Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Name : Fikri Ardiansyah

Nim : 20176513026

Class : II/Reguler B/Sem 3

Study Program : D-IV Keperawatan Pontianak

Report
Patient come was a 18 years old, woman. Yesterday she complained about her diet.
She rarely eat foods ( not appetite ) and said felt nauseous. She told everytime eat something
her stomach feels sore pack. At half past three in the afternoon she felt like throwing up,
slack Untill fever. She do the diet about three weeks. As long as diet she had difficulty in
digesting food.

NOTES
Patient : Nadilla 18-year-old-woman

Admitted to hospital : Tuesday 25th Sep 07:15 pm

Presenting symtoms : Nausea, not appetite, stomachache, throwing up, and


fever

Diagnosis : Anorexia Nervosa

Treatment : Stop do the diet, consuming fruit, consuming protein


food, and reduce consuming carbohydrates

Follow-up : Wednesday 13:00; No symptom,

Vital Signs:

BP (Blood Pressure) : 120/80

HR (Heart Rate) : 86 x/minutes

RR (Respiration Rate) : 17 x/minutes

TB (Body Temperature) : 38, 7 derajat celcius

04:00 p.m Discharges

You might also like