| Nama Pasien |
: UPIK |
No.RM |
: 046892 |
| NIK |
: 1219044310730001 |
Pekerjaan |
: IRT |
| Tgl.Lahir |
: 1973-10-03 Usia : 50 tahun 6 bulan 26 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Perempuan |
Agama |
: Islam |
| No.Handphone |
: 0 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. SILVIA BUKIT, Sp. PD |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2024-04-29 19:36:36 |
| TD |
: 120/80mmhg mmHg |
| Nadi |
: 124x/i x/menit |
RR |
: 24x/i x/menit |
| Suhu |
: 36,5 0C |
Spo |
: 100% % |
| TB |
: 155cm cm |
BB |
: 85kg Kg |
| Rujukan Dari |
: |
| Anamnesa |
: lemas
mual muntah (+) |
| Pemeriksaan Fisik |
: |
| Laboratorium |
:
(1) KGD PUASA DAN 2 JAM PP (2) foto thorax (3) KGD PUASA DAN 2 JAM PP |
| Radiologi |
: |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
syok hiperglekima -
ICD 10 :
E11.9 | Non |
| Tindakan Medis |
:
ICD 09 :
|
| Therapy / Resep |
:
Cefixime Trihydrate 100mg (2x100mg 14 Pcs)
,
Aqua pro injection (fls 2 Vial)
,
Aqua pro injection (25ml 1 Vial)
,
Aqua pro injection ( 1 Vial)
,
Ceftiaxiason inj (1gram/12jam 4 Vial)
,
Omeprazole inj (40mg/12jam 7 Ampul)
,
Ondansentron inj (4mg/8jam 8 Ampul)
,
Ondansentron inj (1a/8jam 3 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x1 2 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200mg 2 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x1mg 3 Tablet)
,
NaCl 0.9% (500ml 2 fls)
,
NaCl 0.9% (fls 1 fls)
,
NaCl 0.9% (20t/i 2 fls)
,
Rebamipide 100mg (3x1 1 tablet)
|
| Instruksi |
: |
|
