FORMAT LAPORAN RESUME & MINI CEX AL PRINGKASIAN 1. IDENTITAS KLIEN Nama Kien ENR Usia +80 tahun Jenis Kelamin : forempuan “Tanggl Mauk 6h fross ‘No. Register 1 Ob 58-19 Diagnosa Medik GEA F Hipoxatemia FBuipenta + Bw SLE 2. ALASAN MASUK BAB TAT resrn 2 nnpou berate Sehari BAB Blox r untah SelaK 4 hae terontte 3% demam sea 9 minou teraktir, hilang Fenbul 3, KELUHAN UTAMA BAG dan rountah car Dipindai dengan CamScanner4, PEMERIKSAAN HEAD TO TOE. [Keadann = ies «(m4 1D! 160 fn ny NH RA: 206 36-9 p00: BBY fet, walt Kegan rsh evobu ito “thn dann ann errs ROKOT (1 rma td met ‘Aint banns pomihaon Souetrit verucnga, beroh, Fidox ade Pr dow ada rapes cupig taba rer rrgwap: oir Kong, Sowa fda cela . + peadexgarae normal, bese Site, bert dn ada terumen, rdw ada mop rehe9e Fito ada pontecaran selene Hr, Flaw ada Pumwesaran Inge, ndew wat tvlan vp haan rst S Preuspary 1 sumctre, Pemembaroan dada Kanan ws cama ara venwuter O“aI Prem wana a fame fonor “ta cede la tpn hhdnw adeno reine seed Ps bx t don upp 1 mena wae Cena rniau oa fut Somes 1 Puitavic meninent 40s Zen P= farrtonpant pont xem Furr alt How nuns Kent data den + rida a Odea Ka aga elounan, Hla merosuncvtan Felana MArere, hhdgu eda hemoroid ante nen tt ~ sJantung, 1B TERAPIMEDIS Rantisdine tmp 3% (iM) erowlepranta (amp 3x (04) ew dente, 2 tab p-0 Lcalrton ax tae °-0 ‘Asani folst 3% | tab 9 Blenat 3x1 tab po Calts 361 bee PO Hah AKe 3x Ls | use abdomen J nnctesi ove » x Cae Lon) Dipindai dengan CamScannerC.ANALISA DATA (Re. Date oie Fein 0 br Px mmengatanan Thoen rorcedera | Kiyen Anuit ches daw fran 846. [BU Penryn emirong ergy eetum dan veer aoa le sar our ran bs teang br i rt [Po = exspren px renahon raat ee mest Hom fens - petal 40 ese hv =: 647m my es so0/m vr 309 o Hs 00% tere meninnnn 848 | ceblanyan | Hipvolesia ear EBrior teres, mwas aig Jenene cine we jon feria decom manta 3 fo «rarer nau enum ramata vie ro haetv meant -petemar 9 @ os: nm pronegntacan | . fesiutes ona eomaian | inineran Purintas lo = dewiaet sunminga Toei ice Seg = tii dona Pr teenie Yenae Dipindai dengan CamScannerDIAGNOSA KEPERAWATAN A. nvei Amit b/d Agun Pencedera beionlt 2, HifwUoleon b/d Ieebtlangan Cowan Aap 3. (ntoleranys Aunutar b/d kelemaban BK, RENCANA KEPERAWATAN Vari No | ta] sox SUKI SIKI cae, OU | ayes nat Teawat Wver Cx ob0e6) | MMnasem en Myer T ea) } F HiqruKantindanan [Et MeaKFieAst onan, navnarenin, ‘Afrss\(0.0071) |Fetelnk diamurantndana: leurass, prenuenss, nunnwar, intents myer eperawaran 1x24 sam lharapkan hngxet nyeri Imemnbark denoan Keiteria hart it Ranma fret [n4 Fauntenl trvenar dan rdu apo 5 Wotavorast Pera ' ras! Pensberian anallyehie Is Geltiae 1a pert 2 Iden Kerman reain nyeri |. envi ficast pacter 9 voempdannain Jan enenapereernt yen et 1. Mentburu cup mumburix 5. sede 4. camup enennbonn, 5. membate Hupoidemia | status CatcamCe: 020281 | manayemten Hrpovolema 0.0025) |feretan auaxukan firdakan |(1. 93116) K. merrenita tarda dan 15" Py mennatakan BAB JouAtn hipovolenra Cate £8 fox sberampat, wowrng avtonttnr kane dan — [cower Kewununaan elicert al eauntan| learram 5x |23 mempencan acupan [Pe i-furnor Multt menurun, basin od aloe Vie kong 4 Berwaoray ponte | MAF minwan monutin jcatran isomontt Cwact) ee ~tunu 369% , TR: 72deme ae InFaues 50 utpur + 500 mi = tay Wael 019%. Ys Ore He: ove ovat He : 3605 9 Dipindai dengan CamScannerVarid ‘Tangeal? Jam Diagnose Anplementas Fvalunsi Respon 11 intoterny| 1 reerqdenniprkan Auruatay [209944 Frnt tub ¥9 menyawbarkan (0. Jictetmnan 12 wemonttor pola cer 09 tur -5 menonnjurwan Fras leavivy bs 4 Berwornberass dn alti Jot vantang care Meminnuarien aueAan le akanan De: Pe mena roman annurer Wf diane Karna Px emer tutus’ Juan px Menon aman shiny Mur ar jam 2200 dewpan wats £6 Jam Po Pe Aisunpl sunmumya * roilerten aibanty = molahtati dibmnte = PF terbaring (war Dipindai dengan CamScannerG, EVALUASL KEPERAWATAN Mari? oe ae aa i v NO} Tanggatdam | isenose 5: Pr mtnonraan n70> pada peuiny 0 O — Jerucaag ain Hu Pen Anat Hipewblenae © unteranst Pranuter 4" J a 5 di it Ie IP = PF means menaran taut + Pr rneamenane) bewnan persinys = perntainn A0% fn, Wyte Miu} belum Heratag ~Ketwhan wren (3) = merinolt (3) - Geluan (3) & [aterventi diaayutnas + Pr meatatannn maith runtal 4x dan BAB cAI Ox berampar, warna Comat Menunngnn Cwrorr wait neenurey = muon bieirnerny = RAPTU Pawan wcnuunun + Pr temas = funn 369% i + Hyyovdlenun belum tevabatt ~ Freuenn aadi (3) = farmer wat =| 2) = Temanan daral (3) Madar Hb (5) Madar He ¢ 5) + revert atany ura Bunn Py monpnrakan Pr mast Lemar lon haus cibanks aurivitarn7a, = maua lervagi fuewinr = touehing aout = molalirari Alvan + Px Fervavring temas : Unirlerans! aucavitar oelurm feratast -Keuudahan aaiau senvguarcan nu ulin} ‘enact-han (3) = Heluban tele (37 tnrerven tant ean = Dipindai dengan CamScanner