lembar observasi tn e
DESCRIPTION
dTRANSCRIPT
Lembar ObservasiTgl: 12 April 2015Nama: Tn. E
Tgl masuk: 09 April 2015Usia: 63 thn
Hari Ke: BB: 60 kg
Bed: 5No. Medrek: 0001443246
HR
Suhu
TD
MAP
RR
EKGSRSRSRSRSRSRSRSR
Sat O2
GCS (E/M/V)4/6/54/6/54/6/54/6/54/6/54/6/54/6/54/6/5
KesadaranCMCMCMCMCMCMCMCM
Int akeCMCACMCACMCACMCACMCACMCACMCACMCA
Transfusi----------------
Makanan (Oral)
Parenteral : CM/CACMCACMCACMCACMCACMCACMCACMCACMCA
RL
Manitol
Jml 1 jam/Kumulatif
OutputUrine/feses
NGT/MAAGSLANG
IWL
Jml 1 jam/Kumulatif
Keseimbangan Cairan
Lembar ObservasiTgl: 12 April 2015Nama: Tn. E
Tgl masuk: 09 April 2015Usia: 63 thn
Hari Ke: BB: 60 kg
Bed: 5No. Medrek: 0001443246
14.0015.0016.0017.0018.0019.0020.0021.00
HR74 x/m63 x/m64 x/m70 x/m63 x/m65 x/m71 x/m83 x/m
Suhu35,83636,13636,136,136,236,2
TD155/116146/67143/67148/79137/66148/65144/63149/72
MAP829092898997110
RR3619212320201921
EKGSRSRSRSRSRSRSRSR
Sat O298991009899989898
GCS (E/M/V)4/6/54/6/54/6/54/6/54/6/54/6/54/6/54/6/5
KesadaranCMCMCMCMCMCMCMCM
Int akeCMCACMCACMCACMCACMCACMCACMCACMCA
Transfusi----------------
Makanan (Oral)2007030070200
Parenteral : CM/CACMCACMCACMCACMCACMCACMCACMCACMCA
RL838383838383
Manitol100100
Jml 1 jam/Kumulatif283/283100/383153/536383/919153/107283/115583/1238300/1538
OutputUrine/feses--200---400
NGT/MAAGSLANG
IWL2525252525252525
Jml 1 jam/Kumulatif25/2525/50225/27525/30025/32525/350425/77525/800
Keseimbangan Cairan+258+333+261+619747
Lembar ObservasiTgl: 19 September 2013Nama: Tn. D
Tgl masuk: 10 September 2013Usia: 28 thn
Hari Ke: 10BB: 50 kg
Bed: 4No. Medrek: 13061027
07.0008.0009.0010.0011.0012.0013.0014.00
HR8383878687898995
Suhu33,833,133,133,133,2383835
TD117/78111/83115/61107/75107/75109/76109/76109/75
MAP91927985.685,6878786
RR1414282825252510
EKGSRSRSRSRSRSRSRSR
Tipe ventilatorSIMVRR 14PEEP 5FiO2 45%SIMVRR 14PEEP 5FiO2 45%SIMVRR 7PEEP 5FiO2 50%SpontanPEEP 7FiO2 50%SpontanPEEP 7FiO2 50%SpontanPEEP 7FiO2 50%SpontanPEEP 7FiO2 50%SIMVRR 10PEEP 5FiO2 50%
Sat O299%99%99%100%100%100%100%99%
GCS (E/M/V)3/4/T3/4/T2/4/T2/4/T3/4/T3/4/T3/4/T3/4/T
KesadaranSomnolen SomnolenSomnolenSomnolenSomnolenSomnolenSomnolenSomnolen
Int akeCMCACMCACMCACMCACMCACMCACMCACMCA
Transfusi
Makanan (Oral)180150
Parenteral : CM/CACMCACMCACMCACMCACMCACMCACMCACMCA
NaCl 0.9%10440104302801502013010120201003070
Jml 1 jam/Kumulatif10/10190/200280/48020/50010/510170/68030/710
OutputUrine/feses4522010090903375
NGT/MAAGSLANG--------
IWL21212121212121
Jml 1 jam/Kumulatif6266/62241/303121/424111/535111/64654/70096/796
Keseimbangan Cairan-52-93+56-35-136-20-86
Lembar ObservasiTgl: 20 September 2013Nama: Tn. D
Tgl masuk: 10 September 2013Usia: 28 thn
Hari Ke: 11BB: 50 kg
Bed: 4No. Medrek: 13061027
14.0015.0016.0017.0018.0019.0020.00
HR93889091969191
Suhu3433,834,13434,334,333,8
TD100/6498/62102/68102/6897/61102/64119/76
MAP767477
RR14111415151515
EKGSRSRSRSRSRSRSR
Tipe VentilatorSIMV RR 5PEEP 8FiO2 30%SIMV RR 5PEEP 8FiO2 30%SIMV RR 5PEEP 8FiO2 30%SIMV RR 15PEEP 8FiO2 30%SIMV RR 15PEEP 8FiO2 30%SIMV RR 15PEEP 8FiO2 30%SIMV RR 15PEEP 8FiO2 30%
Sat O2100%98%98%98%98%98%98%
GCS (E/M/V)2/4/T2/4/T2/4/T2/4/T2/4/T2/4/T2/4/T
KesadaranSomnolen SomnolenSomnolenSomnolenSomnolenSomnolenSomnolen
Int akeCMCACMCACMCACMCACMCACMCACMCA
Transfusi
Makanan (Oral)150
Parenteral : CM/CACMCACMCACMCACMCACMCACMCACMCA
NaCl 0.9%102505020010190901005050203030500
Jml 1 jam/Kumulatif10/79050/84010/850240/109050/114020/116030/1190
OutputUrine6585601104015
NGT/MAAGSLANG-------
IWL21212121212121
Jml 1 jam/Kumulatif86/768106/87481/955131/108661/114721/116836/1204
Keseimbangan Cairan+22-34-105+4+7-8-14