|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2021/08/28/000005\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2021-08-31\' AND `pemeriksaan_ranap`.`jam_rawat` = \'12:17:37\'
|
2021/08/28/000005 |
2021-08-31 |
12:17:37 |
36.4 |
110/80 |
81 |
21 |
|
|
|
15 |
Compos Mentis |
mengeluh mual (+) muntah 1x tadi malam isi makanan... |
KU : tss
status lokalis abdomen
datar, supel (+) ... |
- |
post op laparatomi +appendiktomi+omentektomy+reles... |
IVFD RL:d5 gtt 20 tpm
bactraz 2x1 gr
inj. ketorola... |
diet bubur
DC menetap
mikamiki |
|
1801018001 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2021/08/30/000011\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2021-08-31\' AND `pemeriksaan_ranap`.`jam_rawat` = \'12:04:42\'
|
2021/08/30/000011 |
2021-08-31 |
12:04:42 |
36.6 |
130/80 |
79 |
20 |
|
|
|
15 |
Compos Mentis |
mual (+) nafsu makan menurun, nyeri perut kiri baw... |
KU : TSS
status lokalis abdomen : datar, supel (... |
- |
gastritis kronis + typhoid fever |
IVFD RL:FITROLIN 2:1 gtt 20 tpm
inj. biocif 2x1 gr... |
diet bubur |
|
1801018001 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2021/09/02/000002\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2021-09-02\' AND `pemeriksaan_ranap`.`jam_rawat` = \'15:52:25\'
|
2021/09/02/000002 |
2021-09-02 |
15:52:25 |
36.6 |
120/80 |
84 |
20 |
155 |
61 |
|
15 |
Compos Mentis |
|
|
- |
|
|
|
|
D16 |
|
|
Ubah
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Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2021/12/24/000005\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2021-12-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'11:18:37\'
|
2021/12/24/000005 |
2021-12-25 |
11:18:37 |
36,8 |
110/70 |
80 |
20 |
- |
- |
|
15 |
Compos Mentis |
os mengatakan periut kembung |
perdarahan pervaginam minimal, kontraksi uterus ba... |
- |
P3 A0 post partum spontan+ post kuretase ai sisa p... |
cek lab, jika HB lebih dari delapan g/dL blpl,
th... |
kontrol ulang hari kamis ke polis spesialis kandun... |
|
041 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2021/12/25/000001\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2021-12-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'11:26:56\'
|
2021/12/25/000001 |
2021-12-25 |
11:26:56 |
36,6 |
90/70 |
68 |
20 |
- |
- |
|
15 |
Compos Mentis |
riwayat bocor lambung 2-12/2013
perut terasa saki... |
tampak leas, dan menahan sakit |
- |
Colic abdomen ec susp perforasi gaster36,6 |
RO BNO 3posisi, konsul ,
rehidrasi, rencana op Kh... |
alih rawat ke RSUD mesuji karena keluarga ingin di... |
|
041 |
|
|
Ubah
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Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2022/01/23/000006\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2022-01-23\' AND `pemeriksaan_ranap`.`jam_rawat` = \'11:43:59\'
|
2022/01/23/000006 |
2022-01-23 |
11:43:59 |
36.8 |
110/80 |
87 |
20 |
|
|
|
15 |
Compos Mentis |
os mengeluh demam sekitar 5 hari, mual muntah, bad... |
|
tidak ada |
|
|
pemasangan infus
rencana Ranap |
|
D15 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2023/11/30/000010\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2023-11-30\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:50:25\'
|
2023/11/30/000010 |
2023-11-30 |
14:50:25 |
36,5 |
110/70 |
108 |
19 |
|
|
99 |
|
Compos Mentis |
Pusing berputar (+), nyeri ulu hati (+), mual munt... |
|
|
Hidronefrosis dx + gastritis + vertigo + tyfoid fe... |
- |
- |
- |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/02/01/000007\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-02-01\' AND `pemeriksaan_ranap`.`jam_rawat` = \'18:16:16\'
|
2024/02/01/000007 |
2024-02-01 |
18:16:16 |
36,5 |
170/100 |
90 |
21 |
- |
76 |
97 |
4,5,6 |
Compos Mentis |
px mengeluh lemas, sesak, dada panas, kembung, per... |
ku baik |
- |
px mengatakan lemas,sesak,dada panas,kembung, peru... |
-memantau ku
-memantay nyeri px
-menganjurkan px u... |
th/o:
-alganax 0,5mg |
|
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/02/01/000007\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-02-02\' AND `pemeriksaan_ranap`.`jam_rawat` = \'07:14:41\'
|
2024/02/01/000007 |
2024-02-02 |
07:14:41 |
36,5 |
170/110 |
85 |
20 |
- |
60 |
99 |
4,5,6 |
Compos Mentis |
px mengatakan perut terasa penuh dan begah, lemas ... |
ku baik |
- |
px mengatakan perut begah dan sedikit lemas |
-anjurkan makan sedikit tapi sering
-anjurkan maka... |
terapi
inj. cefotaxime
inj.ketorolac
inj. hiosin |
|
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/02/10/000006\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-02-12\' AND `pemeriksaan_ranap`.`jam_rawat` = \'11:41:43\'
|
2024/02/10/000006 |
2024-02-12 |
11:41:43 |
36.6 |
110/70 |
80 |
20 |
- |
- |
96 |
15 |
Compos Mentis |
pasien mengatakan sesak hilang timbul, susah bab, ... |
tampak sakit sedang |
tidak ada |
pola nafas tidak efektif b.d proses penyakit |
- pemberian therapi sesuai advis dokter |
pasien meminta pulang setelah bisa BAB |
sesak |
4 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/12/000001\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-13\' AND `pemeriksaan_ranap`.`jam_rawat` = \'10:45:46\'
|
2024/03/12/000001 |
2024-03-13 |
10:45:46 |
37,5 |
90/65 |
95 |
20 |
|
|
100 |
15 |
Compos Mentis |
demam naik turun |
kepala :ca-/-, si -/-
thorax : simetris, ves (+)/... |
negatif |
GERD + DBD |
- Ivfd NS gtt 20 tpm
- inj.Piralen 3x1 iv
- inj. p... |
banyak minum air putih |
lab :
hb: 11,5 g/dl
Leukosit : 4.100 uL
trombosit... |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/12/000001\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-14\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:47:31\'
|
2024/03/12/000001 |
2024-03-14 |
14:47:31 |
36,7 |
100/60 |
119 |
|
|
|
97 |
|
Compos Mentis |
Demam dengue + Gerd |
|
- |
tidak berpotensi DRP |
Terapi dilanjutkan |
|
|
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/13/000013\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-14\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:50:17\'
|
2024/03/13/000013 |
2024-03-14 |
14:50:17 |
36,5 |
90/60 |
83 |
20 |
|
|
97 |
|
Compos Mentis |
nyeri pada luka |
|
- |
tidak berpotensi DRP |
Terapi dilanjutkan |
|
|
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/21/000006\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-22\' AND `pemeriksaan_ranap`.`jam_rawat` = \'09:27:18\'
|
2024/03/21/000006 |
2024-03-22 |
09:27:18 |
36,4 |
140/90 |
79 |
20 |
160 |
58 |
98 |
15 |
Compos Mentis |
px mengatakan pusing berkurang, nyeri perut berkur... |
- |
- |
colic abdomen + susp. ISK + HT + DBD |
- |
- |
- |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-22\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:50:39\'
|
2024/03/22/000009 |
2024-03-22 |
14:50:39 |
36,6 |
100/70 |
84 |
20 |
- |
60 |
98 |
15 |
Compos Mentis |
pasien mengatakan lemas, diare tadi pagi |
|
tidak ada |
gangguan intoleran aktivitas b.d kelemahan fisik |
lanjutkan intervensi
-bantu mobilisasi pasien
-ber... |
diet rendah serat, banyak minum air putih |
memberikan posisi nyaman |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-23\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:50:39\'
|
2024/03/22/000009 |
2024-03-23 |
14:50:39 |
36.6 |
110/70 |
88 |
20 |
160 |
75 |
98 |
15 |
Compos Mentis |
lemas, bab cair 1 kali pagi hari |
tampak lemah |
tidak ada |
GE |
tambahan therapi PCT flash 3x500mg, Aspar-K 2x1, L... |
diet rendah serat, minum sedikit tapi sering |
pasien mengerti ats KIE yang di berikan |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-23\' AND `pemeriksaan_ranap`.`jam_rawat` = \'21:39:39\'
|
2024/03/22/000009 |
2024-03-23 |
21:39:39 |
36.6 |
110/70 |
88 |
20 |
160 |
75 |
98 |
15 |
Compos Mentis |
lemas |
tampak lemah |
tidak ada |
GE |
tambahan therapi PCT flash 3x500mg, Aspar-K 2x1, L... |
diet rendah serat, minum sedikit tapi sering |
pasien mengerti ats KIE yang di berikan |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-24\' AND `pemeriksaan_ranap`.`jam_rawat` = \'06:32:51\'
|
2024/03/22/000009 |
2024-03-24 |
06:32:51 |
36.5 |
120/70 |
80 |
20 |
160 |
75 |
99 |
15 |
Compos Mentis |
lemas, BAB cair 4-5 kali ada ampas dikit |
tampak lemah |
tidak ada |
GE |
-tambahan therapi PCT flash 3x500mg, Aspar-K 2x1, ... |
-tambahan therapi PCT flash 3x500mg, Aspar-K 2x1, ... |
pasien mengerti ats KIE yang di berikan |
4 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-24\' AND `pemeriksaan_ranap`.`jam_rawat` = \'10:14:26\'
|
2024/03/22/000009 |
2024-03-24 |
10:14:26 |
36,7 |
100/60 |
74 |
20 |
|
|
96 |
15 |
Compos Mentis |
bab cair 2x |
kepala : ca-/- si -/-
thorax : simetris, w-/- rh ... |
|
GE + gastritis |
- diet rendah serat
- IVFD RL : NS gtt 20 tpm
- i... |
- diet rendah serat
- IVFD RL : NS gtt 20 tpm
- i... |
diet rendah serat |
1801018008 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'10:34:49\'
|
2024/03/22/000009 |
2024-03-25 |
10:34:49 |
36,6 |
110/80 |
85 |
20 |
|
|
97 |
15 |
Compos Mentis |
BAB CAIR-, sesekali sering demam, keluhan lain dis... |
TSS |
|
GE + Gastritis |
Lapor dr. Herman Sp.B
Diet Rendah Serat Lunak
IVFD... |
Advice dr. Herman Sp.B
Jika sudah mau makan + minu... |
|
041 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'16:51:00\'
|
2024/03/22/000009 |
2024-03-25 |
16:51:00 |
36,6 |
110/80 |
85 |
20 |
|
|
97 |
15 |
Compos Mentis |
BAB CAIR-, sesekali sering demam, keluhan lain dis... |
TSS |
|
GE + Gastritis |
BLPL
Lansoprazole 2x1
Simtral 3x1
Lanpepsa 4x1
Alg... |
|
|
1801018001 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'19:40:36\'
|
2024/03/22/000009 |
2024-03-25 |
19:40:36 |
36,5 |
110/70 |
84 |
20 |
- |
60 |
97 |
15 |
Compos Mentis |
pasien mengatakan lemas sudah tidak terlalu, pasi... |
k/u sedang, makan (+) minum (+) |
tidak ada |
gangguan intoleran aktivitas b.d kelemahan fisik s... |
lanjutkan intervensi
-bantu mobilisasi pasien
-ber... |
diet rendah serat, banyak minum air putih, jika su... |
memberikan posisi nyaman |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000009\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-25\' AND `pemeriksaan_ranap`.`jam_rawat` = \'19:53:13\'
|
2024/03/22/000009 |
2024-03-25 |
19:53:13 |
36,5 |
110/80 |
89 |
20 |
- |
60 |
98 |
15 |
Compos Mentis |
pasien mengatakan sudah enak badannya, pasien men... |
k/u baik, makan (+) minum (+) |
tidak ada |
gangguan intoleran aktivitas b.d kelemahan fisik ... |
-hentikan intervensi
-pasien BLPL |
diet rendah serat, banyak minum air putih, Makan s... |
- |
02 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000019\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-23\' AND `pemeriksaan_ranap`.`jam_rawat` = \'14:00:44\'
|
2024/03/22/000019 |
2024-03-23 |
14:00:44 |
36.7 |
110/70 |
92 |
20 |
155 |
50 |
99 |
15 |
Compos Mentis |
perut terasa sakit, pasien takut mau jalan, hb pag... |
pasien tampak kesakitan |
tidak ada |
P1A0 POST Sc a/i KPD 3 Hari + post date |
- IVFD RL gtt 20
- inj. pct 3x500 mg
- inj. bioxon... |
rencana ttranfusi prc 1 kolf, mobilisasi bertahap,... |
DC D AFF tapi pasien masih takut berjalan |
4 |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `pemeriksaan_ranap` WHERE `pemeriksaan_ranap`.`no_rawat` = \'2024/03/22/000019\' AND `pemeriksaan_ranap`.`tgl_perawatan` = \'2024-03-23\' AND `pemeriksaan_ranap`.`jam_rawat` = \'21:00:44\'
|
2024/03/22/000019 |
2024-03-23 |
21:00:44 |
36.4 |
110/70 |
75 |
21 |
155 |
50 |
99 |
15 |
Compos Mentis |
perut terasa sakit, pasien takut mau jalan, tfu 1 ... |
pasien tampak kesakitan |
tidak ada |
P1A0 POST Sc a/i KPD 3 Hari + post date |
- IVFD RL gtt 20
- inj. pct 3x500 mg
- inj. bioxon... |
mobilisasi bertahap
cek hb ulang jam 19.00 |
pasien masih takut berjalan |
4 |