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/
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