1

? Perlukah diberikan cairan

And We created from water every thing living

QS 21:30
Keseimbangan Cairan Tubuh dan Elektolit

Knepper MA, Kwon TH, and Nielsen S : Molecular physiology of

water balance. N Engl J Med (2015);372:1349-58.
 Fisiologi Keseimbangan Cairan ……….

Distribusi Cairan Tubuh

Umur
Kompartemen
Lahir Bulan Tahun
cairan tubuh
0 3 6 6 16
Total Cairan Tubuh 78% 75% 70% 65% 60%
Cairan Intraseluler 33% 37,5% 40% 42,5% 40%
Cairan Ekstraseluler 45% 37,5% 30% 22,5% 20%
 ? Berapa banyak dibutuhkan

Lobo DN, Lewington AJP, Allison SP. Basic Concepts of Fluid and Electrolyte Therapy, 2013
 ? Berapa banyak dibutuhkan

Lobo DN, Lewington AJP, Allison SP. Basic Concepts of Fluid and Electrolyte Therapy, 2013

QS 7:31
 ? Berapa banyak dibutuhkan

Anak normal Anak sakit (berat)

• Halliday and Segar ?
• For most sick children less IV
fluid is required to maintain
normal volume status (~ no
more than 2/3 the calculated full
maintenance intravenous fluid.

Duke T. Paediatr and Intern Child Health

(2016) ;36(3): 165-7.

100/50/20
ml/kgBB/hari
(4/2/1 ml/kgBB/jam)

Halliday MA and Segar WE. Pediatrics;19:823-32, 1957

Kebutuhan Cairan
Maintenance = IWL + Urine output + Stool
– 1 day of age = 50 ml H2O/kgBW/day.
– 2 days of age = 75 ml H2O/kgBW/day.
– > 3 days of age = 100 ml H2O/kgBW/day.
– < 10 kg = 100 ml H2O/kgBW/day.
– 10 – 20 kg = 1000 ml + 50 ml H2O/kgBW/day
for every kg over 10 kg.
– > 20 kg = 1500 ml + 20 ml H2O/kgBW/day
for every kg over 20 kg.

Kebutuhan Elektrolit
▪ Sodium = 2 - 4 mEq/100 ml H2O/day.
▪ Potassium = 1 - 2 mEq/100 ml H2O/day.
▪ Chloride = 2 - 4 mEq/100 ml H2O/day.
 ? Jenis Cairan

Lobo DN, Lewington AJP, Allison SP. Basic Concepts of Fluid and Electrolyte Therapy, 2013
 ? Jenis Cairan .......
Jenis Cairan

Resusitasi Rumatan
KRISTALOID KOLOID ELEKTROLIT NUTRISI
Asering KAEN 3B AMIPAREN
Ringer Laktat Gelofuhsin KAEN 3A AMINOVEL 600
Normal saline Dextran 40 KAEN 1B PAN AMIN G
Ringerfundin KAEN 4A KAEN MG3
KAEN 4B MARTOS 10

Menggantikan kehilangan akut Memelihara keseimbangan

cairan tubuh cairan tubuh dan nutrisi
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 ? Jenis Cairan .......

Contoh Cairan Resusitasi

CAIRAN Na+ K+ Mg+++ Cl- Ca+ Laktat Asetat pH
mOsm/
(mEq/L) (mEq/L) (mEq/L) (mEq/L) (mEq/L) (mEq/L) (gr/L) L

NaCl 0,9% 154 - - 154 - - - 5,0 308

RL-Otsuka 130 4 - 109 3 28 - 273

Wida RL 130 5,4 - 111,7 3,7 27,5 - 280

Asering 130 4 - 109 3 - 28 273

RLactate
131 5 - 111 2 29 - 6-7 308
B Braun
Ringerfundin 5
142 4 1 127 2,5 24 5,1-5,9 308
B Braun (malat)

14
 ? Jenis Cairan .......

Contoh Cairan Rumatan

CAIRAN Na+ K+ Mg+++ Cl- P Laktat Glukosa pH mOsm/L
(mEq/L) (mEq/L) (mEq/L) (mEq/L) (mmol/L) (mEq/L) (gr/L)

KAEN 1B 38,5 - - 38,5 - - 37,5 4,8 285

KAEN 3A 60 10 - 50 - 20 27 5,4 290

KAEN 3B 50 20 - 50 - 20 27 5,4 290

KAEN MG3 50 20 - 50 - 20 100 4,9 695

KAEN 4A 30 - - 20 - 10 40 5,5 282

KAEN 4B 30 8 - 28 - 10 37,5 5,5 284

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Ringerfundin
Balance Sol
NB Braun
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