LAPORAN HARIAN RESPIROLOGI Periode : Febuari 2015 Kamis , 12/02/2015 Madya : dr. Gita/ Senior : dr. Yasmien/dr. Livi/dr. Zakaria No Identitas Diagnosis Tatalaksana Laboratorium Masalah 1 M Apriansyah/Lk/8.5 bln BB : 4.5 kg PB 63 cm 873911/15003338 MRS 03/02/2015 R : 10 Bronkhopneumonia + PDA Moderate + Atrofi Cerebri + Marasmus kondisi V + Motoric delayed Ampicillin 3 x 150 mg (10) Ceftazidime 3 x 150 mg (10) Dexamethason 3 x 1 mg (5)STOP Parasetamol 3 x 50 mg po Vit B/C/As folat 1 x 1 tab po Furosemide 2 x 5 mg po Captopril 2 x 2mg po O2 nasal 2L/mnt Diet F75 (SGM II) 12 x 60 cc 03/02/2015 Hb : 12.2 Ht 38 L 11500 Tr 559000 DC 0/0/0/35/57/8 LED 40 CRP<5 04/02/2015 FT4 0.99 (0.92-1.99) TSH 0.35 (0.73-8.35) 08/02/2015 Hb : 13.5 Ht 41 Tr 171000 L7300 LED 10 DC 0/0/0/28/58/14 Ca 10.2 Na 140 K 5.9 Cl 99 CRP < 5 Raber Gizi CT Scan : Atrofi Cerebri 2 Satria Pratama Lk/ 30 hari BB : 3.5 kg PB : 50 cm 874764/15003782 MRS 08/02/2015 R : 5 Empiema Thorax post pemasangan WSD hari ke 4 Ampicillin 3 x 125 mg (5) Gentamicin 2 x 8 mg (4) Cloxacillin 3x200 mg (3) 08/02/2015 Hb 15.7 L 49500 Tr 229000 LED 21 CRP (+) 65 Menunggu hasil kultur darah Menunggu hasil Mantoux 3 Annisa Putri Bilqiz Pr/ 40 hari BB : 2.8 kg PB : 50 cm 875077/15003926 MRS 09/02/2015 R : 4 Bronkhopneumonia + CHD asianotik Ampicillin 3 x 100 mg (4) Gentamicin 2 x 5 mg (4) O2 nasal 1L/mnt 09/02/2015 Hb 10.5 Ht 31 Leu 10800 Tr 501000 DC 0/0/0/36/47/17 CRP < 5 4 Ilham bin Hariyanto Bronkhopneumonia IVFD D5 ¼ NS gtt 20 mikro 09/02/2015 Menunggu hasil
