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Tanggal / jam No dx implementasi Respon pasien

3/08/2023
08.00 Aplusan
08.15 Mengganti laken
08.20 Mengukur TTV
HR : 117 x / menit
08.30 RR : 17 x / menit
T : 380C
SPO2 : 99 %
09.00 Memberi therapy
antipiretik per oral :
Paracetamol 500 mg
Memberi therapy injeksi
antibiotik:
Meropenem 500mg
10.00 Memberitherapytopikal :
Acyclovir
13.00 Memonitoring tetesan
infus
Mengukur TTV
HR : 112 x/ menit
RR : 20x/ menit
T : 37,5oC
SPO2 : 100 %

14.00 Aplusan
14.15 Mengukur TTV
HR : 100x/menit
RR : 18 x/ menit
T : 37oC
SPO2 : 100 %
17.00 Memberi therapy injeksi
Antibiotic meropenem
500 mg
Memberi therapy topical
acyclovir
Mengganti cairan infus
18.15 Memonitoring tetesan
18.20 infus
19.00 Mengukur TTV
HR : 100x/ menit
RR : 20x/ menit
T : 36,8oC
SPO2 : 100 %
20.00 Aplusan
20.15 Mengukur TTV
HR : 80x/menit
RR : 17x/ menit
T : 36,9oC
SPO2 : 100 %
04/08/2023
01.00 Memberi therapy injeksi
Antibiotic meropenem
500 mg
Memberi therapy topical
acyclovir
07.00 Mengukur TTV
HR : 100x/ menit
RR : 20x/ menit
T : 36,8oC
SPO2 : 100 %

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