Вы находитесь на странице: 1из 3

Follow Up Pasien

Klinis
Nyeri
Kepala
Lemah
Penglihatan
berkurang
BAB/BAK
TD
N
RR
T
Kesadaran
GCS
Refleks
Pupil
Diameter
pupil
Parese
Kaku kuduk
Gerakan
Kekuatan
Atrofi
Sensoris
Tonus

26/6
+

27/6
+

28/6
+

29/6
+

30/6
+

1/7
+

2/7
+

3/7
+

4/7
+

5/7
+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+/+
140/100
111
20
35,9
Somnolen
3-5-6
+/+

+/+
120/90
102
21
35,9
CM
4-5-6
+/+

-/+
120/90
94
18
36,1
Somnolen
3-5-6
+/+

-/+
140/100
88
24
36
CM
3-5-6
+/+

+/+
130/90
88
20
36
CM
3-5-6
+/+

-/+
150/100
88
24
36
CM
3-5-6
+/+

+/+
140/90
96
24
36,5
CM
4-5-6
+/+

-/+
130/90
68
19
36
CM
3-5-6
+/+

-/+
120/90
78
20
36,1
CM
4-5-6
+/+

+/+
120/90
84
18
36,4
CM
4-5-6
+/+

4mm/4mm 4mm/4mm 4mm/4mm 4mm/4mm 4mm/4mm 4mm/4mm 4mm/4mm 3mm/3mm 3mm/3mm 3mm/3mm
+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F

BPR
TPR
KPR
APR
N.I
(menghidu)
N.II (visus)
N.XI
(Angkat
bahu)
Refleks
Patologis
Klinis
Nyeri
Kepala
Lemah
Penglihatan
berkurang
BAB/BAK
TD
N
RR
T
Kesadaran
GCS
Refleks
Pupil
Diameter
pupil

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

F/F
0/3
2/3
1/1
1/1
-

-/+

-/+

-/+

-/+

-/+

-/+

-/+

-/+

-/+

-/+

6/7
+

7/7
+

8/7
+

9/7
+

10/7
+

+
+/+

+
+/+

+
+/+

+
+/+

+
+/+

+/+
130/90
88
20
36,4
CM
4-5-6
+/+

+/+
170/90
84
18
35,9
CM
3-5-6
+/+

-/+
160/90
98
24
36,3
Somnolen
3-5-6
+/+

-/+
160/90
98
20
36,
Somnolen
3-5-6
+/+

+/+
170/110
77
16
35,8
CM
4-5-6
+/+

3mm/3mm 3mm/3mm 3mm/3mm 3mm/3mm 2mm/2mm

Parese
Kaku kuduk
Gerakan
Kekuatan
Atrofi
Sensoris
Tonus
BPR
TPR
KPR
APR
N.I
(menghidu)
N.II (visus)
N.XI
(Angkat
bahu)
Refleks
Patologis

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F
F/F
0/3
2/3
1/1
1/1
-

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F
F/F
0/3
2/3
1/1
1/1
-

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F
F/F
0/3
2/3
1/1
1/1
-

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F
F/F
0/3
2/3
1/1
1/1
-

+/+/+
TB/B
TB/B
1/3
1/3
+/+
+/+
+/+
+/+
F/F
F/F
0/3
2/3
1/1
1/1
-

-/+

-/+

-/+

-/+

-/+

Вам также может понравиться