S1 Aspek Medis Bedah &Parenteral Nutrition Sept14.pptx

7232019 S1 Aspek Medis Bedah ampParenteral Nutrition Sept14pptx

httpslidepdfcomreaderfulls1-aspek-medis-bedah-parenteral-nutrition-sept14pptx 154

ASPEK MEDIS BEDAHDAN NUTRISI PARENTERAL

Drdr Akhmad Makhmudi SpB SpBASub Bagian Bedah Anak SM Bedah RSUP Dr Sardi$

akuaamp kedkeran UM



TERMIN(L(I

NUTRISI)NUTRITI(N)NUTRIEN

TERAPI NUTRISI(RAL ENTERAL PARENTERAL

MALNUTRISI

PEM + MARASMIK MARASMIKK-ASHI(RK(R K-ASHI(RK(R

Skring Siampem M Laren



PENDAHULUANMETAB(LISME01UMLAH SEMUA PR(SES ISIK DAN KIMIA

2AN MENHASILKAN DANMEMPERTAHANKAN 3AT HIDUP

TER(RANISASI +ANAB(LISME DAN 1UA TRANS(RMASI 2AN

MENHASILKAN ENERI 2AN DAPATDIUNAKAN (RANISME +KATAB(LISME

4 BI(TRANS(RMASI +D(RLAND



PERI(PERATI5E

PREOPERATIVE DURANTEOPERATIVE P0STOPERATIVE

KATABOLISME

STARVASI

KATABOLISMESTRESS

TRAUMABEDAH

ANABOLISME

RECOVERY

(RAN 5ITAL

(TAK 1ANTUN

LI5ER

REN



METAB(LISME BASAL

ENERI MINIMAL 2ANDIKEMBANKAN UNTUK MENUN1ANPERNAPASAN SIRKULASIPERISTALTIK T(NUS (T(T SUHUTUBUH AKTI5ITAS KELEN1AR DAN

UNSI 5EETATI TUBUH LAINN2A



PENDAHULUAN DASAR TERAPI NUTRISI STRESS METAB(LIK TRAUMA LUKA

BAKAR PEMBEDAHAN RADI($ KHEM(TERAPI

KEBUTUHAN ENERI BASAL 4647K8AL$KBB$HARI

0 m airan ubuh ampeara dengan 0 K8a



SISA LUK(SE HABIS 4 9 1AM

LIK(EN DI HATI(T(T HABIS DALAMBEBERAPA 1AM N(RMAL UNTUK MENISISELA -AKTU ANTARA MAKAN

8ADANAN LEMAK 4 1AM KEMUDIAN

5IA LUK(NE(ENESIS DARI PR(TEIN



SUMBER ENERGI KARB( HIDRAT 47 9lt6 K8AL$KBB$HARI

+ASPEN 0==lt LUK(SE$DEgtTR(SE ISI(L(IS 7

RAM$KBB$HARI BILA BERLEBIHANMERUIKAN SEBAB RESPIRAT(R2U6TIENT DAN PR(DUKSI 8(4 NAIK

RASI( ENERI KH LEMAK ) 6lt6+ 66



PEMBENTUKAN ENERI

KARB(HIDRAT PR(TEIN LEMAK

- - - - - - - - - - - - Pencernaan dan absorpsi - - - - - - - - - - - - - - -

ULA SEDERHANA ASAM AMIN( ASAM LEMAK

+eruamaLUK(SE LISER(L

Katabolisme

ASETIL 9 KA

SIKLUS ASAM 4H ATP SITRAT

Energi diampimpanDaam lt ampubampra ampb



Kebutuhan lea Untu eenuh ebutuhan al$

ampa$an eul lea (be$an )-

+$a+bb atau $$ -10 (a$ttal al$ e$ha$2

Pebe$an lebh (a$ 30 (a$ al$ttal (aat en4ebab an eta(

L( t(a (be$an a(a a(a$t$+le$( lebh (a$ 100 +(l



PR(TEIN STAR5ASINUTRISI TERHENTI C41AM

LUK(NE(ENESIS +PR(TE(LISIS TU

ALANIN 047 076 RAM$HARISETARA 466 9 lt66 RAM 1AR(T(T 2ANHILAN

DALAM lt 9 7 HARI 8ADANAN PR(TEINMEN8APAI TITIK KRITIS +BILA TETAP TAK

ADA MASUKAN ASAM AMIN(





KEBUTUHAN PR(TEIN KEBUTUHAN PR(TEIN) K(NSUMSI NITR(EN gt 47

K(NSUMSI NITR(EN M$4 1AM) UREUM URIN$4

1AM gt 4 666M MM(L$L

TANPA STRESS METAB(LIK

PR(TEIN+AA) 0 lt R$KBB$HARI

KAL(RI ) lt6 K8AL$KBB$HARI

DENAN STRESS METAB(LIK KAL(RI ) 6 K8AL$KBB$HARI PR(TEIN +AA ) 4 R$KBB$HARI



-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN

MAINTENAN8E ( ALL B(D2UN8TI(NS

5ITAL T( R(-TH ANDDE5EL(PMENT+ INANT8HILDREN

THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN



RUMUS HARRIS BENEDI8T

+K8AL$HARI

BEE PRIA ) 7 0lt F BB+K

7 F T+8M 9 gt U+THN BEE -ANITA)77 =7 gt BB+K

0 gt T+8M gt U+THN

BB)Bera badan T)Tinggi badan U)Uampia



PERHITUNAN KAL(RI DENAN

STRESS FACTOR

AEE)BEE gt STRESSFACTOR gt 047

STRESS FACTOR K(REKSI

KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076

LUKA BAKAR 06lt6G 076

LUKA BAKAR lt676G 07

LUKA BAKAR C 76G 466



PR(BLEM PERI(PERATI DAN

MALNUTRISI

STRESS METAB(LIK +STAR5ASI INEKSITRAUMA EBRIS BEDAH LUKA BAKAR

DIPUASAKAN HIP(LIKEMIA DEHIDRASI K(NDISI KLINIS PEN2AKIT +underlying

disease ABD(MEN AKUT ILEUS STRANULASI

PERIT(NITIS DAN PERDARAHANILEUS K(MPRESI DEHIDRASI INEKSI

TUM(R cancer cachexia-anorexia PEM +Prein Energi manuriampi



N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet

Pe4e$4 atamph 5 l4h(

L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+



AKUT ABD(MEN ILEUS STRANGULASI PERITONITIS PERDARAHAN KOMBINASI-TRAUMA

ILEUS7 PROBLEM

KOMPRESI-DEHIDRASIDAN IN8EKSI



MEG COLON

CONGENIT L

(HIRSCHSPRUNG DISE SE)



H(- T( S(L5E THE

PR6BLEM T( PER(RM NUTRITI(N 8ARE

A8TI5ITIES NUTRITI(NAL ASSESSMENT NUTRITI(NAL REUIREMENTS R(UTES ( DELI5ER2 (RMULA $ I5 SELE8TI(N M(NIT(RIN





INDIKASI TERAPI NUTRISI

PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN



TIDAK BISA MAKAN TIDAK B(LEH MAKAN



Parenteral Nutrition

Central or Total (TPN) For long term use catheters are surgically

placed May have surgically implanted catheters

which lie beneath the skin and are accessedby special needle to decrease risk o

inection Can add solution o higher osmolarity into

central vein (larger lumen)



Pa$ente$al Nut$tn Peripheral (PPN)

hort term parenteral support (up to weeks)

ypertonic solutions ($ ampamp msm) maycause phlebitis thus must limit PPNsolution+s osmolarity

nergy and protein provided by PPN are

limited because de-trose and amino acidscontribute signiicantly to osmolarity lectrolytes also contribute to osmolarity





K(NTRA INDIKASI TNPE

KRISIS HEM(DINAMIK S2(KDEHIDRASI + k$I MUTLAK AAL NAAS TANPA

RESPIRAT(R DAN PASIENKEANASAN TUM(R PADAASE TERMINAL +k$I RELA TI









Nasogatric tube

boy 0 months1 230 kg 04 cm

monthslater

1 amp35 kgs



K(MPLIKASI PARENTERAL

NUTRISI HIPERLIKEMI HIP(LIKEMI

UREMI PRERENAL ANUAN UNSI HATI ANUAN 8AIRANELE8TR(LIT

DEISIENSI TRA8E ELEMEN$5ITAMIN HIPER8APNI 8(4 C



Pediatric parenteral amino acid

solution 6nant

Primene 47 (8a-ter983214) minosteril 6nant (Fresenius983214)

Pediatric minousin Paed (8a-ter983214) minosteril (Fresenius983214)9



Parenteral Access Peripheral ccess

ccess by placing catheter into a

peripheral vein Peripheral Parenteral Nutrition (PPN)

Central ccess ccess by catheter into vein eeding

into the superior vena cava

Total Parenteral Nutrition (TPN)



Monitoring 6ndicators 8ody weight 6ntakeoutput

8owel unction 8lood glucose erum electrolytes

8lood ureanitrogen creatinine

erum phosphorus iver unction tests erum calcium and

magnesium

erum transerrin hour urinary

nitrogen erum albumin



AL(RITME PEREN8ANAANTERAPI NUTRISI

MENILAI STASUS GI9I DAN KONDISI KLINIK PENDERITAI

HITUNG KEBUTUHAN NUTRISIene$+ $ten lea elet$lt (ll

IMEMILIH KOMPOSISI TERAPI NUTRISI

IMENENTUKAN TEKNIK lt SKEMA

PEMBERIANTERAPI NUTRISI

IMONITOR7

E8EK TERAPI NUTRISIKOMPLIKASI



TERAPI NUTRISI PARENTERAL EBB PHASE 7 CAIRAN RESUSITASI RL ASERING 8LO= PHASE 7 CAIRAN NUTRISI

KH 7 D D)0 PROTEIN 7 ASAM AMINO )0 LEMAK 7 LIPID 0 ELEKTROLIT



DASAR PEMBERIAN NUTRISI

PARENTERAL IMBAN PR(TEIN P(SITIP

PERHITUNAN ENERI

RUMUS HARRIS BENEDI8T +ka$hari

BEE Pria )70ltFBB+kgT+mFU+h

BEE-ania)77=7FBB+kg0FT+mFU+h

MALNUTRISI AEE ) 04 gt BEE

STRESS AKT(R PUASA ) 67066 AEE ) BEE gt STRESS AKT(R gt047

BEE)Basic Energy Expenditure

AEE) Actual Energy Expenditure



K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN



K(MP(SISI KIMIA TUBUHKH7 GLUKOSE



PROGRAM CAIRAN

1JUMLAH CAIRAN

2JENIS CAIRAN3CARA PEMBERIAN

4MONITORING



TOTAL BODY WATER ( ASHCRAFT )

UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4



MAINTENANCE ( ASHCRAFT )

6 7ai 8ampi Re9ampie$ets

Weight Volume

Premature (lt 2kg ) 150 ml kg

Neonatus amp infant (2-10 kg ) 100mlkg for first 10kg

Infant amp hilren (10-20kg ) 1000ml50mlkg oer 10 kg

$hilren ( 20 kg ) 1500ml20mlkg oer 20 kg



umlah airan

1 7eisit aia lt e-iasi

a 7e-iasi Ria = $ltgt TB )

7e-iasi Sea 1 =1$ltgt TB )

7e-iasi Beat 1 =1$ltgt TB )6 Tisitas aa-Hitisistis-ietis

2 Maiteae

Neatamps 24 a$ st eati igtampai 3

3 Pegtiaa aia -ia aa$ 24 a$

= i ss )

2D3 $iiati t 8ampi itagte = see tae )







STAN7ART PAE7IATRIC

MAINTENANCE SOLUTION

UMUR LARRISTALOI7

1+2 -ai 71 = tagt e- eegttit )

3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6

Tambahkan Maintenance KCl 75



Useful Intravenus Slutns Cerall$

Avalale

Sampti 7etse Na C Latate Ca

$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +



N()( P+ +)+(I( Na $l- $a (setate atate- lukosa alori 3)((N

m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500

ampOMOSISI ELEampTROLIT ( EL )

+)P+II ((N ( 3N (N (3IN



CONTOH KASUS Se$an+ la-la ua 0 tahun BB 10

+ tn++ ba(an )0 amp2 Pen(e$ta

($aat a$ena lua baa$ 0 Den+an $uu Ha$$ Bene(ampt7

BEE 332 )210)0

320)02 ampalha$

St$e 5aampt$lua baa$ 0 )2

AEE )02 )2)2 ) ampalha$



Be$at ba(an aen 0 + Tana t$e etabl7

al$ 00 ampal )00 ampal

eb2 Aa An 0) +$aha$

D+ t$e etabl7

Kal$ 010 ampal 000ampalha$

A An 0 )00 +$aha$



KASUS ANAK La-la uu$ ) tahun BB 3 + TB 30amp D7 Ileu (en+an

Deh($a be$at 5eb$ 10C (an alnut$ be$at2 Pe$htun+an7 ) Gan++uan tablta7 ebb phase (RL ASERING)

P$+$a ampa$an 3 Fa7 )ampal )l ebutuhan ampa$an - ulah ampa$an7 antenen )0 l (eh($a ) )03gt0 30 l

5eb$ 10C )3 l - Ttal $euta ampa$an 3 l Bla n( tabl (fow phase)7 ampa$an nut$ enaan

be$taha

- KH 7 KAEN A l- PROTEIN 7 AMINO8USIN l

- LEMAK 7 LIPID 0 l Malnut$ be$at 7 BEE 00 ampalha$



Thank you



TERMIN(L(I

NUTRISI)NUTRITI(N)NUTRIEN

TERAPI NUTRISI(RAL ENTERAL PARENTERAL

MALNUTRISI

PEM + MARASMIK MARASMIKK-ASHI(RK(R K-ASHI(RK(R

Skring Siampem M Laren










PERI(PERATI5E


KATABOLISME

STARVASI

KATABOLISMESTRESS

TRAUMABEDAH

ANABOLISME

RECOVERY

(RAN 5ITAL

(TAK 1ANTUN

LI5ER

REN



METAB(LISME BASAL























PEMBENTUKAN ENERI





Katabolisme

ASETIL 9 KA






























-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN



THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you










PERI(PERATI5E


KATABOLISME

STARVASI

KATABOLISMESTRESS

TRAUMABEDAH

ANABOLISME

RECOVERY

(RAN 5ITAL

(TAK 1ANTUN

LI5ER

REN



METAB(LISME BASAL























PEMBENTUKAN ENERI





Katabolisme

ASETIL 9 KA






























-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN



THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



METAB(LISME BASAL























PEMBENTUKAN ENERI





Katabolisme

ASETIL 9 KA






























-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN



THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you





















PEMBENTUKAN ENERI





Katabolisme

ASETIL 9 KA






























-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN



THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




























-H2 IS NUTRITI(N

IMP(RTANT

ENER2 ( DAIL2 LI5IN



THERAPEUTI8 BENEITS

HEALIN

PRE5ENTI(N IMMUN




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




+K8AL$HARI



0 gt T+8M gt U+THN





STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




STRESS FACTOR



KELAPARAN 670 066

PAS8A BEDAH 066 067

SEPSIS 0lt6 9 076







MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




MALNUTRISI








N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



N TOMI GIT

Aulla 5 Vate$

Gat$amp utlet


L+2T$et6

Melaena

Heat

amphe6a

Reamptalblee(n+




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




ILEUS7 PROBLEM




MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



MEG COLON

CONGENIT L




H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



H(- T( S(L5E THE








PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you






PARENTERAL +TNPE

TIDAK MAU MAKAN

TIDAK 8UKUP MAKAN


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you


































Nasogatric tube


monthslater

1 amp35 kgs










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you










solution 6nant

















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you















magnesium











IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you









IMONITOR7










PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you









PERHITUNAN ENERI










K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



K(MP(SISI KIMIA

TUBUHLEMAK+T07 Kg

Subkuan

Inermuampkuar

Inraabdmen

Inraraka

PR(TEIN04 Kg

MINERAL LIK(EN

4 Kg

AIR 40 K

LEMAK

MASSA TUBUH

NON LEMAKgt AIR

Data (a$

Be((e ()1

PRIA UMUR 6 TAHUN






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you






PROGRAM CAIRAN

1JUMLAH CAIRAN


4MONITORING




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




UMUR

Gestasia 12 $iamp 4

12 $iamp 32 $iamp (

Ate$

3+ -ai ( +3

Neatamps + (

C-ie 0 +

amp Ma 0amp $a

Oe 0 eas $a

Oe 0 eas 5$e 4





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you





Weight Volume







umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you



umlah airan





2 Maiteae



= i ss )








STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you







STAN7ART PAE7IATRIC


UMUR LARRISTALOI7


3+ -ai 7 NaC B1( 6

F 1 t- 7 NaC B22 6

F 1 t- 7 NaC B4 6





Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




Avalale


$lt $E9lt

7 ) + + + + +

71) 1)) + + + + +

Nlt1+7 ) 14 14 + + +

Nlt2+7 ) + + +

Nlt4+7 ) 3( 3( + + +

Nlt+7 ) 31 31 + + +R L + 13) 1)( 4 2( 2

A$iampsi Pae + 3) 1) 2 + 1)

Ita Lii 1) + + + + + +




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you




m+sm alaeN 1 4 22 675 675 6875 150 500

aeN 6 ( 290 0 50 10 20 28 10 500

aeN 6 4 290 50 50 20 20 28 10 500

aeN )6 95 50 50 20 20 100 00 500

5001000

(sering 2867 160 1078 278 2 500


+)P+II ((N ( 3N (N (3IN






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you






BEE 332 )210)0

320)02 ampalha$







eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you





eb2 Aa An 0) +$aha$

D+ t$e etabl7


A An 0 )00 +$aha$







be$taha





Thank you







be$taha





Thank you



Thank you

S1 Aspek Medis Bedah &Parenteral Nutrition Sept14.pptx

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Transcript of S1 Aspek Medis Bedah &Parenteral Nutrition Sept14.pptx