Nama SUNANIK Dx : CAD
Umur 59 tahun Op : CABG
BB 65 kg
TB 144 cm Siap darah PRC 2 ditangan 2 GSH
BSA 1.61 m2 FFP 2 ditangan 2 GSH
Dopamin 5mg/cc Dobutamin 5mg/cc Noradrenalin 0.1mg/cc Noradrenalin 0.05mg/cc Noradrenalin 0.0125mg/cc
gamma cc/jam gamma cc/jam nano cc/jam nano cc/jam nano cc/jam
1 0.8 1 0.8 10 0.4 10 0.8 10 3.1
2 1.6 2 1.6 25 1.0 25 2.0 20 6.2
3 2.3 3 2.3 50 2.0 50 3.9 30 9.4
4 3.1 4 3.1 75 2.9 75 5.9 40 12.5
5 3.9 5 3.9 100 3.9 100 7.8 50 15.6
6 4.7 6 4.7 125 4.9 125 9.8 60 18.7
7 5.5 7 5.5 150 5.9 150 11.7 70 21.8
8 6.2 8 6.2 175 6.8 175 13.7 80 25.0
9 7.0 9 7.0 200 7.8 200 15.6 90 28.1
10 7.8 10 7.8 250 9.8 250 19.5 100 31.2
Milrinon 0.2 mg/cc Nitrocyn 0.5mg/cc Nitrocyn 0.5mg/cc Adrenalin 0.05 mg/cc Adrenalin 0.0125 mg/cc
gamma cc/jam micro cc/jam micro cc/jam nano cc/jam nano cc/jam
0.25 4.9 5 0.6 10 1.2 10 0.8 10 3.1
0.3 5.9 10 1.2 50 6.0 20 1.6 20 6.2
0.35 6.8 15 1.8 100 12.0 30 2.3 30 9.4
0.4 7.8 20 2.4 150 18.0 40 3.1 40 12.5
0.45 8.8 25 3.0 200 24.0 50 3.9 50 15.6
0.5 9.8 30 3.6 250 30.0 60 4.7 60 18.7
0.55 10.7 35 4.2 300 36.0 70 5.5 70 21.8
0.6 11.7 40 4.8 350 42.0 80 6.2 80 25.0
0.65 12.7 45 5.4 400 48.0 90 7.0 90 28.1
0.7 13.7 50 6.0 450 54.0 100 7.8 100 31.2
0.75 14.6
Loading dose Nityrocyn dosis titrasi jangan pakai 4
50ug/kg 10mnt gamma atau nano
Millrinon loading 97.5 cc/jam Precedex 4mcg/cc
Heparin : 0.1 1.6
4xkgBBx100 26000 unit = 260 mg 0.2 3.3
26 cc (1000 unit/cc) 0.3 4.9
siapkan dlm sediaan 1000 unit/cc Spuit 10 cc 0.4 6.5
0.5 8.1
Catatan : 0.6 9.8
Dopamin 200 mg/vial, spuit 50 cc 0.7 11.4
Dobutamin 250 mg/vial, spuit 50 cc Nitrocyn 0.5 mg/cc Loading 1 mmg/kgBB
Noradrenalin 4 mg/vial, spuit 50 cc Adrenalin 1 mg/amp dalam 10 menit
Milrinon 1 mg/cc, 10 or 20 cc/vial Heparin 5000 unit/cc,
50 2 4 100 32.5
Transamin 100mg/cc = 3250 mg dlm 30 menit--> 65 cc/jam
4 Lanjut = 812.5 mg/jam--> 8.1 cc/jam
Protamin 10mg/cc = 260 mg
BGA I BGA II Kondisi awal
Jam TD : ACT awal :
pH N : ACT post heparin :
pCO2 CVP : ACT post protamin :
pO2 SpO2 :
HCO3 Temp :
BE
SaO2
Na PA pre : PA post :
K RV pre : RV post :
iCa ABP : ABP :
Hct
Hb Telp :