penatalaksanaan shock
TRANSCRIPT
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SYOK DAN RESUSITASISYOK DAN RESUSITASI
CAIRANCAIRAN
CANDRARINI, Amd.KepCANDRARINI, Amd.KepRS ASTRINI WONOGIRIRS ASTRINI WONOGIRI
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Syok
Merupakan kond! kedarura"an
#er$u n"er%en! y& 'epa" dan "epa" u"k
'e&a( kema"an
#er$u "ena&a y& mampu mende"ek!
!e'ara dn a)a$ !yok.
#ro&no!e d(arapkan *ad $e+( +ak
SHK 2
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SHK 3
Sindrom klinis akibat kegagalan
sistem sirkulasi dg akibat
ketidakcukupan pasokan oksigendan nutrien utk penuhi kebutuhan
metabolik organ vital
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Fase kompensatori
Fase dekompensasi
Fase irreversibel
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Kompen!a! "akkard, &e$!a(, ku$" pu'a"
dan dn&n, 'ap$$ary re-$$ / d"k
Dekompen!a! "akkard +er"am+a(,"ekanan dara( "urun,per-u!
mem+uruk,o$&ur, penurunan ke!adaran
Ire%er!+$e 0 "ekanan dara( "ak "erukur,
nad "ak "era+a, penurunan
ke!adaran,anur, "er*ad &a&a$ mu$" or&an.
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SHK 6
1po%o$emk
Kardo&enk
D!"r+u"%
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Syok 1po%o$emk
#a$n& !ern& d*umpa pada anak
Ke($an&an %o$ume 'aran "u+u(m$$ mun"a(,dare,ke+o'oranp$a!ma,perdara(an,!ep!!.
#enurunan pre$oad
#enurunan 'ura( *an"un&
SHK 7
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Syok Kardo&en'
Ter*ad ak+a" ke&a&a$an pompa *an"un&2
2 kon"rak"$"a! mokardum
Ter*ad krn n-ek! %ru!, &an&&uan
me"a+o$k 3 a!do!!, (po&$kem4
d!r"ma
Ge*a$a y& mun'u$ "ekanan dara(
renda(,nad 'epa" dan $ema(,ku$" dn&ndan $em+a+, o$&ur,penurunan
ke!adaran.
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pera)a"an
5a&a *a$an na-a!
#a!an& EKG
mon"or
#an"au
(emodnamk
#en&&unaan o+a"
3 Dopamn,do+u"amn,-uro!em
d 4
Ka* e"o$o&
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SyokD!"r+u"%
Gan&&uan d!"r+u! dara( d per-er.
#enurunan re!!"en! %a!'u$ar !y!"em'!e+a+kan %a!od$a"a! !(& a$ran dara( ke*an"un& menurun.
#enn&ka"an permea+$"a! kap$er
Sep!!, anap(y$a6!, neuro&en',
SHK 10
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#ena"a$ak!anaan
!yok
Men*a&a *a$an na-a! y& adekua"
Menen"ukan perna-a!an y& adekua"
Mema!"kan %o$ume 'aran da$ampem+u$u( dara( 'ukup.
#ada anak pa$n& !ern& "er*ad !yok
(po%o$emk, !e(n&&a per$u re!u!"a!
'aran !e&era.
Men*a&a *a$an na-a! y& adekua"
Menen"ukan perna-a!an y& adekua"
Mema!"kan %o$ume 'aran da$ampem+u$u( dara( 'ukup.
#ada anak pa$n& !ern& "er*ad !yok
(po%o$emk, !e(n&&a per$u re!u!"a!
'aran !e&era.
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Tu*uan re!u!"a! 'aran pd
Syok
Men'apa "ekanan dara( norma$
Nad "era+a 'ukup kua"
Dure!! $e+( dar 7 m$2k&88 Ke!adaran +ak
Cap$$ary re-$$9 / de"k
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#EM8ERIAN CAIRAN
Dmu$a d& 'aran kr!"a$od /: m$2k& 88 d$m )ak"u ;
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#I?I1AN CAIRAN RESUSITASI
Kr!"a$od R?, NaC$ :,@
Ko$od 1ae!, Ge$a"n
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KRISTA?OID
?e+( muda( ddapa" dan mura(
Tdak ada e-ek !ampn&
D!"r+u! 'aran $e+( 'epa" me$e)a"
n"ra%a!ku$er dan n"er!""a$. Caran y& +er"a(an da$am n"ra%a!ku$er $e+(
!edk".
SHK 15
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KO?OID
%o$ume da$am n"ra%a!'u$ar $e+(
+e!ar.
1ar&anya ma(a$ Tdak muda( ddapa".
SHK 17
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RES#ON T1D RESUSITASI
CAIRAN
Re!pon 'epa"
Re!pon !emen"ara
3"ran!en" 4 Re!pon mnmum2"anpa
re!pon.
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TERIMATERIMAKASIHKASIH