penatalaksanaan shock

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    SYOK DAN RESUSITASISYOK DAN RESUSITASI

    CAIRANCAIRAN

    CANDRARINI, Amd.KepCANDRARINI, Amd.KepRS ASTRINI WONOGIRIRS ASTRINI WONOGIRI

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    Syok

    Merupakan kond! kedarura"an

    #er$u n"er%en! y& 'epa" dan "epa" u"k

    'e&a( kema"an

    #er$u "ena&a y& mampu mende"ek!

    !e'ara dn a)a$ !yok.

    #ro&no!e d(arapkan *ad $e+( +ak

    SHK 2

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    SHK 3

    Sindrom klinis akibat kegagalan

    sistem sirkulasi dg akibat

    ketidakcukupan pasokan oksigendan nutrien utk penuhi kebutuhan

    metabolik organ vital

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    Fase kompensatori

    Fase dekompensasi

    Fase irreversibel

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    Kompen!a! "akkard, &e$!a(, ku$" pu'a"

    dan dn&n, 'ap$$ary re-$$ / d"k

    Dekompen!a! "akkard +er"am+a(,"ekanan dara( "urun,per-u!

    mem+uruk,o$&ur, penurunan ke!adaran

    Ire%er!+$e 0 "ekanan dara( "ak "erukur,

    nad "ak "era+a, penurunan

    ke!adaran,anur, "er*ad &a&a$ mu$" or&an.

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    SHK 6

    1po%o$emk

    Kardo&enk

    D!"r+u"%

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    Syok 1po%o$emk

    #a$n& !ern& d*umpa pada anak

    Ke($an&an %o$ume 'aran "u+u(m$$ mun"a(,dare,ke+o'oranp$a!ma,perdara(an,!ep!!.

    #enurunan pre$oad

    #enurunan 'ura( *an"un&

    SHK 7

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    Syok Kardo&en'

    Ter*ad ak+a" ke&a&a$an pompa *an"un&2

    2 kon"rak"$"a! mokardum

    Ter*ad krn n-ek! %ru!, &an&&uan

    me"a+o$k 3 a!do!!, (po&$kem4

    d!r"ma

    Ge*a$a y& mun'u$ "ekanan dara(

    renda(,nad 'epa" dan $ema(,ku$" dn&ndan $em+a+, o$&ur,penurunan

    ke!adaran.

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    pera)a"an

    5a&a *a$an na-a!

    #a!an& EKG

    mon"or

    #an"au

    (emodnamk

    #en&&unaan o+a"

    3 Dopamn,do+u"amn,-uro!em

    d 4

    Ka* e"o$o&

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    SyokD!"r+u"%

    Gan&&uan d!"r+u! dara( d per-er.

    #enurunan re!!"en! %a!'u$ar !y!"em'!e+a+kan %a!od$a"a! !(& a$ran dara( ke*an"un& menurun.

    #enn&ka"an permea+$"a! kap$er

    Sep!!, anap(y$a6!, neuro&en',

    SHK 10

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    #ena"a$ak!anaan

    !yok

    Men*a&a *a$an na-a! y& adekua"

    Menen"ukan perna-a!an y& adekua"

    Mema!"kan %o$ume 'aran da$ampem+u$u( dara( 'ukup.

    #ada anak pa$n& !ern& "er*ad !yok

    (po%o$emk, !e(n&&a per$u re!u!"a!

    'aran !e&era.

    Men*a&a *a$an na-a! y& adekua"

    Menen"ukan perna-a!an y& adekua"

    Mema!"kan %o$ume 'aran da$ampem+u$u( dara( 'ukup.

    #ada anak pa$n& !ern& "er*ad !yok

    (po%o$emk, !e(n&&a per$u re!u!"a!

    'aran !e&era.

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    Tu*uan re!u!"a! 'aran pd

    Syok

    Men'apa "ekanan dara( norma$

    Nad "era+a 'ukup kua"

    Dure!! $e+( dar 7 m$2k&88 Ke!adaran +ak

    Cap$$ary re-$$9 / de"k

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    #EM8ERIAN CAIRAN

    Dmu$a d& 'aran kr!"a$od /: m$2k& 88 d$m )ak"u ;

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    #I?I1AN CAIRAN RESUSITASI

    Kr!"a$od R?, NaC$ :,@

    Ko$od 1ae!, Ge$a"n

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    KRISTA?OID

    ?e+( muda( ddapa" dan mura(

    Tdak ada e-ek !ampn&

    D!"r+u! 'aran $e+( 'epa" me$e)a"

    n"ra%a!ku$er dan n"er!""a$. Caran y& +er"a(an da$am n"ra%a!ku$er $e+(

    !edk".

    SHK 15

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    KO?OID

    %o$ume da$am n"ra%a!'u$ar $e+(

    +e!ar.

    1ar&anya ma(a$ Tdak muda( ddapa".

    SHK 17

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    RES#ON T1D RESUSITASI

    CAIRAN

    Re!pon 'epa"

    Re!pon !emen"ara

    3"ran!en" 4 Re!pon mnmum2"anpa

    re!pon.

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    TERIMATERIMAKASIHKASIH