‘a8eu semag GL vep eweN stso9 sts99 9 w1peN 9 | eqeia}xePRIPEN oO wen | w/xozt>-oOT PEN | W/xosT-ozTIPeEN Oo yews} eqeiaripen 2! — BumuernusH | (2) NoUWINIYD (w/zez seyen) ueseyewad sansig Oo w/xoz Buzaeym oO sours 0 TE HEULON Bupeaym 9 (w/zez w/xoT- seeN seyen | w/xyz-Tz1euUON seen | w/rxze-yzSeEN | SeyeN)UESeyeWadsassiq Oo seen pueH | (8) ONIHLWaNE SS seqea seqag oO sansa Hops > ueyequing TW AvMI IyODaLyy “8: UIHVT TWOONVL \ao— 1401: NIN SINE voUL: VN "Ge" SEVEN 42ad “W/W SOvIaL VINaLN PEN ye44 “BHU Ze7 58" :OL “JENA epuel UEEsyaUIEd [ISEH 00" CC) ¢t0¢ - ¢-1 sueBuezepay myem/jesBuey NaISvd 39VIUL “*VDprcat 260 Tidak O Pengisian kapiler (1) <2 detk h>2 date Lokal pra. Cittare Chita) Lika Gata C3 Pordaraban Dapats delirium EAGomnoien C) Sopor CIKoma . Eero ameter Et men C2 C13 mm Cl> 4mm Clanisokor 7s ° 6 9 © x 6 ° e F) 30 ° 2 0 9 — iio era Werk 15 1 Orentas! eat komanpuan dt sande ° Target = ge TER solang 25-44, PsKo ronda O24 “Toad $s,‘ekspresi khUSUS. on -dagu dan mengatuphan a ea args ieee mudoh bergerak. Dberpuling, kak /menghertak cee Ste liaise ee Eo pete a Scien %, Grade: .. Resiko decubitus <2 Tidak (Ya, akukan pemeriksaan Norton Scale, total = |e cme F 4 sedup bak ve] v (delat /isupor 2deltum Spats, 4cM an Rtas": rah baring 2 kare roda_ 3. dpapah | 4 mand i) Nobiiss __:tmoblisasl” 2 sangat terbatas 9 agaktrbatas 4 balk We inkontinensia : 1 inkontinensia 2 sering 3 terkadang 4 tidak ‘Catatan: <10= sangattingg, 10-14=tinggl, 15-18 sedang, >18= kecit | PENGKAJIAN SEKUNDER Fl oto Via Sgn Frekuensi Nafas Tekanan Darah ‘Suhu Tinggi BadanH. Head ko ee, # Kagan, dan ere V- togeetss agate + orereshapal Jew Sie Seco ay, Ace VEDAS OL ene oe + See AG sete pratean Beat ue ~ Wadung, qmaugun tanda cook Beers) Pe “oth danggy * ae, wunesa Ve ‘Soarfale ee Aesclagar = Waa F Rompate Pucay, AA Saath o Rayos 2 Wale fadagar mossa / banyan Pada, 2. agen ever vedio woAslvcaiow aN VAS ( ae Sya2hd Aopry SehoU Lundopy Utoanan) lO WoRRs| sof wroyny! | youosey ssuaasauy [sep CHaNY wep uenfny, ea ent NVLVAVUadaM ISNIAMALNTGaAs) Haars ray Wao vOP elec et pio 32 ooeE sonmide usr) 2a yfaooda (s0and3} vet bre ssvipip sopnyP UOPRAWE (¥ voto) nor 155) unmnvand Yop) wouaa(y Un IMVW Yor) woos) (9 - X04) Gaon uojofa, A0sof(s + Od Gavdw worelieg Uotddra)\y} Syosouurva SO ~ WORF woan9y | vad dB Soyapnid WoW yor \Gesnforvy anon + Jpop Vayu AYN! “Quotes, wvapyay Weroggbnd VOID Upaipuobon ANYN\ many Upayh en aan’ (crowd) cab WADGIO AYN Aharon wmwlDW baosee avDNOs¥N\ \monw a+ xe vosty DVOPD x40 VOAMWOW IG) RWWA 4090 vornquvows (2 died phvoawrn 4090 oral (g Wra501 xe (noha SHAY VioAAgWAL dp sop AN ‘Np, ow/ X OC a [See ag drew oonsoivy 4 Ww hoy analy] (Bel 105) so oan og wslnaoa (San o8:59/22FEOD) ‘osoyau 2 synsiony PP oar) | oh usb : Beta ee bop pou Wu acy wa ana 04 op 50501 | ww oS me gums | atid vobuap yobuueu| eee on woaroaiag in woh wrant spunvete \UORIO} OAD ea Hin} uonbbwp imap IP OVC) | (PEL LE Lomiosadea\ Urol ‘OF \SONWAO] sour, WoANJoow WORyOF A\WWOID\OAY ['T itcm err WP WwMW iGuombsond anv") Gi (ea\ 115) - Gangto\ Grpoxp mme610 10 amy) rene € Arley ANH vowel oie “sedou tfung "od oxNb0v0(1 4 z5 : 4x05 Nopyrs AA {RAAT osyNlHO) : J ‘ { hps:sd arvon) vanes a : 2s a v lropoq rosag Gusawiton | SOU] eA p > A - *a D3 ot Ubocanty BOS SPER a 20116031 {iuaW/xbe Bay eee 206 ‘sosnpos bre: S | °° Zrvod, buodo) Np a1: N 1p wpuod Brony sobmprr1, & “ peso: Od oaidst {) = WoH +00 (orn =ppuot joy <= Avlas . Jonsesaot votncaneal oon} tt ; # "yaad weronaa, vp ui ° : ioe t oron lam 5bS1 leone ea orto) tl jov uot uousieg| Soe Sor /¢0/1% od sould = Tswoubag\| OW IF ca ang uvyemusaday ut ores 9) adi Sea GL oy] UeqepayL jwa3uey] X@ ON ctoe LFW © NVONV@NENAAd NVLVLVO NVG ISVLNANG TANTww ay wo[ehlag, a, van 904 tach hyp i reais uaral c aywoyu | TOOT) * wowohu peer ae een aped say SREITG | OF © Woy Mae END : Hoar Bates Vodntiobay| SC: St f WHat Ann rodop wag)x (eigenen y bach eo eee ave] 4 Sel Oo-S\| SEN AID AMA: pees “Wearhue oo-¥1| 4 u £9 woaounboaut wit %EG O35 - AKDg wow qo! nyuDWISa WO? ANIM HOOPODA SOY Meee | Ct allieet = tot 7¥0) \~ 2305 Song yenwsod fen an uepeavsodoy woyepunt | iysgugh | XO ON Ecot wy |hole oawy nario! OVE | : 5 ae Eeonee ° “wd JOyNAY sonal Ng Ect Rool crate) oe |S on ean sry sua 1 soma sa j dant 1 ‘eon d ae ed opr: Aabwor VAIO a) : Yak wou tones casas eatetuma| Se"E\| T Guero wonyued cavor tei S Sg uaa Qn 05 x1 DUxAIONO) Yow?) wan ce udoyp . (wtofuony saenyneaNy Word} Pparopn32e\ SCANS 1SUOKRIOHS -auRe Spo vonsay cao Wor} voswraunw] OF ti] SI + € 5Soubd.“wow . Pe OAC 01 Joust tines Gas mucbIa.A|| 00-16 * yep Woonona oh woop ayoRaGA waged sod0\) ese) 000 \ounsndah Bpe 2op:9@ cad luggage Guoqwindaya| OS: OL way ON, ~ “90H, snful_worrm syuebOuoy)| ov 61 () upvas Todou wyony - 2,00 = C085 = oui) xon BB" F VRS = 38: N- RIN: OL £95 W529! siquadsobwicD 2 WOH, i904 ox!) PUD} -pUOT i AGEN WOR vend hanwih woopor sonal | 0%: 6) ~.wow WOe2H451__ woaiougsao\ a) nu UIC doy A ebovd | ba Worihpd wooanss ars Wop 3032800, a OP TOYO WAR St Saabs eta wt 20-06 + yopog, yoroq ere at roprg_ JDO, yogis} 93-61 wah iz DON, £904 Sn¥u\_ woe) We Tay ob: Gtl syU0} Jodlou wyons - fe obo + 035 - quaw/xor ya - woe SS -TTR howiird UBIO, nywoenliont Srbo| %1 =HL Woy vasod fogo Vinnw Dv = wLa MNES = \\4 aon nM vanynig! Saas Mwobserd| 2G |S y Wwadum) | ANd u wey TEAL, au wyeALIoday Wey epUL, ates xXaon + SIE WAYoS 3% af Tesi o\\s0r AL 99nd 0549. Ni AO\OW) oe OS aq0w (3 WdITOY WOdOISNAOC + Wor Aree Fersronj cues na OR A Sb TG tvs, WOH WOY vorons Yop pL. \WOA + Masos WIsAo WP sTOSVAIDA WLANOWIDW) v pol” V2 QUO (r| eyelet ae wop piv YOR AONE : juowasosse voatoidann Ce NN 01 4044 vonsa5 wo, 18032 Ow yxXE waskWDVINQ Qnasxe wPRvOs yw osteh\ wwn0xA}ON2)bhuyachued vow Lebiouads Yosi9 bv vourbuas Uasod (roanpa Voavovd OG HN iC 161219 oO Aop\L + 50 > \biaj whuopy _\sensatad bud on Gh + \su0d | SND (urjod Hout ibis 6604) avalng 4210 oa oho OG Akh tors ot: Ba &5a: NY 09/ NW: O40 = 06 E50. (ator Way TC) YOUID) gspsnws _VAKTOY WoOvIP Bungnule "FowAKAS _swosBiow\ | YOID wind 6D (b- Josjuod yoonpol (¢ = Bauwojd swbsapsip Uoaiyoa Ce Q vobofvaw whubwyved \ WOayyog (I /pSUBAIAEU WAY, ANd Vantod ~ ASNOASDYY WOAKLD| * 4 _ ryOpOsHe WORETOY (Soe Wd T) uous} booh \saraa5 Ubu UDbunanys7 fry AdkD AMPK sod vf YOUNG | V uejemvsoday wsouserq oN ISVOTVAR vdSIO gp Hyd, oye ubasniuy SAW oa yuo} id a |}