penatalaksanaan gawat darurat intra hospital
DESCRIPTION
prosedur penatalaksanaan pada kasus gawat darurat di dalam rumah sakitTRANSCRIPT
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Oleh :
I PUTU BUDIARTHA, S.Kep. NsI PUTU BUDIARTHA, S.Kep. Ns
www.nursingbegin.comwww.nursingbegin.com
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GAWAT DARURAT
1. KEJADIAN MENDADAK
2. POTENSIAL MENJADI ANCAMAN KEHIDUPAN
3. TERJADI KAPAN SAJA, DIMANA SAJA DAN MENIMPA SIAPA SAJA (PRE dan INTRAHOSPITAL)
4. PENANGANAN HARUS CEPAT dan TEPAT
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TUJUAN:
1. PENYELAMATAN JIWA
2. STABILISASI
3. PENCEGAHAN
KECACATAN
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TIME IS LITIME IS LIFEFE
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Keterlambatan KemungkinanKeterlambatan Kemungkinan BHD berhasil BHD berhasil 1 menit 98 dari 1001 menit 98 dari 100 3 menit 50 dari 1003 menit 50 dari 100 10 menit 1 dari 10010 menit 1 dari 100
Keterlambatan BHDKeterlambatan BHD
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JIKA DATANG KORBAN TIDAK SADAR
Apa yg kita Apa yg kita lakukan ?lakukan ?
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1. PAKAI SARUNG TANGANTERUTAMA KASUS KECELAKAAN
2. TENTUKAN TINGKAT KESADARAN (RESPON)
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TEPUK, PANGGIL Jika pasien menjawab
JALAN NAFAS SEMENTARA AMAN
Jika tidak menjawab jalan NAFAS terganggu MINTA TOLONG/AKTIFKAN SISTEM EMERGENSI (TROLI EMERGENSI)
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AIRWAY + CONTROL CERVICAL
AIRWAY + CONTROL CERVICAL
BEBASKAN JALAN NAFAS
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• PERBAIKI POSISI KEPALA• HEAD TIL, CHIN LIFT, TRIPLE MANUVER TIDAK ADA
FRAKTUR CERVICAL
dorong kepala ke belakang
angkat dagu
tersumbat
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Tekan Dahi, Tekan Ramus mandibula ke
depan dan dorong keatas, Buka mulut
Triple Airway Manuver
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• JAW TRUST CURIGA FRAKTUR CERVIKAL, PASANG NECK COLLAR
mengangkat ramus mandibula
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Posisi tangan pada korban anak/bayi
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Membersihkan jalan napas:Finger sweep
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Mengatasi sumbatan napas parsialdengan tehnik manual thrust
• chest thrust • abdominal thrust
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• back blow Berikan tepukan diantara kedua skapula
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Membebaskan jalan napas dgn alat :
• NAFAS NGOROK(SNORING) LIDAH JATUH KEBELAKANG PASANG OROPHARINGEAL TUBE (GUDEL)
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BREATHINGBREATHING• LOOK FEEL LISTEN LOOK FEEL LISTEN (3-5”)(3-5”)
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• GURGLING (BUNYI KUMUR2) CAIRAN/DARAH SUCTION
• STRIDOR (SUMBATAN BENDA ASING, TUMOR / JALAN NAFAS SULIT DIPERTAHANKAN) ETT
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BERI NAFAS BUATAN 2× (AMBU BAG)
AAirwayirway clear clear
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Mulut ke hidungMulut ke hidung
Mulut ke maskMulut ke mask
MULUT KE MULUTMULUT KE MULUT
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CIRKULASICIRKULASI
• Memastikan ada tidaknya denyut jantung
• CEK NADI KAROTIS (5-10”)– ADA LANJUTKAN
NAFAS BUATAN– TDK ADA RJP
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RJPRJPNAFAS BUATAN : KJL = 30 : 2
UNTUK 1 MAUPUN 2 PENOLONG
BAYI :
2 PENOLONG 15 :2
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POSISI KOMPRESIpada 1/2 bawah sternum, diantara 2 putting susupada 1/2 bawah sternum, diantara 2 putting susu
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Kedalaman kompresi :dewasa : 3 – 5 cmanak-anak : 2 – 3 cmbayi : 1 – 2 cm
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• JK SIRKULASI (-) RJP
• JK SIRKULASI (+) NAFAS (-) NAFAS BUATAN 10-12×/MNT
• JK SIRKULASI (+) NAFAS (+) POSISI MANTAP JAGA JALAN NAFAS
5 x siklus 30 :2 (= 2mnt) 5 x siklus 30 :2 (= 2mnt) EVALUASI EVALUASI5 x siklus 30 :2 (= 2mnt) 5 x siklus 30 :2 (= 2mnt) EVALUASI EVALUASI
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• Tidak berhasil : perbaiki posisi, buka jalan nafas, ulangi beri nafas buatan
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• JIKA ADA PERDARAHAN HENTIKAN DENGAN BEBAT TEKAN, PEMBALUTAN
• PASANG INFUS DENGAN JARUM BESAR
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DISABILITYDISABILITY
PEMERIKSAAN NEUROLOGIS :
• GCS
• TANDA LATERALISASI, REAKSI PUPIL, EXTREMITAS MOTORIK
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EXPOSURE + ECGEXPOSURE + ECG• PAKAIAN DIBUKA, CEGAH HIPOTERMI
(BERI SELIMUT)
• PEMERIKSAAN MENYELURUH
• PEMERIKSAAN ECG PADA PASIEN TERTENTU.
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FOLEY CATHETERFOLEY CATHETER
• PASANG KATHETER PADA PASIEN TERTENTU (U/ KONTROL CAIRAN/URINE : PERDARAHAN / MENGURANGI TEKANAN INTRA ABDOMINAL)
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GASTRIK TUBEGASTRIK TUBE
• PASANG NGT (CEGAH ASPIRASI, DEKOMPRESI, JANGKA PANJANG SONDE )
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http://www.nursingbegin.comhttp://www.nursingbegin.com