KURVA ANAK

Oktober 2019-Januari 2020

NAMA:
 DAFTAR ISI

Asuhan Nutrisi Pediatrik .............................. 3

Kurva WHO Perempuan ............................... 7
Kurva WHO Laki-laki .................................... 22
Kurva CDC 2000 ........................................... 37
Lingkar Lengan Atas (LiLA) ......................... 44
Kurva Fenton ................................................ 48
Lingkar Kepala .............................................. 51
Tekanan Darah .............................................. 57
DENVER II ..................................................... 60
Tanner Stage ................................................. 61
TB Anak ......................................................... 62
Ballard Score ................................................ 64
Klasifikasi Neonatus .................................... 65
Bilirubin ......................................................... 66
Jadwal Imunisasi .......................................... 67

2
ASUHAN NUTRISI PEDIATRIK

3
4
 INTERPRETASI GIZI

BB/U TB/U
WHO CDC WHO CDC
BB lebih >+3SD >120% Tinggi > +2SD >110%
BB baik -2SD s/d +2SD 80-120% Baik -2SD s/d +2SD 90-110%
BB kurang -3SD s/d -2SD 60-80% Pendek -3SD s/d -2SD 70-89%
BB sangat <-3SD <60% Sangat <-3SD <70%
kurang pendek

BB/TB IMT/U
WHO CDC CDC
Obesitas >+3SD >120% Gizi kurang <P5
Overweight +2SD s/d +3SD 110-120% Gizi baik P5 - <P 85
Gizi baik -2SD s/d +2SD 90-110% Gizi berlebih P85 – P95
Gizi kurang -3SD s/d -2SD 70-90% Obesitas >P95
Gizi buruk <-3SD <70%

LiLA/U

Gizi baik 85-100%

Gizi kurang 70-85%
Gizi buruk <70%

Rumus Perhitungan Tinggi

Ukuran Segmental Rumus Prediksi (cm)
Knee Height (KH) (2,69 x KH) + 24,2
Tibial Length (TL) (3,26 x TL) + 30,8
Humerus Length (HL) (4,36 x HL) + 21,8

5
PEMILIHAN DIET PASIEN
• Usia 0-6 bulan
Diet ASI/SF ....kkal/hari per oral atau NGT

• Usia 6-9 bulan

Diet ASI/SF ....kkal/hari per oral atau NGT
ASI 70% MPASI 30%

• Usia 9 bulan-1 tahun

Diet ASI/SF + diet nasi tim = ...kkal/hari per oral atau NGT
ASI 50% MPASI 50%

• Usia >1 tahun

Diet makanan biasa + snack 2x = ...kkal/hari per oral atau NGT

• Trombositopenia (<50.000/ul)
Diet makanan lunak = ...kkal/hari per oral atau NGT

Susu formula/ASI : 100 cc à 67 kkal = 0,67 kkal/cc

RECOMMENDED DIETARY ALLOWANCE

Usia (Height Age) ♂ ♀
0-6 bulan 120 120
6 bulan-1 tahun 110 110
1-3 tahun 100 100
4-6 tahun 90 90
7-9 tahun 80-90 60-80
10-14 tahun 50-70 40-65
14-18 tahun 40-50 40
>18 tahun 50 40

6
KURVA WHO
PEREMPUAN

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
KURVA WHO
LAKI-LAKI

22
23
24
25
26
Simplified field tables

Weight-for-length BOYS
Birth to 2 years (z-scores)

cm -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD

45.0 1.9 2.0 2.2 2.4 2.7 3.0 3.3

45.5 1.9 2.1 2.3 2.5 2.8 3.1 3.4

46.0 2.0 2.2 2.4 2.6 2.9 3.1 3.5

46.5 2.1 2.3 2.5 2.7 3.0 3.2 3.6

47.0 2.1 2.3 2.5 2.8 3.0 3.3 3.7

47.5 2.2 2.4 2.6 2.9 3.1 3.4 3.8

48.0 2.3 2.5 2.7 2.9 3.2 3.6 3.9

48.5 2.3 2.6 2.8 3.0 3.3 3.7 4.0

49.0 2.4 2.6 2.9 3.1 3.4 3.8 4.2

49.5 2.5 2.7 3.0 3.2 3.5 3.9 4.3

50.0 2.6 2.8 3.0 3.3 3.6 4.0 4.4

50.5 2.7 2.9 3.1 3.4 3.8 4.1 4.5

51.0 2.7 3.0 3.2 3.5 3.9 4.2 4.7

51.5 2.8 3.1 3.3 3.6 4.0 4.4 4.8

52.0 2.9 3.2 3.5 3.8 4.1 4.5 5.0

52.5 3.0 3.3 3.6 3.9 4.2 4.6 5.1

53.0 3.1 3.4 3.7 4.0 4.4 4.8 5.3

53.5 3.2 3.5 3.8 4.1 4.5 4.9 5.4

54.0 3.3 3.6 3.9 4.3 4.7 5.1 5.6

54.5 3.4 3.7 4.0 4.4 4.8 5.3 5.8

55.0 3.6 3.8 4.2 4.5 5.0 5.4 6.0

55.5 3.7 4.0 4.3 4.7 5.1 5.6 6.1

56.0 3.8 4.1 4.4 4.8 5.3 5.8 6.3

56.5 3.9 4.2 4.6 5.0 5.4 5.9 6.5

57.0 4.0 4.3 4.7 5.1 5.6 6.1 6.7

57.5 4.1 4.5 4.9 5.3 5.7 6.3 6.9

58.0 4.3 4.6 5.0 5.4 5.9 6.4 7.1

58.5 4.4 4.7 5.1 5.6 6.1 6.6 7.2

59.0 4.5 4.8 5.3 5.7 6.2 6.8 7.4

59.5 4.6 5.0 5.4 5.9 6.4 7.0 7.6

27
28
29
30
31
Simplified field tables

Weight-for-height BOYS
2 to 5 years (z-scores)

cm -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD

65.0 5.9 6.3 6.9 7.4 8.1 8.8 9.6

65.5 6.0 6.4 7.0 7.6 8.2 8.9 9.8

66.0 6.1 6.5 7.1 7.7 8.3 9.1 9.9

66.5 6.1 6.6 7.2 7.8 8.5 9.2 10.1

67.0 6.2 6.7 7.3 7.9 8.6 9.4 10.2

67.5 6.3 6.8 7.4 8.0 8.7 9.5 10.4

68.0 6.4 6.9 7.5 8.1 8.8 9.6 10.5

68.5 6.5 7.0 7.6 8.2 9.0 9.8 10.7

69.0 6.6 7.1 7.7 8.4 9.1 9.9 10.8

69.5 6.7 7.2 7.8 8.5 9.2 10.0 11.0

70.0 6.8 7.3 7.9 8.6 9.3 10.2 11.1

70.5 6.9 7.4 8.0 8.7 9.5 10.3 11.3

71.0 6.9 7.5 8.1 8.8 9.6 10.4 11.4

71.5 7.0 7.6 8.2 8.9 9.7 10.6 11.6

72.0 7.1 7.7 8.3 9.0 9.8 10.7 11.7

72.5 7.2 7.8 8.4 9.1 9.9 10.8 11.8

73.0 7.3 7.9 8.5 9.2 10.0 11.0 12.0

73.5 7.4 7.9 8.6 9.3 10.2 11.1 12.1

74.0 7.4 8.0 8.7 9.4 10.3 11.2 12.2

74.5 7.5 8.1 8.8 9.5 10.4 11.3 12.4

75.0 7.6 8.2 8.9 9.6 10.5 11.4 12.5

75.5 7.7 8.3 9.0 9.7 10.6 11.6 12.6

76.0 7.7 8.4 9.1 9.8 10.7 11.7 12.8

76.5 7.8 8.5 9.2 9.9 10.8 11.8 12.9

77.0 7.9 8.5 9.2 10.0 10.9 11.9 13.0

77.5 8.0 8.6 9.3 10.1 11.0 12.0 13.1

78.0 8.0 8.7 9.4 10.2 11.1 12.1 13.3

78.5 8.1 8.8 9.5 10.3 11.2 12.2 13.4

79.0 8.2 8.8 9.6 10.4 11.3 12.3 13.5

79.5 8.3 8.9 9.7 10.5 11.4 12.4 13.6

32
33
34
35
36
KURVA
CDC
2000

37
38
39
40
41
42
43
LINGKAR
LENGAN
ATAS
(LILA)

44
 Simplified field tables

Arm circumference-for-age GIRLS

3 months to 5 years (percentiles)
Year: Month Months 3rd 15th Median 85th 97th
0: 3 3 11.2 12.0 13.0 14.2 15.3
0: 4 4 11.5 12.3 13.4 14.6 15.7
0: 5 5 11.7 12.5 13.6 14.8 15.9
0: 6 6 11.8 12.6 13.8 15.0 16.2
0: 7 7 11.9 12.8 13.9 15.2 16.3
0: 8 8 12.0 12.8 14.0 15.3 16.4
0: 9 9 12.0 12.9 14.1 15.3 16.5
0:10 10 12.1 13.0 14.1 15.4 16.6
0:11 11 12.1 13.0 14.2 15.5 16.6
1: 0 12 12.2 13.0 14.2 15.5 16.6
1: 1 13 12.2 13.1 14.2 15.5 16.7
1: 2 14 12.3 13.1 14.3 15.6 16.7
1: 3 15 12.3 13.2 14.3 15.6 16.8
1: 4 16 12.4 13.2 14.4 15.7 16.8
1: 5 17 12.4 13.3 14.4 15.7 16.9
1: 6 18 12.4 13.3 14.5 15.8 16.9
1: 7 19 12.5 13.4 14.5 15.8 17.0
1: 8 20 12.6 13.4 14.6 15.9 17.0
1: 9 21 12.6 13.5 14.7 16.0 17.1
1:10 22 12.7 13.6 14.7 16.0 17.2
1:11 23 12.7 13.6 14.8 16.1 17.3
2: 0 24 12.8 13.7 14.9 16.2 17.4
2: 1 25 12.9 13.8 15.0 16.3 17.5
2: 2 26 12.9 13.8 15.0 16.4 17.6
2: 3 27 13.0 13.9 15.1 16.5 17.7
2: 4 28 13.0 14.0 15.2 16.5 17.7
2: 5 29 13.1 14.0 15.3 16.6 17.8
2: 6 30 13.2 14.1 15.3 16.7 17.9
2: 7 31 13.2 14.1 15.4 16.8 18.0
2: 8 32 13.2 14.2 15.4 16.8 18.1

45
46
47
KURVA
FENTON

48
49
50
LINGKAR
KEPALA

51
KURVA NELLHAUS

52
Simplified field tables

Head circumference-for-age GIRLS

Birth to 13 weeks (z-scores)
Weeks -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD

0 30.3 31.5 32.7 33.9 35.1 36.2 37.4

1 31.1 32.2 33.4 34.6 35.7 36.9 38.1

2 31.8 32.9 34.1 35.2 36.4 37.5 38.7

3 32.4 33.5 34.7 35.8 37.0 38.2 39.3

4 32.9 34.0 35.2 36.4 37.5 38.7 39.9

5 33.3 34.5 35.7 36.8 38.0 39.2 40.4

6 33.7 34.9 36.1 37.3 38.5 39.6 40.8

7 34.1 35.3 36.5 37.7 38.9 40.1 41.3

8 34.4 35.6 36.8 38.0 39.2 40.4 41.6

9 34.7 35.9 37.1 38.4 39.6 40.8 42.0

10 35.0 36.2 37.4 38.7 39.9 41.1 42.3

11 35.3 36.5 37.7 39.0 40.2 41.4 42.7

12 35.5 36.8 38.0 39.3 40.5 41.7 43.0

13 35.8 37.0 38.3 39.5 40.8 42.0 43.2

WHO Child Growth Standards

53
Simplified field tables

Head circumference-for-age GIRLS

Birth to 5 years (z-scores)
Year: Month Months -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD
0: 0 0 30.3 31.5 32.7 33.9 35.1 36.2 37.4
0: 1 1 33.0 34.2 35.4 36.5 37.7 38.9 40.1
0: 2 2 34.6 35.8 37.0 38.3 39.5 40.7 41.9
0: 3 3 35.8 37.1 38.3 39.5 40.8 42.0 43.3
0: 4 4 36.8 38.1 39.3 40.6 41.8 43.1 44.4
0: 5 5 37.6 38.9 40.2 41.5 42.7 44.0 45.3
0: 6 6 38.3 39.6 40.9 42.2 43.5 44.8 46.1
0: 7 7 38.9 40.2 41.5 42.8 44.1 45.5 46.8
0: 8 8 39.4 40.7 42.0 43.4 44.7 46.0 47.4
0: 9 9 39.8 41.2 42.5 43.8 45.2 46.5 47.8
0:10 10 40.2 41.5 42.9 44.2 45.6 46.9 48.3
0:11 11 40.5 41.9 43.2 44.6 45.9 47.3 48.6
1: 0 12 40.8 42.2 43.5 44.9 46.3 47.6 49.0
1: 1 13 41.1 42.4 43.8 45.2 46.5 47.9 49.3
1: 2 14 41.3 42.7 44.1 45.4 46.8 48.2 49.5
1: 3 15 41.5 42.9 44.3 45.7 47.0 48.4 49.8
1: 4 16 41.7 43.1 44.5 45.9 47.2 48.6 50.0
1: 5 17 41.9 43.3 44.7 46.1 47.4 48.8 50.2
1: 6 18 42.1 43.5 44.9 46.2 47.6 49.0 50.4
1: 7 19 42.3 43.6 45.0 46.4 47.8 49.2 50.6
1: 8 20 42.4 43.8 45.2 46.6 48.0 49.4 50.7
1: 9 21 42.6 44.0 45.3 46.7 48.1 49.5 50.9
1:10 22 42.7 44.1 45.5 46.9 48.3 49.7 51.1
1:11 23 42.9 44.3 45.6 47.0 48.4 49.8 51.2
2: 0 24 43.0 44.4 45.8 47.2 48.6 50.0 51.4
2: 1 25 43.1 44.5 45.9 47.3 48.7 50.1 51.5
2: 2 26 43.3 44.7 46.1 47.5 48.9 50.3 51.7
2: 3 27 43.4 44.8 46.2 47.6 49.0 50.4 51.8
2: 4 28 43.5 44.9 46.3 47.7 49.1 50.5 51.9
2: 5 29 43.6 45.0 46.4 47.8 49.2 50.6 52.0

54
Simplified field tables

Head circumference-for-age BOYS

Birth to 13 weeks (z-scores)
Weeks -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD

0 30.7 31.9 33.2 34.5 35.7 37.0 38.3

1 31.5 32.7 33.9 35.2 36.4 37.6 38.8

2 32.4 33.5 34.7 35.9 37.0 38.2 39.4

3 33.0 34.2 35.4 36.5 37.7 38.9 40.0

4 33.6 34.8 35.9 37.1 38.3 39.4 40.6

5 34.1 35.3 36.4 37.6 38.8 39.9 41.1

6 34.6 35.7 36.9 38.1 39.2 40.4 41.6

7 35.0 36.1 37.3 38.5 39.7 40.8 42.0

8 35.4 36.5 37.7 38.9 40.0 41.2 42.4

9 35.7 36.9 38.1 39.2 40.4 41.6 42.8

10 36.1 37.2 38.4 39.6 40.8 41.9 43.1

11 36.4 37.5 38.7 39.9 41.1 42.3 43.4

12 36.7 37.9 39.0 40.2 41.4 42.6 43.7

13 37.0 38.1 39.3 40.5 41.7 42.9 44.0

WHO Child Growth Standards

55
Simplified field tables

Head circumference-for-age BOYS

Birth to 5 years (z-scores)
Year: Month Months -3 SD -2 SD -1 SD Median 1 SD 2 SD 3 SD
0: 0 0 30.7 31.9 33.2 34.5 35.7 37.0 38.3
0: 1 1 33.8 34.9 36.1 37.3 38.4 39.6 40.8
0: 2 2 35.6 36.8 38.0 39.1 40.3 41.5 42.6
0: 3 3 37.0 38.1 39.3 40.5 41.7 42.9 44.1
0: 4 4 38.0 39.2 40.4 41.6 42.8 44.0 45.2
0: 5 5 38.9 40.1 41.4 42.6 43.8 45.0 46.2
0: 6 6 39.7 40.9 42.1 43.3 44.6 45.8 47.0
0: 7 7 40.3 41.5 42.7 44.0 45.2 46.4 47.7
0: 8 8 40.8 42.0 43.3 44.5 45.8 47.0 48.3
0: 9 9 41.2 42.5 43.7 45.0 46.3 47.5 48.8
0:10 10 41.6 42.9 44.1 45.4 46.7 47.9 49.2
0:11 11 41.9 43.2 44.5 45.8 47.0 48.3 49.6
1: 0 12 42.2 43.5 44.8 46.1 47.4 48.6 49.9
1: 1 13 42.5 43.8 45.0 46.3 47.6 48.9 50.2
1: 2 14 42.7 44.0 45.3 46.6 47.9 49.2 50.5
1: 3 15 42.9 44.2 45.5 46.8 48.1 49.4 50.7
1: 4 16 43.1 44.4 45.7 47.0 48.3 49.6 51.0
1: 5 17 43.2 44.6 45.9 47.2 48.5 49.8 51.2
1: 6 18 43.4 44.7 46.0 47.4 48.7 50.0 51.4
1: 7 19 43.5 44.9 46.2 47.5 48.9 50.2 51.5
1: 8 20 43.7 45.0 46.4 47.7 49.0 50.4 51.7
1: 9 21 43.8 45.2 46.5 47.8 49.2 50.5 51.9
1:10 22 43.9 45.3 46.6 48.0 49.3 50.7 52.0
1:11 23 44.1 45.4 46.8 48.1 49.5 50.8 52.2
2: 0 24 44.2 45.5 46.9 48.3 49.6 51.0 52.3
2: 1 25 44.3 45.6 47.0 48.4 49.7 51.1 52.5
2: 2 26 44.4 45.8 47.1 48.5 49.9 51.2 52.6
2: 3 27 44.5 45.9 47.2 48.6 50.0 51.4 52.7
2: 4 28 44.6 46.0 47.3 48.7 50.1 51.5 52.9
2: 5 29 44.7 46.1 47.4 48.8 50.2 51.6 53.0

56
TEKANAN
DARAH

57
58
59
DENVER II

60
TANNER STAGE

61
TB ANAK

62
ALUR DIAGNOSIS TB PARU ANAK

63
BALLARD SCORE

64
KLASIFIKASI NEONATUS

65
BILIRUBIN

66
JADWAL IMUNISASI

67