pemantauan terapi obat
Post on 03-Dec-2015
4 Views
Preview:
DESCRIPTION
TRANSCRIPT
PEMANTAUAN TERAPI OBAT
RIWAYAT KELUARGA :______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
RIWAYAT PENGGUNAAN OBAT :
DATA PASIEN
Nama : (L/P). Tgl. Lahir : BB: kg. TB:
Alamat :
No. Telp: Tgl Masuk Rs: Ruang Rawat :
KELUHAN UTAMA :
RIWAYAT PENYAKIT SEKARANG:
RIWAYAT PENYAKIT TERDAHULU:
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HASIL PEMERIKSAAN DIAGNOSTIK :_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HASIL PEMERIKSAAN MIKROBIOLOGI :________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DIAGNOSIS :____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
top related