Nama Yulita Tri Dx : VSD Perimembran besar dan PHT Sedang

Umur 29 tahun Op : VSD Closure

BB 53 kg Siap Darah
TB 160 cm PPJT Lt.3 2 PRC 2 FFP 5TC on Hand
BSA 1.53 m2 2 PRC 2FFP 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 0.6 1 0.6 10 0.3 10 0.6 10 2.5
2 1.3 2 1.3 25 0.8 25 1.6 20 5.1
3 1.9 3 1.9 50 1.6 50 3.2 30 7.6
4 2.5 4 2.5 75 2.4 75 4.8 40 10.2
5 3.2 5 3.2 100 3.2 100 6.4 50 12.7
6 3.8 6 3.8 125 4.0 125 8.0 60 15.3
7 4.5 7 4.5 150 4.8 150 9.5 70 17.8
8 5.1 8 5.1 175 5.6 175 11.1 80 20.4
9 5.7 9 5.7 200 6.4 200 12.7 90 22.9
10 6.4 10 6.4 250 8.0 250 15.9 100 25.4

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 4.0 5 0.6 10 1.2 10 0.6 10 2.5
0.3 4.8 10 1.2 50 6.0 20 1.3 20 5.1
0.35 5.6 15 1.8 100 12.0 30 1.9 30 7.6
0.4 6.4 20 2.4 150 18.0 40 2.5 40 10.2
0.45 7.2 25 3.0 200 24.0 50 3.2 50 12.7
0.5 8.0 30 3.6 250 30.0 60 3.8 60 15.3
0.55 8.7 35 4.2 300 36.0 70 4.5 70 17.8
0.6 9.5 40 4.8 350 42.0 80 5.1 80 20.4
0.65 10.3 45 5.4 400 48.0 90 5.7 90 22.9
0.7 11.1 50 6.0 450 54.0 100 6.4 100 25.4
0.75 11.9
Loading dose Nityrocyn dosis titrasi jangan pakai 4
50ug/kg 10mnt gamma atau nano
Millrinon loading 79.5 cc/jam Precedex 4mcg/cc
Heparin : 0.1 1.3
4xkgBBx100 21200 unit = 212 mg 0.2 2.7
21.2 cc (1000 unit/cc) 0.3 4.0
siapkan dlm sediaan 1000 unit/cc Spuit 10 cc 0.4 5.3
0.5 6.6
Catatan : 0.6 8.0
Dopamin 200 mg/vial, spuit 50 cc 0.7 9.3
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 26.5
Transamin 100mg/cc = 2650 mg dlm 30 menit--> 53 cc/jam
4 Lanjut = 662.5 mg/jam--> 6.6 cc/jam
Protamin 10mg/cc = 212 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 :
Nama An. Aleena Lukito Dx : Functional Single Ventricle + PS berat + ASD + VSD + Common A
Umur 3 tahun Op : BCPS, MPA tidak diligasi
BB 14 kg Persiapan darah :
TB 92.5 cm Bedah H 2 PRC 2 FFP 3 TC on Hand
BSA 0.6 m2 1 PRC 1 FFP GSH

Dopamin 5mg/cc Dobutamin 5mg/cc Noradrenalin 0.1mg/cc Noradrenalin 0.05mg/cc

gamma cc/jam gamma cc/jam nano cc/jam nano
1 0.2 1 0.2 10 0.1 10
2 0.3 2 0.3 25 0.2 25
3 0.5 3 0.5 50 0.4 50
4 0.7 4 0.7 75 0.6 75
5 0.8 5 0.8 100 0.8 100
6 1.0 6 1.0 125 1.1 125
7 1.2 7 1.2 150 1.3 150
8 1.3 8 1.3 175 1.5 175
9 1.5 9 1.5 200 1.7 200
10 1.7 10 1.7 250 2.1 250

Milrinon 0.2 mg/cc Nitrocyn 0.5mg/cc Nitrocyn 0.5mg/cc Adrenalin 0.05 mg/cc
gamma cc/jam micro cc/jam micro cc/jam nano
0.25 1.1 5 0.6 10 1.2 10
0.3 1.3 10 1.2 50 6.0 20
0.35 1.5 15 1.8 100 12.0 30
0.4 1.7 20 2.4 150 18.0 40
0.45 1.9 25 3.0 200 24.0 50
0.5 2.1 30 3.6 250 30.0 60
0.55 2.3 35 4.2 300 36.0 70
0.6 2.5 40 4.8 350 42.0 80
0.65 2.7 45 5.4 400 48.0 90
0.7 2.9 50 6.0 450 54.0 100
0.75 3.2
Loading dose Nityrocyn dosis titrasi jangan pakai
50ug/kg 10mnt gamma atau nano
Millrinon loading 21 cc/jam
Heparin :
4xkgBBx100 5600 unit = 56
5.6 cc (1000 unit/cc)
siapkan dlm sediaan 1000 unit/cc Spuit 10 cc
Catatan :
Dopamin 200 mg/vial, spuit 50 cc
Dobutamin 250 mg/vial, spuit 50 cc Nitrocyn 0.5 mg/cc
Noradrenalin 4 mg/vial, spuit 50 cc Adrenalin 1 mg/amp
Milrinon 1 mg/cc, 10 or 20 cc/vial Heparin 5000 unit/cc,
50 2 4 100 7
Transamin 100mg/cc = 700 mg dlm 30 menit--> 14
4 Lanjut = 175 mg/jam--> 1.8
Protamin 10mg/cc = 56 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 :
K RV pre :
iCa ABP :
Hct
Hb Telp :
 + ASD + VSD + Common AV valve regurgitasi berat

ersiapan darah :
PRC 2 FFP 3 TC on Hand
PRC 1 FFP GSH

oradrenalin 0.05mg/cc Noradrenalin 0.0125mg/cc

cc/jam nano cc/jam
0.2 10 0.7
0.4 20 1.3
0.8 30 2.0
1.3 40 2.7
1.7 50 3.4
2.1 60 4.0
2.5 70 4.7
2.9 80 5.4
3.4 90 6.0
4.2 100 6.7

Adrenalin 0.05 mg/cc Adrenalin 0.0125 mg/cc

cc/jam nano cc/jam
0.2 10 0.7
0.3 20 1.3
0.5 30 2.0
0.7 40 2.7
0.8 50 3.4
1.0 60 4.0
1.2 70 4.7
1.3 80 5.4
1.5 90 6.0
1.7 100 6.7

Precedex 4mcg/cc
0.1 0.4
mg 0.2 0.7
0.3 1.1
0.4 1.4
 0.5 1.8
0.6 2.1
0.7 2.5
Loading 1 mmg/kgBB
dalam 10 menit

cc/jam
cc/jam

:
parin :
otamin :

PA post :
RV post :
ABP :