Keterampilan kegawatdaruratan sistem integumen

Apr 13, 2015Download as PPTX, PDF0 likes893 views

Dokumen tersebut membahas tentang prinsip dan formula yang digunakan dalam pemberian cairan pada pasien luka bakar, seperti formula Parkland, Evans, Baxter, dan Curreri untuk mengganti cairan dan elektrolit yang hilang. Pemberian cairan Ringer laktat untuk 48 jam setelah luka bakar digunakan untuk mengganti cairan dan garam ekstraseluler yang hilang. Pasien yang menerima resusitasi berdasarkan panduan menerima lebih banyak cairan dalam

Keterampilan
Kegawatdarurata
n Sistem
Integumen
Kelompok IV

Pemberian Cairan dan Perhitungan
Jumlah Cairan Elektrolit pada Luka
Bakar
Prinsip dari pemberian cairan pertama kali
adalah pemberian garam ekstraseluler dan
air yang hilang pada jaringan yang terbakar,
dan sel-sel tubuh. Pemberian cairan paling
popular adalah dengan Ringer laktat untuk
48 jam setelah terkena luka bakar. Output
urin yang adekuat adalah 0.5 sampai
1.5mL/kgBB/jam.

• Formula yang terkenal untuk
resusitasi cairan adalah
formula Parkland :
24 jam pertama.Cairan Ringer
laktat : 4ml/kgBB/%luka bakar

• Cara lain adalah cara Evans :
Luas luka bakar dalam % x berat badan
dalam kg = jumlah NaCl / 24 jam
Luas luka bakar dalam % x berat badan
dalam kg =jumah plasma / 24 jam
2000 cc Dextrose 5% / 24 jam (untuk
mengganti cairan yang hilang akibat
penguapan)

• Menggunakan rumus Baxter yaitu :
% x BB x 4 cc

• Menggunakan formula
Curreri, adalah 25
kcal/kgBB/hari ditambah
dengan 40 kcal/% luka
bakar/hari.

Pasien yang menerima resusitasi yang di
pandu menerima cairan lebih banyak secara
signifikan dalam 24 jam pertama setelah
terbakar dibandingkan dengan mereka yang
diresustasi menurut formula Parkland.

• Kejadian sistemik awal sesudah luka
bakar berupa: ketidakstabilan
hemodinamik ( perpindahan cairan,
natrium serta protein dari ruang
intravaskuler ke ruang interstitial akibat
hilangnya integritas kapiler) akibatnya
terjadi: penurunan curah jantung ,
selanjutnya mengakibatkan:
hipoperfusi dan hipofungsi organ.

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Keterampilan kegawatdaruratan sistem integumen

1. Keterampilan Kegawatdarurata n Sistem Integumen Kelompok IV

2. Pemberian Cairan dan Perhitungan Jumlah Cairan Elektrolit pada Luka Bakar Prinsip dari pemberian cairan pertama kali adalah pemberian garam ekstraseluler dan air yang hilang pada jaringan yang terbakar, dan sel-sel tubuh. Pemberian cairan paling popular adalah dengan Ringer laktat untuk 48 jam setelah terkena luka bakar. Output urin yang adekuat adalah 0.5 sampai 1.5mL/kgBB/jam.

3. • Formula yang terkenal untuk resusitasi cairan adalah formula Parkland : 24 jam pertama.Cairan Ringer laktat : 4ml/kgBB/%luka bakar

4. • Cara lain adalah cara Evans : Luas luka bakar dalam % x berat badan dalam kg = jumlah NaCl / 24 jam Luas luka bakar dalam % x berat badan dalam kg =jumah plasma / 24 jam 2000 cc Dextrose 5% / 24 jam (untuk mengganti cairan yang hilang akibat penguapan)

5. • Menggunakan rumus Baxter yaitu : % x BB x 4 cc

6. • Menggunakan formula Curreri, adalah 25 kcal/kgBB/hari ditambah dengan 40 kcal/% luka bakar/hari.

7. Pasien yang menerima resusitasi yang di pandu menerima cairan lebih banyak secara signifikan dalam 24 jam pertama setelah terbakar dibandingkan dengan mereka yang diresustasi menurut formula Parkland.

8. • Kejadian sistemik awal sesudah luka bakar berupa: ketidakstabilan hemodinamik ( perpindahan cairan, natrium serta protein dari ruang intravaskuler ke ruang interstitial akibat hilangnya integritas kapiler) akibatnya terjadi: penurunan curah jantung , selanjutnya mengakibatkan: hipoperfusi dan hipofungsi organ.

9. DANKE

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Keterampilan kegawatdaruratan sistem integumen

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Keterampilan kegawatdaruratan sistem integumen