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    Form Balance Cairan

    Uploaded by

    ayaharyaarif
    This document appears to be an observation form used in a hospital to record vital signs, intake, output, and other health metrics of a baby over a 24 hour period. Fields include temperature, pulse, respiratory rate, oxygen saturation, pain scale, intake (oral, NGT, IV), and output (urine, stool, vomiting). Metrics calculated include total intake, output, insensible weight loss, fluid balance, and diuresis. Formulas shown define how to calculate insensible weight loss and expected diuresis based on the baby's weight and prematurity/maturity.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form Balance Cairan

    Uploaded by

    ayaharyaarif
    324 views1 page
    This document appears to be an observation form used in a hospital to record vital signs, intake, output, and other health metrics of a baby over a 24 hour period. Fields include temperature, pulse, respiratory rate, oxygen saturation, pain scale, intake (oral, NGT, IV), and output (urine, stool, vomiting). Metrics calculated include total intake, output, insensible weight loss, fluid balance, and diuresis. Formulas shown define how to calculate insensible weight loss and expected diuresis based on the baby's weight and prematurity/maturity.

    Original Description:

    SEMOGA BERMANFAAT

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    This document appears to be an observation form used in a hospital to record vital signs, intake, output, and other health metrics of a baby over a 24 hour period. Fields include temperature, pulse, respiratory rate, oxygen saturation, pain scale, intake (oral, NGT, IV), and output (urine, stool, vomiting). Metrics calculated include total intake, output, insensible weight loss, fluid balance, and diuresis. Formulas shown define how to calculate insensible weight loss and expected diuresis based on the baby's weight and prematurity/maturity.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    324 views1 page

    Form Balance Cairan

    Uploaded by

    ayaharyaarif
    This document appears to be an observation form used in a hospital to record vital signs, intake, output, and other health metrics of a baby over a 24 hour period. Fields include temperature, pulse, respiratory rate, oxygen saturation, pain scale, intake (oral, NGT, IV), and output (urine, stool, vomiting). Metrics calculated include total intake, output, insensible weight loss, fluid balance, and diuresis. Formulas shown define how to calculate insensible weight loss and expected diuresis based on the baby's weight and prematurity/maturity.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    RUMAH SAKIT DR H MARZOEKI MAHDI BOGOR NAMA : ..............................................................

    FORMULIR OBSERVASI TERINTEGRASI NO CM : ..............................................................

    RUANG BAYI TANGGAL LAHIR : ..............................................................

    TANGGAL : .................... USIA : ............ HARI BERAT BADAN : ........ GRAM DPJP : ...................

    TANDA-TANDA VITAL SKALA INTAKE OUTPUT


    JAM SUHU NADI RR SpO2 NYERI MINUM PARENTERAL O2 PARAF
    0
    BAK BAB NGT MUNTAH
    ( C) menit /menit % 0-7 ORAL NGT INFUS INJEKSI TRANFUSI
    8

    10

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    13

    14

    TOTAL
    INTAKE : ............................... OUTPUT : ................. IWL : ....................... BALANCE : ......................... DIURESIS : ...........................

    15

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    TOTAL
    INTAKE : ............................... OUTPUT : ................. IWL : ....................... BALANCE : ......................... DIURESIS : ...........................

    22

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    24

    TOTAL
    INTAKE : ............................... OUTPUT : ................. IWL : ....................... BALANCE : ......................... DIURESIS : ...........................

    RUMUS :
    1 OUTPUT : JUMLAH URINE + IWL
    2 IWL
    BAYI PREMATUR : 60 X BB X JAM DINAS
    24 JAM
    BAYI CUKUP BULAN : 30 X BB X JAM DINAS
    24 JAM
    3 BALANCE CAIRAN : INTAKE -OUTPUT
    4 DIURESIS : JUMLAH URINE :BB: JAM DINAS

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