BUKU CATATAN KESEHATAN ANAK
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Transcript of BUKU CATATAN KESEHATAN ANAK
Catatan Kesehatan Anak Anda
Dr. Edwin Tohaga. SpAPraktek :
RSUD RA Kartini JeparaRS Graha Husada Jepara
No : .......................................
Nama : ..................................
Catatan Kelahiran Buah Hatiku
Nama ....................................................................................................Jenis kelamin ........................................................................................Tanggal Lahir .......................................jam ..........................................Nama Orang TuaAyah .....................................................................................................Pekerjaan .............................................................................................Ibu ........................................................................................................Pekerjaan .............................................................................................Alamat rumah ......................................................................................
......................................................................................Telp ......................................................................................................
Riwayat Persalinan
Dokter Kebidanan ................................................................................Dokter anak .........................................................................................Jenis persalinan ................................Nilai apgar..................................Berat/ panjang badan ..........................................................................Lingkar kepala / dada ..........................................................................Golongan darah ...................................................................................Skiring laboratorium. Hb............HT...........T4.......................................
Riwayat Masa Neonatal
Ya TidakASI/Breast FedKuning / JaundiceKejang Defisiensi enzim G6PDInkompatabilitas ABOTerapi sinar / PhototerapiTransfusi tukarHipoglikemiaSindroma gangguan pernapasanCacat bawaanLain- lain.............................................................................................................................................................................................................Kadar bilirubin tertinggi....................................mg/dl waktu pulang .............................mg/dlPulang dari RS/RB tanggal .............................................................................................................Berat saat pulang..................grASI ........................................................................................................Susu Formula .......................................................................................Tanggal kontrol ....................................................................................
Skrining penyakit jantung bawaan kritikal
Dilakukan pada 24 jam usia persalinan dengan melakukan pemeriksaan saturasi oksigenasi pada keempat ektrimitas bayi.
Hasil pemeriksaan :
SaO2 tangan kanan ..........
SaO2 tangan Kiri ..........
SaO2 kaki kanan ..........
SaO2 kaki kiri ..........
Kesimpulan ..........................................................................................................................................................................................................................................................................................................................................
Pemeriksa
( .........................)
Jadwal Imunisasi anak anda
Jenis Rencana Pemberian
Tanggal Pemberian
Paraf
BCGHEPATITIS B
DPT
POLIO
CAMPAKHIB
PNEUMOKOKUS (PCV)
INFLUENSA (SETAHUN SEKALI)
MMR
TIFOID (DIULANG TIAP 3 TAHUN)
HEPATITIS A (2X INTERVAL 6 BULAN)VARICELA
HPV
MANTOUX
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
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Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan konsultasi
Tgl BB/PB/LK Keluhan Terapi
Catatan Perawatan Rumah Sakit
Tgl perawatan Diagnosis Dokter yang merawat