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    Cairan Case

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    Bryan Horiando
    This document discusses fluid management in the perioperative period and provides guidelines for liberal and restrictive fluid regimes. It also introduces the Aldrete and Steward scoring systems used to determine when patients can be transferred out of the recovery room after surgery. The liberal fluid regime includes maintenance fluids plus deficits and third spacing losses, while the restrictive regime focuses only on maintenance fluids and replacement of actual losses. The Aldrete score allows transfer when the patient scores 8 or higher, while the Steward score for pediatric patients requires a score of 5 or more for transfer from recovery.

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    Cairan Case

    Uploaded by

    Bryan Horiando
    59 views7 pages
    This document discusses fluid management in the perioperative period and provides guidelines for liberal and restrictive fluid regimes. It also introduces the Aldrete and Steward scoring systems used to determine when patients can be transferred out of the recovery room after surgery. The liberal fluid regime includes maintenance fluids plus deficits and third spacing losses, while the restrictive regime focuses only on maintenance fluids and replacement of actual losses. The Aldrete score allows transfer when the patient scores 8 or higher, while the Steward score for pediatric patients requires a score of 5 or more for transfer from recovery.

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    This document discusses fluid management in the perioperative period and provides guidelines for liberal and restrictive fluid regimes. It also introduces the Aldrete and Steward scoring systems used to determine when patients can be transferred out of the recovery room after surgery. The liberal fluid regime includes maintenance fluids plus deficits and third spacing losses, while the restrictive regime focuses only on maintenance fluids and replacement of actual losses. The Aldrete score allows transfer when the patient scores 8 or higher, while the Steward score for pediatric patients requires a score of 5 or more for transfer from recovery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    59 views7 pages

    Cairan Case

    Uploaded by

    Bryan Horiando
    This document discusses fluid management in the perioperative period and provides guidelines for liberal and restrictive fluid regimes. It also introduces the Aldrete and Steward scoring systems used to determine when patients can be transferred out of the recovery room after surgery. The liberal fluid regime includes maintenance fluids plus deficits and third spacing losses, while the restrictive regime focuses only on maintenance fluids and replacement of actual losses. The Aldrete score allows transfer when the patient scores 8 or higher, while the Steward score for pediatric patients requires a score of 5 or more for transfer from recovery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 7

    cairan

    Cairan peri operatif ( LIBERAL )


    Rate of Fluid  CVE + MF + Deficit + tsl + Rol
    CVE  5 x 39 = 195 cc
    Maintenance fluid  (10 x 100 + 10 x 50 + 20 x 19)/ 24 = 78,3 cc/jam
    Deficit  8 x 78,3 cc/jam = 626,4 cc
    Third spaces losses  3 jam pertama ( 195 ), jam terakhir ( 117 )
    Replacement of loss  3 x 35 cc = 105 cc
    Na = 78 - 156 , K = 39 – 117
    Pre induksi  CVE + deficit + maintance = 195 + 208,8 + 78,3 = 482,1 cc
    I-S  deficit + maintance = 208,8 + 78,3 = 287,1 cc
    Kumulatif  482,1 cc + 287,1 cc = 768,2 cc ( Na 100 – 200 ) RL
    1st hour  Deficit + maintance + blood loss + third space =
    313,2 + 78,3 + 105 + 195 = 691,5 ( Na 112 – 169 ) RL
    Kumulatif = 1459 cc
    Cairan peri operatif ( RESTRIKTIF )
    Rate of Fluid  CVE + MF + Deficit + tsl + Rol
    Maintenance fluid  (10 x 100 + 10 x 50 + 20 x 19)/24 = 78,3
    cc/jam
    Replacement of loss  3 x 35 cc = 105 cc
    Liberal :
    Na = 78 - 156 , K = 39 – 117
    Pre induksi  Defisit + Maintance = 500 + 78,3 = 578,3
    I-S  Maintance = 78,3
    Kumulatif  578,3 + 78,3 = 656,6 ( Na 118 – 237) RL
    1st hour  Maintance + blood loss
    78,3 cc + 35 cc = 113,3 cc
    Kumulatif  656,6 + 113,3 cc = 769,9 cc
    Aldrete score

    • Pasien dari ruang


    pemulihan dapat
    dipindahkan ke ruang
    perawatan setelah skor
    Aldrete ≥ 8
    STEWARD SCORE
    • Skoring untuk pasien
    pediatri
    • Pasien dari ruang
    pemulihan dapat
    dipindahkan ke ruang
    perawatan setelah skor
    Steward ≥ 5

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