ws1.1.over view inhalation & oxygen therapy
TRANSCRIPT
7/26/2019 WS1.1.Over View Inhalation & Oxygen Therapy
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Dr.Aprilludin,SpP,MKes
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TERAPI INHALASITERAPI INHALASI
Pemberian obat secara langsung ke dalam
saluran napas dengan melakukan
penghisapan
Obat-obat inhalasi Bronkodilator
Antiinflamasi
Antibiotik
NaCl 3 %
Mukolitik
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Beberapa cara terapi inhalasi:
Inhaler dosis terukur (IDT)
IDT denan alat bantu (spacer!ruan antara)
"ebuliser (#et dan ultrasonik)
Inhalasi $elalui tekanan positi% inter$itten
(IPPB)
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Inhalasi Dosis Terukur (IDT)Inhalasi Dosis Terukur (IDT)
Kandunan!isi : & obat
& 'at propelan (cairan pendoron)
& 'at sur%aktan
& Alkohol
& Sakarin
Bila dise$protkan : keluar partikel aerosol dala$dosis tertentu denan
kecepatan tini ($!det)
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Dosis obat lebih kecil
*%ek sa$pin ha$pir tidak ada Ker#a cepat
Tidak terantun absorpsi
Tidak $eniritasi la$bun
Teknik harus benar
Perlu koordinasi cer$at
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Hal yang mempengaruhi IDT diHal yang mempengaruhi IDT di
ParuParu
+u$lah aerosol an diinhalasi
Kelancaran arus udara keluar $asuk
-olu$e paru saat pe$berian aerosol
Kekuatan $enahan napas saat inhalasi
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IDT dengan alat bantuIDT dengan alat bantu
(ruang antara/ sponsor)(ruang antara/ sponsor)
Bentuk spacer : - tabung
- erucut
- buah pir
Aerosol lebih lambat dihirup Pengendapan di orofaring berkurang
Obat mencapai paru lebih ban!ak
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Efek SampingEfek Samping
okal / iritasi, kandidiosis
Siste$ik : #aran
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Cara Penggunaan latCara Penggunaan lat
IDT aerosol
IDT dikocok, tutup dibuka
Inhaler dipean teak, ekspirasi pelan&pelan
Inhaler diantara bibir an rapat, inspirasi pelan&
pelan, kanester ditekan tarik napas dala$&
dala$
Tahan napas sa$pai 0 detik atau hitun 01sesuai dosis dokter
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IDT dengan spacer/nebuhaler IDT dengan spacer/nebuhaler
IDT dikocok lebih dahulu, buka tutup inhaler,
ke$udian $ulut inhaler di$asukkan dala$
luban ruan antara (nebuhaler)
2$outh piece3 diletakkan di antara kedua
bibir, lalu kedua bibir dirapatkan
tanan kiri $e$ean nebuhaler dan tanan
kanan $e$ean kanister inhaler
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ke$udian tarik napas perlahan dan dala$, $elalui
2$outh piece3 sa$pai terdenar suara klik, setelah itu
keluarkan napas perlahan&lahan
tekan kanister sehina obat akan $asuk ke dala$
nebuhaler, ke$udian tarik napas perlahan dan dala$
ke$bali, tahan napas se#enak, lalu keluarkan napaslai. hal ini bisa diulan sa$pai $erasa akin obat
sudah terhirup
……………………IDT dengan spacer/nebuhaler IDT dengan spacer/nebuhaler
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Gambar spacer/nebuhaler Gambar spacer/nebuhaler
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IDT bentuk bubuk IDT bentuk bubuk
Tidak $enandun 4at propelan
Tidak $eniritasi oro%arin
5ara pe$aha$an lebih $udah
+enis : Turbuhaler
Diskhaler
6otahaler *ashaler
S7inhaler
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Cara Pemakaian TurbuhalerCara Pemakaian Turbuhaler
putar dan lepas penutup tabun
pean inhaler ke arah atas denan peanan
(2rip3) an ber7arna coklat se#auh $unkin ke
arah kanan dan ke$udian ke$bali ke posisi se$ula
sa$pai terdenar suara klik
he$buskan napas. #anan $enhe$bus napas
$elalui inhaler
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letakkan 2$outh piece3 di antara ii, kelilini dan tutupi
$outh piece denan bibir ke$udian tarik napas denan
sekuat dan sedala$ $unkin
sebelu$ $enhe$buskan napas, keluarkan inhaler dari
$ulut. #ika an diberikan leibh dari satu dosis, ulani
tahap 8&9
pasan ke$bali tutupna
ku$ur $ulut anda denan air setelah $enunakan
inhaler
!!!!!!""Cara Pemakaian Turbuhaler""Cara Pemakaian Turbuhaler
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#ambar Turbuhaler#ambar Turbuhaler
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Cara Pemakaian DiskhalerCara Pemakaian Diskhaler
lepas tutup pelindun diskhaler, pean kedua
sudut tala$, tarik sa$pai to$bol terlihat
tekan kedua to$bol dan keluarkan tala$
bersa$a rodana
letakkan rotadiks pada roda, anka 8
letakkan di depan baian 2$outh piece3
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$asukkan tala$ ke$bali, letakkan $endatar dan tarik
penutup sa$pai teak lurus dan tutup ke$bali
keluarkan napas, $asukan diskhaler antara ii dan bibir, #anan $enutupi luban udara, bernapas $elalui $ulut
cepat dan dala$, ke$udian tahan napas, lalu keluarkan
napas perlahan&lahan
putar rotadikss dosis berikut denan $enarik tala$ keluar
dan $asukkan ke$bali
!!!!!!""Cara Pemakaian Diskhaler""Cara Pemakaian Diskhaler
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#ambar Diskhaler#ambar Diskhaler
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Cara Pemakaian EasyhalerCara Pemakaian Easyhaler
buka pelindun *ashaler dan lepaskan
penutup dari coron $ulut
pean *ashaler pada posisi teak dan kocok
perlahan&lahan
tekan *ashaler $enunakan ibu #ari dan
#ari telun#uk sa$pai terdenar buni klik
untuk $eneluarkan 0 dosis obat
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!!!!!!!!Cara Pemakaian EasyhalerCara Pemakaian Easyhaler
he$buskan napas secara nor$al. +anan
$enhe$bus napas $elalui inhaler
letakkan coron $ulut *ashaler didala$
$ulut dan tarik napas dala$ $elalui $ulut
ku$ur $ulut denan air setelah $enunakan
inhaler
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#ambar Easyhaler#ambar Easyhaler
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Cara Pemakaian $otahalerCara Pemakaian $otahaler
pean baian $ulut rotahaler secara ;ertikel,
tanan lain $e$utar badan rotahaler sa$pai
terbuka
$asukkan rotacaps denan sekali $enekan secara
tepat, kedala$ luban e$pat persei sehina
puncak rotacaps berada pada per$ukaan luban.
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pean per$ukaan rotahaler secara hori4ontaldenan titik putih diatas dan putar badanrotahaler berla7anan arah sa$pai $aksi$al untuk$e$buka rotacaps
keluarkan napas sepenuhna, letakkan baian$ulut rotahaler antara ii dan bibir denankepala aak ditenadahkan kebelakan. hiruplahdenan kuat dan dala$, ke$udian tahan napas
sela$a $unkin. lalu keluarkan rotahaler dari$ulut, sa$bil keluarkan napas secara perlahan&lahan
%an&utan Cara Pemakaian $otahaler%an&utan Cara Pemakaian $otahaler
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#ambar $otahaler#ambar $otahaler
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"#$N&A'()
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'ebuliser'ebuliser
Biasan!a untuk serangan akut* ba!i dan anak-
anak
Aerosol dihisap melalui mouthpiece+masker
- ,et nebuliser
- ltrasonik nebuliser
- ompresor oksigen
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Cara Pemakaian Nebuliser Cara Pemakaian Nebuliser
Buka tutup tabun obat nebuliser, $asukkancairan obat ke dala$na
<unakan to$bol 2on3 pada nebuliser
Bila $e$akai $asker uap an keluar dihirupperlahan&lahan dan dala$, inhalasi ini dilakukanterus $enerus sa$pai obat habis
Bila 2$outh piece3 an diunakan, to$bolpeneluaran aerosol ditekan se7aktu inspirasi,hirup uap an keluar perlahan&lahan dan dala$.=al ini dilakukan berulan&ulan sa$pai obathabis (> 0 ? 09 $enit)
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Inter$itten positi;e pressure breathin!IPPB :
In%eksi saluran napas akut deco$.cordis
Tu#uan :
$enceah!$ene$buhkan atelektasis
Me$bersihkan saluran napas
Pe$berian obat
Me$perbaiki pertukaran as
!!!!!!!!""'ebuliser""'ebuliser
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<a$bar "ebuliser
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