PASIEN RABER dr. Desi Salwani, Sp.PD.

, KGH

AQSA 1 AQSA 2 AQSA 2

K7B1
K4B2 K6B3
DPJP : dr, Hendra Zufry Dpjp: dr. Sarah Firdausa, Sp.PD Dpjp: dr. Islamuddin Sp.PD
SpPD., KEMD

Nama : Burhanuddin Bin Nama: Imam Nama: Suryadi bin Arrazi

Mahmud
CM: 1290646 CM: 1 04 50 42
CM: 1301800
TL: 11/06/1968 TL: 26/07/1965 TL: 12-10-1987
TM: 06/03/2022
TM: 27/2/2022 TM: 02-03-2022

HD RABU SABTU HD SENIN RABU JUMAT

Ass/ Ass/ Ass/

1. CKD stage V ec. dd. 1.Covid 19 confirmed case gejala 1.CKD stg V on HD dengan
1. DN berat udem paru akut ec dd 1. HN 2.
2. HN DM 3. PNC
3. urat nefropati 2. CKD stage V on HD regular
2. Anemia ringan HM ec dd. dengan edema paru akut 2. pneumonia dd covid 19
1. penyakit kronik
2. Def. besi
3. DM tipe 2 3. efusi pleura kanan ec dd 1
3. hiponatremia normoosmolar
euvolemik related CHF
4. hipokalemia sedang 4. Hipertensi stage 1
5. DM tipe II 4. asites ec dd 1. Related CKD 2.
6. hipertensi stage I CHF 3. Hypoalbuminemia

5. hipertensi terkontrol
Saran/
Th/
Bedrest
Bed rest Th/
Diet ginjal 1700kkal/hari +
protein 0.6gr/kgBB Diet ginjal 1700 kkal / hr Bedrest

Threeway  IVFD NaCl 0.9% Threeway Diet ginjal 1700 kkal/hr

1fls+25meq habis dalam 24 jam
Iv meropenem 1 g/ 8 jam Threeway

Iv omeprazole 40 mg/12 jam IV Cefotaxim 750 mg/24jam (H4)

Lab 4/3/22
iv. furosemide 20 mg/ 8 jam IV Lasix 1 amp/12 jam
Hb/l/t : 10,2/7,41/318
drip NTG 5 mcg/kgbb/ menit Drip Levofloxacin 500 mg/24 jam
Mcv/mch/mchc : 73/27/37 (H4)
drip dobutamine 3 mcg/kgbb/menit
Diftel : 2/0/1/67/20/10 SC Heparin 5000 unit/ 12jam
drip remdesivir 200 mg/ 24 jam
HIV R1: non reaktif Asam folat 2x1 tab
drip remdesivir 100 mg/24 jam(h2-
Anti HCV : negatif h5) Lenal ace 2 x 169mg

HbsAg: non reaktif lenal ace 2x169 mg Aspilet 1x80 mg

Alb : 4,1 paracetamol 3x500 mg Lactulosa 3xCII

Ca: 8,2 flumucyl 3x 200 mg

GDS : 97 vit c 3x 500 mg Lab 06-03-2022

Ur/cr : 230/10,20 vit D 2x 1 tab Hb/L/T: 12,6/7,81/163

Na/k/cl/ca : 127/2,9/87 Mcv/mch/mchc:77/26/34

Lab 5/3/2022 Diftel:1/0/0/73/17/9

Hb/L/T: 8,6/8,46/214 PT/APPT: 15/31,20

MCV/MCH/MCHC: 79/27/34 d-dimer:3140

Diftel: 13/0/0/67/14/6 HIV R1 non reaktif

PT/APTT: 0.93/1.03 anti hcv negative

D-dimer: 2810 hbsag non reaktif

Alb : 2,7 albumin: 3, 30

Ca: 8,0 ca: 8,1

Ur/Cr: 84/4,9 ur/cr: 47/3,10

Na/K/Cl: 142/3.7/109 na/k/cl: 139/3,4/110

Lab 28-02-2022

Hb/L/T: 7,2/8,18/161

Alb: 2,4

Mcv/Mch/Mchc: 81/27/34

Diftel: 4/0/0/67/22/7

PT/APTT: 14,6/48,4

D-dimer: 2540

Ca: 7,1

Ur/Cr: 84/4,9

Na/K/Cl: 140/3.5/111
AQSA 3 AQSA 3 AQSA 3
K2B3 K5B3 K6B3
DPJP : dr. Mahriani Sylvawani, DPJP : dr. Mahriani Sylvawani, DPJP : dr. Alfi Syahrin
SpPD., KR Sp.PD., KR Sp.PD

Nama : husna binti m arif Nama : Lela Suhanda Nama : Aslamiah Binti Ali
No cm: 1301232 TL : 6/10/1994 Cm : 1300646
TM: 26/02/2022 CM : 1291156 Tl : 10/05/1975
TM : 28/2/2022 Tm : 22/2/22
HD RABU SABTU HD RABU SABTU
Ass/ Ass/ Ass/
1.penurunan kesadaran ec dd 1. COVID 19 confirmed case 1. CKD stge V dengan uremic
1. Sepsis, gejala sedang syndrome ec dd
1. HN
2. Imbalance cairan, 2. Sindrom nefrotik
2. DN
3. Stroke 3. Ulcus ar genu sinistra grade 3 3. PNC
2. sepsis ec dd pneumonia 4. Ulcus decubigus multiple 2. POST Covid-19
3. pneumonia ec dd inf spesifik 5. hiperglikemia dd dm tipe 2 3. Anemia Berat ec dd
4. acute on ckd 6. anemia sedang ec dd penyakit 1. Penyakit kronik
5. ulkus duodenum a/r pedis s kronis 2. Perdarahan
6. dm tipe 2 7. hipoalbumin sedang 4. Hiperkalemia ec CKD
5. Hipoalbumin sedang ec dd
7. psmba 8. hipokalemia ringan
1. Renal loss
8. hiponatremia 2. Low intake
9. anemia sedang Th/ 6. Dm tipe II
10. Hipokalemia Bedrest 7. Hipertensi on terapi
11. ht stage I Diet ginjal 1700 kkal/hari
Iv ceftriaxone 2 gr/24 jam Th/
Th/ Drip levofloxacin 500 mg/24 jam Bedrest
Bedrest Iv furosemide 20 mg/12 jam Diet Ginjal 1700 kkal/hari+1 gr
Threeway Iv omeprazole 40 mg/12 jam protein/kgbb/hari
Diet ginjal 1700 kkal/hari + 1 gram Nystatin drop 6x2 cc meropenem 1 gr/12 jam
protein/kg/hari Calprosis 2x1 Cetirizine 10 mg
IV Meropenem 1gr/8jam Paracetamol 2x1000 mg Drip KCL 1 fl dalam 500 cc(10
IV lansoprazole 30mg/12jam Atorvastatin 1x20 mg gtt/jam)
Amlodipin 1x10mg Valsartan 1x80 mg Tupepe 1 gr/2 jam
Valsartan 1x160mg Myfortic 2x720 mg Lactuloc Syr CII/8 jam
Flumucyl 2x1 Clindamicyn 3x300 mg
Lab 8/3/2022
Drip novorapid kec 0,5cc/jam
Hb/Ht/E/L/T:
Novorapid 8-8-8 SC Lab 7/3/2022
7,1/21/2,8/21,43/428
Alb : 2.55
MCH/MCHC/MCV:
Lab 8/3/22 Urinalisis
25/34/73
Hb/l/t : 7.8/14.05/303 Kuning
MCV/MCH/MCHC : 77/26/34 Diftel: 5/0/0/83/6/6
keruh
Diftel : 3/0/0/77/15/5 BJ : 1.017
LED : 100 D-Dimer: 3350
pH: 5.5
Ur/Cr:99/3,50
leukosit +
Lab 7/3/22 Na/K/CL: 131/2,80/103
protein +2
Hb/l/t : 6.9/14.01/356 Ca: 7,4
MCV/MCH/MCHC : 77/25/33 glukosa –
Diftel : 2/0/0/75/18/5 keton +
Lab 4/3/22
PT/APTT : 1.20/1,27 nitrit – Hb/l/t : 7,3/21,92/381
INR : 1.20 urobilinogen – Mcv/mch/MCHC : 26/34/75
bilirubin – Pt/aptt : 1,11/1,02
Lab 6/03/22 darah + d-dimer : 3200
Hb/L/T: 7/10,13/373 leukosit 200-150 ur/cr : 125/4,04
Mcv/mch/mchc: 76/25/33 na/k/cl/ca : 133/3,3/111
eritrosit 250-300
Diftel: 3/0/0/70/22/5 Epitel 0-1 Lab 1/3/22
ca : 7 Bakteri + Hb/l/t : 15,6/7,97/230
Ur/Cr : 56/2,90 Alb : 3,39
Na/K/Cl : 138/3,40/110 Lab 5/3/2022 Ur/cr : 18/0,60
Hb/L/T: 8.6/2.21/160 Na/k/cl/ca : 134/2,9/106/8,8
Lab 3/03/22 MCV/MCH/MCHC: 82/28/34
Hb/L/T: 8,3/15,77/502 Diftel: 0/1/0/90/6/3
Mcv/mch/mchc: 72/25/34 PT/APTT: 0.82/0.81
Diftel: 1/0/0/84/9/6 Fibrinogen : 522
ca/mg : 9,2/2,5 D-dimer: 700
Ur/Cr : 56/2,90
Na/K/Cl : 138/3,40/110 Lab 1/3/22
Hb/l/t : 8,5/4,97/148
Lab 2/03/22 LED : 96
Hb/L/T: 8,7/17,19/524 RF : +
Mcv/mch/mchc: 69/25/36 Ur/cr : 115/1,9
Diftel: 1/0/0/88/5/6 Na/k/cl/ca : 139/3,1/104/7
ca/mg : 9,2/2,7 Alb : 2,5
Ur/Cr : 113/4,70 Kgds : 150
Na/K/Cl : 138/3,20/109 d-dimer : 570
pt/aptt : 0.98/0,8
Lab 1/03/22
Hb/L/T: 8,8/21,97/526
Mcv/mch/mchc: 71/25/35
Diftel: 1/0/0/88/5/6
PT/APTT : 16,20/36,50
d-dimer : 1900,00
alb : 2,90
ca/mg : 8,1/2,1
HCU MEDICAL ZAMZAM 1

Bed 9 K16
DPJP : Anestesi

Nama : Darmawansyah Nama : Nurbaini

No CM: 1301574 CM : 1207779

TM: 02/03/2022 TM :

Tl : 02/06/1970 TL : 01-02-1957 (65)

HD Hari ini lagi

Ass/ Ass/

1. Sepsis ec dd 1. Pneumonia, 2. Urosepsis 1. AKI stage III dd acute on CKD ec dd 1. D

N 2. HN 3. PNC
3. AKI stage III dd acute on ckd 2. Sepsis ec dd 1. Sepsis 2. Urosepsis
3. Pneumonia dd infeksi paru spesifik
4. PSMBA ec dd 1. Uremic bleeding 2. Stress 4. Trombositopeni ec dd 1. DIC 2. Infeksi
ureter, 3. Ulcus gaster 5. DM tipe II NW
6. Hipertensi st II
7. Ulcus decubitus a/r gluteus grade 1
4. dyspepsia tipe like ulcer dd tipe mixed
8. Mikrotrombosis sistemik
9. CHF FC NYHA II-III ec dd 1.hhd 2. 3.dcm
10. Isk
11. Anemia sedang NN ec dd 1. penyakit
Th/ kronis 2. Perdarahan
12. Hemiparese sinistra ec stroke
Drip Levofloxacin 750 mg/24 jam(H10)

Drip norepinefrin 4 mg Saran/

SC Heparin 5000 IU /12jam Bedrest

Iv furosemide 20 mg/8 jam Diet ginjal 1700kkal/hari + protein 0.8g/hari

Iv Omeprazole 40 mg/12 jam IV meropenem 1g/8jam

Sucralfat syr CII/8jam Lenal ace 2x169mg

N. Asetyl systein 200 mg/8 jam Fluimucyl 3x200mg

Bicnat 500 mg/8 jam As folat 2x0,4mg

KSR 600 mg/24 jam Bicnat 3x500mg

Bisoprolol 2.5mg/12jam Valsartan 1x160mg

CPZ 12,5mg/12jam IV furosemid 20mg/12jam

Transfusi PRC target hb >10g/dl

Terapi lainnya sesuai dpjp

Saran/

Bedrest p/

Diet ginjal 1700 kkal/hari dan protein 1,2 urinalisa (+)

g/kgbb/hari
usg urologi
IVFD clinimix 1fls/24jam
Bicnat 3x200mg cek ur cr /3hari (9/3/22)

IV meropenem 1g/12jam as.urat, profil lipid

Hemodialisa senin kamis HD 4 jam UF 500- kultur urin susul hasil

1000 Q6 200 heparin free

Terapi lainnya sesuai DPJP

Th/

IV Lansoprazole 30mg/24jam
Lab 8/3/22
IV Furosemid 20mg/8jam
HB/L/T: 9,9/11,75/293
Sc heparin 5000u/24jam
Mcv/Mch/Mchc: 82/30/37
Calporosis D 2x1tab
Diftel: 2/0/0/85/7/6
Domperidon 10mg/8jam
Ca/mg : 8,9/3,0
Tracetat 2x1tab
Ur/cr : 219/5,20
Bicnat 3x500mg
Na/K/Cl: 144/4,10/115
Valsartan 1x160mg

As folat 2x0,4mg
Lab 5/3/22 (23:12)
Fluimucyl 3x400mg
HB/L/T: 10,7/16.25/351
Burnazin zalf/8jam
Mcv/Mch/Mchc: 80/30/38

Diftel: 0/0/0/88/6/6
Lab 06/03/22 (9:40)
Ca : 9,5
Ca : 7,6
Mg : 3,0
Ur/cr : 174/4.0
Ur/cr : 214/5,00
Na/k/cl : 139/4,00/111
Na/K/Cl: 141/3,70/113

(7:10)
Lab 5/3/22 (10:54)
Ca/mg : 7,8/1,9
HB/L/T: 11,7/17,18/400
Na/K/Cl : 140/4,00/110
Mcv/Mch/Mchc: 79/30/38

Diftel: 0/0/1/91/4/4
Lab 5/3/22
Alb : 2,60
HB/L/T: 8.3/6,5/54
Ca : 8,2
Mcv/Mch/Mchc: 83/28/34
Mg : 2,8
Diftel: 3/0/0/76/14/7
Ur/cr : 309/6,60
PT/APTT : 0,93/1.06
Na/K/Cl: 144/4,00/111
INR : 0,95

D-dimer : >4000
Lab 4/3/22
Ca/mg : 7,3/1,8
HB/L/T: 10,8/23,88/417
Mcv/Mch/Mchc: 80/30/38 Ur/cr : 171/4,60

Diftel: 0/0/0/91/5/4 Na/K/Cl: 141/4,10/110

Ur/Cr: 355/7,40

D-dimer : >4000 Lab 4/3/22

Ca : 8,3 CRP kualitatif +

Mg : 2,8 Procalsitonin 12,94

Na/K/Cl: 144/3,70/109 Ca/mg : 7,5/1,9

Alb : 2,30 Na/K/Cl: 141/4,40/112

Inr ; 1,33 Alb : 2,6

PT/APTT : 18,7/86,30

Lab 01/03/22

Lab 3/03/22 Urinalisis

Hb/L/T: 10,1/19,77/327 Kuning

Mcv/mch/mchc: 80/30/38 keruh

Diftel: 0/0/1/90/5/4 BJ : 1.024

HIV R1 : non reaktif pH: 5.0

Anti HCV : neg leukosit +

HbsAg : non reaktif protein +2

Ur/Cr: 446/9,00 glukosa –

AGDA keton +

pH : 7,427 nitrit –

pCO2 : 23,1 urobilinogen –

pO2 : 32 bilirubin –

HCO3 : 15,4 darah +

Total CO2 : 16,1 leukosit 100-150

Kelebihan Basa : -6,8 eritrosit 25-50

SpO2 : 65,1 Epitel 0-1

Bakteri +

Lab 2/03/22

Hb/L/T: 13,3/19,61/275

Mcv/mch/mchc: 78/30/39

Diftel: 0/0/0/88/4/8

Bil. Total/direct/indirect : 0,66/0,31/0,35

SGOT/SGPT : 37/21

Alb : 2,50

Ca : 7,1

GDS : 161

Na/K/Cl : 138/3,40/99

PT/APTT : 18,60/34,7

Anti hcv : negative

Hbsag : non reaktif

MINA 2
K5B3
DPJP : NEURO
Nama : Zuriaty
Tl : 4/03/2022
Cm : 1133794
Tm : 4/03/2022
Ass/
1. COVID 19 confirmed case gejala berat (perbaikan)
2. Hiponatremi hipoosmolar hipovolemik
3. Penurunan kesadaran ec dd
1. Stroke,
2. Imbalance elektrolit,
3. SDA
4. hipokalemia
5. dm tipe 2
6. hipertensi on terapi

Saran/
Bedrest
Ivfd nacl 0.9% 20tpm
Lenal ace 2x169mg
Cek ulang elektrolit post korekso

Th/
Iv Citicolin 500 mg/12 jam
Iv omeprazole 40 mg/12
Valsartan 160 mg/24 jam
Amlodipine 10 mg/24 jam
Ksr 600 mg/12 jam
Lenal ace 169 mg/12 jam
SC Nevorapid 3-3-3-3-3-3
SC Lantus 0-0-0-10
Drip Levofloxacin 750 mg/24 jam
Favipiravir 600 mg/12 jam (h2-h5)
Curcuma 1 tab/8 jam
Ostriol 0,25 mg/12 jam
Vit c 500 mg/12 jam
Zink 20mg /24 jam
Drip kcl 50meq dalam 50cc nacl 0.9% habis dalam 6 jam

Lab 9/03/22
Na/K/Cl : 142/2,2/104

Lab 07/03/22
Hb/L/T: 12.1/10.12/290
MCV/MCH/MCHC: 81/30/37
Diftel: 0/0/0/88/5/7
PT/APTT : 0.92/0.8
INR : 0.91
Fibrinogen : 439
D-dimer: 1040
Ca : 7,5
Ur/cr: 30/0,6
Na/K/Cl : 141/2.8/99

Lab 5/3/22
Ca : 7,2
Na/K/Cl : 128/2,2/96

Lab 4/3/22
HB/L/T: 12,2/12,18/261
Alb:
Mcv/Mch/Mchc: 77/30/39
Diftel: 0/0/0/91/3/6
PT/APTT: /32,30
Fibrinogen : 401
Gds : 254
Ca : 7,6
Ur/Cr:27 /0,60
Na/K/Cl: 111/3,20/80
PT/INR/APTT : 15,20/1,07/32,20
SGOT/SGPT : 76/30
PASIEN RABER dr. Desi Salwani, Sp.PD., KGH PINERE
ISO PINERE ISO PINERE ISO PINERE ISO PINERE
K1B4 K2B2 K8B1 K11B4
Dpjp : Pulmo DPJP : M. Reza DPJP : Prof. Dr. dr. Dpjp: dr. T. Mamfaluti
Febrilliant, Sp.PD Kurnia Fitri Jamil, SpPD
Sp.PD-KPTI

Nama : Junaidi Nama : Maryati Ali Nama : Nasruddin bin Nama: Radiman
ismail
Cm : 1283558 CM : 1-29-11-39 No cm: 1300444
TL: 06/07/1976
Tl : 04/08/1967 (54) TL : 1/7/1965 CM: 1291356 TL: 17/08/1944
TM: 21/02/2022
Tm : 24/2/22 TM : 06/03/2022 TM: 17/08/1994

HD SENIN KAMIS HD RABU SABTU HD SENIN KAMIS

Ass/ Ass/ Ass/ Ass/

1. Covid 19 confirmed case 1. Anemia berat NN ec dd. 1. AKI Stg 3 dd Akute On 1.Covid 19 confirmed
gejala ringan Peny. Kronis CKD case gejala sedang
2. Anemia sedang HM ec
2. CKD stage V on HD 2. hipokalsemia dd/ 1.def besi, 2. peny 2. CKD stage V ec dd:
Reguler kronis, 3.occult
3. CKD stage V on HD bleeding - PGOI
3.Retinopati hipertensi gr
3. Anemia sedang ec dd reguler
III
- HN
4.Katarak komplikata
1. PGK 4. Malfungsi AV shunt ODS
5.Atelektasis dd. Tb paru - PNC
2. Perdarahan 5. hipertensi urgency 6.HHD
3. Pneumonia CAP dd
4. Ht stg 2 6. Covid 19 confirmed case infeksi paru spesifik
gejala ringan P/ therapy
5. Hemoptisis sedang 4. ISK
- Bedrest
6. Dyspepsia type like ulcer - O2 2-4 l/m nasal kanul
Th/ - Diet MB 1700 Kkal/hari
7. Microtrombosis sistemik rendah garam TH/
IV Ceftriaxone 1gr/12jam - IVFD NaCl 0.9% 20
tpm Bedrest
IV Ketorolac 1amp/12jam - IV lansoprazole 30
Th/ mg/24 jam O2 10L/m NRM
IV Omeprazole 40mg/12 - IV ondansteron 4 mg/8
Bedrest jam Threeway, kateter
jam
- Sucralfat syr 3x C I
- Valsartan 1x160 mg
Diet ginjal 1700 kkal/hari IV Metronidazole Diet ginjal 1700 Kkal +
- Herbeseer CD 1x 200
500mg/8jam mg Protein 0,8
Threeway - N acetyl sistein 3 x 200 gram/kgbb/hari
Amlodipin 1x10mg mg
Drip remdesivir 200 mg - ISDN 3x 10 mg Drip Levofloxacin
/hari (h1) 24/2/22 Drip perdipin 1 amp + 50cc - Clopidogrel 1x75 mg 500mg/24jam
NaCl 0,9%  mulai - Atorvastatin 1x20 mg
Drip remdesivir 100 0,5meq/kgBB/jam Sc heparin 5000 iu/12 jam
mg/hari (H2-H5) P/
Valsartan 1x80mg Iv Omeprazol
Iv ceftriaxone 2 gram/24 Echocardiography 40mg/24jam
jam (24/2/22) Lenal Ace 2x169mg
(25/2/2022) Po cardesartan 1x8 mg
Iv omeprazole 40 mg/12 IV Paracetamol 1gr extra
jam EF 61 %, LVH, TR mild Lenal Ace 2x169 mg
Asam traneksanat 1
Iv vit k/8 jam amp/8jam Favipiravir 2x1600 mg h1

Iv traneksamat 500 mg/8 Ro Thorax (22/2/22) Favipiravir 2x600 mg h2-

jam
Sc heparin 5000 iu/12 jam Sarah Th/ Atelektasis dd/ TB paru h5

Codein 3x10 mg Tirah baring

Curcuma 3x1 O2 3 lpm Lab 08.03.2022 Lab 01/03/22

Ostriol 2x1 Diet ginjal 1700kkal + Hb/l/t : 11.3/4.13/317 Hb/L/T: 8,5/6,24/275

protein 1-1,2gram/kgBB/hr
Zink 1x20 mg MCV/MCH/MCHC MCV/MCH/MCHC:
Threeway 69/27/39 80/28/34
Amlodipin 1x10 mg
Drip perdipin 1amp+50cc Diftel : 0/0/0/78/20/2 Diftel: 3/0/0/59/23/15
Valsartan 1x80 mg NaCl 0,9%  mulai dari
0,5 meq/kgBB/jam  titrasi Ur/Cr 138/4.6 PT/APTT : 13,30/37,10
dosis
PT/APTT 0.84/0.84 Fibrinogen : 625,00
Lab 08/03/22 Valsartan 1x80mg
INR 0.86 D-dimer
Hb/l/t : 9.4/5.6/168 Lenal Ace 2x169mg
Fibrinogen : 478 SGOT/SGPT : 41/42
MCV/MCH/ Transfusi PRC on HD
MCHC :84/29/34 D Dimer 3560 Alb : 3,91
Hemodialisis (konfirmasi
Diftel : 3/0/1/73/14/9 divisi-GH) Lab 04.03.2022 Ca : 7,6

Ur/Cr : 74/7.8 Hb/L/T 10,9/7,23/225 Ur/cr: 132/7,30

Na/K/Cl : 139/4.6.103 Saran Pemeriksaan/ MCV/MCH/MCHC Na/K/Cl : 142/3,80/109

71/27/39
Cek asam urat, lipid profile,
anti HCV igM, HIV Diftel 0/0/0/80/13/7
Lab 26/02/22
Urinalisis As. Urat 5,2
Lab 07/03/22 Hb/L/T: 6,7/8,99/267
Crossmatch Na/K/Cl 121/3,90/101
Hb/L/T: 10,4/5.52/172 MCV/MCH/MCHC:
Swab RT-PCR Ca 8,3 80/26/32
MCV/MCH/MCHC:
82/30/36 Hiv r1 nonreaktif Diftel: 1/0/0/69/16/14

Diftel: 5/0/0/63/20/12 Lab 07/03/22 Anti hcv negative PT/APTT : 13,30/34,90

PT/APTT : 0.89/1.18 Hb/L/T: 6.3/6.30/179 Hbsag nonreaktif Fibrinogen : 653,00

INR : 0.88 MCV/MCH/MCHC: D-dimer : >4000,00

83/30/36
Fibrinogen : 422 Lab Darah 02.03.2022 Ur/cr: 126/9,90
Diftel: 3/0/0/70/17/10
D-dimer : 1610 Ur/Cr 11/4.30 Na/K/Cl : 138/4,10/105
PT/APTT : 0.97/1.02
GDS : 53
INR : 0.95

Fibrinogen : 303
Lab 04/03/22
Pem d-dimer tidak ada
Hb/L/T: 8,4/7,57/205
sampel
MCV/MCH/MCHC:
82/29/35
Lab
Diftel: 3/0/1/62/21/13
HB/L/T: 7,0/5630/209000
PT/APTT : 13,00/36,60
Mcv/Mch/Mchc: 86/30/35
Fibrinogen : 519
Diftel: 7/0/0/57/25/11
D-dimer : 870
PT/APTT: 0.93/0.92

Lab 26/2/22 d-dimer : 2060

D-dimer : 1570,00

SGOT/SGPT : 48/24

Ur/cr: 186/11,60

Na/k/cl/
ca :137/5,60/101/8,8
RICU RICU PINERE
K K9 3C
Dpjp: dr. T. Mamfaluti, Sp.PD Dpjp : dept pulmo
Nama : Syarifah binti M.Ali Nurhayati Nama: Ibnu umar
CM : 1287809 TL :07/09/1952 TL : 09/04/1953
TL : 1/7/1955 (66th) CM : 0-95-33-28 CM : 1201990
TM:8/3/22 TM : 4/3/2022

Ass/ Ass/ Ass/

1. Covid 19 confirmed case 1. covid-19 confirmed case gejala 1.CKD st V dengan uremic sindrom
(antigen) dgn gejala berat klinis - antigen ec dd HN, DN, UN
2. Penurunan kesadaran ec dd/ 2. gagan napas I 2.DM tipe II NW
-Uremic ensefalopati 3 DM tipe 2 3.Hipertensi stage II
-Sepsis 4. Hipertensi terkontrol 4.Hipoalbuminemia ringan
-Imbalance elektrolit 5. Hipokalemia 5.Hipokalsemia ringan
3. Ckd stage 5 on hd reguler EC 6. Hipoalbuminemia
DD Saran th/
-HN P/ susul hasil elektrolit post Bedrest
-PNC koreksi Diet ginjal 1700kkal/hari + protein
-Urat nefropaty 0.8g/kgbb/hari
dengan uremic ensefalopati Th/ As. Folat 2x0.4
4. Hipertensi emergensi Ivfd nacl 0,9% 500 cc/24 jam NAC 3x200
5. Anemia berat NN EC PGK Drip remdesivir 700 cc/24 jam Lenal ace 2x169mg
Drip kcl 1 fls dalam nacl 0,9% 10
Th/ gtt/i Ceftriaxone 2g/24jam
Bedrest Drip ca glukonas 1 gr/extra Lansoprazole 30mg/24jam
O2 15 L/I via NRM Iv meropenem 1 gr/8 jam Favipiravir 1600mg/12jam(h1)
Diet ginjal 1700kkal/hari +protein Iv omeprazole 40 mg/12 jam Favipiravir 600mg/12jam (h2-h5)
55g/hari Iv heparin 5000 ui/12 jam As folat 2x0,4mg
Drip NTG 5meq /jam (titrasi Flurosemide 20 mg/24 jm Lenal ace 2x169mg
dosis) Dexamethasone 5 mg/12 jam Valsartan 1x80mg
IV meropenem 1g/8jam Vit c 500 mg/12 jam Metoklopramid 1amp/8jam
Asam folat 2x400mcg Vit d 1000 mg/24 jam Vit d 2x1
Amlodipin 1x10mg Vit c 500 mg/12 jam Vit c 3x500mg
Valsartan 1x80mg Zink 1x20mg
N-asetilsistein 3x200mg Lab 6/3/22
Drip remdesivir 100mg/24jam Ca : 6.6 Lab 9/3/2022
(H1) Na/K/Cl : 141/2.9/110 Urinalisis
Vit C 2x500mg Kuning muda
Ostriol 2x0.25mg Lab 6/3/22
jernih
Hb/L/T: 13,2/17,66/242
Lab 07/03/22 Mcv/Mch/Mchc: 79/27/35 BJ : 1.013
Hb/L/T: 7.2/13.63/174 Diftel: 0/0/0/94/4/2 pH: 5.0
MCV/MCH/MCHC: 77/27/34 PT/APTT: 1,26/1.07 leukosit –
Diftel: 0/0/0/88/7/5 Fibrinogen : 581 protein +1
PT/APTT : 1.1/1.11 d-dimer : >4000 glukosa –
INR : 1.09 bil. Total : 1,11 keton –
Fibrinogen : 199 bil. Direct : 0,65
nitrit –
Alb: 3,1 bil. Indirect: 0,46
Ca : 9,2 SGOT/SGPT : 238/1267 urobilinogen –
GDS : 128 Alb : 2,7 bilirubin –
Ur/cr: 115/6.8 Ca/mg: 6,4/1,7 darah –
Na/K/Cl : 136/3,7/99 GDS : 331 leukosit 2-5
AGDA Ur/cr : 37/0,80 eritrosit 0-2
pH : 7,551 Na/K/Cl : 143/3,7/109 Epitel 0-1
pCO2 : 38.9
Ca oksalat +
pO2 : 138 Lab 5/3/22
HCO3 : 34,4 Ca: 6,9
Total CO2 : 35.6 Na/K/Cl : 140/2,6/107 Lab 8/3/22
Kelebihan Basa : 11,7 Hb/L/T: 9,3/8,00/179
SpO2 : 99,4 Lab 4/3/22 Mcv/Mch/Mchc: 80/38/35
Hb/L/T: 12,3/8,23/258 Diftel: 0/0/0/87/10/3
Mcv/Mch/Mchc: 78/27/35 HIV R1 non reaktif
Diftel: 0/0/0/78/18/4 Anti HCV negatif
PT/APTT: 13,80/36,00 Hbsag non reaktif
d-dimer : 440 Alb : 3,2
Agda Ca :7,4
ph : 7,586 GDS 204
pco2 : 33,20 Ur/cr : 187/9,70
po2 : 34 Na/K/Cl : 142/5,2/114
hco3 : 31,8
tot. co2 : 32,8
be : 10,0
sat. o2 : 73,8
alb : 2,90
ca : 7,1
GDS : 149
Ur/Cr: 21/0.70
Na/K/Cl: 138/2,80/108