| No. |
Tanggal |
Profesi |
Nama |
ASSESMEN |
| 1 |
2024-05-28 15:30:09 |
Perawat |
sri rizki ajaura |
- S (SUBJECTIVE)
Os tiba di ruangan pukul 15.30 WIB
K/U BAB cair (+) - O (OBJECTIVE)
HR: 134 x/i
RR: 24 x/i
T: 36,0
BB: 12,5 kg - A (ANALYST)
Intoleransi aktifitas - P (PLANNING)
Tetap kolaborasi dgn dokter - I (INSTRUKSI)
|
| 2 |
2024-05-28 17:30:55 |
Perawat |
dahliana simanjuntak |
- S (SUBJECTIVE)
BAB cair - O (OBJECTIVE)
HR: 94 x/i
RR: 24 x/i
T: 36,0
BB: 12,5 kg - A (ANALYST)
Gangguan mobilitas fisik - P (PLANNING)
Thy lanjut - I (INSTRUKSI)
|
| 3 |
2024-05-29 09:17:57 |
Perawat |
Elfi Awani |
- S (SUBJECTIVE)
BAB cair (-) - O (OBJECTIVE)
HR: 84 x/i
RR: 20 x/i
T: 36,0
BB: 12,5 kg - A (ANALYST)
Gangguan mobilitas - P (PLANNING)
Thy lanjut - I (INSTRUKSI)
|
| 4 |
2024-05-29 10:40:38 |
Dokter Spesialis |
dr. Omar Sazaly Sp.A |
- S (SUBJECTIVE)
Mencret (-)
Demam (-)
Kejang (-) - O (OBJECTIVE)
Sens: CM
BB: 12,5 kg
T: 36,7 - A (ANALYST)
GEA + KDS - P (PLANNING)
Lacto-B 3x1 sachet (2 hari)
Zink syr 1x20 mg (10 hari)
Diazepam 3x1,5 mg (pulvis) 2 hari
PCT 4x150 mg (pulvis) 2 hari - I (INSTRUKSI)
Boleh Pulang
|
