Evaluasi Jumlah Kebutuhan Nitrogen Dan Energi Pasien Gagal Ginjal Akut Usia Dewasa Di RSUP Dr. Sardjito Periode 2003-2004

Yunika Sary

Abstract


A cute renal failure is one of the disease that have suddenly decrease of renalfunction, renal could not to escrate the metabolic product (nitrogen and water) and couldnot balance the acid base. Malnutrition in every stage always happen in the hospital. Thisfact can make an infection, increase the complication, can make respon to the medicaltherapy, and can make the badly result clinic. Because of that, this research have aim toknow the need of nitrogen and energy in adult patient that have acute renal failure, and tosee if there are different significant between amount of nitrogen that patient need and alsoamount of energy that patient need, account with equation of Food and AgricultureOrganization/World Health Organization/United Nations University (FAO/WHO/UNU)and harris Benedict, even the nutrition come from diet therapy and amino acids fromparenteral nutrition. Data collection method with retrospektif and result data analysistwith analitic deskriptive method statistic; paired sample t test. That comparing amount ofnitrogen with energy that patient need, with patient get from diet therapyand amino acidsfrom parenteral nutrition. Data analysis show that the average amount of nitrogen thatpatient need is 9,626 g everyday, the average amount of energy at 56 patient non aminoacids from parenteral nutrition with FAO/WHO/UNU method is 2306,426 kkal and withsimilary of Harris Benedict is 2085,349 kkal, from 12 patient who get amino acids fromparenteral nutrition, data analysis show there are significant differences from hospital, sopositif equivalent happends and there is no significant differences between amount ofenergy that patient need and anergy that patient get from hospital during the treathment,even account with equation of FAO/AHO/UNU and with Harris Benedict.

Keywords


acute renal failure, nitrogen need, energy need

References


. Almatsier, M.Sc, DR. Sunita, 2004.Penuntun Diet. PT Gramedia. Jakarta

Aslam, M, et al., 2003. Farmasi Klinis Menuju Pengobatan Rasional dan

Penghargaan Pilihan Pasien. Universitas Surabaya. Surabaya

Chan, Samuel, et al., 2005. Total Parenteral Nutrition in Cancer Patients. Harvard Medical School. Boston Massachusettes. http://www.canceraction.org.gg/tpn.htm

Cano, Noel, et al., 1999. Nutrition Management of Acute Renal Failure and Acute Liver Failure. Critical Care and Shock. Volume II No. 4: 143-157

Daldiyono.2004. Parenteral Nutrition in Cancer Patients. Deutsch — Indonesische Gesellschaft fur Medizin (DIGM). Volume I No. 1:35.

Ewald, G. A., and McKenzie, C.R. 1995. Manual of Medical Terapeutics 28 th Edition. Departement of Medicine. Washington University.

Fernandez, R, et al., 2003. Effectiveness of Multidisciplinary Total Parenteral Nutrition Team in Hospital Setting. Http://www.joannabriggs.edu.au/pdf/J BIRParenteralNutrit.pdf

. Holcombe, B. J.1995 Adult Parenteral Nutrition, in Das, Young, LY., ang Kimble, M.A. K. Applied Therapeutics The Clinical Use ofDrugs 6th Edition.

. Margatan,Arcole.1995. Kencing Batu Dapat Memicu Gagal Ginjal. CV. Aneka. Solo

Murray, et al.,1995. Biokimia Harper, diterjemahkan oleh dr. Andry Hartono. Buku Kedokteran EGC. Jakarta

Price, S.A., and Wilson, L. M., 1995. Patofisiologi Konsep Proses proses Penyakit. Edisi 4. EGC. Jakarta.

Purnomo, B. B.200. Dasar-dasar Urologi. Fakultas Kedokteran Universitas Brawijaya. Malang.

Rosenberg, I.H., and Ross, E. M. 200. Nutrition, in Das, Melmon and Morellis. Et al., (Eds), Clinical Pharmacology. Fourth Edition. The McGraw-Hill Companies. USA.

Trujillo, B, et al., 2001. Critical Care Nurse. Vo121, No. 4: pp 60-66. http://www.aacn.org/aacn/jjmIccn.nsf




DOI: https://doi.org/10.32502/sm.v1i1.42

Refbacks

  • There are currently no refbacks.