BU

DATA ASU

NAMA RUANGAN : MAWAR

Tanggal
No Tgl MRS Tgl Nama Psien, Tanggal Lahir,
No Penulisan
Km /Bed Pulang Pasien No CM, Alamat (Barkode)
AG
1 1/7/2022 9 27-6-2022 I Wayan Sudiarta
Pulang 19-09-1964
5/7/2022 22032684
2 1/7/2022 14 30-6-2022 Iwan Wahyudi
Pulang 20-03-1991
5/7/2022 14051540
3 1/7/2022 6 25-6-2022 Yuliana
Meninggal 4/4/1956
2/7/2022 20034810
4 2/7/2022 5 1/7/2022 Safiah
Pulang 19-8-1980
13-7-2022 22031270
5 4/7/2022 16 2/7/2022 I Made Tangsi
Meninggal 23-12-1951
10/7/2022 22032625
6 4/7/2022 10 3/7/2022 I Dewa Nyoman Adi Sulastra
Pulang 16-04-1961
10/7/2022 22033779
7 5/7/2022 12 2/7/2022 I Nyoman Darmadi
Pulang 31-12-1949
9/7/2022 21064146
8 6/7/2022 14 4/7/2022 ir. Tjokorda Gede Sutha
Pulang 6/6/1948
10/7/2022 16053296
9 9/7/2022 1 7/7/2022 Ni Kadek Purnawati
Meninggal 5/1/1983
12/7/2022 01447461
10 11/7/2022 16 10/7/2022 I Gede Agus Muliana
Pulang 14-09-1999
19-7-2022 22035040
11 12/7/2022 5 11/7/2022 Ni Made Kepling
Pulang 31-12-1943
16-7-2022 22035225
12 13-7-2022 14 10/3/2022 I Ketut Sata
Pulang 31-12-1987
17-7-2022 22034439
13 13-7-2022 4 12/7/2022 Ni Nyoman Saridewi
 Pulang 15-04-1970
15-7-2022 19051143
14 15-7-2022 9 13-7-2022 Putu Wisada
Pulang 24-05-1972
19-7-2022 22035489
15 15-7-2022 12 13-7-2022 Putu Yudayasa
Pulang 26-06-1965
17-7-2022 22031556
16 15-7-2022 2 11/3/2022 Siti Mastia
Pulang 28-07-1985
21-7-2022 22021058
17 15-7-2022 5 13-7-2022 Ni Kade Aridani
Pulang 30-11-1975
15-7-2022 19014888
18 23-7-2022 11 21-7-2022 I Wayan Neka
Masih MRS di 1/11/1976
Lely 22037194
19 23-7-2022 14 18-7-2022 I Ketut Yasa
Pulang 10/12/1969
26-7-2022 18020815
20 23-7-2022 3 16-7-2022 Andi Maemunah
MRS 30-12-1952
Nagasari 01446893
21 23-7-2022 5 18-7-2022 Ni Ketut Sulatri
Meninggal 13-06-1976
29-7-2022 15066797
22 23-7-2022 7 18-7-2022 Jro Made Geria
Pulang 31-12-1936
28-7-2022 18005602
23 23-7-2022 8 17-7-2022 Ni Ketut Sendri
Meninggal 1/7/1947
24-7-2022 19002758
24 25-7-2022 11 21-7-2022 Gede Agus Nevi Handriyanta
Pulang 3/5/1989
26-7-2022 22028803
25 25-7-2022 13 22-7-2022 I Ketut Kontra
Masih MRS di 1/7/1960
Mawar 22037246
26 25-7-2022 15 22-7-2022 Ida Pedanda Gede Putu Keniten
Masih MRS di 16-03-1967
Mawar 18006745
27 25-7-2022 16 23-7-2022 Gidion Gawi Diata
Meninggal 10/2/1990
25-7-2022 22032300
28 23-7-2022 Lely 22-11-2021 Dominggus Seran
Masih MRS di 9/3/1986
Lely 21056052
 29 23-7-2022 Lely 22-11-2021 Robertus Jemaru
Pulang 23-02-1983
23-11-2021 21062256
30 23-7-2022 Lely 22-11-2021 I Ketut Landrat
Pulang 31-12-1948
29-11-2021 20046572
31 23-7-2022 Lely 22-11-2021 Ni Komang Dewiasih
Masih MRS di 18-7-1976
Lely 21061147
32 25-7-2022 Lely 23-11-2021 I Wayan Ganda
Masih MRS di 1/6/1951
Lely 21062734
33 25-7-2022 Lely 23-11-2021 I Made Koda
Masih MRS di 19-01-1962
Lely 21061638
34 25-7-2022 Lely 23-11-2021 Arifin Manafe
Pulang 1/7/1980
25-11-2021 21061217
35 26-7-2022 Lely 23-11-2021 Nasirung
Masih MRS di 1/7/1958
Lely 21061440
36 26-7-2022 Lely 24-11-2021 I Gusti Kompiang Kartama
Masih MRS di 31-12-1948
Lely 21022401
37 26-7-2022 Lely 24-11-2021 Wahyu Aria Putra RH
Masih MRS di 11/4/1992
Lely 21061365
38 26-7-2022 Lely 25-11-2021 Ni Made Rapini
Masih MRS di 14-09-1969
Lely 21063004
39 26-7-2022 Lely 29-11-2021 Ni Wayan Purniati
Masih MRS di 31-12-1968
Lely 21063221

*Nb : Tidak ada memberikan makanan untuk penunggu pasien

 BUKU CATATAN AHLI GIZI
DATA ASUHAN GIZI PASIEN RAWAT INAP
BULAN JULI 2022

Pengisian BB
Status
Diagnose Diet Form Awal, IMT
Gizi
Asuhan Gizi TB
Post cleping costae ec fracktur Diet Jantung III √ 76 27.92
costae, efsui pleura, cardiomegaliNasi Tim 165 Gemuk

Tumor Paru (D) susp malignacy Diet TKTP √ 58 20.07

post operasi thoracostomy Bubur 170 Baik

Wound Dehiscence R lumbasarcalBoost optimum √ 36 16.00

denan implan expose, paraparesis33 gr 150 ml x 6 150 Kurus
efusi pleura sinistra masif Konsul SPGK
Post Laparatomi + Reseksi Tumor MSS - Bubur Saring √ 48 20.78
152 Baik

SH, post kranniektomy evakuasi I Entramix √ 58 21.30

60 gr 250 ml x 6 165 Baik
Konsul SPGK
Obs syok ec susp sepsis, Diet Ginjal 50 gram pro √ 63 23.14
HAP late onset, ACKD Bubur 165 Baik
, transaminitis
Batu staghorn Dextra Bubur √ 50 18.82
+ susp retro colon asenden 163 Baik

Pneumothorax sinistra post Ensure √ 56 18.29

pemasangan WSD 30 gr 100 ml x 6 175 Kurang

CKD stage V Diet CKD dengan HD √ 46 19.40

Nasi 154 Baik

Fraktur Puasa √ 58 20.07

170 Baik

Total Ileus Obstruktif MSS √ 55 24.44

Asites, Apendisitis supuratif 150 Baik
Kista ovarium (S), post laparatomy eksplorasi
Fraktur Bubur √ 72 24.91
170 Baik

Ca servix std II, efusi pleura Bubur √ 44 18.08

sinistra masif, heminothhorax 156 Kurang
sinistra
Tension pneumothorax dekstra Bubur √ 67 24.61
post pemasangan WSD 165 Baik

BPH, susp batu buli, post TURP Bubur √ 66 21.55

175 Baik

Post laparatomy hemicolectomy Puasa - Bubur Saring √ 61 25.72

154 Gemuk

Ca ovarium std III B Bubur √ 56 23.92

153 Baik

Sol serebri + observasi bradicardiaEntramix √ 54 19.83

+ infeksi HIV 50 gr 200 ml x 6 165 Baik

DM Tipe II, DF DM 1700 kkal √ 59 21.67

susp pneumonia Bubur 165 Baik

SH Nephrisol D √ 60 23.44
3 x 150 ml + VCO 10 ml 160 Baik
+ Vip Alb 1/2 sct Konsul SPGK
CKD stage V Puasa √ 43 17.67
Pneumonia CAP 156 Kurang
Hematemesis
SNH ec cardiomegali Entramix √ 56 23.01
50 gr 200 ml x 6 156 Baik

Sol serebri Boost optimum √ 62 25.81

44 gr 200 ml x 6 155 Gemuk

Tumor Mediastinum post VATS biBubur √ 68 22.20

Resesi tumor susp limfoma dd tymoma 175 Baik

Tetraplegi ec tear drop fracture Entramix √ 52 19.10

SCI ASIA A 50 gr 200 ml x 6 165 Baik
Syock neurogenic
ACKD ec susp prerenal on CKD Nephrisol D √ 64 22.15
50 gr 200 ml 170 Baik

DOC ec susp ensefalopati dd Nephrisol √ 43 15.79

intrakranial proses, Ca bulli 30 gr 100 ml x 6 165 Kurus

Infeksi HIV stadium IV on HAART Diet TKTP √ 45 16.14

Bubur 167 Kurus
Reaksi Hipersensitifitas Akut Diet Eliminasi √ 51 21.23
ec. Food (Sarden) Nasi Tanpa ikan, Telur 155 Baik

Obs. Vomiting, Anemia Diet TKTP √ 51 18.73

Susp Multiple Myeloma Nasi 165 Baik

Meningoensefalitis ec bakteri Diet Makanan Biasa √ 50 18.37

Nasi 165 Kurang

Liver Abses Chronic, Empiema Diet TKTP √ 52 19.57

Thorak (D) Bubur 163 Baik

Acute on Cronic Gout Artritis Diet Ginjal Rendah Puri √ 63 20.57

ACKD pre renal Nasi 175 Baik

UAP dd Nstemi on CHF FC II Diet jantung III √ 78 30.09

Susp CAD Nasi 161 Gemuk

Tumor Paru Kiri Diet TKTP √ 81 28.03

Bubur 170 Gemuk

Squamous Cell Carcinoma IV Diet TKTP √ 51 18.73

Gagal Nafas Tipe I Nasi 165 Baik
Efusi Pleura (D) Minimal
Infeksi HIV stadium IV on HAART Diet TKTP √ 50 19.53
Bubur 160 Baik

TB Paru terkonfirmasi + CAP Diet DM B1 √ 53 20.70

Bubur 160 Baik

CML + Anemia Sedang Diet TKTP √ 60 24.97

Nasi 155 Baik

Konsul SPGK : 3 Kurus 3

Kurang 4
Baik 27
Gemuk 5
39
\
 NAMA AHLI GIZI : Ni Putu Anita Candri

Konseling Komplikasi
BB PL Edukasi* Gizi Tulis Biaya
Leaflet Jumlah Jenis
- √ Diet Jantung - - 4,000
22,500

- √ Diet TKTP - - 4,000

22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ Diet Seimbang - - 4,000

22,500

- √ - - - 4,000
22,500

- √ - 2 CHF 4,000
Hepatitis C 22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ Diet Kanker - - 4,000

 22,500

- √ Diet TKTP - - 4,000

22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ Diet Kanker - - 4,000

22,500

- √ - - - 4,000
22,500

- √ - - - 4,000
22,500

- √ - 3 DM Tipe II 4,000
Hipertensi emerency 22,500
ACKD
- √ - - - 4,000
22,500

- √ - 1 AKI dd ACKD 4,000

22,500

- √ - - - 4,000
22,500

- √ Diet TKTP - - 4,000

22,500

- √ - - - 4,000
22,500

- √ - 3 DM Tipe II 4,000
Kardiomegali ec susp HHD 22,500
SNH berulang
- √ - 2 ACKD 4,000
Anemia Ringan 22,500

- √ Diet TKTP 2 ACKD 4,000

Old lung TB 22,500
- √ Diet Gizi - - 4,000
Seimbang 22,500

- √ Diet TKTP 1 ACKD 4,000

22,500

- √ Diet Gizi - - 4,000

Seimbang 22,500

- √ Diet TKTP 2 Hipertensi terkontrol 4,000

Anemia RIngan 22,500

- √ Diet Rendah Purin - - 4,000

Diet Ginjal 22,500

- √ Diet Jantung - - 4,000

22,500

- √ Diet Kanker 1 TB Paru on treatment 4,000

22,500

- √ Diet Kanker - - 4,000

22,500

- √ Diet TKTP 2 Anemia RIngan 4,000

Susp Ulkus Genital 22,500

- √ Diet DM 1 DM Tipe II 4,000

Diet TKTP 22,500

- √ Diet TKTP - - 4,000

22,500
5

10

11

22

14

4
6

14

12