92679288 kriteria masuk icu
TRANSCRIPT
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Kriteria Masuk ICU
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Pasien prioritas 1Terapi intensif
Pasien prioritas 2Pemantauan intensif
Pasien prioritas 3Pasien sakit kritis atau terminal, dengan prognosis yang buruk
Kriteria Masuk ICU
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Pasien sakit kritis, tidak stabil yang memerlukan terapi intensif seperti dukungan / bantuan ventilasi, infus obat-obat vasoaktif kontinyu, dan lain-lainnya.
Contoh: pasca bedah kardiotorasik, pasien shock septic.
Pasien prioritas 1
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kriteria spesifik untuk masuk ICU: derajat hipoksemia, hipotensi dibawah tekanan darah tertentu.
Pasien prioritas 1 (satu) umumnya tidak mempunyai batas ditinjau dari macam terapi yang diterimanya.
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Pasien ini memerlukan pelayanan pemantauan canggih dari ICU.
Jenis pasien ini beresiko sehingga memerlukan terapi intensif segera, karenanya pemantauan intensif menggunakan metoda seperti pulmonary arterial catheter sangat menolong.
Pasien Prioritas 2
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Contoh: mereka yang menderita penyakit dasar jantung, paru, atau ginjal akut dan berat atau yang telah mengalami pembedahan major.
Pasien prioritas 2 umumnya tidak terbatas macam terapi yang diterimanya, mengingat kondisi mediknya senantiasa berubah.
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Pasien jenis ini sakit kritis, dan tidak stabil dimana status kesehatannya sebelumnya, penyakit yang mendasarinya, atau penyakit akutnya, baik masing-masing atau kombinasinya, sangat mengurangi kemungkinan kesembuhan dan/atau mendapat manfaat dari terapi di ICU.
Pasien prioritas 3
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Contoh: pasien dengan keganasan metastatik disertai penyulit infeksi, pericardial, temponade, atau sumbatan jalan napas, atau pasien menderita penyakit jantung atau paru terminal disertai komplikasi penyakit akut berat.
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Pasien-pasien prioritas 3 (tiga) mungkin mendapat terapi intensif untuk mengatasi penyakit akut, tetapi usaha terapi mungkin tidak sampai melakukan intubasi atau resusitasi kardiopulmoner.
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Terima Kasih
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Criteria for admission in ICU
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Basic respiratory monitoring and support Need for more than 50% oxygen Possibility of progressive deterioration to needing
advanced respiratory support Need for physiotherapy to clear secretions at
least two hourly Patients recently extubated after prolonged
intubation and mechanical ventilation Need for mask continuous positive airway
pressure or non-invasive ventilation Patients who are intubated to protect the airway
but require no ventilatory support and who are otherwise stable
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Advanced respiratory support Mechanical ventilatory support (excluding
mask continuous positive airway pressure (CPAP) or non-invasive (eg, mask) ventilation)
Possibility of a sudden, precipitous deterioration in respiratory function requiring immediate endotracheal intubation and mechanical ventilation
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Circulatory support Need for vasoactive drugs to support arterial
pressure or cardiac output Support for circulatory instability due to
hypovolaemia from any cause which is unresponsive to modest volume replacement (including post-surgical or gastrointestinal haemorrhage or haemorrhage related to a coagulopathy)
Patients resuscitated after cardiac arrest where intensive or high dependency care is considered clinically appropriate
Intra-aortic balloon pumping
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Neurological monitoring and support Central nervous system depression, from
whatever cause, sufficient to prejudice the airway and protective reflexes
Invasive neurological monitoring
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Renal support Need for acute renal replacement therapy
(haemodialysis, haemofiltration, or haemodiafiltration)