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MAPPING ISO PINERE Rabu 4/08/2021

ISO PINERE K2B3 ISO PINERE K4B1 ISO PINERE K4B4 ISO PINERE K5B4
DPJP : dr.Mahriani Sylvawani, dr. M Fuad, Sp.PD KHOM Dpjp : dr. M. Fuad, Sp.PD, KHOM dr. M Fuad, Sp.PD KHOM
Sp.PD-KR COW : dr. Rizqi AO Cow : dr. Rizqi Aulia Oetama Cow : dr. Rizqi Aulia Oetama
COW : dr.Andri Ruang : dr. Marcellinus Ruangan : dr. Marcellinus Ruangan : dr. Marcellinus
Ruang : dr. Marcellinus
Nama : Tuty Herawati Purnama Khairani Nama : Nurasia Binti MHD Basrah Armia bin Ibrahim
CM : 0938494 CM : 1280657 Cm : 1281179 CM : 0665233
TL : 16-07-1950 (71th) TL : 15/03/76 ( 45th) Tl: 15 /07/1975 (48) TL : 14/04/65 ( 56th)
Tgl Masuk : 29/07/2021 Tgl masuk : 28/7/2021 Tm: 01/08/2021 Tgl masuk : 18/7/2021
Ass/ Ass/ Ass/
1.Covid-19 confime cased gejala 1. COVID-19 confirmed case Ass/ 1.Covid-19 confirm cased
sedang dengan gejala sedang 1. Covid 19 confirmed case gejala 2.DM tipe 2 obese grade I
2.Dyspepsia tipe dismotility dd 2. Bisitopenia ec dd berat 3.Ulkus diabetes a/r pedis sinistra
tipe mixed 1. ITP 2. Ckd stg v dengan odema paru 4.HHD
3.Hipertensi stg II 2. MDS akut 5. Mikrotrombosis sistemik
3. Anemia aplastic ec dd
Th/ 3. Trombositopenia ec dd 1. PNC Th/
-Bedrest 1. ITP 2. HN - Bedrest
-02 2-4 L/menit via Nasal Kanul 2. Related viral infection 3. GNC - IVFD NaCl 0,9% 20 tpm
-Diet cair 1500 kkal/hari vioa ngt 4. ISK 3. Anemia berat ec PGK - Diet DM Lunak 1700 kkal/hari
- IVFD Clinimix / hari 4. Hipokalemia ec related PGK - IV Ceftriaxone 2 gr/24 jam
-IVFD RL 20 tpm Th/ 5. CHf Sl B.c (18/07/21)
-IV Lansoprazole 30 mg/12 jam - Bedrest 6. Susp. Microtrombisis sistemik - IV Lansoprazole 30 mg/12 jam
-IV Ondansentron 4 mg/8 jam - O2 2-4 lpm 7. Status hipokoagulasi - Drip PCT 1 g/8 jam
- SC Heparin 5000/12jam - Diet MB 1700 kkal/hari - SC Lantus 0-0-0-20
- IV Levofloxacin 500mg/24j (31/7) - IVFD NaCl 0,9% 20 tpm Th/ - SC Levemir 8-8-8
- IV Citicolin 500mg/12jam - Paracetamol 500 mg/8 jam Tirah baring - SC Heparin 5000/12jam (18/7)
- Kolkisin 2x1 - IV Asam Traneksamat 500 mg/8j Diet ginjal 1700 kkl/hari - Clindamisin 3 x 300 mg
-Sucralfat syr 3 x CI - IV Metilprednisolon 40 mg/12 Three way (18/07/21)
-Amlodipin 1 x 10 mg jam Drip Remdesivir 100mg/24jam Inj. Furosemide 20 mg/8 jam - Flumucyl 3 x 200 mg
-Tanapres 1 x 5 mg (30/7 – 2/7) Inj. Lansoprazole/ 12jam - Valsartan 1 x 80 mg
-Spironolacton 1 x 25 mg - Vit D 1 tab/12 jam Inj. Ondansentron 4 mg / 8 jam - Favipiravir H1 (21/7 – 25/7)
-Concor 1 x 2,5 mg - Vit E 1 tab/24 jam Inj. Vit k 1 amp /8 jam - Vitamin c 2x500
-Curcuma 3 x 1 - Zinc 20 mg/24 jam Inj. Ca glukonas 1amp/12jam - Ostriol 2x0,25
-Zink 1 x 1 - Avigan 1600 mg/24 jam Valsartan 1x80 mg
-Ostriol 2 x 0,25 mg - Ostriol 0,25 mg/12 jam Favifiravi 2x600 mg (h2-h5) Lab 27/7/21
-Vit E 1 x 1 - Curcuma 1 tab/8 jam Asam folat 2x1 Hb/L/Tr : 12,5/6,6/170
- Fluimucyl 3x200mg - Vit C 500 mg/12 jam Lenal ace 2x1 Na/K/Cl : 142/4,8/111
- Seretide discuss 2x1 puff Curcuma 3x1 Ca : 8,8
Urinalisa 29/07/21 N aceil sistein 3x200mg D-dimer : >4000
Bakteri (+) Drip albumin 1 fla/hari PT/APTT : 0,9/0,8
Lab 28/07/21 Drip kcl 25 meq dalam 300cc nacl Fibrinogen : 378
Hb/L/T : 13,7/5,8/257 Lab 27/7/2021 Pro HD
Diftel : 0/0/0/64/22/14 Hb/l/t: 8,8/5,4/40 Lab 22/7/2021
PT/aPTT : 0,85/1,1 Mcv/mch/mchc: 69/20/30 Lab 01/8/2021 Hb/l/t: 12,1/7,7/280
D-Dimer : 1240 Diftel: 1/1/0/66/18/14 Hb/L/Tr: 6,3/6,6/127 Mcv/mch/mchc: 84/29/35
Fibrinogen : 442 Ddimer: 620 MCV/MCH: 75/28 Diftel: 0/1/0/67/26/6
Ur/Cr : 20/0,50 Na/K/Cl : 141/3,0/106 Diftel: 1/1/0/70/15/13 Ddimer: 510
SGOT/SGPT : 100/65 Ca : 8,3 DDimer 1050 Albumin: 3,7
GDS : 111 Protein Total : 6,50 PT INR > 6 Ur/cr: 15/0,80
Na/K/Cl/Ca : 105/5,10/76/8,1 Alb/Glob : 3,80/2,70 APTT > 5,07 Na/k/cl/ca: 141/4,70/8,5/111
GDS : 80 Na/K/Cl: 131/2,1/103
Anti HCV : negative Ca 6,5
Ur/Cr : 20/0,80 Ur/Cr: 118/5,3
Bil tot/dir/indir : 0,79/0,24/0,55 Albumin 2,2
SGOT/SGPT: 25/7
ISO PINERE K5B5 ISO PINERE K6B5 ISO PINERE K7B5 ISO PINERE K12B2
dr. M Fuad, Sp.PD KHOM DPJP : dr.Mahriani Sylvawani, dr. M. Fuad, SpPD-KHOM dr. M Fuad, Sp.PD-KHOM
Cow : dr. Rizqi Aulia Oetama Sp.PD-KR Cow : dr. Rizqi Aulia Oetama Cow : dr. Rizqi Aulia Oetama
Ruangan : dr. Marcellinus COW : dr.Andri Ruangan : dr. Marcellinus Ruangan : dr. Marcellinus
Ruang : dr. Marcellinus

Nama : Iqbal Syahrial Nama : Salihin L Nama : Yusnimar Majid Nama: Anisah binti Usman
CM : 1280247 CM : 1-16-90-32 CM : 1-18-28-95 Cm: 1280217
TL : 8/1/75 TL : 11-12-1965 (55th) TL : 16-02-1952 (69 th) TL: 08/07/1989
Tgl Masuk : 28/07/2021 Tgl Masuk : 28-07-2021 Tgl Masuk: 23/07/2021

Ass/ Ass/ Ass/ Ass/


1. Covid 19 confirmed case 1.Covid-19 confime cased 1. COVID-19 confirmed case 1.probable covid 19 dengan
(antigen) gejala sedang gejala sedang 2. Diare akut ec dd gejala sedang
2. Av blok derajat 1 2.DM tipe 2 OW 1. infeksi virus 2. anemia berat makrositer ec
3. Riw RHD 3.Dyspepsia tipe dismotility dd 2. Infeksi bakteri - AIHA
4. Hipokalemi ringan tipe mixed 3. Intoleransi makanan - defisiensi asam folat
Swab antigen : positif 3. Dyspepsia tipe dysmotility
Th/ Th/
Th/ -Bedrest Th/ - Bedrest
- IV Omeprazole 40mg/12j -02 2-4 L/menit via Nasal Kanul Bedrest - 02 3-4 L/i
- Curcuma 3x1 -Diet DM 1700 kkal/hari O2 2-4 lpm via NC - Diet Mll 1700 kkal/hari
- Ostriol 2x0,25mg -IVFD RL 20 tpm IVFD NaCl 0,9% 20 tpm - IVFD Nacl 0,9 % 10 tpm
- Vit c 2x1 -IV Lansoprazole 30 mg/12 jam Diet MII 1500 kkal/hari - IV lansoprazole 30 mg/12jam
- SC heparin 5000unit/12j -IV Ondansentron 4 mg/8 jam IV Omeprazole 40 mg/12j - IV Metylprednioslone 40mg/12j
(23/7) -Drip levofloxacin 500mg/24j IV Ondansentron 4mg/8j - Po paracetamol 3x500 mg
- Favipiravir 1600mg/12j H1 lalu (29/07) IV Dexamethasone 1A/8j - Po curcuma 3x1
2x600mg H2-H5 (24/07/21) - SC heparin 5000/12jam IV Levofloxacin 750mg/24j - Zink 1x20 mg
- Codein 3 x20 mg -SC Lantus 0-0-0-10 (29/7) - Vit D 2x400 mg
- KSR 1x600 -Avigan (30/7 – 3/8) Drip Remdesivir (30/7 – 3/7) - Favipiravir (23/07- 27/07)
- Kolkisin 2x0,5mg -Curcuma 3 x 1 Drip Heparin 600 iu / jam - Xarelto 1x75mg
-Zink 1 x 1 (30/7)
Lab 30/7/21 -Ostriol 2 x 0,25 mg Amlodipin 1x10mg Lab 01/8/2021
Hb/L/Tr : 12,7/6,2/384 -Vit C 3 x 1 Sucralfat syr CII/8 jam Hb/L/Tr: 12,3/5,4/159
Na/K/Cl : 146/4,2/107 -Paracetamol 3 x 5 mg Synbio 1 tab/24 jam Diftel: 0/0/0/85/10/5
D-dimer : 800 -Flumucyl syr 3 x CII Ostriol 1 tab/12 jam
PT/APTT : 0,9/0,9 Vitamin D 1 tab/24 jam Lab 29/7/2021
Fibrinogen : 647 Lab 30/07/2021 Vitamin C 1 tab/24 jam PT INR : 0,92
Ur/cr : 20/0,7 Hb/L/Tr: 10,8/5,8/350 Paracetamol 500 mg/8 jam
SGOT/SGPT : 74/102 MCV/MCH: 89/30 Attapulgit kp Lab 25/07/2021
Bil tot/dir/indir : 1,34/0,4/0,9 Diftel : 1/0/0/82/4/6 D Dimer 4860
PT INR : 1,04 Lab 28/07/2021 Alumin 3,0
Lab 23/7/21 APTT : 3,55 Na/K/Cl : 140/3,6/103 Ur/Cr: 10/0,40
Hb/L/Tr : 14,5/4,5/138 HbA1C : 13,3 Hb/L/Tr : 12,8/5,4/103
Diftel : 0/1/0/66/26/74 Fibrinogen 935 D-dimer : 1090
Na/K/Cl : 135/3,2/99 Ur/Cr: 17/0,88 Lab 23/7/21
Ur/Cr : 21/1,0 SGOT/SGPT: 24/17 Hb/L/Tr : 3,3/6,9/149
PT/APTT : 0,92/1,01 Ca 7,6 MCV/MCH/MCHC : 145/51/35
D-dimer : 220 Na/K/Cl: 139/5,0/103 Diftel : 5/0/1/58/24/12
GDS : 106 D Dimer 2010 GDS : 83
Fibrinogen : 406 Ur/Cr : 10/0,5
SGOT/SGPT : 150/140 Na/K/Cl : 141/3,6/111
Lab 28/07/2021
D-dimer : >4000
Hb/L/T : 12,2/36,2/316
Fibrinogen : 331
Diftel : 0/0/0/86/10/4
PT/APTT : 0,9/0,9
LED : 114
SGOT/SGPT : 76/10
KGDP : 157
Ca : 8,0
KGD2PP : 188
ISO PINERE K12B4 ISO pinere k11b2
DPJP: dr. Suheir Muzakkir DPJP dr. Islamuddin SpPD
Sp.PD Cow dr. Rizqi
COW : dr. Andri BK Ruangan dr. Fakhri
Ruangan : dr. Santun
Nama : Ainul Mardhiah Nama : sutikno

NRM: 1281140 TTL : 68 tahun

TTL : 18/02/1952 (69th) CM :

MRS: 01/08/2021 Tanggal masuk 3/8/2021

Ass/ Ass/
1. Covid-19 Confirmed case 1. Covid 19 confirm case gejala
2.Reaktif hiperglikemia dd DM berat
tipe 2 2. penurunan kesadaran ec dd
3.Susp Mikrotrombosis sistemik 1. sepsis
2. SDA
Th/ 3. sepsis ec dd 1.pneumonia 2.
-Bedrest Urosepsis
-02 15 L/menit via NRM 4. geriatric problem
-Diet MII 1700 kkal/hari 5. hipoksia perifer ec dd
-IVFD RL 20 tpm mikrotrombosis sitemik
-Drip Levofloxacin 750 mg/24
jam Th/
-Drip Heparin 400 IU/jam O2 10L NRM
-IV Lansoprazole 30 mg/12 jam Diet sonde 6x200cc
-Ostriol 2 x 1 IVFD NacL 0,9% 20 tpm
-Curcuma 3 x 1 Drip levofloxacin 750/24 jm
-Zink 2 x 20 mg Favipiravir 1600/12 jam H1
Favipiravir 600/12 jam H2-H5
Zink 2x10
Lab 01/08/2021 PCT 1g/ 8 jam
Hb/Ht/Leu/Tr : 14,7/41/8,4/253 Ostriol 2x1
MCV/MCH/MCHC : 86/31/36 Iv omeprazole 40/12 jm
Diftell : 0/1/0/80/15/4
Albumin : 3,80 Lab susul hasil
Ca : 8,1
GDS : 205
Ur/Cr : 28/0,70
Na/K/Cl : 136/3,70/104

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