Sei sulla pagina 1di 2

PRC A reasonable initial dose for a 60-120 kg man (ie, 0.5-1 mEq/kg) is 60 mEq.

Typically, 40-60 mEq of K+ raises the potassium concentration by 1.0-1.5 mEq/L,


DOSIS 10-20ML/KGBB, BIASA 10ML/KGBB ATAU and 135-160 mEq of K+ raises plasma potassium by 2.5-3.5 mEq/L.

BB (kg) x 4 x (Hb diinginkan - Hb tercatat) --> KALO wb = ? Hb x BB x 6 ml

RINGAN hIPEREMESIS GRAVIDARUM

beri furosemid 1mg/kgBB IV vitamin

REAKSI SEDANG BERAT B6 (piridoksin), antihistamin dan agen-agen prokinetik- 10 mg piridoksin


ditambah 12,5
hidrokortison 200 mg IV, atau klorfenamin 0.25 mg/kgBB IM
mg doxylamine per oral setiap 8 jam sebagai farmakoterapi
ANAFILAKTIC:
lini pertama yang aman dan efektif
epinefrin 0.01 mg/kgBB
Fenotiazin atau metoklopramid diberikan jika pengobatan

dengan antihistamin gagal. BOLEH JUGA Antagonis reseptor 5-


INTERVAL TRANSFUSI/8JAM hydroxytryptamine3 (5HT3) SEPERTI ONDANSETRON
MAKSIMAL DIBERIKAN SELAMA DALAM 4 JAM

OBAT KELASI BESI:

INDIKASI: 10-15KALI TRANSFUSI ATAU 3LITER

DOSIS FERRIPROX 75-100 mg/kg BB/hari. Bentuk kaplet @ 500 mg dibagi 3


dosis

hIPOKALEMIA
Potassium abnormalities B. Kayexalate: 15 to 50 g plus sorbitol per oral or per rectum

Adults: 3.5-5.0 mEq/L or mmol/L C. Hemodialysis

Children: 3.4-4.7 mEq/L or mmol/L

Hyperkalemia

>5.5 mmoll1

5.55.9 mmoll1 Mild elevation

66.4 mmoll1 Moderate elevation

6.5 mmoll1 Severe elevation

EKG: Peak T wave

Hyperkalemia treatment

I. Stabilize myocardial cell membranes:

IV calcium:

Calcium chloride (10%): 5 to 10 mL (500 to 1000 mg) IV or

Calcium gluconate (10%): 15 to 30 mL IV

II. Shift potassium into cells:

A. Sodium bicarbonate: 50 mEq IV

B. Insulin and glucose: mix 25 g (50 mL of D50) glucose and 10 U regular insulin
IV

C. Nebulized Albuterol:10 to 20 mg nebulized

III. Remove excess K from the body

A. Loop diuretics: furosemide 40 to 80 mg IV

Potrebbero piacerti anche