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HD Rutin ..........kali/Minggu
- Frekwensi HD ..............................................................................................................................
- Pencapaian Adekuasi Dialisis ......................................................................................................
- Lainnya ........................................................................................................................................
VII. Resep Dialisis
1. Jenis Dialisat Bikarbonat
2. Akses Sirkulasi Femoral Cinimo Double Lumen Catheter Subelavia Jugular
3. Durasi hd (Td) : ..................... Jam
4. UF Goal : ..................... Mililiter
5. BB Kering : ..................... Kilogram
6. Kecepatan Aliran Darah : ..................... Mililiter per menit
7. Kecepatan Aliran Dialisat ......................Mililiter per menit
:
8. Heparinisasi Kontinue ......................U/jam LMWH
Intermiten
: ......................U/jam Tanpa Heparin
9. Program Profiling UF ............. Na ............... Bicarbonat ........................
10. Suhu ..................°C
VIII. Terapi
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Perubahan Terapi (diisi jika perubahan kurang dari 6 bulan) :
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Tanda tangan dan nama jelas
Catatan : 1. *)Coret yang tidak perlu 2. Beri tanda √ pada sesuai dengan pilihan