SELECT data FROM assessment_keperawatan WHERE uid_pasien='9ca0960f58db1d2396b2e2c1e2756c4e' AND rm='052631' AND nomor_visit='RI-20241111207'Data tidak ditemukan.SELECT data FROM assessment_awal_medis WHERE uid_pasien='9ca0960f58db1d2396b2e2c1e2756c4e' AND rm='052631' AND nomor_visit='RI-20241111207'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 : J18.9
    Pneumonia, unspecified
    Primer
  2. Code : J44.0
    Chronic obstructive pulmonary disease with acute lower respiratory infection
    Sekunder

Tindakan
Obat
  1. Ambroxol HCl
    Signa : 3 x 1
    21 tablet
  2. Salbutamol 4 mg
    Signa : 2x1
    15 tablet
  3. Salbutamol 4 mg
    Signa : 2x4mg
    3 tablet
  4. Salbutamol 4 mg
    Signa : -
    1 tablet
  5. Salbutamol 4 mg
    Signa : 3x4mg
    2 tablet
  6. Aqua pro injection
    Signa : pcs
    2 Vial
  7. Aqua pro injection
    Signa : -
    3 Vial
  8. Ceftiaxiason inj
    Signa : per 12 jam
    5 Vial
  9. Ceftiaxiason inj
    Signa : 1 grm /12jam
    1 Vial
  10. Ceftiaxiason inj
    Signa : 1gr/12jam
    3 Vial
  11. Ranitidin inj
    Signa : per 12 jam
    5 Ampul
  12. Ranitidin inj
    Signa : 50 mg/12jam
    3 Ampul
  13. Ranitidin inj
    Signa : 50mg /12 jam
    1 Ampul
  14. NAC/ N-Acetylcystyne/ Acetylcysteine
    Signa : 3x200 mg
    3 Tablet
  15. NAC/ N-Acetylcystyne/ Acetylcysteine
    Signa : 3 x 1
    6 Tablet
  16. NAC/ N-Acetylcystyne/ Acetylcysteine
    Signa : 3x 200mg
    3 Tablet
  17. Fentolin Nebul
    Signa : Per 8 Jam
    6 Ampul
  18. Azitromycin Tab
    Signa : 1 x 1
    7 tablet
  19. Bfluid / Aminofluid
    Signa : fls
    3 fls
  20. Bfluid / Aminofluid
    Signa : 1 fls /hari
    1 fls
  21. Methylprednisolone 125 mg injeksi
    Signa : per 12 jam 62,5mg
    2 ampul
  22. Methylprednisolone 125 mg injeksi
    Signa : per 12 jam
    3 ampul
  23. Methylprednisolone 125 mg injeksi
    Signa : /12 jam
    1 ampul
  24. Methylprednisolone 125 mg injeksi
    Signa : 62,5 mg/12 jam
    2 ampul
  25. Methylprednisolone 125 mg injeksi
    Signa : 62,5mg / 12 jam
    1 ampul
  26. Methylprednisolone 4 mg
    Signa : 3 x 1
    21 tablet
  27. Ringer Lactat / RL
    Signa : 20gtt/i
    1 fls
  28. Ringer Lactat / RL
    Signa : Per 8 Jam
    7 fls
  29. Ringer Lactat / RL
    Signa : fls
    4 fls
  30. Ventolin nebul
    Signa : per8jam
    1 ampul
  31. Ventolin nebul
    Signa : Per 8 Jam
    4 ampul
  32. Pulmicort 0,25 mg/ml (Budesma)
    Signa : Per 8 Jam
    8 Ampul
  33. Levofloxacin Infus 750mg
    Signa : per 24 jam
    3 botol
  34. Levofloxacin Infus 750mg
    Signa : per 12 jam
    1 botol
  35. Levofloxacin Infus 750mg
    Signa : per hari
    1 botol
  36. Levofloxacin Infus 750mg
    Signa : fls
    1 botol
  37. Levofloxacin 750mg tab
    Signa : 1 x 1
    7 tablet
BMHP
  1. Alat suntik sekali pakai spuit 10 cc
    Signa : per 12 jam
    3 pcs
  2. Alat suntik sekali pakai spuit 10 cc
    Signa : -
    6 pcs
  3. Alat suntik sekali pakai spuit 3 cc
    Signa : per 12 jam
    4 pcs
  4. Alat suntik sekali pakai spuit 3 cc
    Signa : -
    14 pcs