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Neonatal HemoPro

NICU RSUD dr. Soedono Madiun

Created by Meddy

Data Pasien
Hemodinamik
MEAN ARTERIAL PRESSURE
-
Target Min: -
🧠 SVC Flow Target > 40
SVC FLOW
-
ml/kg/min
❤ī¸ LVO Target 150-300
LVO INDEX
-
ml/kg/min
Dosis Berjalan VIS: 0

Vasoactive-Inotropic Score (VIS) adalah skor objektif untuk mengukur seberapa besar dukungan kardiovaskular yang diterima bayi.

Rumus:
Dopamin + Dobutamin + (100 x Epi) + (100 x Norepi) + (10 x Milrinone)
Skor VISInterpretasi
< 10Syok Ringan-Sedang
> 10Syok Refrakter / Berat
> 20Syok Sangat Berat (High Mortality)

Penting: Jika VIS > 10, pertimbangkan adanya insufisiensi adrenal relatif dan pemberian Hidrokortison.

Lengkapi data Klinis & Echo.
⚠ī¸ Prinsip Pencampuran (Rule of 6)
Agar 1 ml/jam = 1 mcg/kg/menit:
6 x Berat Badan (kg) = mg Obat dalam 100ml D5W.
Epinephrine Cold Shock
DOSIS Mulai: 0.05 - 0.1 mcg/kg/min (Maks: 1.0)CARA OPLOS (Single Strength)
0.6 x BB (kg) = ... mg dalam 100ml D5W.
1 ml/jam = 0.1 mcg/kg/min
Norepinephrine Warm Shock
DOSIS Mulai: 0.05 - 0.1 mcg/kg/min (Maks: 1.0)CARA OPLOS
0.6 x BB (kg) = ... mg dalam 100ml D5W.
1 ml/jam = 0.1 mcg/kg/min
Dobutamine Pump Failure
DOSIS Mulai: 5 - 10 mcg/kg/min (Maks: 20)CARA OPLOS
6 x BB (kg) = ... mg dalam 100ml D5W.
1 ml/jam = 1 mcg/kg/min
Milrinone PPHN
DOSIS Mulai: 0.33 - 0.5 mcg/kg/min (Tanpa Loading)PERHATIAN Vasodilator kuat. Hati-hati hipotensi.
Hydrocortisone Refractory
INDIKASI Syok refrakter (VIS > 10).DOSIS 1 mg/kg/dosis IV tiap 6-8 jam.
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