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I.

HASIL PRAKTIKUM
1. FORM SOAP
PHARMACEUTICAL CARE

PATIENT PROFILE

Ny. Sita

Jenis Kelamin : Tgl. MRS :-


Usia : Tgl. KRS :-
Tinggi badan :
Berat badan :

Presenting Complaint

Diagnosa kerja :
Diagnosa banding :

Relevant Past Medical History:

Drug Allergies:
Data Laboratorium

Hasil pemeriksaan fisik

Berat badan
Tinggi badan
TD
HR
BMI
RR
Suhu

Hasil Laboratorium

No Further Information Alasan


Required
1.

2.

3.

4. .

Problem List(Actual Problem)

2
Medical Pharmaceutical

3
Subjective(symptom)

Objective(signs)

4
Assesment

Problem medik Terapi DRP

Plan (including primary care implications)


PROBLEM MEDIK TERAPI MONITORING

5
Monitoring
• Efektivitas

• Efek Samping Obat

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