CARA MEMBUAT CAIRAN

Membuat N5 100 cc Dx 10% + 20 cc NaCL

Membuat N4 100 cc Dx 10% + 25 cc NaCl
Membuat Dextrose 7.5 % 46 cc Dx 5% + 4 cc Dx 40%
Membuat Dextrose 10 % 85,5 cc Dx 5% + 14,5 cc Dx 40% atau Dx 10%
Membuat Dextrose 12,5% 46 cc Dx 10% + 4 cc Dx 40%
Membuat Dextrose 15 % 42 cc Dx 10% + 8 cc Dx 40%
Membuat Dextrose 17,5 % 38 cc Dx 10% + 12 cc Dx 40%
Membuat Dextrose 20 % 34 cc Dx 10% + 16 cc Dx 40%
Membuat Dextrose 22,5 % 30 cc Dx 10% + 20 cc Dx 40%
Membuat Dextrose 25 % 20 cc Dx 10% + 24 cc Dx 40%

CAIRAN TPN = Total Parenteral Nutrition

0. BAHAN BAKU D 10% 3. BAHAN BAKU D10% 0,185 NS / D5 ¼ NS
 AA 6% 15 ml (protein 1 gr)  AA 6 % 50 ml (protein 3 gr)
 Lipid 20% 2,5 ml (lemak 0,5 gr)  Lipid 20% 10 ml (lemak 2 gr)
 Ca Gluconaz 1 ml +  Ca Gluconaz 10% 2 ml
18,5 ml  KCL 7,4% 2 ml
 MgSO4 20% 1 ml +
65 ml

1. BAHAN BAKU D10% 0,18 NS / D5 ¼ NS 4. BAHAN BAKU D10% 0,185 NS / D5 ¼ NS

 AA 6 % 30 ml (protein 2 gr)  AA 6 % 60 ml (protein 3,5 gr)
 Lipid 20 % 5 ml (lemak 1 gr)  Lipid 20% 12,5 ml (lemak 2,5 gr)
 Ca Gluconaz 10% 1 ml  Ca Gluconaz 10% 2,5 ml
 KCL 7,4% 1 ml  KCL 7,4% 2,5 ml
 MgSO4 20 % 0,5 ml +  MgSO4 20% 1,5 ml +
37,5 ml 79 ml

2. BAHAN BAKU D10% 0,185 NS / D5 ¼ NS 5. BAHAN BAKU D10% 0,185 NS / D5 ¼ NS

 AA 6 % 40 ml (protein 2,5 gr)  AA 6 % 65 ml (protein 4 gr)
 Lipid 20% 7,5 ml (lemak 1,5 gr)  Lipid 20% 15 ml (lemak 3 gr)
 Ca Gluconaz 10% 1,5 ml  Ca Gluconaz 10% 3 ml
 KCL 7,4% 1,5 ml  KCL 7,4% 3 ml
 MgSO4 20% 1 ml +  MgSO4 20% 2 ml +
51,5 ml 88 ml

RUMUS DEXTROSE = GIR x BB x 6 GIR = ml/jam (kecepatan infus dlm 24 jam) x Dx %

BB x 6
ml / jam
(kebutuhan cairan TPN / 24 jam)

RWH CONTINOUS INFUSIONS

Drug How to make up Dose Equivalent DOSE RANGE
Adrenaline 0,6 mg/kg in 50 mL 1mL/hr = 0,2 microgram/kg/min 0.05 to 1 microgram/kg/min
Alprostadil 60 microgram/kg in 50mL 1mL/hr = 0,02 microgram/kg/min 0.01 to 0.02
(prostaglandin E1) microgram/kg/min
Dobutamin 30 mg/kg in 50 mL 1mL/hr = 10 microgram/kg/min 5 to 20 microgram/kg/min
Dopamine 30 mg/kg in 50 mL 1mL/hr = 10 microgram/kg/min 2 to 20 microgram/kg/min
Fentanyl 200 microgram/kg in 50 mL 1mL/hr = 4 microgram/kg/hr 1 to 5 microgram/kg/hr
Glucagon 500 microgram/kg in 50 mL 1mL/hr = 10 microgram/kg/hr 5 to 10 microgram/kg/hr
Insuline 5 units/kg in 50 mL 1mL/hr = 0,1units/kg/hr 0.01 to 0.1 microgram/kg/hr
Midazolam 3 mg/kg in 50 mL 1mL/hr = 1 microgram/kg/min 0.5 to 2 microgram/kg/min
Morfin 0,5mg/kg in 50 mL 1mL/hr = 10 microgram/kg/hr 5 to 40 microgram/kg/min