BALANCE CAIRAN

Balance cairan
Deff : adalah konsep keseimbangan
homeostasis antara cairan yang masuk
dan keluar dari tubuh.

BC = input – output

= (nutrisi oral + parenteral) –

(urine +

muntah + feses + IWL)

IWL
Insensibel water loss = kehilangan cairan yang
tidak disadari melalui :
Transepidermal diffusion: cairan yang melalui
kulit dan hilang oleh proses evaporasi
Evaporasi melalui traktus respiratorius

Insensible water loss

Dewasa = 5 - 15 ml/kg BB/hari
Kebutuhan cairan harian pd
dewasa
Berdasarkan berat badan : 30-40
ml/kg/hari (sheila et al)

Pemberian cairan pada PEB 1 -

2ml/kgbb/jam (mushambi 1996)

Output minimal 500cc/hr (mushambi 1996)

 Ny S, P2A0, 31 thn
BB 80 kg
Kebutuhan cairan dalam 24 jam
30-40 ml/kb BB / hari = 80x30ml = 2400ml
Pemberian cairan pada PEB 1-2ml/kgbb/jam
1x80x24= 1920 cc
Jadi pemberian cairan diusahakan -480cc
Urine output minimal = 500cc/hr

IWL = BB x 15 = 1200/24 = 50 cc/jam

24 jam
Balance cairan Ny S
06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00
Tgl 13-1-2008

infus 400/ 300/ 150/ 325/ 100/ 180/ 250/ 150/

Input - 400 700 850 1175 1275 1455 1705 1855

Oral - - - - 10cc - - 10cc

-
Urine 300/ 150/ 100/ 100/ 100/ 100/ 100/ 50/
Output - 300 450 550 650 750 850 950 1000

Muntah - - - - - - - -
-
Tinja - - - - - - - 50
-
IWL 1200cc

BC = Input – Output urine output = 1000/24 j

= (1855 + 20) - (1000+1250) = - 375 cc
 Balance cairan Ny S
06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00
Tgl 14-1-2008
infus 200/ 200/ 200/ 200/ 100/ 150/ 150/ 150/
Input - 200 400 600 800 900 1050 1200 1350

Oral 10cc - - - 10cc - - -

-
Urine 100/ 50/ 50/ 20/ 30/ 50/ 100/ 100/
Output - 100 150 200 220 250 300 400 500

Muntah - - - - - - - -
-
Tinja - - - - - - - -
-
IWL 1200cc

BC = Input – Output urine output = 500 cc /24 j

= (1370) - (500+1200) = - 330 cc
 Balance cairan Ny S
06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00
Tgl 15-1-2008

infus 300/ 300/ 200/ 250/ 300/ 300/ 250/ 450/

Input - 300 600 800 1050 1350 1650 1900 2350

Oral - - - - - - - -
-
Urine 200/ 150/ 250/ 100/ 200/ 200/ 100/ 100/
Output - 200 350 600 700 900 1100 1200 1300

Muntah - - - - - - - -
-
Tinja - - 50 - - - - -
-
IWL 1200cc

BC = Input – Output urine output = 1350/24 j

= (2350) - (1350+1200) = - 200 cc
 Balance cairan Ny S
06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00
Tgl 16-1-2008
infus 250/ 100/ 150/ 200/ 200/ 200/ 150/ 200/
Input - 250 350 500 700 900 1100 1250 1450

Oral - - - - - - - -
-
Urine 50/ 50 150/ 100/ 200/ 200/ 100/ 100/ 50/
Output - 200 300 500 700 800 900 950

Muntah - - - - - - - -
-
Tinja - - - - - - - -
-
IWL 1200cc

BC = Input – Output urine output = 950/24j

= ( 2150) - (950+1200) = -180 cc
Ny Suparmi, P5A0, 41
thn
BB 93 kg
Kebutuhan cairan dalam 24 jam
30-40 ml/kb BB / hari = 93x30ml = 2790ml
Pemberian cairan pada PEB 1-2ml/kgbb/jam
1x93x24= 2232 cc

Jadi pemberian cairan diusahakan -558cc

Urine output minimal 500cc/hr
IWL = BB x 15 = 1200/24 = 50 cc/jam
24 jam
 Ny Suparmi, P5A0, 41
thn
Tgl 14-1-2008 06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00

infus 300/ 350/ 350/ 300/ 250/ 200/ 200/ 300/

Input - 300 650 1000 1300 1550 1750 1950 2250

Oral - - - - - - - -
-
Urin 150/ 200/ 150/ 150/ 200/ 100/ 150/ 100/
Output - 150 350 500 650 850 950 1100 1200

Muntah - - - - - - - -
-
Tinja - - - - - - - -
-
IWL 1395cc

BC = Input – Output urine output = 1200/24 j

= (2250) - (1200+1395) = - 345 cc
 Ny Suparmi, P5A0, 41
thn
Tgl 15-1-2008 06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00

infus 450/ 350/ 300/ 300/ 150/ 200/ 250/ 300/

Input - 450 800 1200 1500 1650 1850 2100 2400

Oral 10/10 10/20 10/30 10/40 10/50 - - -

-
Urin 200/ 300/ 100/ 100/ 100/ 100/ 200/ 200/
Output - 200 500 600 700 800 900 1100 1300

Muntah - - - - - - - -
-
Tinja - - - - - - - -
-
IWL 1395cc

BC = Input – Output urine output = 1100/24j

= (2400) - (1100 + 1395) = - 295 cc
 Ny Suparmi, P5A0, 41
thn
Tgl 16-1-2008 06.00 09.00 12.00 15.00 18.00 21.00 24.00 03.00 06.00

infus 350/ 250/ 150/ 250/ 200/ 150/ 300/ 200/

Input - 350 600 750 1000 1200 1350 1650 1850

Oral 20/20 - - - 20/40 - - -

-
Urin 200/ 100/ 150/ 100/ 100/ 100/ 50/ 50/
Output - 200 300 450 550 650 750 800 850

Muntah - - - - - - - -
-
Tinja - - - - - - - -
-
IWL 1395cc

BC = Input – Output urine output = 850/24 j

= ( 1850 ) - (850+1395) = - 395 cc
TERIMA KASIH