TRIGER CASE BALANCE CAIRAN KASUS 1. Tn. T usia 50th dirawat di RSU Mutiara kasih. Dx medis storke, KU: lemah, BB 50kg, terpasang infus selama 24jam habis 2500ml, injeksi transamin 2x1 ampul (1 ampul=5cc), terpasang NGT = 150cc x 5/hr, dower cateter = 1500cc selama 24 jam, feces 120cc/hr, suhu badan 37,5◦C. Hitung keseimbangan cairan Tn. T Jawaban : Total cairan masuk Infus = 1500ml Injeksi = 10cc (5cc x 2) NGT = 750 cc (150 x 5) AM = 5 x 50 (BB) = 250
Hasil pertambahan = 2510cc
Total cairan output DC = 1500cc Feces = 120cc
Hasil pertambahan = 1620cc
IWL = 15 x 50/24jam = 31,25cc/jam Maka balance cairan = input – ( IWL + output ) = 2510 – ( 31,25 + 1620 ) = 850,75cc Kasus 2. Tn. P menderita Storke tidak sadar usia 50tn, KU: lemah, BB: 58kg, terpasang infus 500ml habis 12 jam, injeksi Ampicilin 3x1 gr/hr (1gr=4cc), NGT 60cc x 5/hr, terpasang DC selama 24 jam = 1400cc, feces 100ml, suhu 36,5◦C. Hitung keseimbangan cairan Tn. P Jawaban Total cairan masuk Infus = 1000cc/24jam
Injeksi = 12cc NGT = 300cc (60 x 5) AM = 5 x 50 (BB) = 250
Hasil pertambahan = 1562cc
Total cairan output DC = 1400cc Feces = 100ml
Hasil pertambahan = 1500cc
IWL = 15 x 50/24jam = 31,25cc/ jam Maka balance cairan = input – ( IWL + output ) = 1562 – ( 31,25 + 1500) = 21,75 cc