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    Coass: Ilham, Tari, Nurhabibah

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    harzalina
    This patient has a history of tuberculosis and HIV stage III. A recent examination found the patient to have shortness of breath, anemia, oral candidiasis, and pneumonia suspected to be caused by a fungal infection of the lungs. The treatment plan includes oxygen supplementation, a bland diet, intravenous fluids and antibiotics, antifungals administered intravenously, cough suppressants, and antiretroviral drugs. Further monitoring of the patient's condition and response to treatment is recommended.

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    Coass: Ilham, Tari, Nurhabibah

    Uploaded by

    harzalina
    19 views3 pages
    This patient has a history of tuberculosis and HIV stage III. A recent examination found the patient to have shortness of breath, anemia, oral candidiasis, and pneumonia suspected to be caused by a fungal infection of the lungs. The treatment plan includes oxygen supplementation, a bland diet, intravenous fluids and antibiotics, antifungals administered intravenously, cough suppressants, and antiretroviral drugs. Further monitoring of the patient's condition and response to treatment is recommended.

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    koyan ok.docx

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    This patient has a history of tuberculosis and HIV stage III. A recent examination found the patient to have shortness of breath, anemia, oral candidiasis, and pneumonia suspected to be caused by a fungal infection of the lungs. The treatment plan includes oxygen supplementation, a bland diet, intravenous fluids and antibiotics, antifungals administered intravenously, cough suppressants, and antiretroviral drugs. Further monitoring of the patient's condition and response to treatment is recommended.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    19 views3 pages

    Coass: Ilham, Tari, Nurhabibah

    Uploaded by

    harzalina
    This patient has a history of tuberculosis and HIV stage III. A recent examination found the patient to have shortness of breath, anemia, oral candidiasis, and pneumonia suspected to be caused by a fungal infection of the lungs. The treatment plan includes oxygen supplementation, a bland diet, intravenous fluids and antibiotics, antifungals administered intravenously, cough suppressants, and antiretroviral drugs. Further monitoring of the patient's condition and response to treatment is recommended.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    COASS :

    Ilham, tari, nurhabibah

    Identitas Riwayat Laboratorium Diagnosa Terapi Rencana


    Penyakit
    BED 11 KU : Bab hitam Darah Rutin : -psmbb ec -tirah baring colonoccopy
    Sakti H (+) (25/ 05/2017) hemoroit intern - diet MT
    siregar Follow Up WBC : 15,63 add tumor -02 2-4 l/I nasal
    (24th) terakhir (103/uL) colorectal dd kanul
    (28/05/2017) RBC : colitis -ivfd NACL 0,9%
    S:bab hitam 1,66(103/uL) Anemia ac 20 gtt
    O:sens :cm HGB : 4,5 g/dL perdarahan -inj ceftriaxon
    TD: 130/70 HCT : 53.5 % Hiponatremia 1gr/12 jam /iv
    mmhg, HR: 92 x/i MCV 80,7 [fl] hipoosmolar -inj transamin
    RR: 24 x/i, T: MCHC 27,1 500mg/ 8 jam /iv
    37,0 [g/dl] -inj vit k 1 amp/24
    Fisik: PLT:203(103/uL jam
    Mata : anemis Neu : 78,5 % -inj ranitidine
    (+/+), ikterus (-/- Lymph : 7,8 % 50mg /12 jam/iv
    ), Mono : 13,2% -salofalk 3x500mg
    Thoraks : SP : Eo : 0,4%
    vesikuler. ST : - Baso : 0,1 %
    Abdomen : Kimia Klinik :
    soepel, Peristaltik (24/05/2017)
    (+) N, SGOT: 97,00
    Ekstremitas : SGPT : 45.00
    oedem (-/-). U/L
    Follow up terahir Natrium
    117,00mmol/l
    kalium 5,90
    mmol/l
    BED 14 KU : nyeri dada Darah Rutin : - CKD ckd stg - Tirah baring - Susul
    Martua Lu Follow up (28/05/2017) V ec PGOI - O2 2-4L/I hasil lab
    mban Tobi terakhir WBC:7,53 - Hpertensi ST - Diet ginjal - Cek RFT
    ng (28/05/2017) (103/uL) G 11 1600kkal - Konsul
    51 Tahun S : mual (+), RBC : 2.57 - Anemia ec pen - Ivfd nacl 0.96% kardio
    sesak (-) sulit (106/uL) yakit kronis 10gtt/I mikro - Cek
    tidur HGB : 7,5 - Ivfd nacl 3% elektrolit
    TD : 140/80 g/dL 10gtt/I mikro post
    HR: 84 x/i HCT : 20,7% - Inj ranitidine koreksi
    RR: 24x/i PLT : 50mg/12 jam/iv nacl 3%
    T : 36,9 334(103/uL) - Valsartan
    Mata : Neut : 76,1 % 1x80mg
    anemis(+/+) Lymph : - Amlodipin 1x1
    ikterus (-/-) 10,6% mg
    Leher : trakea Mono :6,9 % - Furosemid 1x4
    medial, TJV R - Eo : 6.1 % mg
    2CM Baso : 0,3% - Simvastatin
    Thorax : Kimia klinik : 1x20 mg
    Vesikuler (+) Glukosa
    ST : - adrandom
    Abdomen : 87,00 mg/dl
    soepel troponin T
    Ekstremitas : 0,08
    Oedem (-/-) CKMB
    19,80U/L
    Natrium
    120,00
    mmol/L
    BED 20 Keluhan utama : Darah Rutin : -HIV STG III -Tirah baring
    sesak nafas - TB Paru relaps -O2 2-4 L
    M. Ibrahi (25/05/2017)
    dd pneumonia -Diet MBTKTP
    m tanjung Follow up WBC:5,93 Dd mikosis paru -IVFD RL 20gtt/I
    - anemia ec peny. mikro
    25 Tahun terakhir (103/uL)
    Kronis dd def fe - inj ceftriaxon
    (28/05/2017) RBC : - oral candidiasis 1gr/12 jam /iv
    - inj ranitidine 50
    S : sesak nafas (+) 3,69(106/uL)
    mg/12 jam/iv
    O: HGB : 9,2 - drip fluconazole
    200mg/24 jam/iv
    Sens : CM g/dL
    - ambroxol syr
    TD : 80/70 mmhg HCT : 27,9% 3xc2
    - codein 3x10 mg
    HR : 92x/i PLT : 433
    - cotrimoxazole
    RR : 32 x/i T:35,8 Kimia klinik : 2x960 mg tab
    -inj dexa 1amp /8
    conjungtiva 26-5-2017
    jam
    anemis +/+ SGOT 93,00u/l -paracetamol
    3x500mg
    ikterus (-/-) 25/05/2017
    -inj ketorolak 1
    Thorax : bronkial Glukosa amp /8jam
    (+) adrandom
    ST : ronki basah 102,00mg/dl
    di lap. Tengah Imunologik :
    paru 26-5-2017
    Abdomen : Cd4 8c/ql
    soepel (25-5-2017)
    Ekstremitas : HIV RAPID
    Oedem (-/-) TES POSITIF

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