OBAT – OBAT EMERGENCY 10/20/15 1
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OBAT – OBATEMERGENCY
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Kriteria
• Obat yg dibutuhka utuk !egata"i keadaaga#at darurat
• $i"ia%ka da di"ediaka dite!%at yg !udahdi&agkau
• 'e!ua %etuga" haru" tahu te!%atya
• Te!%at tidak dirubah – rubah
• Obat haru" "e(a(u "ia% %akai
• )aru" * te%at + $,"i"- .aktu- Cara- $
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Obat Emergency
Adrenalin Ephedrin S.Atropin Diazepam Lidicain 2%
Lanoxin Furoemide !almethaon Antihitamin
"y#lo#apron "A $lu#ona abic Dextroe &'%
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• Obat utuk re"u"ita"i &atug %aru
• Obat utuk %erbaika "irku(a"i• 3ai (ai
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Obat Re"u"ita"i 4atug aru
Adrea(ie / E%hie%rie
• 6dika"i + A"i"t,(e
EA
78 da 7T ta%a adi 9ar,ti" K,tra 6dika"i + %a"ie ,r!a(
Cara e!beria + 6tra 8ea
$,"i" + 1 !g diu(ag "etia% – 5 !eit
$a%at diberika itra tra9ea( d,"i" – 10 :
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Cara ker&a• Merag"ag re"e%t,r adreergik
• Meigkatka a(ira darah ke &atug
• Meigkatka a(ira daarah ke ,tak
• Metab,(i"!eya diek"re"ika ke da(a! urie
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E=ek 'a!%ig
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ATRO6N
6dika"i + !eigkatka =rekue"i &atug utuk "iu" bradi9ardi
i9,!%(ete A8 b(,k
Me(a#a e=ek k,(iergik +
%euru )R
%eurua tekaa "i"te!ik
%eurua tekaa darah
G,(,ga %ara"i!%at,(itik / @ag,itik
T,u" @aga( !euru !e(a#a e=ek k,(iergik
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Meka"i"!e Ker&a
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E=ek 'a!%ig
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$,"i"
tuk bradi9ardi + 05 !g 68- !a !g
tuk R4O + 1 !g 68- t,ta( !g
tuk itratrakea( atau tra"trakea(+ d,"i" 2–2-5 ka(i d,"i" itra @ea die9erka !e&adi10 99
• )ati – hati %ada 6MA da i"ke!ia da%at!eyebabka takhikardi de!a ,k"ige!e!%er(ua" i=ak- !erag"ag 8T / 87
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Obat Re"u"ita"i 4atug aru
Adrea(i
Atr,%i
3id,9ai
$a%at diberika "a9ara +
6tra 8e,u" 6tra O""eu"
tra" tra9hea( dg d,"i" – 10 : – 68
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Obat – obat perbaikansirkulasi
$,%a!ie• 6dika"i + 'e%ti9 "h,9k
Cardi,geik"h,9k
Gaga( gi&a(
Trau!a
a"9a R4O /%,"t re"u"ita"i
'yarat + ,r!,@,e!ik
$,"i" + 6,tr,%ik 5 – 10 ug
8a",%re",r 10 – 15 ug
K,traidika"i
• A((ergi
•Ta9hidy"rith!ia
• 87
•)y%,@,(e!ia
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Mekai"!e Ker&a
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$ura"i"igkat
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Ca"e
$e#a"a *5 th Bb50 kg
Me!er(uka $,%a!i 5 ug / !9g
a"ie diata" !eda%atka $,%a!i- bera%a 99%er &a!
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Ru!u" + !9g bb !eit
,%(,"a
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Cara mengencerkan dopamin
1 a!%u( d,%a!i 200 !g 5 99$ie9erka dega $ 5D / – *0 99
4adi + 200 / *0 5 !g / 99 5000 !rg/99
Ru!u" + 1!9g 50 ;0
5000 !9g
1 !9g 0-; 2 12 1-> * 2-*
5 -0 ; -; < *-210/20/15 1?
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$,buta!i
6dika"i + $e9,! C,rdi"
"h,9k kardi,geik
$,"i" + 2 – 10 !9g / kgbb / !eit
E=ek "a!%ig "e%erti e%ie=ri
hatihati utuk %e!beria ,bat ii %ada
Fbri(a"i atriu!
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$,"i" + 2 – 10 !9g / kgbb / !eit
ege9era bia"aya 250 !g da(a! 250 !(%e(arut 1000!g/99H
$,buta!i 250 !g 5 99
$ie9erka dega - $5D 50 99
4adi 250 / 50 5 !g / 99 5000 !g / 99
Ru!u"+
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!9g bb !eit
5000 !9g
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N,radrea(ie
6dika"i + 'e%ti9 "h,9k
$iguaka utuk!e!%erbaiki "irku(a"i
karea bere=ek"i!%at,!etik
Obat ii !eru%aka"uatu @a",k,"trikt,rdi!aa aka!ei!bu(kaek"tra@a"a"i%ege(uara darah dari%e!bu(uh darah !eu&u &arigaH
• $,"i"
!u(ai 12!9g/kgBB/i@atau 0-05 0-0!9g/kgBB/!eit
tuk %ege9era!g da(a! 250 !(i@ 12!g/!(H
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E=ek 'a!%ig
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$ig,ie
6dika"i
• Atria( Fbri(a"i
• 'u%ra@etriku(arta9hydia"rhit!ia
$,"i"
• $e#a"a+ (,adig+ i@/i!0-020-05 !g 1015!g/kgBBH
• e!e(iharaa 0- 125
0-250 !g/hari
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Mekanisme Kerja
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Efek Samping
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