pelayanan kes monev 1

8/15/2019 Pelayanan Kes Monev 1

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RSUP DR. M.

DJAMIL

PADANG

SYNCOPE

NO. DOKUMEN NO. REVISI HALAMAN

1 / 4

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DITETAPKAN DIREKTUR UTAMA

dr. AumasPabu!" S#.A MARS

NIP 1$%4&'1(1$)1&(*&&1

D+,!-!s! Suau +a0a d+-a- ara+r!s! 0!-! +2!0a-a- +sadara- 3a-

!ba!ba da- b+rs!,a s+m+-ara" da- b!asa-3a m+-3+baba- au2.

O-s+-3a r+0a!, 5+#a da- +rad! #+mu0!2a- s#6-a-. K+2!0a-a-

+sadara- +rs+bu +rad! a!ba 2!#6#+r,us! s+r+bra0.A-am-+s!s Pertanyaanseputarkeadaansaatsebelumserangan:

• Pas!+- 7dudu" +r0+-a-aaub+rd!r!8

• A!9!as 7!s!ra2a" #+r6ba2a-#6s!s!"

s+da-/2ab!sm+0aua-0a!2a-,!s!"

s+da-aaus+saas++0a2b+r+m!2" bua- a!r b+sar"

bauaaum+-+0a-8.

• :a6r,a6r#r+d!s#6s!s! 7m!sa0-3a+m#arama!aau#a-as"

b+rd!r!da0am;au 0ama" saas++0a2maa-8 da-,a6r 3a-

m+mb+raa- 7m!sa0-3a+aua-" -3+r!2+ba" #+r+raa-0+2+r8

Pertanyaanmengenaisaatterjadinyaserangan:• Mua0" mu-a2" rasa !da+-ad!#+ru" rasa d!-!-" b+r+r!-a"

-3+r!#ada0+2+raauba2u" #+-0!2aa-abur.

Pertanyaanmengenaiserangan yang terjadi (saksimata):

• Baa!ma-a5aras+s+6ra-+rs+buau2 7m+r6s6aaub+r0uu8"

;ar-au0! 7#u5a" s!a-6s!s" +m+ra2a-8"

0ama-3a2!0a--3a+sadara-" +-!s#+r-a,asa- 7m+-6r68"

#+r+raa- 76-!" 06-!" 6-!06-!8" 0ama +ad!a--3a"

araa-ara!mbu0-3a#+r+raa-+rs+bud+-a-+ad!a-au2"

0!da2+r!!8

Pertanyaanmengenailatarbelakang:• R!;a3a+0uarad+-a-+ma!a-m+-dada"

#+-3a!a-u-ar!m6+-!56-+-!a0 aau#!-sa-.

• R!;a3a#+-3a!a-u-s+b+0um-3a.

• R!;a3a+0a!-a--+ur606!s 7#ar!-s6-!sm+" +#!0+#s!" -ar60+#s!8

• Ga-ua-m+ab60! 7m!sa0-3a d!ab++s m+00!us8

• Oba6baa- 7a-! 2!#+r+-s!" a-! d+#r+sa-" a-!ar!m!a"



d!ur+!ada-6ba6baa- 3a- da#am+mbua <T m+ma-a-8

• B!0a+rad!s!-6#b+ru0a-"

++ra-a-m+-+-a!b+ru0a--3as!-6#m!sa0-3a;audar!saa

+#!s6d+ s!-6##+ramada-um0a2r+ur+-s! 3a- +rad!.

RSUP DR. M.

DJAMIL

PADANG

SYNCOPE


* / 4

PANDUAN

PRAKTIK

KLINIS

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TERBIT/ REVISI


dr. AumasPabu!" S#.A MARS NIP 1$%4&'1(1$)1&(*&&1

P+m+r!saa-:!s! T+ra-u-+!606!

• J!a+!606!ar+-a+0a!-a-sruura-u-da#ad!+mua-ada-3a

murmur" a006#" da- 0a!-0a!-.

• J!a+!606!ar+-a+0a!-a-!ramada#ad!+mua-+0a!-a-#ada EKG

Kr!+r!a

D!a-6s!s

Gambaran EKG yang menunjukan sinkop akibat aritmia:

• B06 b!,as!u0ar 7d!d+,!-!s!a- s+baa! b06 b+ras 5aba- !r!aau

b06 b+ras 5aba- a-a- aau b06 ,as!u0ar #6s+r!6r !r!8.

• Ab-6rma0!as/+0a!-a- 6-sus! !-ra9+-r!u0ar 0a!- 7duras!

<RS=&"1* d+!8.• B06 ar!69+-r!u0ar d+raa dua M6b!> I

• Brad!ard!a s!-us as!m#6ma! 7?%& d+raa #+rm+-!8 aau

b06s!-6ar!a0.

• K6m#0+ <RS #ra+s!as!.

• I-+r9a0 <T m+ma-a-.

• P60a b06 b+ras 5aba- a-a- d+-a- +0+9as! ST #ada sada#a-V1

V( 7s!-dr6m Bruada8

• G+06mba- T -+a!, #ada sada# #ra6rd!a0 a-a-"

+06mba-+#s!06- da- +0ambaa- 9+-r!u0ar 3a- b+r#6+-s!

#ada duaa-d!s#as!a 9+-r!u0ar a-a- ar!m6+-!.• G+06mba- < d!dua !-,ar m!6ard.

D!a-6s!s

Ba-d!-

• S!-6# 9as69aa0

• S!-6#9asu0ar

• S!-6##s!6+-!

• S!-6#-+ur606!s+r+br69asu0ar

• H!#60!+m!a



P+m+r!saa-P+-u

-a-

• P+m+r!saa-dara2ru!-

• P+m+r!saa-+0+r6ard!6ra,!

• E6ard!6ra,!

• U!+0+r6,!s!606!

• P+m!aa- s!-us ar6!s

• Tilt-Table testing

RSUP DR. M.

DJAMIL

PADANG

SYNCOPE


( / 4

PANDUAN

PRAKTIK

KLINIS

TANGGAL

TERBIT/ REVISI



NIP 1$%4&'1(1$)1&(*&&1

• Ka++r!sas!a-u-da-a-!6ra,!

• E@+r5!s+ +s!-

T+ra#! • Taa0asa-a+ra-u-#+-3+bab" m+-5au#+ra#!,arma606!"

#+masa-a-#a5ua-u-da-+ra#!b+da2.

• Pas!+- d+-a- ard!6m!6#a! 2!#+rr6#! da#a b+r+s#6-d+-a-

+ra#! ,arma606! d+-a- m+-u-aa- beta bloker " calcium

channel blocker da- 6ba a-!ar!m!a 0a!--3a.

• Pas!+- d+-a- +0a!-a- !rama a-u- d!#+r0ua- #+masa-a- a0a

#a5u a-u-.

• Pas!+- 3a- #+-3+bab s!-6# ard!a-3a d!s+baba- +0a!-a-

sruur a-u- s+#+r! S+-6s!s A6ra" +ra#! b+da2 mu-!-

d!#+r0ua-

• P+-aa0asa-aa-#as!+-s!-6#ar+-a+0a!-a-!rama

a. K0as I

• Pas!+- 3a-

m+-d+r!as!-6#ar+-aar!m!aa-u-da-6-d!s! 3a-

m+-a-5am+2!du#a-aau rauma

d+-a-r+s!6!-!2arusm+-da#a+ra#! 3a- 5+#a.

b. K0as II

• P+-6baa-d!0aua-b!0a 5u0#r!

arr23m!a!daadada-ar!m!a 3a-

m+-a-5am+2!du#a-d!#+r!raa-dar! daa #+-a-!.

• P+-6baa-d!0aua-b!0aada 5u0#r!

arr23m!aa#!!dam+-a-5am+2!du#a-aauadar+s!6!-



!

Eduas! • P+-!- d!+a2u! r!;a3a +ad!a-d!saasaa s+b+0um +rad!-3a

s!-6# +rs+bu u-u m+-+-ua-#+-3+bab s!-6# s+ra

m+-3!-!ra- d!a-6s!s ba-d!- 3a- ada.

• Gambara- 0!-!s 3a- mu-5u0 #ada s+!a# #as!+- sa-a#+-!-

u-u d!+a2u! +ruama ,a6r,a6r 3a- da#a

m+ru#aa-#r+d!s#6s!s! +rad!-3a s!-6# b+s+ra a!ba-3a.

Pr6-6s!s • B+r9ar!as!+ra-u-dar!+!606!s!-6#

• Pas!+- d+-a- s!-6# ard!a !-! m+m#u-3a! r+s!6 +ma!a-

+r!-! da0am 1 sam#a! bu0a-.

• T!-a m6ra0!as #ada a2u- #+rama 1)(( C

RSUP DR. M.

DJAMIL

PADANG

SYNCOPE


4/4

PANDUAN

PRAKTIK

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NIP 1$%4&'1(1$)1&(*&&1

K+#usaaa- • T6#60" T+@b66 6, ard!69as5u0ar M+d!5!-+" (rd +d!!6-

• Gu!d+0!-+s 6- ma-a+m+- 7d!a-6s!s a-d r+am+-86, s3-56#+ ,

European Heart Journal 7*&&18 ! 1*%1(&

pelayanan kes monev 1

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