Wabah Kolera

Having inserted a tube into the basilic vein, cautiously, anxiously, I watched the effect; ounce after
ounce was injected, but no visible change was produced. Still persevering, I thought she began to
breath the sharpeneless laboriously; soon d features and sunken eye and fallen jaw, pale and cold,
bearing the manifest impress of death’s signet, began to glow with returning animation; the pulse
which had long ceased, returned to the wrist, at first small and quick, by degrees it became more
and more distinct, fuller, slower and firmer, and in a short space of half an hour, when six pints had
been injected, she expressed in a firm voice that she was free from all uneasiness, actually became
jocular, and fancied all she needed was a little sleep; her extremities were warm, and every feature
bore the aspect of comfort and health. Dr. Thomas Latta – The Lancet 1832
Mosby's Medical Dictionary
• Cairan yang terkandung dalam tiga kompartemen cairan tubuh: plasma
darah yang beredar, cairan interstitial antara sel-sel, dan cairan di dalam
sel.

Segen's Medical Dictionary

• Cairan dalam tubuh termasuk darah, urin, saliva, sputum, air mata, air
mani, susu, atau cairan vagina. Atau dapat diartikan juga sebagai sebuah
istilah yang sering digunakan para pekerja kesehatan seperti darah, urin,
saliva, semen.
Kompartemen Cairan
Kandungan Elektrolit
 Tujuan Terapi
Cairan

Resusitasi Maintanance Replacement Redistribution

septic, otherwise
Bleeding, critically ill, post-
plasma loss, sepsis, Tidak bisa makan / major surgery or
or excessive minum, Koreksi elektrolit those with
external fluid homeostasis major cardiac, liver
and electrolyte loss or renal co-
morbidity
Kebutuhan cairan meningkat bila…
 NaCl, RL,
Kristaloid
Asering
Resusitasi
Otsutran,
Koloid
Gelatin, HES
Terapi Cairan
KAEN solutions
Elektrolit
AMINOFLUID
Maintenance
Nutrisi AA , KH, Lipid
Cairan Kristaloid

https://synapse.koreamed.org/DOIx.php?id=10.5124
/jkma.2010.53.12.1103&vmode=PUBREADER
Cairan Koloid

https://synapse.koreamed.org/DOIx.php?id=10.5124
/jkma.2010.53.12.1103&vmode=PUBREADER
Kristaloid vs Koloid

https://synapse.koreamed.org/DOIx.php?id=10.5124
/jkma.2010.53.12.1103&vmode=PUBREADER
https://www.nice.org.uk/guidance/cg174
/resources/intravenous-fluid-therapy-in-
adults-in-hospital-algorithm-poster-set-
191627821
https://www.nice.org.uk/guidance/cg174
/resources/intravenous-fluid-therapy-in-
adults-in-hospital-algorithm-poster-set-
191627821
https://www.nice.org.uk/guidance/cg174
/resources/intravenous-fluid-therapy-in-
adults-in-hospital-algorithm-poster-set-
191627821
https://www.nice.org.uk/guidance/cg174
/resources/intravenous-fluid-therapy-in-
adults-in-hospital-algorithm-poster-set-
191627821
 AMINOFLUID®
• Per L Glucose 75 g, total free amino acids 30 g,
total nitrogen 4.7 g, essential/non-essential amino
acids 1.44 g, branched-chain amino acids 30%
w/w. Energy: 420 kCal
• Adult Usual dose: 500 mL infused via peripheral
vein. Max: 2,500 mL/day. Infusion rate: 500
mL/120 min, slowed in elderly & critically ill
patients.
• KI : Hepatic coma or risk of hepatic coma; severe
renal disorder or azotemia; CHF; severe acidosis;
abnormal electrolyte metabolism,
hyperpotassemia, hyperphosphatemia,
hypermagnesemia, hypercalcemia; reduced urine
output; abnormal amino acid metabolism.
https://www.nice.org.uk/guidance/cg174
/resources/intravenous-fluid-therapy-in-
adults-in-hospital-algorithm-poster-set-
191627821
 Resume
• Kebutuhan cairan setiap orang berbeda, tergantung
jenis kelamin, usia, masa lemak dan otot
• Cairan dalam tubuh dibagi menjadi cairan ekstraseluler
dan intraseluler, dimana cairan ekstraseluler lebih
banyak terdiri dari natrium dan klorida, sedangkan
intrasel terdiri dari kalium dan hidrogen fosfat
• Tujuan terapi cairan yaitu sebagai resusitasi,
maintanance, replacement, dan redistribution.
 Daftar Pustaka
• Kreston R. Bacteria. [place unknown]: Body Horrors. The origins of intravenous fluids - body horrors; 2016 May 31
[cited 2016 Dec 18]. Available from: http://blogs.discovermagazine.com/bodyhorrors/2016/05/31/intravenous-
fluids-cholera/#.WFb46lMrLIV.
• Millam D. The history of intravenous therapy. Journal of intravenous nursing : the official publication of the
Intravenous Nurses Society. 1996 Jan 1 [cited 2016 Dec 18];19(1):5–14. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/8708844.
• Chemistry. [place unknown]: Anatomy & Physiology. Body fluids; 2013 Nov 28 [cited 2016 Dec 18]. Available from:
http://anatomyandphysiologyi.com/body-fluids/.
• Yunus RB. Terapi Cairan. Fakultas Kedokteran Universitas Trisakti. Karawang : 2010
• Electrolyte fluid balance [cited 2016 Dec 18]. Available from:
http://www.austincc.edu/apreview/EmphasisItems/Electrolytefluidbalance.html.
• TABLE 11-1, estimated sodium, chloride, and potassium minimum requirements of healthy persons. [place
unknown]: National Academies Press (US); 1989. [cited 2016 Dec 18]. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK234935/table/ttt00014/?report=objectonly.
• pmhdev. Principles and protocols for intravenous fluid therapy - intravenous fluid therapy - PubMed health -
national library of medicine - PubMed health. 2013 Dec [cited 2016 Dec 18]. Available from:
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0082773/.
• 504 kylee. [place unknown: publisher unknown]. Fluid therapy: Classification and characteristics of intravenous
fluids; 2010 [cited 2016 Dec 18]. Available from:
https://synapse.koreamed.org/DOIx.php?id=10.5124/jkma.2010.53.12.1103&vmode=PUBREADER.
• NICE. [place unknown]: NICE. Intravenous fluid therapy in adults in hospital; 2013 Dec 1 [cited 2016 Dec 18].
Available from: https://www.nice.org.uk/guidance/cg174/chapter/1-Recommendations#iv-fluid-prescription-by-
body-weight-for-routine-maintenance-over-a-24hour-period.