Identitas Pasien : Nama Usia No RM Alamat Tgl MRS : Tn S : 34 th : : Sidomukti Kraksaan : 07 April 2013

Terapi : Infuse Assering 21 tpm Inj Ranitidin 2x1 amp Inj Pragesol 3x1 amp Inj Ondansentron 2x1 amp p/o Curcuma 500 mg 4x1 tab Stop OAT lanjutkan Etambutol

Terapi 8/4/13 Infuse D5 14 tpm Inj Ranitidin 2x1 amp Inj Metoclopramid 3x1 amp Hepatoprotektor 3x1 Stop OAT

Terapi 9/4/13 Cek GDP dan GD 2jm PP Infuse D5 14 tpm Inj Ranitidin 2x1 amp Inj Metoclopramid 3x1 amp Hepatoprotektor 3x1 Stop OAT Pagi GDA = 332

Terapi 10/4/13 GDP 250 GD 2jm PP348 actrapid 3x6 ui SC

Infuse D5 14 tpm Inj Ranitidin 2x1 amp Inj Metoclopramid 3x1 amp Hepatoprotektor 3x1 Stop OAT Rapid test

Terapi 11/4/13 Diet B1 2100 Inf Assering 7 tpm Inj Ranitidin 2x1 amp Inj Metoclopramid 3x1 amp Inj Actrapid 3x4 ui SC Hepatoprotektor (HP pro) 3x1 Stop OAT Pkl 12.00 GDA 213

JENIS PEMERIKSAAN HEMATOLOGI Hemoglobin RBC MCV MCHC Lekosit Hitung Jenis 13,5 4,56 77,2 38,4

HASIL PEMERIKSAAN 07/04/13 Nilai Normal

13.4-17.7 g/dl

80 - 96 33,4 35,5 4.3-10.3x109L 0-4/0-1/3-5/ 54/62/25-33/3-5

13,160 52/-/-/32/14/2

Hematokrit Trombosit Hitung Jenis FAAL HATI SGOT SGPT Bil Direct Bil Total SEROLOGI/IMUNO LOGI HBs Ag FAAL GINJAL Kreatinin Serum BUN Urea

35.2 336 82,8/9,0/7,4/0,6/0,2

38-42% 150-450 x 109/L

404 836 18,25 29,57

10-35 U/L 9-43 U/L <0,25 mg % <1 mg %

Positif

Negatif

1.4 32,66 71

0,6-1.3 mg/dL 6-20 mg/dL 10-50 mg/dL