Dosis Obat Anestesi

DOSIS OBAT ANESTESI OBAT

ONSET

DURASI

KEMASAN

DBP Pt*+,+n M*+n 5ntan# 7a#+'m Dm+c'm

3-10 mnt "- mnt 1"-20 mnt 1-2 mnt 1-2 mnt 1-2 mnt

6-12 jam 2-3 jam 3- jam 20-30 mnt 1-2 jam 1-2 jam

Am 2!" mg/m# $ 2 m# Am "0 mg/m# $ 2 m# Am 10 mg/m# $ 1 m# 7+a# "0 μg/m# $ 10 m# Am " mg/m# $ 2 m# Am 1 mg/m# $ " m# Am " mg/m# $ 3 m# Am 0!2" mg/m# $ 1 m# 7+a# 20 mg/mg $ 20 m# Am "0 mg/m# $ 1 m# Am 2" mg/m# $ 20 m# Am 10 mg/m# $ 20 m# 7+a# "0 mg/m# $ 10 m# 7+a# 20 mg/m# $ 10 m# 7+a# 1 mg/m# $ 10 m# Am 2 mg/m# $ 2 m# Am 10 mg/m# $ " m# Am 10 mg/m# $ " m#

SA %+,ca+n E*,+n Pntta# P9# Kta#a S: 4*#+n Nc'n Pa<'#n Tac+'m E&mn

1"-20 ,t8 20-0 ,t8 30-60 ,t8 30-60 ,t8 3 mnt 3- mnt 2!0-2!" mnt 60-0 ,t8

Revers : SA langsung 4 amp Prostigmin langsung 4 amp

10-1" mnt 30-60 mnt 10-1" mnt ;3 mnt ;30 mnt 20-0 mnt 20-2" mnt 30-" mnt

SPUIT   SEDIAAN (cc) 2!" %ang&'ng 10 1 am  . cc a'a 10 1 am   cc Na4# 10 %ang&'ng 2!" %ang&'ng "-10 %ang&'ng 2!" " 10 10 $ 2 10 $ 2 10 " 10 " " "

%ang&'ng %ang&'ng 1 am   cc a'a 1 am  20 cc a'a %ang&'ng 2 cc  10 cc a'a %ang&'ng 1 7+a#  10 cc a'a %ang&'ng %ang&'ng %ang&'ng

KONS (mg/cc) 2!" 10 1 0!0" " 3

0!02-0!0 1 0!1 "0-100 0!1 0!1"-0!3"

0!2" 20 " 2" 10

0!01 1 "-10 3-" 1!"-2!"

20 1 2 10 10

1-1!" 0!06-0!1 0!0.-0!1 0!-0!" 0!6

U/ mngm=a#8an 9#8& &m'#a

DOSIS OBAT ANESTESI ANAK OBAT Pt*+,+n 5ntan# N
SPUIT (44) 10 10 10 10 2!" 10

Kta#a S: 4*#+n Nc'n Pa<'#n

10 " " "

SEDIAAN 1 cc   cc a'a 1 cc   cc a'a 1 am  . cc a'a 1 am   cc a'a 1 am  1" cc a'a 1 cc (ntta# 2" mg/m#)   cc a'a 1 cc   cc a'a 1 cc   cc a'a 1 cc   cc a'a 1 cc   cc a'a

KONS (mg/cc) " 0!00" 100 0!1 01 2!" "  0!2 0!

DOSIS 1 Mg/8gBB "0-100 μg/8gBB Mg/8gBB Mg/8gBB 0!01 Mg/8gBB 3-" Mg/8gBB 1-2 1-2 0!1 0!0.

Mg/8gBB Mg/8gBB Mg/8gBB Mg/8gBB

DOS

OBAT PREMEDIKASI ANESTESI OBAT

ONSET

DURASI

/cc

DOSIS

KEGUNAAN PEMEDIKASI

D+a>am M+n DBP SA 5ntan#

"-60? ; 1@ 3-10@ "-60?

1"-20@ 2- jam 2- jam

" mg 1 mg 2!" mg

0!1-0!2 mg/8gBB 0!1 mg/8gBB 0!6"-2!" mg/8gBB 0!01-0!02 mg/8gBB 1-2 mg/8gBB

S,at+9! ant+an&+ta& Ana#gt+8! 8'ang+ cma&  8tgangan Ant+mt+8 Mng'ang+ *+ &8&+ &a#+
OBAT INDUKSI ANESTESI I7 OBAT

n&t

,'a&+

/cc

T+nta#

10-20?

"-1"@

" mg

"-1"@

10 mg 10 mg

P+t*+,+n Ktam+n

; 30?

DOSIS INDUKSI 3-" mg/8gBB

PENARUC TERCADAP SISTEM TUBUC SSP KA7AS R&+a&+ C+n&+&! ana#g&+8 &,+8+t! D&+! '&: ! ,&+ D&+ '&: R& a#+an ,* 8ta8! ADO ↓! m+ca, TIK ↓

1 mg/8gBB 0!"-1!" (1-!") mg/8gBB

Ana#g&+a C+n&+& 8g! ana#g&+a 8'at! ,+&&+a&+! ADO ↓! TIK

KETERANAN 4I: &tat'& a&mat+8'&! 9+a

D&+ '&: R& Bn8,+#at! ,&+ '&: R&: M+n

M ↓ 9#8 =at'8 D+&&+a&+ ,+8'ang+ ,g Bn>,+a>+n

↓

D&+ 8a
D+a>am

"-60?

1"-20@

" mg

0!3-0!6 mg/8gBB

C+n&+&! amn&+a tga,

R#a8&a&+ m=:D* +9! TD ↓

D&+ +ngan

Cat+2 , g#a'8ma &','t &m+t:

P9#

20-0?

30-60@

10 mg

1!"-2!" mg/8gBB

Ana#g&+! ADO ↓! TIK ↓

D&+ m+ca,

D&+ +ngan

%a& *+&tam+n

OBAT PE%UMPUC OTOT  OBAT

n&t

,'a&+

/cc

DOSIS

K'a+n A##9+n

;2@ 2-@

1"-"0@ 1"-20@

3 mg

Int'=a&+ 10-20 mg/8g 0!3 mg/8g

Pa<'#n Nc'n S: 4*#+n Ta8+'m

2-3@ 2-3@ 1-2@ 2-3@

30-0@ 30@ 3-"@ 1"-3"@

2 mg 1 mg 20 mg 10 mg

0!0.-0!1 mg/8g 0!1 mg/8g 1-2 mg/8g 0!"-0!6 mg/8g

Ma+ntnn& 0!0"-0!3 mg/8g 0!1" mg/8g Sa'* 0!01-0!0" mg/8g 1-2 cc/mnt 0!1-0!2 mg/8g

PENARUC TERCADAP SISTEM TUBUC Ka
KETERANAN %a& *+&tam+n! a't8+,

%a& *+&tam+n Bn8&a&m!TIO ↑

OBAT ANESTESI INCA%ASI OBAT N2O

KOE5: PART   MA AS DRC () 0! 10"

DOSIS () 0-.0

SSP ADO↓! TIK ↓! *+n&+&! ana#g&+8 ↑↑

ETER

12

1!.2

CA%OTAN

2!"

.!"

EN5%URAN

1!1

1!6.

ISO5%URAN

In, F 2- R'm F  0!"-2 In, F 3 R'm F 0!.2-1!"

D&+  &t+m'#a&+
PENARUC TCD SIS: TUBUC KA7AS RESPIRASI A8t+
D&+

D&+

KETERANAN METABO%ISME E#+m+na&+ m#: Pa'

10-1" ,+mta=#+&m S=ag+an ,+ *a*at+t+& N9t8&+8

T,8 gangg' *a  g+nja#

At+a 't+ ;0! <# aman! m &n&+t+<+ta& a,na#+n T,8 m &n&+t+<+ta& a,na#+n

PERSIAPAN A%AT Sc

F Stt&c/#a+ng&c

'= T 

F K+ng8+ng/nn-8+ng8+ng Oa#! na&a#a# Kat! #a&t+8! &+#+8n

A+Ha

 

F O9a+ng-g',# Na&9a+ng

a T 

F 5+8&a&+ t'=! I7 #+n (#a&t)

Int,'c

F Man,+n (&t+#t)! 9c mag+#

Cnnct

F Pnam='ng antaa +a ,an a#atan an&t&+

S'ct+n

Mac*+n D'g Stat'&

TANDA-TANDA PADA STATUS O2 F %/mn+t C2O F %/mn+t 7#at+9 F <#'m  In9'& F ta8a! ta8+! 8a8+ In,'8&+ F λ  Int'=a&+ F ↑ E8&t'=a&+ F ↓ In&+&+ @tama F ○→ Jahitan t’ahir : !○ A"al anestesi : #→ Ahir anestesi : !# Sistoli : v $iastoli : % P'#& F& 'ran(usi ) pro*u *rh lain : +

PEBEDAAN INDUKSI DAN EMEREN4G EMEREN4G E%EKTI5 4a' +n,'ct+n P8&+gn+&a&+ ↓ Preuratisasi ↓ ,n*usi ↓ S- .holin manuver ↓ S- .holin ↓ selesai (asiulasi ↓ intu0asi

F P+8&a 8=can:

in*usi ↓ S- .holin / pavulen ↓ selesai (asiulasi ↓ intu0asi

8+  8a a'

4OMPENSATORG RESPONSE

MAINTENAN4E ( M) 10 8g ama $  cc 10 8g 8,'a $ 2 cc &+&a BB $ 1 cc OPERATI5 (O ) n BB $ jn+& a&+  cc/ jam B&a 6-. cc/jam (. cc/jam) S,ang -6 cc/jam (6 cc/jam) Kc+# 2- cc/jam (2 cc/jam) PUASA (P )  M $ jan 'a&a  cc Jam tama "0 Jam 8,'a 2" Jam 8t+ga 2"  Jam I  M + O + P ("0) Jam II  M + O + P (2") Jam III M + O + P (2") Jam I7  M + O Jam 7  M + O D&t 4a+an +ng ,$t&  R%

↓ isasi

PRIMARG 4CANE

METABO%IK A&+,&+& A#8a#&+&

↓

Pasang .u((  ↓ hu0- 1an *g mesin ↓ .e simetris suara na(as ↓

F M&+n! &#ang! c'tt S'ct+n

RESPIRATORG A&+,&+& A#8a#&+&

8&+gn+&a&+

4AIRAN PERIOPERATI5

ANUAN ASAM BASA C2O  4O2  C24O3  (C3  56.783

↑ Pa 4O2

↑ C4O3

↓ Pa 4O2

↓ C4O3

↓ C4O3

↓ Pa 4O2

↑ C4O3

↑ Pa 4O2

P6 ↓

↑ P6 9 56.783   P.72

P.72 ↑ As- et

↓ As- Resp

P.72 ↓ Al- Resp

↑ Al- et