UPDATE LAPORAN JUMLAH PASIEN

INTERMEDIET CARE UNIT

RSDC WISMA ATLET
DINAS MALAM TEAM B 15/01/2021 PUKUL 22.00 : 07.30 WIB

Total pasien 34 Suspect -

Pria 26 Porbable -

Wanita 8 Konfirmasi COVID 19 31

Cluster - Konfirm (-) 3

Kapasitas IMC 44 Pasien Kriteria IMC 33

Jumlah Bed 44 Pasien Kriteria HCU/ICU 1

3 SWAB NEGATIF (-) 41 Rencana Masuk 1 Bed Kotor (27)

1/0 Rencana Rujuk/ R HCU - Nakes RSCD 7 Bed Ready

1,5,13,15,23,40,44,

10 ATENSI - Nakes Luar 2 TNI

2 Pasien Baru 2 RENCANA PINDAH 4/1/0 HFNC/NIV/Intubasi

1 RENCANA PULANG Pasien Pindah Pasien Sudah Pulang

No. Nama Pasien Keluhan Rencana Terapi Penunjang

Tn. Purwoko Keluhan : menerima pasien Rencana : P/ AGD 14/01(NRM 10 lpm)

RM dari IGD 01.30 dengan -Prone Positioning O2 NRM 15 lpm ph 7.4
IMCU 01/01 keluhan sesak terutama -DL, OT/PT, Ur/Cr, GDS tgl 16/01 Prone position minimal 12 jam / sao2 97.5
saat duduk lama dan -Swab tgl 23/01 hari pao2 82,4
PB IGD 16/01/2021 berjalan, batuk tidak IVFD RL 500 cc/24 jam
berdahak terkadang.dada
Advis dr. Affan, Sp. An :(15/01) hco3 20
DX terasa berat - Acc HFNC bila Immunomodulator : paco2 28,2
memburukFlow 40 lpm, - Drip Resfar 5gr dalam be -2,7
Mual muntah (-). BAB dan FiO260 % 100cc NS habiskan dalam P/F ratio : 188.4 (ARDS
BAK dalam batas normal. 4 jam (H3/5) Moderate)
- PO Stimuno 2x1
Antiviral:
TD 125/100 - IV Remdesivir 2 x 100 mg
(H1/5) mulai tgl 16/1
HR 65
Antibiotik:
RR 36 - IV Meropenem 3 x 1 gr
(1/5)
S 25
- IV Levofloxacin 1 x 750
Spo2 99 mg (H1/5)

IFVD Antifungi
O2 NRM 10 LPM -

FU/ DR. OT.PT, UR/CR Anti koagulan :

16/01/2021
- SC Lovenox 2x 60 mg
GDS : 265 MG/DL (H1)

Anti inflamasi :

- Inj Metilprednisolone 2x
62,5 mg (H1)
- Colchisine 2x 0,5mg → TAO

Inhalasi:
-

Vitamin:
- PO Goldtrion (kosong)
- PO Resfar 2x1
- PO Vitamin D3 1x5000 IU
 - PO Proliver 3x2 tab
(kosong)

Lain-Lain
- PO Sucralfat 3x1 C
POj Omeperazole 2x 20
mg
- PO Vip albumin 3x2 tab

Obat Selesai / Stop :

Tanggal 15/01/21(IGD)
-Oseltamivir 2x 75 mg
-Azitromicine 1x 500mg
-Dexamethasone2x5mg
(kosong)
-Inj Ceftriaxone 1x2 gr

1 Tn. Ananda rizki Fauzi Riyanto KELUHAN: SESAK, O2 NRM 15 lpm Lab 9/1/2021
RM : 37981 BATUK Rencana : Prone position minimal 12 jam / hari Hb: 14.0
IMCU 01/ - R/ Swab 17/1/21 IVFD Ringer Lactate 500 cc/24 jam Hct:38,6
BED 02 - FU DL, OT/PT, Ur/Cr, 14/1/21 Leu:6,28
TD 121/80 Immunomodulator : Plt:396
- F./ cek d-dimer, PT, aPTT 15/01
PB ILT 5 T 7 11/01/2021 - Imugard 3x1 (2/5) DC:0/0/79/14/7
HR 84 - R/ Ro. thorax tgl 16/1/2021 OT: 14
DX : Antiviral: PT: 61
RR 24 Advice Konsul dr Prasetyo SpPD - Oseltamivir 2x 75 mg (H2/5) Cr:0.8
● Confirmed Covid19 (11/1/21) :
Symp berat S 36 - Curcuma 3x2 tab Antibiotik:
● ARDS Severe - Colchicine loading dose 1,5 mg, 1 - Azitromicyn 1x 500mg (2/ 5)
● Elevated Liver Enzym Spo2 99 jam kemudian 0,5 mg, lalu besok DL (08/01/21)
● BP Dextra 2x0,5 mg Antifungi Hb : 15.7
● Obesitas - Spironolakton 2x100 mg Ht : 42.7
O2 NRM 10 LPM - R/Cek D-dimer 11/1/21
IVFD NaCl 500CC/24 JAM MCV : 81.4
Anti koagulan : MCH : 30.6
Visit dr.Efriadi Sp.P (k) (11/01/21) : - Inj. Lovenox 2x0.6 SC (H1) MCHC : 36.9
Antiviral : Erit : 5.22
-R/ Ro. thorax tgl Oseltamivir PO ganti Anti inflamasi : Leu : 6.32
16/1/2021 -Ramdesivir 1 x 100 mg (H5) - PO Dexamethasone 2 x0,5 Tromb : 237
-F./DL, UR,CR,OTPT, mg (H1)
Antibiotik : Bas/Eos/Neu/Lym/Mon
PT, aPTT 15/01 Inhalasi: 0/ 0/ 69/ 22/9
-R/ CEK Ddimer JIKA Azitromisin PO ganti -
REGEN SUDAH ADA - IV Cefoperazone 3 x 1 gr (H5) Vitamin: SGOT: 342
- IV Meropenem 3 x 1 gr (H5) - Goldtrion 2x1 SGPT: 132
- IV Moxifloxaxin 1 x 400 mg (H5) - Bionicom Zinc 1x1 GDS : 115
FU/ PT/APTT TGL 16- - PO Vitamin D3 1x1000 IU Ur : 42
01-21 (05:00) Antiinflamasi : - PO Curcuma 3x1 tab Creatinin : 1,33
 -R/Swab 17/1/21 - PO Colchicine 1,5 mg loading → Lain-Lain
60 menit kemudian 0,5 mg → hari -NAC 3x200mg AGD 09/01
kedua dan selanjutnya 2x0,5 mg -Antasida 2x1 ph 7.4
-PO Ondansetron 2x4mg sao2 99.5
- Dexamethasone PO ganti dengan
-Omeperazole 2x 40 mg pao2 166,4
Dexamethasone IV 3 X 5 MG
hco3 9
paco2 12,2
Immunomodulator :
be 12,5
- Drip Resfar 5gr dalam 100cc NS
P/F ratio : 107.4 (ARDS Moderate)

2 Tn ABDUL RASYID KELUHAN: SESAK Rencana : P/ KGDH 14/1/21

R/ swab 16/1/21 O2 HFNC flow 40 lpm, FiO2 06.00 236
RM 37789 80%
BED 03 12.00 260
IVFD NaCl 0,9%/24jam 18.00 237
PB dari IGD
Tanggal 11/01/2021
TD 121/84 Antivirus
Lapjag inj remdesevir 1x100mg (H3/5) Ro thorax 13/1/21
ATENSI dr. Efriadi, Sp.P
HR 75 Amikasin 1x1 gr (3 hari) Kesan ;
Mulai masuk meropenem Antibiotik - Bronkopnemonia bilateral
Diagnosis RR 24 Inj Cefepime 3x1gr (H4/5) - Kardiomegali
Advice dr Efriadi SpP, dr Ade Inj Meropenem 3x1 gr (H1/5)
● Confirmed Covid 19 S 36.4 SpAn 14/1/21 Inj Amikasin 1x1 gr (H0/3) KGDH 13/1/21
S.Sedang - Stop levo 06.00 217
● HT Spo2 95 - Acc HNFC Antikoagulan: 12.00 302
- Prone position Lovenox 2x0.6cc (H3) 18.00 265
IFVD RL 500/24Jm
Immunomodulator:
NRM 15 lpm visite dr. efriadi, Sp.P 14/1/21 Drip resfar 1x 5 gr (H3/5) GDS 12/1/2021
Ab di tambah meropenem 3x1 gr 07.00 : 207
R/ swab 16/1/2021 (5 hr) Vitamin: 09.00 : 237
Levo 1x 750 jadi (10 hari) Bionicom 2x1
F/ DL, UR, CR, OT PT MP ganti dexa 2x 10 mg prove D3 1x1000IU Lab 7/1/2021 ff
15-01-21 Bionicom ganti becefort 2x1 becefort 2x1 E 4.31
Lapor KGDH ke dr.Prasetyo, HB 13.3
Sp.PD: Antiinflamasi: HT 36.9
Novorapid 15-15-10 iu inj, metilprednisolon 2x125mg MCV 85.6
(H2)--> ganti dexa 2x 10 (H0)
cek KGDH 14/1/21 MCH 26.3
besok
Colchicine 2x0.5mg (H3) MCHC 36.0
visite dr. efriadi, Sp.P 13/1/21 LEU 15.50
ultibro 1x1 Antidiabetik BAS 0
 O2 ganti NRM novorapid 15-15-10 IU NEUT 88
EOS 0
dr.Efriadi via telp 12/1/21 Inhalasi: LYMP 8
HFNC malam ini Symbicort 3x2 puff ultibro 1x1 TROMB 384
puff
SGOT 35 SGPT 24
Ultibro 1x1
Visit dr Tina Sp. P 12/1/21: Ur 22 Cr 0.9
- Pro HFNC Bila besok saturasi Obat lain: GDS 219
masih 94% Bisoprolol 1x5mg
- Dexa diganti MP 2x 125 mg Valsartan 1x20mg inj AGD 07/01
- Besok KGDH Konsul Sp. PD Inj. Esomeprazole 2x40mg pH 7.5
karena MP dosis tinggi VIP albumin 3x2 paO2 68
paCO2 26
Advice Konsul dr Pras, SP. PD Stop/selesai SaO2 95
via tab IMCU : 14/1/21 HCO3 21
Inj Levofloxacin 1x 750 mg
- Lovenox 2x 0,6 cc BE 0.2
(H6/10) - STOP
- Novorapid 3x 8IU 11/01
- Besok KGDH NAC 3x400mg
visit dr efriadi sp.p 11/01 Avigan 2x600mg (H3/7)
-prone position min 12 jam/hari Heparin 2x7500IU SC
-pro HFNC bila perburukan
-avigan ganti remdesivir -heparin 12/1/21
stop ganti lovenox 2x0.6cc - Inj. Levofloxacin 1x750mg
dexametason naik menjadi 3x5mg (H5/5)
-colchicine 1x1mg , 60 menit IV Dexamethason 3x5mg (H6)
kemudian 0.5 mg (H1) hari
selanjutnya 2x0.5mg
-inhalasi ultibro 1x1
-NAC stop ganti resfar 1x5gr
-inj esomeprazol 2x40mg -PO VIP
albumin 3x2tab

3 Tn. Yoyo Satrio Purnomo/52 th KELUHAN: BATUK Rencana: P: KGDH 15/1/21

RM 38993 cek GDP dan GD2PP 14/1 ( SDH ADA IVFD RL 500 cc/ 24 jam
IMC 01 BED 04 HASIL) O2 NRM 15lpm
Pasien Baru 13/01/21 LAB 14/1/21
 cek D dimer 14/1/21 (BELUM BISA) Antiviral GDP 263
Dx TD 124/84 - Inj. Remdesivir 2x100 mg GD2PP 237
Confirmed Covid19 SB + ARDS R/swab 18/1/21 (H1) dan 1x100mg H2-5
moderate+DM tipe 2 N 71 mulai 14/1/21 Hemoptasis
PT 10,9
S 36 Antibiotik aPTT 36,5
Visite dr Efriadi, Sp.P 14/1 - Inj. Ampicillin Sulbactam
22 tambahkan Inj Ampicillin Sulbactam 3x1.5g 3x1.5g 5 hari LAB DL 012/01/2021
Rr (hati-hati saat pilih sediaan di beecare ada 1.5 - PO Azithromycin 1x500mg AE 5,44
ada 0.75) H5/7 HB 15,4
Sp02 99 - HCT 43,5
Imunomodulator MCV 80
SM 6 lpm
● Drip Resfar 1x5g H2/5 MCH 28,3
Antiinflamasi MCHC 35,4
- Dexametasone 2x5 mg iv AL 7,03
RL 500CC/24 JAM
(H2) AT 108
- Colchine 1.5mg loading BAS/EOS/NEUT/LYMPH/MONO
dose dilanjutkan 0.5mg 1 jam 0/0/68/22/10
kemudian, selanjutnya 2X0,5
F / D dimer 14/01/21
mg (H1/7) 13/1/2021
R/ SWAB 18-01-21
Na 135
Antikoagulan K 3,9
- Inj. Lovenox 2 x 0.6 ml (H2) Cl 103

AGD 13/1/2021
Obat Lain pH 7.5
- PO Becefort 2x1 SpO2 86,4
- PO Stimuno 2x1 PaCO2 27,7
- PO Vit D3 1x1000 IU PaO2 41,8
- PO Metformin 3x1 HCO3 22,9
- PO Spironolactone 2x100mg BE 1,4
5
14/1/21
gdp: 267
KGDH 15-01-21
06:00= 311
12:00= 328
18:00= 280
 Tn. Ahmad Santoso Keluhan : sesak (+) Rencana : P/
RM dan batuk (+) sesekali - Cek DL, ur/cr, ot/pt, GDS O2 simple mask 7 lpm
IMCU 01/05 makan dan minum (+) IVFD RLl 500 cc / 24 jam
ulang tgl 18/1/21
- ro. Thoraks ulang tgl Prone position 12jam/hari
PB IGD 16/01/2021
TD 114/79 20/1/21
ATENSI COBRA & dr. Billy Antivirus
- swab ulang tgl 26/1/21
- Inj. Remdesivir
DX : HR 88 2x100mg (H1)
● Confrimed Covid- Visite dr. Efriadi Sp.P 16/1/21:
dilanmjutkan
19 Sympt Sedang- RR 22 - Inj. Lefofloxacin 1x750mg
1x100,mg (H2-5)
Berat (5hr)
● Elevated liver S 36 - Inj. Cefoperazone 3x1gr Antibiotik
Enzym (5hr) - Inj. Lefofloxacin
Spo2 95 - Inj. Dexamethasone 1x750mg (5hr)
2x5mg - Inj. Cefoperazone
- Inj. Remdesivir 2x100mg 3x1gr (5hr)
(H1) dilanmjutkan
1x100,mg (H2-5) Antiinflamasi
- Inj. Omeprazole 2x40mg - Inj. Dexamethasone
- Sc Lovenox 2x0,4ml 2x5mg
- Drip resfar 1x5gr dalam
100cc NS habiskan dalam Antikoagulan
4jam Sc Lovenox 2x0,4ml
- lain-lain lanjut
Imunomodulator:
- Drip resfar 1x5gr
dalam 100cc NS
habiskan dalam 4jam

Vitamin
- Becefort 2x1
- Inj. Vit C 2x1gr

Lain-lain
- inj. Omeprazole 2x40mg
- Vip albumin 3x2

4. Tn. SOBARI KELUHAN : BATUK R/ P: GDP dan GD2PP

 SESAK follow up 15/01/2021 Cek agd, dpl Diet DM R6 15/01/2020
IMC 01 BED 06 dan rontgen toraks NAC 3x1 k/p GDP : 156
DL, aptt, ptt ulang Amlodipin 1x10mg GD2PP : 216
PB LT 24 T 6 15/01/2021 TD 126/70 18/01/2021 Glimepiride 1x2mg
Thorax ulang 20/02/2021 Gliclazid 1x60mg
ATENSI dr. Billy
HR 91 Hasil DL 10/01/2020
Rencana swab 20/1/202
Eri : 5.55
KOMORBID : RR 24 Advis dr. Ulfa, Sp. P HB : 16.1
-HIPERTENSI Beri o2 10 lpm nrm HCT : 43.6
-DIABETES MELITUS S 36 Antibiotik MCV : 78.7
Inj levofloksasin 1x750 mg iv MCH : 29.0
SpO2 98 (H1) MCHC : 36.9
Leu : 7.44
Antiinflamasi) PLT ; 257
NRM 13 LPM Inj dexametason 2x5 mg iv
IVFD NaCl (h0/5)
500CC/24JAM GDS : 188
F/ AGD, DL, 15-01-21 SGOT : 34
SGPT : 28
Antiimunodulator Ureum : 22
Inj resfar 1x5gr Kreatinin : 0,87
TGL 15-01-21
antikoagulan GDP : 156
Inj lovenox 2x0,4 sc GD2PP :216
Vit d3 1x5000iu

Diuretik
Inj furosemid 1 amp ekstra
Omz 2x1

VitAMIN
Becefort 2x1
Astaplus 2x1
Vit D3 1x1

Terapi Lain
Amlodipin 1x10mg

Terapi Selesai:
Oseltamivir 2x75mg (H5/5)
Azitromicin 1x500mg (H5/5)
5. Ny. SUNI Keluhan :BATUK, SESAK Rencana P/ KGDH 15/1/21
RM 37805 FU AGD 14/1/21 IVFD NaCl 0,9% 500cc/ 06.00 317 mg/dl
IMCU 02/ BED 08 FU Cek DL ulang + 24 jam + Neurobion 1 12.00293 Mg/dl
Elektrolit hari ini 14/1/21 amp (H2/3) 18.00
TD 108/60 Prone position 12 jam/hari
ATENSI dr. Yani & NAKES Cek Ur/Cr OT/PT -> belum
RSDC (IGD) HR 81 bisa Antivirus : AGD 14/1/21
R/ swab 16/1/21 ● Inj. remdesivir PH : 7.5
14/01/2021 RR 24 1x200 mg (H1), SPO2 : 94.1
lanjut 1x100mg PCO2 : 28.6
DX : Diagnosis S 36 (H2-5) (H2/5) PO2 : 61.9
- Confirmed Covid 19 S Sedang Konsul via wa dr.Prasetyo, HCO3 : 23.9
- Hipertensi Spo2 97 Sp.Pd 14/1/21 Antibiotik : Be :2,5
- DM Tipe II - Novorapid 12-12-12 ● Inj. Levofloxacin
- Levemir 1x10 iu 1x750mg (H3/5) Ro Thorax 14/01
IFVD Nacl 500cc +
NEUROSANBE/ 24 jam - KGDH besok - Tidak tampak proses
Antiinflamasi : spesifik / Pneumonia
(17:00) ● Inj. - Kardiomegali Tanpa
O2 SM 9 LPM ‘ Visite dr.Efriadi, Sp.P Dexamethasone
14/1/21 bendungan paru
2x5mg (H2)
- Pasang iv line, NaCl 0.9%
GDS 14/1/21
500cc/24 jam + Neurobion Antikoagulan :
303 mg/dl
FO AGD, DL, UR,CR, 1amp 3 hari ● Lovenox 2x0,6cc
- Levofloxacin ganti injeksi, SC (H2)
OT,PT 14/1/2021 PENDING Lab 7/1/2021
harinya dilanjut. Oral stop.
Imunomodulator: E 4.11
- MP stop,
● Drip Resfar 1x5gr HB 13.0
R/ swab 21/1/21 Inj.Dexamethasone 2x5mg
dalam 100 cc Ncl HT 37.0
- NAC stop, Drip Resfar 0,9 % habis MCV 90.0
KGDH 16/01/2021 1x5gr 5 hari dalam 4 jam MCH 31.6
06.00 : 296 MG/DL - Inj.Lovenox 2x0.6cc sc (H1/5) MCHC 35.1
12.00 : - Methisoprinol stop
LEU 5.89
- Vitamin lain lanjut Vitamin :
BAS 0
- Tambah PPI ● Vit D3 1x1000IU
● Becefort 2x1 NEUT 41
- Cek elektrolit
EOS 3
Antihipertensi: LYMP 48
● Amlodipin MONO 8
1x10mg TROMB 115
SGOT 87 SGPT 67
Antidiabetik: Ur 24 Cr 0.8
● Novorapid 12-12- GDS 353
 12 iu KGDH 15/01/2021
● Levemir 1x10 iu 06:00= 317
12:00= 303
Obat Lain 18:00= 380
● Cetirizine 1x10mg
● Omeprazole
2x20mg

6. Ny RADEN RORO Keluhan : SESAK Rencana: O2 via NRM 10 lpm Hemostatis darah 14/1
FU Lab 13/01 dan 14/01 IVFD RL 500 cc/24 jam aPTT 91.8
RM 37447
f/u Swab 15/01
TD 123/82
bed 10 IMC 02 -Rontgen thorax bila stabil KGDH 14/01:
Antibiotik :
HR 101 - 06.00 391
masuk 14 - 01-2021 Inj Meropenem 1 gr/8
- Cek D-Dimer bila tersedia jam (H10/10) 12.00
RR 22 -KGDH 16/01/2021 Inj Levofloxacin 1x750 18.00
Diagnosis
Conf COVID 19 Simtom Bera mg (H9/10)
ARDS Moderate S 36 Visite dr. Widi, Sp.P KGDH 14/01:
Hiperglikemia ec DMT2 15/1/21 advice: Antidiabetik: 06.00 High
Obese grade I Spo2 98 ● Inj Meropenem setelah Inj. novorapid 3x20 IU 12.00 256
10 hari → stop Inj. Levemir 1x15 IU 18.00 High
IVFD RL 500cc 24 jam ● Inj Levofloksasin
02 SM 7 lpm setelah 10 hari → stop KGDH 15/01/21
Antikoagulan :
CVC 3LUMEN JUGULARIS ● Drip heparin ganti 06:00= 391
Drip heparin 17.500/12
DEX dengan Heparin Jam (H9) 12:00=390
2x5000 IU SC 18:00=392
DC NO. 16 WATER INJ. 30CC ● Inj dexamethasone Antivirus :-
13-01-21 stop
● Vit C 3x1 Immunomodulator:
R/ CEK DL 16/01/21 ● Prove D3 1x5000 IU -
● Co terkait hasil aPTT
F/Swab 15/01/21 → stop heparin Antiinflamasi :
Inj. Dexamethason 3x5
mg (H10/10)
F/ DL 13-01-21 Konsul KGDH 14/01 ke dr
Pras (oleh dr HCU), advis: Inhaler:
R/ THORAX TUNGGU -Cek ulang KGDH Symbicort 2x1 puff
KAKI BISA BERGERAK menggunakan alat yang
 berbeda Vitamin:
FU Lab 13/01 dan 14/01 Obat lain:
PENDING curcuma tab 3x1 p.o
inj pantoprazole 2x40mg
new diatab 3x2 tab k/p
R/ Cek Lab lengkap ulang
16/01/2021
Selesai/stop:
FU/ DR, OT/PT, UR/CR, -Inj Remdesivir
AGD, ELEKTROLIT, 1x200mg H1
PT/APTT 16/01/2021 dilanjutkan 1x100mg
KGDH : H2-7 (H7/7) 14/01
06.00 : 274 MG/DL Drip Resfar 1x5g dalam
12.00 : Nacl 0,9% 100cc (H7/7)
14/01
Fluconazole 1x200mg
: URINE
14/01
Loperamid 1 tab tiap
diare maksimal 5 tab
Lacbon 3x1 sachet

7. Ny. Maria Dwi Hastuti KELUHAN:TAK R: P: 8/1/2021

41 tahun ● Ro thorax 17/1 ● IVFD RL 500cc/24 PT 13.7
RM 37644 ● F/DL 14/1/21 jam aPTT 42.4
BED 11 TD 137/87 ● O2 NK 4 lpm
● Prone position
● f/u swab 15/1/21 12jam /hari
DL (13/01/21)
HR 92 ● FU Ur, Cr, OT/PT Hb 12.4
Dx:
Confirmed COVID 19 SS 10/1/21(STARTED) Antivirus HT 36.2
RR 22 ● Lab lengkap dan Ro ● Injeksi MCV 84.8
VES Bigemini thorax ulang 17/1/21 Remdesivir1x100 (H2) MCH 29.0
S 36 Antibiotik MCHC 34.3
● IV Levofloxacin Eritrosit 4.27
Hipokalemia terkoreksi SPo2 98 1x750 mg (H4/5)
visite dr rahmat Sp,P Leukosit 10.67
● inj. ceftriaxone -- skin Trombosit 225
ROOM AIR -weaning 02 test
IFVD RL 500 CC/24 JAM -terapi lain lanjkut Antiinflamasi
Baso/Eos/Neut/Lymph/Mono
FO /DL 14/1/21 PROSES ● IV Dexametasone 0/2/68/24/6
Advice dr. Efriadi Sp P (7/1/21) 2x5mg (H4/5)
f/u swab 15/1/21 ● pasang RL 500cc/hari Anti koagulan Ro thoraks 12/1/21
● Inj. Lovenox 2x60mg Kesan:
(STARTED) ● Levofloxacin 1x750mg (H4) ● Pneumonia
● Dexametasone 2x5mg inj Vitamin ● Kardiomegali tanpa
R/ RO 17/01/2021 ● Tx lain lanjut ● IV Vitamin C 2x1gr bendungan paru
Lain-lain
Advice dr. Ruswandiani, Sp JP
R/DL 17-01-21 ● NAC 3x200mg
(7/1/21) ● diet extra pisang
Urinalisa Lengkap 10/1/21
● EKG sinus rhytm, VES Glukosa : negatif
RENCANA PINDAH
RUANGAN TUNGGU INJ.
bigemini Terapi selesai: PH urin 6.5
SELESAI ● Koreksi Kalium, Lab: • KCL drip 25 meq dalam Berat jenis 1.020
Kreat 0,75/ kalium 2,9 500cc Nacl drip dalam 24 jam, 2 Warna Kuning
● Kcl drip 25 meq dalam 500cc siklus à selesai 09/01 Kejernihan Jernih
Nacl drip dalam 24 jam, 2 Protein Positif
siklus Bilirubin Negatif
● cek ulang elektrolit sabtu Keton Negatif
9/1/21 Nitrit Negatif
● pro imcu dengan monitor Darah Negatif
ekg, ekg per hari. Jika Sp Leukosit Negatif
JP mau HCU boleh Uronobilinogen negartif
● Diet ekstra pisang
Visite dr. lily, Sp.p Elektrolit 09/01/2021
● Avigan stop ganti Na/K/CL138/4.4/105
Remdesivir 1x200 (H1)
lanjut Remdesivir 1x100 DL elektrolit Na/K/Cl 8/1
(h2-h5) Hb 12.5
● Codein 3x10mg HT 36.3
● inj Ceftriaxon 1x2gr 5 MCV 83.6
hari MCH 28.8
MCHC 34.4
Eritrosit 4.34
Leukosit 11.81
Trombosit 214
Baso/Eos/Neut/Lymph/Mono
0/0/85/12/3

6/1/2021
Ct-scan: kesan GGO
(moderate pneumonia
bilateral)

DL Ur Cr OT PT GDS
HbA1C elektrolit Na/K/Cl d
dimer 6/1/2020
Hb 13.4
 HT 39.2
MCV 86.9
MCH 29.7
MCHC 34.2
Eritrosit 4.5
Leukosit 5.8
Trombosit 167
Baso/Eos/Neut/Lymph/Mono
0/0/74.3/20.⅗.2

SGOT 32
SGPT 31
Albumin 3.5
Ur 16
Creatinin 0.75

GDS 117
HbA1C 6.2

Na/K/Cl 139.2/2.94/102.0

D-dimer 570

AGD 06/01/2021
PH 7.50
PCO2 30.0
PO2 136.3
BE 2.3
Bicarbonate 23.5
SpO2 99.2
Laktat 1.4Laktat 1.4

8. Ny. Satati Suwandi KELUHAN: SESAK P/ Prone 12 jam / hari AGD 9/1/2021
RM 38157 Rencana : O2 NRM 15 lpm pH 7.4
IMCU 02/12 BED 12 - R/ Cek D-dimer / 24 jam Spo2 98,9
TD 106/63 - R/ Swab ulang tgl 18/1/2021 pCo2 13,9
IVFD NaCl 0,9% 500cc/24
PB IGD - F.U/ PT/aPTT (07.00) 14/1/21 po2 123,7
HR 70 jam bicarbonat 9,3
DX Follow Up : base excess -13.5
- Confirmed Covid 19 Simptomatik RR 22 - F/U DL, OT/PT, Ur/Cr, (12/1/2021) Antivirus CT Scan Paru 8/1/2021 (RS Siloam)
Sedang - F/U aPTT, PT 12/1/2021 jam 19.0 Remdesivir 1x100 (H4/5) GGO Dominan perifer difus
S 36.4
- ARDS Moderate dikedua paru → viral pneumonia
Advice dr Prasetyo SpPD : Antibiotik
- DM tipe 2 Ro. Thorax 8/1/2021 (RS Siloam)
- Sliding scale / 6jam
 - Obesitas gr.2 Inj. Moxifloxacin 1x400 mg terlampir di CD
Spo2 99-100 Visite dr.Efriadi, Sp.P 14/1/21 Lab 08/01/21
(H5/7)
IVFD NaCl 0,9% /24 JAM - moxifloxacin lanjut hingga Hb 14.3
NACL 100CC+HEPARIN hari ke-7 Ht 41.9
Immunomodulator
- bionicom zink kosong -> MCV 81.0
15.000/12 JAM(21:00) Drip Resfar1x 5gr (H5/5)
ganti becefort 2x1 MCH 27.7
- Vip albumin 3x2 Imugard 3x1 → kosong CHC 34.1
DC NO.16, WATER INJEK 30, - Vit. D3 1x1000iu Erit 5.17
TGL 10-01-21 - jika masih sulit BAB extra Antiinflamasi Leu 8.5
microlax supp Inj. Metilprednisolon Trom 285
F.U PT/aPTT (07.00) 14/1/21 - weaning O2 2x62.5mg (H1/5) Bas/Eo/Neut?Lymp/Mono
-PO Colcisin 2x0.5 mg (H4) 0/0/2/88/7
NRM 8 LPM Visite dr.Efriadi, Sp.P 13/1/21 GDS 84
tx lanjut OT/PT 45/38
SLADING SCALE/6JAM Antikoagulan
03:00=281 Ur/Cr 28/0.49
Drip Heparin 15.000/12 jam Na / K / Cl : 140/4/104
09:00=362
Advice dr.Prasetyo, Sp.PD 13/1/21 (H6) CRP 292
15:00=349
novorapid 3x11 iu D-dimer 10250
21:00=426
03.00 : 210 Vitamin: Swab 1/1/21 (RS Siloam)
Visite dr. Tina, Sp.P 12/1 : positif
09.00 : - PO Bionicom 2x1 → becefort
- Dexa ganti MP 2x62.5 mg 5 hari Helicase: CT 26,3
2x1
FU/ DR, OT/PT, UR/CR RdRp: CT 28,6
visit dr efriadi sp.p 11/01 - Vit D3 1x1000 IU
Sliding scale / 6 jam 11/01/21
16/01/2021 - Lactulose 3x1C - PO Goldtrion 2x1 → kosong 01.00 : 554 mg/dl (20 Ui)
- PO Calgae 2x1 → kosong 07.00 : 206 mg/dl (5 Ui)
R/ D-dimer/24 jam Jika Bisa - Lactulose 3x1C 13.00 : 281
19.00 : 210

Inhalasi:
R/ Swab ulang tgl 18/1/2021
URINE
Obat lain:
-PO omeprazole 2x20mg
-PO Ambroxol 3x1
-PO lactulose 3xc1
-Novorapid 3x11 iu - STOP
(sedang sliding scale)
12-01-21
01.00 :298 10 Ui
06:00 :178
13:00 : 317 = 15 iu
19.00 : 227
TERPASANG DC NO.16, WHATER
INJ 30CC, TGL 10-01-21
URIN KUNING KERUH 1400 CC

Selesai/Stop Obat:
-IV Dexamethason 2x10mg
(H4/5)
-Inj. Ceftriaxone 1x2gr (H5/5)

9. Ny Ervina Hasibuan /45thn KELUHAN: SESAK, Rencana: P/ KGDH 14/01

38118 BATUK R/ swab 18/1/2021 06.00 108
HFNC Flow 55 L, FiO2 80%,
IMCU 2 / BED 14 F/ pt APTT 15/01 08.30 pagi Suhu 37 12.00 175
R/DL ulang 16/1/21 IVFD NaCl 0,9%500/12 jam 18.00
Ro thoraks ulang 18/1/21 Prone position 12 jam/hari
Diagnosa:
TD 124/74 F.U /AGD ulang 15/01 Lab DL, OT/PT, Ur/Cr,
Antivirus
● Confirmed covid 19 GDP dan GD2PP 17/01 -Inj. Remdesivir 1x200mg
elektrolit (12/1/21):
symptom sedang
HR 76 (H1/1) lanjut 1x100mg (H2-5) Eri: 4.47
● Obesitas grade I (H3/5) Hb 12.7
RR 24 Ht 36.3
Antibiotik MCV 81.2
S 36 -Inj meropenem 3x1gram MCH 28.4
Advice Lapjag (H1) MCHC 35.0
SPO2 98 - ampicillin diganti -Inj. Levofloksasin 1x750mg Leu 7.74
meropenem 3x1gram (H2) Trombo 309
IFVD NACL 500CC/24 - dexametasone 2x10mg Hitung jenis:
JAM Antikoagulan:
- Heparin bolus 5000, Drip B0
O2 NRM 15 lpm - Heparin bolus
15.000/12 jam ke 10 cek E0
5000, Drip
aptt, lovenox stop N 84
15.000/12 jam
F/ Cek pt APTT 15/01 L 12
(H1)
F.U/AGD ulang 15/01 M4
Visite dr.Efriadi,Sp.P 14/1/2021 Immunomodulator:
FU/DL ulang 16/1/21 - Pro HFNC flow 30 lpm, -stimuno forte 1x1 SGOT/SGPT: 128/93
fiO2 50% Ur/Kr: 18/0.8
R/ swab 17/1/2021 Vitamin: Na/K/CL:139/4.1/106
Advice Lapjag 13/1/21: -prove D3 1x1000IU
● Lovenox 2x0.6 mg SC -Curcuma 3x1 → TAO AGD 12/01
● Spironolactan 2x100 mg - Vip albumin 3x2 Ph 7.5
R/Ro thoraks ulang 18/1/21 ● Recolfar 2x0.5 mg SpO2 68.3
Antiinflamasi:
● Novorapid 3x8 IU -IV Dexamethason 2X10MG
PaCO2 26
● KGDH (H4) PaO2 29.4
R/GDP dan GD2PP 17/01 ● Inj dexa 2x5 mg - Drip Resfar 1x5 gr (H2) Biknat 21.9
- Recolfar 2x0.5 mg → TAP BE 0
Visit dr efriadi Sp.p - spironolactan 2x100 mg
13/1/21 Ro thoraks 13/1/21
● Resfar 1x5gr dalam Inhalasi: Kesan:
100cc NAcl -Berotec 3x4-6puff ● Bronkopneumonia
● Nacl 500cc/12jam - Symbicort 2x2 puff bolateral
● Simbicort 2x2 puff Obat lain:
● Tidak tampak
● Vip Albumin 3x2 -Inj. Omeprazole 1x40mg - kardiomegali
Paracetamol 3x500mg (K/P) -
Visit dr. Tina, Sp. P 12/1/21: Inj. Furosemid (k/p) Po - Lab 09/1/2020
-Inj. Remdesivir 2x100mg (H1) Sucralfat dyrup 3xC1 obat E 4.48
lanjut 1x100mg (H2-5) -obh syrup 3xcth ii HB 12.9
 -Inj. Levofloksasin 1x750mg Novorapid 3x8 IU SC HT 36.9
-Inj. Dexamethasone 3x5mg MCV 82.4
-Inj. Heparin 2x7500 iu - MCH 28.8
Azitromicin STOP -Oseltamivir selesai/kosong: MCHC 35.0
Imugard 3x1
STOP Goldtrion 2x1
LEU 6,28
PO Azitromicin 1x500mg BAS 0
visit dr Ulfa sp.p 12/01 -prone (h4/5) Oseltamivir 2x75mg NEUT 76
position min 12 jam/hari (h4/7) EOS 0
-pro HFNC bila perburukan Inj. Heparin 2x7500 iu (H1) LYMP 18
-Inj. Ampicilin sulbactam Inj Ampicilin sulbaktam 3x1gr TROMB 204
3x1gram (H3/5) SGOT 68
-Inj. Dexamethasone 2x5mg SGPT 61
-Inj. Heparin 2x5000 IU (Score Ur 22
improve <7) Cr 0.8
-Inj. Furosemide extra - GDS 219
Paracetamol 3x500mg -Berotec
4x4-6 puff OBH terapi lain lanjut

Advice dr Mega Sp.An acc

HCU bila ada tempat

10. Dahliah KELUHAN: KAKI NYERI, F.U P/ Ro thorak:

RM 00038967 SESAK, PERUT KEMBUNG -Swab (21-01-21) O2 HFNC fiO2 60%, flow ● BP bilateral
IMCU 2 BED 17 -cek asam urat { belum 40LPM ● Kardiomegali
bisa di lab) IVFD NaCl 0,9% 500cc/24
TD 130/80
Diagnosis : jam
● Confrimed Covid-19 Prone position 12 jam/hari
Sympt Sedang-Berat
HR 80 Advice lapjag 14/1/2021
● HT GR II - weaning oksigen Antivirus :
RR 25
-Remdesivir 2x100 (H1)
Advice dr.Adi, Sp.AN (H1/5)
S 36.2
(14/1/2021) 15.30: -Remdesivir 1x100 (H2-5)
SpO2 99 - Lovenox naik
2x0,6cc
 - prone position Antibiotik :
- furosemid 20mg ● inj. levofloxacine
IFVD NACL 500CC + IV/24jam 1x750mg
NEUROSANBE /24JAM (19:00)
visite dr efriadi Sp,P
DC no.16 water injek 30 cc Antiinflamasi :
14-1-21 ● Inj. dexametason
HFNC - PRO HFNC 2x5mg
FIO2 50%
FLOW 30 L/M Antikoagulan :
T 34 ● lovenox 2x0,6cc
SC (H1)
R/ SWAB 21/01/2021
imunomodulator:
FU/ cek asam urat tgl 16-01-21

Vitamin :
● Prove D3 1x5tab
● Bionicom 2x1
● Zinc 1x20
● Imugard 3x1
● Goldtrion 2x1

Lain-Lain :
● IV furosemid
1x20mg
● molagit 2tab/bab
(k/p)
● inj ondansentron
4 mg/12 jam kp
● sucralfat syr 3x2
cth
● neurodex 2x100
● Amlodipin 1x10mg
(malam)
● scopma 3x1 (k/p)

11. NY ENGKAR KARTINI KELUHAN: SESAK, BATUK Rencana : P: AGD tgl 10/1/21:
RM 38075 FU/ cek DL ulang 14/01/21 O2 NRM 15 lpm - pH 7.4
PB dari IGD 11/01/21 IVFD NaCl 0.9% 500cc/24 jam - SaO2 89.4
IMCU 02 / BED 18 R/ Thorax ulang (Tunda - PaCo2 31.8
TD 158/100 hingga stabil dengan NRM) - PaO2 49.7
R/ swab ulang 17-01-21 Antiinflamasi - HCO3 24.9
 - Inj. dexametason - BE 3
Diagnosis: HR 67 3x5mg IV
dr. Prasetyo, Sp.PD
- Confirmed COVID-19 - Colc
simptom sedang S 36.3 ranitidin PO di STOP hicine 3x0.5mg lanjut
- Pneumonia omeprazole 2x40mg IV 1x0.5mg 1 jam
- ARDS severe (PF ratio RR 22 Captopril 3x25mg kemudian, lalu ganti
49.7) 2x0.5mg di hari
- HT Sp02 98 berikutnya selama 5
- Obese gr. I
Visite dr Efriadi Sp.P hari
14/1/21:
IVFD NaCl 500cc/24Jam
- inj. meropenem 3x1 Antivirus
HFNC gr - Inj. remdesivir
FIO2 : 85% - inj. Levofloxacin -> 2x100mg (H1)
FLOW : 50 L/M 1x100mg(H2-7)
SELESAI
T : 36
- VIP albumin 3x2 Antibiotik
- Inj. levofloxacin
Konsul dr Syamsul Sp.JP 1x750mg IV
F/ DL ulang 14/01/21 proses - Inj. cefoperazone 3x1g
14/1/21: IV
captopril 3x12,5mg
R swab ulang 17-01-21
Antikoagulan
Visit dr. Efriadi sp.p - Inj lovenox 2x0.6cc SC
13/01/21:
Vitamin
symbicort 3x2puff - Prove D3 1x1000IU
drip resfar 1x5mg dalam - Imugard 3x1
100cc habis dalam 4 jam (5 - Goldtrion 2x1
hari) - Bionicom 2x1

Obat lain
- Amlodipin 0-0-5mg
- NAC 3x1
- Melatonin 2x3mg
- Ranitidin 2x1

12. Ny UKA Keluhan S/ Rencana P/

RM 3932 Menerima pasien pindahan
dari IGD.
bed 19 IMC 02
Pasien mengeluh sesak napas
MASUK 14 - 01-2021 yang memberat dgn aktivitas.
Batuk kering dan badan nyeri.
Diagnosis Pasien tampak gelisah
Ro thorax 14/1/2021 IVFD NaCl 0,9% 500cc/ 24
FU AGD 14/1/2021 Prone position 12 jam/hari
o2 via NRM 15 lpm
F/U DL, OT/PT, Ur/Cr
14/1/2021
Antivirus :
swab tgl 24/1/21 Remdesivir 2x100mg (H1)
- Confirmed Covid 19 S Remdesivir 1x100mg (H2-
Sedang-berat visite dr widi 5) (1/5)
- Obesitas Sp.p(15/1/2021)
TD 108/62 Antibiotik :
-Remdesivir dilanjutkan
IV Cefoperazone 3x1gr (⅕)
HR 79 sampai 7 hari
-Iv Meropenem 3x1 Antiinflamasi :
RR 27 -Metilprednisolon 3x40mg IV Metilprednisolon 1x40mg
-levonox 2x0.6cc (1/5)
S 36.3 -vit c 2x250mg
-vit D3 1X10.000diganti Antikoagulan :
Spo2 99 calgea 2x1 Lovenox 2x0,4cc
-
Imunomodulator:
IVFD Nacl 0.9 500cc / 24 jam Resfar 1x5gr (1/5)

02 NRM 15 lpm Vitamin :

Advice lapjag 14/`1/2021 ● Vit D3 1x1000IU
R/swab tgl 24/1/21 ● Becefort 2x1
Remdesivir 2x100mg (H1),
selanjutnya 1x100mg (H2-5) Lain-lain:
FO DL AGD UR/CR cefoperazole 3x1gr IV esomeprazole 1x40mg
OTPT 14/01/2021 lovenox 2x0,4cc
resfar 1x5gr
esomeprazole 1x40mg
13. Tn Tedy Sukarya / 48 tahun / 37151 KELUHAN: BATUK , SESAK R: P: LAB DL 08/01/2021
● R/ Thorax 12/1/21 ● O2 NRM 15 lpm AE 2.78
LOS 8 hari (tunda hingga lepas ● IVFD NaCl 0,9% 500 HB 8.2
IMCU 6 hari TD 104/71 cc/24 jam HCT 24.1
HFNC)
● Prone position 12 jam/ MCV 86.7
ATENSI dr. Billy HR 79 ● FU swab ulang hari MCH 29.5
14/01/2021 MCHC 34.0
IMCU 03/ BED 20 RR 22 ● Follow Up DL ulang, Antivirus : AL 23.46
Aptt, PT 14/1/2021 ● PO Methisoprinol AT 378
Diagnosa : S 36.8 ● Cek SI/TIBC → tidak 4x500 mg (H7/7) BAS/EOS/NEUT/LYMPH/
● Confirmed Covid 19 tersedia ● Remdesivir 1x100mg MONO 0/0/82/9/9
Simptomatik Sedang Spo2 97-98 (6/7)
● Severe ARDS Na 136
IFVD nacl 500cc/24jam
● Hiperkalemi terkoreksi Antiinflamasi : K 4.4
Advice dr. Triyono SpPD (hasil
● IV Dexamethasone 2x5 Cl 108
HFNC : lab): (9/1/21) mg (H6)
Flow 40 L/M, - As. Folat 1x1 ● PO Colchicine 1,5 mg, AGD 6/1/2021 (NRM15 lpm)
FiO2 40% - cek SI/TIBC 60’ kemudian 0,5 mg, pH 7.48
T 34
maintenance 2x0,5 mg SpO2 88.7
visite dr Adhe, Sp.P 10/1/21 (H6) PCO2 30.5
● pro HFNC jika pasien ● Drip resfar 1x5gr PO2 52.3
FU/ Swab 14/01/2021 tidak sanggup prone lagi, (H6/7) HCO3 21.6
dengan flow 30, fraksi 50 BE -1
Antibiotik :
● Inj. Remdesivir
R/ THORAK Jika KONDISI ● Inj. Meropenem 3x1 gr Lab 05/01/2021
dilanjutkan sampai 7 hari (H1/5)
memungkinkan ● Drip Resfar dilanjutkan ● Hb : 10,5
sampai 7 hari ● Ht : 28,6
Antikoagulan :
R/ DL 17-01-21 ● Inj. Levofloksasin di stop, ● SC Lovenox 2x60 mg
● Leu : 18,13
ganti inj. Meropenem 3x1 (H6) ● PLT : 386
F/ DL, 14/01/2021 gr selama 5 hari ● Neu : 94
● Inj. Ceftriaxone stop Vitamin : ● Lymp : 3
FU/ PT,APTT 14-01-21 ● PO Goldtrion 2x1 ● GDS : 93
● PO Prove D3 1x5000 ● OT/PT : 0/0
visite dr rahmat sp,p IU
F.U SWAP 14.01.21 pro HFNC jika spo2 <90% ● Ur/Cr : 86/1
● IV Vit C 2x1 gr ● Na/K/Cl :
PRO HCU ACC dr. IRFAN,SpAn Konsul KU pasien ke dr. Irfan 137/5,7/102
Obat lainnya :
Sp.An via group konsul, ● IV OMZ 2x40 mg
08/01/2020 advis: Ro Thorax 06/01/2021
Pro HCU Inhalasi : Kesan :
Adv dr. Widi, SpJP: ● Berotec 6x4 puff ● Bronkopneumonia
06/01/2021 bilateral
Terapi selesai: ● Tidak tampak
● O2 weaning ● PO Imugard 3x1 (H5/5)
● SC Lovenox 2x60mg (H2) ● IV Levofloxacine
kardiomegali
● PO Prove D3 1x5000 IU 1x750 mg (H6) Ro Thorax 05/01/2021
Advis dr Syarif, Sp. P : ● IV Ceftriaxone 1x2 gr Kesan :
- Terapi Lanjut (H6) Pneumonia
14. Tn. Ade Hermawan KELUHAN: BATUK, SESAK Rencana: P/ Ro thorax 11/1/21
50 tahun O2 NRM 8 lpm Kesan ;
IVFD NaCl 0,9% 500cc/24 - Bronkopnemonia bilateral
RM 38854 F/U hasil lab IGD 12/1/21 - Tidak tampak kardiomegali
Imc 3 bed 21 R/ swab 18/1/21 jam
TD 108/83 Prone position 12 jam/hari
R/ RO Thorax 16/1/21
LOS 2 Hari Lab 14/01/21
HR 67 Antivirus :
IMCU 0 Hari Visite dr. Efriadi Sp.P E 6.29
● Avigan 2x1600mg
RR 21 14/1/21: H1
HB 12.9
Diagnosis : ● weaning O2 → NK 2 2x600mg H2-5 HT 37.6
● Conf covid 19 S 36.2 lpm (98-99%) (H0/7) MCV 59.8
symptomatis sedang ● azitromysin → STOP MCH 20.5
Spo2 99 ● bionicom 2x1 → becefort Antibiotik : MCHC 34.3
2x1
● Vip albumin 3x2
● inj. ceftriaxone 2x1gr Leu 4.22
NACL 500 CC/ 24 JAM ● inj. levofloxacine Trombosit 221
● cetirizin 2x1 k/p
NK 2lpm 1x750mg BAS 0.0
● po Azitromisin Neu 81.0
R/ Weaning O2 → RA 1x500mg (H3/5) Eos 0.0
Lymph 15
R/ SWAB 18-01-21 Antiinflamasi :
● Inj. dexametason Monosit 4
2x5mg SGOT 132
R/ RO. THORAK 16-01-21 SGPT 184
Antikoagulan : Ur 41
● lovenox 2x0,4cc SC Cr 1.06
(H2) GDS 129

imunomodulator: AGD 12/01/21

● Drip Resfar 1x5gr PH : 7.4
dalam 100 cc Ncl 0,9 SPO2 : 97
% habis dalam 4 jam PACO2 : 28
(H) PAO2 : 83.3
HCO3 : 21.2
Vitamin : Be : -0.4i
● bionicom 2x1
● prove d3 1x3000iu
● stimuno 2x1

Lain-Lain :

Obat Selesai :
● po Azitromisin
1x500mg → STOP
15. Hamdan H Usman KELUHAN: SESAK, BATUK IVFD NaCl 0,9% 500cc/24 Hemostasis lab 13/01
63 tahun R/ jam aptt 0
RM 39002 prone position 12 jam/ hari pt 15.6
IMC 03 BED 23 R/ swab 22/1/21 Antivirus : INR 1.08
TD 145/90
Pasien baru 13/01/21 Inj. remdesivir 2x100 mg (H1)
D-Dimer 0
lanjut 1x100mg (H2-5)
N 94 F/DL ulang 15/1/21
LOS 1 Hari
IMCU 0 Hari
Ro Thoraks ulang 18/1/21 Antibiotik : Lab 13/1/2021
S 36.1 E 4.91
inj. ampicilin sulbactam 3x1gr
Diagnosis : Visite dr efriadi 11/1/21 (H1/5) HB 13.8
Rr 22
● Conf covid 19 -Simbicort 2 x 2puff po Azitromisin 1x500mg HT 38.1
symptomatis berat Sp02 96-97 MCV 77.6
● ARDS Moderate Antiinflamasi : MCH 28.1
● Obesitas gr 1 IVFD NaCl 0,9% 500cc/24 jam Inj. dexametason 2x5mg MCHC 36.2
● Susp CHF O2 SM 9 LPM
LEU 9.10
Antikoagulan : BAS 0
lovenox 2x0,6cc SC
f/ D dimer 13/1/21 NEUT 77
BB 70kg
Vitamin : EOS 0
TB 160cm
R/ SWAB 22/01/2021 Vit D3 1x1000IU LYMP 14
FU/ DL 16/01/2021 z Mono 9
R/ RO. THORAX 16/01/2021 becefort 2x1 TROMB 363
astaplus 2x1 SGOT 84
curcuma 3x1 SGPT 74
Ur 15
Inhalansi : Cr 0.7
symbicort 3x2puff GDS 88
Lain-Lain :
Inj Omeprazole 2x20mg AGD 13/01/21
metformin 2x500mg PH : 7.5
amlodipine 1x10mg SPO2 : 93
lantus 0-0-22 PACO2 : 25.7
concor 1x25mg PAO2 : 56.4
HCO3 : 22.3
Be : 1.7

Ro thoraks 13/1/2021
Kesan:
● Bronkopneumonia
bilateral
● Kardiomegali
16. Tn. Saifur 40 tahun KELUHAN: T.A.K O2 NRM 15 lpm Lab 13/01
RM 36910 Rencana : Prone Position 12 jam/hari Hb 15.2
PB DARI IGD 11/01/21 - F/u Swab 11/01/21→ belum IVFD RL/24 jam HT 43.9
BED 24 ada hasil IVFD Aminofusin 20tpm WBC 5.70
Atensi TNI AL TD 92/59 - F/UCek AGD, PT/APTT PLT 301
13/01/21 (SDH ADA) Immunomodulator : MCV/MCH/MCHC
Diagnosa HR 80 - F/ ro. thorax per 5 hari tgl - PO Imugard (H5) 87.5/30.3/34.6
- Conf.Covid 19 15/1/21 - Drip Resfar 1 x 5 mg Baso/ Eos/ Neu/ Lym/ Mono :
Symptomatik Berat- S 36.4 dalan 100 NS dalam 4 0/0/78/15/7
Sedang jam (H3/5) SGPT : 125
- ARDS Moderate Rr 20 SGOT : 87
- Gangguan Fungsi Liver Rencana : Antiviral Ur/Cr: 52/1
Sp02 96 - F/UCek AGD, PT/APTT - Inj Remdesivir 1 x 100
13/01/21 mg SWAB 11/1/21
- R/ ro. thorax per 5 hari tgl (H4/7) POSITIF
ROOM AIR Helicase gene : 38.5
15/1/21
IVFD RL 500cc/24Jam Antibiotik RdRp gene : 36.1
- swab ulang?
- Inj Meropenen 3 x 1
F/ ro. thorax 15/1/21 gram (H3/5) Kimia Darah 09/01/21
Adv lapjag 11/01/21 - Inj Levofloxaxin 1 x SGOT 90
R/ pindah ruangan SAIFUR - Lovenox 2 x 0,6 mg sc 750 mg (H3/5) SGPT 322
( lt 14 kamar 31 twr 6. tunggu - Heparin Stop Ur/Cr 53/0,9
- Colchine loading dose 1,5 Urid Acid 5
selesai injeksi levo,
mg lalu 1 jam kemudian 0,5 Antifungal
meropenem, resfar)
mg dilanjutkan 2 x 0,5 mg
- Melatonin 2 x 3 mg Antikoagulan
- furosemid stop - Inj Lovenox 2 x 0,6 mg
- Levofloxaxin 1 x 750 mg sc(H1)
- VIP Albumin 3 x 2
- Aminofusin 20tpm Antiinflamasi
- Ganti baju - PO Colchine 2 x 0,5 mg
(H2)
- IV Dexamethasone 2 x
10 mg (H2)

Inhalansi
- Symbycort 3 x 2 puff

Vitamin
- PO Becefort 2 x1
- PO Vit D 1 x 5000 iu
 - PO Astra 2 x 4 mg
- PO Curcuma 3 x 2
- PO Melatonin 2 x 3 mg
- PO Vip albumin 3x2 tab

Lain-Lain

Terapi Selesai
- Furosemid 1 x 1 amp
(H2)
- Heparin 2 x 7500 SC
(H2)
17. Tn.Sukri KELUHAN: SESAK R/ O2 NRM 15 lpm DL 10/1/2020
55 tahun - FU DL tgl 14/1/21 dan Prone position 12 jam / hari ● Hb 12.8
RM 38546 /BED 25 13/01/21 IVFD Nacl 500 cc/24 jam ● Eri 3.82
● Leu 14.73
Visite dr. Efriadi Sp. P 14/1/21: Immunomodulator :
IMCU 3 - Weaning O2 - IDrip Resfar 1x5 gr
● HT 34.7
TD 99/68 - Ultibro 1x1 (H2/5) ● Trom 304
● MCV 90.8
Diagosis : HR 69 Konsul dr. Siti Chandra, Sp.KFR Antiviral: ● MCH 33.5
13/01/2021 : - ● MCHC36.9
● Conf Covid 19 SS S 36.5 - Pastikan saat duduk ● Eos/Bas/Neu/Lym/
● Elevated Liver Enzym hadap depan dan Antibiotik: Mon
● BP Bilateral memeluk bantal - Inj. Levofloxacin 1x750 ● 0/0/81/10/9
Rr 22 mg (H2/5)
● Ur/Cr : 31/0.9
Advice Visit dr.Efriadi,Sp.P - Inj. Ceftriaxone1x2 gr
Sp02 96 13/01/2021 : (H1/5) ● OT/PT : 58/44
- Inj Remdesivir 2x100 mg
(h1), 1x100 mg (h2-7) Antifungi
nacl 500cc/24jam - PO Vip albumin 3x2 tab DL 9/1/2020
● Hb 12.9
SM 9 lpm Advis dr. Irfan, Sp An: Anti koagulan : ● Eri 3.9
- Ro. Thorax ulang - Inj. Lovenox 1x0.6 SC ● Leu 14.80
- konsul dr. Siti Chandra, (H2) ● HT 36.8
FU/ SWAB TGL 11/01/2021 Sp. KFR
FU DL tgl 14/1/21 dan 13/01/21 - antivirus sesuai dr. Anti inflamasi :
● Trom 299
Efriadi/dr. Pras - Inj. Dexamethasone 3 x ● MCV 94.4
5 mg ● MCH 33.1
Advis visit dr. Tina Sp. P : ● MCHC 35.1
- terapi lanjut ● Eos/Bas/Neu/Lym/
- weaning O2 Inhalasi: Mon
- prone position - Ultibro 1 x 1 Puff ● 0/0/82/10/8
- DL ulang 3 hari lagi 14/1 - Symbicort 2x1 puff (2 ● Ur/Cr : 31/1
puff jika sesak)
● OT/PT : 58/44
Adv dr.Efriadi Sp.P
- Ro.Thorax Vitamin: ● GDS : 136
- PO Vitamin D3 1x3000
IU
- PO Curcuma 3x1 tab

Lain-Lain : Ro Thorax 11/01/2021

- PO PCT 3x1 k/p Kesan :
- Bronkopnemonia
Obat Selesai : bilateral
- PO Oseltamivir 2x75 - Tidak tampak
mg
kardiomegali
- PO Azithromycin
1x500 mg
Ro Thorax 09/01/2021
Kesan :
18. Tn Denny/48th/38475 BED 26 KELUHAN: BATUK, SESAK O2 NRM 10 lpm hasil lab 14-1-21
Rencana: Prone position minimal 12 jam / GDS 500
Diagnosis hari
Confirmed Covid 19 SS
● R/swab 21/1/21 IVFD Neurosanbe + RL 500
ARDS Moderate TD 129/93 cc/24 jam 13-1-21
konsul dr Prasetyo Sp.PD
DM tipe 2 D Dimer 995
Overweight ( 15/1/2021) Immunomodulator :
HR 95 - Drip Resfar 5gr dalam
IMCU 03/ bed 26 -cek Gds/6jam dan berikan 100cc NS habiskan
S 36.5 novorapid sliding scale jika dalam 4 jam (H1/5)
sudah 5 kali pemberian lapor ke
Rr 35 dr Prasetyo Sp.PD Antiviral:
- IV Remdesivir 2 x 100
Sp02 95-97→ 91-95 -IVFD Rl 500cc + novorapid 48 mg H1 dilanjutkan
iu/24jam 1x100mg H2-5 (H1/5)
IVFD
RL 500CC + NEUROSANBE /24JAM visite dr vina Sp.P Antibiotik:
(07:00) - IV Ceftriaxone 1x2 gr
RL 500CC + NOVORAPID 48iu /24 -STOP inj Ceftriaxone diganti (H1/5)
JAM (14:00) meropenem 3x1 - IV Levofloxacin 1 x
750 mg (H1/5)

Terpasang NIV Anti koagulan :

Mode : CPAP konsul gds dr. Prasetyo Sp.PD
- Inj Lovenox 2x0,6cc SC
CPAP : 5
glimepirid dan metformin STOP (H1)
FIO2 : 100%
sliding scale per 6 jam Anti inflamasi :

R/ SWAB 21/01/2021 Novorapid 20 iu, lanjut sbg sliding

SLEDING SCALE/6JAM
10:28= 289 (10iu)
16:28= 346 (15iu)
22:28=355 (20iu)
04:28= 334 (15 IU)
10:28=
- IV Dexamethasone 2 x
5 mg (H1)
scale
Vitamin:
Novorapid drip 24 iu/24jam dalam - PO Becefort 2x1
100 cc Nacl 0.9% - PO Stimuno 2x1
- PO Vitamin D3 1x1000
IU
visite dr efriadi sp.p Lain-Lain
FG TROCHES 3X1 - Inj Pantoprazole 2x 40
mg
- PO Paracetamol
3x500mg k/p
- PO Metformin
1x500mg
- PO Glimepiride 1x4mg
19. Tn Sukatno KELUHAN: SESAK, BATUK P: Lab 10/1/2021
RM 37186 /60th Rencana ● 02 NRM 10 lpm Hb 13.5
● KGDH 15/1/21 ● IVFD NaCl 0,9% HT 38.6
BED 28 TD 136/84 500cc/24 jam
F/swab 14/1/21 MCV 76.8
IMCU 3
HR 65 ● F/ cek AGD,DL, Ur/Cr. Antibiotik
MCH 27.5
Dx: OT/PT 13/1/21 ● Inj. Meropenem 3x1g MCHC 35.0
Confirmed Covid 19 RR 21
(H2) Leukosit 8.58
DM tipe 2 Visite dr Efriadi Sp.P 13/1 Imunomodulator Trombosit 502
S 36.6 Inj Meropenem lanjut selama 10 Baso/Eos/Neut/Lymph/Mono
● Drip Resfar 1x5g
hari (H4/5) 0/0/80/12/5
Spo2 99 Symbicort 3x2puff
IFVD NaCL 0,9% 500/ 24 H’ Antivirus Hasil AGD 5/1/21
NRM 10 lpm Advice dr. Prasetyo Sp.Pd ● inj.remdesivir
(13/1/21) 2x100mg (H1) pH: 7.5
FU/ swab 14/1/21 Novorapid 12-20-20 iu SaO2: 93
dilanjutkan inj
remdesivir 1x100mg PaCO2: 23.2
FO/ AGD/URCR OTPT GDS Visite dr. Tina,Sp.P 12/1 : PaO2: 59.3
(H2-H5) H2/5
13/01/2021 Levofloxacin inj 1x750 mg HCo3: 19.8
Antiinflamasi
● PO Colchicine BE: -3,8
FU/ AGD, DL, OT,PT,UR,CR tgl Advice dr. Prasetyo Sp.PD 2x0,5mg (TAO)
16-01-21 Novorapid 12-20-18 iu Na/K/Cl 129/5/95
Antikoagulan
target GD 80-180 mg/dL ● Inj.Lovenox 2x0.4 sc
Obat Inhalasi KGDH 12/1/21 96ml/dl
● Symbicort 2x2puff PAGI:96
● Berotec 4x4-6 puff SIANG:196
Lain-lain MALAM: 142 mg/dl
● inj Pantoprazole 1x40 INSULIN 10-20-20
mg /KGDH 15/1/21
● PO Ranitidine 2x1 06:00= 136
● PO zinc 1x20mg 12:00=
● PO VIP Albumin 3x2 18:00= 182
● Inj Novorapid 15-20-
20U
● PO Prove D3
1x1000U
20. Keluhan : SESAK - Rencana : P/ D-Dimer 13/01/21: 264
Tn AGUS ACHMAD - R/ weaning O2, obv. O2 simple mask 10 lpm
RM 37008 IVFD NaCl 500 cc / 24 jam Lab 13/01/21
TTV, bleeding sign
TD 118/65 IVFD Clinimix 1000ml+ E 4.49
BED 29 IMC 03 - R/ cek D-dimer dan
clinolec 250ml/24 jam HB 11.4
HR 91 aPTT, PT 16/1/21
masuk 14/01/3032 enteral diabetasol 4x100ml HT 33.9
- R swab 16-01-21 Prone position 12jam/hari
-
MCV 75.5
RR 26 MCH 25.4
-
Diagnosis : Antivirus MCHC 33.6
● Confrimed Covid-19 S 36.6 Leu 10.85
Sympt Sedang-Berat Trombosit 344
● ARDS Moderate Spo2 98 Antibiotik
inj ampicilin sulbactam BAS 0.0
● DM Tipe 2
● obes grade II 3x1gr (H5/5) Neu 91
● HT ON theraphy IVFD NaCl 500cc/24jam Eos 0.0
Antijamur Lymph 4
terpasang SM 8 Lpm inj.fluconazole 2x200mg Monosit 5
(H10/10) SGOT 33
-NGT No.20 Kedalaman: SGPT 132
Antiinflamasi Ur 70
55, (Tertutup) ● inj dexamethasone
-DC No. 16 WATER INJ Cr 0.8
2x5mg (H10)
30CC natrium: 129
kalium: 5.7
Antikoagulan klorida: 96
R swab 16-01-21
R/ GV CVC tgl 20-01-21 drips heparin 12.500
iu/12jam, jika D-dimer
R/ Ddimer tgl 16-01-21
<1000 heparin lanjut
FU/ PT/APTT, tgl 16-01-21
(01:00) Vitamin
● Becefort 2x1
URINE 1200 zink 1x20mg

POST EXTUBE DARI HCU

Lain-lain
● inj. pantoprazole 2x40mg
novorapid 25-25-25 iu
levemir 0-0-15
Amlodipin 1x5mg
RAMIPRIL 1X5MG
PO spironolakton 2x100mg
(h10/10)
● VIP Albumin 3x1
PO natrium 3x2 caps (TAO)
● Inj ondancentron 2x8mg
● PO NAC 3x400mg
21. Tn. Wahyudi kKELUHAN: SESAK NAFAS, O2 NRM 15 lpm hasil lab 14-1-21
BATUK, SUSAH TIDUR Rencana: IVFD NaCl 0,9% 500cc/24 jam GDS 500
RM : 37487 Prone Position 12 jam/hari
● FU lab 12/1/21
IMCU : 03/ BED 30 TD 122/78 ● /cek GDP GD2PP Antiviral: 13-1-21
14/1/21 (GDS 500) -IV Remdesivir 1x100 mg (H4/7) D Dimer 995
PB IGD 11/01/2021 HR 98 -PO Methisoprinol 4x500 mg
● R/swab 21/1/21
(H6/7)
RR 24
Dx : Antibiotik:
● Conf. covid 19 simp. S 36.5 -IV Cefepime 3x 1gr (H1/5)
sedang berat konsul dr Prasetyo Sp.PD -Inj. Ceftriaksone 1x2 gr (H1/5)
● ARDS Moderate Spo2 96 ( 15/1/2021)
● BP Bilateral IFVD RL 500/24JM Antiinflamasi:
-cek Gds/6jam dan berikan -Inj. dexamethasone 2x5mg (H6)
novorapid sliding scale jika
NRM 15 LPM
sudah 5 kali pemberian lapor ke Antikoagulan
dr Prasetyo Sp.PD - SC Lovenox 1x 0,6 cc
R/ RO. THPRAX (jika kondisi
memungkinkan) (H6)
-IVFD Rl 500cc + novorapid 48
FU/ SWAB 14/01/21 iu/24jam Imunomodulator:
Imugard 3x1
FU/Cek DL, 14/01/2021 visite dr vina Sp.P
Inhalasi:
FO/ OT/PT, Ur/Cr, PT/APTT -STOP inj Ceftriaxone diganti
meropenem 3x1
14/01/2020 Vitamin:
goldtrion 2x1
Bionicom zinc 2x1
Vit D3 1x1000 IU
konsul gds dr. Prasetyo Sp.PD
Obat lain
glimepirid dan metformin STOP NAC 3 x200mg

sliding scale per 6 jam

Novorapid 20 iu, lanjut sbg sliding

scale

Novorapid drip 24 iu/24jam dalam

100 cc Nacl 0.9%

visite dr efriadi sp.p

FG TROCHES 3X1
22. Tn. Djoko Wiseno KELUHAN: SESAK, Rencana : prone position 12 jam/hari AGD 08/01
RM : 37274 F/U AGD dan DL 11/01 IVFD RL 500cc/24 jam ph 7.53
IMCU : 03/ BED 31 R/ Swab 16/01 sao2 97.8
TD 96/62 R/ RO Thorax 16/1/21 antivirus pao2 83.3
PB DARI LANTAI 17 TWR 06 Inj Remdesivir 2x100mg H1
HR 67 hco3 24.2
11/01/2021 Visit dr. Widi, SpP 1x100 H2-5 (H…)
- weaning O2 paco2 28.1
DX S 36 - Metilprednisolon mulai antibiotik be 2.8
besok 3x40mg (2hari), inj levofloxacin 1x750mg IV
Rr 24 1x40mg (1 hari), (H…) lab 06/01/21
Diagnosis: kemudian stop inj ceftriaxon 1x2gr (H…) Hb : 16.7
-conf covid 19 simptomatis berat Sp02 98 - remdesivir lanjut hingga 7 Ht : 47.1
hari immunomodulator MCV : 88.2
IVFD NaCl 500cc/24 jam Drip Resfar 1x5mg dalam NACl
MCH : 31.3
O2 SM 8 Lpm visite dr.Efriadi, Sp.P 14/1/21 100cc
weaning O2 MCHC : 35.5
ceftriaxone ganti meropnem 3x1 antiinflamasi Erit : 5.34
prone position 12 jam/hari
(5nhari) inj Metilprednisolon 2x62.5mg Leu : 6.40
FU AGD dan DL 11/01/21 proses Imugard ganti Stimuno 2x1 Tromb : 166
becefort 2x1 antikoagulan
R/ Swab 16/01/21 Inh Symbicort 3x2 puff inj lovenox 2x0.6cc SC Bas/Eos/Neu/Lym/Mon
inhalasi
0/ 0.0/ 71/ 20/ 9
FU/ DL 16-01-21 Berotec 4-6x1 puff
visite dr.Efriadi, Sp.P 13/1
vitamin GDS: 114
R/ RO Thorax 16/1/21 Ureum: 24
vitamin D3 1x3000mg
goldtrion 2x1 Creatinin: 0,9

obat lain
domperidone 3x1 thorax 06/01
antasida 3x1 - Bronkopnemonia dextra
VIP albumin 3x2 - Tidak tampak kardiomegal
23. Tn. Ronald Siahan Keluhan : nyeri pada luka di R: P: AGD 12/1/2021
RM : 36962 bagian anus, batuk, ● 02 NRM 8 lpm PH 7.46
BED 33 IMC 4 ● FU hasil Anti HIV, APtt, ● IVFD RL 500cc/24 jam SpO2 98%
INR (VALIDATED) PcO2 29.9
PB HCU 12/01/2021 TD 121/84 Antibiotik
PO2 100
● Inj. Cefepime 3x1g
NAPI BNN ● Weaning O2 HCO3 22
(H6/7)
HR 85 BE -0.4
DX : Visite dr. Tina,Sp.P 12/1/2021 :
Imunomodulator
RR 22 - konsul Sp.KJ untuk riwayat
Dx:
nac 3x400
penggunaan NAPZA
Confirmed Covid 19 SS S 36
DM tipe 2 Antivirus
● inj.Remdesivir --
Spo2 98 selesai
●
● FU hasil Anti HIV, APtt, Antiinflamasi
room air INR 12/1/21 ● inj dexametason 2x5
● gr (h9)
● FU hasil DL 12/1/21 ● Colcisin 2x0.5 mg
● Weaning O2 H9
● HASIL Swab 13/1/2
●
NEGATIF
Antikoagulan
● drip heparin 20.000
R/ pulang tunggu dari BNN
iu /12 jam (h2) start
jam 20,00 tanggal
11/1/21
Obat Inhalasi
● Symbicort 3x2puff
Lain-lain
● inj furosemide 1x40
mg
● inj Pantoprazole 2x40
mg
● Astaplus 2x1
● Becefort 2x1
● Amlodipin 1x10 mg
● Spironolacton
1x25mg
● KSR 3x1
● Prove D 1x3000
24. Tn. Abel Keluhan : SESAK, batuk Rencana: - O2 via NRM 10 lpm Sliding Scale 10/01/21
RM :34025 F /swab 13-01-21 ( SUDAH - IVFD RL 500cc + 06.00 180
IMCU 04 /BED 34 ADA) novorapid 48 iu/24 12.00 327
TD 118/80 R/ mobilisasi MIKA/MIKI Per 2 jam 18.00 256
PB HCU 11/01/2021
jam - Clinimix+Clinoleic 1 00.00
HR 91 kolf /24jam
DX :
● Confirmed Covid 19 Advice: 09/01/21
RR 24 - Obs ttv dan tanda Vasoaktif aPTT 43,7
simtomatik berat perbaikan
● HT on therapy perdarahan ● Dobutamin 2.5
● CHF ec HHD dd
S 36 - Diit Lunak mcg/kg/menit → stop Sliding Scale 09/01/21
miokardioapati - Balance Cairan negative 06.00 153
● Pneumonia bilateral Spo2 98 - Sliding Scale/6jam Antivirus 12.00 172
● AKI gr II - Posisikan pasien lateral - 18.00 181
● Obesitas grade 2 45 derajat diganjal bantal Antiinflamasi 00.00 198
IVFD RL 500cc /24 jam minimal 4-6 jam/hari
● elevated liver enzyme - PO Colchicine 2x0,5 mg
O2 NK 5 LPM - GV rawat luka: salep
● Imbalance elektrolit - Metilprednisolon
( hiperkalemia) perbaikan Mupirocin 2x62,5mg IV (H8) 08/01/21
● ulkus dekubitus DC No. 16 water injek 30cc tgl Antibiotik Sliding Scale
lapjag 11/1/21:
● hiperglikemik state dd DM 12-01-21 - konsul dr. Siti chandra, - 06.00 290 mg/dL
tipe II Sp.KFR 12.00 254mg/dL
SWAB TGL 13-1-21 Negatif - moxifloxacin 1x400mg po Imunomodulator : 18.00 264 mg/dL
- heparinmstop ganti lovenox 00.00 158 mg/dL
2x0,6 sc (konfirmasi dr. Pras, ● PO vip albumin 3x2 tab
GV 2x sehari (pagi sore) Sp.PD)
balance cairan - clinoleic stop Antikoagulan
- clinimix + - Drip Heparin drip 7/1/21
POST EKTUB → OBS - pantoprazole 1x40mg PT 7.7
diturunkan bila sudah 20.000/12 jam
PASIEN membaik
aPTT 38.9
- konsul gizi dgn obesitas (beri Vitamin: KGDH :
Urin: nurtrisi) dr. Nurul, Sp.GK
- PO Curcuma 3x2 06.00 HIGH
- PO asta plus 1x1 12.00 HIGH
- PO Vit D 1X5000 IU 18.00 423
- PO Calgae 2x1 00.00 384
- Inj.VIT C 1x1 gr
04/1/21
inhaler Darah lengkap
- Inh Symbicort 2x2 puff HB 11.1
- Ultibro 1x1 puff HCT 302
Leukosit 16.87
Obat lain: Trombosit 266
- Inj pantoprazole 2x40mg
- Novorapid 48 U dalam 04/01/21
RL 500cc/ 24 jam SGOT 179
- salep clobetasol + SGPT 172
gentamicin 2x1, ue, Ur 93
setelah kompres luka dg Cr 1.5
NS Na 148
Obat Selesai K 5,4
- Inj. moxifloxacin Cl 120
1x400mg IV (H5/5)
selesai 8/1/2021 AGD 4/1/21
- Inj Dexamethasone 3x5 PH 7.4
mg iv (H5/5) PCO2 40.1
- Inj Levofloxacin 1x 750 PO2 85.9
mg H (7/7) HCO3 25.9
- Inj Remdesivir 1x100 mg BE 17
iv drip (H7/7) SaO2 96.8
28/12/2020
- Lasix 5mg/jam stop 2/1/2020
31/12/20 DL, OT/PT, Ur/cr,elektrolit
- Amiodaron 150mg/24 post koreksi K 5.6 stop
jam stop koreksi advis dr Tama SpAn
- IV Drip resfar 1x5gr NS
100cc habis dalam 4 jam swab tanggal 4/1/2020
(H14/14) tgl 07/01/21 CT RdRp gene 28,5
- E gene 27,9
- Norepinephrine drip
0.05
mcg/kgBB/menit →
stop karena TD
meningkat → 148/90
- Inj ampiciliin -
sulbactam 3x1,5 g
(H5/5)
- levemir 0-0-10 →
STOP
- novorapid 15-15-15
→ STOP
- PO Candesartan 1x
8 mg → tunda
- PO Sucralfat syr
4x10ml → tunda
- PO Furosemid 2x40
 mg → tunda
- PO spironolakton
1x25mg → tunda
- PO HCT 1X25mg
→ tunda
- PO amlodipin 1x5
mg, jika BP >140/90
1X10mg → tunda
- bisoprolol 1x5mg →
tunda
- Inj. PCT 1gr/6jam iv
drip -> STOP
- Inj Ca Gluconas 3x1
amp → TAO
- Drip Resfar 1x5gr
(14/14)
- Drip Fentanyl 25
mcg/ jam,

25 Tn. Hevi Rizkandar Keluhan : SESAK O2 SM 10 lpm Swab 13/1/21

RM : 37133 Rencana : Prone position minimal 12 jam / NEGATIF
BED 35 IMC 04 - FU DL ulang 14/01/21 hari
IVFD Nacl 500 cc/24 jam thorax 14/01
PB IGD 11/01/2021 TD 103/69 Visite dr. Efriadi Sp P 14/11/21: - Pneumonia
Immunomodulator :
- Imugard 3x1 (H8) - Tidak tampak
DX : HR 85 - kardiomegali
Diagnosis Advice Konsul dr. Syarif, Sp. P
-confirmed covid 19 Symp berat RR 23 (IGD 10/11/21) : Antiviral: DL, elektrolit, agd
-ARDS Moderate - Ceftriaxone Stop - IV Remdesivir (H5/7) 11/01/2020
S 36 - Levofloxacin 1x750mg iv ● Hb 15,8
Antibiotik: ● Eri 5,24
- meropenem 3 x1 iv - Inj. Levofloxacin
Spo2 97 ● Leu 10.63
1x750mg (H2/5)
Visit dr. Efriadi Sp.P (K) 11/01/21 : - Inj. Meropenem 3x1gr
● HT 45.0
IFVD NaCl 0,9%/24JM ● Trom 424
Antiinflamasi (H2/5)
O2 NK 3 LPM ● Eos/Bas/Neu/
- Erdostein 3 x 2 caps PO
HASIL Swab 13/1/21 Antifungi Lym/Mon
- Ceterizine 1 x 1 PO
NEGATIF - IV Flukonazole 1 x 200 ● 0.0/0/91/5/4
mg (H2/14) ● Ur/Cr : 34/0.8
Inhalansi
F/ DL ulang,14/01/21 Proses ● OT/PT: 38/61
- Ultibro 1 x 1 Puff
● GDS : 175
F/ UR,CR, OT, PT TGL 15-
01-21 Antifungal Anti koagulan : Elektrolit 11/01/21
- IV Flukonazole 1 x 400 mg - Inj. Lovenox 2x0.4 SC ● Na: 134
(H1) (H8) ● K: 5,9
- IV Flukonazole 1 x 200 mg ● Cl: 102
Anti inflamasi :
(H2-14 hr) - Inj. Dexamethasone 2 x
AGD 11/01/21 NRM 10 lpm
5 mg (H8) ● pH : 7,4
Antivirus - PO Colchicine 2x0,5mg ● BE : 1
- IV Ramdesivier 1 x 100 (H8) ● HCO3 : 22.9
- PO Erdostein 3 x 2 ● SatO2 : 98.7
(H5/7)
● PaO2 : 106.8
caps
● PCO2 : 29.1
- PO Loratadine 1 x 10 P/F ratio :106 mmHg
mg (Moderate ARDS)

Inhalasi: Ro Thorax 11/01/2021

- Ultibro 1 x 1 Puff Kesan :
bronkopneumonia bilateral
Vitamin: tidak tampak kardiomegali
- PO Goldtrion 2x1
- PO Becefort 2x1 1
- PO astaxantin 2x4 mg Kesan :
- PO Vitamin D3 1x1000
Lain-Lain :
- PO PCT 3x1 k/p
- PO OMZ 2x20 mg ac
- PO OBH Syr 3x1

Obat Selesai / Stop :

9/1/2021
Drip resfar 1x5gr (H7)

11/1/2021
ceftriaxone (H5/5)
Resfar 1x5gr (H4)
26. Tn charles wilson keluhan : SESAK NAFAS R/ swab 21/1/21 P aPTT 14/01/21: 27.1
RM 38919 F/ Cek aPTT jam ke 10 IVFD RL 500cc +
pemberian heparin tanggal Neurobion/24 jam Lab 12/01/21
PB Dari lantai 10 twr 6 TD 129/75 15-01-21 Antivirus E 5.36
13/01/2021
Remdesivir 2 x 100 mg (H1), HB 17.4
Bed 36 IMC 03
HR 67 Visite dr. Tina Sp.P lanjut 1x100mg (H2-5)
HT 48.8
15/1/21
RR 25 inj. Heparin 3x7500mg antibiotik
MCV 91.0
Prove D3 1x5000 IU Azithromicin 1x500mg (5/5) MCH 32.5
Diagnosis S 36 Cefoperazone 3x1gr/IV MCHC 35.7
Visite dr Efriadi Sp.P 14/1/21: PO levofloxacin 1x750mg Leu 6.98
● Confirmed Covid 19 Spo2 97 ultibro 1x1 puff Trombosit 170
Simptomatik berat stimuno 2x1 Antiinflamasi BAS 0
● HT Dexamethason 2x0,5mg PO Neu 70
02 NRM 15 lpm Visite dr.Efriadi Sp.P Eos 0.0
13/01/21: Antikoagulan LYMP 22
IVFD RL 500cc/ 24 JAM Symbicort 2x2 puff inj Heparin 2x7500 Mono 8
GDS : 83
F/ aPTT tanggal 15-01-21 Immunomodulator
OT/PT: 46/29
multivitamin UR/CR: 66/1.8
FU/ CEK PT/APTT tgl 16-01-
21 (06:00) Becefort 2x1 PO
Stimuno 2x1 PO thorax 12/01/21
VIP Albumin 3x2 Kesan :
R/ D-DIMER 16/01/2021
- Tidak tampak proses
Lain lain spesifik / Pneumonia
R/ Swab 21/01/2021
Amlodipin 1x5mg - Kardiomegali Tanpa
Erdostein syr 3x2cth bendungan paru
NAC 2x1 KP
Scopma 1 tab extra
PCT drips 1gr extra
Dulcolax supp extra
symbicort 2x2puff

ultibro 1x1 puff

inj. omeprazole 2x40mg

Obat selesai:
13/1/21: Azithromicin
1x500mg (5/5)
Scopma 1 tab extra
PCT drips 1gr extra
27. Tn. machful muadjab Keluhan : SESAK, BATUK Rencana: P/ Lab 7/1/21:
RM 37458 - Follow up AGD Cito IVFD NaCl 0,9% 500cc/24 jam E: 3.93
13/1/21 Hb 12.5
TD 144/91 Antivirus
- Follow up DL, OT/PT, Ht 35.7
IMC 5 BED 37 ● IV Remdesivir
UR/CR, GDS CITO 1x200mg H1
MCV 908
ATENSI LETKOL MUZAMMIL
HR 80 13/1/21 1x100mg H2-5 MCH 31.8
- FU RO THORAX MCHC 35
RR 20 13/1/21 Antibiotik Leu 4.47
Diagnosa:
● IV Levofloxacin Trombo 139
S 36 visite dr. Efriadi, Sp.P 13/1/21 1x750mg (H1/5) Hitung jenis:
● Confirmed covid 19
symptom sedang
-drip neurobion 1x B0
Spo2 98 -inj. dexamethasone 2x5mg Imunomodulator E0
● Obesitas Grade 1 ● Drip resfar 1x5 gr
-drip resfar 1x5 gr 5 hr N 58
dalam 100 cc NaCl
-inj. lovenox 1x0,6cc habis dalam 4 jam L 31
IVFD RL 500/24 jam -PO favipiravir 1x1600mg h1 M 11
(H1/5)
favipiravir 2x600mg h2-5
02 NK 2 lpm -cek DL, elektrolit ulang 13/1/21 Antiinflamasi GDS 235
malam ● Inj Dexamethasone SGOT/SGPT 53/28
Follow up AGD Cito 13/1/21 2x5mg Ur/Cr 55/1.4
F/ SWAB TGL 15-01-21
Antikoagulan
F/ DL 15-01-21 ● Heparin 2x5000 IU
(H1)

Vitamin
● Bionicom zinc 2x1
● Prove D3 1x5000iu
● Curcuma 3x1 tab

Lain-lain
● Metformin 3x500mg
● Brocon 3x1 k/p
● Sucralfate syr 3x2cth
28. KELUHAN : SESAK NAFAS RENCANA P: Lab 9/1/21:
Tn. Albianson /62 tahun IVFD RL 500cc/24 jam Na 139
● Pro HFNC Advis O2 NRM 15 lpm K 4.4
TD 117/81
RM 37028 dr.Ulfa Sp.P Cl 102
HR 57 ● F/ Swab ulang 13/01/21 Treatment:
IMCU 05/BED 38 aPTT 08/01/21:
T 36.2 Visite dr. Lily Sp.P Antivirus 33.3
dx : 02 NRM 15 lpm prone position Inj. Remdesivir 1x100mg (H2/5)
Covid 19 Simptomatik sedang RR 24 bila ada perburukan pro HFNC methisoprinol 4x500mg (H7/7) Waktu Protombin (PT)
ARDS severe 08/01/21:
HT on Therapy SPO2 98 Antibiotik 13.7
inj. meropenem 3x1gr (H3/5)
inj. moxifloxacin 1x400mg (H2/5)
IVFD RL 500CC/24 JAM D-Dimer 08/01/21:
lPO levofloxacin 1x750mg
390
HFNC
FIO2 : 85%
Antiinflamasi Kesan Thorax :
FLOW : 60 L/M
T : 36 colchisine 2x0.5mg (H2) - Tidak tampak proses
inj. methilprednisolon 2x62.5mg spesifik / Pneumonia
FU/ DR, UR/CR, OT/PT, GDS - Kardiomegali Tanpa
Anti koagulan
16/01/2021 inj.lovenox 2x0.4cc (H2/5)
bendungan paru

OBSERVASI KU DAN TTV Vitamin LAB DL 05/01/21:

imugard 3x1 Eritrosit 5.27
astaplus 2x1 Hb 15,6
Prove D3 1x3000 iu Ht 44.5
MCV: 84.4
MCH: 29.6
Lain-lain
MCHC: 35.1
inj. furosemide 1x1amp leukosit: 5.37
inj. omz 2x20mg TROMBOSIT: 149
inj. ondancentron 3x4mg B/E/N/LYMP/MONO:
amlodipin 1x5mg O/1/59/28/12
NAC 3x400mg
curcuma 2x1 Gds 65
SGOT/SGPT: 42/28
Obat selesai
Ur 29
inj. dexametason 2x5mg (H5/5)
Cr 0.8

AGD 05/01/2021:
Ph: 7.4
SpO2:96.3
PaCO2: 25.4
PaO2: 70.6
HCO3: 25.4
be: -2.3
29. Tn. Fahrur Keluhan : BATUK, SESAK R/ swab 18/1/2021 P/ GDS 13/01/21: 119
RM 38194 NAFAS F/ cek DL, OT/PT, Ur/Cr, Antivirus
IMCU 05 bed 39 aptt/pt 13/1/21 -Inj. Remdesivir 2x100mg
AGD 11/01/21
TD 122/81 R/ cek DL ulang Tgl 18/01/21 (H1) lanjut 1x100mg (H2-5)
PB LT 23 T06 12/01/2021 pH 7.5
paO2 43,4
ATENSI dr. Efriadi, Sp.P HR 54
Visit dr. Tina, Sp. P 12/1/21: -
Antibiotik paCO2 26.4
Inj. Meropenem 3x1gr SaO2 86.9
DX : RR 25 lovenox 1x0,6 cc -> ganti drips Inj. Levofloksasin 1x750mg HCO3 21.9
heparin 1x15000 IU
S 36.2 BE 0.6
Visit dr. Samsul Sp.jp 13/01/11: Antikoagulan:
Spo2 95 kimia darah 10/01/21:
Diagnosis ramipril 1x2.5mg Inj. Heparin 1x15000 iu
ivfd natrium : 126
● Confirmed Covid 19 IFVD NaCl 500 CC/24 H Immunomodulator: kalium : 4
Simptomatik sedang-berat NaCl 100cc + heparin 15000 iu/12 stimuno fort 3x1 klorida : 97
● obese grade II jam (21:00) drips Resfar 1x5gr

O2 NRM 12 LPM Vitamin:

prove D3 1x5000IU
LAB 9/01/21
R SWAB Tangga 18 / 1/ 2021 Curcuma 3x1
R/ DL tgl 18-01-21 inj. vitamin C 2x1 gr E 5.06
bionicom zinc 3x1 HB 14.8
FO APTT 15/01/2021 → 17.30 HT 42.6
WIB Antiinflamasi: MCV 84.2
IV methylprednisolone 2x62,5mg MCH 29.2
FU/ PT/APTT 16/01/2021 MCHC 34.7
LEU 7.82
R/ D-DIMER 16/01/2021 Obat lain:
Inj. Omeprazole 2x40mg BAS 0
drips Paracetamol 3x1gr (K/P) NEUT 79
PO codein 3x10mg EOS 0
Po Sucralfat dyrup 3xC1 LYMP 15
mono 6
TROMB 160 ,
SGOT 32
SGPT 49
Ur 18
Cr 1
GDS 113
30 Tn. M. Sidik Keluhan : T.A.K Rencana : P/
RM 38830 R/ Swab 20/1/21 O2 4 lpm NK
IMCU 05 bed 41 IVFD NaCl 0,9% 500 cc/24
F/U ro thorax 12/1/21
TD 117/60 jam + Clinimic clean C/24
PB LT 04 T 7 14/01/2021
jam
HR 73 Visite dr Efriadi SpP :
ATENSI dr. Robby, Sp. Rad Prone position 12 jam/hari
- Avigan ganti dgn
DX : RR 20 Remdesivir 2x100 mg (H1), Antivirus :
1x100 mg (H2-5) -Remdesivir 2x100 (H1)
Diagnosis : S 36 - Syr Erdostein 3x2 cth (H1/5), lalu 1x100 (H2-5),
- Confirmed covid 19 SS - Vip Albumin 3x2 tab mulai besok (H0)
- Susp CHF Spo2 96 - AB tunggal saja
- Dislipidemia Antibiotik :
IFVD RL 500 CC/24H
- Dyspepsia - inj. levofloxacine 1x750mg
O2 NK 2 LPM (H1/5)

Antiinflamasi :
R/Swab 20/01/2021 - Inj. dexametason 2x5mg
R/ Ddimer tunggu regen ada di lab (H2)
F.U/ cek D dimer OT/PT UR/CR Antikoagulan :
AGD GDS 14/01/2021
- SC Heparin 2x5000 IU
FU/ DR 16/01/2021 (H2)

imunomodulator:
- Syr Erdostein 3x2 cth

Vitamin :
● Prove D3 1x1000
IU
● Bionicom 2x1
● Zinc 1x20
● Imugard 3x1
● Goldtrion 2x1

Lain-Lain :
- IV omeprazol 2x40 mg
- IV ondansetron 2x8 mg
- PO Sucralfat 3xcth 1
- PO Simvastatin 1x10 mg
- PO bisoprolol 1x5 mg
- PO Vidagliptin 1x1 tab
- PO ISDN 1x5 mg
31 Tn. Hari Adi Wibowo Keluhan : T.A.K Rencana P/ KGDH 14/1/21
RM 37714 - F/u DL dan KGDH 12.00 149
IMCU 05 Bed 43 13/01/21 IVFD NaCl 0,9% 500cc/24 jam 18.00 119
TD 112/70 - F/u D dimer 13/01/21 Antivirus 06.00 -
PB LT 17 T 07 12/01/2021 -Inj. Remdesivir 2x100mg
- Swab 17/01/21 12.00 121
HR 70 - F/u PT dan APTT (H1) lanjut 1x100mg (H2-5)
ATENSI KASSAD
12/01/21 D-Dimer 13/1/21
DX RR 22 - Ro thorax per 5 hari tgl Antibiotik 275nng/mL
18/01/2021 Inj. Meropenem 3x1gr 5 hari
Diagnosis : S 36 - Inj. Levofloksasin 1x750mg 5 AGD 12/01/21
● Conf covid 19 symptomati hari PH : 7.4
sedang Spo2 97 SPO2 : 93.3
● Bp Bilateral PCO2 : 23.1
● HT Visit dr. Tina, Sp. P 12/1/21: Antikoagulan: PAO2 : 59.3
● DM Tipe II IFVD Nacl 500cc 24 jam remdesivir 5 hari Inj. Heparin 2x5000 iu (H1) HCO3 : 17.7
● ARDS Moderate O2 nk 2lpm meropenem 3x1gr 5 hari Be : -3.8
Immunomodulator:
● Elivated Liver Enzym inj levofloxacin 1 x750 mg 5 hari
inj metylprednisolon 2x62,5mg Antidiabetik
Kimia Klinik 11/01/21
F/u DL 13/01/21 heparin Metfromin 3x500mg GDS 80 mg/dl
vit D 1x 5000 IU Lantus 0-0-22 IU SC SGOT/SGPT 53/58
R/Swab 17/01/21 Ro thorax Ur/Cr 21/1.05
KGDH Vitamin:
becefort 2x1 Ro Thorax 13/01/21
Ro thorax 18/01/2021 astaplus 2x1 Kesan ;
zinc 1x20mg - Bronkopnemonia bilateral
FU/ DR, UR/CR, OT/PT - Tidak tampak
16/01/2021 kardiomegali
Antiinflamasi:
IV methylprednisolone 2x62,5mg
KGDH 13/01/2021 :
Antihipertensi - 08.00 :
amlodipine 1x10mg - 14.00 : 245
concor 1x2.5mg - 20.00 : 226
KGDH
Obat lain:
Inj. Omeprazole 2x20mg
06:00= ?
12:00= 121
18:00= 138
32 Tn. Zaenal Keluhan : sesak Rencana: P: AGD (10/01/2021)
RM 3771 Rencana: O2 NRM 15 LPM PH : 7.4
IMCU 05 Bed 45 - Follow up AGD dan DL IVFD RL 500cc/24jam SaO2 : 98,1
11/1/21 (VALIDA PCO2 : 21,6
PB LT 05 T 07 12/01/2021 TD 129/70 - Rencana: PO2 : 98,2
DX : Antivirus: HCO3 : 15,2
HR 98 - R/ Swab 19/1/21 Avigan 2x600mg (H2) Be :-7
- Ro Thorax ulang 17/01/21
Diagnosa: RR 22 antibiotik: GDS 10/01/21: 158mg/dL
Azithromicin 1x500mg (3/5)
● Confirmed covid 19 symptom S 36 Visite dr Tina Sp.P 13/1/21 Lab DL 9/01/2021
sedang Inj. Cefoperazone ganti Inj. Antiinflamasi: AE 5,32
● DM tipe II Spo2 99 Levofloxacin 1x750mg Dexamethason 2x0,5mg PO HB 15,3
Oseltamivir ganti Remdesivir HT 43,3
IFVD NACL 500 cc 24 jam 1x200mg H1 Antikoagulan:
O2 SM 7 LPM MCV 81,4
1X100mg H2-5
Immunomodulator
MCH 28,8
Prove D3 naikkan jadi 1x5000 IU
R/swab ulang setelah remdesivir MCHC 35,3
R/ Swab 19/01/21 seelsai Inhalasi LEU 6,16
symbicort 3x2puff BAS 0
FU/ DL, OT/PT, UR/CR, NEUT 49
PT/APTT tgl 16-01-21 multivitamin EOS 0,0
D3 1x1000 PO LYMP 40
R/ RO. Thorax tgl 17-01-21 Curcuma 3x1 PO TROMB 177
Astaplus 2x1 PO SGOT 56
Becefort 2x1 PO SGPT 73
Zinc 1x20mg PO
Ur 21
Lain-lain: Cr 0.9
Metformin 2x500mg
Lantus 0-0-22IU SC R/ Cek GDP dan GD2PP
Concor 1x2,5mg PO 14/1/21
Amlodipin 1x10mg PO GDP:209
GD2PP: