MONITORING PERIANESTESI : KLINIS DAN ELEKTRONIS Depi Prasastyo
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MONITORING
PERIANESTESI :
KLINIS DAN
ELEKTRONIS
Depi Prasastyo
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ANESTESI
An act of relieving pain while performing
surgery and various other procedures that
cause pain in the body
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STAGES OF ANESTHESIA1.1.
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STAGE III
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PREPARATION TOOLS ANESTHESIA Mask
Laryngoscope Endotracheal
stylet
oedel
!ackson "ees
!elly
#otton alcohol
Plaster $ilocain pump
%aso
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GENERAL ANESTHESIA DRUGS
1. &ulfas atropine
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EMERGENCY MEDICINE1. Atropine
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COMPLETENESS OF OPERATINGROOM
1. Machines Anesthesia
Checin! "hethe# ha$%thane & is%'$(#ane ina '($$) cha#!e* state
Insta$$ ca+$e an* t(#n %n the ,achine Insta$$ -i-e %)!en an* N/O
Checin! the %)!en -(,-0 "hethe#'(ncti%nin! %# n%t
Chec "hethe# eha(st -i-e is -$(!!e* an*a+an*%ne* in the #i!ht -$ace
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'mportant things in mind to do with the anesthesia
Machine (
) *he flow of o+ygen there are two paths, not tochoose the wrong path. *here are paths for masksand there is a path for nasal.
) Disposal of air going through sodalime -stones
that functions bind #/0. -"eport sodalime havechanged color when the very old
) Monitoring the state of the machine is importantto know the patients airway. Ask the stylist to
teach how to read it. ) *ools of spontaneous respiration regulator to
control
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0. Anesthesia Monitors
Ensure a minimum of tension and saturation
attached2. &uction
#heck whether the suction works well or not.
3.s 4and table -on the right and left of the
patient
5. Pillows
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PREPARATION PERIANESTESI
1. #ollecting Data
0. Determine the e+isting problems in patients
for which data
2. Preparing for the worst that will happen3. Doing preparation to prevent the worst that
will happen
5. Determining the physical status of the
patient
6. Determining anesthesia
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HISTORY
) 4istory of previous anesthesia and surgery.
) 4istory of systemic disease -diabetes mellitus,hypertension, cardiovascular, tuberculosis, asthma
) 7se of certain medications, such as antidiabetic,
anticoagulants, corticosteroids, antihypertensives
regularly. Last two drugs should be continued duringsurgery and anesthesia, whereas the other drugs should be
modified.
) 4istory diets -when eating or drinking last. E+plain the
necessity of fasting before surgery
) 7se of false teeth in a patient should be asked
) *he habits of patients -heavy smokers, users of alcohol or
drugs
) 8amily history of disease
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PHYSICAL EAMINATION
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LA2ORATORY STUDIES AND RADIOLOGIa. &tandard e+amination of the test blood -hemoglobin
levels, leukocyte, bleeding time, clothing time or AP** 9PP*
b. *he level of fasting blood sugar
c. Liver function tests
d. "enal function test
e. "adiographic e+aminations
f. E+amination as a supplement to the indication of blood
sugar 0 hours post prandial, an E: for patients; 3<
years
g. 'n ma=or surgery and may also be problematic check the
levels of albumin, globulin, blood electrolytes, #* scans,
pulmonary function, and physiology of hemostasis.
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COMPLICATIONS PREPARATION 3OULD HAPPEN
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SE4UENCE OF GENERAL ANESTHESIAAttach tension, saturation,*urn on the monitor and the anesthesia machine.report to the consultant, and the operatoranesthesia already be done.'n=ect pre)medicationeyelash refle+."aise o+ygen to 6)1< lreduce o+ygen to 2 lincrease %0/ into 2l.do pumping when needed.%ote infusion, pulse, blood pressure, saturation, pump or monitor machine%e+t live art anesthetic.>hen the operation is nearing completion reduce the dose gradually until then s?ring the patient to the operation completes "".And wait until the patient is awake
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MONITORING PERIANESTESI1. Depth of anesthesia
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CONCLUSIONS eneral anesthesia is a central act of negating pain,
accompanied by loss of consciousness and is
reversible consisting of hypnotic analgesia and
rela+ation. Prior to general anesthesia, the patient
should be assessed which includes some things that apatients health status, physical e+amination,
laboratory tests and to determine the physical status
classification according to the American &ociety of
Anaesthesiologist -A&A. During anesthesia,
performed monitoring the general state ofconsciousness, blood pressure, pulse, respiration,
temperature and bleeding. 'f there are difficulties
for implementing general anesthesia, such as airway
and intubation, should be treated with care