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7/25/2019 CATATAN KEMAJUAN
http://slidepdf.com/reader/full/catatan-kemajuan 1/2
CATATAN KEMAJUAN
TGL PROBLEM SUBYEKTIF OBYEKTIF PX PENUNJANG TERAPI
06-01-2016 1.CHF NYHA III
2. Ischaemic wholewall
3.Pneumonia
CURB 6! 0
".#$usi %leu&a
'u%le(s
.Hi%o(alsemi
6.)assa %a&u
*. +us%e( P,I
i'a( +esa(
i'a( ne&i'a'a
BAB su'ah
/U lemah
/esa'a&anCom%osmenis
120 40 mmH5
N *0 meni7 &e57 i cu(u%
RR 20 meni
367 ° C
Peme&i(saan Fisi(
8ehe& ,P R92cm
Co& (on$i5u&asi :anun5 ;e&5ese&
(e (au'olae&al
Pulmo +< menu&un %a'a ;asal
%a&u
A;'omen ';n
#(s&imias in$e&io& oe'em =-->
Hematologi 2!2"!# $
H; 1174 5&? @H 372?
#&i&osi 716 :mm(
)CH 2370 %5 @
)C *70 $l @<+ 160 m5'l
U&eum 30
/&eainin 074
La%o&at'&i'm #!2"!#
<12 4126
EKG "#!2"!#$
Ischaemic whole wall
1. 2 le%as %asan5 2 lie&meni2. <ie luna( 100 ((al7 )P 1ha&i
3. IF< <? 10 eesmeni
". Fu&osemi'e 20m512 :am iD
. 8isino%&il 27 m52" :am %o
6. I+<N 10 m54 :am %o
*. Clo%i'o5&el * m52" :am %o
4. <i5oin 07123 m52" :am %o
. +%ino&ola(on 2 m52" :am %o
10. In:.ce$&iaon 1 2 5& i.D.
11. Ca C3 00 m52" :am
12. Asam $ola 1000m512 :am
P&o5&am Ra;e& /a&'iolo5i#choca&'io5&a%h
#/ %a5i
+%uum BA 3. 57 :amu&
Usul ele(&oli7 Ca7 )5
U&in &uin
0* -01-2016 1.CHF NYHA II-
III
2.Ischaemic whole
wall
3.Pneumonia
CURB 6!0".#$usi %leu&a
'u%le(s
.hi%o(alsemi
6..massa %a&u
*.sus%e( P,I
i'a( +esa(
i'a( Ne&i
%e&u
/U lemah
/esa'a&an
Com%osmenis
120 60 mmH5
N *2 meni7 &e57 i cu(u%RR 20 meni
367 ° C
Peme&i(saan Fisi(
8ehe& ,P R92cm
Co& (on$i5u&asi :anun5 ;e&5ese&
(e (au'olae&al
Pulmo +< menu&un %a'a ;asal
%a&u
A;'omen';n
#(s&imias in$e&io& oe'em =-->
EKG (!2"!# $ Ischaemic
whole wall
elah 'ila(u(an
%eme&i(saan
echoca&'io5&a%h %u(ul1".00
1. <ie luna( 100 ((al7 )P 1ha&i
2. IF< <? 10 eesmeni
3. Fu&osemi'e 20m512 :am iD
". 8isino%&il 27 m52" :am %o
. I+<N 10 m54 :am %o6. Clo%i'o5&el * m52" :am %o
*. <i5oin 07123 m52" :am %o
4. +%ino&ola(on 2 m52" :am %o
. In:.ce$&iaon 1 2 5& i.D.
10. Ca C3 00 m52" :am
11. Asam $ola 1000m512 :am
P&o5&am un55u hasil echoca&'io5&a%h7
#/ %a5i7 +%uum BA 37 5&7 :amu&7 u&in
&uin
7/25/2019 CATATAN KEMAJUAN
http://slidepdf.com/reader/full/catatan-kemajuan 2/2
TGL PROBLEM SUBYEKTIF OBYEKTIF PX PENUNJANG TERAPI
04 -01-2016 1.CHF NYHA II-
III
2.Ischaemic whole
wall
3.PneumoniaCURB 6!0
".#$usi %leu&a
'u%le(s
.hi%o(alsemi
6..massa %a&u
*.sus%e( P,I
i'a( sesa(
i'a( ne&i
'a'a
/U lemah
/esa'a&an Com%osmenis
12060 mmH5
N *0 meniRR 20 meni
3674° C
Peme&i(saan Fisi(
8ehe& ,P R92cm
Co& (on$i5u&asi :anun5 ;e&5ese&
(e (au'olae&al
Pulmo +< menu&un %a'a ;asal
%a&u
A;'omen';n
#(s&imias in$e&io& oe'em =-->
U&i) R'ti) (!2"!# $
+e'imen e%iel u;ulus 9
oDal $a; ;o'ies
#&i&osi "0-" =9>
Ca oalae =9>
1. <ie luna( 100 ((al7 )P 1ha&i
2. IF< <? 10 eesmeni
3. Fu&osemi'e 20m512 :am iDEusul 5ani
o&al "0 m52" :am
". 8isino%&il 27 m52" :am %o. I+<N 10 m54 :am %o
6. Clo%i'o5&el * m52" :am %o
*. <i5oin 07123 m52" :am %o
4. +%ino&ola(on 2 m52" :am %o
. In:.ce$&iaon 1 2 5& i.D.E usul so%
10. Ca C3 00 m52" :am
11. Asam $ola 1000m52" :am
0 -01-2016 1.CHF NYHA II-III
2.Ischaemic whole
wall
3.Pneumonia
CURB 6!0
".#$usi %leu&a
'u%le(s
.hi%o(alsemi
6..massa %a&u
*.sus%e( P,I
i'a( sesa( i'a( ne&i
'a'a
/U ;ai( /esa'a&an Com%osmenis
12060 mmH5
N *0 meni
RR 22 meni
3674° C
Peme&i(saan Fisi(
8ehe& ,P R92cm
Co& (on$i5u&asi :anun5 ;e&5ese&
(e (au'olae&al
Pulmo +< menu&un %a'a ;asal %a&u
A;'omen';n
#(s&imias in$e&io& oe'em =-->
ACC PU8AN