SELECT data FROM assessment_keperawatan WHERE uid_pasien='7cd1adea74468ac6f9882ec866af2fe3' AND rm='054324' AND nomor_visit='RI-20250318235'Data tidak ditemukan.SELECT data FROM assessment_awal_medis WHERE uid_pasien='7cd1adea74468ac6f9882ec866af2fe3' AND rm='054324' AND nomor_visit='RI-20250318235'Data tidak ditemukan. Resume Medis | Medicine

Resume Medis


Keadaan Umum

Status Nutrisi

Riwayat Kesehatan
Pemeriksaan Fisik

Laboratorium
Radiologi

Hasil USG & EKG

Procedure ICD 09

Diagnosa ICD 10
  1. Code : C78.0
    Secondary malignant neoplasm of lung
    Primer
  2. Code : J18.9
    Pneumonia, unspecified
    Sekunder
  3. Code : J96.9
    Respiratory failure, unspecified
    Sekunder
  4. Code : J80
    Adult respiratory distress syndrome
    Sekunder
  5. Code : C85.9
    Non
    Sekunder

Tindakan
Obat
  1. Ceftiaxiason inj
    Signa : 1gr/12jam
    2 Vial
  2. Ceftiaxiason inj
    Signa : Per 12 jam
    1 Vial
  3. Furosemide inj
    Signa : 1amp/24 jam
    2 Ampul
  4. Ketorolac inj
    Signa : 30mg/8 jam
    1 Ampul
  5. Ketorolac inj
    Signa : Per 8 jam
    2 Ampul
  6. Omeprazole inj
    Signa : 40mg/12jam
    2 Ampul
  7. Omeprazole inj
    Signa : Per 12 jam
    1 Ampul
  8. Ondansentron inj
    Signa : 4mg/8jam
    1 Ampul
  9. Ondansentron inj
    Signa : Per 8 jam
    2 Ampul
  10. Ondansentron inj
    Signa : 4mg/8 jam
    1 Ampul
  11. Pethidin inj
    Signa : Ekstra
    1 Ampul
  12. Asering
    Signa : fls
    2 fls
  13. Asering
    Signa : Per 8 jam
    2 fls
  14. Ventolin nebul
    Signa : Ekstra
    1 ampul
  15. Pulmicort 0,25 mg/ml (Budesma)
    Signa : Ekstra
    1 Ampul
BMHP
  1. Alat suntik sekali pakai spuit 10 cc
    Signa : -
    2 pcs
  2. Alat suntik sekali pakai spuit 10 cc
    Signa : Per 12 jam
    1 pcs
  3. Alat suntik sekali pakai spuit 3 cc
    Signa : -
    4 pcs
  4. Alat suntik sekali pakai spuit 3 cc
    Signa : Per 8 jam
    1 pcs
  5. Alat suntik sekali pakai spuit 5 cc
    Signa : -
    1 pcs
  6. Alat suntik sekali pakai spuit 5 cc
    Signa : Per 12 jam
    1 pcs
  7. abocath/ IV Catheter No.24
    Signa : Pcs
    2 pcs
  8. Masker Nebulizer Dewasa
    Signa : Ekstra
    1 pcs
  9. Masker Oksigen Dewasa Non Rebreather (NRM)
    Signa : Ekstra
    1 pcs