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ED

N C
A
A DV
I C
T R
I A T)
E D R
(P PPOU N I
L S U HY
PA FE RSI W A
LI R S
D
PEDIATRIC ASSESSMENT
Initial assessment
Primary assesment
Secondary assesment
Diagnostic tests
EVALUATE, IDENTIFY, INTERVENE
EVALUATE
IDENTIFY
INTERVENE
PRIMARY ASSESSMENT
PEDIATRIC BRADYCARDIA
ALGORITHM
PEDIATRIC ASSESMENT - INTERVENE
Problem Disease Intervene
Croup “ Barking Cough “ Mild Croup  consider systemic
steroid
Moderate to Severe Croup  Steroid
sistemik dan Nebule Epinefrin
Epiglotitis Definitive airway  ETT
3D  Drolling,
Dysphagia, Distress
Anaphylactic Epinefrin IM
Upper Airway Nebule Albuterol
Obstruction IV Diphenhydramine
IV Methylprednisolone
IV Fluid
Foreign Body Aspiration • Concious 
1 .Partial Obstruction : encourage
to cough
2. Total Obstruction : Back Blow,
Chest Thrust, Abdominal Thrust
• Unconcious  RJP
PEDIATRIC ASSESMENT - INTERVENE
Problem Disease Intervene
Nebule Albuterol / Metered Dose
Asthma Inhaler
Lower Airway Steroid
Obstruction Bronchodilator
Bronchiolitis

Bronchopulmonary Symptomatic Therapy


Dysplasia
“ Chronic Lung Disease of
Infancy
Cystic Fibrosis - Symptomatic  Bronchodilator,
“ Gangguan transport mucolytic
Lung Tissue kanal Na-Cl “ - Antibiotic
Disease ( LTD)
Pulmonary Edema - Cardiogenic
- Non Cardiogenic

Pneumonia O2 supplementation
Antibiotic
PEDIATRIC ASSESMENT - INTERVENE

Problem Disease Intervene

Increased Intracranial Expert Consultation


Pressure
Disorder Control Expert Consultation
of Breathing Neuromuscular Disease

Acute Poisoning / Drug Depends on the substance


Overdose

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