INFUS:
Otsu-KCl 7.46 ®
Meylon 8.4%
ELEKTROLIT AA + KH
Otsutran-
Asering
KRISTALOID KOLOID
40® Amiparen
® Seri KA -
Otsutran- Pan Amin G
EN
Otsu - RL® 70® Aminovel 600
Otsu - NS®
Menjaga agar
Mengganti jalur vena tetap
terbuka
kehilangan akut AMF/BFLUID®
Memenuhi kebutuhan
harian homeostasis
JENIS-JENIS LARUTAN
ELEKTROLIT
BERDASARKAN TONISITASNYA
NormalRinger D5 KAEN 3B
saline asetat/ laktat
Isotonic infusion
• Ringer’s acetate
1 L of • Ringer’s lactate
• Normal saline
Replace acute/
increases ECF abnormal
loss
800 ml 200 ml
Hypotonic infusion
1 L of 5% dextrose
KAEN
BFLUID
Replace Normal
increases ICF > ECF loss (IWL + urine)
Homeostasis
Protein
17%
Air
Lipid 61,6%
13,8%
Mineral 6,1%
Karbohidrat 1,5%
Yang Perlu Diketahui :
• Perlu mengetahui berapa kebutuhan air, elektrolit (Na+,K+)
1) Rumus : 4:2:1
2) Rumus Holiday-Segar
3) Tabel yang sudah ada
MENGHITUNG KEBUTUHAN AIR
RUMATAN
1) Rumus : 4:2:1
10 kg pertama : x 4 ml/jam
11-20 kg : x 2 ml/jam
>20 kg : x 1 ml/jam
2) Rumus Holiday-Segar
ml/kg/hari
Hari 1 Kehidupan 60
Hari kedua 90
Hari ke3 120
Sampai 9 bulan 120-140
12 bulan 90-100
2 tahun 80-90
4 tahun 70-80
8 tahun 60-70
12 tahun 50-60
KEBUTUHAN HARIAN
Na+ 2 meq/kgBB/hari
K+ 1 meq/kgBB/hari
K+ 4 20 20 1 meq/kg
Glukosa - 27 75
ASUPAN K++ < 10 MEQ/HARI
Tannen R.L: Potassium Disorders. In Kokko & Tannen. Fluid and Electrolytes.
WB Saunders Company 3rd ed, pp 123
INDICATIONS
AMINOFLUID ®
Electrolytes, 7.5% Glucose, 3% Amino Acids
Aminofluid
Electrolytes
(Na, K, Cl, Mg, Ca, P)
+ Zinc 23
By SS 2006-2007
The First Line Maintenance Fluid Therapy for Hospitalized Patients
AMINOFLUID®
Electrolytes, 7.5% Glucose, 3% Amino Acids
Ref. : ASPEN Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral
nutrition in adult and pediatric patients. JPEN Vol 26, No1 Suppl Jan-Feb 2002.
BFLUID
WHAT IS BFLUID ?
BFLUID®
Electrolytes, 7.5% Glucose, 3% Amino Acids with Vitamin B1
Glukosa
Vitamin B1 Electrolit
(Na, Cl, K dan lain-lain)
BFLUID®
Electrolytes, 7.5% Glucose, 3% Amino Acids with Vitamin B1
Komposisi
BFLUID®
VOLUME 1000 ML
Na+ 35 mEq
K+ 20 mEq
Mg++ 5 mEq
Ca++ 5 mEq
Zn 5 μmol
Glucose 75 g
Total Free
Amino Acids 30 gr
BCAA 9 gr
Thiamine Chloride
Hydrocloride 1.92 mg
Thiamine
Equivalent 1.5 mg
Total Calories 420 kcal
Non Protein
Calories 300 kcal
Osmolarity 850 mOsm
BFLUID®
Electrolytes, 7.5% Glucose, 3% Amino Acids with Vitamin B1
Kemasan
BFLUID®
Electrolytes, 7.5% Glucose, 3% Amino Acids with Vitamin B1
Upper
chamber
Lower
chamber
3 4
Campurkan cairan dengan menekan kedua Hang the bag on infusion stand. Remove the cover film on the spike port of the bag and attach an infusion set.
KEUNGGULAN-KEUNGGULAN BFLUID
KEUNGGULAN-KEUNGGULAN BFLUID
Hari ini
(kcal)
2500 (mL)
PN Target
PN 1200 kcal
PN PN
1000 (mL) PN PN PN PO 1000
ICF PO
PN
EN EN PO
EN Liquid
EN EN diet
Oral or Tube Feeding OPE Open total gastrectomy, pria usia 60 an , 160 cm, 60 kg
Supervised by : Takashi Tsuchiya, Director of Sendai City Medical Center Sendai Open Hospital
KONKLUSI