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Pengkajian by Dena Eka P
Pengkajian by Dena Eka P
I. BIODATA
A. Patient Identity
Name : Ny.Y
Age : Seventeen Years
Gender : Women
Marital status : Single
Education : Students Nurse
Profession :-
Address : Sungai Penuh
Hospital Date : Thirteen-June-Two Thousand Twenty
No. Register :-
Room / Room :
Blood group :A
Date of Assessment : Forteen-June-Two Thousand Twenty
Medical diagnosis : Gastritis
B. The past
- Allergy
There is no
- Siblings
There is no
- Cause of death
There is no
V. PHYSICAL EXAMINATION
A. General conditions
Weak
B. Vital signs
TD : 100/80 mmHg RR : 21x/Menit
Temperature : 37,5 c BB : 45 cm
Pulse : 100x/Menit TB : 170 cm
NURSING DIAGNOSES
- Acute pain b / d biological injury agent d / d patients say uluhati pain, pain
disappeared and the patient looked grimaced and limp with pain scale 3
NURSING PLAN
IMPLEMENTATION