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Bangsal ANGGREK I
ALI is related to a
sudden decrease in
arterial perfusion in
Acute Limb Ischemia the limb.
DEFINISI
Thrombotic or
embolic causes can
be involved.
1. EMBOLIC
Atrial fibrilation, LV thrombus
ETILOGI Prosthetic valve thromboembolism
Endocarditis, cardiac myxoma
Aortic atheroembolization, catheter associated
2. In Situ THROMBOSIS
Plaque rupture, stent or graft thrombosis
Aortic dissection
Popliteal aneurysm thrombosis
Hypercoagulable states (APL syndrom, malignancy)
Layogrenic (Catheter induced dissection ,VCD injury,
Pain
Pallor
5P of Acute Pulselessness – check
Limb Ischemia pulses, capillary refill time
Paresthesia
Paralysis
Categories
of ALI
Anticoagulation with heparin
Analgesia
Improve foot perfusion
Keep foot dependant
Avoid pressure over heel
Avoid temperature extremes
Management
Oxygen
Correct hypotension
Considerultrasound
Urgent revascularization(surgical,endo,orboth)
Considerfasciotomy
Management
Management
1. Gangguan ketidakefektifan
jaringan perifer
NYERI Agitasi
Tidakmbisa istirahat
(2102) Kehilangan nafsu makan
Berkeringat
Ekspresi wajah
Ketegangan otot,dll
Definisi : Pengurangan atau reduksi nyeri sampai
NURSING tingkat kenyamanan yang dapat diterima oleh pasien
INTERVENTION Aktifitas :
Pengkajian nyeri komprehensif (meliputi :lokasi,
karakteristik,onset, frekuensi, kualitas, intensitas atau beratnya
nyeri dan faktor pencetus)
Manajemen Observasi adanya petunjuk nonverbal sebagai tanda
ketidaknyamanan
Nyeri Pastikan perawatan analgesik dilakukan pemantauan yg ketat
KASUS RPD : serangan jantung sebelumnya (-), stroke (-), Asthama (+), HT (+), DM
(-), merokok (+)
VT : TD=160/90 mmHg, N=78 x/mnt, RR=22 x/mnt, S=36,6 C
Diagnosis medis : STEMI inferior onset >24jam killip I TR 2/14 GT CAD2VD
1DES di LAD, Asthma bronkialis, Hipertensi stage II
HB=11,7 Na=140
HCT=41 K=345
AT=261 Cl=101
AG=4,4 APTT=24,6
AL=13,09 PTT=127
Pemeriksaan MCH=28,6
Penunjang S=7,5
L=18,6
GDS=90
Albumin=3,5
BUN=29,8
Cr=1,63