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MAPPING 20 JULI 2019

BED NAMA USIA DPH DX DPJP TERAPI PMX


AKAR WANGI
A1 SUPARNO 46 3 Kolik Abdomen Dr Inf Tutofusin 30tpm Ro 20/7 TD
Susp.Gastritis kronik. Listyowa inj Santagesic / 8j Foto Abd HR
Dengan peningkatan ti Sp.PD Inj Ranitidin /12 jam Dbn, Distribusi Udara Normal, RR
enzim hepar. Aspilet 1x1 Tak tampak massa ataupun T
UDCA 2x1 peritonitis SpO2
Curcuma 3x1 USG Upper Lower Abd
Cholelitiasis Multiple
Yg lain DBN
TD
HR
RR
T
SpO2

A3 PARINI 60 1 Obs Febris ec Susp DD Dr Inf RL 30 tpm Lab 23/07 TD


dd TF sumardjp Sp Omeprazol 40 mg Ig G Dengue + HR
Vomitus Freq Sp.PD dalam 50 cc NaCl kcptn AL 2610 H RR
Hematemesis 10cc/jam AT 36 L T
Inj Pycin 750mg/8 j OT 525 H SpO2
Inj Ondansentron k/p PT 313 H
Inj Santegenic 1amp/8
Inj SNMC 1amp/12
Sucralfat Syr 3xCI
Curcuma 3x1
Transfusi TC 4 kolf/hari
sampai AT > 75ribu
A5 MUHAJIR 54 2 HT Emergency dengan Dr Inj Nicardipine 1 amp + D5 Lab 22/07 TD
CKD V HD (Program HD Syuharul 5- cc  4cc/jam Hb 6.5 L HR
Selasa Jumat) Sp.PD Inf Nephrosforic 10 tpm HCT 18.9 L RR
1
Inj OMZ 2 amp AT 142 L T
Inj Furosemid 3x2 AE 2.13 L SpO2
Inj. Candesartan RDW 13.7 H
16mg/24jam Ur 109 H
Clonidin 2x1 Cr 14.12 H
K 6.6 H
Cl 108 H
A6 WIDODO 64 1 Hiperglikemi ec. DM Dr Metformin 3x500 Lab 23/7 TD
type 2 Sumardj GDS 182 HR
o Sp.PD RR
SGOT 37 H (22 07) T
SpO2
GDS
A8 SRI NATURN 72 1 Colic Abdomen dd Dr Inf Tutofusin 20 tpm Lab 23/07 TD
Cholelitiasis. Vomitus sumardjo Inj Santegesic 1amp/8jam LED 46 H HR
Frequent Sp.PD Inj Ranitidin 2x1 AE 4.29 H RR
Inj Ondansentron 3x1 AT 272 T
Sucralfat Syr 3xCI AL 8260 SpO2
Yr 24
Cr 0.42 L
Na 131 L K 3.3 L Cl 103
B1 HENI TASLIMAH 33 2 Klinis Anemis dengan Dr Inf NaCl 20 tpm Lab 23/07/19 TD
Riw Tranfusi Listyowa Inj Ranitidin / 12 jam Hb 7.5 L HR
GEA ti Sp.PD Diatab 1x2 tab AL 15510 H RR
Inj Clinimix 1fl/24 jam HCT 26 L T
Inj Pycin 750mg/8j AE 4.28 H SpO2
Transfusi PRC 2 Kolf/hari MCV 60.0 L
sampai Hb >10 MCH 17.5 L
MCHC 29.2 L
Cl 109 H
B2 TD
HR
RR

2
T
SpO2

B3 MARJUNI 1 Selulitis Ext Inf Dextra Dr Inf Tetofusin 20 tpm Lab 20/07 TD
CHF Sumardj Inj Metronidazole Hb 11.9 L HR
o Sp.PD 500mg/8j AL 24440 H RR
Inj Santagesit 1gr/8j AE 4.08 H T
Inj Ranitidin 50mg/12j Na 133 L SpO2
Inj Furosemid 20mg/24jam K 3.4 L
Inj Pycin 750mg/8j
Xanelto 1x1
Pletaal 2x1
B5

B6 SUHADI 59 3 Obs Febris H3 ec sus DF dr. Inf RL 20 Tpm Lab 23/07 TD


dengan riw Mardjo, Inj Ranitidin 1a/12j Hb 12.3 L HR
Trombositopenia Low Sp.PD Inj Ondancetron 1a/12j AL 4310 L RR
Intake Geriatri Sucralfat syr 3xCI HCT 35 L T
Inj Pycin 750mg/8jam AT 77 L SpO2
Inj MP 62.5/12j AE 4.02 L
Alprazolam 500mg/24 RDW 13.6 H

3
C1 EKO PRASETYO 36 2 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
Sucralfate syr 3xC1 MCHC 25.8 L T
Lactulac Syr 3x1 RDW 17.1 H SpO2
Propranolol Lab 23/07
Simvastatin 1x20mg Hb 6.3 L
Spironolacton 100 0-0-1
C3 SUTRISNO 70 5 Post syncope dengan dr. Inf tutofusin 20tpm Lab 20/07 TD
RBBB Mardjo, Inj clinimix 1fl/24j HDL 39 H HR
IHD Sp.PD Inj Arixtra 1amp/24j (H4) CK NAC 2052 H RR
Sucralfate syr 3xC1 CK MB 206 H T
ISDN 3x5mg SpO2
CPG 1x1
Lactulac 3xCI
Fasic 1-0-0
SA 2amp /8j
C4 WIRYO 91 4 Obs Dyspneu dr. Inf Tutofuchin 20 tpm CK MB 27 TD
(Dulu DIHARJO CHF Mardjo, Aspilet 1x1 CK-NAC 48 HR
nya Efusi Pleura Bilateral Sp.PD CPG 1x1 (22 07 19) RR
ICU) STEMI Inferior Amlodipin 1x10mg T
Candesarta 1x16mg SpO2
ISDN 3x1
Lactulac 3xCI
Inj Cefoperazole
Inj GMZ 2x1 amp/12 jam
Inj Santegesic 750mg/8j
Inj Divity 1amp/24j
Spironolacton 100 1-0-0
C5 DARMO 74 7 PPOK dd bronkhitis dr. Inj pycin 750/8j Lab 16/07 TD
SUMARTO DM tipe 2 Mardjo, Nebu vp 1:1 /12j HbA1c 6.0 HR
Sp.PD OBH syr 3x1 GDP/GD2PP 181 H /201 H RR
NAC 3x1 EKG 16/07 sinus takikardi HR T
Metformin 3x500mg 125x/m, RBBB SpO2
4
Seretide 2x250 ECHO 16/07 mild MR AR dg GDS
dilatasi LV LA, bradikardi
C6 ANGGUN EKO Rabe Hiperkolesterolemia ; Dr Simvastatin 10 0-0-1 Lab 20/07 TD
WICAKSONO r2 Peningkatan Enzim Listyowa Curcuma 3x1 Chol 214 HR
Transaminase ti Sp.PD Cr 0.83 RR
OT 37 T
PT 107 SpO2

DAUN KELOR
1T SRI SUMIATI 53 5 Klinis Anemis pada CKD Dr Inf NaCl 10 tpm Lab 22/07/2019 TD
V Sumardj Inj Furosemide 2amp/8 Ur 260 H HR
o Sp.PD Inj Ranitidin 1amp/8 Cr 19.87 H RR
Inj EAS/24 K 6.8 H T
Cl 109 H
ISDN 3x1 SpO2
Candesartan 1x16 21/07
Keto G 3x2 Hb 8.2 L
CaCO3 3x1
Amlodipin 10mg
2B SARNO 66 2 Dyspneu ec Sus CHF dr. List, Inf Tutofusin 10 tpm Lab 22-07 TD
Intake Sedikit Sp.PD Inj Furosemid 2 amp/8j Hb18.8 HCT 56.1 HR
AKI dd CKD stg III Inj OMZ 2amp/12 AE 6.24 AT 166 AL 7250 RR
Inj Ketorolac k/p UR 16 CR 1.51 T
Ot 28 pt 25
NAC 3x1 Na 134 k 5.2 cl 109 SpO2
Spironolacton 1x1
Candesartan 1x16
3B HERI SANTOSO 40 2 Febris H-2 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 OMZ 1amp/12jam RDW 12.6 H RR
Cr 1.36 H
Inj Fosmicin 1amp/12 T
OT 39 H
Sucralfat Syr 3xCI SpO2
Tuzalos 3x1 Lab 20/07
OBH Syrp 3x1 HbA1C 14 H
5
Ribamipid 3x1 GDP 211 H
GD2PP 228 H
3T SOERATNO 69 1 Dsypneu ec Susp Oedem Dr Inf NaCl 7tpm AL 15350 TD
Pulmo Sumardj Inj Furosemid 40mg/8 AT 230 HR
IHD, LVH dd CHF o Sp.PD Bicnat AE 4.66 RR
AKI d CKD Stg III Drip NS 1 Fl 20cc/jam UR 49 CR 1.82 T
OT 200 PT 371
Klinis Anemia NA 133 5.5 SpO2

4B ANGGI 38 1 Obs Kolik Abdomen ec Dr Inf Tutofusin 20 tpm Lab 23/07 TD


SUKMAWATI GERD Listyowa Inj OMZ 1amp/12 HB 12.7 HR
Gastritis ti Sp.PD Sucralfat syrup 3xCI AL 5190 AE 4.19 AT 226 RR
Cephalgia berat Inj Santegesic 1amp/8 OT 16 PT 8 T
SpO2

4T SUPARNI 47 1 Abdominal Pain (+) Dr NaCl 20 tpm Lab 23/07 TD


Vomitus Listyowa Inj Ketorolac 20mg/8 HB 12.4 HR
Diare Akut dengan ti Sp.PD Inj Ranitidin 50mg/8 AL 12180 AE 4.87 AT 210 RR
Hematoscezia Inj Ondansentron 4mg/8j UR 42 CR 0.93
T
OT 22 PT 21
New Diatab 3x2 tab NA 130 K 2.6 SpO2

02 WARJO 84 OBS chest pain, nstemi dr. Inf tutofusin OpS 20tpm Lab 19/07 TD
IHD Mardjo, Inj satagesic 1amp/8j CK-NAC 179 HR
Sp.PD Inj ranitidine 1amp/12j CKMB 37 RR
CPG 2x75 T
ISDN 3x5mg SpO2
Ramipril 1x2.5
Simvastatin 1x40mg
03 MANGUN REJO 81 1 Obs Dyspneu dd CHF Dr.Sulisty Inf tutofusin 20tpm TD
Vomitus owati Inj ranitidine 50mg/12j HR
Riw. BPH Sp.PD Inj granicentron 1amp/24j RR
Inj cefoperazon 1amp/12j T
Renapar 3x1 SpO2
OBH syrp 3xc1
Tamsulosin 1x1
6
Candesartan 1x16mg
Sucralfat 3xc1
Histigo 3x1
07 TURUT 66 4 Disfagia Susp Dr Inf RL 20 tpm Lab 21/07 TD
Tetanus Sumardj IIn Metronidzaole LED 19 H HR
o Sp.PD 1amp/8jam RDW 11.9 H RR
Inj Antrain 1ampul/12 jam T
Inj pycin 750mg/8j SpO2
Diazepam 3x10mg
08 SUNARDI 65 2 Obs dypneu dengan dr. Arul, Inf nacl 20tpm Post HD TD
klinis anemia pada Sp.PD Inj lansoprazole 1 Ur: 102 HR
CKD grd V on HD amp/12jam Cr: 285 RR
rutin Inj asam traxenamat k/p T
Lab 22/07/19
Inj ondancentron k/p Hb 7.6 ( 07.00) SpO2
Inf eas 1flb/24j Hba1c 10.0 H
Caco3 3x1 GDP 60 L
Asam folat 3x1
Keto G 3x1
Miniaspi 1x80mg
Ostovel 1x 0.2
Rebamipid 3x100

10 WITO SAMIN 66 3 Obs Kolik Abdomen Dr Inf NaCl 20 tpm Lab 21/7/19 TD
Dehidrasi Berat Listyowa Inj Ketorolac 1 amp Hb 5.2 HR
ti Sp.PD SP Vascon 6cc/jam AT 277 RR
SP Dobutamin 3cc/jam AE 1.67 T
UR 75
CR 0.86 SpO2

12 JUMANAH 63 6 Rectocel grade iv, Dr list, Inf nacl 10tpm TD


sirosis hepatis, sppd Inf d40 II flas + 10 iu HR
efusi pleura, obs insulin bolus RR
dyspneu dgn Inf d5% + 12.5 iu insulin 16 T
ascites tpm SpO2
Inj furosemide 40mg/8j
7
Inj santagesik 1amp/8j
Inj cefoperazon/12j
Inj klinimix/24j
Lactolac 3xc1
Antacid 3xc1
Spironolactone 50-0-0-0
Propranolol 2x10mg
Inj ca glukonas
13 WARJONO 63 2 Kolik Abd dd Inf Tutofusin 20 tpm Lab 22/07 TD
Dispepsia Inj Omeprazole 40 mg/12 Hb 12.7 L HR
Konstipasi jam AL 16960 H RR
acites Inj Santagesic 1amp/8j AE 3.97 L T
Inj cefaperazon 1amp/12j RDW 13.0 H SpO2
Inj klinimix/24j Ur 88 H
Lactulac 3xCI Cr 3.80 H
Antacid 3xc1 OT 55 H
14 SUTINO 2 HIPOKALEMIA, CHF Dr. Inf RL 10tpm Lab 23/07/19 TD
PPOK mardjo Inj furosemide Na:142 HR
sppd 20mg/12j(bila tensi>100) P: 27 RR
Inj klinimix 1amp/24j Cl: 102 T
Nebu combivent/12j SpO2
Ksr 3x1
Ambroxol 3x1
Codein 3x1
Isdn 3x1
Cpg 1x1
Renapar 2x1
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
Ivp SpO2
GDS
8
Nefrolitiasis dengan pelvis
renal dan calyx pole inferior
Uretherolitiasis sinistra
setinggi di vl3, ukuran 1x1.8cm
Non fungsi ren sinistra
2 PONI 54 Rabe CF 1/3 Distal Os Radius dr. Amlodipine 1X10 TD
r Mardjo, Candesartan 1X16 mg HR
Sp.PD Clonidin 2x0.15 mg RR
T
SpO2

7 TUKINEM 84 Rabe HT emergency dr. Amlodipine 10mg/24j Lab 22/07 TD


r Mardjo, Candesartan 16mg/24j Hb 11.8 L HR
Sp.PD Clonidin 2x0,15 mg/po RR
T
SpO2
13 WARSINAH 59 Rabe HT dr. Amlodipine 1X10 Lab 17/07 TD
r Mardjo, Candesartan 1X16 mg LED 50 HR
Sp.PD Trombosit 451 RR
Erit 4.72 T
RDW 13.1 SpO2
Globulin 3.4
BROTOWALI
A1 SRI WAHYUNI 37 6 Obs vomitus, dr. Inf RL 15 tpm Koreksi TD
hipokalemi Listyowa Inf clinimix/24j Na/K/Cl: 137/18/102 HR
ti, Sp.PD Inj pycin 750mg/8 RR
Inj novaldo 1amp/8jj T
Inj santagesik 1amp/8j SpO2
Inj ondancentron 1amp/8j
Inj ranitidine 1amp/12j
Sucralfat syrp 3XC1
KSR 3x1
Amlodipine 1x10
Bisoprolol 1x1
9
CTM 3x1
Rebamipid 3x1
A5 YATMO 77 6 Melena ec sus gastritits dr. Inf tutofusin 20tpm Lab 19/07 TD
WIYOTO erosif Mardjo, Inj asam traxenamat Hb : 10.0 L AT 641 H AE 3.89 L HR
Hematuria ec massa VU Sp.PD 50mg/8j MCH 24.7 L MCHC 31.8 L RDW RR
CHF Inj pycin 750 mg/8j 28.8 H PT 16.1 H T
Inj furosemid 20mg/12j SpO2
Inj OMZ 40mg/12j
Transfuse PRC 2 kolf/hari
sd hb>10
MST 2x1
Rebamipid 3x1
Isdn 3x1
Amlodipine 1x10
A6 SUKARDI 43 4 Anemia, dr. Arul, Inj NaCl 20 tpm Lab 23 post transfuse TD
Mikrositik, Sp.PD Inj omz 40mg/12j Hb 7.6 HR
Mikrositer dengan Inj ondancentron 40mg/8j Lab 20/07 RR
kolik abdomen. Inj santagesic 1 amp/8j Hb 8.7 L T
Melena ec Non Inj asam traxenamat Ro Thorax : Cardiomegaly SpO2
Viral dd Viral 500mg/8j Pulmo dbn
Tranfusi PRC 2 kolf/hari
s/d Hb>10
Sucralfate syr 3xC1
Hesmin 3x1
B2 SAMIYEM 75 3 Kolik abdomen ec BSK dd dr. Inj RL 20tpm CT abdomen 23/07/19 TD
ISK cholelithiasis Mardjo, Inj omz 40mg/12j Massa ren kanan susp. Ca ren HR
Massa Ren Sp.PD Inj ketorolac /8j yang menyebabkan RR
Hepatomegaly Inj pycin 1amp/8j hidronefrosis, kista ren kiri T
Dispesia Inj ondancentron 1amp/8j Pemadatan lobus kanan hepar SpO2
Ambroxol 3xC1
Amlodipine 3x10mg Lab 19/07
Sucralfate syr 3xC1 Urine blood +3 prot +3
Curcuma 3x1 Leukosit +1
Sedimen epitel +1 AL +3 AE +4
10
B3 BIYANTI 40 RA genu bilateral, SLE, dr. Arul, Inf RL 20 tpm Lab 23/07 TD
hiperglikemia reaktif dd Sp.PD Inj santagesik 1amp/8j GDS 202 HR
DM Inj ranitidine 1amp/12j RR
Inj novorapid 10-10-10 T
Inj mp 6.25/12j SpO2
Inj pycin 750mg/8j
Inj lantus 0-0-0-10
Meloxicam 1x15mg
B4 PARTO 71 1 Pneumonia, obs dyspnea Dr Inf RL 20 tpm Lab 20/07 TD
MARIYAM dd SOPT dd tb Sumardj Inj pycin 1amp/8j TCM Negatif HR
o Sp.PD Nebu Combivant/12 jam BTA Sewaktu Negatif RR
NAC 3x1 Foto tho T
Fasix 1x10mg Pneumonia lobus infe bilateral SpO2
ISDN 3x1 Cardiomegaly dgn
CPG 1x75 aortosclerosis
OBH syr 3xc1
B5 SULISTYANTO 26 3 Obs Febris Hari ke 6 dd dr Inf Tutofusin 20 tpm Lab 21/07 TD
TF dd DHF Syuharul Inf Paracetamol k/p AL 2580 L LED 16 HR
Sp.PD Inj. Omeprazole 1a/12jam RR
Inj. Ondansentron 1a/12 T
jam SpO2
Inj Pycin 750mg/8jam
Paracetamol 3x500mg
Sucralfat syr 3xc1
B6 WARSO 57 HEMATEMESIS, DR LIST, Inf nacl 20 tpm TD
MELENA, HT STG SPPD Inj as. Traxenamat/8j HR
II, AKI Inj santagesik/8j RR
Inj ondancentron/8j T
Sp. Omz 6cc/jam SpO2
Amlodipine 1x10mg
Keto G 3x1
B7 MAHMUD OLCE 37 2 Syok hipovolemik dr Inf NaCl 10 tpm Lab 22/07 TD
HUDIYANTI dd kardiogenik, Syuharul Inj OMZ 1 amp/12j Sat o2 35.2 HR
Sp.PD Inj ondancentron 1amp/8j Fi o2 33 RR
11
anemia, ckd grade Inj cefoperazon 1amp/12j Ph 7.3 T
V, dyspepsi Pco 28 SpO2
Total co2 14.7
Beb -11.2
AaDo2 176
HCO3 14.7
Na 134
Ca 0.59
BINAHONG
IB2 TRI INDRANING 58 RAB HT dr. AMLODIPIN 1X10MG TD
ER 2 Mardjo, CANDESARTAN 1X16MG HR
Sp.PD RR
T
SpO2
GDS
IIA2 SURIP WIRO 72 Rabe CF Distal Radius D Dr Amlodipin 1x10 Lab 22/07 TD
REJO r2 HT dengan Riw HT Sumardj Candesartan 1x16 AE HR
o Sp.PD RR
T
SpO2

HCU
1 RIRI PRIYANTI 41 4 CKD dr. Inf EAS 1f/24j Post hd TD
HHD Mardjo, Inf D5 + 12.5 IU insulin Hb 10 HR
Sp.PD Inf D40 + 10 IU insulin Ur 233 RR
SP NTG 2F + Insulin 10 IU Cr 15.77 T
kec 2cc/jam SpO2
Inj cefoperazon 1g/12j
Inj Ca glukonas 1a/24j
Amlodipin 10mg/24j
Candesartan 16mg/24j
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
12
Neurodex 2x1 Post hd T
SP Nitrogliserin I amp Hb 9.5 SpO2
dalam 50 ml kecepatan Cr 2.48
3cc / jam Ur 40
SP Furosemid 10 amp kec
2 cc/jam
SP Nicardipin 2 cc/jam
Amlodipin 1x10mg
Candesartan 1x16mg
Clonidin 1x1

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