Standar Operasional Prosedur

STANDAR OPERASIONAL PROSEDUR

PERAWATAN PEMASANGAN TEMPORARY PACE MAKER (TPM)

RSUP Dr. HASAN SADIKIN BANDUNG

NOMOR HS.15.B09.C.2.0001 TANGGAL TERBIT 0!"0#"200!

REVISI 01

HALAMAN 12 DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG

PROSEDUR TETAP

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGER PENGERTI TIAN AN

2. TU=UAN #. KEBI KEBI=A =AKA KAN N . PROSEDUR

P3r*+* P3r*+*4* 4* 36** 36**7* 7* T36%r 36%r*r *r P*/3 P*/3 M*83 M*83rr (TP (TPM) M) *-**: *-**: 3r*+* 3r*+*4* 4* *7 -'*8;8* 343*: *'3 -'*8;8* 36**7* **4 TPM *-* <3* &36%r*' 1. M363r4*:*8* 83*43* %'' **4 2. M3/37*: 43r>*-'* '&38' S34' S34'* * 3r*+ 3r*+*4 *4 -':* -':*r* r*8 8* * -** -**44 636 6363? 3?3r' 3r'8* 8*  *; *;:* :*  83 833r 3r*+ *+*4 *4* * 3; 3;*' *' -37* 4*-*r P3r'** **4 $ " '4r;634 ?*;4* " 8** 43r' " 343r " 7;4'7 343r " ?34*-'3 " *r;7 4*7* " ?378%8 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 43r34*7, 3r*+*4 ?3r-'r' -' 3?3*: 8** *4*; *7 -38*4 -37* 436*4 43r**7* **4 TPM M36?;8* ?*;4* *6* *7 ;-*: 43r**7 *-* *'3 S343*: ?*;4* 43r?;8*, ?3r':8* *r3* 3;;8* -37* 8** ?34*-'3 T;4; *r3* 3;;8* -37* 8** 43r' 

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C38 83*43* *6?;7* *4*r* 83?3 3384r%-* -37* 8*?3 733r*4%r TPM L*8;8* &'8*' *7 8;*4 -37* 343r *-* :3*4 *7 43r**7 P3r4*:*8* %'' 8*?3 3384r%-* -* :'-*r' 636?3'4 8*8' *'3 C38 6%-3 TPM *7 43r**7 *-* 733r*4%r (HR, %;4;4, 3'<'4*) =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 **4 TPM 434* ;r; B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* R;* ;*7 CICU ICU R;*7 HCCU R;*7 A7'%7r*&' 

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5. UNIT UNIT TERKAI RKAIT T

C38 83*43* *6?;7* *4*r* 83?3 3384r%-* -37* 8*?3 733r*4%r TPM L*8;8* &'8*' *7 8;*4 -37* 343r *-* :3*4 *7 43r**7 P3r4*:*8* %'' 8*?3 3384r%-* -* :'-*r' 636?3'4 8*8' *'3 C38 6%-3 TPM *7 43r**7 *-* 733r*4%r (HR, %;4;4, 3'<'4*) =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 **4 TPM 434* ;r; B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* R;* ;*7 CICU ICU R;*7 HCCU R;*7 A7'%7r*&' 

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5. UNIT UNIT TERKAI RKAIT T


TINDAKAN PENCABUTAN SHEAT KATETER KATETER NOMOR REVISI HALAMAN HS.15.B09.C.2.0002 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG

PROSEDUR TETAP Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGER PENGERTI TIAN AN

2. TU=UAN #. KEBI=AKAN . PROSEDUR

P3/*? P3/*?;4* ;4*  :3*4 :3*4 8*4343r 8*4343r *-**: *-**: 4'-*8 4'-*8* * *7 *7 -'*8; -'*8;8* 8* 343*: 343*: *'3 *'3 -'*8;8* 8*4343r'*' >*4;7 *7 6*': 43r**7 :3*4 *-* *r43r' &36%r*' M3/37*: 43r>*-'* 3 3r-*r*:* -* -* ' '&38' S34'* 3r*+*4 -**4 63*8;8* 4'-*8* 3r*+*4* 3;*' -37* 4*-*r P3r'** **4 $ " '4r;634 ?*;4* " 8** 43r' " ?34*-'3 " *r;7 4*7* " ?378%8 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* M36*8*' *r;7 4*7* A4;r %'' *'3 43r34*7, 3r*+*4 ?3r-'r' -' 3?3*: 8** *4*; *7 -38*4 -37* 436*4 43r**7* **4 M36?;8* ?*;4* *6* *7 ;-*: 43r**7 *-* *'3 S343*: ?*;4* 43r?;8*, *8;8* 3*r'8* :3*4 3/*r* 3*" 3* -* 438* *r43r' &36%r*' *-* ?*7'* r%8'6* 1 /6 -*r' 436*4 '3r', *;>;r8* *'3 ;4;8 63*r'8 *&* -**6 L*8;8* 338** *-* *r43r' &36%r*' 3*6* 15"#0 63'4 -37* 4*7* *7 -%6'* O?3r<*' *-** 3r-*r*:* T;4; *r3* 3;;8* -37* 8** ?34*-'3 43r' 

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L*8;8* &'8*' *7 8;*4 -37* 343r *-* *r43r' &36%r*' P**7 ?*4* *'r 3*6*  >*6 =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 3**' -* 3r4*:*8* %'' 8*8' *7 43r**7 ?*4* *'r 434* ;r; B3r38* **4"**4

TINDAKAN PEREKAMAN PENGHISAPAN EKG LENDIR (SUCTION) NOMOR REVISI NOMOR REVISI HALAMAN HALAMAN HS.15.B09.C.2. HS.15.B09.C.2.000 01 01 12 12 000#  TANGGAL DITETAPKAN OLEH DITETAPKAN $ OLEH $ RSUP Dr. HASAN RSUP Dr.TANGGAL HASAN TERBIT DIREKTUR DIREKTUR SADIKIN SADIKIN TERBIT 0!"0#"200! RSUP Dr. HASAN RSUP SADIKIN Dr. HASAN BANDUNG SADIKIN BANDUNG B;8* *r;7 4*7* BANDUNG BANDUNG 0!"0#"200! M3/;/' 4*7* 5. UNIT TERKAIT R;*7 A7'%7r*&' PROSEDUR R;*7 HCCU PROSEDUR TETAP TETAP  

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ Pr%&. Dr. C' R.S Pr*+'r*, NIP -r.SA(K).MS/ $ 10 0 929 NIP $ 10 0 929

1.PENGERTIAN

P3r38*6* EKG *-**: 4'-*8* *7 -'*8;8* ;4;8 63734*:;' 7*6?*r* '4r'8 >*4;7 63*;' 3384r%-* *7 -'43638* *-* -*-* 2. TU=UAN M3734*:;' 7*6?*r* '4r'8 >*4;7 1.PENGERTIAN P37'** 3-3r (;/4'%) *-**: 4'-*8* 833r*+*4* *7 -'*8;8* #. KEBI=AKAN *-* 8'3 *7 4'-*8 . PROSEDUR P3r'** **4 $ " 63' EKG 6*6; 6373;*r8* 3-3r *4*; 38r34 3/*r* 6*-'r' -37* " 8** 6377;*8* 37:'* 2. TU=UAN 1. 636?3r':8* " >3 >** *&* 2. 6363;:' 83?;4;:* %8'73*' " *8%:% #. KEBI=AKAN " 4';3 . PROSEDUR P3r'** $ " **4 37:'* 3-3r -37* ?%4% ?3r'' *r;4* " *r;7 **4 4*7* " ?378%8 -3'&384* M3>3*8* r%3-;r 83*-* "*'3 8*4343r 37:'* 3-3r 43r' (/*;* ;/4'%) " '34 43r' M3;4; *6'r* " 8%6 ?3r'' *r;4* *;*-3*/ 0,9  -* M3/;/' 4*7* *r;4* -3'&384* M36*8*' *r;7 4*7* " *r;7?3r-'r' 4*7*-'43r' A4;r %'' *'3 43r34*7, 3r*+*4 3?3*: 8** " 8** 43r' B3r':8* *r3* *7 *8* -'43638* 3384r%-* -37* 8** " 83r4* 4';3 *8%:% " 434%8% S'*8* 63' EKG -**6 8%-'' %, M3>3*8* r%3-;r 83*-* *'3 T34;8* %8*' 336*4* 3384r%-* M3;4; *6'r* " 3384r%-* 3@4r36'4* M3/;/' 4*7* 4*7* 8** $ +*r* 63r*: A4;r %'' *'3 43r34*7 -37* 83** 6'r'7 83 *r*: 4*7* 8''r' $ +*r* 8;'7 3r*+*4 8*8' 8** $ +*r* :'4*6 G;*8* *r;7 4*7* 8*8' 8'r' $ +*r* :'>*;43r' H;?;78* 8*4343r 37:'* -37* *7 **4 37:'* M3' 37:'* -':'-;8* " 3384r%-* r38%r-'* 37:'** 3-3r -37* 636*;88* 8*4343r V1 $ L*8;8* ICS 36*4 43r* 8** V2 $ 37:'* ICS 36*48343r* -**68'r' 8%6 */ 0,9  ;4;8 6363r4*:*8* V# $ 8343r'* *4*r* V2 -* V V $ M*;88* ICS '6* 6'-/*<'8;* 834343r 37:'* -**6 83*-** 4'-*8 637'* V5 $ G;*8* 3>*>*r V *43r'%r *@'* **4 37:'* -37* 438** 110  150 66H7 ;4;8 V $ -3+**, 3>*>*r V5 95 6'110*@'* 66H7 ;4;8 **8"**8, -* 50  95 66H7 V! $ ;4;8 3>*>*r V %43r'%r *@'* ?*' V $ T*r'8 3>*>*r V! 6'-/*;* -37* 636;4*r 8*4343r 37:'* 4'-*8 3?': -*r' 15 -34'8 V9 $ B'* 3>*>*r V # -37* >*r' -*r'*;*-3 /%;6**4*; <3r43?r* 8*4343r N*C 83 0,98'r'  T34;8* 8*'?r*', 3'4'<'4*, -* 83/3*4* 63' EKG L*8;8* 37'** *4*r* 37'** 3r4*6* -37* L*8;8* 3r38*6* -37* 6338* ?3r'8;4*, 6'4* *'34%6?% ;4;8 R; ?3r*&* -**6 -* ?*4;8, **?'* T38* 4%6?% *'3 4% ?'*637**6' 3r38*6*-'4r3 ;-*: 33*' 3r*&**, ?'*r8* '4'r*:*4 20  #0 O?3r<*' :*'-34'8 r38*6* 3?3;6 63*8;8* 37'** ?3r'8;4* 

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TINDAKAN PEMBERIAN CAIRAN MELALUI INFUS NOMOR REVISI HALAMAN HS.15.B09.C. 01 12 2.0005 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG

PROSEDUR TETAP

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929

1.PENGERTIAN


P36?3r'* /*'r* '&;3 *-**: 4'-*8* 833r*+*4* *7 -'*8;8* -37* 636*;88* '4r*<3* 8*4343r 83 -**6 <3* (<3* 3&*'8*, ?*''/*, 63-'** 8;?'4' -* <3* *&3* -' 4;78*') 1. I&; 37%?*4* -* 36?3r'* ;4r'' 2. M363;:' 83?;4;:* /*'r* -* 3384r%'4 P3r'** **4 $ " 4*-*r '&;3 " 8*4343r '4r*<3* -37* ;8;r* *7 3;*' " 34 '&; " /*'r* *7 3;*' r%7r*6 63-' " *r;7 4*7* 43r' " 8** 43r' " 37** " 4%r'834 " 8** */%:% " 343r " 7;4'7 " ?34*-'3 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* A4;r %'' *'3 H;?;78* /*'r* -* '&;3 34 -37* 63;;88* 83 ?*7'* 8*r34 *4*; *83 *7 83 ?%4% I' /*'r* 83 -**6 34 '&;3 -37* 6338*8* r;*7 4343* :'77*TNDAKAN 43r'' 3?*7'* -* ?;8* 836PERKEMIHAN *7 :'77* /*'r* KATETERISASI 6363;:' *7 -* ;-*r* *7 83;*r NOMOR REVISI HALAMAN L34*88* 37** -'?*+*: 436*4 (<3*) *7 *8* -'*8;8* HS.15.B09.2.000# 01 12 37'&;* L*8;8* 36?3-;7* -37* 4%r'834 10  12 /6 -' *4* 436*4 3;;8* -* *>;r8* *'3 ;4;8 6377377*6 -37* 73r*8* 'r8;3r (?'* *-*r) G;*8* *r;7 4*7* 43r'DITETAPKAN OLEH $ TANGGAL D3'&38' -*3r*: *7 *8* -' 4;;8 -37* 8** *8%:% L*8;8* 3;;8* *-* <3* -37* 6334*88* '?; >*r' -' ?*7'* ?*+*: <3* -* %'' >*r;6 637*r*: 83*4* P3r:*4'8* 83;*r* -*r*: 63*;' >*r;6. A*?'* **4 3;;8* 43r>*-' 373;*r* -*r*: 63*;' >*r;6 6*8* 4*r'8 83;*r ?*7'* -**6 >*r;6 *6?' 633r;8* 4;;8* 83 -**6 

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RSUP Dr. HASAN SADIKIN BANDUNG PROSEDUR

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TETAP

TERBIT 0!"0#"200!

DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929

1. PENGERTIAN 2. TU=UAN

#. KEBI=AKAN . PROSEDUR

K*4343r'*' 3r836':* *-**: 4'-*8* 636*;88* *7 8*4343r 8*r34 *4*; *4'/ 63*;' ;r34r* -* 6*;8 83 -**6 8*-;7 836': 1. M37:'*78* 834'-*8*6** 8*r3* -'43' 8*-;7 836':, 637*4*' r343' 3r836':*, %?4r;8' *'r* ;r'3. 2. M3-**48* ;r'3 43r' ;4;8 3/'63 #. P3*4**8*** *'3 *7 -'r*+*4 8*r3* 4r*;6* 63-;* '*', 7*77;* 3;r%6;8;3r, -* */* %3r*'

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P3r'** **4 $ " 8*4343r 43r' 3;*' ;8;r* " 8** -* -;8 43r' " 343r " 7;4'7 343r " ?34*-'3 " *r;7 4*7* 43r' " ?378%8 " 6'*8 3;6*>3' " ;'4 *7 ?3r'' /*'r* " '34 **4%6' 43r' " ;r'3 ?*7 M3>3*8* r%3-;r 83*-* *'3 M3;4; *6'r* M3/;/' 4*7* P**7 3r*8 M36*8*' *r;7 4*7* 43r' P**7 -;8 43r' T*7* 8'r' 63637*7 3' *; r3;';6 -'4*r'8 3-'8'4 83 *78** -* ?3r':8* -37* 8** ?34*-'3 K*4343r -'?3r' 6'*8 3;6* *4*; >3' *-* ;>;7* (8;r*7 3?': 12,5  1!,5 /6 ;4;8 *8'"*8', 2,5  5 /6 ;4;8 +*'4*) *; 6*;88* 3r*:* (1!  20 /6 ;4;8 *8'"*8' -* 2,5  5 /6

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;4;8 +*'4*) -* *>;r8* *'3 ;4;8 4*r'8 *&* -**6, *6*4' *-** ;r'3 83;*r S343*: 8*4343r 6*;8, '' ?*% -37* /*'r* *;*-3 *4*; 3>3'* ;4;8 8*4343r 6334* -* ?'* '43r6'43 4*r'8 836?*' *6?' *'3 -'6'4* 4*r'8 *&* -**6. S*6?;78* 8*4343r -37* ;r'3 ?*7 -* &'8*' 83*r*: *4* *:**?-%63 =3*8* *-* *'3 ?*:+* r%3-;r ;-*: 33*' B3r38* **4"**4 B;8* *r;7 4*7* M3/;/' 4*7* C*4*4 r%3-;r -* r3% *'3

5. UNIT TERKAIT

LOGO RS

PELAYANAN KEPERAWATAN NOMOR REVISI HALAMAN HS.15.B09.2.000# 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR 0!"0#"200! RSUP Dr. HASAN SADIKIN BANDUNG

STANDAR OPERASIONAL PROSEDUR (SOP) PEMASANGAN NASOGANSTIK TUBE (NGT)

1. PENGERTIAN

2. TU=UAN #. KEBI=AKAN

. PROSEDUR


P36**7* *%7*4r'8 4;?3 (NGT) *-**: 4'-*8* *7 -'*8;8* -37* 636*;88* '* *6?;7NGT *-* *'3 *7 4'-*8 6*6; 6363;:' 83?;4;:* ;4r'' 63*;' %r* M363;:' 83?;4;:* ;r4'' P3r*+*4 6*6; 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r 

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5. UNIT TERKAIT

LOGO RS

PELAYANAN MEDIS NOMOR REVISI HALAMAN HS.15.B09.2.000# 01 12 TANGGAL DITETAPKAN OLEH $ TERBIT DIREKTUR

0!"0#"200!


STANDAR OPERASIONAL PROSEDUR (SOP) PEMBERIAN ENTERAL NUTRISI

1. PENGERTIAN


2. TU=UAN

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5. UNIT TERKAIT

LOGO RS NOMOR HS.15.B09.2.000#

PELAYANAN MEDIS REVISI 01

HALAMAN 12

TANGGAL TERBIT 0!"0#"200!

STANDAR OPERASIONAL PROSEDUR (SOP) PEMBERIAN NUTRISI PARENTERAL 1. PENGERTIAN


. PROSEDUR

DITETAPKAN OLEH $ DIREKTUR RSUP Dr. HASAN SADIKIN BANDUNG


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5. UNIT TERKAIT

PELAYANAN KEPERAWATAN


NOMOR HS.15.B09.2.000# TANGGAL TERBIT 0!"0#"200!

STANDAR OPERASIONAL PROSEDUR (SOP) PENERIMAAN PASIEN BARU 1. PENGERTIAN


REVISI 01


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5. UNIT TERKAIT

63-%8;634*'8* *-* &%r6*4 *7 -'3-'*8* -**6 ?;8; r38*6 63-'8 -* 36?*r %?3r<*' r;*7 CICU P3r*+*4 636?3r'4*:; 434*7 *-** *'3 ?*r; 83*-* -%843r *7 43r8*'4, ?*7'* G'' -* D3% F*r6*' P34*+*4 636?;*4 r3/** 833r*+*4* 3;*' :*' 378*>'* P3r*+*4 63*8**8* 4'-*8* 833r*+*4* -* 63*8;8* &;7' 8%*?%r*4'& -37* 4'6 63-' -* % 63-' P3r*+*4 63/*4*4 -* 6373<*;*' 36;* 4'-*8* 833r*+*4* *7 43*: -'*8**8* P3r*+*4 637'&%r6*'8* 83*-* 36;* 3r*+*4 434*7 *-** *'3 ?*r; P3r*+*4 63/;/' 4*7*

R;*7 HCCU



STANDAR OPERASIONAL PROSEDUR (SOP) ASUHAN KEPERAWATAN PASIEN DENGAN AKUT MIOKARD INFARK 1. PENGERTIAN



NOMOR HS.15.B09.2.000#

STANDAR OPERASIONAL PROSEDUR (SOP) ASUHAN KEPERAWATAN PASIEN DENGAN AKUT MIOKARD INFARK

A8;4 6'%8*r- '&*r8 *-**: 83r;*8* %4%4 >*4;7 (6'%8*r-) 3/*r* 4'?*" 4'?* *7 -'4*-*' -37* *-** *8'4 -*-* *7 8:*. D* '' 63r;*8* 83*>;4* -*r' *7'* 3/4%r' *7 4'-*8 43r*4*' S3?*7*' */;* -**6 636?3r'8* *;:* 833r*+*4* *-* *'3 -37* *8;4 6'%8*r- '&*r8 -' r;*7 CICU P3r*+*4 -**4 63*8**8* *;:* 833r*+*4* 3;*' -37* 4*-*r .1 P378*>'* .1.1 P363r'8** &''8 .1.1.1 K3*-** ;6;6 $*'3 6373;: 3r' -*-* *7 4'-*8 :'*7 -37* '4'r*:*4, *6* 3r' #0 63'4, 3r' :'*7 4'6?; -* -'3r4*' 83r'7*4 -'7' -* 6;* 6;4*:, 73'*:,-* 36* 4'-*8 ?3r-**. .1.1.2 363r'8** 4*-* <'4* $438** -*r*: ?'* %r6* *4*; 63;r;,-3;4 *-' ?'* %r6* *4*; 63'78*4 .1.1.# '436 3r*&** $*-* **4 3r*7* *8* 4*6*8 *&* 43r** ?3r*4 33r4' 43r438* ?3-* ?3r*4, r%/:' -'436;8* *-* '&*r8 *43r'%r .1.1. '436 8*r-'%<*8;3r $?;' >*4;7 ?'*** 43r-37*r r3-;, S ?'*** 43r-37*r -' -*3r*: *38 -* 43r* 8'r' .1.1.5 '436 3/3r** $ ;6;6* -'3r4*' 6;* -* 6;4*: .1.1. '436 '437;634 $-'*&:%r3' *4*; 83r'7*4 -'7' -**4 43r>*-' 8*r3* /;r*: >*4;7 *7 63;r; .1.1.! '436 3r836':* $3;r;* r%-;8' ;r'3 -**4 43r>*-' >'8* /;r*: >*4;7 63;r;, ;r3;6 8r3*4'' -**4 63'78*4 >'8* &;7' 7'>* 63;r; *8'?*4 /;r*: >*4;7 63;r; .1.1. *84'<'4* 3:*r'":*r' $ *-** 8336*:* -* 833*:*,

3r%* :7'33 43r7*77; .1.2 P363r'8** 3;>*7 $ " EKG $ B'* -'436;8* *4*; 4'-*8  *4%%7', 3763 ST ?'* 33<*' *4*; -3r3' *7 -'3r4*' T inverted . " F%4% 4:%r*@ $ P*-* '&*r8 *43r'%r ;6;6* -'3r4*' *-** 3-36* *r;, 36?3*r* >*4;7;6;6* -'436;8* *-* *'3 '&*r8 *7 -'3?*?8* %3: hipertensi heart diseases (HHD) " L*?%r*4%r';6$ 3'6 >*4;7 (CKMB) 63'78*4 3?': -*r' 2@ %r6*, Tr% T 63'78*4, LDH1LDH2 1. P363r'8** *' r%&' ''- ;6;6* 63'78*4, 3384r%'4 (N*, K, C*, M7) ;6;6* 43r7*77;, 7;* -*r*: ;6;6* -'436;8* 4'77' *-* *'3 '&*r8 *7 -'3r4*' DM .2 A*'* D*4*

Sumbatan arteri koroner

Suplay O2 miokard terhambat Iskemik

Infark

Kontraktilitas miokard ↓

Edema paru

Syok cardiogenic

Gangguan metabolik

Aritmia

.# D'*7%* P3r*+*4* .#.1 G*77;* r** *6* $ 3r'. ?.-. 3;r;** ;*' %8'73 83 M'%8*r- *8'?*4 %8;' *43r' 8%r%3r ( 8'r', LAD, LCJ *4*; *r43r' 8%r%3r 8** ) .#.2 P3;r;* /*r-'*/ %;4;4 (CO) ?.-. 3;r;* 8%4r*84''4*, 3'78*4* *&43r%%-, 3;r;* r3%%-, 3'78*4* *4*; 3;r;* &r38+3' >*4;7. .#.# G*77;* 3r&;' 6'%8*r- ?.- 3;r;* ;*' %8'73 *4*; 3'78*4* 83?;4;:* %8'73 6'%8*r.#. I4%3r*' *84'<'4* ?.- -'&;7' >*4;7"*r; .#.5 K;r*7 3734*:;* ?.- 3*8'4 *4*; -*6*8 6** -3* .#. A'34* 4r3 ?.- 4*8;4 43r:*-* 3*8'4, 836*4'* -* '78;7* 3r*+*4* 8r'4'

. R3/** K33r*+*4* ..1  K*>' -* 3<*;*' r** 3r' " B3r'8* %?*4"%?*4 *4' *7'* 3;*' 3** " E<*;*' 8** 3r' " P3r4*:*8* 4'r*: ?*r'7 (3*6* 2 >*6 ?3?* 3r') " P3r4*:*8* *4;r*' %8'73 95 " K%*?%r*' -'34 ;*8 (D= I"D= II) " R38*6 EKG 12 3*- 3r'* (2 >*6 *4*; 384r* EKG ?'* 3r') ..2 P3;r;* 8%4r*84''4* 6'%8*r" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " K%*?%r*' %?*4"%?*4 <*%-'*4%r ACE ':'?'4%r, *4' *r'46'*, <*%r3%r -* '%4r%'8 " P3r4*:*8* -';r3' "1 //87BB>*6 " P3r4*:*8* 4r%83 <%;63 0"100 6, CO "L64, CI 2,5" L6462 " K%r38' 83*'* 3384r%'4 *7 3r'7 637*8'?*48* VES " K%*?%r*' -';r34'/, /*'r*, <*%-'*4%r, <*%r3%r -* '%4r%'8 " M''6*'*' 3r', *'-%' -* -'r'46'* P3;r;* r3%*" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " P3r4*:*8* '< '3 *-38;*4 " P3r4*:*8* '*' CVP #" /6H 2O *4*; 2" 66H7, ;6%* 15"25"15 66H7 " R3:'-r*' ?'* '*' CVP 8;r*7 -*r' %r6* " O?3r<*' I"O 3r >*6 " A;8;4*' ?;' >*4;7 43r:*-* 4*-*"4*-* 43%' 6'4r* ' P3'78*4* *&43r%*" O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " K%*?%r*' %?*4"%?*4 <*%-'*4%r, ACE ':'?'4%r " P3r4*:*8* AGD %r6% PH " P3r4*:*8* *4;r*' %8'73  95 ?'* 4'-*8 43r-**4 PPOK " A;8;4*' ?;' >*4;7 43r:*-* 4*-*"4*-* 43%' *%r4* " P3r4*:*8* 438** MAP !0"100 66H7

P3;r;*3'78*4* &r38;3' >*4;7 *4*; *-** *r'46'* " O?3r<*' 4'78*4 83*-*r*, TTV, *-** -'3*,7*%,3-36*, r%/:'. " L*8;8* <*7* 6*3;<3r ?'* 43r-**4 83*'* 'r*6* SVT -* AF RVR " K%*?%r*' *4' *r'46'* " K*r-'%<3r' ?'* VT -37* *-' (), AF RVR

" D3&'?r'*' ?'* VF *4*; VT 4** *-' " O?3r<*' 'r*6* >*4;7 " K%r38' 836;78'* 7*77;* 3384r%'4 ..#  O?3r<*' TTV (T3', *-' -* 'r*6* >*4;7) " P3r4*:*8* 4'r*: ?*r'7 3*6* 2 >*6 ?3?* 3r' " P3r4*:*8* *4;r*' %8'73 95 ;4;8 63'78*48* ;*' %8'73 6'%8*r" K%*?%r*' %?*4"%?*4* (ISDN, 6%r&', Tr%6?%'4'8, *'r', :3*r', ?34* ?%83r) " K%*?%r*' 8*4343r'*' >*4;7 " I&%r6*'8* 83*-* *'3 ;4;8 4'-*8 63*8;8* <**<* 6*3;<3r " O?3r<*' 4*-*"4*-* 3;r;* /;r*: >*4;7 ..." O?3r<*' TTV 3?3;6, -'**4, -* 343*: 63*8;8* *84'<'4* " B*4; ADL ;4;8 :*":* *7 4'-*8 6*6; -'*8;8* *'3 " M%4'<*' ROM 834'8* *'3 ?3;6 636;78'8* 6%?''*' " M%4'<*' ;4;8 6%?''*' (-;-;8 *4*; 6*8* 3-'r') 343*: 2 >*6 ?3?* 3r', ?3r-'r', >**, 4%'34 4r*''7 *-* :*r' 83"# ?'* TTV -* :36%-'*6'8 *-38;*4 " A>*r8* *'3 ;4;8 637:'4;7 *-' 3-'r' 834'8* ?3r*84'<'4* ..5." B'* :;?;7* 43r*3;4'8 " L'?*48* 83;*r7* -**6 3r*+*4* *4*; 3;;:* " M;*' 3-'-'8* r3:*?''4*' >*4;7, &*84%r r3'8%, *4%' 3-3r:**, %?*4"%?*4*, -'34 -* 6**>363 4r3 " E<*;*' 36*:*6* *'3, -%8;634*'8* 3;;:* -* r3% *-* 4*4; ..." M%-'&'8*' '78;7* *7 63-%r%7 -'8;' 43r?;8* " =3*8* '78;7*, r%3-;r -* 3r**4* -' ;'4 CICU " K*>' r%3 ?3r-;8* *7 %r6* " B3r' 3-*4'<3 3;*' '-'8*' " B'* 8%6;'8*' 43r?;8* " I-34'&'8*' 836;78'* ;6?3r";6?3r -' CICU ;4;8 63-;8;7 *'3 *4*; 83;*r7* .5. T'-*8* K33r*+*4* T'-*8* K33r*+*4* -'3;*'8* -37* R3/** K33r*+*4*. .. E<*;*' (Kr'43r'* H*') 5. UNIT TERKAIT P3;'

R;*7 HCCU Kr'* S;-**

ASUHAN KEPERAWATAN PADA PASIEN DENGAN SYOK KARDIOGENIK


NOMOR HS.15.B09.C.2.000#

REVISI 01


PROSEDUR TETAP

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN


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ASUHAN KEPERAWATAN PADA PASIEN DENGAN PERIKARDITIS


NOMOR HS.15.B09.C.2.00 TANGGAL TERBIT 0!"0#"200!

REVISI 01


PROSEDUR TETAP

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN


A-**: ;*4; 83*-** -**6 636?3r'8* A;:* K33r*+*4* *-* *'3 -37* *-** 3r*-*7* *-* *'* 3r'8*r- *7 43r>*-' 8*r3* *-** '<*' %3: ?*843r'<'r; 83-**6 *'* >*4;7.B'*** -'3?*?8* %3: $ " '-'%*4'8 " 4r*;6* *7;7 4'-*8 *7;7 *-* 3*;4 3r'8*r" '&38' <'r;, ?*843r, *r*'4 -* >*6;r V'r; $ /%@*/8'3<'r;, '&;3*, /:'/83%@, AIDS, TBC, 3%*6*. B*843r' $ 4*:%/%//;, 3;6%/%//;, 4r34%/%//; -* 6/%?*/43r';6 4;?3r/;%' " R*-'*' " 8%-'' '6;%%7' " 3*8'4 >*r'7* '8*4 $ SLE, <*8;'4' " 7*77;* 634*?'8, ;r36'* " '&*r8 6'%8*r" -'38' *3;r'6* " %?*4"%?*4* $ *4'8%*7;* S3?*7*' 3-%6* ?*7' 3r*+*4 -**6 636?3r'8* *;:* 833r*+*4* *-* *'3 -37* *-** 3r*-*7* 3r'8*r-. S34'* 3r*+*4 -':*r*8* 6*6; 636?3r'8* A;:* K33r*+*4* *-* *'3 3r'8*r-'4'3;*' 4*-*r

. PROSEDUR

.1 PENGKA=IAN .1.1 A*63* N3r' *-* *43r'%r (3-*7?3r*4) *7 -'3r?3r*4 **4 ''r*', ?*4;8, 73r*8* 633* -* ?3r?*r'7. H'*7 -37* -;-;8 ?3r*-*r 83-3*. K3;:* 4'-*8 :'*7 -37* N'4r%7'3r'. .1.2 P363r'8** F''8 B'*** 3*8, 73'*:, -36*6, '7*, ?*4;8, 4*8:'8*r-', -'r'46'*, 36?3*r* >*4;7, &r'/4'% r;?, 6;r6;r *%r4'/ *4*; 6'r*, 'rr*6* 7*% S# -* S, 3-36*, 3'78*4* =VP, 43/:'*3, '43r :36%r*7', %-; %43r .1.# EKG P3r;?*:* EKG -**4 ?3r;* $ 33<*' 3763 ST, '43r* PR -3r3', 73%6?*7 T -*4*r /38;, *-** '836'8, :'3r4r%', ?%8 8%-;8',-'r'46'* .1. L*?%*4%r';6 -* D'*7%4'8 L3;%'4%', 8;4;r -*r*:, LED, *?;6' Rontgen photo $ T*6*8 ?**7* >*4;7 636?3*r, 33?** *4*; 8*'&'8*' 3r'8*rEchocadigrafi : U4;8 636*4'8* *-** 33?** 3r'8*r- -* *-** *8;6;*' /*'r* 3r'8*rMRI/ CT : U4;8 63':*4 *-** 43%' 8*4; -* r37;r7'4*' *4*; 3;r;* 73r*8 -'-'7 <34r'83 EKG : Dr*>*4 I $ -3<'*' PR '43r<* -* 3763 ST, ST >;/4'% 33<*' 36;* 3*- -* -3r3' -' *VR D3r*>*4 II $ 3763 ST 836?*' %r6*, PR '43r<* -3r3', 736?*7 T -*4*r D3r*>*4 III $ 4*6*8 6'%8*r- '>;r' 3/*r* -'&&;3 D3r*>*4 IV $ EKG 836?*' 83 83*-** 3?3;6 3r'8*r-'4' .1.5 A*'* D*4* N% D*4* P33?*? M***: 1. DS $ P3r*-*7* *-* 3r'/*r-';6 G*77;* r** " P*'3 -* 3'8*r-';6 *6* 3r' 6373;: 3r' -*-* *7 P373;*r* *4"*4 <*% *84'& 633?*r 83 3:3r, M3r*7*7 ;>;7 *r*& ;77;7 ?3?* " N3r' 6378*4 -37* H%4**6; ''r*' %'' K%r438 /3r3?r' N3r' -'3r3'8*

2.

DS $ " P*'3 6373;: 36* 34': DO $ " D3* **4 *84&'4* " T3r-**4 4*-*" 4*-* 7*7* >*4;7

P3;r;* /*r-'*/ %;4;4 S;*' -*r*: 83 >*r'7* 63;r;

G*77;* '4%3r*' *84'&'4*

M34*?%'63 >*r'7* 4'-*8 *-38;*4 E37' *7 -':*'8* 63;r; S;*' -* -36*- 4'-*8 *-38;*4 K3*6*:*

#.

DS $ K'3 633;:36*: DO $ " T*8:'8*r-' " P;3 r3;r3 20 " Ur'3 %;4;4 12//87BB> *6 " =VP 63'78*4 " E/:%/*r-'%7r*&' 43r':*4 *-** 3&&;3 *-* 3r'/*r" T:%r*8 &%4% 4*6*8 36?3*r* >*4;7

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P3;r;* /;r*: >*4;7

.2 D'*7%* K33r*+*4* .2.1 G*77;* r** *6* 3r' ?.- '&*6*' 3r'/*r-'* -* 3&38" 3&38 '436'8 -*r' '&38' .2.2 P3;r;* /;r*: >*4;7 ?.- 436%*-3 >*4;7 .2.# G*77;* '4%3r*' *84'<'4* ?.- 8336*:* .# R3/** K33r*+*4* .#.1 G*77;* r** *6* 3r' ?.- '&*6*' 3r'/*r-'* -* 3&38" 3&38 '436'8 -*r' '&38' T;>;* $ " 343*: -'*8;8* 4'-*8*, 3r' ?3r8;r*7 :'*7 " 8** 3r' ?3r8;r*7 63>*-' 1"2 " 3r' :'*7 43r8%4r% " 8'3 -**4 63*8;8* 438'8 r3*8*' -* -'4r*8' 3/*r* 3&384'& " TTV -**6 ?*4* %r6* I43r<3' $ " 3'-'8' 3r' -*-* -* 3r:*4'8* &*/4%r 36?3r*4 -*r' 834'-*8 *6** R*'%* $ 3r' 3r'8*r-'4' -'r**8* *-* ?*7'* ;?43r* -* ?3r4*6?*: -37* ''r*' " ?3r'8* '78;7* *7 43*7 R*'%* $ r** /36* -**4 63'78*48* *6?*7 3r' .#.2 P3;r;* /;r*: >*4;7 ?.- 436%*-3 >*4;7 T;>;* $ S343* -'*8;8* 4'-*8* 833r*+*4*, 3;r;* /;r*: >*4;7 4'-*8 43r>*-' -37* /r'43r'* $ " TTV -**6 ?*4* %r6* " D';r3'  " 1 //87BB>*6 " D'*&%r3' 4'-*8 43r>*-' " EKG '; r'4:63 4** <34r'83 384r* '4% I43r<3' $ " P34*:*8* 4'r*: ?*r'7 R*'%* $ ;4;8 636''6*'*' ?3?* 83r>* >*4;7 " K%*?%r*' %?*4 '%4r%'8 -* 8r%%4r%&'8 R*'%* $ ;4;8 63'78*48* 8%4r*84''4* >*4;7 " P3r4*:*8* MAP !0  100 66H7 R*'%* $ -37* MAP *7 /;8;, *8* 636?3r'8* 3r&;' 7'>* *-38;*4 " O?3r<*' '4*83 %;4;4 R*'%* $ ;4;8 6373<*;*' &;7' 7'>* .#.# G*77;* '4%3r*' *84'&'4* ?.- 8336*:* T;>;* $ S343*: -'*8;8* '43r<3', 7*77;* '4%3r*' *84'&'4*-**4 43r*4*' -37* /r'43r'* $ " TTV -**6 ?*4* %r6* " M*6; 63*8;8* ROM 3/*r* *84'& -* *'& " K38;*4* %4%4 *-* 384r36'4* *-* ?*+*:  I43r<3' $

" M%'4%r 3r;?*:* TTV 3?3;6 -* 343*: *84'<'4* R*'%* $ ;4;8 636%'4%r 4%3r*' 8'3 43r:*-* *84'<'4* " B*4; 8'3 63*8;8* ROM 3/*r**84' -* *'& R*'%* $ ;4;8 63/37*: 8%4r*84;r " B*4; 8'3 -**6 63*8;8* ADL R*'%* $ ;4;8 637:36*4 33r7' *'3 . T'-*8* K33r*+*4* T'-*8* 833r*+*4* 637*/; *-* '43r<3' .5 E<*;*' M37*/; *-* 8r'43r'* 4;>;*

5. UNIT TERKAIT

R;*7 HCCU, UGD, R;*7 3*8'4 -**6

ASUHAN KEPERAWATAN PADA PASIEN ANGINA PECTORIS


NOMOR HS.15.B09.C.2.00 TANGGAL TERBIT 0!"0#"200!

REVISI 01


PROSEDUR TETAP

Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 1. PENGERTIAN 2. TU=UAN #. KEBI=AKAN . PROSEDUR

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G*77;* '4%3r* *84'&'4*

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STANDAR OPERASIONAL PROSEDUR (SOP) DECOMPENSASI CORDIS 1. PENGERTIAN


REVISI 01


Pr%&. Dr. C' R.S Pr*+'r*, -r.SA(K).MS/ NIP $ 10 0 929 P33r'6** *'3 ?*r; *-**: 33r'6** 33%r*7 *7 3r4*6*8*'* -'*4*8* %3: 4'6 63-' 6363r;8* 3r*+*4* -' r;*7 /'/; RSUP Dr. H** S*-'8' S3?*7*' */;* -**6 63*8**8* *78*:"*78*: -**6 636?3r'8* *;:* 833r*+*4* P3r*+*4 -**4 63*8**8* 4'-*8* 833r*+*4* 3;*' -37* 4*-*r P3r'** **4 $ " 63'*8* ?3" ?3-'-3 6%'4%r " 3384r%-* " 63' EKG " '&;3r'7 ;6 " *r;7 4*7* P3r*+*4 636?3r'8* ;/** **6 *-* *'3 -* 83;*r7** P3r*+*4 633r'6* '&%r6*' 434*7 '-34'4*, 4*4; -* 83*-** *'3 -*r' 3r*+*4 *7 637*4*r M36*8*' *r;7 4*7* P3r*+*4 636'-*:8* *'3 83 436*4 4'-;r r;*7* -* 636?*+* 83 8*6*r *7 43*: -'3-'*8* A4;r %'' *'3 43r34*7, 36'&%+3r *4*; &%+3r 43r7*4;7 8%-'' *'3 3r*+*4 ?3r-'r' -' 3?3*: 8** M3;4; *6'r* P3r*+*4 6378*>' 434*7 8%-'' *'3 -* 636?3r'8* '43r<3' 3;*' 83?;4;:* P3r*+*4 636?3r'8* %r'34*' 83*-* *'3 -* 83;*r7** 434*7 &*''4* *7 -''*8* -* 3r*4;r* r;*7 CICU RSUP Dr. H** S*-'8' P3r*+*4 63*8;8* r38*6* EKG 12 3*- *4*; 1 3*- 3;*' 83?;4;:* M36**7 ?3-'-3 6%'4%r'7, 43'6343r, '&;3 *4*; r'7 ;6 3;*' 83?;4;:* P3r*+*4 63378*' 378*>'* 833r*+*4* 3r4* 

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5. UNIT TERKAIT

63-%8;634*'8* *-* &%r6*4 *7 -'3-'*8* -**6 ?;8; r38*6 63-'8 -* 36?*r %?3r<*' r;*7 CICU P3r*+*4 636?3r'4*:; 434*7 *-** *'3 ?*r; 83*-* -%843r *7 43r8*'4, ?*7'* G'' -* D3% F*r6*' P34*+*4 636?;*4 r3/** 833r*+*4* 3;*' :*' 378*>'* P3r*+*4 63*8**8* 4'-*8* 833r*+*4* -* 63*8;8* &;7' 8%*?%r*4'& -37* 4'6 63-' -* % 63-' P3r*+*4 63/*4*4 -* 6373<*;*' 36;* 4'-*8* 833r*+*4* *7 43*: -'*8**8* P3r*+*4 637'&%r6*'8* 83*-* 36;* 3r*+*4 434*7 *-** *'3 ?*r; P3r*+*4 63/;/' 4*7*

R;*7 HCCU

Standar Operasional Prosedur

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