Nama Aji Prasetuo Dx : CAD 3VD + LM

Umur 45 tahun Op : CABG

BB 63 kg
TB 168 cm PRC 4 labu, FFP 600 cc, TC 600 cc
BSA 1.71 m2

Dopamin 5mg/cc Dobutamin 5mg/cc Noradrenalin 0.08mg/cc Noradrenalin 0.16mg/cc Noradrenalin 0.32mg/cc
mcg cc/jam mcg cc/jam mcg cc/jam mcg cc/jam mcg cc/jam
1 0.8 1 0.8 0.01 0.5 0.01 0.2 0.01 0.1
2 1.5 2 1.5 0.025 1.2 0.025 0.6 0.025 0.3
3 2.3 3 2.3 0.05 2.4 0.05 1.2 0.05 0.6
4 3.0 4 3.0 0.075 3.5 0.075 1.8 0.075 0.9
5 3.8 5 3.8 0.1 4.7 0.1 2.4 0.1 1.2
6 4.5 6 4.5 0.125 5.9 0.125 3.0 0.125 1.5
7 5.3 7 5.3 0.15 7.1 0.15 3.5 0.15 1.8
8 6.0 8 6.0 0.175 8.3 0.175 4.1 0.175 2.1
9 6.8 9 6.8 0.2 9.5 0.2 4.7 0.2 2.4
10 7.6 10 7.6 0.25 11.8 0.25 5.9 0.25 3.0

Milrinon 0.2 mg/cc Nitrocyn 0.5mg/cc Nitrocyn 0.5mg/cc Adrenalin 0.1 mg/cc Adrenalin 0.05 mg/cc
mcg cc/jam mcg cc/jam mcg cc/jam mcg cc/jam mcg cc/jam
0.25 4.7 5 0.6 10 1.2 0.01 0.4 0.01 0.8
0.3 5.7 10 1.2 50 6.0 0.02 0.8 0.02 1.5
0.35 6.6 15 1.8 100 12.0 0.03 1.1 0.03 2.3
0.4 7.6 20 2.4 150 18.0 0.04 1.5 0.04 3.0
0.45 8.5 25 3.0 200 24.0 0.05 1.9 0.05 3.8
0.5 9.5 30 3.6 250 30.0 0.06 2.3 0.06 4.5
0.55 10.4 35 4.2 300 36.0 0.07 2.6 0.07 5.3
0.6 11.3 40 4.8 350 42.0 0.08 3.0 0.08 6.0
0.65 12.3 45 5.4 400 48.0 0.09 3.4 0.09 6.8
0.7 13.2 50 6.0 450 54.0 0.1 3.8 0.1 7.6
0.75 14.2
Loading dose Nityrocyn dosis titrasi jangan pakai 4
50ug/kg 10mnt gamma atau nano
Millrinon loading 94.5 cc/jam Precedex 4mcg/cc
Heparin : 0.1 1.6
4xkgBBx100 25200 unit = 252 mg 0.2 3.2
25.2 cc (1000 unit/cc) 0.3 4.7
siapkan dlm sediaan 1000 unit/cc Spuit 10 cc 0.4 6.3
0.5 7.9
Catatan : 0.6 9.5
Dopamin 200 mg/vial, spuit 50 cc 0.7 11.0
Dobutamin 250 mg/vial, spuit 50 cc Nitrocyn 0.5 mg/cc Loading 1 mmg/kgBB
Noradrenalin 4 mg/vial, spuit 50 cc Adrenalin 1 mg/amp dalam 10 menit
Milrinon 1 mg/cc, 10 or 20 cc/vial Heparin 5000 unit/cc,
50 2 4 100 31.5
Transamin 100mg/cc = 3150 mg dlm 30 menit--> 63 cc/jam
4 Lanjut = 787.5 mg/jam--> 7.9 cc/jam
Protamin 10mg/cc = 252 mg

BGA I BGA II Kondisi awal

Jam TD : ACT awal :
pH N : ACT post heparin :
pCO2 CVP : ACT post protamin :
pO2 SpO2 :
HCO3 Temp :
BE
SaO2
Na PA pre : PA post :
K RV pre : RV post :
iCa ABP : ABP :
Hct
Hb Telp :