| Nama Pasien |
: SUKIRAH |
No.RM |
: 024730 |
| NIK |
: 1219077112580073 |
Pekerjaan |
: IRT |
| Tgl.Lahir |
: 1958-12-31 Usia : 65 tahun 9 bulan 7 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Perempuan |
Agama |
: Islam |
| No.Handphone |
: 085261845747 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. SILVIA BUKIT, Sp. PD |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2024-10-06 13:00 |
| 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/8jam (2) KGD AR/12 jam |
| Radiologi |
: Thorax PA |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
ICD 10 :
|
| Tindakan Medis |
:
ICD 09 :
00.13 | Injection or infusion of nesiritide, 93.94 | Respiratory medication administered by nebulizer, 00.13 | Injection or infusion of nesiritide, 93.94 | Respiratory medication administered by nebulizer |
| Therapy / Resep |
:
Ambroxol HCl (3x1 1 tablet)
,
Furosemide 40 mg (1x1 3 tablet)
,
Furosemide 40 mg (/24 jam 1 tablet)
,
Ondansentron 4 mg (/8jam 4 tablet)
,
Ondansentron 4 mg (- 2 tablet)
,
Candesartan Cilexetil 8 mg (/24 jam 1 tablet)
,
Candesartan Cilexetil 8 mg (1x1 1 tablet)
,
Aqua pro injection (1 plakon 1 Vial)
,
Aqua pro injection (- 3 Vial)
,
Ceftiaxiason inj (/12jam 5 Vial)
,
Ceftiaxiason inj (2 gr/12 jam 2 Vial)
,
Ceftiaxiason inj (1 gr/12 jam 1 Vial)
,
Ceftiaxiason inj (2gr/12 jam 4 Vial)
,
Citicolin inj 250 mg/2 ml (/12jam 1 ampul)
,
Furosemide inj (/24 jam 1 Ampul)
,
Omeprazole inj (40 mg/12 jam 1 Ampul)
,
Omeprazole inj (/12jam 4 Ampul)
,
Omeprazole inj (/12 jam 1 Ampul)
,
Ondansentron inj (1 amp/ 8 jam 2 Ampul)
,
Ondansentron inj (/8jam 2 Ampul)
,
Ondansentron inj (/12jam 1 Ampul)
,
Paracetamol infus/ drip (- 1 botol)
,
Ranitidin inj (/12jam 1 Ampul)
,
NAC/ N-Acetylcystyne/ Acetylcysteine (3x1 2 Tablet)
,
Dextrose 10% (20 gtt/i 2 fls)
,
Dextrose 10% (20 TPM 4 fls)
,
Dextrose 10% (/8jam 2 fls)
,
Dextrose 10% (- 2 fls)
,
Dextrose 40 % (- 10 fls)
,
Meptin Nebule (Procaterol) (/12 jam 1 ampul)
,
NaCl 0.9% (/12jam 1 fls)
,
Ringer Lactat / RL (20 gtt/i 1 fls)
,
Ventolin nebul (1 plakon 1 ampul)
,
Ventolin nebul (1 1 ampul)
,
Ventolin (salbutamol) Inhaler 0,1 mg (/12jam 1 botol)
,
Candesartan Cilexetil 16 mg (1x1 2 tablet)
,
Pulmicort 0,25 mg/ml (Budesma) (1 plakon 1 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (1 1 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (/12jam 1 Ampul)
,
Pulmicort 0,25 mg/ml (Budesma) (/12 jam 1 Ampul)
,
Sikloserin 250mg (Cs) (1x1 1 tablet)
|
| Instruksi |
: |
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