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

No. Nama/usia no. kamar 05.00 12.00 17.

00
Pro SC/PN Pro SC/PN Pro SC/PN
Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( )
Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( )
Pro Kuret Pro Kuret Pro Kuret
Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( )

S Post SC/PN Post SC/PN Post SC/PN


NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) Mobilisasi ( ) BAK ( ) Mules ( ) Flatus ( ) Asi ( ) Mobilisasi ( ) BAK ( ) Mules ( ) Flatus ( ) Asi ( ) Mobilisasi ( ) BAK ( )
Post kuret Post kuret Post kuret
PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( )

Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( )


TD : TD : TD :
1. O
N: N: N:
Suhu : Suhu : Suhu :

Obs, Ku, TTV Obs, Ku, TTV Obs, Ku, TTV

Pro SC/PN Pro SC/PN Pro SC/PN


Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( )
Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( )
Pro Kuret Pro Kuret Pro Kuret
Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( )

Post SC/PN Post SC/PN Post SC/PN


NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( )
Post kuret Post kuret Post kuret
PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( )

Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( )


TD : TD : TD :
2.
N: N: N:
Suhu : Suhu : Suhu :

Obs, Ku, TTV Obs, Ku, TTV Obs, Ku, TTV

Pro SC/PN Pro SC/PN Pro SC/PN


Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( ) Kenceng"( ) Pusing ( ) Mual ( ) Muntah ( ) Mules ( )
Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( ) Air rembes ( ) lendir darah ( ) Nyeri perut ( ) BAK ( )
Pro Kuret Pro Kuret Pro Kuret
Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( ) Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) Mules ( )

Post SC/PN Post SC/PN Post SC/PN


NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) NP O/H/PN ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( )
Post kuret Post kuret Post kuret
PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( ) PPV ( )Nyeri ( ) Pusing ( ) Lemas ( ) Mual ( ) Muntah ( )
Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( ) Mules ( ) Flatus ( ) Asi ( ) BAK ( ) Mobilisasi ( )

Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( ) Ku : Baik, CM PPV ( )


TD : TD : TD :
3. N: N: N:
Suhu : Suhu : Suhu :

Obs, Ku, TTV Obs, Ku, TTV Obs, Ku, TTV

You might also like