Unit Luka Bakar

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Bed

1 Cahaya

Nama
TTL 5/5/1974 MRS 19/1/2014 RM 647378

UNIT LUKA BAKAR Diagnosis Terapi


Combustio grade IIA-B 40% Amoxicillin 500mg 3x1 Ranitidin 2 x1 tab As.mefenamat 3 x 1 tab Vit A 2x1 Vit c 2x1 -Rawat luka dengan Burnazin cream Diet biasa

Hasil Lab
Uji sensitivitias pus 24/1/14 Sensitif Ampicillin sulbactam, Meropenem, amikasin, Tigecyclin Lab 19/1/2014 WBC: 18,33 RBC 5,71 HB 17,8 HCT 50,2 PLT 35 CT/BT 7,30/3 GDS 126 UR/CR 20/0,5 GOT/GPT 30/13 Na/K/Cl 134/4/115 HBsAg nonreaktif Anti HCV nonreaktif

Slamet TL : 31/12/1973 RM 646876 MRS 16/1/14 Umum Dr. A.J Riewpassa, Sp.B, Sp.BP

Combutio gr II A-B 35%

Ciprofloxacin 500 mg 3x1 As . Mefenamat 500 tab 3x1 Ranitidin 25 mg 3x1 Metronidazole 500 mg 3x1 Rawatluka / 2 hari Burnazin crem Diet biasa

Foto thorax AP
23/1/14 Cardiomegaly dengan tanda-tanda bendungan paru
Uji sensitivitias sputum 21/1/14 Sensitif Meropenem, ertapenem, amikasin, ciprofloxacin, levofloxacin, Tigecyclin

Lab 24/1/14 Ur/Cr 45/0.8, Alb 2.5, Na/K/Cl 144/3.66/114 LAB 19/1/14 WBC 9.22, RBC 5.17, HGB 13.2, HCT 38.9, PLT 97, Lab 16/1/14 GDS 139, GOT/GPT 134/53, Prot.tot 6.7, CT/BT 7/2, PT/APTT 11.1/20.4 2

Hendra TTL 31/12/1981

Combustio Grade IIA-B (20%)

Ciprofloxacin 500 mg tab 3 x1 Asam mefenamat 500mg

Foto thorax AP
23/1/14 Pulmo normal

MRS 15/1/14 RM 646879 Umum Dr.A.J. Riewpassa, Sp.B, Sp.BP

3x1 Ranitidin 25 mg 3x1 Rawat luka dengan burnazin cream Diet biasa

dilation et elongation aortae Uji sensitivitias sputum 21/1/14 Sensitif: Ertapenem, Meropenem, Ciprofloxacin, Levofloxacin, Piperacillin
LAB 16/1/14 WBC 19.5, RBC 4.57, HGB 14.7, HCT 42.9, PLT 274, GDS 174, Ur/Cr 18/0.7, GOT/GPT 35/22, Prot. Total 5.7, Alb 3.7, CT/BT 8/3, PT/APTT 11/22 LAB 27/01/2014 WBC 18.08 RBC 5.95, HGB 15.4, HCT 44.3 PLT 216, GDS 97, Ur/Cr 24/0,8 GOT/GPT 222/19, CT/BT 8/3 PT/APTT 10.0/ 25.7 LAB 11/02/2014 WBC 18,8; RBC 4,25 HGB 12,8, HCT 39,1 PLT 606 Albumin 2,5 LAB 7/02/2014 WBC 13,5 RBC 3,73 HGB 11,1, HCT 33,9 PLT 281, prot.total 4,8 albumin 1,7 globulin 3,1 LAB 3/02/2014 UR/CR 35/0,96 GOT/GPT 175/221, alb 1,9 Na/K/Cl 134/ 48,8/106 Lab 28/1/14 Troponin T: 0.49 LAB 27/01/2014 WBC 27.7, RBC 5.39, HGB 16.3, HCT 49.4 PLT 307, GDS 141, Ur/Cr 33/1.30, GOT/GPT 293/127, CT/BT 8/3 PT/APTT 9.5/21.4

Risal 13 tahun MR 648373 MRS 27 Januari 2014 UMUM Masud Dg Ramma TL: 31/12/1972 MRS : RM : 648615 Umum

- POH-1 Craniectomi + Debridement luka Combustio gr III (5%) -- Epilepsy

IVFD RL 28 tpm Ceftriaxone 1 gr/12j/iv Ketorolac 10 mg/8j/iv Ranitidin 1 amp/8j/iv Sadar baik boleh makan/minum GV hari kedua. IVFD RL 28 tpm Ceftriaxone 1 gr/12j/iv Ketorolac amp/8j/iv Ranitidin amp/8j/iv PCT 500 mg 3x1 Diazepam 2 mg 0-0-1 Vipalbumin 3x2 caps Neurobion vial/24 jam Rawat luka Cream burnazin Cek Darah rutin, albumin dan prot.rotal, Cek kultur

Electric Burn Injury 51% + hipoalbuminemia

Muh. Anugrah M. TL: 20/9/2012 MRS : 12/2/2014 RM : 650850 Dr. dr. Fonny Josh, Sp.BP-RE(K)

Combustio grade IIAB 30%

IVFD RL 14 tpm Ceftriaxone 250 mg/12j/iv Ketorolac amp/8j/iv Ranitidin 1/3 amp/8j/iv Boleh minum sedikit-sedikit

LAB 12/02/2014 WBC 30,9, RBC 5.07, HGB 12.5, HCT 37,6 PLT 409, GDS 351, Ur/Cr 16/0,4, GOT/GPT 49/21, CT/BT 830/300 PT/APTT 13,6 c 12,3/32,2 c 23,1 HBsAg nonreaktif AntiHCV nonreaktif

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