Borang Tiff Igd Juni Fix

LAPORAN KEGIATAN PELAYANAN PASIEN
NUR MUH. FAIZ HABIBULLAH
Kate Kegiatan
gori
No Tanggal NO RM Nama Usia Catatan
Cod Kasus Diagnosis Penatalaksanaan
e
Polimorfik Light Clobetasol cr 10g 3dd, histapan
1 18/09/2018 SA-xxxxxx A Medic Tn.G 47 dr. Nirma, Sp.KK.
Eruption 1x1tab noct
Acne vulgaris Clindamycin 300mg 2x1tab,
2 18/09/2018 SA-xxxxxx A Medic Tn.A 23 dr. Nirma, Sp.KK.
sedang Krim malam, Krim siang
Cefixime 100mg 1x4tab,
3 18/09/2018 SA-xxxxxx A Medic Tn.D 28 Uretritis GO dr. Nirma, Sp.KK.
Azitromisin 500mg 1x2tab
Combutio + Clindamisin 300mg 2x1, Benoso
4 18/09/2018 SA-xxxxxx B Bedah Ny.S 37 G ceam 5gr 2dd, cetirizin dr. Nirma, Sp.KK.
Infeksi sekunder 1x10mg noct
Ketokonazole 2x 200mg PO,
5 18/09/2018 SA-xxxxxx A Medic Ny. T 48 Tinea korporis miconazole 10 gr cream 2dd, dr. Nirmawati SpKK
cetirizine 1x 10mg noct
Ketokonazole 2x 200mg PO,
6 18/09/2018 SA-xxxxxx A Medic Ny. S 43 Tinea Cruris miconazole 10 gr cream 2dd, dr. Nirmawati SpKK
cetirizine 1x 10mg noct
Gangguan
depresi berat
7 21/09/2018 SA-004663 E Psikiatri Ny. K. 57 Clozapie 25 mg tab 1/2-0-1/2 dr. Leony, SpKJ
tanpa gejala
psikotik
Gangguan
8 21/09/2018 SA-109680 E Psikiatri Tn. H. 40 cemas baur Clozapine 100 mg 1/2-0-1/2 dr. Leony, SpKJ
depresi
Gangguan Haloperidol, Clozapie , CTM
9 21/09/2018 SA 081765 E Psikiatri Ny, S 53 dr. Leony W. Sp.KJ
somatisasi dalam mfla pulv da in caps
Gangguan
10 21/09/2018 SA-xxxxxx E Psikiatri Tn. T. 49 cemas Alprazolam 0.5 mg 0-0-1 dr. Leony, SpKJ
menyeluruh
11 21/09/2018 SA-xxxxxx E Psikiatri Ny.S 30 EPS Benadryl inj IM dr. Leony, SpKJ
HCU, O2 3-4lpm, ISDN 5mg,

Infus RL 7tpm, Amlodipin
ACS, STEMI
12 22/09/2018 00.195.868 C Kegawat Daruratan Tn.A 54 1x10mg, CPG 1x4tab, Aspilet dr. Renny
anterior luas 1x2tab, ranitidin 2x1 amp IV,
Morfin 0.5cc/jam
TIA+ Hipoglikemi IUFD 2A+NB 15tpm + O2 3lpm,

+ DM TII Bolus D40 2fl + GDS/jam +
+Hipertensi gr
13 22/09/2018 00.196.804 C Kegawat Daruratan Ny.T 67 Amlodipin 1x10mg + CPG dr. Meirinda
2+ Anemia 1x75mg PO+ Citicolin 2x250mg
def.Fe + CKD stg IV, Ranitidin 2x1 amp IV
IV
Melena e.c infus D5 20tpm + Pantprazole

gastritis erosiva 2x40mg
14 22/09/2018 00.196.818 B Bedah Tn.L 61 IV+ Sukralfat 4x10cc + dr. Meirinda
+ susp. Tumor D40 2fl + GDS/4jam
inraabdomen
Ambroxol/cetirizine/lasal mfla
15 24/09/2018 SA-xxxxxx A Medic An H 1 ISPA dr. Retno Sp.A
pulv
16 24/09/2018 SA-xxxxxx A Medic An. N 7 Tifoid fever Rawat, Cefotaxime, Paracetamol dr. Retno Sp.A
Vulnus punctum
17 24/09/2018 SA-xxxxxx B Bedah An.K 13 a.r plantar pedis Konsul bedah, paracetamol dr. Retno Sp.A
dextra
By.Ny.
18 24/09/2018 SA-xxxxxx A Medic 0 Milia Mustela cream dr. Retno Sp.A
S
19 25/09/2018 SA-xxxxxx A Medic Tn. R 56 TBP OAT FDC, lapisiv syrup dr. Nanang Sp.P
Meptin syr, lapisiv syrup,
20 25/09/2018 SA-xxxxxx A Medic Tn. H. 66 PPOK dr. Nanang Sp.P
symbicort
RL 500cc loading -> 20tpm,

21 27/09/2018 00.197.149 A Medic Ny.T 60 GEA+DRS Diagit 3x2tab, Inj Pantoprazole dr. Sri
1x40mg, Ondancetron 3x1amp
D5 8tpm, Picyn 3dd x 1000mg,

Demam
22 27/09/2018 00.197.120 A Medic An.W 5 Pct syrup, Ambroxol/GG mfla dr. Arvin
Paratifoid,BP pulv
Anemia e.c
Hematochezia
23 27/09/2018 00.197.184 A Medic Tn.W 47 RL 20tpm, Anadium 2x1tab dr. Arvin
e.c Haemorroid
gr II
Anemia e.c RL 20tpm, Ceftriaxon 2x1gr IV,

24 27/09/2018 00.197.182 A Medic Ny.E 23 Ulkus a/r Ranitidin 2x1amp IV, Sanmol dr. Arvin
Gluteus Dextra 3x500mg PO
DM tipe II + DRS RL 30tpm, Transfusi albumin

+ Anemia + 100cc 3hari, PRC 3 labu,
55 Hipoalbumin+ + Ampicillin Sulbactam 2x1,5gr,
Malnutrisi
25 27/09/2018 00.046.544 A Medic Tn.A dr. Arvin
Pantoprazole 1x40mg I, Channa
Elektrolit 1x1, Gelafisin 300cc,
Imbalance
Disfagi e.c Ca
nasofaring +
26 27/09/2018 00.022.636 B Bedah Tn.U 62 Dehidrasi RL loading 5oocc dr. Arvin
Ringan
Sedang
Mastitis TB + RL 20tpm + Pantoprazole

27 27/09/2018 00.196.370 A Medic Ny.N 28 Lactatis dr. Arvin
1x40mg IV, Sanmol 3x500mg PO
Adenoma
Infus 2A 500cc + Neurosanbe 1

Radikulopati
28 27/09/2018 00.197.191 A Medic Ny.D 47 amp + Ketolorac 1 amp 20tpm, dr. Arvin
Lumbal Inj Ranitidin 2 x 1 amp
Infus 2A + Neurosanbe 1amp

29 27/09/2018 00.163.155 A Medic Ny.D 25 BPPV 20tpm, Betahistin 2x2 tab, dr. Arvin
Pantoprazole 1x 40mg IV
Infus D5 10tpm Makro,

Cefotaxime 3x750mg IV, Sanmol
30 27/09/2018 00.197.186 A Medic T 10 Demam Tifoid dr. Arvin
syr forte 3x cth 1,1/4 PO,
Interlac sach 1x1 PO
Inf NaCl 0,9% 20tpm, Ketolorac

Anemia gravis 1x1amp, Hb<8gr/dl trf PRC 2
31 30/09/2018 00.115.732 B Bedah Ny.S 49 e.c Susp Ca dr. Renny
labu trf segera, Tutup rectum
Colon dengan kassa lembab
Susp. Stroke Inf 2A + NB 20tpm, Ranitidin

infark sistem 2x1amp,
32 30/09/2018 00.197.326 C kegawat Daruratan Tn.W 52 vertebrobasiler scan, cekCiticolin 2x500mg, Ct dr. Renny
profil lipid & as.urat,
kiri
O2 3lpm, Inf RL 20tpm, Nebu

PPOK meptin&fulmicort 3dd,
33 30/09/2018 00.197.331 C Kegawat Daruratan Tn.A 68 eksaserbasi dr. Renny
akut Pantoprazole 1x40mg IV, Pct
3x500mg PO, Anbacim 2x1 IV
G1P0A0
D kebidanan dan Parturien
34 30/09/2018 00.197.336 Ny.H 27 Inf RL 20tpm dr. Renny
perinatologi posterm kala I
fase aktif
O2 3lpm, Inf RL 7tpm,

Pantoprazole 1x40mg amp IV,
+ CHF Ondancetron 3x1amp IV,
35 3/10/2018 00.183.341 A Medic Ny.S 55 Gastropati Sukralfat syr 4x10cc, Digoxin dr. Owen
FC II-III 1x0,25mg PO, KSR 1x1 tab,
Aspilet 1x1tab, Kendaron
1x1tab
Inf RL 30tpm, Pct 3x500mg PO,

Dengue fever + Immunos 1x1kapl PO, Diagit
36 3/10/2018 00.197.672 A Medic Tn.D 48 GEA dr. Owen
3x2tab PO, Pantoprazole
1x40mg IV
O2 1-2lpm (nc), Nebu

combivent 1amp (IGD)
->teruskan diruangan /8jam, Inf
D1:4 20tpm mikro, Pct drops
3x0,8cc (prn), ambroxol drops dr. Owen
37 3/10/2018 00.195.553 A Medic By.MH 0 Susp. BP 3x0,3cc -> Tunda, OGT, Cinam
3x250mg IV (ST), cetirizin drops
2x 0,2cc, Dexamethasone 3x
1mg (IV), Gentamicin 1x50mg IV
(ST)
Ind RL 20tpm, Pantoprazol

38 3/10/2018 00.193.824 A Medic Tn.V 24 Gastritis akut 1x40mg IV. Gitas IV (extra) dr. Owen
lanjut Braxidin, Sukralfat 4x10cc
Inf 2A + NB 20tpm, Ranitidin

Stroke Infark dd 2x1amp, Amlodipin 1x5mg PO, dr. Owen
39 3/10/2018 00.142.981 c Kegawat Daruratan Ny.K 44 PIS Citicolin 2x500mg, Ct scan, cek
profil lipid & as.urat,

DHF gr I + Immunos 1x1kapl PO, Analsik dr. Owen
40 3/10/2018 00.175.764 A Medic Tn.R 24 Inflammatory 3x1 PO, Obs TTV/8jam, Darah
headache Rutin /24jam
Susp. Tifoid Inf RL 30tpm, Pct 3x500mg PO,

25 klinis + Obs
41 3/10/2018 00.197.658 A Medic Tn.I Pantoprazole 1x40mg IV, Cek dr. Owen
febris H-5 e.c widal, Inj. Ceftriaxon 2x1gr IV
susp. DF
Susp. Inf RL 20tpm, Inj Ranitidin 2x1

42 3/10/2018 00.108.421 B Bedah Tn.A 38 Cholelithiasis + amp IV, Inj Ketolorac 2x1amp IV, dr. Owen
Gastropati Sukralfat 4x10cc PO
Gastropati DM+ O2 3-5lpm, Head up 30drjt, Inf

TBP on therapy NaCl 20tpm, Inj Furosemide
+DM TII on 2x2amp IV, Amlodipin 1x10mg
43 3/10/2018 00.196.853 A Medic Ny.E 56 therapy dgn PO, Obat rutin lanjut, Inj dr. Owen
susp. DKD + Pantoprazole 1x40mg amp IV,
susp. CHF + Sukralfat syr 4x10cc PO, Kalitake
hiperkalemia 3x2sach
Inf 2A+NB 20tpm ->16tpm,

Amlodipin 1x5mg PO, Digoxin 1x
0,25mg PO, Cek profil lipid,
asam urat, Concor 1x2,5mg,
Simarc (Na Walfarin) 1x2mg
setelah CT scan,Manitol
4x125cc guyur, CT scan epala
Susp. Stroke CITO, Citicolin 2x500mg IV,
66 infark + Atrial
44 3/10/2018 00.179.566 C Kegawat Daruratan Ny.E bedrest semifowler 35drjt, dr. Owen
fibrilasi + Perdipin (Nicardipine)
Cardiomegali 0,5mcg/kgBB/menit tiap
15menit naikan
0,2mcg/kgBB/menit, Captopril
3x50mg/NGT, Ceftriaxon 2x1gr
IV, Pasang NGT, pro ICU,
Ranitidin 2x1amp IV, pasang
kateter
Inf RL 20tpm, Captopril 3x25mg

HT Urgensi + PO, Amlodipin 1x 10mg PO,
45 3/10/2018 00.187.092 C Kegawat Daruratan Ny.T 54 Nyeri kepala Concor ( bisoprolol) 1x 2,5mg dr. Owen
sekunder PO, Analsik 3x1 tab PO
Inf RL 20tpm , PCT 3x 500mg

46 3/10/2018 00.197.673 A Medic Nn.M 19 GEA+DRS PO, Cefotaxim 2x1gr (ST), Inj dr. Owen
Ranitidin 2x1 amp IV
Inf RL 20tpm, Inj Ranitidin 2x1

amp IV, Inj Ketolorac 1x1amp IV,
Susp. Tuba Profenid (Ketoprofen 50mg)
33 ovarian dextra
47 3/10/2018 00.102.919 B Bedah Ny.A supp/8jam, Jika masih nyeri dr. Owen
abses post rujuk RSHS, jika nyeri berkurang
ekstrasi IUD Rawat + Cefadroxil tab 2x500mg
PO, Metronidazol 3x500mg PO
WT + Spalk imobilisasi + Inf RL

Closed fracture 20tpm + inj Ketolorac 3x1/2
48 3/10/2018 00.197.678 C Kegawat Daruratan An.E 7 os femur sinistra amp IV, Inj Ceftriaxon 2x750mg dr. Owen
IV, Pro ORIF
Inf RL 30tpm + Pct 3x 1gr IV, Inf

Susp. Pantoprazole 1x40mg amp IV, dr. Owen
49 3/10/2018 00.197.677 C Kegawat Daruratan An.S 15 Appendicitis Inj Ceftriaxone 2x1gr IV, Puasa,
akut + DHF gr I cek darah rutin
In RL 8 tpm, Inj Raitidine

Gastropati + HT 2x1amp IV, Sukralfat syr 4x10cc, dr,Beny
50 5/10/2018 00.196.571 A Medic Ny.M 66 stage II + HHD Inj ondancetron 4mg IV (extra),
kompensata Captopril 3x25mg PO
In RL 40gtt/mnt mikro-> 3jam,

Diare kronik + selanjutnya 20gtt/mnt mikro,
d kebidanan dan Cinam 3x250mg IV (ST), Lacto B dr,Beny
51 5/10/2018 00.197.806 By.MA 0 Dehidrasi Ringan 2x1, Interzinc 1x1,
perinatologi Oralit
sedang 100cc/mencret, Sanmol drops
3x0,8cc , Feses Rutin,
Inf D1:4 15tpm makro, PCT tab

12 Demam 3x3/4 tab, Ceftriaxone 2x750mg dr,Beny
52 5/10/2018 00.197.847 A Medic An.R Paratifoid (IV) ST, Sukralfat syr 3xcthI (ac),
Interlac tab 1x1
Pasang NGT u/ dekompresi, Inf

RL 30tpm, Inj ceftriaxone 2x1gr
55 Ileus paralitik
53 5/10/2018 00.007.410 C Kegawat Daruratan Tn.D parsial + HT gr II IV, Inj Ranitidine 2x1amp IV, inj dr,Beny
Ketolorac 3x1amp, Inf D5 500cc
(extra IGD)
Inf 2A+NB 20tpm, Gabapentin

Radikulopati tab 2x350mg PO, Eperisone tab
Lumbal dd 3x1 PO. Infus Nacl 0,9% 1l
Radikulitis e.c dalam 30menit-> Infus Nacl
54 5/10/2018 00.197.799 A Medic Ny.N 56 neuropati 0,9% 1l dalam 1jam-> cek GDS dr,Beny
diabetikum + -> Infus Nacl 0,9% 1l dalam
DM tipe II + KAD 2jam -> Infus Nacl 0,9% 1l
ringan dalam 4jam -> 20tpm
G2P1A0 O2 2lpm nc, Inf RL 20tpm,

Parturien
d kebidanan dan Oxytocin 1amp IV, Cefadroxyl
55 5/10/2018 00.197.855 Ny.N 30 preterm kala II dr,Beny
perinatologi 3x500mg PO, As. Mef tab 3x1
fase aktif + PO
KPSW
O2 3-4lpm nc, Head up 30drjt,

ISDN 5mg 1x1, CGP tab 75mg
Obs Chest pain 4x1 -> 1x1 PO, Aspilet tab 80mg dr,Beny
56 5/10/2018 00.197.851 C kegawat Daruratan Ny.T 42 e.c UAP 1x1tab PO, Inf Nacl 0,9% 7tpm,
Sukralfat syr 4x10cc PO, Cek
troponin I, Ro Thorax
Trauma Debridemen amputatum digiti,

57 5/10/2018 00.081.732 B Bedah Tn.A 31 amputatum Inf RL 20 tpm, Ceftriaxon 2x1gr dr,Beny
digiti 4 pedis IV (ST)
sinistra
Loading RL 500cc->20tpm, PRC

Anemia gravis
D kebidanan dan 2 labu, Regumen
58 5/10/2018 00.197.854 An. N 13 e.c dr,Beny
perinatologi (Norethisterone/progesteron
Menometroragi sintetis) 2x 1 tab PO
Spinal cord
Injury, Ulkus
dekubitus a/r
42 gluteus sentral, Inf RL 20tpm, WT, Ceftriaxon
59 5/10/2018 00.197.858 C Kegawat Daruratan Tn.E dr,Beny
Fraktur 2x1gr IV (ST)
kompresi
vertebra cervical
5
kebidanan dan 34 P3A0 post sc a.i SC e.i PEB

60 8/10/2018 00.197.901 D Ny.E dr. Herman SpOG
perinatologi PEB
PUA Regumen
kebidanan dan
61 8/10/2018 SA-xxxxxx d Ny. M 46 (Perdarahan (Norethisterone/progesteron dr. Herman SpOG
perinatologi uterus sintetis) 2x1 tab PO
abnormal)
47 Laringitis e.c Lansoprazole 1x1tab, Sukralfat

62 11/10/2018 198.35 A Medic Ny.L GERD syr 4xcth2 dr. Purwadi Sp.THT-KL
Amoksisilin 500mg 3x1tab,

63 11/10/2018 136.995 A Medic Tn.Y 33 Sinusitis Ambroxol 30mg 3x1tab, Pct dr. Purwadi Sp.THT-KL
500mg 3x1tab prn.
64 11/10/2018 177.513 A Medic Z 14 Epistaksis As. Traneksamat 2x1 tab prn dr. Purwadi Sp.THT-KL
anterior
65 11/10/2018 198.367 A Medic Tn.H 73 Serumen ekstraksi serumen dr. Purwadi Sp.THT-KL
28 TB kelenjar axilla BE
66 12/10/2018 197.05 B Bedah Tn.R dr. Danny Sp.B
Sx + B20
67 12/10/2018 195.634 B Bedah Ny.A 38 SNNT Lobectomy tiroid Sx dr. Danny Sp.B
Post incisi
68 12/10/2018 197.413 B Bedah D 23 drainage abses aff jahitan dr. Danny Sp.B
ischium
69 12/10/2018 .002.486 B Bedah Ny.S 48 Post

appendectomy interlact 1x1tab dr. Danny Sp.B
kontrol jahitan
70 12/10/2018 .097.508 B Bedah F 8 VL a/r labia oris dr. Danny Sp.B
superior
71 12/10/2018 197.292 B Bedah Tn.M.S 75 BPH Prostatectomy dr. Danny Sp.B
72 12/10/2018 178.635 B Bedah A 1 Polip umbilikus BE dr. Danny Sp.B
73 12/10/2018 131.204 B Bedah Ny.R 32 Tumor colli Dx Biopsi Ekstirpasi dr. Danny Sp.B
14 Susp.TB kelenjar Biopsi Ekstirpasi

74 12/10/2018 198.205 B Bedah A dr. Danny Sp.B
Sx dd kista
47 Kista dusktus
75 12/10/2018 198.155 B Bedah Tn.D Biopsi Ekstirpasi dr. Danny Sp.B
tiroglossus
66 Ulkus dekubitus Debridement, Pasang kateter

76 12/10/2018 198.231 B Bedah Ny.I dr. Danny Sp.B
a/r gluteus
66 asma bronkiale Theobron 2x1 tab prn, Cetirizine dr. Nanang Sp.P
77 16/10/2018 188.228 A Medic Ny.S tab 1x1tab noct
32 Limfadenitis TB FDC 1x2tab ac, Curcuma 1xcth1, dr. Nanang Sp.P

78 16/10/2018 196.097 A Medic Ny.S Lansoprazole 1x1tab
O2 3lpm, RL 20tpm, nebu

combivent+Flexotide/8jam,
Kegawat Daruratan Ny.R.A 51 eksaserbasi akut Pantoprazole
asma bronkiale 1x40mg IV, Prome dr. Dea/ dr.Nanang
79 .040.586 C syrup 3x1 cth PO, PCT 3x1 tab Sp.P
PO, Ceptix 2x200mg PO, MP
2x62,5mg IV prn jika sesak
Syok
hipovolemik e.c RL loading 500ml lanjut RL : D5
80 158128 c kegawat Daruratan Ny.A 46 low intake + dr. Dea
post kolostomi = 2 : 1, NGT, EKG, RO thorax AP
a.i perforasi
Diagit 3x2tabb/BAB, Oralit 1

36 GEA tanpa
81 200989 A Medic Ny.D sach tiap BAB, Omeprazol 2x dr. Dea
dehidrasi 20mg a.c PO
Inf RL 20tpm, Inj Ranitidine

82 135261 A Medic D 31 GERD 2x1amp IV, Sukralfat 4x10cc PO dr. Dea
83 18/10/18 198.98 A Medic A 12 Astenopia C.Lyteers ED 3dd gttI ODS dr.Agung Sp.M
84 18/10/18 198.985 A Medic Tn.W 67 KSI ODS Catarlent ED 3dd gttI ODS dr.Agung Sp.M
Incisi chalazion, Ciprofloxacin
85 18/10/18 198.941 A Medic Ny.Y 52 Chalazion PI OS 2x500mg PO, C.Xytrol ED 3dd dr.Agung Sp.M
gttI OS
24 Konjungtivitis LFX ED 6dd gttI OS, C.Lyteers ED dr.Agung Sp.M

86 18/10/18 199.001 A Medic M akut viral OS 6dd gttI OS
Inf RL 20tpm, ondancetron

3x4mg IV, Ranitidin 2x50mg IV, dr. Sri/ dr. Rani Sp.PD
87 22/10/18 159.344 A Medic Ny.I 69 GEA+DRS Diagit 3x2tab/BAB cair PO,
Interlact 1x1 PO
Inf D 1:4 20tpm, ondancetron

3x3mg IV, Ranitidin 2x40mg IV,
11 Tifoid Fever +
88 22/10/18 .091.798 A Medic D PCT 3x3/4tab PO, Lacto B 2x1 dr. Sri/ dr. Retno Sp.A
Obesitas sach PO, Ceftriaxon 2x750mg IV,
Dehidralit 200cc/muntah PO,
O2 nc 3lpm, Inf RL 7tpm,

59 CHF FC III-IV +
89 22/10/18 .191.923 A Medic Tn.O Amlodipin 1x10mg PO, Furoseid dr. Sri/ dr. Dini Sp.JP
HHD 2x40mg PO, Digoxin 1x1tab PO
90 22/10/18 .199.288 F Medikolegal Ny.R 45 KLL kereta api Visum PL dr. Sri
Inf 2A+NB 20tpm, Betahistin
2x2tab PO, Alprazolam 0,5mg 0- dr. Sri/ dr. Yourdian
91 22/10/18 113.342 A Medic Tn.A 40 BPPV Sp.S
0-1/2tab
Inf NaCl 0,9% + Tramadol 50mg

drip 15tpm, Ketolorac 3x1amp
92 22/10/18 199.205 A Medic Tn.J 58 OA dd HNP IV, Ranitidin 2x50mg IV, Myonal dr.Sri
2x1tab PO, Gabapentin
2x300mg PO
Soft Tissue
93 27/10/2018 199.366 B Bedah Tn. R 34 tumor periorbita BE dr. Danny Sp.B
Dextra
dd inf RL 20tpm, Ranitidin 2x1 amp

94 27/10/2018 197.569 B Bedah Ny.I 38 cholelithiasis IV, Cefotaxim 3x1gr IV, Pct dr. Danny Sp.B
cholecystitis 3x1tab PO
Peritonitis e.c Inf RL 20tpm, Ceftriaxon 2x1gr

34 appendicitis IV, Ranitidin 2x1amp IV,
95 27/10/2018 197.958 C Kegawat Daruratan Ny.R dr. Danny Sp.B
perforasi + cyst ketolorac 3x1 amp IV,
torsio Laparotomi eksplorasi
Inf RL 20tpm, Ceftriaxon 2x1gr

IV, Ranitidin 2x1amp IV, pasang
96 27/10/2018 198.298 B Bedah Tn.A 65 BPH dr. Danny Sp.B
kateter, rencana Radical
Prostatectomy
54 Tumor mammae BE
97 27/10/2018 197.988 B Bedah Ny.N dr. Danny Sp.B
Sinistra
65 Hernia scrotalis Hernioraphy

98 27/10/2018 197.689 B Bedah Tn.A dr. Danny Sp.B
sinistra
Pregabalin 1x75mg PO, CPG

Seq Stroke, LBP, 1x1tab PO, sukralfat 3x10cc a.c,
99 29/10/2018 .090.223 A Medic Tn.M 58 Gastropati dr.Gian Sp.S
Ranitidin 2x1 tab PO, Sanmol
2x1tab prn PO
Eperisone 3x1tab PO, Celebrex

46 Rotator cuff (celecoxib) 2x200mg PO,
100 29/10/2018 191.621 A Medic Ny.T dr.Gian Sp.S
sindrom Lansoprazole 2x30mg ac PO,
Lyrica (pregabalin) 1x75mg PO
Na diklofenak 2x50mg PO,

57 Radikulopati Ranitidine 2x1tab ac PO,
101 29/10/2018 197.794 A Medic Tn.A dr.Gian Sp.S
lumbal Pregabalin 1x75mg PO, Myobat
(eperisone) 2x1tab PO
Carbamazepin tab 200mg 1-0-

102 29/10/2018 132.724 A medic Tn. R 29 epilepsi 2tab PO, Calos (ca carbonate) dr.Gian Sp.S
1x1tab PO
41 Hemifacial Clobazam 0-0-10mg tab PO,

103 29/10/2018 199.817 A medic Tn.D dr.Gian Sp.S
spasm Haloperidol 2x0,5mg PO
Celebrex (celecoxib) 2x200mg

104 29/10/2018 .032.037 A medic Ny.H 41 LBP PO, Ranitidine 2x1tab ac PO, dr.Gian Sp.S
CPG 1x1tab PO, Betahistin

Vertigo sentral, 3x6mg PO, Fenofibrat 1x300mg
105 29/10/2018 .000.305 A medic Tn.M 57 HT, dr.Gian Sp.S
PO, Amlodipin 1x5mg ,
Hipertrigliserida Macobalamin 1x500mcg
69 Frozen shoulder Gabapentin 1x300mg PO,

106 29/10/2018 142.537 A medic Tn.M dr.Gian Sp.S
dextra Dexketoprofen 2x1tab pc PO

107 29/10/2018 199.762 A medic Ny.A dr.Gian Sp.S
cervical Pregabalin 1x75mg PO,
Eperisone 2x1tab PO
Amitriptilin 1/4tab+ibuprofen
200mg+PCT 300mg+alpentin
48 Seq Stroke + (gabapentin)150mg+
108 29/10/2018 199.815 A medic Ny.A dr.Gian Sp.S
thalamic pain mecobalamin 250mcg mfla pulv
dtd 2x1pulv pc PO, Lansoprazole
1x30mg PO, CPG 1x1tab PO
30 skizoafektif tipe Haloperidol 1,5mg + CTM 1 tab dr. Leony. SpKJ

109 30/10/2018 SA001358 E Psikiatri Tn.A depresif mfla pulv da in caps 1dd noct
Gangguan Haloperidol 0,5mg + CTM 1/2

110 30/10/2018 0.07334 E Psikiatri Ny.G 43 jadwal tidur jaga tab mfla pulv da in caps 1dd dr. Leony. SpKJ
non organik noct
Gangguan clobazam 0-0-10mg tab PO,

111 30/10/2018 .00170.842 E Psikiatri Nn.P 20 cemas clozapin 0-0-25mg tab PO, THF dr. Leony. SpKJ
menyeluruh 0-0-2mg tab PO
gangguan
57 depresi berat
112 30/10/2018 131.839 E Psikiatri Tn.D clozapin 25mg-0-25mg tab PO, dr. Leony. SpKJ
dengan gejala
psikotik
113 30/10/2018 167.4 E Psikiatri Ny.V 29 gangguan

depresi sedang clozapin 100mg 0-0-1/2 tab PO, dr. Leony. SpKJ
clozapin 100mg 0-0-1/2 tab PO,

114 30/10/2018 68.397 E Psikiatri B 21 skizofrenia risperidon tab 2mg 1-0-1, CTM dr. Leony. SpKJ
hebefrenik 1-0-1tab PO
Haloperidol 1,5mg 1-0-1 tab PO,

115 30/10/2018 00.199.424 E Psikiatri D 35 Gangguan THF 2mg 1-0-1 tab PO, CPZ dr. Leony. SpKJ
psikotik akut 100mh 0-0-1/2tab PO
53 skizofrenia clozapin 100mg 1/4-0-1/4 tab

116 30/10/2018 00.198.110 E Psikiatri Tn.R dr. Leony. SpKJ
paranoid PO,
38 gangguan Govotil 5mg 2dd tab1/2, CTM dr. Leony. SpKJ

117 30/10/2018 169.901 E Psikiatri Tn.S depresi ringan 2dd tan1, Nuzip 25mg 1dd tab1
Inf RL loading 500cc/jam lanjut

15tpm mikro, Ondancetron
kebidanan dan 3x1,5 mg Interzinc 1x1cth,
118 3/11/2018 201374 D M.A 0 GEA+DRS dr. Retno Sp.A
perinatologi Picyn 3x250mg IV (ST) dehidralit
100cc/muntah/mencret, Lacto B
1x1 sach
RL loading 2labu lanjut 20tpm,

dexamethason 3x2amp IV,
Dopamin drip mulai 5mcg IV,
45 Septik shock +
119 3/11/2018 200.32 c kegawat Daruratan Tn.U Ondancetron 3x4mg IV, dr. Seno Sp.PD
Cholecystitis Pantoprazole 1x40mg IV,
Metronidazol 3x500mg, IV,
Meropenem 3x1 IV,
O2 2lpm nc, Inf RL 20tpm,

aspilet 1x2tab, CPG 1x4tab,
53 ACS, STEMI ISDN 1x1, Arixtra 1x2.5mg IV
120 3/11/2018 .078.710 c kegawat Daruratan Tn.N dr. Dini SpJP
anteroseptal selanjutny SC, atorvastatin
1x20mg PO, Concor 1x2,5mg
PO, Nitrokaf 2x2,5mg PO
RL 30tpm, Nebu combivent, O2

3lpm nc,Pantoprazole 1x40mg
TBP aktif + IV, sanmol 3x1tab PO, Prome
121 3/11/2018 200.324 A Medic Tn.S 51 anemia e.c dr. Nanang Sp.P
penyakit kronis syrup 3x1C PO, Oxtercid
3x750mg, Pro TB4 3-0-0,
Hepamax 1x1tab PO
RL 20tpm, Ondancetron 3x4mg

122 .030.429 A Medic Ny.A 47 Gastropati dr. Kartika
IV, Pantoprazole 1x40mg IV
RL loading 1 labu, Ondancetron

3x4mg IV, Pantoprazole 1x40mg
Gastropati + IV, sukralfat 4x10cc PO,
123 200.313 A Medic Tn.E 58 efusi pleura Ceftriaxon 2x1gr ST IV, Lapisiv dr. Nanang Sp.P
Dextra syr 3x1cth PO, USG thorax
marker
Inf 2A+NB 20tpm, Ranitidin

124 185.891 A Medic D 14 BPPV 2x1amp, sanmol 3x500mg PO, dr. Gian Sp.S
Betahistin 3x6mg PO
Ind D1:4 10tpm mikro, O2 1lpm

nc, Lerzin 2x0,1cc PO, PCT drops
BP dd/
125 196.265 A Medic N 0 3x0,5cc, Nebu velutin 3dd, Pycin dr. Retno Sp.A
bronkiolitis 3x125mg Iv ST, gentamycin
1x30mg IV

126 197.795 A Medic Ny.J lumbal Pregabalin 1x75mg PO, Myobat dr. Gian Sp.S
(eperisone) 2x1tab PO
Pregabalin 1x75mg PO, CPG

54 Seq Stroke, 1x1tab PO, sukralfat 3x10cc a.c, dr. Gian Sp.S
127 .015.418 A Medic Tn.S Gastropati Ranitidin 2x1 tab PO, Sanmol
2x1tab prn PO
Carbamazepin tab 200mg 1-0-

128 187.547 A Medic Ny.D 37 epilepsi 2tab PO, Calos (ca carbonate) dr. Gian Sp.S
1x1tab PO
Eperisone 3x1tab PO, Celebrex

46 Rotator cuff (celecoxib) 2x200mg PO,
129 191.621 A Medic Ny.T dr.Gian Sp.S
sindrom Lansoprazole 2x30mg ac PO,
Lyrica (pregabalin) 2x75mg PO,

130 199.042 A Medic Ny.C 50 LBP Celebrex (celecoxib) 2x200mg dr.Gian Sp.S
PO, Ranitidine 2x1tab ac PO
131 9/10/2018 154543 B Bedah Tn.R 35 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
132 9/10/2018 200253 B Bedah Tn.H 56 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
133 9/10/2018 200412 B Bedah Tn.U 55 Lymphadenitis Biopsi Ekstirpasi dr. Danny Sp.B
axilla S
17 HIL Sinistra
134 9/10/2018 200335 B Bedah Tn.D Hernioraphy+ Hidrocelectomy dr. Danny Sp.B
dd/Hidrochele
135 9/10/2018 200412 B Bedah Tn.A 25 HIL sinistra Hernioraphy dr. Danny Sp.B
136 9/10/2018 117518 B Bedah Ny.D 30 Haemorroid

interna gr III-IV Haemoroidectomy dr. Danny Sp.B
48 Hernia scrotalis Hernioraphy

137 9/10/2018 200126 B Bedah Tn.A dr. Danny Sp.B
dextra
13 Abses plantar
138 9/10/2018 200637 B Bedah An.I Incisi drainage dr. Danny Sp.B
pedis
139 9/10/2018 xxxxx B Bedah Tn.H.I 30 Appendicitis Appendectomy dr. Danny Sp.B
akut
75 Corpal kornea ekstirpasi corpal, LFX ED 6dd gttI dr. Agung Sp.M
140 8/10/2018 198.704 A Medic Tn.E OD OD, C.Lyteers ED 6dd gttI OD
141 8/10/2018 197839 A Medic Tn.S 75 Astenopia C.Lyteers ED 3dd gttI ODS dr. Agung Sp.M
Sumbatan
142 8/10/2018 139.764 A Medic Ny.S 62 duktus Chloramphenicol ED 3dd gttI OS dr. Agung Sp.M
nasolakrimalis
OS
143 8/10/2018 0.020651 A Medic Ny.N 51 Pterigium gr I OS Hyalub ED 3dd gttI OS dr. Agung Sp.M
Diazepam pulv, PCT syr 3dd cth dr. Dea

144 128.034 C Kegawat Daruratan Z 4 KDS 1/2, diazepam supp, (Pulpak)
Inf RL 30tpm, Inj Pantoprazole

145 177818 A Medic Tn.S 57 Gastritis akut 1x1amp IV, Sukralfat 4x10cc PO dr. Dea
(Pulpak)
Inf RL 20tpm, Inj Ranitidine

146 200985 C kegawat Daruratan Ny.A 67 Colic Renal 2x1amp IV, inj Ketolorac dr. Dea
3x1amp
Stomatitis +
12 chelitis + infeksi Inf RL 20tpm, Kenalog in
147 200986 A Medic S dr. Dea
sekunder + DRS orabase, PCt syr 3x 1cth
e.c low intake
RL 15tpm mikro, Interzinc 1x1,

dehidralit
GEA + DRS +
148 139807 A Medic A 6 100c/muntah/mencret, dr. Retno Sp.A
Demam tifoid Cefotaxime 3x750mg IV, Sanmol
syr forte 3x cth 1,1/4 PO,
Asam Mefenamat 3x500mg PO,

Regumen
kebidanan dan
149 122.827 d D 25 DUB (Norethisterone/progesteron dr. Herman SpOG
perinatologi sintetis) 2x1 tab PO, Omeprazol
2x20mg PO
Mutiple VL +
closed fracture
1/3 distal radius Inf Rl 20tpm , Inj Ceftriaxone
150 200.988 B Bedah N 29 dextra, 2x1gr IV, Ketolorac 2x1 amp, Inj dr.Dea
hematoma Ranitidine 2x1amp IV, WTH
periorbital
dextra
IUFD RL 8tpm, Aspilet 80mg

1x1tab PO, CPG 75mg 1x1tab
68 STEMI PO, Trizedon (Trimetazidine)2x1 dr. Dea
151 .034.439 c Kegawat Daruratan Tn.R anteroseptal tab PO, Concor 1x5mg PO,
Nitrokaf (Glyceryl trinitrate)
2x2,5mg PO
Inf RL 15tpm, Inj Ceftriaxon

Combutio gr I-IIa 2x1gr (ST) IV, Inj Omeprazole
152 198.528 B Bedah Tn.A 29 10% dr. Dea
1x40mg IV, Inj Ketolorac
2x1amp IV
IUFD 2A+NB 8tpm, Ranitidin 2x1

Infark dd amp IV,CPG 1x75mg PO,
153 198.53 c Kegawat Daruratan Ny.D 71 Stroke Piracetam 1x12gr, Amlodipin dr. Dea
PIS 1x10mg PO, Cek profil lipid,
asam urat
Inf RL 75cc/KgBB/4jam lanjut 20

ISPA dd/ tpm mikro, Ondancetron 3x1mg
154 183.152 A Medic A 0 Faringitis akut + prn, Lacto B 1x1 sach, Zinc syr dr. Retno Sp.A
Diare Akut 1x20mg , dehidralit
100cc/muntah/BAB
Inf RL loading 500cc/jam lanjut

20tpm mikro, Ondancetron
3x1,5 mg Interzinc 1x1cth,
GEA +
155 176.301 A Medic A 1 DRS+Hipoglikem dehidralit
100cc/muntah/mencret, Lacto B dr. Retno Sp.A
i 1x1 sach, Bolus D10% 2cc/kgBB
-> 17cc lanjut cek GDS 1 jam
post bolus
RL 15tpm mikro, Interzinc 1x1,

Interlact 1x1, lacto B 2x1,
kebidanan dan Disentri
156 186.891 d R 0 promuba syr 3x3/4cth, dr. Retno Sp.A
perinatologi Amoeba dehidralit
100c/muntah/mencret
RL 10tpm mikro, Diazepam 4mg

IV bila kejang, Diazepam 3x2mg dr. Retno Sp.A
157 173.055 A Medic F 1 KDS PO jika Suhu > 38,5 C Sanmol 3x
cth1, Cinam 3x400mg IV
RL 15tpm mikro, Pct drops

3x0,6cc PO, Cetirizine drop
158 201096 A Medic K 0 DHF gr 2 dr. Retno Sp.A
2x0,1cc PO, DR/12jam awasi
ttv/shift
RL 18tpm, Ranitidin 2x1amp IV,

159 .044.996 A Medic F 13 DF PCT 3x500mg prn, Cek dr. Retno Sp.A
DR/24jam
RL 400cc/jam selama 3jam,

Obs.vomitus e.c lanjut 15tpm makro, PCT syr 3x dr. Retno Sp.A
160 .085.533 A Medic D 8 Faringitis dgn cth 1,5 PO, Ondansetron 3x2mg
DRS IV, Ranivel 2x 1/2 cth PO
RL 10tpm mikro, Gentamisin

kebidanan dan By.Ny.
161 193.057 d 0 BP 1x45mg IV (ST), Transpulmin BB dr. Retno Sp.A
perinatologi S u.e, awasi TTV
RL 10tpm makro, Lacidofid

Diare akut + DRS 1x1/2cth, Pyrexin 3x1, Interzinc dr. Retno Sp.A
162 178.182 A Medic R 1 1x1sach, Dehidralit
100cc/mencret
D1/4 NS 25tpm mikro, Sanmol

163 183.841 A Medic A 1 Obs febris drop 3x0,8cc PO, Ambroxol drop dr. Retno Sp.A
3x0,3cc, L-Bio 2x1sach PO
D1/4 NS 30tpm mikro, pct syr

164 202545 A Medic A 5 DF dd DHF dr. Retno Sp.A
3x1cth
RL asnet, O2 6lpm, kateter,

furosemide 2x3amp , Micardis
68 CHF dd CKD +
165 202380 c Kegawat Daruratan Ny.S 2x1, Digoxin 1x2, Nicardipin dr. Henhen Sp.PD
HT emergency 9cc/jam selama 15menit, naik
0,2cc/kgbb/jam, HD cito
RL 20tpm + Pantoprazole
166 156734 A Medic P 17 DF 1x40mg IV, Sanmol 3x500mg PO dr. Henhen Sp.PD
167 202391 A Medic M 29 Gastropati 1x40mg IV, Episan syr 4x10cc, dr. Henhen Sp.PD
Pct 3x500mg PO
65 Gastropati +
168 201153 A Medic Tn.N 1x40mg IV, Episan syr 4x10cc, dr. Henhen Sp.PD
ISPA Tuzalos 3x1tab
inf 2A+NB 20tpm, betahistin

169 202388 A Medic Tn.D 52 BPPV 2x2tab PO, ondansetron 3x4mg dr.Gian Sp.S
RL 20tpm, nebu meptin

69 TBP aktif, efusi +pulmicort/8jam, O2 3lpm,
170 202394 A Medic Tn.S dr.Nanang Sp.P
pleura Dx Pantoprazole 1x40mg IV, Pct
3x500mg PO
NaCl 0,9% 8tpm, O2 3lpm,

63 CHF FC III-IV + kateter, furosemide 2x20mg IV, dr. Henhen Sp.PD
171 202389 A Medic Tn.T TBP amlodipin 1x5mg, prome syr
3x1cth

furosemide 2x40mg ,
172 202366 A Medic Ny.A 60 CHF FC II-III Spironolakton 1x25mg, Digoxin dr. Henhen Sp.PD
1x1
RL 20tpm, cefotaxim 3x1gr IV ST,

Obs. Febris e.c Pct 3x1tab prn, ambroxol 3x1tab dr. Retno Sp.A
173 201.342 A Medic A 13 TF + BP + Susp. PO Cek DR/24jam, awasi TTV +
DHF gr I tanda"shock
D 1/4 16tpm mikro, Nebu

Bronchiolitis dd velutin 1/2amp /8jam, PCT
174 201.404 A Medic Y 0 3x0,8ml drop, pycin 3x200mg IV dr. Retno Sp.A
Susp.BP ST, Ambroxol 2x0,2ml drop,
Cetirixin 2x0,2ml drop
36 Dermatitis Clobetasol cr 10g 3dd, Cetirizin dr.Nirma Sp.KK

175 xxxxx A Medic Ny. atopik 10mg 2dd tab1
Inerson cream 2dd ue, MTX

35 Psoriasis 3x/12jam selama seminggu di
176 xxxxx A Medic Ny. dr.Nirma Sp.KK
Vulgaris ulang 4x, Racikan
LCD+as.salisilat u.e
Neurodermatitis Clobetasol cr 10g 3dd, Cetirizin

177 xxxxx A Medic Ny. 36 + infeksi 10mg 2dd, MP 4mg 2dd, dr.Nirma Sp.KK
sekunder Amoksisilin clavulanat 3dd tab1
Clobetasol cr 10g 3dd, mandi

Inkontinensia bersih,rendam anak aga lama
178 xxxxx A Medic An 1 dr.Nirma Sp.KK
Pigmentosa dengan air hangat untuk
mengelupaskan krusta"
D1/4 NS 6tpm mikro, Pycin

179 201.288 A Medic R 1 BP 3x325mg IV ST, gentamicin dr. Retno Sp.A
1x75mg IV, sanmol 3x1cth PO
RL 15tpm makro, pct 3x1, trolit dr. Retno Sp.A

180 0.091374 A Medic MB 12 DF dd DHF 3x1sach, DR/12jam
RL 20tpm, nebu meptin

+pulmicort/8jam, O2 6lpm,
PPOK
86 eksaserbasi akut Pantoprazole 1x40mg IV, Pct
181 202544 c kegawat Daruratan Tn.U dr.Nanang Sp.P
+ susp TBP 3x500mg PO, Oxtercid
750mg/8jam, Zycin 1x500mg,
Sputum BTA 3x, OAT masuk
RL 30tpm, PCT 3x1tab, topazol

182 202548 A Medic R 14 DHF gr II dr. Retno Sp.A
1x40mg IV
RL 20tpm + pantoprazole
183 109930 A Medic A 35 Sindr.Dispepsia 1x40mg IV + Ondansetron dr. Henhen Sp.PD
3x4mg IV

Vertigo perifer + 2x2tab PO, ondansetron 3x4mg, dr.Gian Sp.S
184 202553 A Medic N 47 GEA amlodipin 1x5mg, pantoprazole
1x40mg
RL 20tpm + pantoprazole
46 Gastropati +
185 193475 A Medic D 1x40mg IV + Ondansetron dr. Henhen Sp.PD
Pneumonia 3x4mg IV, ceftriaxon 2x1gr IV
RL 8tpm, o2 3lpm, calos 3x1,

ESRD on HD + bicnat 3x1, as.folat 1x1,
186 177189 c kegawat Daruratan I 61 HT urgency + amlodipin 1x10mg, ramipril dr. Henhen Sp.PD
anemia 1x10mg, furosemide 2amp
extra lanjut 3x40mg, Pro HD
RL 8tpm, o2 3lpm, pantoprazole

Obs dyspnea e.c 1x40mg IV, amlodipin
187 202557 c kegawat Daruratan D 62 VES + CHF dr. Henhen Sp.PD
1x5mg,furosemide 2x40mg,
Digoksin 1x1
40 Pterigium gr II
188 6/12/2018 203012 A Medic Tn.D Hyalub ED 3dd gttI OS dr. Agung Sp.M
OS
189 6/12/2018 202983 A Medic V 19 Chalazion PI OS C.Xytrol 3dd gtt1 OS dr. Agung Sp.M
36 Pterigium gr I
190 6/12/2018 202999 A Medic S Protagenta 3dd gtt1 ODS dr. Agung Sp.M
ODS
Konjungtivitis
191 6/12/2018 202998 A Medic F 3 C. lyteers 6dd gtt1 OS dr. Agung Sp.M
akut viral OS
192 6/12/2018 202958 A Medic A 80 KSI ODS Protagenta 3dd gtt1 ODS dr. Agung Sp.M
193 6/12/2018 202961 A Medic F 11 Konjungtivitis Conver ED 3dd gtt1 ODS dr. Agung Sp.M
vernalis
194 6/12/2018 202996 A Medic D 17 Myopia ODS Kaca mata dr. Agung Sp.M
195 6/12/2018 202955 A Medic L 60 KSI ODS Catarlent ED 3dd gttI ODS dr. Agung Sp.M
Pterigium gr II
196 6/12/2018 202964 A Medic N 40 OD + Pterigium Rencana op dr. Agung Sp.M
gr I Os
197 6/12/2018 203009 A Medic Tn.U 59 KSI ODS Catarlent ED 3dd gttI ODS dr. Agung Sp.M
46 Uveitis anterior C.Xytrol 3dd gtt1 OS, MP

198 6/12/2018 122829 A Medic A dr. Agung Sp.M
OD 2x16mg PO
199 6/12/2018 183324 A Medic Ny.R 19 Protesa OS Chloramphenicol EO 2dd OS dr. Agung Sp.M
200 6/12/2018 0.076709 A Medic Ny.H 77 Papil atrofi Rujuk cicendo dr. Agung Sp.M
201 6/12/2018 194993 A Medic M 7 Ambliopia Rujuk cicendo dr. Agung Sp.M
34 skizofrenia Risperidone 2mg 0-0-1, THF

202 17/12/18 201753 E Psikiatri M paranoid 2mg 0-0-1, CPZ 100mg 0-0-1/2 dr.Leony Sp,KJ
203 17/12/18 203872 E Psikiatri Y 58 Gangguan panik clozapin 25mg 0-0-1/2 dr.Leony Sp,KJ
204 17/12/18 198999 E Psikiatri P 29 Gangguan panik clozapin 25mg 0-0-1/3 dr.Leony Sp,KJ
205 17/12/18 1690002 E Psikiatri Y 48 GAD clozapin 25mg 1/4-0-1/4 dr.Leony Sp,KJ
206 17/12/18 203902 E Psikiatri E 46 Residual clozapin 100mg 0-0-1/2 dr.Leony Sp,KJ
Skizofrenia
207 17/12/18 203912 E Psikiatri W 53 Gangguan Alprazolam 1 mg 1/2-0-1/2 dr.Leony Sp,KJ

cemas

208 17/12/18 203921 E Psikiatri D paranoid 2mg 0-0-1, CPZ 100mg 0-0-1/2 dr.Leony Sp,KJ
34 skizofrenia Haloperidol 1,5mg 1-0-1 tab PO, dr.Leony Sp,KJ

209 17/12/18 0.091491 E Psikiatri Y hebefrenik CPZ 100mg 1/2-0-1/2tab PO
210 17/12/18 203918 E Psikiatri I 48 Gangguan Alprazolam 1 mg 1/2-0-1/2 dr.Leony Sp,KJ

cemas
211 17/12/18 203946 E Psikiatri F 24 skizofrenia

hebefrenik clozapin 25mg 0-0-1/2 dr.Leony Sp,KJ
212 17/12/18 198964 E Psikiatri Z 48 Gangguan Alprazolam 1 mg 1/2-0-1/2 dr.Leony Sp,KJ

cemas
213 17/12/18 109071 E Psikiatri S 60 Gangguan panik Alprazolam 0.5 mg 0-0-1 dr.Leony Sp,KJ

214 17/12/18 203939 E Psikiatri Y paranoid 2mg 0-0-1, CPZ 100mg 0-0-1/2 dr.Leony Sp,KJ
Haloperidol 5mg 1/2-0-1/2 tab

215 17/12/18 202872 E Psikiatri T 37 skizofrenia PO, CPZ 25mg 0-0-1tab PO, THF dr.Leony Sp,KJ
hebefrenik 2mg 1/2-0-1.2
59 Nevus Regio
216 108497 B Bedah D BE dr. Danny Sp.B
Buccal Sinistra
217 101928 B Bedah I 40 Appendicitis Appendectomy dr. Danny Sp.B

akut
45 Tumor mammae BE
218 186037 B Bedah V dr. Danny Sp.B
Sinistra
219 202753 B Bedah R 17 Lymphadenitis BE dr. Danny Sp.B

colli Sinistra
220 97767 C kegawat Daruratan L 45 Appendicitis Laparotomi Eksplorasi dr. Danny Sp.B
akut
Appendicitis
221 202982 C kegawat Daruratan S 7 Appendectomy dr. Danny Sp.B
akut
RL 20tpm, Ranitidin 2x1 amp,

65 Gastropati, Pantoprazole 1x40mg,
222 204244 A Medic S dr. Anindhita
Vertigo, HT betahistin 3x6mg, Amlodipin
1x10mg

24 CHF FC II-III, BP furosemide 2x3amp , Micardis
223 199154 A Medic I dr. Anindhita
2x1, Digoxin 1x2, Ceftriaxon
2x1gr
akut Inf RL 20tpm, Inj Ranitidin 2x1

224 204491 A Medic E 58 Gastropati amp IV, Inj Ketolorac 2x1amp IV, dr. Anindhita
dd cholecystitis Sukralfat 4x10cc PO

225 204346 A Medic A 33 Typhoid fever Pantoprazole 1x40mg IV, Cek dr. Anindhita
widal, Inj. Ceftriaxon 2x1gr IV

Immunos 1x1kapl PO, Analsik dr. Anindhita
226 156259 A Medic R 21 DHF gr I 3x1 PO, Obs TTV/8jam, Darah
Rutin /24jam

Pantoprazole 1x40mg IV, Cek
25 Susp Demam
227 204380 A Medic A Tifoid + DHF gr I widal, Inj. Ceftriaxon 2x1gr IV, dr. Anindhita
Immunos 1x1kapl PO, Darah
Rutin /24jam
RL 20tpm, Ondancetron 3x4mg

IV, Pantoprazole 1x40mg IV,
24 Efusi Pleura sukralfat 4x10cc PO, Ceftriaxon dr. Anindhita
228 204469 A Medic N dextra e.c TBP 2x1gr ST IV, Lapisiv syr 3x1cth
PO, Pro TB4 3-0-0, USG thorax
marker

2x2tab PO, ondansetron 3x4mg, dr. Anindhita
229 204324 A Medic E 63 Vertigo perifer, amlodipin 1x5mg, pantoprazole
1x40mg
RL 30tpm, Nebu
combivent+flixotide, O2 3lpm
Susp TBP relaps nc,Pantoprazole 1x40mg IV,
230 204345 A Medic E 36 + Gastropati sanmol 3x1tab PO, Prome syrup dr. Anindhita
3x1C PO, Oxtercid 3x750mg, Pro
TB4 3-0-0, Hepamax 1x1tab PO
RL 20tpm, Nebu
combivent+flixotide, O2 3lpm
nc,Pantoprazole 1x40mg IV, PCT dr. Anindhita
231 204229 A Medic R 25 TB milier 3x1tab PO, Lapisiv syrup 3xcth1
PO, Oxtercid 3x750mg, Pro TB4
3-0-0, Hepamax 1x1tab PO
232 28/12/18 203105 C kegawat Daruratan Y 18 Appendicitis Appendectomy dr. Danny Sp.B
akut
233 28/12/18 204315 B Bedah R 3 HIL Sx Herniotomy dr. Danny Sp.B
36 Susp TB kelenjar BE
234 28/12/18 0.007645 B Bedah C dr. Danny Sp.B
colli Dx
235 28/12/18 0.005672 B Bedah R 39 STT aurikular Dx BE dr. Danny Sp.B
236 28/12/18 197539 B Bedah A 15 STT gluteus BE dr. Danny Sp.B
26 Abses mammae Incisi drainage

237 28/12/18 168880 B Bedah A dr. Danny Sp.B
dextra
238 28/12/18 0.040088 B Bedah A 38 peri anal abses Incisi drainage dr. Danny Sp.B
239 28/12/18 0.03254 B Bedah S 17 STT hidung BE dr. Danny Sp.B
13 STT digiti V
240 28/12/18 0.068149 B Bedah N BE dr. Danny Sp.B
manus Sx
33 VE et VL a/r
241 29/12/18 204961 B Bedah M WT, hecting dr. Danny Sp.B
cruris Dx
ProTB4 3-0-0, RL 20tpm, nebu

combivent+flixotide 3dd, O2 3- dr. Nanang Sp.P
242 29/12/18 204724 A Medic Y 33 TBP 4lpm, Pct 3x500mg , hepamax
1x1, prome syr 3x1C
2A+NB 20tpm, betahistin

243 29/12/18 SA-xxxxxx A Medic K 36 BPPV dr. Gian Sp.S
2x12mg, flunarizin 2x5mg
2A 15tpm, bicnat 3x1, Callos

Acute on CKD, 3x1, as.folat 1x1, amlodipin
29 HT, Gastropati
244 29/12/18 SA-xxxxxx A Medic N 1x10mg, ondansetron 3x1, dr. Seno Sp.PD
uremikum, Hep ketoG 3x1, Omeprazole 1x1,
B kronis curcuma 3x1
NaCl 0,9% 8tpm, O2 2lpm,

kateter, furosemide 2x20mg IV,
spironolakton 1x1, prome syr
3x1cth, nebu
245 29/12/18 SA-xxxxxx A Medic I 60 CAP + CHF dr. Nanang Sp.P
combivent+flixotide 3dd,
ramipril 1x1, digoxin 1x1, zycin
1x1, oxtercid 3x750mg, ranitidin
2x1 amp IV
ileus obstruktif RL : D10 = 2:1, Pantoprazole

246 29/12/18 204556 B Bedah L 70 e.c susp. 1x40mg, Terpacef 2x1, Sukralfat dr. Danny Sp.B
Keganasan 4x10cc PO
Pelvic
34 Inflamatory metronidazole +miconazole
247 7/1/2019 182031 d Obgyn A dr. Herman SpOG
Disease + Fluor vaginal supp
Albus
G2P1A0 gravida
kebidanan dan 32 37-38 minggu +
248 7/1/2019 182030 d N Riwayat SC a/I Rencana SC dr. Herman SpOG
perinatologi
eklamsi
kebidanan dan Abortum

249 7/1/2019 180636 d E 27 Rencana kuret dr. Herman SpOG
perinatologi inkomplit
kebidanan dan Kista bartholin rencana incisi drainage

250 7/1/2019 153502 d E 21 dr. Herman SpOG
perinatologi sinistra +infeksi
gravida Kontrol 1 minggu lagi, rencana

kebidanan dan
251 7/1/2019 185405 d P 29 G2P1A0 induksi jika belum ada dr. Herman SpOG
perinatologi 38-39 mgg tanda"persalinan
Inj Ranitidin, Inj Ketolorac,

62 Gout artritis +
252 13/5/19 179568 A Medic I Meloxicam 2x1tab pc, Ranitidin dr. Esa
Gastritis 2x1tab ac
Inf RL13tpm, Pct syr 3xcth1, cek dr. Esa

253 13/5/19 216504 A Medic BR 2 Viral infection DR T 280.000 NS1 = negatif
GEA tanpa Inj Ranitidin, Amlodipin 1x10mg

noct, Oralit tiap
254 13/5/19 216506 A Medic S 60 dehidrasi + dr. Esa
mencret/muntah, Attapulgite
hipertensi gr II 2tab/mencret, promaag 3x1 ac
Typhoid Cek lab DR dbn, Widal s.typhy O

255 13/5/19 216508 A Medic NR 23 Demam 1/320, S. paratyphy A-O 1/160, dr. Esa
+ ISK APS
febris H-1 + Amlodipin 1x 10mg noct, Na

256 13/5/19 216510 A Medic D 23 Obs diclofenak 2x1 pc, ranitidin 2x1 dr. Esa
Hipertensi gr II ac
Inf RL 30tpm, inj tomit, pxt

257 13/5/19 216509 A Medic A 25 DHF dr. Esa
3x500mg, cek DR : T 72.000
RL 500cc loading -> 20tpm, Inj

63 Gastropati + DRS Pantoprazole 1x40mg, Inj
258 17/5/19 135650 A Medic E Ondancetron 3x1amp, Pct infus dr. Siti H Sp.PD
3x1 prn
Hematemesis RL 20tpm, Sukralfat 4x10cc PO, dr. Siti H Sp.PD

259 17/5/19 64178 A Medic R 30 e.c Gastropati Omeprazole 2x40mg IV
Erosiva
RL 500cc loading -> 30tpm, Pct

260 17/5/19 197687 A Medic J 18 DF tab 3x1 prn, Omeprazole dr. Siti H Sp.PD
1x40mg IV
Inf 2A+NB 20tpm --> NaCl

20tpm, O2 3lpm nc, kateter, ngt,
Meningitis TB + PCT 3x1 PO, Ranitidin 2x1 IV,
261 19/5/19 216926 A Medic I 16 TBP dr. Yourdian Sp.S
Sukralfat 4x10cc PO, MP 2x1
amp IV, Citicolin 2x50omg IV,
Konsul Sp.P
Inf RL 20tpm, Pantoprazole

1x40mg IV, Ondancetron 3x1 IV,
262 19/5/19 216920 A Medic I 16 Demam Tifoid PCT tab 3x1 PO, Diagit 2 tab tiap dr. Siti H Sp.PD
mencret, Ceftriaxon 1x3gr drip
iv dlm d5 100cc
O2 3lpm, D5 10tpm,
Hipoglikemi e.c Omeprazole 1x40mg IV,
263 19/5/19 216829 A Medic K 62 Low intake + attapulgite 2tab tiap BAB cair, dr. Siti H Sp.PD
GEA PCT 3x1tab PO, Sukralfat 4x10cc
PO
Head up 30drajat, O2 3lpm,

MHI + fracture NaCl 0,9% 2l/24jam, Ketolorac
264 18/5/19 216876 B Bedah T 17 a/r right 2x1 IV, Ranitidin 2x1 IV, Kalnex dr. Arief Sp.BS
nasoorbital 3x500mg IV, Ceftriaxone 1x2gr
IV skin test, WTH hecting V
Head up 30drajat, O2 3lpm,

NaCl 0,9% 2l/24jam, Ketolorac
265 18/5/19 216877 B Bedah D 17 MHI 2x1 IV, Ranitidin 2x1 IV, Kalnex dr. Arief Sp.BS
3x500mg IV, Ceftriaxone 1x2gr
IV skin test, WTH hecting V
+ HT Inj Ranitidin amp 1x1, Ranitidin

266 25/5/19 217397 A Medic T 43 Gastropati 2x1 tab ac, Amlodipin tab dr.Niken
stage II 1x10mg noct
akut tanpa Diagit 3x2tabb/BAB, Oralit 1

267 25/5/19 217404 A Medic MZ 20 Diare sach tiap BAB, Omeprazol 2x dr.Niken
dehidrasi 20mg a.c PO
inf Rl 30tpm, pantoprazole

268 25/5/19 217407 A Medic D 35 DF 1x40mg IV, Ondansetron 3x1 IV, dr.Niken
Pct 3x1 tab
RL loading 500ml lanjut RL

30tpm, Ondansetron 3x1 IV,
269 25/5/19 217409 C kegawat Daruratan U 72 GEA+DRS Pantoprazole 1x40mg IV, Diagit dr.Niken
3x1 tab tiap BAB/mencret, EKG,
RO thorax AP
Perdarahan
subkonjungtiva
270 25/5/19 217411 F Medikolegal A 39 OD + VE Visum dr.Niken
Temporal
sinistra
Colic Abdomen
271 26/5/19 217440 C kegawat Daruratan H 13 e,c Hymen Inj Ketolorac 1x1 amp Insisi dr. Esa
imperforate
Inj Ketolorac 1x1amp, Eperisone

272 26/5/19 217441 A Medic D 33 Myalgia 2x1 tan PO, Neurodex 1x1 tab dr.Rabbani
PO
RL 3cc/kgBB/jam, Trombovit
273 26/5/19 129723 A Medic A 5 DF 3x1sach PO, Pct syr 3xcth1, dr.Rabbani
DR/24jam
RL 4cc/kgBB/jam, Trombovit
274 26/5/19 123940 A Medic N 12 DHF gr II 3x1sach PO, Pct syr 3x1tab, dr.Rabbani
DR/24jam
kebidanan dan Ambroxol sy 3xcth 1/2, PCT syr dr.Rabbani

275 26/5/19 202695 D perinatologi A 0 ISPA 3xcth1
+Ht st Inj Ranitidin amp 1x1, Sukralfat

276 26/5/19 217433 A Medic Y 54 Dispepsia 4x10cc ac, Amlodipin tab 1x5mg dr.Esa
I noct
inf Rl 40tpm, pantoprazole

277 26/5/19 xxxxx A Medic M 29 DF 1x40mg IV, Pct 3x1 tab, dr.Esa/dr.Siti SpPD
DR/12jam
RL loading 500ml lanjut RL

30tpm, Pantoprazole 1x40mg IV,
278 26/5/20 194076 A Medic A 59 GEA+DRS Diagit 3x1 tab tiap dr.Esa
BAB/mencret, EKG, RO thorax
AP
Loading RL 20ml/KgBB->
279 5/6/2019 205974 c kegawat Daruratan H 5 DSS 10ml/KgBB -> 7ml/KgBB -> dr. Retno Sp.A
5ml/KgBB DR/6jam

23 Gastropati+DRS Pantoprazole 1x40mg, Inj
280 25/5/19 A Medic H Ondancetron 3x1amp, Pct infus dr.Siti SpPD
3x1 prn
Inf RL 40tpm, inj tomit, pct

281 27/5/19 A Medic M 29 DF dr.Siti SpPD
3x500mg, cek DR : T 35.000
Inf RL 30tpm, pct 3x500mg, cek dr.Siti SpPD
282 6/7/2019 A Medic R 26 DF DR : T 65.000

283 6/7/2019 A Medic G 24 Demam Tifoid PCT tab 3x1 PO, Diagit 2 tab tiap dr.Siti SpPD
iv dlm d5 100cc
2A+NB 20tpm, O2 2lpm, Pasang

kateter, NGT, Ranitidin 2x1 amp
Stroke PIS dd IV, CT scan, Citicholin 2x250mg
68 Infark + Anemia IV, Ceftriaxon 1x1gr IV, Pct 2x1 dr.Agus SpS+ dr.Siti
284 6/8/2019 A Medic T SpPD
+ Hiperglikemi PO, Trf PRC 500cc target Hb 10,
Periksa kurva Gula Darah
Harian, Diet DM 1700kkal/hari
Inf RL 40tpm, pct 3x500mg,

285 6/10/2019 A Medic I 35 DF Omeprazol 1x1IV, cek DR : T dr.Siti SpPD
49.000
Susp Cirrhosis Inf RL 30tpm, Ompreazol 1x1 IV,

60 Hepatis dd Tomit 3x1 IV, Furosemid
286 6/10/2019 A Medic W dr.Siti SpPD
hepatocellular 1x4omg IV, Spironolakton
Ca 1x100mg PO, USG Abdomen

287 6/10/2019 A Medic S 55 DF Omeprazol 1x1IV, cek DR : T dr.Siti SpPD
133.000
D5:RL = 1:1 20tpm,

kebidanan dan
288 6/11/2019 d E 25 HEG gr I Ondansetron bolus 4mg lanjut dr.Herman SpOG
perinatologi drip 4mg dalam D5
Rl 20 tpm, MP 125mg vial 1-0-0,

Kenalog oralbase 3dd ue pada
bibir, klobetasol cr 2dd ue,
289 6/11/2019 218418 c kegawat Daruratan T 40 SJS dr.Ahmad SpKK
kompres bibir dgn NaCl 0,9%
3x15menit stlh beri salep
kenalog, cek GDP, GD2PP, SGPT

Stroke Infark dd kateter (menolak), NGT,
290 6/11/2019 218532 c kegawat Daruratan N 55 PIS+ DRS e.c low Ranitidin 2x1 amp IV, CT scan, dr.Agus SpS
inta Citicholin 2x250mg IV, Pct 2x1
gr IV
RL 20tpm, Regumen 2x1 PO,

Anemia e.c Kalnex 3x1, Inbion 1x1 PO, dr. Herman SpOG
291 6/11/2019 204536 A Medic S 36 perdarahan post Bledstop 3x1 PO, Transusi PRC 2
kuretase labu
obs febris H-2 Pct forte 3x1 PO, Ranitidin 2x1

292 6/11/2019 A Medic D 23 e.c Viral dr. Miranda
ac PO
infection
21 Appendicitis Inf Rl 20tpm, Ceftriaxon 2x1gr IV dr.Danny Sp.B

293 14/6/19 191056 c kegawat Daruratan H akut ST, Ranitidin 2x1 IV, Pct 3x1tab
Inj Ranitidin 1 amp extra, Inj

Gastropati tanpa ketorolac 1 amp extra ,
294 15/6/19 218923 c kegawat Daruratan A 26 dehidrasi dr.Esa
Omprazol 2x1 ac PO, Suralfat
4x10cc PO
kebidanan dan
295 17/6/19 201983 d R 33 Kista Gartner Rl 20tpm, rencana eksisi kista dr. Herman SpOG
perinatologi

Infark dd kateter (menolak), NGT,
296 17/6/19 182663 c kegawat Daruratan A 56 Stroke Ranitidin 2x1 amp IV, CT scan, dr.agus Sp.S
PIS Citicholin 2x250mg IV, Pct 2x1
gr IV

297 17/6/19 218956 A Medic A 18 Demam Tifoid PCT tab 3x1 PO, Diagit 2 tab tiap dr.Siti SpPD
iv dlm d5 100cc

298 18/6/19 0.073261 A Medic D 34 DF Omeprazol 1x1IV, cek DR : T dr.Siti SpPD
103.000
Inf RL 40tpm, inj tomit, pct
299 18/6/19 0.061159 A Medic G 18 DHF gr I dr.Siti SpPD
3x500mg, cek DR : T 42.000

2x2mg IV, PCT syr x3/4cth PO,
300 18/6/20 A Medic M.R 5 Tifoid Fever Lacto B 1x1 sach PO, Ceftriaxon dr. Retno Sp.A
2x750mg IV, Dehidralit
200cc/muntah PO,

11 Demam 3x3mg IV, PCT syr 3x1,5cth PO, dr. Retno Sp.A
301 18/6/21 A Medic S Paratifoid Lacto B 1x1 sach PO, Ceftriaxon
2x750mg IV

Pantoprazole 1x40mg, Inj
302 18/6/22 A Medic L 58 GEA+DRS Ondancetron 3x1amp, Pct tab dr.Siti SpPD
3x1 prn, Diagiit 2tab/mencret
DF + Diare akut RL 3cc/kgBB/jam --> 15tpm

24/6/19 219652 A Medic N 8 makro, Interlac 1x1sach PO, Pct dr. Retno Sp.A
tanpa dehidrasi syr 3xcth1, DR/24jam
Inf RL 15tpm makro, PCT syr

3x1,5cth PO, Interlac 1x1 sach dr. Retno Sp.A
24/6/19 129278 A Medic K 5 Demam Tifoid PO, Interzinc1x1 PO, Ceftriaxon
2x800mg IV
Inf RL 30tpm makro, PCT syr

24/6/19 219655 A Medic R 10 DHF gr 1 dr. Retno Sp.A
3x500mg PO, Interlac 1x1 PO
G2P1A0 gr 7-
kebidanan dan RL 20tpm, Gastrul pro vagina ,
24/6/19 d R 22 8mg dgn dr. Mira SpOG
perinatologi Abortus Insipien besok rencana kuretase
G2P0A1 gr 7-
kebidanan dan 24 8mg dgn HEG gr RL 20tpm,Ondansetron 3x1amp dr. Mira SpOG
24/6/19 d N
perinatologi IV
I
24/6/19 A Medic U 42 DF RL 30tpm, Pct 3x1tab dr. Seno Sp.PD
Inf NaCl 0,9% 20tpm,

Furosemide 3x2amp, Ranitidin dr. Seno Sp.PD
24/6/19 190803 A Medic S 68 CHF FC II-III 2x1amp, Digoxin tunda, Simack
1x1, Alprazolam 1x0,5mg
Inf RL 40tpm, inj tomit extra ,

206033 A Medic F 24 DHF gr I dr. Seno Sp.PD
pct 3x500mg, cek DR/24jam
RL asnet, O2 simple mask 6lpm,

Edema Paru nebu combivent Fllixotide,
A Medic A 66 Akut + CHF fc III- kateter, Digoksin 1x1tab, Lasix dr. Dini SpJP
IV 2x60mg IV, Ranitidin 2x1amp IV
RL asnet, ranitidin 2x1 amp IV,

O2 nc 3lpm, Digoksin 1x1tab,
41952 c kegawat Daruratan D 60 CHF fc III-IV dr.Dini Sp.JP
Simarck 1x2tab, furosemid
2x40mgIV
8/8/2017
Capaian
Keteranga
TTD Kode Kasus % target Kes
n
Jml Kasus % saat ini
1 Bedah 51 16.40 10-40 =
2 Medic 173 55.63 50-70 =

Kegawat
3 37 11.90 10-30 =
Daruratan
4 Psikiatri 28 9.00 1-5 =
5 Medikolegal 2 0.64 0-5 =
kebidanan dan
6 20 6.4308681672 10-20 =
perinatologi
Total 311 100.00 100
Usia Jml kasus % saat ini % target Kes
0-14 Tahun 58 18.59 25-40 =
Bayi / 15-60 Tahun 204 65.38 40-60 =

Anak
Dewasa >60 Tahun 50 16.03 15-25 =

Lansia Total 312 100.00 100
11hari
6bln
28-29minggu, lahir anak spontan

1100g
Nyeri lutut kiri sejak 1 hari yang lalu,

mual, muntah (-), mencret (-), riwayat
Gout : (+) dirawat 1minggu y.l karena
keluhan yang sama. R. kebiasaan
makanan tinggi purin (+). PF NTE (+)
Genu sinistra : Oedem, calor, rubor,
dolor. Multple tophus a/r pedis et
manus bilateral
Demam sejak 3 hari y.l. batuk (-),

pilek (-) mual (-) muntah (-) mimisan
(-) gusi berdarah (-) BAB
berdarah/hitam (-) PF 37,8oC
Mencret sudah 1 minggu 2x/hari,

darah (-) lendir (-) nyeri perut (-)
demam (-) muntah 1x/hari, masih
bisa makan dan minum. R : makanan
sebelum mencret : Minuman jeruk PF
36,8oC, nadi 75x/m, TD:
150/90mmHg Abd : BU normal, NTE
(-) turgor kembali cepat
Demam sudah 1 minggu, naik turun

t.u sore hari, mual (+) muntah (-)
mencret (-) dysuri,polakisuri, PF
37,6oC Coated tongue (-) rose spot (-)
NTE (+)
Demam 1 hari, nyeri kepala seperti di

ikat, pegal pada leher, batuk (-) pilek
(-) mencret (-) mual (+) muntah (-) PF
36,6oC NTE (+)
Demam 3 hari, pegal2, nyeri

retroorbita (-) mimisan (-) gusi
berdarah (-) bab berdarah /hitam
(-)batuk (-) pilek (-) mual (+) muntah
(-) PF 37,8oC Rumple leed (+) NTE (+),
Mual (+) muntah 4-5x/hari, mencret

(-) nyeri ulu hati (-) demam (-) masih
= makana pedas dan PF 36,8oC, nadi
85x/m, TD: 130/90mmHg Abd : BU
normal, NTE (+) turgor kembali
lambat
Mual (+) muntah 4-5x/hari, darah (+)

warna merah gelap, mencret (-) nyeri
ulu hati (-) demam (-) masih bisa
makan dan minum. R : makanan =
makana pedas dan PF 36,8oC, nadi
lambat
Mencret sudah 1 minggu 2x/hari,

sebelum mencret : Minuman jeruk PF
36,8oC, nadi 75x/m, TD:
150/90mmHg Abd : BU normal, NTE
(-) turgor kembali cepat
Mencret sudah 4 hari, 4-5x/hari,

sebelum mencret : pedas (-) asam (-)
kopi (-) santan (+) PF 36,5oC, nadi
normal, NTE (-) turgor kembali cepat
Mual (+) muntah 5x/hari, mencret (-)

nyeri ulu hati (+) demam (-) masih
= makana pedas dan PF 36,8oC, nadi
lambat


retroorbita (+) mimisan (-) gusi
(-) PF 37,9oC Rumple leed (-) NTE (+),

Pasien datang dengan membawa

surat pengantar polisi untuk di
lakukan visum, setelah di pukul oleh
teman pasien di bagian kepala 1x
Nyeri perut bagian bawah 1 minggu,

menarche (-), demam (-) mual (-)
muntah (-) BAB mencret (-) BAK nyeri
(-)
Nyeri otot dan tulang sejak 3hari

SMRS, trauma (-) jatuh (-) demam (-)
batuk (-) pilek (-)

retroorbita (+) mimisan (-) gusi
(-) PF 37,2oC
Demam 4 hari, pegal2, nyeri kepala

dan retroorbita (+) mimisan (+) gusi
(-) PF 38 oC NTE (+)
Batuk (+) Pilek (-) sejak 2hari SMRS

demam (-)
Nyeri uluh hati, mual dan muntah
3x/hari darah (-) sejak 2 hari SMRS, r.
makanan pedas (+)


LAPORAN KEGIATAN TINDAKAN INTERNSIP
tangan
Kategori Kegiatan
No Tanggal NO RM Nama Usia Catatan DPJP Keterangan
Code Tindakan Diagnosis Penatalaksanaan dan
Penda
1 7 IM Ny.S 30 EPS Benadryl inj dr. Leony Sp.KJ
Infus As.Ring 750ml, RJP, 3x5siklu

2 7 RJP Ny.S 46 CKD on HD dr.Renny
epinefrin inj s
34 P3A0 part aterm SC e.i PEB
3 8/10/2018 00.197.901 4 Hecting Ny.E dr. Herman Sp.OG
sc a.i PEB
4 12/10/2018 131.204 4 Hecting Ny.R 32 Tumor colli Dx Biopsi Ekstirpasi dr. Danny Sp.B

5 12/10/2018 198.205 4 Hecting A dr. Danny Sp.B
Sx dd kista
47 Kista dusktus
6 12/10/2018 198.155 4 Hecting Tn.D Biopsi Ekstirpasi dr. Danny Sp.B
tiroglossus
66 Ulkus dekubitus Debridement, Pasang

7 12/10/2018 198.231 2 Kateter Ny.I dr. Danny Sp.B
a/r gluteus kateter
8 12/10/2018 131.204 6 Ekstirpasi Ny.R 32 Tumor colli Dx Biopsi Ekstirpasi dr. Danny Sp.B

9 12/10/2018 198.205 6 Ekstirpasi A dr. Danny Sp.B
Sx dd kista
47 Kista dusktus
10 12/10/2018 198.155 6 Ekstirpasi Tn.D Biopsi Ekstirpasi dr. Danny Sp.B
tiroglossus
11 9/10/2018 154543 6 Ekstirpasi Tn.R 35 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
12 9/10/2018 200253 6 Ekstirpasi Tn.H 56 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
13 9/10/2018 154543 4 Hecting Tn.R 35 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
14 9/10/2018 200253 4 Hecting Tn.H 56 STT Punggung Biopsi Ekstirpasi dr. Danny Sp.B
15 21/11/18 201.361 3 NGT Tn.O 70 Stroke Infark NGT, Infus Ka Randi S.Kep
16 21/11/18 201.361 1 Infus Tn.O 70 Stroke Infark NGT, Infus dr.Begin K
17 21/11/18 179.185 1 Infus Ny.M 36 Hepatitis viral Infus dr.Begin K
18 21/11/18 201.148 2 Kateter Tn.P 67 Stroke Infark Kateter dr.Begin K + perawat ICU
19 21/11/18 201.701 1 Infus Ny.N 30 KPD Infus Ka Ani (IGD)

G3P2A0 grav
32 40-41mgg + BSC Kateter, Infus, rencana
20 21/11/18 173.391 2 Kateter Ny.Y Ka Ani (IGD)
SC
1x
G3P2A0 grav
32 40-41mgg + BSC Kateter, Infus, rencana
21 21/11/18 173.391 1 infus Ny.Y Ka Ani (IGD)
SC
1x
22 21/11/18 201707 1 infus Tn.M 56 susp. TBP Infus dr. Begin K
63 CHF FC III-IV +
23 29/11/18 202389 1 infus Tn.T Infus dr. Begin K
TBP
63 CHF FC III-IV +
24 29/11/18 202389 2 Kateter Tn.T Kateter dr. Begin K
TBP
29 G2P1A0 part
25 29/11/18 0.085135 1 infus Ny.J Aterm + BSC 1x Infus Ka Astri (IGD)
29 G2P1A0 part
26 29/11/18 0.085135 2 Kateter Ny.J Aterm + BSC 1x Kateter Ka Astri (IGD)
G3P2A0 grav
27 29/11/18 0.047309 2 Kateter Ny.N 32 40-41mgg + BSC Kateter Ka Astri (IGD)
1x
PPOK
28 2/12/2018 202544 3 NGT Tn.U 86 eksaserbasi akut NGT, Infus dr. Kartika
+ susp TBP
PPOK
29 2/12/2018 202544 1 infus Tn.U 86 eksaserbasi akut NGT, Infus dr. Kartika
+ susp TBP
30 2/12/2018 109930 1 infus A 35 Sindr.Dispepsia infus dr. Kartika
31 29/11/18 202391 1 infus Ny.M 35 Gastropati infus dr. Begin K

32 29/11/18 201153 1 infus Tn.N 42 Gastropati infus dr. Begin K

G4P2A1 grav
33 10/12/2018 203215 2 kateter Ny.M 34 40-41mgg + SC + MOW Bidan Kiki (Obgyn)
bekas SC 2x
G4P2A1 grav
34 10/12/2018 203215 4 Hecting Ny.M 35 40-41mgg + SC + MOW dr.Mira Sp.OG
bekas SC 2x
35 28/12/18 0.005672 6 Ekstirpasi R 39 STT aurikular Dx BE dr. Danny Sp.B
36 28/12/18 197539 6 Ekstirpasi A 15 STT gluteus BE dr. Danny Sp.B
13 STT digiti V
37 28/12/18 0.068149 6 Ekstirpasi N BE dr. Danny Sp.B
manus Sx
13 STT digiti V
38 28/12/18 0.068149 4 Hecting N BE dr. Danny Sp.B
manus Sx
39 28/12/18 197539 4 Hecting A 15 STT gluteus BE dr. Danny Sp.B
36 Susp TB kelenjar BE
40 28/12/18 0.007645 4 Hecting C dr. Danny Sp.B
colli Dx
Incisi 26 Abses mammae Incisi drainage

41 28/12/18 168880 7 A dr. Danny Sp.B
drainage dextra
62 Gout artritis +
42 13/5/19 179568 1 infus I dr. Esa
Gastritis
43 13/5/19 216504 1 infus B 20 Viral infection dr. Esa
GEA tanpa
44 13/5/19 216506 1 infus S 60 dehidrasi + dr. Esa
hipertensi gr II
45 13/5/19 216509 1 infus A 25 DHF dr. Esa
16 Meningitis TB +
46 19/5/19 216926 1 infus I dr. Dea
TBP
47 19/5/19 216920 1 infus I 16 Demam Tifoid dr.Dea
48 25/5/19 217407 1 infus D 35 DF dr. Esa

49 26/5/19 xxxxxx 1 infus M 29 DF dr. Esa
50 11/6/2019 218535 2 infus D 48 Gastropati DRS dr.Miranda
G2p1A0 part
51 1/6/2019 73.195 5 Persalinan R 29 Aterm kala 1 dr.Renny S
fase laten
52 6/17/2019 201983 1 infus R 33 Kista Gartner
HT Urgency +
53 6/17/2019 177189 1 infus S 56 ESRD on HD +
anemia
Inf RL 40tpm, pct

3x500mg, Omeprazol
54 6/18/2019 0.073261 1 infus D 34 DF 1x1IV, cek DR : T
103.000
Inf RL 40tpm, inj tomit,

55 6/18/2019 0.061159 1 infus G 18 DHF gr I pct 3x500mg, cek DR : T
42.000
Inf RL 20tpm,
Pantoprazole 1x40mg IV,
Ondancetron 3x1 IV, PCT
56 6/15/2019 218956 1 infus A 18 Demam Tifoid tab 3x1 PO, Diagit 2 tab
tiap mencret, Ceftriaxon
1x3gr drip iv dlm d5
100cc
G2P1A0 gr 7- RL 20tpm, Gastrul pro

57 1 infus R 22 8mg dgn vagina , besok rencana
Abortus Insipien kuretase
G2P0A1 gr 7-
24 8mg dgn HEG gr RL 20tpm,Ondansetron
58 1 infus N 3x1amp IV
I
59 1 infus U 42 DF RL 30tpm, Pct 3x1tab
Inf RL 40tpm, inj tomit
60 206033 1 infus F 24 DHF gr I extra , pct 3x500mg, cek
DR/24jam
RL 500cc loading ->

20tpm, Inj Pantoprazole
1x40mg, Inj
61 1 infus L 58 GEA+DRS Ondancetron 3x1amp,
Pct tab 3x1 prn, Diagiit
2tab/mencret
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
REKAPITULASI
Kode Tindakan Capaian Target % Capaian Kurang
1 Infus 29 50 58.00 21
2 Kateter 8 5 160.00 -3
3 NGT 2 2 100.00 0
4 Hecting 10 10 100.00 0
5 Persalinan 1 2 50.00 1
6 Ekstirpasi 8 10 80.00 2
7 Lain-lain 3
Total 61 3
Bayi / Anak 0-13 Tahun 2

Dewasa 13-60 Tahun 50
Lansia >60 Tahun 9
Total 61

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LAPORAN KEGIATAN PELAYANAN PASIEN

NUR MUH. FAIZ HABIBULLAH

HCU, O2 3-4lpm, ISDN 5mg,

TIA+ Hipoglikemi IUFD 2A+NB 15tpm + O2 3lpm,

Melena e.c infus D5 20tpm + Pantprazole

RL 500cc loading -> 20tpm,

D5 8tpm, Picyn 3dd x 1000mg,

Anemia e.c RL 20tpm, Ceftriaxon 2x1gr IV,

DM tipe II + DRS RL 30tpm, Transfusi albumin

Mastitis TB + RL 20tpm + Pantoprazole

Infus 2A 500cc + Neurosanbe 1

Infus 2A + Neurosanbe 1amp

Infus D5 10tpm Makro,

Inf NaCl 0,9% 20tpm, Ketolorac

Susp. Stroke Inf 2A + NB 20tpm, Ranitidin

O2 3lpm, Inf RL 20tpm, Nebu

O2 3lpm, Inf RL 7tpm,

Inf RL 30tpm, Pct 3x500mg PO,

O2 1-2lpm (nc), Nebu

Ind RL 20tpm, Pantoprazol

Inf 2A + NB 20tpm, Ranitidin

Inf RL 30tpm, Pct 3x650mg PO,

Susp. Tifoid Inf RL 30tpm, Pct 3x500mg PO,

Susp. Inf RL 20tpm, Inj Ranitidin 2x1

Gastropati DM+ O2 3-5lpm, Head up 30drjt, Inf

Inf 2A+NB 20tpm ->16tpm,

Inf RL 20tpm, Captopril 3x25mg

Inf RL 20tpm , PCT 3x 500mg

Inf RL 20tpm, Inj Ranitidin 2x1

WT + Spalk imobilisasi + Inf RL

Inf RL 30tpm + Pct 3x 1gr IV, Inf

In RL 8 tpm, Inj Raitidine

In RL 40gtt/mnt mikro-> 3jam,

Inf D1:4 15tpm makro, PCT tab

Pasang NGT u/ dekompresi, Inf

Inf 2A+NB 20tpm, Gabapentin

G2P1A0 O2 2lpm nc, Inf RL 20tpm,

O2 3-4lpm nc, Head up 30drjt,

Trauma Debridemen amputatum digiti,

Loading RL 500cc->20tpm, PRC

kebidanan dan 34 P3A0 post sc a.i SC e.i PEB

47 Laringitis e.c Lansoprazole 1x1tab, Sukralfat

Amoksisilin 500mg 3x1tab,

69 12/10/2018 .002.486 B Bedah Ny.S 48 Post

71 12/10/2018 197.292 B Bedah Tn.M.S 75 BPH Prostatectomy dr. Danny Sp.B

72 12/10/2018 178.635 B Bedah A 1 Polip umbilikus BE dr. Danny Sp.B

14 Susp.TB kelenjar Biopsi Ekstirpasi

66 Ulkus dekubitus Debridement, Pasang kateter

32 Limfadenitis TB FDC 1x2tab ac, Curcuma 1xcth1, dr. Nanang Sp.P

O2 3lpm, RL 20tpm, nebu

Diagit 3x2tabb/BAB, Oralit 1

Inf RL 20tpm, Inj Ranitidine

24 Konjungtivitis LFX ED 6dd gttI OS, C.Lyteers ED dr.Agung Sp.M

Inf RL 20tpm, ondancetron

Inf D 1:4 20tpm, ondancetron

O2 nc 3lpm, Inf RL 7tpm,

Inf NaCl 0,9% + Tramadol 50mg

dd inf RL 20tpm, Ranitidin 2x1 amp

Peritonitis e.c Inf RL 20tpm, Ceftriaxon 2x1gr

Inf RL 20tpm, Ceftriaxon 2x1gr

65 Hernia scrotalis Hernioraphy

Pregabalin 1x75mg PO, CPG

Eperisone 3x1tab PO, Celebrex

Na diklofenak 2x50mg PO,