[Type text]LAPORAN HARIAN RESPIROLOGI

Periode : Febuari 2015 [Type text]

Rabu, 04/02/2015

Madya : dr. Gita/ Senior : dr. Yasmien/dr. Livi/dr. Zakaria

NoIdentitasDiagnosisTatalaksanaLaboratoriumMasalah

1Salsabila/Pr/12 bulan

BB : 5.9 kg PB 64 cm

Pindahan PICU

(01/02/2015)Bronkhopneumonia + Decomp Cordis ec PDA Moderate + Sepsis + Hipotiroid kongenital + Marasmus kondisi V + Ulkus DekubitusD5 NS gtt 6 makro

Amikasin 2 x 110 mg (12)

Cefoperazone 4 x 150 mg (12)

Captopril 2 x2 mg po

Furosemide 2 x 6 mg po

Thyrax 1 x 25 g po 26/01/2015Hb : 9.1 Leu 8700 Tr 211000 LED 5 MCV/MCH/MCHC : 86.8/29/33 Ret : 3.5 DC : 0/0/12/64/12/5 Fe 100 TIBC 214 Ferritin 757.30

03/02/2015

Hb : 8.7 L : 9100 Tr 316000 DC : 0/2/2/65/18/13 Alb 3.7 Ureum 19 Cr 0.30 LFG 117.33 Na 144 K 4.6 Ca 10.1 CRP < 5

FT4 2.47 (k : 0.92-1.99)

TSH 3.19 (k : 0.73-8.35)Anemia ( R/trnsfusi PRC

FT4 TSH N

R/konsul endokrin ulang

2Putra Rezky/Lk/5 bulanBB : 4 kg PB : 52 cm

Pindah ke PICU (02/02/2015)BPD + TB paru fase intensif + Hipotiroid sekunder + Marasmus kondisi VVent SIMV PIP/PEEP 15/5 FiO2 50%

Ampi- Sulbactam 3 x 130 mg (4)

Salbutamol 4 x 0.3 mg po

INH 1 x 50 mg (46)

Rifampicin 1 x 60 mg (46)

PZA 1 x 80 mg (46)

Thyrax 1 x 30 g po (12)

Furosemide 2 x 1.5 mg po

Dexamethasone 3 x 0.3 mg (12)02/02/2015Hb : 9.2 L : 6700 Tr 234000 LED 60 DC 0/0/0/66/25/9

AGD pH 7.25 pCO2 112.1 pO2 43.7 Beb 6.4 HCO3 35.6 Kultur darah steril

Echo ( normal

CT Scan Thorax : BPD Perawatan PICU( napas spontan (-)

3M Apriansyah/Lk/7blBB : 4.5 kg PB 63 cm

873911/15003338

MRS 03/02/2015Bronkhopneumonia + Marasmus kondisi V IVFD D5 NS gtt 15 mikro/mntAmpicillin 3 x 150 mg (2)

Ceftazidime 3 x 125 mg (2)

Parasetamol 3 x 50 mg po

Vit B/C/As folat 1 x 1 tab po

O2 Headbox 8L/mnt03/02/2015R/ kultur darah