tn.

Masrinto/29thn/GEADRS/keluhan perut sakit (TD: 120/70 mmHg, N :101x/mnt,

suhu: 36, RR : 20x/mnt spo2 : 98%)

therapi ivfd RL 500 ml/8jam, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
diaform 3x2 tab, ciprofloxaxin 2x500 mg

tn. Deny/43thn/GEADRS + DM,/keluhan lemes (TD :121/70, N :90x/mnt, suhu :36,5,

RR :22x/mnt, spo2 : 97%)

therapy ivfd NS 500 ml/8jam, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
diaform 2 tablet/diare, metformine 3x1 tablet, glimepiride 1x1 tablet, levemir 1x12
ui, KGDH/hari

1. Ny. Sartinah/45thn/ leptospirosis/keluhan mual, muntah (TD : 120/70 mmHg,

N : 100x/mnt, suhu :36, RR : 22x/mnt, spo2 : 97%)(therapi ivfd RL 500 ml/6
jam, ceftriaxon 2x2gr, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
paracetamol 3x500mg, doksisilin 2x1 tablet, metylprednison 2x4mg)
2. Ny. Nuryanih/35thn appendik akut/keluhan pusing lemes nyeri berkurang/
(TD : 130/76 mmHg, N : 98x/mnt, suhu : 36,5, RR :20x/mnt, spo2 : 97%)
terapi ivfd RL 500 ml/6jam, paracetamol tablet 500mg, ranitidine 2x1 ampul,
ondansentron 3x1 ampul, ceftriaxon 1x2gr)
3. Ny. Sri/43thn/dyspepsia, ispa/keluhan pusing berputar, mual, batuk, kaki
sakit/(TD : 110/60 mmHg, N :97x/mnt, suhu : 36,5, RR : 20x/mnt, spo2 : 97%)
(terapi ivfd RL 500 ml/6jam, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
bromhexin 3x1 tablet, ulsidex 3x1 tablet, paracetamol 3x1 tablet, lexigo 3x1
tablet, cetirizine 1x10mg, alprazolam 1x0,25mg, betahistin 3x4 tablet,
nebulizer ventolin/8jam)
4. Ny. Fida/64thn/DM, neuralgia/keluhan batuk, myeri tulang rusuk/(TD :110/68
mmHg, N : 98x/mnt, suhu : 36,2, RR : 22x/mnt, spo2 : 97%) (terapi ivfd RL
500 ml/8jam, ceftriaxon 1x2gr, ambroxol 3x1 tablet, paracetamol 3x1 tablet,
amlodipin1x5mg, glicuidone 2x1/2 tablet, kgdh/pagi)

Jenis Tindakan : melakukan pemeriksaan TTV pasien dan menanyakan keluhan

pasien (perbantuan dilantai 3)

Nama Pasien :

1. Ny. Sartinah/45thn/ leptospirosis/keluhan mual, muntah (TD : 120/70 mmHg, N :

100x/mnt, suhu :36, RR : 22x/mnt, spo2 : 97%)

2. Ny. Nuryanih/35thn appendik akut/keluhan pusing lemes nyeri berkurang/(TD :

130/76 mmHg, N : 98x/mnt, suhu : 36,5, RR :20x/mnt, spo2 : 97%)

3. Ny. Jumilah/60thn/dyspepsia, DM/keluhan pusing/(TD : 100/70 mmHg, N :

98x/mnt, suhu :36,4, RR : 22x/mnt, spo2 : 97%)
4. Ny. Sri/43thn/dyspepsia, ispa/keluhan pusing berputar, mual, batuk, kaki sakit/(TD
: 110/60 mmHg, N :97x/mnt, suhu : 36,5, RR : 20x/mnt, spo2 : 97%)

5. Ny. Fida/64thn/DM, neuralgia/keluhan batuk, myeri tulang rusuk/(TD :110/68

mmHg, N : 98x/mnt, suhu : 36,2, RR : 22x/mnt, spo2 : 97%)

Keterangan Lainya : perbantuan dilantai 3 jumlah pasien 5 orang

Tidak mudah untuk menjadi kekasih disni

1. Ny. Jumilah/60thn/dyspepsia, DM/keluhan pusing/(TD : 100/70 mmHg, N :

98x/mnt, suhu :36,4, RR : 22x/mnt, spo2 : 97%) (terapi RL500 ml/6jam,
prosongan 1x1 ampul, ondansentron 3x1 ampul, amlodipin 1x10mg, micardis
1x1 tablet, novorapid 3x15 ui)
2. Nn. Siti masrupah/18 thn/tipoid fever/keluhan pilek, mual/(TD :110/68 mmHg,
N : 98x/mnt, suhu : 36,2, RR : 22x/mnt, spo2 : 97%) terapi ivfd RL 500
ml/8jam, ranitidine 2x1 ampul, ambroxol 3x1 tablet, paracetamol 3x1 tablet,
ceftriaxon 1x3gr,)
3. Ny. Neneng/35thn/dyspepsia/keluhan demam, sesak/ TD : 110/60 mmHg, N :
97x/mnt, suhu : 36,5, RR : 20x/mnt, spo2 : 97%) /terapi ivfd RL 500
ml/8jam,ranitidine 2x1 ampul, antasida sirup 3x2 cth, paracetamol drip
500mg suhu 39, ceftriaxon 1x2gr, ciprofloxacin 2x1 tablet, diaform 3x2
tablet, paracetamol tablet 4x500mg, ondansentron 3x4mg)
4. Ny. Sartinah/45thn/ leptospirosis/keluhan mual, muntah (TD : 120/70 mmHg,
N : 100x/mnt, suhu :36, RR : 22x/mnt, spo2 : 97%)(therapi ivfd RL 500 ml/6
jam, ceftriaxon 2x2gr, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
paracetamol 3x500mg, doksisilin 2x1 tablet, metylprednison 2x4mg)

Jenis Tindakan : menyiapkan terapi obat pasien injeksi dan tablet (perbantuan lantai
3)

Nama Pasien :

1. Ny. Jumilah/60thn/dyspepsia, DM (terapi RL500 ml/6jam, prosongan 1x1 ampul,

ondansentron 3x1 ampul, amlodipin 1x10mg, micardis 1x1 tablet, novorapid 3x15
ui)

2. Nn. Siti masrupah/18 thn/tipoid fever (terapi ivfd RL 500 ml/8jam, ranitidine 2x1
ampul, ambroxol 3x1 tablet, paracetamol 3x1 tablet, ceftriaxon 1x3gr,)

3. Ny. Neneng/35thn/dyspepsia/(terapi ivfd RL 500 ml/8jam,ranitidine 2x1 ampul,

antasida sirup 3x2 cth, paracetamol drip 500mg suhu 39, ceftriaxon 1x2gr,
ciprofloxacin 2x1 tablet, diaform 3x2 tablet, paracetamol tablet 4x500mg,
ondansentron 3x4mg)
4. Ny. Sartinah/45thn/ leptospirosis (therapi ivfd RL 500 ml/6 jam, ceftriaxon 2x2gr,
ranitidine 2x1 ampul, ondansentron 3x1 ampul, paracetamol 3x500mg, doksisilin
2x1 tablet, metylprednison 2x4mg)

Keterangan Lainya : perbantuan lantai 3

Jenis Tindakan : memberikan terapi obat pasien injeksi dan tablet (perbantuan lantai
2)

Nama Pasien :

1. an. mubin/11thn/od susp bp/ceftriaxon 1 gr, paracetamiol drip 3x250mg,

2. an. zaki/8thn/ceftriaxon 1gr,

3. an. lucki/8thn/ondansentron 3x2mg

4. an. zami/3thn/pb 3x1, pct sirup 3x6cc, zink 1x5ml

5. an. adrian/1thn/zink 1x5ml, ceftriaxon 3x400mg

Keterangan Lainya : perbantuan lantai 2

1. tn. Makmum/57thn/dyspepsia suspk isk/keluhan perut sakit/TD : 125/70

mmHg, N:90x/mnt,RR:22x/mnt,suhu: 36, spo2 : 98%)
terapi RL 500ml/8jam, ranitidine 2x1 ampul, ondasentron 3x4mg, ambroxol
3x1tablet, cefixime 2x200mg,ulsidex 3x1tablet
2. tn. Soekino/84thn/susp TB/keluhan pusing/TD : 110/70mmHg, N:89x/mnt,
suhu:36,5, spo2 : 97%, RR :24x/mnt
terapi RL 500ml, vicilin 4x1 vial, ciprofloxacin 2x1plas, paracetamol
3x500mg, ksr 3x600mg, digoxin 1x0,25mg, nebulizer combivent/6jam
3. tn. Deny/44thn/DADRS/keluhan mual/TD : 125/70 mmHg, N :101x/mnt, suhu :
36,5, RR: 22x/mnt, RR :20x/mnt, spo2 : 98%
terapi NS 500ml/8jam, ranitidine 2x1 ampul, ondansentron 3x1 ampul,
metformine 3x1 tablet, glimepiride 1x1 tablet, levemir 1x14ui, kgdh/pagi.

1. Ny. Turah/58thn/gastritis/keluhan pusing, batuk/TD : 120/75mmHg, N :

98x/mnt, suhu :36, RR:20x/mnt,spo2: 98%
Terapi RL 500ml, ranitidine 2x1 ampul, amlodipine 1x5mg, ceftriaxone
1x2gr
2. Ny. Hamama/58thn/GEADRS/keluhan batuk/TD : 101/70mmHg, N:87x/mnt,
suhu:36,4, RR:20x/mnt, spo2: 98%
 Terapi RL 500ml/12 jam, metformine 3x1 tablet, levemir 1x10ui,
glimepride 1x1 tablet
3. Jumilah/60thn/DM tipe 2/keluhan pusing/TD : 130/90mmHg, N :99x/mnt,
suhu : 37, RR:22x/mnt, spo2:97%
4. Nn. Siti masrupah/18thn/ispa/keluhan batuk/TD :110/70mmHg, N:70x/mnt,
suhu:36,7, RR:20x/mnt,spo2:98%
Terapi RL 500ml/8jam, ranitidine 2x1 ampul, ambroxol 3x1 tablet,
paracetamol 3x1`tablet, ceftriaxone 1x3gr
5. Ny. Romzah/57thn/susp TB/keluhan batuk,demam,sesak/TD :
120/75mmHg, RR:24x/mnt,suhu:37,8,spo2:97%
Terapi RL 500ml/12jam, ceftriaxone 1x2gr,metformine 3x1 tablet, levemir
1x10ui, amlodipine 1x10mg, paracetamol 4x500mg,ambroxol 3x1tablet
Jenis Tindakan :melakukan monitoring keadaan umum pasien
Nama Pasien :
1. tn. Makmum/57thn/dyspepsia suspk isk/keluhan perut sakit/TD : 125/70
mmHg, N:90x/mnt,RR:22x/mnt,suhu: 36, spo2 : 98%
2. tn. Soekino/84thn/susp TB/keluhan pusing/TD : 110/70mmHg, N:89x/mnt,
suhu:36,5, spo2 : 97%, RR :24x/mnt
3. tn. Deny/44thn/DADRS/keluhan mual/TD : 125/70 mmHg, N :101x/mnt,
suhu :36,5, RR: 22x/mnt, RR :20x/mnt, spo2 : 98%
Keterangan Lainya :

Kuseruput secangkir kopi yang terus menjagaku untuk tetap waras

Jenis Tindakan : operan jaga dengan dinas sore

Nama Pasien :
1. tn. Makmum/57thn/dyspepsia suspk isk/keluhan perut sakit/TD : 125/70
mmHg, N:90x/mnt,RR:22x/mnt,suhu: 36, spo2 : 98%)/terapi RL 500ml/8jam,
ranitidine 2x1 ampul, ondasentron 3x4mg, ambroxol 3x1tablet, cefixime
2x200mg,ulsidex 3x1tablet
2. tn. Soekino/84thn/susp TB/keluhan pusing/TD : 110/70mmHg, N:89x/mnt,
suhu:36,5, spo2 : 97%, RR :24x/mnt/terapi RL 500ml, vicilin 4x1 vial,
ciprofloxacin 2x1plas, paracetamol 3x500mg, ksr 3x600mg, digoxin
1x0,25mg, nebulizer combivent/6jam
3. tn. Deny/44thn/DADRS/keluhan mual/TD : 125/70 mmHg, N :101x/mnt,
suhu :36,5, RR: 22x/mnt, RR :20x/mnt, spo2 : 98%/terapi NS 500ml/8jam,
ranitidine 2x1 ampul, ondansentron 3x1 ampul, metformine 3x1 tablet,
glimepiride 1x1 tablet, levemir 1x14ui, kgdh/pagi.
4. Ny. Romzah/57thn/susp TB/keluhan batuk,demam,sesak/TD :120/75mmHg,
RR:24x/mnt,suhu:37,8,spo2:97%/Terapi RL 500ml/12jam, ceftriaxone
1x2gr,metformine 3x1 tablet, levemir 1x10ui, amlodipine 1x10mg,
paracetamol 4x500mg,ambroxol 3x1tablet
Keterangan Lainya :
Jenis Tindakan : melakukan ronda keperawatn dengan dinas sore/keliling ruangan
Nama Pasien :
1. tn. Makmum/57thn/dyspepsia suspk isk
2. tn. Soekino/84thn/susp TB
3. tn. Deny/44thn/DADRS
4. Ny. Romzah/57thn/susp TB
Keterangan Lainya : jumlah pasien 4 (2 ruang kerapu dan 2 ruang bawal)