2 x 30 mg selanjutnya
iv 2x3 tab
Sucralfat 3 x 10 mL Sankorbin 1x1
Ketorolac 1x30 mg iv gr
Hi D 2x1000
U
Hidonac
1x12.5 cc
Azitromisin
1x500 mg
15 PEREMPUA 020301 36Y CHF furosemid 1 x 40 mg iv
N 11M Dispepsia lansoprazol 1 x 30mg iv

sucralfat 3 x 10 ml po
amlodipin 1 x 10 mg po

spironolakton 1 x
100mg po
16 PEREMPUA 020663 46Y ACS, Unstable Miniaspi 1 x 80 mg po
N 1M angina pectoris cpg 1 x 75 mg po
Hipertensi amlodipin 1 x 10 mg po
emergensi
CKD on HD candesartan x 16 mg po
bisoprolol 1 x 2.5 mg
po
Clonidine 3 x 0,15 mg
po
ISDN drip tirasi sesuai
respons
17 PEREMPUA 44660 69Y ADHF furosemide 2 x 40 mg
N 5M suspek DCM iv
hipokalemia ramipril 1 x 5 mg po
bisoprolol 1 x 2.5 mg
po
lansoprazole 1 x 30 mg
iv
KSR 1 x 1200 mg po
18 LAKI-LAKI 047237 31Y UAP aspilet 1x80 mg
0M bisoprolol 1x2.5 mg po
ibuprofen 2 x 400 mg
po
19 PEREMPUA 033480 66 ADHF, AFRVR furosemide 2x40 mg iv - echo :
N th digoxin extra bolus concentric
1x0,25 mg iv LVH, dilated
lansoprazole 1x30 mg LA, preserved
iv EF, 53%
ramipril 1x5 mg PO
Warfarin 1x2 mg PO
20 PEREMPUA 031517 74Y AF NVR CHF Bisoprolol 1x2.5 mg,
N 0M Warfarin 1x2 mg,
Furosemide 40-20-0
mg, Ramipril 1x2.5 mg
21 LAKI-LAKI 022171 68Y ADHF CAP Furosemid 2x60 mg iv,
0M Cor pulmonale Spironolacton 1x25 mg,
Aspirin 1x80 mg,
Simvastatin 1x20 mg,
Candesartan 1x8 mg,
Bisoprolol 1x1.25 mg
22 LAKI-LAKI 023371 58Y UAP, Aspirin 1x80 mg,
0M Hipokalemia Clopidogrel 1x75 mg,
Atorvastatin 1x40 mg,
ISDN SL prn,
Bisoprolol 1x2.5 mg,
KSR 1x600 mg
23 PEREMPUA 032217 64Y NSTEMI, Aspirin 1x80 mg, Troponin I (+)
N 0M Hipertensi Clopidogrel 1x75 mg,
emergensi Atorvastatin 1x40 mg, EKG: ST
ISDN SL prn, depresi
Nitroglycerin 2x2.5 mg, anteroseptal
Diviti 1x2.5 mg,
Bisoprolol 1x5 mg,
Ramipril 1x10 mg,
Amlodipin 1x10 mg,
NTG drip iv titrasi
sesuai respon
24 LAKI-LAKI 036471 58Y ADHF, Furosemid 2x60 mg iv,
0M Hipokalemia Spironolacton 1x25 mg,
Aspirin 1x80 mg,
Atorvastatin 1x20 mg,
Candesartan 1x16 mg,
Bisoprolol 1x1.25 mg,
KCl 25 meq 1 siklus
25 PEREMPUA 028530 43Y AFRVR Digoxin 1 x 0.5 mg
N 10M Dyspepsia iv(extra)
bisoprolol 1x2.5 mg
Lansoprazole 1 x 30 mg
iv
Ondansetron 3 x 4 mg
iv
Sucralfat 3 x 1 C
26 LAKI-LAKI 037320 55Y ADHF furosemide 1 x 40 mg - echo : dilated
0M HHD iv , sore 1 x 20 mg iv all, EF 33%
HFrEF bisoprolol 1 x 2,5 mg reduced RV
po contractility
amlodipin 1 x 5 mg po
LAPORAN PENGELOLAAN PASIEN RAWAT INAP KARDIOVASKULER
Tahun 2021

No Identitas Reka Usia Diagnosis Tatalaksana Keterangan


m
Medis
1 PEREMPUAN 019097 30Y Af paroxysmal Concor 1 x 5 mg
11M SVES bigemini po
dengan aberans Lansoprazole 1 x
MVP mild MR 30 mg iv
Amiodarone 1 x
200 mg po
Aprazolam 1x0,25
mg po
2 LAKI-LAKI 041061 69Y STEMI anterior aspilet 1 x 80 mg
3M killip I po
cpg 1 x 75 mg po
ramipril 1 x 2.5 mg
po
concor 1 x 2.5 mg
po
NR 2 x 2.5 mg po
atorvastatin 1 x 20
mg po
patntoprazole 1 x
40 mg iv
ondansetron 3 x 4
mg iv
Diviti 1 x 2.5 mg
sc
Morfin 2mg k/p
nyeri
3 LAKI-LAKI 041493 64Y STEMI anteior furosemide 2 x 40 - raber IPD :
10M killip II mg iv Novorapid 3 x 6 ui
DM tipe 2 lansoprazole 1 x
30 mg iv
aspilet 1 x80 mg
po
cpg 1 x 75 g po
ramipril 1 x 5 mg
po
atorvastatin 1 x 20
mg po
spironolakton 1 x
50 mg po
concor 1 x 1 .25
mg po
Sucralfat 4x10 cc
amiodarone 1 x
200 mg po
4 PEREMPUAN 020311 38Y CHF furosemid 1 x 40
11M Dispepsia mg iv
lansoprazol 1 x
30mg iv
sucralfat 3 x 10 ml
po
amlodipin 1 x 10
mg po
spironolakton 1 x
100mg po
5 LAKI-LAKI 041860 65Y CAD STEMI Aspilet 1 x 80 mg
2M inferior killip I po
Cpg 1 x 75 mg po
Concor 1 x 2.5 mg
po
Atorvastatin 1 x 20
mg po
Diviti 1 x 2.5 mg
sc
lansoprazole 1 x
30 mg iv
laxadine 1 x 15 cc
po
metoclopramide 3
x 1 iv
6 LAKI-LAKI 23784 43Y NSTEACS Miniaspi 1 x 80 - EKG: st depresi
8M CKD stg IV ec mg po downslope luas
UAN DD/ CPG 1 x 75 mg po - raber IPD :
NSAID Concor 1 x 2.5 mg allopurinol 1x100
nefropathy po mg
hyperuricemia Nitrokaf 2 x 2.5 nocid 3x 1 tab
nefrolitiasis mg po
sinistra Atorvastatin 1 x 20
mg po
Lansoprazole 1 x
30 mg iv
7 PEREMPUAN 033461 43Y AT dd AVNRT digoxin 0,5 mg iv, - raber IPD :
5M obesitas, Dalam 4 jam jika levemir 0-0-10 iu
sindrom masih takikardia, metformin 3x 500
metabolik masuk lagi 1x 0,25 mg
DM mg
bisoprolol
1x2.5mg po
amlodipin 1 x 5
mg po
simvastatin 1 x 20
mg po
8 LAKI-LAKI 043637 67Y NSTEMI Miniaspi 1 x 80
3M CAD 3 VD pro mg po
CABG CPG 1 x 75 mg po
DM tipe 2 Ramipril 1 x 5 mg
po
Amlodipin 1 x 10
mg po
Bisoprolol 1 x 1.25
mg po
Atorvastatin 1 x 20
mg po
Nitrokaf 2 x 2.5
mg po
ISDN drip 2mg /
jam tirasi turun
setelah mulai
pemberian nitrokaf
Morfin 2 mg iv
bila nyeri berat
Lansoprazole 1 x
30 mg iv
Diviti 1 x 2.5 mg
sc
Furosemide 1 x 40
mg IV
9 PEREMPUAN 043658 30Y Angina pectoris ibuprofen 2 x 400
9M dd/ myalgia mg po
lansoprazole 1 x 1
po
10 PEREMPUAN 020663 46Y ACS, Unstable Miniaspi 1 x 80
1M angina pectoris mg po
Hipertensi cpg 1 x 75 mg po
emergensi amlodipin 1 x 10
CKD on HD mg po
candesartan x 16
mg po
bisoprolol 1 x 2.5
mg po
Clonidine 3 x 0,15
mg po
ISDN drip tirasi
turunkan ke 5
mg /jam
11 PEREMPUAN 044189 49Y Syok notisil 1 x 4 mg po - raber neurologi :
5M kardiogenik spironolakton 1 x Inj.citicholin 2x500
post ROSC 50 mg po mg
Ischemic DCM bisoprolol 1 x 2.5 Inj.fenitoin 2x100
post CVD mg po mg iv bolus pelan (5
infark atorvastatin 1 x 40 hari)
mg po As folat 2x1 mg
furosemide 1x 20 KSR 3x600 mg
mg iv
lansoprazole 1 x 1
ampul iv
KCL 50 meq drip
dalam 12 jam
12 PEREMPUAN 44660 69Y ADHF furosemide 2 x 40
5M suspek DCM mg iv
hipokalemia ramipril 1 x 5 mg
po
bisoprolol 1 x 2.5
mg po
lansoprazole 1 x
30 mg iv
KSR 1 x 1200 mg
po
13 LAKI-LAKI 44608 67Y Edema paru nicardipin titrasi - raber paru :
9M pneumonia sesuai respons RL 1500 cc/24 jam
Hipertensi Furosemide 1 x 40 Meropenem 3x1 gr
emergensi mg iv Levofloxacin 1x750
HIL dekstra amlodipin1 x 10 mg iv
acute kidney mg po NAC 3x1
injury ramipril 1 x 5 mg Furosemid 2x1 amp
po iv
spirnolakton 1 x - raber IPD :
100 mg po ketosteril 3x1 PO
14 PEREMPUAN 044487 41Y PPCM Furosemide 2 x 40
6M ADHF mg iv
Anemia Ramipril 1 x 5 mg
defisiensi Fe po
Hipertensi Spironolakton 1 x
50 mg po
Lansoprazole 1 x
30 mg iv
bisoprolol 1 x 1.25
mg po
Inbion 1x1 tab
15 LAKI-LAKI 044432 55Y STEMI lateral Miniaspi 1 x 80
10M killip I mg po
hipertensi Cpg 1 x 75 mg po
emergensi Ramipril 1 x 10
mg po
Atorvastatin 1 x 40
mg po
Morfin extra 2 mg
iv bila nyeri berat
Diviti 1 x 2.5 mg
sc
Lansoprazole 1 x
30 mg iv
Concor 1x1,25 mg
Po
16 LAKI-LAKI 045438 46Y STEMI inferior Miniaspi 1 x 80
10M killip I mg po
cpg 1 x 75 mg po
diviti 1 x 2,5 mg sc

bisoprolol 1 x 2,5
mg po
lansoprazole 1 x
30 mg iv
17 LAKI-LAKI 046412 54Y ADHF dengan Furosemide drip
5M congestive liver 20 mg/jam
Digoxin 1 x 1
AF tablet po
HFrEF Ramipril 1 x 5 mg
Selulitis po
Spironllakton 1 x
50 mg po
Lansoprazole 1 x
30 mg iv
bisoprolol 1 x 2,5
mg po
Notisil 1 x 2 mg po
18 LAKI-LAKI 046530 48Y ADHF notisil 1 x 2mg po
5M AFRVR Digoxin 1 x 1
Suspek MVP, tablet po
MR PTU 3 x 100mg po
Thyroid heart
disease propanolol 3 x
10mg po
Ramipril 1 x 5 mg
po
Spironllakton 1 x
25 mg po
furosemid 2 x
60mg iv
Lansoprazole 1 x
30 mg po
19 LAKI-LAKI 046939 43Y NSTEMI Miniaspi 1 x 80 - EKG: iskemik
0M mg po anterolateral
Cpg 1 x 75 mg po
Amlodipin 1 x 5
mg po
Bisoprolol 1 x 2.5
mg po
Atorvastatin 1 x 20
mg po
Diviti 1 x 2.5 mg
sc
Lansoprazole 1 x
30 mg iv
20 LAKI-LAKI 035597 27Y Typical Bisoprolol 1x2,5
5M AVNRT mg p.o
Lansoprazole 1x30
mg iv
21 PEREMPUAN 046812 43Y Hipertensi Furosemide 2x40 - raber IPD :
6M Emergensi mg iv drip MP 2x 125 mg,
ADHF Amlodipin 1 x10 tappering off
AKI, suspek mg po inj esomax 1x 40 mg
hypertensive Canderin 1 x 16
renal disease mg po myfortic 2x 720 mg
dd/lupus Hct 1 x 1 tab po nocid 3x2 tab
nephritis Atorvastatin 1 x 40 ceftriaxon 1x 2 gram
SLE derajat mg po
sedang allopurinol 1 x 100
dyslipidemia mg po
22 LAKI-LAKI 046797 57Y ADHF furosemide 2 x 40
4M CAD mg iv
bisoprolol 1 x 2,5
mg po
ramipril 1 x 5 mg
po
spironolakton 1 x
50 mg po
miniaspi 1 x 80 mg
po
23 LAKI-LAKI 047237 31Y UAP aspilet 1x80 mg
0M bisoprolol 1x2.5
mg po
ibuprofen 2 x 400
mg po
24 LAKI-LAKI 013208 49Y AVNRT digoxin 0,5 mg iv - raber IPD :
3M HHD bisoprolol 1x2,5 caco3 3x 500 mg
esrd on HD mg po bicnat 3x 500 mg
anemia ec as folat 1x1 mg
penyakit kronik tablet tambah darah
1x1
Amlodipin 1x10 mg
omeprazole 1x 20
mg
25 LAKI-LAKI 047114 49Y NSTEMI Miniaspi 1x80 mg
0M po
CPG 1x75 mg po
Bisoprolol 1x2,5
mg po
Nitrokaf 2x2.5 mg
po
Amlodipin 1x5 mg
po
ISDN sublingual
bila nyeri dada
Lansoprazole 1x30
mg iv
Diviti 1x2,5 mg
SL
26 PEREMPUAN 030908 38Y NSTEMI aspilet 1 x 80 mg - raber IPD :
8M edema paru po bicnat 3 x500 mg
Acute on CKD cpg 1 x 75 mg po caco3 3x 500 mg
CKD hd reguler bisoprolol 1 x 2,5 asam folat 1x 1 mg
mg po Tablet tambah darah
anemia candesartn 1 x 16 1x1
DM tipe 2 mg po novorapid 3x 4 iu
amlodipin 1 x 10 epotrex 1x 2000 unit
mg po post HD bila TD <
180 mmhg
dulcolax supp 1x1
(k/p)
27 LAKI-LAKI 022693 48Y NSTEMI Mini aspi 1x80 mg
9M po
CPG 1x75 mg po
Amlodispin 1x5
mg po
Nitrokaf 2x2,5 mg
po
Atorvastatin 1x20
mg po malam
Furosemide 1x40
mg iv
Bisoprolol 5 mg
1x1
Diviti 1x2,5 mg sc
Pumpitor 1x1 amp
iv
28 LAKI-LAKI 047337 43Y DCM Furosemide 1 x 40 - echo : dilated all
8M ADHF mg iv chambers, EF 20%,
ramipril 1 x 5mg glboal hypo, mild
po MR, mild TR
bisoprolol 1 x 2,5
mg po
29 LAKI-LAKI 047320 55Y ADHF furosemide 1 x 40 - echo : dilated all,
0M HHD mg iv , sore 1 x 20 EF 33%
HFrEF mg iv reduced RV
bisoprolol 1 x 2,5 contractility
mg po
amlodipin 1 x 5
mg po
30 LAKI-LAKI 012590 44Y AVNRT RL 1000 cc/24 jam
11M Vivena 9/24 jam
Lansoprazole 1x30
mg iv
Ondansetron 3x4
mg iv
Bisoprolol 1x5 mg
tab
31 PEREMPUAN 047915 57Y ADHF furosemide 1 x 40
10M HHD mg po
canderin 1 x 16 mg
po
spironolakton 1
x25 mg po
bisoprolol 1 x 2,5
mg po
32 LAKI-LAKI 017921 42Y NSTEMI minaspi 1 x 80 mg
3M po
cpg 1 x 75 mg po
bisoprolol 1 x 5
mg po
canderin 1x 8 mg
po
Nitrokaf 2 x 2,5
mg po
Diviti 1 x 2,5 mg
sc
truvaz 1 x 20 mg
po
Lansoprazole 1 x
30 mg iv
33 LAKI-LAKI 047884 81Y ADHF, Digoxin 1x0,5 mg
5M AFRVR iv
Furosemide 30
mg/jam
spironolakton 1
x25 mg po
bisoprolol 1 x 2,5
mg po
34 PEREMPUAN 047676 63Y ADHF aspilet 1 x 80 mg - raber IPD :
4M CAD po Metformin 2x500
DM tipe 2 candesartan 1 x 16 Glimepirid 1x2 mg
mg po (pagi)
furosemide 1 x 40
mg iv
bisoprolol 1 x
1 ,25 mg po
spironolakton 1 x
25 mg po
NAC 3 x 1 tab
35 PEREMPUAN 048336 63Y Dilated furosemid 3 x - echo Dilated all
4M cardiomyopathy 40mg iv chambers, global
HHD ramipril 1 x 10mg hypokinetic, EF
CKD st 5 po 34%
hiperkalemia amlodipin 1 x 10 - raber IPD :
mg po saran HD->menolak
bisoprolol 1 x koreksi hiperkalemia
2.5mg po :
- Iv CA glukonas 1
amp (extra)
- Iv dextrose 40 % 2
flc + 10 unit
novorapid (extra)
bicnat 2x1
Caco3 2x1
asam folat 1x1
36 PEREMPUAN 048250 59Y HHD - Furosemide 2 x - echo : con LVH,
3M CHF 40 mg iv PEF
suspek DVT - Heparin 2 x 5000 - raber SpPD :
DM tipe 2 unit sc Levemir 0-0-10 sc
- Ramipril 1 x 5 malam
mg po Novorapid 3x 6 iu sc
- Amlodipin 1 x 10 Ceftriaxone 1x2 gr
mg po Clindamycin 4x300
mg
37 LAKI-LAKI 048177 58Y ADHF miniaspi 1 x 80 mg - echo dilated LA,
11M HFrEF po LV, EF 20%, global
DM tipe 2 bisoprolol 1 x 2,5 hypokinetic
mg po - raber IPD :
ramipril 1 x 5 mg SC Levemir 0-0-0-
po 10
spironolakton 1 x
25 mg po
furosemide 1 x 40
mg iv
38 LAKI-LAKI 023784 43Y Unstable angina diviti 1x2,5 mg SC - echo Juni 2021 :
8M pectoris extra morfin 2 mg PEF, rwma inferior
CKD stg IV iv bila nyeri VAS (base)
gout arhtritis >5 - raber SpPD :
akut aspilet 1 x 80 mg methylprednisolon
nefrolitiasis po 3x 4mg untuk 3 hari
cpg 1 x 75 mg po as folat 2x1 mg
bisoprolol 1 x 5 nocid 3x2tab
mg po lansoprazole 2x 30
atorvastatin 1 x 20 mg
mg po
NR 2 x 2.5 mg po
lansoprazole 1 x
30 mg iv
Ibuprofen 3x400
mg
Allopurinol 1x300
mg po
39 LAKI-LAKI 046697 57Y ADHF furosemide 2 x 40
4M CAD mg iv
bisoprolol 1 x 2,5
mg po
ramipril 1 x 5 mg
po
spironolakton 1 x
50 mg po
miniaspi 1 x 80 mg
po
40 PEREMPUAN 042487 41Y PPCM Furosemide 2 x 40
6M ADHF mg iv
Anemia Ramipril 1 x 5 mg
defisiensi Fe po
Hipertensi Spironolakton 1 x
50 mg po
Lansoprazole 1 x
30 mg iv
bisoprolol 1 x 1.25
mg po
Inbion 1x1 tab
41 LAKI-LAKI 013227 66Y UAP Lansoprazole - raber IPD :
10M HHD 1x30mg iv bicnat 3x 500 mg
ESRD on HD miniaspi 1 x 80 mg caco3 3 x500 mg
po as folat 1x 1mg
clopidogrel 1 x 75 mecobalamin 2x 500
mg po mg
ramipril 1 x 10 mg
po
sucralfat 3 x 10 cc
po
clonidine 2 x 0.15
mg po
42 PEREMPUAN 052153 41 Pulmonary Furosemide 2 x 40 - echo : dilated RA,
th 5 hypertension mg iv RV, D-shaped LV,
bln CHF lansoprazole 1 x severe TR high
Hiponatremia 30 mg iv probability of PH
ramipril 1 x 5 mg
po
sildenafil 2 x 25
mg po
43 PEREMPUAN 053755 25 PPCM, ADHF Furosemide 2x40 - echo : dilated all
th 6 mg iv chambers
bln Ramipril 1x5 mg
PO
Bisoprolol 1x2,5
mg PO
Spironolakton
1x25 mg PO
batasi intake oral
1500cc/24 jam
44 PEREMPUAN 051217 70Y NSTEMI killip asplet 1 x 80 mg - EKG: ST depresi
0M 2 po di lead 2,3,AVF, Q-
CHF cpg 1 x 75 mg po wave V1-V3
DMT2 bisoprolol 1 x 2,5 - raber IPD : lantus
mg po 0-0-10, metformin
ramipril 1 x 5 mg 3x 500 mg
po
diviti 1 x 2,5 mg sc

furosemide 1 x 40
mg iv
45 LAKI-LAKI 050860 44Y STEMI inferior asilet 1 x 80 mg po - echo 8 jul 22:
5M -RV late onset cpg 1 x 75 mg po normal chambers,
diviti 1 x 2,5 mg sc hypokinetic inferior,
bisoprolol 1 x,2 5 inferolateral, EF >
mg po 50%
nitrokaf 2 x 2,5 mg
po
46 LAKI-LAKI 015495 43Y UAP Aspilet 1 x 80 ng
3M po
Cpg 1 x 75 mg po
Bisoprolol 1 x 2.5
mg po
Nitrokaf 2 x 2.5
mg po
Lansoprazole 1 x
30 mg iv
Morfin 2 mg iv k/p
47 LAKI-LAKI 047884 81Y ADHF, Digoxin 1x0,5 mg
5M AFRVR iv
Furosemide 30
mg/jam
spironolakton 1
x25 mg po
bisoprolol 1 x 2,5
mg po
48 PEREMPUAN 051281 55Y ADHF Furosemide 2 x 40 - echo : EF 45%, dil
11M CAD mg iv LV, mild hypo
VES frekuen Ramipril 1 x 5 mg anterior
po
bisoprolol 1 x 2,5
mg po
Ondansetron 3 x 4
mg iv
Amiodarone 1 x
200 mg po
49 PEREMPUAN 051611 37Y SVT bolus digoxin
9M 1x0.5 mg iv
bisoprolol 1x2.5
mg po
observasi 4 jam
sejak masuk
digoxin
kalo masih
takikardia berikan
lagi digoxin 1x
0.25 mg iv
50 PEREMPUAN 052424 31 ADHF, PPCM Furosemide 2x40
th mg IV
ISDN drip 1
mg/jam
Ramipril 1x5 mg
PO
Spironolakton
1x25 mg PO
Bisoprolol 1x2,5
mg PO
51 PEREMPUAN 046836 74Y HT emergensi, Amlodipin 1 x 10 - raber IPD :
11M edema paru mg po Levemir 0-0-10 (jam
CHF Bisoprolol 1 x 5 22.00)
DM tipe 2 mg po mecobalamin 2x500
neuropati DM Miniaspi 1 x 80 mg
mg po gabapentin 1x300
Candedartan 1 x 8 malam
mg po
Furosemide 1 x 40
mg iv
Spironolalton 1 x
25 mg po
52 LAKI-LAKI 051134 51Y NSTEACS Miniaspi 1 x 80 - ekg dynamic ST-T
5M DM tipe 2 mg po changes +
CPG 1 x 75 mg po - raber IPD :
Bisoprolol 1 x 2.5 novorapid 3x14 IU
mg po 15 menit ac
Nitrokaf 2 x 2.5 levemir0-0-12 iu
mg po
diviti 1 x 2,5 mg sc

LAPORAN PENGELOLAAN PASIEN RAWAT INAP KARDIOVASKULER


Tahun 2022

Reka
No Identitas m Usia Diagnosis Tatalaksana Keterangan
Medis
1 PEREMPUAN 53680 60 ADHF, AFRVR furosemide 2x40 mg - echo :
th iv concentric LVH,
digoxin extra bolus dilated LA,
1x0,25 mg iv preserved EF,
lansoprazole 1x30 53%
mg iv
ramipril 1x5 mg PO
Warfarin 1x2 mg PO
2 PEREMPUAN 53641 64 UAP, HHD loading aspilet 160 - EKG : t inversi
th mg, CPG 300 mg anterior
selanjutnya - trop I normal
miniaspi 1x80 mg
CPG 1x75 mg
Nitrokaf 2x2,5 mg
PO
Diviti 1x2,5 mg SC
Lansoprazole 1x30
mg IV
3 PEREMPUAN 54405 42 AFRVR Digoxin bolus extra - echo : dilated
th 8 0,5 mg IV LA, mod to
bln Furosemide 2x40 mg severe MS,
iv normal EF,
Bisoprolol 1x5 mg dilated RA, RV
PO
SImarc 1x2 mg PO
Digoxin tab 1x1 PO
4 PEREMPUAN 053755 25 PPCM, ADHF Furosemide 2x40 mg - echo : dilated
th 6 iv all chambers
bln Ramipril 1x5 mg PO
Bisoprolol 1x2,5 mg
PO
Spironolakton 1x25
mg PO
batasi intake oral
1500cc/24 jam
5 LAKI-LAKI 52484 49 ADHF, CAD, aspilet 1x80 mg
th 9 AKI Candesartan 1x16
bln mg
Bisoprolol 1x2,5 mg
Spironolakton 1x25
mg
Furosemide 2x80 mg
IV
Lansoprazole 1x30
mg IV
6 PEREMPUAN 51209 63 ADHF, CAD aspilet 1x80 mg - echo : dilated
th 3 OMI anterior CPG 1x75 mg LA, LV, EF
bln Ramipril 1x5 mg PO 23%, severe
Spironolakton 1x25 hipokinetic
mg PO anterior,
Bisprolol 1x2,5 mg anteroseptal
PO
Furosemide 2x60 mg
IV
7 PEREMPUAN 053339 53 ADHF, CAD Furosemide drip 10 - echo : dilated
th OMI anterior, mg/jam->2x60 mg iv LV, hypokinetic
DMT2, Aspilet 1x80 mg anterior, EF
hiperkalemia, Ramipril 1x5 mg 23%
AKI Bisoprolol 1x1,25 - raber IPD :
mg novorapid 3x4
U, inj Ca
gluconas 1 amp
bolus pelan, as.
folat 1x1 mg,
bicnat 3x500
mg
8 LAKI-LAKI 053185 55 ACS STEMI loading aspilet 160 - PCI : LAD
th anterior mg, CPG 300 mg total oklusi-->2
10 selanjutnya des komplit
bln aspilet 1x80 mg revask
CPG 1x75 mg
Canderin 1x8 mg
Bisoprolol 1x2,5 mg
9 LAKI-LAKI 021158 69 AF Ramipril 1 x5 mg po - echo feb 22:
th 2 CHF dil LV, LA, EF
bln PPOK eksaserbasi Bisoprolol 1 x 2,5 sektiar 30,
DMT2 mg po global hypo
Spironolakton 1 x 25 - raber IPD dan
mg po paru
Notisil 1 x 2 mg po
Furosemide 2 x 60
mg iv
10 LAKI-LAKI 053109 65 NSTEMI Aspilet 1 x 80 mg po - troponin I (+)
th 11 edema paru Cpg 1x 75mg po
bln HHD Diviti 1 x2.5 mg sc
Bisoprolol 1 x 2.5
mg po
Nitrokaf Retard 2 x
2.5 mg po
Atorvastatin 1 x 20
mg po
Amlodipin 1 x 10
mg po
furosemide 1 x 20
mg iv
11 LAKI-LAKI 053056 65 ADHF, PPOK furosemide drip 10 - raber paru
th 1 eksaserbasi akut mg/jam--> 2 x 60 - echo: dilated
bln mg iv LA, LV, global
Lansoprazole 1x30 hypokinetic, EF
mg iv 37%
ramipril 1 x 5 mg po - sudden cardiac
spironolakton 1 x 25 arrest h4
mg po perawatan
bisoprolol 1 x 2,5
mg po
12 PEREMPUAN 52485 76 NSTEMI, HHD aspilet 1x80 mg - echo :
th 9 CPG 1x75 mg concentric LVH,
bln Amlodipin 1x10 mg normokinetic,
ISDN 5 mg SL k/p normal EF
nyeri dada - EKG : iskemik
codein 2x10 mg lateral
ibuprofen 2x400 mg - trop-I :(+)
PO
laxadin 1x15 ml
Diviti 1x2,5 mg SC
Furosemide 2x40 mg
IV
13 LAKI-LAKI 52484 49 ADHF, CAD aspilet 1x80 mg - echo : dilated
th 9 OMI anterior, ramipril 1x5 mg all chambers,
bln Faringitis Akut Bisoprolol 1x2,5 mg EF 23%, severe
Spironolakton 1x25 hipokinetic
mg PO anterior,
Methylprednisolon anteroseptal,
2x4 mg PO reduced RV
Cefixim 2x100 mg contractility
PO
Furosemide 2x60 mg
IV
14 PEREMPUAN 52558 64 AFRVR, HHD, bolus Digoxin 1x0,5 - echo :
th 6 DMT2, mg iv, bolus Digosin concentric LVH,
bln dyslipidemia 1x0,25 mg mg, 4 dilated LA,
jam setelah bolus ke preserved AF,
1 mitral
Furosemide 1x40 mg regurgitation
IV - raber SpPD
Lansoprazole 1x30
mg IV
Bisoprolol 1x2,5 mg
PO
Warfarin 1x2 mg PO
Ramipril 1x10 mg
PO
Amlodipin 1x10 mg
PO
Atorvastatin 1x40
mg PO
15 PEREMPUAN 52444 31 ADHF, PPCM Furosemide 2x40 mg
th IV
ISDN drip 1 mg/jam
Ramipril 1x5 mg PO
Spironolakton 1x25
mg PO
Bisoprolol 1x2,5 mg
PO
16 LAKI-LAKI 043612 42 ADHF, CAD post aspilet 1 x 80 mg po - riwayat PCI di
th 3 PCI brilinta 2 x 90 mg po right coronary
bln artery tgl 7
ramipril 1 x 5 mg po agustus 2022
spironolakton 1 x 25 - echo : dilated
mg po LV, rwma
bisoprolol 1 x 2,5 anterior, EF
mg po 38%
furosemide 2 x 40
mg iv
17 LAKI-LAKI 052306 39 ADHF, CAD post Furosemide 2 x 40 - echo : dilated
th 9 PCI, efusi pleura mg iv LV, severe
bln Aspilet 1x 80 mg po hypokinetic
Clopidogrel 1 x 75 anterior, Ef 33%
mg po - konsul paru
Ramipril 1 x 5 mg
po
bisoprolol 1 x 2,5
mg po
Spironolakton 1 x 25
mg po
18 PEREMPUAN 052173 41 Pulmonary Furosemide 2 x 40 - echo : dilated
th 5 hypertension mg iv RA, RV, D-
bln CHF lansoprazole 1 x 30 shaped LV,
Hiponatremia mg iv severe TR high
ramipril 1 x 5 mg po probability of
sildenafil 2 x 25 mg PH
po
19 PEREMPUAN 051915 39Y AVNRT Inf RL + Neurobion
9M Lansoprazole
1x30mg iv
Bisoprolol 1x2,5mg
p.o
20 PEREMPUAN 051811 37Y SVT bolus digoxin 1x0.5
9M mg iv
bisoprolol 1x2.5 mg
po
observasi 4 jam
sejak masuk digoxin
kalo masih
takikardia berikan
lagi digoxin 1x 0.25
mg iv
21 PEREMPUAN 051717 70Y NSTEMI killip 2 asplet 1 x 80 mg po - EKG: ST
0M CHF cpg 1 x 75 mg po depresi di lead
DMT2 bisoprolol 1 x 2,5 2,3,AVF, Q-
mg po wave V1-V3
ramipril 1 x 5 mg po - raber IPD :
diviti 1 x 2,5 mg sc lantus 0-0-10,
furosemide 1 x 40 metformin 3x
mg iv 500 mg
22 PEREMPUAN 22076 54Y SVT bolus digoxin 0.5 mg - raber paru :
4M pneumonia+sepsis iv, dalam 4 jam Meropenem 3x1
9D hiperglikemi evaluasi lagi, kalo gr iv
reaktif masih svt kasih Levofloxacin 1x
hipokalemia digoxin lg 0.25 mg 750 mg iv
iv - raber IPD :
Bisoprolol 1 x 5 mg novorapid 3x6 u
po 15 menit SC
amlodipin 1 x 10 mg Levemir 0-0-10
po u
Kcl 25 meq dalam rl
500 cc, drip selama
12 jam (2 siklus)
23 PEREMPUAN 51209 63 ADHF, CAD aspilet 1x80 mg - echo : dialted
th 3 OMI anterior CPG 1x75 mg LA, LV, EF
bln Ramipril 1x5 mg PO 23%, severe
Spironolakton 1x25 hipokinetic
mg PO anterior,
Bisprolol 1x1,25 mg anteroseptal
PO - batasi intake
ISDN 5 mg SL k/p oral 1200
nyeri dada ml/hari
Furosemide 2x40 mg
IV
Lansoprazole 1x30
mg IV
24 LAKI-LAKI 47337 43 DCM, ADHF ramipril 1 x 10mg po - echo : dilated
th 4 spironolakton 1 x 25 all chambers,
bln mg po EF 20%, global
furosemid 2 x 40mg hypo, mild MR,
iv mild TR
lansoprazol 1 x
30mg iv
25 PEREMPUAN 48384 40 HHD, candesartan 1x16 mg - CT coronary
th 6 dyslipidemia, angiography :
bln suspek CAD bisoprolol 1x5 mg Calcium score:
spironolaktone 1x25 0 (no evidence
mg calcified plaque
atorvastatin 1x20 mg menurut
Agatson score),
menurut
nomogram
termasuk dalam
persentil normal
< 35
CT
Angiography
menunjukkan
Right dominant
pattern dengan
normal origin
dan tidak
tampak jalur
abnormal.
Tidak tampak
stenosis
signifikan pada
LM, LAD,
LCX, maupun
RCA. --> CAD-
RADS 0.
Tidak tampak
ramus
intermedius.
Concentric
LVH.
26 LAKI-LAKI 051124 51Y NSTEACS Miniaspi 1 x 80 mg - ekg dynamic
5M DM tipe 2 po ST-T changes +
CPG 1 x 75 mg po - raber IPD :
Bisoprolol 1 x 2.5 novorapid 3x14
mg po IU 15 menit ac
Nitrokaf 2 x 2.5 mg levemir0-0-12
po iu
diviti 1 x 2,5 mg sc
27 LAKI-LAKI 015490 43Y UAP Aspilet 1 x 80 ng po
3M Cpg 1 x 75 mg po
Bisoprolol 1 x 2.5
mg po
Nitrokaf 2 x 2.5 mg
po
Lansoprazole 1 x 30
mg iv
Morfin 2 mg iv k/p
28 LAKI-LAKI 050788 47Y UAP Aspilet 1 x 80 mg po - ecg: dynamic
10M HHD ST-T changes
Vertigo Vestibuler Cpg 1 x 75 mg po - raber neuro :
Perifer Bisoprolol 1 x 2.5 Inj
mg po Dipenhidramine
Diviti 1 x 2.5 mg sc 3 x 1 aamp IV
Amlodipin 1 x 10 Betahistine
mg po Mesylate 2 x 24
Ondansetron 3 x 8 mg
mg iv Flunarizine 2 x
Isdn 5 mg sl bila 5 mg
nyeri dada - terapi pulang :
nitrokaf 2 x 2,5 mg aspilet 1 x 80
po mg po
cpg 1 x 75 mg
po
nitrokaf 2 x 2,5
mg po
bisoprolol 1 x
2,5 mg po
amlodipin 1 x
10 mg po
29 PEREMPUAN 049615 48Y HHD furosemide 2 x 60 - echo april
10M HFrEF mg iv 2022: dilated all
DM tipe 2 amlodipin 1 x 10 mg chambers, EF
CKD st 4 po 26%, gloal
ramipril 1 x 5 mg po hypokinetic,
bisoprolol 1 x 2,5 mild MR
mg po - raber IPD :
spironolakton 1 x 25 Inj omz 1x 40
mg po mg
As folat 2x 1
mg
Gliquidon 1x 30
mg
Inj
Metoklopramide
3x10 mg
Nocid 3x1
30 LAKI-LAKI 050960 44Y STEMI inferior - asilet 1 x 80 mg po - echo 8 jul 22:
5M RV late onset cpg 1 x 75 mg po normal
diviti 1 x 2,5 mg sc chambers,
bisoprolol 1 x,2 5 hypokinetic
mg po inferior,
nitrokaf 2 x 2,5 mg inferolateral, EF
po > 50%
31 LAKI-LAKI 045812 47Y ADHF aspilet 1 x 80 gm po - echo feb 22:
8M CAD bisoprolol 1 x 2,5 kesan normal
Efusi pleura mg po chambers
Pneumonia ramipril 1 x 5 mg po dimension with
TB paru kasus spironolakton 1 x 25 reduced LV and
putus obat dd/ mg po RV function
tumor paru furosemide 1 x 40 - echo jul 2022:
gouty arthritis mg iv mild dil LV,
DMT2 ketorolac 2 x 30 mg global hypo, EF
hipoalbuminemia iv 37%, mild MR
- obat pulang:
Aspilet 1x80 mg
Ramipril 1x5
mg
Bisoprolol
1x2,5 mg
Spironolactone
1x25 mg
furosemid 1x40
mg
- raber IPD :
recolvar
2x0,5mg po
Ibuprofen
3x400 mg
- raber paru :
ceftriaxon 1x2
gr
vip albumin 3x1
kap
32 LAKI-LAKI 011484 53Y CAD + HHD amlodipin 1 x10 mg - CT Coronary
7M +DM tipe 2 po Angiography,
atorvastatin 1 x 20 didapatkan :
mg po Calcium score :
158 (moderate
calcified plaque
menurut agatson
score), menurut
normogram
termasuk dalam
persentile 75-90

CT coronary
angiography
right dominant
pattern dengan
normal origin,
tidak tampak
jalur abdnormal
Concentric LVH

Stenosis 50-69
% pada segmen
proximal LAD
akibat mixed
plaque -- CAD
RAD2 3
Stenosis 1-29 %
pada segmen
medial LCx
akibat calcified
plaque -- CAD
RADS 1
Stenosis 25-49
% pada segmen
proximal RCA
akibat calcified
plaque -- CAD
RADS 2.
33 LAKI-LAKI 050721 53Y UAP Aspilet 1x80 mg po - obat pulang :
0M prolonged QTc Clopidogrel 1x75 aspilet 1 x 80
mg po mg po
Bisoprolol 1x2,5 mg cpg 1 x 75 mg
po po
Lansoprazole 1x30 bisoprolol 1 x 5
mg iv mg po
Diviti 1x2,5 mg sc nitrokaf 2 x 2,5
Atorvastatin 1x20 mg po
mg po atrovastatin 1 x
20 mg po
34 LAKI-LAKI 050557 73y NSTEMI aspilet 1 x 80 mg po - raber Paru :
10m pneumonia cpg 1 x 75 mg po aminofilin 3
DM tipe 2 diviti 1 x 2,5 mg sc amp/24 jam dg
bisoprolol 1 x2,5 mg syringe pump
po levofloxacin
Lansoprazole 1 x 30 1x750 mg iv
mg iv inhalasi ventolin
Ondansetron 3 x 4 / 8 jam
mg iv - raber IPD :
Rl 500cc per 24 jam glimepirid 1x2
pagi
metformin
1x500 malam
SC levemir 12
unit jam 22.00
35 PEREMPUAN 050488 40Y atypical chest Bisoprolol 1 x 5 mg - echo : hanya
7M pain po trivial MR ->
Hipertensi canderin 1 x 16 mg kesan Normal
DM po heart
analsik 2 x 1 tab po - raber IPD :
lansoprazole 1x30 Glucophage xr
mg iv 2x500 mg po
36 LAKI-LAKI 050421 38Y NSTEMI Rujuk untuk - pasien pulang,
9M Kateterisasi PCI -> APS :
pasien dan keluarga Aspilet 1x80 mg
menolak, ingin
dirawat saja Cpg 1x75 mg
Aspilet 1x 80 mg po Bisoprolol
CPG 1x75 mg po 1x2,5 mg
Bisoprolol 1x2,5 mg Nitrokaf 2x2,5
po mg
diviti 1x2,5 mg SC Atorvastatin
Nitrokaf 2x2,5 mg 1x20 mg
PO
Atorvastatin 1x20
mg
37 PEREMPUAN 050281 55Y ADHF Furosemide 2 x 40 - echo : EF
11M CAD mg iv 45%, dil LV,
VES frekuen Ramipril 1 x 5 mg mild hypo
po anterior
bisoprolol 1 x 2,5
mg po
Ondansetron 3 x 4
mg iv
Amiodarone 1 x 200
mg po
38 LAKI-LAKI 012650 48Y NSTEMI aspilet 1 x 80 mg po - EKG : iskemik
1M dyslipidmeia cpg 1 x 75 mg po anterior inferior
bisoprolol 1 x 2,5
mg po
nitrokaf 1 x 2,5 mg
po
simvastatin 1 x 20
mg po
Diviti 1x2.5mg sc
39 LAKI-LAKI 050243 48Y UAP Amlodipin 1x10 mg - pulang,
4M po rencana rujuk
Bisoprolol 1x2,5 mg pci dari poli
po aspilet 1 x80 mg
Diviti 1x2,5 mg sc po
Simvastatin 1x20 mg cpg 1 x 75 mg
po po
NItrokaf 2x2,5 mg ramipril 1x10
RL 500 cc/24 jam mg po
Bisoprolol
1x2,5 mg po
NItrokaf 2x2,5
mg
furosemide 1 x
40 mg po
40 LAKI-LAKI 050071 58Y adhf ramipril 1x5 mg po - ekg : LVh
0M Ischemic DCM furosemide 2x60 mg strain dd
DM tipe 2 iv iskemik, sinus
aspilet 1x80 mg po takikardia
spironolakton 1x25 - echo : dil LA,
mg po LV, global hypo,
EF 19%
41 PEREMPUAN 049930 66Y Atrial tachycardia Amiodarone bolus
11M dd/ flutter 150 mg iv 10 menit,
Lanjut drip
1mg/menit selama 6
jam, selanjutnya
0,5mg/menit selama
18 jam
bila drip sudah habis
-> ganti amiodarone
2 x 200 mg po
Lansoprazole 1 x 30
mg iv
ondansetron 3 x 4
mg iv
42 PEREMPUAN 012277 40Y WPW Left atrium Bisoprolol 1x 2.5 mg
9M origin,
posteroseptal
wall, near HIS
GERD
electrolyte
imbalance
43 PEREMPUAN 049919 26Y Acute heart Furosemide drip 5 - raber IPD :
10M failure dengan mg/jam Drip
edem aparu Ramipril 1 x 5 mg meropenem 3x1
Peripartum bisoprolol 1 x 2,5 gram
cardiomyopathy mg po Inj lansoprazole
respiratory failure spironolakton 1 x 25 2x30 mg
type 1 mg po Sucralfat 4x 10
pneumonia cc
- echo : Dilated
LA, LV, EF
35%
44 PEREMPUAN 049836 84Y HT emergensi, Amlodipin 1 x 10 - raber IPD :
11M edema paru mg po Levemir 0-0-10
CHF Bisoprolol 1 x 5 mg (jam 22.00)
DM tipe 2 po mecobalamin
neuropati DM Miniaspi 1 x 80 mg 2x500 mg
po gabapentin
Candedartan 1 x 8 1x300 malam
mg po
Furosemide 1 x 40
mg iv
Spironolalton 1 x 25
mg po
45 LAKI-LAKI 049225 69Y ADHF Furosemide 2x 40
1M ischemic Dilated mg iv
cardiomyopathy Ramipril 1 x 5 mg
po
Bisoprolol 1 x 1.25
mg po
Miniaspi 1 x 80 mg
po
Isdn 5 mg prn
omeprazole 2x1 vial
46 PEREMPUAN 049930 66Y atypical avnrt digoxin 0.5 mg iv - raber IPD :
11M Dysp Syndrome bolus 1x rl 10 tpm
Bact infection Bisoprolol 1x5 mg drip ceftriaxone
po 1x2 g st
inj omeprazole
2x40mg
inj ondasteron
3x 4 mg
sucraflat 4x 10
cc
47 PEREMPUAN 049351 51Y NSTEMI Miniaspi 1 x 80 mg
8M ht emergensi po
Cpg 1 x 75 mg po
Diviti 1 x 2.5 mg SC

Ramipril 1 x 5 mg
po
Simvastatin 1 x 20
mg po
Nitrokaf 2 x 2.5 mg
po
Bisoprol 1 x 2,5 mg
po
KSR 1 x 1200 mg po
48 LAKI-LAKI 045812 47Y acute heart failure Furosemide 1 x40 - echo : kesan
8M suspek mg IV normal
myocarditis Ramipril 1x5 mg PO chambers
suspek massa dimension with
paru dd/ bisoprolol 1 x 2,5 reduced LV and
pleuropneumonia mg po RV function
- raber Paru :
Ceftriaxone 1x2
gr IV
Azitromisin
1x500 mg PO
NAC 3x1
49 LAKI-LAKI 047320 55Y ADHF Miniaspi 1x80mg po - echo : echo
0M ischemic DCM dilated all, EF
atrhritis bisoprolol 1x2,5mg 33%, reduced
po RV contractility
ramipril 1x5mg po
spironolactone
1x25mg po
Furosemide 1 x 40
mg iv
ibuprofen 2 x 400
mg po
50 LAKI-LAKI 048815 63Y NSTEMI aspilet 1x80 mg po - EKG : Deep t
11M HHD clopidogrel 1x75 mg wave inversion
po
Amlodipin 1 x 10
mg po
Bisoprolol 1 x 2.5
mg po
Simvastatin 1 x 20
mg po
Nitrokaf 2 x 2.5 mg
po
Diviti 1 x 2.5 mg sc
51 PEREMPUAN 048903 47Y ADHF Furosemide 2x60 mg - echo 8 feb 22:
6M CAD OMI iv normal
anterior Ramipril 1x10 mg chamber,
DM tipe 2 dengan po akinetic
diabetic kidney spironolakton 1x25 anterior, EF
disease mg po sektiar 35%
ISK aspilet 1x1 tab - raber IPD :
digoxin 1x1 tab po SC Novorapid
bisopriolol 1x 2,5 14-14-14
mg po SC Levemir 0-
lansoprazole 1 x 30 0-0-20
mg iv IV Ceftriaxone
2g/24 jam
52 PEREMPUAN 048530 43Y AFRVR Digoxin 1 x 0.5 mg
10M Dyspepsia iv(extra)
bisoprolol 1x2.5 mg
Lansoprazole 1 x 30
mg iv
Ondansetron 3 x 4
mg iv
Sucralfat 3 x 1 C
53 LAKI-LAKI 048494 61Y ADHF miniaspi 1x80 mg po - echo : dilated
6M Advanced heart all chambers,
failure ramipril 1x5 mg po EF 17%, global
DM bisoprolol 1x2.5 mg hypokinetic,
AKI on CKD po reduced RV
spironolakton 1x25 contractility
mg po - raber SpPD :
furosemide 2x40mg gliquidone
iv 3x30mg
atorvastatin 1x20 mg
po
54 PEREMPUAN 047351 53Y NSTEMI Miniaspi 1 x 80 mg
8M ht emergensi po
Cpg 1 x 75 mg po
Diviti 1 x 2.5 mg SC

Ramipril 1 x 5 mg
po
Simvastatin 1 x 20
mg po
Nitrokaf 2 x 2.5 mg
po
Bisoprol 1 x 2,5 mg
po
KSR 1 x 1200 mg po
55 LAKI-LAKI 051960 42Y STEMI inferior asilet 1 x 80 mg po - echo 8 jul 22:
5M cpg 1 x 75 mg po normal
diviti 1 x 2,5 mg sc chambers,
bisoprolol 1 x,2 5 hypokinetic
mg po inferior,
nitrokaf 2 x 2,5 mg inferolateral, EF
po > 50%
56 LAKI-LAKI 050171 55Y adhf ramipril 1x5 mg po - ekg : LVh
0M Ischemic DCM furosemide 2x60 mg strain dd
DM tipe 2 iv iskemik, sinus
aspilet 1x80 mg po takikardia
spironolakton 1x25 - echo : dil LA,
mg po LV, global hypo,
EF 19%
57 LAKI-LAKI 013217 65Y UAP Lansoprazole - raber IPD :
10M HHD 1x30mg iv bicnat 3x 500
ESRD on HD miniaspi 1 x 80 mg mg
po caco3 3 x500
clopidogrel 1 x 75 mg
mg po as folat 1x 1mg
ramipril 1 x 10 mg mecobalamin 2x
po 500 mg
sucralfat 3 x 10 cc
po
clonidine 2 x 0.15
mg po
58 LAKI-LAKI 050131 56Y ADHF ALO Furosemide 10
0M Hipokalemia mg/jam drip iv titrasi
sesuai respon,
Spironolacton 1x50
mg, Candesartan
1x16 mg, Bisoprolol
1x1.25 mg,
Amlodipin 1x5 mg,
KSR 1x1200 mg
59 LAKI-LAKI 031473 44Y UAP Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg
60 LAKI-LAKI 052124 50Y NSTEACS Miniaspi 1 x 80 mg - ekg dynamic
5M DM tipe 2 po ST-T changes +
CPG 1 x 75 mg po - raber IPD :
Bisoprolol 1 x 2.5 novorapid 3x14
mg po IU 15 menit ac
Nitrokaf 2 x 2.5 mg levemir0-0-12
po iu
diviti 1 x 2,5 mg sc
61 PEREMPUAN 056173 40 Pulmonary Furosemide 2 x 40 - echo : dilated
th 5 hypertension mg iv RA, RV, D-
bln CHF lansoprazole 1 x 30 shaped LV,
Hiponatremia mg iv severe TR high
ramipril 1 x 5 mg po probability of
sildenafil 2 x 25 mg PH
po
62 PEREMPUAN 051517 74Y NSTEMI killip 2 asplet 1 x 80 mg po - EKG: ST
0M CHF cpg 1 x 75 mg po depresi di lead
DMT2 bisoprolol 1 x 2,5 2,3,AVF, Q-
mg po wave V1-V3
ramipril 1 x 5 mg po - raber IPD :
diviti 1 x 2,5 mg sc lantus 0-0-10,
furosemide 1 x 40 metformin 3x
mg iv 500 mg
63 LAKI-LAKI 031283 54Y UAP, Cor Aspirin 1x80,
0M pulmonale ec. Clopidogrel 1x75
TBC mg, ISDN SL prn,
Atorvastatin 1x40
mg, Nitroglycerin
2x2.5 mg, Ramipril
1x5 mg, Bisoprolol
1x2.5 mg
64 LAKI-LAKI 030473 64Y NSTEMI COPD Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Diviti 1x2,5 mg
SC, Bisoprolol 1x2.5
mg, Ramipril 1x2.5
mg
65 LAKI-LAKI 038273 50Y ADHF, NSTEMI, Aspirin 1x80 mg,
0M Hipokalemia Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Diviti 1x2.5 mg,
Candesartan 1x8 mg,
Bisoprolol 1x1.25
mg, Amlodipin 1x10
mg, Furosemide
2x60 mg iv,
Spironolacton 1x25
mg, KSR 1x600 mg
66 PEREMPUAN 051417 44Y ADHF, HHD, Furosemid 2x40 mg
0M CAD, Efusi iv, Spironolacton
pleura bilateral 1x25 mg, Ramipril
1x10 mg, Bisoprolol
1x1.25 mg, Aspirin
1x80 mg,
Clopidogrel 1x75
mg, Atorvastatin
1x20 mg,
67 PEREMPUAN 031517 54Y STEMI Aspirin 1x80 mg,
0M Anterolateral Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Diviti 1x2,5 mg
SC, Bisoprolol 1x2.5
mg, Ramipril 1x5
mg, Amlodipin 1x5
mg,
68 PEREMPUAN 036517 54Y NSTEMI Aspirin 1x80 mg,
0M Hipokalemia Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Diviti 1x2,5 mg
SC, Bisoprolol 1x2.5
mg, Ramipril 1x5
mg, KCl 25 meq,2
siklus
69 LAKI-LAKI 034233 72Y UAP Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg, Ramipil
1x5 mg, Amlodipin
1x5 mg
70 PEREMPUAN 031512 64Y CHF Furosemide 2x40
0M mg, Spironolacton
1x12.5 mg, Ramipril
1x5 mg, Bisoprolol
1x2.5 mg,
Simvastatin 1x20 mg
71 PEREMPUAN 041827 34Y AF RVR Bisoprolol 1x2.5 mg,
0M Warfarin 1x2 mg
72 PEREMPUAN 031517 66Y ADHF Furosemid 2x60 mg
0M iv, Spironolacton
1x25 mg, NTG drip
titrasi sesuai respon,
Ramipril 1x10 mg,
Bisoprolol 1x1.25
mg, Amlodipin 1x5
mg
LAPORAN PENGELOLAAN PASIEN RAWAT INAP KARDIOVASKULER
Tahun 2023
Rekam
No Identitas Usia Diagnosis Tatalaksana Keterangan
Medis
1 LAKI-LAKI 053171 68Y UAP ADHF Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg,
Furosemide 2x40
mg iv, Ramipril
1x5 mg
2 PEREMPUAN 035517 54Y CAD HHD Aspirin 1x80 mg,
0M Simvastatin 1x20
mg, ISDN SL prn,
Bisoprolol 1x5 mg,
Nitroglycerin 2x2.5
mg, Ramipril 1x5
mg
3 LAKI-LAKI 050131 56Y ADHF ALO Furosemide 10
0M Hipokalemia mg/jam drip iv
titrasi sesuai
respon,
Spironolacton 1x50
mg, Candesartan
1x16 mg,
Bisoprolol 1x1.25
mg, Amlodipin 1x5
mg, KSR 1x1200
mg
4 PEREMPUAN 051426 58Y ADHF CAD Furosemide 2x60
0M mg iv,
Spironolacton
1x12.5 mg,
Ramipril 1x5 mg,
Bisoprolol 1x1.25
mg, Aspirin 1x80
mg, Simvastatin
1x20 mg, ISDN SL
prn
5 PEREMPUAN 034867 65Y CHF Furosemide
0M 3X60mg,
Spironolacton 1x25
mg, Amlodipin
1x10 mg,
Candesartan 1x24
mg, Bisoprolol 1x5
mg
6 LAKI-LAKI 042171 54Y NSTEMI Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Nitroglycerin
2x2.5 mg, Diviti
1x2.5 mg,
Bisoprolol 1x2.5
mg, Ramipril 1x2.5
mg
7 PEREMPUAN 032117 52Y ALO Furosemid 2x80
0M mg iv,
Spironolacton 1x25
mg, Digoxin
1x0,25mg iv,
Isosorbid dinitrate
drip, morphin
extra, Candesartan
1x8 mg
8 LAKI-LAKI 037171 48Y CHF Furosemide 2x40
0M mg, Spironolacton
1x12.5 mg,
Candesartan 1x24
mg, Bisoprolol 1x5
mg, Amlodipin 1x5
mg
9 PEREMPUAN 043217 62Y NSTEMI, Aspirin 1x80 mg,
0M Hipertensi Clopidogrel 1x75
emergensi mg, Atorvastatin
1x40 mg, ISDN SL
prn, Nitroglycerin
2x2.5 mg, Diviti
1x2.5 mg,
Bisoprolol 1x5 mg,
Ramipril 1x10 mg,
Amlodipin 1x10
mg, NTG drip iv
titrasi sesuai respon
10 LAKI-LAKI 031173 48Y UAP Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg
11 PEREMPUAN 042817 70Y CHF HHD Furosemid 2x40
0M mg, Amlodipin
1x10 mg, Valsartan
1x40 mg,
Bisoprolol 1x5 mg
12 PEREMPUAN 046530 43Y AFRVR Digoxin 1 x 0.5 mg
10M Dyspepsia iv(extra)
bisoprolol 1x2.5
mg
Lansoprazole 1 x
30 mg iv
Ondansetron 3 x 4
mg iv
Sucralfat 3 x 1 C
13 LAKI-LAKI 038171 60Y UAP, HHD Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg, Ramipril
1x10 mg,
Amlodipin 1x5 mg
14 LAKI-LAKI 045320 55Y ADHF Miniaspi 1x80mg - echo : echo
0M ischemic po dilated all,
DCM bisoprolol 1x2,5mg EF 33%,
atrhritis po reduced RV
ramipril 1x5mg po contractility
spironolactone
1x25mg po
Furosemide 1 x 40
mg iv
ibuprofen 2 x 400
mg po
15 LAKI-LAKI 050171 58Y adhf ramipril 1x5 mg po - ekg : LVh
0M Ischemic strain dd
DCM furosemide 2x60 iskemik,
DM tipe 2 mg iv sinus
aspilet 1x80 mg po takikardia
spironolakton 1x25 - echo : dil
mg po LA, LV,
global hypo,
EF 19%
16 LAKI-LAKI 053306 39 th ADHF, CAD Furosemide 2 x 40 - echo :
9 bln post PCI, mg iv dilated LV,
efusi pleura Aspilet 1x 80 mg severe
po hypokinetic
Clopidogrel 1 x 75 anterior, Ef
mg po 33%
Ramipril 1 x 5 mg - konsul paru
po
bisoprolol 1 x 2,5
mg po
Spironolakton 1 x
25 mg po
17 PEREMPUAN 051917 54Y CAD Post Aspirin 1x80 mg,
0M PCI, HHD Clopidogrel 1x75
mg, Atorvastatin
1x20 mg, ISDN SL
prn, Nitroglycerin
2x2.5 mg,
Bisoprolol 1x2.5
mg, Candesartan
1x16 mg,
Amlodipin 1x5 mg
18 PEREMPUAN 048217 42Y AF NVR Warfarin 1x2 mg,
0M HHD Bisoprolol 1x2.5
mg, Amlodipin 1x5
mg
19 LAKI-LAKI 057871 54Y NSTEMI, AF Aspirin 1x80 mg,
0M NVR Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Nitrokaf 2x2.5
mg, Diviti 1x2.5
mg, Bisoprolol
1x2.5 mg, Ramipril
1x5 mg,
20 PEREMPUAN 052117 69Y ADHF Furosemide 5
0M DMT2 mg/jam iv drip
titrasi sesuai
respon,
Spironolacton 1x25
mg, ISDN SL prn,
Valsartan 1x40 mg,
Bisoprolol 1x1.25
mg, Amlodipin
1x10
21 PEREMPUAN 052217 64Y NSTEMI, Aspirin 1x80 mg, Troponin I
0M Hipertensi Clopidogrel 1x75 (+)
emergensi mg, Atorvastatin EKG: ST
1x40 mg, ISDN SL depresi
prn, Nitroglycerin anteroseptal
2x2.5 mg, Diviti
1x2.5 mg,
Bisoprolol 1x5 mg,
Ramipril 1x10 mg,
Amlodipin 1x10
mg, NTG drip iv
titrasi sesuai respon
22 LAKI-LAKI 053171 68Y UAP ADHF Aspirin 1x80 mg,
0M Clopidogrel 1x75
mg, Atorvastatin
1x40 mg, ISDN SL
prn, Bisoprolol
1x2.5 mg,
Furosemide 2x40
mg iv, Ramipril
1x5 mg
23 PEREMPUAN 052217 66Y AF RVR Warfarin 1x2 mg,
0M HHD Bisoprolol 1x2.5
mg, Amlodipin 1x5
mg
24 PEREMPUAN 055173 45 th Pulmonary Furosemide 2 x 40 - echo :
5 bln hypertension mg iv dilated RA,
CHF lansoprazole 1 x 30 RV, D-shaped
Hiponatremia mg iv LV, severe
ramipril 1 x 5 mg TR high
po probability of
sildenafil 2 x 25 PH
mg po

Anda mungkin juga menyukai