Perbedaan PaCO2 darah pada pasien kritis yang mendapat diet makanan enteral komersial dengan diet makanan enteral kombinasi di rumah sakit Dr. Sardjito Yogyakarta

M Jaelani; Untung Widodo; Susetyowati Susetyowati

doi:10.22146/ijcn.17430

Perbedaan PaCO2 darah pada pasien kritis yang mendapat diet makanan enteral komersial dengan diet makanan enteral kombinasi di rumah sakit Dr. Sardjito Yogyakarta

https://doi.org/10.22146/ijcn.17430

M Jaelani^(1*), Untung Widodo⁽²⁾, Susetyowati Susetyowati⁽³⁾

(1) Politeknik Kesehatan Semarang
(2) Balai Penelitian Gangguan Akibat Kekurangan Iodium (BP GAKI), Borobudur Jawa Tengah
(3) Program Studi Ilmu Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Background: Malnutrition often occurs in a critical patient caused by various things such as decreasing function of gastrointestinal tract, high process of catabolism and homeostatie destruction. Other problem that may occur when nutrition is given with high total calories could be dangerous because it could cause hiperglikemia, the production improvement of CO blood and worsen the homeostasis destruction.

Objective: To find out the difference of PaCO blood in critical patients who obtain commercial enteral food diet or combined enteral food diet.

Methods: This was an experimental study using randomized controlled trial with pretest-posttest control group design. The subjects were critical patients who were given care in the intensive installation Dr. Sardjito hospital Yogyakarta who met the criteria: adult patient, using ventilator and receiving enteral food diet.

Results: There was no difference between PaCO blood in critical patient who obtained commercial enteral diet and com- bined enteral food diet. There was a change difference of PaCO with <80% from total energy (p=0.03) and there was a different on change of PaCO in carbohydrate intake between criteria >55% compared with <55% from energy total (p=0.03).

Conclusion: The improvement of PaCO was not caused by the type of enteral formula given, cause of the high intake of energy and carbohydrate.

Keywords

critical patient; PaCO2; ventilator; commercial enteral; combination enteral

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References

Depkes RI. Standar Pelayanan ICU. Jakarta: Direktorat Jendral Pelayanan Medik; 2003. h. 11-12.

Hartono. Masalah Gizi Pada Critical Ill. Dalam: Prosiding Pertemuan Ilmiah Nasional Dietesian II. Bandung; 2005. h. 238-45.

Guenst JM And Nelson LD. Predictors Of Total Parenteral Nutrition Lipogenesis, American College of Chest Physicians Feb 1994. Available from: http:/ /www.aacn.org. Accessed 2005 July 19.

Ostro MJ and Jeejeebhoy KN. 1985. Konsekuensi Metabolik dari Nutrisi Parenteral. Dalam: Linder MC, editors. Nutritional Biochemistry and Metabolisme. (Terjemahan) Parakkasi A. Jakarta: UI-Perss; 1992. h. 561-73.

Pratiknya AW. Dasar-Dasar Metodologi Penelitian Kedokteran dan Kesehatan. Jakarta: Rajawali; 1986. h. 146-51.

Lemeshow S, Hosmer D, Klar J. 1990. Adequacy of Sample Size in Health Studies. (Terjemahan) Pramono D. Yogyakarta: UGM Pres; 1997. h. 49-52. 7.

Murti B. Prinsip dan Metode Riset epidemiologi. Yogyakarta: GM Pres; 2003. h. 262-70.

Talpers. Evaluation on Nutritional Status of Patients with Pulmonary Disease. Editors. JPEN 2002;Januari:1-5. Available from : http://searh.yahoo. Accessed 2006 April 11.

Webster NR, and Galley HF. Nutrition In: The Criti- cal Ill Patient. JR.Coll.Surg.Ed.mb. Desember 2000;45:373-379. Available from: http:// www.aacn.org, (Accessed 2005 July13) 10.

Linder MC. 1985. Nutritional Biochemistry and Metabolisme. (Terjemahan) Parakkasi A. Jakarta: UI- Perss; 1992. h.345-353.

Hill GL 1997. Disorder Of Nutrition And Metabolisme In Crilical Surgery Understanding and Management. (Terjemahan) Darmawan I. Jakarta: Liary Cipta Mandiri; 2000. p.36-74.

Almatsier S. Prinsip Dasar Ilmu Gizi. Jakarta: Gramedia Pustaka Utama; 2001. h.132-150.

Al Saady (1989) High Fat/Low Carbohydrate Enteral Nutrition Found Favorable Physiologic Effects on CO2 Production in Patiens with Impaired Ventilator Reserve In: Cook D, Meade M, Guyat G, Butler R, and Aldawood, editors. Trials of Miscellaneous Interventions to Wean From Mechanical Ventilation. American College of Chest Physicians, 120:438- 444. Available from : http://www.aacn.org, (Accessed 2006 April 4)

Al Saady. Evaluation on Nutritional Status of Patients with Pulmonary Disease, eds. JPEN Januari 2002:1 Available from : http://searh.yahoo. (Accessed 2006 April 11)

Arifin H, Chasnak S, Wahyoeningsih S. Pengaruh Induksi Ketamin Terhadap Ventilasi. Majalah Kedokteran 1995;45:153-58.

Wilson ML. Patofisiologi. Jakarta: EGC; 1989. h. 659-731.

Almatsier S. Penuntun Diet Edisi Baru, Gramedia Pustaka Utama; 2004. h. 194-95.

DOI: https://doi.org/10.22146/ijcn.17430