CONTOH TABEL LAB

Blood test RSCM

Test 27/09/2018 Normal Limit

23.08
Hemoglobin 10,6 12.0-14.0 g/dL
Hematocrit 31,3 35-47 %
Leukocyte 19250 3.6-11 103/uL
Thrombocyte 329000 103/uL
MCV/MCH/MCHC 84/28/34 80-90/27-31/32-36

Diff.count 0.0-3.0

PT / APTT -
Na/K/Cl/Mg 133/3.7/104/- 132-147/3.3-5.4/94-111/ 8.4-10.2/1.6-2.6

SGOT / SGPT 28.7/10.5 <32 U/L / < 31 U/L

Ur/Cr 24.7/1.009 10.00 – 43.00 / 0.5 – 1.30 mg/dL

Asam urat 8.7 0-5.6

Albumin 1,78 3.5-4.5
GDS 104
LDH - 0-599
Blood test RSCM

Test 30/09/2018 Normal Limit

23.08
Hemoglobin - 12.0-14.0 g/dL
Hematocrit - 35-47 %
Leukocyte - 3.6-11 103/uL
Thrombocyte - 103/uL
MCV/MCH/MCHC - 80-90/27-31/32-36

Diff.count 0.0-3.0

PT / APTT -
Na/K/Cl/Ca 128/3.4/100/6.52 132-147/3.3-5.4/94-111/ 8.4-10.2/1.6-2.6

SGOT / SGPT - <32 U/L / < 31 U/L

Ur/Cr - 10.00 – 43.00 / 0.5 – 1.30 mg/dL

Asam urat - 0-5.6

Albumin 1.82 3.5-4.5
GDS -
LDH - 0-599
Blood test RSCM

Test 01/10/2018 Normal Limit

18.16
Hemoglobin - 12.0-14.0 g/dL
Hematocrit - 35-47 %
Leukocyte - 3.6-11 103/uL
Thrombocyte - 103/uL
MCV/MCH/MCHC - 80-90/27-31/32-36

Diff.count 0.0-3.0

PT / APTT -
Na/K/Cl/Ca 127/3.5/101/6.67 132-147/3.3-5.4/94-111/ 8.4-10.2/1.6-2.6

SGOT / SGPT - <32 U/L / < 31 U/L

Ur/Cr - 10.00 – 43.00 / 0.5 – 1.30 mg/dL

Asam urat - 0-5.6

Albumin 6.67 3.5-4.5
GDS -
LDH - 0-599
Blood test RSCM

Test 03/10/2018 Normal Limit

18.16
Hemoglobin 8.2 12.0-14.0 g/dL
Hematocrit 24.7 35-47 %
Leukocyte 20470 3.6-11 103/uL
Thrombocyte 632000 103/uL
MCV/MCH/MCHC 88/29/33 80-90/27-31/32-36

Diff.count 0.0-3.0

PT / APTT -
Na/K/Cl/Mg - 132-147/3.3-5.4/94-111/ 8.4-10.2/1.6-2.6

SGOT / SGPT - <32 U/L / < 31 U/L

Ur/Cr - 10.00 – 43.00 / 0.5 – 1.30 mg/dL

Asam urat - 0-5.6

Albumin - 3.5-4.5
GDS -
LDH - 0-599
Blood test RSCM

Test 04/10/2018 Normal Limit

12.45
Hemoglobin 6,8 12.0-14.0 g/dL
Hematocrit 21.6 35-47 %
Leukocyte 17460 3.6-11 103/uL
Thrombocyte 738000 103/uL
MCV/MCH/MCHC 93/29/32 80-90/27-31/32-36

Diff.count 0.0-3.0

PT / APTT -
Na/K/Cl/Mg - 132-147/3.3-5.4/94-111/ 8.4-10.2/1.6-2.6

SGOT / SGPT - <32 U/L / < 31 U/L

Ur/Cr - 10.00 – 43.00 / 0.5 – 1.30 mg/dL

Asam urat - 0-5.6

Albumin 3.25 3.5-4.5
GDS 96.1
LDH - 0-599
Urinalysis
Test 28/09/2018 Normal value
01.23

Macroscopic

Color yellow yellow

Clarity murky murky

Mucus -

Specific Gravity 1.030 1.015

pH 6.5 5.5

Protein +2 negative

Glucose negative negative

Ketone negative negative

Urinalysis
Test 28/09/2018 Normal value
01.23

Microscopic

Epithelial cells +1 +1

Leucocyte 1-2 0-52

Erithrocyte 1-2 22-24

Cylinder negative Granula 0-1, hyalin 0-1

Amorph crystal negative amorf

Bacteria negative positif

Urinalysis
Test 28/09/2018 Normal value
01.23

Macroscopic

Urobilinogen 0.2 3.2-16.0

Nitrit negative negative

Leukosit esterase negative negative

Faeces
Test 01/10/2018 Normal value
01.23

warna hitam

konsentrasi lembek negative

darah negative negative

lendir negative negative

Leukosit 0-2 lpb negative

eritrosit 1-3 lpb negative

Telur cacing negative negative

CONTOH TABEL VITAL
CHART
 Systolic Diastolic HR RR T Sat O2

28/09/2018 120 70 80 18 36.5 99

29/09/2018 140 90 122 18 36.7 99

30/09/2018
130 90 88 20 36.5 98

Masukin TTV soap Harian

Khusus yang dia di ICU, masukin tiap
jam yang andri catet waktu itu.
 Systolic Diastolic HR RR T Sat O2

01/10/2018 140 90 120 22 36.5 97

02/10/2018 130 90 128 20 36.7 99

91 tanpa nasal
03/10/2018 120 70 143 20 36.5 kanul
 Systolic Diastolic HR RR T Sat O2

04/10/2018 140 90 90 32 36.5 99 dengan NRM

 Systolic Diastolic HR RR T Sat O2

18:15 130 80 80 36 37.0 97 denan NRM

20:00 91 39 84 84 39.0 83

22:00 83 43 163 51 39.0 83

 Systolic Diastolic HR RR T Sat O2

00:45 apnea