Askep System Kardiovaskular Ppt

7/23/2019 Askep System Kardiovaskular Ppt

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CARDIOVASCULARCARDIOVASCULAR

SYSTEMSYSTEM

By Willi ardiatmBy Willi ardiatm


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IntroductionIntroduction

Review Anatomi & FisiologyReview Anatomi & Fisiology

T!" #"art! li"$ %it!i& t!" t!ra' ("t%""& t!" l)&*$ i&T!" #"art! li"$ %it!i& t!" t!ra' ("t%""& t!" l)&*$ i&

t!" m"dia$ti&al $+a,"- %!i,! i$ a .)r,!am("r$t!" m"dia$ti&al $+a,"- %!i,! i$ a .)r,!am("r$

$"+arat"d (y $"+t)m$"+arat"d (y $"+t)m

1.1. Rigt atriumRigt atrium

2.2. Right ventricularRight ventricular

3.3. Left AtriumLeft Atrium

4.4. Left entricularLeft entricular

A! valve have "a"illary muscle to su""ort of the valve #yA! valve have "a"illary muscle to su""ort of the valve #y

the corda tendinae "revent the eversion of the leafletthe corda tendinae "revent the eversion of the leafletin to the atria during ventricular contractionin to the atria during ventricular contraction


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T!" !"art! %all i$ ,m+$"d . t!r"" lay"rT!" !"art! %all i$ ,m+$"d . t!r"" lay"r"&d,ardi)m i$ t!" t!i& i&&"r li&i&*-"&d,ardi)m i$ t!" t!i& i&&"r li&i&*-

my,ardi)m i$ t!" middl" m)$,)lar lay"rmy,ardi)m i$ t!" middl" m)$,)lar lay"ra&d )t"r m"m(ra& i$ "+i,ardi)m T!"a&d )t"r m"m(ra& i$ "+i,ardi)m T!"+"ri,ardi)m 3+"ri,ard $a,4 $)rr)&d t!"+"ri,ardi)m 3+"ri,ard $a,4 $)rr)&d t!"!"art! %!i,! t!i$ $a, ,&$i$t$ . 5i$,"ral!"art! %!i,! t!i$ $a, ,&$i$t$ . 5i$,"ral3I&&"r4 lay"r a&d a +ariatal 3O)t"r 4 lay"r3I&&"r4 lay"r a&d a +ariatal 3O)t"r 4 lay"rB"t%""& t!" 5i$,"ral lay"r +ari"tal lay"rB"t%""& t!" 5i$,"ral lay"r +ari"tal lay"ri$ t!" +"ri,ardial $+a," A $mall . .l)id i&i$ t!" +"ri,ardial $+a," A $mall . .l)id i&

t!i$ $+a," a,t$ a$ a l)(ri,a&t$ a&d r"d),"$t!i$ $+a," a,t$ a$ a l)(ri,a&t$ a&d r"d),"$t!" .ri,ti& ,a)$"d (y m5"m"&t . t!"t!" .ri,ti& ,a)$"d (y m5"m"&t . t!"lay"r %it! "a,! ,&tra,ti& 3lay"r %it! "a,! ,&tra,ti& 3Lewis HeitkemperLewis HeitkemperDirksen, Chapter 30)Dirksen, Chapter 30)


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Bld ,ir,)lati& t!r*! t!"Bld ,ir,)lati& t!r*! t!"

#"art!#"art!V"&a Ca5a S)+/I&.- ,r&ary $i&)$V"&a Ca5a S)+/I&.- ,r&ary $i&)$ Ri*!t atri)mRi*!t atri)m tri,)$+id 5al5"tri,)$+id 5al5" i*!ti*!t

5"&tri,)lar5"&tri,)lar S"mil)&ar +)lm&ali$ 5al5"S"mil)&ar +)lm&ali$ 5al5"

Art"ri +)lm&ali$Art"ri +)lm&ali$ pulmonary circuitpulmonary circuit

3d"'i*"&i8" (ld43d"'i*"&i8" (ld45"&a +)lm&ali$5"&a +)lm&ali$

l".t 5"&tri,)larl".t 5"&tri,)lar Mitral 5al5"Mitral 5al5" L".tL".t

5"&tri,)lar5"&tri,)lar $"mil)&ar arta 5al5"$"mil)&ar arta 5al5"artaarta sistemik circuitsistemik circuit


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Ri*!t V"&tri,)lar a&d L".t V"&tri,)larRi*!t V"&tri,)lar a&d L".t V"&tri,)lar


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Ri*!t V"&tri,)lar a&d L".t V"&tri,)larRi*!t V"&tri,)lar a&d L".t V"&tri,)lar


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A V VALVEA V VALVE


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Ma&i."$ta$i ;li&i< Dy$.)&*$iMa&i."$ta$i ;li&i< Dy$.)&*$i

=a&t)&*=a&t)&* Dy$+&"aDy$+&"a C!"$t +ai&C!"$t +ai& Sy&,+"Sy&,+" >al+itati&>al+itati& Ed"maEd"ma ?a&**)a& >ada T"ada T")l$ A(&rmal>)l$ A(&rmal #"art! $)&d#"art! $)&d M)rm)rM)rm)r >"ri,ardial .ri,ti& r)(>"ri,ardial .ri,ti& r)( Di$t"&$i =V>Di$t"&$i =V> CRT a(&rmalCRT a(&rmal

Cya&$i$Cya&$i$ >allr>allr @ati*)"@ati*)" Cl)(i&* .i&*"rCl)(i&* .i&*"r ?a&*)a&


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Cr&ary Art"riCr&ary Art"ri

#"art! &""d$ (ld $)+ly 3)tri"&t #"art! &""d$ (ld $)+ly 3)tri"&t

O


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SIR;ULASI ;OROERSIR;ULASI ;OROER


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SISTEM LISTRI; =ATU?SISTEM LISTRI; =ATU?


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M",!a&i,al $y$t"mM",!a&i,al $y$t"m

C&tra,ti& . my,ardi)m r"$)lt$ i& "",ti& .C&tra,ti& . my,ardi)m r"$)lt$ i& "",ti& .

(ld .rm t!" ,ardia, ,!am("r a&d it i$ t"rm"d(ld .rm t!" ,ardia, ,!am("r a&d it i$ t"rm"d

$y$tl"- r"la'ti& . t!" m)$,l" i$ t"rm"d$y$tl"- r"la'ti& . t!" m)$,l" i$ t"rm"d

dia$tl" Cardia, )t+)t 3CO4 i$ t!"dia$tl" Cardia, )t+)t 3CO4 i$ t!"m"a$)r"m"&t . m",!a&i,al "..i,i"&,y CO i$m"a$)r"m"&t . m",!a&i,al "..i,i"&,y CO i$

t!" am)& . (ld +)m+"d (y "a,! 5"&tri,"l i&t!" am)& . (ld +)m+"d (y "a,! 5"&tri,"l i&

1 mi&)t" It i$ ,al,)lat"d (y m)lti+lyi&* t!"1 mi&)t" It i$ ,al,)lat"d (y m)lti+lyi&* t!"

am)&t . (ld "",t"d .rm &" 5"&tri,"l %it!am)&t . (ld "",t"d .rm &" 5"&tri,"l %it!&" !"art! ("at t"rm"d $tr


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$erontologic %onsideration$erontologic %onsideration T!" m$t ,mm& ,ardi5a$,)lar +r(l"mT!" m$t ,mm& ,ardi5a$,)lar +r(l"m

i$ ,r&ari art"ri$,l"r$i$- ,)rr"&ti$ ,r&ari art"ri$,l"r$i$- ,)rr"&tr"$"a,! $)**"$t t!at $m" . &rmalr"$"a,! $)**"$t t!at $m" . &rmal,!a&*"$ . a*i&* +rmt" art"ri$,l"r$i$-,!a&*"$ . a*i&* +rmt" art"ri$,l"r$i$-

!y+"rt"&$i&- ,ardia, .ail)r"!y+"rt"&$i&- ,ardia, .ail)r"Am)&t . ,la*"& i&,r"a$" a&d "la$ti&Am)&t . ,la*"& i&,r"a$" a&d "la$ti&d",r"a$"d",r"a$"

Cardia, 5al5" (",m" t!i,


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T!" &)m("r . +a," ma


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A$$"$m"t O. T!"A$$"$m"t O. T!"

Cardi5a$,)lar Sy$t"mCardi5a$,)lar Sy$t"mS)(",ti5" dataS)(",ti5" dataIm+rta&*. #"alt! i&.rmati&Im+rta&*. #"alt! i&.rmati&

>a$$ !"alt!ty i&.rmati&>a$$ !"alt!ty i&.rmati&M"di,ati&M"di,ati&

S)r*"ry r t!"r tr"atm"&tS)r*"ry r t!"r tr"atm"&t


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A$$"$m"&t O. T!" ,ardi5a$,)larA$$"$m"&t O. T!" ,ardi5a$,)lar

$y$t"m$y$t"m

S)("a$t !"alt! !i$try

M"di,ati&M"di,ati&

@)&,ti&ally !"alt! +att"r&@)&,ti&ally !"alt! +att"r&

O(",ti. DataO(",ti. Data

>!y$i,al "'ami&ati&3 Vital $i*&4>!y$i,al "'ami&ati&3 Vital $i*&4

>"ri."ral 5a$,)lar $y$t"m>"ri."ral 5a$,)lar $y$t"m

T!ra'T!ra'


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Dia*&$ti, $t)di"$ . t!"Dia*&$ti, $t)di"$ . t!"

,ardi5a$,)lar $y$t"m,ardi5a$,)lar $y$t"mLa(ratri)mLa(ratri)m

W!l" (ld- "ritr$it- l")r,"d)r

El"


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EC?EC?


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V"rti,al li&" 3Vlta$"4V"rti,al li&" 3Vlta$"4

mmG0- mV mmG0- mV1 mmG 0-1 mV1 mmG 0-1 mV

#ri8&tal li&"3Tim"4#ri8&tal li&"3Tim"4

mm G 0-2 $",&d mm G 0-2 $",&d

1 mm G 1 $mal (' G 007 $",&d1 mm G 1 $mal (' G 007 $",&d


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Cal,)lat" #"art! Rat" .rm EC?Cal,)lat" #"art! Rat" .rm EC?

M"t!d" 1M"t!d" 1

#"art! Rat"G#"art! Rat"G 2 mm/$", ' 60 $",/mi&2 mm/$", ' 60 $",/mi&

)m("r . mm ("t%""& ("at$)m("r . mm ("t%""& ("at$

E' & t!i$ $tri+ - t!"r" ar" 2 mm ("t%""& t!" .ir$t 2 ("at FRSE' & t!i$ $tri+ - t!"r" ar" 2 mm ("t%""& t!" .ir$t 2 ("at FRS

,m+l"'- $,m+l"'- $#RG#RG 100100

22

#R G 6 ("at$/miR G 6 ("at$/mi&

M"t!d" 2M"t!d" 2C)&t t!" &)m("r . FRS ,m+l"'$ ("t%""& t!" $",&d mar


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'R(I$ %AR) I'R(I$ %AR) I

%AR*I+A(%'LAR (,(-)%AR*I+A(%'LAR (,(-)*I(+R*)R*I(+R*)R

M"di,al S)r*i,al )r$i&* IIM"di,al S)r*i,al )r$i&* II

>ART II>ART IIBy Galih Jatnika, S.Kep, NersBy Galih Jatnika, S.Kep, Ners


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/,0)R-)(I+/,0)R-)(I+

!y+"rt"&$i& i$ $)$tai&"d "l"5ati& B> I&!y+"rt"&$i& i$ $)$tai&"d "l"5ati& B> I&

& ad)lt %it! SB>& ad)lt %it! SB> 170 mm!* DB> 90 170 mm!* DB> 90

mm!*mm!*

#i*! B> may ,&tri()t" t MI- CVA- a&d#i*! B> may ,&tri()t" t MI- CVA- a&d

at!"r$,l"r$i$at!"r$,l"r$i$


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Cla$i.i,ati& O. #y+"rt"&$iCla$i.i,ati& O. #y+"rt"&$i

11 >rimary #i+"rt"&$i& 39 all Ca$">rimary #i+"rt"&$i& 39 all Ca$"

#y+"rt"&$i&4#y+"rt"&$i&4 a*" 0 0 y"ar$-a*" 0 0 y"ar$-

,a)$" i$ )&


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S",&dary !y+"rt"&$i&S",&dary !y+"rt"&$i&

El"5at"d B> %it! $+",i.i, ,a)$" t!at .t"&El"5at"d B> %it! $+",i.i, ,a)$" t!at .t"&,a& (" id"&ti.i"d a&d ,rr",tt"d- i&,a& (" id"&ti.i"d a&d ,rr",tt"d- i&ad)lt m$tly 3:04 i& ,!ildr"& %it!ad)lt m$tly 3:04 i& ,!ildr"& %it!

,a)$",a)$"Car,ttati& r ,&*"&ital &arr%i&* .Car,ttati& r ,&*"&ital &arr%i&* .arta- r"&al di$"a$"- "&d,ri&" di$rd"r-arta- r"&al di$"a$"- "&d,ri&" di$rd"r-

&")rl*i, di$rd"r- $l""+ a+&"-&")rl*i, di$rd"r- $l""+ a+&"-m"di,ati& 3$ym+ati, $tim)lati&- ralm"di,ati& 3$ym+ati, $tim)lati&- ral,&tra,"+ti& +ill$- SAID$4- a&d >I#,&tra,"+ti& +ill$- SAID$4- a&d >I#


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Cla$i.i,ati& . B> 3ad)lt4Cla$i.i,ati& . B> 3ad)lt4

Brd"rli&" 1019/::9 mm!*Brd"rli&" 1019/::9 mm!*

Sta*" 1 17019/9099 mm!*Sta*" 1 17019/9099 mm!*

Sta*" II 16019/100109 mm!*Sta*" II 16019/100109 mm!*Sta*" IIISta*" III 1:0/ 110 mm!* 1:0/ 110 mm!*


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Cli&i,al Ma&i."$tati&Cli&i,al Ma&i."$tati&

@ati*)"- a,ti5ity i&tl"ra&,"- di88i&"$-@ati*)"- a,ti5ity i&tl"ra&,"- di88i&"$-

+al+itati&- a&*i&a- a&d dy$+&"a+al+itati&- a&*i&a- a&d dy$+&"a


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Cm+li,ati&Cm+li,ati&

T!" m$t ,m+li,ati& . !i+"rt"&$i& ar"T!" m$t ,m+li,ati& . !i+"rt"&$i& ar"

tar*"t r*a& di$"a$" !y+"rt"&$i !"art!tar*"t r*a& di$"a$" !y+"rt"&$i !"art!

di$"a$"- CVA 3TIA/Str


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)r$i&* A$$"$m"&t)r$i&* A$$"$m"&t

S)(",ti5" dataS)(",ti5" data

>a$t !"alt! i&.rmati& a&d m"di,ati&>a$t !"alt! i&.rmati& a&d m"di,ati&

@)&,ti&al !"alt! +att"r& 3!"alt! +"r,"+ti&-@)&,ti&al !"alt! +att"r& 3!"alt! +"r,"+ti&-&)tri&al m"ta(li,- "limi&ati&- a,ti5ity&)tri&al m"ta(li,- "limi&ati&- a,ti5ity"',"r,i$"- ,*&iti5"+"r,"+t)al- $"')al-"',"r,i$"- ,*&iti5"+"r,"+t)al- $"')al-,+i&* m!",a&i$m,+i&* m!",a&i$m

O(",ti5" DataO(",ti5" DataCardi5a$,)lar B> r"ti&al 5"$$"l ,!a&*"$-Cardi5a$,)lar B> r"ti&al 5"$$"l ,!a&*"$-

a(&rmal !"art! $)&$- +)l$- "d"maa(&rmal !"art! $)&$- +)l$- "d"ma


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Dia*&$ti, $t)di"$Dia*&$ti, $t)di"$

M"a$)r"m"&t B> a&d m&itri&*M"a$)r"m"&t B> a&d m&itri&* R)ti&" )ri&ali$i$R)ti&" )ri&ali$i$ S"r)m "l",trlit a&d )ri, a,idS"r)m "l",trlit a&d )ri, a,id BU a&d $"r)m ,r"ati&i&BU a&d $"r)m ,r"ati&i& Bld *l),$"Bld *l),$" W!l" (ldW!l" (ld S"r)m li+id- ,!l"$t"rl- tri*li,"ridaS"r)m li+id- ,!l"$t"rl- tri*li,"rida EC?EC?


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>"ridi, m&itri&* B>>"ridi, m&itri&* B> A$$i*m"&t . ri$< l"5"lA$$i*m"&t . ri$< l"5"l

LIF) (-,L) +*IFI%A-I+LIF) (-,L) +*IFI%A-I+ R"$tri,t $di)m- ,!l"$t"rlR"$tri,t $di)m- ,!l"$t"rl Mai&tai&" ad"J)at" i&ta


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%+R+AR, AR-)RI *I()A() %A*%+R+AR, AR-)RI *I()A() %A*

CAD i$ ty+" . (ld 5"$$"l di$rd"r t!atCAD i$ ty+" . (ld 5"$$"l di$rd"r t!ati&,l)d" i& *"&"ral ,at"*ry . at!"r$,l"r$i$i&,l)d" i& *"&"ral ,at"*ry . at!"r$,l"r$i$

%A'() +F %A*%A'() +F %A*

11

El"5at"d $"r)m li+idEl"5at"d $"r)m li+id22 #y+"rt"&$iy+"rt"&$i&

Sm!y$i,al a,ti5ity

O("$ityO("$ity66 DMDM

Str"$$ ("!a5i)rStr"$$ ("!a5i)r


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Ma&i."$ta$i ,li&i,Ma&i."$ta$i ,li&i,

11 A&*i&a +",tri$A&*i&a +",tri$ Sta(l" a&*i&a +",tri$Sta(l" a&*i&a +",tri$

U&$ta(l" a&*i&a +",tri$U&$ta(l" a&*i&a +",tri$

22 EC? a(&rmalEC? a(&rmal

ST d"+r"$iST d"+r"$i

!"art! E&8im 3C;- LD#-AST4 !"art! E&8im 3C;- LD#-AST4


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MIOCARDIAL I@ARCTIOMIOCARDIAL I@ARCTIO

$)at)


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>at.i$il*i>at.i$il*i

M"&)r)&&ya $)++ly


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C!"$t >ai& +ada


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D"mam- +ada


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Ma&i."$ta$i ;li&i"&i&* -@a$" a%al >"&i&* - .a$" la&)t >"&)r)&a& B>.a$" la&)t >"&)r)&a& B> >"&)r)&a& )ri&" )t +)t>"&)r)&a& )ri&" )t +)t Cra,


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0))RI(AA *IA$+(-I0))RI(AA *IA$+(-I

1.Riwayat %hest "ain6 Ris7 factor dan1.Riwayat %hest "ain6 Ris7 factor dan

Riwayat 7esehatanRiwayat 7esehatan 2. )$2. )$

E;? >ada )m)m&ya *am(ara& E;? +adaE;? >ada )m)m&ya *am(ara& E;? +ada


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+"&*"m"ri


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$))RAL I-)R)-I+$))RAL I-)R)-I+

>"m("ria&>"m("ria& o7sigen 2 ! 4 l 9mto7sigen 2 ! 4 l 9mt

0osisi semi fowler0osisi semi fowler 0emasangan I catheter0emasangan I catheter- )&t)< m"m)da!


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;la(rati. +"m("ria&;la(rati. +"m("ria& itrogliserin I itrogliserin I )&t)


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;la(rati. A&ti,a*)la&t t!"ra+y #"+ari&-;la(rati. A&ti,a*)la&t t!"ra+y #"+ari&-)&t)< m"&,"*a! +"m("


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%>$)(-I) /)AR-/ FAIL'R)%>$)(-I) /)AR-/ FAIL'R)

;"tida< mam+)a& a&t)&* )&t)< m"mm+aaya! a&t)&* adala! $)at) $i&drmaya&* da+at di$"(a(


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>aya! a&t)&* ("raya! a&t)&* ("r


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e7anisme 7om"ensasie7anisme 7om"ensasi >ada +aya!>ada +aya!

a&t)&* da+at t"radi $",ara a


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-I0) 0A,A/ :A-'$-I0) 0A,A/ :A-'$

1.1. 0ayah ?antung 7iri Left heart failure0ayah ?antung 7iri Left heart failure (ia$a&ya t"radi


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;illi+ Cla$$i.i,ati& . #"art @ail)r";illi+ Cla$$i.i,ati& . #"art @ail)r" illi" I illi" I -ida7 ada failure-ida7 ada failure illi" II )arly6 oderate failure6illi" II )arly6 oderate failure6 dita&dai d"&*a& ada&ya S-dita&dai d"&*a& ada&ya S-

+"&i&*


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-he ew ,or7 /eart Association-he ew ,or7 /eart Association

Fungtional %lassificationFungtional %lassification Fungtional class IFungtional class I Cardia, di$"a$"- >aya! =a&t)&* ta&+aCardia, di$"a$"- >aya! =a&t)&* ta&+a

m"&*a


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S S ?MAI@ESTASI ;LII; >AYA# =ATU? ;AA


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MAI@ESTASI ;LII; >AYA# =ATU? ;AAMAI@ESTASI ;LII; >AYA# =ATU? ;AA

*istensi vena ?ugularis*istensi vena ?ugularis

)dema de"endent)dema de"endent /e"atomegali 0em#esaran liver/e"atomegali 0em#esaran liver


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;OM>LI;ASI;OM>LI;ASI

0leural effusion0leural effusion m"&i&*


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>E?;A=IA>E?;A=IA

Data $)(""&i&* 3.a$" a%al4 Uri&ary +"&)r)&a& )ri&" )t +)tUri&ary +"&)r)&a& )ri&" )t +)t


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>"m"ri


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*IA$+(A )0)RABA-A*IA$+(A )0)RABA-A

egagalan "roses "ertu7aran gasegagalan "roses "ertu7aran gas("r!)()&* d"&*a&("r!)()&* d"&*a&

+)m+ .ail)r" ya&* dima&i."$ta$i


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Activity intolerance #erhu#ung denganActivity intolerance #erhu#ung dengan

fatiue 7arena menurunnya cardiac outfatiue 7arena menurunnya cardiac out"ut6"ut6"d"ma +ar)- ya&* dima&i."$ta$i


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T))a&T))a& a$)!a&


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RE@ERESIRE@ERESI

Br)&&"r S)ddart! 2000Br)&&"r S)ddart! 2000 Medical Surgical NursingMedical Surgical Nursing9t! "diti&9t! "diti& >!ilad"l+!iaLi++i&,tt>!ilad"l+!iaLi++i&,tt

D&&a- I 1991D&&a- I 1991 Medical Surgical NursingMedical Surgical Nursing )r$i&* )r$i&*>r,"$$ A++ra,! >!ilad"+!ia M$(y>r,"$$ A++ra,! >!ilad"+!ia M$(y

L"%i$- #"it


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'R(I$ %AR) I'R(I$ %AR) I

%AR*I+A(%'LAR (,(-)%AR*I+A(%'LAR (,(-)*I(+R*)R*I(+R*)R

M"di,al S)r*i,al )r$i&* IIM"di,al S)r*i,al )r$i&* II

>ART III>ART IIIBy willi ardiatmoBy willi ardiatmo

A t! iA t! i


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Arryt!miaArryt!mia

Di$rd"r ,&d),t"dDi$rd"r ,&d),t"d a(&rmal ,ardia,a(&rmal ,ardia,

r!yt!m$r!yt!m$

T!" %a5" .rm EC? ar" +rd),"d (y t!"T!" %a5" .rm EC? ar" +rd),"d (y t!"

m5"m"&t . ,!ar*"d i&$ a,r$$ t!"m5"m"&t . ,!ar*"d i&$ a,r$$ t!"

m"m(ra&"$ . my,ardial ,"ll$-m"m(ra&"$ . my,ardial ,"ll$-

r"+r"$"&ti&* d"+lari8ati& a&dr"+r"$"&ti&* d"+lari8ati& a&d

r"+lari8ati&r"+lari8ati&


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Si&)$Si&)$ r!yt!mr!yt!m 3SR43SR4


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Si&)$Si&)$ r!yt!mr!yt!m3SR43SR4

IramaIrama T"rat)r T"rat)r

@r"< a&t)&* 3 #R 4@r"< a&t)&* 3 #R 4 60 K 100 rmal- $"lal) diiRI&t"r5al >R rmal 3 0-12 K 0-20 d"t 4 rmal 3 0-12 K 0-20 d"t 4

?"lm(a&* FRS?"lm(a&* FRS rmal 3 0-06 K 0-12 d"t 4 rmal 3 0-06 K 0-12 d"t 4

EKG 6 detik


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Ty+"$ . Arryt!miaTy+"$ . Arryt!mia

11 Si&)$ Brady,ardia &rmal ryt!"m$ %it!Si&)$ Brady,ardia &rmal ryt!"m$ %it!

#R N 60 ("at$/mi&)t"#R N 60 ("at$/mi&)t"

Cli&i,all a$$,iati& $tim)l)$ .Cli&i,all a$$,iati& $tim)l)$ .

+ara$ym+ati,- 5al$a5a ma&)5"r-+ara$ym+ati,- 5al$a5a ma&)5"r-

!y+t"rmia- !y+tirid$m!y+t"rmia- !y+tirid$m

Cli&i,al ma&i."$tati& #i+t"&$i& %it!Cli&i,al ma&i."$tati& #i+t"&$i& %it!

d",r"a$"d COd",r"a$"d CO

T"ra+i atr+i&" 3a&ti,!li&"r*i, dr)*$4T"ra+i atr+i&" 3a&ti,!li&"r*i, dr)*$4


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22 Si&)$ Ta,!y,ardiaSi&)$ Ta,!y,ardia

rmal ryt!"m$ %it! a(&rmal #R 100 ("at$/mi&)t"rmal ryt!"m$ %it! a(&rmal #R 100 ("at$/mi&)t" Cli&i,al a$$,iati&Cli&i,al a$$,iati&

E'"r,i$"E'"r,i$"

@"5"r@"5"r

>ai&>ai&

#i+t"&$ii+t"&$i&

#y+5l"mia#y+5l"miaA&'i"tyA&'i"ty

A&"miaA&"mia

#y+'ia#y+'ia

#y+*li


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TACHYCARDIA (SVT) CIRI KHAS : HR leih dari sama

den!an "#$ % & mnt 'A(A )BJ*K(I+: 'iastole

C) HR -re e/istin! Heart 'isease& dama!e 0diseakan karena !1pd arteri 2oronaria aliran darah

2hest pain3

4 ATRIAL FLUTTER


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Rapid rate atria 4$$ 5$$ % &

mnt

Sin!le atrial imp6ls dari SAnode

Sin!le imp6ls dari A7

node

7entri26lar rateslower

4. ATRIAL FLUTTER

5. HEART BLOCK /


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5. HEART BLOCK /ATRIOVENTRICULAR BLOCK 0!1 kond6ksi dari SA node ke A7 node

tidak ada respon ata6 imp6ls setelah dilak6kan tindakan rady2ardia 3

CIRI KHAS : HR: 1$ 5$ % & mnt

8ACA8 +irst de!ree

Se2ond de!ree (hird de!ree& 2omplete heart lo2k0tdk ada sama sekali imp6ls 9entrikel

erkontraksi sendiri3

(*RA-I : -a2e maker insertion


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6. PREMATURE VENTRICULARCONTRACTION (PVC)

0 Kontraksi awal teradi seel6m teradi kond6ksi dari SA node3

-*N;*BAB

A. +lip


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pallor & p62at Ner9o6sness

Sweatin! & erkerin!at === >aintness Gamaran *KG : a. ? ata6 leih -7C & mnt

. Bi!emini 0@3 2. 4 -7C dalam " row ata6 leih d. 86lti>o2al -7C e. Gamaran !el R ada pada !el (

'A8-AK : Setelah di operasi irritailitymio2ardi6m ine2tion lido2aine 0ol6s3 9ia i.9


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7. VENTRICULAR TACHYCARDIA'A(A )BJ*K(I+ : Sin!le and irritale 9entrikel

HR "#$ 4#$ % & mnt

C) Nadi & p6lse

PENGKAIAN PADA KLIEN DGN G3


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PENGKAIAN PADA KLIEN DGN G3ARITMIA

!. C"#$%"& O'' ') : ta2hy2ardia, an!ina pain, hipotensi, syn2ope, red62erenal,

weak, tired

*. H+"# R"+ , "&-&"#$%"

-alpitasi & ast

nadi


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nadi di api2al dan radial K6lit : p62at dan din!in Bila otak kek6ran!an oksi!en 2on>6se and demensia

3. T"$" 0%"1

4. R%2"" "*" ($+ "$ %$+ ++&)

5. R%2"" ++-"" "8 1"1'1


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INTERVENSI

". (erapi oat 0oral dan i.934. Res6sitasi1. 8emperaiki hemodynami2

5. 'erilasi 0A6tomati2 Implantale Cardia2 'erilation3

indikasi : rilasi& 2ardia2 arrest

ata6 ila !el R tidak teridentikasi

D 9 %1 %


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D+9#%1"%(A':"%& I:1""1+ C"#$%"&

D+9#%1"%)

DIAGNOSA KEPERA;ATAN YANG


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DIAGNOSA KEPERA;ATAN YANGMUNGKIN MUNCUL

". -en6r6nan 2ardia2 o6tp6t.d.aritmia

ata6 ine>ekti> respon setelahdilak6kan tindakan medis

(66an 6m6m : 2ardia2 o6tp6tmenin!kat ditandai den!an :

(7 dalam atas normal

2hest pain 'iDDiness Syn2ope

Balan2e inp6t and o6tp6t

( kh Si it d l


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(66an kh6s6s : Sin6s ritme dalam atas normalInter9ensi :

monitor 2ardia rate & HR dan ritme kai tanda 9ital

kai & oser9asi inp6t dan o6tp6t

kai stat6s nyeri klien oser9asi terape6tik respon oser9asi toleran2e a2ti9ity tin!katkan physi2al dan emosionalrest erikan oksi!en a!i klien d!nindikasi

dyspne, 2hest pain dan syn2ope

4. 'esit pen!etah6an klien tt!


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4. 'esit pen!etah6an klientt! penyakitnya .d 6n>amiliarity terape6ti2 re!imen (66an 6m6m : pen!etah6an klien tt! penyakit 0perawatan3

(66an kh6s6s: re!imen terape6ti2 >amiliarity

Inter9ensi :

Kai pen!etah6an dasar klien Klarikasi & re9iew kemali t66an, resti dan ke6nt6n!an dilak6kannya

prosed6r tindakan keperawatan

B i kli d l k k


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Ba!i klien yan! sedan! melak6kan kontrol aritmia, elaskan prosed6r,

side eEe2t, dosis oat Aari se2ara sederhana 6nt6k

memonitor sendiri keadaan p6lse 0nadi 3 diradial *9al6asi kemali kee>ekti>an hasil H* klien Beri alternati> kons6ltasi klien tt! penyakitnya 9ia telp


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I@LAMATORYI@LAMATORY

#EART# DISEASE#EART# DISEASE

>ERICARDITIS


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>ERICARDITIS>ERICARDITIS

I&.lamati& . +"ri,ardi)m $a,)$- %!i,! mayI&.lamati& . +"ri,ardi)m $a,)$- %!i,! may

,,)r & a& a,)t",,)r & a& a,)t"

Idi+ati< %it! a 5ari"ty . $)$+",t"d 5iralIdi+ati< %it! a 5ari"ty . $)$+",t"d 5iral

,a)$" ,'$a,


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Cli&i,al ma&i."$tati&Cli&i,al ma&i."$tati&

C!"$t +ai&- dy$+&"a- a&d +"ri,ardialC!"$t +ai&- dy$+&"a- a&d +"ri,ardial

.ri,ti& r)($.ri,ti& r)($

d",r"a$" B>d",r"a$" B>

>)l$)$ +arad)l$)$ +arad


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ASSESMETASSESMET

>a$t !"alt! !i$try a&d +!y$i,al>a$t !"alt! !i$try a&d +!y$i,al

"'ami&ati&"'ami&ati&

Dia*&$ti, $t)di"$ EC? ST "l"5a$i allDia*&$ti, $t)di"$ EC? ST "l"5a$i all

l"ad$ "',"+t aVR a&d V1- ,!"$t ' ray-l"ad$ "',"+t aVR a&d V1- ,!"$t ' ray-",!,ard*ra+!y- +"ri,ardi,"&t"$i$-",!,ard*ra+!y- +"ri,ardi,"&t"$i$-

+"ri,ardial (y+$i- CT $,a&- ),l"ar $,a&+"ri,ardial (y+$i- CT $,a&- ),l"ar $,a&

. !"art!. !"art!

M ditiM diti


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My,arditi$My,arditi$

A .,al r di..)$" i&.lamati& . t!"A .,al r di..)$" i&.lamati& . t!"

my,ardi)m- !a$ (""& a$$,iati"dmy,ardi)m- !a$ (""& a$$,iati"d

5ir)$"$ 3M$t i& US a&d ,a&ada4- (a,t"ria-5ir)$"$ 3M$t i& US a&d ,a&ada4- (a,t"ria-

ri,


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Early $y$t"mi, Viral ill&"$ @"5"r- .ati*)"-Early $y$t"mi, Viral ill&"$ @"5"r- .ati*)"-

malai$"- myal*ia$- +!ari&*iti$- dy$+&"a-malai$"- myal*ia$- +!ari&*iti$- dy$+&"a-

lym+ad"&+at!y- ?I $ymtmlym+ad"&+at!y- ?I $ymtm

Wit! i&.",ti& 5iral a++"ar i& K 10 day$Wit! i&.",ti& 5iral a++"ar i& K 10 day$(",m" ,ardia, ma&i."$tati& +"ri,ardial(",m" ,ardia, ma&i."$tati& +"ri,ardial

,!"$t +ai&- .ri,ti& r)($- S ,ra,- +"ri+!"ral "d"ma a&d maydi$t"&$i =V>- +"ri+!"ral "d"ma a&d may+r*r"$ t C#@+r*r"$ t C#@

A tA t


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A$$"$m"&tA$$"$m"&t

#"alt! !i$try a&d +!y$i,al "'ami&ati"alt! !i$try a&d +!y$i,al "'ami&ati&

Dia*&$ti, $tidi"$ a(&rmal a&d ,&d),tDia*&$ti, $tidi"$ a(&rmal a&d ,&d),t

di$t)r(a&," i& EC? 3ST $"*m"&tdi$t)r(a&," i& EC? 3ST $"*m"&t

a(&rmal4- i&,r"a$" l",$it 3mild ta(&rmal4- i&,r"a$" l",$it 3mild tmd"rat"4- i&,r"a$" my,ardial "&8immd"rat"4- i&,r"a$" my,ardial "&8im

3AST- C;MB- LD#4 "l"5at"d tit"r 5iral i& 3AST- C;MB- LD#4 "l"5at"d tit"r 5iral i&

K 10 day$K 10 day$

EDOCARDITISEDOCARDITIS


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EDOCARDITISEDOCARDITISI&.",ti& . t!" "&d,ardi)m $)r.a," %it!I&.",ti& . t!" "&d,ardi)m $)r.a," %it!

m )$)aly a..",t$ t!" ,ardia, 5al5"-m )$)aly a..",t$ t!" ,ardia, 5al5"-TWO @ORM O@ I@ECTIVE EDOCARDITISTWO @ORM O@ I@ECTIVE EDOCARDITIS

11 S)(a,)t" l&*"r ,li&i,al ,)r$" . mr"S)(a,)t" l&*"r ,li&i,al ,)r$" . mr"

i&$idi)$ &$"t %i,! l"$$ t'i,ity- a&di&$idi)$ &$"t %i,! l"$$ t'i,ity- a&d,a)$ati5" r*a&i$m i$ )$)aly . l%,a)$ati5" r*a&i$m i$ )$)aly . l%5ir)l"&,"$ "* $tr"+t,,,)$ 5irida&$5ir)l"&,"$ "* $tr"+t,,,)$ 5irida&$

22 A,)t" $!rt"r ,li&i,al ,)r$"- mr"A,)t" $!rt"r ,li&i,al ,)r$"- mr"5ir)l"&,"$- i&,r"a$"d t'i,ity )$)aly5ir)l"&,"$- i&,r"a$"d t'i,ity )$)aly$ta+!yl,,,)$ a)r")$$ta+!yl,,,)$ a)r")$

Cli i l i. t tiCli i l i. t ti


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&$+",i.i, a&d ,a& i&5l5" m)lti+l" r*a&&$+",i.i, a&d ,a& i&5l5" m)lti+l" r*a&

$y$t"m a,)t" $y&drm@"5"r 3904-$y$t"m a,)t" $y&drm@"5"r 3904-

%"a


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A$$"$m"&tA$$"$m"&t

>a$t !"alt! !i$try>a$t !"alt! !i$try

Dia*&$ti, $t)di"$ %!l" (ld- (ldDia*&$ti, $t)di"$ %!l" (ld- (ld

,)lt)r"-)ri&" a&ali$"- ,!"$t 'ray- ",*-,)lt)r"-)ri&" a&ali$"- ,!"$t 'ray- ",*-

",!,ardi*ra+!y",!,ardi*ra+!y


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ASFHAN K*-*RAA(AN -A'A

KI*N '*NGAN GANGGFANKA(F- JAN(FNG

REGURGITASI KATUP MITRALREGURGITASI KATUP MITRAL


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SINONIM I:++% :%#"1 I'"$% #+ :"'"

+:"1% $"#"- $"#% 0+#%+1 %#%+ "#%': %#% "%" "$""#+8'#8%"% / :+:'"" "'

:%#"1 "8 %$" +:'#" .


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PENYEBAB (+#" $" AS)

!. R-+:"%& H+"# F+0+#*. H+"# ""& :+#'"

#''#

"' :%#"1 3. M?:"' $+8++#"%

+#'"" >"#%8" "'

@9#' :"+#%"1

M+:+#"%% $%#% "'


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+-%88" %$" :+%:'1" :1%"% 1">'" !. V"10'11" *. M+:'" "' %#'"

(:+&-"%&"1 0"10+)

DAMPAK E$"#$%% +&+8"-"$+8" +:+#%" "%%% 1

; t ti;at)+ tir)a&


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;at)+ tir)a&;at)+ tir)a&


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REGURGITASI KATUPREGURGITASI KATUP

TRIKUSPIDALISTRIKUSPIDALIS

SINONIM

I:++% #%'%$ I'


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SYMPTOM !. "%" "1%#" $"#"- 1":"+ >"'8 #+ 01':+:+'#'

+"""$% &"#%$ :+'#'

;+"+

$" "%8'+ *. @$%&:# $% "" """$ 3. +:+"#" -"%

STENOSIS KATUP MITRALSTENOSIS KATUP MITRALPENGERTIAN


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PENGERTIAN P+%8"" #+%+% ""'

-":"" "1%#" $"#"- $"#% "#%':"" + 0+#%+1 "" "%"

$+% "1%': "$" "'+1"%%" "' :+'#' @#%8%$

"' :%#"1 PENYEBAB

!. P+:+"#" "#%': $" 0+#%+1"" "%"

':#*. R-+:"%& H+"# F"%1'#+ ( +"8%"

+"#)

3. " %#- $++&

!. P"1%"%


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*. @D%&:# $% $"+#"- 1+-+#3. @T%#+$4. B%1" 0+" >'8'1"#% :+%8"$" 1%0+# :+:+"# @$%&:#

"$5. + :'#:'# ()6. T-#" R" "#%': ""

:+:+"#

TINDAKAN B%1" HR %##+8'1+# $" HF

STENOSIS KATUP PULMONARY


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PENGERTIANP+%8"" -":"" ""' #+%+% ""

+#>"$%" #"% 0+#%+1 "" + "#+#%'1:"# (%"" +#>"$% "$" #"8 $+2"")

STENOSIS KATUP AORTA

SYMPTOM

I"$+'"+ C"#$%"& O'' ,!. D+"*. HR I##+8'1"#3. C-+ "%4. C'%

TINDAKAN!. B+$#+*. I"+ $" ''

SUMMARY


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GENERAL ASSESMENT!. H+"# S'$A#:"1

*. $%1"&+:+ PMI(P% M"?%:': I:'1)3. N"$% $++"+$4. T"-%&"#$%" ()5. S&+6. C-+ "%

SUMMARY


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GENERAL INTERVENTION!. CO "$+'"+

*. ?%8+ 1$3. D#'84. A&%0%

5. A?%+ $++"+$6. H+"1- E$'&"%7. F1'%$

GENERAL COMPLICATION


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GENERAL COMPLICATION!. D+"

*. M% L'8 '$3. D%+% 0+" >'8'1"#%4. U$+:" +#%-+#"1

5. O0+#2+%8- HRmenin!kat Aritmia

*moli

DIAGNOSA KEPERA;ATAN


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DIAGNOSA KEPERA;ATANPADA KLIEN DGN GANGGUAN

KATUP ANTUNG

Resti penin!katan 2ardia2 o6tp6t seh66n!an

den!an an/ietasIntoleran2e a2ti9ity seh66n!an den!anpen6r6nan 2ardia2 o6tp6tResti !an!!6an proses perna>asan : di>6si

oksi!en seh66n!an den!an p6rmonaryhipertensi or an/ietas yan! menyeakantahipnea

Resti ker6sakan maintanan2e


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Resti in>eksi seh66n!an den!anin terape6tikre!imen seh66n!an den!an k6ran!nyapen!etah6an tt! penyakitnya

ana?emen ola#oratif farma7ologiana?emen ola#oratif farma7ologi


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11 A&ti a&*i&a dr)*$A&ti a&*i&a dr)*$ B"ta (l,


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Cardia, S)r*"ryCardia, S)r*"ry

S)at) )+aya )&t)< m"&*r"


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T))a& +"m("da!a& a&t)&*T))a& +"m("da!a& a&t)&*

11 ;r"


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I&di"&ya


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Sayata& +"ra$iSayata& +"ra$i

11 Mid $t"r&tmiMid $t"r&tmi

22 Tra


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>"ra&a& "r$>"ra&a& "r$

M"la

Askep System Kardiovaskular Ppt

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