Professional Documents
Culture Documents
Follow
Follow
Tanggal
Keterangan
Keluhan
Luka Operasi
Tanda Vital
-. Sensorium
-. TD
-. HR
-. RR
-. Temperatur
Drainage
Pemeriksaan
Penunjang
Terapi
Hari I
Tgl. 308-2005
Mual - mual (+)
Badan lemas (+)
Hari II
Tgl. 318-2005
Mual - mual (+)
Badan lemas (+)
Hari III
Tgl. 19-2005
Mual - mual (-)
Badan lemas (-)
Nyeri (+)
Masih basah
Nyeri (-)
Masih basah
Compos Mentis
100/70 mmHg
88x/i
20x/i
37,5 O C
Compos Mentis
110/70 mmHg
92x/i
20x/i
37,7 O C
Compos Mentis
110/70 mmHg
88x/i
20x/i
37,5 O C
Darah (+), 80 cc
Darah (+), 50 cc
Lab :
Albumin : 1,8 gr/dl
Globulin : 2,2 gr/dl
Tirah baring
Diet MI
IVFD RL/D5% s/s 30 gtt/i
Inf.Ciprofloxacin 200mg/12 jam
Inf.Metronidazole 500mg/8 jam
Inj.Tramadol 1 amp/8 jam
Inj.Transamin 1 amp/8jam
Inj.Ulsicur 1 amp/8 jam
PA :
Infiltrating Duct Ca Mammae +
Reaktif Hyperplasia KGB
Tirah baring
Diet MII
Inf.Plasbumin 25% 100cc/12 jam
IVFD RL/D5% s/s 30 gtt/i
Inf.Ciprofloxacin 200mg/12 jam
Inf.Metronidazole 500mg/8 jam
Inj.Tramadol 1 amp/8 jam
Inj.Transamin 1 amp/8jam
Inj.Ulsicur 1 amp/8 jam
Tirah baring
Diet MII
Inf.Plasbumin 25% 100cc/12 jam
IVFD RL/D5% s/s 30 gtt/i
Inf.Ciprofloxacin 200mg/12jam
Inf.Metronidazole 500mg/8 jam
Inj.Tramadol 1 amp/8 jam
Inj.Transamin 1 amp/8jam
Inj.Ulsicur 1 amp/8 jam
19