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GAS
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SYARAT HEMODIALISA
Hb > 10
CCT < 5 atau 6 tanpa kegawatan
Dengan kegawatan
CKD stage V
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TUJUAN PEMBERIAN ASAM FOLAT
Anemia makrositer
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KOREKSI BICNAT
Bicnat yang diperlukan (mEq)
= BE x BB x 0,3 x 0,5
= 12,4 x 47 x 0,3 x 0,5
= 174,84 x 0,5 = 87,42
1 flash = 25 mEq
Pada pasien ini diberikan 3,5 flash
(1,5 bolus dan 2 drip)
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INDIKASI MENGGUNAKAN BICNAT
Asidosis metabolik
Terdapat nafas kusmaul
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RUMUS CCT (CREATININ
CLEARANCE TEST)
CCT pada wanita
CCT = (140 – umur) x BB x 0,85
Cr x 72
CCT pada pria
CCT = (140 – umur) x BB
Cr x 72
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CCT PADA PASIEN INI
CCT = (140 – umur) x BB x 0,85
Cr x 72
= (140 – 28 ) x 47 x 0,85
13,99 x 72 = 112 x 72 x 0,85
1007,28
= 6854,4
1007,28
= 6,80
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STAGE CKD
STAGE CKD CCT
Stage I 90
Stage II 60 – 89
Stage III 30 – 59
Stage IV 15 – 29
Stage V < 15
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BGAPMERIKSAAN HASIL SATUAM NILAI
NORMAL
Temperatur 37,0 C
Hb 11,20 g/dl
O2 32,,0 %
pH 7,34
pC02 21 mmHg
pO2 171,0 mmHg
pH (corrected) 7,34 7,35-7,45
pCO2 (corrected) 21,0 mmHg 35,0-45,0
pO2 (corrected) 171,0 mmHg 83,0-108
HCO3 11,3 mmol/l 18,0-23
TCO2 11,9
Base excess - 12,4 Mmol/l -2,0 – 3,0
BE effective - 14,5
SBC 15,3 mmol/l
02 saturasi 99,0 % 95,0 – 98,0
A- ADO2 31,0
