Scribd Logo
Upload

Welcome to Scribd!

  • Sunardi

    Uploaded by

    Hardiyanti dora
    14 views1 page
    This medical record summarizes information about a patient named TN.SUNARDI undergoing dialysis treatment. It includes his personal details, medical history of hypertension and gout, dialysis treatment details including frequency of 2 times per week and duration of 5 hours. It also lists his current medications, recent blood transfusion, last dialysis treatment date and most recent laboratory test results from April 3, 2019. The doctor's signature and date is at the bottom.

    Original Description:

    Original Title

    Sunardi.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This medical record summarizes information about a patient named TN.SUNARDI undergoing dialysis treatment. It includes his personal details, medical history of hypertension and gout, dialysis treatment details including frequency of 2 times per week and duration of 5 hours. It also lists his current medications, recent blood transfusion, last dialysis treatment date and most recent laboratory test results from April 3, 2019. The doctor's signature and date is at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    14 views1 page

    Sunardi

    Uploaded by

    Hardiyanti dora
    This medical record summarizes information about a patient named TN.SUNARDI undergoing dialysis treatment. It includes his personal details, medical history of hypertension and gout, dialysis treatment details including frequency of 2 times per week and duration of 5 hours. It also lists his current medications, recent blood transfusion, last dialysis treatment date and most recent laboratory test results from April 3, 2019. The doctor's signature and date is at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Jl. Gunung Merapi No. 220, Makassar ● Telp.(0411) 3619066, 3624267 ● Fax. (0411) 3621693 ● email : rsmitrahusada@yahoo.

    com

    Nama : TN.SUNARDI
    Name

    Umur : 01.05.1983 ( 35 thn )


    Age
    Jenis Kelamin : LAKI-LAKI
    Sex
    Nomer Register : 03.10.63
    Reg. Number

    Alamat : JL.
    Address
    TRAVELLING DIALYSIS
    Diagnosa Utama : ESRD
    Primary Diagnosis
    Diagnosa Sekunder :
    Secondary Diagnosis
    Riwayat Penyakit : HIPERTENSI DAN ASAM URAT
    History
    Tanggal Awal HD Tanggal Terakhir HD:
    Date of Beginning Dialysis : 18-11-2018 Date of Last Dialysis : 20-05- 2019
    PRESENT
    TREATMENT
    Tekanan Darah Sistole : 211 mmHg Frekwensi HD : 2 x Seminggu
    Blood Pressure Diastole : 108 mmHg Dialysis Frequency
    Optimal Blood Flow : 200 – 250 ml/jam
    Mean/ Optimal blood flow
    Tempat dilakukan HD :RS MITRA HUSADA Lamanya HD : 5 jam
    Place of Dialysis MAKASSAR Duration per Dialysis
    Komposisi Dialisat : ACID Sero Marker Hepatitis :-
    Composition of Dialysate Hepatitis sero marker
    Tipe Dializer : ELISIO 15 H Riwayat Transfusi Darah : 06-05-2019
    Type of used Dialyzer History of Blood Transfusion
    Akses Vaskuler : AV-SHUNT Alergi :-
    Vascular access Allergies
    Berat Badan Kering : 50 kg
    Dry weights
    Heparinisasi : Dosis sirkulasi 2000 ui, Kenaikan BB Intradialisis : 1 – 2 kg
    Heparinization Weights gain Intradialysis
    Komplikasi Selama HD : - epitasis Keterangan Lain
    Intradialysis complications -tensi cendrung naik di Further Comment :-
    jam ke 4 sampai 5

    Diet : Rendah Garam.Rendah Obat yang dikonsumsi saat ini :


    Diet : Purin Present Medication : Prorena 2x2, Prenemia 2x1, Coveram
    Obat durante HD 1x1,Nebilet 1x1,Clonidine 3x1,Rindocal 1x1.
    Peridialysis Medication : --Eprex 4000 iu/sc 2x seminggu
    --mircera 1x sebulan

    HASIL PEMERIKSAAN LABORATORIUM TANGGAL


    LABORATORY RESULT DATE : 3 April 2019
    BUN/ Urea : 66 mg/dl (PreHD), 28 mg/dl Trombosit : 112 103/uL
    (PostHD)
    Creatinin : 9.4 mg/dl (PreHD), 4.2 mg/dl Limfosit % : 28.7 %
    (PostHD)
    Hb : 7.0 g/dl SGOT :-
    Leukosit : 5.9 x103/uL SGPT :-
    Eritrosit : 2.24 x106/uL HBs Ag : Negative
    Hematokrit : 21.6 % Anti HCV : Negative
    Glukosa Sewaktu : 137 mg/dl Anti HIV : Negative

    Makassar, 20 Maret 2019

    PROF.DR,dr.Haerani Rasyid Sp.PD,K-GH, M. Kes.FINASIM.SpGK

    You might also like