| Nama Pasien |
: MUAMMAR HAFIZ ALI |
No.RM |
: 051454 |
| NIK |
: 1219092110190001 |
Pekerjaan |
: PELAJAR |
| Tgl.Lahir |
: 2019-10-21 Usia : 5 tahun 3 bulan 2 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Laki Laki |
Agama |
: Islam |
| No.Handphone |
: 081288224309 |
Status Pernikahan |
: Belum Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. OMAR SAZALY ALDY Sp.A |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2025-01-23 14:30 |
| TD |
: - mmHg |
| Nadi |
: 112 x/menit |
RR |
: 34 x/menit |
| Suhu |
: 36.5 0C |
Spo |
: 99 % |
| TB |
: - cm |
BB |
: 15 Kg |
| Rujukan Dari |
: |
| Anamnesa |
: sesak |
| Pemeriksaan Fisik |
: |
| Laboratorium |
:
|
| Radiologi |
: |
| USG |
: |
| EKG |
: tidak ada |
| Diagnosa |
:
susp asma bronkial-tidak ada -
ICD 10 :
J18.0 | Bronchopneumonia, unspecified |
| Tindakan Medis |
:
ICD 09 :
00.13 | Injection or infusion of nesiritide |
| Therapy / Resep |
:
Dexamethason (5 mg/ 8 jam 1 tablet)
,
Dexamethason (50mg/8j 1 tablet)
,
Salbutamol 4 mg (3x1,5 mg 4 tablet)
,
Salbutamol 4 mg (1,5 mg/ 8 jam 3 tablet)
,
Salbutamol 4 mg (3x1 1/2mg 3 tablet)
,
Amoxicilin Trihidrate syr (3x1cth 1 Botol)
,
Ceftiaxiason inj (400 mg/ 12 jam 1 Vial)
,
Ceftiaxiason inj (375mg/12j 2 Vial)
,
Ceftiaxiason inj (450mg/12jam 1 Vial)
,
Ceftiaxiason inj (375 mg/ 12 jam 2 Vial)
,
Ceftiaxiason inj (375mg/12jam 1 Vial)
,
Dexamethason inj (5 mg/ 8 jam 1 Ampul)
,
Dexamethason inj (5mg/8j 1 Ampul)
,
Dexamethason inj (4 mg/ 8 jam 2 Ampul)
,
Dexamethason inj (4mg/8jam 2 Ampul)
,
Gentamycin inj (40mg/12 j 6 Ampul)
,
Gentamycin inj (- 1 Ampul)
,
Paracetamol infus/ drip (200mg/8jam 4 botol)
,
Asering (10 gtt/i 2 fls)
,
Asering (10 tpm 2 fls)
,
Asering (1 2 fls)
,
Bromhexine 8mg (3x4mg pulpis 14 tablet)
,
Bromhexine 8mg (3x4mg 2 tablet)
,
Bromhexine 8mg (4,5 mg/ 8 jam 3 tablet)
,
Bromhexine 8mg (3x4 1/2mg 1 tablet)
,
Bromhexine 8mg (3x4 1/2 2 tablet)
,
Bromhexine 8mg (4 mg/ 8 jam 1 tablet)
,
Ringer Lactat / RL ( 2 fls)
,
Ringer Lactat / RL (20 tpm 2 fls)
,
Ringer Lactat / RL (30 tpm 2 fls)
,
Ringer Lactat / RL (- 3 fls)
,
Salbutamol 2 mg (3x1 1/2mg 1 tablet)
,
Salbutamol 2 mg (1,5 mg/ 8 jam 1 tablet)
,
Salbutamol 2 mg (3x1,1/2 mg pulpis 4 tablet)
|
| Instruksi |
: |
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