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  • Followup Referat CHF

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    Edwin Yosua
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    This document records the follow up of a patient from December 31st, 2013 to January 13th, 2014. It includes daily records of the patient's subjective symptoms, objective vital signs and measurements, assessments of their conditions which included congestive heart failure and asthma, and the planned treatments. Over this period, the patient's conditions were monitored and treatments such as IV fluids, medications, and nebulizers were adjusted as needed.

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    FOLLOWUP REFERAT CHF.doc

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    This document records the follow up of a patient from December 31st, 2013 to January 13th, 2014. It includes daily records of the patient's subjective symptoms, objective vital signs and measurements, assessments of their conditions which included congestive heart failure and asthma, and the planned treatments. Over this period, the patient's conditions were monitored and treatments such as IV fluids, medications, and nebulizers were adjusted as needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views2 pages

    Followup Referat CHF

    Uploaded by

    Edwin Yosua
    This document records the follow up of a patient from December 31st, 2013 to January 13th, 2014. It includes daily records of the patient's subjective symptoms, objective vital signs and measurements, assessments of their conditions which included congestive heart failure and asthma, and the planned treatments. Over this period, the patient's conditions were monitored and treatments such as IV fluids, medications, and nebulizers were adjusted as needed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    IX.

    FOLLOW UP
    31 Desember 2013

    1 Januari 2014

    2 Januari 2014

    3 Januari 2014

    4 Januari 2014

    5 Januari 2014

    6 Januari 2014

    +
    +
    +

    +
    +
    +
    +

    <
    <
    <

    +
    <
    <

    +
    <
    <

    <
    <
    +
    +

    +
    <
    +

    60
    28
    36,8
    90/60

    63
    22
    36,3
    100/70

    74
    23
    36,4
    120/80

    90
    24
    36,2
    170/100

    64
    24
    36,6
    120/80

    64
    23
    36,6
    110/70

    74
    24
    36,3
    130/80

    ASSESMENT

    CHF Fc III

    CHF Fc III

    CHF Fc III

    CHF Fc III

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    PLANNING

    IVFD NaCl 0,9% :


    RL 1:1 10 tts/mnt
    O2 2 lpm KP
    Inj. Ranitidine 2x1
    PO Antasid 3xIC
    PO Salbutamol 3x4
    mg
    PO Ambroxol 3xIC

    Inj. Ceftriaxone
    2x1gr (ST)
    Th/ lain lanjut

    Th/ lanjut

    Salbutamol Stop
    Inj Furosemid 1-0-0
    PO Aspar K 3x1
    PO Bisoprolol 1x
    PO Amlodipine 5mg
    100
    Th lain lanjut

    Amlodipin stop ganti


    PO Captopril 25mg
    3x1
    Nebu Ventolin:NaCl
    2x/hari
    PO Kapsul Garam
    3x1caps
    Th lain lanjut

    Th/ lanjut

    Ceftriaxone ganti
    Cefixime 2x100 mg
    Th lain lanjut

    SUBJEKTIF
    Sesak nafas
    Nyeri dada
    Nyeri ulu hati
    Batuk
    OBJEKTIF
    Tanda vital
    N (x/mnt)
    RR (x/mnt)
    T (0C)
    TD (mmHg)
    BB (kg)
    Input (cc)
    Output (cc)

    7 Januari 2014

    8 Januari 2014

    9 Januari 2014

    10 Januari 2014

    11 Januari 2014

    12 Januari 2014

    13 Januari 2014

    <
    <
    <

    <
    <
    <
    +

    <
    <
    <

    +
    <
    <

    +
    <
    <

    <
    <
    +
    +

    +
    <
    +

    60
    28
    36,8
    90/60

    63
    22
    36,3
    160/100

    74
    23
    36,4
    140/70

    90
    24
    36,2
    170/100

    64
    24
    36,6
    120/80

    64
    23
    36,6
    110/70

    74
    24
    36,3
    130/80

    ASSESMENT

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    CHF Fc III-IV
    Asma Cardiale
    Hipokalemia

    PLANNING

    Th/ lanjut

    Th/ lain lanjut

    Th/ lanjut

    Th/ lanjut

    SUBJEKTIF
    Sesak nafas
    Nyeri dada
    Nyeri ulu hati
    Batuk
    OBJEKTIF
    Tanda vital
    N (x/mnt)
    RR (x/mnt)
    T (0C)
    TD (mmHg)
    BB (kg)
    Input (cc)
    Output (cc)

    Th/ lanjut

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