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    Follow Up: S O A P Keluhan Status Assesment Penatalaksanaan

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    clarintaucha
    The document records the follow up of a patient seen on 20/10/14 and 21/10/14. On the first day, the patient experienced seizures and vomiting but no fever, and had normal bowel movements and urine. On the second day, seizures and vomiting had stopped but vital signs were otherwise normal. The assessment was epilepsy. Intravenous fluids were prescribed.

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    Follow Up: S O A P Keluhan Status Assesment Penatalaksanaan

    Uploaded by

    clarintaucha
    5 views1 page
    The document records the follow up of a patient seen on 20/10/14 and 21/10/14. On the first day, the patient experienced seizures and vomiting but no fever, and had normal bowel movements and urine. On the second day, seizures and vomiting had stopped but vital signs were otherwise normal. The assessment was epilepsy. Intravenous fluids were prescribed.

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    FU

    Original Title

    3. FOLLOW UP

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    The document records the follow up of a patient seen on 20/10/14 and 21/10/14. On the first day, the patient experienced seizures and vomiting but no fever, and had normal bowel movements and urine. On the second day, seizures and vomiting had stopped but vital signs were otherwise normal. The assessment was epilepsy. Intravenous fluids were prescribed.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views1 page

    Follow Up: S O A P Keluhan Status Assesment Penatalaksanaan

    Uploaded by

    clarintaucha
    The document records the follow up of a patient seen on 20/10/14 and 21/10/14. On the first day, the patient experienced seizures and vomiting but no fever, and had normal bowel movements and urine. On the second day, seizures and vomiting had stopped but vital signs were otherwise normal. The assessment was epilepsy. Intravenous fluids were prescribed.

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    of 1

    FOLLOW UP

    S
    Keluhan

    20/10/14
    Kejang (+)
    Muntah (+);
    Demam (-)
    BAB (+);
    BAK (+);

    21/10/14
    Kejang (-)
    Muntah (-);
    Demam (-)
    BAB (+);
    BAK (+);

    O
    Status

    Kesadaran: Compos Mentis


    TD
    : 110/80 mmHg
    HR
    : 100 x/menit
    RR
    : 36x/menit
    T
    : 37 C

    A
    Assesment

    Epilepsi

    Kesadaran: Compos Mentis


    TD
    : 110/80 mmHg
    HR
    : 100 x/menit
    RR
    : 36x/menit
    T
    : 37 C
    Status Generali
    Kepala : Normocepal, CA -/-, S -/Thorak : DBN
    Abdomen : DBN
    Eksterimitas, oedem :
    -

    1. IVFD D51/4 NS
    15 tetes/menit

    Status Generali
    Kepala : Normocepal, CA -/-, S -/Thorak : DBN
    Abdomen : DBN
    Eksterimitas sianosis dan oedem :
    -

    P
    Penatalaksanaan

    Epilepsi

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