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Nama :

Input cairan: Air (makan+Minum) = cc

Cairan Infus = cc

Therapi injeksi = cc

Air Metabolisme = cc (Hitung AM= 5 cc/kgBB/hari)

Total = cc

Output cairan: Urine = cc

Feses = cc (kondisi normal 1 BAB feses = 100 cc)

Muntah/perdarahan cairan drainage luka/ cairan NGT terbuka = cc

IWL = cc (hitung IWL= 15 cc/kgBB/hari) (Insensible Water Loss)

IWL = (15 x BB ) /24 jam

=15x

Total = cc

Balance cairan = Total Input – IWL

= cc
Nama :

Input cairan: Air (makan+Minum) = cc

Cairan Infus = cc

Therapi injeksi = cc

Air Metabolisme = cc (Hitung AM= 5 cc/kgBB/hari)

Total = cc

Output cairan: Urine = cc

Feses = cc (kondisi normal 1 BAB feses = 100 cc)

Muntah/perdarahan cairan drainage luka/ cairan NGT terbuka = cc

IWL = cc (hitung IWL= 15 cc/kgBB/hari) (Insensible Water Loss)

IWL = (15 x BB ) /24 jam

=15x

Total = cc

Balance cairan = Total input - IWL

= cc

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