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Pasien kesadaran
menurun
Tidak mampu menjaga jalan nafas

(airway)
Head-tilt chin lift ( tidak ada trauma servikal )
Jaw thrust ( bila ada kecurigaan trauma servikal )

A B
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Syok Anafilaksis
Reaksi Anafilaksis
Airway, Breathing, Circulation, Disability,

Exposure
Diagnosis
Onset Akut
Ancaman airway dan atau
breathing dan atau circulation
Seringkali disertai perubahan pada
kulit
Minta Pertolongan
Posisikan pasien telentang /
supine
Tinggikan kaki pasien
Adrenaline
Apabila memiliki keterampilan dan

peralatan tersedia:
Amankan airway
Oksigen tinggi
IV fluid challenge
Chlorpeniramine
Hydrocortisone
Monitoring :
Oksimeter Nadi
Elektrokardiografi
Tekanan darah

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HENTI JANTUNG
BHD
Precordial Thumb
Pasangkan
Defibrilator/ Monitor ECG
Tentukan aritmia
± Raba denyut nadi carotis
VF/VT Selama RJP: Bukan VF/VT

Periksa konta kelektroda/padlle
Upayakan jalan napas bebas,
oksigenasi, akses vena.
DC-shock kalau Adrenalin 1 mg i.v.tiap 3 menit
perlu 3x Pertimbangkan : RJP 3 menit
Na Bikarbonat (1 menit jika sudah
Obat anti aritmia diberi DC-shock)
Atropine/pacujantung
RJP
2 menit
Penyebab Henti Jantung (yang perlukoreksi):

Hipoksia
Hipovolemia
Hiper/hypokalemia & gangguan metabolik
Hipotermia
Tension pneumothoraks
Tamponade perikardial
Toksik / over dosis obat
Thromboemboli

!
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0+35-71)&686
NYERI
(patofisiologi nyeri)
Transduksi
Transmisi
Modulasi
Persepsi
Jenis Nyeri
Nyeri Akut Nyeri kronis
Penilaian derajat nyeri Penilaian derajat nyeri
Tatalaksana nyeri akut Tatalaksana nyeri kronis

)7)5&2+&2
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0-10 Numeric Pain Rating Scale
No Pain Moderate Pain Worst Possible Pain
!3?43D 6;43I3: ;@; ?7DGB3=3@ B7@;>3;3@ 67D3<3F @K7D;

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Visual Analog Scale
No Pain Worst Possible Pain

##"'!$#!"
Nyeri akut Opioid Kuat

±NSAIDs
±Adjuvan
Codein
± NSAIDs
± Adjuvan
± NSAIDs
± Adjuvan
Nyeri Kronik
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Tidak mampu menjaga jalan nafas

Head-tilt chin lift ( tidak ada trauma servikal )

Jaw thrust ( bila ada kecurigaan trauma servikal )

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Airway, Breathing, Circulation, Disability,

Apabila memiliki keterampilan dan

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± Raba denyut nadi carotis

VF/VT Selama RJP: Bukan VF/VT

Penyebab Henti Jantung (yang perlukoreksi):

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Nyeri Akut Nyeri kronis

Penilaian derajat nyeri Penilaian derajat nyeri

Tatalaksana nyeri akut Tatalaksana nyeri kronis

0-10 Numeric Pain Rating Scale

No Pain Moderate Pain Worst Possible Pain

!3?43D 6;43I3: ;@; ?7DGB3=3@ B7@;>3;3@ 67D3<3F @K7D;

Visual Analog Scale

No Pain Worst Possible Pain

Nyeri akut Opioid Kuat

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