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  • Pesan: Rumah Sakit

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    This document contains a patient monitoring chart used in an intensive care unit. It includes sections to record the patient's vital signs, intake and output, mechanical ventilation settings, neurological assessments, sedation scale scores, and pain management. The chart also tracks the patient's identification details, clinical diagnoses, procedures, medications, and various treatment interventions provided by nursing staff.

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    iccu

    Original Title

    DOKUMEN-ICCU

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    This document contains a patient monitoring chart used in an intensive care unit. It includes sections to record the patient's vital signs, intake and output, mechanical ventilation settings, neurological assessments, sedation scale scores, and pain management. The chart also tracks the patient's identification details, clinical diagnoses, procedures, medications, and various treatment interventions provided by nursing staff.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    11 views4 pages

    Pesan: Rumah Sakit

    Uploaded by

    een
    This document contains a patient monitoring chart used in an intensive care unit. It includes sections to record the patient's vital signs, intake and output, mechanical ventilation settings, neurological assessments, sedation scale scores, and pain management. The chart also tracks the patient's identification details, clinical diagnoses, procedures, medications, and various treatment interventions provided by nursing staff.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 4

    DOKTER UTAMA :

    KONSULTAN :

    HARI/TANGGAL

    APACHE II SCORE

    TANGGAL MRS

    BRADDEN SCORE

    HARI RAWAT KE

    STICKER IDENTITAS

    BB/TB

    RUMAH SAKIT

    GOLONGAN DARAH/RH :
    DIAGNOSA :

    ALAT INVASIF
    Vena Line
    Arteri Line
    CVC
    PA. Catheter
    ETT/ TRACHEOSTOMI
    ICP/EXT/EPI DRAINASE
    NGT
    KATETER URINE

    JENIS OPERASI :

    CVP

    ICP/IAP

    22
    20
    16
    14
    12
    10
    8
    6
    4
    2
    0

    LA/ PCWP

    50
    45
    40
    35
    30
    25
    20
    15
    10
    5
    0

    BP/HR

    50
    40
    30
    20
    10
    0

    200
    180
    160
    140
    120
    100
    80
    60
    40
    20
    0

    PACE MAKER
    Pulse amplitude (V)
    Pulse width (ms)
    Sensitivity (mV)
    Mode
    Basic rate (ppm)
    Atr.Electrode (uni/bipolar)
    Vent.Electrode (uni/bipolar)
    INTAKE
    OBAT ENTERAL : 1.
    2.
    3.
    4.
    5.
    6.
    7.
    OBAT PARENTERAL : 1.
    2.
    3.
    4.
    5.
    6.
    7.
    CAIRAN : 1.
    2.
    3.
    4.
    NUTRISI
    NGT : 1.
    2.
    3.
    4.
    5.
    TOTAL INTAKE
    OUTPUT
    DRAIN
    NGT/RETENTION
    DEFEKASI
    URINE
    TOTAL OUTPUT
    KESEIMBANGAN CAIRAN
    INTERVENSI KEPERAWATAN
    SUCTION
    MOBILISASI
    MEMANDIKAN/PERINEAL HYGIENE
    ORAL HYGIENE

    TANGGAL

    ANTIBIOTIK

    UKURAN

    ALERGI

    PESAN

    KULTUR

    O2 SAT/RR

    40
    39
    38
    37
    36
    35
    34
    33
    32
    31
    30

    POSISI

    100
    90
    80
    70
    60
    50
    40
    30
    20
    10
    0

    o7

    o8

    o9

    1o

    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    o1

    o2

    o3

    o4

    o5

    o6

    TERM
    HR
    RR
    BP
    O2 SAT
    CVP
    ICP
    IAP

    PERAWATAN INTEGRITAS KULIT


    PERAWATAN MATA
    STOKING ANTI EMBOLIK
    RESPIRASI
    MODE
    MV/ EMV
    TV/ ETV
    TOTAL RATE
    INSPIRASI PRESS
    PEEP/ EXP PRESS
    PEAK AIRWAY PRESSURE
    FIO2/ O2
    ETCO2
    CUFF PRESS/ POSITION ETT
    SpO2
    SUARA NAFAS

    NV
    NS
    W
    R

    NORMAL VESICULAR
    VESIKULAR SLUGGISH
    WHEEZING
    RONCHI

    ANALISA GAS DARAH


    PH
    PO2
    PCO2
    HCO3
    SaO2
    BE
    CARDIOVASKULAR
    CO/ CI
    PVR/PVRI
    SVR/SVRI

    1
    2
    3

    ECG MONITORING

    NEURO

    L
    RIKERS SEDATION AGITATION SCALE
    SCORE

    PUPIL SIZE
    PUPIL REACTION
    GCS (EVM)
    MANAJEMEN NYERI
    LOKASI
    INTENSITAS
    SEDATION-AGITATION SCALE

    7
    6
    5
    4
    3
    2
    1

    TERM
    DANGEROUS AGITATION
    VERY AGITATED
    AGITATED
    CALM AND COOPERATIF
    SEDATED
    VERY SEDATED
    UNAROUSABLE

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