PX Djumaiyar B1

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NAMA PASIEN : DJUMAIYAR NY M.

DJOEMIAJUR NY (77 Thn)


DIAGNOSA : CKD stage 5

PROBLEM MEDIK SUBJEKTIF OBJEKTIF TERAPI Assesment PLAN


12/2/20
CKD STAGE 5 + TD : CANDESARTAN 8MG 0-0-1
HIPERTENSI 130/70
160/90
N:
88;84
Cr : 8mg/dL
(Normal : 0,6-
1,5)
ANEMIA HGB : 6,6g/dL FOLIC ACID 1X1
NEURODEX 1X1
Mual Pasien mengeluh mual
dan lemas
13/2/20
CKD STAGE 5 + TD : CANDESARTAN 16 MG 1-0-0
HIPERTENSI 150/80
150/70
140/80
N : 80;88;88
ANEMIA HGB : 5,9g/dL FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
Mual Pasien mengeluh mual
dan lemas
14/2/20
CKD STAGE 5 + TD : CANDESARTAN 16 MG 1-0-0
HIPERTENSI 180/80
170/100
180/100
N :88;88;90
ANEMIA FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
Mual Pasien mengeluh mual
dan lemas
15/2/20
CKD STAGE 5 + TD : CANDESARTAN 16 MG 1-0-0
HIPERTENSI 190/90
200/110
190/90
N:
100;108;92
ANEMIA FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
Mual Pasien mengeluh mual
dan lemas
16/2/20
CKD STAGE 5 + TD : CANDESARTAN 16 MG 1-0-0
HIPERTENSI 150/90
190/90
150/90
N : 88;88;119
ANEMIA FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
Mual Pasien mengeluh mual
dan lemas
17/2/20
CKD STAGE 5 + TD: CANDESARTAN 16MG 1-0-0
ESSENTIAL 184/89
HIPERTENSI 180/80 AMLODIPIN 10MG 0-0-1
170/100
N : 83;80;84
ANEMIA HGB : FOLIC ACID 1X1
11,8mg/dL TRANSFUSI PRC 4 BAG
NEURODEX 1X1
MUAL Pasien mengeluh mual INJ ONDANSETRON 1 x 1 amp. IV
dan lemas
18/2/20
RPO : parasetamol, as
folat, allopurinol,
piracetam,
omeprazole,
candesartan 8 mg,
telmisartan, ISDN 5
mg, furosemida

CKD STAGE 5 + TD: CANDESARTAN 16MG 1-0-0


ESSENTIAL 190/100
HIPERTENSI 180/80 AMLODIPIN 10MG 0-0-1
170/90
N : 88;90;90
ANEMIA FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
MUAL Pasien mengeluh mual INJ ONDANSETRON 1 x 1 amp. IV
dan lemas

19/2/20
CKD STAGE 5 + TD: CANDESARTAN 16MG 1-0-0
ESSENTIAL 160/80
HIPERTENSI 140/80 AMLODIPIN 10MG 0-0-1
120/80
N : 80;92;107
ANEMIA FOLIC ACID 1X1
TRANSFUSI PRC 4 BAG
NEURODEX 1X1
MUAL Pasien mengeluh mual INJ ONDANSETRON 1 x 1 amp. IV
dan lemas
23/2/20

CKD STAGE 5 + TD : CANDESARTAN 16MG 1-0-0


ESSENTIAL 180/80
HIPERTENSI AMLODIPIN 10MG 0-0-1

ANEMIA FOLIC ACID 1X1


TRANSFUSI PRC 4 BAG
NEURODEX 1X1
MUAL Pasien mengeluh mual INJ ONDANSETRON 1 x 1 amp. IV
dan lemas

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