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  • Tabel Follow Up Pasien

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    Indra Pehulisa Sitepu
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    1) This document tracks the status of a patient over 4 days following admission for broncho-pneumonia with symptoms of cough, fever, weakness, and decreased appetite. 2) On the first day (14/4) the patient's vital signs and symptoms are recorded along with their treatment of IV fluids, antibiotics, paracetamol, and other medications. 3) Over the next 3 days (15/4 to 17/4) the patient's symptoms improve with cough and fever resolving while vital signs remain stable and their treatment continues with antibiotics, nebulizers, and other medications.

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    follow up

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    1) This document tracks the status of a patient over 4 days following admission for broncho-pneumonia with symptoms of cough, fever, weakness, and decreased appetite. 2) On the first day (14/4) the patient's vital signs and symptoms are recorded along with their treatment of IV fluids, antibiotics, paracetamol, and other medications. 3) Over the next 3 days (15/4 to 17/4) the patient's symptoms improve with cough and fever resolving while vital signs remain stable and their treatment continues with antibiotics, nebulizers, and other medications.

    Copyright:

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

    Tabel Follow Up Pasien

    Uploaded by

    Indra Pehulisa Sitepu
    1) This document tracks the status of a patient over 4 days following admission for broncho-pneumonia with symptoms of cough, fever, weakness, and decreased appetite. 2) On the first day (14/4) the patient's vital signs and symptoms are recorded along with their treatment of IV fluids, antibiotics, paracetamol, and other medications. 3) Over the next 3 days (15/4 to 17/4) the patient's symptoms improve with cough and fever resolving while vital signs remain stable and their treatment continues with antibiotics, nebulizers, and other medications.

    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

    2.

    9 Status Follow Up
    Tabel Follow Up pasien
    Tanggal S O A P
    14/4/2017 - Batuk (+) - HR: Bronkopneumonia IVFD Nacl
    H+1 Pilek (+) 100x/i
    0,225%+D5
    Demam (+) - RR: 27x/i
    lemas (+) - T : 36,50C % 30 gtt/i
    penurunan
    nafsu makan - Ronkhi IVFD PCT
    (+), BAK (+/+ ) 120 mg
    (N), muntah
    (-) (ekstra)
    Inj.
    Ceftriaxon
    300 mg/12
    jam
    Paracetamol
    Syr 3 x cth I
    Cetrizin 4
    mg + Methyl
    2 mg + Vit.C
    tab +
    Salbutamol 1
    mg 3 x pulv
    1

    15/4/2017 - Batuk (+) - HR: Bronkopneumonia IVFD Nacl


    H+2 Pilek (+) 100x/i
    Demam (-) - RR: 27x/i 0,225%+D5
    lemas (+) - T : 36,50C % 30 gtt/i
    penurunan
    nafsu makan - Ronkhi IVFD PCT
    (+), BAK (+/+/) 120 mg
    (N), BAB
    (+) muntah (ekstra)
    (-) Inj.
    Ceftriaxon
    300 mg/12
    jam
    Paracetamol
    Syr 3 x cth I
    Cetrizin 4
    mg + Methyl
    2 mg + Vit.C
    tab +
    Salbutamol 1
    mg 3 x pulv
    1

    16/4/2017 - Batuk (+) - HR: 90x/i Bronkopneumonia - Cefadroxil


    H+3 Pilek (-) - RR: 24 x/i
    syr 2 x cth I
    Demam (-) - T : 36,40C
    lemas (+) - Nebul
    nafsu makan - Ronkhi
    NaCL 3% /
    mulai (+/+/)
    membaik 12 jam
    (+), BAK - Foto
    - Ambroxol
    (N) muntah Rontgen
    (-) (+) syr 3 x cth

    - Pulvis
    lanjut
    17/4/2017 - Batuk (+) - HR: Bronkopneumonia - Cefadroxil
    H+4 Pilek (-) 100x/i
    syr 2 x cth I
    Demam (-) - RR: 24 x/i
    lemas (+) - T : 36,40C - Nebul
    nafsu makan
    NaCL 3% /
    mulai - Ronkhi
    membaik (+/+/) 12 jam
    (+), BAK
    - Ambroxol
    (N) muntah
    (-) syr 3 x cth

    - Pulvis
    lanjut

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