8
RUMAH SAKIT UMUM DAERAH ULIN
IRNA CRITICAL CARE ISOLATION UNIT
BOUGENVILLE
Jl. A. Yani No. 43. Telp. (0511) 3252180, 3257470, 3251825 Banjarmasin 70233
320 200 80 42
280 175 70 41
240 150 60 40
200 125 50 39
160 100 40 38
120 75 30 37
80 50 20 36
40 25 10 35
KESADARAN/GCS
GAMB EKG
O2 lpm lpm
INTAKE
DIIT/NUTRISI/NGT
TRANSFUSI
LAIN-LAIN
IV LINE / INFUSE cc/hr
JADWAL THERAPI 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4
TOTAL Input (cc / ml) / 24 Hr
OUTPUT
URINE
NGT / DRAIN
BAB / BAK / MUNTAH
LAIN-LAIN
TOTAL Output (cc/ml) / 24 Hr
BALANCE (cc/ml) / 24 Hr
OVINSI KALIMANTAN SELATAN RM. 8
T UMUM DAERAH ULIN
L CARE ISOLATION UNIT
UGENVILLE
511) 3252180, 3257470, 3251825 Banjarmasin 70233
lpm
INTAKE
cc/hr
cc/hr
5 6 7
OUTPUT
PEMERINTAH PROVINSI KALIMANTAN SELATAN RM. 8
RUMAH SAKIT UMUM DAERAH ULIN
IRNA CRITICAL CARE ISOLATION UNIT
BOUGENVILLE
Jl. A. Yani No. 43. Telp. (0511) 3252180, 3257470, 3251825 Banjarmasin 70233
320 200 80 42
280 175 70 41
240 150 60 40
200 125 50 39
160 100 40 38
120 75 30 37
80 50 20 36
40 25 10 35
KESADARAN/GCS
GAMB EKG
O2 lpm lpm lp
INTAKE
DIIT/NUTRISI/NGT
TRANSFUSI
LAIN-LAIN
IV LINE / INFUSE cc/hr
JADWAL THERAPI 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4
TOTAL Input (cc / ml) / 24 Hr
OUTPUT
URINE
NGT / DRAIN
BAB / BAK / MUNTAH
LAIN-LAIN
TOTAL Output (cc/ml) / 24 Hr
BALANCE (cc/ml) / 24 Hr
OVINSI KALIMANTAN SELATAN RM. 8
IT UMUM DAERAH ULIN
L CARE ISOLATION UNIT
UGENVILLE
0511) 3252180, 3257470, 3251825 Banjarmasin 70233
lpm
INTAKE
cc/hr
cc/hr
5 6 7
OUTPUT
ADVICE / HASIL PEMERIKSAAN LAPORAN PERAWAT JAGA PAGI/SORE/MALAM