Lp Atrium Fibrilasi Bener

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LAPORAN PENDAHULUAN ATRIAL FIBRILATION

OLEH

HARY BUDIANTO S. Kep

1514901132

UNIVERSITAS MUHAMMADIYAH BANJARMASIN PROGRAM STUDI PROFESI

NERS ATAHUN AKADEMIK 2015/2016


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1. Def!"

Atrial i!rila"i #A$% a&ala' "(at( )a*))(a* pa&a +a*t(*) ,a*) pali*) (-(- #rit-e +a*t(*)

a!*r-al% ,a*) &ita*&ai &e*)a* ira-a &e*,(t +a*t(*) ire)(lar &a* pe*i*)/ata* re/(e*"i

&e*,(t +a*t(*) ,ait( "e!e"ar 35050 -e*it. a&a &a"ar*,a atrial i!rila"i -er(pa/a* "(at(

ta/i/ar&i "(pra6e*tri/(ler &e*)a* a/ti6a"i atrial ,a*) ti&a/ ter/r&i*a"i "e'i*))a ter+a&i

)a*))(a* (*)"i -e/a*i/ atri(-. Kea&aa* i*i -e*,e!a!/a* ti&a/ ee/ti*,a pr"e" -e/a*i/

ata( p-pa &ara' +a*t(*) .

Dari )a-!ara* ele/tr/ar&i)ra- A$ &apat &i/e*ali &e*)a* a!"e**,a )el-!a*) ,a*)

&i)a*ti le' i!rila"i ata( "/ila"i a*tara 400700 per-e*it &e*)a* !er!a)ai !e*t(/ (/(ra*

+ara/ &a* 8a/t( ti-!(l*,a ,a*) &i'(!(*)/a* &e*)a* re"p* 6e*tri/el ,a*) epat &a* ti&a/

terat(r !ila /*&(/"i A: -a"i' (t('. Ira-a "e-aa- i*i "eri*) &i"e!(t"e!a)ai )el-!a*) ;(ltiple 8a6elet ree*tr, &eplari"a"i atrial ata( 8a6elet" ,a*) &ipi(

le' &eplari"a"i atrial pre-at(re ata( a/ti6ita" arit-)e*i/ &ari /(" ,a*) teret("

"eara epat. >e/a*i"-e i!rila"i atri(- i&e*ti/ &e*)a* -e/a*i"-e i!rila"i 6e*tri/el

/e(ali !ila pr"e"*,a ter*,ata 'a*,a &i -a""a tt atri(- &a* !(/a* &i -a""a tt

6e*tri/el. e*,e!a! ,a*) "eri*) -e*i-!(l/a* i!rila"i atri(- a&ala' pe-!e"ara* atri(-

a/i!at le"i /at(p +a*t(*) ,a*) -e*e)a' atri(- -e*)"*)/a* i"i*,a "eara a&e/(at /e


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&ala- 6e*tri/el ata( a/i!at /e)a)ala* 6e*tri/el &e*)a* pe-!e*&(*)a* &ara' ,a*)

!a*,a/ &i &ala- atri(-. Di*&i*) atri(- ,a*) !er&ilata"i a/a* -e*,e&ia/a* /*&i"i ,a*)

tepat (*t(/ "e!(a' +al(r /*&(/"i ,a*) pa*+a*) &e-i/ia* +()a /*&(/"i la-!at ,a*)

/e&(a*,a -er(pa/a* a/tr pre&i"p"i"i !a)i i!rila"i atri(-. $i!rila"i atri(- &apat +()a

&i"e!a!/a* le' )a*))(a* /at(p +a*t(*) pa&a &e-a- re(-ati/ ata( )a*))(a* alira*

&ara' "eperti ,a*) ter+a&i pa&a pe*&erita ater"/ler"i" 10.

a&a A$ a/ti6ita" "itli/ pa&a atri(- /iri ti&a/ terat(r ter+a&i pe*(r(*a* atrial l8

6elitie" ,a*) -e*,e!a!/a* "tati" pa&a atri(- /iri &a* -e-(&a'/a* ter!e*t(/*,a

tr-!(". a&a pe-eri/"aa* TEE tr-!(" pa&a atri(- /iri le!i' !a*,a/ &i+(-pai pa&a

pa"ie* A$ &e*)a* "tr/e e-!li &i!a*&i*)/a* &e*)a* A$ ta*pa "tr/e e-!li. 23 "a-pai

"tr/e i"/e-i/ ,a*) ter+a&i pa&a pa"ie* &e*)a* A$ ** 6al6(lar /are*a "tr/e

e-!li.Be!erapa pe*elitia* -e*)'(!(*)/a* A$ &e*)a* )a*))(a* 'e-"ta"i" &a*

t'r-!"i". Kelai*a* ter"e!(t -(*)/i* a/i!at &ari "tati" atrial tetapi -(*)/i* +()a "e!a)ai

/a/tr ter+a&i*,a tr-!e-!li pa&a A$.

6. K$+,%)("

A$ -e-ili/i &(a /-pli/a"i (ta-a "tr/e &a* )a)al +a*t(*).

-. Pe+e)"((! Pe!!(!&

e-eri/"aa* pe*(*+a*) (*t(/ &ia)*"i" atrial i!rila"i a*tara lai* 5 =

1. A*a-*e"i" =

a. Dapat &i/eta'(i tipe A$ &e*)a* -e*)eta'(i la-a ti-!(l*,a #epi"&e perta-a

par/"i"-al per"i"te* per-a*e*%

!. >e*e*t(/a* !erat*,a )e+ala ,a*) -e*,ertai= !er&e!ar&e!ar le-a' "e"a/ *apa"

ter(ta-a "aat a/ti6ita" p("i*) )e+ala ,a*) -e*(*+(//a* a&a*,a i"/e-ia ata(

)a)al +a*t(*) /*)e"ti

. e*,a/it +a*t(*) ,a*) -e*&a"ari pe*,e!a! lai* &ari $A -i"al*,a 'ipertiri&

2. e-eri/"aa* i"i/ =

a. Ta*&a 6ital = &e*,(t *a&i !er(pa /eepata* &a* re)(larita"*,a te/a*a* &ara'

!. Te/a*a* 6e*a +()(lari"

. R*/i pa&a par( -e*(*+(//a* /e-(*)/i*a* ter&apat )a)al +a*t(*) /*)e"ti

&. Ira-a )allp "3 pa&a a("/(lta"i +a*t(*) -e*(*+(//a* /e-(*)/i*a* ter&apat )a)al

+a*t(*) /*)e"ti ter&apat*,a !i"i*) pa&a a("/(lta"i /e-(*)/i*a* a&a*,a

pe*,a/it /at(p +a*t(*)


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e. Hepat-e)ali = /e-(*)/i*a* ter&apat )a)al +a*t(*) /a*a*

. E&e-a perier = /e-(*)/i*a*ter&apat )a)al +a*t(*) /*)e"ti

3. La!ratri(- = 'e-at/rit #a*e-ia% TSH #pe*,a/it )*&/% e*i- +a*t(*) !ila

&i(ri)ai ter&apat i"/e-ia +a*t(*)

4. e-eri/"aa* EK@ = &apat &i/eta'(i a*tara lai* ira-a #6erii/a"i $A% 'ipertrpi

6e*tri/el /iri pree/"ita"i 6e*tri/el /iri "i*&r-a pree/"ita"i #"i*&r-a FF%

i&e*tii/a"i a&a*,a i"/e-ia%

5. $t r*t)e* tra/"

. E//ar&i)rai (*t(/ -eli'at a*tara lai* /elai*a* /at(p (/(ra* &ari atri(- &a*

6e*tri/el 'ipertri 6e*tri/el /iri (*)"i 6e*tri/el /iri !"tr(/"i (tl8 &a* TEE

#Trans Esopago Echocardiography% (*t(/ -eli'at t'r-!(" &i atri(- /iri

7. e-eri/"aa* (*)"i tiri&. a&a A$ epi"&e perta-a !ila la+( ira-a 6e*tri/el "(lit

&i/*trl

?. U+i lati' = i&e*tii/a"i i"/e-ia +a*t(*) -e*e*t(/a* a&e/(a"i &ari /*trl la+( ira-a

+a*t(*).

9. e-eri/"aa lai* ,a*) -(*)/i* &iperl(/a* a&ala' holter monitoring "t(&i

ele/tri"il)i.

. Pe!(#(%()"(!((!

Sa"ara* (ta-a pa&a pe*atala/"a*aa* A$ a&ala' -e*)*trl ira-a +a*t(*) ,a*) ti&a/

terat(r -e*(r(*/a* pe*i*)/ata* &e*,(t +a*t(*) &a* -e*e)a' ter+a&i*,a /-pli/a"i

tr-!e-!li"-e. Kar&i6er"i -er(pa/a* "ala' "at( pe*atala/"a*aa* ,a*) &apat

&ila/(/a* (*t(/ A$. >e*(r(t pe*)ertia**,a /ar&i6er"i "e*&iri a&ala' "(at( tata la/"a*a

,a*) !er(*)"i (*t(/ -e*)*trl /eti&a/terat(ra* ira-a &a* -e*(r(*/a* &e*,(t +a*t(*).

a&a &a"ar*,a /ar&i6er"i &i!a)i -e*+a&i 2 ,ait( pe*)!ata* ar-a/l)i

#Pharmacological Cardioversion% &a* pe*)!ata* ele/tri/ #Electrical Cardioversion%.

a. >e*e)a' pe-!e/(a* &ara' #tr-!e-!li"-e%

!. >e*)(ra*)i &e*,(t +a*t(*)

. >e*)e-!ali/a* ira-a +a*t(*)

Kar&i6er"i -er(pa/a* "ala' "at( pe*atala/"a*aa* ,a*) &apat &ila/(/a* (*t(/

-e*terat(r/a* ira-a +a*t(*). >e*(r(t pe*)ertia**,a /ar&i6er"i "e*&iri a&ala' "(at(

tata la/"a*a ,a*) !er(*)"i (*t(/ -e*)*trl /eti&a/terat(ra* ira-a &a* -e*(r(*/a*

&e*,(t +a*t(*).a&a &a"ar*,a /ar&i6er"i &i!a)i -e*+a&i 2 ,ait( pe*)!ata*


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ar-a/l)i #'ar-al)ial Gar&i6er"i*% &a* pe*)!ata* ele/tri/ #Eletrial

Gar&i6er"i*%.

1. 'ar-al)ial Gar&i6er"i* #A*tiarit-ia%

A-i&ar*e

Detili&e

$leai*i&e

I!(tili&e

rpae**e

(i*i&i*e

2. Eletrial Gar&i6er"i*

3. Operati


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DAFTRA PUTAKA

1. Nar(-i,a T Sa/a-a/i T Sat Y Ka*-at"("e K # a*(ar, 2003%. Relationship between

left atrial appendage function and left atrial thrombus in patient with nonvalvular chronic

atrial fibrillation and atrial flutter. Gir(lati* (r*al 7.

2. Sa*ilipp A A!a"al :> S'ee'a* > Oertel LB Harri)a* H()'e" RA &a* Fe,-a*

AE #1990%. !Atrial enlargement as a conse"uence of atrial fibrillation A prospective

echocardiographic study! . Gir(lati* ?2 #3%= 7927.

3. CAtrial #ibrillation $for Professionals%!. A-eria* Heart A""iati* I*. 200?1204.

Ar'i6e& r- t'e ri)i*al * 2009032?.

4. >appa',a AA. Atri(- $i!rilati* T'erap', T re6e*t Str/e= A Re6ie8. T'e I*&*e"ia*

(r*al >e&ial Sie*e :l(-e 1 N.? April 2009 p. 4774?9.

5. S(&, AF Seti,'a&i B Al8i I. B(/( A+ar Il-( e*,a/it Dala- ili& III E&i"i I:.

a/arta= $a/(lta" Ke&/tera* U*i6er"ita" I*&*e"ia 2007.

. Na"(ti* SA I"-ail D. 200. $i!rila"i Atrial. &uku A'ar (lmu penyakit )alaml* E&.3.

a/arta. E@G 152227.

7. Fatti)*e, FA >e*"a' @A Grt B #2002%. CI*rea"e& atrial i!rillati* -rtalit,=

U*ite& State" 19?0199?C.Am* +* Epidemiol* 155 #9%= ?192.

?. Bla/"'ear L O&ell A #$e!r(ar, 199%. CAppe*&a)e !literati* t re&(e "tr/e i*

ar&ia "(r)ial patie*t" 8it' atrial i!rillati*C.Ann* Thorac* ,urg* 1 #2%= 7559.

9. Harri"* #2000%. ri*"ippri*"ip Il-( e*,a/it Dala- :l(-e 3 E&i"i 13. E@G= 141??7.

10. Ner S. &uku A'ar (lmu Penyakit )alam +ilid ( Edisi ketiga. a/arta= Balai e*er!it

$KUI 199.

11.Emergency Cardiovascular Care Program- Advanced Cardiac .ife ,upport 19971999

A-eria* Heart A""iati*.

12. S-elter SG* &uku A'ar /eperawatan 0edikal &edah Br(**er J S(&&art' E&i"i ?

:l(-e 2. a/arta= E@G 2001.

13. Fl A Da8!er TR T'-a" HE Ka**el FB #197?%. !Epidemiologic assessment of

chronic atrial fibrillation and risk of stroke1 the #ramingham study!. Ne(rl), 2? #10%=

9737.

14. $ir&a(" I.#ibrilasi Atrium Pada Penyakit Hipertiroidisme* Patogenesis dan Tatalaksana*

(r*al Kar&il)i I*&*e"ia Septe-!er 2007= :l. 2? N. 5.

15. @(,t* #1995%.#isiologi 0anusia dan 0ekanisme Penyakit. E@G= 2?7305.


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