Keseimbangan Cairan & Keseimbangan Cairan & elektrolitelektrolit

Distribusi CairanDistribusi Cairan !"#$%&

!"#$%&

'"($%'"($%

&')"#$%&')"#$%

*++,*++, ' '!"($%&

' '!"($%&

Jumlah cairan tubuhJumlah cairan tubuh

-- %&%& ././

'' 0101 0101 0101

(21(21

33 11 11 11 2121

&& %1%1 (1(1 #1#1 #41#41

55 4141 2121 6161

(1(1

Composisi CairanComposisi Cairan

"+*/7"+*/78+&+8+&+**+8,++***+8,++*+9&/++9&/+

"+*87,"+*87,&

*7++9*&

*7++9**7*7

"+*7"+*787*87*

Fungsi AirFungsi Air

&7*,7&7*,7

&7*+&7*+

:*+&

:*+&

;7

;7

;+&;+&

Pergerakan Cairan TubuhPergerakan Cairan Tubuh .. "*+*"*+*

*&**&*&77&77&7&&7&*++8+*++8+

7777

&&

+9&+*+&+9&+*+&

:"***:"***

&7*&+&7&7*&+&7

** 5*>"++5*>"++

+7(7+9&&7,+7(7+9&&7,

&(+9&(+9

+&+&

Pengaturan Cairan TubuhPengaturan Cairan Tubuh#>*#>*

5+5+

?+7"?+7"

*7*+,**7*+,*

))

;97*;97*

Faktor2 yg mpengaruhiFaktor2 yg mpengaruhi >*>*

;

;93*+

;977''

79&+

7:(

*7

=7+

Rata rata intake cairan perhariRata rata intake cairan perhari

>++>++ "#@(+"#@(+

>+>+ "2+"2+ > +&+!> +&+! "(+"(+

2. Haluaran cairan2. Haluaran cairan

++++

78,A'78,A' =+">.=,>=+">.=,> 7+7+

"++*"++*

8787

?(**7/?(**7/

Gangguan/masalah Gangguan/masalah kebutuhan cairankebutuhan cairan

#=*)+$"7#=*)+$"7

8**8**&*7&*7

."78+."78+

,7+&7,7+&7

&.*"78+&.*"78+

7&&*7&&*

.*"&

&&.*"&

&&

7*7*

++

.&.&

B70B6B70B6

B++#C@#66+D$B++#C@#66+D$

B=*B=*

B57&B57&

B

&.7&.7

B7(B0B7(B0

B#1B#1

B++#(B#4+D$B++#(B#4+D$

B+7B+7

.7.7

B71#B71#

@(@(

(=*)+)(=*)+)

*)+"*7)+*)+"*7)+&&*7+ +7&&*7+ +7&**!&**!

&+"&*&+"&*

**7++&&**7++&&*7+*++&**7+*++&**+877*+&*+877*+&++

Ketidak seimbangan elektrolitKetidak seimbangan elektrolit

=*+"+7*++=*+"+7*++

**7+++**7+++

+&&,7E+G#%+D$+&&,7E+G#%+D$

=*+"++7,=*+"++7,

++&+7)77++&+7)77

7,+E+F#07,+E+F#0

+D$+D$ =*+"+,??7=*+"+,??7

*+++G%+D$*+++G%+D$ =*+",+&*=*+",+&*

+++F%+D$+++F%+D$

=*+"&,+*8(=*+"&,+*8(

+++G0%+D$+++G0%+D$ =*+"*=*+"*

+,++++,+++

++F+D$++F+D$ =*+7+"+&77=*+7+"+&77

+7++G#+7++G#

+D$+D$ =*+7+"??,877,=*+7+"??,877,

+&*++7++F+&*++7++F

(+D$(+D$

Faktor yg mempengaruhi Faktor yg mempengaruhi kebutuhan cairan & elektrolitkebutuhan cairan & elektrolit

"*&"*& 5+*"*7

5+*"*7

&

&

."7H7H."7H7H "*7*>.="*7*>.= ""

Penggantian CairanPenggantian Cairan

",+7",+7 ;"*;"*

E5;!*, E5;!*,)*77)*77

Menghitung tetesan InfusMenghitung tetesan Infus ;7;7

7+77+7**+&**+&

58"58"

78*),78*),

*;*;

&7&&7& ;*;*

,*,*

&8+78+&8+78+

Rumus tetesan InfusRumus tetesan Infus *8+*8+

$8+I8+ !$8+I8+ !

+/*7 8+!+/*7 8+! 5*+5*+

$+I8+J5$+I8+J5

+/*7 +!+/*7 +!

""

+ +*!"#I6+ +*!"#I6

&+ +*!"#I#&+ +*!"#I#

"#I("#I(

Contoh soalContoh soal

-&

#++#8+-&

#++#8+7:I($+&&7:I($+&&&*$+K&*$+K

-/&"-/&"

."I#+."I#+

LI#8+LI#8+

:I($:I($

."$+MK."$+MK

$+I8+J$+I8+J

LL

SoalSoal -&

#++#(-&

#++#(

8+7($+&8+7($+&&&*$+K&&*$+K

>%/?.7>%/?.7.J.++&*7+.J.++&*7+

&48+&*7&48+&*7&

&

E(E(+7++7+/?&*7?/?&*7?+7($+&*8+&+7($+&*8+&KK

-/&"-/&"

."EI(."EI(

I+I+

$+I($+$+I($+

I(I(

"&*8+&K"&*8+&K

-/&"$+I-/&"$+I 8+J:8+J:

+/*7 +!+/*7 +!

($+I+J(($+I+J(

LL

LL I#I#

(J6 +!(J6 +!

LL I48+I48+

Menghitung Intake & OutputMenghitung Intake & Output

;7;7

+78++78+

7++&

!,7++&

!,

+78+7&

+78+7&

*! *!

58"58"

+99+&7+99+&7

&

&

&+97&+97

PelaksanaanPelaksanaan 98+7++&

98+7++&

"++++"++++$+&+)$+&+)

98+7&

98+7&

"'L+"'L+

9+&7&

79+&7&

7+"'@&+>&+

././ "+$7$"+$7$

&>&> "#(@#0"#(@#0I@6+$7$I@6+$7$

"2@##"2@##I6@2+$7$I6@2+$7$

"@2"@2I4@4+$7$I4@4+$7$

"I4+$7$"I4+$7$

ContohContoh

55/?.J55/?.J

+"+7+"+7

*7+(08+&*7+(08+&

#+8+(J#+* ##+8+(J#+* #+*I!*7EA5I#J$+*I!*7EA5I#J$

/ .!I#+(0/ .!I#+(0

8+#($

&%28+#($

&%2C. C. =7+&755=7+&755

."." 5555 II

I7I7

I#+I#+

'8I(J#+*I(JI#'8I(J#+*I(JI#

EA5EA5 I#JI2I#JI2

.I#.I#

&

I%2

&

I%2CCfecesfeces = 120 ml= 120 ml

Ditanya : keseimbangan cairan ?Ditanya : keseimbangan cairan ?

'"'"

I#+I#+

&8I#+&8I#+

EA5I2+EA5I2+

>+&IJ>+&IJ

I(I(

5I(#5I(#

+*%J#7$ #7I0!EA58+8>+*%J#7$ #7I0!EA5#6J$*7.+(08+I#6J$*7.+(08+I#0#+

%6#0#+

%6CC=7=7+&75;+&75;

E%**+E%**+

027+7+027+7+

*+(08+6+*+(08+6+

7#+0J7#+0J*7&68+*7&68+

++%7+ #I7++%7+ #I7

#!&+>

&

%4#!&+>

&

%4

%7+&7E%7+&7E

KK

EO+EO+"+"7*7"+"7*7+7($+8+7($+8%J#7$ #7I0!EA5(%J#7$ #7I0!EA5(J0$+.+#(8+I2J0$+.+#(8+I2

%60

%60C, C, #+#+

=7"&*8+&=7"&*8+&

&+&7&+&7

Keseimbangan Cairan & elektrolitDistribusi CairanJumlah cairan tubuhComposisi CairanFungsi AirPergerakan Cairan TubuhSlide 7Slide 8Pengaturan Cairan TubuhFaktor2 yg mpengaruhiRata rata intake cairan perhari2. Haluaran cairanSlide 13Gangguan/masalah kebutuhan cairanSlide 15Slide 16Slide 17Ketidak seimbangan elektrolitSlide 19Faktor yg mempengaruhi kebutuhan cairan & elektrolitPenggantian CairanMenghitung tetesan InfusRumus tetesan InfusContoh soalSoalSlide 26Menghitung Intake & OutputPelaksanaanSlide 29Slide 30ContohSlide 32Slide 33Slide 34Slide 35Slide 36Slide 37Slide 38Slide 39Slide 40