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BALANCE CAIRAN

Balance cairan
Deff : adalah konsep keseimbangan homeostasis
antara cairan yang masuk dan keluar dari tubuh.
BC = input output

= (nutrisi oral + parenteral) (urine +


muntah + feses + IWL)

IWL
Insensibel water loss = kehilangan cairan yang tidak disadari
melalui :
Transepidermal diffusion: cairan yang melalui kulit dan hilang
oleh proses evaporasi
Evaporasi melalui traktus respiratorius

Insensible water loss


Dewasa = 5 - 15 ml/kg BB/hari

Kebutuhan cairan harian pd dewasa


Berdasarkan berat badan : 30-40 ml/kg/hari (sheila
et al)
Pemberian cairan pada PEB 1 - 2ml/kgbb/jam
(mushambi 1996)
Output minimal 500cc/hr (mushambi 1996)

Ny S, P2A0, 31 thn
BB 80 kg

Kebutuhan cairan dalam 24 jam


30-40 ml/kb BB / hari = 80x30ml = 2400ml
Pemberian cairan pada PEB 1-2ml/kgbb/jam

1x80x24= 1920 cc
Jadi pemberian cairan diusahakan -480cc
Urine output minimal = 500cc/hr
IWL = BB x 15 = 1200/24 = 50 cc/jam
24 jam

Balance cairan Ny S
06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

infus

400/
400

300/
700

150/
850

325/
1175

100/
1275

180/
1455

250/
1705

150/
1855

Oral

10cc

10cc

Urine

300/
300

150/
450

100/
550

100/
650

100/
750

100/
850

100/
950

50/
1000

Muntah

Tinja

50

Tgl 13-1-2008

Input

Output

IWL
BC = Input Output
= (1855 + 20) - (1000+1250) = - 375 cc

1200cc

urine output = 1000/24 j

Balance cairan Ny S
06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

infus

200/
200

200/
400

200/
600

200/
800

100/
900

150/
1050

150/
1200

150/
1350

Oral

10cc

10cc

Urine

100/
100

50/
150

50/
200

20/
220

30/
250

50/
300

100/
400

100/
500

Muntah

Tinja

Tgl 14-1-2008

Input

Output

IWL
BC = Input Output
= (1370) - (500+1200) = - 330 cc

1200cc

urine output = 500 cc /24 j

Balance cairan Ny S
06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

infus

300/
300

300/
600

200/
800

250/
1050

300/
1350

300/
1650

250/
1900

450/
2350

Oral

Urine

200/
200

150/
350

250/
600

100/
700

200/
900

200/
1100

100/
1200

100/
1300

Muntah

50

Tgl 15-1-2008

Input

Output

Tinja

IWL
BC = Input Output
= (2350) - (1350+1200) = - 200 cc

1200cc

urine output = 1350/24 j

Balance cairan Ny S
06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

250/
250

100/
350

150/
500

200/
700

200/
900

200/
1100

150/
1250

200/
1450

Oral

Urine

50/ 50

150/
200

100/
300

200/
500

200/
700

100/
800

100/
900

50/
950

Muntah

Tinja

Tgl 16-1-2008

Input

Output

infus

IWL
BC = Input Output
= ( 2150) - (950+1200) = -180 cc

1200cc

urine output = 950/24j

Ny Suparmi, P5A0, 41 thn


BB 93 kg
Kebutuhan cairan dalam 24 jam
30-40 ml/kb BB / hari = 93x30ml = 2790ml
Pemberian cairan pada PEB 1-2ml/kgbb/jam
1x93x24= 2232 cc

Jadi pemberian cairan diusahakan -558cc


Urine output minimal 500cc/hr
IWL = BB x 15 = 1200/24 = 50 cc/jam

24 jam

Ny Suparmi, P5A0, 41 thn


06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

300/
300

350/
650

350/
1000

300/
1300

250/
1550

200/
1750

200/
1950

300/
2250

Oral

Urin

150/
150

200/
350

150/
500

150/
650

200/
850

100/
950

150/
1100

100/
1200

Muntah

Tinja

Tgl 14-1-2008

Input

Output

infus

IWL
BC = Input Output
= (2250) - (1200+1395) = - 345 cc

1395cc

urine output = 1200/24 j

Ny Suparmi, P5A0, 41 thn


06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

450/
450

350/
800

300/
1200

300/
1500

150/
1650

200/
1850

250/
2100

300/
2400

Oral

10/10

10/20

10/30

10/40

10/50

Urin

200/
200

300/
500

100/
600

100/
700

100/
800

100/
900

200/
1100

200/
1300

Muntah

Tinja

Tgl 15-1-2008

Input

Output

infus

IWL

BC = Input Output
= (2400) - (1100 + 1395) = - 295 cc

1395cc

urine output = 1100/24j

Ny Suparmi, P5A0, 41 thn


06.00

09.00

12.00

15.00

18.00

21.00

24.00

03.00

06.00

350/
350

250/
600

150/
750

250/
1000

200/
1200

150/
1350

300/
1650

200/
1850

Oral

20/20

20/40

Urin

200/
200

100/
300

150/
450

100/
550

100/
650

100/
750

50/
800

50/
850

Muntah

Tinja

Tgl 16-1-2008

Input

Output

infus

IWL
BC = Input Output
= ( 1850 ) - (850+1395) = - 395 cc

1395cc

urine output = 850/24 j

TERIMA KASIH

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