| Nama Pasien |
: ALI USMAN |
No.RM |
: 043204 |
| NIK |
: 1219060107620058 |
Pekerjaan |
: Nelayan |
| Tgl.Lahir |
: 1963-11-18 Usia : 60 tahun 9 bulan 20 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Laki Laki |
Agama |
: Islam |
| No.Handphone |
: 082225026653 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: 0000000000 |
Nama Dokter |
: dr .DEDE GUNAWAN M.Ked(Paru), Sp.P, FISR |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2024-09-08 12:45 |
| TD |
: 170/100mmhg mmHg |
| Nadi |
: 102 x/ i x/menit |
RR |
: 28x/i x/menit |
| Suhu |
: 36,5 c 0C |
Spo |
: % |
| TB |
: cm |
BB |
: 40kg Kg |
| Rujukan Dari |
: |
| Anamnesa |
: batuk |
| Pemeriksaan Fisik |
: |
| Laboratorium |
:
(1) PEWARNAANGRAM (2) TCM |
| Radiologi |
: |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
ICD 10 :
A15.3 | Tuberculosis of lung, confirmed by unspecified means |
| Tindakan Medis |
:
ICD 09 :
pneumonia | |
| Therapy / Resep |
:
Cefadroxil Monohydrate 500mg (2x500mg 14 tablet)
,
Salbutamol 4 mg (2x4mg 16 tablet)
,
Salbutamol 4 mg (per 12 jam 1 tablet)
,
Salbutamol 4 mg (2x1 4 tablet)
,
Aqua pro injection (per 24 jam 3 Vial)
,
Aqua pro injection (- 1 Vial)
,
Aqua pro injection (per 12 jam 2 Vial)
,
Ceftiaxiason inj (per 12 jam 9 Vial)
,
Furosemide inj (per 12 jam 2 Ampul)
,
Omeprazole inj (per 12 jam 9 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200mg 2 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (2x200mg 10 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (per 8 jam 5 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x 200mg 2 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3 x 1 2 Tablet)
,
Asering (per 24 jam 2 fls)
,
Asering (fls 2 fls)
,
Levofloxacin Infus 500mg (per 24 jam 3 botol)
,
Levofloxacin Infus 500mg (750mg/h 1 botol)
,
Levofloxacin Infus 500mg (750mg/24jam 1 botol)
,
Methylprednisolone 125 mg injeksi (62,5mg / 12 jam 1 ampul)
,
Ringer Lactat / RL (per 8 jam 4 fls)
,
Ringer Lactat / RL (per 12 jam 2 fls)
,
Ventolin nebul (per 8 jam 7 ampul)
,
Ventolin (salbutamol) Inhaler 0,1 mg (Per 8 Jam 4 botol)
,
Ventolin (salbutamol) Inhaler 0,1 mg (per 12 jam 1 botol)
,
Pulmicort 0,25 mg/ml (Budesma) (per 8 jam 7 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (per 12 jam 1 Ampul)
|
| Instruksi |
: |
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