henti jantung
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tatalaksana henti jantungTRANSCRIPT
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HENTI JANTUNG
Dr.Arga Budiyono
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HENTI JANTUNG
· Jantung kehilangan fungsi secara mendadakdan sangat tiba-tiba· Biasanya dalam bentuk aritmia:– Asistol– PEA– Ventrikel fibrilasi/Pulseless VT· 450.000 kasus/tahun di USA· Penyebab kematian > Stroke, Ca Paru, CaMamma· 95 % meninggal sebelum masuk RS
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Penyebab
Jantung:
IMA (terbanyak) Miokarditis Kardiomiopati Trauma/ tamponade Gagal Jantung
· Respirasi– Hipoksia– Hiperkapnea
Metabolisme: Hiperkalsemia– hiper/ hipokalem– hipotermi
· Sengatan listrik· Refleks vagal
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Patofisiologi
Henti Jantung → gangguan sirkulasi → Suplai oksigen →> Hipoksia- Otak : 15 detik Pao2 dari 13 → 2,5 kPa1 menit Pa02 → 0.- akumulasi CO2.
> Asidosis- O2 ↓→ metabolisme anaerob à akumulasiCO2 dan laktat → asidosis- Jantung → kontraktilitas ↓→ mudah aritmia
- Otak → kematian sel
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> Respon sistemik masif- Katekolamin - Hormon ADH- Adrenalokortikosteroid hiperglikemia hipokalemialaktat aritmia
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Resusitasi
Tujuan> mengembalikan fungsi pernapasan> mengembalikan fungsi sirkulasi> mencegah kematian/ kerusakan otak.Prinsip :> early access :> early CPR> early defibrilation> early ACLS
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Early access : cepat berhubungan dengan fasilitas kegawat daruratan jantung misal panggil
118 (EMS=emergency medical services/ECC= emergency cardiac care) Early CPR : cepat lakukan RKP- C : circulation- A : airway- B : Breathing
Early defibrilation : cepat identifikasi adanya VT/Vf cepat lakukan defibrilasi. Early ACLS : cepat mendapat pertolongan alat bantu pernapasan dan terapi
medikamentosa untuk mengontrol sirkulasi
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CPRAda 2 tahap :1.Basic life support :C: circulation : kompressi jantung/dinding dadaA: opening airwayB: breathing : pernapasan yang adekuat/mekanikventilasi
2.Advanced cardiac life support (ACLS)A : endotracheal intubation (ET)B : pernapasan adekuat melalui ETC : tersedianya akses intravenA untuk obatD : defibrilator tersedia.Di RS atau EMS keduanya bisa kabur
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DC counter shock
1. Cardioversion - synchronous mode - shock at relative refractory period - AF, atrial flutter, AVNRT, AVRT, AT, MAT, pulse
VT 2. Defibrillation - asynchronous mode - pulse less VT, ventricular flutter, VF
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6H
HypovolemiaHypoxiaHydrogen ion “ acidosis”Hyper/Hypokalemia , other metabolicHypothermiaHypoglycemia
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6T
Tablets (drug OD, accidents)Temponade , cardiacTension pneumothoraxThrombosis, coronary (ACS)Thrombosis, pulmonary (embolism)Trauma
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Terima Kasih banyak..Assalamu’alaikum wrwb