Follow Up Jantung.docx
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Follow Up Hari/ Tanggal HP-1 13/03/2019
S Nyeri dada menjalar hingga tangan kiri Keringat dingin Mual
O TD : 92/71 mmHg N : 80 x/menit RR : 22 x/menit T : 36
A
HP-2 14/03/2019
Masih nyeri dada Keringat dingin Mual (-)
TD : 90/70 mmHg N : 76 x/menit RR : 22 x/menit T : 36
CHF RBBB MS MR Susp. Pneumonia
HP-3 15/03/2019
Nyeri dada menjalar hingga tangan kiri berkurang Keringat dingin (-) Mual (-) Batuk jarang
TD : 90/68 mmHg N : 86 x/menit RR : 22 x/menit T : 36
CHF RBBB MS MR Susp. Pneumonia
CHF RBBB MS MR Susp. Pneumonia
P IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr
HP-4 16/03/2019
Nyeri dada menjalar hingga tangan kiri berkurang Keringat dingin (-) Mual (-) Batuk jarang
TD : 100/60 mmHg N : 55 x/menit RR : 20 x/menit T : 36,7
CHF RBBB MS MR Susp. Pneumonia
PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg BLPL
S Nyeri dada menjalar hingga tangan kiri Keringat dingin Mual
O TD : 92/71 mmHg N : 80 x/menit RR : 22 x/menit T : 36
A
HP-2 14/03/2019
Masih nyeri dada Keringat dingin Mual (-)
TD : 90/70 mmHg N : 76 x/menit RR : 22 x/menit T : 36
CHF RBBB MS MR Susp. Pneumonia
HP-3 15/03/2019
Nyeri dada menjalar hingga tangan kiri berkurang Keringat dingin (-) Mual (-) Batuk jarang
TD : 90/68 mmHg N : 86 x/menit RR : 22 x/menit T : 36
CHF RBBB MS MR Susp. Pneumonia
CHF RBBB MS MR Susp. Pneumonia
P IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr
HP-4 16/03/2019
Nyeri dada menjalar hingga tangan kiri berkurang Keringat dingin (-) Mual (-) Batuk jarang
TD : 100/60 mmHg N : 55 x/menit RR : 20 x/menit T : 36,7
CHF RBBB MS MR Susp. Pneumonia
PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg IVFD RL 12 tpm Inj Furosemid 3x1 A Inj Ranitidin 2x1 A Inj Ceftriaxone 2x1 gr PO ISDN 3x5 mg PO Aspilet 1x1 tab PO NAC 3x1 caps PO PCT 4x1 tab PO Spironolacton 1x12,5 mg BLPL
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