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  • Contoh Soap Obgyn

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    lishasas
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    The document summarizes a patient's symptoms, signs, diagnosis, and treatment plan over multiple times on 10/12/18 and 13.06 for hiperemesis gravidarum. The patient presented with nausea, vomiting, increased heart rate and was diagnosed with pregnancy of gestational age III at 4-6 weeks. Tests showed increased liver enzymes and urine tests. Treatment included IV fluids, antiemetics, and antibiotics. The patient's condition and vital signs were monitored throughout the day.

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    contoh soap obgyn

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    contoh soap obgyn

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    The document summarizes a patient's symptoms, signs, diagnosis, and treatment plan over multiple times on 10/12/18 and 13.06 for hiperemesis gravidarum. The patient presented with nausea, vomiting, increased heart rate and was diagnosed with pregnancy of gestational age III at 4-6 weeks. Tests showed increased liver enzymes and urine tests. Treatment included IV fluids, antiemetics, and antibiotics. The patient's condition and vital signs were monitored throughout the day.

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    145 просмотров1 страница

    Contoh Soap Obgyn

    Загружено:

    lishasas
    The document summarizes a patient's symptoms, signs, diagnosis, and treatment plan over multiple times on 10/12/18 and 13.06 for hiperemesis gravidarum. The patient presented with nausea, vomiting, increased heart rate and was diagnosed with pregnancy of gestational age III at 4-6 weeks. Tests showed increased liver enzymes and urine tests. Treatment included IV fluids, antiemetics, and antibiotics. The patient's condition and vital signs were monitored throughout the day.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOCX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 1

    tgl Subyektif Obyektif Assessment Planning

    (simptoms) (sign) Diagnosis Terapi


    10/12/18 Mual (+) N: 91x/menit GIII P2002 A000 Lab Ureum, IVFD RD 5 %
    11.30 Muntah (+) TD: 80/50 mmHg UK; 4-6 mgg kreatinin, drip
    T: 36oC Hiperemesis SGOT, ondancetron
    RR: 20x/menit Gravidarum SGPT, GDA 8mg
    TFU: 2 jari di atas (ganti/6jam)
    simfisis
    Drip
    ondancetron
    3x 8 mg

    12.20 Hipersalivasi TD: 95/60 mmHg GIII P2002 A000


    N: 94x/menit UK; 4-6 mgg
    SpO2: 98% Hiperemesis
    Gravidarum

    13.06 Muntah(-) UL: GIII P2002 A000 Inj.


    Mual (+) Lekosit AK +2 UK; 4-6 mgg Ceftriaxone
    hipersalivasi Protein urin + ISK 3x1 gram
    Eritrosit urin AK +2
    Keton +4
    Bakteri +3/ batang
    +/coccus

    SGPT: 96
    SGOT: 160
    GDA 71

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