Gizi ADIME


Formulir Adime

Unit Tanggal Profesi A D I M E Instruksi Actions
Rawat Inap 2024-02-27 12:00:38 Perawat : jupe & shift elfi

os tampak lemas hasil vital sign: Td: 120/70mmhg RR: 21x/i Hr: 81x/i T: 36

gangguan rasa nyaman

therapi lanjut

Rawat Inap 2024-02-27 14:00:57 Dokter Spesialis : dr silvia bukit sppd

Td: 120/70mmhg

Diare akut inpeksius

Diet MII iufd Rl 20t/i inj cefotaxime 1g/12jam inj Omz 40mg/12jam inj ondansetron 4mg/8jam New diatab max 8tab /hari Pct k/p Cotrimoxazole 2x960mg

Rawat Inap 2024-02-27 17:00:20 Perawat : shif lenny

os tampak lemas Td:90/60mmhg Hr:80x/i Rr:22x/i T:36,5

gangguan rasa nyaman b/d gangguan pola aktifitas

Kolaborasi dr sppd

Rawat Inap 2024-02-28 14:00:24 Dokter Spesialis : dr arief Sppd

sens cm leukosit: 15.750

GEA

inj buscopan k/p cotrimoxazole 2x960mg

darut ulang

Rawat Inap 2024-02-28 17:00:11 Perawat : shift elfi

os tampak membaik Td:120/80mmhg Hr: 81x/i Rr: 21x/i T:36

Gangguan rasa nyaman

therapi lanjut

Rawat Inap 2024-02-28 18:00:06 Dokter Umum : dr siti mutia ulfa

lapor hasil lab ke dr arief sppd acc pbj: cotrimoxazole 2x960mg Lacto B 3x1 Buscofan tab 3x1 new diatab k/p