Tugas Resusitasi Cairan

Oleh : Rino Agustian Praja

Pembimbing : dr. Teguh Astanto, Msi. Med. Sp.B.
 Kasus 1
• Laki-laki usia 50 tahun, BB 50 kg, mengalami
ileus obstruktif, dehidrasi berat, suhu: 39 C,
BB: 50 kg.
– Penatalaksanaan dehidrasi berat?
 Jawab
RUMATAN = 75 meq/hari
• Cairan(2cc/KgBB/Jam) • Cl= 1,5meq/KgBB/hari
= 2 x 50 kg x 24 = 1,5 x 50 kg
= 100 x 24 = 75 meq/hari
= 2400 cc • Kalori = 25 – 35
• Elektrolit : kal/KgBB/hari
K = 1 meq/KgBB/hari = (25 – 35) x 50
= 1 x 50 kg = 1250 – 1750 kal/hari
= 50 meq/hari • Protein = 1 gr/KgBB/Hari
• Na= 1,5meq/KgBB/hari = 1 x 50 kg
= 1,5 x 50 kg = 50 gr/Hari
KOREKSI
• Dehidrasi
= 8 % x BB (gr)
= 8 % x 50000
= 4000 cc
• Suhu
= (X-N) x 12, 5 % x Rumatan
= (39-37) x 12,5 % x 2400
= 2 x 12,5 % x 2400
= 25 % x 2400
= 600 cc
Pemberian cairan = 3500 cc
• 6 jam I = ½ x (rumatan + koreksi) • Tetesan = 3500 cc x 15 / 18 jam
= ½ x (2400 + (4000+600) = 52500 / 18 jam
= ½ x 7000 = 2916 / jam
= 3500 cc = 48 tetes / menit
• Tetesan = 3500 cc x 15 / 6 jam
= 52500 / 6 jam
= 8750 / jam
= 145 tetes / menit
• 18 jam II = ½ x (rumatan +
koreksi)
= ½ x (2400 + (4000+600)
= ½ x 7000 cc
 Kasus 2
• Anak-anak dengan BB: 25 kg, dehidrasi
sedang, suhu: 38 C. Penatalaksanaan dan
penghitungan cairan?
Rumatan
BB 25 Kg = 10 + 10 + 5
= (10 x 100) + (10 x 50) + (5 x 20)
= 1000 + 500 + 100
= 1600 ml/24 Jam
• Dehidrasi
= 10 % x BB (gr)
= 10 % x 25.000 gr
= 2500
• Suhu
= (X-N) x 12, 5 % x Rumatan
= (38-37) x 12, 5 % x 1600
= 1 x 12, 5% x 1600
= 12,5% x 1600
= 200
Pemberian Cairan

• 6 jam I = ½ x (rumatan + koreksi)

= ½ x (1600 + (2500 + 200)
= ½ x 4300
= 2150
• Tetesan = 2150 cc x 15 / 6 jam
= 32250 tetes / 6 jam
= 5375 tetes/jam
= 90 tetes/menit
• 18 jam II = ½ x (rumatan + koreksi)
= ½ x (1600 + (2500 + 200)
= ½ x 4300
= 2150
• Tetesan = 2150cc x 15 / 18 jam
= 32250 / 18 jam
= 1792 / jam
= 30 tetes / menit
Terima Kasih