resusitasi neonatus.pptx
TRANSCRIPT
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ASFIKSIA NEONATORUM DAN PENATALAKSANAANNYA
Oleh : dr. Kartini Badruddin, Sp.A., M.KesDibawakan dalam rangka
Penyegaran Keterampilan Klinik AKBID MUHAMMADIYAH
tanggal 25 Des 2011
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PENDAHULUAN
• Di seluruh dunia, setiap tahun 4 juta bayi meninggal pada tahun pertama kehidupannya
• 2/3 dan dua pertiganya meninggal pada bulan pertama.
• 2/3 meninggal pada minggu pertama. • 2/3 meninggal pada hari pertama. • 23% seluruh angka kematian neonatus
asfiksia neonatorum
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Definisi
Ikatan Dokter Anak Indonesia • Asfiksia neonatorum kegagalan napas
secara spontan dan teratur pada saat lahir atau beberapa saat setelah saat lahir yang ditandai dengan hipoksemia, hiperkarbia dan asidosis.
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WHO • Asfiksia neonatorum kegagalan bernapas
secara spontan dan teratur segera setelah lahir.
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ACOG dan AAP • Nilai Apgar menit kelima 0-3 • Adanya asidosis pada pemeriksaan darah tali
pusat (pH<7.0) • Gangguan neurologis (misalnya: kejang,
hipotonia atau koma) • Adanya gangguan sistem multiorgan (misalnya:
gangguan kardiovaskular, gastrointestinal, hematologi, pulmoner, atau sistem renal).
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DERAJAT ASFIKSIA SKOR APGAR0 1 2
A. Warna kulit(Appearance)
Biru/pucat Tubuh kemerahan/ angg gerak biru
Seluruh tubuh kemerahan
P Pulse(denyut jantung)
0 < 100/mnt > 100/menit
G Refleks(Grimace)
Tidak ada Gerak otot muka sedikit
Batuk / bersin
A tonus otot(Activity)
Lumpuh Sedang, fleksi angg gerak
Baik, gerarkan aktif
R Usaha napas(Respirasi)
Tidak ada Lambat Menangis kuat
NILAI :
AS <3 , pH <7,1 Asfiksia Berat
AS 4 – 6 pH 7,1 – 7,2 Asfiksia ringan sedang
AS > 7 pH > 7,2 Tidak asfiksia
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Etiologi dan Faktor Risiko
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Penegakan Diagnosis
Anamnesis • Anamnesis diarahkan untuk mencari faktor
risiko terhadap terjadinya asfiksia neonatorum.
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Pemeriksaan fisis • Bayi tidak bernafas atau menangis • Denyut jantung kurang dari 100x/menit • Tonus otot menurun • Bisa didapatkan cairan ketuban ibu bercampur
mekonium, atau sisa mekonium pada tubuh bayi
• BBLR
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• Laboratorium : hasil AGD tali pusat asidosis
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TATA LAKSANA
• Asfiksia resusitasi
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RESUSITASI NEONATUS
Dibawakan dalam rangka Penyegaran Keterampilan Klinik
AKBID MUHAMMADIYAH tanggal 25 Des 2011
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