lampiran ii

Lampiran II :

DATA STATUS PASIEN DIARE RAWAT INAP USIA 12 - 60 BULANBULAN OKTOBER - DESEMBER 2012

DI RSUD NGANJUKNoNamaUmurJenis KelaminMRSKRSTerapiResep

1.Adillah12 bulanLaki-laki1/10/20122/10/20121) Inf. RL 800cc/24 jam

2) Inj. Cefotaxime 3 x 300 mg

3) Inj. Acran 3 x amp

4) Obat Oral :

L-Bio 2 x 12/10/12

R/ Inf. RL no. IV

Inj. Cefotaxime no. II

Inj. Acran no. II

Spuit 3cc no. VI

S i.m.m

R/ L-Bio no. VI

S 2dd1

R/ Zincare no. V

S 2dd1

2.An. Annisa Amirulloh60 bulanPerempuan1/10/20123/10/2012RL1/10/2012

R/ Spuit 3cc no. VI

Abocath 22 no. II

Abocath 24 no. I

S i.m.m

R/ RL no. VI

S i.m.m

R/ Inj. Cefotaxime no. IV

S i.m.m

R/Inj. Ranitidin no. IV

S i.m.m

R/ Aquabidest no. IV

S i.m.m

R/ Inj. Ondancentron no. V

S i.m.m

3.An. Dewi Wahyu12 bulanPerempuan2/10/20126/10/2012RL3/10/2012

R/ Inkazync syr no. I

S 2dd cth 1

5/10/2012

R/ RL no. III


S i.m.m

4.An. Irwan Andi S.60 bulanLaki-laki2/10/20125/10/20121) Inf. RL 1000cc/24 jam2) Inj. Cefotaxime 3 x 500 mg

3) Inj. Ranitidin 3 x amp

4) Obat oral :L-Bio 2 x 1

Elzazym 2 x 12/10/2012R/ Spuit 3cc no. VI

Inf. RL no. IVInj. Cefotaxime no. IIInj. Ranitidin no. IV

S i.m.m

R/ Elsazym no. VI

S 2dd13/10/2012

R/ Inf. RL no. III Spuit 3cc no. VI Aquabidest no. IS i.m.m

R/ L-Bio no. VI

S 2dd1

5.An. Jeslinda Angelica14 bulanPerempuan2/10/20125/10/20121) Inf. RL 800cc/24 jam2) Inj. Cefotaxime 3 x 250 mg3) Inj. Ranitidin 3 x amp4) Obat oral :

L-Bio 2 x 1

2/10/2012R/ Spuit 3cc no. VI Inf. RL no. III

Inj. Cefotaxime no. II Inj. Ranitidin no. I

S i.m.m

R/ L-Bio no. VI

S 2dd1

3/10/2012

R/ Inj. Ranitidin no. II Spuit 3cc no. VI

Aquabidest no. VS i.m.m

R/ Zincare no. XS 2dd1

4/10/2012

R/ R Lactat no. II Cefotaxime inj no. II

Spuit 3cc no. VI

S i.m.mR/ Dialac no. VIS 2dd1

6.An. Keandra Raka12 bulanLaki-laki2/10/20125/10/20121) Inf. RL 800 cc/24 jam2) Inj. Cefotaxime 3 x 300 mg


4) Obat oral :

Protaxin 1 x 12/10/2012R/ Spuit 3cc no. VI Inf. RL no. II

Inj. Cefotaxime no. I

Inj. Ranitidin no. I

S i.m.m

3/10/2012

R/ Inf. RL no. III



Spuit 3cc no. VI

S i.m.m

R/ Protaxin no. VS 1dd1

7.An. M. Zainal20 bulanLaki-laki2/10/20125/10/20121) Inf. RL 800cc/24 jam2) Inj. Cefotaxime 3 x 300 mg

3) Inj. Ranitidin 3 x amp4) Obat oral :

L-Bio 2 x 13/10/2012R/ Inf. RL no. IIIInj. Cefotaxime no. II


Spuit 3cc no. VI

S i.m.m

R/ Interzinc syr no. IS 2dd cth 1

R/ L-Bio no. VI

S 2dd1R/ Spuit 3cc no. VI

Inj. Ranitidin no. IIS i.m.m

8.Naufal Andana48 bulanLaki-laki2/10/20126/10/20121) Inf. RL 800cc/24 jam



4) Obat oral :

L-Bio 2 x 1Zincare 3 x 1R/ Inf. RL no. II


Inj. Ranitidin no. II Aquabidest no. II Spuit 3cc no. VI

S i.m.mR/ L-Bio no. IVS 2dd1

R/ Zincare no. IVS 2dd1

9.An. Syifa Qurota12 bulanPerempuan2/10/20126/10/2012RL

10.An. Zacky Marcello12 bulanLaki-laki2/10/20125/10/2012RLR/ Inf. RL no. III


Spuit 3cc no. VI

S i.m.m

11.An. M. Al Akbar60 bulanLaki-laki3/10/20124/10/2012RLR/ Inf. RL no. II


Spuit 3cc no. VIInj. Ranitidin no. I

Aquabidest no. I

S i.m.m

12.An. Vania Asyifa Latief24 bulanPerempuan3/10/20125/10/2012RL3/10/2012R/ R Lactat no. VS i.m.m

5/10/2012R/ Interlac Drop no. I

S 2dd gtt VR/ Astin Force no. V

S 1dd1

13.An. M. Yulianto24 bulanLaki-laki4/10/20129/10/2012RLR/ Abocath 22 no. II Inf. RL no. III

Widaset no. I Spuit 3cc no. VI

S i.m.m

R/ R Lactat no. II Spuit 3cc no. VI

Cefotaxime inj. no. II

S i.m.m

R/ R Lactat no. I Cefotaxime inj no. I

Spuit 3cc no. VI

S i.m.m

R/ Ranitidin inj. no. IIS i.m.m

14.An. Qaleisya Rida12 bulanPerempuan5/10/201210/10/20121) Inf. RL 500cc/24 jam2) Inj. Cefotaxime 3 x 250 mg3) Obat oral :

Zincare 2 x 5/10/2012R/ Inj. Cefotaxime no. II Spuit 3cc no. VI

Inf. RL no. II

Inj. Ranitidin no. II

S i.m.m6/10/2012

R/ Inf. RL no. V

S i.m.m

R/ Zincare no. III

S 2dd tab9/10/2012R/ Inf. RL no. III

S i.m.m

15.An. Zaki

24 bulanLaki-laki5/10/20126/10/2012RLR/ R Lactat no. IV Spuit 3cc no. VI

Cefotaxime inj no. I

S i.m.m

16.An. M. Hafis F.13 bulanLaki-laki8/10/201212/10/2012RL8/10/2012

R/ R Lactat no. IV Spuit 3cc no. VI

S i.m.m

10/10/2012

R/ R Lactat no. III

Spuit 3cc no. VI

S i.m.m

17.An. M. Zulfa

48 bulanLaki-laki8/10/201211/10/2012RL9/10/2012R/ R Lactat no. II

Spuit 3cc no. VIS i.m.m

10/10/2012R/ Protaxime no. V

S 2dd1

R/ Spuit 3cc no. VI

S i.m.m

R/ R Lactat no. III

S i.m.m

18.An. Wisnu N.48 bulanLaki-laki9/10/201210/10/20121) Inf. RL 800cc/24 jam2) Inj. Cefotaxime 3 x 300 mg

3) Obat oral :

L-Bio 2 x 1

Zincare 2 x 1R/ Inf. RL no. III

Widaset no. I

Abocath 24 no. IS i.m.mR/ L-Bio no. VIII

S 2dd1

R/ Zincare no. VIII

S 2dd1

19.Raditya R.14 bulanLaki-laki11/10/201216/10/2012RL12/10/2012R/ Inf. RL no. II

Cefotaxime inj no. I Acran no. I Spuit 3cc no. VI

Aquabidest no. I

S i.m.m

R/ L-Bio no. VII

S 2dd1

R/ Interzinc syr no. IS 2dd cth 1

15/10/2012

R/ Inf. RL no. IS i.m.m

20.An. Hawa Aszari24 bulanPerempuan12/10/201216/10/20121) Inf. RL 700cc/24 jam


3) Inj. Acran 3 x amp.

4) Obat oral :

L-Bio 2 x 1R/ Inf. RL no. I


S i.m.mR/ L-Bio no. VIS 2dd1

R/ Cefotaxime 10 mg

mf pulv dtd no. X

S 2dd pulv 1

21.An. Gita Nur Fadila24 bulanPerempuan13/10/201216/10/20121) Inf. RL 700cc/24 jam


3) Obat oral :

Dialac 2 x 1

Zinc 2 x 1

14/12/2012R/ Inf. RL no. I

S i.m.m

15/12/2012

R/ Spuit 3cc no. VI Inf. RL no. III


S i.m.m

R/ Dialac no. VIS 2dd1R/ Zincare no. VI

S 2dd1

22.An. Kristian Dwi12 bulanLaki-laki14/10/201219/10/20121) Inf. RL 800cc/24 jam


3) Obat oral :

Dialac 2 x 1

Zincare 2 x 1

Nymico 3 x ml 17/10/2010R/ Inf. RL no. II

Spuit 3cc no. VI

S i.m.m

R/ Zincare no. III

S 2dd1R/ L-Bio no. VI

S 2dd118/10/2012

R/ Nymico drop no. I

S 3dd 1 ml(oral drop)

23.M. Davin N.12 bulanLaki-laki14/10/201215/10/2012RL

24.An. Tyas Ayu48 bulanPerempuan14/10/201218/10/2012

1) Inf. RL 2) Inj. Cefotaxime3) Obat oral :

L-Bio 2 x 1

Zincare 2 x 1R/ L-Bio no. VII

S 2dd1R/ Zinc syr no. I

S 2dd cth 1

R/ Inf. RL no. II Inj. Cefotaxime no. II Inj. Ranitidin no. I

Spuit 3cc no. VI

S i.m.m

R/ L-Bio no. VI

S 2dd1

R/ Zinc no. XS 2dd1

25.An. Aluna Eko P.12 bulanPerempuan15/10/201219/10/2012RL16/10/2012

R/ Spuit 3cc no. VI

Inj. Cefotaxime no. II Inf. RL no. III


S i.m.m

R/ Dialac no. VI

S 2dd1

R/ Interzinc syr no. I

S 2dd cth

18/10/2012

R/ Spuit 3cc no. VI

Inf. RL no. III


Aquabidest no. I

S i.m.m

R/ Dialac no. VI

S 2dd1

26.An. Estining Puspita 24 bulanPerempuan15/10/201220/10/20121) Inf. RL 800cc/24 jam



4) Obat oral :

L-Bio 2 x 1

Zincare 2 x 116/10/2012R/ Spuit 3cc no. VI

Inf. Asering no. I Inf. RL no. III



Inj. Norages no. IS i.m.m

R/ Zincare no. VI

S 2dd118/10/2012

R/ Inf. RL no. II

Inj. Cefotaxime no.I


Spuit 3cc no. VI

S i.m.m

19/10/2012

R/ Inf. RL no. II


Spuit 3cc no. VI

S i.m.m

R/ L-Bio no. VI

S 2dd1

R/ Zincare no. V

S 2dd20/10/2012

R/ Zincare no. VI

S 2dd1

R/ L-Bio no. IVS 2dd1

27.An. Aqila Raisya Difia16 bulanPerempuan16/10/201220/10/2012RL16/10/2012

R/ Inf. RL no.III



Spuit 3cc no. VI

Inj. Norages no. I

S i.m.m

R/ L-Bio no. VI

S 2dd1


S 3dd cth 118/10/2012

R/Cefotaxime inj no. I

Ranitidin inj no. I Spuit 3cc no. VI

S i.m.mR/ R Lactat no. III

S i.m.m

28.An. Aulia Hidayatul S.18 bulanPerempuan16/10/201219/10/2012RLR/ Spuit 3cc no. VI

Aquabidest no. I

Inf. RL no. II


S i.m.mR/ Dialac no. VI

S 2dd1R/ Zincare no. VI

S 2dd1

29.An. Putri Zahira18 bulanPerempuan16/10/201220/10/20121) Inf. RL 700cc/24 jam



4) Obat oral :

Dialac 2 x 1

Zinc 2 x 1R/ Spuit 3cc no. VI

Inf. RL no. IV



Aquabidest no. I

S i.m.m

R/ Dialac no. VI

S 2dd1

R/ Zincare no. VI

S 2dd1

30.Ahmad Zulfigar12 bulanLaki-laki17/10/201219/10/2012RLR/ Inf. RL no. III


Inj. Antrain no. I Spuit 3cc no. VI

S i.m.m

R/ Dialac no. VI

S 2dd1

R/ Zincare no. VI

S 2dd1

31.An. Hafiz Bagus P.48 bulanLaki-laki19/10/201222/10/2012RL20/10/2012

R/ RL inf. no. III

Spuit 3cc no. VI

S i.m.m

R/ Dialac no. VI

S 2dd121/10/2012

R/ R Lactat no. II

Cefotaxime inj no. III Spuit 3cc no. VI

S i.m.m

32.An. Qonita Nabila A.15 bulanPerempuan21/10/201225/10/2012RLR/ R Lactat no. III

Cefotaxime inj no. II

S i.m.mR/ Spuit 3cc no. III

S i.m.m22/10/2012

R/ Dialac no. VI

S 2dd1

R/ Spuit 3cc no. VI

S i.m.m

R/ R Lactat no. III

S i.m.m

R/Cefotaxime inj no.II

S i.m.m

R/ Inj. Ranitidin no. IIS i.m.m

33.An. Hanesti Tian M.19 bulanPerempuan24/10/201227/10/2012RL24/10/2012R/ Inf. RL no. VI

Spuit 3cc no. VI

Cefotaxime inj. no.II

S i.m.mR/ Trilac no. VS 2dd1

34.An. Alisita Artanti12 bulanPerempuan25/10/201228/10/2012RL27/10/2012R/ Inf. RL no. III

S i.m.mR/Inj. Cefotaxime no. III

S i.m.m

R/ Interzinc syr no. IS 2dd cth1R/ Dialac no. VI

S 2dd1

35.M. Difa Amrullah18 bulanLaki-laki25/10/201227/10/2012RLR/ R Lactat no. III

Abocath 24 no. IS i.m.m

R/ Protexin no. IIIS 1dd1

36.Murfaiz17 bulanLaki-laki 25/10/201229/10/20121) Inf. RL 1000cc/24 jam


3) Obat oral :

Protexin 2 x 1

Zincare 2 x 125/10/2012R/ R Lactat no. III

Spuit 3cc no. VI


S i.m.m

27/10/2012

R/ L-Bio no. VIIS 2dd1

R/ Zincare no. VS 2dd1R/ Abocath 24 no. I

S i.m.m

29/10/2012

R/ L-Bio no. V

S 2dd1

R/ Zincare no. VI

S 2dd1

R/ Curvit cl syr no. IS 3dd cth

37.An. Reihana Zarohtin12 bulanPerempuan25/10/201228/10/2012RL27/10/2012R/ L-Bio no. VI

S 2dd128/10/2012

R/ Inf. RL no. III

S i.m.m

38.An. Anisa Dewi K.36 bulanPerempuan26/10/201230/10/20121) Inf. RL 1000cc/24 jam



4) Obat oral :

L-Bio 2 x 1

Zincare 2 x 1R/ Elsazym no. IVS 2dd1

R/ Inf. RL no. II


Spuit 3cc no. VI


Aquabidest no. I

S i.m.mR/ L-Bio no. VI

S 2dd1

R/ Zincare no. VIS 2dd1

R/ Elsazym no. VI

S 2dd1

39.An. Mirza Aliana F.24 bulanPerempuan26/10/201231/10/2012RL27/10/2012R/ Inf. RL no. III


Spuit 3cc no. VI

Aquabidest no. I

S i.m.m

R/ Dialac no. VI

S 2dd1


S 3dd cth 31/10/2012

R/ Trilac no. V

S 2dd1R/ R Lactat no. II

Cefotaxime inj. no. I

Abocath 24 no. I

S i.m.m

40.An. Rizky Arya B.12 bulanLaki-laki26/10/201229/10/2012RL27/10/2012R/ Inf. RL no. III

Spuit 3cc no. VI

Inj. Taxegram no. II

Inj. Acran no. II

S i.m.mR/ Dialac no. VI

S 2dd1

28/10/2012

R/ Dialac no. IV

S 2dd1

41.An. Alisa Aulia12 bulanPerempuan28/10/201231/10/2012RLR/ Inf. RL no. III

Abocath 24 no. I

Spuit 3cc no. VI

S i.m.mR/ Ricef no. IS i.m.m

42.Revi Meilano17 bulanLaki-laki29/10/201230/10/2012R/ Abocath 24 no. II

Oralit no. ISpuit 3cc no. VI

S i.m.mR/ Protexin no. V

S 2dd1

43.An. Amir Mahmud17 bulanLaki-laki30/10/20125/11/121) Inf. RL 1000cc/24 jam


3) Inj. Ranitidin 3 x ampR/ R Lactat no. III Cefotaxime inj. no. II

S i.m.mR/ Prozine no. IIS 2dd1

44.An. A. Rizan El-Harraz24 bulanLaki-laki31/10/20126/11/2012RL

45.An. Nurfaiz12 bulanLaki-laki31/10/20124/11/2012RLR/ Inf. RL no. I Inj. Ranitidin no. I Inj. Cefotaxime no. ISpuit 3cc no. VI

S i.m.m

No.NamaUmurJenis KelaminMRSKRSTerapiResep

1.An. Satria Renjiro19 bulanLaki-laki1/11/20127/11/20121) Inf. RL 1000cc/24 jam2) Inj. Cefotaxime 3 x 300 mg

3) Obat oral :

L-Bio 2 x 1Interzinc syr 2 x cth 12/11/2012R/ RL no. II Cefotaxime inj no. I Spuit 3cc no. VI

S.i.m.m

R/ L-Bio no. V

S 2dd1


S 2dd cth1

3/11/2012

R/ RL no. IV

Spuit 3cc no. VI Cefotaxime inj no. II

S.i.m.m

R/ Dialac no. VIS 2dd1

5/11/2012

R/ Inj. Cefotaxime no. II

Inj. Ranitidin no. I Spuit 3cc no. III

S.i.m.m

2.An. Farida Nurul Aisyah12 bulanPerempuan2/11/20129/11/2012RL3/11/2012

R/ R Lactat no. III Spuit 3cc no. VI


S.i.m.mR/ Dialac no. VI

S 2dd1

6/11/2012

R/ Dialac no. VI

S 2dd1

3.An. Janza Khoirul H.36 bulanLaki-laki3/11/20127/11/20121) Inf. RL 1500cc/24 jam

2) Inj. Cefotaxime 3 x 300 mg3) Obat oral :

Protexin 1 x 1 3/11/2012

R/ RL no. III

Spuit 3cc no. VI

Norages inj. no. IS.i.m.m

R/ Protexin no. VS 1dd15/11/2012

R/ Inf. RL no. II Inj. Norages no. I Inj. Cefotaxime no. I


Spuit 3cc no. VI

S.i.m.m

6/11/2012

R/ Inf. RL no. II

Inj. Cefotaxime no. III Inj. Acran no. II

Spuit 3cc no. VI

S.i.m.m

7/11/2012

R/ Protexin no. VS 1dd1

R/ Inf. RL no. II

S.i.m.m

4.Amelia Permata28 bulanPerempuan4/11/20126/11/20121) Inf. RL 1000cc/24 jam


3) Obat oral :

L-Bio 2 x 1

Zincare 2 x 15/11/2012R/ Inf. RL no. II


Spuit 3cc no. VI

S.i.m.m

R/ L-Bio no. VI


S 2dd1

6/11/2012

R/ Syr. Curvit cl no. I

S 3dd cth

5.Azam Maulana24 bulanLaki-laki5/11/20129/11/2012RLR/ R Lactat no. I Spuit 3cc no. VI

Taxegram no. IS.i.m.m

R/ Interhistin no. VI

S 2dd1R/ R Lactat no. II

Taxegram no. I

Spuit 3cc no. VI

S.i.m.mR/ Taxegram no. I R Lactat no. I

S.i.m.mR/ Medicort cr no. Is.u.e

6.Dian Puspita Sari24 bulanPerempuan5/11/201210/11/20121) Inf. RL 700cc/24 jam


3) Obat oral :

Dialac 2 x 15/11/2012R/ Abocath 22 no. I Widaset no. I

Inf. RL no. III

Spuit 3cc no. VI


S.i.m.m

R/ Dialac no. VIS 2dd1

6/11/2012

R/ Cefotaxime inj. no. II

Abocath 22 no. I

Aqubidest no. III

S.i.m.m7/11/2012

R/ Dialac no. VI

S 2dd1R/ Zincare no. V

S 2dd

8/11/2012R/ Dialac no. VI

S 2dd1

7.An. Dicky Aprilia60 bulanLaki-laki5/11/20126/11/20121) Inf. RL 1000cc/24 jam


3) Obat oral :

Dialac 2 x 1 Zincare 2 x 15/11/2012R/ Inf. RL no. III

Spuit 3cc no. VI


Aqubidest no. I

S.i.m.m

R/ Dialac no. VI

S 2dd1

R/ Zincare no. VI

S 2dd16/11/2012

R/ Dialac no. VI

S 2dd1

R/ Zincare no. VI

S 2dd1

8.Intan Aulia48 bulanPerempuan5/11/20127/11/20121) Inf. RL 1000cc/24 jam


3) Obat oral :

Dialac 2 x 1

Zincare 2 x 1R/ Cefixime 20 mgmf. pulv. dtd no. X

S 2dd pulv IR/ Inf. RL no. II


S.i.m.m

R/ Spuit 3cc no. VI Inf. RL no. I


S.i.m.mR/ Dialac no. VI

S 2dd1

R/ Zincare no. VI

S 2dd1

9.An. Abhayasa Billit24 bulanLaki-laki6/11/20128/11/2012RLR/ Taxegram no. II Acran inj. no. II

Spuit 3cc no. VI

S.i.m.m

R/ L-Bio no. V

S 2dd1R/ Elakana syr no. I

S 3dd cth

10.An. R. Haikal Alim A.17 bulanLaki-laki6/11/20128/11/20121) Inf. RL 800cc/24 jam


3) Inj. Acran 3 x amp

4) Obat oral :

Interzinc syr 2 x cth 17/11/2012R/ R Lactat no. V

S.i.m.m

R/ Cefotaxime no. I

S.i.m.m

R/ Ranitidin inj. no.IVS.i.m.m

R/ Spuit 3cc no. VIS.i.m.m

R/ Aquabidest no. IIIS.i.m.m


S 2dd cth1

11.Basithu Maulana R.12 bulanLaki-laki6/11/20128/11/2012RL7/11/2012R/ Spuit 3cc no. IV Inf. RL no. II


Aquabidest no. IS.i.m.m

R/Paracetamol 100mg

Dilantin 15mg

mf. pulv. dtd no. XS 3dd pulv1

R/ L-Bio no. VI

S 2dd1

12.Asrul Bima A.36 bulanLaki-laki8/11/20129/11/2012RL8/11/2012R/ Protexin no. III

S 1dd1

R/ R Lactat no. III

Spuit 3cc no. VI

Ranitidin no. I

Acran inj. no. I

S.i.m.m

9/11/2012R/ Protexin no. III

S 1dd1

R/ Tepaxin 75 mg

Dialac 100 mg

mf. pulv. dtd no. XS 3dd1

13.Wafia M.17 bulanPerempuan8/11/201212/11/2012RLR/ Dialac no. VI

S 2dd1R/ Abocath 22 no. I

RL no. V

Widaset no. IS.i.m.m

R/ Widaset no. I

Abocath 24 no. II

S.i.m.mR/ Protexin no. III

S 1dd1

R/ RL no. IV

Spuit 3cc no. V

S.i.m.m

R/ Dialac no. VI

S 2dd1

14.An. M. Aldo Saputra38 bulanLaki-laki9/11/201212/11/2012RL9/11/2012R/ RL no. II

Spuit 3cc no. VI

Ranitidin no. V

S.i.m.m

10/11/2012

R/ Inf. RL no. IIInj. Dexamethasone no. II

Spuit 3cc no. III

S.i.m.m

R/ Protexin no. V

S 1dd1

15.An. Moch Arya Putra48 bulanLaki-laki10/11/201212/11/2012RL11/11/2012R/ L- Bio no. V

S 2dd1

12/11/2012

R/ Ranitidin inj no. V

RL no. V

S.i.m.m

16.An. Ibra Ilham24 bulanLaki-laki11/11/201214/11/2012RL12/11/2012R/ Abocath 24 no. I

S.i.m.m

R/ Spuit 3cc no. V

Infuset no. IS.i.m.mR/ RL no. V

Cefotaxime inj. no. VS.i.m.m

17.An. Lutfiatul

48 bulanPerempuan12/11/201214/11/2012RLR/ RL no. III Spuit 3cc no. V

Cefotaxime no. I

S.i.m.m

18.An. Jasmita Bintang S.24 bulanPerempuan

13/11/201217/11/2012RL14/11/2012R/ Interlac no. V

S 2dd1

R/ RL no. II Spuit 3cc no. VI

Cefotaxime no. I

S.i.m.m

19.An. Zaky Eka M.12 bulanLaki-laki13/11/201217/11/2012RL14/11/2012

R/ RL no. II

Spuit 3cc no. VI

Cefotaxime no. IIS.i.m.mR/ Dialac no. V

S 2dd1

17/11/2012

R/ Dialac no. VI

S 2dd1

R/ Abocath 22 no. IS.i.m.mR/ RL no. V

S.i.m.m

20.An. Nabila12 bulanPerempuan

16/11/201219/11/2012RLR/ R Lactat no. II

Texagram no. III Spuit 3cc no. VI

S.i.m.m

21.An. Mahmud Ahmad36 bulanLaki-laki19/11/201221/11/2012RL20/11/2012

R/ RL no. IICefotaxime inj no. II

Spuit 3cc no. VI

S.i.m.m

22.Davin

48 bulanLaki-laki19/11/201221/11/2012RLR/ Cefotaxime 1 gr no. V Ranitidin amp no. IV

RL no. II

S.i.m.m

R/ Spuit 3cc no. VI

S.i.m.m

R/ Abocath 22 no. I Infus set no. II

S.i.m.m

R/ RL no. V Ranitidin no. V

S.i.m.mR/ Cefotaxime no. IIIS.i.m.m

23.An. M. Fatkul Hidayat12 bulanLaki-laki21/11/201224/11/20121) Inf. RL 700cc/24 jam


3) Obat oral :

L-Bio 2 x 1

Zincare 2 x 21/11/2012

R/ RL no. III Spuit 3cc no. VI Cefotaxime inj no. II

S.i.m.m

22/11/2012

R/ L- Bio no. VIIIS 2dd1

R/ Zincare no. V

S 2dd23/11/2012

R/ L- Bio no. V

S 2dd1

R/ Spuit 3cc no. V

RL no. III

Cefotaxime inj no. II

Abocath 24 no. II

S.i.m.m

24.Naima Mutia36 bulanPerempuan22/11/201224/11/20121) Inf. Kaen 3b2) Inj. Ceftriaxone 2 x 400 mgR/ Venflon 24 no. II Spuit 3cc no. II

Infus set no. I

S.i.m.m

R/ Kaen 3b no. VICeftriaxone inj. no. VI Aquabidest no. IV

S.i.m.m

25.An. Kurnia Ayu Putri17 bulanPerempuan25/11/201227/11/2012RL26/11/2012

R/ Interlac no. V

S 2dd1

R/ RL no. III

Spuit 3cc no. VI Cefotaxime inj no. I

S.i.m.m

26.Isma Putri Lestari48 bulanPerempuan

26/11/201230/11/20121) Inf. RL 1000cc/24 jam


3) Inj. Ranitidin 3 x amp26/11/2012

R/ Ranitidin inj no. III

Spuit 3cc no. VI


S.i.m.m27/11/2012

R/ RL no. III Ranitidin inj no. III Cefotaxime inj no. IIIS.i.m.mR/ Curvit cl no. I

S 2dd130/11/2012R/ Cefotaxime no. II

Ranitidin no. I

RL no. I

S.i.m.m

No.NamaUmurJenis KelaminMRSKRSTerapiResep

1.An. Candar Rochmadun60 bulanPerempuan03/12/201206/12/2012RLR/ Spuit 3cc no. VI R Lactat no. III

S.i.m.m

R/ Protexin no. VS 1dd1

2.An. Khafid Solaqul17 bulanLaki-laki03/12/201207/12/2012RLR/ Abocath 24 no. II RL no. II

Cefotaxime no. II

Norages inj no. II

Spuit 3cc no. VI

S.i.m.m

R/ L-Bio no. VI


S 2dd1

R/ RL no. V Spuit 3cc no. VI

Cefotaxime no. IIS.i.m.mR/ L-Bio no. V

S 1-0-0

3.An. M. Dhilal Aufaq A.24 bulanLaki-laki03/12/201205/12/2012RL04/12/2012

R/ RL no. V

Cefotaxime no. II

S.i.m.m

R/ Spuit 3cc no. V

S.i.m.m

R/ Protexin no. V

S 2dd1

4.An. Nanda 12 bulanLaki-laki03/12/201206/12/20121) Inf. RL 1000cc/24 jam


3) Obat oral

Zincare 2 x 1 R/ RL no. VS.i.m.m

R/ Cefotaxime no.IIIS.i.m.mR/ Abocath 24 no. V

Widaset no. I

S.i.m.m

R/ Zincare no. VS 2dd1

5.An. Elfaro Fafieza12 bulanLaki-laki04/12/201207/12/2012RL05/12/2012R/ RL no. III

Ricef no. I

Acran inj. no. I Spuit 3cc no. VI

S.i.m.m

R/ L-Bio no. VI

S 2dd1

R/ Zincare no. VI

S 2dd06/12/2012

R/ RL no. II

Lapexin no. II

Spuit 3cc no. VI

S.i.m.m

6.An. Marsa Mirasda24 bulanPerempuan04/12/201206/12/2012RL05/12/2012

R/ RL no. III

Taxegram inj. no. I

Acran inj. no. I Spuit 3cc no. VI

S.i.m.m

06/12/2012

R/ RL no. I

S.i.m.mR/ Protexin no. V

S 1dd1

7.An. Kaka Fardierza24 bulanLaki-laki05/12/201207/12/2012RL06/12/2012

R/ RL no. II

Spuit 3cc no. VI

Cefotaxime no. II

S.i.m.m

07/12/2012

R/ Dialac no. VS 2dd1

8.An. M. Afif Al Hafiz12 bulanLaki-laki06/12/201210/12/2012RL06/12/2012R/ RL no. V

Spuit 3cc no. VI

Cefotaxime no. II

S.i.m.m

R/ Dialac no. V

S 2dd106/12/2012

R/ Cefotaxime no. II Spuit 3cc no. VI

Aquabidest no. III Abocath 24 no. V S.i.m.mR/ L-Bio no. VI

S 2dd1

10/12/2012

R/ L-Bio no. VI

S 2dd1

9.An. Mahendra Agung Sadewa12 bulanLaki-laki06/12/201212/12/2012RL06/12/2012R/ RL no. III

Spuit 3cc no. VI

Clafexime no. II S.i.m.mR/ Piroxen no. V

S 1dd1

08/12/2012R/ Ricef no. I RL no. I

Spuit 3cc no. VI

S.i.m.mR/ Interzinc syr no. IS 2dd cth

10/12/2012

R/ RL no. II

Spuit 3cc no. VI

S.i.m.mR/ Piroxen no. IV

S 2dd1

10Aldiano Wahyu12 bulanLaki-laki08/12/201213/12/20121) Inf. RL 700cc/24 jam

2) Inj. cefotaxime 3 x 250 mg

3) Obat oral

Protexin 1 x 19/11/2012R/ RL no. II

Spuit 3cc no. VI

Abocath 24 no. V


S 2dd1

11/12/2012R/ RL no. II

S.i.m.mR/ Protexin no. IIS 2dd1

12/12/2012


S 2dd cth

R/ RL no. II

Abocath 24 no. IS.i.m.mR/ Elkana cl syr no. I

S 2dd cth

11.An. M. Abi Kuntoro53 bulanLaki-laki08/12/201213/12/201210/12/2012

R/ R Lactat no. III

Spuit 3cc no. VI

Tranec inj. no. IIS.i.m.mR/ Paracetamol no. III

S 1dd1

11/12/2012

R/ R Lactat no. III

Lapistan inj no. II

Spuit 3cc no. VI

S.i.m.m13/12/2012R/ Paracetamol no.V

S 1dd1

12.An. Mirza Nur Asyifa24 bulanPerempuan08/12/201211/12/2012RL09/12/2012

R/ R Lactat no. VI

Spuit 3cc no. VI

Cefotaxime no. IIS.i.m.mR/ Dialac no. V

S 2dd111/12/2012

R/ Dialac no. V

S 2dd1

13.An. Rita Cahyani Putri18 bulanPerempuan09/12/201213/12/20121) Inf. RL 700cc/24 jam


3) Obat oral

L-Bio 2 x 1

Zincare 2 x 111/12/2012R/ R Lactat no. III

Spuit 3cc no. VI

Cefotaxime no. IIS.i.m.m13/12/2012R/ L-Bio no. VI

S 2dd1

R/ Zincare no. XS 2dd1

14.Elqi Putra1 bulanLaki-laki10/12/201211/12/2012RL10/12/2012R/ RL no. III Cefotaxime no. II

Spuit 3cc no. III

Abocath 21 no. I

Widaset no. I

S.i.m.m

.15.An. Dina Putri17 bulanPerempuan10/12/201212/12/20121) Inf. RL 800 cc/24 jam2) Inj. Cefotaxime 3 x 300 mg

3) Inj. Ranitidin 3 x ampR/ RL no. III Cefotaxime no. II

Ranitidin no. II Spuit 3cc no. III


S 2dd1

16.An. Irfan Eka S.12 bulanLaki-laki10/12/201213/12/20121) Inf. RL 700cc/24 jam


3) Obat oral

Dialac 2 x 1

Orazinc 1 x 111/12/2012R/ R Lactat no. III

Spuit 3cc no. VI

Cefotaxime no. II

S.i.m.mR/Paracetamol no. V

S 3dd113/12/2012R/ L-Bio no. VI

S 2dd1R/ Orezinc no. VS 1dd1

R/ Elkana cl syr no. I

S 2dd cth1

17.Dinda Amelia S.36 bulanPerempuan

12/12/201215/12/2012RL12/12/2012R/ RL no. V

Cefotaxime no. II

Ranitidin no. II

Norages inj no. II

Spuit 3cc no. VI Aquabidest no. VS.i.m.m

R/ L-Bio no. VI

S 2dd113/12/2012

R/ L-Bio no. IVS 2dd115/12/2012

R/ L-Bio no. VI

S 2dd1

18.Fajar Rohmad60 bulanLaki-laki12/12/201215/12/2012RLR/ RL no. V

Cefotaxime no. III

Norages inj no. II

Spuit 3cc no. VIS.i.m.m


19.Alfian Kevin12 bulanLaki-laki13/12/201217/12/2012RLR/ Abocath 24 no. II Widaset no. I

S.i.m.m

R/ Spirolacton 25 no. XS 2dd1

R/ RL no. VI

Cefotaxime no. V


20.An. Lila Aulia Putri24 bulanPerempuan13/12/201215/12/2012RL13/12/2012R/ R Lactat no. IIIS.i.m.mR/ L-Bio no. VIIIS 2dd114/12/2012

R/ Orezinc no. VI

S 2dd1

21.Enggar Aditya K.24 bulanLaki-laki14/12/201217/12/2012RL15/12/2012R/ R Lactat no. III

S.i.m.mR/ Lacto B no. VIS 2dd117/12/2012

R/ Piroxen no. V

S 2dd1R/ Elkana cl syr no. I

S 2dd cth1

22.An. Ramdan Putra30 bulanLaki-laki14/12/201217/12/2012RL15/12/2012R/ R Lactat no. III

Ranitidin no. I

Spuit 3cc no. VIS.i.m.mR/ Norages inj no. IIS.i.m.mR/ Taxegram no. IIS.i.m.m17/12/2012

R/ Interlac no. VS 2dd1R/ Elkana cl syr no. I

S 2dd cth1

23.Aldanco Wahyu12 bulanLaki-laki15/12/201217/12/2012RLR/ RL no. IS.i.m.mR/ Interlac no. V

S 2dd1R/ Orezinc no. VS 1dd1

24.An. Rafif Afham12 bulanLaki-laki15/12/201219/12/2012RL17/12/2012R/ RL no. V

Cefotaxime no. III


25.Mei Andini Z.12 bulanPerempuan16/12/201219/12/2012RL17/12/2012

R/ RL no. III Cefotaxime no. II

Spuit 3cc no. VI

S.i.m.mR/ Lacto B no. V

S2dd1

18/12/2012

R/ RL no. II

S.i.m.m19/12/2012

R/ Orezinc no. V

S 2dd1R/ Elkana cl syr no. I

S 2dd cth1

26.An. Ahmad Wardan12 bulanLaki-laki18/12/201223/12/20121) Inf. RL 700cc/24 jam


3) Obat oral

L-Bio 2 x 1Orezinc syr 2xR/ RL no. IV Cefotaxime no. III Spuit 3cc no. VI

S.i.m.mR/ L-Bio no. VIIIS 2dd1R/ Orezinc syr no. I

S 2dd cth

27.An. M. Sadid Musafak53 bulanLaki-laki19/12/201221/12/2012RLR/ RL no. III

Cefotaxime no. II

Spuit 3cc no. VI

S.i.m.mR/ Dexanta syr fl I

S 3dd cth1R/ Spuit 3cc no. VI Ranitidin no. I

Ceftriaxon no. IIS.i.m.mR/ Spuit 3cc no. VI

Cefotaxime no. II

S.i.m.m

28.An. M. Reihan Ali12 bulanLaki-laki22/12/201229/12/20121) Inf. RL 700cc/24 jam


3) Inj. Glubatic 2 x 300 mg4) Obat oral

L-Bio 1 x 1

Orezinc syr 2x22/12/2012R/ RL no. III

Spuit 3cc no. VI

Cefotaxime no. II

Aquabidest no. III

S.i.m.m28/12/2012

R/ RL no. III

Cefotaxime no. I

Glybotic inj no. I

Spuit 3cc no. VI

Aquabidest no. II

S.i.m.mR/ L-Bio no. IIIS 1dd129/12/2012

R/ L-Bio no. V

S 2dd1

29.An. M. Sahal Al Rufi24 bulanLaki-laki22/12/201226/12/2012RL26/12/2012R/ RL no. II

Cefotaxime no. I

S.i.m.mR/ L-Bio no. VS 1dd1

30.Vina Nadirotul24 bulanPerempuan22/12/201226/12/2012RLR/ RL no. II

Widaset no. I

Abocath 24 no. II

Cefotaxime no. I

Acran no. I Spuit 3cc no. VI

S.i.m.mR/ L-Bio no. VIIS 2dd1

31.An. Alif Nur Bayu12 bulanLaki-laki24/12/201226/12/2012RL26/12/2012

R/Paracetamol no. VS 2dd1

R/ RL no. II

Cefotaxime no. I

Spuit 3cc no. II

S.i.m.m

32.An. Arif Dwi Prasetyo12 bulanLaki-laki24/12/201228/12/2012RL

33.An. Balqis Ahmad12 bulanLaki-laki24/12/201227/12/20121) Inf. RL 700cc/24 jam


3) Obat oral

Curcuma syr 1 x 1Orezinc syr 2 x 26/12/2012

R/ R Lactat no. II

Spuit 3cc no. VIII

Cefotaxime no. II

S.i.m.mR/ Ziprolac no. V

S 2dd1

27/12/2012

R/ L-Bio no. VIIS 2dd1R/ Curcuma syr I

S 3dd cth1

34.An. M. Marvel Subekti19 bulanLaki-laki24/12/201228/12/20121) Inf. RL 1000cc/24 jam



4) Obat oral

L-Bio 2 x 1

Zincare 2 x 126/12/2012R/ R Lactat no. V Spuit 3cc no. VI

Ranitidin no. II

S.i.m.mR/ Cefotaxime no. IIS.i.m.mR/ L-Bio no. VIS 2dd127/12/2012

R/ Zincare no. VIS 2dd1

28/12/2012

R/ L-Bio no. VIIIS 2dd1R/ Zincare no. X

S 2dd1

35.An. A. Bisri Mustofa17 bulanLaki-laki26/12/201228/12/20121) Inf. RL 1000cc/24 jam



4) Obat oral

L-Bio 2 x 1

Zincare 2 x 1R/ RL no. II

Spuit 3cc no. VI

Cefotaxime no. II

Aquabidest no. IIS.i.m.mR/ L-Bio no. VIIS 2dd1R/ Zincare no. X

S 2dd1


36.An. Adiesta S.48 bulanPerempuan26/12/201231/12/20121) Inf. RL 1500cc/24 jam



4) Obat oral

L-Bio 2 x 126/12/2012R/ R Lactat no. V

Ranitidin no. V Cefotaxime no. II

Spuit 3cc no. VI

Abocath 24 no. II

Widaset no. I

S.i.m.m28/12/2012

R/ Aquabidest no.VI

Cefotaxime no. III

Ranitidin no. III

S.i.m.mR/ Spuit 3cc no. VI

Abocath 24 no. II

S.i.m.m29/12/2012

R/ RL no. III

S.i.m.mR/ Spuit 3cc no. VI

S.i.m.mR/ L-Bio no. VIIIS 2dd1R/ Zincare no. X

S 2dd1

37.An. Erlan Yana P.21 bulanLaki-laki26/12/201231/12/20121) Inf. RL 700cc/24 jam



4) Obat oral

Zincare 2 x 127/12/2012R/ R Lactat no. II Spuit 3cc no. VI

S.i.m.mR/Paracetamol no. V

S 2dd1

28/12/2012

R/ R Lactat no. III

S.i.m.mR/ Cefotaxime no. IS.i.m.m29/12/2012

R/ R Lactat no. VS.i.m.mR/ Cefotaxime no.III

S.i.m.mR/ Ranitidin no. VIS.i.m.mR/ Aquabidest no. II

S.i.m.mR/ Spuit 3cc no. V

Spuit 5cc no. V

S.i.m.mR/ Zincare no. X

S 2dd1

38.An. Faris Wahyu24 bulanLaki-laki26/12/201226/12/20121) Inf. RL 1000cc/24 jam


3) Obat oral

L-Bio 2 x 1Zincare 2 x 1R/ RL no. V

Spuit 3cc no. V

Cefotaxime no. V

Ranitidin no. III

S.i.m.mR/ Aquabidest no.VI

S.i.m.mR/ L-Bio no. VIIS 2dd1R/ Zincare no. X

S 2dd1

39.An. Kharisna12 bulanLaki-laki26/12/201227/12/2012RL26/12/2012R/ L-Bio no. VIS 2dd1R/ RL no. V

Spuit 3cc no.VI Cefotaxime no. IIS.i.m.m

40.M. Hafif Habibi21 bulanLaki-laki28/12/201201/01/20131) Inf. RL 1000cc/24 jam

2) Inj. cefotaxime 3 x 300 mg3) Inj. Ranitidin 3 x amp

4) Obat oral

L-Bio 2 x 1

Zincare 2 x 1R/ RL no. VI

Cefotaxime no. II

Ranitidin no. III

Aquabidest no. IIS.i.m.mR/ L-Bio no. VIIS 2dd1R/ Zincare no. X

S 2dd1

41.Aira Putri A.12 bulanPerempuan30/12/201202/01/2013RL02/01/2013R/ Cefotaxime no. II

RL no. II

Abocath 24 no. I

Spuit 3cc no.VI

S.i.m.m

42.An. Jeriko Prengki P.

17 bulanLaki-laki31/12/201202/01/2013RL

43.An. M. Abdul Chalim12 bulanLaki-laki31/12/201204/01/20131) Inf. RL 700cc/24 jam


3) Obat oral

L-Bio 2 x 1

Zincare 2 x R/ RL no. V

Spuit 3cc no. V

Cefotaxime no. IV

S.i.m.mR/ L-Bio no. VS 2dd1

lampiran ii

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