Data Pribadi

Nama : Yuyun Yuniaty, S.Kep., Ners

Tempat lahir : Tangerang
Tanggal lahir : 30 juni 1977
Alamat Rumah : Taman Royal 3 Jl. Akasia 3 Blok AS 22 N0.22
RT 005/ RW 015 Tanah Tinggi Tangerang 15119
Nomor Telepon : 085920785077
Email : yuncantik77@gmail.com
IG : yuyun_yuniaty
Facebook : yuyun yuniaty sudjito

PENGALAMAN KERJA
1998 -1999 : Staff Perawat Ruang Perawatan Penyakit
Dalam RS Pelabuhan Jakarta
1999 -2020 : Staff Perawat UGD RSJPDHK Jakarta
2009 -sekarang : Staf pengajar Diklat RSJPDHK Jakarta
2009 -2013 : Instruktur Pelatihan BTCLS YAGD 118 Jakarta
2010 -sekarang : Instruktur Pelatihan BCLS & ACLS
RSJPDHK Jakarta
2014 - sekarang : Instruktur Pelatihan BCLS, ACLS dan EKG
Pro Emergency
2020-sekarang : Penanggung Jawab Diklat Keperawatan
RSJPDHK
MANAGEMENT
OF
BRADYCARDIA
&
Yuyun Yuniaty, S.Kep., Ners
TACHYCARDIA
 MANAGEMENT OF MANAGEMENT OF
BRADYCARDIA TACHYCARDIA
✓ TERM AND RHYTMS FOR ✓ TERM AND RHYTMS FOR
BRADYCARDIA TACHYCARDIA
✓ SYMPTOMATIC ✓ SYMPTOMATIC TACHYCARDIA
BRADYCARDIA ✓ SIGN AND SYMPTOMS
✓ SIGNS AND SYMPTOMS ✓ DRUGS FOR BRADYCARDIA
✓ DRUGS FOR BRADYCARDIA ✓ MANAGING TACHYCARDIA :
✓ MANAGING BRADYCARDYA THE TACHYCARDIA
: THE BRADYCARDIA ALGORITHM
ALGORITHM
MANAGEMENT
OF
BRADYCARDIA
✓TERM AND RHYTMS FOR
BRADYCARDIA
TERM ➢ Bradyarrhytmia or
Bradycardia : any rhytm
disorder with a heart rate
less than 60x/menit
➢ Symptomatic bradycardia :
HR < 50 x/menit
➢ symptomatic
bradyarrhytmia : signs and
✓TERM AND RHYTMS FOR
BRADYCARDIA
RHYTMS
➢ Sinus Bradycardia
➢ first-degree AV block
➢ Second-degree AV block
❑ Type 1
(Wenckebach/Mobitz I)
❑ Type II (Mobitz II
➢ Third-degree AV block
 ✓SYMPTOMATIC BRADYCARDIA

THE HEART RATE THE PATIENT HAS THE SYMPTOMS

SLOW SYMPTOMS ARE DUE TO THE
SLOW HEART RATE
✓SIGNS AND SYMPTOMS
Chest discomfort or pain,
shortness of breath, decreased
SYMPTOMS level of consciousness, weakness,
fatigue, light-headedness,
dizziness and presyncope or
Hypotension, orthostatic syncope
hypotension, diaphoresis,
pulmonary congestion, chf, PE, SIGNS
bradycardia related frequent
premature complexes or VT
 ✓DRUGS FOR BRADYCARDIA

ATROPINE DOPAMIN EPINEPHRIN

(INFUSION) E
Pemasangan
Transvenous Pacing (TPM)
TRANCUTANEOUS PACING
(TCP)

Alat pacu jantung dengan cara memberi

stimulus elektrik ke jantung lewat kulit melalui
elektroda, sehingga mampu menimbulkan
depolarisasi dan kontraksi cardiac
INDIKASI TCP
Bradikardia dengan perfusi tidak stabil
Kondisi klinis tidak stabil berkaitan dengan bradikardia
Persiapan pacu jantung pada kasus Miokard Infark Akut
Sinus bradikardi simtomatik
AV Blok derajat II tipe II (Mobitz)
AV Blok derajat III (Total AV Blok)
New LBBB/RBBB atau bifascicular blok
Bradikardia dengan irama syptomatic ventricular escape
KONTRAINDIKASI TCP

Asistol
Hipotermia Berat Pasien Sadar yang
memerlukan Analgetik
 PERHATIAN
Jangan mengkaji NADI KAROTIS!!
Stimulasi elektrik dari pacing dapat menyebabkan otot terhentak
sehingga meniru pulsasi karotis
PEMASANGAN TCP

Atur
Miliampere
Atur demand Output 2mA di
rate di angka atas dosis yang
Nyalakan Pacer 60x/menit diobservasi

Pasang
Elektroda di
Dada
MANAGEMENT
OF
TACHYCARDIA
✓TERM AND RHYTMS FOR
TACHYCARDIA
TERM
➢ Tachyarrhytmia or
Tachycardia : heart rate
greater than 100x/menit
➢ symptomatic
Tachyarrhytmia : signs and
symptoms due to the
rapid heart rate
✓TERM AND RHYTMS FOR
TACHYCARDIA
RHYTMS ➢ Narrow-QRS complex
tachycardia
o Sinus tachycardia
o Atrial fibrillation
o Atrial flutter
o SVT
➢ Wide-QRS complextachycardia
o Monomorphic vt
o Polymorphic vt
 ✓SYMPTOMATIC TACHYCARDIA
✓ Hypotension
SIGNS & ✓ Acutely altered mental
SYMPTOMS status
✓ Signs of shock
✓ Ischemic chest
discomfort
✓ AHF
 ✓DRUGS FOR TACHYCARDIA

SOTALOL
ADENOSINE PROCAINAMIDE AMIODARONE
 KESIMPULAN

01 02 03
Determination of
simptoms or signs do to • Is the patient Provide
the decrease or increase stable or treatment based
heart rate
• The heart rate is slow or unstable
or fast
• Symptomatic or
on patient
• The patient has
symptomps Asymptomatic condition and
• The symptoms are due to
the slow rate or fast rate
rhythm
TERIMA
KASIH
I am proud to be a nurse as I get
to make a difference everyday