Bimasta Utama ( Bisitopenia ).docx

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Nama Tanggal Lahir Jenis Kelamin

DATA DASAR ASUHAN GIZI DALAM RANGKA KEGIATAN PBL KONSELING GIZI DI RUMAH SAKIT USU : BU No. Rekam Medis : 07.71.89 : 14-11-1994 Dr : dr D.Gatot, Sp.PD : LK

Diagnosis Medis

Riwayat Personal/ Penyakit

Hasil Lab

Antro BB, TB, IMT, Klinik / Fisik

Bisitopenia

Anemia

- HB : 2,9 Hematokrit : 9,40 Leukosit : 12,1 Eritrosit : 1,1 Trombosit : 74 Natrium : 129

- BB : 58 - TB : 166 - IMT : 18,1 - BBI : 59,4 - Lila : 24 - TD : 108/60 Pasien tampak lemas dan adanya sesak di bagian dada

Riwayat Makan

Riwayat Obat

- Rantidine 50mg / 12 jam Ondan Cetron : 1x4mg

Diagnosa Gizi

Intervensi

Monitoring Evaluasi

 Berat badan pasien ideal  Asupan makan  Asupan total protein  Jumlah asupan cairan  Pola makan Biokimia

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