This Month Z24 ome 2 20K EEO 1 5 9101112 Men oTue pied OThu GFA aSst aSun BBDM MODUL 4.1. MASALAM PADA SISTEM KARDIORESPIRAS) SKENARIO2 - RERDEBAR -DEBAR | [tea ote a ump | Sepert. berialan_cepat Sclama bulan int, Pesten juga mengeluls dy-spneg op | exertion (DOE) sage cluivitas sehai-hart perw bah dan kedua la | benghioh , srdah de par | dyspnea CPND) ml [Mone ih pata gusta val lat lsat oat aul als. 11 $0 bam demam,secuk nagar, polyarthritis migrag, Dirawat dt rumah dan tidal: boarrsl la dohize srumah calie. Keadodo ununn tana underweight. TD: 0/20 ; HR? Moxy menitirreqular di Goxymenrt , to culeup + -puls deficit (4), RR 226% smenit 1 t237,ctc Mau tidal tampal exophtal mus, Iuher 4: dale famed trauma, mitra aa >, IVE R-3em. Thorax chmeniy Static dan dinamis, Pemeshraan pars dalam batarnonnal. Pemeihraan buayi jantueg bien I irregulee jrreguler, ada biciny mig=dractolil si apex jury, i -» Pesnertle an_abdomen dalam bataracrmal, Pemerh rian istunttast chorea [=r jerythema margina tun ¢/=), clubbing fiager Ek S avd i vespoo Ventilel copak Stop I: Termninslogi L. Pal pitas ‘besnaisi saat Jaatuny, herderol: lebih cepat dan tidak beraturar. ——chiassnyo, beesigar subj elarga 2. DOE: dyspnea ~» stocuss kesulimas ketidalnyamanna seat beenatar, Pade saat fs4irahat. dn. PND: Stasnyi shortoesr of breas), dng Menbang uohon -bantin, bap tenadi setelah int jam tradh don brasanya metbaik pada posisi duds ibis u ni Scanned with CamScanner2.8, it migonn stich yin bef arta S104. ohn alr over ot off O60 oben peepee dha ptt §. Mnderwerghts BM) 12s ¢ bedy wrighe ape lew ty be healthy 2. : utenslina oad 9. Mengapa sidol, deste? 0 Mengaga IV tidal abnormal: dickipun teat dena pate luasg 6. Nulus depiay + fauer ples inthe orkerses than there ans beantboote | Ubtatanga eaten APL sania op theheart bear iereylacks + very quid) A semetines the atria ma i a contract ithe thug: completely Veadoan hipertirotd. 8 Shrine: tuare peobeoghakan pada lebee Naren purb couran lelejae tin tt en gel tte Bsa gga dibetkas | exkenus Se led areca 9 je Che clay is a Stes ten ih pata | dagian /lebsk yany a ied sion shale spateal gealian ot bemeralal 4 er fibatlast idalatenitue Jung one Soy-600x (meat, guliP dingo amplitude ends schitges tidak daoar Kidanighen ujarak B-2 inreyulie. STEP 2: Rumuton Maral, ss ih | irae Lali? | STEP 3: Brains ornting | L \ Hh vite: ioagul ocmal ear. | aad cabep wasih bi ee | Traal le Mi i emilee: dlediny csr batestantns tidal anton bing dew is vanae ena i seat yee iar ae tot $ |. jonni ani ih —terkhat © ealougun ade -tetapl aneplitudonya rrodahs .Gelembany QISS inst mn—n-tjienlio- ast La. Habungans akrtnon hanya ae Auagen saayat par-sehiagga 7 Pedals (8 rene ini Hie jootung azaggt tp karan doral yery drrtalutlas heaye suhis aka fadi yooy smuncal readah (al Ada AV block.» AV im sis < 0 x/tal wortswe meh di Vent Nadictanta bile ads tahsons Serie chop dea pd [4 Hobungannya sida cpt [ae eer ar Sena ihanangecpereh | Apa interprets: hasil dex pencalsaos ying diahulion? uta Lea dat a ulsuc depict ? wi —eayel_dea “2 o AP "i Men Lecdein pate heh: a Laka el Ut tty = alae Takis tie many cnt M a Sy tye drwnguler? * |e he buluh pecifer 1 telronna hider {asic — 9 cai 4) beta Saree Mae arene ada Peonbulsh henar yas techs Scanned with Coa| SERS ow Boone dapat 4. emegal e 20 gan At Cape S' SAS & 2 oominballen cncnss Seba Lefiouei etivlosi, falioe nike atrial fibahas SKariaa tdange AP, ribneitngelie atria dasuesilel bpmoge lide | 4. Ganbaran Minis “G Nagdus sat kul dan srdal dient duayan bar. in elo dari bales forouennr dee patetinclog’ age i outa “AL Penesibgoan genuniong te auttioun. Sole) setunyn adelah dt jantiny Cbiyion policy tng s. Dp ~Atrlutas katue): Dapat terjads seentsir [aly otinm tteaberan, dan Leqadt © Kornplikas den papas Af 4 Tite lalicona facrmabeloys dus tor gate “2. Buahotannya deagin tame sivpaite DOE dapar tecaa Laeens Ha ®. Eduhan den pnajahe abyivtas *. pact peaifec ts 4 cara g simparie. > “HiBhton”Pryp aid i oat, labs as STEP. BELAIAR MANput ltivitar singotsr Saat: sinin, ND banal tecladi Pad L Atrial Ghilog + aris Jooting duager harabedth: tduh teria 1. Garaburan ERG: RA inkeval irrepilee dey tidal reper yagel jaatun 1. Guusberas EKG < tiddcade gelonang f vary jles SpousadPsiee tt Ait tule Lavoie) gatas Suds 2. Sllue atsial Cinieval ai oninra 2 aburivast atrial bile dpe dithar Yes an Le : —______hreviring Neceputan 2300 %souask (<20pe5) infehs ays tudah tariad: long Cheeni) > tugadiclesitnsi « recoveey sits don; whviuan impale littl Io i Aid sehingys Cargue BAHAY, esrsice 2 gay VP age: tetap: narmal Jal dita beh vena cua cv eteine tidak | Curaiac Qulyue ~ beoeteh gudas hipoteast des honsesti oa aevabdans. ave Ja pasita veawhel asc letrela STBP4. Hicd Map Tn sok ti —— We: APL 3 Tatalelrnon > Eduliaa Hos berdsber sas 107 Farwher non Teneo Dlarvitas bora faut Fitseashn DE) Raw cule dibtial yang normal dapat ferguson veonlcl nt Jan cteola vlan sisatshon, 2. fl \oog oye bentrrlas’ atria) > mucyebablias Stars darth fads atu + soho throws Mhusisnya fade abe is = Sraal ada atu hic — STROKE EAKTOR RISIKO = : L Pendovito + — puoglut lotup mibral co:steresic miteal, inguti sien pues ve avon) siecle ferent de: Ky = penyalad juntiny isleonia ena aba : j UIE. ingach wilacd abst Z a Gate — Ha ple vaag jonny cpeasahit jong reat) Scanned with CamScanner> mere a ot 8 PRINSIE MEKANISME ELEKTRO FISIQLOG] FA: fal 1 ror atria Faluror Berbaga: abit Jontury + poser pv bahan Strubivrs ling puda ill dup atrium, Pada atrium, terdapet pyolitican Enlob) AFib Apecul Lisblar> géngyuan pinghartarns clebbib wr aptura ome w al = luetidal sefmbangan tn Ca dan a. Pening le el : carpet —__K* talon sel > gemadelian pariode retroluier efebtig > igama inisian Fs Mekanisnar_elehtrefisiologi = Pemeadthon prio ritrakice fade serat msi: Cemsharicne felulee da aluivito s gahaly re-entry > Vera pulmontr exndaning muncerurlon atv + luluinan geagisiun 4 fuyosecgan Puan abrivne hig jen » Mec eringat + hierknss puleas (chronic obsievchive puliurary ditace -talvarttoria don cor pulrnspaly chron) =Ablusi dilabukon pads lohust & mang terdapat grek. paling tinggi vean 1 tuunte inten codige rae ory b. Prrces ingilerati¢ dan inglam Vee tee] = T_ 3. Tredisposn genes pubocoor-r atria bn Mo! poem [aor ~Sindro QT avitrnia sugravearabulanctersanth FA) | \ | | ' | | » Levicarditis atau oviacorsi | + Anileidosis don sarcotdosis ws" Ley Brigada Sirdem | = - : Sean + Falttor peninghatnn usia i Hipuetrogi baci celsitan Veni &_froser ings [pee \ =Hivertos utrive li Cintas gen PRKAG + Dereon + septa — =T = mutasi Coding peptidu atrial natiuretl, neuruy channel SCNSA, Mung ¥ ‘i shores | LTS : Pada chapne! petasiuen janting «hese ; ver | GELS) Jaov Wa ‘vial itaton with moderate venocular response | it e Neweiguil om | La A ‘i Niece Uae eee |g pes ean ey = £. Nhewile Aten * Vnfacl tinea sea Obar- ob, . : Scanned with CamScanneraldivaci al = TaAOLL VAL FIBREAST Mckantse flexi ubivon jdt duagan maloaisme Ebeind voll lesen 2 orser: abiivad_ fall deo nuletele | — Pa se faleol bra mslibatlca \L_sunggel 7 depelanrast ke Jany Pada estualivin, fal, fobarchngl gad ~|_doeninug odeloh beensal dant ver wuptrite Seloin 6, falar tlt gil bis ju wheal det_aimvabotee view cava supestne dan ines carsnvinr | teripalan faltne 1 rederposin bags 2 | lecualt bile braseonyaterngaca huaye di eaasre dint atrie dan bukord wavelet reeony. fade psec ohtivas | a obst Vuntrill. Penyeba rity diteashon tcaimbulhan abil «| Gala tom altbeteon pier depslanaes| gj brlan « purlesaran_afiuee albus len home jurrung yory acegal oir p : Folue eltopile ini mnuaisnbu lela k yang ogaosh Potrasal als pusa strive dan meoggdegou peteesial alii yang ditehusle dur sing SA). Se N avelee re-tn ean ease ook ais) yang bi wiling dao toslbathon sirkuit cicw jalur depslaacast Mela —uuligle waslet reentry didal, serganrung pada adacyu fous elteyil | s |b tecguatung pada sidibie | Lunyclrsa says) clloik Yury enempeayarsh’ depslansrer Timbulaga gelombung yoo menetop dan agelonsis\ ahial atau wavelet yong di ‘ ur eivitas oritces eal dav fleas | Sey tenes Secor Cepor, Pada mule let teeny, seit bangobayd rle_wavelet teesiny. sede banyabae Sigal dell epejoahi + hoe itv pusaie eetmate,, hewn de wefeactony , beruraya | ules at dan Lacan land Hal ini bisa diapaloyilen, | THebee dscns te Hangs cle dita disen ncaa ecole tefen tony, Aesamga rusns tnties luceyattn honda. 10 ice tin ite dheson nana endo] —Lefractsy don teqadi peo, cali bile prasesny a te rungs di a: don bukon a MN 1 a be olen yeast basal india aloe] otras any bictledas al mntnytdinkos hoods yang ztpar uy sebul, jalur lls yan pusjtns dune tub lacs laze yaty hun ‘lass tring : Lp | tthe tpl dal Ja este tite ary ls Menahushen Yeviadiays ariel filnloss 1 depolarisasy sete eee ESSE Scanned with CamScannerou we Sto a ee fy ctee Sas ome OM Seat oben G Mal Fibula . Lantanes tobe eS = aun bis tidak inst 1 dango pusite tanh Arla - Honus ia alibar J cualr ato a a tanec peta Fava Lao lagu yt teehee ge ae ky | os ed ———— linuy p. TEE Cla recall le dion TAP ongus rhe tal sibeaigia dager AE aps Sala a eh al ies a teas: Loy ego bo ernbels (eli Vege trader’ pliee-vinlllevay cfm Vt vie co Delay PEPICRLKS AAI PENUN ivy te oye lint Aap apn ME ala ay ol i Anan lesagulass des hal int diptnyambi omanye JE. = dapar dilerahus sige AE — g 2. TANDA DANY GEINCA AFib > X funds a gale scemech, her pe tustuoce. fucleinal urtsten, GAG 0) Ses AP eda gine | tegploie pnyabitnye, Umumnges gale dai Aft : 4 diovst jestun Laue turk ots Peyton Cht,© AP < yg JAP Condes Sid jamsandoan tab | Juidebteratiess inte jontuny + Lutitah stable hemediunth Wing) sali dhe leon jst agus mn aa Phas bub baton eee | | or fi aria leet hi : Miles | jas Jain yang aiobiberbes b = aniatalo be ers tn oligos dumb be jargon, psa: pring Muleahen pucol nator Jenhnuper toast, Franc puley, gel, gang ove vlan | i 07 epnode dey Prt duh suntalalben yealae audaayo trhasaie/gopal [attuny Layertie sibel tel = fuoyaluit Jonhing yar eualarns, pyayelub luis dur AP eanaasehiatni | = falas ong tus paleo thle many i. Demeakcaun Fi in Li lu + toada vil dunt nai Chaaraie erent) ds Geile nat aane £2). Yee ee AE anes bad Lert has : ' |__* aah tata pays basunplitua gosel ty bomerip ta ate geet ales *icaote wallop Sy pads aurlsleas® juntur ann qesa jatay heen 2a de il, tin man, ltdas te rp began ada sn pada evel hago a bs doo welagan i se as ‘ Negatsnayil :aghin ae gap esa : al. ; . fe seg tet rourghin_dde yop 7m Lora Lalas da doin . on rd Scanned with CamScannerTile dicurigai Herdapar soho Juche mine gra om a oo L) Multttocal Atrial Techyeamaia (MAT) iv. Teaushrarn EKG? dapat dibutabas sienna curds Phd) at vail ki : te pretlet hos cin dew pe-vlorad vainlul hed. synbanee dons Uh] iunigibe jaionys sodangs ichweni y vont thacax . : lan Miia dad Aum evened hipvwop vent eilal Lui Very lal Tet Byopago Echec this ourtlow dog bya w liket theowbus deahye hy luluhss tuna soma: ber debar —delar cpalpttuci) Cai bhar MATa BAG = = Grlicnbaty f teclher, tebap: bebedsbede seacgoloyinya = 5 Pr el. = uli = lajy 7l00% Zin. is Pengé tail +d AP tgmde t lofu jaune venribel li isl dkkonta si lilo: idles iS" ountlon edeluas dex huoin! laa — hi pith t x. Px lain: helbee unite ell 5S. DIAGNOSIS BAN DING alo 1 Abidl Flutter dapat beclgesicon_munjaai Aeral Friis te ABs Lenin ecuajadi Abstl Flusfen a paling suetny terpadt . Hee Alain dee ii artinia ue muncsh pelunaw Af seats gue a heel WR eg cao 2,Supraventricular Tachycardia ©) Freguror Premature Abral Cootructine CPAC) -sedulal anor Xanga teclhar Sar BAG * bio didiny neve papti denyan Holeee monitor. Cea kbar pads EKG =gulombany P tidak mocmal otvleeuly = fds yenesde lore arabe onttin rity loaelebe deogon homeldhe ww lautnys = Tuma irrgyule Changs pate PAC nya) Setedah ity eepulen. pee se tenet et et A 3. Atrial Flutter i ee — Scanned with CamScannerTeme Ff Ge HOESOO [_MOMPLIK ASL Tpdalarcaaler dan ntdsh sen [p}-—“EROGNasie lad 7" 6) al * hi Pasi: we hil roa dripada inn Ui pu angus osnyebablas tole: bel yh — i : sa sage AO" pobh detab dt tal nal | — oi esac Se ars ele bya ful gong las i diana pata 010 euntungon ke brkeclan ra Le (API fertng Ceanibullag . na We | urs egny ge Seang4a_ jon exh Terage APS secarn lercelutulae Mermbicshon prnyaons yay lebih be ual a ee ainuy john vp Urban el | lap Wil taeutnan he macaarhdttba “hetnr munstlablan nayek dank yeng tertyyel elo otis cotiomitganstils-tidol teebontrl dinjas bas Teclatehaye AE dapat 4ak wove by dol a e Liat may abhen qayal yi w Un poe o inh 4 fan s (a pe tudo turban danh tea: A five deb bedinyer 7 180 > founds gant dy ferguli® Late jontany: crmele dle recke siayi als tuadin a Lyannge didal lik das: ton. Mabintingg: frelutost duogir don cle dagal jyoiuas Saar taqudt AE sie le abd, rehie lon. play Jeshatubay gual iol = Selon an’ gunedlen joi fring oulanthon peceleanenga rauseouhs ich a esuubin-walia euauatlat hing Lund ed Dada grossly letuy jantun Hen mM rhuayhl ost thine evi eideb dapat nelle 4p eran asa ol sitar alan (teh, dindigags chen musbiran dag musmudublon # YonyPay_gu tidel steany, £297 bution pandudry leahep fal ini distbablon sunba tin AFSC hostels on te dae Halal dh teroryniman don “Hale teen teas Whelan toll wats uyesllee ds eba leat Gre . " A bee . Tee tel ft Horchata pulaoeal si enna tn Piola tantuey eae {fF Dit sitaton Scanned with CamScannerTenn 2 aa kooes ou PARMAR on UAAA Glin ote owe ote oman ene 3._TATA LAKSANA ato. aed SOO halon ama ube =fahine qu el 0 Sn Vu, gant! itanc_jantuny eg | = al St las suaph tac iy fe eect eae salah satu pug San ss Hawt Weed tn tah yng bigs Ll Liga Btcacta_tonan dan teu janong. ade desacageyboctasngl tps a faa fa ta daa pengabaten eli | neanba eth 1 to) dan electrical cardioversion | a: Memeagah 4 nn darah_Crromboembali sme) Widen Xt stay ees i a Bee rng secara [ay | Soha: digiinlers @-Llochees dan ante gerit-balitum, bisa Tas cam uibialaiqusdincss tee sect uae ee es Sanna ene bar oe oa lvas hinesja sana meatllhaisnns Somnpiny Low, digitalis a al da arsine ed. Flats nhl tk cabin acl | Wal ini i pao abnormal TT Vache sl aaa mgna Tia chia pat kt dug jenny dan bearable jonbiys | dari ebictrascelur la dalam intrselkesnekoat_Ga** channel yas edapr Vardi versi_merupalian telah satu proatalalisonean:yaay-dagat 4-H enuntt_peagentanads, setts abl ah sate tatn_laleana,yang_berfangst vata mag) pias! dou AF Pony Het sian jtar_ant koag Ulan /anti~ “ vhs al ini gst maayarsoy tae | jonny behia_unts daui-eclinlan lal Lb serta cabouy = cua Fels ini olean btrabibat dalam etintant leinja faaiung, ———— netted heli hanwah iar jontung_alibat dihuobatays inn'G™ dan bu es drantaranya: rene tage len yng bef dele el — Mle —tualuatul Ih Wnoay lass. Weetsd ———— ail ian . & Hengeaballan irwna jan hong ‘dngat cepa diperae he Apa \ hes Instn gm tle eda tt eg - re neo 4. Lar fay babi inmt_deagan cata hcid tas; chunk b> A sounttnaturkan itamna faniung ——la eds ented “ hes Seat Preludes honjgastglalerit 2 jen e reaturan Irama dan mesnnlisn clung joing: am dibagi mucjadi a+ peagebatan facmabslag. ¢ Pharnecs lege : on irtwrille mumatiielas alice tena ax) dag . ei akg | Ct da pupa lilacs ——— ——Hteminal Bp aa Ce tlt on asin se ‘=fhomacegsl-Cyeeetn_nc ait) + Paik ele cninide —fempafenoae shean Cova) gn tathiek at pmtays ended ‘rin dulara way Laren Ann thanks Tytania s Dogedilite — “Uburilide —- Gulaidin x al 4 ~~ Scanned with CamScannerbi ath te Moe eda tlh tl ea wal bar ia tnid al 3. Operanye calanoid 7 yen Siahog een a a. EDUKASI PENCEGAH AN : Borg RPE Scale ‘Slag ba ee pads dase taba Keatdian Ata bli aa aba 1, Sie tear mal at mi ecto Late basin sjuog ltescettapee deitrada ang ctu Meoskans dese 4 Jkotobee te arn sina / fact hae sag = fale a angsny Jaal tichadel 4. Memenikraapakal informast_dipthant Leash —tane_opeation mit cathe abla neal ; Scag ada Lencegshan Primer : Fayrinlan fabive predirganic’ dalek, hiptckan: ruanlier iste “abit” y any. befonas Jon} §_engatan fabine linghingan . maghiadar’ allesal hatin, ster aw ie whe —Learyalon schuniee: de har tenmay Le delim eenusal ox ptrita vatule cyt lem la~ selunh obo qonarnih Diya Sunttat pro an toll wa ha dosiy | daccuailion dengan dosir terlaril yang wunimbullan efer - unaon dbat yong day ue beaMerabsi doe senine bulla nota tye hacvr dcrampuien Pada Puen mica! h mtalirolste ggiivadt mie hawe hinder Finston lusehiton + tisikee ‘mundei}e _anitorin wicing wsir Koppubtnst Leeaung nun ada Hidahoya tt Ml tent si “il nem ilila : : + nvayat peryehir Tentudy sep errs _sindvonn horerur abut y Gaya! jantysy prayalit jantury honyenital clulaite berupe elistra parkway bopdub} jantuny) : : ugg * tiweyat quogulit pu + PEL dot Huby! pada PPOK cxnbsli pad imeyema dup acm s + Yuta cer eschates dini: hip dar ~alkeholrolele, obit, Stimulon 4 ong ronwubtass grays dole: Lom tal eclunen daveb dys: bolerieo) fide aluivitus wwiin Jroasumss abun wha unhy le) onbtny STEFF: Suraber : ~ buku Ayr Thou Peoyabit Valor Edisy D. Jit T DAPOL zy = fedomoe tataluk sana Atrial Pibrllos: Pechiaputon | Dohter Speng urdivvusleuee Tdlonene. dvi Scanned with CamScanner