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Balance Cairan : cc

No. RM : BALANCE CAIRAN


Nama : L/P
Umur : tahun
Ruang :
Diagnosa :

Tanggal Waktu BAB BAK Muntah IWL Total Balance Total Makan Minum IVFD BB LPD LPB

Keterangan :
BAB 0
Keras / = 0
Biasa = 50 cc / c
50 cc / muntah c
BAB Makan
BAB Balance
Mencret = Sirosis (-)
100 cc / 0 cc CKD/GGK (+)
= makan Pemberian Diuresis (-)
100 cc / IWL Oedem (Minimal) + Ascites
250 cc
BAB (Insensi (Minimal)
----------- ble 500 cc Oedem / Ascites
----------- Water 1000 cc Oedem + Ascites
----------- Loss)
-----------  N
-------- o
BAK r
Aqua m
Besar = a
1500 cc l
BAK
Aqua = 20 gtt/I makro
Sedang= 5 10 gtt/I makro
600 cc 0
BAK 0 20 gtt/I mikro
Aqua c 10 gtt/I mikro
Kecil = c
240 cc  D 1 gtt/I makro = 3 gtt/I makro
----------- e
----------- m
----------- a
----------- m
--------
Muntah =
6

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