Subyektif:
Obyektif:
- Batuk berdahak
TD: 140/60 mmHg
- Nyeri perut
RR: 24x/menit
- Mual (-)
N: 104x/menit
- Muntah (-)
T: 35,7
Pulmo: Ves (+/+),
Wh (+/+), Rh (+/-).
Senin, 17 Januari 2011
Subyektif:
Obyektif:
- Batuk berdahak
TD: 110/60 mmHg
- Nyeri perut
RR: 21x/menit
- Mual (-)
N: 83x/menit
- Muntah (-)
T: 37,1
Pulmo: Ves (+/+),
Wh (+/+), Rh (+/-)
HASIL CTscan:
Polikistik pada
parenkim paru,
hidronefrosis ginjal
kanan
Selasa, 18 Januari 2011
Subyektif:
Obyektif:
- Batuk berdahak
TD: 130/90 mmHg
- Nyeri perut
RR: 19x/menit
- Dahak berbau
N: 85x/menit
- Mual (-)
T: 36, 7
- Muntah (-)
Pulmo: Ves (+/+),
Wh (+/+), Rh (+/-)
Rabu, 19 Januari 2011
Subyektif:
Obyektif:
- Batuk berdahak
TD: 110/70 mmHg
- Nyeri perut
RR: 20x/menit
- Dahak berbau
N: 89x/menit
- Mual (-)
T: 37, 7
- Muntah (-)
Pulmo: Ves (+/+),
- Pusing-pusing
Wh (+/+), Rh (+/-)
- Nafsu makan
menurun
Kamis, 20 Januari 2011
Subyektif:
Obyektif:
- Batuk berdahak
TD: 120/70 mmHg
- Nyeri perut
RR: 18x/menit
- Dahak berbau
N: 86x/menit
- Mual (-)
T: 36,5
- Muntah (-)
Pulmo: Ves (+/+),
Assesment:
- Bronkiektasis
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Ranitidin inj 1amp/12jam
Assesment:
- Bronkiektasis
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Ranitidin inj 1amp/12jam
- Pro analisa Na, K dan Cl
dalam keringat
Assesment:
- Bronkiektasis
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Ranitidin inj 1 amp/12jam
- Metronidazol 1 fls/8 jam
Assesment:
- Bronkiektasis
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Ranitidin inj 1 amp/12jam
- Metronidazol 1 fls/8 jam
Assesment:
- Bronkiektasis
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Ranitidin inj 1 amp/12jam
- Metronidazol 1 fls/8 jam
- Pusing-pusing
Wh (+/+), Rh (+/-)
Assesment:
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Metronidazol 1 fls/ 8 jam
Assesment:
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Metronidazol 1 fls/8 jam
Assesment:
- Cystic fibrosis
Planning:
- RL 20 tpm
- O2 2-3 liter
- Ciprofloxacin 1 fls/12 jam
- Metronidazol 1 fls/8 jam
- Ranitidin inj 1 amp/12jam
Assesment:
- Cystic fibrosis
Planning:
- BPL
- Ciprofloxacin 500 mg 2x1
- Ambroxol 3x1