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  • Followup Peristi

    Uploaded by

    Jusentry Todingan
    3 views3 pages
    follow up

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    follow up

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3 views3 pages

    Followup Peristi

    Uploaded by

    Jusentry Todingan
    follow up

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    Nama Lengkap :

    Tanggal Lahir:
    BB/PB Lahir:
    Usia/Hari Perawatan
    DJ
    160
    40

    P
    80

    140
    39

    70

    120
    38

    60

    100
    37

    50

    80

    60

    Diagnosa masuk :
    Tanggal Masuk :

    JK :

    40

    36

    30

    35

    1
    2

    1
    8

    1
    2

    1
    8

    1
    2

    18

    1
    2

    1
    8

    Berat Badan Sekarang


    ASI / PASI
    Down SCORE
    BALLARD
    Kebutuhan cairan/hari
    IVFD
    Cefotaxime
    Gentamicin
    Dexamethasone
    Ceftriaxone
    Paracetamol
    Phenobarbital/Sibital
    Kejang I/II
    Maintenance
    Lab: GDS
    RBC
    WBC
    PLT
    HGB
    HCT
    BIL. TOTAL
    BIL. INDIREK
    BIL. DIREK
    Kategori Sepsis:

    Kriteria A

    Kriteria B

    1
    2

    1
    8

    1
    2

    18

    Tgl/Ja
    m

    Follow Up

    Tgl/Ja
    m

    Follow Up

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