Clinical Pathway HD - Docx Excell

 

W0RKSHEET CLINICAL PA PATHWAY THWAY : HEMODIALISIS RUTIN REGULER NO

AWAL KUNJUNGAN

1

INFORM

!

e(e+&m&t&n A""# A""#"" ""M M #NT #NT  A((e((ment e(e+&m&t&n .&($en

3

/

DIAGNO"A

IN INT# T#R R0#N 0#N"I

TIAP KUNJUNGAN

Inform Concernt HD e1

 A((e((ment e(e+&m&t&n .&($en

R$%&'&t Pen'&$t A((e((ment F$($ A((e((ment N N) )tr$($ A((e((ment B$o*P($o*"o($&+ B$o*P($o*"o($&+

R$%&'&t Pen'&$t A((e((ment F$($ A((e((ment N N) )tr$($ A((e((ment B$o*P($o*"o($ B$o*P($o*"o($&+ &+

D$&,no(& Me-$

D$&,no(& Me-$

D$ D$&, &,no no(& (& Ke.e Ke.err&% &%&t &t&n &n

D$ D$&, &,no no(& (& Ke.e Ke.err&% &%&t &t&n &n

Pre(cr$.2on.ere(e.&n Hemo-$&+$($( 7HD8

Pre(cr$.2on.ere(e.&n Hemo-$&+$($( 7HD8

Pro Pro,r ,r&m &m HD HD (e()& (e()&$$ re(e. re(e.

Pr Pro,r o,r&m &m HD HD (e()& (e()&$$ re(e. re(e.

M&n&e M&n&emen men An2o An2o&,) &,)+&n +&n

M&n&e M&n&emen men An2o An2o&,) &,)+&n +&n

Mon$tor (e+&m& HD

Mon$tor (e+&m& HD

Term$n&($ HD

Term$n&($ HD

TH TH#R #RAP APII OBA OBAT O4& O4&t An An2 25$.e 5$.errten( ten($$

TIAP 3 BULAN

TIAP 6 BULAN

TIAP 1 TAHUN Inform Concern e!

Per($&.&n HD Per($&.&n HD K&n)+&($ A(e( A(e( 0&()+er 0&()+er HD HD K&n)+&($ A(e( 0 0&()+er &()+er HD



TIAP 1 BULAN

O4&t 4&t An An2 25$ 5$.e .ert rten en(( $

O4&t Anem$& R Re en & +

O4&t Anem$& R Re en & +

O4&t O O((teo.oro($(

O4&t O O((teo.oro($(

O4&t An&+,e2

O4&t An&+,e2

 

O4&t A(&m Am$no

6

P#NUNJANG DIAGNO"TIK

O4&t A(&m Am$no

Pemer$(&&n -&r&5 )re)mBUN -&n -&n re&2n$n

Pemer$(&&n -&r&5 )re)mBUN -&n re&2n$n

Pemer$(&&n -&r&5 r)2n +en,&.7H4< A+< At8

Pemer$(&&n -&r&5 r)2n +en,&.7H4< A+< At8

#+etro+$t -&r&5 = N&< K< C+< C&< P5o(.5&t Pemer$(&&n HB(AG An2 HC0 < 7HI0< $& &-& -&t& .en-))n,8

Pemer$(&&n HB(AG An2 HC0 < 7HI0< $& &-& -&t& .en-))n,8

An&+$(& G&( D&r&5

An&+$(& G&( D&r&5

APTTPTT

APTTPTT

Foto D&-& #+etro K&r-$o,r&; 7#KG8 &t&) #o&r-$o,r&;

9

#0ALUA"I

#+etro K&r-$o,r&; K&r-$o,r&; 7#KG8

O4(er:&($ on-$($ ;($

O4(er:&($ on-$($ ;($

O4(er:&($ on-$($ ;($

O4(er:&($ on-$($ ;($

D$(c5&r,e P+&nn$n, Re()me H&r$&n

D$(c5&r,e P+&nn$n, Re()me H&r$&n

D$(c5&r,e P+&nn$n, Re()me 3 B)+&n&n

D$(c5&r,e P+&nn$n, Re()me 6 B)+&n&n

 

W0RKSHEET CLINICAL PATHWA PATHWAY Y : HEMODIALISIS AKUT AWAL KUNJUNGAN 1

INFORM

!

A""# A""#"" ""M M #NT #NT  A((e((ment e(e+&m&t&n e(e+&m&t&n .&($en

KUNJUNGAN K#*!

Inform Concernt HD e1

 A((e((ment e(e+&m&t&n .&($en

R$%&'&t Pen'&$t

R$%&'&t Pen'&$t

A((e((ment F$($

A((e((ment F$($

A((e((ment N N) )tr$($ A((e((ment N N) )tr$($ A((e((ment B$o*P($o*"o($&+ B$o*P($o*"o($&+ A((e((ment B$o*P($o*"o($ B$o*P($o*"o($&+ &+

3

/

DIAGNO"A

IN INT# T#R R0#N 0#N"I

D$&,no(& Me-$

D$&,no(& Me-$

D$ D$&, &,no no(& (& Ke.e Ke.err&% &%&t &t&n &n

D$ D$&, &,no no(& (& Ke.e Ke.err&% &%&t &t&n &n

Pre(cr$.2on.ere(e.&n Hemo-$&+$($( 7HD8

Pre(cr$.2on.ere(e.&n Hemo-$&+$($( 7HD8

P er($&.&nA(e( HD 0&()+er Per($&.&nA(e( HD 0 K&n)+&($ A(e( 0&()+er HD HD K&n)+&($ 0&()+er &()+er HD Pro Pro,r ,r&m &m HD HD (e()& (e()&$$ re(e. re(e.

Pr Pro,r o,r&m &m HD HD (e()& (e()&$$ re(e. re(e.

M&n&e M&n&emen men An2o An2o&,) &,)+&n +&n

M&n&e M&n&emen men An2o An2o&,) &,)+&n +&n

Mon$tor (e+&m& HD

Mon$tor (e+&m& HD

Term$n&($ HD

Term$n&($ HD

KUNJUNGAN K#*3

KUNJUNGAN K#*/

KUNJUNGAN K#*

KUNJUNGAN K#*6

 



6

TH TH#R #RAP APII OBA OBAT O4& O4&t An An2 25$.e 5$.errten( ten($$

P#NUNJANG DIAGNO"TIK

O4&t 4&t An An2 25$ 5$.e .ert rten en(( $

O4&t Anem$& R Re en & +

O4&t Anem$& R Re en & +

O4&t O O((teo.oro($( O4&t An&+,e2

O4&t O O((teo.oro($( O4&t An&+,e2

O4&t A(&m Am$no

O4&t A(&m Am$no

Pemer$(&&n -&r&5 )re)mBUN -&n -&n re&2n$n

Pemer$(&&n -&r&5 )re)mBUN -&n re&2n$n

Pemer$(&&n -&r&5 r)2n +en,&.7H4< A+< At8 #+etro+$t -&r&5 = N&< K< C+< C&< P5o(.5&t Pemer$(&&n HB(AG An2 HC0 < 7HI0< $& &-& -&t& .en-))n,8 An&+$(& G&( D&r&5 APTTPTT Foto D&-& #+etro K&r-$o,r&; 7#KG8 &t&) #o&r-$o,r&;

Pemer$(&&n -&r&5 Pemer$(&&n -&r&5 )re)mBUN -&n re&2n$n )re)mBUN -&n re&2n$n Pemer$(&&n -&r&5 r)2n +en,&.7H4< A+< At8

Pemer$(&&n -&r&5 )re)mBUN -&n re&2n$n

Pemer$(&&n -&r&5 )re)mBUN -&n re&2n$n

 

CLINICAL PATHWAY : HEMOD IALISIS/HD AKUT KSM SUB GINJAL HIPERTENSI/INSTALASI DIALISIS RSUP DR. SR ADJITO YOGYAKARTA 2014

Nama Pasien :

Umur :

Dia"n#sa A%a&

K#!e ICD '0 : R) Ra%a

 A$i3ias Pe&a.anan

T"&*+am Masu$

HD $e4'

Bera Ba!an :

Tin""i Ba!an : N#m#r Re Re$am Me!is : Ren(ana Ra%a :

T"a&*,am $e&uar Lama R%a

HD $e41 5 $e4

$e&as

ari-* Tin!$ :

Bia.a

  '/10/000)00 HD $e46 5 $e47

Hari s sa a$i*in!a$an HD HD :

Hari s sa a$i*in!a$an H HD D:

Hari s sa a$i*in!a$an H HD D:

Peri$s i$sa !#$er a&i "in,a&

Peri$s i$sa !#$er a&i "in,a& ,a&

Peri$sa !#$er a&i "in, in,a&

2/200/000)00

Dia"n#sis 8 Pen.a$i Uama 8 Pen.a$i Pen.era 8 K#m9&i$asi  Assessmen K&inis : 8 Ke9era%aan 8 Peri$sa D#$er  8Pemeri$saan K#nsu&asi Penun,an" La?

Dara &en"$a9 E&e$#r&i : @Na/ K/ C9re*9#s / Ca/ #s-#r 

 

670/000)00 1/000)00

E&e$ E&e$# #r&i r&i : Na/ Na/ K/ C& : Pr Pre* e*9# 9#s s

E&e$ E&e$# #r&i r&i : Na/ Na/ K/ C& : 9re* 9re*9# 9#s s

2;1/700)00

 APTT*PTT

>0/000)00

 A&?umin

'>/700)00

G&u$#sa se%a$u

'>/000)00

Pemeri$saan

Hi= @K*P ## !a!a : AP*La

Ra!i#&#"i

EKG

Tin!a$an*Iner3ensi

Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Me!is

Pe&a.anan Me!is

Pe&a.anan Me!is

 A$ses =as$u&er =as$u&er HD

A$ses =as$u&er =as$u&er HD

A$ses = =as$u&er as$u&er HD

   

Pe&a.anan Gii

'0/000)00 62/000)00 ;2/000)00 20/000)00

'7/000)00

O?a4#?aan*Baan Me!is Ha?is Pa$ai Pa$e 6 A&a HD Baru Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

Pa$e Penun,an" HD NaC& 0/; / in-us se/ s9ui NaC& 0/; / in-us se/ s9ui NaC& 0/; / in-us se/ s9ui '0/s9ui ' ((/ e9arin in,e$si/!&& '0/s9ui ' ((/ e9arin in,e$si/!&& '0/s9ui ' ((/ e9arin in,e$si/!&& O?a ani i9eensi

=a&saran

=a&saran

=a&saran

O?a Anemia Rena&

Asam #&a

Asam #&a

Asam #&a

Ir#n Su(r#se

Ir#n Su(r#se

Ir#n Su(r#se

Human Erir#9#ein

Human Erir#9#ein

Human Erir#9#ein

Trans-usi !ara

Trans-usi !ara

Trans-usi !ara

O?a Ose#9#r#sis

CaC#

CaC#

CaC#

 Asam Amin#

EAS

M#?i&isasi

'/;7/000)00 1/700)00 '>/000)00

Hi= @K*P ## !a!a

Ra!i#&#"i Tin!a$an*Iner3ensi

EKG Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Me!is  A$ses =as$u&er =as$u&er HD

Pe&a.anan Me!is A$ses =as$u&er =as$u&er HD

Pe&a.anan Me!is A$ses = =as$u&er as$u&er HD

Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

;2/000)00 20/000)00

Pe&a.anan Gii

O?a4#?aan*Baan Me!is Ha?is Pa$ai Pa$e 6 A&a HD Baru Dias#&/ B&##! &ine/ isu&a/ Dia&iser 

Pa$e Penun,an" HD NaC& 0/; / in-us se/ s9ui NaC& 0/; / in-us se/ s9ui NaC& 0/; / in-us se/ s9ui '0/s9ui ' ((/ e9arin in,e$si/!&& '0/s9ui ' ((/ e9arin in,e$si/!&& '0/s9ui ' ((/ e9arin in,e$si/!&& O?a ani i9eensi

=a&saran

=a&saran

=a&saran

O?a Anemia Rena&

Asam #&a

Asam #&a

Asam #&a

Ir#n Su(r#se Human Erir#9#ein

Ir#n Su(r#se Human Erir#9#ein

Ir#n Su(r#se Human Erir#9#ein

Trans-usi !ara

Trans-usi !ara

Trans-usi !ara

O?a Ose#9#r#sis

CaC#

CaC#

CaC#

 Asam Amin#

EAS

M#?i&isasi Hasi& @Ou(#me : 8 8 8 Pen!i!i$an*Ren(ana Pemu&an"an

HD Ruin 1*m"/ Die 9r#ein '4 '/1 "r*$"??/ Resri$si (airan/ $e9auan #?a

'/;7/000)00 1/700)00

G&u$#sa se%a$u

'>/000)00

Hi= @K*P Pemeri$saan ## !a!a Penun,an" Ra!i#&#"i Tin!a$an*Iner3ensi

EKG Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Ke9era%aan

Pe&a.anan Me!is

Pe&a.anan Me!is

Pe&a.anan Me!is

 A$ses =as$u&er =as$u&er HD

A$ses =as$u&er =as$u&er HD

A$ses = =as$u&er as$u&er HD

62/000)00 ;2/000)00 20/000)00