| Nama Pasien |
: MARIDUK AMBARITA |
No.RM |
: 003130 |
| NIK |
: 1219040509720003 |
Pekerjaan |
: Petani |
| Tgl.Lahir |
: 1972-09-05 Usia : 52 tahun 4 bulan 15 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Laki Laki |
Agama |
: Kristen Protestan |
| No.Handphone |
: 081362048994 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. HENRY SIBARANI, M. Kes, M. Ked, Sp. PD |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2025-01-17 21:20:15 |
| TD |
: 120/80 mmhg mmHg |
| Nadi |
: 80 x / i x/menit |
RR |
: 22x/ i x/menit |
| Suhu |
: 38,4 0C |
Spo |
: 99% % |
| TB |
: 165 cm |
BB |
: 65 Kg |
| Rujukan Dari |
: |
| Anamnesa |
: Nyeri Pinggang |
| Pemeriksaan Fisik |
: |
| Laboratorium |
:
|
| Radiologi |
: (1)
Thorax PA (2)
USG UPPER+LOWER ABDOMEN |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
Nefrolithiasis- -
ICD 10 :
N20.0 | Calculus of kidney |
| Tindakan Medis |
:
ICD 09 :
|
| Therapy / Resep |
:
Domperidon 10 mg (3 x 1 21 Pcs)
,
Omeprazole 20 mg (2x1 14 tablet)
,
Paracetamol 500 mg (3 x 1 21 tablet)
,
Paracetamol 500 mg (3x500mg 7 tablet)
,
Sukralfat syr (3 x 1 1 Botol)
,
Aqua pro injection (pcs 1 Vial)
,
Ceftiaxiason inj (Per12jam 3 Vial)
,
Ceftiaxiason inj (1gr/12jam 2 Vial)
,
Omeprazole inj (40mg/12j 1 Ampul)
,
Ondansentron inj (Per 8 Jam 2 Ampul)
,
Paracetamol infus/ drip (Ekstra 1 botol)
,
Paracetamol infus/ drip (per kp 1 botol)
,
Paracetamol infus/ drip (per8jam 1 botol)
,
Ranitidin inj (Per12jam 3 Ampul)
,
Ranitidin inj (per 12 jam 1 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x 200mg 25 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200mg 1 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200 1 Tablet)
,
Asering (20gtt/i 5 fls)
,
Sucralfate 500 mg / SUKRALFAT (3 x 1 21 tablet)
,
Tamsulosin Hydroclorid (Harnal) 0,4mg (1x1 7 tablet)
,
Tamsulosin Hydroclorid (Harnal) 0,4mg (1 x 1 2 tablet)
,
Cefixime 200 mg (2x1 14 tablet)
,
Batugin (3 x 1 2 botol)
|
| Instruksi |
: |
|
