D.0007
Gangguan Sirkulasi Spontan
Kategori :
Fisiologis
Subkategori : Sirkulasi
Definisi
Ketidakmampuan untuk mempertahankan sirkulasi
yang adekuat menunjang kehidupan
Penyebab
1. Abnormalitas kelistrikan jantung
2. Abnormalitas struktur jantung
3. Penurunan fungsi ventrikel
Gejala dan Tanda Mayor
Subjektif
1. Tidak berespon
Objektif
1. Frekuensi nadi <50 kali/menit atau >150 kali/menit
2. Tekanan darah sistolik <60 mmHg atau >200 mmHg
3. Frekuensi napas <6 kali/menit atau >30 kali/menit
4. Kesadaran menurun atau tidak sadar
Subjektif
(tidak tersedia)
Objektif
1. Suhu tubuh <34,5 °C
2 . Tidak ada produksi urin dalam 6 jam
3. Saturasi oksigen <85%
4. Gambaran EKG menunjukkan aritmia letal
(mis. Ventricular Tachycardia [VT], Ventricular Fibrillation [VF]. Asistol,
Pulseless Electrical Activity[PEA)
5. Gambaran EKG menunjukkan aritmia mayor (mis. AV block derajat 2 tipe 2. AV block total, takiaritmia/bradiaritmia. Supraventricular Tachycardia (SVT). Ventricular Extrasystole [VES] simptomatik)
6.
ETCO₂ <35 mmHg
Kondisi Klinis Terkalt
1. Henti Jantung
2. Bradikardia
3.
Takikardia
4. Sindrom koroner akut
5. Gagal jantung
6. Kardiomiopati
7. Miokarditis
8. Disritmia
9. Trauma
10. Perdarahan (mis. perdarahan
gastrointestinal, ruptur aorta,perdarahan intrakranial)
11.
Keracunan
12. Overdosis
13. Tenggelam
14. Emboli paru
Referensi
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& Homer, C. E(2011). Maternal mortality in Australia: learning from
maternal cardiacarrest. Nursing & Health Sciences, 13(1), 10-15.
doi:10.1111/j.1442-.2011.00578.x
Harris, P. (2013). Early warming scores in
cardiac arrest patients. British Journal Of
Cardiac Nursing, 8(9), 432-437
Kim, W. Y., Shin, Y. J, Lee, J. M. Huh, J. W.,
Koh, Y, Lim, C., & Hong, S. B. (2015) Modified Early Warning Score Changes
Prior to Cardiac Arrest in GeneralWards: Plos One, 10(6), e0130523.
doi:10.1371/journal.pone.0130523.
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Prediction of adverse cardiac events in
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Marijon, E., Uy-Evanado, A., Dumas, F., Karam,
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Associated With Survival From Sudden Cardiac Arrest Annals Of Internal
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