1420119023 Date No DF Evaluation initials 24 1 S = osb came with complaints of nausea, February vomiting, dizziness 2021 O = T: 120/80 mmHg P: 76 R: 24 S: 36.5 So: 98% Warm akral, attached RL infusion, 08.00 smooth droplets, no phlebitis A: the problem has not been resolved P: continue the intervention
Date No DF Evaluation Initials
24 2 S : client said still nausea vomiting and no February appetite 2021 O : the client looks limp A : the problem is not resolved 14.00 P : proceed intervention Date No DF Evalution Initials 25 1 S: os said I was still nauseous, dizziness Februay lessened, already wanted to eat little by 2021 little O: T: 120/80 mmHg P: 76 R: 24 S: 36.5 06.00 So: 97% The client still looks limp A: The problem is partially resolved P: continue the intervention
25 2 S : client said it was not nausea, vomiting,
February however masoh no appetite 2021 O : the client looks limp The portion of eating out ½ servings 14.00 A : the issue is resolved in Part P : lanjutkan intervensi
I : recommend eating the food in a warm state and encourage them to eat little but often Date No DF Evalution Initials 26 1 S: os said that she was no longer February nauseous, vomited, already wanted to eat, 2021 was able to sleep, no dizziness O: T: 120/80 mmHg P: 76 R: 24 S: 36.5 So: 08.00 98% The client seemed more excited and refreshed A: problem is resolved P: go home THANK YOU