Lembar Observasi Revisi 1.docx
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LEMBAR OBSERVASI
Nama
:
Tanggal Lahir
:
Jenis Kelamin
:
Status
:
Pendidikan
:
Pekerjaan
:
Frekuensi Hemodialisa
:
Riwayat Penyakit
:
Terapi
:
Berat Badan NO
Usia (Tahun)
(kg) Pre
Post
Akses Hemodialisa Lama Menjalani Hemodialisa (Bulan)
AV Shunt
Akses Vaskular
Tekanan Darah (mmHg)
Pre
Jam Ke 1
2
Post 3
4
Nama
:
Tanggal Lahir
:
Jenis Kelamin
:
Status
:
Pendidikan
:
Pekerjaan
:
Frekuensi Hemodialisa
:
Riwayat Penyakit
:
Terapi
:
Berat Badan NO
Usia (Tahun)
(kg) Pre
Post
Akses Hemodialisa Lama Menjalani Hemodialisa (Bulan)
AV Shunt
Akses Vaskular
Tekanan Darah (mmHg)
Pre
Jam Ke 1
2
Post 3
4
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