19 Januari 2016

Jam 00.30
N

: 141

Sat

: 100%

RR

: 55

Akral dingin
jam

nadi

02.00
03.00
04.00
05.00
06.00
07.00

132
133
136
139
138
140

Tekanan
darah
115/65
125/57
144/90
132/89
130/88
108/74

RR

Suhu

32
37
38
36
37
27

36
36

20 Januari 2016
Jam
03.00
04.00
05.00
KU: lemah,
somnolen
TD: 90/45
N: 146
RR: 30
06.00
07.00
KU: lemah,
somnolen, febris
TD 122/70
N 140
RR 33
08.00
09.00
11.00
13.00

Lab: GDS
428
414
347

331
322

217
416
323
436

Insulin
SP 2IU/jam

4 unit/jam

Keterangan
IVFD NS

Novorapid 4 unit
NS

15.00
17.00
18.00
19.00
19.30
KU: lemah,
febris (-),
somnolen
TD: 88/40
N: 159
RR:38
T:36,8

366
285
266
255

21.00
23.00

170
195

D5 NS

21 Januari 2016
KU; lemah, somnolen
TD: 135/70mmhg
N: 119x/m
RR: 25x/m
Jam
01.00
03.00
05.00
07.00
09.00
11.00
15.00
19.00

GDS
242
272
241
151
157
114
63
242

Jam 13.00
KU/kes: lemah cenderung somnolen
TD

: 125/74

: 136X/MENIT

Insulin
4 unit/jam

2 unit/jam

Keterangan
D5 NS
NS

D5 NS
GDS/4 jam
D5 NS
NS

RR

: 25X/MENIT

: 36

22 Januari 2016
Jam
02.00

GDS

Insulin
2 unit/jam

Keterangan

06.00 TD=100/70
07.30 KU: lemah, somnolen
N: 104x/m
RR: 20x/m
jam

nadi

RR

GDS

99
101
104
126
114
113

Tekanan
darah
110/71
118/75
118/76
123/79
114/69
104/64

8.00
9.00
10.00
11.00
12.00
13.30
KU: lemah,
somnolen
14.00
15.00
16.00
17.00
18.00
19.00
19.30
KU: sakit
berat,
somnolen,apatis, febris
(-)
20.00
21.00
22.00

Urin output

24
25
22
23
28
23

83 jam 07.00

117
116
110
99
106
110

104/64
115/72
112/69
111/69
109/67
1118/69

22
34
22
26
26
21

SUHU 35.6
300

HR=104x/m

118/69

37

SUHU 36

104
105
106

114/72
116/74
117/64

37
17
18

300

300
95
469

SUHU 37
300

23.00
24.00
01.00
02.00
03,00
04.00
05.00

100
107
97
101
103
100
92

97/57
116/65
112/64
106/47
96/51
110/63
113/65

29
17
35
17
19
23
37

06.00
07.00

121
93

110/87
105/70

21
25

414

Tekanan
darah
120/74
120/77
98/58
104/65
107/70
110/63
99/52
103/47
95/61
97/52
128/88

RR

GDS

463

300
300
200
SUHU 37

23 Januari 2016
jam

nadi

8.00
9.00
10.00
11.00
12.00
13.00
14.00
15.00
16.00
17.00
18.00
24.00
06.00

99
102
99
107
100
107
109
116
106
100
110

26
25
24
20
21
19
17
35
20
16
29

Urin output
250

469

300
200
SUHU 36.6

545

SUHU 36.5

590
91

100/60

Suhu 36

LABORATORIUM

19 JANUARI 2016
PEMERIKSAAN
SGOT
SGPT
Total protein
Albumin
Globulin
Ureum
Creatinin
GDS
Hb
Leukosit
Trombosit
Ht
LED
Eosinofil
Stab
Segmen
Limfosit
Monosit
MCV
MCH
MCHC
RDW

HASIL
28u/L
15u/L
10.7gr/dl
5.7gr/dl
5.0gr/dl
39mg/dl
0.7mg/dl
618 mg/dl
15,1 gr/dl
16.300/ul
438.00/ul
46,0%
15 mm
1%
7%
68%
20%
4%
85,8 fl
28,2 pg
32,8%
13,5%

NILAI NORMAL
7-25
7-29
6-8
3,5-5,0
1,5,3,0
10-50
4.7-23
0.6-1
13-18
4-11 ribu
150-400ribu
40-50
0
1-2
2-6
50-70
20-40
2-8
70-90
26-32
25-30
11-16%

141.4 mmol/l
6,8 mmol/l
111.9 mmol/l

135-145
3,5-4.1
96-106

12,9 gr/dl
2.900/ul
119.00/ul
41,1%

13-18
4-11 ribu
150-400ribu
40-50

20 Januari 2016
Na
K
CL
21 Januari 2016
Hb
Leukosit
Trombosit
Ht

Ureum
Creatinin

81mg/dl
2.0mg/dl

10-50
4.7-23

Urin Rutin
Warna Kuning muda
BJ 1.010
Keadaan jernih
Protein (-)
Kimia sewaktu (-)
Sedimen: Epitel Gepeng 3-5/Lp.K
Leukosit 3-5/Lp.B
Eritrosit 0-2/Lp.B

22 JANUARI 2016
Na
K
CL
Ureum
Creatinin
Hb
Leukosit
Trombosit
Ht
LED
Eosinofil
Stab
Segmen
Limfosit
Monosit
MCV
MCH
MCHC
RDW

146.1 mmol/l
2,96 mmol/l
118.5 mmol/l
98mg/dl
2.8mg/dl
13,7 gr/dl
9.900/ul
164.000/ul
38,4%
13 mm
2%
73%
17%
8%
81,2 fl
29,0 pg
35,7%
16,8%

135-145
3,5-4.1
96-106
10-50
4.7-23
13-18
4-11 ribu
150-400ribu
40-50
0
1-2
2-6
50-70
20-40
2-8
70-90
26-32
25-30
11-16%