E.

Development notes

Time DX Development notes Signature

19 -12-2017 1 S : Patient said that he still felt crowded and pounded
11.30 WIB O: the patient still looks pale
 BP : 140/80 mmHg
 P : 88 t/s
 T: 36,8°C
 RR :27 t/s
 HB: 8,8 gr/dl
A: Peripheral tissue perfusion problems had not been resolve
P :continue the intervention 1,2,3,4

S:Patien said that he felt lack appetite and nausea

O :Patient only ate ¼ porridge from the hospital
11.50 WIB 2 A :The problem had not been resolve
P : Continue the intervention 1,2,3,4
20-12-201 1 S: patient said that he felt little crowded
15.00 WIB O: the patient still looks pale
 BP : 130/90 mmHg
 P : 80 t/s
 T: 36,3°C
 RR :25 t/s
 HB: 8,9 gr/dl

A: The problem had not been resolve

P: Continue the intervention 1,2,3,4

15.30 WIB 2 S :Patient said that the appetite incteases and not nauseated
O: Patient only ate ½ porridge from the hospital
A: The problem had not been resolve
P: Continue the intervention 1,2,3,4

21-12-2017 1 S:Patient said that he felt not crowded

09.00 WIB O: Patient did not look pale
A :The problem had been resolving
P :Maintain the intervention

21-12-2017 2 S: Patient said that the appetite incteases and not nauseated
09.30 O: The patient spends food from the hospital and it’s not limp
A: problem had been resolving
P: Maintain the intervention