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  • Early Warning Scoring System

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    Hay Moey
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    1) The document provides information on the Early Warning Scoring System (DEWASA) used at STIKES BHAKTI HUSADA MULIA MADIUN. 2) DEWASA involves assigning scores from 0-3 for various vital signs and parameters like respiratory rate, capillary refill time, oxygen saturation, blood pressure, pulse rate, temperature, and level of consciousness to calculate a total score. 3) The total score is then used to determine the patient's condition and appropriate care.

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    1) The document provides information on the Early Warning Scoring System (DEWASA) used at STIKES BHAKTI HUSADA MULIA MADIUN. 2) DEWASA involves assigning scores from 0-3 for various vital signs and parameters like respiratory rate, capillary refill time, oxygen saturation, blood pressure, pulse rate, temperature, and level of consciousness to calculate a total score. 3) The total score is then used to determine the patient's condition and appropriate care.

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    © All Rights Reserved
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    10 views1 page

    Early Warning Scoring System

    Uploaded by

    Hay Moey
    1) The document provides information on the Early Warning Scoring System (DEWASA) used at STIKES BHAKTI HUSADA MULIA MADIUN. 2) DEWASA involves assigning scores from 0-3 for various vital signs and parameters like respiratory rate, capillary refill time, oxygen saturation, blood pressure, pulse rate, temperature, and level of consciousness to calculate a total score. 3) The total score is then used to determine the patient's condition and appropriate care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    STASE MANAJEMEN PROFESI NERS

    STIKES BHAKTI HUSADA MULIA MADIUN


    Jl. Taman Praja No.25 Kec. Taman Kota Madiun telp/fax: (0351)491947

    EARLY WARNING SCORING SYSTEM (DEWASA)

    Nama Pasien No Reg


    Tanggal lahir Ruang
    Tanggal
    SKOR
    Jam
    ≤5 3
    (6 - 8) 2
    (9 - 11) 1
    RR
    (12 - 20) 0
    (x/menit)
    (21 - 24) 1
    (25 - 34) 2
    ≥ 35 3
    (1 - 2) 0
    CRT 3 1
    (detik) 4 2
    >4 3
    O2 % 0
    ≥ 220 3
    (181 - 220) 2
    Tekanan (111 - 180) 1
    Darah (101 - 110) 0
    (mmHg) (91 - 100) 1
    (71 - 90) 2
    ≤ 70 3
    ≥ 140 3
    (131 - 140) 2
    Denyut (111 - 130) 1
    nadi (91 - 110) 0
    (x/menit) (51 - 90) 1
    (41 - 50) 2
    ≤ 40 3
    Sadar 0
    Kesadaran Nyeri/verbal 1
    Unrespom 2
    ≥ 39 2
    (38,1 - 39) 1
    Suhu (°C) (36,1 - 38) 0
    (35,1 - 36) 1
    ≤ 35 2
    TOTAL SKOR
    GDA
    Parameter
    Skor nyeri
    pendukung
    Urin output

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