persiapan alat dan obat anestesi_fd
TRANSCRIPT
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 1/42
PERSIAPAN ALAT DANOBAT ANESTESI
- FD -
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 2/42
Equipment
“STATICS” Scope
Tube
Airw! Tpe
Intro"ucer
Connector Suction
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 3/42
SSCOPE Lr!n#o$cope
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 4/42
SSCOPE
St%eto$cope
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 5/42
TTube En"otrc%e& tube ' Spuit cu(
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 6/42
AAirw! Orop%r!n#e&
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 7/42
AAirw! N$op%r!n#e&
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 8/42
Fce )$*
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 9/42
TTpe
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 10/42
IIntro"ucer St!&et+ )n"rin
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 11/42
CConnector
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 12/42
SSuction Ri#i"
So,t
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 13/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 14/42
AENT
PRE)EDI.ASI
IND/.SI ' )AINTENANCE
E)ERENC0
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 15/42
AENT
PRE)EDI.ASI 12 Atropine Su&,t
Anti*o&iner#i*
Do$i$ preme"i*$i3 424154246 m#+*# On$et3 1 menit
Dur$i3 74-84 menit
9ntun#3 t*i*r"i
Pru3 $e*re$i mu*o$ $&2n,$
SSP3 $timu&$i "n "epre$i
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 16/42
62 )i":o&m Ben:o"i:epin Antin;iet!< $e"$i< nti*on=u&$n< re&;$i ot2$*e&et<
mne$i ntero#r"
Do$i$ preme"i*$i I) 424>5421? m#+*# Do$i$ $e"$i I@ 42415421 m#+*#
Do$i$ in"u*$i I@ 421542 m#+*#
On$et3 74-4 "eti* Dur$i3 14-74 menit 9ntun#3 BP< CO <R Pru3 "epre$i n,$-pneu SSP3 C)R46< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 17/42
72 On"n$etron Ant#oni$ ?-T7 re$eptor
Do$i$ Preoperti=e3 m# I@
Do$i$ Po$toperti=e3 m# I@ +5 m
Do$i$ n* u$i 6-16t%3 4<1m#+*# I@
On$et3 74 menit
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 18/42
2 .etoro&c AINS men#%mbt $inte$i$ pro$t#&n"in
Pen#e&o&n n!eri $e"n#-bert G H?%ri
)en#%mbt #re#$i trombo$it "n memperpnn#w*tu per"r%n
Do$i$ *etoro&c 84 m# I) or 74 m# I@ J )orp%ine 8-16m# I)+I@
On$et3 64-74 menit
Dur$i3 8- m
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 19/42
?2 )eperi"ine .e*utn n&#e$i 1+14 )orp%ine
Do$i$ preme"i*$i I) 42?51 m#+*# 1
Do$i$ Introperti=e I@ 62?5? m#+*# 1
Do$i$ Po$toperti=e n&#e$i I@ 426542? m#+*# 1
Anti $%i=erin# 6? m# I@
On$et 74 menit
Dur$i m
9ntun#3 BP< S@R < R Pru3 "epre$i n,$
SSP3 C)RO6< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 20/42
82 )orp%ine Do$i$ preme"i*$i I) 424?5426 m#+*#
Do$i$ introperti=e I@ 42151 m#+*#
Do$i$ n&#e$i po$toperti=e I@ 42475421? m#+*#
On$et3 1?-74 menit
Dur$i3 m
9ntun#3 BP
Pru3 "epre$i n,$
SSP3 C)RO6< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 21/42
>2 Fentn!& .e*utn n&#e$i 144; )orp%ine
Do$i$ n&#e$i preme"i*$i3 6?5?4 K# I@
Do$i$ introperti=e I@ 651?4 K#+*#
Do$i$ n&#e$i po$toperti=e I@ 42?512? K#+*#
On$et ?-14 menit
Dur$i 6?-74 menit
9ntun#3 BP
Pru3 "epre$i n,$ SSP3 C)RO6< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 22/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 23/42
In"uction$ 12 Intr=enou$ A2 .etmine
b&oc*in# po&!$!nptic ree;e$ in t%e $pin& cor" n"in%ibitin# e;cittor! neurotrn$mitter e(ect$ in$e&ecte" re$ o, t%e brin
Do$i$ in"u*$i I@ 156 m#+*# I) 75? m#+*# Biotrn$,orm$i "i %epr On$et3 ?-84 "eti*
Dur$i3 14-64 menit 9ntun#3 BP< R< CO Pru3 bron*o"i&t$i SSP3 C)RO6< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 24/42
B2 Propo,o& in%ibitor! neurotrn$mi$$ion me"ite" b! ABA
Do$i$ In"u*$i I@ 1562? m#+*#
Do$i$ peme&i%rn I@ ?45644 mc#+*#+min
Do$i$ $e"$i I@ 6?5144 mc#+*#+min
On$et3 1?-? "eti*
Dur$i3 ?-14 menit
9ntun#3 BP< S@R< .ontr*ti&it$< Pre&o"
Pru3 "epre$i n,$-pneu SSP3 C)RO6< CBF< TI.
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 25/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 26/42
62 In%&tion$
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 27/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 28/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 29/42
Neuromu$cu&r B&oc*in# A#ent
Depo&ri:in#
Non Depo&ri:in#
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 30/42
Fun#$i pe&umpu% otot3 )emu"%*n &rin#o$*opi "n intub$i
Re&*$$i otot $t pembe"%n
)en#%i&n#*n &rin#o$p$me )emu"%*n =enti&$i *en"&i
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 31/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 32/42
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 33/42
Depo&ri$$i F$i*u&$i otot
Ti"* menunu**n *e&umpu%n bert%p
Be&um ter"pt obt $pe$iM* Non Depo&ri$$i Ti"* " ,$i*u&$i otot
)enunu**n *e&umpu%n bert%p
Obt $pe$iM*3 nti*o&ine$ter$e
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 34/42
Depo&ri$$i Succ%ini&c%o&in GSc%
Dicet!&c%o&ine Su;met%onium
Do$i$ intub$i3 1-6m#+*# I@ On$et3 74-84 "eti*
Dur$i3 H 14 menit
E,e*3
Pe&umpu% n#* pen"e*
B&o* ,$e II
N!eri otot
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 35/42
Non Depo&ri$$i
Atrcurium
Do$i$ intub$i 3 4<? m#+*# I@ "&m 74$ Do$i$ re&;$i3 4<6? m#+*#
Do$i$ rumtn3 4<1 m#+*# I@
On$et3 1-6 menit
Dur$i3 1?-7? menit
9ntun#3 %ipoten$i< t*i*r"i
Pru3 bron*o$p$me
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 36/42
@e*uronium Do$i$ intub$i3 4<4-4<16 m#+*# I@
Do$i$ re&;$i3 4<4 m#+*# I@
Do$i$ rumtn3 4<41 m#+*# I@
On$et3 6-7 menit
Lm *er3 1?-64 menit
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 37/42
Ro*uronium Do$i$ intub$i3 4<?-4< +m#<*# I@
Do$i$ rumtn3 4<1? m#+*# I@
P" "o$i$ 4<-1<6 m#+*# on$et 84-4 "eti*
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 38/42
E)ERENC0
A"ren&ine .te*o&min en"o#en *e& "ren&
Prenter&3 131444 G1 m#+mL< 136444 G42? m#+mL<1314<444 G421 m#+mL< 13144<444 G4241 m#+mL
Re$u$it$i ntun#-pru G14 K#+*#
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 39/42
E,e"rine Do$i$ 14-6? m# I@ untu* men#t$i
%ipoten$i *ibt b&o*"e $r, $impti$
p" ne$te$i $pin& tu epi"ur&2 )enin#*t*n cur% ntun#< te*nn
"r% "n n"i On$et3 1?-84 menit
Dur$i3 6-? m
T*iM&*$i$
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 40/42
AminoM&ine Bron*%o"i&tor
men#obti mence#% w%ee:in# "n $e$* n,$ !n#"i$ebb*n o&e% pen!*it pru $eperti $m< bron*%iti$
emp%!$em Lo"in# "o$e3 8 m#+*# "&m 144 $2"2 644 mL "&m
w*tu 64 $2"2 74 menit2
Do$i$ mintennce3Dew$ bu*n pero*o*3 42> m#+*#+m2
Dew$ pero*o*3 42 m#+*#+mP$ien "#n cor pu&mon&e tu con#e$ti=e %ert ,i&ure3426? m#+*#+m
Do$i$ mintennce #eritri3 4<6-4<7 m#+*#+m
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 41/42
Neo$ti#mine Anti*o&ine$ter$e
)enmb% um&% $eti&*o&in
Do$i$3 4<4-4<4 m#+*# On$et3 ?-14 menit
E,e* mu$*rini*3 br"i*r"i< bron*o$p$me<%iper$e*re$i bron*u$ "n $&i=< e*$it$i
7/23/2019 Persiapan Alat Dan Obat Anestesi_fd
http://slidepdf.com/reader/full/persiapan-alat-dan-obat-anestesifd 42/42