Status Neonatus Prematur

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STATUS NEONATUS PREMATUR Nama bayi :……………… Tgl periksa: Tgl/ jam lahir :……………… Usia :………………. BBL :…………..gram • Total Ballard score: PB :…………..cm • Interpretasi: LK :…………..cm APGAR score : Maturitas fisik

Maturitas Neuromuscular

Week s Score

20

22

24

26

28

30

32

34

36

38

40

42

44

-10

-5

0

5

10

15

20

25

30

35

40

45

50

SKOR DOWNE’S Kriteria

0

1

2

Frekensi napas

<60

60-80

>80

Retraksi

Tidak ada

Ringan

Berat

Tidak ada

Hilang dengan O2

Udara masuk

Penurunan ringan udara masuk Dapat didengar dgn stetoskop

Sianosis menetap, walaupun diberi O2 Tidak ada udara masuk

Sianosis Air entry Merintih

Tidak ada

Nilai

Dapat didengar tanpa alat

Total Interpretasi: <3: gawat napas ringan. 4-5: gawat napas sedang. >6: gangguan napas berat.

KEBUTUHAN CAIRAN ELEKTROLIT BAYI (ml/kg) Berat badan (g)

<1000

1000 - <1500

1500 – 2500

>2500

Hari I

120 cc D5%

100 cc D7,5%

80 cc D10%

80 cc D10%

Hari II

140 cc D5%

120 cc D7,5%

100 cc D10%

90 cc D10%

Hari III

170 cc D5%

130 cc D7,5%

110 cc D10%

100 cc D10%

Hari >IV

200 cc

140-150 cc

130-150 cc

120-150 cc

Pembuatan cairan D7,5% = 93 cc (D5%) + 7 cc (D40%) = 100 cc D7,5%. 1 tts makro = 4 tts mikro = 0,05 ml; 1 tts mikro = 0,0125 ml. 1 ml = 15 tts makro = 60 tts mikro

Kurva linier total skor ballard dgn masa kehamilan.

Kurva lubcenco

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