Anda di halaman 1dari 29

DATA SOSIAL

Alamat
No. Nama Jenis kelamin Umur Pendidikan
RW Kelurahan Kecamatan Kabupaten
1 zkr 1 44 6 balet baru sukowono jember 4
2 mrym 2 45 7 barat padang lumajang 4
3 ek yda 1 29 3 ketah suboh situbondo 6
4 rkib 2 40 0 sukorambi sukorambi jember 4
5 hrn 1 57 1 balung balung jember 4
6 rdi 1 23 0 kaliwining rambipuji jember 6
7 ksnto 1 61 2 sukosari sukowono jember 6
8 mstf 1 60 3 panti panti jember 4
9 ahmd 1 26 0 suco pangepojelbuk jember 4
10 mzki 1 23 0 tegal besar kaliwates jember 7
11 rka 2 12 3 suren ledokombo jember 4
12 it 2 23 0 kebonsari sumbersari jember 8
13 mat 1 72 30 gebang patrang jember 4
14 um kstmh 2 60 2 tamanagung cluring banyuwangi 5
15 srkno 1 57 11 ledokombo ledokombo jember 4
16 hmdi 1 34 8 ambulu ambulu jember 6
17 slmn 1 60 4 kelayu mayang jember 4
LABORATORIUM

Pekerjaan BB Hemoglobin Leukosit Hematokrit Trombosit LED Sputum


Pola nafas
3 58 11.9 5100 34 176000 8 neg 1.3
5 42 8.9 5200 26 123000 98 neg 2
4 51 14.9 5700 44 201000 26 neg 2
3 43 8 5100 24 325000 42 neg 1
10(pedagang 55 13.8 6300 39 252000 71 neg 1
4 58 12 4900 36 301000 115 neg 2
5 55 11.6 4800 33 343000 78 neg 2
3 50 13.3 5100 39 335000 45 neg 2
10(sopir) 48 13.4 5000 36 459000 10 neg 1
6 54 11.7 4300 33 180000 80 neg 1
2 ku lem 11.6 22500 32 320000 75 neg 1
2 49 12 6200 35 362000 102 neg 1.3
4 38 11.3 6800 33 254000 120 neg 1
2 61 10.6 6600 31 302000 108 neg 1
3 41 16.1 9500 49 286000 21 neg 1
4 63 13.7 8100 39 298000 27 neg 1
3 50 13.8 6100 39 109000 56 neg 1
Sistem pernapasan
nyeri dada Bentuk dada benjolan Batuk Pengobatan otot bantu pernapasan Dahak Terpasang
2 1 1 2 2 2.4 3(2ltr)
2 1 1 2 2 1 3(2ltr)
2 1 1 2 1 2.4 0
1 1 1 2 1 1 0
1 1 1 2 2 2.3 0
2 1 1 2 1 2.3 0
1 1 1 2 1 1 0
2 1 1 2 2 2.4 0
1 1 1 2 1 1 0
1 1 1 2 1 2.4 0
2 1 1 2 1 2.3 3(3ltr)
1 1 1 1 1 2.3 3(4ltr)
1 1 1 2 1 2.4 3(3ltr)
2 1 1 2 1 2.3 3(2ltr)
1 1 1 2 1 2.4 3(3ltr)
1 1 1 2 2 2.3 3(2ltr)
2 1 1 2 1 2.4 3(3ltr)
n Sistem ka
Taktil fremitus Perkusi Suara nafas RR...x/Mnt Masalah Keperawatan Nyeri Suara Jantung
2 3 4 30 4 1 1
1 1 1 28 4 1 1
2 3 1 26 4 1 1
1 1 4 24 1 0 1
1 1 4 26 4 1 1
1 3 1 24 4 1 1
1 3 1.4 28 4 1 1
1 1.3 1 28 1.4 1 1
2 3 4 28 4 1 1
1 3 4 22 1 1 1
1 1 1 26 4 1 1
1 1 1 28 1 1.4 1
1 1 1 28 4 1 1
2 3 3.4 26 1 1 1
2 3 4 28 1.4 1 1
1 1 1 28 1 1 1
2 1 3.4 26 2.4 1 1
ASUHAN KEPERAWATAN
Sistem kardiovaskuler Sistem Persyarafan
TD Nadi Suhu CRT Edema Masalah Keperawatan Sklera mata Nyeri Conjungtiva Pupil
120/80 100 36 <2 1 0 1 1 2 1
120/70 100 36 2 5 0 1 1 2 1
120/70 102 36 <2 1 0 1 1 2 1
100/70 90 36 <2 6 2 1 1 2 1
140/90 128 37 1 1 2 1 1 2 1
110/70 120 36 >3 1 2 1 1 2 1
140/90 88 36 <3 5 1 1 2 2 1
170/100 120 38 <2 1 0 1 2 2 1
90/70 100 36 2 1 0 1 1 2 1
110/80 90 36 2 1 0 1 1 2 1
100/50 115 37 <2 1 0 1 1 2 1
110/70 100 36 3 1 1 1 2 1 1
110/70 94 37 <2 1 2 1 1 2 1
110/70 80 37 1 1 0 1 1 2 1
110/70 120 37 3 1 0 1 1 2 1
100/80 88 36 2 1 2 1 1 2 1
140/90 115 36 3 1 0 1 1 2 1
ASUHAN KEPERAWATAN
Sistem Persyarafan Sistem Perkemihan
Istirahat tidur Reflek Patologis Masalah Keperawatan Kandung kencing Produksi kencing
8 1 0 0 1(1000),kuning
8 1 0 0 1(900),kuning
8 1 0 0 1(500),kuning
8 1 0 0 1(800),kuning
6 1 0 0 1(600)
6 1 3 0 1(1500)
6 1 0 0 1(400)
7 1 0 0 3(100)
8 1 0 0 1(1000),kuning
8 1 0 0 1(300)
12 1 0 0 1(1000),kuning
5 1 1 0 1(500)
7 1 0 0 1(800),kuning
6 1 0 0 1(800)
6 1 0 0 1(400),kuning
8 2 0 0 1(500)
6 1 0 0 1(400)
m Perkemihan Sistem Pencernaan
Masalah Keperawatan Mulut Mukosa BAB Tenggorokan Pembesaran Hepar Nafsu makan
0 2 1 0 1 2
0 3 1 1.2 1 3.4
0 3 1 0 1 1
0 2 1 0 1 1
0 2 1 0 1 2,3,4
0 2 1 0 1 1
0 3 1 0 1 2.3
3 2 1 0 1 2
0 2 1 0 1 2
0 3 1 0 1 2.3
0 2 1 0 1 2
1 2 1 0 1 2
0 3 1 0 1 2
0 2 1 0 1 2
0 3 1 1 1 2
0 2 1 0 1 2
0 2 1 0 1 3
m Pencernaan Sistem Tulang-Otot-Integumen
Frekuensi (X/hari) Porsi makan Masalah Keperawatan Kekuatan Otot Jari tabuh Turgor Edema
3 2(3/4) 0 5555 1 1 1
3 2(1/2) 1 4444 2 2 2
3 1 0 5555 2 2 1
3 2(3/4) 0 5555 2 2 1
3 2(1/2) 1 5555 2 1 1
3 1 0 5555 1 1 1
2 2(1/2) 1 4444 2 2 2
3 2(1/2) 1 baik 2 1 1
3 2(1/2) 1 4444 2 1 1
3 2(1/4) 1 4444 1 1 1
3 2(1/2) 1 4444 2 1 1
3 2(1/2) 1 4444 1 2 1
2 2(1/2) 1 5555 1 1 1
2 3(1/2) 1 5555 2 1 1
3 2(1/2) 1 3333 2 1 1
3 2(3/4) 0 5555 1 1 1
2 2(1/2) 1 4444 2 1 1
Otot-Integumen
Masalah Keperawatan
0
2
0
0
0
0
0
0
0
0
0
1
0
0
2
0
0
DATA SOSIAL
Alamat
No. Nama Jenis kelamin Umur Pendidikan
RW Kelurahan Kecamatan Kabupaten
1 prwngsh 2 47 3 wirolegi sumbersari jember 4
2 m.syfi 1 37 4 ajung ajung jember 5
3 ed ssnt 1 49 4 sabrang ambulu jember 6
4 dsi 2 21 1 purwoharjo purwoharjo banyuwangi 8
5 syfi 1 28 14 jember kidulkaliwates jember 5
6 sdik 1 35 3 lampeji mumbulsari jember 5
7 bdin 1 70 6 kencong kencong jember 4
8 sytn 1 63 1 gladag rogojampi banyuwangi 6
9 strn 1 75 0 tamansari wuluhan jember 4
10 istkmh 2 39 32 sumberejo ambulu jember 4
11 amnh 2 60 3 ambulu ambulu jember 4
12 bdmn 1 60 34 tegal besar kaliwates jember 4
13 smyn 1 50 2 jangkar jangkar situbondo 4
14 ngtm 2 60 1 kaliwining rambipuji jember 2
15 ndin 1 60 2 arjasa arjasa jember 4
16 htjh 2 48 4 ampel wuluhan jember 4
17 tgo 1 37 5 kedung ringi muncar banyuwangi 6
18 jmdi 1 53 7 gumuksari kalisat jember 4
19 amnh 2 6 0 ambulu ambulu jember 4
20 mrwyh 2 44 4 sabrang ambulu jember 4
21 hsnh 2 24 7 baadean bangsalsari jember 4
22 arbl 1 70 3 balung lor balung jember 2
23 msnr 1 50 6 karangwarui sukorambi jember 2
24 jmpn 1 67 2 suci panti jember 2
25 shr 1 50 0 pasirian pasirian lumajang 4
26 jhar 1 35 4 kepatihan kaliwates jember 8
27 slmt 1 50 7 stail genteng banyuwangi 4
28 smrn 2 38 42 wonorejo kencong jember 5
29 yliti 2 25 0 cerme cerme bondowoso 5
30 sbkr 1 47 32 yosorati sumberbaru jember 4
31 jon 1 60 2 arjasa situbondo situbondo 4
32 snrjo 1 69 8 sumbersari sumbersari jember 7
33 fzan 1 17 25 kaliwining rambipuji jember 6
34 stnh 2 57 3 lumbung sariajung jember 4
35 nrhsm 1 23 0 randuagung randuagung lumajang 6
36 fzi 1 80 1 sidodadi tempurejo jember 4
37 rfik 1 56 3 bangsalsari bangsalsari jember 4
38 mstf 1 32 8 balung lor balung jember 4
39 mrklh 2 42 0 sarimulyo cluring banyuwangi 4
40 gmah 2 60 2 bagorejo srono banyuwangi 4
41 ngtmi 2 50 7 wotgalih yosowilangunlumajang 4
42 smti 2 58 5 bagorejo srono banyuwangi 4
43 wgym 2 50 3 kesilir siliragung banyuwangi 4
44 smrlk 2 62 0 dukuh dempwuluhan jember 4
45 lho 1 60 3 mrwan mayang jember 4
46 jmli 1 48 7 sumber kiet kalisat jember 4
47 trsla 1 36 2 kepatihan kaliwates jember 7
48 rhmh 2 26 3 sumber keja mayang jember 4
49 jmin 1 49 1 sumber lesuledokombo jember 6
50 jno 1 54 4 suokosari kunir lumajang 4
51 hd prwnt 1 24 1 sumberbaru sumberbaru jember 6
52 abdl asd 1 60 14 lampeta mumbulsari jember 4
53 sning 2 95 2 sumberejo wuluhan jember 2
54 rdi 1 28 4 sukokerto sukowono jember 4
55 hndr 1 33 19 kalibito lor jatiroto lumajang 6
56 hsn sdk 1 73 3 jember lor patrang jember 4
57 uryh 2 60 4 jatigono kunir lumajang 4
58 whdtl 2 15 3 banyuputih banyuputih situbondo 5
59 a.hsni 1 63 2 wirolegi sumbersari jember 8
60 slfi 2 22 9 slawu patrang jember 6
61 mrjki 1 71 24 rambipuji rambipuji jember 2
62 lkmn hkm 1 25 1 biting arjasa jember 8
63 kdrsmn 1 63 1 sumber kalo kalisat jember 5
64 snryh 2 45 8 curah malan rambipuji jember 4
65 jmhri 1 49 8 tanjung peci mangaran situbondo 8
66 smok 1 61 5 yosoeilangunyosowilangunlumajang 4
67 nvldi 1 17 3 sempusari kaliwates jember 5
68 smin 1 66 2 sukamakmurajung jember 4
69 mstni 2 71 9 tempurejo tempurejo jember 4
70 ernwti 2 41 10 pasirian pasirian lumajang 6
71 jwryh 2 73 7 balung lor balung jember 2
72 wj asttk 2 49 1 teagalsari ambulu jember 4
73 mhri 1 53 8 wonosari puger jember 5
74 asdmn 1 63 3 karangharjo glenmore banyuwangi 4
75 nrul 2 16 7 sabrang ambulu jember 6
76 msna 2 40 2 suci panti jember 4
77 hnwi 2 50 2 slateng ledokombo jember 2
78 jnah 2 74 1 klataan utarasitubondo situbondo 4
79 prytn 1 37 5 kedung ringi muncar banyuwangi 6
80 gmh 2 60 2 bagorejo srono banyuwangi 4
81 sgyrto 1 26 5 kebonsari sumbersari jember 5
82 prwngsh 2 47 3 wirolegi sumbersari jember 6
83 znal 1 70 1 gebangan kapongan situbondo 4
LABORATORIUM

Pekerjaan BB Hemoglobin Leukosit Hematokrit Trombosit LED Sputum


Jalan Nafas
2 36 10.8 5100 34 289000 103 neg 3
3 53 13.4 4400 39 354000 64 neg 3
4 70 14.3 8200 40 441000 72 neg 4
2 43 11.9 6200 36 262000 68 neg 3
5 49 14.3 12400 41 251000 17 neg 1
3 46 13.3 4800 37 351000 42 neg 2
2 ku lema 10.3 6800 29 302000 72 neg 3
9 66 15.4 12000 43 380000 10 3+ 2
3 46 12.2 10800 37 442000 92 neg 3
2 40 7.7 7000 23 252000 94 neg 3
3 38 11.6 9700 37 313000 32 neg 3
5 45 11.7 5100 36 289000 15 neg 3
5 50 12.6 6500 39 316000 27 neg 3
3 30 9.8 12000 27 335000 98 neg 2
3 48 10.8 9200 0 0 48 neg 3
2 63 11.1 10700 0 0 76 neg 3
5 48 14 6100 0 0 15 neg 3
3 55 11.9 7600 35 238000 37 neg 3
4 38 13.1 8700 39 281000 26 neg 4
2 48 9.5 6800 30 410000 62 neg 3
2 52 11 4700 0 286000 48 neg 1
10(becak ku lema 12.5 13500 31 468000 89 neg 3
2 59 13.2 7200 40 336000 51 neg 3
3 41 12.8 10200 35 244000 37 neg 5
3 44 10 31400 29 434000 125 neg 3
10(wartawan 58 14.6 7800 42 397000 14 neg 3
3 48 11.4 7700 35 260000 62 neg 3
3 54 11.4 4800 35 531000 65 neg 3
2 44 8.7 3400 26 362000 43 neg 3
3 59 12 7500 27 285000 32 neg 3
3 48 13.2 18600 0 0 8 neg 3
9 73 7.7 8000 25 258000 85 neg 1
3 43 13.7 7000 37 437000 15 neg 2.3
3 56 12.5 6200 33 267000 47 neg 3
2 42 13.4 9100 38 284000 78 neg 3
2 58 11.9 20300 32 226000 110 neg 1
5 50 12.4 6300 33 187000 97 neg 3
3 51 10.9 12800 31 237000 51 neg 3
5 48 9.4 15700 25 326000 125 neg 3
3 52 11.9 11800 35 98000 72 neg 2
3 47 13.7 10100 35 251000 30 neg 3
4 45 11.4 5700 32 164000 80 neg 1
3 46 9.5 8200 26 382000 122 neg 3
4 43 16.2 7700 43 355000 7 neg 1
3 44 11.9 5700 33 226000 113 neg 3
3 60 14.4 17100 39 393000 25 neg 3
5 55 13.7 9700 37 375000 77 neg 3
3 47 11.3 8800 32 268000 115 neg 6
7 67 12 6700 33 233000 108 neg 3
10(pedagang 57 13.8 5700 38 226000 48 neg 3
4 55 17.4 12000 46 374000 76 neg 3
5 38 18.6 11600 51 327000 68 neg 3
2 ku lema 12.7 14400 37 280000 28 neg 1
3 46 15.4 8100 42 416000 8 neg 2.3
10(buruh) ku lema 12.8 22500 35 79000 10 neg 3
9 35 15.1 10500 44 359000 8 neg 3
2 47 14 3300 38 162000 65 neg 3
2 37 12.5 9600 35 305000 45 neg 3
7 61 15.6 12600 42 327000 25 neg 3
4 37 16 8700 46 258000 65 neg 3
2 36 14.3 11000 40 160000 35 neg 3
5 52 14.2 4600 38 319000 10 neg 3
4 47 11.3 5800 32 238000 87 neg 3
3 45 11.8 4100 34 355000 93 neg 1
9 70 17.5 8300 44 281000 47 neg 3
10(pedagang 57 16.4 6500 46 266000 35 neg 1
2 45 15.8 5500 44 288000 37 neg 3
10(buruh) 47 10.8 6500 32 199000 125 neg 3
2 44 13.4 8800 37 286000 97 neg 3
9 55 12.9 10000 36 436000 70 neg 3
10(prt) 41 13.6 8400 38 288000 49 neg 1
10(pedagangku lema 11.4 21300 31 424000 0 neg 2,3,4
3 48 12.9 7500 35 257000 40 neg 3
2 ku lema 11.7 7400 31 288000 101 neg 3
2 41 9.9 8500 27 328000 74 neg 3
5 45 11.6 6800 33 359000 117 neg 1
2 42 13.7 21300 35 120000 37 neg 1
2 43 12 5900 33 151000 98 neg 3
5 48 14 6100 0 0 15 neg 3
3 60 10.3 8600 31 351000 112 neg 3
4 54 14.3 8100 36 223000 25 neg 1
4 36 11.1 6000 32 325000 81 neg 3
3 44 11.1 9700 32 302000 61 neg 6
Sistem pernapasan
Penggunaan otot bantu pernafasan irama Suara tambahan Sputum Konsistensi Terpasat Alat
1 1 4.5 2 1 2
1 1 4 1 2 1
1 1 1 1 2 1
1 2 4 1 2 2
1 1 1 0 0 1
1 2 1 1 1 2
1 1 1 1 1 2
2 2 2.3 1 2 2
2 2 1 1 1 2
1 2 4.5 2 1 2
1 2 2.3 2 1 2
1 1 2.3 1 1 2
2 2 4 2 1 2
1 1 1 1 2 2
1 1 1 1 2 1
1 1 1 1 2 1
1 1 2.3 2 2 2
2 2 2.3 1 1 2
2 1 1 2 1 2
1 1 2.3 1 2 1
2 1 1 0 0 1
1 1 2.3 2 1 2
1 1 1 1 1 2
1 1 1 0 0 2
1 1 2.3 2 1 1
1 1 1 1 1 1
2 2 1 1 1 2
1 1 2.3 2 2 2
2 2 1 1 1 2
1 1 2.3 2 2 2
1 1 2 1 1 1
1 1 1 1 2 2
2 2 4.5 1 1 2
1 1 2.3 1 1 1
1 1 2,3,4,5 1 1 2
2 1 4.5 0 0 2
1 1 2.3 2 2 1
1 1 1 1 2 1
1 1 1 1 1 2
1 1 1 1 2 2
2 1 2.3 2 1 1
2 1 1 0 0 2
1 1 1 2 2 2
1 1 1 0 0 3
1 1 2 1 1 1
1 1 1 1 1 1
1 1 2.3 1 1 1
2 2 2,3,4,5 3(darah) 2 2
1 2 1 1 1 1
1 1 1 1 1 1
1 2 1 1 1 1
2 2 1 1 1 2
2 2 2,3,4,5 0 0 2
1 1 1 1 2 1
1 1 2.3 1 1 2
1 1 5 1 2 2
1 1 1 1 1 2
1 1 2.3 2 1 1
1 1 5 1 2 2
1 1 1 2 1 1
1 1 2.3 1 1 2
1 1 1 1 1 1
1 1 1 2 2 2
1 2 4.5 0 0 2
1 1 1 1 2 1
1 1 1 2 1 1
1 1 1 1 1 1
1 1 4.5 1 1 2
1 1 2.3 1 1 2
2 1 2,3,4,5 2 1 2
1 1 1 0 0 2
1 1 2.3 1 1 2
1 1 2.3 1 1 1
1 1 2 1 1 2
1 2 2.3 1 1 1
1 2 2.6 2 1 2
2 2 1 0 0 2
2 1 1 1 2 2
1 1 2.3 2 2 2
1 1 2.3 1 1 2
1 1 1 0 0 1
1 1 1 1 2 1
1 2 1 3(darah) 1 2
Sistem kardiovaskuler
Distensi vena jugularis Acral Warna Kulit CRT Edema Bunyi Jantung Irama Teratur Keluhan
1 1 2 1 3 1 2 0
1 2 1 1 1 1 2 0
1 2 2 1 1 1.2 2 4
1 2 1 1 1 2 1 0
1 2 2 1 1 1.2 2 1
1 2 1 1 1 1 1 1
1 2 2 1 1 2 2 0
1 2 1 1 1 1.2 1 1
1 2 2 1 1 1.2 2 1
1 2 2 1 1 1.2 2 1
1 1 1 1 1 2 1 0
1 2 2 1 1 2 2 0
1 2 1 1 1 1.2 2 1
1 2 1 1 1 1.2 2 0
1 2 1 1 1 1.2 2 0
1 2 1 1 1 1.2 2 0
1 2 2 2 1 1.2 2 1
1 2 1 1 1 1.2 2 1
1 2 2 1 1 1.2 2 1
1 2 2 1 1 1.2 1 0
1 2 2 1 1 1.2 2 0
1 2 2 1 1 2 2 0
1 2 2 1 1 2 2 0
1 2 1 1 1 1.2 2 0
1 2 2 1 1 1.2 2 0
1 2 1 1 1 2 1 1
1 1 2 1 1 2 1 0
1 2 2 2 2 2 2 0
1 2 2 1 1 1.2 2 1
1 2 2 2 1 2 2 0
1 2 2 1 1 2 2 0
1 2 1 1 1 1 2 0
1 2 1 1 1 1.2 1 0
1 2 2 1 1 1 2 4
1 1 1 1 1 1 1 1
1 2 2 1 1 1.2 2 0
1 2 2 2 1 2 2 0
1 2 2 1 1 1.2 2 1
1 1 1 1 1 2 1 0
1 2 2 1 1 1 2 0
1 2 2 1 1 1 2 0
1 2 2 1 2 1.2 2 0
1 2 2 1 1 1.2 2 1
1 2 2 1 1 1.2 1 2
1 2 2 1 1 1.2 2 1
1 2 2 1 1 1.2 2 0
1 2 2 1 1 2 1 0
1 2 2 1 1 1.2 1 0
1 2 1 1 1 1.2 1 1
1 2 2 1 1 1.2 2 1
1 2 1 1 1 1.2 1 4
1 2 1 1 1 2 1 1
1 2 2 1 1 1.2 1 1
1 2 1 1 1 1.2 2 1
1 2 2 1 3 1.2 2 1
1 2 1 1 1 2 1 0
1 2 1 1 1 1.2 2 1
1 2 2 1 1 1 2 1
1 2 2 1 1 1 2 1
1 1 2 1 1 2 1 1
1 2 2 1 1 2 2 1
1 2 1 1 1 1 2 1
1 2 2 1 1 1.2 2 1
1 2 2 1 1 1.2 1 1
1 1 1 1 1 1 1 1
1 2 2 1 1 1 1 4
1 2 1 1 1 1.2 2 0
1 2 2 1 2.4 2 2 0
1 2 2 1 1 1.2 1 1
1 2 1 1 3 1.2 2 0
1 2 1 1 1 2 2 4
1 1 1 1 1 1 2 1
1 2 2 1 1 4 1 2
1 2 1 1 1 1.2 1 0
1 2 1 1 1 1 1 1
1 2 2 1 1 1.2 2 1
1 2 2 1 3 1.2 2 0
1 2 2 1 1 1 2 0
1 2 2 2 1 1.2 2 1
1 1 1 1 1 2 1 0
1 2 2 1 1 2 2 0
1 1 1 1 1 1 1 1
1 2 1 1 1 2 1 3
ASUHAN KEPERAWATAN
Sistem Persyarafan
Nyeri Dada Karakteristik Sklera Conjungtiva Pupil Reaksi terhadap cahaya Reflek Patologis
1 0 1 1 1 2 1
2 2 1 1 1 2 1
3 2 1 1 1 2 1
3 1 1 1 1 1 1
3 2 1 1 1 2 1
2 2 1 1 1 1 1
1 0 1 1 1 2 1
2 2 1 1 1 2 1
3 2 1 1 1 2 1
2 2 1 1 1 2 1
1 0 1 1 1 1 1
1 0 1 1 1 2 1
3 2 1 1 1 2 2
1 0 1 2 1 2 1
1 0 1 2 1 2 1
1 0 1 2 1 2 1
2 1 1 1 1 2 2
3 2 1 1 1 2 2
3 2 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 1
2 1 1 1 1 2 2
3 2 1 1 1 2 1
1 1 1 1 1 2 1
1 0 1 1 1 1 1
1 0 1 1 1 2 1
2 2 1 1 1 2 1
1 0 1 1 1 2 2
1 0 1 1 1 2 1
1 0 1 1 1 2 1
2.3 2 1 1 1 2 2
2 0 1 1 1 2 2
1 1 1 1 1 1 1
3 2 1 1 1 2 1
1 0 1 1 1 2 2
3 2 1 1 1 1 1
1 0 1 1 1 2 2
2 2 1 1 1 2 2
1 0 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 2
1 2 1 1 1 2 1
2 1 1 1 1 2 1
1 0 1 2 1 2 1
1 0 1 1 1 2 2
1 0 1 1 1 2 1
2 2 1 1 1 1 1
2 1 1 1 1 2 1
3 2 1 1 1 1 1
1 1 1 1 1 2 1
1 0 1 2 1 2 1
1 0 1 2 1 2 1
2 1 1 1 1 2 1
1 0 1 1 1 1 1
2 1 1 2 1 2 1
2 0 1 1 1 2 1
3 2 1 1 1 1 1
1 0 1 1 1 2 1
2 2 1 1 1 2 1
2 2 1 1 1 2 1
2 0 1 1 1 2 2
1 0 1 1 1 1 1
3 1 1 1 1 1 1
3 0 1 1 1 2 1
1 0 1 1 1 2 1
2 0 1 1 1 2 1
1 0 1 1 1 2 1
3 2 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 2
1 1 1 1 1 2 1
1 0 1 1 1 2 1
2 2 1 1 1 1 1
2 1 1 1 1 2 1
1 0 1 1 1 2 1
1 0 1 1 1 2 2
2 2 1 1 1 2 2
1 1 1 1 1 1 1
1 0 1 1 1 2 1
2 1 1 1 1 1 1
3 2 1 1 1 1 1
ASUHAN KEPERAWATAN
Sistem Perkemihan
BAK sebelum sakit BAK saat sakit Kontrol Jumlah Warna Nyeri saat BAK Distensi kandung kemih
5 4 1 2 1 1 1
3 3 1 2 1 1 1
5 5 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
6 3 1 1 1 1 1
4 4 1 2 1 1 1
3 3 1 1 1 1 1
5 5 1 2 1 1 1
6 6 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
6 5 1 2 1 1 1
6 6 1 2 1 1 1
6 6 1 2 1 1 1
6 6 1 2 1 1 1
4 4 1 2 1 1 1
6 5 1 2 1 1 1
1 1 1 2 1 1 1
4 4 1 2 1 1 1
4 3 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
6 6 1 2 1 1 1
5 4 1 2 1 1 1
7 7 1 3 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
5 5 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 1 1 1 1
5 5 1 2 1 1 1
3 3 1 2 1 1 1
10 8 1 2 1 1 1
5 4 1 2 1 1 1
5 4 1 2 1 1 1
4 4 1 2 1 1 1
4 3 1 3 1 1 1
5 4 1 2 1 1 1
5 5 1 2 1 1 1
3 3 1 2 1 1 1
4 3 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
6 6 1 2 1 1 1
6 5 1 2 1 1 1
5 5 1 2 1 1 1
4 4 1 1 1 1 1
6 3 1 2 1 1 1
6 6 1 2 1 1 1
6 3 1 2 1 1 1
6 6 1 2 1 1 1
6 5 1 2 1 1 1
6 5 1 2 1 1 1
6 6 1 2 1 1 1
5 4 1 2 1 1 1
8 6 1 2 1 1 1
3 3 1 2 1 1 1
1 0 1 2 1 1 1
5 4 1 2 1 1 1
4 4 1 2 1 1 1
5 5 1 2 1 1 1
4 4 1 2 1 1 1
7 6 1 2 1 1 1
4 3 1 1 1 1 1
5 4 1 2 1 1 1
7 6 1 2 1 1 1
4 4 1 2 1 1 1
4 4 1 2 1 1 1
6 5 1 2 1 2 1
4 4 1 2 1 1 1
5 3 1 2 1 1 1
4 4 1 2 1 1 1
7 6 1 2 1 1 1
6 2 1 2 1 1 1
7 6 1 2 1 1 1
4 4 1 2 1 1 1
5 5 1 2 1 1 1
4 4 1 2 1 1 1
5 4 1 2 1 1 1
4 4 1 2 1 1
4 3 1 1 1 1 1
4 3 1 2 1 1 1
Nyeri Pinggang Benjolan Terpasang Alat BAB sebelum sakit BAB saat sakit Kontrol Konsistensi
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 2 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 2 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 2 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
2 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 1 1 2
1 1 1 1 0 1 2
1 1 1 1 0 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 1
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 1 2
1 1 1 1 1 2 1
1 1 1 1 0 1 2
Sistem Pencernaan
Warna Lendir Mual/Muntah Kembung Bising Usus Pembesaran Hepar Nyeri tekan Porsi makan
1 1 2 1 2 1 1 3
1 1 1 1 2(4) 1 1 1
1 1 2 1 2(6) 1 1 3
1 1 1 1 1 1 1 3
1 1 1 1 2(8) 1 1 3
1 1 1 1 2(20) 1 1 3
1 1 1 1 2(15) 1 1 2
1 1 1 1 2(14) 1 1 3
1 1 2 1 2(10) 1 1 3
1 1 1 1 2(14) 1 1 3
1 1 2 1 1 1 1 3
1 1 1 1 2(15) 1 1 3
1 1 1 1 2(12) 1 1 3
1 1 1 1 2(8) 1 1 4
1 1 1 1 2(8) 1 1 2
1 1 1 1 2(8) 1 1 4
1 1 1 1 2 1 1 2
1 1 1 1 2(12) 1 1 4
1 1 1 1 2(10) 1 1 4
1 1 1 1 2(10) 1 1 1
1 1 1 1 2(10) 1 1 2
1 1 2 1 2(15) 1 1 3
1 1 1 1 2(15) 1 1 2
1 1 1 1 2(12) 1 1 4
1 1 2 1 2(10) 1 1 4
1 1 1 1 2(20) 1 1 3
1 1 2 1 1 1 1 3
1 1 1 1 1 1 1 2
1 1 1 1 2(10) 1 1 3
1 1 1 1 2 1 1 2
1 1 1 1 2(15) 1 1 3
1 1 2 1 2(20) 1 1 3
1 1 2 1 2(12) 1 1 3
1 1 1 1 1 2 1 3
1 1 1 1 1 1 1 2
1 1 2 1 2(10) 1 1 4
1 1 1 1 2(8) 1 1 2
1 1 1 1 1 1 1 3
1 1 2 1 1 1 1 3
1 1 1 1 1 1 1 3
1 1 1 1 2(14) 1 1 2
1 1 1 1 2(10) 1 1 2
1 1 1 1 2(10) 1 1 3
1 1 1 1 2(8) 1 1 3
1 1 1 1 2(15) 1 1 3
1 1 2 1 2(8) 1 1 4
1 1 1 1 1 2 1 2
1 1 1 1 2(10) 1 1 3
1 1 1 1 2(20) 1 1 3
1 1 1 1 2(15) 1 1 3
1 1 1 1 2(20) 1 1 3
1 1 1 1 1 1 1 2
1 1 1 1 2(12) 1 1 2
1 1 2 1 2(10) 1 2 3
1 1 1 1 2(10) 1 1 3
1 1 2 1 1 2 1 2
1 1 2 1 2(10) 1 1 4
1 1 1 1 2(14) 1 1 2
1 1 1 1 1 1 1 3
1 1 1 1 1 2 2 2
1 1 1 1 2(15) 1 1 3
1 1 1 1 2(20) 1 1 3
1 1 1 1 2 1 1 2
1 1 1 1 2(12) 1 1 2
1 1 1 1 2(28) 1 1 1
1 1 1 1 2(10) 1 1 4
1 1 2 1 2(8) 1 2 3
1 1 1 1 2(15) 1 1 2
1 1 1 1 2(15) 1 1 2
1 1 1 1 2(8) 1 1 1
1 1 2 1 2(15) 1 1 3
1 1 1 1 2(30) 1 1 3
1 1 1 1 2(15) 1 1 2
1 1 1 1 2(9) 1 2 3
1 1 1 1 2(20) 1 1 3
1 1 1 1 2(8) 1 1 1
1 1 2 1 2(10) 1 1 2
1 1 1 1 1 1 1 3
1 1 1 1 2 1 1 2
1 1 1 1 1 1 1 2
1 1 2 1 2(15) 1 1 3
1 1 1 1 2(28) 1 1 4
1 1 1 1 2(20) 1 1 3
Tulang-Otot-Integumen
Turgor Kulit Keadaan Kulit Odem Ekstremitas Terpasang infus Kekuatan otot Aktifitas Kebersihan
1 0 4 3 4444 2
1 0 1 2 5555 1
1 0 1 2 5555 1
1 0 1 2 5544 1
1 0 1 2 baik 1
1 0 1 3 4444 1
1 0 1 2 4433 1
1 0 1 3 4444 1
1 0 1 2 baik 1
1 0 1 3 5555 1
2 0 2 2 4444 1
1 0 1 2 4444 1
1 0 1 3 baik 1
1 0 1 3 4444 1
1 0 1 3 4444 1
1 0 1 1 4444 1
1 0 1 2 cukup 1
1 0 1 3 baik 1
1 0 1 3 4444 1
1 0 1 3 4444 1
1 0 1 3 5555 1
1 0 1 2 4444 1
1 0 1 2 4444 1
1 0 1 2 4444 1
1 0 1 2 4444 1
1 0 1 3 4444 1
1 2 2 5544 1
1 0 1 2 cukup 1
1 0 1 2 baik 1
1 0 1 2 4444 1
1 0 4 2 4444 1
1 0 1 2 5555 1
1 0 1 3 4444 1
1 0 1 3 4444 1
1 0 1 2 baik 1
1 0 1 3 4444 1
1 0 1 2 5555 1
1 0 1 3 5555 2
1 0 1 1 5555 1
1 0 1 3 4444 1
1 0 1 3 4444 1
1 0 1 2 4444 1
1 0 1 2 5555 1
1 0 1 3 4444 1
1 0 1 2 4444 1
1 0 1 2 5555 1
1 0 1 2 5555 2
1 0 1 3 4444 1
1 0 1 2 4444 1
1 0 2 2 4444 1
1 0 1 3 4444 1
1 0 1 1 5555 1
1 0 1 3 3344 1
1 0 1 3 5555 1
1 1 2.4 2 4444 1
1 0 1 1 4444 1
1 0 4 3 5544 1
1 0 1 2 5555 1
1 0 1 3 5555 2
1 0 1 2 4444 1
1 0 1 2 4444 1
1 0 1 3 5555 2
1 0 1 2 4444 1
1 0 1 3 4455 2
1 0 1 2 5555 1
1 0 1 3 4444 1
1 0 1 3 4444 1
1 0 2 2 3333 1
1 0 1 2 4444 1
1 0 4 3 4444 1
1 0 1 2 4444 1
1 0 1 3 5555 1
1 0 1 3 4444 1
1 0 1 2 4444 1
1 0 1 3 4444 1
1 0 1 3 5555 2
1 0 4 2 4444 1
1 0 1 3 5544 1
1 0 1 2 4444 1
2 0 2,3,4,5 2 4433 1
1 0 1 2 5555 1
1 0 1 3 4444 1
1 0 1 3 4444 1
110/70 90 37 24
130/90 98 36 26
110/60 98 36 22
110/80 120 36 34
170/80 80 36 20
130/80 100 37 32
140/80 100 37 26
140/80 100 36 30
150/80 128 36 27
110/70 120 36 28
110/80 100 36 40
110/80 88 36 24
110/70 74 36 36
116/66 99 37 23
100/70 100 37 30
140/100 122 36 25
110/70 92 37 28
100/70 78 36 32
140/90 100 36 30
110/80 100 37 26
110/70 94 37 28
110/80 100 37 30
110/90 90 37 36
120/90 98 38 40
130/80 90 36 30
120/80 84 36 24
110/80 100 37 32
110/70 84 37 32
140/90 92 37 32
130/90 88 37 28
100/80 122 36 32
120/90 94 36 28
100/70 84 38 32
130/80 80 36 20
100/70 120 38 28
130/80 140 36 32
110/70 88 37 20
110/70 88 37 30
110/70 100 37 32
170/90 84 36 28
140/90 122 37 30
120/70 95 36 25
120/80 80 36 24
130/90 112 36 24
150/80 130 36 24
140/100 100 37 36
130/90 100 37 26
110/70 90 36 26
100/60 90 37 26
150/80 60 37 24
140/80 96 36 28
130/70 95 36 20
130/90 94 37 32
110/70 84 37 26
90/70 122 35 41
120/80 80 36 26
160/100 120 37 30
90/60 120 36 24
170/100 88 36 26
100/70 80 36 28
150/100 100 37 40
130/80 88 37 24
90/60 84 37 28
100/60 120 38 28
160/90 96 36 26
150/100 100 36 28
96/68 98 36 23
150/100 100 36 38
140/100 100 37 36
150/90 140 37 36
170/100 96 37 22
110/80 88 36 38
100/60 100 36 24
130/80 120 39 40
110/80 110 36 28
120/80 88 37 24
110/80 80 37 28
160/90 88 36 28
110/70 92 37 28
110/70 110 36 32
120/80 100 36 26
110/80 110 36 26
120/80 120 36 34

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