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    CP Kardiomiopati Dilatasi

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    Instalasi Farmasi Rumah Sakit Larasati
    This document outlines an integrated clinical pathway for dilated cardiomyopathy at Larasati Pamekasan Hospital. It includes sections for patient information, diagnosis, assessments, complications, diagnostic tests, and treatments. The pathway is intended to standardize care over a planned 5 day hospital stay, with daily monitoring of the patient's condition and progression of their dilated cardiomyopathy and any accompanying issues like cardiomegaly, hepatomegaly, or arrhythmias. Diagnostic tests would include blood tests, chest x-rays, and electrocardiograms, while treatments may consist of intravenous fluids, oxygen, catheter placement, and other procedures.

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    CP Kardiomiopati Dilatasi

    Uploaded by

    Instalasi Farmasi Rumah Sakit Larasati
    26 views3 pages
    This document outlines an integrated clinical pathway for dilated cardiomyopathy at Larasati Pamekasan Hospital. It includes sections for patient information, diagnosis, assessments, complications, diagnostic tests, and treatments. The pathway is intended to standardize care over a planned 5 day hospital stay, with daily monitoring of the patient's condition and progression of their dilated cardiomyopathy and any accompanying issues like cardiomegaly, hepatomegaly, or arrhythmias. Diagnostic tests would include blood tests, chest x-rays, and electrocardiograms, while treatments may consist of intravenous fluids, oxygen, catheter placement, and other procedures.

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    CP KARDIOMIOPATI DILATASI

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    This document outlines an integrated clinical pathway for dilated cardiomyopathy at Larasati Pamekasan Hospital. It includes sections for patient information, diagnosis, assessments, complications, diagnostic tests, and treatments. The pathway is intended to standardize care over a planned 5 day hospital stay, with daily monitoring of the patient's condition and progression of their dilated cardiomyopathy and any accompanying issues like cardiomegaly, hepatomegaly, or arrhythmias. Diagnostic tests would include blood tests, chest x-rays, and electrocardiograms, while treatments may consist of intravenous fluids, oxygen, catheter placement, and other procedures.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views3 pages

    CP Kardiomiopati Dilatasi

    Uploaded by

    Instalasi Farmasi Rumah Sakit Larasati
    This document outlines an integrated clinical pathway for dilated cardiomyopathy at Larasati Pamekasan Hospital. It includes sections for patient information, diagnosis, assessments, complications, diagnostic tests, and treatments. The pathway is intended to standardize care over a planned 5 day hospital stay, with daily monitoring of the patient's condition and progression of their dilated cardiomyopathy and any accompanying issues like cardiomegaly, hepatomegaly, or arrhythmias. Diagnostic tests would include blood tests, chest x-rays, and electrocardiograms, while treatments may consist of intravenous fluids, oxygen, catheter placement, and other procedures.

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    INTEGRATED CLINICAL PATHWAY

    KARDIOMIOPATI DILATASI

    RUMAH SAKIT LARASATI PAMEKASAN

    RUMAH SAKIT
    LARASATI PAMEKASAN No. Dokumen No. Revisi Halaman
    37/RSL/CP/JANTUNG/2018 0 1/2

    Nama Pasien: Umur: Berat badan: Tinggi Badan: Nomor Rekam Medis:
    ........................... .....................tahun ...................Kg ...................Cm .................................
    Diagnosis Awal:.................. Kode ICD 10:.............. Rencana Rawat: 5 hari Biaya (Rp)

    Ruang Rawat:...................... Kelas: Tarif/hari(Rp) Tgl masuk Tgl keluar Lama


    ............ ..................... ................ ............... rawat ..................
    ....hari
    Aktivitas Hari Rawat 1 2 3 4 5 6 7

    Hari Sakit ................. ................... ................. ................... ................. ............ ...........


    .
    Diagnosis Utama
    KARDIOMIOPATI
    (+) (+) (+) (+) (+) (+) (+)
    DILATASI

    Penyerta  Kardiomegali (+) (+) (+) (+) (+) (+) (+)

     Hepatomegali (+) (+) (+) (+) (+) (+) (+)

     Aritmia (+) (+) (+) (+) (+) (+) (+)

    Asessmen Klinis Visite (+) (+) (+) (+) (+) (+) (+)

    Konsultasi : (+) (+) (+) (+) (+) (+) (+)

     Peny. Dalam (+) (+) (+) (+) (+) (+) (+)

     ..................... (+) (+) (+) (+) (+) (+) (+)

    Komplikasi  Iskemi (+) (+) (+) (+) (+) (+) (+)

     Hipertensi
    (+) (+) (+) (+) (+) (+) (+)
    Heart Disease
     Miokarditis (+) (+) (+) (+) (+) (+) (+)

     (+) (+) (+) (+) (+) (+) (+)

     ....................... (+) (+) (+) (+) (+) (+) (+)

    Pemeriksaan Penunjang:

     Darah lengkap (+) (+) (+) (+) (+) (+) (+)

     Thorax foto (+) (+) (+) (+) (+) (+) (+)

     ECG (+) (+) (+) (+) (+) (+) (+)

     (+) (+) (+) (+) (+) (+) (+)

     (+) (+) (+) (+) (+) (+) (+)


    INTEGRATED CLINICAL PATHWAY

    KARDIOMIOPATI DILATASI

    RUMAH SAKIT LARASATI PAMEKASAN

    RUMAH SAKIT
    LARASATI PAMEKASAN No. Dokumen No. Revisi Halaman
    37/RSL/CP/JANTUNG/2018 0 1/2

     (+) (+) (+) (+) (+) (+) (+)

     ……………. (+) (+) (+) (+) (+) (+) (+)

     ……………..

    Tindakan Infus kristaloid (+) (+) (+) (+) (+) (+) (+)

    Oksigen (+) (+) (+) (+) (+) (+) (+)

    Cateter (+) (+) (+) (+) (+) (+) (+)

    ………………. (+) (+) (+) (+) (+) (+) (+)

    …..................... (+) (+) (+) (+) (+) (+) (+)

    Nama Pasien: Umur: Berat badan: Tinggi Badan: Nomor Rekam Medis:
    …........................ …..................tahun …................Kg …................Cm …..............................
    Diagnosis Awal:…............... Kode ICD 10:…........... Rencana Rawat: 7 hari Biaya (Rp)
    Ruang Rawat:…................... Kelas: Tarif/hari(Rp) Tgl masuk Tgl keluar Lama rawat
    …......... ….................. …............. …............ ….......hari …...............
    Aktivitas Hari Rawat 1 2 3 4 5 6 7

    Hari Sakit
    Obat Furosemid (+) (+) (+) (+) (+) (+) (+)
    Spironolacton (+) (+) (+) (+) (+) (+) (+)
    Lisinopril (+) (+) (+) (+) (+) (+) (+)
    Valsartan (+) (+) (+) (+) (+) (+) (+)
    Bisoprolol (+) (+) (+) (+) (+) (+) (+)
    (+) (+) (+) (+) (+) (+) (+)
    (+) (+) (+) (+) (+) (+) (+)

    Nutrisi (+) (+) (+) (+) (+) (+) (+)


    Mobilisasi (+) (+) (+) (+) (+) (+) (+)
    Hasil Kesadaran: ...................... (+) (+) (+) (+) (+) (+) (+)
    (Outcome) Motorik: ........................... (+) (+) (+) (+) (+) (+) (+)
    Sensorik: ......................... (+) (+) (+) (+) (+) (+) (+)
    Otonom: .......................... (+) (+) (+) (+) (+) (+) (+)
    Kognitif: .......................... (+) (+) (+) (+) (+) (+) (+)
    Pendidikan & rencana pemulangan Penjelasan perjalanan penyakit dan informed consent Kontrol poliklinik
    Edukasi Pola makan Pengendalian Minum obat .................... ....................
    faktor risiko teratur
    Hindari stres Olahraga teratur .................... .................... ....................
    Jumlah Biaya ....................
    Nama Perawat: Diagnosis Kode ICD 10 Jenis Tindakan Kode ICD 9 CM
    ......................................... Utama Visite & konsultasi
    Nama & Kode Dokter ........................... ......................
    ........................................ Penyerta ........................... ......................
    Verifikasi Keuangan: Komplikasi .......................... ...................... ...............................
    ......................................... .......................... ...................... ...................................... ...............................

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