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  • DHF2

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    The document summarizes a case study of a 30-year-old female patient presenting with weakness, fever, muscle pain, rash, and cold extremities. The patient has a temperature of 39.5°C, blood pressure of 110/95 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The patient is diagnosed with dengue hemorrhagic fever. Intravenous fluid requirements are calculated to be 1860 mL over 24 hours based on the patient's weight and fever. The recommended IV fluid therapy is 5-10 mL/kg/hour of 0.9% saline solution.

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    The document summarizes a case study of a 30-year-old female patient presenting with weakness, fever, muscle pain, rash, and cold extremities. The patient has a temperature of 39.5°C, blood pressure of 110/95 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The patient is diagnosed with dengue hemorrhagic fever. Intravenous fluid requirements are calculated to be 1860 mL over 24 hours based on the patient's weight and fever. The recommended IV fluid therapy is 5-10 mL/kg/hour of 0.9% saline solution.

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    19 views16 pages

    DHF2

    Uploaded by

    wahyu tri
    The document summarizes a case study of a 30-year-old female patient presenting with weakness, fever, muscle pain, rash, and cold extremities. The patient has a temperature of 39.5°C, blood pressure of 110/95 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The patient is diagnosed with dengue hemorrhagic fever. Intravenous fluid requirements are calculated to be 1860 mL over 24 hours based on the patient's weight and fever. The recommended IV fluid therapy is 5-10 mL/kg/hour of 0.9% saline solution.

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    of 16

    Kasus !

    Terapi Cairan pada Pasien Dengue


    Hemorraghic Fever (DHF)

    Sri Putri Wulandari (I4C018058)


    Deni Agustin Wulandari (I4C018066)
    Ana Andarwiyati (I4C018077)
    Hardianti (I4C018075)
    Luh Wahyu Tri Pangeling (I4C018079)
    KASUS
    • Nn. Ani 30 thn, BB 50 Kg. MRS lemah, demam malam hari, nyeri
    otot, bintik bintik merah, ektrimitas dingin
    • Suhu 39,5oC, TD 110/95 mmHg, Nadi 100 x/menit, Nafas
    20x/menit
    PATOFISIOLOGI
    Patofisiologi
    Lanjutan…
    Klasifikasi
    DHF
    KEBUTUHAN CAIRAN
    Kebutuhan Cairan
    Kebutuhan cairan harian 30 - 50 ml/kgBB. Sehingga dibutuhkan sebanyak:
    Minimal 30 mL x 50 kg = 1500 mL/50 kgBB
    Maksimal 50 mL x 50 kg = 2500 mL/50 kgBB

    Demam +12 % per derajat C di atas 37,5oC


    Pasien mengalami demam, tiap kenaikan 1 derajat kebutuhannya
    meningkat 12%. Pasien mengalami peningkatan 2 derajat sehingga
    kenaikannya menjadi :
    1500 ml/50 kgBB x 24% = 360 mL
    = 1500 mL + 360 mL
    = 1860 mL/24 jam
    1860 mL x 20/ 24 x 60 = 26 tpm
    Jadi, kebutuhan cairan pasien dalam 24 jam adalah 1860 mL (26 tpm)
    TERAPI CAIRAN
    ALGORITMA TERAPI CAIRAN
    Terapi Cairan

    Rekomendasi :
    Cairan kristaloid NaCl 5-10 ml/kg/jam karena
    pasien mengalami penurunan Natrium dan
    mendapat transfusi PRC.
    Daftar Pustaka
    Acharya, C. A., & Bajaj, J. S. (2015). Covert and overt hepatic encephalopathy: current options for diagnosis and
    treatment. Current Hepatology Reports, 14(3), 234-242.
    Depkes RI, 2007, Pharmaceutical care Untuk Penyakit Hati, Jakarta: Departemen Kesehatan RI.
    KDOQI, 2002, Clinical Practice Guidelines for Chronic Kidney Disease: Evaluasi, Clasification and Stratification,
    National Kidney Foundation, New York
    Leise, M. D., Poterucha, J. J., Kamath, P. S., & Kim, W. R. (2014, February). Management of hepatic encephalopathy in
    the hospital. In Mayo Clinic Proceedings (Vol. 89, No. 2, pp. 241-253). Elsevier.
    NKF, 2016, Best Practice in Managing Hyperkalemia in Chronic Kidney Foundation, New York.
    Pani, et al., 2014, Hyperkalemia in Hemodialysis Patients, Clinical Consequences of Hyperkalemia, 27 (6) : 571-576
    Rose, C. F. (2012). Ammonia‐lowering strategies for the treatment of hepatic encephalopathy. Clinical Pharmacology &
    Therapeutics, 92(3), 321-331.
    Tiuca N, Sztogrin W, 2011, The News of Treatment of Variceal Upper Gastrointestinal Bleeding, Journal of Medicine and
    Life Vol. 4, Issue 4, October‐December 2011, pp.395‐398
    Vilstrup, H., Amodio, P., Bajaj, J., Ferenci, P., Mullen, K. D., Weissenborn, K., dan Merriman, R. B. (2014). Hepatic
    encephalopathy in chronic liver disease: 2014 practice guideline by the European Association for the Study of the
    Liver and the American Association for the Study of Liver Diseases. Journal of hepatology, 61(3), 642-659.

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