edema pulmonari akut 2
TRANSCRIPT
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EDEMA PULMONARI AKUT
Disediakan Oleh : Nassruto
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DEFINASI
• Satu keadaan yang mengakibatkan peningkatan kandungan cecair tisu Ekestravaskular didalam paru-paru secara akut.
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ETIOLOGI
1. Kardiogenik: Kegagalan jantung kiri, stenosis @ inkompeten injap mitral, aritmia jantung dan HPT.
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ETIOLOGI
2. Bukan Kardiogenik: Dehidrasi Peningkatan tekanan intra
craial Ensefalitis Near Drowning Inhalasi toksik SLE
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PATOFISIOLOGI
• Punca mengakibatkan kumpulan cecair di ruang ekstra sellular di bahagian paru-paru menyebabkan kongesi pulmonary yang seterusnya boleh menyebabkan edema terjadi di bahagian pulmonary.
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MANIFESTASI KLINIKAL
1. Berlaku secara tiba-tiba2. Rasa dada ditekan3. Dispnea akut disertai sianosis4. Batuk berulang-ulang / pendek / kahak berbuih.5. Berpeluh6. Nadi cetek & cepat7. Askultasi paru-paru: Kreptasi / rales8. Suhu badan normal.
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INVESTIGASI
X-RAY DADA & LEHER
ABG (Kesan asidosis @ alkalosis)
ECG
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PENGENDALIAN
1. Posisi fowlers untuk melegakan ‘Venous return’
2. I/V Morphine 5-10mg. (Meningkatkan kapasiti vena, kurang tekanan atrium kiri dan ‘after load’
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PENGENDALIAN (Sambungan)
3. GTN 500 mcg sublingual (Kurangkan ‘pre load’
4. Oksigen 6-8lt/min melalui ventimask @ nasal prong.
5. Infusi intravena (Pemberian ubat)
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PENGENDALIAN (Sambungan)
6. I/V Frusemide 40-80mg stat
7. Agen Inotropik : Dopamine / Dibutamine sekiranya berlaku kegagalan jantung.
8. Dilator bronchial: Salbutamol @ terbutaline sekiranya berlaku bronchial spasm.
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PENGENDALIAN {Sambungan}
9. Pembetulan asidosis jika berlaku.
10. Monitor rapi terhadap jantung dan pernafasan
11. Monitor vital sign setiap jam.
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PENDIDIKAN KESIHATAN
1. Mengambil ubat mengikut arahan
2. Rawatan susulan
3. Amalan hidup sihat
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KOMPLIKASI
• Respiratori asidosis• Kerosakan otak• Korpulmonale• CCF• Kegagalan Ginjal