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Fencl–Stewart approach:   Telaah Kasus Gangguan Asam-Basa Kiki MK Samsi, dr.,Sp.A, M.Kes   Pediatric Critical Care Unit Tarumanagara University - Sumber Waras Hospital
 
30
Kasus 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Na +  = 140 mEq/L Cl -   =  82 mEq/L SID =  58 mEq/L OH -  =  58 mEq/L Hypocloremic Alkalosis 58
The adverse effects of a severe alkalosis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The adverse effects of a severe alkalosis   ,[object Object],[object Object],[object Object]
Na +  = 140 mEq/L Cl -   =  82 mEq/L SID =  58 mEq/L OH -  =  58 mEq/L + Hypocloremic Alkalosis Na +  =  137 mEq/L Cl -   =  109 mEq/L Lactat  =  28 mEq/L SID  =  0 mEq/L OH -   =  0 mEq/L Ringer Lactat
Na +  =  (140 + 137 mEq/L) : 2  = 138,5 mEq/L  Cl -   =  (  82 + 109 mEq/L) : 2  =  95,5 mEq/L SID =  43 mEq/L OH -  =  43 mEq/L 58 43
Na +  = 140 mEq/L Cl -   =  95 mEq/L SID =  45 mEq/L OH -  =  45 mEq/L + Hypocloremic Acidosis Na +  =  154 mEq/L Cl -   =  154 mEq/L SID  =  0 mEq/L OH -   =  0 mEq/L NaCl 0,9%
Na +  =  (140 + 154 mEq/L) : 2  = 147 mEq/L  Cl -   =  (  82 + 154 mEq/L) : 2  = 118 mEq/L SID =  29 mEq/L OH -  =  29 mEq/L 58 29
Kasus 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The major effects of a metabolic acidosis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terapi ,[object Object],[object Object],Setuju atau Tidak Setuju Penderita kejang-kejang Hypocapnia
Recognised undesirable effects of bicarbonate administration  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kasus 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kasus 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Investigations Strong ions, weak acids and base excess: a simplified Fencl–Stewart approach to clinical acid–base disorders D. A. Story*,1, H. Morimatsu2 and R. Bellomo2 British Journal of Anaesthesia, 2004, Vol. 92, No. 1  54-60
Four variables ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kasus 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
TATALAKSANA KASUS 2 ,[object Object],[object Object],[object Object],[object Object],Na Bicarbonat ????
Important points about the use of bicarbonate in metabolic acidosis ,[object Object],[object Object],[object Object]
Important points about the use of bicarbonate in metabolic acidosis ,[object Object],[object Object],[object Object]
Important points about the use of bicarbonate in metabolic acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teng Kyu Natrium Cloride Albumin Unmessurement ion Lactat acid Phosphor +

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Gangguan Asam Basa

  • 1. Fencl–Stewart approach: Telaah Kasus Gangguan Asam-Basa Kiki MK Samsi, dr.,Sp.A, M.Kes Pediatric Critical Care Unit Tarumanagara University - Sumber Waras Hospital
  • 2.  
  • 3. 30
  • 4.
  • 5. Na + = 140 mEq/L Cl - = 82 mEq/L SID = 58 mEq/L OH - = 58 mEq/L Hypocloremic Alkalosis 58
  • 6.
  • 7.  
  • 8.
  • 9. Na + = 140 mEq/L Cl - = 82 mEq/L SID = 58 mEq/L OH - = 58 mEq/L + Hypocloremic Alkalosis Na + = 137 mEq/L Cl - = 109 mEq/L Lactat = 28 mEq/L SID = 0 mEq/L OH - = 0 mEq/L Ringer Lactat
  • 10. Na + = (140 + 137 mEq/L) : 2 = 138,5 mEq/L Cl - = ( 82 + 109 mEq/L) : 2 = 95,5 mEq/L SID = 43 mEq/L OH - = 43 mEq/L 58 43
  • 11. Na + = 140 mEq/L Cl - = 95 mEq/L SID = 45 mEq/L OH - = 45 mEq/L + Hypocloremic Acidosis Na + = 154 mEq/L Cl - = 154 mEq/L SID = 0 mEq/L OH - = 0 mEq/L NaCl 0,9%
  • 12. Na + = (140 + 154 mEq/L) : 2 = 147 mEq/L Cl - = ( 82 + 154 mEq/L) : 2 = 118 mEq/L SID = 29 mEq/L OH - = 29 mEq/L 58 29
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Clinical Investigations Strong ions, weak acids and base excess: a simplified Fencl–Stewart approach to clinical acid–base disorders D. A. Story*,1, H. Morimatsu2 and R. Bellomo2 British Journal of Anaesthesia, 2004, Vol. 92, No. 1 54-60
  • 20.
  • 21.
  • 22.  
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Teng Kyu Natrium Cloride Albumin Unmessurement ion Lactat acid Phosphor +