148974117 Keseimbangan Asam Basa Dan Analisis Gas Darah
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Transcript of 148974117 Keseimbangan Asam Basa Dan Analisis Gas Darah
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KESEIMBANGAN ASAM-BASA DAN ANALISIS GAS DARAH
Oleh:
Dian S. NingrumC11108345
Pembimbing:
Dr. Fitriani Asrul
Supervisor:
Dr. Hisbullah, Sp.An-KIC, KAKV
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DEFINISIASAM • molekul yang dapat bertindak
sebagai donor proton (H+)
BASA • molekul yang dapat bertindak sebagai aseptor proton
ASIDEMIA • pH darah kurang dari 7,35
ALKALEMIA • pH darah lebih dari 7,45
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DEFINISI
ASIDEMIA ALKALEMIA
ALKALOSIS
Proses yang menaikkan pH
ASIDOSIS
Proses yang menurunkan pH
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REGULASI KONSENTRASI ION HIDROGEN
Buffer Systems
Ventilatory Response
Renal Response
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Buffer Systems
SISTEM BUFFER BIKARBONAT
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SISTEM BUFFER HEMOGLOBIN
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Ventilatory Response
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Renal Response
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PENGUKURAN GAS DARAH ARTERIAL
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GANGGUAN ASAM-BASA
Asidosis Respiratorik
Alkalosis Respiratorik
Asidosis Metabolik
Alkalosis Metabolik
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Asidosis Normal AlkalosisTurun pH (7,35 – 7,45) Naik
Turun HCO3 22 – 26 Naik
Naik PCO2 35 – 45 Turun
Turun BE –2 – +2 Naik
GANGGUAN ASAM-BASA
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TERIMA KASIH
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Contoh AGD Pasien ICU
• Tn. D, 68 thn• AGD 6/1/2013
pH : 7,31pCO2 : 38,4HCO3- : 18,7BE : -7,0 ASIDOSIS
METABOLIK
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Contoh AGD Pasien ICU• WB, ♀ 27 thn• AGD 10/1/2013
pH : 7,42pCO2 : 49,2HCO3- : 29,5BE : 6,3
N
Alkalosis metabolik terkompensasi
sempurna
alkalosis