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  • Follow Up DM

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    Rohman Noby
    9 views2 pages
    This document contains a flow sheet for a patient named Ny. S who was admitted to the hospital for diabetes mellitus type 2. Over the course of 9 days, the patient presented with symptoms of weakness, dizziness, and back pain. Medical observations and lab results were recorded daily. The diagnosis remained diabetes type 2 and treatment involved intravenous fluids, antibiotics, antacids, and insulin therapy. By day 9, blood glucose levels had stabilized within the target range and the patient was discharged from the hospital.

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    This document contains a flow sheet for a patient named Ny. S who was admitted to the hospital for diabetes mellitus type 2. Over the course of 9 days, the patient presented with symptoms of weakness, dizziness, and back pain. Medical observations and lab results were recorded daily. The diagnosis remained diabetes type 2 and treatment involved intravenous fluids, antibiotics, antacids, and insulin therapy. By day 9, blood glucose levels had stabilized within the target range and the patient was discharged from the hospital.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    9 views2 pages

    Follow Up DM

    Uploaded by

    Rohman Noby
    This document contains a flow sheet for a patient named Ny. S who was admitted to the hospital for diabetes mellitus type 2. Over the course of 9 days, the patient presented with symptoms of weakness, dizziness, and back pain. Medical observations and lab results were recorded daily. The diagnosis remained diabetes type 2 and treatment involved intravenous fluids, antibiotics, antacids, and insulin therapy. By day 9, blood glucose levels had stabilized within the target range and the patient was discharged from the hospital.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    1

    2.8

    Flow Sheet
    Nama

    : Ny. S

    Diagnosis : Diabetes Mellitus tipe II


    No Tanggal
    S
    1. 30-01Lemas, pusing, sakit
    2014
    punggung

    O
    TD : 140/80 mmHg
    N : 92 x/menit
    RR : 20 x/menit
    S : 36,8oC
    KU : Lemah

    A
    - Diabetes Type
    II

    P
    -IVFD : Infus NS
    20 tpm
    -Inj. Ceftriaxone
    2x1 g
    -Inj.
    Ranitidine
    2x25 mg
    -Humulin R 10-1010
    -Humulin N 0-0-20

    2.

    31-012014

    Lemas, pusing, sakit


    punggung

    TD : 140/90 mmHg
    N : 74 x/menit
    RR : 22 x/menit
    S : 37,3oC
    KU : Lemah
    GDP : 281 mgdl
    GD2PP : 289 mg/dl

    - Diabetes Type
    II

    - Terapi tetap

    3.

    01-022014

    Lemas, pusing, sakit


    punggung

    TD : 170/70 mmHg
    N : 88 x/menit
    RR : 19 x/menit
    S : 36,1oC
    KU : Lemah

    - Diabetes Type
    II

    - Terapi tetap

    4.

    02-022014

    Lemas, pusing, sakit


    punggung

    TD : 120/70 mmHg
    N : 84 x/menit
    RR : 21 x/menit
    S : 36,2oC
    KU : Lemah

    - Diabetes Type
    II

    - Terapi tetap

    5.

    03-022014

    Lemas, pusing, sakit


    punggung

    TD : 120/70 mmHg
    N : 80 x/menit
    RR : 20 x/menit

    - Diabetes Type
    II

    - Terapi tetap

    S : 35,2oC
    KU : Lemah

    6.

    04-022014

    Lemas, pusing, sakit


    punggung

    TD : 120/70 mmHg
    N : 88 x/menit
    RR : 19 x/menit
    S : 36,1oC

    - Diabetes Type
    II

    - Terapi tetap

    7.

    05-022014

    Lemas, pusing, sakit


    punggung

    TD : 120/70 mmHg
    N : 94 x/menit
    RR : 19 x/menit
    S : 36,1oC
    GDP : 327 mg/dl
    GD2PP : 316 mg/dl

    - Diabetes Type
    II

    8.

    06-022014

    Lemas, pusing, sakit


    punggung

    TD : 110/70 mmHg
    N : 88 x/menit
    RR : 19 x/menit
    S : 36,9oC
    GDP : 126 mg/dl
    GD2PP : 64 mg/dl

    - Diabetes Type
    II

    9.

    07-022014

    TAK

    TD : 120/70 mmHg
    N : 60 x/menit
    RR : 19 x/menit
    S : 36,1oC
    GDP : 115 mg/dl
    GD2PP : 105 mg/dl

    - Diabetes Type
    II

    - IVFD : NS 20
    tpm
    - Ranitidine
    2x25mg
    - Ceftriaxone 2x1 g
    - Humulin R 1414-14
    - Humulin N 0-024
    - IVFD : NS 20
    tpm
    - Ranitidine
    2x25mg
    - Ceftriaxone 2x1 g
    - Humulin R 1414-14
    - Humulin N 0-0-24
    - BLPL
    - Humulin R 1414-14
    - Humulin N 0-0-18

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