tatalaksana anak gizi buruk
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Tatalaksana Anak Gizi
Buruk
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Hipoglikemia
• Kadar glukosa darah yang sangat rendah (< 3mmol/liter atau < 54 mg/dl
• Biasanya ter!adi "ersamaan dengan hipotermia
• Tanda lain # letargis$ nadi lemah$ kehilangan
kesadaran
• Ge!ala hipoglikemia "erupa "erkeringat danpu%at sangat !arang di!umpai pada "alita gizi
"uruk• &i unit pelayanan kesehatan yang tidak ada
'asilitas pemeriksaan kadar glukosa darah$ setiap"alita gizi "uruk yang datang harus dianggap
mengalami hipoglikemia
segera raat/tanganisesuai tatalaksana hipoglikemia(Buku II: Petunjuk Teknis Tatalaksana Gizi Buruk, tahun 2005, hal.3)
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Atasi HipoglikemiaTANDA MENGATASI
)adar ( tidak letargi Beri larutan glukosa *+, ataularutan gula pasir *+, se%ara oralatau -GT ("olus se"anyak 5+ ml
Tidak sadar (letargi Beri larutan glukosa *+, s%r i.("olus 5 ml/kgBB selan!utnya "eri
larutan glukosa *+, atau larutangula pasir *+, s%r oral/-GT("olusse"anyak 5+ ml
en!atan (syok Beri %airan i. "erupa 0 dande1trose/glukosa *+, dengan
per"andingan *#* se"anyak *5ml/kgBB selama * !am pertamaatau 5 tetes/menit/kgBBselan!utnya "eri larutan glukosa*+, i. "olus se"anyak 5ml/kgBB
2 5 gram gula pasir ( * sendok teh mun!ung air matang s/d 5+ ml
(Buku II: Petunjuk Teknis Tata Laksana Gizi Buruk, tahun 2005, hal. 3)
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Hipotermia
• )uhu aksiler < 3$5 67 (ukur selama 5 menit
• Biasanya ter!adi "ersama8sama dgnhipoglikemia
• Hipotermia hipoglikemia # merupakantanda dari adanya in'eksi sistemik serius terapi u/ ketiganya
•
Hipotermia hipoglikemia in'eksi$7adangan energi "alita gizi "uruk sangatter"atas tidak mampu memproduksi panasutk mempertahankan suhu tu"uh
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• 9ertahankan suhu tu"uh "alita gizi"uruk dengan %ara menyelimutitu"uhnya dengan "aik:
• Tindakan menghangatkan tu"uh usaha penghematan penggunaan%adangan energi:
Buku ;;# 9etun!uk Teknis Tata 0aksana Gizi Buruk$ tahun ++5$ hal: 4
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Atasi Hipotermia
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Atasi Hipotermia
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&ehidrasi
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Atasi &ehidrasi
• =angan gunakan in'us untuk rehidrasi$ ke%uali padakasus dehidrasi "erat dengan syok
• Beri e)o>al se%ara oral atau mll -GT$ lakukan le"ihlam"at
• Beri 5 ml/kgBB tiap 3+ menit untuk !am pertama
• )telah !am$ "erikan e)o>al 58*+ ml/kgBB/!amselang8seling dengan ?8@5 dengan !umlah yg sama$setiap !am selama *+ !am
•Beri e)o>al se%ara teratur tiap !am
• =ika masih diare$ "ei e)o>al tiap kali diare untuk
usia < * tahun 5+8 *++ ml tiap BAB$ usia * th #*++8++ ml tiap BAB
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Atasi &ehidrasi(pemantauan
• Tiap !am selama !am pertama$ kemudian tiap !amsampai *+ !am "erikutnya
• 9eriksa 'rekuensi napas$ nadi$ miksi$ BAB$ muntah
• )elama proses rehidrasi$ 'rek napas dan nadi
menurun dan kem"alinya air mata$ mulut "asah$%ekung mata "erkurang$ turgor kulit mem"aik$ TA9;anak gizi "uruk seringkali tidak memperlihatkange!ala terse"ut sehingga 9C-T;-G untuk pantau BB:
•
=ika ditemukan tanda kele"ihan %airan hentikanpem"erian e)o>al$ segera lakukan penilaian ulangsetelah * !am:
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>emper"aiki Gangguan
Keseim"angan Clektrolit
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Atasi ;n'eksi
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Atasi &eDsiensi zat gizimikro
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T;-&AKA- 9C-GEBATA- 9C-FAK;T 9C-F0;TGA-GGA- 9A&A >ATA AK;BAT &C?;);C-); ;TA>;- A
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);)TC> )KE;-G
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Alur Tatalaksana TB Anak
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9em"erian >akan Aal
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?8@5
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?8*++
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9em"erian >akan•
Ke"utuhan energi # I+8+kkal/kgBB/hr• Ke"utuhan protein # *84gr/kgBB/hr
• 9em"erian suplemen .itamin dan mineralkhusus
• =umlah %airan # *3+8++ml/kgBB/hr
• Bila edema "erat ( %airan*++ml/kgBB/hr
• Kriteria edema # – # edema tangan dan kaki
– # edema tungkai dan lengan
–
# edema seluruh tu"uh (a!ah dan perut
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• 9em"erian dapat peroral atau mllpipa nasogastrik
•
9orsi makanan ke%il dg 'rekuensisering
• >akanan 'ase sta"ilisasi harus
hipoosmolar$ rendah laktosa danrendah serat
• A); sampai umur tahun
•
>akanan padat di"erikan pada 'asereha"ilitasi dan "erdasrkan BB$ yaitu # – BB<@ kg di"eri makanan "ayi /lumat
– BBJ@ kg di"eri makanan anak/lunak
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Tatalaksana ?ase Tindak 0an!ut( >inggu @8
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) i l i ) ik d
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)timulasi )ensorik danCmosional
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Kriteria 9emulangan Balita Gizi
Buruk
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C?CC-7C)
• Bagan Tatalaksana Anak Gizi BurukBuku ;
• Bagan Tatalaksana Anak Gizi Buruk
Buku ;;