| Nama Pasien |
: ISMAIL |
No.RM |
: 053081 |
| NIK |
: 1219040909520003 |
Pekerjaan |
: Petani |
| Tgl.Lahir |
: 1952-09-09 Usia : 71 tahun 7 bulan 7 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Laki Laki |
Agama |
: Islam |
| No.Handphone |
: 085225105003 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. SILVIA BUKIT, Sp. PD |
| Jaminan |
: BPJS Kesehatan |
Tanggal Kunjungan |
: 2024-04-16 17:04:43 |
| 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 |
:
|
| Radiologi |
: |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
ICD 10 :
N18.9 | Chronic renal failure, unspecified, D64.9 anemia | |
| Tindakan Medis |
:
ICD 09 :
L10.0 | Pemphigus vulgaris |
| Therapy / Resep |
:
Asam Tranexamat (500mg/8jam 2 tablet)
,
Vitamin k (24jam 2 Tablet)
,
Vitamin k ( 2 Tablet)
,
Aqua pro injection (fls 3 Vial)
,
Aqua pro injection (1pcs 1 Vial)
,
Ceftiaxiason inj (1gram/12jam 6 Vial)
,
Furosemide inj (10mg/12jam 1 Ampul)
,
Furosemide inj (10 mg 1 Ampul)
,
Furosemide inj (1 amp 1 Ampul)
,
Omeprazole inj (40mg/12jam 5 Ampul)
,
Omeprazole inj (4mg/12jam 1 Ampul)
,
Omeprazole inj (40mg/8jam 1 Ampul)
,
Ondansentron inj (4mg/8jam 7 Ampul)
,
Ondansentron inj (1a/8jam 4 Ampul)
,
Asam Tranexamat inj (500mg/8jam 6 Ampul)
,
Asam Tranexamat inj (1a/8jam 2 Ampul)
,
Asam Tranexamat inj (1 ampul/8 jam 2 Ampul)
,
Tablet tambah darah (1x1 1 Tablet)
,
Antasida syr (3x1 1 botol)
,
Antasida syr (3x1mg 1 botol)
,
Antasida syr (3x 1 1 botol)
,
NaCl 0.9% (fls 4 fls)
,
Ringer Lactat / RL (500ml 1 fls)
,
Ringer Lactat / RL (fls 6 fls)
|
| Instruksi |
: |
|
