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    SMF Kesehatan Anak Rs Dr. Hasan Sadikin Bandung Akut Limfoblastik Leukemia-High Risk 2010

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    sigit_md81
    This document contains a clinical pathway for a patient diagnosed with high-risk acute lymphoblastic leukemia over multiple days in the hospital. It includes the patient's personal information, diagnosis, treatment plan, daily assessments and procedures, outcomes, and total costs. Each day provides details of vital signs, lab tests, medications, nutrition, mobilization, complications and variations from the treatment plan.

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    SMF Kesehatan Anak Rs Dr. Hasan Sadikin Bandung Akut Limfoblastik Leukemia-High Risk 2010

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    sigit_md81
    11 views2 pages
    This document contains a clinical pathway for a patient diagnosed with high-risk acute lymphoblastic leukemia over multiple days in the hospital. It includes the patient's personal information, diagnosis, treatment plan, daily assessments and procedures, outcomes, and total costs. Each day provides details of vital signs, lab tests, medications, nutrition, mobilization, complications and variations from the treatment plan.

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    CP

    Original Title

    CP ALL High Risk

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    This document contains a clinical pathway for a patient diagnosed with high-risk acute lymphoblastic leukemia over multiple days in the hospital. It includes the patient's personal information, diagnosis, treatment plan, daily assessments and procedures, outcomes, and total costs. Each day provides details of vital signs, lab tests, medications, nutrition, mobilization, complications and variations from the treatment plan.

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    11 views2 pages

    SMF Kesehatan Anak Rs Dr. Hasan Sadikin Bandung Akut Limfoblastik Leukemia-High Risk 2010

    Uploaded by

    sigit_md81
    This document contains a clinical pathway for a patient diagnosed with high-risk acute lymphoblastic leukemia over multiple days in the hospital. It includes the patient's personal information, diagnosis, treatment plan, daily assessments and procedures, outcomes, and total costs. Each day provides details of vital signs, lab tests, medications, nutrition, mobilization, complications and variations from the treatment plan.

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    of 2

    Nama Pasien:

    ..
    Diagnosis Awal : ..
    R. Rawat

    CLINICAL PATHWAYS DAN SISTEM DRGs CASEMIX


    SMF KESEHATAN ANAK RS DR. HASAN SADIKIN BANDUNG
    AKUT LIMFOBLASTIK LEUKEMIA- HIGH RISK
    2010
    Umur:
    Berat Badan:
    Tinggi Badan:
    Nomor Rekam Medis:
    .
    ..kg
    ..cm
    .
    Kode ICD 10 :
    Rencana rawat : .....hari
    Tgl/Jam msk:
    Tgl/Jam klr:
    Lama Rwt
    Kelas:
    Tarif/hr (Rp):
    Biaya (Rp):

    .
    hari
    ....
    ....
    ....

    Aktivitas Pelayanan
    Hari Rawat 1
    Hari Sakit:.
    Diagnosis:

    Penyakit Utama

    Penyakit Penyerta

    Komplikasi
    Assessment Klinis:

    Pemeriksaan dokter

    Konsultasi
    Pemeriksaan Penunjang:
    Hb,Ht,L,Tr,DC,MDT
    Morfologi Sumsum Tulang
    Sitologi LCS
    AST/ALT/Ureum/kreatinin
    Na/K/P/Asam urat
    Foto thoraks
    Tindakan:
    BMP
    Lumbal Pungsi

    ALL- HR

    .......................................

    Hari Rawat ..........


    Hari Sakit:.

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)

    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)

    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)
    (+)

    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)
    (-)

    ..
    ..
    ..

    ..

    Obat-obatan:

    IVFD: cc/hr

    Tranfusi PRC/trombosit

    Kemoterapi
    MTX IT
    Vinsristine
    HD MTX
    Leucovorin
    Siklofosfamid
    Doxorubisin
    L-Asp
    Ara-C
    6-MP
    Dexametason

    Antibiotik
    Ceftazidim
    Gentamisin
    Cotrimoksasol oral
    Nutrisi:
    Mobilisasi:
    Hasil (Outcome):

    Kesadaran

    Febris

    Perdarahan
    Pendidikan/Rencana Pulang:
    Varians:
    Nama Perawat:
    .
    Nama Dokter:
    .
    Nama Pelaksana Verifikasi:
    .

    Hari Rawat......
    Hari Sakit:.

    (+)
    (+)
    (+)

    (-)
    (-)
    (-)

    ..

    (+)
    (+)
    (+)

    (-)
    (-)
    (-)

    (+)
    (+)
    (+)

    ..
    ICD 10

    Diagnosis Akhir
    Utama
    ALL
    Penyerta
    ..
    ..

    Komplikasi

    ..

    ..

    ..

    ..

    ..
    ..

    ..

    ..
    ..

    (-)
    (-)
    (-)

    ..
    Jumlah Biaya
    Jenis Tindakan:
    Visite / Konsul: Anamnesis
    Visite / Konsul Pemeriksaan Fisik

    ICD 9 CM
    89.0
    89.7

    Pemeriksaan darah lengkap


    Faal hati, ginjal dan elektrolit
    Pemasangan IVFD

    99.2

    ..

    ..

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