monitoring peri anestesi depi

7/23/2019 Monitoring Peri Anestesi Depi

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MONITORING

PERIANESTESI :

KLINIS DAN

ELEKTRONIS

Depi Prasastyo



ANESTESI

An act of relieving pain while performing

surgery and various other procedures that

cause pain in the body



STAGES OF ANESTHESIA1.1.



STAGE III



PREPARATION TOOLS ANESTHESIA Mask

Laryngoscope Endotracheal

stylet

oedel

!ackson "ees

!elly

#otton alcohol

Plaster $ilocain pump

%aso



GENERAL ANESTHESIA DRUGS

1. &ulfas atropine



EMERGENCY MEDICINE1. Atropine



COMPLETENESS OF OPERATINGROOM

1. Machines Anesthesia

Checin! "hethe# ha$%thane & is%'$(#ane ina '($$) cha#!e* state

Insta$$ ca+$e an* t(#n %n the ,achine Insta$$ -i-e %)!en an* N/O

Checin! the %)!en -(,-0 "hethe#'(ncti%nin! %# n%t

Chec "hethe# eha(st -i-e is -$(!!e* an*a+an*%ne* in the #i!ht -$ace



'mportant things in mind to do with the anesthesia

Machine (

) *he flow of o+ygen there are two paths, not tochoose the wrong path. *here are paths for masksand there is a path for nasal.

) Disposal of air going through sodalime -stones

that functions bind #/0. -"eport sodalime havechanged color when the very old

) Monitoring the state of the machine is importantto know the patients airway. Ask the stylist to

teach how to read it. ) *ools of spontaneous respiration regulator to

control



0. Anesthesia Monitors

Ensure a minimum of tension and saturation

attached2. &uction

#heck whether the suction works well or not.

3.s 4and table -on the right and left of the

patient

5. Pillows



PREPARATION PERIANESTESI

1. #ollecting Data

0. Determine the e+isting problems in patients

for which data

2. Preparing for the worst that will happen3. Doing preparation to prevent the worst that

will happen

5. Determining the physical status of the

patient

6. Determining anesthesia



HISTORY

) 4istory of previous anesthesia and surgery.

) 4istory of systemic disease -diabetes mellitus,hypertension, cardiovascular, tuberculosis, asthma

) 7se of certain medications, such as antidiabetic,

anticoagulants, corticosteroids, antihypertensives

regularly. Last two drugs should be continued duringsurgery and anesthesia, whereas the other drugs should be

modified.

) 4istory diets -when eating or drinking last. E+plain the

necessity of fasting before surgery

) 7se of false teeth in a patient should be asked

) *he habits of patients -heavy smokers, users of alcohol or

drugs

) 8amily history of disease



PHYSICAL EAMINATION



LA2ORATORY STUDIES AND RADIOLOGIa. &tandard e+amination of the test blood -hemoglobin

levels, leukocyte, bleeding time, clothing time or AP** 9PP*

b. *he level of fasting blood sugar

c. Liver function tests

d. "enal function test

e. "adiographic e+aminations

f. E+amination as a supplement to the indication of blood

sugar 0 hours post prandial, an E: for patients; 3<

years

g. 'n ma=or surgery and may also be problematic check the

levels of albumin, globulin, blood electrolytes, #* scans,

pulmonary function, and physiology of hemostasis.



COMPLICATIONS PREPARATION 3OULD HAPPEN



SE4UENCE OF GENERAL ANESTHESIAAttach tension, saturation,*urn on the monitor and the anesthesia machine.report to the consultant, and the operatoranesthesia already be done.'n=ect pre)medicationeyelash refle+."aise o+ygen to 6)1< lreduce o+ygen to 2 lincrease %0/ into 2l.do pumping when needed.%ote infusion, pulse, blood pressure, saturation, pump or monitor machine%e+t live art anesthetic.>hen the operation is nearing completion reduce the dose gradually until then s?ring the patient to the operation completes "".And wait until the patient is awake



MONITORING PERIANESTESI1. Depth of anesthesia



CONCLUSIONS eneral anesthesia is a central act of negating pain,

accompanied by loss of consciousness and is

reversible consisting of hypnotic analgesia and

rela+ation. Prior to general anesthesia, the patient

should be assessed which includes some things that apatients health status, physical e+amination,

laboratory tests and to determine the physical status

classification according to the American &ociety of

Anaesthesiologist -A&A. During anesthesia,

performed monitoring the general state ofconsciousness, blood pressure, pulse, respiration,

temperature and bleeding. 'f there are difficulties

for implementing general anesthesia, such as airway

and intubation, should be treated with care



TERIMA KASIH

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MATUR SU3UN

monitoring peri anestesi depi

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