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 ALKALOSIS METABOLIK

•  Adalah gangguan keseimbangan asam-

basa yang ditandai peningkatan primer

kadar HO!- plasma atau penurunan H" 

sehingga ter#adi peningkatan pH$

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•  L%& urinary 'hl%ride

 ()I H" l%ss * +%miting, gastri' su'ti%n

 (enal H" l%ss * diureti's

 (E.%gen%us HO!- l%ad %ral/I0 bi'nat,

anta'ids

High urinary 'hl%ride * mineral%'%rti'%ster%id

e.'ess

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K%mpensasi tehadap

 Asid%sis Metab%lik• Sistem bu11er *

• Sistem paru * peningkatan pO2 dengan

hip%+entilasi

• Sistem gin#al * ekskresi HO!- dari urin$

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3O3-EBEATHI3) BA)

• 4asien menarik napas

dari reservoar bag  dan

ekspirasi ke atm%s1er$

• Tekanan O2 5 6 ATM

• Tidak ada

pen'ampuran antara

udara inspirasi danekspirasi$

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• The 3%n ebreathing Mask pr%+ides a high

'%n'entrati%n %1 %.ygen and the reser+%ir bag

all%&s 1%r ade7uate %.ygen t% be a+ailable t%

meet the unpredi'ted patient8s breathing patternand tidal +%lume$

• 9eli+ery %1 ::; t% 6<<; O.ygen %n'entrati%n

• High %n'entrati%n at a =l%& ate %1 6> L4M

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• Advantages of Rebreathing Systems•Less %.ygen andanestheti' gases are used be'ause %1 the l%&er 1l%&

rates•Less &aste gases are pr%du'ed• &hi'h all%&sre'ir'ulati%n %1 e.haled gases The animal?s heat

and m%isture 1r%m respirati%ns are '%nser+ed• Advantages of Nonrebreathing Systems•9epth %1

anesthesia 'an be 'hanged m%re rapidly•Lessresistan'e %''urs during respirati%ns @small animals may

ha+e di11i'ulty inhaling &ith en%ugh 1%r'e t% dra& airthr%ugh a rebreathing system $need a higher 1l%& %1gases t% pre+ent rebreathing %1 'arb%n di%.ide

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EBEATHI3) BA)

• esirkulasi gas ekspirasi, terutama O2$

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• Functional analysis: hen the patient takes abreath, %r i1 the reser+%ir bag is s7ueeCed, theinspirat%ry unidire'ti%nal +al+e %pens and thegases 1l%& int% the patient8s lungs@=ig$6$ The

e.pirat%ry unidire'ti%nal +al+e 'l%ses thee.pirat%ry p%rt during sp%ntane%us breathing$The inspirat%ry unidire'ti%nal +al+e itsel1 'l%sesthe e.pirat%ry p%rt during '%ntr%lled +entilati%n$

 At the start %1 e.pirati%n, the inspirat%ryunidire'ti%nal +al+e returns ba'k t% p%siti%n ande.pirati%n takes pla'e thr%ugh the e.pirat%ryp%rt, %pening the e.pirat%ry +al+e$

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