grafik EWS dewasa dr f.xlsx

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Nomor Rekam Medis

Nomor Rekam Medis ::

Tanggal Tanggal Jam Jam ≥ 25 ≥ 25 21-24 21-24 18-20 18-20 15-17 15-17 12-14 12-14 9-11 9-11 ≤ 8 ≤ 8 ≥ 96 ≥ 96 94-95 94-95 92-93 92-93 ≤ 91 ≤ 91 88-92 88-92 86-87 86-87 84-85 84-85 ≤ 83% ≤ 83% TIDAK TIDAK ≥ 220 ≥ 220 201-219 201-219 181-200 181-200 161-180 161-180 141-160 141-160 121-140 121-140 111-120 111-120 101-110 101-110 91-100 91-100 81-90 81-90 71-80 71-80 61-70 61-70 Pernapasan Pernapasan !"mn#$ !"mn#$ a#&ras' a#&ras' ()s'gen %$ ()s'gen %$ Scale 1 Scale 1 a#&ras' a#&ras' ()s'gen %$ ()s'gen %$ Scale 2 Scale 2 ≥ 97 ≥ 97 *gn +*gn +₂₂ 95-96 95-96*gn +*gn +₂₂ 93-94 93-94*gn +*gn +₂₂ ,&na)an ,&na)an Scale 2 Scale 2 'la #arge# p+2 'la #arge# p+2 88 - 92%. 88 - 92%. m'saln/a pa*a m'saln/a pa*a gagal napas gagal napas 'per)apn'a 'per)apn'a ≥ 93

≥ 93 *gn &*ara #e)an*gn &*ara #e)an

+)s'gen a#a& +)s'gen a#a& *ara #e)an

*ara #e)an _{A  0}_{A  0}

2 2"mn#$"mn#$ Te)anan *ara Te)anan *ara s's#(l') s's#(l') mmg$ mmg$

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51-60 51-60 ≤ 50 ≤ 50 a*' !"mn#$ a*' !"mn#$ ≥ 131 ≥ 131 121-130 121-130 111-120 111-120 101-110 101-110 91-100 91-100 81-90 81-90 71-80 71-80 61-70 61-70 51-60 51-60 41-50 41-50 31-40 31-40 ≤ 30 ≤ 30 I0461$ I0461$ Alert Alert Confusion Confusion : : P P   && && T+TA ;< T+TA ;< =re)&ens' m(n'#(r'ng =re)&ens' m(n'#(r'ng >> >> T> T> IIK+ JAT IIK+ JAT TAT =,I+A TAT =,I+A P+DKI I; P+DKI I; In's'al Pera?a# In's'al Pera?a# P

Paarraammee##eerr KKee##eerraannggaann

0

0 aann@@&&##))aan pn peenngg))aa@@''aan rn r&&##'n 'n mm''nn''mm&&m #m #''aap sp s''## 1 B 4 1 B 4 ap(r )e PJ s'#ap(r )e PJ s'# T'ng)a# T'ng)a# )esa*aran )esa*aran ≥ 39.1 ≥ 39.1(( 38.1-39.0 38.1-39.0(( 37.1-38.0 37.1-38.0(( 36.1-37.0 36.1-37.0(( 35.1-36.0 35.1-36.0(( ≤ 35.0 ≤ 35.0((

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Peng)a@'an #an*a C'#al er)elan@&#an Peng)a@'an #an*a C'#al er)elan@&#an

aran &n#&) r&@&) a#a& p'n*a )e pera?a#an 'n#ens' aran &n#&) r&@&) a#a& p'n*a )e pera?a#an 'n#ens'

I0462$ I0462$

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3 3 2 2 0 0 1 1 3 3 0 0 1 1 2 2 3 3 3 3 2 2 1 1 0 0 1 1 2 2 3 3 2 2 3 3 0 0

N PASIEN

)(r )(r ;< ;<

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3 3 2 2 1 1 0 0 1 1 3 3 0 0 3 3 2 2 1 1 0 0 1 1 3 3

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N

Naammaa :: RRuuaanngg//KKeellaass ::

T

Tanggal anggal Lahir Lahir :: No

No Rekam Rekam Medis Medis ::

Tanggal Tanggal Jam Jam Pernapasan Pernapasan  28 ar'  28 ar'  20  20 21-29 21-29 30 - 39 30 - 39 40 40 - - 6060 E 60 E 60  1 #  1 # ≤ 20 ≤ 20 20 -29 20 -29 30-40 30-40 41 - 50 41 - 50 51-60 51-60 E60 E60 1 - 5 # 1 - 5 # 20 20 20 - 30 20 - 30 31 - 50 31 - 50 51 - 60 51 - 60 E 60 E 60 5- 11 # 5- 11 #  20  20 20 - 30 20 - 30 31 - 50 31 - 50 51 - 60 51 - 60

GRAFIK PERKE

PASIEN AN

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+

+))ss''ggeen n aa##aa& & **aarra a #e#e))aann  2 2"" E 2 "  E 2 "  (*e (*e a#&ras' ()s'gen %$ a#&ras' ()s'gen %$ E 95 E 95 90- 94 90- 94 86- 90 86- 90 86 86

Central Capillary Refill Central Capillary Refill TimeTime

E2 *e#') E2 *e#')  2 *e#')  2 *e#') ?arna )&l'# ?arna )&l'# P'n) P'n) P&Ga# P&Ga# I0451$ I0451$

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Cancel Anytime. a*' a*'  28 ar'  28 ar'  80  80 81- 89 81- 89 91-99 91-99 100- 180 100- 180 181-189 181-189 E 200 E 200  1 #  1 # 90 90 90- 99 90- 99 100-109 100-109 110- 160 110- 160 161- 170 161- 170 171- 190 171- 190 E190 E190 1 - 5 # 1 - 5 # 70 70 70-79 70-79 80-89 80-89 90-140 90-140 141-160 141-160 161-170 161-170 E170 E170 5- 11 # 5- 11 # 60 60 60-69 60-69 70-79 70-79 80-120 80-120 121-140 121-140 141-160 141-160 E160 E160 12- 16 # 12- 16 # 60 60 55-100 55-100 101-120 101-120 121-140 121-140 E140 E140 Te)anan Dara 's#(l') Te)anan Dara 's#(l')  80  80 80-89 80-89 90-119 90-119 120-129 120-129 130-139 130-139 E140 E140

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Cancel Anytime. TAT =,I+A TAT =,I+A P+DKI I; P+DKI I; In's'al Pera?a# In's'al Pera?a# P

Paarraammee##eerr KKee##eerraannggaann

0

0 - - 22 KKaa@@' ' ##''aap p 4 4 @@aamm 3 B 4

3 B 4

ap(r

ap(r pera?a# PJ pera?a# PJ &n#&) &n#&) )(n'rmas' parame#er )(n'rmas' parame#er a)&)an 'n#erCens' ses&a' 'ns#r&)s' 'la a*a a)&)an 'n#erCens' ses&a' 'ns#r&)s' 'la a*a Ka@' #'ap 2 @am

Ka@' #'ap 2 @am

5 5

ap(r pera?a# PJ /ang er#angg&ng @a?a

ap(r pera?a# PJ /ang er#angg&ng @a?a &n#&) )(n'rmas' parame#er &n#&) )(n'rmas' parame#er ap(r D()#er &m&m

ap(r D()#er &m&m

a)&)an 'n#erCens' ses&a' 'ns#r&)s' a)&)an 'n#erCens' ses&a' 'ns#r&)s' Ka@' #'ap 1 @am

Ka@' #'ap 1 @am

≥ 6 ≥ 6

ap(r pera?a# PJ /ang er#angg&ng @a?a

ap(r pera?a# PJ /ang er#angg&ng @a?a &n#&) )(n'rmas' parame#er &n#&) )(n'rmas' parame#er ap(r *r &m&m *an DPJP *engan )&n@&ngan ?a@' *ar&ra#

ap(r *r &m&m *an DPJP *engan )&n@&ngan ?a@' *ar&ra# a)&)an 'n#erCens' ses&a' 'ns#r&)s'

a)&)an 'n#erCens' ses&a' 'ns#r&)s' Ka@' #'ap 30 men'# a#a& r&@&)

Ka@' #'ap 30 men'# a#a& r&@&)

I0452$ I0452$

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Cancel Anytime. 3 3 2 2 1 1 0 0 3 3 3 3 1 1 0 0 1 1 2 2 3 3 3 3 0 0 1 1 2 2 3 3 3 3 0 0 1 1 2 2

BANGAN

AK

s)r(r s)r(r ;< ;<

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N

Naammaa :: RRuuaanngg //KKeellaass ::

T

Tanggal anggal Lahir Lahir :: No"

No" Rekam Rekam Medis Medis ::

Tanggal Tanggal Jam Jam Pernapasan Pernapasan E 25 E 25 21-25 21-25 12F 20 12F 20  12  12 E 95 E 95 92-95 92-95  92  92 TIDAK TIDAK A  02 "$ A  02 "$ 180 180

G

GR

RA

AF

FIIK

K P

PE

ER

RK

KE

EM

MB

BA

AN

NG

GA

A

KAN#NGAN AN KEBI

a#&ras' a#&ras' ()s'gen %$ ()s'gen %$ +)s'gen a#a& +)s'gen a#a& *ara #e)an *ara #e)an

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Cancel Anytime. 60 60 a*' a*' 150 150 140 140 130 130 120 120 110 110 100 100 90 90 80 80 70 70 60 60 50 50 40 40 I+421$ I+421$ && && E 37.7 E 37.7 37.3-37.7 37.3-37.7 36.1 - 37. 2 36.1 - 37. 2 36 36 A A H H : : P P   T'ng)a# T'ng)a# )esa*aran )esa*aran

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Parame#er

Parame#er Ke#eranganKe#erangan

0

0 - - 22 KKaa@@' ' ##''aap p 4 4 @@aamm

3 B 4 3 B 4

>er)(ns&l#as' *engan pera?a#" '*an PJ &n#&) )(n'rmas'

>er)(ns&l#as' *engan pera?a#" '*an PJ &n#&) )(n'rmas' parame#er parame#er ap(r pera?a#" '*an PJ /ang er#angg&ng @a?a

ap(r pera?a#" '*an PJ /ang er#angg&ng @a?a a)&)an 'n#erCens' ses&a' 'ns#r&)s' 'la a*a

a)&)an 'n#erCens' ses&a' 'ns#r&)s' 'la a*a Ka@' #'ap 2 @am

Ka@' #'ap 2 @am

5 5

ap(r pera?a#"'*an PJ /ang er#angg&ng @a?a &n#&) )(n'rmas' parame#er ap(r pera?a#"'*an PJ /ang er#angg&ng @a?a &n#&) )(n'rmas' parame#er ap(r D()#er &m&m

ap(r D()#er &m&m

a)&)an 'n#erCens' ses&a' 'ns#r&)s' a)&)an 'n#erCens' ses&a' 'ns#r&)s' Ka@' #'ap 1 @am

Ka@' #'ap 1 @am

≥ 6 ≥ 6

ap(r pera?a#" '*an

ap(r pera?a#" '*an PJ /ang er#angg&nPJ /ang er#angg&ng @a?a &n#&) g @a?a &n#&) )(n'rmas' parame#er )(n'rmas' parame#er ap(r *r &m&m *an DPJP *engan )&n@&ngan ?a@' *ar&ra#

ap(r *r &m&m *an DPJP *engan )&n@&ngan ?a@' *ar&ra# a)&)an 'n#erCens' ses&a' 'ns#r&)s'

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PASIEN

ANAN

s)r(r s)r(r ;< ;<

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