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Algoritme Bradycardi Aha 2010

Algoritme Bradycardi Aha 2010

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Published by: Hananingtyas Idasa on Oct 25, 2012
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01/14/2014

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ALGORITME BRADYCARDI AHA 2010

ADULT BRADYCARDI ( WITH PULSE ) Nilai kondisi klinis 1. HR < 50 x/mnt Jika Bradyaritmia 2. Identifikasi dan atasi penyebab utama : • Pertahankan jln napas, bantu napas jika perlu • Beri O₂, jika hypoksemia • Identifikasi Irama,Monitor Vital Sign,oksimetri • Pasang IV line • EKG 12 lead jika memungkinkan • Jangan tunda terapi ( kolaborasi 4
Monitor dan Observasi

3 Bradyarithmia yang terus menerus Tidak menyebabkan : • Hypotensi ? • Penurunan Kesadaran ? • Tanda-tanda Shock ? • Nyeri dada ? • Akut Heart Failure ? ya Atropine • Dosis pertama 0.5 mg Bolus, diulang tiap 3-5 mnt, maximal 3 mg • Jika SA tidak efektif : Trancutaneus Pacing atau Dopamin 2-10 µgr / KgBB/mnt Epineprin 2-10 µgr / mnt 6 Pertimbangkan : • Konsul Ahlinya • Transvenous Pacing 5

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