Download - Anastesi Rony presentasi Fix
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REFERAT ILMU ANESTESI “PEMILIHAN TERAPI CAIRAN”
OLEH :Rony Kharisma110 210 0051
PEMBIMBING :
dr. Julia Hasir,Sp.An, M.Kes
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Fisiologi Keseimbangan Cairan
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Distribusi Cairan TubuhZat cair (60% BB) terdiri dari :Cairan intrasel : 40% dari BB (pada bayi : 50% dari BB)Cairan ekstrasel : 20% dari BB, terdiri dari :
Cairan intravaskular : 5% dari BB Cairan interstitial : 15% dari BB (cairan limfe termasuk dalam volume interstitial)
Jumlah relatif cairan ekstraselular berkurang seiring bertambahnya usia.Cairan transselular (1-3% BB) : LCS, sinovial, gastrointestinal dan intraorbital
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Elektrolit TubuhEkstrasel : Na+ ,Cl- , dan HCO3-
Intrasel : K+ dan PO4-.
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Kebutuhan Cairan dan Elektrolit1. Dewasa :
Air : 30-35 ml/kg, kenaikan 1oC ditambah 10-15%Na+: 1,5-2 mEq/kg (100 mEq/hari atau 5,9 g)K+ : 1 mEq/kg (60 mEq/hari atau 4,5 g)
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2. Bayi dan anak :Air0-10 kg : 4 ml/kg/jam (100 ml/kg)10-20 kg : 1000 ml + 50 ml/kg di atas 10 kg>20 kg : 1500 ml + 20 ml/kg di atas 20 kgNa+ : 2 mEq/kgK+ : 2 mEq/kg
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Keseimbangan Cairan
Cairan yang Masuk Cairan yang Keluar
Metabolisme oksidatifKonsumsi cairan oral
Makanan padat
300 ml1100-1400 ml800-1000 ml
GinjalKulit
Paru-paruGIT
1200-1500 ml500-600 ml
400 ml100-200 ml
Total 2200-2700 ml Total 2200-2700 ml
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Patofisiologi Keseimbangan Cairan
Perubahan Volume
Perubahan Konsentrasi
Perubahan Komposisi
Defisit VolumeDehidrasiKelebihan volumeHipernatremia
HipokalemiaHiperkalemiaHiponatremia
Alkalosis
Asidosis MetabolikRespiratorik
RespiratorikMetabolik
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Macam-macam CairanKristaloidKoloidTransfusi
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Kristaloid
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KoloidKoloid Alami
fraksi protein plasma 5% albumin manusia (5 dan 2,5%).
Koloid Sintesis DextranHydroxylethyl Starch (Heta starch) Gelatin
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