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MONITORING

SELAMA ANESTESI

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MONITOR

Bahasa latin MONERA = Warning

Tujuan : Deteksi Perubahan Fisiologi / Trenn!a

Aksi antisi"asi

Dilakukan = # alat

# anstesis

Re$oring / Monitoring

A%inisrasi

Tujuan Meikolegal

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DATA / RECORDING

&' (EBE)*M OPERA(+ / P(O

,' PEN-AR*. 0(

1' 2EADAAN PERNAFA(AN

3' ME(+N ANE(TE(+

4' DO(+( OBAT / -A(

5' A+RAN

6' 2E.+)AN-AN DARA.7' PROB)EM 8AN- T+MB*)

9' +N(TR*2(+ PO(T OPERA(+

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MONITORING

A' 0(

E2-

. -a%baran aliran listrik bukan ; aria$ out "ut

. )ea ++. Mengetahui :

# Arit%ia

# 2el siste% "engantar

# +ske%ik an +na

# E

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Cardiac Output / Vol. Sirkulasi

O

TE2' DARA.T'P

Elastisitas

.ORMON

(8'OTONOM

(T' 0O) 0R

OTOT ?ANT*N-

(8' OTONOM

FRE@ .ORMON 2EADAAN

.i"oi .i"er$ari

N!eri

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Monitoring C.O

Pulse

O!gen (aturation Pheri

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&' PulseFre / 0olu%e / +ra%a

,' O,(at' Peri

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OX !" dissociation

&

P&3 %%.g96 (AT

P4D Ane%ia

Asiosis 2e 2anan A)2 2iri

&

PO, .s &

PERFUSI EXT

- Kering, WarnCukup

- Dingin, PucatKurang

E(

AT'Dari.bgn

o,

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&' PROD*2(+ *R+NE

# -br Per

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1' 0P

0ol' (irkulasi

Fungsi ?antung 2anan

+N(ER(+

# 0' ubiti

# 0' ?ugularis

# 0' (ub$laia

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Nor%al

6 C &4 $% .,O

2o%"likasi. Thro%bo "lebitis G (e"sis

. E%boli *ara

. Bo$or A' arotis

. Rusak Pleus Bra$hialis / N'Phreni$us

. Tk " te%"atn!a

. Pneu%othora

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#$%MONAR ARTERI &'dg'#RESS$RE

Nor%al Tek' Atriu% 2a = 2i

Perbeaan Paa :

De$' oris 2iri *e% Paru

+ntertitial Pul%onar! *e%

hroni$ Pul%onar! Disease

0ulular .D

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Pengukuran aria$ Out "ut

Bloo )oss2ehilangan Daerah H ,Darah

Anak H &Darah

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(. RES#IRATOR SSTEM

&' Warna kulit

,' -R2 aa / Balon / 0ent

1' Auskultasi Paru 2a G 2i

(ekret

Pneu%othora

Obstruksi

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O'sop)agus St't'skop

Bun!i ?antung an Res"irasi

(uara Abnor%al

E%boli "aa 0ena

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#ENG$*$RAN AIR+A #RESS$RE

Perubahan

)ung an hest Wall o%"lian$e

TE2ANAN A+RWA8

# 2+N2+N-IketekukJ ett

#(ekresi / Mo$us Plug

# Pneu%othora # Bron$os"as%e

# Relaant Tak uku"

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D+(2ONE2(+)AE2A-E

&' 0entAlar%

,' ManualBalon ke%"is

MON+TOR -A(

&' -as O,

,' -as O,

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C. CNS

Monitor (T' Anest

Monitor AKareness

Monitor lainTe%"Anak

Elektrolit

Analisa gas arah

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O#ERASI

Ma!or 0as$uler (urger!

One lung OP

.i"otensi teknik

riti$all! +)) "atient

Neurosugi$al anest

(TAT*( OA-*)A(+

*TAMA PADA :

2el' .ae%orrahage Disease

Massie Trans

7/21/2019 Monitoring Selama Anestesi

20/23

MASSIVE TRAN,

&' Platelet

,' Faktor "e%bekuan labil 0> 0+++

-. ,1 DP-

. a

. ".

0. 2

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G$EDE% RESPIRASI

(TAD+A R+TME 0O)*ME *2*RAN )ETA2 DEPRE(+REF)

(T + Tk teratur 2e$il 2e$il Diergen Bulu %ata

(T ++ Tk teratur Besar )ebar Diergen 2el' Mata

(T +++& Teratur Besar 2e$il Diergen kulit$ojungtia

,

Teratur (eang L )ebar Meneta"Ditengah

$ornea

1 Teratur Pause ((D (eang )ebar Meneta"Ditengah Pharin"eritoneu%

3

Tak teratur 2e$il )ebar Meneta"Ditengah

("in$er anikarina

(T +0 APNOEA

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STAGE O, ANAEST!ESIA MODI,IED ,ROMG$EDE%

STAGE RESP. PUPIL EE REFL REF

& Analgesia Regular (%all' 0ol

E!e lash I#J Phar!n0o%iting

, E$ite%ent +rreguler E!e li I#J

1 Anes/O" Reg orneal I#J

P)& )arge ol

P), )agre ol

P) 1 RegAb Res

)ar!nre

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TERIMA *ASI!