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LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015

Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)


Rabu, 16 Desember 2015

Lantai 1

Lantai 2

NO Identitas Diagnosis Tatalaksana Pemeriksaan Lanjutan


Daniel saputra /Lk/5-12-2011 ALL HR pro Ondansentron 1x4 mg 16-12-15
879790/15031776 konsolidas+diare akut tanpa PCT Syr 3x1 ½ cth Hb 10,9 RBC 4,13, WBC 5.7 Ht 33 trombosit 266 MCV 80.4 MCH 26 MCHC 33 LED
dehidrasi selesai 40 DC 0/0/72/25/3 Bolirubin total 0.6 Bilirubin direk 0.13 Bilirubin Indirek 0.47
BB 15,5 kg TB 99 cm Kotrimoksazol 2x1 ½ cth
AST/SGOT 25 ALT/SGPT 18 Protein total 7.2 Albumin 4.5 ureum 9 Kreatinin 0.16 Ca
Jln.DI Panjaitan no 1345 Lr Pasundan Oralit 150-200 cc bila butuh / BAB cair 9.8 Na 139 K 4.7 Cl 106 Globulin 2.7 ANC 4.104
Palembang Zink 1x20 mg
08217700507 IVFD KAEN 3A gtt 15 makro 7-12-15
MRS 08-12-15 Cek DR,kk hari ini Hb 10,9 WBC 4.6 RBC 4.19 Ht 34 trombosit 383 MCV 80.9 MCH 26 MCHC 32 LED
15 DC 0/0/54/40/6 Bolirubin total 0.48 Bilirubin direk 0.17 Bilirubin Indirek 0.31
AST/SGOT 32 ALT/SGPT 28 Proteinn total 6.9 Albumin 4.6 ureum 9 Kreatinin 0.29 Ca
9.4 Na 143 K 3.6 Cl 112
Inj Ondasetron 3x4 mg
PCT syr 3x1 ½ cth
Oralit 150-200 cc/BAB cair
Zink 1x20 mg
IVFD KAEN 3A gtt 15 makro
R/ Kemo MTX HD besok
RidhoPratama Muhali/Lk/13-7-10 ALL SR Fase Induksi R/ kemolevhase 48 jam iv hariini 7-12-15
919561/RI 15031777 Prednison 2-2-1 Hb 10,6 WBC 3.8 RBC 3.52 Ht 34 trombosit 244 MCV 97.4 MCH 30 MCHC 31 LED
BB 18 KG TB 107 cm Kotrimoksazol 2x1 cth 42 DC 0/0/89/9/2 Bolirubin total 0.67 Bilirubin direk 0.20 Bilirubin Indirek 0.47
AST/SGOT16 ALT/SGPT 39 Proteinn total 8.1 Albumin 5.1 ureum 25 Kreatinin 0.28
Maca Lindungan Bukit Baru,IB I Nystatin 4x175.000 iu Ca 9.7 Na 140 K 5.2
,Palembang
085367737105
MRS 08-12-15 idem R/ Kemolevhaase besok
Prednison 2-2-1
Kotrimoksazol 2x1 cth
Nystatin 4x175.000 iu

Kmr 3 Adika Jaunawi/Lk/09-06-03 Demam netropenia + anemia Sandinum 1x5 tab 13-12-15
Bad 7 898942/RI15025825 aplastik R/ transfusi TC 3X9 UNIT Hb 9.0 RBC 3.6 WBC 1.0 Ht 26 PLT 20.000 MCV 78,7 MCH 27 MCHC 34 LED 50 DC
BB 38 kg Inj Ceftidim 3x1,5 gr (1) 0/0/9/88/3 ANC 162
TB 137 cm Kultur darah dan urin 06-12-15
Ds. Tabarena Ds II bengkulu Hb 8.6 RBC 3.19 WBC 1.9 Ht 25 PLT 3 DC 0/0/7/91/2
085380066574 27-11-15
MRS 17-11-15 Hb 9,7 RBC 3.610.000 WBC 1.800 Ht 28 PLT 8 LED 50 DC 0/0/4/94/2
25-11-15
Hb 8,8 RBC 3.200.000 WBC 1.500 Ht 25.000 PLT 44.000 DC 0/0/12/83/5
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

18-11-15
URINALISIS
Kuning jernih BJ 1.050 Ph urine 6,0 prot – gluk – keton + darah ++ bilirubin – nitrit 2
lekosit esterase – epitel – lekosit 0-2 eritrosit 0-2 silinder – kristal – bakteri + mukus – jamur
-
17-11-15
Hb 7,7 RBC 2.940.000 WBC 2.000 Ht 22 PLT 1 MCV 75,2 MCH 26 MCHC 35 LED 56
DC 0/0/12/85/3/0,1 ANC 240

17/12/15
Aemia Aplastik+ R/ Trasfusi TC 3X90 uit
Trombositopenia+ Demam Ij Ceftazidime 3x1,5 gr(3)
eutropeia Inj Asam traneksamat 3x250 mg
Sadimun 1x5 cap
r/ hasil kultur urin + darah
Rani Andini/Pr/06-05-00 Anemia Aplastik R encana Tranfusi PRC 1X150 cc 11-12-15
812942/RI 15032067 Trombositopenia Berat Rencana TC 3x8 unit Hb 6.2 RBC 1.81 WBC 3.6 Ht 18 PLT 9 MCV 101,1 MCH 34 MCHC 34 LED 40 DC
TB 142 cm BB 35 kg Parasetamol Tab 3x500 mg 0/0/55/39/6
Lr HJ Daisyah karya jaya kertapati Inj ampisilin 3x1 gr (5)
palembang Inj Gentamisin 2x90 mg (5)
082371736505 Sandimun 1x5 cap
MRS 11-12-15

Rencana TC 3x8 unit (1) (2) (3)


Inj ampisilin 3x1 gr (6)
Inj Gentamisin 2x90 mg (6)
Sandimun 1x5 cap

M.Zakky Ridho/Lk/08-09-12 Susp.ALL DD/AML IVFD D5 ½ NS gtt 10 makro Laabbbb di foto dewi
BB 13kg TB 92cm Inj Ceftazidim 3x650 mg (6)
926449/RI 15032525 Inj Mikasin 1x200 mg iv (3)
Jln. Letnan Mukmin No 235 RT 05 RW Transfusi TC 3X3 uit (1) (2) (3)
02 Sei Pangeran,Ilir Timur I, Dexametason 3-3-2 (5)
Palembang Menunggun hasil kultur urine 18-12-15
MRS 16-12-15
IVFD D5 ½ NS gtt 10 makro
Inj Ceftazidim 3x650 mg (7)
Inj Mikasin 1x200 mg iv (4)
Dexametason 3-3-2 (5)
Menunggun hasil kultur urine 18-12-15
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

Rio bin Dedi /Lk/25-07-02 PNET Kemoterapi sesuai Prosedur PNET 3-11-2015
861416/RI 324120 Konsul THT Hb 12,0 RBC 4.76 WBC 14.8 Ht 38 PLT 339 MCV 79,0 MCH 25 MCHC 32 LED 10 DC
BB 3kg TB 126 cm Konsul Gilut 0/2/39/50/9 BT 2 CT 19 SGOT 14 SGPT 43 BSS 103 Ur 27 Creat 0.58 Na 142 K 3.6
HbSAg Non Reaktif
Dusun IV Simpang Gardu RT 03 RW Konsul Kardiologi
06 Teluk Kijing, Kec Lais,MUBA
Telp 0823 7788 4011
MRS 15-12-15 Konsul ulang ke Gilut pro ekstraksi dan
konservasi
R/ ECHO menunggu jawaban konsul
cardio

Yunita binti Mukmin/Pr/28-06-03 Anemia Aplastik+ Transfusi PRC 3X150 cc (-)


921613 / RI 150 32277 Trobositopenia Berat + Tranfusi TC 3X7unit
BB 27 kg TB 141 cm Demam Netropeni IVFD D51/5 NS gtt 15 makro
Tanjung Raja Selatan OI Inj ceftazidim 3x1,3 gr (2)
Telp 085279586226 Inj ketorolac 1x6 mg
MRS14-12-2015 Sandinum 2x8 tab

Transfusi PRC 3X150 cc


Tranfusi TC 3X7unit
Inj ceftazidim 3x1,3 gr (3)
Inj ketorolac 1x6 mg
Sandinum 2x8 tab

Sheila Anggita/Pr/17-11-13 Tumor Willms Pro kemoterapi VCR Ifosfomid hari ini
878050/RI 15032357 (pulang)
BB 7,5 kg tb 66 cm
Ds 4 Desa SAKATIGA Indralaya OI
082282491428
MRS 14-12-15
Tri Islami/Pr/27-03—06 Thalasemia B Mayor +susp Inj Ampisilin 3x500 mg (3) (-)
927036/RI 15032332 BP Inj gentamisin 2x40 mg (3)
BB 15 kg TB 108 cm Inj PCT 3x200 mg
Desa Saleh Agung,Air Salek Banyuasin O2 nasal 1L/mnt (prn)
082282366243 Menunggu jawaban konsul respirologi
MRS 14-12-15
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

Thalasemia B mayor + Inj Ampisilin 3x500 mg (4)


Tonsilofaringitis Inj gentamisin 2x40 mg (4)
PCT syr 3x200 mg
O2 nasal 1L/mnt (prn)
Menunggu jawaban konsul respirologi

Diky Tri ananda/Lk/10-12-11 ALL SR Prednison 3-2-2 (5) (-)


926218/RI 15031795 Minggu konsul PA tgl 16-12-15
BB 12kg TB 111 cm R/ rontgen lumbosacral
Negeri Ratu Baru,Bunga mayang,Jaya r/ EMG
Pura ,Oku TIMUR
08539878967755
MRS 08-12-15 ALL SR window periode+ Transfusi TC 3X3 unit
anemia +trombositopenia Transfusi PRC 1X150 cc
berat + Lympoma maligna
Prednison 3-2-2 (6)
regio submandibula dextra
Menunggu hasil ro.lumbosacral
Menunggu jadwal EMG
Ivan bin Sopyan/Lk/22-02-02 MDS +AIHA R/ transfusi TC 3X8 UNIT (3)
918756/ RI 15031812 Inj ampisilin 3x1 gr(6)
Gg Lematang,Talang Ubi Timur,Muara Inj gentamisin 2x80 mg (6)
Enim Methyl prednisolon 3-3-3 (6)
MRS 08-12-15 Inj asam traneksamat 3x200 mg iv

Sindi Yuliana/Pr/01-07-06 Thalasemia ? 16-12-15


837016/RI 15032521 Hb 4.2 RBC 1.77 WBC 6.1 Ht 14 PLT 230 MCV 78.0 MCH 24 MCHC 30LED 15 DC
0/1/55/36/8 Ret 6.0 Fe 277 TIBC 278 Bilirubin Total 2.81 Bilirubin Direk 0.91 Bilirubin
BB TB
Indirek 1.90 AST/SGOT 99 ALT/SGPT 70 Protein Total 8.6 Albumin 4.6 Ureum 14Creat
Desa Pulau Panggung,Muara 0.29 Ferritin 2086.00
Kelinci,Musi Rawas
081541185334
MRS 16-12-15
Nia Sabela/Pr/25-06-05 (PULANG)
114000/RI 15032517
BB TB
Jln PT Sawit MasLr Tanjung Laut
Pangkalan Balai,Banyuasin
082373844362
MRS 16-2-15

M Dzaky Rau’uf/Lk/20-11008 Thalasemia Hb 10.6


516188/RI 15032516 (PULANG)
BB 113 cm TB18 kg
Perum Gritya Asri Blok O No 139 Pulo
Kerto,Gandus,IB II,Palembang
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

MRS 16-12-15

Lantai 3

NO Identitas Diagnosis Tatalaksana Pemeriksaan Lanjutan


M. Faruq / Lk / 02-03-2010 ALL HR tipe T-cell fase IVFD D5 ½ NS gtt 15 makro 16-12-2015
920384 / 15030373 induksi + thrombositopenia Cek DR, KK, PT, APTT hari ini HB 9.1 RBC 3.26 WBC 2.6 Ht 27 Thrombosit 214 DC 0/0/42/56/2 Bilirubin total 0.28
BB kg, TB cm perbaikan + peningkatan Kemoterapi Lecnase 6300 IU Bilirubin direk 0.10 Bilirubin indirek 0.18 AST/SGOT 15 ALT/SGPT 24 Albumin 4.0
fungsi hati + hipertensi gr II Ureum 34 Asam urat 1.6 Kreatinin 0.18 Ca 9.0 Na 138 K 3.7
Jl. Keramat No. 1346, Kel. Tangga Inj. Ondasentron 4mg (IV) pre & post
Takat, Kec, Seberang Ulu II, Palembang kemoterapi 10-12-2015
Curcuma tab 3x1 Hb 11.3 RBC 4.10 WBC 3.7 Ht 34 Thrombosit 52 D 0/1/42/52/5 PT kontrol 15.40” pasien
Captopril tab 2x12,5 mg 12.0” INR 0.90 APTT kontrol 35.5”. pasiem 23.9”
Furosemid tab 2x20mg
Dexametasone 0.5mg tab 4-3-3
Ambroksol + salbutamol pulv 3x1
TD /6jam
Pandu Akbari Meyland0 / Lk/ 27-05- ALL fase induksi + AIHA + IVFD D5 ½ NS gtt 15 makro 16-12-2015
2004 neutropeni tanpa demam + Inj. Omeprazole 1x20mg HB 9.8 RBC 4.08 WBC 1.1 Ht 29 Thrombosit 46 DC 0/0/11/84/5 PT time kontrol 15”,
846368 / 15029254 thrombositopenia + Ampicilin 3x1 gr (IV) Pasien 13.1” INR 1.01 APTT kontrol 34.8, pasien 26.8AST/SGOT 21 ALT/SGPT 209
peningkatan F5 hari +
BB kg, TB cm Inj. Gentamisin 2x 80mg (2)
Hipertensi grd II + faringitis
Jl. Perum OPI Lrg, Gugur I Blok R No. akut + stomatitis +axional Inj. Ondansentron 2 x 6mg
11. RT/RW 47/14, Kel 15 ulu, Kec polineuropati sensorik & Kenalog anabase 2x1 sue
Seberang ulu I, Palembang. motorik Curcuma tab 3x1
Hp 082183805341
Nystatin tab 3 x500000
Captopril 3 x 12,5
Mecocobalamin 2x16mg
Alinamin-F 1x11 mg
Calnic syr 2x1cth
Kometerapi Leonase (8)

Ovi Anjani / Pr/06-11-2012 Retinoblastom a OD Pro- IVFD D5 1/5NS gtt 6 makro 14-12-2015
904722/15032455 Kenoterapi Kemoterapi Etoposide 70,5 mg (IV) HB 10,0 RBC 3.47 WBC 6.5 Ht 30 Thrombosit 225 MCV 86,5 MCH 29 MCHC 33 LED 31
DC 0/1/33/60/6 Biliribun total 0,40 Bilirubin Direk 0,13 Bilirubin indirek 0,27 AST/SGOT
BB kg, TB cm Kemoterapi Vincristin 0,7mg (IV)
43 ALT/SGPT 1 Protein total 8,1 Albumin 4.7 Ureum 15 Kreatinin 0,37 Ca 9.5 Na 142 K
Desa Pagar Ruyung, Kec.Kota Agung, Inj. Ondansentron 4mg pre & post Kemo 4.0
Lahat Cetirizine 1x1 cth (PO)

Putri Rahma Oktarini / Pr/ 23-10-2012 Osteosarcoma + Ami std Risk IVFD D5 1/2NS → Ifosfamide 2745mg + 14-12-2015
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

896656/15032282 + Hipocalsemia mesna 2700mg kec 10 gtt makro (12jam) HB 11,7 RBC 4.01 WBC 4.5 Ht 35 Thrombosit 159 MCV 87,5 MCH 29 MCHC 33 LED
BB 36 kg TB 149 cm → D5 500cc + mesna 2700 mg kec 10 gtt 29 DC 0/2/57/31/10 Retikulosit 2.2 Biliribun total 0,50 Bilirubin Direk 0,31 Bilirubin
Jl. Merdeka No.13 Kel. Kedondong makro 12 jam berikutnya indirek 0,19 AST/SGOT 34 ALT/SGPT 23 Protein total 8,0 Albumin 5.0 Ureum 10
Raye, Kec. Banyuasinn III, Kab. IVFD D5 1/2NS + KCL 24cc + Ca Kreatinin 1,24 Ca 6.5 Na 137 K 4.4
Banyuasin Glukonas 10% 24cc kec 37 gtt makro
Drip Ca Glukonas 20cc dalam D% 100cc,
habis dalam 1jam/8jam
Balance /12jam
Kemoterapi ifosemide & doxosubicine (2)
Inj. Ondansentron 2x8mg
M. Angga Saputra / Lk / 22-02-2013 ALL HR fase konsiliasi + Curcuma 3x1 tab 12-12-2015
908700/15032058 anemia perbaikan + Alinamin-F 2x1 tab CA 8.9 Na 138 K 4.3
BB 15 kg PB 78 cm thrombositopenia + Mecocobalamin 2x1 tab
peningkatan fungsi hati + 11-12-2015
Tepi sungai kedukan, Kel 3-4 ulu, Kec obesitas + polineuropati Cotrimoksasol syr 2x1cth HB 6.7 RBC 2.46 WBC 3.2 Ht 21 Thrombosit 81 MCV 84,1 MCH 27 MCHC 32 LED 34
Seberang Ulu I, Palembang parsial Bmp 1x1 tab DC 0/0/52/45/3 AST/SGOT 290 ALT/SGPT 198 Protein total 6, 8 Albumin 3,9 Ureum 18
Hidrasi 1 ½ maintenance dgn D5 ¼ NS gtt Kreatinin 0,27 Ca 7,4 Na 144 K 3.8
20 makro s/d pukul 12.00 pagi
Inj. Leucoconia 8.4mg pukul 00.00 wib &
06.00 wib
Arwanda Jerry Jerro / Lk/ 15-04-2004 Anemia hipoplastik + Transfusi TC 11 unit (3) 10-12-2015
888069 / 15031973 thrombositopenia Sandimon 2x 5tab (PO) HB 10,8 RBC 3.41 WBC 3.6 Ht 32 Thrombosit 44 MCV 93.8 MCH 32 MCHC 34 LED 45
BB kg, TB cm Asam mefenamat tab 3 x500 mg (PO) DC 0/0/28/61/9 AST/SGOT 23 ALT/SGPT 22 Ureum 14 Creatinin 0,43 Ca 9,3 Na 137 K
3,4
Prabumulih no.27, Kel. Sukajadi, Kec. Rencana pulang → tunda
Prabumulih Timur 920373

Adrian Alfino/ Lk / 04-02-2010 Undifentiated pleomorfik IVFD D12,5 + 75cc NS 3% 60 cc/jam 14-12-2015
864823 / 15031191 sarcoma + Hiponatremi Inj. Ampicilin 3x50mg (5) CA 8.4 Na 133 K 4.8
(perbaikan)
BB kg, TB cm Inj. Gentamisin 2x40 mg (5)
12-12-2015
Dusun IV , Kel. Muara Burnai, Kec. Inj. Asam Tranesamat 3x150mg HB 9.5 RBC 3.66 WBC 21.4 Ht 30 Thrombosit 208 MCV 80,6 MCH 26 MCHC 32 LED
Lempuing Jaya, Kab. Ogan Komering Radioterapi (3) 60 DC 0/0/74/17/9 retikulosit 0.5 Fe 16 TiBC 170 Bilirubin total 0.47 Bilirubin direk 0.20
Ilir Bilirubin indirek 0.27 AST/SGOT 39 ALT/SGPT 15Albumin 3,1 GDS 66 Ureum 15 Asam
F135 3 x 200 cc
Rcn FFP 1x1 unit urat 2.5 Kreatinin 0,35 Ca 8,4 Phospor 3.2 Mg 2.33 Na 129 K 4.3 Cl 103 Ferritin 365.60
CRP kuantitaif 215
Ganti verban → deep kembali
Urinalisa : warna kuning, kejernihan agak keruh, berat jenis 1.030 Ph 5.0 protein (-) glukosa
(-) keton (-) darah (-) bilirubin (-), urobilinogen 1, nitrit(-), lekosit ekstrase (-)
Sedimen urine : epitel (+)1, lekoit 2-4 Eritrosit 1-2 Silinder (-) kristal (-) bakteri (-) mukus
(-), jamur (-)
M. Fauzi Azka Syahputra / Lk/ 13-12- ALL HR fase intensifikasi + IVFD D5 ½ NS gtt 10 makro 14-12-2015
2010 anemia + thrombositopenia + Transfusi PRC 1x150cc, TC 6 unit HB 8.0 RBC 2.96 WBC 0.5 Ht 24 Thrombosit 26 MCV 80,7 MCH 27 MCHC 34 LED 63
904029 / 15032459 hipocalcemia Nystatin 4x300.000 DC 0/0/20/72/8 retikulosit 0.1 Bilirubin total 0.56 Bilirubin direk 0.26 Bilirubin indirek 0.29
BB kg. TB cm AST/SGOT 41 ALT/SGPT 195 Albumin 5.0 Ureum 25 Kreatinin 0.21 Ca 6.9 Na 134 K 3.9
Tunda kemoterapi
Komp Kencana Damai Blok H-04, kel. Obs demam & perdarahan
Sukamaju, kec, Sako, Palembang Calnic syr 2x1 cth
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

M. Febriansyah / Lk / 27-10-2011 AIHA + Erand syndrome Stopper 16-12-2015


620756 / 1503253 R/ transfusi WB 1x150cc HB 6.6 RBC 2.48 WBC 13.6 Ht 19 Thrombosit 154 MCV 77.8 MCH 27 MCHC 35 LED
19 DC 0/14/48/30/8 Retikulosit 0.6 Bilirubin total 0.92 Bilirubin direk 0.30 Bilirubin
BB kg, TB cm Bila transfusi WB diberikan → inj.
Metiprednisolon 3x5mg indirek 0.62 AST/SGOT 39 ALT/SGPT 26 Albumin 4.5 Ureum 12 Kreatinin 0.32
Jl. Ki Merogan No.1431 RT 32 RW 06,
Kel. Kemang Manis, Kec. Kertapati, Obs sesak
Palembang. Hp 0896 3728 1089

Flora Adiya Meca / Pr / 07-11-2006 ALL High Risk fase IVFD D5 ½ NS gtt 30 makro (hidrasi ½ 16-12-2015
858549 / 15032308 maintenance + AKI std injury maintenance) Ureum 11 Asam urat 2.0 Kreatinin 0.33 Ca 9.7 Na 143 K 3.7
BB kg, TB cm Dexametasone tab 4-4-4
Desa Sukamulya, Kel. Sukamulya, Kec. Kotrimoksasol syr 2 x ½ cth
Lempuing, Kab. Ogan Komering Ilir Cek fungsi ginjal ulang hari ini
Rencana pulang bila fungsi ginjal baik
Pandu Akbari Meyland0 / Lk/ 27-05- ALL fase induksi + AIHA + IVFD D5 ½ NS gtt 15 makro 16-12-2015
2004 neutropeni tanpa demam + Inj. Omeprazole 1x20mg HB 9.8 RBC 4.08 WBC 1.1 Ht 29 Thrombosit 46 DC 0/0/11/84/5 PT time kontrol 15”,
846368 / 15029254 thrombositopenia + Ampicilin 3x1 gr (IV) Pasien 13.1” INR 1.01 APTT kontrol 34.8, pasien 26.8AST/SGOT 21 ALT/SGPT 209
BB kg, TB cm peningkatan F5 hari +
Hipertensi grd II + faringitis Inj. Gentamisin 2x 80mg (2)
Jl. Perum OPI Lrg, Gugur I Blok R No. akut + stomatitis +axional Inj. Ondansentron 2 x 6mg
11. RT/RW 47/14, Kel 15 ulu, Kec polineuropati sensorik & Kenalog anabase 2x1 sue
Seberang ulu I, Palembang. motorik Curcuma tab 3x1
Hp 082183805341
Nystatin tab 3 x500000
Captopril 3 x 12,5
Mecocobalamin 2x16mg
Alinamin-F 1x11 mg
Calnic syr 2x1cth
Kometerapi Leonase (8)
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

MAWAR A

Identitas Diagnosis Tatalaksana Pemeriksaan Lanjutan

Gracia Agustina/Pr/02-08-11 ALL SR fase induksi Kemo leonase (2) 23-11-15


919053/RI15030749 Prednison 2-2-1 Hb 9,2 RBC 3,36 WBC 0,9 Ht 29 PLT 226.000 DC 0/0/40/58/2 ANC 360 waktu
BB 18 Kg TB 100 Cm IVFD D5 ¼ NS 10 gtt ma protombin kontrol 14,20 pasien 11,8 INR 0,89 APTT Kontrol 36,0 pasien 28,4 BT 0,52 BD
Bangka Belitung Nystatin 3 x 250.000 iu 0,23 BI 0,29 SGOT 29 SGPT 48 Alb 4,5 Ur 19 As 4,10 Cr 0,19
085378213262 Kemo MTX IT 12 mg + dexa 1 mg
MRS 26-11-15 R/ Kemo vincristin 0,9 mg
R/ Kemo doxo 12 mg

Ahmad Ariansyah/Lk/13-3-11 ALL HR Fase Induksi R/ Kemoterapi VCR 0,9 mg


918885/RI 15031152 Doxorubison 20 mg hari ini
BB TB Ambroxol Syrup 3x1/2 cth
Griya Cipta Utama Blok L NO.08 LK II Cefadroxil syr 2x1 cth
Indralaya OI.Kel Indralaya Nstatin 3x1/2 tab
Indah,Indralaya Kab OI Kotrimoksaol syr 2x1 cth
0853 6701 1213
MRS 01-12-15

Bagus

Nurul

Adila
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

Anisa

Savtri

8 M.Ikhsan Khadafi/Lk/08-10-12 Tumor Willms R/kemoterapiifosfamid 1650 mg


897473/RI15032443 Vincristin 0,85 g iv
BB 12 kg TB 93 cm Ondansentron 2x3 mg
Bayung Lencir, MUBA IVFD D5 ¼ NS 1 ½ maintenance
081274123242 Cek DR/UR
MRS 15-12-15 NB 3x1 mg

9 Galih Al Kalifi/Lk/24-01-11 NHL


888880/RI 15032541
BB 15 kg TB 102 kg
Ilir Barat 1 Palembang
Rani Enjelika/Pr/09-03-11 ALL SR fase induksi Kemoterapi VCR sejak 18-12-15
923871/RI 15031301 Ambroxol syr 3x3cc
BB TB Nstatin 4x250.000
085268927964 Kloramfenikol syr 2x1 cth
Tekana,Buana Tekana,OKU Selatan Inj omeprazol 2x10 mg
MRS 02-12-15 Antasid syr 3x1 cth

Thalasemia

Wildo

Loisa
LAPORAN HARIAN BOKS Hemato-Onkologi Periode November 2015
Madya : Irma Yenni/Senior: Medina Athiah, Dika Amalia)
Rabu, 16 Desember 2015

Aisyah

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