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Clinical Pathway NONSTEMI, Edit1
Clinical Pathway NONSTEMI, Edit1
1
A + - + - + - + - + - + - + -
F
LA + - + - + - + - + - + - + -
Trombus
Asessmen Klinis:
Medical record
lengkap
Tanda vital
sesak
Balans cairan
Berat badan
JVP
Ronki
Hepatomegali
Ascites
Edema
Komplikasi
Sy + - + - + - + - + - + - + -
ok
Ed + - + - + - + - + - + - + -
ema paru akut
G + - + - + - + - + - + - + -
agal napas akut
G + - + - + - + - + - + - + -
agal Jantung kiri
G + - + - + - + - + - + - + -
agal Jantung kanan
Hi + - + - + - + - + - + - + -
pertensi pulmonal
At + - + - + - + - + - + - + -
rial fibrilasi
G + - + - + - + - + - + - + -
agal ginjal akut
St + - + - + - + - + - + - + -
roke
M + - + - + - + - + - + - + -
OF
Inf + - + - + - + - + - + - + -
eksi
TA + - + - + - + - + - + - + -
VB
Ju + - + - + - + - + - + - + -
nctional Rythm
+ - + - + - + - + - + - + -
Penilaiaan Klinis: -
Pemeriksaan dokter + - + - + - + - + - + - + - ..
Konsultasi
B + - + - + - + - + - ..
edah
2
A + - + - + - + - + - ..
nastesi
Gi + - + - + - + - + -
zi
T + - + - + - + - + -
HT
P + - + - + - + - + - + - + -
aru
N + - + - + - + - + -
eurologi
Pemeriksaan Penunjang:
E + - + - + - ..
KG
Lab darah
- Hb,Ht, L, Tr + -
- CKMB + -
- Troponin + -
- SGOT/PT + -
- Ureum / Creatinin + -
- GDS + -
- Elektrolit + -
- Profile Lipid + -
- Asam Urat + -
- HbA1C
R + -
o Thorax
Tr + -
ansthroracal
E + -
CHO
Tindakan:
Ok + - + - + - + - + - + - + -
sigen lpm
Ak + - + - + - + - + - + - + -
ses Vena Perifer
IVFD RL 1 kolf/24jam
P + - + - + -
CI dalam 72 jam
perawatan
Obat Obatan:
Aspilet Loading 160mg + - ..
Aspilet 1 x 80 mg + - + - + - + - + - + - + -
ISDN Sublingual 5mg + -
ISDN 3 x 5 mg + - + - + - + - + - + - + -
Clopidogrel loading
(600mg) atau + -
Ticogrelor loading (180mg)
Pencahar + -
Diazepam 1 x 5 mg + - + - + - + - + - + - + -
3
Heparin UFH 4000IU IV/
Enoxaparin 2 x 60 + - + - + - + - + - + - + -
mg /Fondaparin 1 x 2,5 mg
Simvastatin 1 x 20mg /
Atorvastatin 20mg / + - + - + - + - + - + - + -
Rosuvastatin 10mg
Clopidrogel (1 x 75mg) /
+ - + - + - + - + - + - + -
Ticogrelor (2 x 90mg)
Streptokinase 1,5 juta
U/ataualteplase 100 mg IV + -
(PPK 1 dan PPK 2)
Captopril 3 x 6,25 mg
atau candesartan 1 x 8 mg + - + - + - + - + - + - + -
Bisoprolol 1 x 2,5 mg
ataucarvedilol 2 x 6,25 mg + - + - + - + - + - + - + -
Nutrisi:
Puasa 6 jam
DJ I
25-30 kal//kgBB/hari
DJ II
25-30 kal/kgBB/hari
Protein .gram/hari
Minuman
25-30cc/kgBB/hr
Mobilisasi::
Tirah baring + - + -
Duduk + - + -
Berdiri + - + -
Jalan + - + -
Hasil (Outcome):
Sesak +/- +/- +/- +/- +/- +/- +/-
penurunan +/- +/- +/- +/- +/- +/- +/-
kesadaran
Pendidikan/Promosi
Kesehatan/Rencana
Pemulangan:
N
utrisi
A
ktifitas
Varians: .. ..
Jumlah Biaya
4
Perawat Diagnosis Akhir: Kode ICD Jenis Tindakan:
(PPJP) 10
DPJP Admisi: Utama Non STEMI I.85
Akut
..
DPJP: Penyerta
..
DPJP Operasi: .
..
. ..
DPJP Anestesi Komplikas
........................ i
.....
Verifikator:
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