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Nama : Umur : BB : PBW : Dx :

Tgl Tgl Tgl Tgl Tgl Tgl Tgl Tgl Tgl Tgl Tgl Tgl
Jam Jam Jam Jam Jam Jam Jam Jam Jam Jam Jam Jam
Hb Hb Hb Hb Hb Hb Hb Hb Hb Hb Hb Hb
HCT HCT HCT HCT HCT HCT HCT HCT HCT HCT HCT HCT
WBC WBC WBC WBC WBC WBC WBC WBC WBC WBC WBC WBC
PLT PLT PLT PLT PLT PLT PLT PLT PLT PLT PLT PLT
Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+
K+ K+ K+ K+ K+ K+ K+ K+ K+ K+ K+ K+
CL- CL- CL- CL- CL- CL- CL- CL- CL- CL- CL- CL-
Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+ Ca2+
Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+ Mg2+
GDA GDA GDA GDA GDA GDA GDA GDA GDA GDA GDA GDA
OT OT OT OT OT OT OT OT OT OT OT OT
PT PT PT PT PT PT PT PT PT PT PT PT
Alb Alb Alb Alb Alb Alb Alb Alb Alb Alb Alb Alb
Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D Bil T/D
BUN BUN BUN BUN BUN BUN BUN BUN BUN BUN BUN BUN
Sk Sk Sk Sk Sk Sk Sk Sk Sk Sk Sk Sk
PPT PPT PPT PPT PPT PPT PPT PPT PPT PPT PPT PPT
APTT APTT APTT APTT APTT APTT APTT APTT APTT APTT APTT APTT
Lactat Lactat Lactat Lactat Lactat Lactat Lactat Lactat Lactat Lactat Lactat Lactat
LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP LDH/CRP
Temp Temp Temp Temp Temp Temp Temp Temp Temp Temp Temp Temp

Mode Mode Mode Mode Mode Mode Mode Mode Mode Mode Mode Mode
Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc Pc
Phigh Phigh Phigh Phigh Phigh Phigh Phigh Phigh Phigh Phigh Phigh Phigh
Ps Ps Ps Ps Ps Ps Ps Ps Ps Ps Ps Ps
VT VT VT VT VT VT VT VT VT VT VT VT
PEEP PEEP PEEP PEEP PEEP PEEP PEEP PEEP PEEP PEEP PEEP PEEP
Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate Rate
I:E I:E I:E I:E I:E I:E I:E I:E I:E I:E I:E I:E
Tins Tins Tins Tins Tins Tins Tins Tins Tins Tins Tins Tins
Trig Trig Trig Trig Trig Trig Trig Trig Trig Trig Trig Trig
%MV %MV %MV %MV %MV %MV %MV %MV %MV %MV %MV %MV

MV MV MV MV MV MV MV MV MV MV MV MV
Vte Vte Vte Vte Vte Vte Vte Vte Vte Vte Vte Vte
F F F F F F F F F F F F
SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2 SpO2

pH pH pH pH pH pH pH pH pH pH pH pH
pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2 pCO2
pO2 pO2 pO2 pO2 pO2 pO2 pO2 pO2 pO2 pO2 pO2 pO2
HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3- HCO3-
BE BE BE BE BE BE BE BE BE BE BE BE
SO2 SO2 SO2 SO2 SO2 SO2 SO2 SO2 SO2 SO2 SO2 SO2
p/f p/f p/f p/f p/f p/f p/f p/f p/f p/f p/f p/f

Balance Balance Balance Balance Balance Balance Balance Balance Balance Balance Balance Balance
Input Input Input Input Input Input Input Input Input Input Input Input
Output Output Output Output Output Output Output Output Output Output Output Output

Kultur Tgl Kultur Tgl Kultur Tgl


Kuman Kuman Kuman
Sensitif Sensitif Sensitif BARCODE

Intermediate Intermediate Intermediate


Resistance Resistance Resistance Edited by ABA
Nutrisi
Volume Kalori KH Protein Lemak Natrium Kalium
Kebutuhan

Total
±

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