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Support Lecturer: Sutarmi, MN Arranged By: Dwi Ayu Kartika Sari (P1337420417031)
Support Lecturer: Sutarmi, MN Arranged By: Dwi Ayu Kartika Sari (P1337420417031)
Support Lecturer: Sutarmi, MN Arranged By: Dwi Ayu Kartika Sari (P1337420417031)
A M WITH
DIAGNOSE DEFICIT ELECTROLYTES
FLUID RELAATED TO LOSE THE
LIQUID ACTIVE
IN CEMPAKA II ROOM OF RSUD RAA
SOEWONDO PATI
Support Lecturer: Sutarmi, Mn
Name : Purwono
Age : 55 years old
Addres : wonorejo 5/1 tlogorejo, Pati central java
Family Relationship with client :client’s father
Main complaint : patient say hot and felt thirsty
Elimination:
Before getting illness
Frequency :1x/day
Color : tawny brown color
Consistency : soft
During getting illness
Frequency : 1 x/2 day
Color : tawny brown color
Consistency : soft
Personal hygiene
Before getting illness
Take a bath :2x/day
Washing hair :1x/2 day
Clean the teeth and mouth : 2x/day
Change of clothes :3x/day
Clean the foot and finger nail 1x/6 day
During getting illness
Take a bath : 2x/day (sibin)
Washing hair : during in the hospital never wash his hair
Clean the teeth and mouth: 2x/day
Change of clothes : 2x/day
Clean the foot and finger nail: during in the hospital never clean his finger
nail
Therapy
Infus Asering 20/dpm
Calculate type
50.0-70.0
Netrophils %
L 20.80 25.0-40.0
Lymphocytes %
57.60 2-4
Eosotophils
H.12.10 % 0-1
Basophils
00.00 % 2-8
monocytes
21.10
Clinical chemistry mg/dL
70-160
Acc glucose mmol/l
73 135-155
Sodium Blood L 129.9 mmol/l 3,6-5.5
Potassium Blood 4.98 93-108
mmol/l
Chloride Blood 98,3
Analisys Data
No Data Etiology Problem
DS: Lose the liquid active Deficit electrolytes fluid
client said his body was hot,
stomachache,nausea and vomiting 2x
DO:
dry lips, skin turgor is bad,
Sign of vital:
BP: 100/60 mmHg
P:110/mnt
RR: 24x/mnt
T:39 C
Nursing Diagnose
Deficit electrolytes fluid related to lose the liquid active
Thankyou