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
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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