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Airway: Seluruh Indra

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6. EM (1)

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Xd`une QOAF@: jun`fi uafrf tfp 6x perbfpfsfb (8-9 cc/lm
GG)
Xd`une SENEBOQ vd`une taf` x hreq bfpfs per nebo

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(b> 1-8 `oer (aewfsf)/ nebo
286 > iopervebt`fso
016 > iopdvebt`fso

[EBO@FOFB JF@FB BF[FS

 Mubflfb se`urui obarf Aosf` `frybx sfnpfo grdbciod`us ernobf`os

- @oif : bofl aobaobm afaf
- Aebmfr: aebmlur (erif`fbm dd `oafi), lunur [EWGEAFFB FBFQDNO AE]FSF XS FBFL
Facebook
(gebaf cfor: vdno, g`dda), stroadr Twitter
(gebmlfl/dgsrulso OS[F), rdbcio, wieezobm, tal
faf sfnsel (dgsrulso df`)
- Wfsflfb f`orfb uafrf bfpfs : fgbdrnf` cies


VARIABLE PEDIATRICANATOMY EffEct
ndveneb
Sizeofocciput Larger Flexedneckwhensupine,
 Fpflfi jf`fb bfpfs ergulf4
obstructingairway
 @obaubmo C-spobe (u`fbm `eier)
Atcricoidring ETtubemaypassthroughcords
Email
Smallestarav

[dsoso oaef`: (vsvocalcordsinadult) butgonofurther

calynx Moresupenotandanvertol Bettervisualizedwithstraightblade

Epiglottis Largerandfloppy Bestdisplacedwithstraightblade

Did you find this document useful? Tongue Larger †Riskofobstruction

Lengthoftrachea intenta5cm
Depthatteeth=3xthe
JF@FB BF[FS GFMOFB FQFS ETtubesizeor
Hubmso: SUNGFQFB OS[F
(vsadult=12cm) (05xage(yrs))+12

 [fssfme uafrf Etd`dmo

 Nebmifbmflfb d @oafi
 Ho`er d Gebaf fsobm
 Ne`engfglfb d [rdses rfafbm
 [rdelso (reels nubfi, gful) Nfbohesfo l`obos:
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Gocfrf Sbdrobm 
TASSHES

 Murm`obm
 Sroadr BRONCHILE

SUNGFQFB OS[G

d Wf`e/crepoftdb
d ]ieezobm
d Sroadr

QFBAF SUNGFQFB [A LDWGFB SFAFW

 Lesu`ofb gocfrf (`frybmoros, aoero)

 Lesu`ofb bfpfs
ioaubm> gerflior ao `frybx  Ldrgfb gful aebmfb luf aebmfb leauf fbmfb
nenemfbm `eier
 Go`f ldbaoso ger`fbju, pebaerof flfb `enfs
JF@FB BF[FS GFMOFB GF]FI sfnpfo geriebt bfpfs

EQOD@DMO
[x al sfafr/al respdb byero MCS 0?)

 @oafi jfui le ge`flfbm

 Gebaf fsobm
 Qrfunf `eier

FUGO Hotel Banjarmasin Pesan

Sekarang
Banjarmasin

Rp808rb
Luwansa Hotel Palangkaraya

QFQF@FLSFBF: AEHOBOQOXE FOW]F_

[WOBSO[: Gulf-gersoilfb-perfifblfb Obaolfso> go`f prdseaur bdb obvfsoh mfmf`/al ap ao`flulfb
(faf rfunf nflso`dhfsof` gerf)
GULF
Qelbol nfbuf` u/ nengulf F (px al sfafr)> [rdseaur bdb obvfsoh
-ndaolfso jfw irus
 Ebadrfcief` uge
-iefa t`o LO px rfunf
- al gd`ei 2 5 ifro (go`f guui `egoi 
-ciob `o LO pa x rfunfnebelfb hfrybx
rfledsdno)
-jfw `o  u/ px rfunf. Nebmurfbmo ndgo`ofs `eier.
- Qelbol: cel gf`db, `ugrolfso gfmofb aosf`,
Lecuromffb rfunf pfaf servolf` (jfui afro letbmmofb,
nfsullfb ebrdauser, nfsullfb EQQ am
rfunf gerf lepf`f)
`frybmdsldp, p`eser EQQ am luf, lfjo sfus
GEWSOILFB perbfpfsfb
-Nfbuf` bmer swfp (gfrebm am iefa t` ciob `o - Ulurfb> (a> =-9nn) (f> lulu ogu
jfwrus) jfro/le`obmlobm/cupobm ioaubm/pof grdse`dw)
-Suctdb sead. Qal gd`ei26; aetl lfrebf ap nebyead
uafrf  resold iypdxof

[EWQFIFBLFB

 Drf` forwfy Drdpifrybmef` uge (D[F/D[Q)

- O > px al sfafr MCS 09  Obugfso ebadrfcief` nedae `frobmdsldpol
- Ulurfb: fbfl e`obmf (rfmus) sa. Suau nu`u/ drdrfcief`
fbmu`us nfbaogu`f sa sonpiosos nfbaogu`f Obaolfso
- [enfsfbmfb: aorec (dubme g`fae)/obaorec(up - Mfmf` nenperfifblfb jf`fb bfpfs
s`oaobm) - Mfmf` dlsomebfso/vebt`fso
- LO px reex nubfi tbmmo  Nfbuver se``ocl (fngfifb)
- [ebelfbfb am jfro pa lfrt`fmd lroldoa
- Cemfi > nubfi afb aosebso `fngubm
- LO> go`ffaf ceaerf ` `eier (C Spobe)

 Bfsf` forwfy Bfsdpifrybmef` uge (B[Q)

- Ulurfb> 67H-38H
- Ldnp`olfso> eposflsos, fsporfso, iopdlsof
- Ujubm norobm ifrus sesoso sepun bfso [rdseaur bdb obvfsoh
- Ulurfb: nebmulur aofneer popf px> jfro
 Surmocf` go`f senuf cfrf `fob mfmf`. lroldtrdoaddno,
le`obmlobm px
rfledsdno
- u/ lfsus su`o ao ldngobfso amb D[F

QFQF@FLSFBF [FSOEB SFAFW

6. Fgadnobf` irus (ieon`oci nfbuver)

7. Go`f cd``fps pojf jfbubm (C[W)

GWEFQIOBM
 @frybmef` nfsl (@NF)  [rdses nfsul le`ufrbyf uafrf (dlsomeb nfsul a`n
- Gfclup u/ EQ ffu u/ dprfso pa peaofrol afrfi afb le`ufrnyf mfs CD7 le uafrf gegfs am
faeluf. Anb perugfifb lfafr leauf mfs sg (a`n
p`fsnf afb uafrf gegfs) nerupflfb hfldr
pebtbm.

Cdbdi lfsus: tafl sfafr, eraebmfb sufrf nebaebmlur,

al nerespdb byero, fuslu`fso era6ebmfr sufrf
rdbciose`urui `fpfbm pfru. Qer`oif rerflso oberldsf afb
lesfb bfpfs cepf
Go`f guui ldbrd` perbfpfsfb a`n wflu `fnf guui
vebt`fdrdperfso

LDN[DBEB  Xd`une afaf nebmeco`

 Qelfbfb obrfidrflf` nebobmlf
 Gffbm dfl  neau`f dg`dbmff (aoselofr
 Uafrf perbfpfsfb scr pfsoh le`ufr
hdrfneb nfmbun) ex: hrflur/ aos`dfso servolf`
 Obervfso
 Aobaobm afaf ernfsul aoaf`fnbyf : ` (rusul
afb afaf) afb dd perbfpsfb
 Jfr pfru pfreblon (cdb: pebyflo pbeundbof)

[EWFB DQFL AF@FN XEBQO@FSO AOHHUSO

d [ebmebaf`o ufnf vebt`fso  [i cforfb dfl   permerflfb uafrf pa f`ved`o – pu`ndbfry cfpo`fry gea
nebmmebfbmo gffbm dfl ldnpdbeb: f`ved`us// gfseneb nengrfbe (obersttf`
d Ja gffbm dfl nenemfbm perfb ufnf spfce)// cfpo``fry wf``
Ldbrd` Xebt`fso
F. F@XED@US
Lonof nelfbol  6;;j f`ved`o Kpfru
[ronfry : pI cforfb dfl  Sreci resepdrs pa pfru  Sobm`e ce`` ioclwf``
geriugubmfb am [fCD7 (ierrobm greurrecepdrs)  @fbmsubm geriug am pu`ndbfry cfpo``fry
(frerof` `eve` dh C;7) nebcemfi pebmengfbmfb  [erulfrfb mfs n`` aouso
Secdbafry: D7 er`fru a`n ger`egoifb pfru
Nelfbosne:
afrfi frero ([fd7) 
Ldbsebrfso tbmmo  rebafi (erus neberus sfnpfo aocfpfo
iypdxoc arove
ldbsebrfso > SEONGFBM)

G. NENGWFB GFSF@OS
 Ne`oput > aobaobm lfpo`er + f`ved`o
 Gfmofb erpebtbm> OBQEWSQOQOF@ S[FCE ym
erafpf fbfrf aobaobm lfpo`er afb f`ved`o
 Arfobfse > vof [ENG @_N[IE
OBEWXFSO
Nebmiugubmlfb gffbm dfl aebmfb perbfpsfb:
 B. [irebocus  aofpirfmnf (C1-C8)
 B. Spobf` idrfcf cf`os  nuscu`us obercdsf`os
(Q6-Q67) fpfgo`f byero afpf nebyegfglfb flu
bfpfs afb neburubbyf hubmso grefiobm

CIESQ ]F@@ C. AOBAOBM LF[O@EW

 Go`f nebegf` prdses aohuso flfb ermfbmmu
 Nebcopflfb : bemftve obrfidrfcoc pressure
 Go`f rusfl, aohuso jm ermfbmmu
- Aofpirfmnf (9;%)
- Nebobmlflfb idrfcoc aofneer [EBO@FOFB
 Uafrf nfsul le forwfy u/ nebmoso spfce uafrf ym
6. LECE[FQFB
gfru ergebul
Bdrnf` resporfdry rfes
OBS[OWFSO
Fau` > 67-7;/nob Ci`areb > 69-71/nob
 [ebobmlffb vd`une obrfdrflf` Obhfbs > 77-38/nob Bewgdrb > 1;-8;/nob
 Qelfbfb bemfth
 Ao`ffso grdciod`o 7. OWFNF :
 Uafrf nfsul le jf`fb bfpfs/f`ved`o (lec. Wemu`er 
Qerafpfbyf `ugfbm pfaf aobaobm afaf) go`f 6 (obsporfso) : 7 (elsporfso) > bdrnf`
go`f 6 (obsprfso) : 6 (elsporfso) >sesfl
orremu`er
fbmfb lflu/lejfbm  hubmso dfl al spfsne hubmso
dfl al faf
3. LUF@OQFS
d [ebmengfbmfb afaf> soneros
d Usfif gerbfpfs> ldbrflso dd gfbu bfpfs
ELS[OWFSO
d Gubyo bfpfs> rdbcio if`us-lfsfr
 Aofpirfmnf afb nuscu`us obercdsf`os re`fx 1. LEAF@FNFB

d Xd`une taf` > 8-9 cc/lm C. HFCE NFSL AMB D7 WESEWXDOW GFM
d Aefi spfce +- 65;cc  Ldbsebrfso D728;%
d Xebt`fso seneo: iypd/iypervebt`ftdb  Ldbsebrfso lorf7 6;% K`oer
 [faf f`orfb6;`oer/nebo, ldbsebrfso ifnpor 6;;%

QFBAF MEJF@F [EWBF[FSFB QOAFL FAELUFQ

 Sesfl : gercflfp pebael7 (tafl hu``)

 @fju bfpfs 22 ffu 00
 Orremu`er
 Luf`ofs: pebmengfbmfb rdbmmf afaf tafl soneros,
faf sufrf bfpfsfngfifb, rerflso
A. IOMI H@D] S_SQEN
 Leaf`fnfb : iyper/iypdvebt`ftdb  For eberfoneb sysen
QFQF@FLSFBF  Xeburo sysen
 Ebc`dsuresysen
Go`f pebaerof al gerbfpfs / mfspobm (bfpfs sfu7) nflf  Hoxea HoD7 (]_S]_M)
secpfbyf oaebtlfso sungffb jf`fb bfpfs, go`f al faf
`flulfb gfbufb perbfpfsfb.

E. XEBQUWO NFSL
 Nengero D7 a`n ldbsebrfso ym efp
 Serobm aomubflfb u/ pfsoeb [LLDL  Weebso CD7
 Ldbsebrfso D7 ym faf: 71%, 35%, 1;%, 8;%, 9;%
H. GFM XF@XE NFSL
Obaolfso: vebt`fso al faeluf
Ulurfb gfm:
d Gfyo> 71;n`
d Fbfl > 5;;n`
d Aewfsf > 68;;n`
6. [ENGEWOFB DLSOMEB
F`orfb D7
F. BFSF@ CFBU@F
d 5-6; @/ nb u/ gfyo
 Sos f`orfb rebafi
d 6;-65 @/ nb u/ fbfl & aewfsf
 Ldbsebrfso D7 LOWF7 1% u/ setfp pebfngfifb 6
`oer/nebo
 F`orfb 6-5 `r/nebo nengerolfb ldbsebrfso D7
71-11%

EXF@@UFQODB EHEHHECQOXEBESS

G. SON[@E NFSL Gfmfonfbf nebmefiuo gfiwf vebt`fso gerifso`:

 F`orfb D72 5 @oer / nebo
 Aofbjurlfb f`orfb 9-6; `oer/nebo  Cies ndveneb
 Ldbsebrfso D7 1;-8;%  @ubm sduba
 Epomfsroc sduba/ fgadnobf` aosebtdb
 [fteb respdbse

d Jfbubm  nesob pdnpf

[FQDHOSOD@DMO

Ubul nebcfpfo f`orfb vd`une d7 ym gfol ym aoolf d/ ig

afb ym `fru a`n p`fsnf:

AD7 (Dxymeb ae`overy) > \6.3? x ig x SfD7 + (;.;;7 Y [fD7^

Y CD
Ig > erordso
SfD7> sfurfso D7 (nob ?7%)
[fD7> elfbfb pfrsof` ;7
[EBEBQUFB BF[FS FAELUFQ/QOAFL (b)>?;;-6;;;n`/nebo
6. Senuf px al sfafr  pdebso fbcfnfb usfif Dxymeb Cdbsunptdb
bfpfs faeluf XD7> CD x (Cf D7 – CvD7) x 6;
7. Go`f ldrgfb gerbfpfs  faf aosress bfpfs4 (hrel (b)> 75; n`
bfpfs nebobmlf, leer`ogffb dd perbfpfsfb
ger`egoi bdrnf`byf ldbrflso dd al er`oif) Leseongfbmfb supp`y afb aenfba
3. Fpflfi px gs nebjfwfg4  go`f sesfl,ifbyf ap (CfD7 –CvD7) ffu C (f-v) D7
nebjfwfgam lff (b) 1-8n`/a`
1. Bfpfs cepf, af`fn, remu`er `gi gfol afro
Leseongfbmfb AD7-XD7 > =5; n`  cfafbmfb D7 ao
`fngf,afbmlf`, al erfur
sorlu`fso (vebf)
5. @fju perbfpfsfb `fngf(06; x/nebo) afb cepf
eslrflso D7 lejfrobmfb (XD7/AD7)> 7;-3;%
(23;x/nebo) e`fi ja nfsf`fi pa px. Hfldr >
sosen perbfpfsfb/ldnpdbeb `fob (jf`fb Srdle vd`une> EAX (eba aofsd`e vd`une)> ESX (Eba
bfpfs/sorlu`fso)/le`fobfb nefgd`ol fsoadsos (sydl)/ sysenoc vd`une)
le`fobfb susubfb sfrfh pusf (b) EAX Aewfsf > 7;n`
(b) ESX> 5;n`

G`dda [ressure> Cfraofc Dupu x fifbfb peroher

Cfraofc dupu> srdle vd`une x iefr rfe (bfao)
Qfngfifb: Bfao (b)> 8;-6;;  Aoldbrd` sos sfrfh ddbdn
Srdle vd`une aopebmfruio d`ei:
d Mfmf` bfpfs:
I_[DYOF (lelurfbmfb ;7): nengoru  pre`dfa> vd`une flior aofsdl  vd`une pa pen afrfi
GWFAO[BU: WW067/6;, CD7bfol, [i afrfi urub (fsfn), vebf
;7 g`n ebu urub (al nengoru) gofsfbyf pdosdbea  fer`dfa> emfbmfb aobaobm vebrole` pa flior sosd`ol

d [i afrfi bdrnf` > =35-=15 emfbmfb/fifbfb pen afrfi

d WW cepf> taf` vd`une leco` \rfbsnurf` pressure x rfaous / 7 x wf`` ioclbess^
d Fpfgo`f pfsoeb am bfpfs al faeluf (nfsoi faf  cdbrfc`oy

bfpfs) afl per`o resque grefiobm gfbu bfollfb ap neburub lfrebf > fcoadsos, iypdxof, iypdcf`cenof
taf` vd`une sff obsporfso aotbmlflfb aebmfb> farebf`obe/bdr farebf`obe,
d Sfnpfo lfpfb gfbufb grefiobm ao`flulfb4  sfnpfo adgufnobe/adpfnobe, cf`coun
faf bfpfs spdbfb NF[ (Nefb frerof` pressure) > [frfneer Ldbrd` aobfnol
d Lfpfb evf`ufso grefiobm ao`flulfb4 see`fi 6 nebo NF[> elfbfb aofsd` + (\elfbfb sosd`-aofsd`^/3)
go`f faf cfrdts resque grefiobm NF[> (CD x SXW) + SX[
tafl faf cfrdts  C[W NF[> CD x SXW
aoebulfb d`ei> CD,SXW (sysenoc vfscu`fr resosfbce),
CX[ \dw, pressure, resosfbce^
SOWLU@FSO

SOSQEN CFWAODXFSLU@FW:
 lesfufb pengu`ui afrfi, afrfi afb jfbubm ym
aoguuilfb u/ jabyf f`rfb afrfi spdbfb afb faeluf
af`fn nengfwf d7 sfnpfo le se`

LDN[DBEB

d [eng afrfi  popf (b)> 85nnIm-?5nnIm/65; afrfi gs eraosroguso le

drmfb7
d Afrfi/p`fsnf  oso

085> `rfso m`dneru`us neurub fburof  [rdaulsourob

265;> hubmso sfwfr afrfi dfl geriebt ceregrf`  Sfurfso D7 afrfi frero
fudremu`ftdb al gerhubmso (se` rusfl)  @fcfe `eve`
 pI nucdsf MQ(`fngubm)
Frerof` pu`se pressure> perugfifb erflfbfb fdrfnfx
se`fnf sosd`e (sff lfug fdrf nengulf sfnpfo aocfpfo
QFQF@FLSFBF
elfbfb fdrf ertbmmo)
 uoa iopdvd`enol
[[ (pu`se pressure) ndbodr leculupfb vd`une  obrdpes  cfraodmebol (farebf`ob)
obrfvfslu`fr  vfsdldbsrolso
[[> sosd`e-aofsd`e  vfsdao`ffso
[[0 vd`une obrfvfslu`fr lurfbm
aoebulfb d`ei: cdnp`ofbce dh fdrf & srdle vd`une
nflob lflu fdrf [[ ne`egfr
nflob cdnp`ofb fdrf [[ nebyenpo

CX[ (Cebrf` veob pressure)

CXC (cfeer vebf cebrf`) pfrfneer `gi flurf po
obvfsoh aoafpflfb CX[ (Cebrf` veob pressure)
(b) CX[> 67-69cnI7;/9-67nnIm
go`f lurfbm lurfbm vd`une obrfvfslu`fr x uoa
(lrosf`doa 7;n`/lmGG ffu ld`doa 6;n`/lmGG) Evf`ufso
pergfolfb:
nengfol  cforfb se`fbjubyf aopertngfbmlfb
nengurul sdp gs ja sydl cfraodmebol

QFWMEQ [FWFNEQEW WESUSOQFSO [FAF JFN [EWQFNF

(sfnpfo 8 jfn perfnf)

6. F (Forwfy)> aojfnob gegfs/pfeb

7. G (Grefiobm)> gfbufb bfpfs sfnpfo vebt`fdr
affbm
3. C (Corcu`ftdb)
 Evf`ufso vd`une obrfvfslu`fr
(CX[>9-67nnIm)
 NF[>85nnIm-?5nnIm
 Sfurfso D7 (SfD72?5%, nob ?7%)
 Aulubmfb dgf7fb gersohf obdrdpol, lrdbdrdpol,
vfsdflth
 Bfao> 067;x/nebo
 SfD7 pa vebf sebrf` =;-=5%  go`f al
pertngfbmlfb rfbshuso sfnpfo Ig 6;mr/a@

QFBAF MFMF@ SOWLU@FSO:

[dnpf: pu`sus f`erbfb, sufrf mf``dp, rdbcio gfsf`



gfsfi, pebobmlffb elfbfb vebf jumu`fros,

peburubfb NF[
 Oso pdnpf (aeso): fbaf7 aeioarfso, CWQ 2 7 al,
prdsulso urob urub, [[00oso popf (dver`dfa):
aosebso vebf `eier, rdbcio
 [opf: eaenf, fscoes (faf cforfb ao peru), flrf`
aobmob
Wdbcio cforfb pfru le`ufr

EXF@UFSO L@OBOS [EWHUSO JFWOBMFB

 Qobmlf lesfafrfb
 Qenperfur exrenofs/flrf`
 Fgsebce dh exrene flolfrao
 Fgsebce dh exrene iyppdebso

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Lukabakar
Rupturaneurismaaorta
Kehamilanextopikterganggu
Kehilangancairandarigastroenteritisbeatataupankreatitisakout
KardiogenikInfarkMyocardakur
Inadequate
Disritmia
Cellular
Obstruktif TensionPneumothorax
Cancel Anytime. Oxygenation
Tamponadejantung
EmboliParu
Septik
NeurogenikTraumaspinal
Inadequate
Anafilaksis Anaerobic LacticAcid
Energy Metabolism Production
Production

Metabolic Metabolic
CellDeath!
Failure Acidosis
Inadequate
Cellular
SIDCL FBA H@UOA WESUSCOQFQODB
ReninAngiotensin-Aldosterone
Oxygenation
 sidcl> c`obocf` expressodb dh corcu`fdry hfo`ure if
resu` ob obfaequfe ce``u`fr d7 ut`ozftdb Inadequate
Anaerobic
Kidney LacticAcid
 aofmbdsos gfsea db: c`obocf`, iendaybfnoc, fba Energy
volttme
Metabolism
Juxtaglomeralar Production
Production apparatus)
godcienocf` sombs SOr

 Ldbaoso anb perhuso jfr afb drmfb al faeluf ym

nebmfrfi pa sufu lefaffb iopdperhuso afb
Metabolic Metabolic
iopdlsof se`u`er yfbm gerflior am senuf mejf`f sosf CellDeath!
Failure Acidosis

CDN[EBSFQEA SIDCL (SOMB)

 lufb slob os cd`a fba c`fnny, woi
ReninAngiotensin-Aldosterone
Angiotensinogen

vfsdcdbsroctdb fba sofbdsos> `dw dwsfes)

1vasoconstriction
 rebf` (urob dupu 0;,5 n`/lm/idur)  cfusea gy Kidney
volttme
iypdvd`enof, iypdxof, fba corcu`ftbm Juxtaglomeralar
SOr
thirst
apparatus)
cfecid`fnobes
 ]eflebea peropierf` pu`ses RADH
 ]eflbess fba `omiiefaeabess (anti-diuretic ⾃BP1
 flolfrao  NF[ 0=; nnIm cfusea gy ie
eec da cfecid`fnobes db ie iefr fs ie grfob fINat
Adrenal
Aldosterone
obcrefses ie fctvoy dh SBS contex reabsorption
Angiotensinogen
 Iyper`fcfenof  fgbdrnf` ce``u`fr d7
nefgd`osne (26.5 nnd`/`oer)  ldbaoso flu L@FSOHOLFSO 1vasoconstriction
 [ucf (pf``dr)  cfusea gy cfecid`fnobe obaucea 6. I_[DXD@ENOL
vfsdcdbsrctdb fba/`dss dh corcu`ftbm WGC - [f`obm serobm aojunpfo  senuf sidcl fwf`byf
thirst

 Aofpidresos (sweftbm) eec dh cfecid`fnobes aoerfpo sepert iopdvd`enol sfnpfo aogultlfb

db swef m`fbas tafl RADH
(anti-diuretic ⾃BP1
 Qiors  cfusea gy iypdvd`enof (`dw uoa fndub - Evf`ufso ao`flulfb gersfnffb am ff`flsfbf
ob g`dda vesse`s) - Iopdebso serobm nebyerfo sydl, bdrndebso gosf
 Qfciypbef (e`evfea resporfdry rfe) aoserfo sydl  sydl
Adrenal fINat
tbmlf se` (go`f px a`n
Aldosterone

lefaffb bdrnf` pubyf ioperebso) reabsorption

contex

Senuf if` ao ffs faf`fi ldnpebsfso ugui nebmifafpo 7. CFWAODMEBOC

sidcl fifp se`fbjubyf faf`fi  IO[DQEBSO ugui al 3. DGSQWUCQODB
gs nfbfob perhuso  ldbaoso sidcl aecdnpebsfea  Qfbaf: `dw CD, iebce, obfaeluf rfspdr D7
1. AOSQWOGUQOXE SE[QOL & FBFHO@FLQOL
AECDN[EBSFQEA SIDCL (SOMB)
 Neburubbyf sysenoc vfscu`fr resosfbce, f`erea
 Iypdebso  cfusea gyiypdvd`enof D7 exrfctdb
 F`erea nebf` sfus (cdbhusodb, res`essbess,
ubcdbcodusbess)  cfusea gy aecrefses ceregrf`
perhusodb
 Cfraofc frres  cfusea gy crotcf` drmfb hfo`ure d
g`dda/uoa `dss

IO[D[EWHUSO

C@OBOCF@ SOMB DH FCUQE IENDWWIFMOC SIDCL

FUGO Hotel Banjarmasin Pesan

Sekarang
Banjarmasin

Rp808rb
Luwansa Hotel Palangkaraya

- Usea d aeernobe f pfteb fcuf` respdbce d

uoa, `onotbm faverse eec
- 1 cdnpdbeb uoa cif``fbme es:
6. Qype dh uoa nus ge se`ecea
7. Qie rfe dh uoa fanobosrftdb nus ne
aebes  3;;-5;;n`/7;-3; nebo
3. Dgjec obcrefse ob sysenoc frerof`
pressure/aecrefse ob iefr rfe/obcrefse
urobe dupu
1. Qie sfhey `onoea nefsureneb dh CX[,
aofneer OXC woi USM
- Cfb ge repefea fs requorea, SQD[ ob cfse bdb
respdbse (fvdoa uoa dver`dfa)
[unp (fanobosrftdb ph vfsdfctve fmeb)

QO[S LIUSUS:
 Senuf px sidcl ifrus aorujul le WS
 ]fspfaf mejf`f sfnfr pa px merofro afb
peaofro

MDF@S DH IENDA_BFNOC SU[[DWQ

EFW@_ SIDCL  Wesdrobm NF[ (85-=;nnim

 @dss> 65%-75% dh g`dda vd`une  SCXD7 NOB =;% 8 jfn perfnf
 Ndaerfe flolfrao, pf``dr, bfrrdwea pu`se pressure,  @fcf `eve` urub 7;%
iors, weflbess, ae`fyea cfpo``fry re``
 Gday st`` cdnpebsftbm XFSDFCQOXE FMEBQS
 Xfsdpressdr> bdrepobepirobe (HOWSQCIDOCE)
@FQE SIDCL Adse: ;,6-;,7 nolrdmrn/lm/nobue
 @dss > 3;%-15% dh g`dda  Obrdpoc fmeb> adgufnobe, pidspidaoeserfse ype
 Iypdebso rs somb dh `fe sidcl OOO obiogodr (no`rodbdbe, ebdxondbe, cdngoe obdrdpoc
 Gday‟s fgo`oy d cdnpebsfe ie piysocf` obsu` ifs + vfsdao`ftbm)
hfo`ea  Xfsdao`fdr fmeb > borfe
 Fmmresove fssessneb nus ge prdvoaea Nfy obcrefse CD woipu nydcfraof` aenfba hdr D7

NECIFBCF@ SU[[DWQ
CFWF NEBMEBF@O SIDCL
Tabel2:BagalmanamengenallBerbagaimacamjenisdarisvok  Obrffdrtc gf``ddb cduberpu`sfdb (OFGC) 
Infromasi HipovolemikKardiogenik Neurogenik reauce `e vebrocu`fr fer`dfa & obcrefse
Septik
diagnostik Hyperdynamic cdrdbfry g`dda dw (bdb gebecof` ob cfraodmeboc
State)
Gejala sidcl)
Pucat;kulitKulit basah. hangat,Demam. kulit
tande
dingin, dingin: taki-denvutjantungteraba hangat,  Xebdfrerof` exrfcdrpdref` nengrfbe
Basah: dan normal/rendah. takikardi,oliguri
dxymebftdb (ECND)  usea fs enpdrfry `ohe
takikardi; bradiaritmia; normo/oliguri,hipotensi,
Oliguri. oliguri; hipotensi, penuruman sfvobm ob pfteb woj reversog`e cfraodmebco sidcl/
hipotensi: hipotenst penurunanresistensipetifer. fs groame d iefr rfbsp`fbftdb
peningkatanpeningkatan resistensiperifer
resistensiresistens!
perifer. perifer MDF@ DH QWEFQNEBQ
Data Hematokrit Enzimjantung,Normal Hitungneutrofil,
laboratoriumrendah(laseEKG pengecatangram,
akhir) kultur
Salvage Optimization Stabilization De-escalation

OBOQF@ F[[WDFCI QD [FQOEBQ OB SIDCL Obtaina Provide Provideorgan eanfrom

PhaseFocus

 Efr`y  faeluf iendaybfnoc suppdr adequate support

acceptable oxygen.
 Oaebtlfso  pergfolo segfg bloodpressure availability
 Wesusofso XO[ ru`e
Optimize Achievea
Xebt`fe (dxyeb fanobosrftdb) cardiacoutput, complications nagative
- Semerf, nebmiobafro pu`ndbfry iyperebsodb Auldbalance

Obhuse (uoa resuscoftdb)

- Onprdve nocrdvfscu`fr g`dda dw fba obcrefse
F[[WD[WOFQE QWEFQNEBQ:
CD (ernfsul u/ px cfraodmebol)
ASSESSMENTOFSEVERITYINHEMORRHAGE& Iendaybfnoc sfgo`ozftdb
IMPLICATIONSFORTREATMENT

ClassIClassIClassIII ClassIV
Bloodloss(mL) Upto780|750-15001500-2000 2000
Bloodloss(%BV)Upto15915-30% 30-40% >40%
Pulserate <100 >100 1>120 >140
Bloodpressure Normal Normal Decreased Decreased
Quicepressura остраво TONDASSO

(mmHg) increased
Respiratoryrate 14-20 20-30 130-40 >35
Urineoutout(mL/hr)530 20-30 15-15
Neglible
CNS/Mentalstate Slightly Mildy Confused
anxiousanxiousandconfusedandlethargic
Fluidreplacement CrystallcidCrystalloidCrystalloid, Crystalloid,
orcolloidorcolloidcolloid&bloodcolloid&blood
•Fora70kgmale ©ACS

96Bloodloss ClinicalSigns
<15 Slightlyincreasedheartrate,local
swelling,bleeding
15-25 Increasedheartrate.increaseddiastolic
bloodpressure,prolongedcapillaryrefill
25-50 Abovefindingsplus:hypotension,
confusion.acidosis,decreasedurineoutput

>50 Refractoryhypotension.refractory
acidosis.death

FUGO Hotel Banjarmasin Pesan

Sekarang
Banjarmasin

Rp808rb
Luwansa Hotel Palangkaraya

H`uoa obhusodb  Faeluf vebt`fso/dlsomebfso

Fanobosrftdb dh vfsdfctve fmeb  Cdbrd` iendrrifme (osddboc lrosf`doa sd`utdb (6;-
7;n`/lm)
S_DL (fngfifb)  Wea g`dda ce`` obhusodb (5-6;n`/lm)
QFQF@FLSFBF
 [x rfunf (MCS0?)  [WGC

Wfwf ao fref crotcf` cfre,go`f rfmu lerjflfb `t test CFWAODMEBOL SIDCL
(iopdtebso drtidadbl)  Dlsomeb
 Ldbrd` jf`fb bfpfs gero d7 6;;% (am nfsler bdb  Xfsdpresdr afb obdrdpol suppdr  bdrepiobepiobe
grefiobm) (;.5 nm/nob) & adgufnbe (5nm/lm/nob)
[fsfbm 7 jf`ur obrfvebf am jfrun gesfr pa hdssf  Cdbsoaer obrf-fdrtc gf``ddb punp
fbecugot u/ sidcl iopdvd`enol cduberpu`sftdb u/ sidcl rehrfcdry
 Gero lrosf`doa nob 6 `oer aoobhuslfb a`n 6 jfn 
evf`ufso (pu`se dxonery,ECM, bdb obvfsove g`dda SE[QOC SIDCL
pressure)`egoi `fbju > ld`doa/wid`e g`dda
 Dlsomebfso
 [fsfbm lfeer urob
 Lrosf`doa 7;n`/lm & trfe obhusodb
 Lu`ur afrfi
 Fbtnolrdgof` erfpo  arfobfse
 Fbtgodtl
surmocf`/aegroaeneb
@FG  [WGC obhusodb u/ ig 09m/a`
 Go`f nfsoi mfmf` 
 A@, uref/e`elrd`o/creftbob  vfsdpresdr > adpfnobe 5-65nm/lm/nob ffu
 Qrdpdbob Q afb ebzon jfbubm bdrepiobepirobe ;.5nm/nob
 Hff` iendsfsos am screebobm AOC
 Cies Y rfy FBF[I_@FYOS SIDCL
 ELM
 severe, `ohe irefbobm, meberf`osea dr sysenoc
CFQFQFB @FG iypersebsotvoy refctdb
 sysenoc refctdb dh nu`tp`e drmf sysen d fbtmeb
 Ienfdlro (Ic) faf`fi es ym pf`obm tafl re`ofg`e 
obaucea omE-neaoftea onnubd`dmoc neaofdr re`efse
bo`fo gs bdrnf` ao hfse fwf`, pebobmlffb gs japa px
ob prevodus`y sebsotzea obaovoauf`
nobun f`ldid` flu lrb aouretl
 nfbohesfso: resprfdry aosress, `frybmef` eaenf
 Ioubm beurd` fgsd`ue al spesolafb sebsotve
(gergfifyf), grdcidspfsne, vfscu`fr cd``fpse
pa sydl septl  gs ja nebobmlf/bdrnf`/rebafi
 ao lufb: urtlfrof, prurous
 See`fi evf`ufso,suppdr am dgf obdrdpol u/ nebjfmf ao MOQ: bfusef, vdno, crfnp, aofrrief

elfbfb afrfi
- OX adpfnobe 5-6;nolrdmrfn/lm/nob F@@EWMOC WEFCQODB
- OX adgufnobe 5-6;  liususbyf u/ cfraodmebol
- OX bdrepiobepirobe  trfso sfnpfo afpflfb FBQOMEBobaucea fbtgday hdrnftdb
ehel ym aoobmoblfb fbtmebs eber gday gy  objectdb,obmestdb, obif`ftdb,
fgsdrptdb
SIDCL (AW _UAO)
NFSQ CE@@
[WOBCO[@ES: - ob f`` sugcufbedus/sugnuldsf` tssue
- obc`uae> cdbjubctvf, upper/`dwer reporfdry, mu
 Nfobfob forwfy
 Nfobfob dxymebftdb fba vebt`ftdb GFSD[IO@S
 Cdbrd` g`eeaobm wiere pdssog`e -corcu`fea ob g`dda
 Nfobfob corcu`ftdb  faequfe iefr rfe &
IOSQFNOB
obrfvfslu`fr vd`une
- iree ypes:
QWEFQNEBQ NFBFMENEBQ I6> fc db I6 recepdrs d cfuse
- snddi nusc`e cdbrfctdb
 Arum rs cidoce  farebf`obe (sidr ern) ifs - obcrefsea vfscu`fr pernefgo`oy
obprdpoc fba vfsdcdbrocdr eec - prdsfm`fbaob meberftdb
 Ndbodr G[ woi frerof` `obe I7> d cfuse
 Farebf`obe obhusea vf cebrf` vebdus cfieer - obcrefsea vfscu`fr pernefgo`oy
 Farebf`obe 8nm ao`uea ob 6;;n` aexrdse 5% fba rub -mfsroc fcoa secretdb
obotf``y f 3-6;n`/ir -stnu`ftdb dh suppressdr `ynpidcyes
-aecrefsea [NB ebzyn re`efse
IENDWWIFMOC SIDCL
-re`efse dh ndre iosfnobe hrdn nfs ce``s fba gfsdpio`s

Iklan
03D

Bulumata 3D Satuan S-
Q3D
Rp 6rb Rp 10rb UNTUK TIPE INI
UKURANNYA MEDIUM (12 MM) Harga yg
tercantum adalah untuk 1 pasang,...

Shopee

Buka

I3> d cfuse Netiy`preabosd`dbe 675nm OX

-obiogotdb dh cebrf`, peropierf` bervdus sysen rfbspdr
beurdrfbsnoer re`efse 3. SEXEWE (FBF[I_@FYOS)
-obiogotdb dh hurier iosfnobe hdrnftdb re`efse  No`a + ndaerfe + sidcl/iopdperhuso
 Qx:
[FQDHOSOD@DMO
 FG: Iomi cdbs D7// Xebu`ftdb, EQQ
fbmeb ebers gday fbgday prdaucea ffci d
Cdbcoaer obif`ea gef fmdboss
surhfce dh nfst dr gfsdh` ce``s nfs ce``s gecdne
 C `frme gdre OX BS Y 7
sebsozea
Qorfe uoa d perhusodb w/ gd`us ierfpy// ECM
fbmeb reebers gdayffci d fbgdaoes db nfst dr
ndbodr
gfsdpio` ce``s nfs ce`` aemrfbu`ftes, re`efse (iostfnob,
 Qref fs pre frres pfteb
`euldtroebes, SWS-F, ECH)
Epobepirobe ;.5-6 nm 6:6;.;;; OX prb
XFSDAO@FQODB Iopdebso ubrespdbsove d uoa fba epobepirobe 
adpfnobe 6;ncm/lm/nob
Aecrefsea peropierf` vfscu`fr resosfbce Grdbcdcdbsroctdb ubrespdbsove d epo
Iypdebso fnobdpiy``obe
Qflolfrao Aopiebiyarfnobe 5;nm OX
[eropierf` iopdperhuso Netiy`preabosd`dbe 675 nm Ov
 Cdbsoaer NFSQ oh ubrespdbsove d uoa
OBCWEFSEA CF[O@@FW_ [EWNEFGO@OQ_
 Wfpoa rfsbpdr

Qossue eaenf, urtlfro, oci

DGSEWXEA 8-9 IDUWS!
@fyrbx eaenf
H`uoa `eflfme hrdn vfscu`fr spfce iypdvd`enol QWOMMEWS
sidcl
 `fcfn fbtgodtl  serobm
SNDDQI NUSC@E S[FSN  iyndbeperf stbms
 arums  nusc`e re`fxfb,fbtgodtl, BSFOA, fsporob,
Grdbcidspfsne resporfdry aosress, tmi cies,
gef g`dclers, farebf` obsucoebcy
wieezobm
 hdda f``ermy bus
MO Qrfct spfsne bfusef, vdno, crfnp,aofrrief
 `fex iypersebsotvoy
G`faaer spfsnurobfry urmebcy, urobfry obcdbtbebce
 oadpfioc  bdb omE neaofea
FBF[I_@FCQOC WEFCQODB
AOFMBDSOS
@euldroebes
 rowfyf f`ermo, fdpo, ffu fsnf
 [deb grdbcidcdbsroctdb, obcrefsea vfscu`fr
 l`obof`: fbaf afb mejf`f
pernefgo`oy, cdrdbfry vfsdldbsrolso
 `euldso suspebsodb
 S`dwer dbse ifb iosfnob
 omE
 @fs `dbmer ifb iosfnob
 E`evftdb dh tryptfse `eve` ob serun
F@@EWMOC WEFCQODB
C@OBOCF@ NFBOHESQFQODB
6. NO@A
Hors nfbohesftdb slob (prurous, eroenf, urtlfro)
 Urtlfro, eroenf, riobots, cdbjubctvots, no`a
grdbcidcdbsroctdb, usuf``y `dcf`ozea, BD Wesporfdry  cdumi, cies tmibess, ayspbef a``
SDG/iopdebso/iopdperhuso, se`h refea Dier `omiiefaeabess, bfsf` cdbmestdb, crfnp a``
 Qx: [iysocf` urtlfro, fbmodaenf,riobots, flopbef,
deb f idne. Aopiebiyarfnobe 75-5;nm [D/ON flolfrao, iopdebso, `frybm sroadr, iopersf`ovfso,
nfy cdbsoaer coneaobe/rfbtaob, preabosdbe, idfrsebess
obif`ea gef-fbmdbos
FGC [WDG@EN
7. NDAEWFQE
 No`a synptdn + Ayspbef (wieezes), FOW]F_
fbmodbeurdtc eaenf, sysenoc (bd `dcf`ozea), BD
 Forwfy swe``obm,irdf,dbmue swe``obm
idpdebso/iopeperhuso
(pifrybx/`frybx deaen)
 Qx:
 Aocu` grefiobm fbaswf``dw
Iomi dw D7
 Idfrse vdoce
OX BS  trfea d sysd`oc G[ ?;nnim
ECM Ndbodr
 Sroadr  upper forwfy dgsructdb
Gef fmdboss GWEFQIOBM
Aopiebiyarfnobe 75-5;nm ON/OX

 Sidrbess grefi  obcrefse WW FAWEBF@OBE (E[OBE[IWOBE)

 Qorea
 Use d: efse grefiobm aocu`y, resdre faequfe CD,
 Cdbhusodb gy iypdxof
Weauce deaen, Ao`fes grdbciof` forwfys
 Sofbdsos g`ue
 ]drlges gu os bd woidu rosl  erufnf u/
 Wesporfdry frres
Obrfvebf (ON jfrfbm)
COWCU@FQODB
ON FAWEBF@OBE
 [f`e, c`fnny
 Ndbodr respdbse d farebf`obe  pu`se,G[, ECM,
 Qflolfrao
pu`se dxonero
 Iypdebsodb, hfob, aozzy,cd``fpse
Gebeht:
 Lesfafrfb urub
- Mrefer nfrmob dh sfhey
 Nydcfraof` oslenol
- Adb requorea OX fccess
 Cfraofc frres
- ON rdue efsoer d `efrb
QFQF@FLSFBF  Ges soe: fbrd`ferf` fspce dh ie noaa`e iora dh ie
aepebas db: tmi
 Sugcufbedus rdue bd recdnnebaea  `ess
6. @dcftdb eectve
- Du dh idspof`  cf`` fngu`fbce  Wepef oh iere os bd onprdveneb  5 nobues
7. Qrfobobm fba slo``s dh rescuers obervf`s
3. Bunger dh respdbaers
- Sobm`e  ebsure if ie`p os cdnobm
- Severf` fctdb flebs sonu`fbedus`y
1. Equopneb fba arums fvfo`fg`e
- Wesucoftdb equopneb fba arums
- Ndbodrobm : pu`se dxonery, bdb obvfsove g`dda
pressure, 3-`efa ECM

[FQOEBQ SE@H NFBFMENEBQ:

 Gebfary` 5;nm p.d OBQWFXEBDUS FAWEBF@OBE (specof`os db`y)

 Somb fbfpiy`fxos suglufb epiobepirobe  Mrefer rosl ob px woi spdbtfbedus corcu`fdb 
 Oh sidr grefi/wieezobm use ferdsd`ozea iyperebso, flolfrao, frriynof, nydcfraof` oslenol
epobepirobe  Ndbodrobm
Ao`utea 6:6;.;;;
[EBFBMFBFB NOBONUN:
FUQDOBJCEQDW FAWEBF@OBE
 Efr`y recdmbftdb
 Cf`` hdr ie`p  Moveb d px woi rosl
 Obotf` fssessneb gfsea db FGCA  Adse: ;.65 fba ;.3nm
 Farebf`obe ierfpy (oh obaocfea)
 Obvestmfdb fba hd``dwup H@UOAS (MOXE FSF[)

 Oh iere os OX fccess  obhuse uoa FSF[

6. [fteb pdsodbobm  Wfpoa OX uoa cif``fbme > 7;n`/lm (cio`a) / ;.5-6@
 So up px w/ grefiobm prdg (fau`) lrostf`doa/ifrtnfbb/sf`obe
 @yobm f/ woidu `em e`evfdb  `dw G[ /  Oh OX onpdsog`e  obrfdssedus rdue
corcu`ftdb prdg
 Oh px hfob  adb so / sfba ien  cfuse FBQOIOSQFNOB (fer obof` resuscotfdb)
cfraofc frres
 I6 fbtiosfnob  c`drpiebfnobe s`dw`y OX/ON
[rembfb `oe db `e soae

 Adse:
7. Wendve rommers
 Sdp arums suspecea (OX obhusodb, me`ftb
sd`utdb, fbtgodtl), Stbmer, Hdda obaucea
 Adb ae`fyaehbotve refneb oh rendvobm
rommers os bd hefsog`e
 Cfraodresporfdry frres hd``dwobm  C[W  SQEWDOA
ebsure ie`p cdnobm  use farebf`ob  ON
 Cdrcdsterdoa sidreb prdrfcea refctdb
rdue hdr faebf`obe bd recdnneba fer
 Objec iyardcdrsdbe ON/OX
cfraofc frres dccurea
 Adse:

FUGO Hotel Banjarmasin Pesan

Sekarang
Banjarmasin

Rp808rb
Luwansa Hotel Palangkaraya

GWDBCIDAO@FQDW

 Sf`gufnd` (obif`ea/OX)
 Oprfrdpoun (obif`ea)
 Fnobdpiy``obe (OX)
 Nfmbesoun (OX)

CFWAOFC AWUMS

 M`ucfmdb hdr px flobm gef g`dcler

 Frdpobe  px severe grflolfrao fer fbf`flsos

OBXESQOMFQODB EM, ECM, Cies Yrfy, uref/e`elrd`o,

FGM

NFSQ CE@@ QW_[QFSE

 Fbfpiy`flsos obcrefsea tryptfse

 Sombocfb`y fer 3; nob/ndre, pefl 6-7 idur fer
dbse
 Gfcl d bdrnf`> 8-9 jfn
 Nob: 6 sfnp`e f 6-7 idurs fer synpdn
(oaef` > 3x)

AOSCIFWME HWDN IDS[OQF@

 Dgservftdb 71jfn

FUGO Hotel Banjarmasin Pesan

Sekarang
Banjarmasin

Rp808rb
Luwansa Hotel Palangkaraya

[EWFB CFOWFB [FAF WESUSOQFSO [EWOD[EWFQOH

[rfDperfth  resusofso/sfgo`fso, dgf
GDA_ ]FQEW Dperfso
[fscf Dperfso resusofso, dgf,burso

NFCFN CFOWFB:

6. Bdb e`elrd`o m`uldsf 5%/aexrdse 5%--2 al gs

aogerolfb gfbyfl
7. E`elrd`o W@, [Z, LFEB, Fserobm a``
3. Ld`doa aexrfb, IES, Me`ftb, afrfi, f`gunob
1. Wesusofso W@, BS, Wobmer fcef

CDN[DSQODB DH H@UOA NFOBQEBFBCE

F. Jun`fi cforfb
aewfsf > 5;;cc/lmGG/71 jfn
Fbfl > 6; lm O ------- 6;;;cc/LmGG/71jfn
6; lm OO ------- 5;cc/lm GG/71 jfn
2 ------- 7;cc/lmGG/71 jfn
G. Qeesfb/nebo
C. Nfcfn cforfb
---(leguuifb)--- Bf+---- 3-5 neq/lmGG/71 jfn

CDBQDI

HONNETOTHE

OSDQDBOC OBHUSODB
Laki-laki,25th,BB60Kg.
-JumiahCairan _.50X50/24Jam=2500cc/24jam
MacamCairan--kebutuhanNar=150-250meq/24jam
RL-Na+131meq/L- .1fles=66meg
PZ-Na+154meq/L _-1fles=77meq.
-MacamCairanRL3fles--Na+195meg,jumlah1500cc.
kekurangancairan1000cc---D5%=2fles.
-SusunanCiranRL3fles+D5%2fles
sororshmonSSTAreитTerSите

terumo-1cc=20its

.Oreuka9500y1592500 Terrieratistisamns

24x60
I_[DQDBOC OBHUSODB
-Terumo:2500x20=2500 33-35tts/mnt.
24x60 24x3
Anak,11th,BB27kg.
-JumlahCairan
10Kg11-
>7Kg
jumlah
MacamCairanKebutuhanNa+=81-135meq/24Jam.
-NS/PZNaCI0,9%
-NaCt0,459inD5%2C2-Nar38meqites
NaCI0,225%InD5%>C4-N3+19mog/illes
I_[EWQDBOC OBHUSODB -NaCI0,13%in05%->C5->Nar10mcq/les
-Macamcairanc3les-Na+114meoe jumlah1.500cc
-D5%140cc 140cc
1.640CC

-Tetesan:Otsuka:1640X15 1640 16-18fts/m

24X60 96
-Terumo:1840X20 1640 22-24tts/m
24X60
QFQF@FLSFBF
Aeioarfso  aeh cforfb  iypdxof se` FQ[ urub
Cations
 reioarfso  evf`ufso (bfao, ebso, urobe, wfrbf,jun`fi)
Na 116 12

Ca 10

CI 103 104
HCO 27 10
SO1
HPO4 116
Protein 16 40

HESsteril/colloid

IRedirid
increasesIVF

bodywt%Totalbody
water%
total 60 100
intracellular 40 67
extracellular 20 33
intravas 5 8
interstitial 15 25
er'sacetate
Pinger'slactate
•Normalsaline

Replaceacute/
IncreaseSECF honorma

Jual Pakaian Model Terbaru

Oss

Shopee
5%dextrose

ReplaceNormal
increasesICF»ECF

CFOWFB U/ NENFSULLFB DGFQ

 [engerofb geru`fbm
 Syfrf:
- Cforfb ifrus nebmf`or  pe`fb7 
irdngus/engd`us (-)
- Qeesfb/nebo fsf` nebees
- Cforfb e`elrd`o/bdb
- [engerofb pfaf vebf gesfr

NFY IEBQO JFBQUBM > 1 NEBOQ  lerusflfb dfl

pernfbeb
S_DL IO[DXD@ENOL
Iopdxof se` + mfbmmufb perhuso
ldnpebsfso ugui:
C[W
- WFF sosen (vfsdldbsrolso peroher)
- Lu`o/flrf` aobmob  Jfbubm geriebt  G@S
- Aobmob/gfsfi (lerobmf)  Iebt jfbubm 1 nebo  lerusflfb pernfbeb dfl
Qebso rebafi, bfao cepf leco`
UWUQFB G@S NEBUWUQ FIF
Wesusofso:
Forwfy
- Cforfb e`elrd`o mrdjdl, evf`ufso
Grefiobm `ddl (aobaobm afaf), `oseb (sufrf bfpfs), hee`
- B, WW, Flrf`
(iengusfb bfpfs)
- Lesfafrfb
Corcu`ftdb  nerfgf bfao lfrdts
- [rdaulso urobe
Bfnub 7;6; aorugfi nja CFG (u/ ldrgfb serfbmfb
[FQDMEBESOS
jfbubm ldrdber)
[erafrfifb  iopdvd`une  d7 se` urub sydl
Laki230thBB50kg>Dehidrasibetat
5 WFBQFO LEIOAU[FB FIF (CIFOB DH SUWXOXF@)
Nfsf`fi: Dchidrasiberat10%->10/100X50kg-5kg>5.000cc
6. Secepfbyf nebmebf` px iebt jfbubm afb iug
Dehidrasiberat1kgBB~1liter
 fwf` jun`fi cforfb obrfvfslu`fr gerlurfbm fngu`fb 669
 jun`fi cforfb bersosoe` afb obrfse` efp, g`n 1jamI=20cc/LgBB/jam=
Cara 7. @flulfb prdseaur WJ[D luf`ofs tbmmo (iomi quf`oy
1.000cc
•Esalrasi
C[W)
nebmoso obrfvfslu`fr
•1jam.II>20cc/kgBB/jam>1.000cc
3. @flulfb erfpo leju `osrol (rfpoa aegro`ftdb)
 lesfb, ig efp, lfrebf g`n ao`usO "Esaluasi
 x resusofso > nebmoso cforfb obrfvfslu`er 1. [erd`dbmfb lemfwffb jfbubm afb peng afrfi
•1jamIII-10cc/kgBB/jam-500cc
(lf`d pfle W@ 6cc afrfi > 3-1 cc W@) tbmlf `fbju (favfbcea) semerf aonu`fo af`fn
•Eoaluasi>jelck>kembaltke1jami
fngu`fb
•3jam jumlah 2.500cc
[EW@U AOOBMFQ 5. Nfbfjeneb perfwffb pebaerof see`fi lengf`o
le sorlu`fso spdbfb (obermrfea pds cfraofc
6. Xd`une afrfi ehelth (Eectve g`dda dw \EGX^)
frres cfre) yfbm erbemrfso
@flo7 =;-=5cc/lmgg
]fbof 8;-85 cc/lmgg
Fbfl ?;-6;; cc/lmgg
7. 65% EGX/H io`fbm  iypdxof +  bfao nebobmlf
3. 75% EGX/H io`fbm iopdebso

CDBQDI: [WDSEAUW WJ[ (6 [EBD@DBM AE]FSF)

6. SFHE FBA WES[DB

- [erolsf aferfi selofr (fnfb)
sPasienlaki2BB60kgdiIRDkarenaKLL
- [erolsf lesfafrfb (fbyf)
- Go`f al sfafr  `fbmlfi 7
DWaktumasuk:Ncepat,kecil,T80/50RR32
x/l',akraldingin
7. FLQOHLFB ENS
- Nobf drm iug 66? (fngu`fb) afb surui gfwf
FEA
•Ferhitungan:Ncepat,kecil->pasienperdarahan
- [erolsf lfrdts. Qoafl erfgf  cfraofc frres
Hypoxia(*)-kira225%daziEBV/F
(iebt jfbubm)
BB60kg-EBV70X60cc=4200cc
3. LDN[WESO AFAF
Darahyanghilang25%-25/100X4200-
630cc
Cairanyangdimasukkan,RL=4X630cc

-52% -10%

Jual Pakaian Model Terbaru

Shopee

- @flulfb ldnpreso afaf u/ nenu`fo WJ[D.
Wfsod ldnpreso: vebt`fso (3;:7) tfp sol`us, afb
ao`flulfb 5 sol`us. Sdp afb cel lfrdts
- Go`f g` erfgf  WJ[D 5 sol`us `fmo cel bfao
@FBANFWL
- Sdp WJ[, perolsf perbfpfsfb 3N (nerfsflfb,
nebaebmfrlfb, ne`oif). Go`f bemfth (g`n bfpfs),
gerolfb gfbufb bfpfs.
- Gulf jf`fb bfpfs (iefat` ciob `o), nu`fo rescue
grefiobm 9-6; tup per nebo

5. WESCUE GWEFQIOBM
- 9-6; tupfb per nebo am gerioubm sgg: tupfb
perfnf , ioubm sfu rogu –ebfn rogu
- See`fi 6; tupfb, evf`ufso bfao afb 3N
gersfnffb
- Go`f faeluf sdp rescue grefiobm

8. [DSOSO WECDXEW_
Dgservfso sfnpfo fngu`fb affbm
[DSQUW
WJ[ SOSFB_F GFCF G[S@ FJF_FF WEL :‟)

IFBA [DSOQODB FBA [DSQUWE:

- Adnobfb ifba dver ie ceber dh ie px‟s cies
cdrrspdba d ie `dwer if`h serbun
- Iee` dh ie ifba ob ie noa`obe fba f`ombea w/ ie
`dbm fxos dh serbun hdcuses ie cdnpressove hdrce
db serbun & aecrefse cifbce rog hrfcure
- [`fce bdb adnobfb ifba db dp dh ie rs ifba
gdi ifba fre dver`fppea fba pfrf`e`
- Hobmer sidu`a ge e`evfea d ie px‟s rogs nob
cdnpressove hdrce dver ie rogs & fvdoa cdnpressove
hdrce dver xopioserbun dr upper fgadneb (nob
ofrdmeboc objury)

LF[FB SQD[:

- Bfao faeluf
- [ebd`dbm `e`fi
- Fngu`fb affbm nebmmfbtlfb
- Enporos WJ[D 7;-3; nebo, tfp 5 sol`us cel bfao

1. BFAO QEWFGF

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