Heidi yanking

Epinefpin 1. v.
1mg tiap 3-5 merit
flush dengan NS zocc , Aangandiangkat
-

Amiodarone 1- V.

Bolus
}
Doris I D5
300mg Zac 10
:
+ -
30s

II DJ
150mg
: + zocc
Edema Pam Abut
Lini I

-
Pasion duduk ,
NRM 154m ,
1.v. line .
monitor
-
Oz
Cintubaeibilaperlu )
/ merit
- ISDN
5mg 5. L .
5- to

Furosemide t.li 0.5 1mg / hgBB

-
-

20 merit →
ulangi 2x doris awal
-

Morfin Sulfate 1. (
amp long
) +
Nshingga loco

Initial dose (2-4 )

: 2-
4mg cc

Bdehdiulang 2x

Syanat :
Epd ramping :

-
RR >8 -

depneripernapaean
-

TD > 90 .

hipctenei

Antidctum : Naloxon 1. V.
0.4mg

Lini I
-

Nitnogliserin t.V.io
-20mg /merit ,
atan

Nitnopnwide 1. V. 0.5
hgBB / merit
-5mg / biladisertai
-

Dopamine 1.V. 2-
20mg / hgBB merit
/ TD 70-100 ,
syoh ④
-
Dofutamine 1. V. 2-
20mg / hgBB / merit TD 70 -100 .
syoh -0
Hipotenei / Syob
-
Fluid challenge : NS 2- ucc / leg BB ( dais aural 150cal

bi¥+ →
ulangi doris and atan 2x dais aural
atom
NS swcc dalam 1
jam

Vasopressin

TD C 70 ,
syoh ④ :

Norepinefrin 0.5 -

song /merit
TD 70 -
no
,
syoh ⑤ :
Dopamine 2 -

Zong /hgBB/ merit

TD 70 -
too ,
syob -0 : Dobutamin 2-
long / kgBB/ merit
ACS
-

Morfin
-
Oz 44m bila Spoz < goof
ISDN 5. l
5mg
-
-

Aspirin 160 -325mg (dihunyah )

bdehditambah Clopidogrel sooooo mg
-

Repenfuei Fibinolilih
→

streptokinase hsjt unit NS icocc

+ iv.

selama 30-00 merit

Komplihaei : Tanda heberhaeilan meperfuei :

perdanahan .

nesolwihomplitnyeridada
.

alergi .
ST elevari merman > 50%
.

hipctenei .

adanyaaritmia mepoyfusi
-

aritmianeperfpvi
Lanjuthan dangan Angiognafi dini dalam 3-6
jam
hingga 24
jam paecafibiinoliais .

Kontnaindihari absolut :

perdanahan intracranial
stroke isltemib <3 bulan atan >3
jam
•
.

-
tumor intracranial
•
AVM

.
trauma hepalalwajah <3 bulan
- disehei aorta
-

perdanahan internal atan hemgfilia

Takiaritmia
-

Synchronized cardioversion →
siaphan resuscitation hit

Informed
-
consent ! Riaiho luba bahar .

stroke .
hentijantung
Sedaei : Midazolam 0.1 0.3 /hgBB atan
mg
-

Propofol 1
mg /hgBB

Doris initial : QRS sempit Aeration : 50 -

too J
QRS sempit irregular : 120 -200J bifaeih ,
atan
200J monofparih
ORs leban Aeration : too J

Qrs lebar irregular :

Defile
-
Manuva Vagal →
parang
monitor , pasion tdentang ,

leherehstenei .
mended hontnalatenal
Pijat a. Karalis 5- 10s
, pantan monitor , ulangi di sisi
laimya .

Kontnaindihasi :

riwayat infant miohand

-

riwayat stroke / TIA <3 bulan

-

riwayat VT / UF
- fruit pada a. Karalis

Adenoein 1. V.

Doris I :

6mg bolus ,
I -3s

flush dangan NS

I : 12
mg
Bila perdu
II : 12
mg
bila perdu
-

CCB

Veraparril 1. V. 2.5
-5mg ,
bolus 2 merit
dais Dang 5-
10mg tiap 15-30 merit
dais Max
20mg
Hanyauntuh QRS sempit !

Diltiazem 1. V. 15
20mg
- selama 2 merit
doris Aambahan setdah 15 merit
20
-25mg
doris mac 5-
15mg / jam

Antiaritmia Cars debar Aenatun)

Amiodarone 1. v.
150mg
dalam 10 merit

dapatdiulang lila Aeiyadi VT lagi

dois m¥ce
1mg /merit jam pertama .
6
Bnadiaritmia
-

Atropine 1. V.
0.5mg bolus
ulangi liar 3-5 merit
dose's 3
Max
mg
-

Pacujantung Ananshutan
20mg / hgBB merit
drip /
-

Dopamine IV. 2-

Epinefrin 1. v. drip 2-
long /
merit