Materi UKMPPD

KARDIOVASKULAR
-

FREEBEES
dr Twang
.
Zeb
.
① .
Basic EKG

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

: Baca an Dasar EKG

IBP
"arisasi
: kelainan Pd EKG Aktivitag
( white
Reepolarisi
zany
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 p roses Depolarisasi

Ventrikel C Duras,
-

0,12 -
0.2 Sec I
.

stelevasi
Stdepresi
} 31 Kk
3 -
5 MM )
Tinversi → Tterbalik
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 00

P.AT Depleksi Negatif
'

W
→ EKG Terpasang Behar "
-0

Whr P Q
g
T
② Menentukan Tenis Gelombang : Kama : HR
.

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

SMART WAY : Tika diantara R -

R Interval "

2 Gel
"
-0 Sinus

* A sinus → Tika Setelah Gel P ① diikuti Oleh

-

kompleks QRS

SMART WAY : jika dianfara R .

12 Interval 1/22 Get → Asinus

Jikadiantara Interval
"

SMART WAY → Get sinus → R -

R terdapat
2 Gel "
→ Gel . Sinus

( gel .
PET )

b) .
Kama

Regular R R Interval Tarak SAMA

"
"
→
-

Irregular → R - K 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

Rum vs Kotak Kecil : 1500 ( jomlah Kotak Kecil R -

k

Interval pd lead I
 30 Kotah Besar

T
'
Jumlah R di Interval 6 Sec Ii
Irregular → x to = -
. . .

⑧ o
30 KB

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 -

1007 -

.
→ 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
"

Imffmm
lead lead #

FYI
5mm

15 -

5 = 1-10 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 )

lead I C-7 dan lead are C-7 → Extreme RAB
Tent up an Apa Kah EKG Lagat Baca 1 Tidal -0 lead
A④

A-
,

Ritmik HR 93 Mi Rego ler 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 .

: C 20 men it

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

1ST Depresi
"
Test →
"
Gamb .
T -
Inverted

white
1-redmill Test

* Enzim Jointing : o Mio globin CI -

2 jam onset )

Smart way o Ck -

MB C3 -

Ajam onset )

Mace T •
Troponin IIT 1
C 5 -
6 jam onset ) .

1 -
2 3-4 7
C Normal ) .

* Exercise stress Test C Treadmill Test ) →

Angina ⑦
"
"

Tatalaksana
° Edu Kasi :
life style Modification
° Tatalaksana : o Pemberian Vasodilator C Gol .
Nihat ) → ISDN / Nitro gli serin

5mg P.co/djamCkI:Hipotensi ) .

°
Got . B -
Blocker C -
0101 ) .

• Cool .
Statin
⑥ .
Sindroma Kovner Aleut CSKA )

E : o
Mero Kok °
Riw .
ketunnan .

°
Obesitas

o
Peng .
Lain : DM :
Dislipidemia : HT

Diagnosis > 20 men it

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

Istra hat

•
Menjalar to

o Usia 340 Than →

Nyeri Ulu Hati ⑤ R

P .

Penunjang : o
ST segmen elevasi
"
M -

shaped
"
It ST

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

Whyy 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 → Sin drama koroner Akut

Memento Kan Lo Kasi lnfark

Lateral :
I Aul Us -
Us → LCX → 1 Area dikatakan

Inferior :
I , II Auf → RCA Bermakna

Septal Vi Uz Minimal Menge nai

y
"
: -

→ LAD
Anterior :

vz -

Vg 2 Lead "
 h

PJK

]
APS ACS
- EKG ( N )
-
Enzim ( N)
-
Tredmilltest (t) EKG EKG
Cstelevasi ) ( nonstelevasi )
I
•
STEM /
( enzimpn )

IMA
( Inparkmiokard
akut )
€ TEMI

( enzimon)
VAP
( enzimlN)
Cth di lead I HI Auf Vi
: St Depress ,
, , -
Us -
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

Interpretasi : sinus Ritmik : 759, -

Regular : RAD dengan NSTEMI

Inferior

Tatalaksana :

① .
Modifikasi 6 .

Hidup .

② Terapi loading ONACOM

"

A- wall
"

Oksigen →
sp .
Oz s 90%

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

( Vasodilator ) 15mg .

( TDS mmHg)
KI :
I Hipotensi CSO

- Post Konswmsi Sildenafil < 48J

 dikunyah loading
"

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 Reperfusi
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 1 Ken di

RVH Boot shape

"

appearance
"
:
 M --

Y Genta Sagal Ja "

Fun lung
µ•
y↳
•

µ
'
nor

MM
ri
Kanan
"
BengKak
"
"
Sesak Natas
"

/ TT TVT ,
DOE

- A sites , PND

- Hepa to Splenomesali - OP

- Edema pretrial - Ronkhibasab

Racial (Auskultasi )

chronic Heart Failure 7 3 Out an

 Tanda Gaga Jantuz
d
Kardio mesali

y- Kiri
Kanan

a
.

e-Foto
Ekg Foto
EKG
thorax , Aki Thom
- Aka - Aka ptlitral Aki
ppulmonal Globular evki Double
( V ka Shape Koi •
Volvo Cantor
evka
Rfs di V
,
71 1- Savva
am
Nkt
Hs & Va -51
-0--0-8--6 Root Shape 735mm

Apex
Downward
Aka → Atrium Kanan Aki → Atrium Kiri

✓ Ka → Ventrikel Kanan Vki → Ventrikel Kiri

 R
Pem EKG p

NY ht
•
.

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

Q
.
s

Rls di lead U atau

none
RVH : o Gel . ,
atau Vz > I

Rls
Gel .
di lead Us atau Us < 1

RAH RUH

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
"

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

U ,
atau Vz 3 35 Mm .

LVH
LAH
.
1- AH

WH
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 ref rather dengay pember ian

,

thy Transplanted Santy

b) . Fungsional CNYHA ) .

NYHA I : to cardio megali : AsimTomah's

 naik tangga
NYHA I : Sesak Nafas Munch Saat Aktivitas Berat ( oerjalan > room
)
NYHA II : Sesak Nafas Munch Saat aktivitas Ring an ( KE Kamar
mandi )
NYHA II : Sesak Nafas Munch Saat lstirahat

Tatalaksana :

o Edu Kasi : o
Batasi Cai ran dan Garam

farmakolosi Furosemide ( Diuretic ) Anti RAAS

1-7
° : '

/ ARB tan ) Anti

-
Ace Ihh C -

pril ) C -
→
Remodeling .

- Beta Blocker C- pro lol ) → Anti simpatico

- MRA ( spironolactone ) anti fibrosis
Denaro : seoelum

Jantung Edema
/ nya tampa CHF
2) .
Gaga I Afoot 1 Paw Akut
\
IMA dll At HF : seeelum
E : o 6 jantung Kron is PIB : P J katub :

dengan CHE
.
:
nya
.
. .

Diagnosis : o Sesak Nafas Progresifl Member at Ys di pengawhi

Oleh Posisi to → orthopne Berat

④
•
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 .

o =
Oksigenasi 4 - 6 Eli

Farmakologi Lasix Cteuretik ( furosemide )

}
• : 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 Uk SB

pulmonate KS II Para sternal Kiri ULSO

Tricuspidalis → Ics II para sternal Kiri / USB

-
Mitral → Ics II Midd avi auk Kiri 1 Apex

Cth : Murmur Pansistolik Grade III di Apex

④ -

SA -
S Mitral

Dx : Mitral kufisiensi
Kelainan Katup
D Tentukan Murmur :
Sistolihatau Diastolic

27 Tentukan Posies .
Cth : Murmur split Diastolik Sr III di les II Para sternal

Kanan

Ms ④ D Aorta
"
"
-

Dx : Aorta lsufsiensi

Murmur Holo Holik III les tu Para sternal

'

•
Sr di kin

Ml -

SA - S Tricuspid alis
"

Dx Tricuspid alis lsufisiensi

Tatalaksana :
Rujuk ke Rs

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

Kesulitan Miriam
Palpita si et )
° .

o
Fak . Resiko Ct )

Tumbuh dan Kemba ng

•
Gaguan
P .

Penunjang → Echo cardiograph cuss Doppler

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

- BJ : Wide Fixed Splitting Cse) → Atrial septal Defeat C ASD )

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

PIB Ckebinan )
o
Tipe Siano sis

Pansistolik
"

Murmur
"
-
VSD

Steno his 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 :
Rujuk ke Rs

⑤ .
Perry .
Jantung lnfektif

Denham Reumatik
1) .

E :
Streptococcus B -
Hemoliticus Group A ( SOHGA )
Risk : 15pA

Mayor P A STO
'

Dx : kriteria .

Penury ang : CH

endokardies miokarditis
.ro/itis-Nyen-dadapleuritikPoliatritis
ka , ,

Nyeri Sender dan Bertin dah kriteria : Minimal

→ 71 72
Gejak
Chorea → Gerakan lnvolunter Mayor ± A STO Ct )

Eritema Marginal um -
→ kemerahandikulit

Subkutan Nodal → Nodul di sutkutan Aerynlay di Pawan lentil

kriteria Minor

o Demain 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 )

1 17
Reumatik Murmur
1

SMART WAY : Demain t → Perry .

Tanto ng Reumatik
( le si Kronig)

TY .
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 uiridans

Meeksi Pata Gigi

Dx : o
Demain 730°C Tanda Khas :

Nyeri Dada Pleuritic o Osler Nodes

•
=
Natas
Sesak o Janeway cession

•
Palpita si o
Roth spot
-

o Fak . Resiko Cf )

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

Vegetasi pd katub Jantung "

Lab Kultur Darah 3 Waktu

°
P . →
-

Thf .

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

Non lnfekfif : Auto lmun CSLE : R .

Atif's id" ) .

Dx : o
Nyeri Dada pleuritic 110cal tiedPD → Murmur
"

• sesak Natas
"
Fraction Rub Murmur ⑦

o
Palpita si
o Fak . Resiko Ct ) P .

Penunjang → EKG
°
Denham 4-
"
St elevasi di Senna Sada pan "

tht Kujuk ke Rs

④ .
Bradycardia

6g konduksijantung Block
"
E
"
: .

Dx :
o Mudah blah ( Capek

Depr@sipRdisemuasadapanoP.T l Ping San

"
o Sin Kop

TV → 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 -

Tatalaksana :

-
Asimtomatis : . Observasi

-
simtomatis

1St : Sulfa s Atop in N Cos my )

2--6-7*-8=-0--3
2nd Epinefh / Adrenalin
:
-

he IM

¥€¥n€€FAfFalin
3rd Dopamine IV : N

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

Atari Pen b .
Pasar
b) .
A-sinus → Tipe Atrial CQRS Sempit : so , 12 Sec 13mm) .

°
Gel .
P Ct )

o QRS Sem pit CLO , 12 Sec )

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

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 ✓

SMART WAY : Tika diantara R -

R Interval 72 Get .P ; lrama Regular .

saw tooth

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 : Kama Irregular .
 HR > 100 ✗ Ii

QRS 6bar
Qrssempit
( < 3kk ) ( 7,3kt )

Regular
regular
regular Regular
t
I t
Atrial Ventricular Ventricular
R R R R
f- ibrilasi
- -

R Fibrilasi takikardi
get
-

2.
> zgel
Igel
t tr
t sinus Atrial
SVT takikardi flutter
( supra ventricular)
Takikardi
 Tatalaksana
Tackyarrhythmia
-
Tentukan Statoil atau Tidal staoil

S : syok

A : angina

H : hipokngi
A : acute
lung oedema
M :
mental alteration ,

tail :
Farmakokg .

- Tentuhan trap ;
Tidal ?
Ekhtnk
stagy
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 Regular

-

° o

c. 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 )

.com/-oofitfehi'uIn
-

ago

- Peru Gahan status Mental Ctt kesadaran )

"o " spat

jinns
- ""

-
Ischemic Jantung → Nyeri Dada I Tanda

- Alo → Sesak ,

⑦ Statoil → Terapi Farmakologi

① Statoil → Terapi Listrik
 stall 88 or ace
A Flutter : :

Karoli overs 50
•
S
'
100
tidal Staal
. -

• SVT 1A -
.
Flutter : Statoil :
1st : Hanover Vagal

KI : o Riw .
TIA :
VTIVF : Bruit tarots

2nd : Adenosine II

① Statoil : kardioversi joule 50 - 100

• A . Fibril asi : Statoil : Rate : 601 Beta Blocker.

Bistro lol :

o A . Fibril asi :
o
Gol . CCB : o Diltiazem : Vera pamill Iv

Digitalis → CHF
•
: .
Digoxin

t-___gof_g-
Rhythm Amiodarone Iu : o

① Statoil Karoli overs i Bifasik 120 200 joule

-

: a
-

Karoli overs i Monofasik 200 joule

-
•

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

• V . Fibril asi : 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

-
Hi Pol Hiperkalemia -
Tension Pneumothorax

DX att kesadaran
:
a
Fat . Resiko CH .

•
-0 Nadi Kant's
 Cardiac Arrest
-

Penurunankecsadaran
-
Putsasi Nadi tidah ada

Shockable Unshockable
VT without A systole ① had
-
pulse : rescuer -

{
① listnk
-
VF : irregular
① nah .

PEA ✓
I
① listnh
If i DC Shock %Fibrilasi

th
☒f☒@Bg@É@g@0§
-
Epineprin : 120190
Ami odaron
→F€n€€€Ez_
- 2x
, Epineprin
- RJPO
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
 ( TDs ago mmHg)
④ .
Hipotensi
E : o Masalah Rate → Bradycardia

• Masala h volume → Hipovolemia

o
Masa Iah Pompa Cj antung ) → IMA : ALO

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

observant
'
Ii
Lanjutkan
HR 760 -1

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

TT Naik → observasi

① Naik -7 Gant Protocol

t
o Farmakologi
TDS 570 mmHg t Akral Ding in → lnj .
Norepinefrine
177570 - too
mmHg t Akral Ding in -7
lnj -

Dopamine
177570 -
100 MmHg t ① Akral Ding in -7
lhj .
Dober famine

② Ventricular Extra Sisto le ( QRS tear )

.

E : . 6g elektro lit
.
.

•
Efek Sam
ping Perigo batan
° Kelainan Hormonal "
Timid "

o ACS

DX ' .
Jan tung Berdebar debar -

( Palpita si
•
TTV :
HR 7100×4
EKG
P .

Penunjang →

"

Munch Komp leks QRS Tampa di dahului

Oleh Gel . P
"
koan
 I

Berdasarkan Morfologi
o Ves Monomorfik
o Ves Polimorfik ( Mufti Fok al .

Tipe Lain : . Ves Big emin , I Trigemini / Tetra gemini

I -

.
o Ves coupled .

o Ves R ont

Total aksana : Amiodarone II

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.Ujungekstremitas ianosis/NekrosisTh/.Rujuk eRs-

°
PD → .
Pulsar Arter Distal

Terapi operatif
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 .
 Penyakit vaskvlar

Artem Vena
•
Nyeri berkaitan aktiuitas • Edema

Pulsasi (t )
Pulsasi C- / t )
•
•

t
* ✓arises
Th : stocking /

{
PAD
elastic Vena berkelok Ice /ok
Disease )
Cperiper Arterial
• -

perban

•
Tromboangitis ohbliterans / Burger disease * Chronic Vein Insupicien
*
Perokok • ✓arises + ulkus /

ujung jari tongan /

Nekrosis kaki
* hiperapigmenfasi

•
Acute Limb Ischemia ( Alt ) * DVT

* <
zmgg • Homan sign (t)

* g- p ( pain , pallor , paresthesia pardh-s.is , pulseless) → D- Dinner p

* USG doppler : thrombus

☒ Chronic Limb Ischemic CCLI )
* Tanda inflamasi

• >
zmgg
*
Tromboflebitis
ulkus / Inpus tanda
•

hiperpigmentasi * +

• Nyeri saat istirahat inflamasi

• ABI <
0cg *
Homan
sign G)