rumahsakitpelita.rumah-sakit.online / 127.0.0.1 / khanza_pelita / catatan_adime_gizi

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For display Options

			no_rawat	tanggal	asesmen	diagnosis	intervensi	monitoring	evaluasi	instruksi	nip
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/09/07/000002' AND `catatan_adime_gizi`.`tanggal` = '2024-09-09 09:06:49'	2024/09/07/000002	2024-09-09 09:06:49	Keadaan Umum : Nyeri pada tangan yang tertusuk dur...	NB 1.1 : Kurangnya pengetahuan terkait gizi/diet d...	Tujuan Diet : Mempertahankan GDS dan TD tetap norm...	Antropometri : BB ( evaluasi mendekati normal ) B...	-	pantau asupan oral	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/09/07/000002' AND `catatan_adime_gizi`.`tanggal` = '2024-09-10 09:20:49'	2024/09/07/000002	2024-09-10 09:20:49	tanda Vital : TD (100/80 mmHg), N(80 */menit), RR ...	NB 1.1 : Kurangnya pengetahuan terkait gizi/diet d...	Tujuan Diet : Mempertahankan GDS dan TD tetap norm...	Antropometri : BB ( evaluasi mendekati normal ) B...	bagus	-	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/10/27/000009' AND `catatan_adime_gizi`.`tanggal` = '2024-10-28 09:48:26'	2024/10/27/000009	2024-10-28 09:48:26	Antropometri Tn. S BB =30 kg TB = 145 cm IMT = 1...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TETP -Bentuk makanan : ...	1. Antropometri = BB belum ditimbang saat sekarang...	-	edukasi pasien	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/10/27/000009' AND `catatan_adime_gizi`.`tanggal` = '2024-10-28 10:49:24'	2024/10/27/000009	2024-10-28 10:49:24	Antropometri Tn. S BB =30 kg TB = 145 cm IMT = 1...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TETP -Bentuk makanan : ...	1. Antropometri = BB belum ditimbang saat sekarang...	-	edukasi pasien	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/10/27/000009' AND `catatan_adime_gizi`.`tanggal` = '2024-10-29 09:49:26'	2024/10/27/000009	2024-10-29 09:49:26	Antropometri Tn. S BB =30 kg TB = 145 cm IMT = 1...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TETP -Bentuk makanan : ...	Assesmen Gizi Antropometri (A) : Pada data antropo...	Diagnosis Gizi yang diberikan adalah : NI. 2.1 Asu...	edukasi pasien	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/10/27/000009' AND `catatan_adime_gizi`.`tanggal` = '2024-10-30 10:36:18'	2024/10/27/000009	2024-10-30 10:36:18	Antropometri Tn. S BB =30 kg TB = 145 cm IMT = 1...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TETP -Bentuk makanan : ...	Assesmen Gizi Antropometri (A) : Pada data antropo...	tetap pantau makan pasien yang sesuai kebutuhan.	edukasi pasien	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/10/27/000009' AND `catatan_adime_gizi`.`tanggal` = '2024-10-31 09:22:20'	2024/10/27/000009	2024-10-31 09:22:20	Fisik Klinis sesak napas dan batuk-batuk TD = 111/...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TETP -Bentuk makanan : ...	Assesmen Gizi Antropometri (A) : Pada data antropo...	tetap pantau makan pasien yang sesuai kebutuhan.	edukasi pasien	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/11/05/000025' AND `catatan_adime_gizi`.`tanggal` = '2024-11-06 09:43:46'	2024/11/05/000025	2024-11-06 09:43:46	Keadaan umum: batuk dan Sesak Mual (+), Muntah (-)...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TKTP, pembatasan Karboh...	1. Biokimia = menyesuaikan jadwal > normal 2. Fi...	-	Pantau daya terima makanan, vital sign dan hasil l...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/11/05/000025' AND `catatan_adime_gizi`.`tanggal` = '2024-11-07 09:43:46'	2024/11/05/000025	2024-11-07 09:43:46	Keadaan umum: Sesak, batuk sesekali Mual (-), Mun...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = TKTP, pembatasan Karboh...	1. Biokimia = menyesuaikan jadwal 2. Vital sign ...	1. Biokimia = tetap normal 2. Vital sign = RR ting...	Pantau daya terima makanan, vital sign dan hasil l...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/12/05/000021' AND `catatan_adime_gizi`.`tanggal` = '2024-12-06 09:36:16'	2024/12/05/000021	2024-12-06 09:36:16	Mual (+ ), Muntah (+), anoreksia (-), Sesak dan ba...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM 1100 kkal Energ...	1. Biokimia = GDS, GDP, Leu> menyesuaikan jadwal >...	Menyesuaikan hasil lab, vital sign dan daya terima	pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2024/12/05/000021' AND `catatan_adime_gizi`.`tanggal` = '2024-12-07 10:05:16'	2024/12/05/000021	2024-12-07 10:05:16	Mual (+ ), Muntah (-), anoreksia (-), Sesak dan ba...	NC 2.2 : Perubahan nilai Lab. terkait gizi berdasa...	Terapi diet -Jenis diet = Diet DM 1100 kkal Energ...	1. Biokimia = GDS, GDP, Leu> menyesuaikan jadwal >...	Menyesuaikan hasil lab, vital sign dan daya terima	pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/01/07/000007' AND `catatan_adime_gizi`.`tanggal` = '2025-01-08 09:21:14'	2025/01/07/000007	2025-01-08 09:21:14	Keadaan Umum = lemas, sakit tengkuk belakang Mual ...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet Rendah Garam + Ren...	1. Biokimia = HB dan hasil lainnya > menyesuaikan ...	TD = masih tinggi 205/117	Pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/02/08/000020' AND `catatan_adime_gizi`.`tanggal` = '2025-02-10 09:06:41'	2025/02/08/000020	2025-02-10 09:06:41	BB = 38 TB = 140 Mual (+) Muntah (+) Anoreksia (-...	NI 2.1 Asupan Oral inadekuat ditandai dengan sulit...	Energi : 1100 kkal Diet : ML DM 1100 kkal	GDS= 363 < 200 ( Tinggi) GDP = 205 < 126 GDP = 245...	Perhatika Asupan Oral (Setiap Hari ) > 80 % TD, Na...	Pantau hasil lab, vital sign dan Daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/02/08/000020' AND `catatan_adime_gizi`.`tanggal` = '2025-02-11 09:06:41'	2025/02/08/000020	2025-02-11 09:06:41	BB = 38 TB = 140 Vital sign TD = 106/81 Nadi = 96...	-	Energi : 1100 kkal Diet : ML DM 1100 kkal makan s...	Asupan > 80 %	Perhatika Asupan Oral (Setiap Hari ) > 80 % TD, Na...	Pantau hasil lab, vital sign dan Daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/03/11/000019' AND `catatan_adime_gizi`.`tanggal` = '2025-03-12 14:06:12'	2025/03/11/000019	2025-03-12 14:06:12	BB= 110, TB = 158, IMT = 44,1 (Obesitas) Hb= 15,7...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM RG Energi = 130...	1. Antropometri = BB = 110 2. Biokimia = Leu = tng...	1. Antropometri = BB > 3-5 hari sekali > turun 2. ...	pNdau hasil lab, vutal sign dan daya terima makana...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/03/11/000019' AND `catatan_adime_gizi`.`tanggal` = '2025-03-13 14:12:47'	2025/03/11/000019	2025-03-13 14:12:47	Asam Urat = 10.2 ( 22,5-6,2 ) Total Kolesterol =23...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM RG Energi = 13...	1. Antropometri = BB = 110, TB = 158 2. Biokimia =...	1. Antropometri = BB > 3-5 hari sekali > turun 2. ...	pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/03/11/000019' AND `catatan_adime_gizi`.`tanggal` = '2025-03-14 09:28:40'	2025/03/11/000019	2025-03-14 09:28:40	Asam Urat = 10.2 ( 22,5-6,2 ) Total Kolesterol =23...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM RG Energi = 13...	1. Biokimia = Asam urat dan kolesterol tinggi 2. ...	1. Biokimia = GDS, Hb,Profil, lipid ( HDL, LDL, ko...	pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/04/02/000011' AND `catatan_adime_gizi`.`tanggal` = '2025-04-03 09:28:17'	2025/04/02/000011	2025-04-03 09:28:17	BB = 53 TB= 149 IMT = 23,9 (Normal) Hb= 13.7 ( 12-...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM 1200 Energi = 1...	Biokimia; GDS dan GDP masih tinggi Ureum masih ter...	1. Biokimia = GDS, Hb, GDP, trombosit, leukosit> m...	Pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/04/02/000011' AND `catatan_adime_gizi`.`tanggal` = '2025-04-04 10:14:17'	2025/04/02/000011	2025-04-04 10:14:17	BB = 53 TB= 149 IMT = 23,9 (Normal) Keadaan Umum :...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM 1200 Energi = 1...	Biokimia; GDP normal Vital Sign masih bagus Diet M...	1. Biokimia = GDS, Hb, GDP, trombosit, leukosit> m...	Pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/04/02/000011' AND `catatan_adime_gizi`.`tanggal` = '2025-04-05 09:07:17'	2025/04/02/000011	2025-04-05 09:07:17	BB = 53 TB= 149 IMT = 23,9 (Normal) Keadaan Umum :...	NB. 1.1 Kurangnya pengetahuan gizi terkait makanan...	Terapi diet -Jenis diet = Diet DM 1200 Energi = 1...	Biokimia; Belum ada pengecekan GDP atau GDS Vital ...	1. Biokimia = GDS, Hb, GDP, trombosit, leukosit> m...	Pantau hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/05/07/000017' AND `catatan_adime_gizi`.`tanggal` = '2025-05-08 10:37:54'	2025/05/07/000017	2025-05-08 10:37:54	BB = 55 TB = 180 Gigi Kurang lengkap Anoreksia ( ...	NC 1.2 Kesulitan mengunyah terkait asupan makanan ...	Energi : 2500 kkal Diet : ML DM RG 2500 kkal	Hasil LabGDS = 518 GDP = 325 Hb= 11.9 L Leu = 12.0...	Hasil GDS dan GDP Tinggi Vital sign TD Daya teri...	Pantau hasil lab dan vital sign serta daya terima ...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/05/07/000017' AND `catatan_adime_gizi`.`tanggal` = '2025-05-09 10:37:54'	2025/05/07/000017	2025-05-09 10:37:54	BB = 55 TB = 180 Gigi Kurang lengkap Anoreksia ( ...	NC 2.2 Perubahan nilai lab terkait gizi berdasarka...	Energi : 2500 kkal Diet : ML DM RG 2500 kkal	vital sign TD= 137/79 daya terima ( asupan makanan...	Vital sign TD Daya terima makanan 70 %	Pantau hasil lab dan vital sign serta daya terima ...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/05/07/000017' AND `catatan_adime_gizi`.`tanggal` = '2025-05-10 10:37:54'	2025/05/07/000017	2025-05-10 10:37:54	BB = 55 TB = 180 Gigi Kurang lengkap Anoreksia ( ...		Energi : 2500 kkal Diet : ML DM RG 2500 kkal	vital sign TD= 135/69 daya terima ( asupan makanan...	Vital sign TD Daya terima makanan 80%	Pantau hasil lab dan vital sign serta daya terima ...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/07/09/000025' AND `catatan_adime_gizi`.`tanggal` = '2025-07-10 14:07:04'	2025/07/09/000025	2025-07-10 14:07:04	BB= 64 kg TB = 154 Cm IMT = 27 (Overweight) Hasil...	NC 2.2 Perubahan nilai lab terkait gizi berdasarka...	Terapi Diet : Bentuk Makanan : ML (Makanan Lunak) ...	Hasil Lab belum normal secara menyeluruh. GDS = 28...	1. Antropometri = BB > 3-5 hari sekali > turun 2. ...	Pantai Hasil lab, vital sign dan daya terima makan...	016082024
Edit	Copy	Delete DELETE FROM catatan_adime_gizi WHERE `catatan_adime_gizi`.`no_rawat` = '2025/07/09/000025' AND `catatan_adime_gizi`.`tanggal` = '2025-07-11 14:07:04'	2025/07/09/000025	2025-07-11 14:07:04	BB= 64 kg TB = 154 Cm IMT = 27 (Overweight) Hasil ...	NB 1.1 Kurangnya pengetahuan terkait gizi dengan ...	Terapi Diet : Bentuk Makanan : ML (Makanan Lunak) ...	Hasil Lab -. GDS = 286 tergolong tinngi Vital Sign...	1. Antropometri = BB > 3-5 hari sekali > turun 2. ...	Pantai Hasil lab, vital sign dan daya terima makan...	016082024

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