GERIATRI

DIAGNOSIS KLINIS
• Buerger disease
• Diabetes Millitus
• Anemia
• Hipertensi
• Hiponatremia
 TATALAKSANA IGD
• NaCl 0,9% 500cc 20 tpm
• Inj Humulin 10 IU SC
• Rawat Luka
TATALAKSANA BANGSAL
 (05/2/19) (06/2/19) (07/2/19)
Tx - Inf NaCl 0,9% 20 tpm (1) - Inf RL (1) 20 tpm - Terapi Lanjut
Farmakologis - Inf RL 20 tpm - Inf NaCl 0,9% (1) 20 - Humalog 8 IU
- Inj Cefoperazone + tpm
Sulbactam 2 x 1 gr IV - Inj Cefoperazone +
- Inj Parasetamol 2 x 1 gr Sulbactam 2 x 1 gr IV
IV - Inj Metronidazole 3 x
- Mecobalamin 1 x 1 tab 500 mg IV
PO - Inj Paracetamol 2 x 1 gr
- Tarontal (Pentoxifyline) 1 IV
x 400 mg PO - Pleetal (Cilostazol) 2 x
- NaCl Caps 3 x 1 PO 100 mg
- Humalog 8 IU - Mecobalamin 1 x 1 tab
- Difenhidramine 1 cc - Lansoprazone 1 x 1 tab
(premed) - Tarontal (STOP)
- Ondansetron 3 x 4 mg PO - Humalog 4 IU
- NaCl Caps 3 x 1 PO
Tx Non - Transfusi PRC 1 Kolf - Transfusi PRC 1 kolf - Perawatan Luka
Farmakologis - Perawatan Luka - Perawatan Luka

Keterangan -Pro Debridement jika Na = - H 0 post debridement - H 1 post

130 mmol/L - Sliding Scale Insulin debridement
- Sliding Scale Insulin Tiap 4 - Sliding Scale Insulin
jam
 (08/2/19) (09/2/19) (10/2/19)
Tx - Terapi Lanjut - Terapi lanjut - Terapi Lanjut
Farmakologis - Humalog 3 x 10 IU - Humalog 3 x 4 IU
- Inj Metoclopramide 2 x 1 - Ezelin 1 x 10 IU
amp IV - Inj Metoclopramide 2 x
- Inj Metronidazole (STOP) 1 amp IV (PRN)

Tx Non - Perawatan Luka - Perawatan Luka - Perawatan Luka

Farmakologis

Keterangan - H 2 Post Debridement - H 3 post debridement - H 4 post

- Sliding Scale Insulin debridement
- MRSA
 (11/2/19) (12/2/19) (13/2/19)
Tx - Inf RL 20 Tpm - Terapi Lanjut - Terapi lanjut
Farmakologis - Inf NaCL 0,9 % 20 tpm - Furosemid 1 x 40 mg
- Inj Vancomycin 2 x 1 gr PO
dalam NaCl 0,9 % 100 ml, - Inj albuminar 25%
syiringe pump habis
dalam 2 jam IV
- Pleetal 2 x 100 mg PO
- Parasetamol 3 x 500 mg
PO
- Becom zet 1 x 1 tab
- Spironolacton 1 x 100 mg
PO
- Humalog 3 x 4 IU
- Ezelin 1 x 10 IU

Tx Non - Perawatan Luka - Perawatan Luka - Perawatan Luka

Farmakologis - Fisioterapi

Keterangan - H 5 Post Debridement - H 6 post debridement - H 7 post

- MRSA debridement 1
- H 0 post
debridement 2
 (14/2/19) (15/2/19)
Tx Farmakologis - Terapi lanjut - Terapi Lanjut
- Humalog 3 x 6 IU - Humalog 3 x 6 IU
- Ezelin 1 x 10 IU - Lantus 1 x 12 IU

Tx Non - Perawatan Luka - Perawatan Luka

Farmakologis

Keterangan - H 8 post debridement 1 - H 9 post debridement 1

- H 1 post debridement 2 - H 2 post debridement 2
 Pemantauan GDS (5-6/2/19)
400

343
350 323
Humulin 10 IU
300
252
239
250 289
Humalog 8 IU 206 213

200
171

195 205
150

100

50

Humalog 8 IU
0
5/2/19 5/2/19 5/2/19 5/2/19 5/2/19 6/2/19 6/2/19 6/2/19 6/2/19 6/2/19
(01.56) (02.45) (09.00) (17.30) (21.30) (01.00) (08.00) (14.00) (18.00) (22.00)
GDS ( mg/dl)
 Pemantauan GDS (-15/2/19)
300
280
253
240
250

209
193
200 Humalog 4 IU

177 187 186 149

150

100 115
104
Humalog 3 x 6
50 Ezelin 1 x 12 IU
Humalog 8 Humalog 3 x 4 IU
IU Ezelin 1 x 10 IU
0
7/2/19 7/2/19 7/2/19 7/2/19 8/2/19 8/2/19 8/2/19 11/2/19 13/2/19 14/2/19 15/2/19
(06.00) (10.00) (17.00) (21.00) (01.00) (05.00) (21.00) (09.00) (16.45) (09.00) (09.00)
GDS ( mg/dl)