Name : Khairan Adiyani

SRN : 1614401110049

Ahmad (male),45 years old

Weight = kg , High

FOCOS DATA

Subjektive Data

 Patien said “ I feel shortness of breath.

 Patien said “ I feel pain in the chest.
 Patien said ” I feel nausea and no appetite.

Objektive data

The client looks restles blood pressure :140/90,Temperature 36 C ,Pulse 89 X / minute,

respiration 26 x / minute ( Lab rresult laboratory :former inflamation of the lung.)

When examined patients in pain get the scale :

Provocative/paliative : pain in the press

Quality/quantitas : pain like in a puncture

Region : Left of ICS 4

Scale/severitas : 2 (1-5)

Time: missing (when in press)