dr. tetty - nutrisi parenteral dan enteral pada neonatus
TRANSCRIPT
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 1/78
@[\\M@[C[I
UMXGK
Rkakrjggo : Ptge Pul Lgnmgo Rkrmogtdcdnm Lgnmgo Mciu Akskfgtgo Goga,Egauctgs Akhdatkrgo [ORGH/\P Fgsgo Pghmamo Lgohuon
Rkohmhmago Edrigc: 7=>=-7=65 Akhdatkrgo [iui Egauctgs Akhdatkrgo [omvkrsmtgs
Rghjghjgrgo
7==0-7==5 Ppksmgcmsgsm Mciu Akskfgtgo GogaEgauctgs Akhdatkrgo [omvkrsmtgs Rghjghjgrgo
Rkohmhmago Cgmo : Xrgmomon Om`u hm hgcgi h Cugr Oknkrm
Hr. Xktty ]uomgtm, hrPp.G(A)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 2/78
Outrmsm Rgrkotkrgc hgo Kotkrgc
Rghg Okdogtus
Xktty ]uomgtm
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 3/78
Aklutufgo Kskosmgc Okdogtus
@gmrgo, kckatrdcmt,igogjkiko outrmsm
(Pkiug lgym)
Adotrdc cmonauongo(Pkiug lgym)
Igogjkiko pkrogpgsgo,
@UP, @OP(Pklgnmgo lgym)
Igogjkiko moekasm(Pklgnmgo lgym)
0
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 4/78
Ptgtus outrmsm sktkcgf cgfmrikokotuago akcugrgo lgym
CGFM\
Pupcgm outrmsm hgrm pcgskotgikohghga lkrfkotm
GPM ikrupgago outrmsmpdst-ogtgc tkrlgma
Pklgnmgo okdogtus tmhga
hgpgt ikipkrdckf outrmsm
kotkrgc skfmonng hmpkrcuagooutrmsm pgrkotkrgc
Xrgosmsm Outrmsm
8
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 5/78
• Huauongo outrmsm hmom jung ikimcmam pkrgogopkotmon hgcgi pkrgwgtgo okdogtus
Rkilkrmgo outrmsm hmom okdogtus
Gigo
Huauongo tkrfghgp pkrtuilufgo hgopkrakilgongo dtga
Iko`kngf tkrjghmoyg hgipga jgonag pgojgonngonnugo okurdadnomtme
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 6/78
X[IL[F & AKILGON
LMD-RPMAD-PDPMGC
LMDCDNM
Nkoktma
Pkas
\mwgygt akfgimcgo
\mwgygt pkrsgcmogo
Outrmsm
Miuomsgsm
RPMADCDNMP :
Gsmf Gsgf
Gsuf
PDPMGC :
Xa. Rkohmhmago Dr-tu
Xa. Pds ‐ Ka
Fmnmkok-Pgomtgsm
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 7/78
GP[F :* Ikilkrm imoui &
igagogo lkrnmzm*Ikilkrm miuomsgsm
GPMF :
* Ikilkrm pkrfgtmgo*Ikilkrm agsmf sgygon
GPGF :*Ptmiucgsm ikotgc hmom*Ikilkrm pkohmhmago &
pkilkcgjgrgo
*Ikilkrm pkohmhmago gngig
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 8/78
Rkilkrmgo outrmsm Rghg Okdogtus
• Cklmf gwgc, gnrksme , hgo wgatu sknkrg
sktkcgf akcgfmrgo hkongo agcdrm hgoprdtkmo ghkaugt
• Puilkr outrmsm ghkaugt
• Ikohuauon pkrtuilufgo hgopkrakilgongo
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 9/78
• Rkrtgilgfgo lkrgt lghgo:
75 ‐76 n/fgrm lgym prkigtur
<2 ‐02 n/fgrm pghg lgym `uauplucgo
• Rgojgon lghgo
7.7 `i/inn
• Cmonagr akpgcg
2.> `i/inn e rdotgc-d``mpmtgc`mr`uiekrko`k (ED@)
Xgrnkt Rkrtuilufgo
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 10/78
Igcoutrmsm
Lgym prkigtur
ygon suhgflkrusmg 0 lucgo
krg
R\K-Outrmsm
Rgrkotkrgc Xdtgc
72
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 11/78
Outrmsm pgrkotkrgc tdtgc (ORX)
Huauongo outrmsm pghg okdogtus ygon tmhgaikohgpgt outrmsm kotkrgc ghkaugt
Hmlkrmago ikcgcum jgcur motrgvkog pkrmekrgtgu skotrgc
Moeus motrgvkog ikongohuon skiug outrmkopkotmon uotua aklutufgo kokrnm lgsgc,
iktgldcmsik hgo pkrtuilufgo
77
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 12/78
Pupcgm aklutufgo outrmsm hgo iktgldcma tmhga ldckf tkrfkotmdckf akcgfmrgo
Outrmsm motrgvkog skcgcu ikrupgago mohmagsm jmag aklutufgooutrmsm hgo iktgldcma tmhga hgpgt hmpkoufm outrmsm kotkrgc
Jgi, luago fgrm, ghgcgf wgatu ygon pgojgon uotua lgymygon tmhga ikokrmig outrmsm lgma motrgvkog gtgupuo drgc
Aklutufgo outrmsm hgo iktgldcma skdrgon okdogtus sgiggtgu cklmf lksgr hmlgohmon sggt jgomo
Outrmsm Motrgvkog: Kipgt Rrmosmp [iui:
– mcc Fgy”s \ucks’
7
<
0
8
7<
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 13/78
Rrgatka ygon lkrcgonsuon:ikouohg pkilkrmgo ORX sgipgm <-0 fgrm ikouonnu stglmcmtgs kckatrdcmt,
iktgldcma hgo fkidhmogima
Igsgcgf:
Xmhga ghg gcgsgo ikhms/mcimgf uotuaikouohg
Xkrjghm ncuadokdnkoksms gtgu prdtkdcmsms
Momsmgsm ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
70
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 14/78
Rrmosmp:igamo sgamt hgo ak`mc skdrgon lgym
`ghgongo outrmsm imomigc hgo
pkrcu huauongo outrmsm cklmf lksgr
Lgym LC 3 7;22 nrgi hgo/gtgu 3 02 imonnu
ORX hmiucgm hgcgi 86 jgi sktkcgf cgfmrLgym LC 3 7222 nrgi ORX hmiucgm hgcgi <8 jgi sktkcgf cgfmr
…Momsmgsm ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
78
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 15/78
…Momsmgsm ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Lgym prkigtur lutuf 7-7,; n prdtkmo/an/fgrmuotua ikonfkigt `ghgongo prdtkmo kohdnko
Rkoykhmggo ? >2 aagc/an/fgrm hgo<,>-0,; n prdtkmo/an/fgrm ikohuauon pkrtuilufgo hgo lgcgos
omtrdnko pdsmtme pghg lgym prkigtur
7;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 16/78
Mohmagsm iutcga
Igcedrigsm adonkomtgc trgatus ngstrdmotkstmogc
Rdst dpkrgsm ngstrdmotkstmogc
Ok`rdtmsmon kotkrd`dcmtms
Hmgrk motrgatglkc
Pfdrt nut syohrdik
Mohmagsm ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
75
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 17/78
Adipdoko ORX
@gmrgo
Igardoutrmko
Agrldfmhrgt (hkastrdsg) Rrdtkmo (gsgi gimod)
Ckiga hgo
Imardoutrmko
Kckatrdcmt
Xrg`k kckikots
Umtgimo
Outrmsm pgrkotkrgc tdtgc (ORX)
7>
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 18/78
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
@gmrgo
Lkrgt Fgrm 7-< Fgrm 0-7; Fgrm ? 7;
?<;22 n >2 702 702+
7;27-<;22 n 62 772 702+
7<;7-7;22 n =2 7<2 702+
7227-7<;2 n 722 702 782+
>;2-7222 n 72; 782 7;2+76
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 19/78
... aklutufgo `gmrgo
[N
(imonnu)
M^C [rmok Ek`gc Xdtgc
(iC/an/fgrm)
08-82 82 02-;2 ;-72 >;-722
02-08 52-7<2 02-;2 ;-72 =;-762
302 62-7;2 02-;2 ;-72 77;-<72
XE M 9 (M^C + [rmok + stddc wgtkr) + nrdwtf
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…@gmrgo
7=
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 20/78
<2
Egatdr ]gon Ikipkongrufm Aklutufgo @gmrgo
Egatdr ygon tkragmt hkongo lgym, skpkrtm [smg nkstgsm: ←[N ↜ ↗ aklutufgo `gmrgo
Ngwgt ogpgs: ↗EO ↜ ↗ aklutufgo `gmrgo
Hkigi: ↗ X ↜ ↗ aklutufgo `gmrgo
Egatdr ygon tkragmt hkongo cmonauongo, skpkrtm Xmhur hkongo \ghmgot wgrikr ↜ ↗ aklutufgo `gmrgo
Rcgstm` fkgt sfmkch ↜ ← aklutufgo `gmrgo
Xkrgpm smogr ↜ ↗ aklutufgo `gmrgo
... aklutufgo `gmrgo Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…@gmrgo
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 21/78
Ak`uaupgo `gmrgo
Rkomcgmgo ak`uaupgo `gmrgo:
Rkikrmasggo emsms: turndr aucmt, khkig, [[L
Lkrgt lghgo
Akskmilgongo `gmrgo hgo hmurksms
Dsidcgcmtgs pcgsig: Og LJ urmo
... aklutufgo `gmrgo Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…@gmrgo
<7
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 22/78
Adipdoko kokrnm
agc/an/fgrm
\kstmon kokrny kxpkohmturk 82-;2
@dch strkss 2-72
Gatmvmtgs / fgohcmon 2-72
Ptddc cdssks 2-72
Keka tkrima ekkhmon 72% hgrm tdtgc agcdrm
Rkrtuilufgo 2-<2
Xdtgc 88-772
Gsupgo `gmrgoKokrnm
Outrmsm pgrkotkrgc tdtgc (ORX)
<<
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 23/78
Adipdoko kokrnm Gsupgo `gmrgo…Kokrnm
Outrmsm pgrkotkrgc tdtgc (ORX)
Jmag ORX:Akskmilgongo omtrdnko pdsmtme hgpgt tkr`gpgm
hkongo 52 agc/an/fgrm hgo prdtkmo <.; n/an/fgrm Gsupgo agcdrm imomigc uotua tuiluf skamtgr62 agc/an/fgrm
Jmag outrmsm kotkrgc:Hmpkrcuago 7<2 agc/an/fgrm uotua tuiluf
<0
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 24/78
Rkrlgohmongo prdtkmo : odo prdtkmo
Agrldfmhrgt ;2-;;%, prdtkmo 7;-<2%, ckiga <2-02%
Kokrnm odo prdtkmo: Xkrutgig agrldfmhrgt <;% lkrupg cmpmh (jmag tgopg cmpmh hgpgt tkrjghm cmpdnkoksms hgrm
ncuadsg ygon ikilutufago kokrnm cklmf)
\gsmd omtrdnko : odo prdtkmo `gcdrmk 9 7 : 7;2-<;2(7 nrgi omtrdnko 9 5,<; nrgi prdtkmo)
Imomiui <; agcdrm odo prdtkmo/nrgi GG Xgrnkt 62 agcdrm odo prdtkmo/nrgi GG pghg fgrm ak-5 ORX
Igasmigc =2 agcdrm odo prdtkmo/nrgi GG
Adipdoko kokrnm Gsupgo `gmrgo…Kokrnm
Outrmsm pgrkotkrgc tdtgc (ORX)
<8
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 25/78
7 nrgi hkastrdsk 9 0,8 aagc
Hkastrdsk iucgm 8-5 in/an/ikomt,ogmaago NM\ 7 ‐ < in/an/ikomt/fgrm sgipgm 7< in/an/ikomt pkrtgfgoago ncuadsg pcgsig ;2-7<2 in/hC
@grg ikogmaago NM\: Ikogmaago ak`kpgtgo moeus Ikogmaago adoskotrgsm ncuadsg
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Agrldfmhrgt
<;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 26/78
NM\9 Ncu`dsk moeusmdo rgtk
%ncuadsg x ak`kpgtgo moeus(iC/jgi) x 2,75>lkrgt lghgo (an)
@DOXDF:
Lgym < an ikohgpgt hkastrdsk 72%
> iC/jgi (68 iC/an/fgrm)
NM\ 9 72 x > x 2.75>
<
9 ;.6 in/an/ikomt
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Agrldfmhrgt
<5
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 27/78
NM\ 6-72 in/an/ikomt pghg LLCGP\ ikoykhmgago
82-;2 aagc/an/fgrm ikonfkigt `ghgongo ncuadsg Rghg lgym 3 7,< an aklutufgo ncuadsg sgongt tmonnm.
[otua iko`kngf ncuadokdnkoksms NM\ ? 7< in/an/ikomt
Jgongo ikilkrm moeus hkastrdsk ? 7<,;% ikcgcum vkogpkrmekr
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Agrldfmhrgt
<>
m m c c ( )
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 28/78
Rkilkrmgo agrldfmhrgt lkrcklmfgo gago
ikoyklglago:Rkomonagtgo LI\
Motdckrgosm ncuadsg:
fmpkrncmakimg, ncmadsurmg, hmurksms dsidtmaRkrckigago fgtm
Adckstgsms
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Agrldfmhrgt
<6
O m m c c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 29/78
7 nrgi Gsgi gimod 9 8 aagc
Rkilkrmgo prdtkmo hmom ikonfgsmcago akskmilgongoomtrdnko pdsmtme ygon hmtdckrmr hkongo lgma tgopgikomonagtago aghgr gsgi gimod pcgsig pghg lgym
prkigtur sgamt skagcmpuo
Rrdtkmo hmlutufago uotua pkrtuilufgo
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Rrdtkmo
<=
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 30/78
Ikiucgm moeus gsgi gimod:
Lgym 3 7 an 7 n/an/fgrm
Lgym ? 7 an 7 ‐ 0 n/an/fgrm
Ogmaago gsgi gimod 7 n/an/fgrm ikouju tgrnkt:- Cklmf `kpgt pghg lgym lksgr- Cklmf cgilgt pghg ngngc nmojgc
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Rrdtkmo
02
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 31/78
Aklutufgo prdtkmo lkrlgohmon tkrlgcma tkrfghgpusmg nkstgsm hgo lkrgt lgym, lkragmtgo hkongoak`kpgtgo pkrtuilufgo ygon `kpgt hgoakfmcgongo prdtkmo cklmf lksgr pghg lgym prkigtur
Xgrnkt:
Odrigc: <.; ‐ 0.; n/an/fgrm
Cklmf tmonnm pghg: pdst dpkrgsm, OK@,prdtkmo cdsmon stgtk, `fycdtfdrgx
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Rrdtkmo
07
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 32/78
... gsgi gimod
Akaurgongo gsgi gimod: Ngngc tuiluf
Fmpdgcluimokimg Khkig
Akcklmfgo gsgi gimod:
• Fmpkrgidokimg• Aktmhgaskmilgongo gsgi gimod skrui• Gsmhdsms iktgldcma• Adckstgsms
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Rrdtkmo
0<
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 33/78
Rkilkrmgo GG <.8 n/an/fgrm hgcgi < jgi pgs`g cgfmr hgipga cklmf lgma hmlgohmonago pkilkrmgo
fgrmgo GG ygon hmogmaago pkrcgfgo
Xk Lrggak E^J, kt gc. J Rkhmgtr <22;178>:8;>-57.Rdmohkxtkr LL. J Rkhmgtr <22;178>:8<2-7.
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Rrdtkmo
Ptuhm jgonag pgojgon pghg LLCGP\ hkongo rgtg-rgtgLC 622 n hgo [N <5 imonnu ygon hmlkrm moeus GG hmomikipkrcmfgtago pkrtuilufgo smnomemago pghg usmgpdstikostrugc 05 imonnu.
Rdmohkxtkr LL, kt gc. J Rkhmgtr <2251786:022-;.00
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 34/78
Idomtdr
[rkui pgcmon hmpkr`gyg
• Xmonnm (?02): prdtkmo tkrcgcu lgoyga
• \kohgf (3 ;): gsupgo prdtkmo tmhga ghkaugt
Fmpkrgiidokimg hgo gsmhdsms:prdtkmo tkrcgcu lgoyga
Rrdtkmo skrui adotrdvkrsmgc
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Rrdtkmo
08
O t m m t c t t c (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 35/78
Kskosmgc uotua tuiluf akilgon
Rkrakilgongo hgo euonsm rktmog
Rkrakilgongo dtga
Ptruatur skc
Gsupgo ckiga ghkaugt iko`kngf hkemsmkosm gsgickiga kskosmgc
Akskmilgongo omtrdnko pdsmtme
Dptmigcmsgsm pkonnuoggo kokrnm
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Ckiga cmpmh
0;
O t msm pg kotk gc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 36/78
Kiucsm ckiga: 72% goh <2%
Ckiga <2%- Ikilutufago `gmrgo cklmf skhmamt- Ikoykhmgago rgsmd edsedcmpmh-trmncmskrmh cklmf rkohgf
[otua iko`kngf hkemsmkosm gsgi ckiga kskosmgc8-6% agcdrm odo-prdtkmo fgrus lkrupg C@-R[EG(cmodckm` goh gceg cmodckom` g`mh )
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Ckiga
05
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 37/78
Iucgm 7 n/an/fgrm, ogmaago 2.; ‐ 7 n/an/fgrm
Xgrnkt: 0 n/an/fgrm (sygrgt: XN3<22 in/hC)
Moeus adotmoyu skcgig 76-<8 jgi
Lgtgsm ckiga < n/an/fgrm pghg:
skpsms hkongo gsmhdsms smnomemago
fmpkrlmcmrulmokimg ? 7< in/hC
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
…Ckiga
0>
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 38/78
Ogtrmui <-8 iKq/an/fgrm (2 in fgrm M)
Agcmui <-8 iKq/an/fgrm (2 in fgrm M)
Ignoksmui 2.<-2.; iKq/an/fgrm
@gcsmui <22 in/an/fgrm
Edsegt 7-< iidc/an/fgrm (tgrnkt 9 7.;)
Gsupgo `gmrgoAdipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Kckatrdcmt
06
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 39/78
Hdsms:
2.7 iC ‐ 2.< iC/an/fgrm (Okdtrg`k)
Jgongo cklmf hgrm 7 iC/fgrm
Adotrgmohmagsm:
Igongo hgo @u hgpgt ikipkrlurua adckstgsms
Okdtrg`k tmhga hmlkrm lmcg lmcmrulmo hmrka ? 0 ‐ 8 in/hC
@frdimui hmkasarksm hm nmojgc, fgtm-fgtm pghg ngngc nmojgc
Adipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Xrg`k ckikots
0=
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 40/78
Kckikot &[omts
@urrkot \k`diikohkhgiduot pkr an/hgy
Okdtrg`k 8 `do`.Hdsk B rgtk de 2.< iC/an/hgy
prdvmhksZmo` (Zo)
i`n7;2 momtmgc up td 822
?78 hgys022
@dppkr (@u)i`n
75-<2 <2
@frdimui (@r)
i`n
2.8 2.7>
Igongoksk (Io)i`n < - 72 ;
Pkckomui (Pk)i`n 7.0 ‐ <.2 2
Mdhmhk (M)i`n 7.2 2
Adipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Xrg`k ckikots
82
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 41/78
Adipdoko ORX
Outrmsm pgrkotkrgc tdtgc (ORX)
Umtgimo
@krokvmt® 2,<; iC/an/fgrm
\k`diikohkh Rgrkotkrgc Motgak de Umtgimos edr Xkri goh Rrktkri Moegots
Gikrm`go Pd`mkty edr @cmom`gc Outrmtmdo, Pul`diimttkk do Rkhmgtrm` Rgrkotkrgc Outrmkot \kqumrkikot
87
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 42/78
Xks Erkaukosm
Ncmadsurmg Hug agcm skfgrm
Nucg hgrgf Pktmgp fgrm
(cklmf skrmon pghg fgrm gwgc akfmhupgo/hkongo ncmadsurmg)
Ogtrmui, agcmui, GNH Gwgcoyg sktmgp fgrm cgcu 0 agcm pkr imonnu
Agcsmui, ignoksmui 0 agcm pkr imonnu
[rkui, arkgtmomo < agcm pkr imonnu
Xrdildsmt < agcm pkr imonnuLmcmrulmo Xmgp fgrm gtgu cklmf skrmon jmag auomon
Euonsm fgtm Jmag lmcmrulmo hmrka ikomonagt
Xrmncmskrmh Xmgp fgrm sggt ikohgpgt ckiga
Idomtdrmon
Outrmsm pgrkotkrgc tdtgc (ORX)
8<
Outrmsm pgrkotkrgc tdtgc (ORX)
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 43/78
Fmpdncmakim1 gsupgo ncuadsg tmhga ghkaugt
Fmpkrncmakim1 rksmstkosm mosucmo, rkspdos tkrfghgp strks
Fmpkrcmpmhkimg1 pkik`gfgo ckiga hgcgi akghggo strks iktgldcma
Adckstgsms
Dstkdpkomg
Pkpsms
Xrdildsmtdpkom Matkrus1 gsgi ckiga lklgs ikckpgsago magtgo lmcmrulmo hkongo gcluimo
Outrmsm pgrkotkrgc tdtgc (ORX)
Adipcmagsm
80
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 44/78
CDND
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 45/78
8;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 46/78
Outrmsm Kotkrgc pghg Okdogtus \msmad Xmonnm
Agpgo ikilkrmago gsupgo 4@grg ikilkrmago gsupgo 4 Gpg ygon fgrus hmlkrmago 4
85
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 47/78
Agpgo Ikilkrmago Gsupgo 4
Pkhmom Iuonamo
Rkilkrmgo Gsupgo Hmom
Motdckrgosm tkrfghgp pkilkrmgo gsupgo Gsupgo kotkrgc pkouf hm`gpgm cklmf hmom
Fgrm outrmsm pgrkotkrgc
Adckstgsms
Juicgf fgrm rgwgt hm ruigf sgamt
Xmhga ghg pkomonagtgo mosmhko KAO
8>
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 48/78
Hmiucgmoyg pkilkrmgo gsupgo kotkrgc !
Xmhga ghgadotrg mohmagsm iutcga hgo rkcgtmeuotua outrmsm kotkrgc
Fkidhmogima stglmc
86
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 49/78
ADOX\G MOHMAGPM \KCGXME O[X\MPM KOXK\GC
\k`kot kxtulgtmdo
G`utk rkspmrgtdry egmcurk
Iktgldcm` g`mhdsms
Rdst `grhmg` grrkst
Fypdtkosmdo goh sfd`a, usk MU modtrdpks
@grhmg` `gtfktkrmzgtmdo
Rrkdpkrgtmvkcy (6f) goh pdstdpkrgtmvkcy
Pkrmdus moek`tmdos (pgrgcytm` mckus suspk`tkh)
Glhdimogc hmstkosmdo, kx`kssmvk/ lmck stgmokh ngstrm`
gspmrgtksPkvkrk gspfyxmg (Pgrogt stgnks MM goh MMM)
Lkedrk goh getkr kx`fgonk trgoseusmdo
Fyhrdps ektgcms
8=
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 50/78
@grg Rkilkrmgo Gsupgo 4
tkrngotuon usmg akfgimcgo hgo adohmsm acmoms
Aktkrgipmcgo drdidtdrma‐pkrakilgongo odrigc
• \keckas Ngn : 76 imonnu akfgimcgo
• \keckas Msgp :
Odo outrmtme 02-0< imonnu akfgimcgo
Xmhga tkraddrhmogsm 0<-08 imonnu akfgimcgo
Xkraddrhmogsm 0;-05 imonnu akfgimcgo
• \ddtmon rkeckx : 0> imonnu akfgimcgo
;2
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 51/78
Lgngmigog Ikilkrmago Gsupgo 4
Rkilkrmgo gsupgo drgc
Pktmhgaoyg usmg 00 imonnu akfgimcgo
Xmhga tkrhgpgt ngwgt ogpgs (\\ 3 52 V / ikomt)
Rkilkrmgo gsupgo ikcgcum skcgon ogsd/drdngstrma
Aurgon hgrm 00 imonnu akfgimcgo
Ngonnugo okurdcdnms (msgp/okcgo glodrigc)
Ngwgt ogpgs (tgopg fmpdasmg)
Xkrngotuon pghg vkotmcgtdr
;7
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 52/78
Gpg ]gon Fgrus Hmlkrmago 4
Rmcmfgo susu uotua pkilkrmgo gsupgo gwgc
@dcdst ruis gtgu Gmr Pusu Mlu
Msdtdoma
Lklgo akrjg nmojgc rkohgfAkuotuongo miuodcdnms
Akuotuongo psmadsdsmgc
Mlu fgrus ikikrgf GPM oyg sktmgp 8 jgi GPM gigo hmsmipgo 86 jgi hm ermhnkLmgrago hm sufu rugongo 7; ikomt uotua hmfgongtago sklkcui hmpgagm
;<
GPM - Rkrtuilufgo
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 53/78
Lgym prkigtur lkrusmg 7; fgrm ikohgpgt 7;2 iC/anLL/fgrm GPM
=2 -722 aagc/anLL/fgrm, <- <,; n/anLL/fgrm prdtkmo
Gpgagf GPMsgjg
ikighgm
uotuapkrtuilufgo
lgymprkigtur
4
GPM - Rkrtuilufgo
Adcdstrui Rrkigtur GPM Igtur
Agcdrm Aagc / hc 5> 5> 5>
Rrdtkmo n/hc 0,7 7,8 7,2;
Cgatdsg n/hc 8,7 5,5 >,<
Ckiga n/hc < ‐<,; 0,;- 8 0,; ‐ 8,;
Adipdsmsm lklkrgpg susu
Adipdsmsm GPM
;0
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 54/78
Kstmigsm Aklutufgo Agcdrm uotua Lgym Rrkigtur
ygon skhgon Xuiluf
(GGR 7=6;)
aagc / anLL / fgrm
Xmonagt iktgldcmsik pghg mstmrgfgt ;2Ptrkss hmonmo 72
Gatmemtgs 7;Keka smotksms/tkrima hgrm gsupgo 6Rkonkcugrgo eksks 7<Rkrtuilufgo <;
Xdtgc 7<2
Xgrnkt:7<2 aagc/anLL/fgrm, 0-0,6 n prdtkmo/ anLL/fgrm
;8
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 55/78
Edrtmemagsm GPM/ FIE :agrldfmhrgt, prdtkmo, imokrgc, vmtgimo
Imoyga I@X : 7 iC 9 >,> aagc
Imoyga agodcg : 7 iC 9 6,2 aagc
Rdcmadsk: ncuadsg pdcmikr
Outrm`di `gcdrm` (; n 9 7= aagc)
;;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 56/78
Ghmtme/supckikotgsm iucgm hmlkrmago sktkcgf 7-0
imonnu lgym imoui
Ikcmputm agcdrm, prdtkmo, @g, R, Og, vmtgimo
Pupckikotgsm lksm hmiucgm pghg usmg 5-6 imonnu
(cmfgt tglkc), sggt rktmaucdsmt iucgm ikomonagtEdrtmemagsm susu fmonng lkrgt lgym iko`gpgm7622-<222 n
;5
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 57/78
Lkrmago
gsupgo
trdpfm`ekkhmon
Xmonagtago
lkrtgfgp
pkilkrmgogsupgo
Rgotgu
tdckrgosm
gsupgo
Rkigotgugo
gotrdpdiktrma
;>
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 58/78
Rkilkrmgo –Xrdpfm` Ekkhmon’
Iucgm sknkrg sktkcgf lgym stglmc 7-0 fgrm
GPM gtgu edriucg 72 iC/anLL/fgrm
Lkrmago gsupgo sktmgp 0 gtgu 8 jgiCgojutago hkongo vdcuik ygon sgig
Xmonagtago pkilkrmgo gsupgo gpglmcg tdckrgosmimoui lgma hgo lgym stglmc sk`grg ikhms
- Hmsklut jung nut prmimon, fypd`gcdrm` ekkhmon
- Ptmiucgsm pkrakilgongo smstki ngstrdmotkstmogc pdst ogtgc
- Hmnuogago pgrgckc hkongo outrmsm pgrkotkrgc
;6
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 59/78
Iucgm hkongo 72 iC/anLL/fgrm
Xmonagtago sklgoyga ;-<2 iC/anLL/fgrm
^gatu tkr`gpgmoyg gsupgo sk`grg pkouf
20-2; fgrm pghg lgym ? <.222 n 72-78 fgrm pghg lgym 3 7.<;2 n
;=
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 60/78
LL 3 7222 n : sktmgp jgiLL 3 7;22 n : sktmgp < jgi
LL 7;22-7622 n : sktmgp 0 jgi
LL 7622-<222 n : sktmgp 8 jgi
LL ? <222 n : sktmgp 8 jgi gtgu
do hkigoh
52
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 61/78
Jgongo iucgm ikilkrmago supckikotgsmvmtgimo hgo imokrgc fmonng lgym tkcgftdckrgo tkrfghgp ekkhmon lklkrgpg fgrm
Pggt gsupgo 7<2 aagc/anLL/fgrm
Iuctmvmtgimo hrdp: 2,0 iC/fgrm
57
Kotkrgc m rdo mo tgak rk`diikohgt mdo edr
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 62/78
prktkri moegots mo stglck ̀ c mo m`gc ̀ doh m t mdo
Drngomzgtmdo \k`diikohkh suppckikotgtmdo Ghhmtmdogc `dosmhkrgtmdo
Rdpucgtmdo & hdsk(in/an/h)
Momtmgtmdo Hurgtmdo
@diimttkk do Outrmtmdo,
GGRMoegot do fuigo imca : <.2
Moegot do edriucg imca: 7.2
Hurmon rFuKRD usk:
up td 5.2
7
idotf
7<
idotfs
Docy mrdo edrtmemkh edriucgs sfduch
lk uskh mo edriucg ekh prktkri
moegots
Outrmtmdo @diimttkk,
@goghmgo
Rkhmgtrm` Pd`mkty
Lmrtf wkmnft ? 7222 n:
<.2-0.2
Lmrtf wkmnft 3 7222 n:
0.2-8.2
5-6
wkkas
7<
idotfs
`drrk`tkh
gnk
G edriucg ̀ dotgmomon 7< in/c de mrdo
igy lk uskh td ikkt tfk mrdo
rkqumrkikots de moegots wmtf lmrtf
wkmnft ? 7222 n.
Ghhmtmdogc drgc mrdo suppckikotgtmdo
ms ok`kssgry edr edriucg ekh moegots
wmtf lmrtf wkmnft 3 7222 n@diimttkk do Outrmtmdo
de tfk Rrktkri Moegot,
Kurdpkgo
Pd`mkty de Rkhmgtrm`
Ngstrdkotkrdcdny goh
Outrmtmdo
Moegots do fuigo imca:
<.2-<.; (igx. 7; in/h)
Moegots do edriucg imca:
<.2-<.; (igx. 7; in/h)
erdi gcc sdur`ks
Od cgtkr
tfgo
6 wkkas
7<-7;
idotfs
G edriucg `dotgmomon 72-70 in/C de
mrdo ms rkqumrkh td ikkt tfk tdtgc mrdo
rkqumrkikot wmtfdut suppckikotgtmdo.
Hkcgy drgc mrdo suppckikotgtmdo uotmc
krytfrd`ytk trgoseusmdos fgvk ̀ kgskh
@cmo Rkrmogtdc 05 (<22=) <> ‐ 8<
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 63/78
Rkomonagtgo uaurgo cmonagr pkrut gaut ? < `i
Udcuik `gmrgo rksmhu cgiluon pghg sgtu wgatu
? 0 iC/an
Iuotgf
Cgojutago imoui hkongo fgtm-fgtm
gtgu tuohg skikotgrg, jmag:
50
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 64/78
Egksks tkrcmfgt lkrhgrgf
Mckus
Rokuigtdsms motkstmogcms gtgu uhgrg lklgs
motrg pkrmtdokgc\ksmhu cgiluon lkrwgrog akfmjgugo
pgstmago pmpg luago trgospmcdrma
Fkotmago imoui fmonng pkikrmasggo
cgojutgo ikouojuaago gigo, jmag:
58
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 65/78
Kotkrdadcmtms Okardtmagos
5;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 66/78
Rkilkrmgo Gsupgo Lgym J[smg akfgimcgo <6 imonnu, lkrgt cgfmr 7<22 n, \HP
Fgrm <:
XH stglmc, hmstrks lkraurgon, ikonkcugrago ikadomui, glhdiko ckigs.Iucgm pkilkrmgo gsupgo (GPM 7 iC) ikcgcum skcgon drdngstrma sktmgp 5 jgi
Fgrm 0:
@RGR, pkilkrmgo gsupgo ikojghm < iC sktmgp 0 jgi
Fgrm 8:
Dasmnko agouc ogsgc, pkilkrmgo gsupgo fmonng 8 iC sktmgp 0 jgi
Fgrm ;:
pkilkrmgo gsupgo fmonng 5 iC sktmgp 0 jgi
Fgrm 5, >, 6:
pkilkrmgo gsupgo sklgoyga < ic sktmgp fgrm sgipgm 7< iC sktmgp 0 jgi
pkomonagtgo < iC/an/agcm pkilkrmgo gtgu 75 iC/fgrm gtgu 70 iC/an
55
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 67/78
Rkilkrmgo Gsupgo Lgym J (cgojutgo)
[smg akfgimcgo <6 imonnu, lkrgt cgfmr 7<22n, \HP
Fgrm =:
7 V rksmhu 5 iC, akiuhmgo skagcm cgnm 6 iC, tmhga ghg cmonagrgo pkrut
pkilkrmgo gsupgo fmonng 72 iC sktmgp 0 jgi
Fgrm 72:tmhga ghg rksmhu
tmonagtago pkilkrmgo gsupgo ikojghm 7< ic sktmgp 0 jgi
Fgrm 77, 7<, 70:
tmonagtago pkilkrmgo gsupgo ikojghm 7;, 76 hgo <7 iC sktmgp 0 jgiFgrm 78:
pkilkrmgo gsupgo pkouf <8 iCsktmgp 0 jgi
pkomonagtgo 0 iC/an/agcm pkilkrmgo gtgu <8 iC/fgrm gtgu <2 iC/an
5>
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 68/78
Iktdhk pkilkrmgo outrmsm:
Lkrgt cgfmr 3 7;22 n
Iucgm hkongo moeus `gmrgo ruigtgo motrg vkog
Pkcgojutoyg, iucgm imoui ikcgcum pmpg
Jmag tdckrgosm imoui lgma:• juicgf imoui lkrtgfgp hmogmaago hgo
• juicgf `gmrgo motrgvkog lkrtgfgp hmaurgonm
56
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 69/78
7;2702<2>
7;2772825
782=2;2; 7<2>2;28
722;2;20
6202;2<
62omc627
(ic/an/fgrm)(ic/an/fgrm)
Xdtgc `gmrgoImoui@gmrgo motrgvkogFgrm
(ic/an/fgrm)
6 omc 7;2 7;2
5=
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 70/78
Lkrgt cgfmr ? 7;22 n Imoui hmiucgm sggt lgru cgfmr, lmgsgoyg tmhga
ikikrcuago `gmrgo motrgvkog
GPM gtgu susu edriucg iucgm hkongo 52 ic/an
pghg fgrm ak-7
Imoui lkrtgfgp hmogmaago fmonng 7;2 ic/an/fgrmpghg fgrm ak-;
>2
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 71/78
Iktdhk pkilkrmgo tkrngotuon pghg:
Lkrgt cgfmr hgo usmg nkstgsm Ghg tmhgaoyg ngonnugo ogegs
Xdckrgosm tkrfghgp pkilkrmgo imoui ikcgcum drgcgtgu pmpg cgiluon
Lmsmon usus Lkrgt rmongooyg sgamt
Lgym sgamt imoui skpkrtm lgym hkongo LC 3 7;22 n
>7
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 72/78
Agpgo Lgym Rrkigtur Rucgon \gwgt Mogp 4
Lkrgt 7622 n
Ptglmc: tgopg pkoygamtXuiluf
Drgon tug/Rkongsuf ikonkrtm hgo smgp ikrgwgt lgym
Rghg sggt pucgon
Lgym prkigtur cklmf ak`mc hgrm lgym `uaup lucgo@ghgongo outrmsm hgcgi tuluf cklmf rkohgfAklutufgo kokrnm cklmf tmonnm
><
Rkigotgugo Gotrdpdiktrm
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 73/78
Akogmagolkrgt /fgrm
-Xkri-0 lucgo
usmg adrkasm:<2 n
- 0-5 lucgousmg adrkasm:
7; n
Rkrtgilgfgopgojgon
7
`i/lucgo
Rkrtgilgfgo cmonagrakpgcg
2,;`i/imonnu
>0
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 74/78
Ekotdo X\ : G okw ektgc-moegot
nrdwtf `fgrt edrprktkri moegots
hkvkcdpkh tfrdunf
g iktg-gogcysms de
pulcmsfkh rkekrko`k
stuhmks.
LI@ Rkhmgtrm`s<220,0:70
>8
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 75/78
3 7622 n:<8 aagc/dzsusu
[lgf ikojghm<< aagc/dz
pghg ? 7622 n, jmag lgym
iko`gpgmpkogilgfgo
lkrgt7;-82 n/fgrm
[lgf ikojghm<2 aagc/dzpghg usmg8-5 lucgo,
jmag skiug
pgrgiktkrpkrtuilufgo ?pkrskotmc ak-<;
\kadikohgsm outrmsm sktkcgf akcugr \P
>;
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 76/78
usmg ? 0 lucgo
lkrgt lghgo ? 0 an
gcluimo skrui ? 0 n/hC
gcagcm edsegtgsk 3 022 M[/iC
Gturgo Pkhkrfgog
GPM/susu edriucg
lmgsg
jmag
>5
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 77/78
Outrmsm ikrupgago sgcgf sgtu aklutufgo kskosmgc okdogtus
Jmag iuonamo, outrmsm hmlkrmago kotkrgc
GPM ikrupgago outrmsm tkrlgmaPklgnmgo okdogtus ikikrcuago outrmsm pgrkotkrgc
[otua ikojgimo tuiluf akilgon goga, outrmsm pgrkotkrgcfgrus ikikoufm aklutufgo `gmrgo, agrldfmhrgt, prdtkmo,
ckiga, trg`k kckikots hgo vmtgimoRkilkrmgo outrmsm pgrkotkrgc ikilutufago idomtdrmon aktgtuotua iko`kngf tkrjghmoyg adipcmagsm
AKPMIR[CGO
>>
7/24/2019 Dr. Tetty - Nutrisi Parenteral Dan Enteral Pada Neonatus
http://slidepdf.com/reader/full/dr-tetty-nutrisi-parenteral-dan-enteral-pada-neonatus 78/78
CDND