WHO 88/7 tan 5 Vata S 5 a) a (ia) Nol ain 4 4a sd 4a BO OMertheght S78 Gai Yann: 6 2 43 Obe dar fy GS Gast Fenny rein LU (-a) ci Gad Noma / Gis LA: Kay WHO eureney 5 enn 7 Sd ta GH lebih ae Gia obentar BB / —-y asp Ohta 7 Aen 880-3): Over cocsight ' \ Ge ea StH | Wore My = 2 sel am: BB Nord Romar - BB/TR = BAS x G09 wD 3m) sd (2) 5 Underweight a X los Nt < (-350) » severly B81 ; hinted < 40% 197 bunk 8 tian Dhak anes Glenn 20) Sp-90% : Gin turang t ley ster 30-10%: Norma F Keraty 2b ) N9-20% Grit lets | A am 7K . Gigi obestas JasLa PP. Meneortkran Aragtol over © TPE Lat las (1 tea +13)+ Teach sac Hy cumonfer mT Gye J Penyebab obese Severly Urrlerw 28D lStatsS Gizi Masa talu) [Pendek = <-25ps/d 250 Pendek sekall= <-3 SD iGemuk = >-2SD =-2SD s/d 25D =-25Ds/d-35D Pendek sekali = <-35D NILA %), INTRPRETAS! 2120 Obesttas Normat Mild Malnutrition Modetat Malnutrition ‘Severe Mainutrition KATEGORI INTRPRETASI Severe Underweigth =< P5 Moderat Underweight = PS - Fi Normal = P10- P90 BB/U Moderat Stuntid = P5 - P10 Normal = P10 - P90 [Tinggi = >PsoNILA! GIZ] FORMULA ANAK DI INSTALAS! GIZI RSUD ULIN BANJARMASIN [aNCOW INSTAN PUTIN | __1 3dr [oxwcow mestan coat | 184m [pANCOW FULCAEAM | 15m oe [MiloCarRDA energi & protein Usia (tahun) antes Protein (Kkal/kg/hari) (g/kg/hari) 0-0,5 120 2,5 0,5-1,0 110 2,0 1,0 - 3,0 100 1,5 4,0-6,0 90 1,0 7,0-9,0 80 1,0 10-12 70 0,9STANDAR DIET BIASA / R. GARAM SNACK JAM 10.00 NILAIGIZI 2203,5| KLS UTAMA/1 1891,5) NILAIGIZI |ENERG! 12348] KLS I/II | PROTEIN 57.9) 75) LEMAK 33,2 37.4| 370,8 KH 220,83) Keterangan: * NL/NB untuk kelas II! Kelas 11/111 Snack Pagi dan Buah sore tidak diberikanNILAI GIZI FORMULA DEWASA INSTALASI GIZi RSUD ULIN BANJARMASIN a Ioancow cat a ar a jeparosor | asa [ifs [aocernuy Tea‘4. NILAI GIZI BUBUR SARING ANAK USIAO-5 thNILAI GIZI FORMULA DI UNIT CAIR ANAK RSUD ULIN BANJARMASIN NOT NAMAFORMULA [ SATUAN | BERAT/SATUAN(GA) | ENERGI | PROTEIN | LEMAK | KARBOHIDRAT | CAIRAN 1 |SGMLLM asdt 44 2 Os 315 25 30 2 |scmeeir 1sdt 53 27 0.83 3,43; 27 30 3 [soma asdt 44 2 Os 1 2.6 30 4 |som2 Sat 48, 224 06 05) 25) 30 5 [soma 1sdm 7 50 2 7, 7 60 6 [SGM Soyat set 44 22 Os 1 27 30 7_|SGM Soya2 1Sdt 48 23,75 | _075_|_4,125 2.6 30 8 |SGM Soya3 1Sdm 7 567 7. 27, 7 60 9 [lactogen 1 sat 447 223 05 116 25 30 10 |Lactogen 2 sat a7 228 O7, 1 2.6) 30 11 [Lactogen 3 Isdt 49 228 o7 Os 28 30 12 [Dancow Instant Puthh isdm 9 433 23 23 37 62 13 [Dancow Instant Coklat_| _1Sdm 10 45 125 15 65 41 44 [Dancow Full Cream asdm 3 47 2 27, 37, 62 15 [Dancaw Strowberi ‘sdm 10 225 15 15 4 43 16 [Dancow1 + isd 347 53,3 2 23 63 60 17 |Dancow Datta asdm 13,7 533 a7 2 7 60 18 [Calei skim isdm 87 30 27 0 a7 60 19 |Pregestimil 1sdt 45 25 | 0,63 126 23 30 20 |Nutrilon Pepti junior Isat 53 266 | 066 | 1,43 28 35 21 [Pan Enteral TSachet 40 200 612 | 10,28 21,81 200 22 |Entramix isdt 145 65 25 2 35 50 23 |Nephrisol isdt 1525 75 1,25 LS 12 50 24 [Diabetasol Tset 15 625 25 2 375 50 25 |Hepatosol isdt 15 575 2,25 06 Fry 50 26 |SUN Beras Merah ism 67 267 | 0,57 | 042 52 27 |SUN Biskuit i keping 64 267 03 Os 5 28 |SUN Marie Biskuit A Keping 6 25 05 05 45 25) [Nestle Bubur Susu 1Sdm 10 40 32 09) 68 30 |Modisco 1/2 ‘1bks 75 80 35 25 10 700 31 [Modiscol 1 bks 20 100 35 5 10 100 32 |Modisco It Lbks 20 100 35 4 10 100 33 |Modiseo I 1 bis 245 130 3 g Fry 100 34 |F75 Tks 175 75 os 100 35 [F100 Tis 19,5 100. 29 100 36 [F335 1 bis 25 135 33 100a. Liat RDA (Recommended Daily Allowed) ° 5 Protein Cairan Umur L/P BB TB _ Kalori (E) (P) (c) 0-6 bin 6 60 108 2,2 140-160 6-12 bin 9 71 98 1,5 125-145 1-3 thn 13 90 102 1,3 115-125 4-6 thn 20 112 90 1,2 90-110 7-10 thn 28 132 70 1,0 70-85 11-14 thn k: 45 157 55 1,0 70-85 Pp 46 157 47 1,0 70-85 15-18 thn L 66 176 45 08 50-60 P 55 163 50 08 50-60 b. Liat EPC (Energl, Protein, Cairan) Rumusnya: BBI x RDA sesual HA (Height Age) c. Silahkan ditulis di amprahan contohrtya just like thisVKEMENTERIAN PENDIDIKAM MABIONAL Co ” FARDLTAS IRDOMTIERAN UA | ROUD ULIN gO BAGO | QU LBA GEREHATAR 4. Jond. A. Yar Me, 43 S00F | Bag eme Koo. Anat ROUD Ula ‘Telp. & Fax. (0611) 2280177 Berternesin DIMSI NUTRIS! DAN PENYAKIT METABOLIK RMK : Ruangen: ‘Tanggal : Name : . Umur BBS: 4 BB: ig 1B: om LA: om LP: em LK: on Dlegnosia . Alemat 2 . Permintaan Diet : . Kebutuhan Nutrisl Menurut RDA : f= x = komt P= x kgs am co x kgs mi ce x igs mL Dipenuhi dengan : ~ Mengetanut, ve eiua Dial Nutra! & Pony. MeteboRk (okder Maca Oye bun & ewe Mateo BapiSMF KA FK Untem/RSU0 Utn B.Mesin Beg/EMF IKA FK UntawR@UD Ulin Giant or. Alef Budterto, SpA NIP. 18780147 201412 1 G01