Word 3

Kode Topik Kegiatan Catatan Tanda Tangan Ket.
Tanggal No
Kegiatan Diagnosis Pendamping Pendamping Tambahan
Penatalaksanaan
(1) (2) (3) (4) (5) (6) (7) (8)
Ny. S, 33 tahun, G2P1A0 - Rawat Inap Kebidanan
uk 38 minggu, JTHIU - Observasi kemajuan
07/09/2013 A 1
prekep puki in partu kala I persalinan, awasi tanda-tanda dr. Layali
fase laten persalinan Kala II Musafiroh
Ny. A, 22 th, G1P0A0 uk - Rawat Inap
12 minggu dengan HEG - IVFD D5% 20 tpm
07/09/2013 A - Inj. Ranitidin 3x1A 2
- Inj. Ondansetron 3x1A dr. Layali
- po Antacyd syr 3x2 cth Musafiroh
Ny. T, 40 th, Dispneu ec - Rawat Inap
susp CHF - O2 2-4 l/m
- IVFD D5% 15 tpm
07/09/2013 C 3
- Inj. Furosemide 2x1 A (iv)
- pasang DC dr. Layali
- Plan: EKG, Ro Thorax PA Musafiroh
Ny. P, 20 th, G1P0A0 uk 39 - Rawat inap
minggu, JTHIU, preskep, - IVFD RL 20 tpm
07/09/2013 A puka, belum in partu dengan - Nifedipin 2x10 mg 4
hipertensi gestasional susp - Plan: Darah Lengkap, Protein dr. Layali
PER dd PEB urin Musafiroh
Tn. S, 51 th, susp TB paru - Rawat Jalan
kasus putus obat - Ambroxol 3x1 tab
09/09/2013 A 5
- Neurodex 3x1 tab dr. Layali
- Plan: Ro Thorax PA, sputum Musafiroh
BTA SPS
Ny. M, 24 th, Artralgia susp - Rawat jalan
CTS - Na diclofenac 3x25 mg
- Neurodex 1x1 tab
09/09/2013 A - Ranitidin 3x1 tab 6
- Plan: Fisioterapi
- Edukasi: hindari aktifitas dr. Layali
tangan berlebih Musafiroh
An. S, perempuan, 2 th, 15 - Rawat jalan
kg, DATD+ISPA - Lacto-B 2x1 sach
09/09/2013 A 7
- Zinc tab 1x1 tab dr. Layali
- Coparcetin syr 3x1 cth Musafiroh
Tn. S, 55 th, kontrol post - Rawat jalan
Closed Fraktur os Clavicula - Clindamycin 300 mg 3x1 cap
Dextra + VL digiti IV - Asam mefenamat 3x500 mg
09/09/2013 B manus dextra - Ranitidin 3x150 mg 8
- Edukasi : jaga luka tetap
kering, diet tinggi protein dr. Layali
karena luka lama kering Musafiroh
Tn. S, 40 th, Hipertensi - Rawat Jalan
Stage I, ISPA. TD: 150/90 - Captopril tab 2x12,5 mg
09/09/2013 A mmHg - Ambroxol 3x1 tab 9
- Bufantacyd 3x2 cth dr. Layali
- Edukasi: diet rendah garam Musafiroh
Tn. S, 40 th, kontrol VL - Rawat Jalan
plantar pedis sinistra - Ciprofloxacin 2x500 mg
09/09/2013 B 10
- Dexamethason 3x0,5mg dr. Layali
- Asam Mefenamat 3500 mg Musafiroh
- Ranitidin 3x150 mg
- Edukasi : kontrol 3 hari, jaga
luka tetap kering, diet tinggi
protein
Tn. D, 32 th, kontrol VL - Rawat jalan
cruris dextra - Amoxicillin 3x500 mg
- Asam mefenamat 3x500 mg
09/09/2013 B - Ranitidin 3x150 mg 11
-Edukasi : antibiotik
dihabiskan, jaga luka tetap dr. Layali
kering Musafiroh
Ny. K, 41 th, LBP post - Rawat Jalan
trauma susp. Fraktur - Na diclofenac 3x25 mg
Kompresi Vertebra Lumbal - Ranitidin 3x150 mg
09/09/2013 B 12
- Plan: Ro Vertebra
Lumbosacral AP, Konsultasi dr. Layali
Dokter Spesialis Bedah Musafiroh
Tn. M, 34 th, Appendiksitis - Rawat Jalan
kronik - Amoxicillin 3x500 mg
09/09/2013 B 13
- Spasminal 3x1 tab dr. Layali
- Konsultasi Sp.B Musafiroh
Tn. I, 31 th, kontrol VL - Rawat jalan
palpebra superior sinistra - Aff hecting 2
09/09/2013 B 14
- Vitalong C 1x1 tab Musafiroh
Ny. R, 40 th, Hipertensi - Rawat jalan (pasien menolak
09/09/2013 A Urgensi, TD: 200/100 mHg rawat inap) dr. Layali 15
- Amlodipin 1x10 mg Musafiroh
- Captopril 3x25 mg
- Neurodex 1x1 tab
Ny. M, 45 th, Mialgia - Rawat jalan
- Meloxicam 3x1 tab
09/09/2013 A 16
- Ranitidin 3x150 mg Musafiroh
Ny. M, 31 th, Obs febris - Rawat jalan (menolak rawat
susp Chikungunya BBPV inap)
09/09/2013 A - Betahistine mesylate 2x1ab 17
- Paracetamol 4x500 mg kp dr. Layali
- Stimuno 2x1 tab Musafiroh
An.P, Perempuan, 9 bl, 7,2 - Rawat inap
kg. DADRS dan - IVFD RL 36 tpm (mikro)
Rhinofaringitis akut - Inj. Ranitidin 3x1/3A
10/09/2013 A - Inj. Ondansetron 3x1/3a 18
- Lacto-B 2x1 sachet
- Zinc 20 mg 1x1/2 tab dr. Layali
- Erlamol syr 3x1 cth Musafiroh
Ny. K, 55 th, kontrol post - Rawat Jalan
10/09/2013 B Close fraktur humerus - Asam mefenamat 3x500 mg dr. Layali 19
sinistra 1/3 proximal Musafiroh
Ny. P, 25 th, G3P0A2 uk 13 - Rawat inap
minggu dengan HEG derajat - IVFD RL loading 500 cc -->
II 30 tpm
10/09/2013 A - RL:D5%:NaCl 0,9% 1:1:1 30 20
tpm
- Inj. Ranitidin 3x1A dr. Layali
- Inj. Ondansetron 3x1A Musafiroh
- Neurosanbe drip 1A/24 jam
An. R, 7 th, 20 kg, DADRS, - Rawat Inap - IVFD RL
obs febris susp Thyfoid loading 200 cc--> 30 tpm -->15
fever tpm
- Inj. Chlorampheniol 4x250
mg (iv)
10/09/2013 A 21
- Inj. Ranitidin 3x1/2A
- Inj Ondansetron 3x1/2A
- Sanmol syr 3x2 cth
- L-Bio 3x1 sachet dr. Layali
- Plan: DL, widal Musafiroh
An. E, 7 th, 23 kg, Ob Rawat Jalan
Vomitus suspek intoksikasi - Antasida doen syr 3x1 cth
10/09/2013 A makanan - Ranitidin III, Papaverin III, 22
Vit BC III, Vit C II ,mf No.X dr. Layali
3x1 Musafiroh
Perempuan, 25 th, P1A0 - BLPL
post partum fisiologis Hari - Clindamicyn 3x300 mg
11/09/2013 A 23
ke-2 dengan PEB. TD: - Nifedipn 1x10mg dr. Layali
130/90 mmHg - Asam Mefenamat 3x500 mg Musafiroh
Perempuan, 35 th, P2A0 - IVFD RL 20 tpm
post partum SC atas indikasi - Inj. Cefriaxon 2x1 gr (iv)
11/09/2013 A 24
riwayat SC - Inj. Ketorolac 3x1A dr. Layali
- po. Gastrul tab 2x1 Musafiroh
Perempuan, 28 tahun, - Rawat Inap obervasi vk
G2P1A0 uk 37 minggu - IVFD RL 20 tpm
11/09/2013 A 25
JTHIU peskep puka in partu - Nifedipin 2x10 mg sl dr. Layali
kala I fase aktif dengan PER Musafiroh
Tn. T, 31 th, Ob Febris susp - Rawat Inap
Thyfoid Fever - IVFD RL 2 tpm
- Chloramphenicol 4x500 mg
12/09/2013 A 26
- Paracetamol 4x500 mg
- Rantidin 3x150 mg dr. Layali
- Plan : DL, Widal Musafiroh
Tn. S, 30 th, DADRS - Rawat inap
- IVFD RL 20 tpm
12/09/2013 A - Loperamid 2-1-1 27
- L-Bio x1 sach dr. Layali
- Omeprazol 2x1 tab Musafiroh
Ny . E, 29 th, G1P0A0 uk - Rawat inap
13 minggu dengn heg - IVFD RL loading 500 cc -->
derajat II 30 tpm - RL:D5%:NaCl ,9%
13/09/2013 A 1:1:1 30 tpm 28
- Inj. Ranitidin 3x1A
- Neosanbe drip 1A/24 jam Musafiroh
An. M, 10 th, 27 kg, - Rawat Inap
DADRS - IVFD RL 16 tpm
13/09/2013 A - Inj. Ranitidin 3x1/2 A 29
- Zinc 1x1 tab Musafiroh
Tn.T, 60 th, Kontrol multpel - Rawat Jalan
VL - Asam mefnama 3x500 mg
14/09/2013 B 30
- Ranitidin 3x150 mg dr. Layali
- Neurodex 1x1 tab Musafiroh
14/09/2013 A An. B, 7 th, 18 kg, GEA - Rawat jalan dr. Layali 31
tanpa dehidrasi - Ranitidin 2x75 mg Musafiroh
- Antacida doen syr 3x1/2 cth
- L-Bio sach 2x1
- Zinc tab 1x1
An. K, 4 th, 15 kg, GEADS - Rawat inap
susp intoksikasi makanan - IVFD RL 14 tpm (ma)
14/09/2013 A - Inj. Ranitidin 2x1/2A 32
- po Norit tab 3x5 tab dr. Layali
- Plan: DL Musafiroh
Tn. S, 54 th, Obs febris susp - Rawat inap
Chikungunya dd DHF - IVFD RL 20 tpm
14/09/20134 A - Paracetamol 4x500 mg 33
- Neurobion 1x1 dr. Layali
Tn. S, 54 th , Abdominaal Rawat inap
pain ec GERD, dd gastritis - IVFD RL 20 tpm + Ketorolac
1A drip (extra)
14/09/2013 B - Inj Ranitidin 2x1 A 34
- po Ciprofloxacin 2x500 mg
- Buscopan 3x1 tab dr. Layali
- Plan: DL, EKG Musafiroh
An. G, 3 th, 8,5 kg, DADRS - Rawat inap
- IVFD RL 36 tpm (mikro)
- Inj. Ondansetron 3x1/3 A
14/09/2013 A 35
- L-Bio 3x1 sachet
- Zinc 1x1/2 tab dr. Layali
15/09/2013 A Tn. W, 45 th, GEADS - Rawat inap dr. Layali 36
- IVFD RL LOADNG 500 CC Musafiroh
20 tpm
- Mecodiar 2 tab tiap kali BAB
- L-Bio 2x1 sach
- Zinc 1x1 tab - Plan: DL
Ny. U, 21 th, G2P1A0 uk 8 - Rawat inap
minggu dengan HEG - IVFD RL loading 500 cc -->
30 tpm
- Rl:D5%:NaCl 0,9% 1:1:1 30
15/09/2013 A tpm 37
- Neurosanbe drip 1A/24 jam
- Inj Ranitidin 3x1A
- Inj. Metocloperamid 3x1A dr. Layali
- Plan: DL, GDS Musafiroh
Tn. S, 56 th, susp Closed - Rawat inap
fraktur antbrachii dextra, - Wound toilet
hematom palpebra sinistra, - Immobilisasi spalk+elastic
band antebrachii sinistra
multipel VE
- IVFD RL 20 tpm
- Inj. Ceftriaxon 2x1 gr (iv,
15/09/2013 B 38
skintest)
- Inj. Ketorolac 2x1A kp
- Plan: Ro antebrachi sinistra
AP&lateral, Konsultasi dr dr. Layali
sp.OT Musafiroh
Ny. R, 22 th, G2P0A1 uk 36 - Rawat jalan - Microlac supp dr. Layali
16/09/2013 A 39
minggu dengan konstipasi 1 tube Musafiroh
An. P, perempuan, 3, th, 18 - Rawat inap
kg, GEADS - IVFD RL 56 tpm (mi)
- Inj Ranitidin2x1/2 A
16/09/2013 A 40
- Inj. Ondansetron 2x12A
- Myrasic syr 3x 1 1/2 cth dr. Layali
Nn. I, 19 th, GEADR Rawat jalan
- Cotrimoxazol forte 2x1
16/09/2013 A - Loperamid 2-1-1 tab 41
- Paracetamol 3x1 tab dr. Layali
- Vitazym 3x1 tab Musafiroh
Ny. K, 25 th, G1P0A0 uk Rawat inap
39 minggu JTHIU presbo in - IVFD RL 16 tpm
16/09/2013 A 42
partu kala I fase aktif - Observasi kemajuan dr. Layali
persalinan Musafiroh
Ny. D, 60 tahun, Hipertensi Rawat inap
Emergensi. TD: 200/110 - IVFD RL 20 tpm
mmHg - Inj. Ranitidin 3x1A
- Amlodipin 2x10 mg
17/9/2013 C 43
- Captopril 3x25 mg
- Plan: DL, GDS, Ureum, dr. Layali
Kreatinin, Ro thorax PA, EKG Musafiroh
Ny. A, 56 th, GEADS - Rawat inap
- IVFD RL 20 tpm
- Scopma 3x1 tab Musafiroh
Ny. R, 55 th, Hipertensi - Rawat inap
stage II, Gastritis. TD: - IVFD D5% 20 tpm
170/100 mmHg. - Inj. Ranitidn 3x1A
21/09/2013 A 45
- Inj. Ondansetron 3x1 A
- Catopril 3x 25 mg dr. Layali
- Nifedipin 2x5 mg Musafiroh
Tn. S, 58 th Obs febris susp - Rawat inap
thyfoid fever - IVFD RL 20 tpm
21/09/2013 A - Paracetamol 4x500 mg 46
- Antacida 3x1 tab dr. Layali
- Plan : DL, Widal Musafiroh
Ny. S, 38 th, Hipertensi - Rawat inap
stage I, GEADS - IVFD RL 20 tpm
21/09/2013 A - Inj. Ranitidin 3x1 A 47
- Captopril 3x12,5 mg Musafiroh
Tn. P, 30 th, Muliple VL - Rawat Jalan
- Wound toilet, hecting luar 3
- Inj. ATS 1.500 IU (im, skin
test)
- Clindamycin 3x300 mg
21/09/2013 B 48
- Asam mefenamat 350 mg
- Dexamethason 3x0,5 mg
- Ranitidin 3x1tab
- Edukasi: jaga luka tetap dr. Layali
kering, kontrol poliklinik Musafiroh
Tn. E, 23 th, GEADS - Rawat inap dr. Layali
21/09/2013 A 49
- IVFD RL 30 tpm Musafiroh
- Inj. Ranitidin 3x1 A
- L-Bio 3x1 sach
- Zinc 1x1 tab
- Plan: DL
Ny. T, 35 th, - Rawat inap
BPPV+Gastritis akut - IVFD D5%:RL 2:1 20 tpm
- Inj. Ranitidn 3x1 A
22/09/20103 A - Inj. Difenhidamin 3x1A 50
- Neurobion drip 1A (extra)
- Omeprazlol 2x1 tab dr. Layali
- Antacida Doen syr 3x2cth Musafiroh
Nn. I, 13 th, 24 kg, Obs - Rawat inap
febris 5 hari susp Thyfoid - IVFD RL 20 tpm
fever dd DHF - Inj. Ranitidin 3x1A
22/09/2013 A 51
- Paracetamol tab 3x500 mg dr. Layali
Ny. T, 60 th, Asma attack Rawat inap
pada asma persistten sedang, - O2 2-4 l/m
hipertensi stage II, susp TB - Nebulisasi Ventolin 2,5 mcg
paru kasus putus obat. TD: - IVFD RL 20 tpm
160/90 mmHg - Inj. Ranitidin 2x1 A
22/09/2013 C 52
- Ambroxol 3x1 tab
- Captopril 3x25 mg
- Plan: Ro thorax PA, GDS, dr. Layali
DL, sputum BTA SPS, EKG Musafiroh
An. R, perempuan, 7 bln, Rawat inap
6,5kg, GEADS, - IVFD RL loading 100 cc -->
Rinobronkhitis akut 30 tpm (mi)
- L-Bio 3x1 sach
22/09/2013 A 53
- Zinc x1/2 tab
- GG II, CTM II, PCT II, vit C
II mf X 3x1 dr. Layali
Tn. E, 33 th, Gasroenteritis - Rawat inap
kronik, Candidiais oral, - IVFD D5% 30 tpm
suspek AIDS - Inj. Ranitidin 3x1A
- Antacida Doen syr 3x2 cth
22/09/2013 A - L-Bio 3x1 sachet 54
- Zinc 1x1 tab
- Kandstatin drop 4x100.000
IU dr. Layali
- Plan: DL, GDS Musafiroh
Tn. S., 39 th, obs. Febris Rawat jalan
susp TF - Chloramphenicol 4x500 mg
23/09/2013 A 55
- Neurodex 1x1 tab - Plan: dr. Layali
DL, widal Musafiroh
Ny. M, 61 th,Obs dyspnea - Rawat inap
ec anemia gravis - O2 3 l/m
23/09/2013 C - IVFD NaCl 0,9% 20 tpm 56
(ma) dr. Layali
- Inj. Ranitidin 3x1A(iv) Musafiroh
Plan: DL, golongan darah,
EKG, Ro thorax
Tn. P, 30 th, VE Rawat jalan
dorsumpedis dextra et - Amoxicillin 3x 500 mg
23/09/2013 B 57
sinistra - Asam mefenamat 3x500 mg dr. Layali
-Neurodex1x1tab Musafiroh
Tn.W, 75 th,Obs dyspnea Rawat inap
susp PPOK dd TB paru - O2 3l/m
23/09/2013 B 58
- IVFD RL 20 tpm dr. Layali
- Paracetamol 4x500 mg Musafiroh
Ny. R, 50 th, GEADS Rawat inap
- IVFD RL loading 300cc
30 tpm
- Inj.Ranitidin 2x1A
24/09/2013 A - Inj. Ondansetron 2x1A 59
- Cotrimoxazol 2x1tab
- Scopamin plis 2x1 tab
- Zinc tab 1x2 dr. Layali
- New diatab 3x1 Musafiroh
Ny.M, 45 th,Multple VE, - Rawat inap
VL capitis - O2 2l/m
- IVFD RL 30 tpm
24/09/2013 C - Inj.Ondansetron 3x1A 60
- Ketorolac drip 3x 1 A
- Inj.Neurotam 3x1A
- Inj.Citicholin 3x 1 A dr. Layali
- Inj. Ceftriaxon 2x1 gr (iv, Musafiroh
skin test)
Ny. R,23 th, VE cruris Rawat jalan
24/09/2013 C dextra - Amoxicillin 3x500 mg dr. Layali 61
- Asam mefenamat 3x500 mg Musafiroh
An.Aditya,6 Rawat inap
th,15kg,Tonsilitiskronik - IVFD RL15 tpm
eksaserbasi akut - Inj.Ceftriaxon 2x250 mg
- Inj.Gentamicin 2x20 mg
24/09/2013 A 62
- Inj.MP 2x1/2cc
- Luminal II, PCT III,
Domperidon II, Vit. C III mf dr. Layali
X,3x1 Musafiroh
Ny.S,28 th, obs.febris susp rawat jalan
DHF dd TF - Amoxicillin 3x500 mg
24/09/2013 A - Ranitidin 3x150 mg 63
- Vitalong C1x1 tab Musafiroh
Tn. A, 25 th, TTH Rawat jalan
24/09/2013 A 64
- Vitalong c 1x1 tab Musafiroh
Tn.S, 75 th,Obs febris susp rawat inap
Chikungunya - IVFD RL loading 1000 cc
20 tpm
24/09/2013 A - Inj. Cefotaxim 2x1 gr 65
- Inj.Dexamethason 3x1A
- Luminal 2x1 tab
An.S, 7 th,Obs febris susp Rawat inap
DHF grade II - IVFD RL 40 tpm 4jam 20
tpm
- Paracetamol syr 3x1 cth
- DEHAF 2x1 dr. Layali
- Curcuma 2x1cth Musafiroh
Tn.S, 38 th,GEADS Rawat inap
- IVFD RL loading 300 tpm
30 tpm
- Inj.Ranitidin3x1A
24/09/2013 A - New diatab 3x1 67
- Cotrimoxazol 2x1
- Scopamin plus 2x1
- L-Bio 3x1sach dr. Layali
Ny.D,20 th, G1P0A0 uk rawat inap
39+4 minggu -Vakum ekstraksi
24/09/2013 A 68
JTHIU,preskep,inpartu kala dr. Layali
II lama Musafiroh
Ny.K,60th, gastritis rawat inap
- IVFD RL 16 tpm
- Inj.Ranitidin 3x1 A
25/09/2013 A 69
- Antasida doen syr 3x2 cth
- Omeprazol 2x1 tab dr. Layali
- Curcuma 3x1 tab Musafiroh
25/09/2013 A An.E,5th,15 kg, Kejang rawat inap dr. Layali 70
Demam Sederhana - IVFD D5%15 tpm Musafiroh
- Inj.Dexamethason 3x2cc
- Luminal 5 mg II, Vit. C 25mg
II,PCT 70mg III, mf X,3x1
An.H,2 th,9 kg,GEA rawat inap
dehidrasi sedang, - IVFD RL 300 cc loading-->
36 tpm
25/09/2013 A - Fuzide syr 3x1 cth 71
- Sanmol syr 3x3/4 cth
- L-bio 3x1/2sach dr. Layali
- Zinc 1x1/2tab Musafiroh
An.I, 1 th,8,5 kg, rawat inap
KDS,Rhinofaringitis akut - IVFD RL loading 200cc -->
30tpm (mi)
25/09/2013 B 72
- Sanmol syr 3x 3/4cth
- CTM II, GG II,Luminal II, dr. Layali
VitCII,m.f X,3x1 Musafiroh
ny. R,50 th,DM tipe 2 degan rawat inap
GEADS - IVFD RL loading 500cc --
>24tpm
-Inj.Ranitidin 3x1A
25/09/2013 A - Inj. Ondansetron1 A (extra) 73
- Glibenclamide1x5mg (1-0-0)
- New diatab 3x1 tab
- Scopamin plus3x1tab dr. Layali
- PCT 3x500mg Musafiroh
An.M,2 th, 9 kg,GEADS rawat inap dr. Layali
25/09/2013 A 74
-IVFD RL loading 150 cc -- Musafiroh
>36tpm (mi)
-L-Bio 3x 1/2sach
- Zinc 1x1/2tab
An. M,12 th, 20 kg,Obs rawat inap
febris susp DHFderajat II dd - IVFD RL loading 400 cc-->
TF 30 tpm
- Inj.Ranitidin 3x1/2A
25/09/2013 B 75
- sanmol syr4x2 cth
- Stimuno tab 1x1
- DEHAF2x 1/2sach dr. Layali
An.M, 9 bln,8,5 rawat inap
kg,GEADS,Rhinofaringitis - IVFD D5% loading 100 cc-->
akut 40 tpm(mi)
- Sanmol syr 4x1 cth
25/09/2013 A 76
- Lacto B 3x1/2sach
- Zinc 1x1/2tab
- GG II,CTM II,Vit C III,mf X dr. Layali
3x1 Musafiroh
Tn. S,40 th,Vl dorsum pedis rawat jalan
dextra,VE olecranon sinistra - wound toilet,hecting luar
- Inj ATS1.500 IU
25/09/2013 A (im,skintest) 77
- Amoxicillin 3x500 mg -
Asam mefenamat 3x500 mg - dr. Layali
Ranitidin 3x150 mg Musafiroh
An. F,14 th, susp Miopia Rujuk Sp.M dr. Layali
28/09/2013 A 78
ODS, Musafiroh
Tn.M, 23th,VE genu dan rawat jalan
olecranon sinistra - Amoxicillin 3x 500 mg
28/09/2013 C - Asam Mefenamat 3x 500mg 79
- ranitidin 3x 150mg dr. Layali
Ny. T,30 th, G3P2A0 uk 38 Rawat inap
minggu JTHIU preskep in - IVFD RL 16tpm
28/09/2013 B partudgn febris hari ketiga - Nifedipin1x 10 mg 80
dan Hipertensi gestasional - Paracetamol 3x500 mg dr. Layali
susp PER - Plan: DL,protein urin Musafiroh
An.S,12th, 36kg, Combustio rawat inap
derajat II-III luas 18% -IVFD RL16 loading 300 cc-->
30tpm
28/09/2013 C - Inj.Ranitidin 3x1/2A 81
- Bioplasenton saelp 3dd ue
-kompres luka/8 jam dengan dr. Layali
NaCl Musafiroh
Tn.Y,58 th,Asma attack rawat inap
- O2 4-5 lpm
- Nebulisasi Ventolin 1A
-IVFD D5% 16tpm
28/09/2013 B 82
- Methylprednisolon tab
2x4mg
- Salbutamol 3x2 mg dr. Layali
- Ambroxol3x30 mg Musafiroh
tn. M,59 th, Dm tipe 2 rawat jalan
29/09/2013 A dengan motion sickness - Dimenhidrinat 3x1 tab dr. Layali 83
- Domperidon 2x1 tab Musafiroh
- Ranitidin 3x150mg
- PCT 3x500 mg
- Glibenclamid 1x5 mg
- Metformin 3x500 mg
Ny. S, 60th,obs dyspnea ec rawat inap
susp CPC decompensata dd - O2 4-5lpm
Bronkopneumonia - Inj.Ceftriaxon 2x 1gr (iv)
- Inj.Furosemid 2x1A
29/09/2013 B 84
- Nifedipin1x10 mg
- Digoxin 1x0,125mg
- Plan: DL, Ur, Cr, GDS, ro dr. Layali
thorax PA, EKG Musafiroh
Ny.S, 25th, G1P0A0 uk 39 rawat inap dr. Layali
29/09/2013 B 85
minggu dengan inersia uteri -Konsul Sp.OG Musafiroh
An.L, 13 bulan, 7,5kg, Rawat inap
GEADS, Rhinofaringitis - IVFD RL loading 150 cc -->
akut 30 tpm (mi)
01/10/2013 A 86
- Lacto b 3x1/2sach
- Zinc 1x1/2tab
- GG II,CTM II,sacharin adlib dr. Layali
mf X 3x1 Musafiroh
Ny.N, 65 th,VL capitis rawat jalan
- wound toilet,hecting luar7
01/10/2013 B - Clindamycin 3x300 mg 87
- Asam mefenamat 3x500mg dr. Layali
01/10/2013 B Nn.A,25th,Vulnus punctum rawat jalan dr. Layali 88
plantar pedis sinistra Inj. ATS1500 IU Musafiroh
- Clindamycin3x300 mg
- Asam mefenamat 3x500mg
Ny.T, 21 1th, Vulnus Rawat jalan
Punctum plantar pedis - Inj. ATS 1.500 IU
01/10/2013 B sinistra - Amoxicillin 3x500 mg 89
- Asam mefenamat 3x500 mg dr. Layali
- Rantidin 3x150 mg Musafiroh
Ny. T, 50 th, GEADS Rawat inap
- IVFD RL loading 500 cc -->
30 tpm
02/10/2013 A - Inj. Ondansetron 3x1 A 90
- Loperamid 2-1-1 tab
- Scopamin plus 3x1 tab dr. Layali
Plan: DL Musafiroh
An. J, 10 th, 25 kg, GEADS rawat inap
16 tpm
02/10/2013 A 91
- Inj. Rantidin 3x1/2 A
- Lacto B 3x1 sach dr. Layali
- Zinc tab 1x20 mg Musafiroh
Tn. D, 60 th, Obs. dyspnea - Rawat inap
susp TB paru kasus baru, - O2 3-4 l/m, nasal canul
05/10/2013 C 92
hipertensi stage I , TD: - IVFD D5% 20 tpm dr. Layali
140/90 mmHg - Inj. Ranitidin 3x1 A Musafiroh
- Amboxol tab 3x30mg
- Amlodipin 1x10mg
- Curcuma 3x1 tab
- Plan: DL, EKG, Ur, Cr, GDS,
Ro thorax PA, BTA SPS
Ny. S, 34 th, Gastritis kronik - Rawat inap
- IVFD D5% 20 tpm --> D5%:
RL 1:1
- Inj Ondansetron 3x1 A
- Antasida doen syr 3x2 cth Musafiroh
Nn. S, 19 th, Obs febris susp - Rawat inap
TF dd DHF, Gastritis akut - IVFD D5% 20 tpm 2 flab --
> RL 20 tpm
05/10/2013 A - Inj. Ondansetron 1A (extra) 94
- PCT 4x500 mg
- Curcuma 1x1 tab
- Plan: Dl, Widal, GDS: 77 dr. Layali
mg/dl Musafiroh
Ny. S, 55 th, Obs febris susp - Rawat inap
TF dd DHF - IVFD RL loading 500 cc -->
maintenance 20 tpm
- Inj Ondanasetron x1 A
- Paracetamol 4x500 mg dr. Layali
- Plan: DL, widal
Ny. N, 44 th, BPPV - Rawat inap
- IVFD RL 20 tpm
- Betahstin mesylate 3x1 tab
- Antasida Doen 3x2 cth Musafiroh
Ny. K., 50 th, GEADS, - Rawat inap
Hipertensi stage II, susp DM - IVFD RL loading 300 cc -->
tipe II. TD: 170/100, GDS: maintenance 20 tpm
359 mg/dl - Inj. Ranitidin 3x1A
05/10/2013 A - Cotrimoxaol 3x1 tab 97
- Scopamin plus 3x1 tab
- Captopril 3x25 mg
- Plan: DL, GDP. G2PP, Ro dr. Layali
thorax PA Musafiroh
An. G, 6 th, 20 kg, VE reg - Rawat jalan
05/10/2013 B capitis - Amoxicillin yr 3x1 cth dr. Layali 98
- Erlamol syr 2x cth Musafiroh
Ny. K, 57 th, GERD - Rawat inap (APS)
- IVFD RL16 tpm
- Ranitidin 3x 150mg
05/10/2013 A 99
- Omeprazol 2x1 tab
- Antasida doen syr 3x 2 cth dr. Layali
Ny. E, 6 th, DM tipe II, - Rawat jalan
Hipertensi stage II. TD: - Glimepirid 1x1 mg
05/10/2013 A 180/100 mmHg, GDS: 143 - Captopril 3x 25 mg 100
mg/dl - Amlodipin 1x10 mg dr. Layali
An. E, 9 bln, 9,2 kg, - Rawat inap
GEADS - IVFD D5%-1/4 NS loading
100 cc--> maintenance 36 tpm
(mi)
05/10/2013 A 101
- Lacto-B 2x1/2 sach
- Zinc 1x10 mg
- Paracetamol drop 3x0.9 cc dr. Layali
Ny. A, 20 th, obs. vomitus Rawat inap Bilas lambung
ec intoksikasi larutan 500 cc NaCl --> jernih--
pemutih pakaian; Tentament >puasakan 6 jam
suicide - IVFD RL loading 50 cc -->
07/10/2013 C 30 tpm --> 20 tpm 102
- Norit 3x6 tab
- Alprazolam 1x0,5 mg (0-0-1) dr. Layali
Tn. A, 27 th, Multiple VE - Rawat jalan
- Wound toilet
- Amoxicillin 3x 500 mg
07/10/2013 B 103
An. B, 8 th, 20 kg,VL reg - Rawat jalan
Fontal dextra - Hecting luar 2
07/10/2013 B 104
- Amoxicillin syr 3x1 cth dr. Layali
- Paracetamol syr 3x2 cth Musafiroh
An. L, 5 th, 8,5 kg, KDS, - Rawat inap
obs febris h1. t: 42 C - IVFD RL 12 tpm (ma)
07/10/2013 C 105
- Diazepam 5mg III, Vit C III,
Vit BC III --> No. X, 3x1 dr. Layali
Tn. S, 80 th, Hipertensi - Rawat jalan
stage I, Retensio urine susp - Ganti kateter urin
07/10/2013 A BPH. TD: 150/90 mmHg - Ciprofloxacin 2x500 mg 106
- Ranitidin 2x150 mg - dr. Layali
Captopril 1x12,5 mg Musafiroh
Ny. T,2 th, Gastritis akut - Rawat jalan
- Ranitidin 3150 mg
07/10/2013 A 107
- Antasida doen syr 3x2 cth dr. Layali
- Omepraol 2x1 tab Musafiroh
An. S, 12 th, 27 kg , Obs Rawat inap
febris susp TF, gastritis - IVFD RL 20 tpm
- Inj Ranitidin 2x50 mg
07/10/2013 A - Inj. Ondansettron 2x4 mg 108
- Paracetamol 3x3 cth
- Antasida syr 3x2 cth dr. Layali
- Plan: DL, Widal Musafiroh
Tn. N, 28 th, Vomitus ec - Rawat jalan dr. Layali
07/10/2013 A 109
intoksikasi obat kuat - Domperidon 3x1 tab Musafiroh
- Ranitidin 2x1 tab
- Diazepam 1x2mg
Tn. S, 18 th, CKR, VL - Rujuk
labium superior, Multiple - IVFD RL loading 500 cc -->
VE . GCS: E4M6V3. 20 tpm
07/10/2013 C 110
- Inj. cefotaxim 2x 1 gr (iv),
skin test dr. Layali
- Inj. Ranitidin 250 mg Musafiroh
Ny. S, 40 th, Multiple VE - Rawat jalan
- Wound toilet
- Amoxicillin 3x500 mg
07/10/2013 B 111
An. A, 4 th, 12kg, VE reg - Rawat jalan
07/10/2013 B facial - Amoxicillin syr 3x1cth dr. Layali 112
- PCT syr 3x1 cth Musafiroh
An. L, 5 thh, 8,5 kg, KDS, -Rawat inap - IVFD D5%-
obs febris H3 susp thypoid 1/4NS loading 100 cc --> 36
fever. t: 39,3 C tpm (mi)
- Inj. Ranitidin 3x1/2 A
08/10/2013 A 113
- PCT syr 4x1 cth
- Diazepam 5 mg III, Vit C III,
Vit BC III --> No. X, 3x1 - dr. Layali
Plan: Widal Musafiroh
An. E, 1 th, 9 kg, GEADS, Rawat inap
08/10/2013 A Rhinofaringitis akut - IVFD RL Loading 100 cc--> dr. Layali 114
36tpm (mi) Musafiroh
- Paracetamol drop 4x0,9 cc
- L-bio 2x1/2 sach
- Zinc syr 1x1/2 cth
- GG II, CTM III,
Dexamethason 0,5 mg II
sacharin lib --> No.X, 3x1
- Plan: DL
Ny. V, G1P0A0 usia 19 - Rawat inap kebidanan -
tahun uk 40 minggu JTHIU IVFD RL 16 tpm
10/10/2013 A 115
preskep puki belum in partu dr. Layali
dengan ketuban pecah awal. Musafiroh
An. L, 8 bln, 8,5 kg, Obs - Rawat inap
febris suspek DHF dd TF - IVFD RL Loading 100 cc-->
32 tpm (mi)
10/10/2013 A 116
- Plan: DL (trombosit
36.000/mm3, Widal S.thypii dr. Layali
O:1/80 Musafiroh
An. Q, 9 bln, 6,8 kg, Rawat inap
GEADS, Rhinofaringitis - IVFD RL loading 100 cc -->
akut 28 tpm (mi)
10/10/2013 A 117
- Lacto B 3x1/2 sach
- Zinc 1x1/2 tab
- GG II, CTM II, dr. Layali
Dexamethason II, mf No. X, Musafiroh
3x1
Tn. S, 37 th, Open fraktur - Rawat jalan
tibia et fibula dextra 1/3 - Ro Cruris dextra AP&lateral
medial displaced neglected - Clindamycin 3x300 mg
10/10/2013 B 118
- pro Konsultasi Sp.OT, pasien dr. Layali
menolak. Musafiroh
Tn. K., 60 th, Obs febris - Rawat inap
susp Thyfoid fever dd DHF - IVFD RL 20 tpm
10/10/2013 A - Paracetamol 3x500mg 119
- Curcuma 3x1 tab dr. Layali
- Antasida 3x2 cth Musafiroh
Tn. M, 3 th, Obs - Rawat inap
heematemesis-melena up - IVFD D5% 20 tpm
hepatiis, dd cholelithiasis, - Inj.Ranitidin 3x1A
gastritis erosive, ulkus - Inj. Metoclopramid 3x1A
10/10/2013 C 120
peptikum - Inj. Asam tranamat 3x500 mg
- Curcuma 3x1 tab
- Plan: DL, GDS (87 mg/dl), dr. Layali
HBsAg, Bilirubin Musafiroh
An. P, 14 bln, 8 kg, KDK. - Rawat inap
s: 38C, kejang 2x - IVFD RL loaoding 100 cc--
>aintenance 32 tpm (mi)
10/10/2013 A - Paracetamol drop 4x0,8 cc 121
- Luminal 30 mg IV, VIt C III,
Vit BC III, No. X, 3x1 - dr. Layali
Plan: DL Musafiroh
10/10/2013 B Tn. H, 18 th, Vulnus - Rawat jalan dr. Layali 122
laseratum digiti II manus - Wound toilet, Hecting luar 1 Musafiroh
sinistra - Amoxicillin 3x500 mg
- Neurodex 1x1 tab
Ny. K, 50 th, Hipertensi - Rawat inap
grade II, gastritis. - IVFD RL 20 tpm
TD:152/120 mmHg - Ranitidin 3x150 mg
- Captopril 3x25 mg
10/10/2013 A 123
- Amlodipin 1x10 mg
- Neuroex 2x1 tab
- Plan: DL, GDS, Ur, Cr, Ro dr. Layali
thorax PA Musafiroh
Nn. R, 16 th urtikartia Rawat jalan
- Dexamethason 3x1 tab
10/10/2013 A 124
- Loratadin 1x1 tab dr. Layali
Ny. S, 19 th, G1P0A0 40 - Rawat inap
minggu JTHIU,prekep, in - IVFD RL 20 tpm
10/10/2013 A 125
partu dengan kala II lama - Pimpin persalinan dr. Layali
- Konsultasi dr. Arif, Sp.OG Musafiroh
An. K, 14 bln, 13 kg kontrol - Rawat jalan
post diare dan faringitis akut - Cefadroxil 2x1 cth
12/10/2013 A 126
- Cetirizine II, Dexamethason dr. Layali
II, Vit C III, mf No.X, 3x1 Musafiroh
Tn. W, 80 th, kontrol VL - Rawat jalan
12/10/2013 A, B palmar sinistra, hipertensi - Aff hecting dr. Layali 127
stage I. TD: 140/90 mmHg - Captopril 1x12,5 mg Musafiroh
- Neurodex 1x1 tab
An. M, 2,5 th, 11 kg, - Rawat inap
GEADS - IVFD RL loading 100 cc-->
10tm (ma)
- Inj Ranitidin 2x1/2A
12/10/2013 A 128
- Inj Metoclopramid 2x1/2A
- Lacto-B 2x1 sach
- Zinc 1x20 mg dr. Layali
Ny. A, 20 th, kontrol post - Rawat jalan
intoksikasi bayclin, gastritis - Ranitidin 3x150 mg
12/10/2013 A - Omeprazol 2x1 tab 129
- Vitazym 2x1 dr. Layali
- Curcuma 3x1 Musafiroh
An. S, 2 th, 12 kg, Febris - Rawat jalan
usp TF, Rhinofaringitis - Cefadroxil 2x1 cth
12/10/2013 A akut. - Paracetamol syrup 4x1 cth 130
- Dexamethason II, GG II, Vit dr. Layali
C III, mf no.X, 3x1 Musafiroh
Ny. T, 33 th, Hipertensi - Rawat jalan
stage II. TD: 180/90 mmHg. - Captopril 3x 25 mg
12/10/2013 A 131
- Neurox 1x1 tab dr. Layali
- SF 1x1 tab Musafiroh
Tn. W, 16 th, kontrol VE - Rawat jalan dr. Layali
12/10/2013 B 132
reg capitis - Vitalong C 1x1 tab Musafiroh
Tn. A, 62 th, gastritis - Rawat jalan
12/10/2013 A - Lagesyl syr 3x1 cth dr. Layali 133
- Laproton 2x30 mg Musafiroh
- Neurobion 1x1 tab
Ny. S, 25 th, intoksikasi - Rawat inap
alkohol, gastritis - IVFD D5% 16 tpm
- Antasida syr 3x2 cth Musafiroh
Tn. R, 65 th, obs dyspnea - Rawat inap
susp PPOK, dd TB paru, - IVFD RL 16 tpm
pneumothorax. - Inj. Ranitidin 2x1A
12/10/2013 C - Aminofilin 3x1 tab 135
- Dexamethason 3x1 tab
- Captopril 1x25 mg dr. Layali
- Plan: EKG, Ro thorax PA Musafiroh
An.A, 3 th, 16 kg, observasi - Rawat inap
febris susp Thyfoid fever dd - Plan: DL, widal
12/10/2013 A DHF - IVFD RL 12 tpm 136
- Paracetmol syr 3x 1 1/2 cth dr. Layali
- GG III, CTM II, Vit C III Musafiroh
Tn. M, 53 th, hipertensi - Rawat inap
stage II, susp DM tipe II. - IFVD RL 20 tpm
TD: 190/100 mmHg, gds; - Captopril 3x25 mg
15/10/2013 A 258 mg/dl. - HCT 1x1 tab (1-0-0) 137
- Plan: DL, GDP, GD2PP, dr. Layali
EKG: LVH Musafiroh
Tn. T, 80 th, multiple VE, - Rawat jalan
15/10/2013 A, B hipertensi stage II. TD: - Amoxicillin 3x500 mg dr. Layali 138
160/100mmHg - Captopril 3x12,5 mg Musafiroh
- Neurodex 2x1 tab
- Vitalong C 1x1 tab
Ny. N, G1P0A0 usia 31 - Rawat inap
tahun uk 37 minggu preskep - IVFD RL 16 tpm
dengan hipertensi dalam - Plan: DL, proten urin
15/10/2013 A 139
kehamilan sup PER dd PEB,
susp panggul sempit. TB: dr. Layali
138 cm, TD: 136/90 mmHg Musafiroh
Ny. N, 55 th,Hipertensi - Rawat jalan
stage II dengan epistaksis. - Captopril 3x25 mg
15/10/2013 A TD: 180/100 mmHg. - Propanolol 1x40 mg 140
- Kalnex tb 2x500 mg dr. Layali
Tn. R, 60 th, VL dorsum - Rawat jalan
pedis sinistra - Wound toilet, hecting
- Inj. ATS 1500 IU, im, skin
15/10/2013 B test 141
Nn. A 29 th, gastritis akut, - Rawat jalan
susp ISK - Amoxicillin 3x500 mg
15/10/2013 A - Scopamin plus 3x1 tab 142
- Ranitidin 2x150mg dr. Layali
- Antasida doen syr 3x2cth Musafiroh
Ny. K, 65 th, GEADS Rawat inap dr. Layali
15/10/2013 A 143
- IVFD RL loading 500 cc-- Musafiroh
>20 tpm
- Miratrim 2x2 tab
- Mecodiar 3x1 tab
- Omegdiar 3x1 tab
-Vosea 3x1 tab
Ny. A, 29 th, G2P1A0 uk 39 - Rawat inap
minggu dengan hipertensi - IVFD RL 16 tpm
15/10/2013 A 144
dalam kehamilan suspek - Nifedipin 4x10 mg dr. Layali
PEB. TD: 169/114 mmHg. - Plan: DL, protein urin Musafiroh
Ny. R, 39 th, G3P2A0 uk 41 - Rawat inap observasi
minggu JTHIU preskep kemajuan persalinan
dengan hipertensi dalam - Plan: DL, protein urin
17/10/2013 A kehamilan susp PER dd - IVFD RL 16 tpm 145
PEB. TD: 140/90 mmHg - Nifedipin 2x10 mg
- Gastrul per vag 1/8 tab tiap 6 dr. Layali
jam Musafiroh
An. A, 8 bln, 8 kg, GEADS, - Rawat inap
obs febris susp demam - Plan: DL, widal
tifoid. - IVFD RL loading 150 cc -->
12 tpm
17/10/2013 A - Inj. Ranitidin 2x1/2 A 146
- Inj. Ondansetron 2x1/2A
- Lacto B 2x1 sach
- Zinc syr 1x1/2 cth dr. Layali
Tn, D, 53 th, vulnus Rawat jalan dr. Layali
17/10/2013 B 147
laseratum plantar pedis - Wound toilet, hecting Musafiroh
dextra. - Inj. ATS 1500 IU, im
- Clindamycin 3x300 mg
- Neurodex 2x1 tab
Ny. I, 4 th, VE digiti I pedis Rawat jalan
dextra - Amoxicilin 3x500 mg
17/10/2013 B 148
- Vitalog C 1x1 tab Musafiroh
Tn. D, 55 th, VE reg cruris Rawat jalan
dextra - Amoxicilin 3x500mg
17/10/2013 B - Paracetamol 3x500 mg 149
Ny. K, 60 th, hipetensi stage - Rawat inap
II, gastritis. TD: 180/100 - IVFD RL 20 tpm
mmHg - Inj. Ranitidin 2x1A
- Inj. Metoclopramid 2x1A
18/10/2013 A 150
- Captopril 3x25 mg
- HCT 1x25 mg (1-0-0)
An. K, 1,5 th, 8 kg. - Rawat inap dr. Layali
18/10/2013 A 151
Vomitus, TB paru dalam - IVFD RL 30 tpm (mi) Musafiroh
pengobatan fase intensif - Domperidon syr 3x1 cth
- Terapi TB dilanjutkan
Ny. M, 22 th, G2P1A0 uk Rawat inap
38 minggu JTHIU preskep - IVFD RL 20 tpm
puka in partu dengan - Nifedipin 3x10 mg
18/10/2013 A 152
hipertensi gestasional - Plan: DL, Protein urin
suspek PER. TD 150/90 - Observasi kemajuan dr. Layali
mmHg. persalinan Musafiroh
Nn. L, 22 th, GERD dd Rawat jalan
gastritis - Ranitidin 3x150 mg
18/10/2013 A - Lansoprazol 2x1 tab 153
- Antasid 3x2 cth dr. Layali
An. R, 7 bln, Diare Cair Rawat jalan
Akut tanpa Dehidrasi, 8,5 - L-Bio 3x1/2 sach
18/10/2013 A 154
kg - Zinc 1x1/2 tab dr. Layali
- Paracetamol drop 3x0,9 cc Musafiroh
Tn. D, 53 th, kontrol VL Rawat jalan
plantar pedis dextra - Ganti balut
20/10/2013 B 155
Ny. K, 45 th, VE manus Rawat jalan
20/10/2013 B - Ranitidin 3x150 mg 156
- Vitalong C1x1 tab Musafiroh
Tn. R, 59 th, VE genu Rawat jalan
20/10/2013 B - Ibuprofen 2x400 mg 157
Ny. Y, 25 th, Vomitus ec Rawat jalan (menolak rawat
susp hepatitis akut dd inap)
Cholesistitis, Thyfoid fever - Ibuprofen 3x400 mg
20/10/2013 A - Curcuma 3x1 tab 158
- Metoclopramid 3x1 tab
- Ranitidin 2x150mg dr. Layali
- Livron B plex 2x1 tab Musafiroh
An. R, perempuan, 5 bln, Rawat inap
5,5 kg, GEADS, febris susp - IVFD D5%-1/4NS loading
Thyfoid fever 100 cc --> 22 tpm (mi)
20/10/2013 A - Lacto-B 2x1/2 sach 159
- Zinc syr 1x1/2 cth
- PCT drop 3x0,6 cc dr. Layali
Tn. D, 53 th, kontrol VL Rawat jalan
plantar pedis dextra - Ganti balut
- Ciprofloxacin 2x500 mg
23/10/2013 B - Metronidazol 3x500 mg 160
Ny. S, 50 th, Rawat jalan dr. Layali
23/10/2013 A 161
Laringitis+gastritis akut - Dexamethason 3x0,5 mg Musafiroh
- Ranitidin 3x1 tab
- Lansoprazol 1x1 tab
Ny. K, 53 th, DM tipe II. Rawat jalan
GDS: 285 mg/dl - Glimepirid 1x1 mg
23/10/2013 A 162
- Metformin 2x500 mg dr. Layali
Ny. E, 26 th, Febris susp Plan: DL, Widal. Hasil:
Thyfoid fever. S:38,5C Leukosit 6.300/mm3, Widal S.
Typhii O dan H: +1/320
-Rawat jalan
23/10/2013 A 163
- Neurodex 1x1 tab
- Edukasi: tirah baring, diet dr. Layali
lunak. Musafiroh
Ny. S, 61 th, Osteoarthritis Rawat jalan
Genu sinistra - Na diclofenac 2x25 mg
23/10/2013 A - Ranitidin 2x150 mg 164
- Livron B plex 1x1 tab dr. Layali
-Fisioterapi Musafiroh
Nn. F, 18 th, BPPV Rawat jalan
- Betahistin mesylate 2x1 tab
23/10/2013 A - Ranitidin 2x1 tab 165
- Saran konsultasi dr. Sp.S Musafiroh
23/10/2013 A Tn. T, 43 th, Gasritis, Rawat jalan dr. Layali 166
kontrol post GEADS - Ranitidin 2x1 tab Musafiroh
- Antasida doen syr 3x2 cth
- Neurodex 1x1 tab
Tn. N, kontrol post op Rawat jalan
Tumor supraorbita dextra - Aff hecting 2
23/10/2013 B 167
Ny. D, 60 th, DM tipe II, rawat jalan (menolak rawat
dispepsia. GDS: ##high. inap)
TD: 130/90 mmHg - Glibenclamid 2x5 mg
23/10/2013 A 168
- Lansoprazol 1x30 mg dr. Layali
An. B, 5 th, Febris suspek rawat jalan
thyfoid fever. S:39C, BB 20 - Cefadroxil syr 2x1 cth
23/10/2013 A kg. - PCT syr 3x1 1/2 cth 169
- Curcuma 3x1 cth dr. Layali
Ny. S, 44 th, ODS Rawat jalan
24/10/2013 A Konjungtivitis kronik - Alletrol tetes mata 6x1 tetes dr. Layali 170
ODS Musafiroh
An. D, perempuan, 5 th, 15 Plan: DL (Trombosit
kg, Observasi febris hari ke- 178.00.mm3, leukosit
4 susp Thyfoid fever dd 4300/mm3), Widal S. Thyphii
24/10/2013 A DHF O dan H: +1/320 171
- Rawat inap
- IVFD RL loading 100 cc --> dr. Layali
15 tpm (ma) Musafiroh
- Thiamphenicol syr 3x1 cth
- PCT syr 3x1 1/2 cth
- Curcuma syr 3x1 cth
Ny. C, 30 th, G3P2A0 uk Plan: DL, protein urin
39+6 minggu JTHIU - Rawat inap
preskep puka dengan - IVFD RL 16 tpm
24/10/2013 A 172
hipertensi gestasional susp - Nifedipin 4x10 mg
PEB. TD: 160/100 mmHg - Observasi kemajuan dr. Layali
Tn. S, 25 th, Observasi Plan: DL, Widal, Apusan darah
febris suspek malaria dd tepi Plasmodium
thyfoid fever. S:39C - Rawat inap
24/10/2013 A - IVFD RL 20 tpm 173
- Pct 3x500 mg dr. Layali
Tn. H, 72 tahun, hipertensi Rawat jalan
stage II, Diare akut tanpa - Captopril 3x25 mg
dehidrasi. TD: 165/100 - HCT 1x5 mg (1-0-0)
24/10/2013 A 174
mmHg. - Ranitidin 2x150 mg
- Antasida 3x2cth dr. Layali
- Lacto-B 3x2 sach Musafiroh
Tn. T, 37 th, Multple VE Rawat jalan
- Wound toilet
25/10/2013 B - Amoxicillin 3x500 mg 175
- Vit. C 1x1 tab Musafiroh
Ny. K, 36 th, VL dorsum Rawat jalan
pedis dextra, VE pedis - Wound toilet, hecting luar 2
25/10/2013 B 176
- Vit. C 1x1 tab Musafiroh
Tn. A, 27 th, myalgia post Rawat jalan
25/10/2013 A trauma - Neurodex 2x1 tab dr. Layali 177
Ny. T, 50 th, Observasi Plan: DL (Leukosit
febris susp Thyfoid fever dd 14.000/mm3, trombosit
DHF. S: 39C 258.000/mm3), Widal -
(S.typhii O dan H: +1/160),
GDS: 97mg/dl. EKG: sinus
takikardi
25/10/2013 A - Rawat inap 178
30 tpm --> RL:D5% 1:1 30
tpm
- Ciprofloxacin 2x500 mg dr. Layali
An. J, 5 th, 15 kg, GEADS Rawat inap
- IVFD RL loading 150 cc --
>12 tpm
25/10/2013 A 179
- Cotrimoxazol syr 2x1 cth dr. Layali
- L.Bio 2x1 sach Musafiroh
- Zinc syr 1x1 cth
- Plan: DL
Tn. M, 45 th, Hernia Rawat jalan (pro konsultasi
scrotalis dextra+dispepsia Sp.B, pasien menolak rawat
inap)
- Scopma plus 3x1 tab
25/10/2013 A, B 180
- Antasida doen 3x2cth dr. Layali
- Curcuma 3x1 cth Musafiroh
Tn.S, 80 th, Bronkhitis akut, Rawat jalan
hipertensi terkontrol. TD: - Ambroxol 3x30 mg
26/10/2013 A 130/90 mmHg - Erlamol 3x1 cth 181
- Bufantasid 3x1 tab dr. Layali
Tn.D, 53 th, kontrol VL Rawat jalan
plantar pedis dextra - Aff hecting 3
- Metronidazol 3x500 mg
26/10/2013 B 182
An. R, 12 th, 23 kg, Obs. Rawat inap
Febris susp thyfoid fever dd - IVFD D5%-1/4NS loading
DHF 200 cc--> 16 tpm
- Paracetamol 3x1/2tab
- L-Bio 2x1 sach dr. Layali
- Curcuma 3x1 cth Musafiroh
- Plan: DL, Widal
Tn. M, 40 th, LBP Rawat jalan
- Na diclofenac 2x25 mg
26/10/2013 A 184
Ny. P, 45 th, Gastritis akut Rawat inap
- IVFD RL 20 tpm
- Bufantasid tab 2x1 dr. Layali
- Curvit 3x1 tab Musafiroh
Tn. K, 50 th, susp Rawat jalan
ureterolithiasis sinistra - Nefrolit 3x1 tab
26/10/2013 B 186
- Spasminal 3x1 tab dr. Layali
- Analtram 3x1 tab Musafiroh
Ny. D, 60 th, Gastritis, susp Rawat inap
ISK - IVFD RL 20 tpm
- Inj. Metoclopramid 3x1 A
02/11/2013 A 187
- Omeprazol tab 1x1
- Curvit 3x1 tab
- Plan: DL, UL Musafiroh
An. A, 10 th, 20 kg, Obs. Rawat inap
Febris 4 hari susp DHF dd - IVFD RL loading 200 cc-->
Thyfoid fever 15 tpm
02/11/2013 A 188
- Inj. Metoclopramid 2x1/2 A
- Inj. Ranitidin 2x1/2 A dr. Layali
- Curvit 3x1 tab
- DEHAF 2x1 sch
Ny. M, 33 th, P2A1 susp Rawat jalan (APS)
abortus komplet dd abortus - Clindamycin 3x300 mg
02/11/2013 A 189
inkomplet - Asam mefenamat 3x500 mg dr. Layali
- Livron B plex 1x1 tab Musafiroh
Ny. R, 29 th, G4P1A2 uk 39 Rawat inap
minggu presbo puka in partu - IVFD RL 16 tpm
02/11/2013 A 190
kala I fase aktif dengan - Inj. Amoxicillin 3x1 gr (iv) dr. Layali
KPD Observasi kemajuan persalinan Musafiroh
Ny. T, 23 th, G1P0A0 uk 40 Rawat inap
mgg presbo puka in partu - IVFD RL 20 tpm
02/11/2013 A 191
kala I fase aktif - Observasi kemajuan dr. Layali
Ny. S, 60 th, Obs dyspnea Rawat inap
susp BrPn dd CHF, TB paru - O2 2-3 l/m, nasal canul
- IVFD RL 20 tpm
- Inj. Cefotaxim 2x1 gr (iv,
skin test)
02/11/2013 C 192
- Inj. Furosemid 1A (extra)
- Ambroxol 3x30 mg
Plan: DL, Ur, Cr, Ro thorax dr. Layali
PA Musafiroh
An. Z, 3 th, 16 kg, GEADR Rawat jalan
- Zinc 1x1 tab
06/11/2013 A 193
- Norvom syr 3x1/2 cth Musafiroh
Tn. K, 31 th, DADR, Rawat jalan
hipertensi stage II. TD: - Captopril 3x12,5 mg
06/11/2013 A 194
170/110 mmHg - Mecodiar 3x1 tab dr. Layali
- Dimenhidrinat 3x1 tab Musafiroh
An. A, 2 th, 10 kg, DADRS Rawat inap
- IVFD RL loading 100 cc-->
10 tpm
- Inj. Ondansetron 2x1/4A
06/11/2013 A 195
- Kaotin syr 3x1 cth
- L-Bio 3x1 sach
- Plan: DR, widal Musafiroh
Ny. R, obs febris, post Rawat inap
partum 2 minggu - IVFD RL 20 tpm
06/11/2013 A - Inj. Scopamin 2x1A 196
- Erlamol 3x1 tab dr. Layali
- Plan: DR, Urin rutin, widal Musafiroh
Tn. W, 60 th, GEADS Rawat inap
- IVFD RL 30 tpm
- Diastop 3x1 tab
Ny. T, 27 th, G2P1A0 uk Rawat inap
39+5 minggu JTHIU - IVFD RL 16 tpm
06/11/2013 A 198
presentasi kaki, puki, in - Observasi kemajuan dr. Layali
partu kala I fase aktif persalinan Musafiroh
An. Q, 9 bln, 6,5 kg, Rawat inap
GEADS, obs febris susp - IVFD RL loading 100 cc-->
Thyfoid fever 28 tpm (mi) --> RL:D5-1/4NS
06/11/2013 A 1:1 28 tpm (mi) 199
- Paracetamol drops 4x0,7 cc
- L-Bio 2x1/2 sach Musafiroh
Ny. N, 24 th, susp tumor Rawat jalan
mammae dextra - Amoxiciin 3x500 mg
06/11/2013 B 200
- Kontrol ke poli bedah Musafiroh
Ny. S, 39 th, kontrol VL Rawat jalan
capitis+supraorbita sinistra - Ganti balut
07/11/2013 B 201
Tn. A, 17 th, Bronkhitis Rawat jalan
kronis - Cefadroxil 2x500 mg
07/11/2013 A - Fludane plus 3x1 tab 202
- Ranitidin 2x1 tab dr. Layali
An. M, 4 th, 15 kg, kontrol Rawat jalan
07/11/2013 B vulnus amputatum digiti V - Aff hecting dr. Layali 203
pedis sinistra - Paracetamol syr 3x1 cth Musafiroh
07/11/2013 B An. A, 13 th, 31 kg, kontrol Rawat jalan dr. Layali 204
VE plantar pedis dextra - Wound toilet, ganti balut Musafiroh
- Gentamisin salep 1xoles
- Bioplasenton salep 1xoles
Ny. S, 59 th, Dispepsia, PV Rawat jalan
- Ranitidin 3x1 tab
07/11/2013 A - Omeprazol 1x1 tab 205
- Ketokonazol salep 2xoles Musafiroh
Ny. R, 44 th, Dispepsia, Rawat jalan
susp anemia - DL: pasien menolak
07/11/2013 A 206
- SF 2x1 tab
- Curvit 3x1 tab dr. Layali
Ny. I, 45 th, konrol post Rawat jalan
thyfoid fever - Chloramphenicol 4x500 mg
07/11/2013 A 207
Ny. R, 60 th, Fatigue, Rawat jalan
hipertensi terkontrol. TD: - Captopril 1x12,5 mg
07/11/2013 A 110/90 mmHg - Neurodex 2x1 tab 208
Ny. J, 70 th, DADRS, Rawat jalan
07/11/2013 A hipertensi stage II. TD: - Captopril 3x25 mg dr. Layali 209
161/95 mmHg - New diatab 3x1 tab Musafiroh
- Scopamin plus 3x1 tab
- L-Bio 3x2 sach
- Ranitidin 2x1 tab
Tn.S, 53 th, hipertensi stage Rawat jalan
I, gastritis. TD: 147/80 - Captopril 3x12,5 mg
08/11/2013 A 210
mmHG - Ranitidin 3150 mg dr. Layali
Ny R, 38 th, myalgia Rawat jalan
08/11/2013 A 211
Ny. N, 31 th, obs dyspnea ec Rawat inap
alergi makanan - O2 2-3 l/m
08/11/2013 A - IVFD D5% 20 tpm 212
- Inj. Dexamethason 3x1A dr. Layali
- Loratadin 1x1 tab Musafiroh
An. Z, 13 th, 50 kg, CKR, Rawat jalan
hematom reg. Capitis, VE - Amoxicillin 3x500 mg
reg cruris sinistra - Piracetam 3x400 mg
09/11/2013 B 213
Tn. H, 52 th, GEADS Rawat inap
30tpm
09/11/2013 A 214
- New diatabs 3x1 tab Musafiroh
- Scopma 3x1 tab
Plan: DL
Tn. K, 41 th, GEADS Rawat inap
30 tpm
09/11/2013 A 215
- Kaotin 3x1 dr. Layali
- Scopma 3x1 tab Musafiroh
An. M, 4 1/2 th, 13 kg, Rawat jalan
Multipel VE - Wound toilet
09/11/2013 B - Amoxicillin syr 3x1 cth 216
- Paracetamol syrup 3x1 cth dr. Layali
- Bioplasenton gel 2xoles Musafiroh
Ny. S, 45 th, Dislokasi Rawat jalan (menolak konsul
anterior articulatio Sp.OT)
glenohumerale dextra+ - Tramadol 2x50 mg
09/11/2013 B 217
fraktur caput humeri dextra - Ranitidin 2x150 mg
- Plan: Ro shoulder joint dextra Musafiroh
An. M, 2 th, 14 kg, GEADS Rawat inap
15 tpm
09/11/2013 A - Inj. Ondansetron 3x1/3A 218
- L-Bio 2x1 sach
- Zinc 1x1 tab dr. Layali
Tn. W, 30 th, Obs febris, Rawat jalan (menolak rawat
konstipasi, candidiasis oral, inap)
susp HIV/AIDS - Bisacodyl 2x1 tab
09/11/2013 A 219
- DMP 3x1 tab
- Curvit 3x1 tab
- Candistatin drops 4x100.000 dr. Layali
IU Musafiroh
Tn. S, 70 th, GERD Rawat inap
- IVFD RL 20 tpm
13/11/2013 A 220
- Lansoprazol tab 2x1 dr. Layali
- Antasida doen syr 3x2 cth Musafiroh
Ny. E, 41 th, serangan asma Rawat jalan
13/11/2013 A ringan pada asma - Nebulisasi Ventolin 1amp dr. Layali 221
intermitten - Ambroxol 3x30 mg Musafiroh
Tn. S, 72 th, hipertensi stage Rawat inap
II, obs vomitus. TD: 177/89 - IVFD D5% 20 tpm -->
mmHg. GDS: 101 mg/dl D5%:RL 1:1 20 tpm
14/11/2013 A 222
- Inj Ondansetron 3x1A
- Inj. Spashi 1A
- HCT 1x25 mg (1-0-0) Musafiroh
Tn. S, 57 th, kontrol Vulnus Rawat jalan
14/11/2013 B Punctum digiti IV manus - Aff hecting 1 dr. Layali 223
dextra - Amoxicillin 3x500 mg Musafiroh
- Neurodex 2x1 tab
Nn. L, 21 th, Multipel VE Rawat jalan
14/11/2013 C 224
Nn. R, 17 th, anxietas Rawat jalan
14/11/2013 D - Alprazolam 1x0,25 mg dr. Layali 225
- Neurobion 1x1 tab Musafiroh
An. A, 10 th, 29 kg, VL Rawat jalan
labium superior sinistra - Wound toilet, hecting luar 1
14/11/2013 B 226
- Paracetamol 3x2 cth Musafiroh
Ny. N, 20 th, G1P0A0 uk 40 Rawat inap
minggu JTHIU preskep in - IVFD RL 16 tpm
partu kala I Iama - Konsultasi dr. Arif, Sp.OG :
15/11/2013 A 227
induksi persalinan dengan
Misoprostol 1/8 tab fp tiap 8 dr. Layali
jam. Musafiroh
Tn. N, 48 th, DADS, Rawat inap
hipertensi stage I. TD: - IVFD RL loading 300 cc -->
140/90 mmHg 30 tpm
- Loperamid tab 2-1-1
- Scopma 3x1 tab
- Plan: DL
Ny. S, 27 th, G4P2A1 uk 40 Rawat inap
minggu JTHIU preskep in - Pimpin persalinan
15/11/2013 A 229
partu kala II, dengan riwayat dr. Layali
TB Musafiroh
Ny. L, 40 th, Gastritis akut Rawat inap (APS)
- IVFD RL 20 tpm
15/11/2013 A 230
- Bufantasid syr x2 cth
Sdr. S, 16 th, VL dan Rawat inap
dislokasi digiti V pedis - Konsultasi dr. Yuli, Sp.OT :
dextra, Multiple VE motivasi operasi
reposisi+pasang wire
18/11/2013 B - IVFD RL 16 tpm 231
- Plan : Ro pedis dextra, DL Musafiroh
Ny. S, 72 th, suspek Rawat inap
hepatitis akut, aritmia. EKG: - Plan: DL. HBsAg, bilirubin
Ventricular couplet total, bilirubin direk
18/11/2013 A 232
D5% 24 tpm
- Paracetamol 3x1 tab Musafiroh
- Konsultasi dr. Luqman,
Sp.PD: Dx susp
Cholangiocarcinoma, VES.
Terapi: bisoprolol 1x2,5 mg.
Cek laborat SGOT dan SGPT,
pro USG abdomen di
dr.Alip,Sp.Rad.
Ny. R, 19 th, G2P0A1 uk Rawat inap
42+2 minggu JTHIU - IVFD RL 16 tpm
20/11/2013 A 233
preskep in partu kala I fase - Observasi kemajuan dr. Layali
laten persalinan Musafiroh
Tn. R, 27 th,VL reg labium Rawat jalan
superior, VE genu dextra et - Ciprofloxacin 2x500 mg
20/11/2013 B sinistra - Asam mefenamat 3x500 mg 234
- Vitalong C 1x1 tab dr. Layali
An. N, 2,5 th, 10,5 kg, KDS. Rawat inap
S:38C. - O2 2l/m, nasal canul
- IVFD D5%1/4 NS loading
100 cc --> 12 tpm (ma)
21/11/2013 C - Stesolid supp 1 (extra) 235
- Cefadroxil syr 2x1 cth
- PCT syr 4x1 cth
- Diazepam 2mg VI, mfla pulv dr. Layali
dtd X, 3x1 Musafiroh
Tn. M, 52 th, hipertensi Rawat jalan
21/11/2013 A stage I, ISPA. TD: 140/90 - Ciprofloxacin 2x500 mg dr. Layali 236
mmHg - Captopril 3x12,5 mg Musafiroh
- Ambroxol 3x30 mg
- Neurodex 1x1 tab
An. D, laki-laki, 12 th, Rawat jalan
multiple VE. - Amoxicillin syr 3x1 cth
24/11/2013 B 237
- PCT syr 3x1 cth dr. Layali
- Curcuma syr 3x1 cth Musafiroh
Nn. L, 21 th, VL capitis Rawat jalan
24/11/2013 B 238
An. M, 8 bln, 4,6 kg. Rawat inap
GEADS, obs febris susp - IVFD D5% 1/4 NS loading
thyfoid fever 100 cc --> 24 tpm (mi)
24/11/2013 A - PCT drops 4x0.6 cc 239
- L-Bio 2x1/2 sach
An. N, 5,5 th, 16 kg, KDS Rawat jalan (menolak rawat
inap)
- Amoxicillin 3x1 cth
24/11/2013 A - PCT 3x 1 1/2 cth 240
- Diazepam 2mg VIII, Vit C
IV, sacharin ad lib mfla pulv dr. Layali
X, 3x1 Musafiroh
Ny. K, 38 th, G5P2A2 uk Rawat inap dr. Layali
24/11/2013 A 241
41+2 minggu JTHIU - IVFD RL 16 tpm Musafiroh
preskep belum in partu - Konsultasi dr. Arif, Sp.OG:
dengan hipertensi dalam induksi Misoprostol 1/8 tab fp
kehamilan susp PER dd tiap 8 jam
PEB. TD: 151/72 mmHg - Plan: DL, protein urin
Tn. T, 70 th, Observasi Rawat inap
dyspnea susp PPOK dd TB - Plan: GDS (104 mg/dl), EKG
paru (sinus takikardi, P pulmonal
pada lead II, III, aVF), DL, Ur,
Cr, Ro thorax PA.
- O2 3 l/m, nasal canul
24/11/2013 C - IVFD D5%+Aminofilin 1A 242
20 tpm
- Ambroxol 3x30 mg
- PCT 3x500 mg dr. Layali
Tn. A, 41 th, chest pain post Rawat jalan
trauma 2 hari SMRS, VE - Amoxicillin 3x500 mg
24/11/2013 B manus dextra. - Asam mefenamat 3x500 mg 243
Tn I, 26 th, tumor perianal Rawat jalan
- pro konsul Sp.B
25/11/2013 B 244
Ny.S, 63 th, hipertensi stage Rawat jalan
II. TD: 180/100 mmHg - Captopril 3x25 mg
25/11/2013 A 245
- Amlodipin 1x10 mg dr. Layali
Sdr. T, 19 th, Scabies Rawat jalan
- Scabisid 1xoles malam hari
- Loratadin 1x1 tab
- Edukasi : rendam pakaian
dengan air panas sebelum
25/11/2013 A dicuci, gunakan pakaian yang 246
tidak ketat, yang menyerap
keringat, pisahkan pakaian
pasien dengan anggota
keluarga lain saat dicuci,
hindari berbagi menggunakan dr. Layali
pakaian. Musafiroh
An. D, 12 th, kontrol Rawat jalan dr. Layali
25/11/2013 B 247
multiple VE - Bioplasenton 3xoles Musafiroh
Ny. R, 60 th, kontrol post Rawat jalan
25/11/2013 A GEADS, hipertensi stage I. - Amlodipin 1x5 mg dr. Layali 248
TD: 140/90 mmHg. - Lansoprazol 1x1 tab Musafiroh
Ny. S, 17 th, kontrol post Rawat jalan dr. Layali
25/11/2013 A 249
SC h-13 - Ganti balut Musafiroh
An. A, 13 th, kontrol post Rawat jalan
ORIF a/i closed fraktur - Ganti balut
25/11/2013 B 250
antebrachii sinistra - Ciprofloxacin 2x500 mg dr. Layali
Tn. S, 28 th, susp Rawat jalan
limfadenitis colli - Amoxicillin 3x500 mg
25/11/2013 A - Dexamethason 3x0,5 mg 251
- kontrol 3 hari kemudian Musafiroh
Ny. S, 28 th, mialgia Rawat jalan
25/11/2013 A 252
- Sohobion 1x1 tab Musafiroh
An. A, 12 th, 20 kg, ISPA Rawat jalan
- Plan: DL (leukosit
17.500/mm3)
25/11/2013 A 253
- Cefadroxil syr 2x1 cth
- PCT syr 3x1.5 cth dr. Layali
- Ambroxol 3x15 mg Musafiroh
Tn. J, 32 th, Febris 6 hari Rawat jalan
susp thyfoid fever. S:36,2C. - Plan: DL, widal (+1/320)
25/11/2013 A 254
- PCT 3x500 mg kp dr. Layali
- Sohobion 1x1 tab Musafiroh
Ny. S, 35 th, VL labium Rawat jalan
superior externa, labium - Wound toilet, hecting luar 2,
inferior interna et mentalis dalam 6
26/11/2013 B - Ciprofloxacin 2x500 mg 255
- Betadine kumur 3x/hari Musafiroh
An. A, 8 bln, 8 kg, GEADS Rawat inap
- IVFD Rl loading 150 cc -->
32 tpm (mi)
- Cotrimoxazol syr 2x1 cth
26/11/2013 A 256
- PCT syr 3x1 cth
- L-Bio 2x1/2 sach
Ny.J, 70 th, fraktur tertutup Rawat jalan (menolak konsul
linier os ulna 1/3 distal Sp.OT)
26/11/2013 B dextra - Tramadol 2x50 mg 257
- Thrombophob gel 2xoles dr. Layali
- Plan: Ro wrist joint dextra Musafiroh
Ny. R, 40 th, G3P2A0 uk 40 Rawat inap
minggu JTHIU preskep in - IVFD RL 20 tpm
partu kala I fase aktif - Nifedipin 3x10 mg
26/11/2013 A dengan hipertensi dalam - Paracetamol 3x500 mg 258
kehamilan susp PER dd - Plan: DL, protein urin.
PEB. TD: 153/78 mmHg, dr. Layali
s:38C Musafiroh
Ny. T, 45 th, GEADS. Rawat inap
30 tpm
26/11/2013 A 259
- Inj. Ondansetron 2x1a
- Inj. Spashi 1A (extra)
- Loperamid 2-1-1 tab Musafiroh
- Lacto-B 3x2 sach
- Plan: DL
Ny. F, 25 th, G3P2A0 uk Rawat inap
9+3 minggu susp Abortus - IVFD RL 20 tpm
27/11/2013 A imminens dd hemoroid - Inj. Ketorolac 2x1A 260
interna grade I - Inj Ranitidin 2x1A dr. Layali
- Hystolan 3x1 tab Musafiroh
minggu JTHIU presbo in - IVFD RL 20 tpm
27/11/2013 A 261
partu kala I fase aktif - Observasi kemajuan dr. Layali
Tn. C, 64 th, Obs Rujuk
hematemesis susp gastritis - Pasang NGT, bilas lambung
erosiva dd ulkus peptikum. 500 cc
KU/Kes: lemas, - IVFD RL loading 1000 cc-->
27/11/2013 C 262
pucat/E3M6V5. TD: 79/49 40 tpm
mmHg. CA +/+ - Inj. Pantoprazol 80 mg
- Inj. Asam Tranexamat 1A dr. Layali
- Inj. Vit K 1 A Musafiroh
Ny. S, 37 th, Multiple VE Rawat jalan
- Wound toilet
27/11/2013 B 263
- Mertigo 2x1 tab dr. Layali
Tn. D, 45 th, VL supraorbita Rawat jalan
29/11/2013 B dextra - Wound toilet, hecting luar 1 dr. Layali 264
- Amoxicillin 3x500 mg Musafiroh
- Neurodex 1x1 tab
minggu JTHIU preskep in - Konsul dr.Arif, Sp.OG: Inj.
29/11/2013 A partu kala I lama Dexamethason 15 mg 265
- Observasi kemajuan dr. Layali
Sdr. N, 20 th, hematom Rawat jalan
29/11/2013 B antebrachii dextra post - Thrombophob gel 2xoles dr. Layali 266
dipukuli Musafiroh
Ny. I, 25 th, GEADS. TD: Rawat inap
79/56 mm/Hg. - Plan: DL, GDS (109 mg/dl)
RL:D5% 1:1 30 tpm
29/11/2013 A 267
- Scopamin 3x1 tab dr. Layali
Ny. K, 50 th, obs dyspnea Rawat inap
susp CHF dd TB paru kasus - O2 4l/m
kambuh - IVFD D5% 500 cc/24 jam
01/12/2013 C - Inj. Ranitidin 3x1A 268
- Curvit 3x1 tab
- Konsul dr. Luqman, Sp.PD : dr. Layali
Ro thorax Musafiroh
Tn. A, 30 th, VE manus Rawat jalan
01/12/2013 B dextra et genu sinistra - Wound toilet dr. Layali 269
- Neurodex 1x1 tab
- Bioplasenton gel 2xoles
Nn. K, 19 th, GEADS Rawat inap
30 tpm
- Scopamin 3x1 tab
- Lacto-B 3x2 sachet
- New diatabs 3x1 tab dr. Layali
Tn. M, 47 th, tumor penis Rawat inap
- IVFD RL+Adona 1A, 20 tpm
- Inj. Cefotaxime 2x1 gr
- Inj. Ketorolac 2x1 A
02/12/2013 B 271
- Inj. Vit.K 1x1 A
- Motivasi rujuk RSU DR. dr. Layali
Karyadi Semarang Musafiroh
Sdr. K, 14 th, Multiple VE, Rawat jalan
hematom retroauricula - Asam mefenamat 3x500 mg
02/12/2013 B 272
dextra, antebrachii sinistra - Neurodex 1x1 tab dr. Layali
Visum et repertum Musafiroh
Ny. K, 45 th, tumor Rujuk dr. Layali
02/12/2013 B 273
nasofaring susp ganas - IVFD D5% 20 tpm Musafiroh
Ny. S, 45 th, hipertensi stage Rawat jalan
02/12/2013 A I, gastritis - Omeprazol 2x1 tab dr. Layali 274
- Ranitidin 2x1 tab Musafiroh
- Scopamin 3x1 tab
- Vitazym 2x1 tab
Ny. J, 21 th, G1P0A0 uk 41 Rawat inap
minggu JTHIU preskep - IVFD Rl 20 tpm
02/12/2013 A puka in partu kala I lama - Konsultasi dr. Arif, Sp.OG : 275
induksi misoprostol 1/8 tab pv dr. Layali
tiap 8 jam Musafiroh
03/12/2013 A minggu susp Abortus- IVFD RL 20 tpm dr. Layali 276
insipien Musafiroh
Tn. A, 37 th, colic abdomen Rawat inap
susp ureterolithiasis sinistra, - Pasang DC
hipertensi stage II - IVFD RL 20 tpm
03/12/2013 B - Inj. Spashi 3x1A 277
- Plan: DL, UL, BNO abdomen Musafiroh
Ny. A, 45 th, angina pectoris Rawat inap
susp ACS. - EKG : ST elevasi di lead
V4,5,6
- IVFD RL 20 tpm
03/12/2013 C 278
- Aspilet 2 tab 80 mg,
selanjutnya 3x80 mg
- Clopidogrel 4 tab 75 mg,
selanjutnya 1x75 mg dr. Layali
06/12/2013 A Ny. D, 32 th, G2P0A1 uk Rawat inap dr. Layali 279
37+5 minggu JTHIU - IVFD RL 20 tpm Musafiroh
preskep in partu kala I fase - Nifedipin 10 mg
laten dengan hipertensi - Plan: DL, protein urin
dalam kehamilan susp PEB.
TD: 160/100 mmHg.
Tn. S, 49 th, V. Amputatum Wound toilet, hecting
digiti II manus sinistra situasional
06/12/2013 B - Rujuk 280
- Ciprofloxacin tab 500 mg dr. Layali
- Asam mefenamat tab 500 mg Musafiroh
An. R, 2 th, 13 kg, KDS. Rawat inap
S:39C - IVFD D5%-1/4 NS 12 tpm
(ma)
06/12/2013 C - Paracetamol syr 4x1 cth 281
- Diazepam 2 mg III, sacharin
ad libitum mfla pulv dtd X, dr. Layali
3x1 Musafiroh
Ny. T, 32 th, VE supraorbita Rawat jalan
06/12/2013 B 282
- Thrombophob gel 3x oles Musafiroh
Ny. I, 28 th, VE supraorbita Rawat jalan
dextra - Amoxicillin 3x500 mg
06/12/2013 B 283
Ny. S, 52 th, Hipertensi Rawat inap
06/12/2013 A stage II. TD: 180/90 mmHg. - EKG: LVH dr. Layali 284
- IVFD D5% 20 tpm Musafiroh
- Captopril 3x25 mg
- Amlodipin 1x10 mg
Tn. W, 59 th, gastritis Rawat inap (APS)
- IVFD D5% 20 tpm
- Inj. Spashi 1A (extra)
06/12/2013 A 285
- Omeprazol 2x1 tab
- Antasida 3x2cth Musafiroh
Ny. M, 40 th, G4P3A0 uk Rawat inap
36 minggu JTHIU preskep - IVFD RL 20 tpm
06/12/2013 A in partu kala I fase laten - Inj. Amoxicillin 3x1gr (iv) 286
dengan KPD skintest dr. Layali
- Plan:DL Musafiroh
Ny. R, 32 th, VL pedis Rawat jalan
sinistra - Wound toilet, hecting dalam
2, luar 7
- Inj. ATS 1500 IU (im, skin
08/12/2013 B test) 287
An. N, 8 th, 26 kg, VE pedis Rawat jalan
sinistra - Wound toilet
08/12/2013 B - Amoxicillin syr 3x1 cth 288
- Paracetamol syrup 3x2 cth dr. Layali
Sdr W, 19 th, VL plantar Rawat jalana
pedis sinistra - Wound toilet, hecting dalam
3, luar 9
- Inj. ATS 1500 IU (im,
08/12/2013 B skintest) 289
Ny. R, 50 th, GEADS, Rawat inap
hipertensi stage I. TD: - IVFD RL loading 500 cc-->
150/90 mmHg 30 tpm
- Loperamid 2-1-1
- Lacto-b 3x2 sach
- Captopril 3x12,5 mg dr. Layali
Ny.I, 32 th, faringitis akut Rawat jalan
- Ciprofloxacin 2x 500 mg
08/12/2013 A - Dexamethason 3x0,5 mg 291
- Curcumex 3x1tab Musafiroh
Sdr. A, 24 th, susp thyfoid. Rawat inap (APS)
S: 36,2C, GDS: 79 mg/dl - IVFD D5% 20 tpm --> RL 20
08/12/2013 A tpm 292
Nn. I, 28 th, gastriti post Rawat jalan (menolak RI)
intoksikasi alkohol. GDS: - Omeprazol 2x1 tab
08/12/2013 A 293
69 mg/dl. - Ranitidin 3x1 tab dr. Layali
Ny.D, 41 th, gastritis akut Rawat jalan
- Omeprazol 2x1 tab
09/12/2013 A - Ranitidin 3x1 tab 294
- Antasid tab 3x1 dr. Layali
An. S, 8 th, 19 kg, obs febris Rawat inap
susp thyfoid fever dd DHF. - IVFD D5%-1/4NS 15 tpm
S:38C (ma)
09/12/2013 A 295
- Inj. Ondansetron 2x1/2 tab
- PCT syr 3x2 cth
- Curcuma syr 3x1 cth dr. Layali
An. L, 14 th, gastritis akut Rawat inap
dd dismenorea - IVFD RL 20 tpm
09/12/2013 A 296
- Inj. Spashi 3x1A
- Paracetamol 3x1 tab Musafiroh
Tn.L, 24 th, VL&VE reg Wound toilet, hecting luar 3
mentalis, susp closed fraktur - Immobilisasi wrist joint
09/12/2013 B antebrachii sinistra distal sinistra 297
- Ro wrist joint dextra dr. Layali
- Neurodex 1x1 tab
An. F, 6 bln, 8 kg. GEADS Rawat inap
36 tpm (mi)
09/12/2013 A - Inj. Ondansetron 2x1/3A 298
- L-Bio 2x1 sach
- PCT drops 3x0,8 cc Musafiroh
Ny. R, 60 th, V. Punctm Rawat jalan
manus dextra, hipertensi - Ciprofloxacin 2x500 mg
stage II. TD: 180/100 - Asam mefenamat 3x500 mg
12/12/2013 B 299
mmHg - Ranitidin 3x150 mg
Ny. D, 26 th, G2P1A0 Rawat inap
dengan retensio plasenta. - IVFD RL loading 500 cc-->
TD: 100/80 mmHg RL 500 cc+ Oxytosin 1 amp
drip 20 tpm
- Manual plasenta
- Inj. Methergin 1A (im)
12/12/2013 C 300
- Inj. Amoxicillin 3x1 gr (iv,
skintest)
- SF 2x1 tab
- Plan: DL (Hb 9,4 g/dl, dr. Layali
leukosit 11.970/mm3, Musafiroh
Trombosit 156.000/mm3)
Ny. B, 24 th, G1P0A0 uk Rawat inap
16+1 minggu dengan - IVFD RL loading 500 cc -->
hiperemesis gravidarum dan RL:D5:NaCl:Aminofluid
febris 1:1:1:1 30 tpm
13/12/2013 A - Drip Neurosanbe 1A/24 jam 301
AN. M, 5 th, 17 kg, Rawat jalan
Hydradenitis supurativa, - Cefadroxil syr 2x1 cth
13/12/2013 A rhinofaringitis - Coparcetin kid cough 3x1 cth 302
- Loratadin III, sacharin ad lib dr. Layali
pulv No.VI,1x1 Musafiroh
Sdr. W, 19 th, kontrol VL Rawat jalan
plantar pedis sinistra - Wound toilet, ganti balut
14/12/2013 B 303
- Huferalgin 3x1 tab
Ny. M, 57th, Dm tipe II Rawat jalan
terkontrol. GDP: 92 mg/dl. - Glimepirid 1x1 mg
14/12/2013 A 304
TD: 100/70 mmHg - Metformin 2x500 mg dr. Layali
Ny. M, 51 th, Rawat jalan
14/12/2013 A CHF&cardiomiopati - Furosemid 1x20 mg dr. Layali 305
dilatasi. TD: 130/80 mmHg - Digoxin 2x1/2 tab Musafiroh
- Aspilet 1x1 tab
- Letonal 1x25 mg
- Curcuma 1x1 tab
Ny. K, 65 th, low back Rawat jalan
pain&gastritis - Na diclofenac 1x25 mg
14/12/2013 A - Calc os 1x1 tab 306
Ny.L, 54 th, hipertensi stage Rawat jalan
II+gastritis. TD: 160/90 - Amlodipin 1x10 mg
14/12/2013 A mmHg - Captopril 3x12,5 mg 307
Ny. K, 42 th, Rawat jalan
gastritis&migrain - Paracetamol 3x500 mg
14/12/2013 A - Omeprazol 2x1 tab 308
- Ranitidin 3x1tab dr. Layali
Nn. R, 18 th, tumor Rawat inap dr. Layali
15/12/2013 B 309
mammae dextra pro operasi - Puasakan mulai pukul 06.00 Musafiroh
Sdr. W, 19 th, kontrol VL Rawat jalan
plantar pedis sinistra - Aff hecting selang-seling
18/12/2013 B - Clindamisin 3x300 mg 310
Ny. M, 45 th, gastritis Rawat jalan
18/12/2013 A kronik - Lansoprazol 2x1 tab dr. Layali 311
- Curvit 2x1 tab
Ny. F, 41 th, gastriris akut Rawat jalan
- Omeprazol 1x1 tab
18/12/2013 A - Ranitidin 2x1 tab 312
- Diazepam 2 mg 1x1 (malam) Musafiroh
Tn. A, 24 th, thyfoid fever. Rawat jalan
S:38C, S.thyphii O: +1/160 - Ciprofloxacin2x500 mg
18/12/2013 A - Paracetamol 3x500 mh 313
- Ranitidin 2x1tab dr. Layali
Tn. I, 32 th, hipertensi Rawat jalan
terkontrol, cephalgia. TD: - Amlodipin 1x5 mg
18/12/2013 A 110/80 mmHg. - Histigo 3x1 tab 314
- Diazepam 2mg 1x1 (malam) Musafiroh
Tn. S, 39 th, Insomnia Rawat jalan
- Alprazolam 0,5 mg 1x1
18/12/2013 A 315
(malam) dr. Layali
- Diazepam 2mg 1x1 (malam) Musafiroh
Sdr. F, 20 th, V. Amputatum Rawat jalan
digiti V manus sinistra. - Wound toilet, hecting dalam
2, luar 7
- Inj. ATS 1500 IU (im, skin
19/12/2013 B 316
test)
- Dexamethason 3x0,5 mg dr. Layali
Tn. D, 38 th, VL capitis Rawat jalan
19/12/2013 B - Dexamethason 3x0,5 mg 317
- Tramadol 2x50 mg
Ny. R, 50 th, observasi Rawat inap
febris h-7 susp thyfoid fever - IVFD RL 20 tpm
dd DHF. S:39C - Inj. Ranitidin 3x1 A
20/12/2013 A 318
- Paracetamol 4x500 mg k.p
- Plan: DL, widal. Musafiroh
Tn. K, 31 th, Obs febris susp Rawat inap
thyfoid dd DHF. S: 37,9C. - IVFD RL lading 500 cc--> 30
TD: 96/60 mmHg. tpm
20/12/2013 A 319
- Plan: DL, Widal. Musafiroh
Ny. W, 27 th, G1P0A0 uk Rawat inap
9+3 minggu dengan - IVFD
hiperemesis gravidarum. RL:D5%:NaCl:Aminofluid
20/12/2013 A 320
TD: 110/70 mmHg, GDS: 1:1:1:1 30 tpm
76 mgl/dl. - Inj. Ranitidin 3x1 A dr. Layali
- Drip Neurosanbe 1A/24 jam
Tn. W, 48 th, gastritis, Rawat jalan
mialgia - Omeprazol 1x1 tab
21/12/2013 A 321
Tn. A, 60 th, Abdominal Rawat inap
pain susp ileus, hipertensi - Plan: DL, Ro abdomen
stage II. TD: 160.90 mmHg - IVFD RL 20 tpm
21/12/2013 B - Inj. Ketorolac 2x1A 322
- Amlodipin 1x5 mg dr. Layali
An. S, 10 bln, 8,5kg, kontrol Rawat jalan
21/12/2013 A post KDS+bronchiolitis - Cefadroxyl syrup 2x1/2 cth dr. Layali 323
- Coparcetin syr 2x1 cth Musafiroh
Tn. T, 36 th, varicella Rawat jalan
- Acyclovir 5x400 mg
- Imunos 3x1 tab
21/12/2013 A 324
- Loratadin 2x1 tab
- Vitazym 2x1 tab dr. Layali
- Acyclovir salep 2xoles Musafiroh
Ny. K, 47 th, hipertensi Rawat jalan
21/12/2013 A stage I, karies dentis. - Captopril 2x12,5 mg dr. Layali 325
TD:130/90 mmHg - Asam mefenamat 3x500 mg Musafiroh
Sdr W, 19 th, VL plantar Rawat jalan
pedis sinistra - aff hecting 2
21/12/2013 B 326
- Ciprofloxacin 2x500 mg dr. Layali
An. N, 9 bln, 9 kg. Febris Rawat jalan
dan vomitus susp Tifoid - Plan: DL (Hb 13,1; Leukosit
fever. S: 37C 5.200; trombosit 142.000),
widal (+1/80)
21/12/2013 A 327
- Thiamphenicol syr 4x1 cth
- PCT syr 3x1 cth
- Curcuma syr 1x1 cth dr. Layali
- Vosea syr 3x1/2 cth Musafiroh
Tn. D, 34 th, bronchitis Rawat jalan
21/12/2013 A 328
- Ambroxol 3x30 mg dr. Layali
Tn. K, 45 th, suspek Rawat jalan
dislokasi elbow joint sinistra - Plan: Ro elbow joint sinistra:
Closed fraktur os humeri 1/3
distal oblique displaced
21/12/2013 B - Kontrol ke Poli Bedah 329
Orthopaedi
- Tramadol 2x50 mg dr. Layali
- Thrombophob gel 3xoles Musafiroh
Ny. M, 59 th, hipertensi Rawat inap
stage II, hiperglikemia susp - EKG: sinus takikardi
DM tipe II, obs febris susp. - Plan: DL, widal, GDP,
21/12/2013 A Thyfoid fever dd DHF. GD2PP 330
GDS: 225 mg/dl, TD: - IVFD RL loading 500 cc -->
170/100 mmHg, N: 104x/m, 30 tpm dr. Layali
s: 39,9C - Inj. Ranitidin 2x1 A Musafiroh
- Inj. Ondansetron 1A (extra)
- Captopril 3x25 mg
- Amlodipin 1x10 mg
Tn. T, 45 th, herpes zoster Rawat jalan
reg thoracalis - Acyclovir tab 5x400 mg
21/12/2013 A - Tramadol 2x50 mg 331
- Stimuno 1x1 tab dr. Layali
- Acyclovir salep 2xoles Musafiroh
An. F, 6 th, 20 kg, multiple Rawat jalan
VE+hematom periauricula - Wound toilet
27/12/2013 B dextra - Amoxicillin syr 3x1 cth 332
- Paracetamol syr 3x1 cth dr. Layali
Ny. K, retensio urine Rawat jalan
rekuren ec susp ISK - Pasang DC--> urine keluar
700 cc kuning jernih
27/12/2013 C 333
- Ranitidin 2x1tab Musafiroh
Tn. S, 50 th, selulitis femur Rawat inap
sinistra, DM tipe Iim - Plan: DL, Ur, Cr
hipertensi stage I. TD: - IVFD RL 20 tpm
112/96 mmHg, GDS: 224 - Inf. Metronidazol 3x500 mg
27/12/2013 A 334
mg/dl - Inj. Cefotaxim 2x1 gr (iv)
- Inj. Ondansetron 1A (extra) dr. Layali
- Glimepirid 1x1 mg
- Amlodipin 1x10 mg
Ny. G, G1P0A0 23 th, uk Rawat inap
42+2 minggu JTHIU - Induksi gastrul 1/8 tab/vag/6
30/12/2013 A preskep in partu kala I fase jam 335
laten - Observasi kemajuan dr. Layali
Ny. S, G3P1A1 27 th, uk 41 Rawat inap
minggu in partu kala I fase - Drip Oksitosin 5 IU dalam
aktif RL 500 cc 12 tpm
30/12/2013 A 336
- Inj. Amoxicillin 3x1 gr (iv)
- Observasi kemajuan dr. Layali
Ny. W, G1P0A0 usia 22 th,, Rawat inap
uk 17 minggu suspek - IVFD RL 20 tpm
30/12/2013 A 337
Abortus imminens dd - Premaston 3x1 tab dr. Layali
abortus insipiens - Paracetamol 2x500 mg kp Musafiroh
Tn. S, 53 th, TB paru dalam Rawat jalan
pengobatan fase intensif - FDC 1x3 tab
31/12/2013 A 338
Sdr. M, 21 th left sided Rawat jalan
hipertensi porta dd sirosis - Furosemid 1x20 mg
31/12/2013 A 339
hepatis - Spironolakton 1x100 mg dr. Layali
Ny I, 65 th, angina pectoris Rawat jalan dr. Layali
31/12/2013 A 340
stabil, gastritis. - ISDN 1x5 mg sl Musafiroh
- Aspilet 1x80 mg
- Alprazolam 0.5 mg 0-0-1
- Omeprazol 2x1 tab
- Curcuma 3x1 tab
An. R, 2 th, 10 kg, febris Rawat jalan
susp thyfoid dd DHF. S: - Plan: DL (Hb 8,8; leukosit
37,7C 13.300; trombosit 315.000; Hct
31/12/2013 A 28,5), widal (+1/80) 341
- Thiamphenicol 4x1 cth
- Paracetamol 3x1 cth kp dr. Layali
- Curcuma syr 1x1 cth Musafiroh
Tn. W, 34 th, low back pain Rawat jalan
susp coxitis - Na diclofenac 2x25 mg
31/12/2013 A - Piroxicam 1x1 tab 342
- Dolo Scanneuron 1x1 tab Musafiroh
Ny. T, 45 th, gastritis Rawat jalan
kronik, hematom femur - Omeprazol 2x1 tab
31/12/2013 A sinistra post trauma. - Ranitidin 2x1 tab 343
- Tramadol 2x1 cap dr. Layali
Nn. D, 17 th, susp mastitis Rawat jalan
mammae sinistra - Ciprofloxacin 2x500 mg
31/12/2013 B - Dexamethason 3x1 tab 344
- Loratadin 1x1 tab dr. Layali
- Gentamisin salep 2xoles Musafiroh
An. G, 10 th, 39 kg, vomitus Rawat jalan dr. Layali
01/01/2014 A 345
ec motion sickness, gastritis - Norvom syr 3x1 cth Musafiroh
akut - Antasida syr 3x1 cth
- Dimenhidrinat 3x1 tab
- Ranitidin 2x1/2 tab
An. N, 6th, 20 kg, VL reg Rawat jalan
capitis - Wound toilet, hecting luar 1
01/01/2014 B 346
- Paracetamol 3x2 cth Musafiroh
Ny. S, 45 th, BPPV Rawat inap
- GDS: 89 mg/dl
- IVFD RL:D5% 1:1 20 tpm
01/01/2014 A 347
- Betahistin mesylate 3x1 tab dr. Layali
Ny. W, 47 th, Asma Rawat jalan
bronchiale intermitten - Aminofilin 2x1 tab
02/01/2014 A - Loratadin 1x1 tab 348
- GG 3x1 tab dr. Layali
Tn. W, 45 th, post tifoid Rawat jalan
fever, urtikaria - Cefixim 2x1 tab
02/01/2014 A 349
- Antasid 3x1 tab dr. Layali
- Dexamethason 3x1 tab Musafiroh
Tn. M, 34 th, susp TB paru Rawat jalan
- Cefadroxil 3x1 tab
02/01/2014 A - Ambroxol 3x1 tab 350
- Paracetamol 3x1 tab dr. Layali
02/01/2014 B An. W, 5 th, 16 kg, kontrol Rawat jalan dr. Layali 351
VL digiti I manus sinistra - Amoxicillin syrup 3x 1 1/2 Musafiroh
cth
- Paracetamol syr 3x 1 1/2 cth
- Bioplasenton 2xoles,
Betadine 2xoles, ganti balut
2x/hari
Ny. S, 51 th, V. Punctum Rawat jalan
plantar pedis sinistra. - Ganti balut
02/01/2014 B 352
Tn. I, 30 th, VL&VE Rawat jalan
multiple - Ganti balut
- Ciprofloxacin 2x500 mh
02/01/2014 B 353
Tn. W, 53 th, tifoid fever Rawat jalan
- Thiamphenicol 4x1 tab
02/01/2014 A - Domperidon 2x1 tab 354
- Dolo scanneuron 2x1 tab Musafiroh
Ny. M, 33 th, Abdominal Rujuk Sp.B
pain susp appendisitis - Ketoprofen 2x1 tab
02/01/2014 B 355
02/01/2014 A Ny L, 41 th, Mialgia post Rujuk RS Mitra Siaga untuk dr. Layali 356
trauma genu Sinistra Ro Genu sinistra Musafiroh
Nn. D, 18 th, pro Remove Rawat inap
plate femur sinistra - IVFD RL 20 tpm
02/01/2014 B 357
- Puasa 6 jam pre OP dr. Layali
- Plan: DL, CT, BT, EKG Musafiroh
Ny. K, 30 th, retensio urine Rawat jalan
susp ureterolithiasis - Aff DC
02/01/2014 A - Ciprofloxacin 2x500 mg 358
- Nephrolit 2x1 tab dr. Layali
- Scopamin 2x1 tab Musafiroh
Ny.H, 41 th, mialgia Rawat jalan
02/01/2014 A - Ranitidin 2x150 mg. 359
- Plan: kolesterol total (130,9 dr. Layali
mg/dl), asam urat (2,9 mg/dl) Musafiroh
Tn. S, 53 th, gastritis akut, Rawat jalan
hipertensi stage I. TD: - Omeprazol 2x1tab
02/01/2014 A 150/90 mmHg. - Antasida 3x1 tab 360
Tn. D, 53 th, Multiple Rawat jalan
VL&VE - Wound toilet, hecting dalam
2, hecting luar 6
03/01/2014 B 361
- Thrombophob gel 3xoles
Tn. I, 30 th, susp Rujuk untuk BNO-IVP
nefrolithiasis sinistra - Inj. Ketorolac 1A (im)
03/01/2014 B 362
- Furosemid 1x1 tab
- Scopamin plus 3x1 tab dr. Layali
- Neurosanbe 3x1 tab Musafiroh
Sdr. N, 22 th, Obs febris Rawat inap
suspek tifoid fever, muscle - O2 2l/m
spasme ekstremitas superior. - IVFD RL 500cc+Phenytoin
1A (extra) 20 tpm
03/01/2014 A - Inj. Ondansetron 2x1A(iv) 363
- Diazepam tab 5mg 0-0-1
-Plan: DL, Widal (+1/320)
- Inj. Ceftriaxon 2x1 gr (iv), dr. Layali
skintest Musafiroh
Tn. K, 40 th, GEADS Rawat inap
- IVFD RL loading 500 cc--
>30 tpm
03/01/2014 A - Inj. Ranitidin 2x1A(iv) 364
- Inj. Ondansetron 2x1A(iv)
- Inj. Scopamin 1A(extra) dr. Layali
Tn.T, 25 th, Obs Vomitus ec Rawat inap - IVFD RL
03/01/2014 A gastritis akut. TD: 90/50 loading 500 cc--> TD 100/70 dr. Layali 365
mmHg. mmHg --> RL 30 tpm Musafiroh
- Inj. Ranitidin 3x1A (iv)
- Inj. Ondansetron 3x1A (iv)
- Inj. Difenhidramin 1A (extra)
- Omeprazol 2x1 tab
An. H, 7 bln, 7 kg, GEADS Rawat inap
- IVFD D5%-1/4NS loading
150 cc-->30 tpm (mikro)
- Inj. Ranitidin 2x1/4A (iv)
06/01/2014 A 366
- Inj. Ondansetron 2x1/4A (iv)
- Lacto-B 2x1 sach
Ny. R, 50 th, GEADS Rawat inap
- IVFD RL 30 tpm
- Inj.Ranitidin 2x1A (iv)
06/01/2014 A 367
- Inj. Scopamin 1A(extra)
- Cotrimoxazol 2x1 tab dr. Layali
Ny.I, 27 th, Hipertensi stage Rawat jalan
II dan GERD. TD: 180/100 - Captopril 2x12,5 mg
mmHg. - Amlodipin 1x10 mg
10/01/2014 A 368
- Omeprazol 2x1 tab
- Antasid syr 3x2cth Musafiroh
Ny. W, 23 th, urtikaria. Rawat jalan dr. Layali
10/01/2014 A 369
- Dexamethason 3x0,5 mg Musafiroh
- Loratadin 2x1tab
- Dolo Scanneuron 1x1 tab
- Betamethason cream 2xoles
Ny.L. 30 th, G4P2A1 uk 32 Rawat inap
minggu JTHIU belum in - IVFD RL loading 500cc-->30
partu, dengan DADS. tpm
10/01/2014 A TD:87/53mmHg - Inj Ranitidin 3x1A (iv) 370
- Inj.Scopamin 1A (extra)
- New diatabs 4x2 tab dr. Layali
- Lacto-B 3x2 sach Musafiroh
Sdr.K, 24 th, obs febris Rawat inap
suspek tifoid fever dd DHf. - IVFD RL 20 tpm
TD:108/70 MmHg. S:38,5C. - Inj. Ranitidin 3x1A
10/01/2014 A 371
An.R, 12 th, 30 kg, obs Rawat inap
febris suspek DHF dd - IVFD RL loading 200 cc--
Tifoid. S:37,8C. >18 tpm (ma)
12/01/2014 A 372
- Inj.Ondansetron 2x1/2A
- Imulan syr 3x1 cth dr. Layali
-Plan:DL, widal Musafiroh
Ny.S, 80 th, gastritis akut dd Rawat inap
GERD - IVFD RL 20 tpm
12/01/2014 A 373
- Inj. Ranitidin 3x1A(iv) dr. Layali
- Inj.Ondansetron 2x1A(iv) Musafiroh
- Inj. Scopamin 2x1A (iv)
- Antasida syr 3x2 cth
Ny. A, 22 th, VE+edema Rawat jalan
ankle joint sinistra - Amoxicillin 3x500 mg
12/01/2014 B 374
- Thrombohob gel 3xoles Musafiroh
Ny.W, 88 th, suspek Rujuk
dislokasi genu sinistra. - IVFD RL 500cc+Ketorolac
12/01/2014 B 1A 20 tpm 375
- Inj.Ranitidin 2x1A dr. Layali
- Elastic band Musafiroh
Tn. S, 52 th, susp hepatitis, Rawat jalan
gastritis akut. - Omeprazol 2x1 tab
12/01/2014 A 376
- Antasida 3x2cth dr. Layali
- Curcuma 3x1tab Musafiroh
Ny. M, 80 th, gastritis akut, Rawat inap
anemia berat. TD: 94/44 - IVFD RL loading 300 cc--
mmHg, Hb: 5,2 g/dl. >30 tpm
- Transfusi PRC 3 kolf,
premedikasi Inj. Difenhidramin
1A
13/01/2014 A 377
- Post transfusi IVFD NaCl
0,9% 20 tpm
- Drip Neurosanbe 1A/24 jam
dalam RL 500 cc
- Inj. Ranitidin 2x1A (Iv) dr. Layali
- Omeprazol 2x1tab Musafiroh
13/01/2014 A Tn. S, 50 th, BPPV Rawat inap dr. Layali 378
- IVFD RL 20 tpm Musafiroh
- Mertigo SR 2x1 tab
Tn. A, 25 th, kontrol VL Rawat jalan
digiti II dan III manus - Ganti balut
dextra post ekstraksi kuku - Ciprofloacin 2x500 mg
13/01/2014 B 379
- Paracetamol 3x500 mh dr. Layali
Sdr.A, 17 th, obs febris susp Rawat inap
tifoid fever dd DHF. - Plan: DL (Hb 16,2; leukosit
S:39,3C. 4.600, trombosit 85.000),
Widal (S.thyphii O dan H
+1/320)
- Rawat inap
- IVFD RL loading 300 cc--
13/01/2014 A 380
>30 tpm
- Inj. Ceftriaxon 2x1gr (iv),
skin test
- Inj. Ranitidin 3x1A (iv)
- DEHAF 3x1 sach Musafiroh
Tn. S, 52 th, susp hepatitis Rawat jalan (menolak RI)
akut dd gastritis - Inj. Scopamin 1A (iv)
13/01/2014 A 381
- Ibuprofen 3x400 mg Musafiroh
- Scopma tab 3x1
Tn. W, 47 th, kontrol VL Rawat jalan
reg nasal et capitis - Ganti balut
- Ciprofloxacinn2x500 mg
13/01/2014 B 382
-Vitalong C 1x1 tab Musafiroh
Tn. J, 30 th, multiple VE reg Rawat jalan
antebrachii dextra&sinistra, - Visum et repertum
dispepsia - Omeprazol 2x1 tab
13/01/2014 B,E 383
- Paracetamol 3x1 tab
- Famotidin 2x1 tab dr. Layali
Ny. D, 50 th, susp anemia, Rawat inap
gastritis akut - Plan: DL (Hb 3,8 mg/dl,
leukosit 3.300/mm3, trombosit
428.000/ m3)
- Transfusi PRC 4 kolf
- Premedikasi Dexamethason
1A
13/01/2014 A - Post transfusi IVFD NaCl 384
0,9% 20 tpm
- IVFD RL 20 tpm
- Inj. Ramitidin 3x1A
- Omeprazol 2x1 tab
- Antasida 3x2 cth dr. Layali
Tn. S, 50 th, susp bronkhitis, Rawat jalan
LBP - Ambroxol 3x1 tab
- Na diclofenac 2x25 mg dr. Layali
Sdr. H, 22 th, thyfoid Rawat jalan
fever+motion sickness - Inj. Ranitidin 1A (iv)
- Inj. Ondansetron 1A(iv)
- Dimenhidrinat 3x1 tab
- Antasida 3x1 tab dr. Layali
Ny. A, 27 th, gastritis akut Rawat jalan
- Ranitidin 3x1 tab
14/01/2014 A - Domperidon 3x1 tab 387
Tn.A, 23 th, multiple VE Rawat jalan
-Wound toilet
14/01/2014 B - Asam mefenamat 3x500 mg 388
-Ranitidin 3x1 tab
- Biolasenton gel 2xoles. Musafiroh
Ny. N, 20 th, multiple VE Rawat jalan
- Wound toilet
14/01/2014 B 389
- Amoxicillin 3x500 mg dr. Layali
- Ranitidin 3x1 tab
An. D, 11 ln, 9 kg, Rawat inap
KDS+rhinobronkhitis - IVFD D5%-1/4 NS loading
100 cc-->34 tpm
- stesolid supp 5 mg (bila
kejang lagi)
14/01/2014 A 390
- Cefadroxyl syrup 2x1 cth
- Coparcetin syr 3x1 cth
- Diazepam 4 tablet 2 mg, Vit
BC No III, vit C III mfla pulv dr. Layali
dtd X, 3x1 Musafiroh
Tn.s, 50 th, reaksi stress Rawat jalan
akut - Alprazolam 0,5 mg 1x1
14/01/2014 D 391
- Diazepam 5mg 1x1 dr. Layali
-Ranitidin 2x150 mg Musafiroh
Ny. A, 27 th, obs febris susp Rawat inap
tifoid fever, histeria - IVFD D5% 20 tpm
14/01/2014 A, D konversi - Inj. Ranitidin 2x1 A 392
- Inj. Diazepam 5 mg (ekstra) dr. Layali
- Alprazolam 1x0,5 mg Musafiroh
Ny.A, 60 th, serangan asma Rawat inap
sedang pada asma persisten - IVFD D5%+Aminofilin 1A
sedang, hipertensi stage II 12 tpm
14/01/2014 A, C (180/100 mmHg) - Nebulisasi Ventolin 2x1A 393
- Inj. Dexamethason 3x1A
- Ambroxol 3x30 mg Musafiroh
- Amlodipin 1x5 mg
- Captopril 2x12,5 mg
An. J, 7 bln, 8 kg, Rawat inap
Rhinobronkhitis+GEADR - IVFD D5%-1/4NS 30 tpm
(mi)
16/01/2014 A - Inj, Ceftriaxon 2x200 mg 394
- Coparcetin 4x1 cth
- L-Bio 2x1/2 sach dr. Layali
- Zinc 1x10 mg Musafiroh
An. M, 1 th, 10 kg, demam Rawat inap
tifoid, anemia sedang. - IVFD RL 32 tpm (mi)
Hb:7,4g/dl. - Inj. Ondansetron 2x1/2A
16/01/2014 A - Lacto-B 2x1 sach 395
- PCT 4x1 cth
- Zinc 1x10 mg
- SF 100 mg III, vit BC I, pulv dr. Layali
X, 3x1 Musafiroh
An.V, 3,5th, 24 kg, serangan Rawat inap
asma sedang pada asma - O2 3l/m
persisten ringan - Nebulisasi ventolin 2x1/2A
16/01/2014 A - IVFD D5% 15 tpm 396
- Inj. Dexamethason 3x1/2 A
- Ambroxol syr 3x2cth dr. Layali
- Salbutamol 3x1/2 tab Musafiroh
Tn. Z, 52 th, abdominal pain Rawat inap
17/01/2014 A ec susp. ISK dd BPH, BSK, - IVFD RL+Ketorolac 1A, 20 dr. Layali 397
orchitis sinistra. TD 140/90 tpm Musafiroh
mmHg, s:38C. - Inj Ranitidin 2x1A
- Scopma tab 3x1
- Konsultasi dr.Luqman,
Sp.PD: Dx: ISK komplikata dd
BSK, BPH
-Tx: Inj Ceftriaxon 2x1 gr (iv),
Ciprofloxacin 2x500 mg , Inj,
Ranitidin 3x1A,
Inj.Ondansetron 3x1A,
Paracetamol 4x500mg. Pro
BNO dan USG abdomen
Ny. D, 65 th, hipertensi Rujuk
emergensi, GEADS. GCS: - IVFD RL loading 300 cc-->
E3M6V4. TD: 230/110 30 tpm--> IVFD RL+Catapress
mmHg. 1A 20 tpm
17/01/2014 A,C - Pasang DC 398
- Captopril 25 mg dr. Layali
- Amlodipin 10 mg Musafiroh
NY. S, 39 th, VL reg capitis Rawat jalan
-Wound toilet, hecting luar 2
18/01/2014 B 399
18/01/2014 B Sdr.A, 15 th, VL plantar Rawat jalan dr. Layali 400
pedis sinistra - Wound toilet Musafiroh
- Ranitidin 3x1 tab

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