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MAPPING 20 JULI 2019

BED NAMA USIA DPH DX DPJP TERAPI PMX


AKAR WANGI
A1 SUPARNO 46 1 Penurunan kesadaran ec Dr Inf Tutofusin 30tpm TD
Susp Sepsis dgn Susp Sulistyow Unj Santagesit / 8j HR
Peritonitis ati Sp.PD Inj Ranitidin /12 jam RR
Cek DR, Ur Cr, OT PT, T
Elektrolit SpO2
A2 CIPTO WENING 71 8 LBP dr. Arul, O2 3lpm Lab post HD 21/07 TD
HD 17/7 Dyspnea dengan aritmia Sp.PD Inf D5 15 tpm mikro Na 139 HR
Geriatric low intake Inj santagesic 50mg/8 jam K 3.6 RR
Batuk kronis Inj furosemide 20mg/8j Cl 108 T
PAC Inf EAS 1fl/24 jam Ur 39 SpO2
AKI dd acute on CKD CaCO3 3x1 Cr 4.41
Anemia on PGK As folat 1x1 Hb 8.8
A5 MUHAJIR 54 1 HT Emergency dengan Dr Diet J2 Ginjal 60kcal Lab 22/07 TD
CKD V HD (Program HD Syuharul Inf Nephrosforic 10 tpm Hb 6.5 L HR
Selasa Jumat) Sp.PD Inj Nicardipine 1 amp + D5 HCT 18.9 L RR
5- cc  4cc/jam AT 142 L T
Inj OMZ 2 amp AE 2.13 L SpO2
Inj Furosemid 3x2 RDW 13.7 H
Inj. Candesartan Ur 109 H
16mg/24jam Cr 14.12 H
Clonidin 2x1 K 6.6 H
Transfusi PRC 2 kolf Cl 108 H
durante HD dan 2 kolf pre
HD
A6 MANGUN REJO 81 2 Obs dyspnea dd CHF dr. List, O2 3lpm Lab 18/07/19 TD
Vomitus Sp.PD Inj NaCl 20 tpm Hb 11.9 L LED 73 H HR
Riw BPH Inj furosemide 20 mg/12j AT 414 AE 4.69 L RR
Inj ranitidine 50mg/12j MCV 74.1 L MCH 25.3 L T
Inj ondansentron 4mg/8j RDW 16.0 H SpO2
Ur 29 Cr 0.63 L
1
OT/PT 20/16
Na 119 L K 2.7 L Cl 75 L
A8 SUWAR 60 1 Febris dengan Dr Inf RL + diazepam 2amp 20 Lab 20/07 TD
pembersaran kelenjar Sulistyow tpm Hb 12.5 L HR
getah bening D ati Sp.PD Inj Metronidazole AL 11500 H RR
Caries Dentis 500mg/8j HCT 35.7 L T
Inj Santegesit 1gr/8jam MCV 73.3 L SpO2
Inj Ranitidin 50g/12j MCH 25.6 L
Inj Pycin 750mg/8jam Cr 0.68 L
OT 76 H
PT 92 H
K 3.4 L
B1 HENI TASLIMAH 33 1 Klinis Anemis dengan Dr Inf NaCl 20 tpm Lab 22/07/19 TD
Riw Tranfusi Listyowa Inj Ranitidin / 12 jam Hb 5.6 L HR
ti Sp.PD Diatab 1x2 tab AL 20640 H RR
Inj Cefoperazone 1gr/12 HCT 19.5 L T
jam AE 3.65 H SpO2
MCV 53.4 L
MCH 15.4 L
MCHC 28.8 L
RDW 20.2 H
B3 MARJUNI 1 Selulitis Ext Inf D Dr Inf Tetofusin 20 tpm Lab 20/07 TD
CHF Sumardj Inj Cefoperazam 1gr/12j Hb 11.9 L HR
o Sp.PD Inj Metronidazole AL 24440 H RR
500mg/8j AE 4.08 H T
Inj Santagesit 1gr/8j Na 133 L SpO2
Inj Ranitidin 50mg/12j K 3.4 L
Inj Furosemid 20mg/24jam
B5 SUTARTI 58 5 DM tipe 2 dr. List, Inj novorapid 6-6-6 Lab 18/07 TD
Abses pedis (D) pro Sp.PD Inj Levemir 0-0-0-20 PAD, oklusi di a femoralis HR
debridement Transfuse s/d hb >= 10 communis d, a poplitea d, a RR
tibialis d dan dorsalispedis d T
Lab 18/07 Hb 10.4 L SpO2

2
B6 SUHADI 59 1 Obs Febris H2 ec sus DF dr. Inf NACl 40 Tpm Lab 22/07 TD
dengan riw Mardjo, Inj Ranitidin 1a/12j Hb 11.1 L HR
Trombositopenia Low Sp.PD Inj Ondancetron 1a/12j AL 3380 L RR
Intake Geriatri Inf PCT 500mg/12j HCT 32 L T
Sucralfat syr 3xCI AT 70 L SpO2
Inj Pycin 750mg/8jam AE 3.64 L
RDW 13.6 H
B7 LAURENTIUS 55 1 CKD, SH dr. Arul, Inf Asering 20 tpm Lab 18/07 TD
NUGRUHO Sp.PD Inj citicolin 500 mg/8j Hb 6.7 L Hct 21.6 L HR
Inj asam tranexamat AT L 65 AE 2.66 H RR
500mg/6jam MCV 25.4 L MCHC 31.2 L T
Nimotop 3x2 RDW 18.5 H SpO2
Neurodex 1.0.0 Ur 56 H Cr 0.58 L
Fluexetin 0.0.1
C1 EKO PRASETYO 36 1 Melena dengan klinis dr. Inf NaCl 20tpm Lab 21/07 TD
anemic ec sirosis hepatis Mardjo, Inj omz 1amp/12j Hb 5.6 L Hct 18 L HR
Sp.PD Inj vit k /24j AT L 29 AE 2.17 L RR
Inj Ondansentron 2x1 MCHC 25.8 L T
Sucralfate syr 3xC1 RDW 17.1 H SpO2
Lactulac Syr 3x1
Propranolol
Simvastatin 1x20mg
Trans PRC 1 Kolf/hari dgn
Hb pertahankan <7
C3 SUTRISNO 70 3 Post syncope dengan dr. Inf tutofusin 20tpm Lab 20/07 TD
RBBB Mardjo, Inf clinimix 1fl/24j HDL 39 H HR
IHD Sp.PD Inj ranitidine 50mg/12j CK NAC 2052 H RR
Sucralfate syr 3xC1 CK MB 206 H T
Aspilet 1x1 SpO2
ISDN 3x5mg
CPG 1x1

3
C4 SURYADI 33 5 Obs febris H-9 ec DF dd dr. Inf tutofusin 20 Lab 21/07 TD
TF Mardjo, tpm Hb 10.7 HR
Sp.PD Inj ranitidine 1 amp/12j Leukosit 4330 RR
Curcuma 3x1 Hematocrit 48 T
Paracetamol 3x1 Esosinofil % 0.9 SpO2
Monisit 8.10
Trombosit 132
Eritrosit 6.19
MCV 77.5
RDW 13.1
C5 DARMO 74 6 PPOK dd bronkhitis dr. Inj pycin 750/8j Lab 16/07 TD
SUMARTO DM tipe 2 Mardjo, Inj MP 62,5mg/12j HbA1c 6.0 HR
Sp.PD Nebu vp 1:1 /12j GDP/GD2PP 181 H /201 H RR
OBH syr 3x1 EKG 16/07 sinus takikardi HR T
NAC 3x1 125x/m, RBBB SpO2
Metformin 3x500mg ECHO 16/07 mild MR AR dg GDS
dilatasi LV LA, bradikardi
C6 ANGGUN EKO TD
WICAKSONO HR
RR
T
SpO2

DAUN KELOR
1T SRI SUMIATI 53 2 Klinis Anemis pada CKD Dr O2 3 lpm Lab 22/07/2019 TD
V Sumardj Inj Furosemid 1am/8jam Ur 260 H HR
o Sp.PD Inj Ranitidin 1amp/8jam Cr 19.87 H RR
ISDN 1x1 K 6.8 H T
Cl 109 H
Candesartan 1x1 SpO2
Keto-G 3xII 21/07
CaCO3 3x1 Hb 8.2 L
As.Folat 3x1
4
Koreksi Kalium
Inf D5+Insulin 12 IU
Inf D40+Insulin 10 IU
Amlodipin 1x10mg
USG Abdomen GInjal
2B
2T SURANI 38 3 Trombositopenia dr. List, Inf RL 20 tpm Lab 22/07/2019 (21.00) TD
Susp DHF grade I Sp.PD Inj ranitidine 50mg/12j AL 14310H HR
Inj ondancentron 4mg/12j AT 49 L RR
Paracetamol 500mg/8j po AE 4.92 H T
RDW 13.2 H
Inj MP 62.5 mg/12 jam SpO2
Lab 21/07/2019
LED 36
Eosinophil % 0.8
Basophil% 3
Neutrophil segmen% 48.8
Monosit 17.3
Trombosit 28
Eritrosit 5
RDW13.1
Rhesus anti D +

3B HERI SANTOSO 40 1 Febris H-1 dd DF / DHF Dr Inf Tutofusin ODS 20 tpm Lab 22/07 TD
Syuharul Inj Santagesit 1am/8j AL 11500 H HR
Sp.PD Inj Ranitidin 1am/12j RDW 12.6 H RR
Paracetamol 3x1 Cr 1.36 H T
OT 39 H
Sucralfat Syr 3xCI SpO2
Lab 20/07
HbA1C 14 H
GDP 211 H
GD2PP 228 H
4B SUJARWOTO 38 1 TF dr. Arul, Inf RL 2-tpm Lab 19/07 TD
Sp.PD Inj santagesic 1gr/8j AL 1660 L HR
Inj omeprazole 1amp/8j RDW 12,1 RR
IgM Salmonella 3 H
5
Inj Pycin 750mg/8j T
SpO2

5B YULIANI PS 27 1 Vertigo degan vomitus dr. Inf tutofusin OpS 20tpm Lab 19/07 TD
Anemia Mardjo, Inj satagesic 1amp/8j Retikulosit 0,9% HR
Sp.PD Inj ondancentron 1amp/8j RR
Inj Della 1amp/8j Lab 21/07 T
Hb 10 L
Betahistin 3x1 tab AE 4.84 H SpO2
Transfuse PRC II kolf MCV 69.2 L
MCH 20.7 L
MCHC 29.9 L
RDW 22.1 H
06 LEGIYEM 63 2 Obs Dyspneu dd CHF Dr.Sulisty IVFD NaCl 0,9 12 tpm Lab 21/07 TD
Kolik Abdomen dd owati Inf EAS fl 1 / 24 jam Hb 8.3 L HR
Dispepsia Sp.PD Inj Ondacentron HCT 24.2 L RR
DM tipe 2 1mg/8jam kp AT 85 L T
AE 2.76 H
Aritmia Inj Omeprazole 40mg/12 RDW 15.4 H SpO2
jam Ur 108 H
Inj Santagesite 1a/8 jam Cr 1.64 H
Curcuma 3x1 OT 50 H
Sucralfat Syr 3XCI PT 58 H
Bisoprolol 1x5mg GDS 149 H
Digoxin 1x1/2
Lab 22/07
Check Albumin
Albumin 2.6 L
Hba1C 10.0 H
GDP 60
07 TURUT 66 1 Disfagia Susp Dr Inf RL 20 tpm Lab 21/07 TD
Tetanus Sumardj Inj ATJ 20.000 Unit IV LED 19 H HR
o Sp.PD Diazepam 6amp dalam D5 RDW 11.9 H RR
50cc Sp2ml/jam T
In Metronidzaole SpO2
1amp/8jam
Inj Arixtra 1A/12 jam

6
08 SUNARDI 65 2 Obs dypneu dengan dr. Arul, Miniaspi 1x80mg Lab 22/07/19 TD
klinis anemia pada Sp.PD Inj lansoprazole 1 Hb 7.6 ( 07.00) HR
CKD grd V on HD amp/12jam Hba1c 10.0 H RR
rutin Ostovel 1x 0.2 GDP 60 L T
Rebamipid 3x100 SpO2
Post HD Check DR

12 JUMANAH 63 4 Obs dyspnea dengan dr. List, O2 3lpm Foto 17/07 TD


asites pada riwayat Sp.PD Inf Nacl 10 tpm Kardiomegali dg oedem pulmo HR
sirosis hepatis dan efusi Nebu combi 1amp/8j Lab 17/07 RR
pleura Inj cefoperazon 1gr/12j Hb 11.4 L AL 15470 H T
Rectocole grade IV Inj santagesic 1amp k/p LED 81 H SpO2
Inj ranitidine 1amp/12j AE 3.79 H
Inj furosemide 20mg/8j RDW 13.2 H
Inj pycin 750/8j Ur 45 Cr 1.77 H
Spironolacton 25-0-0 Na 132 L K 5.6 H Cl 110 H
Propanolol 10mg/12j
OBH 3XC1
13 WARJONO 63 1 Kolik Abd dd Dispepsia Inf Tutofusin 20 tpm Lab 22/07
Konstipasi Inj Omeprazole 40 mg/12 Hb 12.7 L
jam AL 16960 H
Inj Santagesic 1am/8j AE 3.97 L
Lactulac 3xCI RDW 13.0 H
Ur 88 H
Cr 3.80 H
OT 55 H
DAUN SIRIH
1 SARINI 69 Rabe DM tipe II dr. Arul, Inf Novorapid 6-6-6 Lab 19/07 TD
r nefrolithiasis Sp.PD Inj levemir 0-0-0-14 HbA1C 14 H HR
GDP 27 RR
GD2PP 84 T
SpO2
GDS

7
5 ZAENURI 33 Rabe Hiperglikemia dr. Arul, Cek GDP/GD2PP/HbA1c –
r Abses mandibula Sp.PD tunda
GDS<200, acc tindakan
7 TUKINEM 84 Rabe HT emergency dr. Amlodipine 10mg/24j Lab 18/07 TD
r Mardjo, Candesartan 16mg/24j Alb 3.5 L HR
Sp.PD Clonidin 2x0,15 mg/po RR
T
SpO2
8 SUPARDI 52 Rabe HT dr. Arul, Amlodipine 10mg/24j Lab 17/07 TD
r Sp.PD Candesartan 16mg/24j Cr 1.40 H HR
Paracetamol 500mg/8j RR
T
SpO2
13 JAEDI 77 Rabe HT dr. Amlodipine 10mg/hari Lab 17/07 TD
r Mardjo, Candesartan 16 mg/hari Hb 9.8 L AL 3220 L HR
Sp.PD Keto G 3x1 LED 43 H AE 3.26 L RR
Clonidine 2x0,15mg Hct 31 L T
Ur/Cr 141 H /1.51 H SpO2
OT 91 H PT 34 Alb 3.2 L
BROTOWALI
A1 SRI WAHYUNI 37 1 Obs vomitus, dr. Inf tutofusin 20 tpm Lab 20/07 TD
hipokalemi Listyowa Inf RL 15 tpm Na/K/Cl: 141/1.7/104 HR
ti, Sp.PD Inj pycin 750mg/8j RR
Inj santagesik 1amp/8j T
Inj ondancentron 1amp/8j SpO2
Inj ranitidine 1amp/12j
Sucralfat syrp 3XC1
KSR 3x1
Amlodipine 1x10
Bisoprolol 1x1
A2 SUGIYEM 72 8 Massa colon dr. Inf NaCl 16 tpm Lab 18/07 TD
CIL ascenden Mardjo, Inf Clinimix 1f/24j Hb 9.7 L Hct 26 L HR
HT stage II Sp.PD Inj ranitidine 50/12j AE 3.40 H RR
Candesartan 1x16 MCV 77.6 L
8
Amlodipin 1x10 MCHC 36.7 H T
RDW 12.9 H SpO2
A3 NURJIYATI 39 Cephalgia + dr. Arul, Inf tutofusin 20tpm Lab 20/07 TD
vomitus frequent Sp.PD Inj ketorolac 30mg/8j LED 49 HR
Riw Op Hernia Inj ranitidin 50mg/12j Eosinophil% 0.4 RR
Inj ondancentron 4mg/8j Netrofil segmen% 84.5 T
Limfosit 12.2 SpO2
Eritrosit 4.37
RDW 11.6

A5 YATMO 77 4 Melena ec sus gastritits dr. Inf tutofusin 20tpm Lab 19/07 TD
WIYOTO erosif Mardjo, SP omeprazole/6j Hb : 10.0 L AT 641 H AE 3.89 L HR
Hematuria ec massa VU Sp.PD Inj pycin 750 mg/8j MCH 24.7 L MCHC 31.8 L RDW RR
CHF Inj furosemid 20mg/12j 28.8 H PT 16.1 H T
SpO2

A6 SUKARDI 43 4 Anemia, Mikrositik, dr. Arul, O2 3 lpm Lab 20/07 TD


Mikrositer dengan kolik Sp.PD Inj NaCl 20 tpm Hb 8.7 L HR
abdomen. Melena ec Non Inf EAS 1f/24j Lab 17/07 RR
Viral dd Viral Inj omz 40mg/12j Hb 4.9 L AT 38 L T
Inj ondancentron 40mg/8j AE 2.63 L MCH 66.& SpO2
Inj santagesic 1 amp/8j MCH 18.7 L MCHC 28.1 L
Sucralfate syr 3xC1 RDW 18.6 H
Tranfusi PRC 2 kolf/hari Ur/Cr 74 H /2.04 H
s/d Hb>10 OT 45 H / PT 39

Ro Thorax : Cardiomegaly
Pulmo dbn
A8 ENDANG SRI 58 4 Febris H-6 dd TF dr. List, Inf tutofusin 20tpm Lab 20/07 TD
Sp.PD Inj omz 40mg/12j Leukosit 14720 HR
Paracetamol tab 3x1 LED 120 RR
Inj pycin 750mg/8j Eosinofil% 0 T
Neutrofil segmen% 87.8 SpO2
Limfosit 6.9
9
Eritrosit 4.07
RDW 14.2
IGM salmonella 0
Lab 19/07
AL 11870 H LED 98 H
AE 4.16 H RDW 14.3 H
OT 33 H PT 54 H
B1 SUNARTI 80 2 Kolik abdomen dengan dr. Arul, Inf tutofusin OpS 20tpm Lab 18/07 TD
vomitus frequent Sp.PD Inj sanatgesic 1a/8j LED 50 H HR
Ht stage II Inj omeprazole 1a/12j AE 4.37 H RDW 13.9 H RR
Inj ondansentron 1a/8j Ur 53 H Cr 0.88 T
Zinc 2x1 SpO2
Sucralfate syr 3xC1
Amlodipine 10mg/24j

B2 SAMIYEM 75 3 Kolik abdomen ec BSK dd dr. Inj RL 20tpm Lab 19/07 TD


ISK cholelithiasis Mardjo, Inj omz 40mg/12j Urine blood +3 prot +3 HR
Massa Ren Sp.PD Inj ketorolac /8j Leukosit +1 RR
Hepatomegaly Inj pycin 1amp/8j Sedimen epitel +1 AL +3 AE +4 T
Dispesia Sucralfate syr 3xC1 Lab 18/07 SpO2
Curcuma 3x1 Hb 9.8 L AL 15050 H
Pro CT Scan Abd dengan LED 59 H AT 291 AE 3.21 H
Contrast RDW 14.2 H Ur 57 H
Cr 0.95 OT 81 H PT 48 H
B3 BIYANTI 40 RA genu bilateral, SLE, dr. Arul, Inf RL 20 tpm Lab 21/07 TD
hiperglikemia reaktif dd Sp.PD Inj santagesik 1amp/8j GDS 329 HR
DM Inj ranitidine 1amp/12j GD2PP 307 RR
Meloxicam 1x15mg T
Inj novorapid 3x8iu SpO2

B4 PARTO 71 1 Obs Dyspneu dd SOPT dd Dr O2 NK 3 lpm Lab 20/07 TD


MARIYAM TB dd Pneumonia Sumardj Inf RL 20 tpm TCM Negatif HR
o Sp.PD NAC 3x1 BTA Sewaktu Negatif RR
Nebu Combivant/12 jam
10
Inj Pycin 1.5mg/8jam IV T
SpO2

B5 SULISTYANTO 26 2 Obs Febris Hari ke 5 dd dr Inf Tutofusin 20 tpm Lab 21/07 TD


TF dd CHF Syuharul Inj. Omeprazole 1a/12jam AL 2580 L LED 16 HR
Sp.PD Inj. Ondansentron 1a/12 RR
jam T
Inf Paracetamol k/p SpO2
Inj Pycin 750mg/8jam
Inj Santegnic 1am/8jam
Paracetamol 3x500mg
ISO-3 MARWADI 52 4 Hiperglikemia pada DM dr. List, Inj NaCl USG Vasc 17/07 TD
tipe 2 Sp.PD Inj metronidazole 500/12j PAD, oklusi di a politea d dan a HR
Ulkus pedis (D) Inj omz 40mg/12j tibialis d RR
Inj Levemir 0-0-0-12 Lab 17/07 T
Inj novorapid 14-14-14 CT/BT 4.30/3 SpO2
Inj pycin 750mg/8j Lab 16/07
PT 15.4 APTT 28.0
INR 1.16 Alb 2.6 L
BINAHONG
IA3 WARSITO 54 Rabe Hiperglikemia pada DM dr. Arul, Inj novorapid 14-14-14 Lab 17/07 TD
r3 tipe 2 Sp.PD Inj lantus 0-0-0-14 Hb 13.6 L HR
Abses digit III manus (s) GDS 22/05 AL 15860 H LED 51 H RR
pro debridement Hct 40 L RDW 12.2 H T
Ur 74 H Cr 1.31 H SpO2
Alb 2.6 L Glb 3.4 H
IIA2 SURIP WIRO 72 Rabe CF Distal Radius D Dr Amlodipin 1x10 Lab 22/07 TD
REJO r1 HT dengan Riw HT Sumardj Candesartan 1x16 AE HR
o Sp.PD RR
T
SpO2

11
IIC4 WINARSIH 44 7 DM tipe II dr. Inj dexamethasone 1 Lab 19/07 Hb 9.5 TD
Mardjo, amp/transfusi Lab 14/07 HR
Sp.PD Transfuse PRC 2 kolf s/d Hb 3.9 L RR
Hb.10 g/dl AL 24690 H T
Metformin 3x500mg GDS 260 H SpO2
Cek GDS 22/05 GDS
HCU
1 RIRI PRIYANTI 41 4 CKD dr. Inf EAS 1f/24j Lab 19/07 TD
HHD Mardjo, Inf D5 + 12.5 IU insulin Na 126 L K 6.0 H Cl 0.31 H HR
Sp.PD Inf D40 + 10 IU insulin RR
SP NTG 2F + Insulin 10 IU T
kec 2cc/jam SpO2
Inj cefoperazon 1g/12j
Inj Ca glukonas 1a/24j
Amlodipin 10mg/24j
Candesartan 16mg/24j
HD 22/07/19 JAM 15.00
2 Wahyu 47 4 Hipertensi dr Arul Inf. Nacl 0,9 10 tpm Lab 19/07 TD
Karyaningsih Emergency pada Asam Folat 2x1 tab Hb 8.6 L HR
CKD V HD CaCO3 2x1 tab HCT 26.9 RR
Neurodex 2x1 Lab 20/07 T
SP Nitrogliserin I amp Hb 9.1 L SpO2
dalam 50 ml kecepatan Cr 2.9 H
3cc / jam Ur 31 N
SP Furosemid 10 amp kec
2 cc/jam
SP Micardipin 2 cc/jam
Amlodipin 1x10mg
Candesartan 1x16mg
Clonidin 1x1

12