7/26/2019 Ihsan Nurdin (Feby)

1/4

A. DATA MAHASISWA

1. Nama Mahasiswa : Feby Wirananto

2. NPM :41111410

!. An"#atan : 2014

4. $e%om&o# P'$ : 1!

. Dosen Pembimbin" S(r)ei:Anita *i%iana+ ,r.+ M.$es .+ S&.P$

'. DATA $-PA*A $-*A/A

1. Nama #e&a%a #e%(ar"a : Ase& $hair(% Anwar

2. A%amat %en"#a& tem&at tin""a%: '%o# Sa#o%a rt 04 ,esa Me%on" imahi Se%atan

!. No te%& yan" bisa ,ih(b(n"i : 03224!1

4. 5(m%ah an""ota #e%(ar"a : 4

. Pen"hasi%an #e%(ar"a &erb(%an: /&. !000.000

. Pen"e%(aran #e%(ar"a &erb(%an:/&. 2000.000

. DATA /-SP6ND-N

1. Nama res&on,en : Ihsan N(r,in

2. sia : 1! tah(n

!. 5enis #e%amin : *a#i %a#i4. Pen,i,i#an tera#hir : SMP

. Pe#er7aan : Pe%a7ar

. /iwayat #e%(han DM:

a. Serin" Ha(s 1. 8a 2. Ti,a#

b. Serin" *a&ar 1. 8a 2. Ti,a#

9. Serin" 'A$ 1. 8a 2. Ti,a#

3. /iwayat &ernah ,i,ia"nosa DM o%eh ,o#ter&(s#esmas:

1. 8a ;5i#a ya+ %an7(t#an #e No. < 10= 2.Ti,a# ;5i#a ti,a#+ %an7(t #e No.11=

. S(,ah bera&a %ama men,erita DM: .......

>. /iwayat &ernah men,a&at &en"obatan DM 1. 8a 2. Ti,a#

10. A&a#ah me%a#(#an &en"obatan&emeri#saan "(%a ,arah se9ara terat(r

1. 8a 2. Ti,a#

7/26/2019 Ihsan Nurdin (Feby)

2/4

11. /iwayat Hi&ertensi:

1. 8a ;5i#a ya+ %an7(t#an #e No. 12 < 14= 2. Ti,a# ;5i#a ti,a#+ %an7(t #e 'a".D=

12. S(,ah bera&a %ama men,erita Hi&ertensi: ?.....

1!. /iwayat &ernah men,a&at#an &en"obatan Hi&ertensi 1. 8a 2. Ti,a#

14. A&a#ah me%a#(#an &en"obatan&emeri#saan te#anan ,arah se9ara terat(r

1. 8a 2. Ti,a#

D. S$/ININ T'

1. Men"a%ami #e%(han bat(# %ama @2 min""( ,a%am b(%an tera#hir

1. 8a 2. Ti,a#

2. Men"a%ami #e%(han ,emam ti,a# ter%a%( tin""i @2 min""( tan&a sebab 7e%as ,a%am

b(%an tera#hir

1. 8a 2. Ti,a#

!. Men"a%ami #e%(han ber#erin"at banya# ,i ma%am hari ,a%am b(%an tera#hir

1. 8a 2. Ti,a#

4. Men"a%ami #e%(han &en(r(nan nas( ma#an ,a%am b(%an tera#hir

1. 8a 2. Ti,a#

. Men"a%ami #e%(han &en(r(nan berat ba,an tan&a a,anya (&aya men(r(n#an berat

ba,an ,a%am b(%an tera#hir 1.8a 2. Ti,a#

. /iwayat &ernah me%a#(#an &emeri#saan ,aha# 1. 8a 2. Ti,a#

3. /iwayat &ernah me%a#(#an &emeri#saan ront"en ,a,a 1. 8a 2. Ti,a#

. /iwayat #onta# ,en"an &en,erita bat(# %ama @ 2 min""(&en,erita T'

1. 8a 2. Ti,a#

>. /iwayat men,a&at#an &en"obatan 7an"#a &an7an" ;minima% b(%an= (nt(# bat(#

%ama &en"obatan T'

1. 8a 2. Ti,a# ;5i#a ti,a#+ %an7(t #e ba"ian -=

;'i%a ya %an7(t#an #e nomer 10B14=

10. Se7a# #a&an mem(%ai men7a%ani &en"obatan T'C

11. 6bat T' se%a%( ,imin(m ,en"an terat(r 1. 8a 2. Ti,a#

12. Men"a%ami #e%(han ee# sam&in" obat T' 1. 8a 2. Ti,a#

1!. Memi%i#i &en"awas min(m obat 1. 8a 2. Ti,a#

7/26/2019 Ihsan Nurdin (Feby)

3/4

14. Pen"obatan T' ,i%a#(#an hin""a t(ntas ,inyata#an semb(h o%eh ,o#ter

1. 8a 2. Ti,a# !. 'e%(m se%esai

-. $-SI6N-/ S$/ININ T' PADA ANA$

Karakteristik anak

1. Nama Ana# :

2. sia :

!. 5enis #e%amin :

4. Im(nisasi ' : 8a Ti,a#

. A&a#ah ,i r(mah An,a a,a oran" ,ewasa yan" men,erita bat(#Bbat(# %ama @2

min""(C

1. 8a 2.Ti,a#

. A&a#ah ana# an,a &ernah mem&(nyai riwayat #onta# erat ,en"an oran" ,ewasa

&en,erita T'bat(#Bbat(# %ama @2 min""(C

1. 8a 2.Ti,a#

3. A&a#ah ana# an,a men"a%ami ,emam yan" ti,a# ter%a%( tin""i @2 min""(

,isertaitan&a #erin"at ma%amC

1.8a 2.Ti,a#

. A&a#ah ana# an,a men"a%ami &en(r(nan berat ba,an se%ama 2 b(%an bert(r(tBt(r(tC

1. 8a 2.Ti,a#

>. A&a#ah ana# an,a men"a%ami &en(r(nan nas( ma#anC

1. 8a 2.Ti,a#

10. A&a#ah ana# an,a men"a%ami bat(#Bbat(# %ama @! min""(C

1. 8a 2.Ti,a#

F. $A/A$T-/ISTI$ *IN$NAN FISI$

1. *(as ban"(nan r(mah:...m2 ;2=

2. A&a#ah ,a&at memba9a #oranb(#( ma7a%ah tan&a 9ahaya %am&( ,i sian" hari1. 8a 2.Ti,a#

!. 'era&a 7(m%ah 7en,e%a yan" a,a ,i ,a%am r(mah: ...b(ah ;1=

4. A&a#ah 7en,e%a terseb(t ,a&at ,ib(#ati,a#C

1. 8a 2.ti,a#

7/26/2019 Ihsan Nurdin (Feby)

4/4

. 'era&a (#(ran sem(a 7en,e%a r(mah: .......m ;1=

. A&a#ah ter,a&at 9ross )enti%asi ,i ,e&an r(mahC

1.8a 2.Ti,a#

. Peri%a#( &en9e"ahan &en(%aran T'

1. A&a#ah An,a serin" memb(an" ,aha# sembaran"anC

1.8a 2.Ti,a#

2. A&a#ah An,a men(t(& m(%(t saat bat(#C

1.8a 2.Ti,a#

!. A&a#ah setia& hari 7en,e%a r(mah se%a%( ,ib(#aC

1.8a 2.Ti,a#

BBBBBBBBBBBBBBBBBBBBBBBBBBBTerima $asihBBBBBBBBBBBBBBBBBBBBBBBB