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Tatalaksana Syok - Dr. Rudy K, SP - PD
Tatalaksana Syok - Dr. Rudy K, SP - PD
11/6/2021
DISTRIBUSI & KOMPOSISI
CAIRAN TUBUH
• Semi permeabel
Morozowich ST, Ramakrishna H. Pharmacologic agents for acute hemodynamic instability: Recent advances in the
management of perioperative shock- A systematic review. Ann Card Anaesth 2015;18:543-54.
• ABC
• Address the cause à hypovolemia
or hypervolemia
11/6/2021
Hypovolemic Shock
Ringerfundin: Na
145, K =4, Ca – 5,
Mg 2, Cl 127, asetat
24, maleat 5
• Which access?
Intravenous •
•
What type?
What intravenous solution? Osm?
Access • Duration?
11/6/2021
11/6/2021 Rudy K/Asclepedia/21Jun2021
Responsiveness Evaluation
Traditional Advanced
alertness, reduced tachycardia, Inferior Vena Cava, IVC collapsible index
palpable pulse, diuresis, MAP>> End-diastolic volume index
Cardiac output
LV outflow tract à stroke volume
• BB 70/TB 175cm
• PF: angioedema