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FOLLOW UP PASIEN RUANGAN IRINA F

Hari/Tanggal : Rabu, 28 Juli 2021

F Bawah
No Nama Hari Diagnosa Swab Radiologi Laboratorium Terapi
. Perawatan Laboratorium
1 Ny. MRS F bawah Konfirmasi covid 19 Swab antigen 7/7/21 16/7/21 Foto thoraks IVFD NaCl 0,9% 500cc
Mangerongkonda 8/7/21 Pneumonia bilateral lab kanaka Leu 4.800 Hb 9.6 Bilateral pneumonia /12jam iv
Ruth Anna AKI 7/7/2021 Hb 9,8 Leukosit 5900 Paracetamol 3x500mg po
H19 Hipertensi Positif Ht 30,3 PLT 246 N asetilsistein 3x200mg po
RM: 00493551 Anemia renal dd occult Trombo 164.000 Amlodipine 1x10mg po
bleeding 8/7/2021 MCH 28,1 17/7/21 Bcomp 3x1 tab po
DOB : 21/5/38 Hiponatremia perbaikan Swab 1 MCHC 32,5 Na 130 Bicnat 3x500mg
Positif MCV 86,4 K 4.08 Lovenox 1x40mg H9
DPJP : dr. Diff count Ch 92,0 Lactulose 3x10 cc po
Octavianus 9/7/21 0/1/0/59/27/13 Leuko 5.3
Umboh SpPD Swab 2 Ur/Cr : 125/2,6 Eri 3.36 Plan:
GDS 145 Hb 9,4 Cek TTV/8 jam
18/7/21 PT 15,2 Ht 29.4 Tibc SI, bloodsmear, benzidine

1.1
Swab 3 INR 1,13 Trombo 256 test
Positif APPT 30,5 MCH 27.9 Swab PCR berkala
SGOT 34 MCHC 31.9 Cek D-Dimmer, Fibrinogen
25/7/21 SGPT 15 MCV 87,5 Takar urin /24 jam
Swab 4 Cl 90,6 Ur/Cr 44/1.5 USG abdomen
Positif K 3,53 Transfusi PRC 230ml/24 jam
Na 125 23/7/21
14/7/21 Leu 5500 Konsul hemato
Hb 8.1 Hb 8.5 Cek ur, cre kontrol. Bila sudah
Leukosit 7200 Tro 238.000 ada hasil bisa lapor hematologi
Plt 288 Diff count 1/0/8/60/20/11 Transfusi PRC belum ada darah
PT 12.9 Ur 52 Riw. Pengobatan:
APTT 30.1 Cr 1.6 Azitromisin 1x500mg po. H5
INR 0.95 Na 130 -STOP
Fibrinogen 550 K 4.10
D dimer 2.30 Cl 92.3 23/7/21
Dl Na k cl Ur cr
26/7/21
Leu 5.100 26/7/21
Hb 8,4 Cek DL, d dimer, fibrinogen, pt
Tro 259.000 apt inr
Ddimmer, fibrinogen, pt, aptt,
inr tidak keluar hasil

2 Ny. Leli A A MRS F Bawah Covid 19 konfirmasi Swab PCR 17/7/21 22/7/21 Foto Thorax IVFD NaCl 0,9% 500cc/8 jam
Mangerongkonda 18/7/21 Pneumonia Cov 19 Leu 4.800 PT 12,2/12,7 Pneumonia Bilateral iv
, 75 tahun 16/7/21 Hb 13 INR 0,96/1,01 Ceftriaxone 1x2gr IV H10
H11 positif Ht 40.8 APPT 25,8/34,7 Azytromycin 1x500mg PO H5
Perempuan Tromb 145.000 -STOP
swab 2 MCH 26.5 N Asetilsestein 3x200mg PO
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

DOB 12/12/1945 23/7/21 MCHC 31.9 Vit C 3x250mg po


Positif MCV 83.2 N asetilsestein 3x200mg PO
RM 00019826 DC 0/0/0/65/27/8 Paracetamol 3x500mg PO
Ur/Cr : 38/1.2 Zinc 1x20mg po
DPJP: dr. SGOT/SGPT 31/14
Antonius Dian GDS 83 Riwayat Pengobatan :
Wirawan, SpPD Na 134 Ceftriaxone 1x2gr IV H10
K 3.94 stop 27/7/21
Chl 95.6 Azytromycin 1x500mg PO H5

1.2
-STOP

Advice:
Cek TTV/8 jam
Swab PCR untuk diagnostik
Cek D-Dimmer, Fibrinogen

20/7/21 cek lab D-Dimer


Fibrinogen
Tidak keluar hasil

LAB 22/7/21
PT, INR, APTT, Fibrinogen?,
DDImer ?

29/7/21:
Foto thorax kontrol
3 Ny. Paulina Lalao MRS F Covid 19 Terkonfirmasi Swab antigen Foto Thorax Lab 12/7/21 GDS 4 porsi Terapi :
50 thn BAWAH Pneumonia RS Budi Pneumonia Leu 27.900 IVFD NaCL 0,9% /8 jam
13/7/21 Dm tipe 2 Setia 10/7/21 bilateral dd Hb 11.6 18/7/21 Ceftriaxone 1x2gr IV H15
Perempuan Dispepsia syndrome Positif Probable covid 19 Ht 33.7 06.00 225 N 10 Novorapid 12u bila gds >200
DOB 19/12/1970 H15 Hyponatremia perbaikan Platelet 240.000 12.00 186 N 10 Levemir 1x16 ui jam 22.00
RM 00744185 Anemia pro evaluasi SWAB PCR diffcount 0/0/0/90/8/2 18.00 Lansoprazole 2x30mg PO
Hipokalemia 1 SGOT 43 22.00 201 B comp 3x1 PO
DPJP : Dr. dr 13/7/21 SGPT 26 Zinc 1x20mg PO
Eko positif Ur 38 19/7/21 Vit C 3x1 PO
Surachmanto Cr 0.7 06.00 Paracetamol 3x500mg po
SpPD Swab 2 GDS 361 12.00 337 N 10 N asetilsistein 3x200mg po
14/7/21 Kalium 4.17 18.00 141 N 4 unit KSR 1x600 mg po
positif Chlorida 91.9 22.00 137
Natrium 128 Konsul palma - perbaikan

1.4
SWAB 3 Anti HCV non reaktif
22/7/21 Hbsag non reaktif 20/7/21 Riwayat :
positif Anti hiv non reaktif 06.00 268 N 12 Azytromycin 1x500mg PO H6
12.00 175
GDS 13/7/21 AGD 13/7/21 18.00 390 N12
12.00 372 N6 PH 7,45 22.00 367 N12 Lab HBA1c Tidak keluar
18.00 347 N6 PCO2 28,4
22.00 62 PO2 183 21/7/21 LAB 22/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

BEecf -4 06.00 HBA1c bekuan


14/7/21 TCO2 2 12.00 247 N12
06.00 286 sO2 100% 18.00 408 N12 Cek HBA1C tanggal 25/7/21
12.00 417 Lac 0,85 22.00 198 L16
18.00 FiO2 100
13/7/21 22/7/21
14/7/21 GDS 277 06.00 227 N12
06.00 286 12.00 298 N12
Novorapid 4 17/7/21 18.00 377 N12
unit DC 1/0/0/70/20 22.00 107
12.00 417 Na 138
18.00 504 K 3.92 23/7/21
22.00 301 Cl 93,7 06.00
Leuko 9,4 12.00 377 N 12
15/7/21 Eri 3,79 18.00
06.00 Hb 10,6 22.00 354 L16
22.00 338 Trombo 346
MCH MCYHC MCV : 24/7/21
16/7/2021 27.9/32.9/84/4 06.00 229 N12 unit
06.00 230 12.00 539 N12 unit
12.00 200 18/7/21 18.00 241 N12 unit
18.00 349 Hb 10,4 22.00 230 L14
22.00 314 Leu 8,5
Plt 393 25/7/21
17/7/21 MCV 85,5 06.00 257 N 12
06.00 MCH 27,9
12.00 288 N 12
12.00 247 MCHC 32,7
18.00 442 N 14
18.00 424 Na 136
Novo 10 K 3,38 22.00 201 L16
22.00 452 Cl 97,7
N10 PT 13,2/13,5 26/7/21
INR 1,06/1,09 06.00 174
APTT 30,9/34,5 12.00 302 N12
DC 18.00 178 N12
2/1/1/65/19/12 22.00 168

20/7/21 27/7/21
Leukosit 5100 06.00 111
Hb 10.2 12.00 110
Trombosit 445.000 18.00 468 N 12
PT 14.8(12.7) 22.00 212 L 16
aPTT 28.3 (29.9)
INR 1.24 (1.01) 28/7/21
UA 1.8 06.00 165 N10
12.00 194 N10
24/7/21 18.00 158 L 16
Hb 10.2 22.00
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Ht 30.7
Leuko 7000
Trombo 503.000
Eo/baso/net batang/net
seg/limfo/mono 1-0-1-59-31-
8
GDS 291
PT 24.7 (control 15.1)
aPTT 50.5 (control 32.1)
INR 2.45 (control 1.27)
4 Ny. Sune Farida MRS 26/7/21 Covid 19 terkonfirmasi Swab antigen Rontgen mild Lab 24/7/21 IVFD NaCl 0.9% 500ml 28
61 tahun H3 Pneumonia RS Siloam pneumonia kanan Leu 11.200 tpm
Hipertensi positif Hb 14.4 Levofloxacin 750mg/ 48 jam iv
RM 505381 Ca endometrium on kemo Ht 43.4 (H3)
(di RS Siloam) Swab PCR 1 Tro 361.000 Resfar 5gr drips tiap 24 jam
DOB DM tipe 2 26/7/21 MCH 27.6 Vitamin C 3x 500 mg iv
Hiponatremia positif MCHC 33.2 B comp 3x1 po
Kapten interna AKI DD AKUT ON CKD MCV 83.1 Lansoprazole 2x30mg iv
DPJP Swab PCR 2 Net seg 71 Amlodipin 1x10mg po
GDS 4 porsi
dr Octavianus 27/7/21 Lim 17 Novorapid 3x4 unit sc
26/7/21
Umboh, Sp.PD Sgot 28 (GDS>200)
18.00
Sgpt 16
22.00 256
Ur 103 Jawaban konsul obsgyn:
Cr 2.0 Rencana lanjutkan kemoterapi

2.2
27/6/21
Na 133 paliatif ke III
06.00
K 4.28 Perbaiki KU
12.00 113
Cl 94.3
18.00 264 N 4
Gds 188 Plan 27/6/21 :
22.00 283
PT 16.4 Cek lab
INR 1.42 Konsul Obsgin (Ca
28/7/21
APTT 29.9 endometrium)
06.00 245 N4
12.00 206 N4
27/7/21
18.00 212 N4
E/B/Bat/S/L/M
0/0/7/80/12/1
Leu 8700
Hb 14.1
Ht 42.9
Tr 404000
Ur 112
Cr 1.6
GDS 178
5 Ny. Susan MRS F ITN Covid 19 terkonfirmasi Swab antigen Rontgen 16/7/21 : 16/7/21 GDS 21/7/21 O2 NRM 10 lpm
Jokomi/ 69 tahun 21/7/21 Pneumonia bilateral Siloam pneumonia Leu 7500 06.00 188 Saran terapi:
F Bawah severe 15/7/21 bilateral probabel Hb 11.3 12.00 IVFD NaCl 0,9% 500cc/ 8 jam
RM 00744585/ 23/7/21 DM tipe 2 Negative covid 19 Ht 30.4 18.00. 167 iv
DOB 1951-08-10 H7 Hiponatremia Trombo 222 22.00 190 Vit b com 3x1
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

MCH 31.3 Paracetamol 3x500 mg po


KAPTEN Swab PCR 1 CT thorax : MCHC 37.2 22/7/21 levofloxacin 1x750 mg iv
INTERNA 23/7/21 moderate MCV 84.2 06.00 (belum pernah masuk, pasien
Positif pneumoni bilateral DC 0/0/1/84/8/7 12.00 195 belum bersedia)
DPJP Interna: SGOT/PT : 57/42 18.00 238 N4 Lansoprazole 2x30 mg po
Dr. dr. Eko Ur/Cr : 17/ 0.7 22.00 Menolak di cek Vit c 3x250 mg po
Surachmanto, GDS 150 Zinc 1x20mg po
SpPD-KAI Chlor 79.7 23/7/21 Novorapid 4 iu bila GDS >200
K 3.89 06.00 393 N 4 Lactulose syr 3x10ml po
Na 123 12.00 295 N 8 Levofloxacin 1x500mg po
PT 12.7/15 18.00
INR 0.94/1.11 22.00 200 N4 Advice:
APTT 28/36 Cek TTV/8 jam

2.3 18/7/21
GDS 74
24/7/21
06.00 215 N4
18.00 235 N4
22.00
Swab PCR
AGD, UL, Na, K, Cl kontrol
Cek HBa1c, GD4P
Cek D-Dimmer, Fibrinogen
23/7/21
Hb 12.5 25/7/21 29/7/21:
Ht 37.9 06.00 241 N4 Foto thorax kontrol
Leuko 6.300 12.00 252 N 4
Trombo 429.000 18.00 292 N 6
Eos/baso/net batang/net 22.00 182
seg/limfo/mono 1-0-3-70-16-
10 26/7/21
Na 135 06.00 216 N 4
K 4.67 12.00 234 N4
Cl 97 18.00
22.00 256

27/7/21
06.00 202 N4
12.00 268 N4
18.00 177
22.00 215

28/7/21
06.00 217 N4
12.00 180 N4
18.00 250 N6
6 Ny. Meike Joiske MRS F Bawah Probable COVID-19 Swab Antigen Foto thorax Lab 28/7/21 Terapi konservatif dari obs-gyn
Tamunu/ 39 th 27/7/21 TB paru dalam OAT (RSUD (26/7/21): TB paru 26/7/21 Gamma GT 89 RL + MgSO4 40% per 6 jam
kategori 1, fase intensif Kotamobagu, lama aktif, Leu 4.500 Bil total 1.12 Nifedipine 3 x 10 mg PO
DOB 12/5/1982 H-1 G2P1A0 usia gestasi 28- 26/7/21) atelectasis paru kiri Hb 12.5 Bil direk 1.04 Dopamet 3 x 250 mg PO
RM: 745179 29 minggu dengan Positif Trombo 199.000 Albumin 2.00 Rencana pematangan paru fetus
preeclampsia berat Eos/baso/net btg/net
Kapten Obsgyn ISK Swab I seg/limfo/mono 0-0-0-73-19-
Hipoalbuminemia 28/7/21 8 Rencana dari interna 28/7/21:
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

DPJP: dr. SGOT/SGPT 134/38 Tunda OAT pasien, tunggu


Octavianus Pasien belum vaksin Ur 23 jawaban konsul paru
Umboh, Sp.PD Cr 0,5 Saran ceftriaxone 1 x 2 gram
GDS 59 IV
Na 134 Saran swab PCR SARS-CoV-2
K 4.22 tgl 28/7/21

2.4 Cl 94.6
Anti HCV, anti HIV, HBsAg
non reaktif
PT 15.4 (kontrol 13.4)
Kultur urine
Cek Bil.tot/dir/indir, GGT, alb
Feritin
Konsul Paru
aPTT 39.9 (kontrol 32.8) Saran koreksi hipoalbumin ke
INR 1.31 (kontrol 1.09) TS Obsgyn

Urine lengkap (26/7/21):


Warna kuning keruh
Mikroskopik:
Eri 40-45
Leuko 8-10
Epitel 1-2
Bakteri -
Jamur -
Kimia:
BJ 1025
PH 5
Leukosit +2
Nitrit +
Protein +3
Glukosa negatif
Keton +1
Urobilinogen +1
Bilirubin +2
Darah +4
Silinder granula 15-20
Kristal -
7 Ny. Marlen MRS F Bawah Covid 19 Terkonfirmasi Swab antigen Rontgen 14/7/21 Lab 23/7/2021 24/7/21 IVFD NaCl 0,9%: Aminofusin
Takapotehe/ 33 23/7/21 Susp. Sirosis Hepatis Siloam Pulmo dan Cor Leuko 4,6 Diff count 0/0/0/63/25/12 Hepar 1:1 per 24 jam
th Dekompensata 23/7/21 kesan normal Eo 0 PT 17.2/15.1 Lanzoprazol 1 x 30 mg IV
H-6 Hipoalbumin Positif Ba 0 INR 1.51/1.27 Furosemid 1-1-0 IV
DOB 9-3-1988 Diare akut Batang 0 APTT 34.1/32.1 New Diatab 3 x 2 tab PO
RM: 741912 Anemia ec Chronic SWAB -1 Segmen 67 Leu 4800 Albumin 25% 1 x 100 cc IV
Disease 24/7/21 Limf 22 Eri 3.20 N acetilsistein 3 x 200 mg PO
DPJP: dr. Hiponatremi positif Mono 11 Hb 8.2 KSR 3 x 600 mg PO
Octavianus Hipokalemi Hb 8,6 Ht 25.4 Zinc 1 x 20 mg PO
Umboh, Sp.PD Ascites Trom 102 Tro 128.000 B Comp 3 x 1 PO
Na 133 MCH 25.6 Vit C 3 x 1 PO
K 3,11 MCV 79.4 Spironolakton 1x100 mg
P 3,8 Ur 47
Mg 1,65 Cr 1
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Ureum 46

3.1 Creatinin 1,2


SGOT 51
SGPT 34
PT 17,0
Alb 1.9

APTT 34,0
INR 1,3
8 Ny Sri Yatim F bawah Covid 19 Terkonfirmasi Swab antigen 15/7/21 Foto thorax 18/7/21 Nacl 0.9 % 500 cc 20 tpm
55 tahun 16/7/21 Pneumonia RS Budi Hb 15.1 Pneumonia Hb 12,8 Levofloxacin 1x750mg iv H14
H13 DM tipe 2 Mulia positif Leukosit 6200 Leu 6,3 Resfar 5 gr drips / 24 jam
DOB 18/11/65 Hipertensi Plt 127 GDS 16/7/21 Plt 157 Lansoprazole 2x30mg iv
RM 00552101 Dispepsia Swab PCR 1 SGOT 40 18.00 MCV 84,3 Vitamin c 3x1gr iv
Hypokalemia ringan 17/7/21 SGPT 42 22.00 MCH 27 KSR 1x600mg po
Dpjp dr Eko Hemorrhoid externa positif Ureum 8 MCHC 32 Novorapid 3x6u sc bila GDS
Surachmanto, Creatinin 0.6 17/7/21 DC >180 menolak Insulin 19/7/21
SpPD-KAI Swab PCR 2 Na 139 06.00 1/1/4/66/17/11 Levemir 1x 10 iu sc
18/7/21 K 3.37 Amlodipin 1x10mg po
Positif PT 15.1 18/7/21 20/7/21 Domperidon 3x10 mg po

3.2
INR 1.12 18.00 214 Leukosit 6700 Anti hemorrhoid 2x1 supp
Swab 4 APTT 32.5 22.00 197 Hb 12.9
27/7/21 Trombosit 228.000
22/7/21 19/7/21 Diff. Count 3/0/0/67/22/8 Plan
Leuko 7300 06.00 PT 14.5(12.7) GDS 4 porsi
Eri 4,73 12.00 296 N6 aPTT 28.3 (29.9) Konsul bedah digestif untuk
Hb 12,7 18.00 279 N6 INR 1.21 (1.01) masalah hemorrhoid (senin
Trombo 257000 22,00 190 26/7/21)  menunggu
UA 1.8
Hba1c 8,6 jawaban konsul
20/7/21 29/7/21: foto thorax control
06.00 175
12.00 233 N6
18.00 267
22.00 197

21/7/21
06.00 201 N6iu
12.00 167
18.00 173
22.00 201 N6iu

22/7/21
06.00 270 N6
12.00 253 N6
18.00 244 N6
22,00 183.

23/7/21
06.00
12.00 181 N4
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

18.00
22.00 171

24/7/21
06.00 186 N6
18.00 236 N6
22.00 169

25/7/21
06.00 197 N 6
12.00 185 N 6
18.00 252 N 8
22.00 213 L10

26/7/21
06.00 173
12.00 233 N6
18.00 282 N6
22..00 124

27/7/21
06.00 112
12.00 242 N6
18.00 285 N 6
22.00 157

28/7/21
06.00 119 N6
12.00 124 N6
18.00 231 L10
9 Ny. Atmara MRS F bawah Probable covid 19 Swab antigen Foto thorax: tak Lab 27/7/21 IVFD NaCl 0.9% 500ml/8 jam
28/7/21 Diare akut SARS Cov-2 tampak kelainan Leu 5600 N asetilsistein 3x200mg po
47 tahun H1 Dispepsia 25/7/21: Hb 11.3 Zinc 1x20mg po
positif Lab 27/7/21 Ht 32.7 Vit C 3x250mg po
RM: 00745239 Leu 5600 Tro 214.000 Vit D3 1x5000 iu po
Swab PCR I Hb 11.3 MCH 27.2 New diatab 3x2tab po
DOB: 20-7-1974 28/7/21 Ht 32.7 MCHC 34.6 Lansoprazole 2x30mg po
Tro 214.000 MCV 78.8 Sucralfat 3x10ml po
DPJP: dr. MCH 27.2 Diff count 0/0/0/57/36/7/78.8 Domperidone 3x10mg po
Octavianus MCHC 34.6 Sgot 20
Umboh, Sp.PD MCV 78.8 Sgpt 12 Plan 29/7/21:
Diff count Ur 38 Cek D-Dimmer, fibrinogen,
0/0/0/57/36/7/78.8 Cr 1 CRP

3.3 Sgot 20
Sgpt 12
Ur 38
Cr 1
Na 142
K 4.05
Cl 106.2
HBsAg non reaktif
Na 142 Anti HIV non reaktif
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

K 4.05 Anti HCV non reaktif


Cl 106.2 GDS 65
HBsAg non PT 14.8 / 15
reaktif APTT 31.3 /36.9
Anti HIV non INR 1.10 1.26
reaktif
Anti HCV non
reaktif
GDS 65
PT 14.8 / 15
APTT 31.3 /36.9
INR 1.10 1.26
10 Ny. Lomboan MRS F Bawah Probable covid 19 dengan Swab *X-Foto Thorax Lab IVFD Nacl 0,9% 500 cc/8 jam
Angela Ester 26/7/21 gejala berat Antigen 26/7/21* 26/7/21 Ceftriaxone 1x2 gr iv H3
Pneumonia bilateral Positif Severe pneumonia Leu 10.000 Azithromycin 1x500 mg H3
Umur : 37 tahun Hari ke 3 P3A0 37 thn post sctp + bilateral typical Hb 13,3 N asetilsistein 5 gr drips iv
sterilisasi Swab 27/7/21 viral Tro 195.000 Vitamin C 3x1 amp iv
RM : 745120 Diffcount 0/0/2/83/10/5 Paracetamol 3x500 mg po
GOT/GPT 41/18
DOB : 7/8/1983 Ur 5
Cr 0,4 Plan :
Gds 125 Swab PCR berkala

3.4
Na 137 Monitoring ttv
K 3,58 Cek Ddimmer, fibrinogen
Anti HCV, anti HIV, HBsAg Bila desat, rencana AGD
non reaktif

*Kapten Obsgin*

DPJP : dr. Eko


Surachmanto,
Sp.PD-KAI
11 Tn Eryanan MRS F COVID 19 Terkonfirmasi SWAB Susp pneumonia 12/7/21 GDS 13/7/21 Terapi:
Alexander / 48 BAWAH Pneumonia ANTIGEN parahilar kiri dd Leu 11.300 22.00 427 Novomix 8 unit IVFD NaCl 0,9% 500cc/8 jam
tahun 11/7/21 Susp tb paru dd massa 9/7/21 mass cavitas paru Hb 11.1 Ranitidine 2x50mg iv
paru POSITIF kanan ec proses Ht 36.3 14/7/21 Bcom 2x1
Laki-laki H16 Dm tipe II infeksi dd Trombo 303.000 06.00 370 Novomix 8 Metoclopramide 3x10mg iv
Hiponatremia Swab 1 malignancy MCH 18.3 12.00 341 Novorapid 3x6
DOB 1973-04-05 Post stroke 12/7/21 MCHC 31.4 18.00 268 Levemir 1x20 iu sc jam 18.00
Anemia pro evaluasi Positif 9/7/21 MCV 58.3 22.00 201 Vit c 3x1 amp iv
RM 00744083 Leu 7100 GDS 223 Paracetamol 3x500mg po
Swab 2 Hb 11.1 15/7/21 N- asetilsistein 3x200mg
13/7/21 Ht 36.3 18/7/21 06.00 Zinc 1x20mg po TAP
DPJP : Dr. dr Positif Trombo 279000 Na 124 12.00 352 Novomix 8 Bicnat 3x500 mg
Eko MCH 18.5 K 5,24 18.00 230
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Surachmanto SWAB 3 MCHC 30,6 Cl 87 22.00 367 Riwayat pengobatan


SpPD 22/7/21 MCV 60.3 Azitromycin 1x500mg H5
positif DC 1/0/3/56/32/8 19/7/21 16/7/21 Ceftriaxone 1x2gr iv H11
SGOT 22 Dc 0/0/0/84/11 06.00 Dexametazone 1x5mg iv H10
SGPT 10 Leuko 14.2 18.00 509 novomix 14

4.1
Na 123 Eri 5,51 22.00 366 Advice:
K 4,63 Hb 10 Cek TTV/8 jam
Cl 90.6 Ht 33.5 17/7/21 Swab PCR berkala
PT 13.9 Trombo 449 06.00 435 novomix 14 Gene expert
INR 1.03 MCH 18,1 12.00- Urinalisa lengkap, fibrinogen,
APPT 34 MCHC 29,9 18.00 365 Novomix 14 d-dimer
MCV 60,8 GDS 4 porsi
18/7/21 Regulasi/stabilkan gula darah
22/7/21 06.00 419 Novomix 18
Leuko 13600 12.00 316
Eri 5,45 18.00 320 Novomix 18 Kalo saturasi bagus, besok
Hb 9,8 22.00 291 27/7/21 boleh rawat jalan.
Trombo 476000 Konfitrmasi DPJP dulu
Hba1c 12,9 19/7/21
06.00
12.00 331
18.00 128 20
22,00 140

20/7/21
06.00 183 NOVOMIX 20
12.00 338
18.00 522
22.00 518

21/07/21
06.00
12.00 HI novomix 20iu
18.00 547
22.00 338 novomix 20iu

22/7/21
06.00 540 Novomix 20
12.00 HI Novorapid 10 u IV
18.00 438 N6 L16
22.00 286

23/7/21
06.00
12.00 306 N 10
18.00
22.00 145
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

24/7/21
06.00 141
12.00 272
18.00
22.00 209

25/7/21
06.00 207 N6
12.00 238 N 6
18.00 115 N4 Levemir 16
22.00 110

26/7/21
06.00 100 L 16
12.00 75 (-)
18.00 100 (-)
22.00 130

27/7/21
06.00 133
12.00 322 N6
18.00 410 N 6
22.00 304 L 16

28/7/21
06.00 220 N6
12.00
18.00 219 L20
12 Tn. Hendrik MRS F atas COVID-19 terkonfirmasi Swab Riw demam, Lab 22/7/21 Ceftriaxone 1x2gr iv H5
Lasera / 67 th Pneumonia antigen batuk. Leukosit 20.600 Azithromycin 1x500mg po
25/7/21 CKD 5 HD ec HNS 20/7/21: Hb 9.3 H5
00742889 Hipertensi terkontrol Positif Foto thoraks RS Trombosit 212.000 Bkomp 3x1 tab po
Hari ke 4 Gouthy arthritis Kronis Kandou 22/7/21 Eosinofil 1 Zinc 1x20mg po
Anemia Renal PCR siloam Tidak ada Basofil 0 Vitamin C 2x250mg iv
1965/ 01/25 Vaksin (-) Hipokalsemia 21/7/21 kelainan Netrofil batang 1 N-acetylsistein 3x200mg po
Hipoalbumin Positif Netrofil segmen 82 Candesartan 8mg 0-0-1 po
DPJP : dr.
F bawah Ct value Limfosit 9 Amlodipin 10mg 1-0-0 po
Antonius
27/7/21 21.3 Monosit 7 Paracetamol 3x500mg po kp
Wirawan, Sp.PD
Hari 2 SGOT/SGPT 19/22 Asam folat 2x0.4mg po
KAPTEN Swab 1 Ur/Cr 161 / 7,8 Allopurinol 1x100mg po
INTERNA 25/7/21 Na/K/Cl 136/ 3,41/ 98,3 Ca gluconas 3x 1 amp IV
positif PT 13.6

4.2
INR 1,1 Plan
Swab 2 APPT 28, 1 Urinalisa
26/7/21 GDS 184 Kultur Darah + ST
HbSAg: Non Reaktif DDR: Sudah buat pengatar,
Anti HCV Non Reaktif tapi perawat tidak mau
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Anti HIV Non Reaktif ambil karna tidak ada object


glass.
27/7/21
Na 141 Pasien post HD (26/7/21)
K 4.0
Cl 94
Leu 28900
Hb 7.9
Ht 21
Tr 142000
MCH 28.6
MCV 82.4
Ur 142
Cr 7.6
Ca 6.72
F 3.7
Mg 1.8
Albumin 3.1
Fibrinogen 532
D dimer 2.5
13 Tn. Mandolang F ITN Covid 19 terkonfirmasi Swab PCR 1 Rontgen thoraks 14/7/21 Lab 17/7/21 Mandolang N-Asetilsistein 3x200mg
Nolli / 66 th 15/7/21 CKD 5 HD ec HNS 12/7/21 14/7/21: Leuko 6300 DC Nolli Ranitidine 2x50mg iv
Hari 5 Pneumonia Positif Cardiomegaly, Hb 8,6 0/0/2/84/8/6 21/7/2021 Vit bcom 1x1
00722603 Hiperkalemia perbaikan dengan edema Ht 24,3 Na 129 WBC 6,8 Adalat oros 30mg 1-0-0
F Bawah Hipertensi Swab 2 paru, DD/ Tromb 76 K 5.01 HB 7,7 Asam folat 2x0,4mg
1954/11/24 19/7/21 Trombositopenia 21/7/21 pneumonia MCH 28,8 Ch 86,5 PLT 67 Levofloksasin 750mg Hari 3
Ur 228
H9 Anemia ec chronic disease bilateral MCHC 35,4 Leuko 19.100 Levofloksasin 500mg/48 jam
Cre 19,3
DPJP : dr. Hepatopati reaktif Swab 3 MCV 81,3 Eri 2,77 Na 126
(H8)
Antonius Hiperfosfatemia 23/7/21 DC 1/0/1/74/16/8 Hb 8,2 K 4,81 Biknat 3x500 mg po
Wirawan, Sp.PD HD SENIN Hipocalcemia Positif SGOT/PT 57/62 Ht 24,3 Telmisartan 1x80 mg po
19/7/21 – Ur/Cr : 280/24,2 Trombo 64 27/7/21 Clonidin 3x 0.15 mg
KAPTEN hanya 1 jam HD Senin-Kamis GDS 81 MCH / Na 148 Caco3 3x 500 mg
INTERNA krn tensi drop Cl 100,4 MCHC : K 4.8
dan menggigil K 6,39 29.5/33/7 Cl 108 Riwayat Terapi :

4.3 Na 148

23/7/21
Leu 7100
SGOT/SGPT
283/301
Ur/Cr :
219/21.3
Leu 10300
Hb 8.1
Ht 23.4
Tr 79000
MCV 83.4
Ca glukonas 3x1amp stop
D10%+ Novorapid 10iu/24jam
iv – stop

Hb 6.8 Cals 8.34 HD Senin-Kamis


Tro 82.000 Fosfor 10 MCH 28.5
SGOT 42
Diff count 3/0/5/70/9/13 Mag 2,42 Cek lab post HD besok 20/7/21
SGPT 52
Ur 167 Alb 3.32 Tidak keluar hasil
Ur 172
Cr 14.6 Cr 16
Na 127 Ca 7.5 HD 22/7, 26/7
K 4.19 F 6.9
Cl 87.5 MG 2.7 24/7/21: Transfusi PRC
Alb 3.4 Albumin 3.1
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Ca 7.97 26/7/21 : tramsfusi PRC


Mg 2.02
P 6.4 27/7/21 cek lab post HD
14 Tn. Dirk MRS F bawah Covid 19 terkonfirmasi Swab Thorax 9/7/21 Gds 16/7/21 IVFD NaCl 0,9% 500cc/8 jam
Marthein 4/7/21 DMT2 on treatment Antigen Mild pneumonia Hb 12.1 5/7/21 06.00 238 iv
Markus / 59 Riwayat belum Pneumonia 3/7/21 sinistra Leukosit 6100 06.00 18.00 307 Resfar 500mg/24 jam
tahun pernah vaksin Anemia ec susp Chronic Positif Plt 348 18.00 22.00 Vit Bcom 3x1 tab
disease 3/7/21 Sgot 17 22.00 270 Vit C 3x250mg po
RM 00743600 H22 Swab 1 Leu 7300 Sgpt 14 17/7/21 ZInc 1x1 tab po
6/7/21 06.00
4/7/21 Hb 11,6 Ureum 31 Ranitidin 2x50 mg iv
06.00 202 12.00 235
Kapten Interna Positif Ht 34 Cr 0.7 12.00 150 18.00 316
Novomix 20-0-20
Trombo 182 Fibrinogen 582 18.00 Novomix 10 Lovenox 1x40mg H16
DPJP: dr. Swab 2 MCH 27,7 D dimer 1.04 22.00 Ranitidin 2x50 mg IV
Antonius Dian 5/7/21 MCHC 34,1 PT 12.8 18/7/21
Wirawan, SpPD Positif MCV 81,1 APTT 35.2 06.00 220 Riwayat
7/7/21 12.00 274
DC 0/0/0/77/13/10 Inr 0.94 06.00 18.00 238 Azitromisin 1x500mg po H5
Swab 3 SGOT/PT : 57/22 Na 135 12.00

4.4
Novomix 10
14/7/21 Ur/Cr : 43/1,1 K 3.95 18.00 172 22.00 144 Advice:
Positif GDS113 22.00 198 Cek TTV/8 jam
Chlor 98,3 14/7/21 19/7/21 Swab PCR untuk diagnostik
Swab 4 K 4,24 Hb 12.5 8/7/21 06.00 Cek HbA1C
22/7/21 Na 131 Leuko 7600 06.00 111 GDS 4 porsi
12.00 304
Positif PT 11,7-14,0 Plt 540.000 18.00 301 Bloodsmear
18.00 302
22.00 272
INR 0,91-1,06 PT 12.8 Novomix 14 Cek D-Dimmer, Fibrinogen
APPT 40,7-34 APTT 31.3 22.00 321
9/7/21
INR 0.95 06.00 247 Cek lab 19/7/21
Fibrinogen 371 12.00 20/7/21 DL DIFF COUNT AS URAT
D dimer 0.40 18.00 265 06.00 93 HBA1C DDIMER
22.00 467 12.00 283 FIBRINOGEN
19/7/21 18.00
DC 0/0/77/14/8 10/7/21 22.00 267 Lab 22/7/21
Leuko 10,4 06.00 Novomix 14 HbA1c ?
Eri 4,10 12.00 290
Hb 11.4 18.00 155 21/7/21
Ht 35 22.00 285 06.00 29/7/21:
Trombo 335 12.00 225 Foto thorax kontrol
MCH 32,6 11/7/21
18.00 250
MCHC 32,6 06.00
12.00 180
Novomix 14
MCV 85,4 22.00 210
18.00 166
22.00 220
22/7/21 22/7/21
Leuko 5500 12/7/21 06.00 158
Eri 4,22 06.00 321 12.00 348
Hb 11,8 12.00 178 18.00 238
Trombo 254000 18.00 274 Novomix 14
22.00 – 22.00 190

13/7/21 23/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

06.00 122 06.00


12.00 - 12.00 282
18.00 303 18.00
22.00 289 N4 22.00
14/7/21 24/7/21
06.00 213 N 4
06.00 233
12.00 268
18.00 425
Novomix 14
22.00 72 12.00 212
18.00
15/7/21 22.00 201
06.00
12.00 326 25/7/21
18.00 221 06.00 246
22.00 262 Nmix 14
12.00 305
18.00 322
(novomix 20)
22.00 301

26/7/21
06.00 251
novomix 20
12.00 158
18.00 105
novomix 20
22.00 121

27/6/21
06.00 104
12.00 248
18.00 280
22.00 75

28/7/21
06.00 122
Novomix 20
12.00 186
18.00 311
Novomix 20
15 Tn. Nelman MRS PALMA COVID-19 Terkonfirmasi Swab PCR Foto thoraks RS Lab 9/7/21 19/7/21 BEDAH :
Madiha 16/7 dengan gejala berat 11/7/21: Kandou 9/7/21 Leukosit 5.600 PT/APPT 19,2/ 40,6 IVFD Nacl 0,9% 1500 cc/24
Pneumonia bilateral Positif Pneumonia Hb 8,7 INR 1,75 jam
RM : 00741303 MRS F ITN Abses hepar Post bilateral Trombosit 414.000 Leuko 7700 Ceftriaxone 1x2g iv (H15)
DOB : 5/1/1986 / 21/7 Laparatomi cito Swab PCR Efusi pleura kiri Eosinofil 3 HB 7,9 Metronidazole 3x500mg (H15)
35 tahun Hari 8 Efusi pleura kiri 12/7/21: (intermediate) Basofil 0 Trombo Ketorolac 3x1 iv
Hyponatremia Positif Netrofil batang 0 268000 Ranitidine 2x50mg iv
DPJP : dr MRS F Anemia hipokrom
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Antonius BAWAH mikrositer Swab PCR Netrofil segmen 60 Advis Interna :


Wirawan, SpPD 27/8/21 19/7/ 21: Limfosit 27 Transfusi PRC 230cc/24 jam
H2 Positif Monosit 10 hingga Hb > 10g/dl
KAPTEN SGOT/SGPT 32/22 Kapsul garam 3x1
BEDAH Ur/Cr 19/0,7 Zinc 1x20mg
Na/K/Cl 128/3,77/99,2 Vitamin C 3x250mg

4.5
PT 19,7
Rencana tranfusi belum ada
INR 1,81
darah karena Hb 9 tidak di kasi
APPT 47,8
darah
GDS 94

12/7/21
Dif 1/0/0/65/29/5
Malaria Negatif
SGOT/SGPT: 14/10
Feritin 641,6
Ur/cr: 23/0,6
Na/K: 139/3,48
16/7/21
1/0/0/80/17/2
20/7/21
Leu 10.700
Hb 9
HB: 11,3
Tromb 254000
Eri: 4.79
Ur 25
HB 11.3
Cre 0,5
Tro 409.000
K 4,13
PT: 18,1
Na 140
APTT 48,8
Diff 0/0/6/56/35/3
INR 1.36
OT/ PT: 14/ 10
26/7/21
Ur/ Cr: 12/ 0.6
Leu 14.400
GDS: 37
Hb 11,0
Fibrinogen: 325
Tro 281.000
D Dimer 9,53
Diffcount 0/0/15/73/7/5
PT 23,4 (13,4)
17/7/21
INR 2,28 (1,09)
HB 10,8
APTT 36,5 (32,8)
Leuko 18900
SGOT 96
SGPT 26
Ur 21
Cre 0,7
Mg 1,4
Alb 2,4
18/7/21.
Leuko 11600
Hb 8,4
Trombo 323000
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

16 Tn. Langi Daan/65 MRS F Bawah COVID-19 Terkonfirmasi Swab PCR 1 X Foto Thorax 22/6/21 12/7/21 Terapi:
thn 24/6/21 Diare Kronis susp. ec 24/6/21 22/6/21 Leukosit 14.700 Diff count IVFD NaCl : Bfluid 2:1/ 24 jam
H-31 tumor kolorektal Positif Tidak ada kelainan Hb 13,2 0/0/3/77/8/12 New Diatab 2 tab tiap BAB cair
DOB : 13/12/1955 Cancer Pain Trombosit 518000 Na 129 Paracetamol 3x1 gr iv
Hemoroid Interna Swab 1 X Foto Thorax Ureum 52 K 3,29 Omeprazole 2x20 mg
RM. 00741926 Nodul Paru Sinistra 3/7/21 5/6/21 Creatinin 1.3 Cl 85,9 Anti Hemoroid supp per 12 jam
Hipokalemia perbaikan Swab 2 Nodul paru SGOT 23 Leuko 13200 Zinc 1x20 mg
Hiponatremia 10/7/21 Eri 3,66
sinistra SGPT 31 Vit. C 2x500 mg tab
KAPTEN Anemia ec s/ malignancy Positif Hb 10,4
Na 136 KSR 3x600mg  STOP
INTERNA Candidiasis oral Trombo 295000
K 4,34 Fentanyl 200 mg dalam Nacl
Raber Poli Nyeri Swab 3 SGOT 21
Cl 95,9 0,9% 500 ml drips IV/24 jam
Raber Divisi 17/7/21 SGPT 22
1/7/21 Alprazolam 1x0,5mg po
Gastro Positif Ur 28
0/0/21/63/12/4 26/6/21 Bicnat 3x1000 mg po
Cr 0,3
Na 132 0/0/2/79/7/12 Gentamisin zalf 3x1 app
Swab 4
K 2.86 Na 131 K 3.69 Cl 91.5 Nystatin drops 3x5gtt po
DPJP : dr. 24/7/21 15/7/21
Cl 88.9 Leu 11.1 Eri 4.22 Hb 11.9 Amlodipin 10mg 1-0-0
Antonius positif Na 124
Leu 12.8 Ht 35.1 Tc 323 MCH 28.2 Levofloxacin 1x750mg jam iv
Wirawan, Sp.PD K 2.65
Eri 4.20 MCHC 33.9 MCV 83.2 (1)
Cl 79.8
Hb 12.1 Ur 29 Cr 1.1 Ca 7.61 F 3.2 Pasang catheter
D Dimmer 1.9
Ht 36.6 Mg 1.40 Alb 2.89 Fibrinogen 556
Tc 318 Fibrinogen 770

5.1
Riwayat Pengobatan
MCH 28.9 D-Dimmer 1,76 18/7/21 Ranitidine 2x50 mg iv stop tgl
MCHC 33.2 Feritin 921.7 Na 122 28/6/21
MCV 87.1 K 2,58 Asam traneksamat 3x 500 mg
SGOT 18 7/7/21 Cl 79,5 IV stop tgl 28/6/21
SGPT 20 Eos 0 DC Loperamide 10mg extra
Ur 29 Baso 0 0/0/23/57/9/11 29/6/21
Cr 1.0 N batang 23 Hb 9,9
N segmen 57 Hct 29,5 Konsul Poli Nyeri :
Limfosit 9 Leu 12,3 Fentanyl 200 mg dalam Nacl
Monosit 11 Plt 221 0,9% 500 ml drips IV/24 jam
Na 133 MCV 85,2
K 2,40 MCH 28,5 Cek lab 10/7/21
Cl 87,8 MCHC 33,4 Tidak keluar hasil
Leu 12,2
Eri 3,66 21/7/2021 Lab 20/7/2021
Hb 10,6 WBC 13,3 DL, diff, PT, APTT, INR, D
Ht 31,8 Eo 0 dimer, Fibrinogen
Trombo 304 Ba 0 Tidak keluar hasil
Mch 29,0 Batang 31
MCHC 33,4 Segmen 52 Plan:
MCV 86,9 Limf 13 Cek LED, CRP, CEA, Feses
Mono 4 lengkap + darah samar
HB 9,7 (26/7/21)
PLT 298
Konsul Bedah (Minggu,
24/7/21 25/7/21) untuk pemasangan
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Diff count 0/0/6/76/8/10 kateter urine  sudah


PT 13.9/15.1 dilakukan pemasangan kateter
INR 1.14/1.27 urin
APTT 30/32.1
Na 119 Rencana periksa Fecalcalprot
K 3.37 bila PCR negatif
Cl 80.8
Leu 13.700
Hb 10.2
Ht 30.3
Tro 440.000
MCH 28.1
MCV 83.5

26/7/21
Leu 17.500
Hb 9,6
Tro 540.000
Ur 30
Cr 0.6
CRP 48
CEA 3,56
Na 121
K 3,65
17 Tn Aloysius Paul MRS FITN Covid 19 Terkonfirmasi Swab PCR Foto thoraks 12/7/21 IVFD NacL 0,9% 500cc/8 jam
Fabianus 15/7/21 dengan gejala berat 15/7/21 14/7/21 Leukosit 6600 iv
Kalumata Hari 10 Ancaman gagal napas Pneumonia Hb 17,3 Resfar 500mg/24 jam
AKI Swab 2 (Probable Covid Ht 52,2 Vit c 3x1gr iv
00743691 F BAWAH Pneumonia 16/7/21 19) Tromb 163 Zinc 1x1 tab
25/7/21 Hiponatremia Positif MCH 28,3 Dexamethosone 1x5mg iv (H8)
1978-07-05 H4 Hepatitis Reaktif MCHC 33.1
Swab 3 MCV 86,6 Riw
DPJP : dr 26/7/21 DC 0/0/3/71/19/7 Azitromycin 1x500mg (H5)
Octavianus Menunggu SGOT/PT 229/139 Remdesivir 200mg+NaCL0,9
Umboh, SpPD hasil Ur/Cr: 38/1,8 250cc – H1> lanjut Remdesivir
GDS 115 100mg
Na 130 Anjut sampai 5 hari
Sudah Vaksin 1x K 3,72 Levofloxacin 1x750mg iv (1)
Sinovac Cl 94,3 Lanjut sampai H3 kemudian
foto thorax control ulang
16/7/21

5.2 Natrium 144


K 4.52
Gamma GT 384
Ureum 36
Weaning O2 – pindah ke nasal
ncanula, kontrol spO2

23/7/21
Cr 1.1 Dl ur cr Got/Gpt , Ggt, Alp,Na
KAPTEN.
ALP 207 k cl: tidak keluar hasil
INTERNA
23/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Na 138 Rencana rawat jalan, advice


K 4,12 DPJP : thorax ulang, bila
SGOT 51 perbaikan acc
SGPT 113
Gamma GT 240
Ur 27
Cre 1,0
Alkaline fosfatase 147

18 Tn. Muslim MRS F Covid 19 terkonfirmasi Swab antigen Foto Thorax Lab 11/7/21 15/7/21 Terapi bedah
Mokoagow ,57 BAWAH post amputasi below knee RS Walanda Tidak tampak Leu 18.500 Na 138 NS 0.9% /12JAM
thn 13/7/21 ec cruris injury regio Maramis kelainan Hb 10.1 K 3,37 Asering 500cc/24 jam
H16 distal dextra 10/7/21 Ht 29.8 Cl 98,2 Ranitidine 2x50mg IV
Laki-Laki AKI perbaikan Positif Platelet 175.000 Leuko 16.700 Ketelorac 3x30mg IV
Hepatopati reaktif SGOT 292 Eri 2,46 Metronidazole 3x500mg IV H14
RM 00744140 Leukositosis reaktif SGPT 211 Hb 6,6 Vit C 2x200mg IV
Hiponatremia perbaikan Swab 1 Ur 46
Ht 19,5 Paracetamol 3x500mg PO
Kapten BEDAH Anemia 13/7/21 Cr 2.6
Tromb 284 Ceftriaxone 2x1 g iv H14
Hipokalemia perbaikan Positif GDS 177
MCH 28,7 D5% 500cc/12jam iv
DPJP dr. Hipertensi Kalium 3.71
Antonius dian Swab 2 Chlorida 97.6 MCHC 33,8 Terapi Interna
wirawan Sp. PD 14/7/21 Natrium 133 MCV 84,8 Bcom 3x1
Positif Anti HCV non reaktif SGOT 167 Vit D 3x1
Hbsag non reaktif SGPT 97 Riwayat
Swab 3 Anti hiv non reaktif Ur 73 KSR 3x600mg  stop

5.3
23/7/21 Cr 1,7 Amlodipin 1x10 mg po
(Ts bedah ) 13/7/21 Candesartan 1x16mg po
Positif Na 137 18/7/21
K 3,08 Hb 8,2 Tranfusi PRC 230 cc target Hb
Cl 97,4 Leu 14,7 >10
Leuko 15400 Plt 128 Periksa lab post trf, Form (+)
Eri 2,46 Hct 24,3 - sudah masuk 1 bag
Hb 7,1 MCV 84.1 - masuk 1 kantong tgl 25/7/21
Ht 20,5 MCH 28.4
Tromb 200 MCHC 33.7 Lab 20/7/2021
MCH 28,9 SGOT 73 PT, APTT, INR, D dimer,
MCHC 34.6 SGPT 75 Fibrinogen,
MCV 83,3 Na 135
SGOT 308 K 3,65 26/7/21
SGPT 125 Cl 96.8 DL post transfusi
Ur 35 DC
Cre 1,2 2/0/1/66/25/6
PT 14.6-13.5
APPT 20,2-34.5
INR 1,22-1,09

19/7/21
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Hb 7,6
Leu 15,7
Plt 537
Alb 2,81
MCH 28,1
MCHC 31,9
MCV 88,1

26/7/21
Leu 13.300
Hb 11,5
Tro 676.000
Ur 25
Cr 0,9
GDS 95
Alb 3,32
19 Tn. Mundung MRS 18/7/21 Covid 19 Konfirmasi Swab PCR Foto thorax Rsup Lab: 21/7/2021 IVFD NaCl 0,9% 500cc/8 jam iv
Maxi, 47 tahun H10 pansitopenia pro evaluasi Unsrat kandau 16/7/21 16/7/21 WBC 14,5 Ceftriaxone 1x2gr IV H10
Dispepsia positif Pneumonia Leu 2.0 Eo 0 N Asetilsestein 3x200mg PO
RM 00276316 Hepatitis reaktif Hb 10.3 Ba 0 Vit C 3x250mg PO
Laki Laki Hepatitis B Swab PCR 1 Tromb 136.000 Batang 11 Paracetamol 3x500mg PO
DOB 5/12/73 Gum Bleeding 19/7/21 MCH 36.9 Segmen 75 Bcomp 3x1 PO
Gangguan Koagulasi positif MCHC 36.9 Limfosit 12 Zinc 1x20mg PO
DPJP: dr. Hiponatremi MCV 101.8
Mono 2 Lansoprazole 2x30mg PO
Octavianus HIPOALBUMIN Swab PCR 2 DC 0/0/0/53/39/8
HB 12,3 Domperidone 3x10mg PO
Umboh, SpPD 20/7/21 Ur/Cr : 22/1.1
PLT 215 FUROSEMIDE IV 1-1-0
positif SGOT/SGPT 144/69
GDS87 Lovenox 1x0,4 iu sc H5

5.4
Na 127 26/7/21 Spironolacton 1x50mg po
K 4.64 Leu 2.200 Lactulose syr 3x10ml po
Chl 98.3 Hb 8,1 Asam mefenamat 3x500mg po
HbsAg reaktif Tro 44.000 (k/p)
PT 26,6/14 Albumin 1,91 Human Albumin 25% 100 cc
EDEMA + INR 2,03/1,06 Ddimer, fibrinogen tidak
APTT 48,8/34 keluar hasil Riwayat :
Azitromisin 500 mg
27/7/21
Albumin 2.4 Advice:
Cek TTV/8 jam
Swab PCR 19/7
Bloodsmear 19/7
Cek D-Dimmer, Fibrinogen
19/7

Cek lab 19/7/21


DDIMER FIBRINOGEN
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

DL BLOODSMEARHASIL
TIDAK ADA

CEK LAB 20/7/21


Tidak ada hasil

Cek lab 24/7/21


D-dimer, fibrinogen, albumin
(belum ada hasil), DL,
diffcount
Rencana periksa tgl 26/7/21

27/7/21
Cek Albumin control
Transfusi PRC 230ml/24 jam
20 Tn Boyke MRS F Bawah Probable Covid 19 dengan SWAB PCR Ro Thorax Lab – 27/7/21 Terapi
Languyu/59 21/7/21 gejala ringan 1 20/7/2021 22/7/21 Ur 128 IVFD NaCl 0,9% 10 tpm
tahun H7 Pneumonia Bilateral 22/7/21 Pneumonia Leuko 9000 Cr 8.2 Furosemid 20 mg 1-1-0 IV
CKD 5 HD ec NSAID positif Bilateral, Covid 19 Eri 2,84 Ca 7.9 As. Folat 2 x 400mcg PO
Laki-laki Nefropati Terkonfirmasi Hb 8,3 Albumin 3.1 B Comp 3 x 1 PO
Anemia Renal Swab 2 Cardiomegali Trombo 173000 Mg 1.9 Paracetamol 3 x 500 mg PO
RM737112 Syndrome Dyspepsia 23/7/21 disertai Anti HIV – F 5.4 Ranitidin 2 x 50g IV
DOB 1962/04/12 Hiperfosfatemia Positif atherosklerosis Anti HCV –
Domperidon 3 x 10 mg PO
Hipoalbumin aorta Hbsag –
N Acetilsistein 3 x 200 mg PO
DPJP DR.dr Eko
Dexamethason 1 x 5 mg IV (H7)
Surachmanto, 23/7/21
SpPD-KAI Leu 10.900 Ceftriaxon 1 x 2 gr IV (H7)
HD Senin-Kamis CaCO3 3x1 tab po
Hb 7.8
Tro 193.000

5.5
Diff count 0/0/47/80/7/6 Riwayat
PT 13.7/14 Azitromicin 1 x 500 mg PO (H5)
APTT 28.9/34
INR 1.12/1.06 Cek Lab dan swab 1 22/7
GOT 46 Lab cito 22/7/21
GPT 46 Rencana HD hari ini
Ur/Cr 108/9.7
GDS 158 Plan:
Na 132 Rencana HD Senin (26/4/21):
K 4.42 Transfusi PRC durante HD
Ca 8.01
Mg 2.06
P 7.3
27/7/21 cek lab post HD
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

F-ITN
No Nama Hari Diagnosa Swab Radiologi Laboratorium Terapi
Laboratorium
. Perawatan
1 Tn Basalama MRS F-ITN covid 19 terkonfirmasi Swab PCR GDS 17/7/21 15/7/21 16/7/21 IVFD NaCl 0,9% 20tpm
Abdullah/63 16/7/21 dengan ancaman gagal 16/7/21 18.00 240 N6 Leuko 6700 Natrium 130 Lansoprazole 2x30mg iv
H12 napas Positif 22.00 312 – Hb 13,7 K 4.73 Resfar 1x5mg iv
00744577 Pneumonia Eo0 Uric acid 5.5 Dexametazone 1x5mg ivH11
DM tipe II 18/7/21 Ba 0 Kolesterol 196 Vit 3x1 gr IV
21-2-1958 Hiponatremia 06.00 N batang 0 HDL 27 Levofloxacin 1x750mg iv H13
Dispepsia 12.00 N segmen 86 LDL 126 Novorapid 3x10 iu sc  naik
DPJP: Dr dr Eko Gangguan koagulasi 18.00 338 N6 Limf 15 TG 213 dosis Novorapid 3x16 unit SC
Surachmanto 22.00 alat GdS Mono 5 Levemir 1x12 U  naik dosis
SpPD Rusak Na 129 22/7/21 Levemir 1x24 unit sc
Tromb 188 Diff count Lactulosa sur 3x10 ml
19/7/21 GDS 306 0/0/4/80/9/7 GDS 4 porsi

6.1 06.00
12.00 384 N 10
18.00 173 N 10
22,00 288 N 10
Ur 26
Cre 1,1
SGOT 31
SGPT 17
Leuko 11000
Eri 5,19
Hb 13,4
Trombo 316000
Besok 18/7/21
Cek Dimmer-Fibrinogen
Pt 16,1 Procalcitonin 0,331
KAPTEN ANESTESI 20/7/21 APPT 40,5 Cek lab 19/7/21
06.00 291 N 10 INR 1,2 27/7/21 Ddimer,fibrinogen, tidak
12.00 HBsAg non reaktif keluar hasil
18.00 392 Anti HCV non reaktif E/B/Batang/S/L/M
22.00 312 N10 Anti HIV non reaktif Cek lab 20/7/21
0/0/1/85/6/8 Fibrinogen , D-Dimer Tidak
21/7/21 keluar hasil
06.00 226 N10 Leu 19400
12.00 28/7/21 22/7/21
18.00 305 N10 Hb 12.9 Cek lab HBA1c
06.00
22.00 289. N10 12.00 500 N16 Ht 38.5 Plan:
22/7/21 Cek lab D dimmer,
06.00 Tr 374000 fibrinogen 26/4/21
12.00 368 N10
MCV 77.9
18.00 451 N10 Saran Antibiotik diganti
22.00 487 L12 Ampicillin Sulbactam 4x3gr
MCH 26.1
iv (28/7/21) sementara
23/7/1` menunggu lab besok dari
06.00 555 N 10 anestesi
12.00 393 N 10
18.00
22.00 584 L12
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

24/7/21
06.00 412 N10
12.00 412 N10
18.00 Hi N 12,
loading NS 0.9%
500ml
22.00 437 L18

25/7/21
06.00 508 N 14
12.00 530 N 16
18.00 341 N 16
22.00 524 L 12

26/7/21
06.00 347 N10
12.00
18.00 141 N16
22.00 532 L24

27/7/21
06.00 433 N16
12.00 322 N16
18.00 555 N12 L 24
22.00
2 Tn. Winarto F iso 26/7/21 Probable covid19 dengan Rapid Rontgen Lab 25/7/21 27/7/21 IVFD NaCl 0.9% 500ml 20
Krisna H3 gejala berat antigen Gambaran Leu 13.000 tpm
76 tahun Pneumonia dengan reaktif pneumonia Hb 12.6 E/B/Batang/S/L/M Levofloxacin 750mg/ 24 jam
ancaman gagal nafas Ht 37.6 iv H2
745089 Hipertensi Swab PCR 1 Tro 446.000 0/0/3/84/4/4 Resfar 5gr drips tiap 24 jam
Dispepsia 26/7/21 Net seg 80 Dexametason 1x5mg iv H2
DOB Hiponatremia Lim 6 Hb 12.7 Paracetamol 3x500mg po
AKI dd akut on CKD Swab PCR 2 Sgot 35 Vitamin C 3x 500 mg iv
Leu 12700
DPJP dr Antonius Hipoalbumin 27/7/21 Sgpt 48 B comp 3x1 po
W, SpPD Hiperfosfatemia Ur 147 Tr 607000 Ranitidin 2x50mg iv
Cr 3.9 Amlodipin 1x10mg po
Na 131 Ht 38.3 Caco3 3x 500 mg
K 4.91 Lovenox 1x 0.4 cc H1
Cl 96.2 MCH 28.7

6.2 Gds 125


PT 15.2
INR 1.28
APTT 26.7
MCV 86.5

SGOT 35

SGPT 50
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Bil tot 1.07

Bil direk 0.79

Ur 160

Cr 2.7

GDS 159

Ca 8.6

F 5.5

Mg 2.4

Albumin 2.8

Na 130

K 5.1

Cl 98.4

3. Tn. Lionardhy MRS 24/7/21 Probable covid19 dengan Swab Foto thorax Lab 22/7/21 27/7/21 IVFD NaCl 0.9% 500ml/8jam
Honny/ 45 tahun H5 gejala berat Antigen 22/7/21: Leu 7400 Levofloxacin 1x750mg iv H5
Pneumonia bilateral 19/7/21: Pneumonia Hb 15 E/B/Batang/S/L/M Resfar 5gr drips tiap 24 jam
00332195 dengan ARDS Positif bilateral – curiga Ht 47.3 Dexametasone 1x6mg iv
DOB 00332195 Hipertensi viral Tro 275.000 2/0/0/77/14/7 Vitamin C 3x1 tab po
Hiponatremia Swab PCR 1 MCH 27.6 B comp 3x1 po
DPJP dr. Antonius 25/7/21 MCHC 31.8 Hb 13.8 Lansoprazole 1x30mg iv
Wirawan, Sp.PD positif MCV 86.8 Paracetamol 3x500mg po
Ht 41
Net seg 77 Amlodipin 1x10mg po
Kapten Anestesi Lim 13 Leu 9700 Bicnat 3x1000 mg
Sgot 45 Lovenox 2x0.4cc H1
Sgpt 44

7.2
Tr 386000
Ur 24
Cr 0.7 MCV 84.5
Na 132
K 3.43 MCH 28.5
Cl 88.7
PT 11.3 Ur 32
INR 0.87
APTT 29.7 Cr 0.6
GDS 179
Na 131
26/7/21 K 4.1
Leu 10.500
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Hb 14,4
Tro 317.000
Diffcount 2/0/1/73/18/6
GOT/GPT 41/71
Ur/Cr 30 / 0,6
GDS 133
Na 122
K 4,07
PT 17,5 (13,4)
INR 1,55 (1,09)
APTT 23,0 (32,8)
4 Tn Dalton MRS COVID 19 terkonfirmasi Swab antigen 8-7-21 12/7/21 Foto thoraks 8-7-21 IVFD NaCl 0,9% 500cc/8jam
Maluensang/58 9-7-21 Pneumonia Bilateral 7/7/21 Leu 5800 Fibrinogen 753 Pneumonia bilateral iv
tahun H18 Dispepsia Hb 14,8 Ddimmer 1,76 Ranitidine 2x50mg iv
Hipertensi Ht 43,2 Bcomp 2x1
Positif
00743896 Hiponatremia Tromb 196000 20/7/21 Domperidone 3x10mg
Gangguan faal MCH 28,6 Na 136 Bicnat 3x500mg po
Swab 1(9-7- MCHC 34,3
DOB : 1964-07-10 koagulasi/hypercoagulated 21) POSITIF K 4,74 Vit c 3x250mg
MCV 83,6
state 0/0/0/60/31/9
Cl 97,8 Paracetamol 3x500mg
DPJP: Dr dr Eko ARDS Swab SGOT 45 Leu bekuan Amlodipine 10mg 1-0-0
Surachmanto 2(10/7/21) SGPT 21 SGOT 48 Candesartan 8mg 0-0-1
SpPD Na 130 SGOT 46 N-asetilsistein 3x200mg
Positif
Cl 94 Ur 30
KAPTEN PT 23,1 Cr 0,7 RIWAYAT
INTERNA Swab 3 Azitromycin 1x500mg H5
INR 2,24
20/7/21 APPT 32,6 Ceftriaxone 1x2gr iv H12
Kamar 4 Positif Remdesivir H10
AGD Dexamethason 1 amp / 24 jam
Ph 7,415 H13

8.1
PCO2 39,3
PO2 53 Konsul hemato
BE 1
Lovenox 1x40mg sc H3
HCO3 25,2
17/7/21 naik jadi 2x40mg
TCO2 26
SO2 88% Lovenox 2x40 mg H7
Lac 1,51

12/7/21 Sudah konsul palma,


D DIMER 1,76 sementara palma full
Fibrinogen 753
Weaning O2 – ganti ke NC
14/7/21
Hb 12.4 19/7/21
Leuko 7.100 Cek lab lengkap
Plt 329
Natrium 138 Rencana pindah F bawah bila
Kalium 3.56 KU stabil
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

5 Ny. Lusia MRS FITN Covid 19 terkonfirmasi Swab PCR Lab 25/7/21 Rontgen thoraks 25/7/21 O2 HFNC 60 kombinasi NRM
Lumintang, 74 th 25/7/21 dengan gejala berat SARS CoV 2 Leu 21.000 Kardiomegali 15 lpm
H4 Ards (lab Erit 4.34 Gambaran pneumonia Ivfd Nacl 0.9% 500cc 20 tpm
(24-01-1974) Pneumonia paramita) Hb 13.1 (probable covid19) stop
Dm tp 2 (19/7/21) Ht 39.6 Kabivent 1440ml/24 jam
RM: 00745101 Dyspepsia syndrome Positif Tromb 142.000 Resfar 5gr/8 jam iv
Hiponatremia Mch 30.2 26/7/21 Lansoprazole 2 x 30 mg po
06.00 303 N4
Perempuan Hepatopati pro evaluasi Mchc 33.1 Dexamethasone 1x5mg iv H3
12.00
AKI Mcv 91.2 Zinc 1 x 20 mg PO
18.00 296 N4
KAPTEN ANESTESI Diffcount 0/0/10/68/20/2 Vit C 3 x 400 mg iv
22.00
Na 128 Vit D3 1x5000 unit po
K 4.26 27/7/21 Vit b com 3x1 po
DPJP: dr. Cl 90.2 06.00 286 N6 Levofloxacin 1x750 iv H3
Octavianus Sgot 81 12.00 199 Enoksaparin 1x40mg sc
Umboh, Sp.PD Sgpt 43 18.00 306 Novorapid 3x4usc bila gds
Gds 188 22.00 >200
Ur 29 Remdesivir loading 200mg H1
28/7/21

9.1
Cr 0.8 (sudah dilayani) (25/7/21)
Pt 14.5/15.1 06.00 Remdesivir 1x100mg H2-H5
Inr 1.21/1.27 12.00 387 N4 Actemra 400 mg dalam Nacl
Appt 38.9/32.1 18.00 379 N8 0,9% 100 cc habis dalam 1 jam
(27/7/21 jam 04.00)
27/7/21 Amlodipine 1x 10 mg

Hb 13.9 Monitoring ttv/6 jam


Swab PCR Sars COV 2
Ht 40.5
Foto thorax
Leu 17400 Cek D dimmer, fibrinogen, anti
HCV, anti HIV, HbsAg Hba1c,
Tr 273000 Gds 4 porsi, UL

MCH 30.5 Keluarga menolak


pemasangan ventilator.
MCV 89
26/7/21
SGOT 65
Konsul Paru (25/7/21):
SGPT 43 Acc pemberian remdesivir 200
mg loading dose (Hari 1)
Ur 80 selanjutnya 1 x 100 mg (Hari 2-
5)
Cr 0.8

Fibrinogen 828 Rencana Anestesi: (25/7/21)


- Pro Intubasi dan pasang CVC
D dimer 3.19 Keluarga menolak
pemasangan ventilator.
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Na 147 26/7/21

K 5.1 Rencana plasma konvalesen 


masih cari pendonor
Cl 88.7
(Golongan darah A+)
PT 15.9 Rencana besok bila sudah ada
pendonor
aPTT 28.9

INR 1.19

6 Ny Sarapun Nyiur - Probable covid 19 Batuk + , Foto thorax blm 24/7/21 On ventilator
Johana 24/7/21 dengan gejala berat demam ada Hb 9.7 IVFD Nacl 0,9% 500 cc/12
H5 - Hipertensi membaik, Ht 29.6% jam
RM : 241449 - Hepatitis reaktif Anosmia +, Leuko 4000 Nacetylsisten 1x5gr iv
Swab 1 - Anemia Ageusia +, Trombosit 86.000 Dexametason 1x6mg iv
DOB 24/09/52. 25/7/21 - Hiponatremia Sesak nafas, MCV 78.9 (H5)
68 thn Menunggu Lemah MCH 25.9 Azitromisin 1x500mg po
hasil badan, MCHC 32.8 (H5)
KAPTEN tangan Eos/baso/net batang/net Levofloxasin 1x750 mg iv
ANESTESI Swab 2 tremor seg/limfo/mono (H5)
26/7/21 0/0/9/70/15/6 Remdesivir 100 mg + Nacl
DPJP : dr. positif 1 PT 4.8 ( kontrol 14) 0,9% 100 cc (H4)
Octavianus aPTT 39.2 (kontrol 34) Lovenox 2x 0,4mg (H5)
Umboh, Sp.PD Status Na 125 Vit C 3x250 mg po
vaksinasi K 4.07 Vit b com 3x1 po
Covid-19 Cl 94.8 Paracetamol 3x500mg po

9.2
Belum vaksin SGOT 78 Lansoprazole 2x30mg po
SGPT 25 Candesartan 1x8 mg
Ur 61 Zinc 1x20mg
Cr 0.9 Natrium bikarbonat
3x500mg, po
27/7/21 Remdesivir 1x200 mg H1
E/B/Batang/S/L/M
25/7/21
Remdesivir 1x100 mg H2-5
0/0/0/73/20/7 Lovenox 1x0.4 cc H1

Hb 11.9

Ht 30.6 Foto thorax 26/7/21


FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Leu 12900

Tr 163000

MCH 26.1

MCV 80.3

7 Tn. Gerry Begani/ MRS FITN Covid 19 Terkonfirmasi SWAB PCR 1 FOTO THORAX 16/7/21 19/7/21 Terapi:
68 tahun 17/7/21 Pneumonia PNEUMONIA Leu 7300 Na 129 IVFD NaCl 0,9% 500cc/ 8 jam
Hepatitis reaktif 17/7/21 CARDIOMEGALY Hb 11,1 K 4,39 iv
RM 00744586 / H11 Hiponatremia + DILATIO ET Ht 31,6 Cl 94,8 Resfar 5gr/24jam iv
DOB 1953-03-28 Anemia normokrom Positif ATEROSCHELOSI Trombo 134 SGOT /SGPT 56/69 Vit bcom 3x1
normositik S AORTA MCH 32,8 Ur/Cr 67/1,0 Levofloxacin 1x750mg iv H11
Kapten Anestesi SWAB PCR MCHC 35,1 GDS 201 Dexametazone 1x5mg iv H11
MCV 93,5 Calsium 8,34 Vit c 3x1 gr iv
DPJP: dr. 18/7/21 DC 0/0/0/85/12/3 Mg 1,93 Zinc 1x20mg po
Antonius Wirawan positif SGOT/PT : 68/71 Alb 3.0 Bicnat 3x1 tab po
, SpPD Ur/Cr : 48/ 1,4
GDS 102 22/7/21 Riwayat :
Chlor 92.2 Hb 11.2 Remdesivir 200mg H1

10.2 K 4,57
Na 134
Tromb 141
Leuko 5900
PT 14,2
INR 1,17
Remdesivir 100mg H2-H5

Advice:
Cek TTV/8 jam
APPT 23,2 Swab PCR berkala
Procalcitonin 0,269 Cek urinalisa lengkap
Cek D-Dimmer, Fibrinogen
26/7/21
Leu 4.800 Cek lab 19/7/21
Hb 9,9 D dimer,fibrinogen,ur cr, ot/pt,
Tro 172.000 na k cl ca mg p alb
Diffcount 0/0/4/82/13/1
PT 18,9 (13,4) ALIH KAPTEN ANESTESI
INR 1,71 (1,09) 20/7/21
APTT 25,7 (32,8)

27/7/21

E/B/Batang/S/L/M

0/0/0/92/7/1

Hb 10.1

Ht 29.3
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Leu 6600

Tr 223000

MCH 32.7

MCV 94.8

SGOT 21

SGPT 38

Ur 47

Cr 1.0

Na 130

K 4.5

Cl 95

PT 16.8

APTT 29

INR 1.26

8 Tn. Robot Verry/ MRS FITN Covid 19 Terkonfirmasi SWAB PCR 1 Ro Thorax Lab 21/7/2021 22/7/21 Terapi
52 tahun 21/7/21 gejala berat 16/7/21 21/7/2021 Leuko 10,0 PT 13,6/12,7 IVFD NaCl 0,9% 14tpm
Pneumonia POSITIF Severe Pneumonia Eo 0 INR 1,11/1,01 Remdesivir 200 mg hari 1
DOB 18/2/1969 H8 ARDS CT VALUE Bilateral, Covid 19 Ba 0 APPT 27,7/34,7 (26/7/2021) dilanjutkan 100 mg/
RM: 00744834 Hepatitis Hipoksik 13.88 Terkonfirmasi Batang 1 Anti HIV – hari
Dyspepsia Segmen 90 Anti HCV – Enoxaparin 1 x 0,4 IU SC
DPJP: Dr. dr. Eko Hipertensi Swab PCR 2 Limf 7 Hbsag – Resfar 5 mg per 24 jam IV
Surachmanto, Hiponatremia Mono 2 Lanzoprazol 2 x 30 mg IV
26/7/21
Sp.PD, KAI Hiperkalemia Hb 13,2 27/7/21 Amlodipin 1 x 10 mg PO
(Kapten Anastesi) Trom 273 Ceftriaxon 1 x 2 gr IV (H6)
Na 134 E/B/Batang/S/L/M Dexamethason 1 x 6 mg IV (H8)
K 4,07 Vit C 2 x 1 PO

10.1 GDS 141 0/0/2/86/10/2 B Comp 3 x 1 PO


Ureum 20 Zinc 1 x 20 mg PO
Creatinin 0,9 Leu 8400 Bicnat 3x500 mg
SGOT 122 Kalitake 3x 1
SGPT 176 Hb 13.2
PT 13,5 Riwayat
APTT 23,5 Ht 40.5 Azitromicin 1 x 500 mg PO (H7)
INR 1,10
Tr 458000 Plan:
26/7/21 Cek D Dimmer, Fibrinogen
FOLLOW UP PASIEN RUANGAN IRINA F
Hari/Tanggal : Rabu, 28 Juli 2021

Leu 8.300 MCH 19.2 26/7/21


Hb 12,5
Tro 338.000 MCV 58.8 28/7/21 : anestesi lepas rawat
GOT/GPT 43/0,8
Na 127 Ur 41
K 4,26
GDS 69 Cr 0.8
PT 20,8
INR 1,95 Na 147
APTT 31,1
Ddimmer Fibrinogen tidak K 5.4
keluar hasil
Cl 83.2

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