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  • Lembar Monitoring Kemoterapi

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    Ummul Hidayah
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    The document appears to be monitoring sheets for several cancer patients undergoing chemotherapy. It includes details such as patient name and age, diagnosis, chemotherapy drugs and schedule, and side effects monitoring over multiple cycles of treatment. Key information includes monitoring of methotrexate, vinblastin, adriamisin and cisplatin treatment for a patient with breast cancer; bleomycin, etoposide and cisplatin treatment for a testicular cancer patient; and AMD and VCR treatment for Wilms tumor patients, including surgery details. Side effects like nausea, vomiting, fever and lab results are tracked at various timepoints.

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    kemoterapi

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    The document appears to be monitoring sheets for several cancer patients undergoing chemotherapy. It includes details such as patient name and age, diagnosis, chemotherapy drugs and schedule, and side effects monitoring over multiple cycles of treatment. Key information includes monitoring of methotrexate, vinblastin, adriamisin and cisplatin treatment for a patient with breast cancer; bleomycin, etoposide and cisplatin treatment for a testicular cancer patient; and AMD and VCR treatment for Wilms tumor patients, including surgery details. Side effects like nausea, vomiting, fever and lab results are tracked at various timepoints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    37 views5 pages

    Lembar Monitoring Kemoterapi

    Uploaded by

    Ummul Hidayah
    The document appears to be monitoring sheets for several cancer patients undergoing chemotherapy. It includes details such as patient name and age, diagnosis, chemotherapy drugs and schedule, and side effects monitoring over multiple cycles of treatment. Key information includes monitoring of methotrexate, vinblastin, adriamisin and cisplatin treatment for a patient with breast cancer; bleomycin, etoposide and cisplatin treatment for a testicular cancer patient; and AMD and VCR treatment for Wilms tumor patients, including surgery details. Side effects like nausea, vomiting, fever and lab results are tracked at various timepoints.

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    © All Rights Reserved
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    of 5

    LEMBAR MONITORING

    Nama Pasien: Umur: thn MVAC seri


    Alamat :
    No.telepon :
    Diagnosis : Ca Buli-buli T: N: M:
    PA :

    H-1 H-2 H-15 H-22


    TANGGAL
    Dokter penanggung
    jawab
    Methotrexate + - + +
    Vinblastin - + + +
    Adriamisin - + - -
    Cisplatin - + - -
    Efek samping:
    - Mual-muntah + / - + / - + / - + / -
    - Pusing + / - + / - + / - + / -
    - Anoreksia + / - + / - + / - + / -
    - Demam + / - + / - + / - + / -
    Laboratorium
    HB
    Leukosit
    Trombosit
    Ureum
    Kreatinin
    SGOT
    SGPT
    Na
    K
    Albumin

    LEMBAR MONITORING
    Nama Pasien: Umur: thn PEB siklus ke :
    Alamat :
    No.telepon :
    Diagnosis : Ca Testis kanan/kiri T: N: M:
    PA :

    H-1 H-2 H-3 H-4 H-5 H-9 H-16


    TANGGAL
    Dokter penanggung
    jawab
    Bleomysin - + - - - + +
    Etoposide + + + + + - -
    Cisplatin + + + + + - -

    Efek samping:
    - Mual-muntah + / - + / - + / - + / - + / - + / - + / -
    - Pusing + / - + / - + / - + / - + / - + / - + / -
    - Anoreksia + / - + / - + / - + / - + / - + / - + / -
    - Demam + / - + / - + / - + / - + / - + / -
    + / -
    Laboratorium
    HB
    Leukosit
    Trombosit
    Ureum
    Kreatinin
    SGOT
    SGPT
    Na
    K
    Albumin

    LEMBAR MONITORING
    Nama Pasien: Umur: thn PMB siklus ke :
    Alamat :
    No.telepon :
    Diagnosis : Ca Penis T: N: M:
    PA :

    H-1 H-8
    TANGGAL
    Dokter penanggung
    jawab
    Bleomysin + +
    Methorexate + +
    Cisplatin + -

    Efek samping:
    - Mual-muntah + / - + / -
    - Pusing + / - + / -
    - Anoreksia + / - + / -
    - Demam + / - + / -
    Laboratorium
    HB
    Leukosit
    Trombosit
    Ureum
    Kreatinin
    SGOT
    SGPT
    Na
    K
    Albumin

    LEMBAR MONITORING
    Nama Pasien: Umur: thn Siklus ke :
    Alamat :
    No.telepon :
    Diagnosis : Tumor Wilms non operable T: N: M:
    PA :

    AMD
    VCR
    Hari 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Tgl
    PJ

    CT Scan operasi
    ( kalau
    sudah operable,kalau tidak teruskan terapi)

    AM Free Free
    D interval interval
    VCR 6 6
    Hari 31 32 33 34 35 36 37 38 39 40 41 42 43 minggu 0 1 2 3 4 5 6 7 minggu
    Tgl Total
    PJ siklus 5

    LEMBAR MONITORING
    Nama Pasien: Umur: thn Siklus ke :
    Alamat :
    No.telepon :
    Diagnosis : Tumor Wilms operable T: N: M:
    PA :
    AM
    D
    VC
    R
    Har 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    i
    Tgl
    PJ
    Operasi
    KRS

    AM Free interval 6 minggu


    D Kemudian MRS kembali, ulangi prosedur
    VC 5 siklus
    R
    Har 0 1 2 3 4 5 6 7
    i
    Tgl
    PJ
    MRS Lab KRS

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