Cairan Dan Nutrisi

Terapi Cairan
RESUSITASI

Kristaloid

Koloid

RUMATAN

Elektrolit

NUTRISI

Repair
Mengganti
Mengganti kehilangan
kehilangan
akut
akut (hemorrhage,
GI
GI loss,
loss, rongga
rongga ke3)

1.
1. Kebutuhan
Kebutuhan normal
normal
(IWL
(IWL +
+ urin+
urin+ feses)
feses)
2.
2. Dukungan
Dukungan nutrisi
nutrisi

ACCP Consensus Statement

25 kcal/Kg BW/day appears to be enough
for patient metabolism.
Glucose 30-70 % of total calories per day.
- 2 5 G/Kg BW
- Adjust the dose to maintain blood
glucose < 225 mg/dL.
- Add Insulin if necessary.
Fat 15 30 % of total calories/day.
Protein 1.2 1.5 G/Kg. BW.

Nutritional support

Start slow, Go slow, End slow

Water
= 30 - 40 mL/kg BW/day
Energy Expenditure
= 30-50 kcal/kg BW/day.
Carbohidrat
= 70 % of Energy Expenditure
Lipid
= 30 % of Energy Expenditure
Protein (Amino Acids)
= 0.8 1 g/kg BW/ day.
A ratio of non-protein energy = N is 150 kcal : 1 g
N.
Natrium
= 1-2
meq /kgBB/day
Kalium
= 1 meq / kgBB / day

Rute Pemberian cairan dan

Nutrisi
Per Oral
Per Enteral ( sonde )
Par enteral ( akses vaskular )
Osmolaritas rendah < 800 mOsm : Akses
vena perifer
Osmolaritas tinggi > 800 mOsm : akses
vena sentral

No.

JENIS CAIRAN

KH (kkal/L)

Prot (g/L)

Na (mEq/L)

K (mEq/L)

Osm

1.

NaCl 0,9%

154

305

2.

RL

130

273

3.

KaenMg3

400

50

20

728

4.

RD5

200

147

588

5.

Potacol R

200

130

412

6.

D5%

200

253

7.

D10%

400

555

8.

Martos 10%

400

278

9.

D5 NS

200

154

578

10.

D5 NS

200

77

428

11.

D5 NS

200

38,5

353

12.

D10 1/5 NS

400

31

615

13.

Triparen I

932

45

1668

14.

Triparen II

1168

57,7

45

1946

15.

Aminofusin L600

400

50

40

30

1100

16.

Aminofusin TPN

500

25

51,5

30

1100

17.

Aminofusin Paed

50

30

25

600

18.

Pan Amin G

200

27,2

507

19.

Amiparen 100

100

888

20.

Triofusin 500

500

700

21.

Triofusin 1000

1000

1400

22.

Triofusin E1000

1000

80

30

1600

23.

Triofusin 1600

1600

2500

24.

Tutofusin OPS

200

100

18

500

25.

Ivelyp 10%

1100

300

26.

Ivelyp 20%

2000

270

27.

Kalbamin

91,13

800

28.

Dextran 40

140

273

29.

Aminovel 600

400

50

35

25

1320

30.

Pan enteral 100g

510

15,3

31.

Clinimix

410

As. Amin +

845

32.

Kaen3A

Laktat +

290

33.

Kaen3B

Laktat +

290

34.

Aminosteril 6%

As. Amin +

531

35.

EAS Pfrimer

As.amin +

700

36.

Wida RD

200

588

37.

Asering

Asetat +

273

Nutrisi Oral - Enteral

JENIS NUTRISI

KH (KKal/Hr)

Prot (g/hr)

Ket

Nasi

TKTP I

2255

65

Susu 1x

TKTP II

2722

92

Susu 2x

Bubur Kasar

TKTP I

2258

78

TKTP II

2765

99

Bubur halus

TKTP

1589

52

1609

44

Susu

150

250 cc

Telur

Per butir

TERAPI CAIRAN

RESUSITASI

KRISTALOID

KRISTALOID
+
(Na
> 100
mEq)
- RA
- RL
- NaCl 0,9%

KOLOID

Dextran- 40

Mengganti kehilangan
akut

RUMATAN

ELEKTROLIT

Na 5060mEq;
K+ 10-20 mEq
(KAEN group)
+

NUTRISI
AA 10% (AMIPAREN)
AA 5% (MINOVEL- 600)
AA 3%( PAN- AMIN G
D 10 % (KA-EN MG 3)
Maltosa 10% (MARTO

Memelihara)
keseimbangan