IDENTITAS
1. Nama Pasien :
2. Umur:
3. Suku/ Bangsa :
4. Agama :
5. Pendidikan :
6. Pekerjaan :
7. Alamat :
8. Sumber Biaya :
KELUHAN UTAMA
1. Keluhan saat pengkajian :
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5. Lain-lain:
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Jenis................................................ Flow..............lpm
j. Penggunaan WSD:
- Jenis : .................................................................................................................................................................
- Jumlah cairan : ..................................................................................................................................................
- Undulasi :...................................................................................................................................................
- Tekanan : ..................................................................................................................................................
k. Tracheostomy: ya tidak
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f. Kemampuan berkemih:
Spontan Alat bantu, sebutkan: .................................................................................................
Jenis :............................................
Ukuran :............................................
Hari ke :............................................
g. Produksi urine : ………….. ml/jam
Warna :............……
Bau :......………..
h. Kandung kemih : Membesar ya tidak
i. Nyeri tekan ya tidak
j. Intake cairan oral : ……… cc/hari parenteral : ……… cc/hari
k. Balance cairan:
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k. Lain-lain:
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6. Sistem pencernaan (B5)
a. TB :............... BB :................................ Masalah Keperawatan
b. IMT :............... Interpretasi :................................ Kebutuhan Dasar:
8. Sistem pendengaran
a. Pengkajian segmen anterior dan posterior
b. Tes Audiometri
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n. ROM : .................................................
o. Cardinal Sign : ................................................
p. Lain-lain:
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g. Lain-lain:
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PENGKAJIAN SPIRITUAL
a. Kebiasaan beribadah Masalah Keperawatan
- Sebelum sakit sering kadang- kadang tidak pernah Kebutuhan Dasar:
- Selama sakit sering kadang- kadang tidak pernah
TERAPI
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(……………………………)
ANALISIS DATA
Hari/
DATA ETIOLOGI MASALAH
Tgl/ Jam
TANGGAL: .................................
1.
2.
3.
4.
5.
Hari/
No.
Tgl/ Jam Implementasi Paraf Jam Evaluasi (SOAP) Paraf
Dx
Shift