Blok 17 Modul 4 Syok

8/18/2019 Blok 17 Modul 4 Syok

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Blok 17 Modul 4PENANGANAN SYOK PADA

KEDOKTERAN GIGI

Kelompok 1

Tutor : drg T!"#! $%tr!



MACAM-MACAM TINGKATKESADARAN

• Kompo" Me&t%"

• Ap!t%"

•

Der%l%um• Som&ole&

• Sopor

•

Sem% kom!• Kom!



PENILAIAN TINGKATKESADARAN

• Gl!"go' $om! S(!le )G$S*: "k!l! +!&gd%gu&!k!& u&tuk me&%l!% t%&gk!tke"!d!r!& p!"%e& de&g!& me&%l!%

re"po& p!"%e& ter#!d!p r!&g"!&g!&+!&g d%,er%k!&

• Re"po& p!"%e& me&(!kup - #!l :

. Re!k"% mem,uk! m!t! )E+e*

. B%(!r! )/er,!l*

. Ger!k!& )Motor%k*



Glasgow Coma Scale

A. Eye (respon mem!"a ma#a$ % )4* : "po&t!&)-* : de&g!& r!&g"!&g "u!r! )"uru#

p!"%e& mem,uk! m!t!*)* : de&g!& r!&g"!&g &+er% ),er%k!&r!&g"!&g!& &+er%2 m%"!l&+! me&ek!&

kuku 3!r%*)1* : t%d!k !d! re"po&



Glasgow Coma Scale

&. 'eral (respon eral$ % )* : or%e&t!"% ,!%k)4* : ,%&gu&g2 ,er,%(!r! me&g!(!u2

d%"or%e&t!"% temp!t d!& '!ktu)-* : k!t!5k!t! t%d!k 3el!")* : "u!r! t!&p! !rt% )me&ger!&g*

)1* : t%d!k !d! re"po&



Glasgow Coma Scale

C. Mo#or)" (Gera"an$ % )6* : me&g%kut% per%&t!#)* : melok!l%"%r &+er%

)4* : '%t#dr!'"

)-* : e8% !,&orm!l)* : e8te&"% !,&orm!l

)1* : t%d!k !d! re"po&



S*+K

Su!tu "%&drom kl%&%" !k%,!tkeg!g!l!& 9u&g"% "%rkul!"% +!&gme&+e,!,k!& ket%d!k(ukup!&

per9u"% 3!r%&g!& d!& ok"%ge&!"% 3!r%&g!& !k%,!t mek!&%"me#omeo"t!t%"



DERA,AT S*+K

1 S+ok R%&g!&

5 Ke#%l!&g!& olume d!r!# ;<=2

5 Pe&uru&!& per9u"% #!&+! p!d! 3!r%&g!& d!& org!& &o& %t!l "epert%kul%t2 lem!k2 otot r!&gk!2 d!& tul!&g

5 Ke"!d!r!& t%d!k terg!&ggu2 produk"%

ur%& &orm!l !t!u #!&+! "ed%k%t me&uru&



DERA,AT S*+K

S+ok Sed!&g

5 Ke#%l!&g!& olume d!r!# <=54<=

5 Per9u"% ke org!& %t!l "el!%& 3!&tu&gd!& ot!k me&uru& )#!t%2 u"u"2 g%&3!l*

5 Ter3!d% pe&uru&!& ke"!d!r!&2

del%r%um2 #%pote&"%2 t!k%k!rd%2 &!9!"(ep!t d!& d!l!m2 ol%gur%



DERA,AT S*+K

- S+ok Ber!t

5 Per9u"% ke 3!&tu&g d!& ot!k t%d!k!deku!t Mek!&%"me kompe&"!"%"+ok ,er!k"% u&tuk me&+ed%!k!&!l%r!& d!r!# ke du! org!& %t!l P!d!"+ok l!&3ut ter3!d% !"oko&tr%k"% d%

"emu! pem,ulu# d!r!# l!%&



Pemer)"saan Syo"

1 A&!m&e"!• R%'!+!t tr!um!

• R%'!+!t pe&+!k%t 3!&tu&g

• R%'!+!t %&9ek"%

• R%'!+!t !lerg% !&!>l!kt%k

Pemer%k"!!& ?%"%k

! Tek!&!& d!r!#@ #%pote&"%

, De&+ut 3!&tu&g@ T!k%k!rd%2 de&+utlem!#2 d!& "ul%t d%r!,!

( Re"p%r!"%@ Re"p%r!"% me&%&gk!t d!&d!&gk!l d!& kemud%!& mel!m,!t



Pemer)"saan Syo"

- Pemer%k"!!& pe&u&3!&g5 Pemer%k"!!& d!r!#: ,2 t2euko"%t2 d!& golo&g!& d!r!#

5 K!d!r elektrol%t2 k!d!r ureum2kre!t%&%&2 d!& gluko"! d!r!#

5 EKG



Syo" )poolem)"

S+ok #%poolem%k merup!k!& ko&d%"%d%m!&! ter3!d% ke#%l!&g!& (!%r!&de&g!& (ep!t d!& ,er!k#%r p!d!

keg!g!l!& ,e,er!p! 9u&g"% org!&+!&g d%"e,!,k!& ole# olume"%rkul!"% +!&g t%d!k !deku!t



Syo" )poolem)"

Et%olog% :

• o"" o9 Blood

•

o"" o9 Pl!"m!• o"" o9 ?lu%d" !&d Ele(trol+te"

T!&d! Kl%&%" :

•

Pe&uru&!& TD ;C<mmg• T!k%k!rd% T!k%p&eu

• %pote&"%2 "%!&o"%" per%9er



Syo" )poolem)"

Pe&!t!l!k"!&!!& :

1 Ok"%ge&%"!"%

Me&(eg!# d!& me&go&trolke#%l!&g!& d!r!# le,%# l!&3ut

- Re"u"%t!"% (!%r!&



Syo" Kar)ogen)"

S+ok K!rd%oge&%k merup!k!&g!&ggu!& "%"tem "%rkul!"% d!&keg!g!l!& pomp! 3!&tu&g +!&g

me&g!k%,!tk!& t%d!k !deku!t&+!per9u"% d!& ok"%ge&!"% 3!r%&g!&



Syo" Kar)ogen)"

Et%olog%

• D%"9u&g"% m%ok!rd%um )g!g!l pomp!*2terut!m! k!re&! kompl%k!"% %&9!rkm+ok!rd !kut )IMA*

• Pe&g%"%!& d%!"tol%k e&tr%kel +!&gt%d!k !deku!t

• $ur!# 3!&tu&g +!&g t%d!k !deku!t



Syo" Kar)ogen)"

T!&d! d!& Ge3!l!

• N+er% d!d!2 "ul%t ,er&!9!"2 pu(!t2 d!&!&8%ou"

• A&ggot! ger!k ter!,! d%&g%&

• T!k%k!rd%

• N!d% ter!,! lem!# d!& (ep!t2 C<11<k!l%Fme&%t

• %pote&"%2 tek!&!& d!r!# "%"tol kur!&gd!r% < mmg



Syo" Kar)ogen)"

Pe&!t!l!k"!&!!&

• P!"%e& "e(ep!t&+! d%,!'! ke u&%tper!'!t!& %&te&"%9

• P!"%e& d%po"%"%k!& terle&t!&g

• Ok"%ge&%"!"% 51< Fme&%t

•

Pem,er%!& %&9u" dekro"! =perl!#!&

• Pemer%k"!!& d!r!# d!& mo&%tor EKG



S*+K +&STR/KTI0

S+ok o,"trukt%9 ter3!d% !k%,!t !l%r!&d!r!# d!r% e&tr%kel me&g!l!m%#!m,!t!& "e(!r! mek!&%k2

d%!k%,!tk!& ole# g!&ggu!& pe&g%"%!&p!d! e&tr%kel k!&!& m!upu& k%r%+!&g d!l!m ke!d!!& ,er!t ,%"!

me&+e,!,k!& pe&uru&!& $!rd%!(Output



S*+K +&STR/KTI0

Et%olog% :

• o,"truk"% e&! (!!

•

em,ol% pulmo&!l• P&eumotor!k"

• g!&ggu!& p!d! per%(!rd%um



S*+K +&STR/KTI0

T!&d! d!& Ge3!l! :• Ge3!l! O,+ekt%9

– Per&!p!"!& (ep!t d!&gk!l

– N!d% (ep!t d!& lem!#

– Akr!l pu(!t2 d%&g%& lem,!, – S%!&o"%" : ,%,%r2 kuku2 l%d!# (up%&g #%du&g

– P!&d!&g!& #!mp! pup%l mele,!r

• Ge3!l! Su,+ekt%9

– Mu!l d!& mu&gk%& mu&t!# – R!"! #!u"

– B!d!& lem!#

– Kep!l! ter!"! pu"%&g



S*+K +&STR/KTI0

Pe&!&g!&!& "+ok o,"trukt%9,ertu3u!& u&tuk me&g#%l!&gk!&"um,!t!&@ "epert% :

• Pem,er%!& (!%r!& kr%"t!lo%d %"oto&%ku&tuk mempert!#!&k!& olume

%&tr!5!"kuler• Pem,ed!#!& u&tuk me&g!t!"%

#!m,!t!&Fo,"truk"% "%rkul!"%



S*+K DISTRI&/TI0

1 S+ok Sept%k

S+ok Neuroge&%k

- S+ok A&!>l!t%k



S*+K SEPTIK

S+ok "ept%k !d!l!# ,e&tuk "+ok"%rkul!"% +!&g ,%!"!&+! ,erl!&3ut"e,!g!% "u!tu kompl%k!"% d!r%

,er,!g!% m!(!m %&9ek"%



S*+K SEPTIK

Et%olog% :

S+ok merup!k!& m!&%9e"t!"%kel!&3ut!& d!r% %&9ek"% +!&gd%!l!m% p!"%e&2 pe&+e,!, %&9ek"%ter,e"!r !d!l!# ,!kter% Gr!m&eg!t%9 75<=2 l!lu %&9ek"%

3!mur !t!u %ru"2 %d%op!t%k



S*+K SEPTIK

T!&d! d!& Ge3!l! :

- Ge3!l! %&9ek"% : dem!m2 tu,u#me&g%g%l2 "u#u . -H$2 kul%td%&g%&2 "%!&o"%"

- Ge3!l! t%m,ul&+! "+ok :#%pote&"%2 pe&uru&!& ke"!d!r!&2

kul%t d%&g%&2 &!d% lem!#2"%!&o"%"2 ol%gur%!



S*+K SEPTIK

Pe&!t!l!k"!&!!& :

• Pem,ed!#!&

•

Pe&g#!m,!t!& !kt%%t!"med%!tor5med%!tor k%m%!

• Pem,er%!& !&t%,%ot%k d!&pem,er"%#!& "um,er %&9ek"%



SYOK NEROGENIK

S+ok !k%,!t !d!&+! g!&ggu!& "!r!92+!&g d%"e,!,k!& !d!&+! tr!um!p!d! (er%(!l !t!u medul! "p%&!l%"



SYOK NEROGENIK

• Ge3!l! : #%pote&"% d%"ert!r%,r!d%k!rd%!2 reek" ek"term%t!"#%l!&g

• Pe&!&g!&!&: re"u"%t!"% (!%r!& "e(!r!!deku!t2 mem,er%k!& !"opre""or



S+ok A&!>l!t%k

• Et%olog%: !d!&+! re!k"% !&t%ge&5!&t%,od% "e#%&gg! melep!"k!&med%!tor k%m%!'% e&doge&

• Ge3!l! :

– Prur%tu"

– rt%k!r%!

– A&g%oedem!

– P!lp%t!"%

– D+"p!&ee



P!to>"%olog%



S+ok A&!>l!t%k

Pe&!t!l!k"!&!!& :

5 Mem,!r%&gk!& p!"%e& de&g!&po"%"% "+ok)k!k% le,%# t%&gg%*

5 Pem,er%!& !dre&!l%&e de'!"! <2-5<2 ml

5 Pem!"!&g!& %&9u" R

5 Pem,er%!& kort%ko"tero%d@de8!met!"o&e <2 mgFkgBB



TERIMA KASI

Blok 17 Modul 4 Syok

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