LAPORAN JAGA Bangsal 16 Septemberr
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Transcript of LAPORAN JAGA Bangsal 16 Septemberr
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7/25/2019 LAPORAN JAGA Bangsal 16 Septemberr
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Identitas PasienNama : Tn. SNo RM : 118975
Usia : 78 ta!n
Jenis "e#amin : La"i$La"iPe"e%&aan : Pensi!nan
A'ama : Is#am
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Anamnesis(! : t!)! te%asa #emas se&a" 1 a%i SMRSRPS : Lemas *e%tama di%asa"an + a%i SMRS,
sema"in )e%at *ada 1 a%i SMRS, *asien tida"da*at )e%a"ti-itas, tida" sam*ai "ei#an'an
"esada%an, "e%in'at din'in /0, ne%i dada $0,sesa" na*as $0, i*e%tensi $0, *asien men'e#!sa"it "e*a#a, )e%"!%an' saat di)e%i o)at sa"it"e*a#a, sesa" na*as $0, m!a# m!nta $0, BAB BA()ai",
Pasien memi#i"i *ena"it 2M den'an *en'o)atans!nti" ins!#in +3 "a#i sea%i,*asien te%a"i% "ont%o#"e *o#i G2S 544, dosis no-o%a*id +315 !nit.
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RP2 : tida" adaRP( : tida" ada
RPO : no-o%a*id +315 !nit, #ant!s, as*i#et,
"andasa%tan, sim-astatinRPSos :me%o"o" $0, a#"oo# $0, &am!$&am!an $0
Ri. A#e%'i : Tida" Ada
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Peme%i"saan 6isi"(! : Tam*a" sa"it sedan'(esada%an : om*os Mentis GS 150
BBTB : 4 "' 15 m
IMT : ;;,5 no%moei't0Stat!s Gi
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Peme%i"saan (#inis(e*a#a : no%moe*a#iMata : (on&!n'ti-a anemis //, s"e#e%a
i"te%i" $$T>T : se"%et $$, de-iasi se*t!m nasi $$Lee% : Pem)esa%an (GB $0, J=P 5 $ ; m>;O
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To%a3P!#mo:
I : *e%'e%a"an dindin' dada "anan dan "i%i simet%is
P : -o"a# @%emit!s "anan sama den'an "i%i
P : sono% *ada *a%!A : S!a%a na*as -esi"!#e% //
o% :
I : i"t!s o%dis tida" te%#iat
P : i"t!s o%dis te%a)a tida" "!at an'"at
P : )atas "anan &ant!n' midste%na# IS , )atas&ant!n' "i%i : #inea mid#a-i!#a sinist%a IS 5, )atas*in''an' &ant!n' #inea mid#a-i!#a sinist%a IS ;
A : BJ I $ II %e'!#e%, 'a##o* $$, m!%m!% $$
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A)domenI : *e%!t data%A : BU /0
P : e*a% tida" te%a)aP : tim*ani *ada se#!! #a*an a)domen
"st%emitas
Atas : a"%a# an'at, edema $$ % C ; deti"Baa : a"%a# an'at, edema $
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Peme%i"saan Pen!n&an'>emato#o'i>) : 8,7 'dL D
>t : ;7 ED
%it%osit : ;,9 &!taU#D
Le!"osit : 44!L
M= : 9; FM> : +4 *'
M> : ++ 'dL
(imia (#ini"U%e!m :
(%eatinin : 1,
G2S : ;
Na : 17
# : 11
( : ,7
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2a@ta% Masa#a1. >i*o'#i"emi e *ema"aian o)at anti
dia)eti"
;. Anemia no%mositi" no%mo"%om
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Pen'"a&ian
>i*o'#i"emiAnamnesa : #emas se&a" 1 a%i SMRS,
*!sin', "e%in'at, din'in memi#i"i %iaat 2Mden'an *en'o)atan no-o%a*id +315 !nit
P3. 6isi" : tida" ditem!"an
P3.Pen!n&an' : G2S ;
Tata#a"sana :
2ia'nosti" : 2a%a R!tin, aseton, AG2,Te%a*i : enti"an ins!#in sementa%a
o I=62 2S NS ;4 t*m
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P%o'nosisAd -itam : d!)ia ad )onamAd @!n'sionam : d!)ia
Ad sanationam : d!)ia