SUBTITUSI BICNAT

Koreksi Bicarbonat
Method 1:
Bicarbonate volume of distribution (HCO3 Vd) =
(0.4 + 2.6/measured HCO3) - ideal body weight
Ideal body weight: Males: 50 + 2.3 (height (in) - 60) OR Females: 45.5 + 2.3 (height (in) - 60)
HCO3 deficit (mEq) = HCO3 Vd x (desired HCO3* - measured HCO3)
*typically 10-15
Method 2:
HCO3 deficit (mEq) =
0.6 x wt (kg) x (15* - measured HCO3)
*Here, 15 is chosen as the end-point goal

Dari buku berbeda 
Bicarb Vd = (0.4 + 2.6/HCO3-) x Lean body weight.

Bicarbonate deficit = Bicarb Vd x (desired [HCO3-] - measured [HCO3-])


Lean body weight defined as usual IBW (ideal body weight) equations:
Estimated ideal body weight in (kg):
Males: IBW = 50 kg + 2.3 kg for each inch over 5 feet.
Females: IBW = 45.5 kg + 2.3 kg for each inch over 5 feet.

Tabel Substitusi
Dosis 0.013 mmol/kgBB/menit
kecepatan (0,94 x BB ) mL/jam atau (BB:3) tetes /menit

BB mmol/menit tetesan/menit jumlah mL
30 0.39 6 95
35 0.455 7 110
40 0.52 8 125
45 0.585 9 140
50 0.65 10 156
55 0.717 11 176
60 0.78 12 190
65 0.845 13 205
70 0.91 14 220
75 0.975 15 235

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