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  • Lamp Iran

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    Uswatun Hasanah RI
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    The document records daily observations of a patient over several days. It notes their symptoms, including back pain and swelling, as well as medical measurements like blood pressure, temperature and urine output. The patient was diagnosed with hematuria (blood in urine) and given a high protein/carbohydrate diet along with antibiotic and acid reducer injections. Their condition and measurements remained stable over the monitoring period.

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    LAMPIRAN

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    The document records daily observations of a patient over several days. It notes their symptoms, including back pain and swelling, as well as medical measurements like blood pressure, temperature and urine output. The patient was diagnosed with hematuria (blood in urine) and given a high protein/carbohydrate diet along with antibiotic and acid reducer injections. Their condition and measurements remained stable over the monitoring period.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    18 views5 pages

    Lamp Iran

    Uploaded by

    Uswatun Hasanah RI
    The document records daily observations of a patient over several days. It notes their symptoms, including back pain and swelling, as well as medical measurements like blood pressure, temperature and urine output. The patient was diagnosed with hematuria (blood in urine) and given a high protein/carbohydrate diet along with antibiotic and acid reducer injections. Their condition and measurements remained stable over the monitoring period.

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    © All Rights Reserved
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    of 5

    Tgl 12/01/2017 13/01/2017 14/01/2017 15/01/2017 16/01/2017

    S BAK seperti (+), pusing (-), BAK seperti teh (+), pusing (-), BAK seperti teh (+), pusing (-), BAK seperti teh (+), pusing (-), BAK seperti teh (+), pusing (-),
    mual (-), muntah (-), mual (-), muntah (-), batuk/pilek mual (-), muntah (-), mual (-), muntah (-), mual (-), muntah (-),
    batuk/pilek (-), nyeri perut (-), (-), nyeri perut (-), bengkak pada batuk/pilek (-), nyeri perut (-), batuk/pilek (-), nyeri perut (-), batuk/pilek (-), nyeri perut (-),
    bengkak pada mata, kaki, mata, kaki, kemaluan(-) bengkak pada mata, kaki, bengkak pada mata, kaki, bengkak pada mata, kaki,
    kemaluan(-) makan.minum makan.minum (+),BAB (+), kemaluan(-) makan.minum kemaluan(-) makan.minum kemaluan(-) makan.minum
    (+),BAB (+), (+),BAB (+), (+),BAB (+), (+),BAB (+),

    O BB: 19 kg BB: 19 kg BB: 19 kg BB: 19 kg BB: 19 kg


    TD : - mmHg TD : 120/70 mmHg TD : 120/80 mmHg TD : 110/80 mmHg TD : 110/80 mmHg
    N : 88 x/menit N : 84 x/menit N : 80 x/menit N : 80 x/menit N : 80 x/menit
    P : 20 x/menit P : 20 x/menit P : 20 x/menit P : 20 x/menit P : 20 x/menit
    S :36,5oC S :36,5oC S :36,5oC S :36,5oC S :36,5oC
    Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra (-) Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra
    (-) Thorax : simetris +/+, retraksi -/-. (-) (-) (-)
    Thorax : simetris +/+, retraksi Pulmo: vesiskuler (+/+), rhonki Thorax : simetris +/+, retraksi Thorax : simetris +/+, retraksi Thorax : simetris +/+, retraksi
    -/-. (-/-), wheezing (-/-), Cor : S1-S2 -/-. -/-. -/-.
    Pulmo: vesiskuler (+/+), rhonki reguler, murmur -, gallop - Pulmo: vesiskuler (+/+), rhonki Pulmo: vesiskuler (+/+), rhonki Pulmo: vesiskuler (+/+), rhonki
    (-/-), wheezing (-/-), Cor : S1- Abdomen : (-/-), wheezing (-/-), Cor : S1- (-/-), wheezing (-/-), Cor : S1- (-/-), wheezing (-/-), Cor : S1-
    S2 reguler, murmur -, gallop - Asites (-), nyeri tekan (+) S2 reguler, murmur -, gallop - S2 reguler, murmur -, gallop - S2 reguler, murmur -, gallop -
    Abdomen : Ekstremitas : edema tungkai -/- Abdomen : Abdomen : Abdomen :
    Asites (-), nyeri tekan (+) Output Urin : Asites (-), nyeri tekan (+) Asites (-), nyeri tekan (+) Asites (-), nyeri tekan (+)
    Ekstremitas : edema tungkai -/- 600 ml Ekstremitas : edema tungkai -/- Ekstremitas : edema tungkai -/- Ekstremitas : edema tungkai -/-
    Output Urin : Input Minum : Output Urin : Output Urin : Output Urin :
    - ml 700 ml 700 ml 800 ml 700 ml
    Input Minum : Input Minum : Input Minum : Input Minum :
    - ml 600 ml 600 ml 600 ml

    A Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS

    P Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi
    protein protein protein protein
    Inj. Ampicilin 3 x 300 mg Inj. Ampicilin 3 x 300 mg Inj. Ampicilin 3 x 300 mg Inj. Ampicilin 3 x 300 mg
    Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg
    3 x 500 mg 3 x 500 mg 3 x 500 mg 3 x 500 mg
    p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth
    Tgl 17/01/2017 18/01/2017 19/01/2017 20/01/2017 21/01/2017 22/01/2017

    S BAK seperti teh dan sedikit BAK seperti teh dan sedikit (+), BAK seperti teh dan sedikit BAK seperti teh dan sedikit BAK seperti teh dan sedikit BAK seperti teh dan sedikit
    (+), pusing (-), mual (-), pusing (-), mual (-), muntah (-), (+), pusing (-), mual (-), (+), pusing (-), mual (-), (+), pusing (-), mual (-), (+), pusing (-), mual (-),
    muntah (-), batuk/pilek (-), batuk/pilek (-), nyeri perut (-), muntah (-), batuk/pilek (-), muntah (-), batuk/pilek (-), muntah (-), batuk/pilek (-), muntah (-), batuk/pilek (-),
    nyeri perut (-), bengkak pada bengkak pada mata, kaki, nyeri perut (-), bengkak pada nyeri perut (-), bengkak pada nyeri perut (-), bengkak pada nyeri perut (-), bengkak pada
    mata, kaki, kemaluan(-) kemaluan(-) makan.minum mata, kaki, kemaluan(-) mata, kaki, kemaluan(-) mata, kaki, kemaluan(-) mata, kaki, kemaluan(-)
    makan.minum (+),BAB (+), (+),BAB (+), makan.minum (+),BAB (+), makan.minum (+),BAB (+), makan.minum (+),BAB (+), makan.minum (+),BAB (+),

    O BB: 19 kg BB: 19 kg BB: 19 kg BB: 19 kg BB: 19 kg BB: 19 kg


    TD : 90/60 mmHg TD : 110/70 mmHg TD : 100/70 mmHg TD : 110/70 mmHg TD : 90/60 mmHg TD : 100/70 mmHg
    N : 88 x/menit N : 88 x/menit N : 88 x/menit N : 88 x/menit N : 88 x/menit N : 88 x/menit
    P : 20 x/menit P : 20 x/menit P : 20 x/menit P : 20 x/menit P : 20 x/menit P : 20 x/menit
    S :36,3oC S :36,3oC S :36,3oC S :36,3oC S :36,3oC S :36,3oC
    Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra (-) Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra Mata : CA-/- , edema palpebra
    (-) Thorax : simetris +/+, retraksi -/-. (-) (-) (-) (-)
    Thorax : simetris +/+, retraksi Pulmo: vesiskuler (+/+), rhonki Thorax : simetris +/+, retraksi Thorax : simetris +/+, retraksi Thorax : simetris +/+, retraksi Thorax : simetris +/+, retraksi
    -/-. (-/-), wheezing (-/-), Cor : S1-S2 -/-. -/-. -/-. -/-.
    Pulmo: vesiskuler (+/+), rhonki reguler, murmur -, gallop - Pulmo: vesiskuler (+/+), rhonki Pulmo: vesiskuler (+/+), rhonki Pulmo: vesiskuler (+/+), rhonki Pulmo: vesiskuler (+/+), rhonki
    (-/-), wheezing (-/-), Cor : S1- Abdomen : (-/-), wheezing (-/-), Cor : S1- (-/-), wheezing (-/-), Cor : S1- (-/-), wheezing (-/-), Cor : S1- (-/-), wheezing (-/-), Cor : S1-
    S2 reguler, murmur -, gallop - Asites (-), nyeri tekan (+) S2 reguler, murmur -, gallop - S2 reguler, murmur -, gallop - S2 reguler, murmur -, gallop - S2 reguler, murmur -, gallop -
    Abdomen : Ekstremitas : edema tungkai -/- Abdomen : Abdomen : Abdomen : Abdomen :
    Asites (-), nyeri tekan (+) Output Urin : Asites (-), nyeri tekan (+) Asites (-), nyeri tekan (+) Asites (-), nyeri tekan (+) Asites (-), nyeri tekan (+)
    Ekstremitas : edema tungkai -/- 900 ml Ekstremitas : edema tungkai -/- Ekstremitas : edema tungkai -/- Ekstremitas : edema tungkai -/- Ekstremitas : edema tungkai -/-
    Output Urin : Input Minum : Output Urin : Output Urin : Output Urin : Output Urin :
    880 ml 800 ml 900 ml 1100 ml 1350 ml 1150 ml
    Input Minum : Input Minum : Input Minum : Input Minum : Input Minum :
    750 ml 1100 ml 1000 ml 1100 ml 1100 ml

    A Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS Hematuria e.c GNA PS

    P Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi Diet : tinggi karbohidrat tinggi
    protein protein protein protein protein protein
    Inj. Ampicilin 3 x 500 mg Inj. Ampicilin 3 x 500 mg Inj. Ampicilin 3 x 500 mg Inj. Ampicilin 3 x 500 mg Inj. Ampicilin 3 x 500 mg Inj. Ampicilin 3 x 500 mg
    Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg Inj. Ranitidin 2 x 20 mg
    3 x 500 mg 3 x 500 mg 3 x 500 mg 3 x 500 mg 3 x 500 mg 3 x 500 mg
    p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth p.o multivitamin 1x 1 cth
    LAMPIRAN

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