Lembar Monitoring

VITAL SIGN RR SUHU TD/N

52 43 240
SISTOLIK ˅

48 42 220

DIASTOLIK ˄
44 41 200

40 40 180

36 39 160
NADI •
Merah
32 38 140
Hemodinamik

28 37 120
SUHU r
Biru
24 36 100

20 35 80

RR =
16 34 60
Hijau

12 33 40

Kesadaran
Irama EKG
Skala nyeri RASS
CVP
SaO2

Mode Ventilator
PERNAFASAN

PEEP/CPAP

RR

TV

FiO2

Waktu
HASIL AGD

pH
pCO2
HCO3
SaO2
BE
Mata
Ukuran Pupil
NEURO

Reaksi
Kaki
Tangan

GCS EMV

ORAL
 PARENTERAL
MEDIKASI
ENTERAL
PARENTERAL

Total Input
NGT/Muntah

Urine
KELUAR

BAB

Drain

Total Output
Balance Cairan / 3 jam I = I = I = I = I = I = I = I =

O = O = O = O = O = O = O = O =
 BC = BC = BC = BC = BC = BC = BC = BC =
Balance Cairan / 24 jam I = Urin / Jam = Cc/KgBB Jam Urin / Jam = Urin tampung

O = BB x 24

BC =