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  • Form Icu

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    Laura Enjelica
    17 views1 page
    This document appears to be an observation sheet from an intensive care unit (ICU) in a hospital. It contains fields to record a patient's name, age, room number, admission and transfer dates and times, medical diagnosis, vital signs including heart rate, temperature, respiration rate, oxygen saturation, and Glasgow Coma Scale. It also includes spaces to track fluid intake and output via various means like feeding tubes, urine output, and drainage, as well as 24 hour fluid balance and administered medications.

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    14111

    Original Title

    FORM ICU

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    This document appears to be an observation sheet from an intensive care unit (ICU) in a hospital. It contains fields to record a patient's name, age, room number, admission and transfer dates and times, medical diagnosis, vital signs including heart rate, temperature, respiration rate, oxygen saturation, and Glasgow Coma Scale. It also includes spaces to track fluid intake and output via various means like feeding tubes, urine output, and drainage, as well as 24 hour fluid balance and administered 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
    17 views1 page

    Form Icu

    Uploaded by

    Laura Enjelica
    This document appears to be an observation sheet from an intensive care unit (ICU) in a hospital. It contains fields to record a patient's name, age, room number, admission and transfer dates and times, medical diagnosis, vital signs including heart rate, temperature, respiration rate, oxygen saturation, and Glasgow Coma Scale. It also includes spaces to track fluid intake and output via various means like feeding tubes, urine output, and drainage, as well as 24 hour fluid balance and administered medications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    RUANG ICU NAMA/UMUR

    NO.RM
    LEMBAR
    OBSERVASI DX MEDIS
    HARI/TGL KIRIMAN
    DIIT DARI
    JAM
    260
    Keterangan : 240
    220
    200
    “ V “ : Sistole
    “ ^ “ : Diastole 180
    160
    140
    120
    100
    80
    60
    40
    20
    HR
    SUHU
    RR
    Sat O 2
    GCS

    INFUS
    INTAKE
    SONDE FEEDING
    URINE/ DC
    OUTPUT NGT/
    DEC MPRESI
    DRAIN
    BALANCE 24 JAM
    OBAT - OBATAN

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