Post on 05-Jul-2018
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RESUSITASI
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Life Support
A - B - C - D
A = airway, bebaskan jalan nafas,
linduni C!spine " = breat#in, berinafas, ta$ba# oksien C =%ir%ulation, #entikan perdara#an, beri infusi
& = disability ' SS(, %ea# TI) naik
*ui%k &ianosis !! *ui%k Treat$ent
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(asien obstruksi +Aatau apnea +"akan $ati dala$ -!. $enit
(asien s#o%k berat +Cakan $ati dala$ /!0 ja$
(asien %o$a +&akan $ati dala$ / $inu
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C - Circulation
Assessment of organperfusion
Le1el of %ons%iousness Skin %olor and te$perature
(ulse rate and %#ara%ter
Urinary output
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Cardia% output turun
(erfusi tidak $e$adai,
2arinan rusak Guyton
(erfusi oran 1ital tak
$e$adai'sel oran 1italaal
$e$akai oksien
Mc Lean
Inadequate vitalorgan perfusion
SHOCK
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Korban tabrakan truk terjepit bak besi
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SIR)ULASI
$enilai
• (erfusi perifer → #anat, kerin
• 3arna akral → pink ' $era# $uda
• Capillary re4l → 0 detik,
bandinkan tanan pe$eriksa
• &enyut nadi
• Tekanan dara#• (roduksi urine
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• (asien sadar5 raba nadi radialis
5 e1aluasi perfusi
5 ukur tek dara#
• Ada nadi %arotis
5 raba nadi radialis5 e1aluasi perfusi
5 ukur tek dara#
• Pasien tak sadar 5 raba nadi %arotis
• Tidak ada nadi carotis
Pastikan, korban sadar atau tidak waktu disapa
CHECK AIRWAY- BREATHING
Resusitasi
Jantung Paru
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Tandakliniss#o%k
• Nafas %epat• )ulit dinin, pu%at, basa#,
sianosis• Capillary re4ll ti$e 6 0 detik
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Meraba nadi carotis
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• 2ika nadi teraba di7
! radialis 6 89 $$: ;
! fe$oralis 6 <9 $$:! %arotis 6 9 $$:
! sisto"ik
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#$
P%rdara&an ' tanda-tandan(a)korban d%wasa!
• B"%%din* + 7 ." 7-# / #
• Cap0 r%1i"" nor.a" .%.an2an* .%.an2an*
• Nadi + # / # / #3• T%k sisto"ik nor.a" nor.a" .%nurun
• Na1as nor.a" 3-$ / $-4
• K%sadaran nor.a" *%"isa& 5 *%"isa&56o.a
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Tandaklinis • >AN>>UAN (ER?USI (ERI?ER
Raba telapak tanan
:anat, )erin, @era# 7 NR@AL
&inin, "asa#, (u%at 7 S:C) Tekan ! lepas
ujun kuku ' telapak tanan
@era# ke$bali B 0 detik 7 NR@AL
6 0 detik 7 S#C)
+ "andinkan denan tananpe$eriksa
• NA&I @ENIN>)AT : raba nadiradialis
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GANGGUAN PERFUSIORGAN
sela$a s#o%k • >IN2AL
5 oliuria terjadi pada loss /.!09 E"D
5 anuria pada 6 -9 E"D• )RNER
5 peruba#an se$en ST +ele1asi ataudepresi
• TA) 5 anuan kesadaran ' %o$a atau
elisa# pada loss 6 -9 E"D
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ShOcK
AKRAL DINGIN AKIKARDIA
PENDERITA TRAUMA
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#7
Tanda
k"inis
s&o6k
• Nadi 6%pat / # – Nadi radia"is )! / 8 ..H*
– Nadi 6arotis )! / 9 ..H*
• T%kanan dara& + :-# ..H*
• K%sadaran *%"isa& sa.pai 6o.a• Pu"s% pr%ssur% .%n(%.pit
• ;<P r%nda& )=%na 2u*u"aris %kst%rna!
• Produksi urin% < 0 ."5k*52a.
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/ E U n t u k t e t a p # id u p + 1 ia b l e ,0 E U n t u k k e $ b a l i s e $ b u #- E U n t u k k e $ b a l i # i d u p n o r$ a l
H ! "
H ! #
H ! $ %
H ! $ &
C R I' I C A (
P e r)u t ra n f u s i
'O ( E R A B ( E* u n g + in p e r )utr a n f u s i
C a r, i a -
O u t p u t. e n o u s R e t u r n
O P 'I* A (m u n g + i n t , + p e r) u t ra n f u s i
S P E C IA ( C A S Etu a / 0 % t1 2s e p s i s 2 D * 2s tr o + e 2 P 3 4
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Proses Pro,u+siEnergi
Proses Pro,u+siEnergi
G)u+osa 5 O& H&O 5 CO& 5 6# A'
G)u+osa tanpa O& (ati Ai, 5 & A'
7Aneroi+8
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CE((U(AR ; *E'ABO(IC RESPONSE
"loodLoss
InadeFuate(erfusion
?urt#er 1olu$ealteration
?luid disturban%e%#ane
@e$brane %#anes
Cell injury
Anaerobi%$etabolis$
randysfun%tion
?urt#er %ir%ulation%#anes
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* E 4 A N I S * E P E N 9 E ( A * A 'A NP E R F U S I O 'A 4 D A N 3 A N ' U N G
O ta + 5 3 a n t u n g
4 u ) i t 2 o to t 2 g in < a )2= is e ra
O ta + 5 3 a n t u n g
4 u ) i t 2 o to t 2 g in < a )2
= is e raS E ( E C ' I. E. A S O C O N S 'R IC ' I O N
IS C H E * IA* e t a o ) is m e a n a e r o i+ -A s i, o s i a s a m )a + ta t
N O R * A (
H I P O . O ( E * I A
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S#o%k position
'anpa a)at
Dengan a)at
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3
Posisi s&o6k ANGKAT
KEDUA
TUNGKAI
$ - 66 dara&
dari kaki pinda& k%
sirku"asi s%ntra"
naik
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Class I 5 ID Not absolute
nly a %lini%al uide
SubseFuent treat$entdeter$ined by patientresponse
C(ASSIFICA'ION OF
HE*ORRHAGE
'a)e $ ES'I*A'ED F(UID AND B(OOD (OSSES ?8
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CLASS I CLASS II CLASS III CLASS IV
"lood Loss +$L Up to <.9 <.9 5 /.99 /.99 5 0999 6 0999
"lood Loss
+ "lood DolUp to /. /. 5 -9 -9 5 G9 6 G9
(ulse Rate B /99 6 /99 6 /09 6 /G9
"lood (ressure Nor$al Nor$al
(ulse (ressure Nor$al or
Respiratory Rate /G 5 09 09 5 -9 -9 5 G9 6 -.
Urinary utput+$l'#r
6 -9 09 5 -9 . 5 /. Neliible
CNS ' @ental StatusSli#tlyanHious
@ildly anHiousAnHious,%onfused
Con4used,let#ari%
?luid Repla%e$ent+-7/ Rule Crystalloid Crystalloid
Crystalloid andblood
Crystalloid andblood
'a)e $> ES'I*A'ED F(UID AND B(OOD (OSSES 8 !ased on "atient#s Initial "resentation(For a 70 kg man)
'RAU*A S'A'US
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'RAU*A S'A'USGIESEC4E untuk $entaksirkan ju$la#perdara#an
' A N D A 'S - I 'S - II 'S - IIISESA)NA?AS
+ ! RIN>AN "ERAT
TENSI N TURUN T T U
N A & I CE(AT SAN>ATCE(AT
T T "
U R I N E N LI>URIA ANURIA
)ESA&ARAN
N "IN>UN> ' C@A
)E:ILAN>AN &ARA:
S'& /9 S'& -9 S'& .9
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'RAU*A S'A'US ,ari Giese+e7$@@$8,an ACS 7$@@68
C)ass (ost EB. 'e+anan ,ara1 Na,i 'an,a )ain
I
II
III
ID
B/. + B /9 $l'k
/. 5 -9 + /9!09
$l'k
-9 5 G9 +09 5 -9 $l'k
6 G9 + 6 -9 $l'k
@asi# nor$al:ipotensi postural
Sistolik tetap
&iastolik naik TekananNadi turun:ipotensi postural
Sistolik turun
Sistoliksanat turun
B /99
6/99
6/09
6 /G9
Aak elisa#Nafas /G 5 09
Aak elisa#Nafas 09 5 -9
Capre4ll la$batliuria>elisa#'binunNafas -9 5 G9
)ulit dinin ke!abu!abuan
Anuria"inun'lethargy
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ASSESS*EN' *ANAGE*EN'
s1o+ Aira an, Breat1ing:
Hyenate and 1entilate
(a0
6 89 $$:
Sa0 6 J.
Ciru)ation
Assess +Class I, II, III, ID Control :ae$orr#ae
(ro$pt Treat$ent
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………………………..ASSESSMENT &MANAEMENT
Disability 5 %erebral
perfusion EHposure ' En1iron$ent
Asso%iated injuries
(re1ent #ypot#er$ia
Urinary output +?oley%at#eter
Gastri% de%o$pression
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*ANAGE*EN' .ASCU(AR
ACCESS
0 lare!%aliber perip#eralIDKs
Central a%%ess?e$oral
2uular
Sub%la1ian
Intraosseous
btain blood for %ross$at%#
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>%.ora" ?in%
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*ANAGE*EN' F(UID
'HERAP9
3ar$ed %rystalloid solution
Rapid uid bolusAdult 7 0 liters RinerKs La%tate
C#ild 7 09 $l'k RinerKs La%tate
@onitor response to initialt#erapy
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Tata!laksana$enatasi perdara#an #ebat
• Airway
• "reat#in
• Cir%ulation and #e$orr#ae%ontrol
• S#o%k position• Repla%e blood loss
• Stop ' $ini$iOe t#e bleedin
pro%ess
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$:
@%n*&%ntikan p%rdara&an prioritas uta.a
• Hindari tourniu%t )tourniu%t usa&a t%rak&ir!
• T%kankan 2ari pada art%ria proksi.a" dari "uka
• B%bat t%kan pada s%"uru& %kstr%.itas (an* "uka
• Pasan* ta.pon sub1asia )*au% pa6k !
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;%nis p%rdara&an
• Dapat dit%kan )Co.pr%ssib"%!
- p%r.ukaan tubu&, %kstr%.itas
• Tidak dapat dit%kan )Non-6o.pr%ssib"%!
- intra-abdo.ina"
- &arus diatasi d%n*an p%.b%da&an- .%.%r"ukan r%susitasi 6airan
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4#
P%rdara&an dapat dit%kan )Co.pr%ssib"%!
- p%r.ukaan tubu&, %kstr%.itas
P%rdara&an 3 66 5 .%nit #3 66 5 2a.
Gunakan sarun* tan*an 5 "apis p"astik
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B%bat t%kan
Gunakan 3 *u"un* kasa
atau %"asti6 5 6o.pr%ssion banda*%
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4$
• Dara& t%rus .%n*a"ir kar%na b%bat tidak %1%kti1
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?okasi ' Esti.asi P%rdara&an
>r0 >%.ur t%rtutup #0-3 "it%r
>r0Tibia t%rtutup 0 "it%r
>r0 P%"=is $ "it%r
H%.ot&ora 3 "it%r
>r0 I*a )tiap satu! # ."
?uka s%k%pa" tan*an ."
B%kuan dara& s%k%pa" ."
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P%rdara&an T%rs%.bun(i • Ron**a p%rut )&ati, "i%n, art!
• Ron**a p"%ura• Pan**u" 5 p%"=is
• Tu"an* pa&a )1%.ur!
• Ku"it k%pa"a )anak!
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Perdarahan internal (contoh: liver rupture)
1 !urvival ter"antun" in#usi dan se"era operasi
2 $ika perdarahan sukar diatasi% operasi dibuat bertahap
(&a'a"e ontrol !ur"er)
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Pasan* in1usi pada =%na b%sar
1 *ena cubiti% basilica
2 *ena ju"ularis e+t
(posisi kepala,leher
tetap in,line)
$0 <%na sub6"a=ia
40 <%na sap&%na .a*naF
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4:
Pasi%n b%rdara& p%rkirakan =o"u.% (an* &i"an*
posisi s&o6k
pasan* in1us 2aru. b%sar a.bi" sa.p"% dara& u5 6ari donor
in1usi R? # ) # "a*i!
Perfusi HKMnai ! "##
T-sist $ "##
%
&a'(at)an infusi
Perfusi *e+e),nai $"##, T-sist !"##
%
ta'(a R& +agi
sa.pai 3-4 =o"0 p%rdara&an
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? C E P A ' * E N G A 'A S I S H O C 4
? ' I D A 4 * E N U N G G U D A R A H ' E R S E D IA? ? P A D A P E R D A R A H A N 6 % * A * P U * E N IA D A 4 A N 'R A N F U S I? ? P A D A P E R D A R A H A N 6 % - " % m a m p u
* E N G U R A N G I 3 U * ( A H P A S I E N : a n g p e r)ut ra n f u s i
? ? P A D A P E R D A R A H A N / " % m a m p u* E N G U R A N G I 3 U * ( A H ' R A N F U S I : a n gD i e r i + a n u n t u + p a s ie n
'ra n f u s i , i e ri + a n s a m p a i $ % S O & ' R ( ' C R I I C A L L ' & ' L
'e+ni+ 1emo,i)usi
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Transfusi sanat darurat&NR UNIDERSIL+bila olonan yan sa$a tak ada
• &onor ol dapat diberikan untukse$ua olonan dara# pasien
• )alau ada (RC ol ! lebi# baik
• Setela# $e$beri donor ol Gunit, transfusi berikutnya
#arus tetap ol • Transfusi denan olonan dara#
pasien lai baru bole# dilakukansetela# lewat
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BASIC CARDIAC PH9SIO(OG9
Stroke Dolu$e 7(re load 7 DR, E&D Contra%tility After load 7 SDR
CO ! S. F
BP ! CO S.R
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Hb 7-15
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PASIEN SHOC42 ,e1i,rasiDEFISI' "%%% m)2 BB "% +g
Lanka# / 7IN?US SU(ER CE(AT09 $l P .9 k = /999 $l RLdala$ -9!9 $enit Lanka# 0 7
INFUS CEPA' "% SISA JR,a)am # <am : &%%% m) R(
!"tam#ah@AINTENANCE 8 ja$8'0G P 0.99 = 899 $l.99 $l R&-99 $l &.Lanka# - 7
INFUS (A*BA' "% SISA JR
,a)am $0 <am : &%%% R(!"tam#ah@AINTENANCE / ja$/'0G P 0.99 = /<99 $l.99 $l R&/099 $l &.
)asus
(erlu puasa
* e n e n t u + a n D e r a < a t D e 1 i, r a s i
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* e n e n t u + a n D e r a < a t D e 1 i, r a s i
4 R I ' E R I A P I E R C E
G e < a ) a R i n g a n7 D e f > : 6 - " B B 8
S e , a n g7 0 - # B B 8
B e r a t7 / $ % B B 8
'u r g o r + u ) i t B e r + u r a n g ' u r u n S a n g a t t u r u n( i, a 1 N 4 e i ) - 4 e r i p u t 4 e i ) - + e r i p u t
( u n a + ( u n a +* a t a N C o o n g S a n g a t o o n gU u n - u u n N C e + u n g S a n g a t e + u n g
R a s a 1 a u s
N a , i
'e n s i
U r i n e
5
N ;
N ;
5
( e m a 1 + e i )
5
'a + t e r a a
N ; t u r u n
P e + a t 7 - 8
4ASUSSHOC4
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SHOC4 KDEHIDRASI
MISAL – &' KG DEFISIT ' * ' X &' LT * & LT
SHOCK * &''' CC
/3K /&
.4K
5$K ; !TP 6
&4-.T M.4T3.3
< ( =000 ; 1000 )< >000
&4.54 &-.
2000 8 $ 2000 1? $
5$K 7
1000 @04
--K
/3K /&
-7.54 7
1000 @04
.4K --K
-7.5
1000 @04
/3K /&
&!T
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(a+i-)a+i "% t1 4P Fisi+ ai+ 'ensi;Na,i ai+ Riaat a)ergi 7-8 sesa+ 7-8 ast1ma 7-8,isunti+ streptomine - Penii))in
S1o+ : na,i +ei) epat perfusi ,ingin puat asa12sesa+ 1eat2 pasien ge)isa1
SHOC4 ANAFI(A4SIS
*ENDADA42 'A4 DAPA'DIRA*A(4AN
4E*A'IAN DA(A* LA4'U
SING4A'
SHOC4 7HIPO.O(E*I48
GAGA( NAFAS A4U'
Rea+si AnaM)a+ti+
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ea s a a/ Adrenalin +/ a$pul = / $ i1 5 i$ 5 s% ! sl ! transtra%#eal !
et"erat 7 9.9 ! / a$pul
Sedan 7 90. 5 9.9 a$pulRinan 7 tanpa s#o%k ! tidak perlu
0 "arinkan penderita, kedua tunkai ankat keatas +S#o%k(osition
2aa jalan nafas tetap bebas
0 $asker /9 lp$, bila adaSiap A$bu "a, siap beri nafas buatan , siap R2(LI:AT 7 erak dada, ada nafas &EN>AR 7 suara nafas, tensi Ada nafas S#o%k RA"A 7 #awa nafas, perfusi perifer Ada nafas
S#o%k
(asan Infus 7 RL' (Q rojok .99!/999 %%
- .!/9 $enit ke$udiank'p ulani Adrenalin"eri radeHon i1 /!0 %%atau &eHa$et#ason /99!099$ i$
A1il' &elladryl / %% i$, #ati!0 tensi turun lai
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S:C)
+#ipo1ole$ik, kardioenikM
asidosis $etabolikM
janan diberiNa!bikarbonat
Na!bikarbonat #anya untuk koreksi bila7
! p: B <09 +naikkan jadi 6 <09! "E 6 !/9 + naikkan jadi !.
Ru$us +la$a
Terapi Na-bik : 1/3 x BB x BEtidak berlaku untuk s#o%k
S#o%k asidosis laktat
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S#o%k = asidosis laktat$enapa diberi Riner
Laktat• Asidosis laktat terjadi karena sel tidak
$eneri$a oksien +s#o%k = perfusi sel9
• Dolu$e repla%e$ent $en#ilankans#o%k #ipo1ole$ik
• 2ika s#o%k diatasi, asa$ laktat jarinan
akan dibawa aliran dara# ke #epar dipe%a# jadi bikarbonat $enuraniasidosis
• Laktat dala$ RL #anya /8 $EF'L, tidakakan $ena$ba# beban tubu#
MACAM – MACAM
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MACAM MACAM
CAIRAN INFUS
M35.&-5
373KT74T
( KRISTALOID )
KALORI
PROTEIN
LEMAK
PLASMA
EXPANDER/KOLLOID
7PA
& ; =
7 ; & ; =
PA ; & ; =PT.7 ;
373KT ; K.74
& ; =
& ; 10
& ; 20
T4P.3
T4B-!4
M.T!
.M4*37
.M4B-!4T-TB-!4
&774T.74P4&
3CP.B-!4
&3CT.
/3M.37
/3!
s1o+RESU*E
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s1o+ #ipo1ole$ik
perdara#an de#idrasi
blood lossesti$ation uid lossesti$ation
trauma status Pierce
B/.
/.!-9 -9!G9 6G9
-!. "" .!8 "" 8!/9 ""
E"D ""
RESU*E
E"D7 <9 $l' k""
C -
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C -iru)ation
• )ulit dinin, pu%at,
berkerinat,sianosis
• Capillary re4ll ti$e
6 0 detik• Nadi %epat 6 /99
ber#enti
tidaknor$al
• (erta#ankan airwaybebas
• ksien! k'p nafasdibantu
• S#o%k position
•
(asan infuse double•
Nafasbuatan
(ijat
jantun
ada' nor$al
s#o%k
"ebaskan
airway
• (erta#ankan airwaybebas
• ksien $asker
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:I(DLE@IA
- DEHIDRAI ) BB!- PERDARAHAN
) EB<!- ?JKA BAKAR
)"uasBB4!
HCK
ATAI HCK
GR;K 3-4 CC5KG#-3 @ENIT )DEWAA!
$-9 @ENIT )ANAK!
@AIH HCK F
YA TIDAK GR;K ?AGI@E@BAIK
- IA DE>IIT- @AINTENANC
EDW )4665k*55&r!
ANAKL #k* I )#665k*5&r!, #k* II )665k*5&r!M #k* III )3665k*5&r!
DEHIDRASI
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DEHIDRASID+,-- D+01,-1 14+,1115 S164K,1+,1- P1+,7+ 85-9- 164
5ejala rin"an sedan" beratD+:11 (3;&) (<;%) ( $ ')
T=,6>, =51 #+,=,-46 9+4=,=4 -46- 9+4=,=4
L1-0 4>,9-5 5=4- +715 +,18=
M-- 4>,9-5 7>@>46 -46- 7>@>46
U#=4;=#=4 4>,9-5 7+=46 -46- 7+=46
R-- 0-=
N-1 +715 5+9-0 -46- +715 #
T+41 - +,==,
U,14+ 8+- -4=,1-
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CARA PEM.ERIAN CAIRAN/
-
.T.!4 !/K : 5-D-5$K 20,>0cck"
- -7.54 5$K 47. !/K 37-M
T3.T.!4
- 47. !/K T3.T.!4% /4T-5 !4!.&3B4!4T
!4!. &3B4!4T &4.54 &-.
. .54. P3T.M. : 8 $.M P3T.M. .54. K3&-. : 1? $.M 34K-TD.
-. 34K. !4!. &3B4!4T 3!.M. .4.
M.4T3.3 (-M.T.)
SKEMA PEMERIAN CAIRAN
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SKEMA PEMERIAN CAIRANT/ K.!-! 53.
5rojok !TP6
5anti M.4T3.3
(@000,?00'l <2>00 'l)
: @0 K5
!/K 3.T
3!T4M.!4 K3/47.5. .4.
10E C @0 7T! < @ 7T < @000 M7
5$K 20 K5 10,20 MT
< ?00
3K /3M&4.M4K
M3M.4K T3T.P--K
5rojok -lan" 20cck"
10,20 'nt
M3M.4K T3T.P --K
5rojok -lan" 20cck"
10,20 'nt=0E =0E
8 ja' 1? ja'
F .4. M.4T3.3
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Anak usia # ta&un d%n*an b%rat badan # k* .%n*a"a.i
.untab%r s%"a.a $ &ari0 K%tika dibawa k% pusk%s.as,
anak itu suda& "%.as, tan*an pu6at, basa& dan din*in0
B%rapa d%ra2at d%&idrasin(a dan b%rapa 6airan (an*
dip%r"ukanF
CONTOH SOA&
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D%1isit L # # # # ."
?an*sun* Gu(ur L # k* 3 66 366 da"a. $-
9 .%nit0
Dapat diu"an* bi"a kondisi b%"u. baik0 Bi"a kondisi
.%.baik, 6airan d%1isit dikuran*i 6airan *u(ur0
Hasi"n(a, diba*i dua dib%rikan dua ta&ap0 P%rta.a, 8
2a., k%dua #9 2a.0
PERDARAHAN
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PERDARAHAN
Class Lost EBV Tekanan darah Nadi Tanda lain
I
II
III
IV
<15 %
15 – 30 %
30 – 40 %
> 40
Masih noral!i"otensi "ost#ral $
istolik $ teta"
&iastolik naikTekanan' Nadi t#r#n!i"otensi "ost#ral
istolik t#r#n
istolik san(at t#r#n
< 100
>100
>1)0
> 140
*(ak (elisahNa+as 14 – )0
*(ak (elisahNa+as )0 – 30
Ca",re+ill la-at.li(#ria
/elisah' -in(#n(Na+as 30 – 40
#lit din(in kea-#a-#an*n#ria
Bin(#n(' lethargy
Trau.a status *i%s%6k%
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EB< 7 CC BERAT BADAN
EB? DERA;AT PERDARAHAN EB<
PENGHITUNGAN PERKIRAAN
KEHI&ANGAN DARAH TU.UH
CARA PEM.ERIAN CAIRAN- ATAI HCK DENGAN GJYJR5GR;K 3
665k*
- GJYJR HINGGA 3-4 EB?
- BI?A HCK JDAH TERATAI, ?ANGJNGKE @AINTENANCE0
'(NIK (')ODIL%SI
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79
'(NIK (')ODIL%SI
Estimasi BB : >>> 0% +g
Estimasi B)oo, .o)ume : >>> % m);+g 0% ! &%% m)Estimasi B)oo, (oss : >>>> EB. ! >>>>> m)
NORMO
VOLEMIA
;; 3'3*
;; &3*
;; &'3*
Tsstadi
Per#
12080
han"at
100100
pucat
G 90H 120
din"in
G ?0,I0H 1>0 , ttb
basah
EL * perdarahan <'' 2'' 2''' 95
Infus R& 1200,2000 2=00,=000 >000,8000 ."
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&UKA .AKAR
4,
:
:
:
:
4,
4, 4, 4, 4,
DEPAN BE?AKANG
#
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CARA PE@BERIAN CAIRAN
Cairan dib%rikan s%t%n*a& da"a. 8 2a. p%rta.a s%t%"a&
k%2adian, %t%n*a& b%rikutn(a da"a. #9 2a. b%rikutn(a
?uas ?uka Bakar B%rat Badan 4
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CONTOH SOA&
#0 DEHIDRAI
Anak usia # ta&un d%n*an b%rat badan # k* .%n*a"a.i
d%&idrasi d%ra2at b%rat0 B%rapa 6airan (an* dip%r"ukanF
30 PERDARAHAN
Pria usia $ t&, BB 9 k* .%n*a"a.i p%rdara&an d%n*and%ra2at b%rat0B%rapa 6airan (an* dib%rikanF
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$0 ?JKA BAKAR
Pria, usia $ t&, k*, t%rk%na "uka bakar di da%ra& "%n*an
kiri d%pan b%"akan*, dada d%pan dan p%rut d%pan pada 2a.
$0 wib0 a.pai di ru.a& sakit 2a. 900 Ba*ai.ana
dan b%rapa 6airan (an* dib%rikanF
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;AWABAN A?
#0 DEHIDRAI
D%1isit L # # # # ."
?an*sun* Gu(ur L # k* 3 66 366 da"a. $-
9 .%nit0
Dapat diu"an* bi"a kondisi b%"u. baik0 Bi"a kondisi
.%.baik, 6airan d%1isit dikuran*i 6airan *u(ur0Hasi"n(a, diba*i dua dib%rikan dua ta&ap0 P%rta.a, 8
2a., k%dua #9 2a.0
Hitun* tota" d%1isit .aint%nan6%0
O da"a. 8 2a.
O da"a. #9 2a.
@aint%nan6% L #k* #." # ."
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30 PERDARAHAN
EB? L 766 9 k* 3# ."
Cairan (an* dib%rikan L
#0 ?an*sun* *u(ur 3." 9 #3 ." )#-3.nt!
30 Dapat di*u(ur 3-4 EB?0
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F