Gigitan binatang berbisa
-
Upload
operator-warnet-vast-raha -
Category
Documents
-
view
274 -
download
13
Transcript of Gigitan binatang berbisa
![Page 1: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/1.jpg)
Snake & Spider bites
Rattlesnake Copperhead Black Widow Brown Recluse
![Page 2: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/2.jpg)
Gigitan Ular
• Dapat Menyebabkan reaksi alergi atau infeksi
• Ular berbisa banyak menyebabkan kematian
• Gigitan ular berbisa umumnya ( 75%) mengenai tungkai kaki bawah
![Page 3: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/3.jpg)
Pertolongan Pertama
dengan Tehnik :
PRESSURE IMMOBILISATION
Pressure :
memberikan tekanan dengan membandage sekitar anggota tubuh yg terkena gigitan binatang / ular berbisa
Immobilisation:
Mengistirahatkan pasien ( tidak bergerak )
![Page 4: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/4.jpg)
Pressure immobilisationPicture 1. Technique for application of pressure immobilization in field management of sea snake bites. See Image 2 for Figures 4-6. Figure 1, Apply a broad-pressure bandage over the bite site as soon as possible. Do not take off jeans because the movement of the doing so assists venom to enter the bloodstream. Keep the bitten leg still. Figure 2, The bandage should be as tight as would be applied to a sprained ankle. Figure 3, Extend the bandage as high as possible.
![Page 5: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/5.jpg)
Picture 2. Technique for application of pressure immobilization in field management of sea snake bites. See Image 1 for Figures 1-3. Figure 4, Apply a splint to the leg. Figure 5, Bind the splint firmly to as much of the leg as possible. If the bandages and splint are applied correctly, they will be comfortable and may be left on for several hours. They should not be taken off until the patient has reached medical care. The doctor will decide when to remove the bandages. If venom has been injected, it will move into the bloodstream quickly once the bandages are removed. The doctor should leave the bandages and splint in position until he or she has assembled appropriate antivenom and drugs that may need to be used when the dressings and splint are removed. Figure 6, For bites on a hand or forearm, bind to the elbow with bandages, use a splint to the elbow, and use a sling.
![Page 6: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/6.jpg)
Tanda
Tanda tersering pada korban yg digigit ular adalah :
Perdarahan pada luka gigitan Pembengkakan daerah gigitan Ada bekas tanda taring Pembengkakan kelenjar limfe setempat
![Page 7: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/7.jpg)
Gejala
Gejala yg sering didapat pada orang yang terkena gigitan ular BERBISA :
• Nyeri hebat pd daerah gigitan• Diare, bingung, pingsan, pusing,
terasa terbakar, lemah, pandangan kabur, berkeringat
• Demam, haus, mual, muntaah, myolisis, ptosis, paraestesia, diplopia
![Page 8: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/8.jpg)
Gejala
• Kesulitan menelan• Kesulitan bernafas, gagal nafas• Myogloburinuria, hematuria ( urin
gelap)• Disaritmia, hipotensi, nadi cepat, • cardiores[pirasi arrest• irritabilitas
![Page 9: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/9.jpg)
Pertolongan pertama
Di lokasi kejadian pertolongan yg diperlukan :
Pastikan keadaan sekitar kejadian aman
Lakukan
PRESSURE IMMOBILISATION
![Page 10: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/10.jpg)
Pertolongan pertamaJANGAN :
memotong, membuat perdarahan atau menggerakan daerah gigitan
JANGAN :
menggunakan pembalutan konstruktif, tourniquet
![Page 11: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/11.jpg)
Pertolongan pertama
JANGAN : mencuci luka gigitan
Cek respon korban
Cari pertolongan medik
![Page 12: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/12.jpg)
Pertolongan di RS
• Pasanga I.V., resusitasi cairan jika diperlukan
• Pelacakan alergi, jenis gigitan untuk menentukan antibisa
• Resusitasi kardiopulmoner jika diperlukan, adrenalin
![Page 13: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/13.jpg)
Pertolongan di RS
• Cek laboratorium darah, jika dlm waktu 4 jam darah korban tidak terdapat tanda koagulopati, miolisis dan pasien tidak menunjukan tanda gigitan berbisa maka pasien TIDAK TERKENA GIGITAN BERBISA
![Page 14: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/14.jpg)
Penatalaksanaan gigitan BERBISA
• Infus RL, resusitasi cairan jika diperlukan
• Cek laboratorium– Urinalisa– Darah lengkap– Golongan darah– Ptt,aptt, fibrinogen– BUN, creatinin, Va, phospat, dll
![Page 15: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/15.jpg)
Penatalaksanaan gigitan BERBISA
• EKG, pemeriksaan lain• Monitor ketat pasien ( tiap
15mnt – 2 jam setelah gigitan )
• Intubasi jika gagal nafas, cek sumbatan jalam nafas
• RKP jika cardipulmonary arrest
![Page 16: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/16.jpg)
Penatalaksanaan gigitan BERBISA• PEMBERIAN ANTIBISA :
– Larutkan antibisa dalam RL 60 cc, berikan selama 30 mnt
– Cek efek antibisa 15 menit setelah antibisa habis
– Kemudian buka balutan dng hati-hati dlm waktu 5 mnt,
– Jika setelah dibuka keadaan umum pasien tambah buruk lakukan pembidaian kembali
![Page 17: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/17.jpg)
Penatalaksanaan gigitan BERBISA
• Beri ATS• Antibiotik profilaksis• Kontraindikasi
diberikan Morfin
![Page 18: Gigitan binatang berbisa](https://reader036.fdokumen.com/reader036/viewer/2022081416/556e3faad8b42a16278b4ce7/html5/thumbnails/18.jpg)
terimakasih