AMPRAHAN PASIEN GEH dr.

Imelda
Sigit

RA 5
1. Dodi Riswandi
Ruangan: 2.2.2
82.74.36/L/31th
dx:
- PSMBA ec Susp Gastritis Erosiva dd stress ulcer
- Hepatitis B kronik
- Anemia ec peny kronik (11.6)

Tx:
- Diet hati III rendah garam extra putih telur
- IVFD Nacl 0,9 % 20 gtt/i
- Inj Ceftriaxone 1gr/12jam
- Inj Omeprazole 40 mg /12 jam
- Inj as traneksamat 500 mg/ 8 jam
- Inj Vitamin K 1amp/24jam (H4)
- sukralfat syr 3x c1

R/ rencana gastroskopi

BB: 60 TB: 170 LLA: 25 cm

2. Hendra Silalahi
Ruangan: 3.2.5
82.68.27/L/37th
dx:
- Psmba ec variceal bleeding dd non variceal
- SH std DC
- Hep B Kronik
- Hepatoma dd liver metastase
- Hipoalbumin (2.9)
- Anemia ec Penyakit kronik (8,5)
- Status hipokoagulasi
- Hiponatremi (123)

Tx:
- Diet hati III rendah garam, extra putih telur
- IVFD D5% 10 gtt/i
- IVFD Comafusin hepar 1fl/24jam
- Inj Cefotaxim 1gr/8jam (H4)
- Inj Omeprazole 40 mg /12 jam
- Inj as traneksamat 500 mg/ 8 jam
- Inj Vitamin K 1amp/24jam
- sukralfat syr 3x c1
 R/ tranfusi PRC 2bag
Penjadwalan gastroskopi

BB: 70 TB 170 LLA: 32.5 cm

CVCU PJT bed 7

1. Rahmat Hanafi
82.58.62/31 thn / /Raber, dpjp departemen kardio
dx:
- PSMBA ec stress ulcer dd gastritis erosive
- AKI dd CKD
- Sepsis
- endokarditis
- CHF ec AR severe
- Pneumonia
Tx:
- IVFD Nacl 0,9 % 20 gtt/i
- Inj Omeprazole 40mg/12jam
- Inj Asam Tranexamat 500mg/12jam
- Sukralfat syr 3xc1

R/ benzidin test, hst

BB: 55 TB 167 LLA 21 cm