RESUME KEPERAWATAN PADA DENGAN GANGUAN SISTEM . : .. DI RUANG .. RS

Nama: Agus Purnama NIM : 18140000016

PROGAM STUDI PROFESISEKOLAH TINGGI ILMU KESEHATAN INDONESIA MAJU2015Nama : .........................Ruang : .........................Umur : .....................Kelas : .....................

Tanggal :

RESUME KEPERAWATAN

Nama : No. Dokumen RM :Alamat :Umur :Tgl Lahir :Kelamin :Status :Agama :Pekerjaan :LPKTKJd/DdPasien tiba di IRNAPenanggung jawab penderita :Jam - Tgl

Keadaan saat dikaji :TenangGelisahKesakitanSesak NafasAnemisLemah Keluhan Utama :.Riwayat Kesehatan Sekarang : ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Riwayat Kesehatan Dahulu :...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Riwayat Kesehatan Keluarga :...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Diagnosa Medis :....................................................................................................................................................................................................................................................................................................................................Hasil Pengkajian :.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Diagnosa Keparawatan :.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Tindakan Keperawatan Yang Dilakukan :.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Terapi Yang Diberikan :......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Nama dan Paraf Mahasiswa :