e- Modal UKMPPD

Perry Kardio
.
- Vascular

By : dr Armurozi
.
. s
① .
Basic EKG

Cth :
sinus Tachycardia : HR 160×4 Regular : Normoaxis dengan
STEMI Lateral

: Baca an Dasar EKG

: kelainan Pd EKG

coelom bang Pasar EKG

R
Gel dari Atrium

appt
°
. P → Terbentuk presses Depolarisasi
(N C 0,12 Sec 13mm )

Q
s
o

kompleks QRS → Terbentuk dari poses Depolarisasi

Ventrikel C Duras,
-

0,12 -
0.2 Sec I
.

3 -
5 MM )

Gel T Terbentuk dari Repo Ian Sasi

'

→ poses
•
.

'
Ventrikel C Amplitude c
13 Gel .
R)

Cara Membaca EKG

① Pastikan Bahwa EKG 99 di Gaea -0 Ter Galik

.

①
Indicator lead AVR
I
:

"

Pd lead AVR Gel P RT Depleksi Negatif

'

W
.

→ EKG Terpasang Behar "

-0
S

Aha
Q

R
② Menentukan Tenis Gelombang : Hama : HR
.

a) . Jen is Gelombang
* Sinus → Tika Setelah Gel -
P dilkuti Oleh kompleks QRS
Interval
- →→

TP
R R R R
R R R
,
=
Rz= R
,

Pg
T 12

g ,

SMART WAY : Tika diantara R -

R Interval "

2 Gel
"
-0 Sinus

* A- sinus → Tika Setelah Gel P ① diikuti Oleh

-

kompleks QRS
Interval
R R R R R

gtp④x
-

ggtp
p 1 2 34

SMART WAY : jika dianfara R .

12 Interval 1/22 Get → Asinus

Jikadiantara Interval
"

SMART WAY → Get sinus → R -

R terdapat
2 Gel "
→ Gel . Sinus

b) .
Kama

Regular R R Interval Tarak SAMA

"
"
→
-

Irregular → R - R Interval Tarak "

① Sama
"

R, F Rz F Rs Rg Rs

mush

d. Heart Rate

Regular → Rumus Kotak Besar : 3001 Jumlah Kotak Besar R R

-

Interval lead I

Rumus Kotak Kecil : 1500 ( jomlah Kotak Kecil R -

k

Interval pd lead I
 '
Jumlah R di Interval 6 Sec Ii
Irregular → x to = -
. . .

Ri R2 123 Rg Rs Rs Ry Re Rg
①
.

•
30 KB
o

1mm = 0.04 Sec

Interpretasi :

1 KB = 5k Kecil
. = 5mm = 0,20 Sec o 260mi → Bradikardia

1- detik 10,2 = 5 K . Besar o 60 -

1004 -

.
→ Normal 1 Ritmik

6 defile * 5 = 30 K .
Besar o 7100mi → Taki Karaka

③ .
Menentukan Axis jantung .

Indicator Lead Ct ) IC I t
Pengurangan
"

I Tinggi
-

: .

lead Auf Ct ) le ) Gel .

R dgn Gel .
S
"

Inffytsnmm
lead lead #

Fyfe
5mm

15 -

5 = TIO 5 -

15 = -
IO

(t ) s = 5mm C -
) . I 15mm

SMART WAY : Tika Gel 1275 → Ct )

jika Gel s > R → c- I

lead Ict) dan lead Auf Ct ) → Normoaxis

lead Ict ) dan lead Auf C- I → left Axis Deviation CLAD )

lead I C -

I dan lead Auf Ct ) → Right Axis Deviation CHAD )

 Tentukan Apa Kah EKG Layak Baca / Tidal -0 lead
A④
O ⑦
O
R

P
RT
①
⑤

O ④ to

S
Tenis : Hama : HK → Sinus :
Regular
① ,→Rz→Rz→R p.16.mn?l5---OB4at-- 1500/16
'
R : 93 .
. . .
Ii
I 2 ,

Ritmik HR 93×4 Regular Right Deviation

Interpretasi : sinus : i Axis CRAD ) .
④ . Perry kardiologi
.

a) . Angina Pectoris Statoil

E : o
Mero Kok °
Riw .
ketunnan .

°
Obesitas

•
Perry .
Lain : DM :
Dislipidemia : HT

Diagnosis .

Gejala Khas : o
Nyeri Dada I 15 men it dan Menghi lang Saat

lstirahat i Fak .
Reiko Cti

Pem .
Penunjang
EKG sinus Ritmik
"

Post
"
* → → Exercise stress

Test →
"
Gamb .
T -
Inverted "

white
* Enzim Jointing : o Mio globin CI -
2 jam onset )

o Ck -

MB C3 -

Ajam onset )

6 jam
•
Troponin IIT C 5 -
onset ) .

C Normal ) .

* Exercise stress Test C Treadmill Test ) →

Angina ⑦
"
"

Tatalaksana
° Edu Kasi :
life style Modification
° Tatalaksana : o Pemberian Vasodilator C Gol .
Nihat ) → ISDN / Nitnogliserin
5mg P.co/djamCkI:Hipotensi ) .

°
Got . B -
Blocker C -
0101 ) .
⑥ .
Sindroma Kovner Aleut CSKA )

E : o
Mero Kok °
Riw .
ketunnan .

°
Obesitas

•
Perry .
Lain : DM :
Dislipidemia : HT

Diagnosis
Gejala Khas : o
Nyeri Dada I 15 men it doin -0 Membaik Saat

Istra hat

•
Menjalar to

o Usia 340 Thn →

Nyeri Ulu Hati ⑤ R

P .

Penunjang : o
ST segmen elevasi
"
M -

shaped
"
NEX ST

⑦ P .
Enzim Jantung : TT Meninga at
Dx : STEM I

riff shaped atau

"
W
ST segmen Depress
"
-
•

T - Inverted
Mfg
⑤ TT Meningeal Enzimjantung → NSTEMI

⑤ E. jointing ④ → UAP .

Tika EKG ① Ada : E .

jantung -0 ada → Sind roma Kovner Aleut

Menentukan ↳ Kasi lnfark

Lateral :
I Aul Us -
Us → A .
Circumflex a → 1 Area dikatakan

Inferior :
I , II Auf → A -
coronary Dextro Bermakna

Septal Vi U2 Minimal Menge nai

}
"
: -

A , coronary Inferior sinister

Anterior :

vz -

Vg 2 Lead "
 L l l S A A L
Cth : St Depress di lead I ,
HI ,
Auf , # Vz -
Vg -
Us Tt Ck -
MB .

Dx : NSTEMI Inferior Anterior lateral C. Extensive Anterior )

L I L S A A

M -

shaped di lead I ,
I Aul ,
V Us Vg Tt Mio globin
, , . . .

Dx : STEM Anterolateral

Interpreter si : sinus Ritmik : 759, -

Regular : RAD dengan NSTEMI

Inferior

Tatalaksana :

① .
Modifikasi 6 .

Hidup .

② Terapi loading ONACOM

"

A- wall
"

Oksigen →
Sp .
Oz < 94% → 4 -
G Eli

sp -
Oz 7994 .
→ 1 -
2 %

-
Nitrate → ISDN 5mg sublingual ( Interval 5 merit ) → Mak

( Vasodilator ) 15mg .

KI :
Hipotensi
 dikunyah
"

Aspirin 160
"

-
→ -
320 mg

C Antiplatelet )
600mg ditelan
clopidogrel
" "

-
→ 300 -

C Antiplatelet )

Morfin → 2mg Bolus IV dgn Nad O ,g%

( Analgesic -

opioid ) KI :
Hipotensi

• Tera pi Utama :
Rujuk ke Rs → Tera pi Referfusi
Syarat onset cizjam .

Primary PCI C Mekanik ) .

Fibrinolisisl streptokinase Iv Cfarmakolosi ) .

② .
Gagaljantung .

1) Gaga I Jantung
.
Kron is

E : o
P roses Degenerate'f
•
Perry .
Cain : HT :
Peng - Tiro ;D : P J
- -
Kato 6 : P J
-
. Bawa a n

Anemia

Diagnosis

Gagal Jantung
"

Beng Kak
"
• Kanan : o

C
Decompensation Cordis D. extra ) - Edema pre tibial o onset s
,

-
TT Tvj 3 Bulan

Hepatosplenomegali
- A sites

Pem .
Penunjang :

•
Radiologic Foto Thorax ) → CTR 750%

RAH : Jantung pendulum 1 Globular I kendi

RVH Boot shape
"

appearance
"
:
 3mm R
Pem EKG p

TIME
•
.

RAH : o P -
pulmonal ( Amplitude P > 0,12 Sec )

Q
S

RUH : o Gel . Rls di lead U

,
atau Vz > 1 atau

Gel . Ms di lead Us atau Us < 1

RAH RUH

RTT
O

① O

Su
O

RUH
 Gaga l jantung Kiri Sesak
" "

° -7

( Decompensatio Cordis sinistral -

Sesak Saat Beraktifitasctypsnea on

effort )
-

Terbangun Tengah Malam Karens

sesak ( PND )

-
Sesak Saat lstirahat Cortophnea )
-
Rhonki Basah Basal

-
53 Gallop Ct )

P .
Penunjang → Foto thorax Ckadiolosi ) → CTR 750%

LAH contour
"
Double
"

Jantung Tertanam I Tenggekm

"
s

WH →

EKG :

LAH → P . Mitral → Gel . P Berbentuk Sepertihuruf

"

Iif
"

LUH → Gel .
R di Us atau UG t Gel .
S di

U ,
atau Vz 3 35 Mm .

LVH
LAH
.
I
Ife Eth ¥÷h
-

✓6 73 K -
Kecil .
* mind

O O

1- AH

Std
①
q.tt
x

÷3a@
O ÷ O
-

-31 t 34 = 65 3 35 mm

- O RTT

LV H
SMART WAY EKG "
6. jantung "

Tika R di U
,
-
Vz Tinggi clan Sdi Us -
Us Dalam → RUH

R di Us Va dans di Vz Dalam LUH

-

Tinggi V
,
- →

SMART WAY I
° Gj .
Kanan t Perry .
Pan Kron's CPPOKI Asma Kunis )

→ Cor Pulmonate Diseases → -0 Sesak Nafas Progresif → Kron is

⑦ Sesak Nafas Progress f

'

s zmgg

→ Aleut

° LVH ( Radio Cosi / EKG ) : Asimtomatis t

Hipertensi
→ Hipertensive Heart Diseases

• G. jantuns Kiri t 6 .
Janning Kanan →
congestive Heart

failure

klasifikasi 6 .
3- antung

a) .
Anatomis
-
Class A = -0 Cardio mega Ii : Hipertensi Ct )

- Class B = to cardio megali : Asimtomatis

- class c = ⑦ Cardio nnegali : Sesak Natas Munch Saat aktiuitas

Berat -

Ring an .

- class D= to cardio mega Ii :

sesak Natas Mun cul Wala u

sedans lstirahat

b) . Fungsional CNYHA ) .

NYHA I : to cardio megali : AsimTomah's

 NYHA I : Sesak Nafas Munch Saat Aktivitas Berat
NYHA II : Sesak Nafas Munch Saat aktivitas Ring an
NYHA II : Sesak Nafas Munch Saat lstirahat

Tatalaksana :

o Edu Kasi : o
Batasi Cai ran dan Garam

°
Farmakolosi : o
Furosemide ( spironolactone C Deuretik )

/ ARB tan ) Anti

o Ace Ihh C -

pril ) C -
→
Remodeling .

•
Digitalis C Anti palpitasi )
•
Utama →
Rojuk ke RS

2) .
Gaga I Jantung Afoot 1 Edema Paw Akut
PIB katub IMA All
E : o 6 .
jantung Kron is : : P J . .
: .

Diagnosis : o Sesak Nafas Progresifl Member at Ys di pengawhi

Oleh Posisi to
•
Onset C 2mg g
°
PD → Rhonki di seluwh lap . Pan
o

Gejala F .
Resiko Ct )

P Foto thorax
.

Penunjang →

"
Bat wing appearance
"

TY .
Bed Rest

Posisi C45° )
° Semi
fowler .

4 6 Eli
o
Oksigenasi -

Farmakologi Lasix Cteuretik ( furosemide ) '

} II
• : o
→ Iv

•
Morfin N tense

a Nitro gli serin drips

④ Perry
. .
Jantongkafub .

E : D .
Reumatik : Endocarditis I Miokarditis

Klasifikasi :

•
stenosis → ketidakmampuan kata jointing Membuka Sempurna
°
lsufisiensilkegurgitasi →
ketidakmampuan Kath Jantung
Menu top Secara Sempurna

Diagnosis :

• Moolah lelah o
"
Murmur "

o
Palpitasi I Berdebar debar .
°
Fak .
Resiko Ct)

.
Angina CH

Sesak Nafas P Penvnjang Echo

→
cardiograph
.
•

SMART WAY : Cusco Doppler

① .
Tentukan Jembatan lnsatan Jantung ) .

( stenosis Aorta ) ( Aorta lsufisiensi )

MI -
SA -
S "
sistolik "
Ms -
Al -
D
"

Diastolic "

( Mitral kufisiensi ) ( Mitral stenosis )

② .
Tentukan Lokasi Kath Is Mengalami Murmur

-
Aorta → ICS II Para sternal Kanan

pulmonate KS II Para sternal Kiri

Tricuspidalis → Ics II para sternal Kiri

-
Mitral → Ics II Midd avi auk Kiri 1 Apex

Cth : Murmur Pansistolik Grade III di Apex

④ -

SA -
S Mitral

Dx : Mitral kufisiensi
 Al I
split Diastolic
D di les
MS -
-

← Murmur
kin
cputmonal )
-

para sternal

Cth : Murmur split Diastolik Sr III di les II para sternal

Kanan Murmur Sisto lik di Apex .

Ms ④ D Aorta
"
"
-

Dx : Aorta lsufsiensi ④ ⑤AD ⑤

1-
-
-

T.IO -
⑤④
-

Mus III les tu Para sternal

'

•
Sr di kin

Ml -

SA - S Tricuspid alis
:

Dx
Tn-cuspidalislsufsien Murmur split diastolic Ks # p Kin
-

: .

Ms Al Pulmonal
"

D
"
- -

Tatalaksana moral
:
Rujuk ke Rs

lsufrsrensi
② . Perry .
Jantung Bawaan → kardiologi Anak

E : o
Defect Kon genital
°
lhfeksi kehamilan → TORCH
"
Rube la
"

Mu dah blah H
Diagnosis : o o
PD → Siano sis -

o Sesak Nafas Murmur ⑦

°

Palpita si CH
o
Fak . Resiko Ct )

Tumbuh dan Kemba ng

•
Gaguan
P .

Penunjang → Echo cardiograph Cust Doppler

jantung ) .
SMART WAY
°
PJB Tipe Asian is C Tidal Bin )
-
Murmur Pansistolik → Ventricular septal Defect CVSD )

-
Murmur
split Diastolic Csz ) → Atrial septal Defeat C ASD )

-
Murmur Machinery 1 Contini ous → Pattern Ductus Arteriosus CPPA )

PIB Ckebinan )
o
Tipe Siano sis

Pansistolik
"

Murmur
"
-
VSD

Stennis pulmonal
"

Murmur Sisto lik di les II para sternal Kiri -.

Overriding Aorta

RUH
Dx : Tetra logi of Fallot

-
ASD 1USD → Siano sis

Dx :
Eisenmenger syndrome

Tata laksa na :
Rojo k ke Rs

⑤ .
Perry .
Jantung lnfektif

Denham Reumatik
1) .

E :
Streptococcus B -
Hemoliticus Group A

Risk : 15pA

Mayor P A STO
'

Dx : kriteria .

Penury ang : CH

.ro/itis-Nyen-dadapleuritikPoliatritis
ka
Nyeri Sender Minimal
→ 71 kriteria : 72
Gejak
Chorea → Gerakan lnvolunter Mayor ± A Sto Ct )

Eritema Marginal um -
→ kemerahandikulit

Subkutan Nodal → Nodul di sutkutan

kriteria Minor

o Derham 738°C

Atralgia I Gejala Mayor 2 Gejala Minor

"
o t

•
P .
Lab : leukositosis I ASTO Ctt )

°
Tt CR -

p
•
Prolong PR Interval C Duras i > 5mm )

Demain Reumatik Murmur Perry

" "

SMART WAY : t → . Jantung Reumatik

Th/ .
Rujuk ke RS coccus → Gram ① ex : N . Gonorrhea

Basil → Gram -0 ex :
Corynebacterium
2) .
Endocarditis lnfektif Clostridium .

E : o Jahr N C Penggunaanobat : Nar Koba ) → Staphylococcus Aureus

• Hanover Gigi → Streptococcus viridans

Dx : o
Demain 730°C Tanda Khas :

Nyeri Dada pleuritic o Osler Nodes

• Sesak Natas o Janeway cession

•
Palpita si o
Roth spot
o Fak . Resiko Cf )

P .
Penunjang → o Echo cardiograph Cusco Doppler jantung )
"

Vegetasi pd katub jantung "

°
P .
Lab → Kultur Darah

Thf .

Rujuk ke RS
3) .
Pericarditis
E :
lnfektif .
→ Endocarditis : D .
Reumatik : TB Paro .

Non lnfekfif : Auto lmun CSLE : R .

Atif's idk ) .

Dx : o
Nyeri Dada pleuritic PD → Murmur
"

o sesak Natas
"
Fruition Rub Murmur ⑦

o
Palpita si
o Fak . Resiko Ct ) P .

Penunjang → EKG
°
Denham H -
"
St elevasi di Senna Sada pan "

tht Kujuk ke Rs

④ .
Bradycardia

6g konduksijantung Block
"
E
"
: .

Dx :
o Mudah blah ( Capek
o Sin Kop / Ping San
•
P TTV
.
→ HR L 60×4 -

P Penunjang
.
→ EKG → AV Block

klasifikasi :

a) .
AV Block Grade I

-
HR < 60×4 .
-0 ada Gel .

Pyg kehilangan QRS

-

Prolonged Interval PR C > 0,2 Sec ) .

b) .
AV Block Grade II

-
HR C 60×4
-

I atau Lebih Gel . P 49 kehilangan Komp leks QRS

Morbitz I →
Prolonged PR Interval

Morbitz I → Interval PR Regular

c) .
Au Block Grade II Ciotat Au Block )

HR < 60×4 '

-
Hama Jantung -0 Normal → Gel -

p → QRS
Send iri send iri )
C P -

QRS Berjalan -

HRC6o
"" "

i'
K R #

⑨ to
Qs as Q s

k 75mm → Morbitz I
p
p
.
P Tatalaksana :

X -
Asimtomatis : . Observasi

Mobile I Simtomatis
yrs
5mm → -

1st : Sulfa s Atop in N

p p
X 2nd : Epinefh he / Adrenalin
-

IM

3rd :
Dopamine IV

④ -
Takikardia
E : o 114A : G Ianto ng
-
Aleut :
Perry .
Hi perthyroid : Tension Pneumothorax
Cordis dll
Tamponade : .

Dx : o Berdebar - debar 1 Palpita si

• TTU : HR 7 100×1 -

P .

Penunjang → EKG

a) .
Sinus Tachycardia
Tht . 601 Digitalis
.
: Gol - B -

Blocker

Takikardia

r
t HR 71004,
-
-0 Sinus
b) .
A-sinus → Tipe Atrial CQRS Sempit : so , 12 Sec 13mm) .

°
Gel .
P Ct )

o QRS Sem pit CCO , 12 Sec )

1) Supra.
ventricular Tachycardia
Tanda dan
: o
Gel .
p Gel .
T Tumpang Tindih

R R R K

④
T T

PQ
s S

SMART WAY : QRS Sempit :

Hk> 100% : R - R Interval "
I Get "
→ SVT

2) .
Atrial flutter

Tanda : o
HR 7100×4 - °
Gel .
A- sinus ⑦ ✓

•
Gel . P CH : QRS Sem
pit too lrama Regular ✓

R = R = R R R
①
T P T P 1 2 34
t p

Qs QE Qs

SMART WAY : Tika diantara R -

R Interval 72 Gel .
i lrama Regular .

3) .
Atrial fibril asi

Tanda HR Gel A sinus

100×4
°

: o > - .

Get QRS Sempit

u -

Pct) : .
Kama Irregular .

SMART WAY : jikadianta R -

R Interval 72 Gel : tram a
Irregular .
QUANTITY R -
" Intern at a- Gel -
o SVT

HR 7100mi
(
yo
R R Interval
- 264 → sinus

Tachycardia
sempit
\
EKG :
QRS
( co ksectsmm )
R Interval 72 Get
.

, -
p

•
Regular → A -
flutter
.
Irregular → A .
fibnlasi

Resler I Bentk UT
→ →
Monomorfik

HR 7100 'T / \ >I Bentk → VT Polimorfik

\
QRS Legan

irregular → V . Filoni lag

-
Tipe Ventricular

Ciri :O HR 7100×4 .

• Gel . P C -
) ada :
QRS lebar C > 0,12 Sec )

a) .
Ventricular Takikardia

HR 7100×4 tram a Register

-

° o

a Gel .
P C -
Jada : QRS Lebar C > 0,12 See )

12--12=12

b) .
Ventricular Fibrilasi
HR 7100×4 Kama Irregular
'
o
•

° Gel . P C- Jada : QRS Lebar C > 0,12 Sec )

Tatalaksana

① Tentokan duh Tipe Statoil / Tidal Statoil

.

Hipotensi C TDs mmHg )

temukaniitoeni.ioeai.ns.ua#:e:.: .: /4I:n!
- < go

- Peru Gahan status Mental Ctt kesadaran )

- Tanda shock → Akral Ding in

⑦ Statoil -
o
Terapi Farmakologi
① Statoil →
Terapi Listrik
• SVT 1A .
Flutter : Statoil :
1st : Hanover Vagal

KI : o Riw .
TIA :
VTIVF : Bruit tarots

2nd : Adenosine II

① Statoil : kardioversi 50 - 100 joule

o A . Fibril asi : Statoil : Rate : o

Gol . CCB : o Diltiazem : Vera pamill Iv

•
Digitalis : .
Digoxin

Rhythm : o Amico danone II

① Statoil Karoli overs i Bifasik 120 200 joule
-

: a
-

Karoli overs i Monofasik 200 joule

-
•

•
V .
Taki Karelia Statoil : o
Amiodarone II
① Statoil : o kardioversi 100 joule

V Fibril asi
o
. : Sta Gil : Gol .
B -
Blocker w → Rujuk ke Rs

① Statoil : Defibrilasi / Dc shock

Bifasik 200
Joule

Monofasik 360 joule

⑤ .
Cardiac Arrest
E : 5h t 5T

Hipotensi -

Hipothermia -

Tromboem Goli Pan f

-

Hidrogen Ion -
Toxic jantung .

Hipovolemia .
-

Tamponade Cordis

Hipottliperkalemia -
Tension Pneumothorax

DX att kesadaran
:
a
Fat . Resiko CH .

•
-0 Nadi Kant's
Total aksana :

o
① Sadar → call For Help .
→ Cela Nadi Kar tis lo -
20
"

① Nadi → RIP 30 : 2 sampai perto longan

Batang / Monitor Data ng

t
o Monitor Batang → RIP dihenlikan → Evaluasi Coelom bang .

klasifikasi
a) .
Tipe shock able → V. Takikardia IV. Fibril asi

TY .
DC shock I Defibrilasi Monofasik 360 joule
Bifasik 200 joule
°
Lanjutkan dgn Rjp .

C 2 me hit )

b) shockable Pulse less electrical activity

.

Tipe Non → C QRS Sem pit ) .

Asi stole C- )

try Epinefine 1mg lntubasi

'

Tf1 . RIP t . t

( 2 merit ) .

③ .
Cardiac Tamponade
E : o Trauma Thorax
DX : o TRIAS BECK
-

Hipotensi CTD 5<90 mmHg )

TT TVI CTT Jvp )

- Swara Jantung It ( Hila ng C Muffled Heart Sound ) .

Fak Rest ko Ct )
-

•
.

P Penunjang EKG Low Voltage electrical activity

" "

. →

Tf1 . Resusitasi ABCDE → clear

↳
Needle Pen cardiosinless
-

C Bantu an 056 ) .

Utama Thora Otomi

"

Rujuk
"
•
→ ke Rs
④ .
Hipotensi
E : o Masalah Rate → Bradycardia

• Masala h volume → Hipovolemia

o
Ma Salah Pompa Cjantung ) → IMA : ALO

DX : o
TDs s go mmHg
Th Io Cela Nadi HRC 60 Hi → Proto Kol Bradikardia
'

observant
'
Ii
Lanjutkan
HR 760 →

°
Beri Cai ran Kristakid Had 0cg % 20 milks 1313/15-30 merit

TT Naik → Observasi o Protocol Brandi

Hpu
-

Hipotensi %
① Naik -7 Gant Protocol Karalis

f Volume is → Resusitasi

o Farmakologi
TD 5570 mmHg t Akral Ding in → lnj .
Norepinefrine
\ cairn

Pompe
177570 - too
mmHg t Akral Ding in -7
lnj .

Dopamine < to -0 Nor

177570 -
100 MmHg t ① Akral Ding in →
lhj .
Dober famine 770 → shock to

Dopamine

② .
Ventricular Extras i stole ⑦ shock

E : . 6g elektro lit
.
. Do but amine

•
Efek Sam
ping Pengobatan
° Kelainan Hormonal "
Timid "

o ACS

QRSD o Ves
④
-

YAM
DX ' .
Jan tung Berdebar debar -

( Palpita si
•
TTV :
HR > 100×4
EKG
P .

Penunjang →

"

Munch Komp leks QRS Tampa di dahului

Oleh Gel
"

. P
 '

④
Berdasarkan Morfolosi
④ ⑧

①
o Ves Monomorfik

Polimgorfik u
owes " total .

00
Tipe Lain : . Ues Big emin , I Trigemini / Tetra gemini
I -

④
④ ④ ④ ④ ④ .
o Ves coupled .

o Ves R ont

⑤ Ves (Gel II) -

→
Bigemini

Mff I I # Cues)

Mmff
Total aksana : Amiodarone II Trisemini

④ Perry
.
.
Vascular
C Burger Diseases )
a) . Tromboangitis obliterates .

E :
Thomas Pd Arter Peifer
Heb at Pd distal Eastern it
Dx :
o

Nyeri as

o Fak .
Resiko Ct) → Pero Kok Berat

t.lu/Hilang.Ujungekstremitassianosis/NekrosisTh/.Rujuk
°
PD → .
Pulsar Arter Distal

ke Rs -1 Terapi operatif
 ites
'

④ .

④ vis

ahhhh
Bisemini
t:÷: ÷! ④ ⑧ Ues ④ ④ Ues
insunini

irfmfnfnfmfy
b) .
lsufisiensi Vena Kunis

E : Thomas Pd Vena distal .

→ lsufisiensi Pd katub vena

Dx : o
Kaki Moolah Capek Ile Iah
o Kaki Pegal
o -

Edema to
• Kull't Meng Ki lat :
Hiperpigmentasi
° Luka suit sembuh Pol Tung Kai

o Riw . Perry .
Va rises 4 Metabolite

P .
Penunjang → USG Doppler

Thf .
Non Farmakologi :
Pemakaian Stocking 1 Elastic verb an

Farmakologi Rojo k ke RS Anti koagulan

" '
• →

c) .
Deep Vein Trombosis

E : -0 Mobilisasi Tung Kai

Dx : o
Nyeri Pd Tung Kai Bawa h

° Edema to

°
Fak .
Resiko Ct )

Tanda Khas : Homan 's sign to

P .

Penunjang : 056 Doppler

D- Dinner

Thf Rujuk ke Rs → Anti koagulan

-

d) .
Tromboflebitis TV . 6 anti Tempat IV line

E : o Pemakaian Iv Line Terlalu Lama .

Tera pi
"

Simtomatis "

Dx : o Demain 738°C

°
Atralgia : Mialgia , Anoreksia : Nausea -

Vomiting .

Tanda lnfkmasi ⑦ di Seki tar Line

-

PD : IV

Fak -
Resiko Ctl .
12131313

"

The "Th④