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LIST PASIEN DIVISI NS Kamis, 19 Maret 2015 IRINA A BAWAH 7 org No KAMAR IDENTITAS DIAGNOSIS LAB Terapi 1. B3 Bed 1 T: 110/70 N: 76 R: 20 S: 36,6 E4M6V5 Praisel Untu /L/14thn/ 44.15.04 MRS 14-3-2015 Perawatan hari ke 6 Dr. Maximiliam Oley, SpBS Post trepanasi ec EDH R Parietooccipital dextra + fraktur depress R Parietooccipital dextra (H5) 18/3/2015 Leuko 5809 Er i 3,35 Hb 9,9 Ht 27,3 Trombo 265 IVFD Ringer Fundin IVFD NaCl 0,9% : Neurobion 5000 : Ketorolac 3 amp Ceftriaxone 2x1 amp Ranitidine 2x1 amp Neurolin 2x1 amp 2 B3 Bed 2 T: 150/90 N: 60 R: 22 S: 37,1 E3M6V5 Richard Watulingas /L/24thn/ 44.15.77 MRS 15/3/2015 Perawatan hari ke 5 Dr. Eko. Prasetyo, Sp.BS (K) ICH Temporoparietal (d) 15/3/2015 Leuko 16200 Eri 4,95 Hb 14,0 Ht 41,4 Trombo 200 GDS 109 Cr 0,8 Ur 23 N 135 K 3,9 Cl 101 IVFD Asering 5 Ceftriaxon inj vial 2x1 Ranitidin inj amp 2x1 Brain A inj amp 3x1 Ergotika inj amp 3x1 Aminofluid 1x1 3 B3 Bed 3 T: 90/50 N: 64 R: 18 S: 36,5 E3M6V5 Vanden Tatontos /L/12thn/ 44.19.89 MRS : 14/3/15 Perawatan hari ke 6 Dr. Maximiliam Oley, SpBS Fr depressed segmental Os temporal (s) + pneumotokel temporal (s) 13/3/15 Leu 25600 Eri 9,09 Hb 11,4 Ht 7,76 Trombo 62,8 GDS 111 N 132 K 4,32 Cl 97,2 IVFD Ringer Fundin IVFD NaCl 0,9% : Neurobion 5000 : Ketorolac 3 amp Ceftriaxone 2x1 amp Ranitidine 2x1 amp Neurolin 2x1 amp Vip albumin 3x2 caps 4 B3 Bed 4 T: 100/60 N: 72 R:20 S:36,2 E4M6V5 Fence Kamasi /L/45thn/ 44.16.27 MRS: 16/3/2015 Perawatan hari ke 4 Dr. Maximiliam Oley, SpBS ICH R Frontal (s) + Fr linier R frontal (s)+ Fr Maxila (d) ec vulnus schisum R facial 16/3/2015 Leuko 19100 Er 3,8 Hb 12,2 Ht 32,7 Trombo 243 GDS 131 N 135 K 3,9 Cl 106 IVFD Ringer Fundin IVFD NaCl 0,9% : Neurobion 5000 : Ketorolac 3 amp Ceftriaxone inj vial 3x1 Ranitidine 2x1 amp Brain A amp 3x1 Aminofluid 1x1 Metronidazole 3x500mg(H2) 5 B8 Bed 2 T: 110/80 N: 60 R:20 Ricjo/L/30thn/ 44.17.36 MRS 17/3/2015 Perawatan hari ke 3 ICH R Frontotemporal (S) 17/3/2015 Leuko 14.300 Eri 4,93 Hb 14,7 Ht 42,4 Trombo 236 GDS 162 Cr 1,0 Ur 19 N 141 K 3,5 Cl 109 IVFD Asering Ceftriaxone 2x1 Ranitidin 2x1 Antrain 3x1 Brain act 3x1 Ergotica 3x1
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LIST PASIEN DIVISI NS
Kamis, 19 Maret 2015
IRINA A BAWAH 7 org
N
o
KAMAR IDENTITAS DIAGNOSIS LAB Terapi
1. B3
Bed 1
T: 110/70
N: 76
R: 20
S: 36,6
E4M6V5
Praisel Untu
/L/14thn/ 44.15.04
MRS 14-3-2015
Perawatan hari ke 6
Dr. Maximiliam
Oley, SpBS
Post trepanasi ec
EDH R
Parietooccipital
dextra + fraktur
depress R
Parietooccipital
dextra (H5)
18/3/2015
Leuko 5809
Er i 3,35
Hb 9,9
Ht 27,3
Trombo 265
IVFD Ringer Fundin
IVFD NaCl 0,9% : Neurobion
5000 : Ketorolac 3 amp
Ceftriaxone 2x1 amp
Ranitidine 2x1 amp
Neurolin 2x1 amp
2 B3
Bed 2
T: 150/90
N: 60
R: 22
S: 37,1
E3M6V5
Richard
Watulingas
/L/24thn/ 44.15.77
MRS 15/3/2015
Perawatan hari ke 5
Dr. Eko. Prasetyo,
Sp.BS (K)
ICH
Temporoparietal
(d)
15/3/2015
Leuko 16200
Eri 4,95
Hb 14,0
Ht 41,4
Trombo 200
GDS 109
Cr 0,8
Ur 23
N 135
K 3,9
Cl 101
IVFD Asering 5
Ceftriaxon inj vial 2x1
Ranitidin inj amp 2x1
Brain A inj amp 3x1
Ergotika inj amp 3x1
Aminofluid 1x1
3 B3
Bed 3
T: 90/50
N: 64
R: 18
S: 36,5
E3M6V5
Vanden Tatontos
/L/12thn/
44.19.89
MRS : 14/3/15
Perawatan hari ke 6
Dr. Maximiliam
Oley, SpBS
Fr depressed
segmental Os
temporal (s) +
pneumotokel
temporal (s)
13/3/15
Leu 25600
Eri 9,09
Hb 11,4
Ht 7,76
Trombo 62,8
GDS 111
N 132
K 4,32
Cl 97,2
IVFD Ringer Fundin
IVFD NaCl 0,9% : Neurobion
5000 : Ketorolac 3 amp
Ceftriaxone 2x1 amp
Ranitidine 2x1 amp
Neurolin 2x1 amp
Vip albumin 3x2 caps
4 B3
Bed 4
T: 100/60
N: 72
R:20
S:36,2
E4M6V5
Fence Kamasi
/L/45thn/ 44.16.27
MRS: 16/3/2015
Perawatan hari ke 4
Dr. Maximiliam
Oley, SpBS
ICH R Frontal (s) +
Fr linier R frontal
(s)+ Fr Maxila (d)
ec vulnus schisum
R facial
16/3/2015
Leuko 19100
Er 3,8
Hb 12,2
Ht 32,7
Trombo 243
GDS 131
N 135
K 3,9
Cl 106
IVFD Ringer Fundin
IVFD NaCl 0,9% : Neurobion
5000 : Ketorolac 3 amp
Ceftriaxone inj vial 3x1
Ranitidine 2x1 amp
Brain A amp 3x1
Aminofluid 1x1
Metronidazole 3x500mg(H2)
5 B8
Bed 2
T: 110/80
N: 60
R:20
S:36,6
E4M6V5
Ricjo/L/30thn/
44.17.36
MRS 17/3/2015
Perawatan hari ke 3
Dr. Eko Prasetyo,
Sp.BS (K)
ICH R
Frontotemporal (S)
17/3/2015
Leuko 14.300
Eri 4,93
Hb 14,7
Ht 42,4
Trombo 236
GDS 162
Cr 1,0
Ur 19
N 141
K 3,5
Cl 109
IVFD Asering
Ceftriaxone 2x1
Ranitidin 2x1
Antrain 3x1
Brain act 3x1
Ergotica 3x1
6 B9
Bed 1
T: 120/80
N:112
R: 22
S: 36,5
E4M6V4
Junaidi Pandeirot
/L/14thn/
44.16.24
MRS 16/3/2015
Perawatan hari ke 4
Dr. Maximiliam
Oley, SpBS
Udem cerebri + ICH
thalamus+ Fr
zygomatikum
17/3/2015
Leuko 12670
Er 4,81
Hb 13,3
Ht 38,8
Trombo 235
Ur 22
GDS 97
Cl 104,7
K 4,20
N 144
IVFD Ringer Fundin
IVFD NaCl 0,9% : Neurobion
5000 : Ketorolac 3 amp
Ceftriaxone 2x1 amp
Ranitidine 2x1 amp
Brain A amp 3x1
7 B10
Bed 3
T: 120/80
N: 84
R: 20
S:36,7
E4M6V5
Abrigita
Panambunan
/P/22thn/44.15.63
MRS 16/3/2015
Perawatan hari ke 4
Dr. Eko. Prasetyo,
Sp.BS (K)
ICH R
temporoparietal
15/3/2015
Leuko 19100
Eri 4,02
Hb 12,7
Ht 37,0
Trombo 252
GDS 102
Cr 0,5
N 131
K 3,5
Cl 97,8
O2 2-4 L/m
IVFD Asering 5
Antrain inj 3x1 amp
Ceftriaxon inj vial 2x1
Ranitidin inj amp 2x1
Brain A inj amp 3x1
Irina A atas 2 orang
1 A7
Bed 5
T: 110/70
N: 60
R:20
S:36,3
E4M6V5
Kuda
Hendrik/L/35thn/44.
17.36
MRS 17/3/2015
Dr Eko
Prasetyo,SpBs (K)
Sharox 2100mg
BecomC 2x1
Antrain tab 3x1
Alzim 1x1
Rawat jalan
2 A8
Bed 7
T: 120/80
N: 68
R:20
S:36,5
E4M6V5
Christian Lumenta
/L./21 thn/ 44.16.06
GCS E4V5M6
MRS 16/3/2015
Dr. Maximiliam
Oley, SpBS
Fr rima orbita
superior +
Hematom R
periorbita
Fixacap 2x100 mg
Neurolin 2x500mg
Farpain 3x1
Vip albumin 3x2
Alzim 1x1
Rawat jalan hari ini
IRDB1 IRDB
T:
N:
R:
S:
Lefrandt Rawung
/L./61 thn/ 44. 19.18
GCS E4V5M6
MRS 18/3/2015
Dr. Eko. Prasetyo,
Sp.BS (K)
IVFD Asering 5
Antrain inj 3x1 amp
Ceftriaxon inj vial 2x1
Ranitidin inj amp 2x1
Brain A inj amp 3x1
2 IRDB
T: 130/70
N:110
R:26
S:38,7
E3M5V4
Ronal
Mamia/L/32thn/
44.19.01
MRS 18/3/2015
Dr.Eko
Prasetyo.SpBS (K)
IVFD Asering 5
Antrain inj 3x1 amp
Ceftriaxon inj vial 2x1
Ranitidin inj amp 2x1
Brain A inj amp 3x1
3 IRDB
T: 130/70
N: 68
R: 24
S: 36,4
E2M5V2
Woliu
derkas/L/51thn/
44.18.94
MRS 18/3/2015
Dr. Eko Prasetyo,
SpBS(K)
IVFD Asering 5
Antrain inj 3x1 amp
Ceftriaxon inj vial 2x1
Ranitidin inj amp 2x1
Brain A inj amp 3x1
ATS profilaksis
