Be Patie Dokte Ag Medical History Data Diet

d nt r e
1 Mr. Dr. 45 - Oliguria - BP : 150/100 - Reduce fluid
Adi Rann y/o - Hipertension mmHg Intake
y - Oedem - RR : 30x/mnt - Weight control
Pulmonaly - Pulse : - Reduce fatty
- Big Belly 90x/mnt foods
- Temp : 37,5ͦ - Drink a lot of
C water
- Weight : 80 - Give a dieuretic to
kg pass urine
- Height : 170 - Light Diet
cm
- Ureum : 380
gr/dL
2 Mr. Dr. 35 - Dizzy - BP : 100/70 - Reduce Fluid
Reza Angel y/o - Flank Pain - RR : 32x/mnt Intake
a - No appetite - Pulse : - Collaboration
- Nausea 70x/mnt with nutritionist
Vomitus - Temp : 37,5ͦ for nutrition
- Dispnea C - Eat foods that
- Weight : 60 increase HB
kg
- Height : 170
cm
- HB : 6,2
gr/dL
Group 3 :

Name of Group :

1. Dewi Atika Murni

2. Puji Hastiti
3. Qonny Annisa R
4. Yanti

Class : VII.A

Hand Over from Night Shift to Morning Shift

Nurse Qonny : Assalamualaikum good morning everyone

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Nurse (Dewi, Yanti, Puji) : Waalaikum salam, morning

Nurse Qonny : before we carryout to hand over with the next shift, lets say

Basmallah!

Nurse (Dewi, Yanti, Puji) : Bismillahirrahmanirrahim

Nurse Qonny : oke everyone, I would like to tell you. Bed 1, her name is Mr.

Adi, under Dr. Ranny, He is 45 years old, he had kidney

deasease, and he had oliguria, he has a hypertension history and
pulmonary odem, he had a big belly. He weighs 80 kg with a
height of 170 cm. Urea levels are high, is 30 gr/dL. He get a
program diet is reduce fluid intake, Weight control, Reduce fatty
food, Drink a lot of water, Give a dieuretic to pass urine, and the
last he has a Light Diet.

And, the next patien will be explain by dewi, dewi, time is yours.

Nurse Dewi : oke thankyou nurse qonny, oke everyone, I would like to tell you.

Bed 1, her name is Mr. Reza, under Dr. Angela, He is 35 years

old, he had kidney deasease, and he has a dizzy, he has a nausea
vomitus, he had a no appetite, and he had a dispnea. He weighs
60 kg with a height of 170 cm. Hb levels are down, is 6,2 gr/dL.
He get a program diet is reduce fluid intake, Collaboratio with
nutritionist for nutrition, Drink a lot of water, and eat foods that
increase Hb.

Nurse Qonny : Okay, if anyone wants to clarify, please ask we question!

Nurse Yanti : Nurse Qonny, I want to ask you about bed 1 with the patient is

Mr.Adi. What the other intervention we can giver?

Nurse Qonny : so, for the time being, we give the same intervention first, but if

doesn’t improve, we’ll talk to the doctor about hemodialysis.

Nurse Yanti : Oke Thanks Nurse.

Nurse Puji : Nurse Dewi, I want to ask you about bed 2 with the patient is

Mr.Reza,. How much urine output does the patient have

overnight?

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Nurse Dewi : The urine output patient is 300 cc overnight. You should check

the patient’s urine output again in this morning, and then please
provide some education about fluid balance because he is
difficulty to drink water and eat.

Nurse Puji : Oke Thanks nurse.

Nurse Qonny : If there is nothing else you want to clarify, you will have finished

the operand from tonight’s service, lets close by saying hamdalah!

Nurse (Dewi, Yanti, Puji) : Alhamdulillahirabbil ‘alamiien.

GIVING EDUCATION

Nurse Yanti : Hellow, good morning Mr. Adi, and Mom

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Mr.Adi (Dewi), Mom (Qonny) : Morning too nurse

Nurse Yanti : How Are you today Mr.Adi?

Mr.Adi (Dewi) : I’m fine.

Nurse Yanti : Did you sleep well last night?

Mr.Adi (Dewi) : No, I can’t pee

Mom (Qonny) : Yes Nurse, my husband was restless all night holding in pain

could not urinate.

Nurse Yanti : Oh my god. Yes, I see. I’m going to check your urine output in

this morning Mr, and Mss, and My friend will be provide

education health regarding to your condition.

Mr.Adi (Dewi), Mom (Qonny) : Okay Nurse.

Nurse Puji : Mr. and Mss, has the dieuretic drug been taken? Because it can

help expel your urine.

Mr.Adi (Dewi) : Already Nurse, but still hurts in my waist.

Nurse Puji : Mr. you should to drink water around 2000 cc or the glass/day, to

reduce the pain in your waist due to lack of drinking, and don’t
forget to reduce some salt.

Mom (Qonny) : Why should reduce salt Nurse?

Nurse Puji : Because excess salt will accumulate in your body and cause your

pulmonaly oedem.

Mr.Adi (Dewi), Mom (Qonny) : Okay Nurse, thankyou for the education.

Nurse Puji : Okey Mr and Mss. I will come at 10.00 o’clock to check your

vital sign, if you need something, you can push the bell, or call
me in the nurse station.

Mr.Adi (Dewi), Mom (Qonny) : Okay Nurse, thankyou

Nurse Puji : Okey, Take a rest.

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