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Pathway Gagal Jantung Kongestif

Pathway Gagal Jantung Kongestif

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Published by ginong pratitdya

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Published by: ginong pratitdya on Jan 04, 2010
Copyright:Attribution Non-commercial

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10/08/2013

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PATHWAY GAGAL JANTUNG KONGESTIF
Disfungsi MiokardBeban tekananBeban sistolikPeningkatan Beban Volume(AMI) Miokarditisberlebihanberlebihankeb.metabolisme berlebihanKontraktilitas
Beban systole
Preload
Kontraktilitas
Hambatan PengosonganVentrikelCOP
Beban Jantung meningkat Gagal jantung kanan
CHF
 
CHFGagal pompa Ventrikel kiri Gagal Pompa Ventrikel KananForward FailureBackward FailureTekanan Diastole
LVED naik Suplai darah jar.
Suplai O
2
otak 
Renal flow
Tek. Vena pulmonalis
Bendungan atrium kanan Metab. anaerob RAA
Tek kapiler paru
 SinkopAsidosis metabolik Penurunan Aldosteron
Edema Paru Beban ventrikelPerfusi jaringan Kanan
Bendungan vena sistemik Penimbunan as. Laktat& ATP
ADH
 FatigueRetensi Na + H
2
O Ronkhi basah Hipertropy ventrikel Lien HeparkananKelebihan VolumeIntoleransi aktifitas Cairan Vaskuler Iritasi mukosa paru Penyempitan lumen Splenomegali Hepatomegali(Pemenuhan ADL) ventrikel kananReflek Batuk 
 Mendesak diafragmaGangguan pertukaran Penumpukan secret Sesak Nafasgas Pola NafasTidak efektif 

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