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Description of Serum Urea and Creatinine Levels Pre Hemodialysis and Post Hemodialysis at Royal Prima Hospital in Chronic Kidney Disease Putra, Raymond Nazimuddin; Valentine Athania Br Perangin-angin; Sahna Ferdinand; Erny Tandanu
Archives of The Medicine and Case Reports Vol. 2 No. 1 (2021): Archives of The Medicine and Case Reports
Publisher : Hanif Medisiana Publisher - Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v2i1.22

Abstract

Chronic Kidney Failure describes as the gradual loss of kidney function and it is irreversible, to replace the loss of kidney function a therapy to kidney function is needed, which is hemodialysis. The objective of this research is to know the levels of ureu and creatinine serum for pre hemodialysis and post hemodialysis at RSU Royal Prima Medan. The methods that are being used for this research is descriptive with 54 patients as samples. The results of this research is loss of urea and creatinine serum level, with the average of urea level for pre hemodialysis is 128.11 mg/dL, and the average of urea level for post hemodialysis is 43.26 mg/dL with 1,8% patient with low urea level, 50% with normal urea level, and 48.2% with high urea level. The average of creatine level for pre hemodialysis is 11.56 mg/dL, and the average of creatine levels is 4.3 mg/dL, with all of the patient still have a high creatinine levels. The conclusion is there is drop for both urea and creatinen serum level, but the urea level for half of the patient did not go down to normal, and for the creatinine level there is none of the patient creatinine level that go down to normal.
DIAGNOSTIC AND MANAGEMENT OVERVIEW OF COVID-19 ELDERLY PATIENTS AT ROYAL PRIMA HOSPITAL MEDAN Silvia Etty Kasita; Rico Lutandry; Sahna Ferdinand; Qori Fadillah
Jambura Journal of Health Sciences and Research Vol 4, No 1 (2022): JAMBURA JOURNAL HEALTH AND SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i1.12207

Abstract

Abstrak Latar Belakang: Coronavirus Disease-2019 (COVID-19) merupakan infeksi yang disebabkan oleh coronavirus 2 sindrom pernapasan akut atau Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). Gejala yang sering dijumpai adalah demam, batuk, hilang penciuman dan sesak nafas. Pemeriksaan yang dapat dilakukan adalah PCR, foto thorax, CT-Scan dan D-Dimer. Pada penderita Covid-19 dapat diperberat jika pasien berumur lansia (≥ 60 tahun). Tujuan: Untuk mengetahui gambaran diagnostic dan penatalaksanaan Covid-19 pada pasien lansia di RSU Royal Prima Medan. Metode Penelitian: Penelitian ini menggunakan metode kuantitatif yang bersifat deskriptif retrospektif. Penelitian ini menggunakan data sekunder, yaitu rekam medis Covid-19 pada pasien lansia di RSU Royal Prima Medan. Jenis teknik pengambilan sampel dalam penelitian adalah Purposive Sampling dengan kriteria pasien lansia yang berusia ≥60 tahun, pasien Covid-19 lansia dengan data lengkap, pasien Covid-19 lansia yang dinyatakan sembuh dengan jumlah 100 pasien. Hasil: Berdasarkan data rekam medik didapatkan usia pada lansia yang paling banyak terkena Covid-19 dimortalitas usia 71-75 tahun, dan dimana didominasi oleh laki-laki. Gejala klinis yang paling sering didapatkan yaitu Demam + Batuk + Sesak Napas + Lemas, dan Pcr + Foto Thoraks + D-Dimer sebagai pemeriksaan penunjang yang paling sering dilaksanakan oleh pasien. Penatalaksanaan yang paling sering diberikan yaitu Antibiotik (Levofloxacin) + Antivirus (Remdesivir) + Antipiretik (Paracetamol) + Vitamin. Kesimpulan: Pada hasil penelitian didapatkan bahwa terdapat 100 pasien lansia yang terkena Covid-19 dengan gejala dominan: demam, batuk, sesak napas dan lemas. Selanjutnya didapatkan penatalaksanaan paling sering diberikan adalah Levofloxacin, Remdesivir, Paracetamol dan Vitamin. Kata kunci:  Coronavirus Disease-2019; Covid-19; Lansia; Diagnostik; Penatalaksanaan.  Abstract  Background: Coronavirus Disease-2019 (COVID-19) is an infection caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). The most common symptoms are fever, cough, loss of smell and shortness of breath. Examinations that can be done are PCR, chest X-ray, CT-Scan and D-Dimer. In patients with Covid-19, it can be aggravated if the patient is elderly (≥ 60 years). Objective: To determine the diagnostic and management of covid-19 in elderly patients at RSU Royal Prima Medan in October-December 2020. Research Methods: This study used a quantitative method with a retrospective descriptive study. This study uses secondary data, medical records of Covid-19 in elderly patients at RSU Royal Prima Medan. The type of sampling technique in this study is Purposive Sampling with criteria for elderly patients aged ≥60 years, Covid-19 patients elderly with complete data, elderly patients who were declared cured with a total of 100 patients. Results: Based on medical record data, it was found that the age of the elderly who were most affected by Covid-19 mortality was aged 71-75 years, and which was dominated by men. The most common clinical symptoms are Fever + Cough + Shortness of Breath + Weakness, and Pcr + Chest X-ray + D-Dimer as the most frequent investigation carried out by patients. The most frequently given treatment is antibiotics (Levofloxacin) + antivirus (Remdesivir) + antipyretics (Paracetamol) + vitamin. Conclusion: In the results of this study, it was found that there were 100 elderly patients affected by Covid-19 with dominant symptoms: fever, cough, shortness of breath and weakness. Furthermore, the treatment most often given was Levofloxacin, Remdesivir, Paracetamol and Vitamins. Keywords: Coronavirus Disease-19; Covid-19; Elderly; Diagnostic; Treatment.