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PEMERINTAH KABUPATEN LUWU

DINAS KESEHATAN
PUSKESMAS KAMANRE
Alamat: Jln.Poros Belopa – Palopo Kec.Kamanre Kode Pos 91994
Email ; puskesmaskamanre91@gmail.com Tlp. 08239319511

LEMBAR MONITORING STATUS FISIOLOGI PASIEN

ANASTESI DAN BEDAH

NAMA :.............................................................................

UMUR :..............................................................................

JENIS KELAMIN :...............................................................................

DIAGNOSA :...............................................................................

TINDAKAN BEDAH :...............................................................................

JENIS ANASTESI :................................................................................

TGL/BULAN/TAHUN :.......................................................................

WAKTU KESADARAN TENSI NADI PERNAFASAN TINDAKAN PARAF


YANG
DIBERIKAN
SEBELUM

SELAMA

SESUDAH

PETUGAS MONITORING

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