No Identitas Asal Indikasi Masuk Laboratorium Terapi Lama Hasil

PICU Rawat Pemeriksaan

1 Rasyid Al Bangsal Status epileptikus ec Hb 10.0 g/dl eri 3.87/mm3 leu/mm3 ht 31vol % - O2 nassal 2 lpm
Barru/LK/3 bulan peningkatan TIK ec tro 754/μl MCV 79.2 fl MCH 26 pg MCHC 33 g/dl - IVFD D5 ¼ NS kec
1075915/RI hidrocefalus post RDW CV 15.50% LED 120 mm/jam DC 3cc/jam
18023990 craniotomy ec IVH + 0/0/48/43/9, SGOT 16 u/l SGPT 12 u/l prot total - Inj. ampicillin
15 May 2018 meningitis + VSD 6.4g/dlAl 3.7 g/dl Ur 34 mg/dl krea 0.43 mg/dl 3x400mg
MRS 27/08/18 PMO moderate Ca 10.0 mg/dl phosphor 3.7 mg/dl Mg 2.70 - Inj. Cefotaxim
mg/dl Na 137 MEq/l K 4.4 Meq/l Cl 104 mmol/L 3x400mg
LCS : 1.2, tidak berwarna, keruh, tidak berbau, bj - Inj. Fenobarbital
1010 bekuan (-) pH 7.0 jumlah lekosit 2996.0 2x10mg
PMN sel 59 MN Sel 41 nonne(+) pandy(-) protein - Inj furosemide
513.9 LDH 4862 glukosa 5.0 klorida 135 3x5mg
AGD : pH 7445 pCO2 26.7 pO2 182.0 BEecf -5.8 - Captopril 2x1.5mmg
BEb- 3.7 lactat 5.3 HCO3 18. - Albumin 25% 1x16cc
Urinalisa : kuning muda, jernih, tidak berwarna, - Dexametason
bj 1010 pH 5.0 protein (-) ascorbic Acid (-) 3x1.2mf
glukosa (+2) keton (-) darah (-) bilirubin (-)
urobilinogen 1 nitrit (-) lekosit esterase (-) epitel
(+) lekosit 4-6 eritrosit 0-1 silinder(-) Kristal (-)
bakteri(-) mucus (-) jamur (-)
2 Malikah Bangsal Penurunan Dipoto tidak ada lab nya - O2 nassal NRM
Retania/PR/7 tahun kesadaran ec status 5lpm
11 bulan epileptikus ec - IVFD D5 ½ NS kec
1073880/RI peningkatan TIK ec 70cc/jam
18023390 susp meningitis Inj . Paracetamol bila
02 Sep 2010 moderate dd/ T >38.5C
MRS 21/08/18 metastase + ALL HR - inj. Ceftriaxone
(relaps) 1x2gr iv
- inj. Ampicillin 3x2gr
iv
Inj dexametason
3x7mg iv
Inj omeprazole
2x10mg iv
Drip manitol
3x120mg iv
3 Muhammad IRD Penurunan Hb 14.0 g/dl eri 5.29/mm3 leu 4.9/mm3 ht 42% Tidak ada dipoto
Pangeran kesadaran ec tro 188 μll MCV 79.6 fl MCH 27 pg MCHC 33 g/dl
Abdullah/LK/11 ensefalopati dengue RDW CV 12.90% LED 22 mm/jam DC
tahun 9 bulan + syndrome 0/0/77/11/11, reti 1.2% Malaria (-) SGOT 67 u/l
1078233/RI metabolic ec SGPT 56 u/lprot total 7.2 g/dl Al 4.4 g/dl GDS
18022703 obesitas + susp OSAS 141 mg/dl kolestrol total 150 mg/dl kolestrol
13 Nov 2006 HDL 32 mg/dl kolestrol LDL 102 mg/dl trigliserida
MRS 24/08/18 82 mg/dl Ur 24 mg/dl AU 3.2mg/dl krea 0.70
mg/dl Ca 9.0mg/dl phospr 5.0 mg/dl Mg 2.20
mg/dl Na 138 mEq/l K 3.4 mEq/l Cl 101 mmol/l
 GDT :
Eritrosit : normositik, normokrom
Leukosit : jumlah normal, netrofilia
Trombosit : jumlah sulit diestimasi clumps (+)
Kesan : netrofilia relative
Saran : MDT
AGD : pH 7543 pCO2 29.5 pO2 57.2 BEecf 3.0
BEb 4.6 HCO3 25.7 PO2/FIO2 57.2
4 M Akil Aulian/LK/1 Bangsal Penurunan Hb 10.3 g/dl eri 5.37/mm3 leu 17.6/mm3 ht 35% -inj fenitoin 2x15mg
tahun 6 bulan kesadaran ec susp tro 603 μl RDW CV 17.70% LED 55 mm/jam DC iv
1076514/RI encephalitis dd/ 0/0/59/26/15 GDS 103 mg/dl Ur 11 mg/dl krea - inj ceftriaxone
18022429 meningitis 0.43 mg/dl Ca 9.0 mg/dl Na 128 Meq/L K mEq/l 1x640mg iv
08 Feb 2017 Cl mmol/l CRP kuantitatif 11 mg/l Inj dexametason
MRS 11/08/18 LCS : 4, tidak berwarna, keruh, tidak berbau, bj 3x2mg iv
1005 bekuan (-) pH 9.0 jumlah lekosit 107.0
PMN sel 22 MN Sel 79 nonne(-) pandy(+) protein
94.3 LDH 272 glukosa 14.0 klorida 101

5 Kiandra Adam Bangsal Decomp cordis ec Hb 13.4 g/dl eri 4.86/mm3 leu 14.2/mm3 ht 50% - inj. Furosemide
Bramasta/LK/2 susp CHD sianotik + tro 189 μl MCV 102.9 fl MCH 28 pg MCHC 27 2x3mg iv
bulan marasmus KV g/dl RDW CV 17.20% LED 2 mm/jam DC - drip dobutamin
1077190/RI 18022 0/0/57/39/4 PT 24.7(13.50) detik INR 2.19 APTT 5mcg
942 65.9(31.4) fibrinogen 87.0(289) D-dimer 6.60 - Inj ampicillin
22 Jun 2018 μg/,l BT 1.90 mg/dl BD 0.90 mg/dl BI 1.00 mg/dl 3x200mg iv
MRS 16/08/18 SGOT 66 u/ SGPT 19 u/l Prot total 5.0g/dl Al 3.4 - inj ceftazidime
g/dl Ur 32 mg/dl AU 12.0 mg/dl krea 1.00 mg/dl 3x150mg iv
Ca 8.0 mg/dl Na 120 mEq/l K 4.8 mEq/l Cl 93 S[irolacton 3x6.25mg
mmol/l CRP kuantitatif <5 mg/l (po)
Urinalisa : kuning muda,agak keruh, tidak
berwarna, bj 1010 pH 5.0 protein (+) ascorbic
Acid (+) glukosa (+2) keton (-) darah (+2)
bilirubin (-) urobilinogen 1 nitrit (-) lekosit
esterase (-) epitel (+) lekosit 10-12 eritrosit 10-
15 silinder(silinder granular + ) Kristal (-)
bakteri(+) mucus (-) jamur (-)
AGD : pH 76992 pCO2 67.0 pO2 15.1 BEecf -15.2
BEb- 15.7 lactat 9.0 HCO3 16.4 PO2/FIO2 21.6
6 Nopa Bangsal Post op craniotomy Hb 11.8 g/dl eri 3.96/mm3 leu 8.1/mm3 ht 35% - Inj ceftriaxone
Ariyansa/LK/15 ai CKB GISP ec EDH tro 146 μl MCV 88.6 fl MCH 30 pg MCHC 34 g/dl 1gr/12 jam iv
tahun 3 bulan RDW CV 13.20% LED 36 mm/jam DC - Inj keterolak
1078311/RI 0/0/79/15/6 PT 18.2(15.30) detik INR 1.48 APTT 30mg/8jam iv
18023793 34.3(32.9 detik BT 1.10 mg/dl BD 0.40 mg/dl BI
06 May 2003 0.70 mg/dl SGOT u/l SGPT 12 u/l Ur 34 mg/dl AU
MRS 25/08/18 3.9 mg/dl krea 0.77 mg/dl Ca 9.0 mg/dl
phosphor 4.6 mg/dl Mg 2.00 mg/dl Na 139
mEq/l K 4.4 mEq/l Cl 107 mmol/l CRP kauntitatif
mg/l
 AGD : pH 7413 pCO2 34.1 pO2 98.9 BEecf -2.8
BEb- 1.5 lactat 1.8 HCO3 22.0 PO2/FIO2 247.2

7 Akhmad Sakha Bangsal Tidak ada poto Hb 10.5 g/dl eri 3.62 mm3 leu 9.2 /mm3 ht 33% Tidak ada poto
Arkan tro 162 μl MCV 92.3 fl MCH 29 pg MCHC 31 g/dl
Wiratama/LK/3thn RDW CV 16.60 % LED 78 mm/jam DC
4ln 0/0/69/20/11 AL 2.8 g/dl Ca 8.0 mg/dl phosphor
885914/Ri 1.8 mg/dl Mg 1.80 mg/dl Na 140 mEq/l K 4.3
18023096 mEq/l Cl 104 mmol/l CRP kauntitatif 19mg/dl
4 April 2015 AGD : pH 7452 pCO2 40.1 pO2 223.5 BEecf 4.1
MRS 17/08/18 BEb 4.6 lactat 2.3 HCO3 28.2 PO2/FIO2 372.4

8 Raniyaah Binti Heri Bangsal Distress Nafas berate Hb 6.9 g/dl eri 2.83/mm3 leu 23.6 mm3 ht 23% - Domperidon 10mcg
Irawan/PR/3 tahun c pneumonia + susp tro 219/μl MCV 79.9 fl MCH 24 MCHC 31 g/dl - inj ampicillin
5 bulan TB paru + efusi RDW CV 16.40 % LED 36 mm/jam DC sulbactam 2x500mg
910519/RI pleura + 0/0/79/16/5 Al 1.9 g/dl Ca 8.0 mg/dl na 126 - inj cefotaxim
18023725 hipoalbuminemia + mEq/l K 2.5 mEq/l 3x550mg iv
16 Mar 2015 hiponatreamia + Urinalisa : kuning muda, keruh tidak berwarna, Albumin 25% 40cc
MRS 24/08/18 anemia bj 1025 pH 5.0 protein (+2) ascorbic Acid (-)
glukosa (+2) keton (-) darah (+) bilirubin (-)
urobilinogen 1 nitrit (-) lekosit esterase (-) epitel
(+) lekosit 8-10 eritrosit 1-3 silinder(silinder
granular++) Kristal (-) bakteri(+2) mucus (-)
jamur (-)
AGD : pH 7127 pCO2 78.4 pO2 172.8 BEecf -3.3
BEb -3.4 lactat 21.9 HCO3 26.1 PO2/FIO2 172.8

9 Leo Bangsal Penurunan Hb 9.7 g/dl eri 3.70 /mm3 leu 13.2/mm3 ht 30% -PNP 3cc 3x60cc iv
Ramadhan/LK/5 kesadaran ec CKB + tro 464 μl MCV 81.6 fl MCH 26 pg MCHC 32 g/dl - transfusi PRC
tahun 1 bulan anemia ec RDW CV 14.20% LED 33 mm/jam DC (100cc)(200cc)(200cc)
1077868/RI perdarahan+ fraktur 0/0/76/17/7 PT 14.0(13.50) detik INR 1.05 APTT
18023553 linea OS 30.5(30.8) fibrinogen 315.0(295.0) mg/dl D-
18 Jul 2013 dimer 3.89 μg/ml BT 0.30 mg/dl BD 0.10 mg/dl
MRS 22/08/18 BI 0.20 mg/dl SGOT 32 u/l SGPT 33 u/l Prot total
5.5 g/dl Al 2.7 g/dl glo 2.8 g/dl GDS 107 mg/dl Ur
13 mg/dlAU 3.8 mg/dl krea 0.36 mg/dl Ca 9.0
mg/dl Na 135 mEq/l K 3.7 mEq/l Cl 103 mmol/l
CRP kuantitatif 37 mg/l
AGD : pH 7404 pCO2 38.1 pO2 302.1 BEecf -0.9
BEb 0.1 lactat 2.8 HCO3 24.0 PO2/FIO2 604.2

10 Alfian Bangsal Post debridomen a/I Tidak ada laboratorium di poto - ventilator modus
Febriansyah/LK/16 luka bakar 29% + AGD : pH 7343 pCO2 36.6 pO2 171.8 BEecf -5.9 spontan
tahun 3 bulan trauma inhalasi BEb -4.4 lactat 2.2 HCO3 20.1 PO2/FIO2 343.6 - PCT 500mg /6 jam
- omeprazole 1x40mg
iv
- ceftriaxone 1x2gr iv
11 Berliana Edisa/PR/6 Bangsal Gagal Nafas ec Hb 11.5 g/dl leu 4.32/mm3 leu 9.3/mm3 ht 40% -ventilator modus
bulan pneumonia + edema tro 84 μl RDW CV 19.00% DC 0/0/62/34/4 Ca 7.0 - inj meropenem
paru + post mg/dl phosphor 3.8 mg/dl Na 129mEq/l K 2.0 3x150mg iv
nefrostomi ec mEq/l - inj furosemide
pyorefrosis + AGD : pH 7283 pCO2 132.9 pO2 87.3 36.5 BEb 3x10mg iv
hidrocefalus dextra + 29.5 lactat 2.2 HCO3 63.4 PO2/FIO2 145.4 - inj asam tranexamat
urosepsis + anemia + TINJA : hijau, lembek, amoeba (-) eritrosit 0-1 3x60mg iv
trombositopenia leukosit 2-3 bakteri(+) jamur (-) telur cacing(-) -spironalacton
sisa makanan(-) lemak(-) darah samar (+) 2x6.25mg (po)
Urinalisa : kuning keruh, keruh, bj 1015 pH 6.0 - captopril 2x2.5mg
protein (-) ascorbic Acid (-) glukosa (-) keton (-) (po)
darah (+3) bilirubin (-) urobilinogen 1 nitrit (+) Nifedipin 2x0.5mg
lekosit esterase (-) epitel (+) lekosit 0-2 eritrosit (po)
3-6 silinder(-) Kristal (-) bakteri(-) mucus (-)
jamur (+4)

12 Marwan Bin PICU Post laparotomy Hb 13.5 g/dl eri 5.20/mm3 leu 18.1/mm3 ht 41% - O2 spontan
Arifin/LK/10 tahun eksplorasi + kostomi tro 553 μl MCV 77.9 fl MCH 26 pg MCHC 34 g/dl - IVFD D5 ½ NS
9 bulan + appendiktomi ec RDW CV 13.60 % LED 35 mm/jam DC 0/0/91/4/5 77cc/jam
peritonitis difuse ec PT 15.4(13.90) detik INR 1.19 APTT 29.3(31.7) - inj ceftriaxone 1x2gr
appendicitis + detik fibrinogen 695(251) mg/dl D-dimer 4.03 BT iv
perforasi ileum + 1.70 mg/dl BD 1.30 mg/dl BI 0.40 mg/dl SGOT 16 - Inj ampicillin 3x1.3gr
hipoalbuminemia u/l SGPT 8 u/l prot total 5.4 g/dl Al 2.7 g/dl Ur 21 iv
mg/dl AU 3.3 mg/dl krea 0.50 Ca 8.0 phospor 4.1 - inj metronidazole
mg/dl Mg 2.30 mg/dl Na 130 mEq/l K 4.4 mEq/l 3x400mg iv
Cl 99 mmol/l - inj Paracetamol
Urinalisa : kuning , jernih, bj 1015 pH 6.0 protein 3x500 mg iv
(+) ascorbic Acid (-) glukosa (-) keton (+3) darah - albumin 25% 140cc
(+) bilirubin (-) urobilinogen 1 nitrit (-) lekosit tiap 24 jam
esterase (-) epitel (+) lekosit 2-3 eritrosit 14-16
silinder(silinder hyaline+ ) Kristal (-) bakteri(+)
mucus (-) jamur (-)

13 Reisha Putri PICU Respiratory distress Hb 10.2 g/dl eri 4.72/mm3 leu 9.0/mm3 ht 32% -IVFD D5 ½ NS kec 10
Efendi/PR/3 bulan ec decomp cordis ec tro 470 μl RDW CV 15.30% LED 21 mm/jam DC tpm
PDA besar + ASD 0/4/20/65/11 -inj ampicillin
sekundum moderate AGD : pH 6912 pCO2 55.2 pO2 29.1 BEecf -21.7 3x180mg iv
+ hipotiroid BEb -20.6 lactat 3.0 HCO3 11.2 PO2/FIO2 29.1 -inj gentamicin
kongenital + FTT + 1x16mg iv
AKI std failure -PCT 3x30mg jika
demam
-thyrax 1x10mg (po)
-furosemide 2x3mg
(po)
-captopril 2x2mg (po)
14 Benekdiktus Nanda PICU Penurunan Hb 9.5 g/dl eri 3.47/mm3 leu 22.0/mm3 ht 32% -IVFD Nacl 0.9% kec
 Prakoso/LK/9 tahun kesadaran ec KAD tro 20.50 μl DC 0/0/91/6/3 Al 3.0 g/dl Ur 163 5cc/jam
3 bulan dehidrasi berate c mg/dl AU 8.6 mg/dl krea 5.48 mg/dl Ca 9.0 -dobutamin kec 10
DM type I + AKI std mg/dl phosphor 7.4 mg/dl Mg 2.40 mg/dl Na mcg kec 1 cc/jam
failure DA CAPD + 129 mEq/l K 3.2 mEq/l Cl 93 mmol/l CRP -Manitol 20% 200cc/8
anemia + kuantitatif 28 mg/l jam
trombositopenia AGD : pH 6882 pCO2 154.6 pO2 110.0 BEecf -4.1 -Sucralfat syr 4x10cc
BEb -6.1 lactat 2.5 HCO3 29.3 PO2/FIO2 157.2 -inj omeprazole
2x20mg iv
- inj furosemide
3x40mg iv
-inj meropenem
3x800mg iv
14 Dirly Ibra Bangsal Post burr hole ai Hb 22.7 g/dl eri 8.22/mm3 leu 10.8/mm3 ht 72% -O2 nassal 2 lpm
Syahputra/LK/5 abses serebri + TOF tro 124 μl RDW CV 21.70% DC 0/2/52/36/10 PT -inj ampicillin 3x1.3gr
tahun 9 bulan 24.3(14.90) detik INR 2.14 APTT 53.8(32.7) detik iv
fibrinogen 212(275) mg/dl D-dimer 2.50 μg/ml -inj ceftriaxone
SGOT 16 u/l SGPT 7 u/l prot total 3.6 g/dl Al 2.1 1x1.3gr iv
g/dl GDS 134 mg/dl Ur 11 mg/dl AU .7 mg/dl Inj metronidazole
krea 0.34 mg/dl Ca 7.0 mg/dl phosphor 4.6 3x220mg iv
mg/dl MG 1.60 mg/dl Na 130 mEq/l K 3.2 mEq/l -PCT jika T >38.5C
Cl 108 mmol/l CRP kuantitatif 5 mg/l -inj fenitoin 2x30mg
AGD : pH 7216 pCO2 42.5 pO2 32.6 BEecf -10.6 iv
BEb -9.6 lactat 8.7 HCO3 17.4 PO2/FIO2 54.3
Cairan Plura : 20, kecoklatan, keruh, tidak
berbau, bj 1025 bekaun(+) pH 6.0 jumlah lekosit
134099.0 PMN sel 70 MN sel 30 revilta (+)
protein 1.4glukosa 5.0
Urinalisa : kuning, jernih, bj 1010 pH 7.0 protein
(-) ascorbic Acid (-) glukosa (-) keton (-) darah (-)
bilirubin (-) urobilinogen 1 nitrit (-) lekosit
esterase (-) epitel (-) lekosit 0-1 eritrosit 0-1
silinder(-) Kristal (-) bakteri(+) mucus (-) jamur (-)

15 Elvina Rahmi/PR/15 PICU SLE flare berat + Hb 9.3 g/dl eri 3.41/mm3 leu 4.6/mm3 ht 26% -support ventilator
tahun 11 bulan AIHA + nefritis lupus tro 263 μl MCV 77.0 fl MCH 28 pg MCHC 37 g/dl mode NIV –ST
+ SGB tipe AMSAN RDW CV 12.80% LED 63 mm/jam DC 0/0/86/8/6 -IVFD D12.5% ½ NS
AL 3.1 g/dl GDS 118 mg/dl Ur 34 mg/dl krea 0.52 kec 40cc/jam
mg/dl Ca 7.0 mg/dl Na 106 mEq/l K 4.1 mEq/l Cl -drip clonidin kec 0.6
78 mmol/l CRP kuantitatif <5 mg/l cc/jam
AGD : pH 7473 pCO2 22.2 pO2 219.1 BEecf -2.2 -inj metylprednislone
BEb -0.3 lactat 1.3 HCO3 20.2 PO2/FIO2 365.2 3x20mg iv
Kultur darah steril Inj omeprazole
2x40mg iv
Inj cifroflaxacin
3x400mg iv
-inj fenitoin 2x100mg
iv
 - inj furosemide
2x20mg
-PCT 500mg jika T
>38.5C
-antasida syr 3x5cc
-Vit B komp 1x1 tab
(po)
-captoril 2x25mg (po)
16 Silvia Bangsal Hiperleukositosis ec Hb 5.1 g/dl eri 1.93/mm3 leu 97.2/mm3 ht 16% Hidrasi alkalinisasi D5
Rachmawaty/PR/15 susp leukemia akut + tro 38 μl MCV 83.9 fl MCH 26 pg MCHC 32 g/dl ½ NS + bicnat 20 meq
tahun 11 bulan anemia + purpura ec RDW CV 15.30% LED 57 mm/jam BT 0.90 mg/dl kec 136cc/jam
trombositopenia + BD 0.50 mg/dl BI 0.40 mg/dl SGOT 33 u/l SGPT -inj ceftazidime 3x1gr
phlebitis 18 u/l Prot total 6.0 g/dl AL 3.3 g/dl Ur 30 mg/dl -inj ampicillin 3x2gr iv
AU 4.4 mg/dl krea 0.65 mg/dl Ca 7.0 mg/dl -allupurinol 2x300mg
phosphor 3.3 mg/dl Na 139 mEq/l K 4.7 mEq/l Cl -PCT 500mg jika T
101 mmol/l CRP kuantitatif 105 mg/l >38.5C
Urinalisa : kuning muda, agak keruh, ,bj 1010 pH -clindomycin
6.0 protein (-) ascorbic Acid (-) glukosa (-) keton 3x300mg
(-) darah (+) bilirubin (-) urobilinogen 1 nitrit (-) -lactulac syr 2x10ml
lekosit esterase (-) epitel (+) lekosit 2-3 eritrosit -gentamicin salf
13-19 silinder(-) Kristal (-) bakteri(-) mucus (-) ue/12 jam
jamur (-)
TINJA : coklat, lunak, amoeba(-) eritrosit 0-1
leukosit 0-1 bakteri(+) jamur (-) telur cacing (-)
lemak(-) darah samar(+)
17 Azahra Safira PICU Post VSD closure ai Hb 11.3 g/dl eri 4.11/mm3 leu 7.4/mm3 ht 35% -inj ceftriaxone
Khumairah/PR/1 VSD PMO besar + tro 258 μl MCV 84.2 fl MCH 28 pg MCHC 33 g/dl 3x160mg iv
tahun 6 bulan post legasi + PDA RDW CV 14.60 % LED 2 mm/jam reti 2.1% PT -furosemide 2x10mg
moderate + down 15.5(14.10) detik INR 1.20 APTT 29.5(30.4) detik iv
syndrome + gizi besi 53 μg/dl TIBC 362 μg/dl BT 0.20 mg/dl BD Morfin 1mg iv
kurang 0.10 mg/dl BI 0.10 mg/dl prot total 5.7 g/dl AL -PCT 4x190mg jika T
3.5 g/dl GDS 73 mg/dl Ur 34 mg/dl AU 3.9 mg/dl >38.5C
krea 0.44 mg/dl Ca 9.0 mg/dl Na 138 mEq/l K 4.3
mEq/l Cl 110 mmol/l ferritin 19.30 ng/ml HBsAg
non reactive CRP kuantitatif <5 mg/l
AGD : pH 7060 pCO2 95.0 pO2 76.9 BEecf -3.3
BEb -5.5 lactat 1.9 HCO3 27.2 PO2/FIO2 153.8
Urinalisa : kecoklatan, keruh, ,bj 1010 pH 6.0
protein (+2) ascorbic Acid (-) glukosa (-) keton (-)
darah (+3) bilirubin (-) urobilinogen 1 nitrit (-)
lekosit esterase (-) epitel (-) lekosit 3-6 eritrosit
15-30 silinder(-) Kristal (-) bakteri(+) mucus (-)
jamur (-)

18 Benekdiktus Nanda Penurunan Tidak ada di poto -drip dobutamin

Prakoso/LK/8 tahun kesadaran ec KAD ec 1200mg dalam D5%
4 bulan DM tyoe I + AKI std 50cc kec 0.5%cc/jam
 failure on CAPD + -inj meropenem
anemia + 3x800mg iv
trombositopenia -inj OMZ 2x20mg iv
-inj dexametason
3x12gr iv
-inj furosemide
3x40mg iv
Sucralfat syr 4x10cc
(po)
19 Elvina Rahmi/PR/15 Bangsal SLE dengan plare Hb 7.8 g/dl eri 2.73/mm3 leu 3.6/mm3 ht 24% -inj ampicillin 31.3gr
tahun 11 bulan berat + retensio tro 247 μl MCV 86.8 fl MCH 29 pg MCHC 33 g/dl iv
urine + paraparase RDW CV 15.10 % LED 60 mm/jam DC -inj gentamicin
inferior+ AIHA + 0/0/76/19/5 SGOT 73 u/l SGPT 47 u/l AL 2.8 g/dl 2x80mg iv
curiga nefritis lupus Ur 4 mg/dl krea 0.61 mg/dl Ca 8.0 mg/dl Na 137 -Transfuse WE
mEq/l K 4.2 mEq/l Cl 109 mmol CRP <5 mg/l 1x100cc
Urinalisa : kuning muda, agak keruh, bj 1005 pH -Calnic plus 2x1 tab
5.0 protein (-) ascorbic Acid (-) glukosa (+2) (po)
keton (-) darah (+) bilirubin (-) urobilinogen 1 -Ferriz syr 3x2 cth
nitrit (-) lekosit esterase (-) epitel (-) lekosit 0-1 (po)
eritrosit 0-1 silinder(-) Kristal (-) bakteri(+) mucus Antasida syr 3x1 cth
(-) jamur (-) (po)
Kultur darah steril
20 Arrasy PICU Penurunan Hb 9.5 g/dl eri 3.20/mm3 leu 19.9/mm3 ht 30% -IVFD D5 ½ NS kec
Widjaya/PR/7 kesadaran ec sup tro 255 μl MCV 92.5 fl MCH 30 pg MCHC 32 g/dl 78cc/jam
tahun 8 bulan peningkatan TIK ec RDW CV 14.70% LED 2 DC 0/0/93/5/2 BT 0.60 -o2 nassal 2 lpm
SOL intracranial + TB mg/dl BD 0.20 mg/dl BI 0.40 mg/dl SGOT 43 u/l -inj fenitoin 2x75mg
peritoneal + HCP SGPT 22 u/l prot total 7.2 g/dl Al 4.5 g/dl Ur 13 iv
obstruktif + mg/dl AU 4.0 mg/dl krea 0.47 mg/dl Ca 9.0 -inj ceftriaxone
imbalance elektrolit mg/dl phosphor 2.6 mg/dl Mg 2.00 mg/dl Na 1x1.5gr iv
157 mEq/l K 4.2 mEq/l Cl 119 mmol/l CRP -inj ampicillin 3x1.5gr
kuantitatif 39 mg/l iv
-baclopen 3x3.5mg
-dexametason 3x3mg
-Vit B6 1x2 tab
21 Dafis Julaini/LK/1 IGD Penurunan Hb 10.1 g/dl eri 3.96/mm3 leu 9.2/mm3 ht 31% -IVFD D10% 1/5 NS
bulan kesadaran ec tro 332 μl MCV 79.0 fl MCH 26 pg MCHC 32 g/dl 13cc/jam
peningkatan TIK ec RDW CV 23.60% LED 4 mm/jam DC -manitol 3x65cc
susp meningitis + 0/21/16/59/4 reti 1.4% BT 0.90 mg/dl BD 0.40 -inj ampicillin
anemia mg/dl BI 0.50 mg/dl SGOT 70 u/l SGPT 42u/l GDS 3x350mg iv
68 mg/dl CK –NAC 83 u/l CK-MB 44 u/l Ur 17 -inj ceftazidime
mg/dl krea 0.36 mg/dl Ca 9.0 mg/dl Na 139 3x150mg iv
mEq/l K 6.5 mEq/l Cl 112 mmol/l free T4 1.62
ng/dl TSHs 2.0200 μIU/mL CRP kauntitatif <
mg/dl
Urinalisa : kuning muda, agak keruh, bj 1005 pH
7.0 protein (-) ascorbic Acid (-) glukosa (-) keton
(-) darah (-) bilirubin (-) urobilinogen 1 nitrit (-)
 lekosit esterase (-) epitel (-) lekosit 5-7 eritrosit
0-1 silinder(-) Kristal (-) bakteri(-) mucus (-)
jamur (-)
Kultur urine steril
22 Kevin IGD Penerunan Hb 13.5 g/dl eri 5.07/mm3 leu 12.6/mm3 ht 40% -O2 NRM 10 lpm
Romadhon/LK/13 kesadaran ec ICH tro 373 μl MCV 78.1 fl MCH 27 pg MCHC 34 g/dl -IVFD Nacl 0.9% gtt
tahun 9 bulan R/cereblum ec RDW CV 12.90% LED 14 DC 0/0/85/8/7 reti 1.0% 20 makro/menit
cedera kepala ec KLL PT 14.2(14.10) detik INR 1.07 APTT 28.9(32.6) -inj citicholin
dd/AVM detik SGOT 17 u/l SGPT 10 u/l Al 4.4 g/dl Ur 15 3x500mg iv
mg/dl krea 0.61 mg/dl Ca 9.0 mg/dl Na 142 -Drip Nacl 3% 125cc/8
mEq/l K 5.0 mEq/l Cl 112 mmol/l CRP <5 mg/l jam
AGD : pH 7358 pCO2 52.6 pO2 188.1 BEecf -inj omeprazole
4.2BEb 3.9 lactat 1.9 HCO3 29.9 PO2/FIO2 895.7 2x20mg iv
TINJA : coklat kehitaman, lembek, amoeba(-)
eritrosit 0-1 leukosit 1-2 bakteri(++) jamur(-) sisa
makanan(-) lemak(-) darah samar(-)
23 Hinata Bangsal Post op ligase PDA ai Hb 10.0 g/dl eri 3.96/mm3 leu 11.9/mm3 ht 31% -O2 sungkup NRM 10
Aqillaisyah/PR/5 PDA moderate + tro 273 μl MCV 78.0 fl MCH 25 pg MCHC 32 g/dl tpm
bulan moderate to savere RDW CV 14.00% LED 39 mm/jam DC -IVFD D5 ½ NS
pulmonal hypertensi 0/6/33/54/7 besi 34 μg/dl TIBC 231 μg/dl 8cc/jam
ferritin 184.00ng/ml -drip morfin 20mcg
AGD : pH 7329 pCO2 46.2 pO2 213.6 BEecf -1.6 -inj ceftriaxone
BEb -0.9 lactat 1.1 HCO3 24.6 PO2/FIO2 427.1 3x50mg iv
Urinalisa : kuning muda, jernih, bj 1005 pH 7.0 -inj PCT 4x65mg iv
protein (-) ascorbic Acid (-) glukosa (+) keton (-) -drip milrinore
darah (-) bilirubin (-) urobilinogen 1 nitrit (-) 0.75mg
lekosit esterase (-) epitel (-) lekosit 0-1 eritrosit
0-1 silinder(-) Kristal (-) bakteri(-) mucus (-)
jamur (-)

24 Leo Chandra/LK/1 PICU Post op Hb 9.7 g/dl eri 3.70 /mm3 leu 13.2/mm3 ht 30% -IVFD D5 ½ NS gtt
tahun 9 bulan esofagustomi tro 464 μl MCV 81.6 fl MCH 26 pg MCHC 32 g/dl 30cc/jam
ekstrasi carpus RDW CV 14.20% LED 33 mm/jam DC -inj ampicillin
alienum + susp 0/0/76/17/7 PT 14.0(13.50) detik INR 1.05 APTT 3x550mg iv
bronchitis + gizi 30.5(30.8) detik fibrinogen 315(295) mg/dl D- -inj ceftriaxone
buruk dimer 3.89 μg/ml BT 0.30 mg/dl BD 0.10 mg/dl 3x400mg iv
BI 0.20 mg/dl SGOT 32 u/l SGPT 33 u/l prot total -inj paracetamol
5.5 g/dl AL 2.7 g/dl glo 2.8 g/dl GDS 107 mg/dl 4x120mg iv
Ur 13 mg/dl AU 3.8 mg/dl krea 0.36 mg/dl Ca 9.0
mg/dl Na 135 mEq/l K 3.7 mEq/l Cl 103 mmol/l
CRP 37mg/l
AGD : pH 7404 pCO2 38.1 pO2 302.1 BEecf -0.9
BEb 0.1 lactat 2.8 HCO3 24.0 PO2/FIO2 604.2

25 Siti Adira PICU Decomp cordis ec Hb 8.4 g/dl eri 2.96/mm3 leu 21,5/mm3 ht 28% -IVFD D5 ½ NS gtt 10
Kania/PR/2 bulan PDA + tro 264 μl MCV 93.6 fl MCH 28 pg MCHC 30% makro
Bronkhopneumonia RDW CV 16.00% LED 4 mm/jam DC 0/0/59/36/5 -drip meropenem
 + status epileptikus PT 20.2(13.60) detik INR 1.68 APTT 37.6(31.4) 3x60mg iv
ec PUL + susp kista detik fibri 205(246) mg/dl D-dimer 12.92 μg/ml -captopril 2x2mg
arachnoid SGOT 167 u/l SGPT 44 u/l prot total 5.4 g/dl Al -inj furosemide
3.1 g/dl GDS 197 mg/dl Ur 21 mg/dl AU 12.0 2x3mg iv
mg/dl krea 0.52 mg/dl Ca 8.0 mg/dl phosphor -fenitoin 2x10mg
5.2 mg/dl Na 135 mEq/l K 3.8 mEq/l Cl 91
mmol/l CRP 43 mg/l
AGD : pH 7456 pCO2 47.7 pO2 96.4 BEecf 9.8
BEb 9.5 HCO3 33.9 PO2/FIO2 240.9
Kultur urine steril
Kultur darah steril
26 Alfino Michael Bangsal Demam neutropenia Hb 11.7 g/dl eri 4.46/mm3 leu 0.3/mm3 35% tro -IVFD D5 ½ NS kec 20
Noveleo/LK/11 ec β cell lymphoma 210 µl MCV 78.7 Fl MCH 26 pg MCHC 37 g/dl tpm makro
tahun 8 bulan RDW CV 12.30 mm/jam Bt 0.30 mg/dl BD 0.10 -inj ceftazidime
mg/dl BI 0.20 mg/dl SGOT 18 u/l SGPT 18 u/l PT 3x1.1gr iv
6.8 g/dl glo 2.9 g/dl Ur 15 mg/dl AU 3.3 mg/dl -leucogen 1x150mcg
krea 0.57 mg/dl Ca 9.0 mg/dl phosphor 2.5
mg/dl Mg 1.90 mg/dl Na 141 mEq/l
27 Putri Rikandi/LK/10 Bangsal Post open heart ASD Hb 12.6mg g/dl eri 4.69/mm3 leu 19.2/mm3 ht -O2 spontan
tahun 1 bulan closure ai ASD 38% tro 215 µl MCV 81.7 fl MCH 27 pg MCHC 33 -IVFD D51/2 NS kec
sekundum besar g/dl RDW CV 14.40% LED 13 mm/jam DC 45.5cc/jam
0/0/92/5/3 PT 14.8(13.50) detik INR 1.13 APTT -inj ceftriaxone
30.4(31.4) detik fibrinogen 377(289) mg/dl D- 3x375mg iv
dimer 0.78µg/ml BT 2.30 mg/dl BD 1.20 mg/dl BI -inj PCT 4x450mg iv
1.10 mg/dl SGOT 54 u/l SGPT 18 u/l Prot Total -captopril 212.5mg
7.8 g/dl AL 4.8 g/dl GDS 156 mg/dl Ur 19 mg/dl (po)
AU 4.2 mg/dl krea 0.6 mg/dl Ca 10.0 mg/dl -inj furosemide
phosphor 4.7 mg/dl Mg 2.20 mg/dl Na 146 2x20mg iv
mEq/l K 3.9 mWq/l Cl 107 CRP kuantitatif 20 -spironolacton
mg/l 2x12.5mg (po)
Urinalisa : kuning muda, jernih, bj 1010 pH 5.0
protein (-) ascorbic Acid (-) glukosa (-) keton (-)
darah (-) bilirubin (-) urobilinogen 1 nitrit (-)
lekosit esterase (-) epitel (+) lekosit 0-1 eritrosit
0-1 silinder(-) Kristal (-) bakteri(+) mucus (-)
jamur (-)
AGD : pH 7361 pCO2 36.8 pO2 295.0 BEecf -4.6
BEb -3.3 lactat 4.8 HCO3 21.0 PO2/FIO2 1475.0

28 M Arkan PICU Gagal nafas ec Hb 9.2 g/dl eri 3.22/mm3 leu 26.5/mm3 ht 29% -inj meropenem
Triansyah/LK/1 pneumonia + tro 462 µl MCV 90.7 fl MCH 29 pg MCHC 32 g/dl 3x100mg iv
bulan colodion baby + RDW CV 14.70% LED 29 mm/jam DC - drip dobutamin
anemia + elektrolit 0/0/63/19/10 reti 3.1% 10mcg
imbalance + asidosis GDT : -LFX ED 5gtt/4 jam
respiratorik Eritrosit : normositik, normokrom Cendo lyters 1 gtt/4
Leukosit : jumlah meningkat, imatur granulosit jam
(+) left shift netrofilia
 Trombosit : jumlah meningkat, bentuk normal
Kesan : anemia mikrositik normokrom,
trombositosis dan leukositosis ec inflamasi
kronis dengan suspek infeksi bacterial (klinis?)
Saran : MDT, CRP, kultur darah
Urinalisa : kuning keruh, keruh, bj 1020 pH 6.0
protein (-) ascorbic Acid (-) glukosa (-) keton (-)
darah (+3) bilirubin (-) urobilinogen 1 nitrit (-)
lekosit esterase (-) epitel (-) lekosit 45-51
eritrosit 20-25 silinder(-) Kristal (uric acid+++)
bakteri(-) mucus (-) jamur (-)
AGD : pH 7111 pCO2 152.6 pO2 43.5 BEecf 19.3
BEb 15.5 lactat 3.4 HCO3 49.0 PO2/FIO2 43.5
Kultur darah steril
29 M Vino Pratama PICU PHS + neftritis lupus Hb 10.5 g/dl eri 4.02/mm3 leu 31.5/mm3 ht 32% -IVFD D5 ½ NS kec
Putra/LK/6 tahun + post operasi tro 468 µl RDW CV 12.40% DC 0/0/72/19/9 BT 35cc/jam
11 bulan laparotomy 0.30 mg/dl BD0.20 mg/dl BI 0.10 mg/dl SGOT 14 -Inj cefotaxime
eksplorasi + u/l SGPT 6 u/lAl 2.2 g/dl Ca 7.0 mg/dl Na 126 2x500mg iv
ileostomy double mEq/l K 3.8 mEq/l Cl 92 mmol/l CRP 17 mg/l -inj metronidazole
barrel AGD : pH 7389 pCO2 38.6 pO2 182.1 BEecf -1.7 3x250mg iv
BEb -0.6 lactat 1.6 HCO3 23.5 PO2/FIO2 260.2 -inj omeprazole
Kultur darah steril 2x20mg iv
Urinalisa : kuning jernih, jernih, bj 1010 pH 6.0 -aminofusin 5%
protein (-) ascorbic Acid (-) glukosa (+2) keton (-) 500cc/24 jam
darah (+2) bilirubin (-) urobilinogen 1 nitrit (-) -inj PCT 4x340mg iv
lekosit esterase (-) epitel (-) lekosit 5-8 eritrosit
30-33 silinder(silinder hyaline+) Kristal (-)
bakteri(-) mucus (-) jamur (-)
TINJA : coklat, encer, amoeba(-) eritrosit 0-1
leukosit 0-2 bakteri (+) jamur (+2) telur cacing(-)
lemak(-)