Penatalaksanaan (1) (2) (3) (4) (5) (6) (7) (8) 1 dr. Layali fase laten. persalinan Kala II

Transkripsi

1 Tanggal Kode Kegiatan Diagnosis Topik Kegiatan Penatalaksanaan Catatan Pendamping Tanda Tangan Pendamping Keterangan Tambahan (1) (2) (3) (4) (5) (6) (7) (8) Ny. S, 33 tahun, G2P1A0 - Rawat Inap Kebidanan uk 38 minggu, JTHIU - Observasi kemajuan 07/09/2013 A 1 prekep puki in partu kala I persalinan, awasi tanda-tanda fase laten persalinan Kala II 07/09/2013 A 07/09/2013 C 07/09/2013 A 09/09/2013 A Ny. A, 22 th, G1P0A0 uk 12 minggu dengan HEG Ny. T, 40 th, Dispneu ec susp CHF Ny. P, 20 th, G1P0A0 uk 39 minggu, JTHIU, preskep, puka, belum in partu dengan hipertensi gestasional susp PER dd PEB Tn. S, 51 th, susp TB paru kasus putus obat - Rawat Inap - IVFD D5% 20 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - po Antacyd syr 3x2 cth - Rawat Inap - O2 2-4 l/m - IVFD D5% 15 tpm - Inj. Furosemide 2x1 A (iv) - pasang DC - Plan: EKG, Ro Thorax PA - - IVFD RL 20 tpm - Nifedipin 2x10 mg - Plan: Darah Lengkap, Protein urin - Rawat Jalan - Ambroxol 3x1 tab - Neurodex 3x1 tab No

2 09/09/2013 A 09/09/2013 A 09/09/2013 B 09/09/2013 A 09/09/2013 B Ny. M, 24 th, Artralgia susp CTS An. S, perempuan, 2 th, 15 kg, DATD+ISPA Tn. S, 55 th, kontrol post Closed Fraktur os Clavicula Dextra + VL digiti IV manus dextra Tn. S, 40 th, Hipertensi Stage I, ISPA. TD: 150/90 mmhg Tn. S, 40 th, kontrol VL plantar pedis sinistra - Plan: Ro Thorax PA, sputum BTA SPS - - Na diclofenac 3x25 mg - Ranitidin 3x1 tab - Plan: Fisioterapi - Edukasi: hindari aktifitas tangan berlebih - - Lacto-B 2x1 sach - Zinc tab 1x1 tab - Coparcetin syr 3x1 cth - - Clindamycin 300 mg 3x1 cap - Asam mefenamat 3x500 mg - Ranitidin 3x150 mg - Edukasi : jaga luka tetap kering, diet tinggi protein karena luka lama kering - Rawat Jalan - Captopril tab 2x12,5 mg - Ambroxol 3x1 tab - Bufantacyd 3x2 cth - Edukasi: diet rendah garam - Rawat Jalan - Ciprofloxacin 2x500 mg - Dexamethason 3x0,5mg

3 09/09/2013 B 09/09/2013 B 09/09/2013 B 09/09/2013 B 09/09/2013 A Tn. D, 32 th, kontrol VL cruris dextra Ny. K, 41 th, LBP post trauma susp. Fraktur Kompresi Vertebra Lumbal Tn. M, 34 th, Appendiksitis kronik Tn. I, 31 th, kontrol VL palpebra superior sinistra Ny. R, 40 th, Hipertensi Urgensi, TD: 200/100 mhg - Asam Mefenamat 3500 mg - Ranitidin 3x150 mg - Edukasi : kontrol 3 hari, jaga luka tetap kering, diet tinggi protein - - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 3x150 mg -Edukasi : antibiotik dihabiskan, jaga luka tetap kering - Rawat Jalan - Na diclofenac 3x25 mg - Ranitidin 3x150 mg - Plan: Ro Vertebra Lumbosacral AP, Konsultasi Dokter Spesialis Bedah - Rawat Jalan - Amoxicillin 3x500 mg - Spasminal 3x1 tab - Konsultasi Sp.B - - Aff hecting 2 - Vitalong C 1x1 tab - (pasien menolak rawat inap)

4 09/09/2013 A 09/09/2013 A 10/09/2013 A 10/09/2013 B 10/09/2013 A Ny. M, 45 th, Mialgia Ny. M, 31 th, Obs febris susp Chikungunya BBPV An.P, Perempuan, 9 bl, 7,2 kg. DADRS dan Rhinofaringitis akut Ny. K, 55 th, kontrol post Close fraktur humerus sinistra 1/3 proximal Ny. P, 25 th, G3P0A2 uk 13 minggu dengan HEG derajat II - Amlodipin 1x10 mg - Captopril 3x25 mg - - Meloxicam 3x1 tab - Ranitidin 3x150 mg - (menolak rawat inap) - Betahistine mesylate 2x1ab - Paracetamol 4x500 mg kp - Stimuno 2x1 tab - - IVFD RL 36 tpm (mikro) - Inj. Ranitidin 3x1/3A - Inj. Ondansetron 3x1/3a - Lacto-B 2x1 sachet - Zinc 20 mg 1x1/2 tab - Erlamol syr 3x1 cth - Rawat Jalan - Asam mefenamat 3x500 mg - - IVFD RL loading 500 cc --> 30 tpm - RL:D5%:NaCl 0,9% 1:1:1 30 tpm - Inj. Ranitidin 3x1A

5 10/09/2013 A 10/09/2013 A 11/09/2013 A 11/09/2013 A 11/09/2013 A An. R, 7 th, 20 kg, DADRS, obs febris susp Thyfoid fever An. E, 7 th, 23 kg, Ob Vomitus suspek intoksikasi makanan Perempuan, 25 th, P1A0 post partum fisiologis Hari ke-2 dengan PEB. TD: 130/90 mmhg Perempuan, 35 th, P2A0 post partum SC atas indikasi riwayat SC Perempuan, 28 tahun, G2P1A0 uk 37 minggu JTHIU peskep puka in partu - Inj. Ondansetron 3x1A - Neurosanbe drip 1A/24 jam - Rawat Inap - IVFD RL loading 200 cc--> 30 tpm -->15 tpm - Inj. Chlorampheniol 4x250 mg (iv) - Inj. Ranitidin 3x1/2A - Inj Ondansetron 3x1/2A - Sanmol syr 3x2 cth - L-Bio 3x1 sachet - Plan: DL, widal Rawat Jalan - Antasida doen syr 3x1 cth - Ranitidin III, Papverin III, Vit BC III, Vit C II,mf No.X 3x1 - BLPL - Clindamicyn 3x300 mg - Nifedipn 1x10mg - Asam Mefenamat 3x500 mg - IVFD RL 20 tpm - Inj. Cefriaxon 2x1 gr (iv) - Inj. Ketorolac 3x1A - po. Gastrul tab 2x1 - Rawat Inap obervasi vk - IVFD RL 20 tpm - Nifedipin 2x10 mg sl

6 12/09/2013 A 12/09/2013 A 13/09/2013 A 13/09/2013 A 14/09/2013 B kala I fase aktif dengan PER Tn. T, 31 th, Ob Febris susp Thyfoid Fever Tn. S, 30 th, DADRS Ny. E, 29 th, G1P0A0 uk 13 minggu dengn heg derajat II An. M, 10 th, 27 kg, DADRS Tn.T, 60 th, Kontrol multpel VL - Rawat Inap - IVFD RL 2 tpm - Chloramphenicol 4x500 mg - Paracetamol 4x500 mg - Rantidin 3x150 mg - Plan : DL, Widal - - IVFD RL 20 tpm - Loperamid L-Bio x1 sach - Omeprazol 2x1 tab - - IVFD RL loading 500 cc --> 30 tpm - RL:D5%:NaCl,9% 1:1:1 30 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Neosanbe drip 1A/24 jam - Rawat Inap - IVFD RL 16 tpm - Inj. Ranitidin 3x1/2 A - L-Bio 3x1 sachet - Zinc 1x1 tab - Rawat Jalan - Asam mefnama 3x500 mg - Ranitidin 3x150 mg

7 14/09/2013 A 14/09/2013 A 14/09/20134 A 14/09/2013 B 14/09/2013 A An. B, 7 th, 18 kg, GEA tanpa dehidrasi An. K, 4 th, 15 kg, GEADS susp intoksikasi makanan Tn. S, 54 th, Obs febris susp Chikungunya dd DHF Tn. S, 54 th, Abdominaal pain ec GERD, dd gastritis An. G, 3 th, 8,5 kg, DADRS - - Ranitidin 2x75 mg - Antacida doen syr 3x1/2 cth - L-Bio sach 2x1 - Zinc tab 1x1 - - IVFD RL 14 tpm (ma) - Inj. Ranitidin 2x1/2A - Inj Metoclopramid 2x1/2A - po Norit tab 3x5 tab - Plan: DL - - IVFD RL 20 tpm - Paracetamol 4x500 mg - Neurobion 1x1 - Stimuno 1x1 tab - IVFD RL 20 tpm + Ketorolac 1A drip (extra) - Inj Ranitidin 2x1 A - po Ciprofloxacin 2x500 mg - Buscopan 3x1 tab - Plan: DL, EKG - - IVFD RL 36 tpm (mikro) - Inj. Ondansetron 3x1/3 A - L-Bio 3x1 sachet - Zinc 1x1/2 tab

8 15/09/2013 A 15/09/2013 A 15/09/2013 B Tn. W, 45 th, GEADS Ny. U, 21 th, G2P1A0 uk 8 minggu dengan HEG Tn. S, 56 th, susp Closed fraktur antbrachii dextra, hematom palpebra sinistra, multipel VE - Plan: DL - - IVFD RL LOADNG 500 CC 20 tpm - Inj. Ranitidin 2x1A - Mecodiar 2 tab tiap kali BAB - L-Bio 2x1 sach - Zinc 1x1 tab - Plan: DL - - IVFD RL loading 500 cc --> 30 tpm - Rl:D5%:NaCl 0,9% 1:1:1 30 tpm - Neurosanbe drip 1A/24 jam - Inj Ranitidin 3x1A - Inj. Metocloperamid 3x1A - Plan: DL, GDS - - Wound toilet - Immobilisasi spalk+elastic band antebrachii sinistra - IVFD RL 20 tpm - Inj. Ceftriaxon 2x1 gr (iv, skintest) - Inj. Ketorolac 2x1A kp - Inj. Ranitidin 3x1A - Plan: Ro antebrachi sinistra AP&lateral, Konsultasi dr sp.ot

9 16/09/2013 A 16/09/203 A 16/09/203 A 16/09/2013 A 17/9/2013 C 21/09/2013 A Ny. R, 22 th, G2P0A1 uk 36 minggu dengan konstipasi An. P, perempuan, 3, th, 18 kg, GEADS Nn. I, 19 th, GEADR Ny. K, 25 th, G1P0A0 uk 39 minggu JTHIU presbo in partu kala I fase aktif Ny. D, 60 tahun, Hipertensi Emergensi. TD: 200/110 mmhg Ny. A, 56 th, GEADS - - Microlac supp 1 tube - - IVFD RL 56 tpm (mi) - Inj Ranitidin2x1/2 A - Inj. Ondansetron 2x12A - Myrasic syr 3x 1 1/2 cth - Plan: DL - Cotrimoxazol forte 2x1 - Loperamid tab - Paracetamol 3x1 tab - Vitazym 3x1 tab - IVFD RL 16 tpm - Observasi kemajuan persalinan - IVFD RL 20 tpm - Inj. rantidin 3x1A - Amlodipin 2x10 mg - Captopril 3x25 mg - Paracetamol 2x50 mg - Plan: DL, GDS, Ureum, Kreatinin, Ro thorax PA, EKG - - IVFD RL 20 tpm - Inj. Ranitidin 3x1A

10 21/09/2013 A 21/09/2013 A 21/09/2013 A 21/09/2013 B Ny. R, 55 th, Hipertensi stage II, Gastritis. TD: 170/100 mmhg. Tn. S, 58 th Obs febris susp thyfoid fever Ny. S, 38 th, Hipertensi stage I, GEADS Tn. P, 30 th, Muliple VL - Inj. Ondansetron 3x1A - Scopma 3x1 tab - - IVFD D5% 20 tpm - Inj. Ranitidn 3x1A - Inj. Ondansetron 3x1 A - Catopril 3x 25 mg - Nifedipin 2x5 mg - - IVFD RL 20 tpm - Paracetamol 4x500 mg - Antacida 3x1 tab - Plan : DL, Widal - - IVFD RL 20 tpm - Inj. Ranitidin 3x1 A - Inj. Ondansetron 3x1A - Captopril 3x12,5 mg - Rawat Jalan - Wound toilet, hecting luar 3 - Inj. ATS IU (im, skin test) - Clindamycin 3x300 mg - Asam mefenamat 350 mg - Dexamethason 3x0,5 mg - Ranitidin 3x1tab - Edukasi: jaga luka tetap kering, kontrol poliklinik

11 21/09/2013 A 22/09/20103 A 22/09/2013 A 22/09/2013 C Tn. E, 23 th, GEADS Ny. T, 35 th, BPPV+Gastritis akut Nn. I, 13 th, 24 kg, Obs febris 5 hari susp Thyfoid fever dd DHF Ny. T, 60 th, Asma attack pada asma persistten sedang, hipertensi stage II, susp TB paru kasus putus obat. TD: 160/90 mmhg - - IVFD RL 30 tpm - Inj. Ranitidin 3x1 A - Inj. Ondansetron 3x1A - L-Bio 3x1 sach - Zinc 1x1 tab - Plan: DL - - IVFD D5%:RL 2:1 20 tpm - Inj. Ranitidn 3x1 A - Inj. Difenhidamin 3x1A - Neurobion drip 1A (extra) - Omeprazlol 2x1 tab - Antacida Doen syr 3x2cth - - IVFD RL 20 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1 A - Paracetamol tab 3x500 mg - Plan: DL, widal - O2 2-4 l/m - Nebulisasi Ventolin 2,5 mcg - IVFD RL 20 tpm - Inj. Ranitidin 2x1 A - Ambroxol 3x1 tab - Captopril 3x25 mg - Paracetamol 3x500 mg

12 22/09/2013 A 22/09/2013 A 23/09/2013 A 23/09/2013 C An. R, perempuan, 7 bln, 6,5kg, GEADS, Rinobronkhitis akut Tn. E, 33 th, Gasroenteritis kronik, Candidiais oral, suspek AIDS Tn. S., 39 th, obs. Febris susp TF Ny. M, 61 th,obs dyspnea ec anemia gravis - Plan: Ro thorax PA, GDS, DL, sputum BTA SPS, EKG - IVFD RL loading 100 cc --> 30 tpm (mi) - L-Bio 3x1 sach - Zinc x1/2 tab - GG II, CTM II, PCT II, vit C II mf X 3x1 - Plan: DL - - IVFD D5% 30 tpm - Inj. Ranitidin 3x1A - Antacida Doen syr 3x2 cth - L-Bio 3x1 sachet - Zinc 1x1 tab - Kandstatin drop 4x IU - Plan: DL, GDS - Chloramphenicol 4x500 mg - Ranitidin 3x150 mg - Paracetamol 3x500 mg - Plan: DL, widal - - O2 3 l/m - IVFD NaCl 0,9% 20 tpm

13 23/09/2013 B 23/09/2013 B 24/09/2013 A 24/09/2013 C Tn. P, 30 th, VE dorsumpedis dextra et sinistra Tn.W, 75 th,obs dyspnea susp PPOK dd TB paru Ny. R, 50 th, GEADS Ny.M, 45 th,multple VE, VL capitis (ma) - Inj. Ranitidin 3x1A(iv) Plan: DL, golongan darah, EKG, Ro thorax - Amoxicillin 3x 500 mg - Asam mefenamat 3x500 mg -Neurodex1x1tab - O2 3l/m - IVFD RL 20 tpm - Paracetamol 4x500 mg - IVFD RL loading 300cc 30 tpm - Inj.Ranitidin 2x1A - Inj. Ondansetron 2x1A - Cotrimoxazol 2x1tab - Scopamin plis 2x1 tab - Zinc tab 1x2 - New diatab 3x1 - - O2 2l/m - IVFD RL 30 tpm - Inj.Ranitidin 3x1A - Inj.Ondansetron 3x1A - Ketorolac drip 3x 1 A - Inj.Neurotam 3x1A

14 24/09/2013 C 24/09/2013 A 24/09/2013 A 24/09/2013 A 24/09/2013 A Ny. R,23 th, VE cruris dextra An.Aditya,6 th,15kg,tonsilitiskronik eksaserbasi akut Ny.S,28 th, obs.febris susp DHF dd TF Tn. A, 25 th, TTH Tn.S, 75 th,obs febris susp Chikungunya - Inj.Citicholin 3x 1 A - Inj. Ceftriaxon 2x1 gr (iv, skin test) - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - IVFD RL15 tpm - Inj.Ceftriaxon 2x250 mg - Inj.Gentamicin 2x20 mg - Inj.MP 2x1/2cc - Luminal II, PCT III, Domperidon II, Vit. C III mf X,3x1 rawat jalan - Amoxicillin 3x500 mg - Ranitidin 3x150 mg - Vitalong C1x1 tab - Paracetamol 3x500 mg - Vitalong c 1x1 tab rawat inap - IVFD RL loading 1000 cc 20 tpm - Inj. Cefotaxim 2x1 gr - Inj.Dexamethason 3x1A

15 24/09/2013 A 24/09/2013 A 24/09/2013 A 25/09/2013 A An.S, 7 th,obs febris susp DHF grade II Tn.S, 38 th,geads Ny.D,20 th, G1P0A0 uk 39+4 minggu JTHIU,preskep,inpartu kala II lama Ny.K,60th, gastritis - Inj. Ranitidin 2x1A - Paracetamol 4x500 mg - Luminal 2x1 tab - IVFD RL 40 tpm 4jam 20 tpm - Inj. Ranitidin 2x1/2A - Paracetamol syr 3x1 cth - DEHAF 2x1 - Curcuma 2x1cth - IVFD RL loading 300 tpm 30 tpm - Inj.Ranitidin3x1A - New diatab 3x1 - Cotrimoxazol 2x1 - Scopamin plus 2x1 - L-Bio 3x1sach - Paracetamol 4x500 mg rawat inap -Vakum ekstraksi rawat inap - IVFD RL 16 tpm - Inj.Ranitidin 3x1 A - Antasida doen syr 3x2 cth - Omeprazol 2x1 tab

16 25/09/2013 A 25/09/2013 A 25/09/2013 B 25/09/2013 A An.E,5th,15 kg, Kejang Demam Sederhana An.H,2 th,9 kg,gea dehidrasi sedang, An.I, 1 th,8,5 kg, KDS,Rhinofaringitis akut ny. R,50 th,dm tipe 2 degan GEADS - Curcuma 3x1 tab rawat inap - IVFD D5%15 tpm - Inj.Dexamethason 3x2cc - Luminal 5 mg II, Vit. C 25mg II,PCT 70mg III, mf X,3x1 rawat inap - IVFD RL 300 cc loading--> 36 tpm - Fuzide syr 3x1 cth - Sanmol syr 3x3/4 cth - L-bio 3x1/2sach - Zinc 1x1/2tab rawat inap - IVFD RL loading 200cc --> 30tpm (mi) - Sanmol syr 3x 3/4cth - CTM II, GG II,Luminal II, VitCII,m.f X,3x1 rawat inap - IVFD RL loading 500cc -- >24tpm -Inj.Ranitidin 3x1A - Inj. Ondansetron1 A (extra) - Glibenclamide1x5mg (1-0-0) - New diatab 3x1 tab - Scopamin plus3x1tab - PCT 3x500mg

17 25/09/2013 A 25/09/2013 B 25/09/2013 A 25/09/2013 A An.M,2 th, 9 kg,geads An. M,12 th, 20 kg,obs febris susp DHFderajat II dd TF An.M, 9 bln,8,5 kg,geads,rhinofaringitis akut Tn. S,40 th,vl dorsum pedis dextra,ve olecranon sinistra rawat inap -IVFD RL loading 150 cc -- >36tpm (mi) -L-Bio 3x 1/2sach - Zinc 1x1/2tab rawat inap - IVFD RL loading 400 cc--> 30 tpm - Inj.Ranitidin 3x1/2A - sanmol syr4x2 cth - Stimuno tab 1x1 - DEHAF2x 1/2sach - Plan: DL, widal rawat inap - IVFD D5% loading 100 cc--> 40 tpm(mi) - Sanmol syr 4x1 cth - Lacto B 3x1/2sach - Zinc 1x1/2tab - GG II,CTM II,Vit C III,mf X 3x1 rawat jalan - wound toilet,hecting luar - Inj ATS1.500 IU (im,skintest) - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 3x150 mg

18 28/09/2013 A 28/09/2013 C 28/09/2013 B 28/09/2013 C 28/09/2013 B An. F,14 th, susp Miopia ODS, Tn.M, 23th,VE genu dan olecranon sinistra Ny. T,30 th, G3P2A0 uk 38 minggu JTHIU preskep in partudgn febris hari ketiga dan Hipertensi gestasional susp PER An.S,12th, 36kg, Combustio derajat II-III luas 18% Tn.Y,58 th,asma attack Rujuk Sp.M rawat jalan - Amoxicillin 3x 500 mg - Asam Mefenamat 3x 500mg - ranitidin 3x 150mg - Amlodipin 1x5 mg - IVFD RL 16tpm - Nifedipin1x 10 mg - Paracetamol 3x500 mg - Plan: DL,protein urin rawat inap -IVFD RL16 loading 300 cc--> 30tpm - Inj.Ranitidin 3x1/2A - Bioplasenton saelp 3dd ue -kompres luka/8 jam dengan NaCl rawat inap - O2 4-5 lpm - Nebulisasi Ventolin 1A -IVFD D5% 16tpm - Methylprednisolon tab 2x4mg - Salbutamol 3x2 mg - Ambroxol3x30 mg 29/09/2013 A tn. M,59 th, Dm tipe 2 rawat jalan

19 29/09/2013 B 29/09/2013 B 01/10/2013 A 01/10/2013 B dengan motion sickness Ny. S, 60th,obs dyspnea ec susp CPC decompensata dd Bronkopneumonia Ny.S, 25th, G1P0A0 uk 39 minggu dengan inersia uteri An.L, 13 bulan, 7,5kg, GEADS, Rhinofaringitis akut Ny.N, 65 th,vl capitis - Dimenhidrinat 3x1 tab - Domperidon 2x1 tab - Ranitidin 3x150mg - PCT 3x500 mg - Glibenclamid 1x5 mg - Metformin 3x500 mg rawat inap - O2 4-5lpm - Inj.Ceftriaxon 2x 1gr (iv) - Inj.Furosemid 2x1A - Nifedipin1x10 mg - Digoxin 1x0,125mg - Plan: DL, Ur, Cr, GDS, ro thorax PA, EKG rawat inap -Konsul Sp.OG - IVFD RL loading 150 cc --> 30 tpm (mi) - Inj.Ranitidin 2x1/3A - Lacto b 3x1/2sach - Zinc 1x1/2tab - GG II,CTM II,sacharin adlib mf X 3x1 rawat jalan - wound toilet,hecting luar7 - Clindamycin 3x300 mg - Asam mefenamat 3x500mg

20 01/10/2013 B 01/10/2013 B 02/10/2013 A 02/10/2013 A 05/10/2013 C - Ranitidin 3x150 mg Nn.A,25th,Vulnus punctum rawat jalan plantar pedis sinistra Inj. ATS1500 IU - Clindamycin3x300 mg - Asam mefenamat 3x500mg - Ranitidin 3x150 mg Ny.T, 21 1th, Vulnus Punctum plantar pedis - Inj. ATS IU sinistra - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Rantidin 3x150 mg Ny. T, 50 th, GEADS - IVFD RL loading 500 cc --> 30 tpm - Inj. Ranitidin 3x1 A - Inj. Ondansetron 3x1 A - Loperamid tab - Paracetamol 4x500 mg - Scopamin plus 3x1 tab Plan: DL An. J, 10 th, 25 kg, GEADS rawat inap - IVFD RL loading 200 cc --> 16 tpm - Inj. Rantidin 3x1/2 A - Lacto B 3x1 sach - Zinc tab 1x20 mg Tn. D, 60 th, Obs. dyspnea susp TB paru kasus baru, - - O2 3-4 l/m, nasal canul

21 05/10/2013 A 05/10/2013 A 05/10/2013 A hipertensi stage I, TD: 140/90 mmhg - IVFD D5% 20 tpm - Inj. Ranitidin 3x1 A - Amboxol tab 3x30mg - Amlodipin 1x10mg - Curcuma 3x1 tab - Plan: DL, EKG, Ur, Cr, GDS, Ro thorax PA, BTA SPS Ny. S, 34 th, Gastritis kronik - - IVFD D5% 20 tpm --> D5%: RL 1:1 - Inj. Ranitidin 3x1 A - Inj Ondansetron 3x1 A - Omeprazol 2x1 tab - Antasida doen syr 3x2 cth Nn. S, 19 th, Obs febris susp TF dd DHF, Gastritis akut Ny. S, 55 th, Obs febris susp TF dd DHF - - IVFD D5% 20 tpm 2 flab -- > RL 20 tpm - Inj. Ranitidin 2x1 A - Inj. Ondansetron 1A (extra) - PCT 4x500 mg - Curcuma 1x1 tab - Plan: Dl, Widal, GDS: 77 mg/dl - - IVFD RL loading 500 cc --> maintenance 20 tpm - Inj. Ranitidin 3x1 A - Inj Ondanasetron x1 A

22 05/10/2013 A 05/10/2013 A 05/10/2013 B 05/10/2013 A Ny. N, 44 th, BPPV Ny. K., 50 th, GEADS, Hipertensi stage II, susp DM tipe II. TD: 170/100, GDS: 359 mg/dl An. G, 6 th, 20 kg, VE reg capitis Ny. K, 57 th, GERD - Paracetamol 4x500 mg - Plan: DL, widal - - IVFD RL 20 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Betahstin mesylate 3x1 tab - Paracetamol 3x500 mg - Antasida Doen 3x2 cth - - IVFD RL loading 300 cc --> maintenance 20 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1 A - Cotrimoxaol 3x1 tab - Scopamin plus 3x1 tab - Captopril 3x25 mg - Metformin 3x500 mg - Plan: DL, GDP. G2PP, Ro thorax PA - - Amoxicillin yr 3x1 cth - Erlamol syr 2x cth - (APS) - IVFD RL16 tpm - Ranitidin 3x 150mg - Omeprazol 2x1 tab

23 05/10/2013 A 05/10/2013 A 07/10/2013 C 07/10/2013 B Ny. E, 6 th, DM tipe II, Hipertensi stage II. TD: 180/100 mmhg, GDS: 143 mg/dl An. E, 9 bln, 9,2 kg, GEADS Ny. A, 20 th, obs. vomitus ec intoksikasi larutan pemutih pakaian; Tentament suicide Tn. A, 27 th, Multiple VE - Antasida doen syr 3x 2 cth - - Glimepirid 1x1 mg - Captopril 3x 25 mg - Amlodipin 1x10 mg - - IVFD D5%-1/4 NS loading 100 cc--> maintenance 36 tpm (mi) - Lacto-B 2x1/2 sach - Zinc 1x10 mg - Paracetamol drop 3x0.9 cc - Plan: DL Bilas lambung 500 cc NaCl --> jernih-- >puasakan 6 jam - IVFD RL loading 50 cc --> 30 tpm --> 20 tpm - Inj. Ranitidin 3x1 A - Norit 3x6 tab - Alprazolam 1x0,5 mg (0-0-1) - Plan: DL - - Wound toilet - Amoxicillin 3x 500 mg - Paracetamol 3x500 mg

24 07/10/2013 B 07/10/2013 C 07/10/2013 A 07/10/2013 A 07/10/2013 A An. B, 80 th, 20 kg,vl reg Fontal dextra An. L, 5 th, 8,5 kg, KDS, obs febris h1. t: 42 C Tn. S, 80 th, Hipertensi stage I, Retensio urine susp BPH. TD: 150/90 mmhg Ny. T,2 th, Gastritis akut An. S, 12 th, 27 kg, Obs febris susp TF, gastritis - Ranitidin 2x10 mg - - Hecting luar 2 - Amoxicillin syr 3x1 cth - Paracetamol syr 3x1 cth - - IVFD RL 12 tpm (ma) - Paracetamol syr 4x1 cth - Diazepam 5mg III, Vit C III, Vit BC III --> No. X, 3x1 - Plan: DL - - Ganti kateter urin - Ciprofloxacin 2x500 mg - Ranitidin 2x150 mg - Captopril 1x12,5 mg - - Ranitidin 3150 mg - Antasida doen syr 3x2 cth - Omepraol 2x1 tab - IVFD RL 20 tpm - Inj Ranitidin 2x50 mg - Inj. Ondansettron 2x4 mg - Paracetamol 4x250 mg - Antasida syr 3x2 cth - Plan: DL, Widal

25 07/10/2013 A 07/10/2013 C 07/10/2013 B 07/10/2013 B 08/10/2013 A Tn. N, 28 th, Vomitus ec intoksikasi obat kuat Tn. S, 18 th, CKR, VL labium superior, Multiple VE. GCS: E4M6V3. Ny. S, 40 th, Multiple VE An. A, 4 th, 12kg, VE reg facial An. L, 5 thh, 8,5 kg, KDS, obs febris H3 susp thypoid fever. t: 39,3 C - - Domperidon 3x1 tab - Ranitidin 2x1 tab - Diazepam 1x2mg - Rujuk - IVFD RL loading 500 cc --> 20 tpm - Inj. cefotaxim 2x 1 gr (iv), skin test - Inj. Ranitidin 250 mg - - Wound toilet - Amoxicillin 3x500 mg - Ranitidin 2x150 mg - Paracetamol 3x500 mg - - Amoxicillin syr 3x1cth - PCT syr 3x1 cth - - IVFD D5%- 1/4NS loading 100 cc --> 36 tpm (mi) - Inj. Ranitidin 3x1/2 A - PCT syr 4x1 cth - Diazepam 5 mg III, Vit C III, Vit BC III --> No. X, 3x1 - Plan: Widal 08/10/2013 A An. E, 1 th, 9 kg, GEADS,

26 10/10/2013 A 10/10/2013 A 10/10/2013 A Rhinofaringitis akut Ny. V, G1P0A0 usia 19 tahun uk 40 minggu JTHIU preskep puki belum in partu dengan ketuban pecah awal. An. L, 8 bln, 8,5 kg, Obs febris suspek DHF dd TF An. Q, 9 bln, 6,8 kg, GEADS, Rhinofaringitis akut - IVFD RL Loading 100 cc--> 36tpm (mi) - Inj. Ranitidin 2x1/2A - Paracetamol drop 4x0,9 cc - L-bio 2x1/2 sach - Zinc syr 1x1/2 cth - GG II, CTM III, Dexamethason 0,5 mg II sacharin lib --> No.X, 3x1 - Plan: DL - kebidanan - IVFD RL 16 tpm - - IVFD RL Loading 100 cc--> 32 tpm (mi) - Inj. Ranitidin 2x1/2A - Paracetamol drop 4x0,8 cc - Plan: DL (trombosit /mm3, Widal S.thypii O:1/80 - IVFD RL loading 100 cc --> 28 tpm (mi) - Paracetamol drop 4x0,7 cc - Lacto B 3x1/2 sach - Zinc 1x1/2 tab

27 10/10/2013 B 10/10/2013 A 10/10/2013 C 10/10/2013 A Tn. S, 37 th, Open fraktur tibia et fibula dextra 1/3 medial displaced neglected Tn. K., 60 th, Obs febris susp Thyfoid fever dd DHF Tn. M, 3 th, Obs heematemesis-melena up hepatiis, dd cholelithiasis, gastritis erosive, ulkus peptikum An. P, 14 bln, 8 kg, KDK. s: 38C, kejang 2x - GG II, CTM II, Dexamethason II, mf No. X, 3x1 - - Ro Cruris dextra AP&lateral - Clindamycin 3x300 mg - Ranitidin 3x150 mg - pro Konsultasi Sp.OT, pasien menolak. - - IVFD RL 20 tpm - Paracetamol 3x500mg - Curcuma 3x1 tab - Antasida 3x2 cth - - IVFD D5% 20 tpm - Inj.Ranitidin 3x1A - Inj. Metoclopramid 3x1A - Inj. Asam tranamat 3x500 mg - Curcuma 3x1 tab - Plan: DL, GDS (87 mg/dl), HBsAg, Bilirubin - - IVFD RL loaoding 100 cc-- >aintenance 32 tpm (mi) - Paracetamol drop 4x0,8 cc - Luminal 30 mg IV, VIt C III, Vit BC III, No. X, 3x

28 Plan: DL Tn. H, 18 th, Vulnus - laseratum digiti II manus - Wound toilet, Hecting luar 1 10/10/2013 B sinistra - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 2x150 mg 122 Ny. K, 50 th, Hipertensi - grade II, gastritis. - IVFD RL 20 tpm TD:152/120 mmhg - Ranitidin 3x150 mg 10/10/2013 A - Captopril 3x25 mg - Amlodipin 1x10 mg - Neuroex 2x1 tab - Plan: DL, GDS, Ur, Cr, Ro thorax PA 123 Nn. R, 16 th urtikartia - Dexamethason 3x1 tab 10/10/2013 A Loratadin 1x1 tab - Paracetamol 3x500 mg Ny. S, 19 th, G1P0A minggu JTHIU,prekep, in - IVFD RL 20 tpm 10/10/2013 A 125 partu dengan kala II lama - Pimpin persalinan - Konsultasi dr. Arif, Sp.OG An. K, 14 bln, 13 kg kontrol - post diare dan faringitis akut - Cefadroxil 2x1 cth 12/10/2013 A Cetirizine II, Dexamethason II, Vit C III, mf No.X, 3x1 12/10/2013 A, B Tn. W, 80 th, kontrol VL - 127

29 12/10/2013 A 12/10/2013 A 12/10/2013 A 12/10/2013 A palmar sinistra, hipertensi stage I. TD: 140/90 mmhg An. M, 2,5 th, 11 kg, GEADS Ny. A, 20 th, kontrol post intoksikasi bayclin, gastritis An. S, 2 th, 12 kg, Febris usp TF, Rhinofaringitis akut. Ny. T, 33 th, Hipertensi stage II. TD: 180/90 mmhg. - Aff hecting - Captopril 1x12,5 mg - - IVFD RL loading 100 cc--> 10tm (ma) - Inj Ranitidin 2x1/2A - Inj Metoclopramid 2x1/2A - Lacto-B 2x1 sach - Zinc 1x20 mg - Plan: DL - - Ranitidin 3x150 mg - Omeprazol 2x1 tab - Vitazym 2x1 - Curcuma 3x1 - - Cefadroxil 2x1 cth - Paracetamol syrup 4x1 cth - Dexamethason II, GG II, Vit C III, mf no.x, 3x1 - - Captopril 3x 25 mg - Neurox 1x1 tab - SF 1x1 tab - - Vitalong C 1x1 tab Tn. W, 16 th, kontrol VE 12/10/2013 B 132 reg capitis 12/10/2013 A Tn. A, 62 th, gastritis

30 12/10/2013 A 12/10/2013 C 12/10/2013 A 15/10/2013 A Ny. S, 25 th, intoksikasi alkohol, gastritis Tn. R, 65 th, obs dyspnea susp PPOK, dd TB paru, pneumothorax. An.A, 3 th, 16 kg, observasi febris susp Thyfoid fever dd DHF Tn. M, 53 th, hipertensi stage II, susp DM tipe II. TD: 190/100 mmhg, gds; 258 mg/dl. - Lagesyl syr 3x1 cth - Laproton 2x30 mg - Neurobion 1x1 tab - - IVFD D5% 16 tpm - Inj. Ranitidin 3x1 A - Omeprazol 1x1 tab - Antasida syr 3x2 cth - - IVFD RL 16 tpm - Inj. Ranitidin 2x1A - Aminofilin 3x1 tab - Dexamethason 3x1 tab - Captopril 1x25 mg - Plan: EKG, Ro thorax PA - - Plan: DL, widal - IVFD RL 12 tpm - Paracetmol syr 3x 1 1/2 cth - GG III, CTM II, Vit C III - - IFVD RL 20 tpm - Captopril 3x25 mg - HCT 1x1 tab (1-0-0) - Metformin 3x500 mg - Plan: DL, GDP, GD2PP, EKG: LVH 15/10/2013 A, B Tn. T, 80 th, multiple VE,

31 15/10/2013 A 15/10/2013 A 15/10/2013 B 15/10/2013 A hipertensi stage II. TD: 160/100mmHg Ny. N, G1P0A0 usia 31 tahun uk 37 minggu preskep dengan hipertensi dalam kehamilan sup PER dd PEB, susp panggul sempit. TB: 138 cm, TD: 136/90 mmhg Ny. N, 55 th,hipertensi stage II dengan epistaksis. TD: 180/100 mmhg. Tn. R, 60 th, VL dorsum pedis sinistra Nn. A 29 th, gastritis akut, susp ISK - Amoxicillin 3x500 mg - Captopril 3x12,5 mg - Paracetamol 3x500 mg - Neurodex 2x1 tab - Vitalong C 1x1 tab - - IVFD RL 16 tpm - Plan: DL, proten urin - - Captopril 3x25 mg - Propanolol 1x40 mg - Kalnex tb 2x500 mg - Ranitidin 2x150 mg - - Wound toilet, hecting - Inj. ATS 1500 IU, im, skin test - Amoxicillin 3x500 mg - Paracetamol 3x500 mg - Ranitidin 2x150 mg - - Amoxicillin 3x500 mg - Scopamin plus 3x1 tab - Ranitidin 2x150mg - Antasida doen syr 3x2cth

32 15/10/2013 A 15/10/2013 A 17/10/2013 A 17/10/2013 A Ny. K, 65 th, GEADS Ny. A, 29 th, G2P1A0 uk 39 minggu dengan hipertensi dalam kehamilan suspek PEB. TD: 169/114 mmhg. Ny. R, 39 th, G3P2A0 uk 41 minggu JTHIU preskep dengan hipertensi dalam kehamilan susp PER dd PEB. TD: 140/90 mmhg An. A, 8 bln, 8 kg, GEADS, obs febris susp demam tifoid. - IVFD RL loading 500 cc-- >20 tpm - Inj.Ranitidin 2x1A - Miratrim 3x1 tab - Mecodiar 3x1 tab - Omegdiar 3x1 tab -Vosea 3x1 tab - - IVFD RL 16 tpm - Nifedipin 4x10 mg - Plan: DL, protein urin - observasi kemajuan persalinan - Plan: DL, protein urin - IVFD RL 16 tpm - Nifedipin 2x10 mg - Gastrul per vag 1/8 tab tiap 6 jam - - Plan: DL, widal - IVFD RL loading 150 cc --> 12 tpm - Inj. Ranitidin 2x1/2 A - Inj. Ondansetron 2x1/2A - Lacto B 2x1 sach - Zinc syr 1x1/2 cth - Paracetamol syr 3x1 cth

33 17/10/2013 B 17/10/2013 B 17/10/2013 B 18/10/2013 A Tn, D, 53 th, vulnus laseratum plantar pedis dextra. Ny. I, 4 th, VE digiti I pedis dextra Tn. D, 55 th, VE reg cruris dextra Ny. K, 60 th, hipetensi stage II, gastritis. TD: 180/100 mmhg - Wound toilet, hecting - Inj. ATS 1500 IU, im - Clindamycin 3x300 mg - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Dexamethason 3x0,5 mg - Ranitidin 3x150 mg - Neurodex 2x1 tab - Amoxicilin 3x500 mg - Asam mefenamat 3x500 mg - Dexamethason 3x0,5 mg - Ranitidin 3x150 mg - Vitalog C 1x1 tab - Amoxicilin 3x500mg - Paracetamol 3x500 mg - Ranitidin 2x150 mg - Vitalong C 1x1 tab - - IVFD RL 20 tpm - Inj. Ranitidin 2x1A - Inj. Metoclopramid 2x1A - Captopril 3x25 mg - HCT 1x25 mg (1-0-0) - Curcuma 3x1 tab - Plan: DL

34 18/10/2013 A 18/10/2013 A 18/10/2013 A 18/10/2013 A 20/10/2013 B 20/10/2013 B An. K, 1,5 th, 8 kg. Vomitus, TB paru dalam pengobatan fase intensif Ny. M, 22 th, G2P1A0 uk 38 minggu JTHIU preskep puka in partu dengan hipertensi gestasional suspek PER. TD 150/90 mmhg. Nn. L, 22 th, GERD dd gastritis An. R, 7 bln, Diare Cair Akut tanpa Dehidrasi, 8,5 kg Tn. D, 53 th, kontrol VL plantar pedis dextra Ny. K, 45 th, VE manus sinistra - - IVFD RL 30 tpm (mi) - Domperidon syr 3x1 cth - Terapi TB dilanjutkan - IVFD RL 20 tpm - Nifedipin 3x10 mg - Plan: DL, Protein urin - Observasi kemajuan persalinan - Ranitidin 3x150 mg - Lansoprazol 2x1 tab - Antasid 3x2 cth - L-Bio 3x1/2 sach - Zinc 1x1/2 tab - Paracetamol drop 3x0,9 cc - Ganti balut - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 3x150 mg - Vitalong C 1x1 tab - Amoxicillin 3x500 mg - Ranitidin 3x150 mg

35 20/10/2013 B 20/10/2013 A 20/10/2013 A 23/10/2013 B Tn. R, 59 th, VE genu sinistra Ny. Y, 25 th, Vomitus ec susp hepatitis akut dd Cholesistitis, Thyfoid fever An. R, perempuan, 5 bln, 5,5 kg, GEADS, febris susp Thyfoid fever Tn. D, 53 th, kontrol VL plantar pedis dextra - Vitalong C1x1 tab - Amoxicillin 3x500 mg - Ibuprofen 2x400 mg - Ranitidin 2x150 mg (menolak rawat inap) - Ibuprofen 3x400 mg - Curcuma 3x1 tab - Metoclopramid 3x1 tab - Ranitidin 2x150mg - Livron B plex 2x1 tab - IVFD D5%-1/4NS loading 100 cc --> 22 tpm (mi) - Lacto-B 2x1/2 sach - Zinc syr 1x1/2 cth - PCT drop 3x0,6 cc - Plan: DL, Widal - Ganti balut - Ciprofloxacin 2x500 mg - Metronidazol 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 3x150 mg - Vitalong C 1x1 tab

36 23/10/2013 A 23/10/2013 A 23/10/2013 A 23/10/2013 A 23/10/2013 A Ny. S, 50 th, Laringitis+gastritis akut Ny. K, 53 th, DM tipe II. GDS: 285 mg/dl Ny. E, 26 th, Febris susp Thyfoid fever. S:38,5⁰C Ny. S, 61 th, Osteoarthritis Genu sinistra Nn. F, 18 th, BPPV - Dexamethason 3x0,5 mg - Paracetamol 3x500 mg - Ranitidin 3x1 tab - Lansoprazol 1x1 tab - Glimepirid 1x1 mg - Metformin 2x500 mg - Neurodex 2x1 tab Plan: DL, Widal. Hasil: Leukosit 6.300/mm3, Widal S. Typhii O dan H: +1/ Ciprofloxacin 2x500 mg - Paracetamol 3x500 mg - Ranitidin 3x150 mg - Edukasi: tirah baring, diet lunak. - Na diclofenac 2x25 mg - Ranitidin 2x150 mg - Livron B plex 1x1 tab -Fisioterapi - Betahistin mesylate 2x1 tab - Ranitidin 2x1 tab

37 23/10/2013 A 23/10/2013 B 23/10/2013 A 23/10/2013 A 24/10/2013 A 24/10/2013 A Tn. T, 43 th, Gasritis, kontrol post GEADS Tn. N, kontrol post op Tumor supraorbita dextra Ny. D, 60 th, DM tipe II, dispepsia. GDS: ##high. TD: 130/90 mmhg An. B, 5 th, Febris suspek thyfoid fever. S:39C, BB 20 kg. Ny. S, 44 th, ODS Konjungtivitis kronik An. D, perempuan, 5 th, 15 kg, Observasi febris hari ke- 4 susp Thyfoid fever dd DHF - Saran konsultasi dr. Sp.S - Ranitidin 2x1 tab - Antasida doen syr 3x2 cth - Aff hecting 2 - Vitalong C 1x1 tab rawat jalan (menolak rawat inap) - Glibenclamid 2x5 mg - Metformin 3x500 mg - Lansoprazol 1x30 mg rawat jalan - Amoxicillin syr 3x1 cth - PCT syr 3x1 1/2 cth - Curcuma 3x1 cth - Plan: DL, widal - Gentamisin tetes mata 3x3 tetes ODS Plan: DL (Trombosit mm3, leukosit 4300/mm3), Widal S. Thyphii O dan H: +1/

38 24/10/2013 A 24/10/2013 A 24/10/2013 A 25/10/2013 B Ny. C, 30 th, G3P2A0 uk 39+6 minggu JTHIU preskep puka dengan hipertensi gestasional susp PEB. TD: 160/100 mmhg Tn. S, 25 th, Observasi febris suspek malaria dd thyfoid fever. S:39C Tn. H, 72 tahun, hipertensi stage II, Diare akut tanpa dehidrasi. TD: 165/100 mmhg. Tn. T, 37 th, Multple VE - IVFD RL loading 100 cc --> 15 tpm (ma) - Inj. Ranitidin 2x1/2A - Thiamphenicol syr 3x1 cth - PCT syr 3x1 1/2 cth - Curcuma syr 3x1 cth Plan: DL, protein urin - - IVFD RL 16 tpm - Nifedipin 4x10 mg - Observasi kemajuan persalinan Plan: DL, Widal, Apusan darah tepi Plasmodium - - IVFD RL 20 tpm - Inj. Ranitidin 2x1A - Pct 3x500 mg - Neurodex 2x1 tab - Captopril 3x25 mg - HCT 1x5 mg (1-0-0) - Ranitidin 2x150 mg - Antasida 3x2cth - Lacto-B 3x2 sach - Wound toilet - Amoxicillin 3x500 mg

39 25/10/2013 B 25/10/2013 A 25/10/2013 A 25/10/2013 A Ny. K, 36 th, VL dorsum pedis dextra, VE pedis sinistra Tn. A, 27 th, myalgia post trauma Ny. T, 50 th, Observasi febris susp Thyfoid fever dd DHF. S: 39⁰C An. J, 5 th, 15 kg, GEADS - Ranitidin 2x150 mg - Vit. C 1x1 tab - Wound toilet, hecting luar 2 - Amoxicillin 3x500 mg - Paracetamol 3x500 mg - Ranitidin 2x150 mg - Vit. C 1x1 tab - Neurodex 2x1 tab - Vitalong C 1x1 tab Plan: DL (Leukosit /mm3, trombosit /mm3), Widal - (S.typhii O dan H: +1/160), GDS: 97mg/dl. EKG: sinus takikardi - - IVFD RL loading 500 cc --> 30 tpm --> RL:D5% 1:1 30 tpm - Inj. Ranitidin 2x1A - Ciprofloxacin 2x500 mg - Paracetamol 4x500 mg - IVFD RL loading 150 cc -- >12 tpm - Inj. Ranitidin 2x1/2A

40 25/10/2013 A, B 26/10/2013 A 26/10/2013 B 26/10/2013 A Tn. M, 45 th, Hernia scrotalis dextra+dispepsia Tn.S, 80 th, Bronkhitis akut, hipertensi terkontrol. TD: 130/90 mmhg Tn.D, 53 th, kontrol VL plantar pedis dextra An. R, 12 th, 23 kg, Obs. Febris susp thyfoid fever dd DHF - Amoxicillin syr 3x1 cth - L.Bio 2x1 sach - Zinc syr 1x1 cth - Plan: DL (pro konsultasi Sp.B, menolak) - Scopma plus 3x1 tab - Paracetamol 2x500 mg - Ranitidin 2x150 mg - Antasida doen 3x2cth - Curcuma 3x1 cth - Ambroxol 3x30 mg - Erlamol 3x1 cth - Bufantasid 3x1 tab - Aff hecting 3 - po. Metronidazol 3x500 mg - Ciprofloxacin 2x500 g - Dexamethason 3x0,5 mg - Ranitidin 3x150 mg - Vitalong C 1x1 tab - IVFD D5%-1/4NS loading 200 cc--> 16 tpm - Inj. Ranitidin 2x1/2A - Paracetamol 3x1/2tab

41 26/10/2013 A 26/10/2013 A 26/10/2013 B 02/11/2013 A 02/11/2013 A Tn. M, 40 th, LBP Ny. P, 45 th, Gastritis akut Tn. K, 50 th, susp ureterolithiasis sinistra Ny. D, 60 th, Gastritis, susp ISK An. A, 10 th, 20 kg, Obs. Febris 4 hari susp DHF dd Thyfoid fever - L-Bio 2x1 sach - Curcuma 3x1 cth - Plan: DL, Widal - Na diclofenac 2x25 mg - Ranitidin 2x150 mg - Neurodex 2x1 tab - IVFD RL 20 tpm - Inj. Ranitidin 2x1A - Bufantasid tab 2x1 - Curvit 3x1 tab - Nefrolit 3x1 tab - Spasminal 3x1 tab - Analtram 3x1 tab - IVFD RL 20 tpm - Inj. Metoclopramid 3x1 A - Inj. Ranitidin 3x1A - Omeprazol tab 1x1 - Curvit 3x1 tab - Paracetamol 3x500 mg - Plan: DL, UL - IVFD RL loading 200 cc--> 15 tpm - Inj. Metoclopramid 2x1/2 A

42 02/11/2013 A 02/11/2013 A 02/11/2013 A 02/11/2013 C 06/11/2013 A Ny. M, 33 th, P2A1 susp abortus komplet dd abortus inkomplet Ny. R, 29 th, G4P1A2 uk 39 minggu presbo puka in partu kala I fase aktif dengan KPD Ny. T, 23 th, G1P0A0 uk 40 mgg presbo puka in partu kala I fase aktif Ny. S, 60 th, Obs dyspnea susp BrPn dd CHF, TB paru An. Z, 3 th, 16 kg, GEADR - Inj. Ranitidin 2x1/2 A - Paracetamol syr 3x2 cth - Curvit 3x1 tab - DEHAF 2x1 sch (APS) - Clindamycin 3x300 mg - Asam mefenamat 3x500 mg - Livron B plex 1x1 tab - IVFD RL 16 tpm - Inj. Amoxicillin 3x1 gr (iv) Observasi kemajuan persalinan - IVFD RL 20 tpm - Observasi kemajuan persalinan - O2 2-3 l/m, nasal canul - IVFD RL 20 tpm - Inj. Cefotaxim 2x1 gr (iv, skin test) - Inj. Furosemid 1A (extra) - Inj. Ranitidin 2x1A - Ambroxol 3x30 mg Plan: DL, Ur, Cr, Ro thorax PA - Zinc 1x1 tab

43 06/11/2013 A 06/11/2013 A 06/11/2013 A 06/11/2013 A 06/11/2013 A Tn. K, 31 th, DADR, hipertensi stage II. TD: 170/110 mmhg An. A, 2 th, 10 kg, DADRS Ny. R, obs febris, post partum 2 minggu Tn. W, 60 th, GEADS Ny. T, 27 th, G2P1A0 uk 39+5 minggu JTHIU - L-Bio 3x1 sach - Norvom syr 3x1/2 cth - Captopril 3x12,5 mg - Mecodiar 3x1 tab - Dimenhidrinat 3x1 tab - IVFD RL loading 100 cc--> 10 tpm - Inj. Ondansetron 2x1/4A - Kaotin syr 3x1 cth - L-Bio 3x1 sach - Zinc 2x1/2 tab - Plan: DR, widal - IVFD RL 20 tpm - Inj. Scopamin 2x1A - Erlamol 3x1 tab - Plan: DR, Urin rutin, widal - IVFD RL 30 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Diastop 3x1 tab - L-Bio 3x1 sach - Plan: DL - IVFD RL 16 tpm

44 06/11/2013 A 06/11/2013 B 07/11/2013 B 07/11/2013 A 07/11/2013 B presentasi kaki, puki, in partu kala I fase aktif An. Q, 9 bln, 6,5 kg, GEADS, obs febris susp Thyfoid fever Ny. N, 24 th, susp tumor mammae dextra Ny. S, 39 th, kontrol VL capitis+supraorbita sinistra Tn. A, 17 th, Bronkhitis kronis An. M, 4 th, 15 kg, kontrol vulnus amputatum digiti V - Observasi kemajuan persalinan - IVFD RL loading 100 cc--> 28 tpm (mi) --> RL:D5-1/4NS 1:1 28 tpm (mi) - Paracetamol drops 4x0,7 cc - Zinc 1x1/2 tab - L-Bio 2x1/2 sach - Amoxiciin 3x500 mg - Asam mefenamat 3x500 mg - Dexamethason 3x0,5 mg - Ranitidin 3x150 mg - Kontrol ke poli bedah - Ganti balut - Ciprofloxacin 2x500 mg - Asam mefenamat 3x500 mg - Vitalong C 1x1 tab - Cefadroxil 2x500 mg - Fludane plus 3x1 tab - Ranitidin 2x1 tab - Vitalong C 1x1 tab - Aff hecting

45 pedis sinistra - Paracetamol syr 3x1 cth An. A, 13 th, 31 kg, kontrol VE plantar pedis dextra - Wound toilet, ganti balut 07/11/2013 B - Ciprofloxacin 2x250 mg - Paracetamol 3x250 mg - Gentamisin salep 1xoles - Bioplasenton salep 1xoles 204 Ny. S, 59 th, Dispepsia, PV 07/11/2013 A - Ranitidin 3x1 tab - Omeprazol 1x1 tab - Ketokonazol salep 2xoles 205 Ny. R, 44 th, Dispepsia, susp anemia - DL: pasien menolak 07/11/2013 A - Ranitidin 3x150 mg - SF 2x1 tab - Curvit 3x1 tab 206 Ny. I, 45 th, konrol post thyfoid fever - Chloramphenicol 4x500 mg 07/11/2013 A Curvit 3x1 tab - Ranitidin 3x150 mg 07/11/2013 A Ny. R, 60 th, Fatigue, hipertensi terkontrol. TD: 110/90 mmhg - Captopril 1x12,5 mg - Neurodex 2x1 tab - Curvit 3x1 tab - Paracetamol 3x500 mg /11/2013 A Ny. J, 70 th, DADRS, 209

46 08/11/2013 A 08/11/2013 A 08/11/2013 A 09/11/2013 B 09/11/2013 A hipertensi stage II. TD: 161/95 mmhg Tn.S, 53 th, hipertensi stage I, gastritis. TD: 147/80 mmhg Ny R, 38 th, myalgia Ny. N, 31 th, obs dyspnea ec alergi makanan An. Z, 13 th, 50 kg, CKR, hematom reg. Capitis, VE reg cruris sinistra Tn. H, 52 th, GEADS - Captopril 3x25 mg - New diatab 3x1 tab - Scopamin plus 3x1 tab - L-Bio 3x2 sach - Ranitidin 2x1 tab - Captopril 3x12,5 mg - Ranitidin 3150 mg - Neurodex 2x1 tab - Na diclofenac 2x25 mg - Ranitidin 2x150 mg - O2 2-3 l/m - IVFD D5% 20 tpm - Inj. Dexamethason 3x1A - Loratadin 1x1 tab - Amoxicillin 3x500 mg - Piracetam 3x400 mg - Ranitidin 3x150 mg - Neurodex 2x1 tab - Paracetamol 3x500 mg - IVFD RL loading 300 cc--> 30tpm - Inj. Ranitidin 3x1A

47 09/11/2013 A 09/11/2013 B 09/11/2013 B 09/11/2013 A Tn. K, 41 th, GEADS An. M, 4 1/2 th, 13 kg, Multipel VE Ny. S, 45 th, Dislokasi anterior articulatio glenohumerale dextra+ fraktur caput humeri dextra An. M, 2 th, 14 kg, GEADS - Inj. Ondansetron 3x1A - New diatabs 3x1 tab - Scopma 3x1 tab Plan: DL - IVFD RL loading 500 cc--> 30 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Loperamid tab - Kaotin 3x1 - Scopma 3x1 tab - Wound toilet - Amoxicillin syr 3x1 cth - Paracetamol syrup 3x1 cth - Bioplasenton gel 2xoles (menolak konsul Sp.OT) - Tramadol 2x50 mg - Ranitidin 2x150 mg - Neurodex 2x1 tab - Plan: Ro shoulder joint dextra - IVFD RL loading 125 cc --> 15 tpm - Inj. Ondansetron 3x1/3A - L-Bio 2x1 sach

48 - Zinc 1x1 tab - Plan: DL Tn. W, 30 th, Obs febris, konstipasi, candidiasis oral, susp HIV/AIDS (menolak rawat inap) - Bisacodyl 2x1 tab 09/11/2013 A - Paracetamol 4x500 mg - DMP 3x1 tab - Curvit 3x1 tab - Candistatin drops 4x IU 219 Tn. S, 70 th, GERD 13/11/2013 A - IVFD RL 20 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Lansoprazol tab 2x1 - Antasida doen syr 3x2 cth 220 Ny. E, 41 th, serangan asma 13/11/2013 A ringan pada asma - Nebulisasi Ventolin 1amp 221 intermitten - Ambroxol 3x30 mg Tn. S, 72 th, hipertensi stage II, obs vomitus. TD: 177/89 mmhg. GDS: 101 mg/dl - IVFD D5% 20 tpm --> D5%:RL 1:1 20 tpm 14/11/2013 A - Inj. Ranitidin 3x1A - Inj Ondansetron 3x1A - Inj. Spashi 1A - Captopril 3x25 mg - HCT 1x25 mg (1-0-0) /11/2013 B Tn. S, 57 th, kontrol Vulnus 223

49 14/11/2013 C 14/11/2013 D 14/11/2013 B 15/11/2013 A 15/11/2013 A Punctum digiti IV manus dextra Nn. L, 21 th, Multipel VE Nn. R, 17 th, anxietas An. A, 10 th, 29 kg, VL labium superior sinistra Ny. N, 20 th, G1P0A0 uk 40 minggu JTHIU preskep in partu kala I Iama Tn. N, 48 th, DADS, hipertensi stage I. TD: 140/90 mmhg - Aff hecting 1 - Amoxicillin 3x500 mg - Ranitidin 3x150 mg - Neurodex 2x1 tab - Amoxicillin 3x500 mg - Ranitidin 3x150 mg - Neurodex 2x1 tab - Alprazolam 1x0,25 mg - Neurobion 1x1 tab - Wound toilet, hecting luar 1 - Amoxicillin syr 3x1 cth - Paracetamol 3x2 cth - IVFD RL 16 tpm - Konsultasi dr. Arif, Sp.OG : induksi persalinan dengan Misoprostol 1/8 tab fp tiap 8 jam. - IVFD RL loading 300 cc --> 30 tpm - Inj. Ranitidin 2x1A - Inj. Ondansetron 2x1A - Loperamid tab Scopma 3x1 tab

50 15/11/2013 A 15/11/2013 A 18/11/2013 B 18/11/2013 A Ny. S, 27 th, G4P2A1 uk 40 minggu JTHIU preskep in partu kala II, dengan riwayat TB Ny. L, 40 th, Gastritis akut Sdr. S, 16 th, VL dan dislokasi digiti V pedis dextra, Multiple VE Ny. S, 72 th, suspek hepatitis akut, aritmia. EKG: Ventricular couplet - L-Bio 3x2 sachet - Captopril 3x12,5 mg - Plan: DL - Pimpin persalinan (APS) - IVFD RL 20 tpm - Inj. Ranitidin 3x1A - Bufantasid syr x2 cth - Omeprazol 2x1 tab - Curvit 3x1 tab - Konsultasi dr. Yuli, Sp.OT : motivasi operasi reposisi+pasang wire - IVFD RL 16 tpm - Inj. Ranitidin 2x1A - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Plan : Ro pedis dextra, DL - Plan: DL. HBsAg, bilirubin total, bilirubin direk - IVFD RL loading 500 cc --> D5% 24 tpm - Inj. Ranitidin 2x1A

51 20/11/2013 A 20/11/2013 B 21/11/2013 C Ny. R, 19 th, G2P0A1 uk 42+2 minggu JTHIU preskep in partu kala I fase laten Tn. R, 27 th,vl reg labium superior, VE genu dextra et sinistra An. N, 2,5 th, 10,5 kg, KDS. S:38C. - Curvit 3x1 tab - Paracetamol 3x1 tab - Konsultasi dr. Luqman, Sp.PD: Dx susp Cholangiocarcinoma, VES. Terapi: bisoprolol 1x2,5 mg. Cek laborat SGOT dan SGPT, pro USG abdomen di dr.alip,sp.rad. - IVFD RL 16 tpm - Observasi kemajuan persalinan - Ciprofloxacin 2x500 mg - Asam mefenamat 3x500 mg - Vitalong C 1x1 tab - O2 2l/m, nasal canul - IVFD D5%1/4 NS loading 100 cc --> 12 tpm (ma) - Stesolid supp 1 (extra) - Cefadroxil syr 2x1 cth - PCT syr 4x1 cth - Diazepam 2mg VI, mfla pulv dtd X, 3x1 21/11/2013 A Tn. M, 52 th, hipertensi

52 24/11/2013 B 24/11/2013 B 24/11/2013 A 24/11/2013 A stage I, ISPA. TD: 140/90 mmhg An. D, laki-laki, 12 th, multiple VE. Nn. L, 21 th, VL capitis An. M, 8 bln, 4,6 kg. GEADS, obs febris susp thyfoid fever An. N, 5,5 th, 16 kg, KDS - Ciprofloxacin 2x500 mg - Captopril 3x12,5 mg - Ambroxol 3x30 mg - Amoxicillin syr 3x1 cth - PCT syr 3x1 cth - Curcuma syr 3x1 cth - Wound toilet, hecting luar 2 - Ciprofloxacin 2x500 mg - Asam mefenamat 3x500 mg - Vitalong C 1x1 tab - IVFD D5% 1/4 NS loading 100 cc --> 24 tpm (mi) - PCT drops 4x0.6 cc - L-Bio 2x1/2 sach - Zinc 1x10 mg - Plan: DL, Widal (menolak rawat inap) - Amoxicillin 3x1 cth - PCT 3x 1 1/2 cth - Diazepam 2mg VIII, Vit C IV, sacharin ad lib mfla pulv X, 3x

53 24/11/2013 A 24/11/2013 C 24/11/2013 B 25/11/2013 B Ny. K, 38 th, G5P2A2 uk 41+2 minggu JTHIU preskep belum in partu dengan hipertensi dalam kehamilan susp PER dd PEB. TD: 151/72 mmhg Tn. T, 70 th, Observasi dyspnea susp PPOK dd TB paru Tn. A, 41 th, chest pain post trauma 2 hari SMRS, VE manus dextra. Tn I, 26 th, tumor perianal - IVFD RL 16 tpm - Konsultasi dr. Arif, Sp.OG: induksi Misoprostol 1/8 tab fp tiap 8 jam - Plan: DL, protein urin - Plan: GDS (104 mg/dl), EKG (sinus takikardi, P pulmonal pada lead II, III, avf), DL, Ur, Cr, Ro thorax PA. - O2 3 l/m, nasal canul - IVFD D5%+Aminofilin 1A 20 tpm - Inj. Ranitidin 2x1A - Inj. Ondansetron 2x1A - Ambroxol 3x30 mg - PCT 3x500 mg - Curvit 3x1 tab - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Vitalong C 1x1 tab - pro konsul Sp.B - Ciprofloxacin 2x500 mg - Dexamethason 3x0,5 mg

54 25/11/2013 A 25/11/2013 A 25/11/2013 B 25/11/2013 A 25/11/2013 A 25/11/2013 B Ny.S, 63 th, hipertensi stage II. TD: 180/100 mmhg Sdr. T, 19 th, Scabies An. D, 12 th, kontrol multiple VE Ny. R, 60 th, kontrol post GEADS, hipertensi stage I. TD: 140/90 mmhg. Ny. S, 17 th, kontrol post SC h-13 An. A, 13 th, kontrol post ORIF a/i closed fraktur - Asam mefenamat 3x500 mg - Ranitidin 2x150 mg - Captopril 3x25 mg - Amlodipin 1x10 mg - Scabisid 1xoles malam hari - Dexamethason 3x0,5 mg - Loratadin 1x1 tab - Edukasi : rendam pakaian dengan air panas sebelum dicuci, gunakan pakaian yang tidak ketat, yang menyerap keringat, pisahkan pakaian pasien dengan anggota keluarga lain saat dicuci, hindari berbagi menggunakan pakaian. - Bioplasenton 3xoles - Amlodipin 1x5 mg - Lansoprazol 1x1 tab - Ganti balut - Ganti balut

55 25/11/2013 A 25/11/2013 A 25/11/2013 A 25/11/2013 A 26/11/2013 B antebrachii sinistra Tn. S, 28 th, susp limfadenitis colli Ny. S, 28 th, mialgia An. A, 12 th, 20 kg, ISPA Tn. J, 32 th, Febris 6 hari susp thyfoid fever. S:36,2C. Ny. S, 35 th, VL labium superior externa, labium inferior interna et mentalis - Amoxicillin 3x500 mg - Dexamethason 3x0,5 mg - Paracetamol 3x500 mg - kontrol 3 hari kemudian - Na diclofenac 1x25 mg - Ranitidin 2x150 mg - Sohobion 1x1 tab - Plan: DL (leukosit /mm3) - Cefadroxil syr 2x1 cth - PCT syr 3x1.5 cth - Ambroxol 3x15 mg - Plan: DL, widal (+1/320) - Ciprofloxacin 2x500 mg - Ranitidin 2x150 mg - PCT 3x500 mg kp - Sohobion 1x1 tab - Wound toilet, hecting luar 2, dalam 6 - Ciprofloxacin 2x500 mg - Asam mefenamat 3x500 mg - Ranitidin 2x150 mg

56 26/11/2013 A 26/11/2013 B 26/11/2013 A 26/11/2013 A An. A, 8 bln, 8 kg, GEADS Ny.J, 70 th, fraktur tertutup linier os ulna 1/3 distal dextra Ny. R, 40 th, G3P2A0 uk 40 minggu JTHIU preskep in partu kala I fase aktif dengan hipertensi dalam kehamilan susp PER dd PEB. TD: 153/78 mmhg, s:38c Ny. T, 45 th, GEADS. - Betadine kumur 3x/hari - IVFD Rl loading 150 cc --> 32 tpm (mi) - Cotrimoxazol syr 2x1 cth - PCT syr 3x1 cth - L-Bio 2x1/2 sach - Zinc 1x10 mg - Plan: DL (menolak konsul Sp.OT) - Tramadol 2x50 mg - Thrombophob gel 2xoles - Plan: Ro wrist joint dextra - IVFD RL 20 tpm - Nifedipin 3x10 mg - Paracetamol 3x500 mg - Plan: DL, protein urin. - IVFD RL loading 500 cc --> 30 tpm - Inj. Ranitidin 2x1A - Inj. Ondansetron 2x1a - Inj. Spashi 1A (extra) - Paracetamol 3x500 mg

57 27/11/2013 A 27/11/2013 A 27/11/2013 C 27/11/2013 B 29/11/2013 B Ny. F, 25 th, G3P2A0 uk 9+3 minggu susp Abortus imminens dd hemoroid interna grade I Ny. S, 26 th, G1P0A0 uk 37 minggu JTHIU presbo in partu kala I fase aktif Tn. C, 64 th, Obs hematemesis susp gastritis erosiva dd ulkus peptikum. KU/Kes: lemas, pucat/e3m6v5. TD: 79/49 mmhg. CA +/+ Ny. S, 37 th, Multiple VE Tn. D, 45 th, VL supraorbita dextra - Loperamid tab - Lacto-B 3x2 sach - Plan: DL - IVFD RL 20 tpm - Inj. Ketorolac 2x1A - Inj Ranitidin 2x1A - Hystolan 3x1 tab - IVFD RL 20 tpm - Observasi kemajuan persalinan Rujuk - Pasang NGT, bilas lambung 500 cc - IVFD RL loading 1000 cc--> 40 tpm - Inj. Pantoprazol 80 mg - Inj. Asam Tranexamat 1A - Inj. Vit K 1 A - Wound toilet - Amoxicillin 3x500 mg - Paracetamol 3x500 mg - Mertigo 2x1 tab - Wound toilet, hecting luar

58 29/11/2013 A 29/11/2013 B 29/11/2013 A 01/12/2013 C 01/12/2013 B Ny. S, 37 th, G5P2A2 uk 36 minggu JTHIU preskep in partu kala I lama Sdr. N, 20 th, hematom antebrachii dextra post dipukuli Ny. I, 25 th, GEADS. TD: 79/56 mm/hg. Ny. K, 50 th, obs dyspnea susp CHF dd TB paru kasus kambuh Tn. A, 30 th, VE manus dextra et genu sinistra - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Konsul dr.arif, Sp.OG: Inj. Dexamethason 15 mg - Observasi kemajuan persalinan - Thrombophob gel 2xoles - Plan: DL, GDS (109 mg/dl) - IVFD RL loading 500 cc--> RL:D5% 1:1 30 tpm - Inj. Ranitidin 2x1A - Inj. Ondansetron 2x1A - Scopamin 3x1 tab - New diatabs 3x1 tab - O2 4l/m - IVFD D5% 500 cc/24 jam - Inj. Ranitidin 3x1A - Curvit 3x1 tab - Konsul dr. Luqman, Sp.PD : Ro thorax - Wound toilet

59 01/12/2013 A 02/12/2013 B 02/12/2013 B 02/12/2013 B 02/12/2013 A Nn. K, 19 th, GEADS Tn. M, 47 th, tumor penis Sdr. K, 14 th, Multiple VE, hematom retroauricula dextra, antebrachii sinistra Ny. K, 45 th, tumor nasofaring susp ganas Ny. S, 45 th, hipertensi stage I, gastritis - Amoxicillin 3x500 mg - Bioplasenton gel 2xoles - IVFD RL loading 300 cc--> 30 tpm - Inj. Ranitidin 3x1A - Inj. Ondansetron 3x1A - Scopamin 3x1 tab - Lacto-B 3x2 sachet - New diatabs 3x1 tab - Plan: DL - IVFD RL+Adona 1A, 20 tpm - Inj. Cefotaxime 2x1 gr - Inj. Ketorolac 2x1 A - Inj. Vit.K 1x1 A - Inj. Ranitidin 2x1A - Motivasi rujuk RSU DR. Karyadi Semarang - Asam mefenamat 3x500 mg Visum et repertum Rujuk - IVFD D5% 20 tpm - Omeprazol 2x1 tab

60 02/12/2013 A 03/12/2013 A 03/12/2013 B 03/12/2013 C Ny. J, 21 th, G1P0A0 uk 41 minggu JTHIU preskep puka in partu kala I lama Ny. S, 27 th, G3P2A0 uk 12 minggu susp Abortus insipien Tn. A, 37 th, colic abdomen susp ureterolithiasis sinistra, hipertensi stage II Ny. A, 45 th, angina pectoris susp ACS. - Ranitidin 2x1 tab - Scopamin 3x1 tab - Vitazym 2x1 tab - IVFD Rl 20 tpm - Konsultasi dr. Arif, Sp.OG : induksi misoprostol 1/8 tab pv tiap 8 jam - IVFD RL 20 tpm - Pasang DC - IVFD RL 20 tpm - Inj. Spashi 3x1A - Inj. Ondansetron 2x1A - Captopril 3x25 mg - Plan: DL, UL, BNO abdomen - EKG : ST elevasi di lead V4,5,6 - IVFD RL 20 tpm - Inj. Ranitidin 2x1A - Aspilet 2 tab 80 mg, selanjutnya 3x80 mg - Clopidogrel 2 tab 75 mg, selanjutnya 1x75 mg - Amlodipin 1x10 mg

61 06/12/2013 A 06/12/2013 B 06/12/2013 C 06/12/2013 B 06/12/2013 B 06/12/2013 A Ny. D, 32 th, G2P0A1 uk 37+5 minggu JTHIU preskep in partu kala I fase laten dengan hipertensi dalam kehamilan susp PEB. TD: 160/100 mmhg. Tn. S, 49 th, V. Amputatum digiti II manus sinistra An. R, 2 th, 13 kg, KDS. S:39C Ny. T, 32 th, VE supraorbita sinistra Ny. I, 28 th, VE supraorbita dextra Ny. S, 52 th, Hipertensi stage II. TD: 180/90 mmhg. - IVFD RL 20 tpm - Nifedipin 10 mg - Plan: DL, protein urin Wound toilet, hecting situasional - Rujuk - Ciprofloxacin tab 500 mg - Asam mefenamat tab 500 mg - IVFD D5%-1/4 NS 12 tpm (ma) - Paracetamol syr 4x1 cth - Diazepam 2 mg III, sacharin ad libitum mfla pulv dtd X, 3x1 - Amoxicillin 3x500 mg - Neurodex 2x1 tab - Thrombophob gel 3x oles - Amoxicillin 3x500 mg - Ranitidin 3x150 mg - Neurodex 2x1 tab - EKG: LVH

62 06/12/2013 A 06/12/2013 A 08/12/2013 B 08/12/2013 B Tn. W, 59 th, gastritis Ny. M, 40 th, G4P3A0 uk 36 minggu JTHIU preskep in partu kala I fase laten dengan KPD Ny. R, 32 th, VL pedis sinistra An. N, 8 th, 26 kg, VE pedis sinistra - IVFD D5% 20 tpm - Inj. Ranitidin 2x1 A - Captopril 3x25 mg - Amlodipin 1x10 mg (APS) - IVFD D5% 20 tpm - Inj. Spashi 1A (extra) - Omeprazol 2x1 tab - Ranitidin 3x1 tab - Antasida 3x2cth - IVFD RL 20 tpm - Inj. Amoxicillin 3x1gr (iv) skintest - Plan:DL - Wound toilet, hecting dalam 2, luar 7 - Inj. ATS 1500 IU (im, skin test) - Amoxicillin 3x500 mg - Asam mefenamat 3x500 mg - Ranitidin 2x1 tab - Wound toilet - Amoxicillin syr 3x1 cth - Paracetamol syrup 3x2 cth

63 08/12/2013 B 08/12/2013 A 08/12/2013 A 08/12/2013 A Sdr W, 19 th, VL plantar pedis sinistra Ny. R, 50 th, GEADS, hipertensi stage I. TD: 150/90 mmhg Ny.I, 32 th, faringitis akut Sdr. A, 24 th, susp thyfoid. S: 36,2C, GDS: 79 mg/dl - Thrombophob gel 3x oles - Wound toilet, hecting dalam 3, luar 9 - Inj. ATS 1500 IU (im, skintest) - Ciprofloxacin 2x500 mg - Asam mefenamat 3x500 mg - Ranitidin 2x1 tab - Neurodex 2x1 tab - IVFD RL loading 500 cc--> 30 tpm - Inj. Ranitidin 2x1A - Inj. Ondansetron 2x1A - Loperamid Lacto-b 3x2 sach - Captopril 3x12,5 mg - Plan: DL - Ciprofloxacin 2x 500 mg - Dexamethason 3x0,5 mg - Paracetamol 3x500 mg - Curcumex 3x1tab (APS) - IVFD D5% 20 tpm --> RL 20 tpm - Inj. Ranitidin 2x1A