Case Parade Dr. VY ITA

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Case Parade

Ita
NO NAMA DIAGNOSIS TERAPI
Tn. Andhik Anto/ 1. APS CCS III pro DCA Adhoc ECG/24jam
44 tahun/ 2. HFrEF st C fc II dt CAD (EF 30%) Lab HbA1c, GD1,GD2, Profile lipid, As Urat
11333733 3. LV Thrombus Evaluasi SE
4. Mild Hiperkalemia (K 5,42) Ur/Cr post tindakan
5. Bilateral Pyelum Stone
PTx
IVFD NaCl 0.9% 1 cc/kgbb/jam ~ 58 cc/jam
Oral intake 1000 cc/24jam
BC seimbang
DJ IV 1800 kkal/hari

P.O.:
Aspirin 0-0-80mg
Clopidogrel 75mg-0-0
Atorvastatin 0-0-40mg
Bisoprolol 2,5mg-0-0
Ramipril 0-0-5mg
Spironolacton 0-25mg-0
Warfarin 0-0-2mg
Kalitake 3x1
NO NAMA DIAGNOSIS TERAPI
2 Tn. Alexander Nanlohy/ 65tahun/ 1. APS CCS III pro Staging PCI PDx:
11588099 2. HFrEF St. C Fc II dt CAD (EF 16%) EKG/24jam
3. Azotemia Pre renal dd renal Echocardiography
4. History of smoker Ur/Cr pre (evaluasi post hidrasi)
dan post tindakan

PTx:
IVFD NaCl 0.9% 1.5 cc/kgbb/jam ~
110 cc/jam
Oral intake 1000 cc/24jam
BC seimbang
DJ IV 1800 kkal/hari

P.O.:
Aspilet 0-0-80mg
Ticagrelor 2 x90mg
Atorvastatin 0-0-40mg
Ramipril 0-0-10mg
Bisoprolol 2.5mg-0-0
Spironolactone 0-25mg-0
Amlodipin 10mg-0-0
ISDN 3x5mg
NO NAMA DIAGNOSIS TERAPI
3 Tn.Tursimin/52/ 111578825 1. APS CCS III Pro Staging PCI Total cairan 2250 cc/24jam
2. HF Stage C FC II dt CAD IVFD NS 0,9% 1 cc/kg/jam ~ 75 cc/jam
3.DM type II on Insulin Oral Intake 500 cc/24jam
4.History of Smoker DJ II 2000 kkal/24 jam
Lantus 0-0-16 iu sc
Novorapid 3x4 iu sc 15`ac

PO :
Aspilet 0-0-80mg
Ticagrelor 2x90 mg
Atorvastatin 0-0-40mg
Ramipril 0-0-10mg
Bisoprolol 2.5 mg-0-0
4 Nn. PUTRI AMALIA KARTIKA/18 1. PDA type A kecil L to R shunt pro closure by device PDx:
th/11438343 2. VSD Perimembran besar L to R shunt ECG/24 jam
3. Pulmonary hypertension PTx:
PDA closure by device
IVFD NS 1 cc/kgbb/jam
Target BC seimbang
PO:
Revatio 3x20mg
Bisoprolol 2,5mg-0-0
Ramipril 0-0-2,5mg

Ny. Sri Wilujeng / 62 th / 11591278 1. UAP Kilip I GRACE 88 CRUSADE 29 Planning


2. CAD three vessel disease post implantasi 1 DES di PDx/
proksimal-mid LAD EKG/24 jam
3. HFpEF stage C FC II dt CAD Serial cardiac enzyme
4. Menopause
PTx:
IVFD NaCl 0.9% 1000cc/24 jam
Oral intake 800cc/24 jam
Target BC seimbang
DJ III 1800 kcal/24 jam

PO:
ASA 0-0-80mg
Clopidogrel 75mg-0-0
Atorvastatin 0-0-40mg
Ramipril 0-0-5mg
Bisoprolol 1.25mg-0-0
Nitrocaf retard 2x2.5mg
ISDN 3x5mg k/p
Laxadine syr 0-0-C1
Diazepam 0-0-2mg

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