Pp 3 2 Panduan Resusitasi Edit PDF

8/20/2019 Pp 3 2 Panduan Resusitasi Edit PDF

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PANDUAN

RESUS ITASI JANTUNG DAN PARU

RS PKU MUHAMMADIYAH

YOGYAKARTA UNIT IIJl. Wates KM 5,5 Gampin, Sleman, Y!"a#a$ta%55&'( Telp. )&*(

+(''*)+, a-. )&*( +(''*&*


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RS PKU MUHAMMADIYAH YOGYAKARTA UNIT II

Jl.Wates Km 5,5 Gamping, Sleman, Yogyakarta – 55294

Telp. (024! "4990", #G$ (024! "499%%&'a. (024! "4992,e)mail*pk+oga2-yaoo./o.i

KEPUTUSAN DIREKTUR

RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II

Nomor : 0425/PS.1.2/IV/2015

Tentang

PANDUAN RESUSITASI JANTUNG DAN PARU

DIREKTUR RUA! SAKIT PKU U!AADI"A! "#G"AKARTA UNIT II

en$m%ang : a. &a'(a )a*am +,a-a men$ngatan +a*$ta )an

eamanan ,e*a-anan ,a$en maa )$,er*+an a)an-a

Pan)+an Re+$ta$ Jant+ng )an Par+ )$ R+ma' Sa$t

PKU +'amma)$-a' "og-aarta Un$t II.

%. &a'(a e+a$ %+t$r a )$ata ,er*+ meneta,an Ke,+t+an

D$ret+r R+ma' Sa$t PKU +'amma)$-a' "og-aarta

Un$t II tentang Pan)+an Re+$ta$ Jant+ng )an Par+

eng$ngat : 1. Un)angUn)ang RI Nomor 3 Ta'+n 200 tentang

Kee'atan

2. Un)angUn)ang RI Nomor 44 Ta'+n 200 tentang

R+ma' Sa$t

. Un)angUn)ang RI Nomor 2 Ta'+n 2004 tentang

Prate Ke)oteran

4. Ke,+t+an enter$ Kee'atan RI Nomor

1135.A/enKe/SK//2004 tentang Kom$$ Are)$ta$

R+ma' Sa$t.

5. S+rat Ke,+t+an &a)an Pe*aana !ar$an R+ma' Sa$t

PKU +'amma)$-a' "og-aarta nomer 015/&II/&P!

II/II/201 tangga* 12 Deem%er 201 tentang

S++nan D$re$ R+ma' Sa$t PKU +'amma)$-a'

"og-aarta Un$t II.


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M E M U T U S K A N

eneta,an :

PERTAA KEPUTUSAN DIREKTUR RUA! SAKIT PKU

U!AADI"A! "#G"AKARTA UNIT II

TENTANG PANDUAN RESUSITASI JANTUNG DAN

PARU RUA! SAKIT PKU U!AADI"A!

"#G"AKARTA UNIT II.KEDUA : Pan)+an Re+$ta$ Jant+ng )an Par+ )$ma+)an

e%aga$mana ter6ant+m )a*am Pan)+an )$ Ke,+t+an $n$.

KETIGA : Pe*aanaan Pan)+an Re+$ta$ Jant+ng )an Par+

)$ma+)an +nt+ men$ngatan +a*$ta )an eamanan

,e*a-anan ,a$en e%aga$mana )$ma+) )a*am D$t+m

eat+

KEEPAT : Ke,+t+an $n$ %er*a+ e7a tangga* )$teta,an.

D$teta,an )$ : S*emanPa)a Tangga* : 4 A,r$* 2015

D$ret+r

)r. !. A'ma) 8aeo* S,. . Ke.

N&: 99.32


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KATA PENGANTAR

Sega*a ,+7$ 'an-a*a' %ag$ A**a' S+%'ana'+(ataa*a T+'an emeta a*am -ang

te*a' mem%er$an R$)*o )an Pet+n7+ ; N-a e'$ngga Pan)+an Re+$ta$ Jant+ng

Dan Par+ $n$ )a,at e*ea$an )an )a,at )$ter%$tan.

Pan)+an $n$ )$%+at +nt+ men7a)$ ,an)+an er7a %ag$ em+a ta< )a*am

me*a+an Re+$ta$ Jant+ng )an Par+ )$ R+ma' Sa$t PKU +'amma)$-a'

"og-aarta +n$t II. Da*am ,an)+an $n$ antara *a$n %er$$ tentang tata*aana Re+$ta$

Jant+ng )an Par+

Unt+ ,en$ngatan m+t+ ,e*a-anan )$,er*+an ,engem%angan e%$7aan

,e)oman ,an)+an )an ,roe)+r. Unt+ t+7+an tere%+t ,an)+an $n$ aan am$ e=a*+a$

et$)an-a et$a, 2 ta'+n ea*$. a+an r$t$ )an aran -ang ontr+t$< +nt+

,engem%angan ,an)+an $n$ angat am$ 'ara,an )ar$ ,ara ,em%a6a.

S*eman 1 A,r$* 2015

D$ret+r

1S K3 +ammaiya Yogyakarta

+nit II i


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DAFTAR ISI

!a*aman:

SK DIREKTUR

KATA PENGANTAR $

DA8TAR ISI $$

&A& I : DE8INISI 1

&A& II : RUANG >INGKUP 2

&A& III : TATA >AKSANA

A. &ant+an !$)+, Daar De(a 4

&. Tera,$ E*etr$ 10

?. &ant+an !$)+, >an7+t Pa)a De(aa 1

D. Pera(atan Pa6a !ent$ Jant+ng 14

E. Et$a en+n)a Dan eng'ent$an Re+$ta$ Jant+ng 1@

Par+

KEPUSTAKAAN 22


+nit II ii


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>APIRAN

Ke,+t+an D$ret+r Nomor : 0413/PS.1.2/IV/2015

Tentang Pan)+an Re+$ta$ Jant+ng )an Par+

BAB I

DEFINISI

Ke7a)$an mat$ men)a)a ma$' mer+,aan ,en-e%a% emat$an +tama %a$ )$

Negara ma7+ ma+,+n )$ negara %erem%ang e,ert$ In)one$a.&er)aar ,ro,or$ anga

emat$an )$ ,erotaan ,a)a e*om,o +m+r 45 ; 54 ta'+n ,en-a$t 7ant+ng $em$

men)+)+$ +r+tan et$ga @.9BC e%aga$ ,en-e%a% emat$an.Ur+tan ,ertama a)a*a'

troe 15.BC )an +r+tan e)+a a)a*a' )$a%ete me*$t+ 14.9BC. Pa)a e*om,o

+m+r -ang ama +nt+ )aera' ,e)eaan ,en-a$t 7ant+ng $em$ mer+,aan +r+tan

eem,at.

Re+$ta$ 7ant+ng ,ar+ mer+,aan eranga$an t$n)aan +nt+ men$ngatan

)a-a ta'an '$)+, ete*a' ter7a)$n-a 'ent$ 7ant+ng.e$,+n ,en6a,a$an o,t$ma* )ar$

RJP $n$ )a,at %er=ar$a$ tergant+ng e,a)a emam,+an ,eno*ong on)$$ or%an )an

+m%er )a-a -ang tere)$a tantangan men)aar teta, ,a)a %aga$mana me*a+an RJP

e)$n$ m+ng$n )an e


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life support C )an ranta$ e*$ma a)a*a' ,era(atan ,a6a 'ent$ 7an t+ng post cardiac-

arrest careC

&er%aga$ ,ene*$t$an men+n7+an %a'(a ,a)a e$tar 40 B ,a$en $n)roma

oroner a+t SKAC )a,at ter7a)$ $raa


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BAB II

RUANG LINGKUP

Pa)a ,an)+an re+$ta$ $n$ aan )$teanan ,a)a ,em%er$an %ant+an '$)+,

)aar -ang 'ar+ )$+aa$ o*e' et$a, )oter )oter g$g$ )oter ,e$a*$ ma+,+n first

responder )$ *a,angan. &ant+an '$)+, )aar )$+tamaan ,a)a ,enanganan airway

breathing circulation %er)aaran ,an)+an ter%ar+ )ar$ American Heart Association

2010 mengena$ Pan)+an Re+$ta$ Jant+ng Par+ RJPC. &e%era,a 'a* -ang )$teanan

,a)a ,an)+an re+$ta$ $n$ -a$t+ :

1. Ke6e,atan om,re$ m$n$ma* 100 a*$/ men$t ,er+%a'an )ar$ ,an)+an

e%e*+mn-a -ang men-ataan +rang *e%$' 100 a*$/ men$tC.

2. Ke)a*aman om,re$ ,a*$ng t$)a 2 $n6'$ 5 6mC ,a)a )e(aa )an e)a*aman

om,re$ ,a*$ng t$)a e,ert$ga )$ameter antero ,oter$or )ar$ t'oraF ,a)a %a-$

)an ana +rang *e%$' 1.5 $n6'$ 4 6mC ,a)a %a-$ )an 2 $n6'$ 5 6mC ,a)a

anaC. Per'at$an %a'(a rentang 1.5 am,a$ 2 $n6'$ t$)a *ag$ )$g+naan +nt+

or%an )e(aa )an e)a*aman a%o*+t -ang )$reomen)a$an +nt+ ana )an

%a-$ *e%$' )a*am )ar$,a)a =er$ A!A e%e*+mn-a.

3. en6$,taan ,engem%angan )$n)$ng )a)a -ang o,t$ma* )$ et$a, a'$r

om,re$.

4. em$n$ma*an om,re$ aat me*a+an om,re$ )a)a.

5. eng'$n)ar$ =ent$*a$ -ang %er*e%$'an.

Deta$* )ar$ t$a,t$a, $*+ ? ; A ; & aan )$7e*aan ,a)a %a% %er$+tn-a.


+nit II


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BAB III

TATA LAKSANA

1. Bantuan Hidup Dasar Dewasa

&$*a menem+an ,en)er$ta )a*am ea)aan 'ent$ 7ant+ng 'ar+ egera

mem%er$an ,erto*ongan ,ertama %er+,a &ant+an !$)+, Daar &!DC.&!D

)a,at )$*a+an o*e' at+ ata+ )+a ,eno*ong.

Gam%ar 1. A*+r %ant+an '$)+, )aar -ang )$e)er'anaan


+nit II 4


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Ta'a,an -ang 'ar+ )$*a+an )a*am &!D a)a*a' e%aga$ %er$+t :

1. Ta'a, Perto*ongan

1. Peno*ong -ang mengeta'+$ ,ertama a*$ 'ar+ egera me*a+an

,en$*a$an )$n$ ea)aran or%an.

2. Pat$an *$ng+ngan ,en)er$ta aman +nt+ )$*a+an ,erto*ongan.

3. >a+an 6e re,on ,en)er$ta )engan memangg$* nama ata+ mene,+

%a'+.

4. em$nta %ant+an ,erto*ongan ata+ mengat$


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Gam%ar . ?e na)$ arot$ ,en)er$ta

2. >a+an om,re$ )a)a e%an-a 0 a*$ )engan etent+an e%aga$

%er$+t :

1) Kom,re$ )a)a m$n$ma* 100 a*$/ men$t.

2) Ke)a*aman om,re$ )a)a m$n$ma* 2 $n6'$ 5 6mC ,a)a )e(aa 1.5

; 2 $n6$ 4 ; 5.6mC ,a)a %a-$ )an ana.

3) U,a-aan ,engem%angan )a)a e6ara em,+rna complete chest

recoil C )$ et$a, om,re$.

4) $n$ma*an $nter+,$ e*ama me*a+an om,re$ )a)a.

Gam%ar 4. Kom,re$ -ang %er+a*$ta t$ngg$ ,a)a ana


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1S K3 +ammaiya Yogyakarta +nit II "


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3. >a+an ,emer$aan 7a*an na,a +nt+ menge=a*+a$ a,aa' a)a

+m%atan 7a*an na,a. S+m%atan 7a*an na,a )a,at )$go*ongan e%aga$

+m%atan 7a*an na,a tota* )an +m%atan 7a*an na,a ,ar$a*. S+m%atan

7a*an na,a ,ar$a* mem$*$$ tan)a e%aga$ %er$+t :

1) Pert+aran +)ara )$ ,er$


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Gam%ar 5. Ten$ me*a+an head – tilt chin – lift

2C en)orong ra'ang %a(a' jaw trust C %$*a a)a tra+ma.

Gam%ar 3. Ten$ me*a+an jaw thrust

1S K3 +ammaiya

Yogyakarta +nit II &


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3) &er$an na,a %ant+an e%an-a 2 a*$ et$a, na,a %ant+an e*ama 1

)et$.

?ara mem%er$an na,a %ant+an )a,at mengg+naan ten$ )ar$ m+*+t

e m+*+t ata+ mengg+naan a*at maer ata+ bagging C.

Gam%ar 9. Ten$ mem%er$an na,a %ant+an )engan maer

4) Sete*a' mem%er$an na,a %ant+an 2 a*$ )$*an7+tan om,re$ )a)a

e%an-a 0 a*$. &er$an na,a %ant+an 2 a*$ *an7+tan om,re$

)a)a *ag$. >a+an $*+ $n$ am,a$ 5 a*$. Sete*a' 5 a*$ $*+ RJP

)$*a+an ,enge6ean em%a*$ a,aa' na)$ tera%a. A,a%$*a na)$ teta,

t$)a a)a RJP teta, )$*a+an am,a$ t$m %ant+an emergen$ )atang

ata+ tere)$a a*at )e


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Seara rin!"as #antuan $idup dasar ada%a$ se#a!ai #eri"ut &

A*gor$tma 1. >anga' ; *anga' %ant+an '$)+, )aar

2. Terapi E%e"tri"

De'i#ri%asi

Proe )e


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1S K3 +ammaiya Yogyakarta +nit II %0


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)$)e


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A*gor$tma 1. Penanganan ventricular fibrillation )an pulseless ventricular

tachycardia


+nit II %2


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3. Bantuan Hidup Lan*utan Pada Dewasa

Da*am me*a+an %ant+an '$)+, 7ant+ng *an7+t teta, )$teanan ,a)a ,ent$ngn-a

RJP -ang %er+a*$ta t$ngg$ e%aga$ mana7emen )aar )ar$ 'ent$ 7ant+ng.

Peng'ent$an RJP e6ara ,er$o)$ 'ar+ )$m$n$ma*$$r )an 'an-a )$*a+an +nt+

men$*a$ r$tme 7ant+ng me*a+an e7+t 7ant+ng men$*a$ ,+*a$ na)$ arot$ %$*a

ter)ete$ $rama 7ant+ng r$tm$ ata+ *a+an mana7emen advanced airway.

e*a+an mon$tor )an o,t$ma*$a$ +a*$ta RJP mengg+naan ,arameter

mean$ e6e,atan )an e)a*aman om,re$ )a)a ,engem%angan em%a*$

)$n)$ng )a)a e6ara a)e+at )an mem$n$ma*an $nter=en$ e*ama om,re$C ata+

%$*a mem+ng$nan ,arameter


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A*gor$tma 2. &ant+ '$)+, 7ant+ng *an7+t

4. Perawatan Pasa Henti +antun!

Pera(atan ,a6a 'ent$ 7ant+ng mer+,aan +at+ om,onen ,ent$ng ,a)a %ant+an

'$)+, *an7+t. Se%ag$an %ear emat$an ter7a)$ )a*am 24 7am ,ertama ete*a' onet

'ent$ 7ant+ng. S+at+ ea)aan 'ent$ 7ant+ng aan %er)am,a ter'a)a, %er%aga$

$tem organ. D$


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+nit II %4


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1. engo,t$ma*an


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2. Vent$*a$/ o$gena$ -ang 6++,

e$,+n o$gen 100B m+ng$n )$,er*+an ,a)a a(a* re+$ta$ o$gen

'ar+ )$t$tra$ '$ngga *e=e* ,a*$ng ren)a' -ang )$%+t+'an +nt+

mempertahankansaturasioksigen≥94% untukmenghindariintoksikasi

o$gen. !$,er=ent$*a$ ata+ overbagging 'ar+ )$'$n)ar$ arena )a,at

men$ngatan teanan )a*am rongga )a)a -ang em+)$an men+r+nan

cardiac output . Pen+r+nan Pa?#2 -ang ter7a)$ ,a)a '$,er=ent$*a$ %er,oten$

men+r+nan a*$ran )ara' e ota e6ara *ang+ng. Vent$*a$ )a,at )$%er$an

m+*a$ 10 ; 12 a*$ ,er men$t )an )$t$tra$ +nt+ men6a,a$ Pa?#2 40 ; 45

mm!g. Se)angan +nt+ =ent$*a$ mean$ 'ar+ )$at+r %er)aaran at+ra$

o$'emog*o%$n n$*a$ AGDA =ent$*a$ ,er men$t )an ee+a$an =ent$*ator.

3. S$r+*a$

Penga(aan tan)a =$ta* )an ar$tm$a 'ar+ )$*a+an e6ara ont$n-+.

on$tor$ng EKG ont$n-+ 'ar+ )$*an7+tan ete*a' R#S? e*ama tran,ort

)an e*ama )$ I?U am,a$ on)$$ ta%$* ter6a,a$. Ae $ntra=ena 'ar+

)$,aang %$*a e%e*+mn-a e*ama re+$ta$ %e*+m

diperoleh.Apabilapasienhipotensi(tekanandarahsistolik≤90mmHg),

,ert$m%angan ,em%er$an %o*+ 6a$ran. ?a$ran )$ng$n )a,at )$g+naan %$*a

)$,$*$' tera,$ '$,oterm$a. In


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me*$,+t$ oma e7ang myoclonus %e%era,a t$ngat )$


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A*gor$tma . Penata*aanaan ,a6a 'ent$ 7ant+ng

Kea)aan ,a6a 'ent$ 7ant+ng %$aan-a )$'+%+ngan )engan $nta%$*$ta

'emo)$nam$ e,ert$ gangg+an meta%o*$. Tera,$ o,t$ma* )$


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+nit II %&


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*a$n ,era(atan r$t$ $*m+ ,en-a$t 7ant+ng $*m+ ,en-a$t )a*am )an $*m+

,en-a$t ara


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agen =ao,reor =ent$*a$ mean$ ,ro)+ )ara' ata+ ant$%$ot$.Per$nta' DNAR

'ar+ men-e%+tan e6ara ,e$


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menga*am$ era6+nan o%at ata+ -ang menga*am$ e7a)$an -ang men-e%a%an

'$,oterm$.

Pa)a )e(aa ,eng'ent$an +,a-a re+$ta$ 7ant+ng ,ar+ %er)aaran ,a)a %an-a

,ert$m%angan terma+ 'ent$ 7ant+ng -ang )$eta'+$ )an t$)a )$eta'+$

e7a)$ann-a (at+ RJP r$tme 'ent$ 7ant+ng -ang ,ertama (at+ )e


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KEPUSTAKAAN

American Heart Association"#2$%$&" 'uidelines for Cardiopulmonary (esuscitation

and !mergency Cardiovascular Care"


+nit II 22

Pp 3 2 Panduan Resusitasi Edit PDF

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