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By. Ny. Syarifatul/dr. N KU: Menangis kuat, gerakan Neonatal infection dd feeding KC= (100 x 2.

8) = 280 ml/24
aktif problem jam
HP 2/Usia 3 hari Ikterus Neonatorum Diet ASIP 10x10-20cc/24jam
HR : 140x/mnt BBLC, CB, SMK, Spontan Inf D10% 8 tpm (GIR= 5.5)
Menyusu kuat, sesak napas (-), T: 37.9 C
demam (+), BAK (+), BAB (+), RR: 39x/mnt
tubuh terlihat kuning, minum SpO2 : 98%
25-30 cc
BBL: 2800 gram
BBK: 2495 gram (turun 305 = >
10%)
BBS:

CNS : Reflek hisap (+)


CVS : S1>S2 reguler, Bising (-
Respirasi : dinding dada
simetris, retraksi (-), grunting
(-), suara napas vesikuler +/+
dikedua lapang paru, Downe
score 0
GIT : cembung (+), distensi (-),
BU (+) N, timpani, H/L ttb, tali
pusat segar, anus (+)
Genitalia : laki-laki
Integumen : sianosis (-), ruam
kemerahan (-), ikterik (+)
kramer 4, lanugo (-)

Hasil lab RSMS 26/7/19 pkl


13:37
Hb 17.8 / Leu 14430 / Ht 52 /
Eri 4.9 / Trom 288.000 / MCV
105.5 / MCH 36.2 / MCHC 34.3
/ RDW 16 H / MPV 10
HJ Bas 0.7 / Eos 1 / Bat 0.7 /
Seg 62.6 H/ Limf 19.5 H / Mono
15.5 H

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