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  • Koran BTKV 16 Agustus 2016 Lontara 2 Lab 5/8/2016

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    This document contains patient medical records from the Koran BTKV hospital on August 16, 2016. It includes patient information, diagnoses, lab results, treatments, and procedures for 7 patients. The patients have issues such as diabetic foot wounds, anemia, chest tube insertions, and pleural effusions. Lab results include blood counts, electrolytes, liver enzymes and other tests. Treatments include IV fluids, antibiotics, chest tube output measurements and consideration of further procedures.

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    Koran Btkv Lontara 2

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    This document contains patient medical records from the Koran BTKV hospital on August 16, 2016. It includes patient information, diagnoses, lab results, treatments, and procedures for 7 patients. The patients have issues such as diabetic foot wounds, anemia, chest tube insertions, and pleural effusions. Lab results include blood counts, electrolytes, liver enzymes and other tests. Treatments include IV fluids, antibiotics, chest tube output measurements and consideration of further procedures.

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    2 views2 pages

    Koran BTKV 16 Agustus 2016 Lontara 2 Lab 5/8/2016

    Uploaded by

    momo-tanrere
    This document contains patient medical records from the Koran BTKV hospital on August 16, 2016. It includes patient information, diagnoses, lab results, treatments, and procedures for 7 patients. The patients have issues such as diabetic foot wounds, anemia, chest tube insertions, and pleural effusions. Lab results include blood counts, electrolytes, liver enzymes and other tests. Treatments include IV fluids, antibiotics, chest tube output measurements and consideration of further procedures.

    Copyright:

    © All Rights Reserved
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    of 2

    KORAN BTKV 16 AGUSTUS 2016

    LONTARA 2
    L2BD
    ISO 1

    Zaenab
    1-7-1970
    763536
    DPJP : NA

    Diabetic foot wragner IV


    Hypokalemia
    Anemia

    Lab 5/8/2016:
    Ur/cr
    10/0.44
    Na/K/Cl
    130/2.3/85
    4/8
    Wbc 15.4
    Rbc 3.17
    Hgb 8.4
    Plt 332
    Lab 2/8
    WBC 12.1
    RBC 3.56
    HGB 9.6
    PLT 327
    GOT/GPT
    11/21

    L2BD
    K10 III
    B2

    Dirga
    26-08-1999
    766971
    DPJP:RS

    Vulnus Ictum

    L2BB
    K4B4

    Rohana
    1-7-1965
    765571
    DPJP: NA

    Pseudoneurisma post
    cimino

    Lab 13/8/2016:
    Wbc 13,6
    Rbc 3.66
    Hgb 11.1
    Plt 34
    Mcv : 89
    Mch 30
    Lab 11/8/2016:
    WBC 9,4
    RBC 3.09
    HGB 8.9
    PLT 241
    PT : 10.5
    APTT : 26.7
    Ur/Kr : 143/6.81
    Na/K/Cl
    142/52/105

    L2AD
    K2B2

    Maryati
    8/5/1972
    763881
    DPJP:RS

    POH 8 Chest tube + WSD

    L2AB

    Muliati

    POH 10 chest tube bilateral

    Lab 8/8/2016:
    WBC 21.5
    RBC 2.54
    HGB 7.6
    HCT : 24.4
    PLT 354
    UR/CR 18/0.20
    GOT/GPT 127/73
    Albumin : 1.9
    Na/K/Kl :
    137/3.0/98
    Lab 5/8/2016:

    GV/ hari

    KSR 1x1
    Zefazolim 1 gr/12
    jam/iv
    Metronidazole 500
    mg/8 jam/iv
    Omeprazole 20
    mg/12 jam/iv
    Voneta tab/8
    jam/oral
    Pro amputasi jika
    KU OPTIMAL

    IVFD RL 28 tpm
    Ketorolac 3 mg/ 8
    jam
    Rantidine / 12 jam

    Tunggu jadwal oprasi

    IVFD Nacl 0,9 %


    16 tpm
    Neurobion 1 ap/ 24
    jam

    - IVFD Nacl 0,3 %


    - Cefatoxime 1 gr/ 8
    jam
    - Maxiliv 1 tab/ 12
    jam

    Takar produksi/

    K7B1

    31-12-1976
    767138
    DPJP: RS

    e.c efusi pleura massif


    dextra et sinistra

    L2 AB
    K7(III)
    Bed 2

    Dina Petrus
    1-9-1968
    758891
    DPJP : RS

    POH 8 chest tube + wsd


    dextra

    Rumeda
    31-12- 1978

    Post op hari 15

    Lab 9/8/2016:

    Takar produksi/24
    jam
    GV
    Paracetamol 500
    mg/8 jam/iv
    Pro HD jika

    pemasangan WSD ec efusi

    WBC 15.1

    produksi

    pleura malignant bilateral

    RBC 3.8

    berkurang

    LNH

    HGB 12.3

    takar produksi chest

    PLT 286

    tube /24 jam

    GDS 152

    GV/2 hari

    L2 AB
    K7B4

    WBC 15.4
    RBC 2.03
    HGB 6.4
    PLT 98
    GDS 103
    UR/CR 98/0.78
    GOT/GPT
    33/16
    ALB 1.9
    NA/K/CL
    142/4.6/93

    24jm
    Gv/2hari

    765571
    DPJP: NA

    GOT/GPT 15/6
    ALB 2.8
    Na/K/Cl
    134/4/100

    L2 AB
    K8 (III)
    B2

    Dian Purnamasari
    22/2/1979
    767868
    DPJP : RS

    L2AB
    K8 (III)
    B5

    Sohria
    17/7/1988
    767865
    DPJP :NA

    L2AB
    K7 (III)
    B5

    Muliati
    31/12/1976
    767138
    DPJP : RS

    POH 4 chest tube +WSD


    e.c efusi pleura bilateral

    POH 3 Chest tube +WSD


    dextra

    11/8/2016
    WBC : 11,5
    RBC : 4.06
    HGB : 14.1
    HCT : 42
    MCV :85
    PLT : 459
    PT : 11.5
    APTT : 22.2

    Takar produksi
    wsd / 24 jam
    Klem chest tube
    buka selama 6 jam
    alirkan 300 cc
    kemudian klem
    kembali

    Buka tutup chest tube/ 6


    jam
    Takar produksi / 24 jam

    POH 12 Chest tube


    Bilateral

    Foto Thorax
    AP
    Jika prodiksi
    chest tube
    minimal <100
    cc

    - IVFD RL 20 tpm
    - Ceftazidime 1 g/
    12 jam
    - Ketorolac 30 mg/8
    jam
    - ranitidine 50 mg/ 8
    jam

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