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Nama :

11.30

12.00
28
129
37.0

12.30

13.00

13.30

D10 50 cc

Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

Tanggal: 20/4/2013
14.30

15.30

16.30

17.30

18.30
28
126
36.8

19.30

20.30

21.30

22.30

23.30

24.30

01.30

02.30

03.30

04.30

05.30

06.30
30
130
36.8

+
50cc

+
50cc

+
50cc

+
50cc

+
50cc

90cc

+
50cc

90cc

+
50cc

90cc

50cc

90cc

50cc

90cc

90cc

90cc

90cc

90cc

8500 gram

Tanggal:21/4/2013

07.00

08.00

09.00
26
128
37.0

1x50
25cc

90cc

10.00

11.00

12.00

13.00

14.00

15.00

16.00

17.00

1x75
-

90cc

90cc

90cc

18.00

19.00

1x50
50cc
90cc
8500 gram

90cc

20.00

21.00
32
128
37.1

22.00

1x50
50cc
90cc

90cc

23.00

24.00

01.00

02.00

03.00

04.00

05.00

06.00

90cc

Nama:

90cc

90cc

90cc

Tanggal:22/4/2013
07.00

08.00

09.00

1x40
-

2x60
+

10.30
D10 40cc + RLG 5% gtt 40/m
+ ReSoMal 50cc via NGT

Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

08.30

1x30
+

Nama:
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

07.30

11.30
28
136
36.1

12.30
28
136
36.1

13.30
26
130
36.0

+
50cc

+
50cc

90cc

14.30
25
130
36.4

1x200
+
45cc

15.30
26
130
36.4

+
50cc

16.30
24
128
36.6

1x400
+
90cc

17.30
26
126
36.6

18.30
24
128
36.6

19.30

+
50cc

+
30cc

90cc
8500 gram

20.30

2x20
+
60cc

21.30
26
128
36.6

22.30

23.30

+
30cc

90cc

24.30
28
126
36.8

1x40
+
450cc

01.30

+
30cc

02.30

1x45
+
45cc

03.30
26
126
37.0

+
40cc

04.30

05.30

06.30

1x30
+

60cc

18

Nama:
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

Tanggal: 23/4/2013

07.00
26
122
37.0

08.00

09.00

10.00

11.00

12.00

13.00

14.00

15.00

16.00

17.00

18.00

19.00

20.00

21.00

22.00

23.00

24.00

01.00

02.00

03.00

04.00

05.00

06.00

50cc
30cc

50cc
30cc

30cc

30cc

30cc

50cc
30cc

30cc

50cc
30cc

30cc

30cc

39

90cc

30cc

30cc

30cc

30cc

30cc

1x 30
50cc
30cc

1x40
50cc
30cc

30cc

30cc

50cc
30cc
30cc
8400 gram

30cc

Nama:
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

Tanggal: 24/4/2013

07.00

08.00

09.00

10.00

11.00

12.00

13.00

14.00

15.00

16.00

17.00

18.00

19.00

30cc

45cc

45cc

45cc

45cc

45cc

45cc

45cc

45cc

45cc

45cc

30cc
45cc
45cc
8500 gram

20.00

21.00

22.00

23.00

24.00

01.00

02.00

03.00

04.00

05.00

06.00

30cc
45cc

45cc

30cc
45cc

45cc

30cc
45cc

45cc

45cc

45cc

45cc

45cc

45cc

04.00

05.00

06.00

Nama:
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

07.00

Tanggal: 25/4/2013
08.00

09.00

45cc

45cc

10.00

11.00

90cc

12.00

13.00

90cc

14.00

15.00

90cc

16.00

17.00

90cc

18.00

19.00

50cc
8700 gram

20.00

21.00

50cc

22.00

23.00

90cc

24.00

01.00

02.00

90cc

03.00

90cc

19

Nama
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

tanggal: 26/4/2013
07.00

08.00

09.00

90cc

10.00

11.00

90cc

12.00

13.00

90cc

14.00

15.00

90cc

16.00

17.00

90cc

18.00

19.00

90cc
8800 gram

20.00

21.00

90cc

22.00

23.00

90cc

24.00

90cc

Nama:
Monitor
Waktu
Pernafasan
Nadi
Temperatur
Urin
Frek BAB
Frek. Muntah
Tanda Dehidrasi
Asupan Resomal
Asupan F75
BB

07.00

01.00

02.00

03.00

90cc

04.00

05.00

06.00

05.00

06.00

90cc

tanggal:27/4/2013

08.00

90cc

09.00

10.00

90cc

11.00

12.00

130cc

13.00

14.00

130cc

15.00

16.00

130cc

17.00

18.00

19.00

130cc
8800 gram

20.00

130cc

21.00

22.00

130cc

23.00

24.00

130cc

01.00

02.00

130cc

03.00

04.00

130cc

20

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