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  • Persiapan Pasien Petugas N Instrumen Cath Lab

    Diunggah oleh

    Agus Supriyadi
    66 tayangan20 halaman
    This document discusses preparations for patients and staff prior to catheterization procedures. It covers preparing the patient by obtaining medical history, administering medications and fasting instructions. It also covers preparing staff by checking equipment, medications and instruments. During the procedure, vital signs and contrast administration are closely monitored. Post-procedure care involves applying pressure to the puncture site to achieve hemostasis. Contrast-induced nephropathy is defined as a 20-50% increase in serum creatinine 48-72 hours after the procedure.

    Deskripsi Asli:

    BTSN 2019

    Judul Asli

    5. Persiapan Pasien Petugas n Instrumen Cath Lab

    Hak Cipta

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    This document discusses preparations for patients and staff prior to catheterization procedures. It covers preparing the patient by obtaining medical history, administering medications and fasting instructions. It also covers preparing staff by checking equipment, medications and instruments. During the procedure, vital signs and contrast administration are closely monitored. Post-procedure care involves applying pressure to the puncture site to achieve hemostasis. Contrast-induced nephropathy is defined as a 20-50% increase in serum creatinine 48-72 hours after the procedure.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    66 tayangan20 halaman

    Persiapan Pasien Petugas N Instrumen Cath Lab

    Diunggah oleh

    Agus Supriyadi
    This document discusses preparations for patients and staff prior to catheterization procedures. It covers preparing the patient by obtaining medical history, administering medications and fasting instructions. It also covers preparing staff by checking equipment, medications and instruments. During the procedure, vital signs and contrast administration are closely monitored. Post-procedure care involves applying pressure to the puncture site to achieve hemostasis. Contrast-induced nephropathy is defined as a 20-50% increase in serum creatinine 48-72 hours after the procedure.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 20

    SLIDE 1

    The Power of PowerPoint - thepopp.com


    P E R S I A PA N PA S I E N ,
    P E T U G A S & A L AT
    PENUNJANG

    Aang K.

    Disampaikan pada Basic Training for Scrub Nurse


    Surabaya, 26-27 Januari 2019

    2
    Persiapan Pasien
    Sebelum Tindakan
     Administrasi:
    Kelengkapan data
    adaministrasi maupun status
     informed consent
     Riwayat sebelumnya :
    Alergi: antihistamin, kortiokosteroid
    • Perdarahan Double antiplatelet
    • Obat-obatan Betablockers dan Antihipertensi
    • Reaksi terhadap kontras Antikoagulan
    • Kateterisasi sebelumnya Obat Insulin dan Diabetik
    • Mental: penjelasan dan
    pendidikan kesehatan bagi
    pasien dan keluarga
    Sebelum Tindakan  Puasa makan, minum &
    Obat-obatan mana yg tetap
    diberikan
     Cairan hidrasi
     Berat badan, tinggi badan,
    tanda2 vital
     Periode Menstruasi
     Lab:Elektrolit, Fungsi Renal,
    HbsAg, Hematologi
     Cukur lipatan paha
     Cek Pulse :Pedal, Radial
     IV Line, terutama intervensi &
    anak
     EKG, Foto Thorax
    Persiapan Petugas

    Thermoluminisence
    Dosemeter (TLD)

    The Power of PowerPoint - thepopp.com


    SLIDE 6

    The Power of PowerPoint - thepopp.com


    SLIDE 7

    The Power of PowerPoint - thepopp.com


    SLIDE 8

    The Power of PowerPoint - thepopp.com


    SLIDE 9

    The Power of PowerPoint - thepopp.com


    SLIDE 10

    The Power of PowerPoint - thepopp.com


    SLIDE 11

    The Power of PowerPoint - thepopp.com


    SLIDE 12

    The Power of PowerPoint - thepopp.com


    SLIDE 13

    The Power of PowerPoint - thepopp.com


    Persiapan Ruangan Cath Lab

    1. Cek Mesin 4. Instrumen


    Angiografi & 2. Cek Alat & alat
    Defibrilator 3. Cek Obat- penunjang
    Monitor
    obatan lainnya
    hemodinamik

    a. Epineprin
    b. Sulfas Atropin a. Steril
    a. Cek Fluoro a. Kalibrasi
    Defibrilator (self c. Noradrenalin
    testing) d. Streptokinase b. Alkes khusus dg
    b. Kalibrasi variasi ukuran
    b. Recharge e. Heparin
    pressure
    f. Integrilin c. Effective cost &
    hemodinamik
    efisien
    g. Dopamin, dll

    The Power of PowerPoint - thepopp.com


    Lokasi Inskripsi Warna

    Lengan kanan R/RA Merah

    Lengan kiri L/LA Kuning

    Tungkai kanan N/RL Hijau

    Tungkai kiri F/LL Hitam

    Dada V1 Putih/Merah

    Dada V2 Putih/Kuning

    Dada V3 Putih/Hijau

    Dada V4 Putih/Cokelat

    Dada V5 Putih/Hitam

    Dada V6 Putih/Ungu

    Referensi:
    Cadogan M. Lead positioning. 2014. Available
    at: http://lifeinthefastlane.com/education/procedures/lead-positioning/. Accessed September 16,
    2015.
    Electrocardiography and A. Circulation. 2007;115:1306-1325.
    doi:10.1161/CIRCULATIONAHA.106.180200.
    Kligfield P, Gettes LS, Bailey JJ, et al. AHA / ACC / HRS Scientific Statement Recommendations for
    the Standardization and Interpretation of the Electrocardiogram Part I : The Electrocardiogram
    and Its Technology A Scientific Statement From the American Heart Association
    Pakpahan HAP, Juwana YB, Tobing DPL, Firdaus I, Prakoso R. Elektrokardiografi dalam
    kegawatdaruratan. 1st ed. (Kaunang DRD, Tobing DPL, eds.). Jakarta: Perhimpunan Dokter
    15 Spesialis Kardiovaskular Indonesia Cabang Jakarta (PERKI Jaya); 2013.
    Van der Bilt IAG. Basics. 2015. Available at: http://en.ecgpedia.org/wiki/Basics#
    The_ECG_electrodes. Accessed September 16, 2015.
    Lakukan
    A Sign in, time out dan sign out

    Hemodinamik
    B dan EKG dipantau secara
    ketat

    Morton J. Kern, 2013,

    ▪ Heparin 40-70 ui/KgBB Interventional Cardiac


    Catheterization Handbook,

    C ▪ Memantau jumlah kontras 3rd edition, p.130

    Selama yang digunakan

    Tindakan Pada akses radial, sheath


    (Secara simultan)
    D dicabut di Cathlab
    (diagnostik & PCI)

    16
    Post Catheterization Care
    Hemostasis pada area 1 Radial  dengan alat
    puncture:
    Brachial  Penekanan manual dengan
    2 tangan

    Femoralis  Penekanan manual dengan


    3 penekanan tangan atau alat
    selama 15 – 30 menit
    THANK YOU!
    ANY QUESTIONS?

    ns_aang@yahoo.com
    • CIN didefinisikan sbg
    kenaikan serum kreatinin
    20-50% setelah 48-72 jam
    setelah prosedur
    kateterisasi

    • Serum kreatini mulai meningkat setelah 24


    jam pasca kateterisasi, dan mencapai
    puncaknya setalah 96 jam, dan kembali ke
    baseline setelah 7-10 hari.

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