PANDUAN BANTUAN HIDUP DASAR RSUD HADJI BOEJASIN TAHUN 2016
RSUD HADJI BOEJASIN
JL. HADJI BOEJASIN NO 68.A PELAIAHARI KAL-SEL
DAFTAR ISI
Halaman Judul..........................................................................................................................
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Dafa! I"# ..................................................................................................................................
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L$m%a! P$n&$"a'an .................................................................................................................
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BAB I. DE(INISI ....................................................................................................................
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BAB II. RUAN) LIN)KUP ...................................................................................................
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BAB III. TATA LAKSANA....................................................................................................
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*.1. Su!+$, P!#m$! ...................................................................................................................
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*.2. $lauan BHD 1 Dan 2 P$n/l/n& .................................................................................
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BAB I. DOKUENTASI .....................................................................................................
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LEMBAR PENGESAHAN
PENGESAHAN DOKUMEN RSUD HADJI BOEJASIN NAMA
KETERANGAN
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TANDA TANGAN
TANGGAL
BAB I DEFINISI
Banuan '#du da"a! adala' ua,a m$m$!a'anan '#du "$"$/!an& unu "$m$na!a m$lalu# m$m%anu m$m$!a'anan '#du "$"$/!an& unu "$m$na!a m$lalu#$n&ua"aan alan nafa"3 m$m%$!#an %anuan $nafa"an dan m$m%anu m$n&al#!an da!a' $ $ma ,an& $n#n& dalam u%u' /!%an3 "$'#n&&a a"/an /"#&$n $ /a $!a&a unu m$n4$&a' ma#n,a "$l /a.
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BAB II RUANG LINGKUP
BHD d#%$!#an ada /!%an ,an& m$n&alam# &an&&uan "um%aan alan nafa"3 '$n# nafa" dan '$n# nad#.B$%$!aa $adaan /!%an d#%a5a' #n# daa m$n,$%a%an $!ad#n,a '$n# nafa" 1. T$n&&$lam 2. S!/$ *. O%"!u"# alan nafa" 7. E#&l/##" . O+$!d/"#" /%a 9 /%aan 6. T$!"$n&a l#"!# :. Infa! m#/a!d 8. T$!"am%a! $#! ;. K/ma a#%a %$!%a&a# ma4am a"u"
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BAB III TATA LAKSANA
K$ad#an &a5a da!u!a %#a"an,a %$!lan&"un& 4$a dan #%a-#%a "$'#n&&a "ul# m$m!$d#"# aan $!ad#n,a.Lan&a' $!%a# unu "#ua"# #n# adala' 5a"ada dan m$lauan ua,a /n&!# unu m$n&an#"#a"#n,a.Ha!u" d###!an "au %$nu m$an#"m$ %anuan $ada /!%an da!# a5al $ma $ad#an3 "$lama $!alanan m$nuu "a!ana $"$'aan3 %anuan d# fa"#l#a" $"$'aan "ama# a"4a $ad#an 4$d$!a.T$!4aa#n,a ual#a" '#du $nd$!#a ada a'#! %anuan 'a!u" $a m$nad# uuan da!# "$lu!u' !an&a# $!/l/n&an ,an& d#%$!#an. Banuan '#du da"a! m$!uaan %a&#an da!# $n&$l/laan &a5a da!u!a m$d# ,an& %$!uuan a.
$n4$&a' %$!'$n#n,a "#!ula"# aau %$!'$n#n,a !$"#!a"#.
%.
$m%$!#an %anuan $"$!nal $!'ada "#!ula"# dan +$n#la"# da!# /!%an ,an& m$n&alam# '$n# anun& aau '$n# naa" m$lalu# Resusitasi Jantung Paru (RJP) .
R$"u"#a"# Janun& Pa!u $!d#!# da!# 2 a'a3 ,a#u
Su!+$# P!#m$! < Primary Surgery=3 ,an& daa d#lauan /l$' "$#a /!an&.
Su!+$# S$und$!
!"! SUR#EI PRIMER!
Dalam "u!+$# !#m$! d#f/u"an ada %anuan naa" dan %anuan "#!ula"# "$!a d$f#%!#la"#. Unu daa m$n&#n&aan d$n&an muda' #ndaan "u!+$# !#m$! d#!umu"an d$n&an a%ad A3 B3 >3 dan D3 ,a#u A airway ($a%an na&as) B breathing ('antuan na&as) circulation ('antuan siru%asi)
S$%$lum m$lauan a'aan A
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*. $m#na $!/l/n&an J#a $!n,aa /!%an ? a"#$n #da m$m%$!#an !$"/n $!'ada an&&#lan3 "$&$!a m#na %anuan d$n&an 4a!a %$!$!#a ,T-%-ng ***. unu m$n&a#fan "#"$m $la,anan m$d#" ,an& l$%#' lanu. $n/l/n& daa m$m#na %anuan $ada /!an& d# "$#a!n,a unu m$n&'u%un&# an&&#lan da!u!a? !uma' "a# $!d$a "ua,a daa m$n&#!#man %anuan $na&a $"$'aan ,an& l$%#' a'l#. 7. $m$!%a## /"#"# /!%an ? a"#$n Unu m$lauan #ndaan BHD ,an& $f$#f3 /!%an ? a"#$n 'a!u" dalam /"#"# $!l$nan& dan %$!ada ada $!muaan ,an& !aa dan $!a".J#a /!%an d#$muan dalam /"#"# m#!#n& aau $n&u!a3 u%a'la' /"#"# /!%an $ /"#"# $!l$nan&. Ingat * $n/l/n& 'a!u" m$m%al#an /!%an "$%a&a# "au $"auan ana!a $ala3 l$'$! dan %a'u d#&$!aan "$4a!a %$!"ama-"ama. J#a /"#"# "uda' $!l$nan&3 /!%an 'a!u" d#$!a'anan ada /"#"# '/!#"/nal d$n&an ala" #du! ,an& $!a" dan $dua an&an d#l$aan d# "am#n& u%u'. . $n&au! /"#"# $n/l/n& S$&$!a %$!luu "$aa! d$n&an %a'u /!%an a&a! "aa m$m%$!#an %anuan naa" dan "#!ula"#3 $n/l/n& #da $!lu m$n&u%a' /"#"# aau m$n&&$!aan luu.
A ( AIRWAY ) Ja%an Na&as
S$$la' "$l$"a# m$lauan !/"$du! da"a!3 $mud#an d#lanuan d$n&an m$lauan #ndaan 1. P$m$!#"aan alan naa" T#ndaan #n# %$!uuan unu m$n&$a'u# ada #dan,a "um%aan alan naa" /l$' %$nda a"#n&.J#a $!daa "um%aan 'a!u" d#%$!"#'an da'ulu3 alau "um%aan %$!ua 4a#!an daa d#%$!"#'an d$n&an a!# $lunu aau a!# $n&a' ,an& d#la#"# d$n&an "$//n& a#n3 "$dan&an "um%aan /l$' %$nda $!a" daa d#/!$ d$n&an m$n&&unaan a!# $lunu ,an& d#%$n&/an.ulu daa d#%ua d$n&an $'n# Cross Finger 3 d#mana #%u a!# d#l$aan %$!la5anan d$n&an a!# $lunu ada mulu /!%an.
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2. $m%ua alan naa" S$$la' alan naa" d#a"#an %$%a" da!# "um%aan %$nda a"#n&3 %#a"a ada /!%an #da "ada! /nu" //9// m$n&'#lan&3 maa l#da' dan $#&l/#" aan m$nuu fa!#n dan la!#n3 #n#la' "ala' "au $n,$%a% "um%aan alan naa". P$m%$%a"an alan naa" /l$' l#da' daa d#lauan d$n&an 4a!a $n&ada' $ala /an& da&u < Head tilt – chin lift = dan anu+$! P$nd/!/n&an and#%ula. T$n# m$m%ua alan naa" ,an& d#!$/m$nda"#an unu /!an& a5am dan $u&a" $"$'aan adala' $n&ada' $ala /an& da&u3 namun d$m##an $u&a" $"$'aan 'a!u" daa m$lauan manu+$! la#nn,a.
B ( BREATHING ) Bantuan na&as
T$!d#!# da!# 2 a'a 1. $ma"#an /!%an ? a"#$n #da %$!naa". D$n&an 4a!a m$l#'a $!&$!aan na# u!unn,a dada3
m$nd$n&a!
%un,#
naa"
dan
m$!a"aan
'$m%u"an naa" /!%an ? a"#$n. Unu #u $n/l/n& 'a!u" m$nd$aan $l#n&a d# aa" mulu dan '#dun& /!%an ? a"#$n3 "am%#l $a m$m$!a'anan alan naa" $a $!%ua.P!/"$du! #n# d#lauan #da %/l$' m$l$%#'# 10 d$#. 2. $m%$!#an %anuan naa". J#a /!%an ? a"#$n #da %$!naa"3 %anuan naa" daa d#lauan m$lalu# mulu $ mulu3 mulu $ '#dun& aau mulu $ "/ma
d#'$m%u"an adala' 700 -00 ml <10 ml?&= aau "ama# dada /!%an ? a"#$n $!l#'a m$n&$m%an&. P$n/l/n& 'a!u" m$na!# naa" dalam ada "aa aan m$n&'$m%u"an naa" a&a! $!4aa# +/lum$ uda!a ,an& 4uu. K/n"$n!a"# /"#&$n ,an& daa d#%$!#an 'an,a 169 1:@.P$n/l/n& u&a 'a!u" m$m$!'a#an !$"/n da!# /!%an ? a"#$n "$$la' d#%$!#an %anuan naa". >a!a m$m%$!#an %anuan $!naa"an ulu $ mulu
Banuan $!naa"an d$n&an m$n&&unaan 4a!a #n# m$!uaan 4a!a ,an& 4$a dan $f$#f unu m$m%$!#an uda!a $ a!u9a!u /!%an ? a"#$n. Pada "aa d#lauan '$m%u"an naa" da!# mulu $ mulu3 $n/l/n& 'a!u" m$n&am%#l naa" dalam $!l$%#' da'ulu dan mulu $n/l/n& 'a!u" daa m$nuu "$lu!u'n,a mulu /!%an d$n&an %a#
a&a!
#da
$!ad#
m$n&'$m%u"an naa" dan
$%/4/!an
"aa
u&a
$n/l/n& 'a!u" m$nuu lu%an& '#dun& /!%an ? a"#$n d$n&an #%u a!# dan a!# $lunu unu m$n4$&a' uda!a $lua! $m%al# da!# '#dun&. /lum$ uda!a ,an& d#%$!#an ada $%an,aan /!an& d$5a"a adala' 700 - 00 ml <10 ml?&=. /lum$ uda!a ,an& %$!l$%#'an dan lau #n"#!a"# ,an& $!lalu 4$a daa m$n,$%a%an uda!a m$ma"u# lam%un&3 "$'#n&&a $!ad# d#"$n"# lam%un&. ulu $ '#dun&
T$n# #n# d#!$/m$nda"#an #a u"a'a +$n#la"# da!# mulu /!%an #da m$mun&#nan3 m#"aln,a ada T!#"mu" aau d#mana mulu /!%an
m$n&alam#
lua
,an&
%$!a3
dan
"$%al#n,a #a m$lalu# mulu $ '#dun&3 $n/l/n& 'a!u" m$nuu mulu /!%an ? a"#$n.
(CIRCULATION ) Bantuan siru%asi
T$!d#!# da!# 2 a'aan 1. $ma"#an ada #dan,a d$n,u anun& /!%an ? a"#$n.
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Ada #dan,a d$n,u anun& /!%an ? a"#$n daa d#$nuan d$n&an m$!a%a a!$!# a!/#" d#da$!a' l$'$! /!%an ? a"#$n3 d$n&an dua aau #fa a!# an&an <a!# $lunu dan $n&a'= $n/l/n& daa m$!a%a $!$n&a'an l$'$! "$'#n&&a $!a%a !a'$a3 $mud#an $dua a!# d#&$"$! $ %a&#an "#"# anan aau #!# #!a9#!a 192 4m3 !a%a d$n&an l$m%u "$lama 910 d$#.
J#a $!a%a d$n,uan nad#3 $n/l/n& 'a!u" $m%al# m$m$!#"a $!naa"an /!%an d$n&an m$lauan manu+$! $n&ada' $ala /an& da&u unu m$n#la# $!naa"an /!%an ? a"#$n.J#a #da %$!naa" lauan %anuan $!naa"an3 dan #a %$!naa" $!a'anan alan naa". 2. $lauan %anuan "#!ula"# J#a $la' d#a"#an #da ada d$n,u anun&3 "$lanun,a daa d#%$!#an %anuan "#!ula"# aau ,an& d#"$%u d$n&an /m!$"# anun& lua!3 d#lauan d$n&an $n# "$%a&a# %$!#u
D$n&an a!# $lunu dan a!# $n&a' $n/l/n& m$n$lu"u!# ulan& #&a anan aau #!# "$'#n&&a %$!$mu d$n&an ulan& dada <"$!num=.
Da!# $!$muan ulan& #&a <ulan& "$!num= d#uu! u!an& l$%#' 2 aau * a!# $ aa". Da$!a' $!"$%u m$!uaan $ma unu m$l$aan an&an $n/l/n& dalam m$m%$!#an %anuan "#!ula"#.
L$aan $dua an&an ada /"#"# ad# d$n&an 4a!a m$numu "au $laa an&an d#aa" $laa an&an ,an& la#nn,a3 '#nda!# a!#9a!# an&an m$n,$nu' d#nd#n& dada /!%an ? a"#$n3 a!#9a!# an&an daa d#lu!u"an aau m$n,#lan&.
D$n&an /"#"# %adan $&a lu!u"3 $n/l/n& m$n$an d#nd#n& dada /!%an d$n&an $na&a da!# %$!a %adann,a "$4a!a $!au! "$%an,a *0 al# d$n&an $dalaman $n$anan %$!#"a! ana!a 1392 #n4# <*389 4m=.
T$anan ada dada 'a!u" d#l$a"an $"$lu!u'ann,a dan dada d#%#a!an m$n&$m%an& $m%al# $ /"#"# "$mula "$#a al# m$lauan /m!$"# dada. S$lan& 5au ,an& d#$!&unaan unu m$l$a"an /m!$"# 'a!u" " ama d$n&an ada "aa m$lauan /m!$"#. <0@ Duty Cycle=.
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Tan&an #da %/l$' l$a" da!# $!muaan dada dan aau m$!u%a' /"#"# an&an ada "aa m$l$a"an /m!$"#.
Ra"#/ %anuan "#!ula"# dan $m%$!#an naa" adala' *0 2 d#lauan %a# /l$' 1
aau 2 $n/l/n& #a /!%an ? a"#$n #da $!#nu%a"# dan $4$aan /m!$"# adala' 100 al# $!m$n#
Da!# #ndaan /m!$"# ,an& %$na! 'an,a aan m$n4aa# $anan "#"/l# 60980 mmH&3 dan d#a"/l# ,an& "an&a !$nda'3 "$dan&an 4u!a' anun& < cardiac output = 'an,a 2@ da!# 4u!a' anun& n/!mal. S$lan& 5au mula# da!# m$n$muan a"#$n dan d#lauan !/"$du! da"a! "ama# d#lauann,a #ndaan %anuan "#!ula"# </m!$"# dada= #da %/l$' m$l$%#'# *0 d$#.
!/! MELAKUKAN BHD " DAN / PENOLONG!
O!an& a5am 'an,a m$m$laa!# 4a!a m$lauan BHD 1 $n/l/n&. T$n# BHD ,an& d#lauan /l$' 2 $n/l/n& m$n,$%a%an $%#n&un&an //!d#na"#. BHD 1 $n/l/n& ada /!an& a5am l$%#' $f$#f m$m$!a'anan "#!ula"# dan +$n#la"# ,an& ad$ua3 $a# /n"$u$n"#n,a aan m$n,$%a%an $n/l/n& 4$a l$la'. BHD 1 $n/l/n& daa m$n&#u# u!uan "$%a&a# %$!#u
1. P$n#la#an /!%an. T$nuan $"ada!an /!%an ? a"#$n <"$nu' dan &/,an&an /!%an d$n&an l$m%u dan mana=3 #a #da "ada!3 maa 2. #na $!/l/n&an "$!a a#fan "#"$m $m$!&$n"#. *. Jalan naa" < AIRWAY P/"#"#an /!%an ? a"#$n Bua alan naa" d$n&an manu+$! $n&ada' $ala 9 /an& da&u.
7. P$!naa"an < BREATHING N#la# $!naa"an unu m$l#'a ada #dan,a $!naa"an dan ad$ua aau #da $!naa"an /!%an ? a"#$n. J#a /!%an ? a"#$n d$5a"a #da "ada! d$n&an naa" "/nan3 "$!a #da adan,a !auma
l$'$! <!auma ulan& %$laan&= /"#"#an /!%an ada /"#"# mana < Recovery position=3 d$n&an $a m$na&a alan naa" $a $!%ua. J#a /!%an ? a"#$n d$5a"a #da "ada! dan #da %$!naa"3 lauan %anuan naa". D#
Am$!#a S$!#a dan d#n$&a!a la#nn,a d#lauan %anuan naa" a5al "$%an,a 2 al#3 "$dan&an d# E!/a3 Au"!al#a3 N$5 $aland d#%$!#an al#. J#a $m%$!#an naa" a5al $!daa $"ul#an3 daa d#4/%a d$n&an m$m%$ulan /"#"# $ala /!%an ? a"#$n3 aau $!n,aa #da %#"a u&a maa d#lauan
Unu /!an& a5am daa d#lanuan d$n&an /m!$"# dada "$%an,a *0 al# dan 2
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al# +$n#la"#3 "$#a al# m$m%ua alan naa" unu m$n&'$m%u"an naa"3 "am%#l m$n4a!# %$nda ,an& m$n,um%a d# alan naa"3 #a $!l#'a u"a'aan d#$lua!an. Unu $u&a" $"$'aan ,an& $!la#' d#lauan mana$m$n /%"!u"# alan naa"
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/l$' %$nda a"#n&.
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Pa"#an dada a"#$n m$n&$m%an& ada "aa d#%$!#an %anuan $!naa"an.
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S$$la' m$m%$!#an naa" 8-10 al# <1 m$n#=3 n#la# $m%al# anda 9 anda adan,a "#!ula"# d$n&an m$!a%a a!$!# a!/#"3 %#la nad# ada 4$ naa"3 #a #da %$!naa" lanuan $m%al# %anuan naa".
. S#!ula"#
J#a ada anda9anda "#!ula"#3 dan ada d$n,u nad# #da d#lauan /m!$"# dada3 'an,a m$n#la# $!naa"an /!%an ? a"#$n
J#a #da ada anda9anda "#!ula"#3 d$n,u nad# #da ada lauan /m!$"# dada
-
L$aan $laa an&an ada /"#"# ,an& %$na!.
;
-
Lauan /m!$"# dada "$%an,a *0 al# d$n&an $4$aan 100 al# $! m$n#.
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Bua alan naa" dan %$!#an 2 al# %anuan $!naa"an.
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L$aan $m%al# $laa an&an ada /"#"# ,an& $a dan mula# $m%al# /m!$"# *0 al# d$n&an $4$aan 100 al# $! m$n#.
6. P$n#la#an Ulan& S$"uda' "#lu" +$n#la"# dan /m!$"# <2$n#= $mud#an /!%an d#$+alua"# $m%al#3
J#a #da ada nad# d#lauan $m%al# /m!$"# dan %anuan naa" d$n&an !a"#/n *0 2.
J#a ada naa" dan d$n,u nad# $!a%a l$aan /!%an ada /"#"# mana.
J#a #da ada naa" $a# nad# $!a%a3 %$!#an %anuan naa" "$%an,a 8-10 al# $!m$n# dan m/n#/! nad# "$#a "aa.
J#a "uda' $!daa $!naa"an "/nan dan ad$ua "$!a nad# $!a%a3 a&a a&a! alan naa" $a $!%ua $mud#an /!%an ? a"#$n d##du!an ada /"#"# "#"# mana.
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BAB I# DOKUMENTASI
Unu $n4aaan a"u" %uan a"#$n RS $n4aaan 4uu d#d/um$na"#an d# "au" &a5a da!u!a.Unu a"#$n Ra5a #na d#d/um$na"#an ada f#l$ R 0:<>aaan P$!$m%an&an Pa"#$n T$!#n$&!a"#=.
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REFERENSI
a#dulfa!. <2010= >a!d#/ Pulm/na!, R$"4u4#a#/n. P!/4$$d#n&" /f "#ll la% !a#n#n& /f m$d#4al "ud$n /f Bl/4 16' /f Andala" Un#+$!"#,3 Ind/n$"#a. La#$f Sa#d A3d. <2002= P$unu P!a#" An$"$"#/l/&# Ed#"# K$dua. Jaa!a Ba&#an An$"$"#/l/&# dan T$!a# In$n"#f (aula" K$d/$!an Un#+$!"#a" Ind/n$"#a. Ka!/3 San/"/ d <200;= Buu Panduan Ku!"u" Banuan H#du Janun& Lanu A>LS a!d#a4 L#f$ "u/!= Ind/n$"#a. Jaa!aC PERKI-2008. u'#man3 u'a!d#3 d. <1;8;= An$"$"#/l/&#. Jaa!aC %a&#an An$"$"#/l/&# dan T$!a# In$n"#f (aula" K$d/$!an Un#+$!"#a" Ind/n$"#a. HET <2010= a$!# D#la $d#"3 KAT "$!a P$n&a%d#an a",a!aa An&aan I. Padan&C H#/4!a$" Em$!&$n4, T$am (K Unand 2010. Ed#/! L,l# I"mud#a R3 Bala# P$n$!%# (KUI3 J aa!a3 'al 1063 1;;8. Suna!#/ DR3 R$"u"#a"# Janun& Pa!u3 $d#/! u4'a!udd#n an",u!3 IDI3 Jaa!a3 'al 1;*.
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