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Peserta mengetahui tentanggangguan yang terjadi pada
jalan nafas (airway)
Tujuan Instruksional Umum
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Tujuan Instruksional KhususTujuan Instruksional Khusus
1. Mengetahui masalah yang terjadi padaairway
. Mengidenti!kasi faktor penye"a" masalahpada airway
#. Mengidenti!kasi tanda dan gejala adanyagangguan pada airway
$. Mengatasi masalah gangguan padaairway
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%&%T'MI
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FISIOLOGI SISTEMPERNAPASAN
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'*+& ,'U-
Respon Time : 4 8 menit
PENYEBAB KEMATIAN TERCEPAT:A-B-C
Gangguan Airway >> cepat dai gangguanBreathing >> cepat dai gangguanCirculation
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Prioritas Pertama dalam penanganangawat darurat.
Sumbatan total jalan napas pembunuhtercepatSelalu imobilisasi tulang servical
CUR!A "RA#$UR $U%A&! S'R(#A% )
apabila *
Mu!tip!e tauma
Tauma Kapitis dengan penuunan
"esadaan#u"a di atas "!a$i"u!a
Biome"ani" mendu"ung
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SUMBATAN JALAN
NAPAS
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SUMBATAN
(OBSTRUKSI)
MASALAH/ GANGGUAN
AIRWAY
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+i,a ,orban bisa bicara tanpa
Suara tambahan
AirwayClar
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S!ia" "r#a"a$a#%r%yi'
!a#a $&%a!a# "ar$ial*ala# #a"a$
-!urgling) Snoring) Crowing
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S&%a!a# Par$ial
Caira#Suctioning
og -oll
%irway*e!nitif
Pe%ati"an &a"tu
su'tion
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SUCTION CANULE
Rigid Tip (o)t Tip
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SUMBATAN PARSIALLia+
Pasien tida, sadar
%idah jatuhmenyumbathipo/aring
$inda,an mengang,atpang,al lidah
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0anual
&on $rauma
1ead $ilt Chin %i/t
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0anual
$rauma
C1& %"$
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$rauma +A2 $1RUS$
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Or,"+ari#-al Airway (OPA)
Na$,"+ari#-al Airway (NPA)
SUMBATAN PARSIALLia+
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'P% ('ropharingeal %irway)
Mena%an !ida% pada
*agian *e!a"ang )aing
+ntu" mempemuda%
poses su'tioning )aing+ntu" meng%indai
tegigitn,a ETT
iguna"an pada pasien
tida" sada tanpa GagRe)!e.
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'P%
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NPA ( Na$,"+ari#-alAirway)
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NPA (Na$,"+ari#-alAirway)Te"ni" Pemasangan NPA
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Comp!i'ations
Nasa! mu'osa in/u,
#a,ngospasm
Guna"an 0e!!,
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NPA (Na$,"+ari#-al
Airway)
Ha!i.+a!i
"a$a#-a# NPA"aa 0&ri-aa#
1ra!&r %a$i$ra#ii22
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&P%
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aryngeal Mask %irway
(M%) iguna"an pada pasien dengan ai&a,,ang su!it1 teutama *i!a intu*asi
endot%a"%ea! atau *ag mas" 2sung"up
mu"a3 gaga! #MA *u"an ai&a, de)initi$e Bi!a
seoang pasien tepasang #MA1 ma"a
seti*an,a di uma% sa"it do"te %ausmenggantin,a dengan ai&a, de)initi)
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C,%i!&%
0i"a ai&a, de)initi) tida" mung"in
di!a"u"an (a!a% satu !u*ang
meng%u*ung"an esop%agus dan !u*ang
!ainn,a meng%u*ung"an dengan /a!anna)as
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AIRWAY 3EFINITIF
ndi,asi pemasangan airway de/initi/*5Adan,a apnea
6 Tida" mampu mempeta%an"an ai&a, dengan 'aa !ain
7Adan,a isi"o aspiasi o!e% daa%munta%
4An'aman segea atau *a%a,a potensia! sum*atan ai&a,
'edea in%a!asi1 pata% tu!ang &a/a%1 %ematoma eti
)aingea!
9 Cedea "epa!a tetutup ,angmeme!u"an *antuan napas2GC( 83
; Ketida"mampuan mempeta%an"an o"sigenasi dengan
B
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A34ANCE AIRWAY
EN3OTRACHEAL INTUBATION5 Or,
!ra0+al a# #a$, !ra+al
NEE3LE CRICOTHYROI3OTOMY
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OROTRACHEAL
INTUBATION
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TEHNIK
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TEHNIK
SellickManouver
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I#!&%a$i Or,!ra+a
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EN3OTRACHEALINTUBATIONPen,u!it saat intu*asi:
Cedea !uas tu!ang !e%e
At%itis *eat pada 'e$i'a!
Tauma ma"si!amandi*u!a ,ang *eat
Kete*atasan mem*u"a mu!ut
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NASOTRACHEALINTUBATION(BLIN3 INTUBATION) Sambil mendengar
pernafasan
Dorong saat inspirasi
Bila suara hilang
masuk Oesofagus
Hati-hati bila frakturbasis kranii
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NASOTRACHEALINTUBATION(BLIN3 INTUBATION) >an,a dipasang padapendeita ,ang masi%
dapat *enapas
spontan
ipasang se'aa
manua!1 mengi"uti
iama napas pendeita
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NEE3LECRICOTHYROI3OTOMY
APAB%A &$UBAS $3A# BSA 3%A#U#A&APAB%A &$UBAS $3A# BSA 3%A#U#A&
2Mis ?a"tu Ma"si!o)asia! *eat3
+et nsu/lation 4 +et (entilation
-56 7 89 0enit
0engguna,an ( Cath. Paling besar &omor :8
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Kriko- tiroidotomi
Kartilago tiroid
Membrana
Kartilago krikoid
Trakea
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Needle Krikotiroidotomi
Paling
kecil 14 G
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I*+'
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Ta#a.Ta#a Pr#a"a$a#Tia A&a!
5 Napas sangat 'epatsangat !am*at
?e"uensi napas noma!: de&asa 56-
[email protected] ana"-ana" 59-7@ .menit1*a,i 7@-9@ .menit3
6 Pegea"an dinding dada tida" ade"uat
7 (ianosis
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Ta#a.Ta#a Pr#a"a$a#Tia A&a!4 Penuunan "esadaan
9 Adan,a usa%a napas *e!e*i%
; (esa"ngoo"
en,ut nadi !am*at dii"uti )e"uensi
napas !am*at
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BREATHING
Selalu beri,an bila ,eadaan
umum -,u pasien ,urang bai,
="sigen
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&ilai ,ebutuhan o,sigen sel
dengan pulse o,simetri
O6YMETRI
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O6YMETRI
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OKSIGENASI
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A#AT +NT+K
PEMBERIAN =K(IGEN
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A#AT +NT+K
PEMBERIAN =K(IGEN
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4#!ila$i B&a!a# (C,#!r,l
4#!ila!i,#)
4#!ila$i Ba#!&a# (A$$i$!
4#!ila!i,#)
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PEMBERIAN
4ENTILASI
PEMBERIAN 4ENTILASI
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PEMBERIAN 4ENTILASI
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K,#i$i Tia M%ai
WASPA3ATRAUMA
THORA6
La&a#"ri$aa
# 7$i
PEMERIKSAAN FISIK
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PEMERIKSAAN FISIK
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?
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