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Airway( Jalan Nafas )

By :Neneng Mudrikah

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Look - Listen – Feel !

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Menilai jalan nafas • LIHAT - LOOK

– Gerak dada & perut – Tanda distres nafas – Warna ukosa kulit – "esadaran

• !N"A# - LI$T!N – Gerak udara nafas

• #ABA - %!!L – Gerak udara nafas

den#an pipi

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,

K'r(an sadar a)au )idak *

$adar → ajak (i ara . jika suara jelas /

air0ay (e(as

Tak sadar → (e(askan jalan nafas - hin lif) 1 head )il)- ja0 )hrus)

Ada nafas* - liha) dengar ra(a nafas

Tidak ada nafas- (erikan nafas (ua)an- (erikan 'ksigen

Ada suara )a+(ahan*- Mendengkur (erku+ur dll

Ada nafas

A-

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• 4ika 5asien sadar ajak (i ara . (i ara jelas / )ak ada su+(a)an

• Berikan 'ksigen 6jika ada7 . +asker l5+

• 4aga )ulang leher . (aring da)ar 0ajah ke de5an leher 5'sisi ne)ral

• Nilai a5akah jalan nafas (e(as . adakah suara sn'ring gargling r'0ing

8#IO#ITA$ 9TAMA A ALAH4ALAN NA%A$ B!BA$

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Tanda su+(a)an 1 '(s)ruksi

+endengkur : 5angkal lidah 6sn'ring7suara (erku+ur : airan 6gargling7

s)rid'r : kejang 1 ede+a 5i)a suara6 r'0ing7

gelisah 6karena hi5'ksia7gerak ')') nafas )a+(ahan

sian'sis 6)anda la+(a)7

MAKIN

8A#AH

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;

Me+(e(askan jalan nafas

• $u+(a)an 5angkal lidah 6suara +endengkur7 . hin lif) . ja0 )hrus) . jalan nafas 'r'5haryn< 1 nas'5haryn<

• =airan di hy5'5haryn< 6suara (erku+ur7 . 5enghisa5 1 su )i'n

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>

?

CHIN LIFT hati-hati

$HEAD TILT

jangan dilakukan

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@JAW THRUST

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@2

K'r(an )ak sadar → jangan di(eri (an)al di ke5ala → jangan diganjal (ahunya

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Jan#an dipasan# %ika refle unta' asi' ( )

4alan nafas 'r'-5haryn<

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@&

4alan nafas Nas'-5haryn<

Tidak eran#san# unta'* dewasa + atau %ari kelin#kin# kanan

,ati-'ati pasien den#an fraktura asis .ranii

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@,

Previously recommended handpositions for manual in-linestabilisation of the cervical

spine.

Currently recommended handpositions for manual in-linestabilisation of the cervical

spine.

Lindungi leher dari gerakan

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@

Ne k 'llar 1 ='llar (ra e

0ipasan# tanpa en##erakkan le'er (terlalu anyak)"epala 'arus dipe#an# 1in-line2-Tekanan intra-kranial isa enin#kat- Airway isa o struksi

- 3ila unta' akan aspirasi

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@;

8er)i+(angkan INT9BA$I T#A=H!A

• 4ika ara air0ayC dia)as se+ua gagal• 4ika sukar +e+(erikan nafas (ua)an• 4ika risik' as5irasi ke 5aru (esar •

4ika "=$ D ;

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@>

Laring'sk'5i u1 in)u(asi )ra hea

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@F Tulang leher +ungkin edera

2F 8asien +eninggal karena kurang 'ksigen (ukan karena )idak in)u(asi )ra hea

3F 8asien hi5'ksik )rau+a ke5ala G kejang→ sering rahang )erka)u5 era)

INGAT

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Laryngeal Mask Air0aydi5asang )an5a laring'sk'5i

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2&

Kasus

K'ndisi jalanna5as*

8er)'l'ngannya*