NURSING WEBINAR

UPDATE
NURSING RESPIRATORY
MANAGEMENT IN
EMERGENCY

PRESENTED BY
Sugiyono M.Kep.Sp.Kep.MB
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 1 Anatomi Pernafasan

Spektrum dypnea

3 Management Acute lung edema

4 Managemnet Respiratory Failure

OVERVIEW
5 Management ARDS

6 Nursing Diagnosis

7 Kesimpulan
GOAL
Umum
Setelah dilakukan pembelajaran di harapkan
semua peserta Webinar memahami tentang
tatalaksana kegawatan paru dengan Benar
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Khusus
Menegtahui anatomi paru
Mengetahui penyakit paru dan kegawtanya
Mengetahui tatalksana kegawatan paru ALO
Mengetahui kegawatan paru Gagal Nafas
Memahami masalah keperawatan pada
kegawatan paru
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BASIC CONCEPT ANATOMY

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BASIC CONCEPT ANATOMY

3
BASIC CONCEPT ANATOMY

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 SPEKTRUM DSYPNEA

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 DIAGNOSIS BANDING

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 TYPES OF PULMONARY DESEASE

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 DAFTAR PENYAKIT TERKAIT SESAK NAPAS DAN
TINGKAT KEMAMPUAN YANG HARUS DIKUASAI
SESUAI DENGAN SKDI

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 KONDISI TRAUMA THORAKS DAN BERPENGARUH
PADA KEGAWATAN RESPIRASI

Penyebab kematian KEDUA akibat trauma setelah masalah airway.

(American College of Surgeons, 2018)
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NURSING
MANAGEMENT
ACUTE PULMONARY
EDEMA

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INTRODUCTION

Prevalency Guideline AHF-ESC 2016

List all the reseqAcute cardiogenic pulmonary AHF refers to rapid onset or worsening
edema mortality rate 10-20%
of symptoms and/or signs of HF.
qA study involving approximately 600 hospitals
in Europe, Latin America and Australia reported
It is a life-threatening medical
that acute pulmonary edema was found in 37% condition requiring urgent evaluation
of patients with acute heart failure. Another and treatment, typically leading to
study in Romania found that EPA occurs in urgent hospital admission
about 29% of patients with acute heart failure.
arch methods employed.

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INTRODUCTION
Introduction
The initial management of patients with
cardiogenic pulmonary edema (CPE) should
address the ABCs of resuscitation, that is, airway,
breathing, and circulation.
Oxygen should be administered to all patients to
keep oxygen saturation at greater than 90%.
Any associated arrhythmia or MI should be
treated appropriately.
Guideline AHF-ESC 2016
Acute pulmonary oedema is a distressing
and life-threatening illness that is associated
with a sudden onset of symptoms.
For the best possible patient outcomes, it is
essential that NURSES in all clinical areas are
equipped to accurately recognise, assess and
manage patients with acute cardiogenic
pulmonary oedema.
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MAJOR ETIOLOGIES

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MAJOR ETIOLOGIES

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PATOFISIOLOGI --> SIGN SIMPTOM

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GAMBARAN
X-RAY PARU
RADIOLOGI KERLEY B LINES

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NURSING ACTION OF ACUTE
PULMONARY OEDEMA

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NURSING ACTION OF ACUTE
PULMONARY OEDEMA

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NURSING ACTION OF ACUTE
PULMONARY OEDEMA

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NURSING
ACTION OF
ACUTE
PULMONARY
OEDEMA

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NURSING
ACTION OF
ACUTE
PULMONARY
OEDEMA

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NURSING
ACTION OF
ACUTE
PULMONARY
OEDEMA

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MANAGEMENT RESPIRATORY
FAILURE

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MANAGEMENT RESPIRATORY
FAILURE
DEFINISI

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MANAGEMENT RESPIRATORY
FAILURE

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MANAGEMENT RESPIRATORY
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FAILURE

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MANAGEMENT RESPIRATORY
FAILURE

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MANAGEMENT RESPIRATORY
FAILURE

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PENYEBAB NON CARDIOGENIC VS
CARDIOGENIC

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STRATEGI PERAWATAN DAN TERAPI

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NURSING DIAGNOSIS (PROBLEM)
Disease processes
Alveolar-capillary membrane changes
Impaired Gas Exchange
Ventilation-perfusion imbalance

Disease exacerbation (COPD, asthma)

Neuromuscular dysfunction (myasthenia gravis,
ALS, etc.)
Ineffective Airway Excessive mucus
Clearance Airway spasm
Exudate in the alveoli
Infectious processes
Foreign body in the airway

An imbalance between oxygen supply and

Activity Intolerance
demand

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DAFTAR
PUSTAKA
Thank
you!!

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