Mapping Marwah 08/10/21

MDR K2 B3 MDR Marwah K4B2

DPJP: Dr.dr Budiyanti, sp.P(K) DPJP : dr.Ferry Dwi K, Sp.P (K) DPJP : dr.Novita DPJP : dr. Ferry Dwi K, Sp.P (K)
PPDS : dr.saiful PPDS: dr.Mitha Andayani,Sp.P(K) PPDS : dr.Erha
PPDS : Erha

Nama : Zakaria usman Nama : Syahmirudin Nama : Putra Mahara Nama : T. Adnin Ali
Umur; 19/1/1973(48 thn) Umur: 47 thn (08/08/1874) Umur ; 11-11-1999 (21 thn) Umur : 04/03/1965 (56 thn)
CM : 1286799 CM: 1285553 CM: 1-28-70-89 CM : 1-28-75-92

A/ A/ A/ A/
-Piopneumothoraks spontan sekunder -Pyopneumothorax Dex on WSD - Hidropnemothorax Spontan -Pneumonia ec dd 1. Bacterial 2. Viral
sinistra On WSD (H17) ec TB paru Sekunder Sinisra on WSD ec dd/ 1. TB Infeksi
- TB Paru terkonfirmasi bacteriologis on 2.Acinetobacter junii Paru - HCAP
OAT kat 1 Fase Intensif H8 -Ascites+Hepatitis B 2. Malignancy - TB Kambuh dd Bekas TB
- Emfisema Subkutis -Hipoalbumin - Destroyed Lung dd Tumor Paru
- DM Tipe 2 -Synd.Dyspepsia TB Paru terkonfimasi bakteriologis on - Atypical Chest Pain dd Cancer Pain
- Imbalance elektrolit OAT KAtagori I (H8) P/
- Konstipasi p/Evaluasi Ku dan saturasi - Evaluasi Ku
-spooling WSD per 2 jam (11.00) - Foto Thorak ( 7/10/21) : Terlampir
Th/ -evaluasi wsd Th/ - Gen Expert (8/10/21) : susul hasil
-Inj Vancomycin 1g/12 jam -kultur darah : no growth -Cefixime 2x100 mg - Kultur Sputum Mo gr K/R
-Inj Omeprazole 40 mg/24jam -Metronodazole 3x500 mg ( 8/10/21) : susul hasil
- Pro TB 4 FDC 1x4 tab Th/ -Ostriol 2x0,25 mg - CT Scan Thorak ( tunda ) perbaiki KU
- Piridoksin 2x1 tab - Pro 4FDC 1x4tablet (H12) -Zink 1x20 mg - EKG (7/10/21) : terlampir
- Pioglitazone 1x15 mg - Drip Asering s/s B Fluid 1 fl/hr -Curcuma 3x1 tab - KGDS/hari
- Doksisiklin 2x100 mg - IV omeprazole 40 mg/24 jam -Vastral 1x1
- Alprazolam 1x0,5 mg (malam) - IV FOrosemid 1 amp/12 jam -OAT Pro TB 4 FDC 1x 3 tab Th/
- Codein 3x10 mg - IV Cefoperazone sulbactam 1 -Ceterizin 2x10 mg -inj Ceftazidine 1 gr/8jam
- curcuma 3x1 tab g/12 jam ( H8) -Salicyl talk - inj Transamin 500 mg/12 jam
- ostriol 2x0,25 mg - Curcuma - inj Omeprazole 40 mg/12 jam
- Lactulac syr 3xC1 - Vastral - inj Vit K 1 amp/12 jam
- cetizine 1x10mg - Erdostein p/ - Vastral 1x1 tab
- Sulfas ferosus 3x1 tab - Flumucyl -Kultur dan Cairan Pleura (8/10/21) - curcuma 3x1 tab
- Gentamicin zalf - Dexamethason 3x 5 mg PO  susul hasil - PCT 3x500 mg
- dulcolac supp K/P - Sc Heparin 5000cc/12j -Kultur Sputum (TAD) - vit C 2x500 mg
- Drip KCL 2 flc dalam 200cc Nacl 0,9 % - -Ibuprofen 3x400 mg -Spoiling per 24 jam (jam 14.00 ) - Glimepiride 1x4 mg
- Alprazolam 1x0,5 mg -Evaluasi WSD - cetirizine 2x10 mg
Lab 06/10/21 - Codein 3x20 mg -CEK DR, Elektrolit, SGOT/SGPT/ - N-acetil sistein 3x200 mg
Hb : 9,8 - Doxiciklin 2x100 mg UR/cr. Albumin., 8/10/21  susul - Sucralfat Syr 3xC1
Ht : 29 - KSR 2x600 mg hasil - Duragesic patch 2x12,5 mg
Leukosit : 13,6 - SF 3x1 tab
Trombpsit : 483 - Salofac 2x500 mg Lab 01/10/21 Lab 07/10/21
E/B/NB/NS/L/M : Hb: 15,4 Hb: 10,2
2/1/0/73/14/10 Lab 07/10/21: Ht: 45 Ht: 30
PT/APTT : 15,20/75,00 Hb: 9,2 Leukosit : 12,0 Leukosit : 27,7
D-dimer : 550 Ht: 27 Trombosit: 500 Trombosit:746
Leukosit : 10,3 E/B/NB/NS/L/M : E/B/NB/NS/L/M :
Trombosit:271 1/0/1/74/15/9 17/0/0/68/8/7
Lab 04/10/21 PT/APTT : 13,10/32,70 SGOT/SGPT: 10/9
Hb : 11,3 E/B/NB/NS/L/M : Albumin 3,8 PT/APTT : 14,40/39,60
Ht : 34 2/0/0/66/23/9 Ur/Cr : 24/0,8 Fibrinogen : 462
Leukosit : 17,0 PT/APTT = 19.60/43,60 Sgot/sgpt : 24/40 D-dimer : 1820
Trombosit : 458 D Dimer 2410 Na/K/cl ;142/4,8/108 Albumin : 2,80
E/B/NB/NS/L/M : SGOT/SGPT : 13/10 Ur/Cr : 22/0,50
1/1/0/84/7/7 Na/K / Cl = 147/2,90/102 Na/K/Cl : 137/3,60/100
Ur/cr : 35/0.90
SGOT/SGPT : 27/8
Na/K/Cl : 129/2,90/93