| Nama Pasien |
: AMAN SYAH |
No.RM |
: 003795 |
| NIK |
: 1219040107590102 |
Pekerjaan |
: Wiraswasta |
| Tgl.Lahir |
: 1959-07-01 Usia : 65 tahun 6 bulan 19 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Laki Laki |
Agama |
: Islam |
| No.Handphone |
: 085275273236 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr .DEDE GUNAWAN M.Ked(Paru), Sp.P, FISR |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2025-01-14 13:30 |
| TD |
: 140/90mmhg mmHg |
| Nadi |
: 123 x/menit |
RR |
: 28 x/menit |
| Suhu |
: 36,5 0C |
Spo |
: 99 % |
| TB |
: 158 cm |
BB |
: 55 Kg |
| Rujukan Dari |
: |
| Anamnesa |
: sesak nafas, batuk (+) dahak (+) riw ht (+) riw riew oat (+) |
| Pemeriksaan Fisik |
: |
| Laboratorium |
:
(1) KGD AD RANDOM (2) TCM (3) PEWARNAAN GRAM |
| Radiologi |
: |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
Pneumonia +PPOK EA DD : TB paru Relap ? - -
ICD 10 :
|
| Tindakan Medis |
:
ICD 09 :
|
| Therapy / Resep |
:
Furosemide 40 mg (1x40mg 7 tablet)
,
Levofloxacin Hemihydrate 500 mg (1x500mg 5 tablet)
,
Metylprednisolo 4 mg (3x4 mg 21 Pcs)
,
Salbutamol 4 mg (2 X 1 7 tablet)
,
Salbutamol 4 mg (2x1 7 tablet)
,
Salbutamol 4 mg (2x4 4 tablet)
,
Salbutamol 4 mg (2x4mg 1 tablet)
,
Candesartan Cilexetil 8 mg (1 x 1 2 tablet)
,
Candesartan Cilexetil 8 mg (1x8 1 tablet)
,
Aqua pro injection (Pcs 4 Vial)
,
Ceftiaxiason inj (1gr/12jam 3 Vial)
,
Ceftiaxiason inj (per12jam 2 Vial)
,
Ceftiaxiason inj (Per 12 jam 2 Vial)
,
Ceftiaxiason inj (1gr / 12 jam 1 Vial)
,
Ceftiaxiason inj (1gr/12 jam 1 Vial)
,
Furosemide inj (1amp/hari 2 Ampul)
,
Furosemide inj (Per 12 jam 1 Ampul)
,
Furosemide inj (1amp/24 jam 1 Ampul)
,
Furosemide inj (20 mg/12 jam 1 Ampul)
,
Ranitidin inj (per 12 jam 5 Ampul)
,
Ranitidin inj (per12jam 2 Ampul)
,
Ranitidin inj (50 mg/12jam 1 Ampul)
,
Ranitidin inj (50 mg/12 jam 1 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (2x200mg 14 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200mg 4 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x 200mg 3 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x1 7 Tablet)
,
Fentolin Nebul (Per8jam 4 Ampul)
,
Fentolin Nebul (Per 8 jam 6 Ampul)
,
Asering (20 gtt/i 2 fls)
,
Asering (20gtt/i 5 fls)
,
Asering (10 tts/i 1 fls)
,
Asering (Per 8 jam 6 fls)
,
Asering (fls 1 fls)
,
Levofloxacin Infus 500mg (750mg/24jam 1 botol)
,
Methylprednisolone 125 mg injeksi (1amp/hari 2 ampul)
,
Methylprednisolone 125 mg injeksi (62,5/per 12 jam 1 ampul)
,
Methylprednisolone 125 mg injeksi (62,5mg / 12 jam 2 ampul)
,
Methylprednisolone 125 mg injeksi (62,5mg/12jam 5 ampul)
,
Methylprednisolone 125 mg injeksi (per12jam 1 ampul)
,
Ventolin nebul (Per 8 Jam 6 ampul)
,
Ventolin nebul (Pcs 1 ampul)
,
Amlodipine 5mg (1x1 7 tablet)
,
Candesartan Cilexetil 16 mg (1x1 7 tablet)
,
Pulmicort 0,25 mg/ml (Budesma) (Per8jam 4 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (Per 8 Jam 12 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (Pcs 1 Ampul)
,
Levofloxacin Infus 750mg (1amp/hari 1 botol)
,
Levofloxacin Infus 750mg (Per 24 jam 1 botol)
,
Levofloxacin Infus 750mg (1FLS/hari 1 botol)
,
Levofloxacin Infus 750mg (per hari 1 botol)
,
Ranitidine 50 mg/2 ml (Per12jam 1 ampul)
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| Instruksi |
: |
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