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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 $$
&A& I : DE8INISI 1
&A& II : RUANG >INGKUP 2
&A& III : TATA >AKSANA
A. &ant+an !$)+, Daar De(a 4
&. Tera,$ E*etr$ 10
?. &ant+an !$)+, >an7+t Pa)a De(aa 1
D. Pera(atan Pa6a !ent$ Jant+ng 14
E. Et$a en+n)a Dan eng'ent$an Re+$ta$ Jant+ng 1@
Par+
KEPUSTAKAAN 22
1S K3 +ammaiya Yogyakarta
+nit II ii
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>APIRAN
Ke,+t+an D$ret+r Nomor : 0413/PS.1.2/IV/2015
Tentang Pan)+an Re+$ta$ Jant+ng )an Par+
BAB I
DEFINISI
Ke7a)$an mat$ men)a)a ma$' mer+,aan ,en-e%a% emat$an +tama %a$ )$
Negara ma7+ ma+,+n )$ negara %erem%ang e,ert$ In)one$a.&er)aar ,ro,or$ anga
emat$an )$ ,erotaan ,a)a e*om,o +m+r 45 ; 54 ta'+n ,en-a$t 7ant+ng $em$
men)+)+$ +r+tan et$ga @.9BC e%aga$ ,en-e%a% emat$an.Ur+tan ,ertama a)a*a'
troe 15.BC )an +r+tan e)+a a)a*a' )$a%ete me*$t+ 14.9BC. Pa)a e*om,o
+m+r -ang ama +nt+ )aera' ,e)eaan ,en-a$t 7ant+ng $em$ mer+,aan +r+tan
eem,at.
Re+$ta$ 7ant+ng ,ar+ mer+,aan eranga$an t$n)aan +nt+ men$ngatan
)a-a ta'an '$)+, ete*a' ter7a)$n-a 'ent$ 7ant+ng.e$,+n ,en6a,a$an o,t$ma* )ar$
RJP $n$ )a,at %er=ar$a$ tergant+ng e,a)a emam,+an ,eno*ong on)$$ 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.
1S K3 +ammaiya Yogyakarta
+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 )$e)er'anaan
1S K3 +ammaiya Yogyakarta
+nit II 4
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Ta'a,an -ang 'ar+ )$*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$*$$ tan)a e%aga$ %er$+t :
1) Pert+aran +)ara )$ ,er$
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Gam%ar 5. Ten$ me*a+an head – tilt chin – lift
2C en)orong ra'ang %a(a' jaw trust C %$*a a)a tra+ma.
Gam%ar 3. Ten$ me*a+an jaw thrust
1S K3 +ammaiya
Yogyakarta +nit II &
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3) &er$an na,a %ant+an e%an-a 2 a*$ et$a, na,a %ant+an e*ama 1
)et$.
?ara mem%er$an na,a %ant+an )a,at mengg+naan ten$ )ar$ m+*+t
e m+*+t ata+ mengg+naan a*at maer ata+ bagging C.
Gam%ar 9. Ten$ mem%er$an na,a %ant+an )engan maer
4) Sete*a' mem%er$an na,a %ant+an 2 a*$ )$*an7+tan om,re$ )a)a
e%an-a 0 a*$. &er$an na,a %ant+an 2 a*$ *an7+tan om,re$
)a)a *ag$. >a+an $*+ $n$ am,a$ 5 a*$. Sete*a' 5 a*$ $*+ RJP
)$*a+an ,enge6ean em%a*$ a,aa' na)$ tera%a. A,a%$*a na)$ teta,
t$)a a)a RJP teta, )$*a+an am,a$ t$m %ant+an emergen$ )atang
ata+ tere)$a a*at )e
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Seara rin!"as #antuan $idup dasar ada%a$ se#a!ai #eri"ut &
A*gor$tma 1. >anga' ; *anga' %ant+an '$)+, )aar
2. Terapi E%e"tri"
De'i#ri%asi
Proe )e
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1S K3 +ammaiya Yogyakarta +nit II %0
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)$)e
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A*gor$tma 1. Penanganan ventricular fibrillation )an pulseless ventricular
tachycardia
1S K3 +ammaiya Yogyakarta
+nit II %2
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3. Bantuan Hidup Lan*utan Pada Dewasa
Da*am me*a+an %ant+an '$)+, 7ant+ng *an7+t teta, )$teanan ,a)a ,ent$ngn-a
RJP -ang %er+a*$ta t$ngg$ e%aga$ mana7emen )aar )ar$ 'ent$ 7ant+ng.
Peng'ent$an RJP e6ara ,er$o)$ 'ar+ )$m$n$ma*$$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"
1S K3 +ammaiya Yogyakarta
+nit II 22