Download - hentijantung-121105190125-phpapp02
![Page 1: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/1.jpg)
HENTI JANTUNG
Dr.Arga Budiyono
![Page 2: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/2.jpg)
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
![Page 3: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/3.jpg)
Penyebab
Jantung:
IMA (terbanyak) Miokarditis Kardiomiopati Trauma/ tamponade Gagal Jantung
· Respirasi– Hipoksia– Hiperkapnea
Metabolisme: Hiperkalsemia– hiper/ hipokalem– hipotermi
· Sengatan listrik· Refleks vagal
![Page 4: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/4.jpg)
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
![Page 5: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/5.jpg)
> Respon sistemik masif- Katekolamin - Hormon ADH- Adrenalokortikosteroid hiperglikemia hipokalemialaktat aritmia
![Page 6: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/6.jpg)
![Page 7: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/7.jpg)
Resusitasi
Tujuan> mengembalikan fungsi pernapasan> mengembalikan fungsi sirkulasi> mencegah kematian/ kerusakan otak.Prinsip :> early access :> early CPR> early defibrilation> early ACLS
![Page 8: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/8.jpg)
![Page 9: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/9.jpg)
![Page 10: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/10.jpg)
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
![Page 11: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/11.jpg)
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
![Page 12: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/12.jpg)
![Page 13: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/13.jpg)
![Page 14: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/14.jpg)
![Page 15: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/15.jpg)
![Page 16: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/16.jpg)
![Page 17: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/17.jpg)
![Page 18: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/18.jpg)
![Page 19: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/19.jpg)
![Page 20: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/20.jpg)
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
![Page 21: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/21.jpg)
![Page 22: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/22.jpg)
![Page 23: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/23.jpg)
![Page 24: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/24.jpg)
![Page 25: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/25.jpg)
![Page 26: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/26.jpg)
![Page 27: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/27.jpg)
![Page 28: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/28.jpg)
![Page 29: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/29.jpg)
6H
HypovolemiaHypoxiaHydrogen ion “ acidosis”Hyper/Hypokalemia , other metabolicHypothermiaHypoglycemia
![Page 30: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/30.jpg)
6T
Tablets (drug OD, accidents)Temponade , cardiacTension pneumothoraxThrombosis, coronary (ACS)Thrombosis, pulmonary (embolism)Trauma
![Page 31: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/31.jpg)
![Page 32: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/32.jpg)
![Page 33: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/33.jpg)
![Page 34: hentijantung-121105190125-phpapp02](https://reader031.vdocuments.pub/reader031/viewer/2022013101/5695cf751a28ab9b028e3148/html5/thumbnails/34.jpg)
Terima Kasih banyak..Assalamu’alaikum wrwb