Lembar Pemeriksaan Fisik Klien Dengan Dm.docx

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LEMBAR PEMERIKSAAN FISIK KLIEN DENGAN DM Nama :_______________

Usia

:_______________ L/P

:_______________

Anamnesa: 1. 2. 3. 4. 5. No . 1.

2. 3.

Keluhan utama: Keluhan dalam 6 bulan terakhir: Frekuensi BAK Nyeri dada: Mudah lelah Aspek yang dikaji

Kategori Jawaban

Hasil

Tinggi Badan:

Underweight: <18,5 kg/m2

Berat Badan:

Normal: 18,2-22,9 kg/m2

BMI:

Overweight: 23-27,49 kg/m2

Lingkar perut

Obesitas: >27,5 kg/m2 Normal wanita: maksimal 80cm

Tekanan darah

Normal pria: maksimal 90cm Prehipertensi: sistole 120/139, diastole 80-89 mmHg Hipertensi I: sistole 140-159, diastole 90-99 mmHg Hipertensi

4. 6.

I:

sistole

>160,

Tes monofilamen

diastole >100 mmHg Sensori normal

Ulkus/gangren

Nouropathy sensori Tidak ada/Ada di__________

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