PERUBAHAN KADAR GLUKOSA DARAH PERIOPERATIF PADA PASIEN PEDIATRI TERHADAP PEMBERIAN INFUS DEKSTROSA 5 % NaCl 0,45 %

Abstract

Background: In pediatric patients who undergo fasting period, every routine fluid infusion given should contain glucose because children had less glycogen supply in their liver, which can lead to fatal hypoglycemia especially for brain cell if oral glucose intakes are discontinued in few moments. Over the time, we usually use 5 % dextrose 0,45 % NaCl, but this may cause postoperative hyperglycemia. Methods: This research was a desciptif. (human sample) on 24 patients undergoing surgery by general anesthesia. Peripheral blood sampling was performed before and after induction, and every 30 minutes during surgery for blood glucose measurement. Results: There was a difference on blood glucose level 30 minutes and 150 minutes after induction. Blood glucose level preinduction 102,54±4,30 mg/dl,postinduction 106,0±44,17mg/dl , 30 minutes 128,50± 14,46 mg/dl, 60 minutes 141,21±21,30 mg/dl, 90 minutes 148,88±24,97 mg/dl, 120 minutes 187,46±14,37 mg/dl and 150 minutes 212,17±6,61 mg/dl. Conclusion: Infusion of 5 % Dextrose 0,45% NaCl significantly better not cause hypoglycemia from preoperative fasting and postoperative but cause hyperglycemia in pediatric patients.