Lembar Monitoring ICU
Lembar Monitoring ICU
Jenis Ventilasi
PEEP/CPAP
Resp Rate
Tidal Volume
FiO2
Sensitivity
LATION
SaO2
CIRCU
Gb EKG
CVP
DISABILITY
Kesadaran
Besar Pupil
Reaksi Pupil
Glasgow coma E
Scale V
M
Reflek Path +/-
1.
2.
3.
Kekuatan Otot
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6
Makan/Minum
NGT
Infus : Sisa Sisa Sisa
INTAKE
1.
2.
3.
4.
5.
Jumlah
24 Jam
Total
Urine
NGT
OUT PUT
BAB
Drain/Darah :
1.
2.
Muntah
IWL Jumlah
24 Jam
Total
PaO2/PaCO2 Balance
pH/HCO3 -
Hb/Ht
Leucocyt
DATA LABORATORIUM
LED
Thrombocyt
Deff. Count
GD Puasa
GD 2 J PP
GD Sewaktu
Na/ K
Cl/Ca
Mg
Ureum/BUN
Creatinin
LDH
Cholesterol
Trigliserida
CKMB
Troponin
SGOT/SGPT
Albumin
Globulin