Elvina Rosalina ( Post Sc ).docx

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Nama Tanggal Lahir Jenis Kelamin

DATA DASAR ASUHAN GIZI DALAM RANGKA KEGIATAN PBL KONSELING GIZI DI RUMAH SAKIT USU : ER No. Rekam Medis : 07.80.66 : 19 – 07 – 1999 Dr : dr Arvita : PR

Diagnosis Medis

Riwayat Personal/ Penyakit

Hasil Lab

Antro BB, TB, IMT, Klinik / Fisik

Riwayat Makan

Post SC

-

- Hb : 11,3 - Kreatinin : 0,5 - Natrium : 194

- BB : 52 - TB : 150 - BBI : 50 - Lila : 19 - IMT : 23,1

Sering mengkonsum si susu kaleng

Riwayat Obat

Diagnosa Gizi

Intervensi

Monitoring Evaluasi

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

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