Terapi medik gizi pasien luka bakar berat dengan malnutrisi yang mendapat glutamin = Medical nutrition therapy in severe burn injury patients with malnutrition and glutamine-treatment
| Main Authors: | Tarigan, Silvia Pagitta, author, Add author: Nurul Ratna Mutu Manikam, supervisor, Add author: Sinaga, Wina, supervisor, Add author: Fiastuti Witjaksono, examiner, Add author: Inge Permadhi, examiner |
|---|---|
| Format: | Bachelors Doctoral |
| Terbitan: |
Fakultas Kedokteran Universitas Indonesia
, 2020
|
| Subjects: | |
| Online Access: |
https://lib.ui.ac.id/detail?id=20500912 |
| ctrlnum |
20500912 |
|---|---|
| fullrecord |
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<dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><type>Thesis:Bachelors</type><title>Terapi medik gizi pasien luka bakar berat dengan malnutrisi yang mendapat glutamin = Medical nutrition therapy in severe burn injury patients with malnutrition and glutamine-treatment</title><creator>Tarigan, Silvia Pagitta, author</creator><creator>Add author: Nurul Ratna Mutu Manikam, supervisor</creator><creator>Add author: Sinaga, Wina, supervisor</creator><creator>Add author: Fiastuti Witjaksono, examiner</creator><creator>Add author: Inge Permadhi, examiner</creator><publisher>Fakultas Kedokteran Universitas Indonesia</publisher><date>2020</date><subject>Malnutrition</subject><subject>Burns and scalds</subject><subject>Glutamine -- Therapeutic use</subject><description>Malnutrisi merupakan masalah yang sering ditemukan pada pasien luka bakar berat. Malnutrisi meningkatkan risiko infeksi, lama rawat, terhambatnya penyembuhan luka sehingga mortalitas meningkat. Glutamin merupakan nutrien spesifik yang berperan dalam penyembuhan luka. Tujuan penulisan serial kasus adalah dilaporkannya peran terapi medik gizi pada pasien luka bakar berat dengan malnutrisi yang mendapat glutamin. Empat pasien serial kasus dengan luka bakar berat, derajat II-III, 18,5-41% luas permukaan tubuh (LPT) disebabkan api dan bahan kimia dengan rentang usia 18−64 tahun. Berdasarkan rekomendasi ESPEN pada pasien dengan luka bakar >20% LPT, dosis glutamin enteral yang diberikan adalah 0,3-0,5 g/kg BB/hari. Asupan energi pasien selama perawatan 11-54 kkal/kg BB/hari, protein 0,2-2,4 g/kg BB/hari, lemak 6-28%, karbohidrat 52-70%, glutamin 0,02-0,2 g/kg BB/hari. Selama perawatan, hitung total limfosit (TLC) meningkat pada 2 dari 4 pasien dan terdapat perbaikan kapasitas fungsional pada 3 pasien. Peran glutamin pada pasien luka bakar yang mengalami malnutrisi belum dapat dinilai karena dosis yang diberikan kurang dari rekomendasi, namun tampak peningkatan TLC dan perbaikan kapasitas fungsional setelah pemberian nutrisi.
......Malnutrition is the most common problem in severe burns patients. Malnutrition increases the risk of infection, length of stay, inhibits the healing process so increasing mortality. Glutamine is a specific nutrient that plays a role in wound healing. This case series was aimed to report the role of nutritional medical therapy in patients with severe burns with malnutrition who received glutamine. These case series analyzed four of 18-64 years old patients with severe fire and chemical burns, II-III degree, 18,5-41% of body surface area (BSA). According to ESPEN, the dose of enteral glutamine in burns patients >20% BSA is 0,3-0,5 g /kg BW/day. Energy intake of patients during treatment was 11-54 kcal /kg BW/day, protein 0,2-2,4 g /kg BW/day, fat 6-28%, carbohydrates 52-70%, glutamine 0,02-0,2 g /kg BW/day. During treatment, the total lymphocyte count (TLC) increased in 2 of 4 patients and there was an improvement in functional capacity in 3 patients. The role of glutamine in burn patients who have suffered malnutrition cannot yet be assessed because the dose given is less than the recommendation, but glutamine supplementation may be associated with an increase of TLC and improvement functional capacity.</description><identifier>https://lib.ui.ac.id/detail?id=20500912</identifier><recordID>20500912</recordID></dc>
|
| format |
Thesis:Bachelors Thesis Thesis:Doctoral |
| author |
Tarigan, Silvia Pagitta, author Add author: Nurul Ratna Mutu Manikam, supervisor Add author: Sinaga, Wina, supervisor Add author: Fiastuti Witjaksono, examiner Add author: Inge Permadhi, examiner |
| title |
Terapi medik gizi pasien luka bakar berat dengan malnutrisi yang mendapat glutamin = Medical nutrition therapy in severe burn injury patients with malnutrition and glutamine-treatment |
| publisher |
Fakultas Kedokteran Universitas Indonesia |
| publishDate |
2020 |
| topic |
Malnutrition Burns and scalds Glutamine -- Therapeutic use |
| url |
https://lib.ui.ac.id/detail?id=20500912 |
| contents |
Malnutrisi merupakan masalah yang sering ditemukan pada pasien luka bakar berat. Malnutrisi meningkatkan risiko infeksi, lama rawat, terhambatnya penyembuhan luka sehingga mortalitas meningkat. Glutamin merupakan nutrien spesifik yang berperan dalam penyembuhan luka. Tujuan penulisan serial kasus adalah dilaporkannya peran terapi medik gizi pada pasien luka bakar berat dengan malnutrisi yang mendapat glutamin. Empat pasien serial kasus dengan luka bakar berat, derajat II-III, 18,5-41% luas permukaan tubuh (LPT) disebabkan api dan bahan kimia dengan rentang usia 18−64 tahun. Berdasarkan rekomendasi ESPEN pada pasien dengan luka bakar >20% LPT, dosis glutamin enteral yang diberikan adalah 0,3-0,5 g/kg BB/hari. Asupan energi pasien selama perawatan 11-54 kkal/kg BB/hari, protein 0,2-2,4 g/kg BB/hari, lemak 6-28%, karbohidrat 52-70%, glutamin 0,02-0,2 g/kg BB/hari. Selama perawatan, hitung total limfosit (TLC) meningkat pada 2 dari 4 pasien dan terdapat perbaikan kapasitas fungsional pada 3 pasien. Peran glutamin pada pasien luka bakar yang mengalami malnutrisi belum dapat dinilai karena dosis yang diberikan kurang dari rekomendasi, namun tampak peningkatan TLC dan perbaikan kapasitas fungsional setelah pemberian nutrisi.
......Malnutrition is the most common problem in severe burns patients. Malnutrition increases the risk of infection, length of stay, inhibits the healing process so increasing mortality. Glutamine is a specific nutrient that plays a role in wound healing. This case series was aimed to report the role of nutritional medical therapy in patients with severe burns with malnutrition who received glutamine. These case series analyzed four of 18-64 years old patients with severe fire and chemical burns, II-III degree, 18,5-41% of body surface area (BSA). According to ESPEN, the dose of enteral glutamine in burns patients >20% BSA is 0,3-0,5 g /kg BW/day. Energy intake of patients during treatment was 11-54 kcal /kg BW/day, protein 0,2-2,4 g /kg BW/day, fat 6-28%, carbohydrates 52-70%, glutamine 0,02-0,2 g /kg BW/day. During treatment, the total lymphocyte count (TLC) increased in 2 of 4 patients and there was an improvement in functional capacity in 3 patients. The role of glutamine in burn patients who have suffered malnutrition cannot yet be assessed because the dose given is less than the recommendation, but glutamine supplementation may be associated with an increase of TLC and improvement functional capacity. |
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Universitas Indonesia |
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JAWA BARAT |
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