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  • Rua Ngan Nama Usia JK BB TB Keluhan Utama Pem - Fisi K Pem. Lab DX Terapi Keterangan/ Rencana PJ 08-7-2016

    Загружено:

    Rahmad Sahputra
    14 просмотров5 страниц
    1. A 6-month-old male infant presented with fever, diarrhea, and seizures for 2 days. Examination found dehydration and hypokalemia. The diagnosis was gastroenteritis with dehydration and seizure secondary to hypokalemia. Treatment included IV fluids, antibiotics, anticonvulsants, and potassium supplementation. 2. A 7-year-old female presented with fever, nausea, and weakness for 5 days. Examination and tests found tonsillitis. Treatment included IV fluids, antibiotics, antiemetics and diet. 3. A 1-year-old male had no complaints on July 11, 2017. Stool examination found loose stool. Treatment included oral re

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    1. A 6-month-old male infant presented with fever, diarrhea, and seizures for 2 days. Examination found dehydration and hypokalemia. The diagnosis was gastroenteritis with dehydration and seizure secondary to hypokalemia. Treatment included IV fluids, antibiotics, anticonvulsants, and potassium supplementation. 2. A 7-year-old female presented with fever, nausea, and weakness for 5 days. Examination and tests found tonsillitis. Treatment included IV fluids, antibiotics, antiemetics and diet. 3. A 1-year-old male had no complaints on July 11, 2017. Stool examination found loose stool. Treatment included oral re

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOCX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    14 просмотров5 страниц

    Rua Ngan Nama Usia JK BB TB Keluhan Utama Pem - Fisi K Pem. Lab DX Terapi Keterangan/ Rencana PJ 08-7-2016

    Загружено:

    Rahmad Sahputra
    1. A 6-month-old male infant presented with fever, diarrhea, and seizures for 2 days. Examination found dehydration and hypokalemia. The diagnosis was gastroenteritis with dehydration and seizure secondary to hypokalemia. Treatment included IV fluids, antibiotics, anticonvulsants, and potassium supplementation. 2. A 7-year-old female presented with fever, nausea, and weakness for 5 days. Examination and tests found tonsillitis. Treatment included IV fluids, antibiotics, antiemetics and diet. 3. A 1-year-old male had no complaints on July 11, 2017. Stool examination found loose stool. Treatment included oral re

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOCX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 5

    Catatan Status Pasien Hijir Ismail Anak Tgl 12-07-2017

    Rua
    ngan

    Nama

    Usia

    JK

    BB

    9 bln

    PR

    8
    kg

    TB

    Keluhan Utama
    Demam, mencret,
    kejang 2 hari

    Pem.Fisi
    k

    Pem. Lab
    08-7-2016
    Leuko :
    25.000
    Limfo : 14
    Kalium:1,3

    1A2

    DX
    GE tanpa
    Dehidrasi
    + Seizure
    ec
    Hipokalem
    ia

    KAEN 3B 20
    gtt
    inj. Ceftriakson
    500/ 24 cth
    inj.Ranitidin
    10 mg/ 12 jam

    10-7-2016
    Kalium 24

    Vanny
    Septi

    Terapi

    Keterangan/
    Rencana

    PJ
    Wini
    Fadly
    Ninda
    Devy
    dr.
    Sevinna

    Sanmol 3x4
    cetrizine 1x
    cth
    Zinc 1x20

    15 th

    1A3

    1A4

    PR

    45
    kg

    154
    cm

    Demam, mual, lemas


    5 hari

    Trianan
    Dea

    Jihan

    7 th

    PR

    34

    Demam(-)

    11-7-2016
    HB 10,6
    Leuko
    15.200
    HT 34,4
    Limfosit 13
    LED 90
    Widal
    Normal

    12-7-2016

    Tonsilopharintitis

    Kateter urin
    IVD D5%
    Nacl 0,45%
    20 gtt/ i mac
    inj. Ceftriaxon
    2 gr/ 24 jam
    ( drip NaCl
    0,9 % 100 cc/
    1 jam )
    PCT 3x1 tab
    Donperidone
    3x1 tab
    Inf RL 30 gtt

    Taupan
    Bia
    Novinda
    Yumna
    dr. Ari

    Intan

    Catatan Status Pasien Hijir Ismail Anak Tgl 12-07-2017


    kg

    Trombosit:
    93.000
    HB 12,6
    MCV 79,5
    MCH 25,5
    MCHC 32,1
    N. stab 0
    N. seg 51

    Alfatin

    5 th
    LK

    24
    kg

    Demam (-).
    Batuk/pilek, kedua
    mata merah, bercak
    merah pada kulit

    Anj. Tranf.
    Trombosit : 2
    unit
    Premed : Inj
    Dexa 1 amp

    Morbili

    Lasix 1 amp
    Inf. KaEn 3B
    45 gtt/i
    Ambroxol syr
    3x cth 1

    Yunitra
    Dimas
    Chasarah
    dr.
    Nurdiani

    Arafah
    Yosi
    Ferys
    Yumna
    dr.Ade

    1A5

    Ali
    Akhmad

    PCT syr 4 x
    cth 1
    Citrizine syr 1
    x cth

    1A6

    Tahsian
    a
    Fakhran
    i

    2 th,
    10 bl

    PR

    12
    kg

    Demam,mual,munta
    h,batuk,BAB 3x
    sehari.

    Dengue
    fever +
    Tonsilitis

    Vit A 200.000
    IU
    IVFD 4:1 4045 gtt mic
    Novalgin
    150/8 jam

    Mutiara
    Yosi
    Vinda
    Yumna
    dr.Rita

    Univit syr 2x1


    Cth
    Diet MB

    Catatan Status Pasien Hijir Ismail Anak Tgl 12-07-2017

    Steven
    Sirait

    1th,8
    bl

    LK

    9
    kg

    Tidak ada keluhan


    tanggal 11-07-2016

    lembek
    L- Bio 3 x 1
    saset

    Pemeriksaan
    feses

    Zinc kid 1x 20

    PBJ

    Attopan aff

    Mutiara
    Novy
    Taufik
    Adnan
    dr.Ade

    Diet MB

    IVFD RL 15
    gtt/i mac

    II B
    Renaldi
    .S
    9 th

    LK

    25
    kg

    Demam

    HB 13,7
    HT 43,4
    Leu 2300
    Trom
    150.000
    LED 10
    CRP darah
    tidak cukup

    PCT 4 x tab
    ISPA

    Donperidone
    3x1 tab

    Rizky
    Yogi
    Iki
    Devy

    Nebule 1/8

    dr. Ari

    Cetrizine 2x
    tab
    II C

    Ahmad
    Fauzi
    Situmea
    ng

    15 th

    LK

    39
    kg

    Demam (-), muntah


    (-), mencret (-)

    HB 11,4
    Erit 4,1
    Leu 2100
    Ht 34,3
    Trom
    82.000
    LED 17

    DHF

    IVFD RL 30
    gtt mac
    Novalgin 1 cc

    Taupan
    Handri
    Ninda
    Chasarah

    Ondansetron 2
    mg/ 12 jam

    dr.
    Nurdian

    Catatan Status Pasien Hijir Ismail Anak Tgl 12-07-2017


    PCT tab 3x1
    Diet M2
    1 th

    LK

    850
    0gr

    Mencret ampas = air.

    Tgl 10-72016
    Tromb
    135.000
    Limfosit 52
    Monosit 11

    Faqih
    Khairi R

    Inj. Lasix
    amp

    Aisyah
    Fadly
    Iki Yumna

    IVFD Rl 30 gtt
    dr.
    Nurdiani

    Meconazole
    cream
    Diet M2

    III A

    Rahmad
    Hidayat

    11 th

    LK

    14 th

    PR

    21
    kg
    -

    Tidak dilakukan
    pemeriksaan
    Penurunan
    kesadaran,

    CT scan
    Normal

    CT scan atau
    MRI

    Rini
    Wiranti

    14

    IIIB

    III C

    LK

    35
    kg

    Muntah

    Ahmad
    Fauzi
    Lubis

    Tengku

    1 th

    LK

    Tidak ada keluhan

    Wajah
    tampak
    sakit,
    mata:
    ikterik

    Hb 12,8
    Bilirubin
    total : 20,22
    Bil.Direk :
    14,66
    Alkali
    phospat :
    881
    SGOT : 190
    SGPT : 280
    Hb : 12,3

    Wini
    Ripuna
    Oghi
    Adnan
    dr.
    Nurdiani
    Aisyah
    Ripuna
    Ridwan
    Adnan

    Infus DS 30 gtt
    Diet MB
    Urdafak 2x
    350 mg

    dr. Rita
    Carlip 3x1
    Curcuma syr
    2x1 cth
    Inf. RL 150 gtt

    Cek lab :

    Arafah

    Catatan Status Pasien Hijir Ismail Anak Tgl 12-07-2017


    kg

    pada tanggal 11-072016

    4 jam

    Erit : 4,2
    Natrium :
    133
    Kalium :
    3,3
    KGD 90
    mg/dl

    KaEn 3B
    30-40 gtt/ i
    Inj.
    Ondansetron 1
    mg/ 12 jam

    darah rutin,
    elektrolit dan
    KGB

    Novi
    Faryn
    Devy

    Diet M2 +
    Pisang

    dr. Rita

    Pem. Darah
    rutin, iGg,
    IgM

    Intan
    Yogi
    Fajryn
    Adnan

    Salbutamol
    neb 1 fls / 12
    jam

    Sauqi

    Lacto B 3x1
    Cetrizine 2x
    cth

    4 th

    isola
    si

    Farah
    maziah

    PR

    15
    kg

    Demam sejak tgl 907016, menggigil,


    mual, muntah,

    Trom
    65.000

    DHF
    grade I

    Jam 6.30
    diberi novalgin
    100 mg
    38,50 c
    IVFD RL 20
    gtt/mac
    Ondansetron 2
    mg/8 jam
    Cefotaxime
    750 mg/12 jam
    Novalgin 1
    cc/8 jam
    Curcuma 2 cth
    Diet m II

    Dr
    nurdiani

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