Usulan Ews Neonatus
Usulan Ews Neonatus
Tanggal
Jam 05.00 12.00 17.00 05.00 12.00 17.00 05.00 12.00 17.00 05.00 12.00 17.00 05.00 12.00 17.00 05.00 12.00 17.00 05.00 12.00 17.00
Inisial
≥38
37,6-37,9
36,5-37,5
35,0-36,4
<35
≥ 80
60-80
Pernafasan 40-59
20-39
< 20
Grunting
≥ 200
160-199
Nadi
120-159
100-119
93% - 100%
SPO2 88 % - 92 %
<88 %
Tidak pakai
Alat bantu
O2 aliran
nafas
bebas
CPAP
46-110
GDA 26 - 45
>110 / < 26
Alert/active/
awakes to feed
Irritable/
Jittery
Neurologi Poor feeding
Floppy/
difficuit to
awaken
Seizures
BB
BAB
Eliminasi
BAK
JUMLAH