perbandingnan nacl 3% dan manitol pada cedera.pptx

7/26/2019 PERBANDINGNAN NaCl 3% DAN MANITOL PADA CEDERA.pptx

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PERBANDINGNAN NaCl 3% DAN MANITOL PADA

CEDERA KEPALA AKIBAT TRAUMA DI RUANG

RAWAT INTENSIF ANAK

TRI HARDINA SETIYO

11310380

Preseptor

SMF Ilmu Kesehata Aa!

"r# A$u$ Mu"apat%#& Sp#A #& M#M


2/11

BAB I

Ma%tol "a Na'l3( merupa!a a$eh%perosmolar )a$ "%re!ome"as%!a pa"apas%e aa! "e$a *e"era !epala a!%at trauma#+e,erapa peul%s mem,er%!a ar$ume ,ah-alaruta sal% h%perto%s le,%h e.e!t%.#

Latar Belakang


3/11

Mema"%$!a pema!a%a ma%tol "a Na'l3(pa"a aa! "e$a *e"era !epala a!%,at trauma)a$ "%ra-at "% rua$ ra-at %tes%. "alam hallama ra-ata& mortal%tas& "a $a$$uaele!trol%t#

Tuuan


4/11

BAB III

/ Peel%t%a %% me$$ua!a meto"e retrospe!t%. "e$ame$$ua!a "ata re!am me"%s pas%e trumatic brain injury

T+I#/ Kr%ter%a %!lus%

2 Pas%e "e$a re!am me"%s le$!ap )a$ "%ra-at "% PI' RSPH# A"am Mal%! Me"a "alam !uru -a!tu 4u% 5015 h%$$a me%5013#

2 D%a$aosa T+I "%te$a!!a "e$a mel%hat r%-a)at trauma !epala&$a$$ua eurolo$%s& "a !ela%a !epala )a$ "%l%hat melalu% CT-

Scan.

2 Pas%e umur 1 ,ula h%$$a 18 tahu "e$a "%a$osa T+I

2 Pas%e )a$ "%ra-at "%,er%!a ma%tol atau Na'l 3(#

2 Pas%e "e$a lama pera-ata le,%h "ar% 15 4am#

Meto"e Peel%t%a


5/11

/ Data "%,a$% me4a"% 5 !elompo!62 Kelompo! 1 6 pas%e )a$ me"apat!a ma%tol 0&57

1$r9!$++9!al% )a$ "%,er%!a :;4am#2 Kelompo! 5 6 pas%e )a$ me"apat!a Na'l 3(

10m


6/11

!a"#l Penel#t#an

/ Dar% has%l peel%t%a "%"apat!a sampel :> pas%e T+I )a$ "%%!ut!a"alam peel%t%a#

/ 5? pas%e me"apat!a ma%tol "a 18 pas%e me"apat!a Na'l3(#

/ Pa"a @ar%a,el lama pera-ata t%"a! me"apat!a per,e"aa ,erma!ap0&>33 atara !elompo! ma%tol 7&8B:&3> har% "a !elompo!Na'l3( ;&0B:&50 har%#

/ D%4umpa% mortal%tas le,%h t%$$% !elompo! Na'l3( "e$a ma%tol 86;tetap% per,e"aa terse,ut t%"a! ,erma!a p0&083#

/ Pa"a @ar%a,el $a$$ua ele!trol%t t%"a! "%"apat!a per,e"aa )a$,erma!a atara !elompo! ma%tol "e$a Na'l3( p0&>70#

/ Ter"apat 11 pas%e me"apat!a ma%tol )a$ me$alam% $a$$uaele!trol%t "a ; pas%e "ar% !elompo! )a$ me"apat!a Na'l 3(

+A+ IC


7/11


8/11

/ Ter"apat re!ome"as% le@el II )a$ me)e,ut!a ,ah-alaruta sal% h%perto%s se,a%!)a "%pert%m,a$!a

"alam tatala!sa T+I "e$a h%pertes% %tra!ra%al#/ Suatu s)stemat%* re@%e- "ar% u4% !l%%s a*a! ter!otrol

melapor!a ,ah-a pema!a%a ma%tol "apatmem,er%!a e.e! mortal%tas )a$ le,%h ,uru! 4%!a

"%,a"%$ "e$a sal% h%perto%s#/ Metaaal%sa )a$ mem,a"%$!a atara sal% h%perto%s

"e$a ma%tol "alam pea$aa TIK& me"apat!asal% h%perto%s le,%h e.e!t%. "ar% pa"a ma%tol#

Lanutan


9/11

/ Pa"a peel%t%a %% lama ra-at atara !e"ua !elompoper$a!t%"a! a"a per,e"aa& "a mortal%tas !elompo! Na'l3( le,%h

t%$$% "ar% pa"a !elompo! ma%tol& tetap% "alam u4% stat%st%!t%"a! ,erma!a#

/ +a)a! .a!tor )a$ mempe$aruh% mortal%tas atara !e"ua!elompo! %% sepert% t%$!at !eparaha pe)a!%t& lama pas%eme"apat!a terap% me"%!ametosa& maupu t%"a!a

sur$%*al setelah !e4a"%a trauma#/ T%$!at !eparaha pe)a!%t saat a-al pera-ata pa"a !e"ua

!elompo! %% t%"a! ,er,e"a& hal %% "%tu4u!a "ar% s!orPE


10/11

/ Peel%t%a )a$ "%la!u!a Roet "!! pa"a "e$a TIKme"apat!a ,ah-a ma%tol me)e,a,!a peurua !a"ar

atr%um "alam "arah )a$ *epat "a pe%$!ata !a"ar!al%um "e$a ,er4ala)a -a!tu& se"a$!a sal% h%perto%sme)e,a,!a pe%$!ata se$era !a"ar atr%um ,erla4ut"alam ; 4am "a peurua !al%um )a$ tras%e& "ape%$!ata !lor%"a amu "e$a !a"ar )a$ ,%sa "%ter%ma#

/ Pa"a peel%t%a %% !e4a"%a h%peratrem%a pa"a !e"ua!elompo! ser%$ ter4a"%& $a$$ua ele!trol%t pa"a !e"ua)a"%pe$aruh% ,e,erapa .a!tor )a%tu asupa ele!trol%t& pe)a!%tpe)erta& .u$s% $%4al )a$ t%"a! "%aal%s%s pa"a peel%t%a%%#

Lanutan


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Ke"#$ulan

/ T%"a! a"a per,e"aa lama pera-ata&mortal%tas& "a $a$$ua ele!trol%t "ar%!elompo! ma%tol "a Na'l3( se,a$a% a$eh%perosmolar pa"a pas%e T+I aa!#

/ Hal %% mu$!% ter4a"% !area 4umlah sampel

)a$ !ura$ "a t%"a! se%m,a$ "ar% !e"ua!elompo! terse,ut#

+A+ C

perbandingnan nacl 3% dan manitol pada cedera.pptx

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