| Nama Pasien |
: SALMAH NASUTION |
No.RM |
: 050734 |
| NIK |
: 1219057112580050 |
Pekerjaan |
: IRT |
| Tgl.Lahir |
: 1961-12-31 Usia : 62 tahun 11 bulan 29 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Perempuan |
Agama |
: Islam |
| No.Handphone |
: 082165532366 |
Status Pernikahan |
: Janda |
| No.Telepon |
: |
Nama Dokter |
: dr. HENRY SIBARANI, M. Kes, M. Ked, Sp. PD |
| Jaminan |
: Umum |
Tanggal Kunjungan |
: 2024-12-29 01:00 |
| TD |
: mmHg |
| Nadi |
: x/menit |
RR |
: x/menit |
| Suhu |
: oC |
Spo |
: % |
| TB |
: cm |
BB |
: Kg |
| Rujukan Dari |
:
- |
| Anamnesa |
: |
| Pemeriksaan Fisik |
: Kepala (), Gigi & Mulut (), THT (), Thoraks (), Abdomen (), Genital & Anus (), Ekstremitas (), Kulit (). Catatan : |
| Laboratorium |
:
(1) KGD PUASA (2) KGD 2 JAM PP (3) KGD PUASA (4) KGD 2 JAM PP (5) KGD PUASA (6) KGD 2 JAM PP (7) KGD PUASA (8) KGD 2 JAM PP (9) KGD PUASA (10) KGD 2 JAM PP (11) TCM (12) PEWARNAAN GRAM (13) KGD PUASA (14) KGD 2 JAM PP (15) HIV (16) BILIRUBIN TOTAL (17) BILIRUBIN DIRECT (18) SGOT/AST (19) SGPT/ALT (20) ALBUMIN (21) TOTAL PROTEIN (22) KGD PUASA (23) KGD 2 JAM PP (24) UREUM (25) CREATININE (26) ASAM URAT (27) ASAM URAT (28) KGD PUASA (29) KGD 2 JAM PP (30) KGD AD RANDOM (31) KGD PUASA (32) KGD 2 JAM PP (33) KGD PUASA |
| Radiologi |
: Thorax PA |
| USG |
: |
| EKG |
: - |
| Diagnosa |
:
ICD 10 :
E14.0 | Unspecified diabetes mellitus with coma, A15.3 | Tuberculosis of lung, confirmed by unspecified means |
| Tindakan Medis |
:
ICD 09 :
|
| Therapy / Resep |
:
Ambroxol HCl (3 x 1 4 tablet)
,
Ambroxol HCl (3x1tab 2 tablet)
,
Domperidon 10 mg (3x10mg 21 Pcs)
,
Omeprazole 20 mg (2x20mg 14 tablet)
,
Paracetamol 500 mg (3x500mg 8 tablet)
,
Paracetamol 500 mg (3 x 1 3 tablet)
,
Paracetamol 500 mg (3 x 500 mg 2 tablet)
,
Salbutamol 4 mg (2x1 1 tablet)
,
Zink syr / zinc (1x1 2 Botol)
,
Aqua pro injection (Pcs 2 Vial)
,
Aqua pro injection (per 12 jam 1 Vial)
,
Ceftiaxiason inj (per 12 jam 9 Vial)
,
Ceftiaxiason inj (1gr/12jam 5 Vial)
,
Ceftiaxiason inj (Per12jam 2 Vial)
,
Ceftiaxiason inj (1gr / 12 jam 1 Vial)
,
Omeprazole inj (per 12 jam 8 Ampul)
,
Omeprazole inj (40mg/12jam 1 Ampul)
,
Omeprazole inj (40mg/12j 3 Ampul)
,
Omeprazole inj (Per12jam 3 Ampul)
,
Ondansentron inj (per 8 jam 20 Ampul)
,
Ondansentron inj (4mg/8jam 1 Ampul)
,
Ondansentron inj (Per8jam 5 Ampul)
,
Paracetamol infus/ drip (per 8 jam 2 botol)
,
Ranitidin inj (per 12 jam 5 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x200mg 22 Tablet)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x 200mg 1 Tablet)
,
New Diatab (kp 1 tablet)
,
New Diatab (k/p 1 tablet)
,
New Diatab (3x1 1 tablet)
,
New Diatab (3x1tab 2 tablet)
,
New Diatab (3 x 1 1 tablet)
,
Azitromycin Tab (1x500mg 4 tablet)
,
Meptin Nebule (Procaterol) (per 8 jam 8 ampul)
,
NaCl 0.9% (per 8 jam 11 fls)
,
NaCl 0.9% (fls 1 fls)
,
NaCl 0.9% (20gtt/i 8 fls)
,
Ringer Lactat / RL (Per 8 Jam 2 fls)
,
Ventolin nebul (k/p 2 ampul)
,
Gabapentin tab 300 mg (1x300mg 9 tablet)
,
Gabapentin tab 300 mg (1 x 1 1 tablet)
,
Gabapentin tab 300 mg (1x300 mg 1 tablet)
,
Sucralfate 500 mg / SUKRALFAT (3x1 2 tablet)
,
Pulmicort 0,25 mg/ml (Budesma) (per 8 jam 8 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (k/p 2 Ampul)
,
Attapulgit 600mg+ Pectin 50mg (k/p 2 tablet)
,
Vit. B6 10mg (2x10mg 14 tablet)
,
Cefixime 200 mg (2x200mg 14 Pcs)
,
Sucralfate syrup (3xc1 1 botol)
|
| Instruksi |
: |
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